VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

Total Manufacturer
46,870MODERNA
532GLAXOSMITHKLINE BIOLOGICALS
353PFIZER\BIONTECH
231MERCK & CO. INC.
221UNKNOWN MANUFACTURER
62SEQIRUS, INC.
25DYNAVAX TECHNOLOGIES CORPORATION
13EMERGENT BIOSOLUTIONS
12SANOFI PASTEUR
9NOVARTIS VACCINES AND DIAGNOSTICS
5PFIZER\WYETH
5PAXVAX
2TEVA PHARMACEUTICALS
2PROTEIN SCIENCES CORPORATION
1BERNA BIOTECH, LTD.
1INTERCELL AG
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL1,906
1,575
289
IMM209286
252
236
229
s029456178
171
UT7065MA166
155
149
145
S034636133
107
U62828AA103
100
98
P10025327596
U6737AA85
UJ446AA79
78
78
59
57
4BH3254
4F47253
52
27656352
50
PP9L548
49TM346
42
40
38
MENVEO38
4F47237
R1B252M36
34
C5763AA30
93362229
25
300057A24
UNK24
22
CW311621
18
17
15
UH894AB15
3Y7NL12
R1B743M12
EJ168611
el128410
10
10
10
9
ARBA141A9
UNK9
8
UNK8
8
1F4EB8
Unknown7
7
No batch number6
5
5
UJ090AA5
5
5
4
4
4
UNK4
JEV18K95E4
UNK3
A115A3
Z127A3
3
3333324181073
2
2
2
TAR352
1
1
1
1
1
A739081
1
1
1
1
1
037K20A68,542
EL128447,700
133

Incidents per State

State Total
15,185
CA14,096
NY7,507
TX7,196
FL6,939
IN5,527
PA4,560
IL4,179
OH4,054
AZ3,856
MI3,771
NJ3,411
MA3,278
VA3,208
NC3,114
WA3,034
GA2,864
MD2,652
MN2,534
CO2,532
WI2,457
MO2,029
OR1,943
TN1,715
CT1,693
KY1,603
OK1,226
AL1,201
KS1,162
IA1,157
SC1,106
NM1,065
UT973
AR951
LA945
NE829
NV797
ME795
MT789
NH756
ID674
AK661
WV661
PR650
MS585
HI536
RI510
VT441
SD361
ND356
DE350
DC239
WY209
GU32
AS16
VI13
MP9
MH3
FM2
QM1
XB1

Date Died: 01/14/2021

ID: 0945241
Sex: F
Age: 71
State: MD

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: UNK

Symptoms: 71yo female resident who died after receiving Pfizer BioNTech vaccine. On 1/14/2021, VS taken at 10am, B/P 99/60, O2 sats, 95% (trach w/O2). At 11:30am, Patient showed no s/sx of distress, A&Ox3. At 11:50am, a nurse went to perform a COVID test and assessment (the facility is experiencing an outbreak), and found the patient unresponsive on the bathroom floor. CPR was immediately started; no shock advised per AED; 12:15pm EMS arrived and took over. At 12:38pm, EMT called time of death.

Other Meds: UNK

Current Illness: UNK

ID: 0945242
Sex: F
Age: 32
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: No medical test was done related to adverse event.

Allergies: No

Symptoms: Staff complained of malaise, headaches, fatigue, feeling clammy, sweating, and that skin felt sensitive the evening of when the vaccine was administered.

Other Meds: No

Current Illness: None

ID: 0945243
Sex: F
Age: 26
State: OH

Vax Date: 01/05/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: I had my vaccine on 1/5/2021 and the 2 days after I had a lot of pain in my arm and fatigue which are all things I expected and they were over by Saturday 1/9. Now starting today 1/14 the area is red again and is very itchy

Other Meds: Zoloft, multivitamin, B12, calcium, iron

Current Illness: N/A

ID: 0945244
Sex: F
Age: 56
State: NY

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Levoquin, Macrobid, Ceftin, Penicillin

Symptoms: Redness, itchiness and hardness at site of vaccine

Other Meds: calcium citrate

Current Illness:

ID: 0945245
Sex: F
Age: 45
State: FL

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Pineapple, levaquine, ciprofloxacine,moxifloxacine,adhesives and topical alcohol

Symptoms: Fever, pain in the shot place, bodyaches and fatigue and also the site of the shot is swollen and red

Other Meds: None

Current Illness: The pain in the arm and I had fever in the early morning with bodyaches and fatigue

ID: 0945246
Sex: F
Age: 77
State: IA

Vax Date: 01/10/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Toradol

Symptoms: hives most notably on my legs & lower abdomen, progressing today to my face, arms, chest & shoulders

Other Meds: metoprolol, triamterene/HCTZ

Current Illness:

Date Died: 01/13/2021

ID: 0945247
Sex: F
Age: 96
State: PA

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Urinalysis did show a UTI and CXR was negative for aspiration pneumonia. Family did not want her sent to the hospital. She died on 1/13/21

Allergies: aricept, namenda, penicillin, actonel, erythromycin, niacin

Symptoms: Has underlying dementia and often with difficulty eating. 1 week after immunization she developed a stroke with left sided weakness and difficulty swallowing. Comfort measures instituted. Not sure if this is related to the vaccine, but thought I should report

Other Meds: depakote, lexapro, lisinopril, multiple vitamin, senna, seroquel, tylenol

Current Illness: Nothing acute prior

ID: 0945248
Sex: F
Age: 48
State: NE

Vax Date: 01/04/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None. Not life threatening, but uncomfortable and from CDC and patient information, it does not say that the hive and swelling worth nodule at inject site can reappear well over a week of receiving.

Allergies: NKA

Symptoms: I had itching and large fist size hive and swelling at injection site 5 hours after injection. Arm pain for 2 days then everything went away and you could not see any rash or anything. Then 9 days later, hive reappears and swelling. Cortisone cream applied. The Vsafe health checks had stopped so wasn't able to follow up.

Other Meds: Levothyroxine 100mcg, Vit D3 5000IU, Sertraline 100mg, Omeprazolw 10mg, Metoprolol 25mg, Nasocort

Current Illness: None

ID: 0945249
Sex: F
Age: 32
State: CA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: visit on 01/08/2020 following face numbness. Per MD not Bell's Palsy. Sensation of numbness/tingling only. No motor. Baseline blood work unremarkable. Given Motrin, and Benadryl in clinic, little relief. Numbness/tingling still ongoing.

Allergies: Tylenol and Codeine.

Symptoms: 01/07/2021- Following injection, site pain radiating to hand/fingers. Resolved 01/08/2021. 01/07/2021 - Headaches, intermittent still. 01/07/2021 - Neck Pain - Left Side, intermittent still. 01/08/2021 - Pain Left Index Finger/Tightness, Resolved 01/08/2021 evening. 01/08/2021 - Left Hip Pain, Intermittent/Ongoing. 01/08/2021 - Left Side Face Numbness/Tingling at 4PM. No paralysis. Bell's Palsy ruled out. Continues as of 01/14/2021. 01/08/2021 - Left Side Mouth Numb, cannot feel pain/temperature when eating/drinking. Tongue Numb. Resolved 01/12/2021. 01/08/2021 - Slight Nausea, Resolved 01/09/2021. 01/08/2021 - Feeling of swollen throat, or something in throat, Resolved 01/10/2021.

Other Meds: Vitamin D 1000IU, and Vitamin C.

Current Illness: None.

ID: 0945250
Sex: F
Age: 27
State:

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Dizziness, anxiety, HTN

Other Meds:

Current Illness:

ID: 0945251
Sex: F
Age: 52
State: UT

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Tenderness and burning sensation on tongue. Metallic taste

Other Meds: loratadine

Current Illness: None

ID: 0945252
Sex: F
Age: 54
State: KS

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: CMP, Mag, Troponin, BNP, CBC, EKG, XRAY all on 01/14/2021

Allergies: Foods- cantaloupe and bananas

Symptoms: Patient presents at the ER 1 hour after having Moderna COVID vaccine with chest tightness with shortness of air. She was having wheezing and difficulty swallowing, but no rash. Alprazolam 0.25mg, Duoneb x2, prednisone 20mg, Epinephrine 1mg/ml IM, Patient leaves ER at 11:19am

Other Meds: Spironolactone , Tramadol, Lexapro, Atrovastatin, Vitamin, Biotin

Current Illness: No

Date Died: 01/14/2021

ID: 0945253
Sex: F
Age: 83
State: MD

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: UNK

Allergies: UNK

Symptoms: 83yo female resident who died after receiving Pfizer BioNTech vaccine. On 1/14/2021, the patient reportedly got up in the middle of the night with c/o feeling "blah", restlessness, and nausea. VS normal, no other s/sx. At 4:15am, the patient was asked to go back to bed, assisted by a nurse and GNA. At 6am, GNA was going to do morning VS and found the patient unresponsive, no pulse, no respirations. GNA notified the nurse. At 6:03am, CPR started and EMS called. At 6:15am, EMS arrived and took over. At or around 6:30am, EMT called time of death

Other Meds: UNK

Current Illness: UNK

ID: 0945254
Sex: F
Age: 47
State: NM

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: No tests were done. Dr. ordered a steroid shot.

Allergies: red dye, eggs, Tylenol, Motrin, Ibuprofen, Amoxicillin, mold, grass, dander, peanuts, almonds, chili powder, red pepper

Symptoms: intense itching on back, neck, & scalp- muscle aches, headache, fatigue. EMS gave me double shot of Benadryl. via IV in right arm. I went home and slept for 3 hours. Woke up Right hand swollen and painful, muscle aches, headache, itching

Other Meds: Zyrtec, setraline, Calcium, Magnesium, Zinc

Current Illness: None

ID: 0945255
Sex: M
Age: 61
State: CA

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: Bactrim

Symptoms: Patient received the vaccine, and waited 30 minutes, due to history of allergies. After the vaccine, he walked to his car, and he felt flushed and facial tightness. He was driven home, took Benadryl, and then a 1.5 hour nap. When he woke up all symptoms had resolved and he has not had any symptoms since.

Other Meds: Unknown

Current Illness:

ID: 0945256
Sex: F
Age: 41
State:

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reported tingling and swelling in both hands, subtle, observed for 40 mins, at which point symptoms fully resolved.

Other Meds:

Current Illness:

ID: 0945257
Sex: F
Age: 72
State: IL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: Penicillin, Ceclor, CT scan dye, shrimp

Symptoms: developed a red, raised, itchy area 3 inches by 5 inches at injection site 8 days after receiving the vaccine. Area less red and itchy at this time.

Other Meds: Losartan 100 mg; Atorvastatin 10 mg; Vitamin D 2000 units; OTC Preservison vitamin

Current Illness: None

ID: 0945258
Sex: F
Age: 37
State: HI

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/11/2021 - stomach pain, headache, exhaustion, arm pain 1/12/2021- fever 100.0 and diarrhea for 3 days Took ibuprofen

Other Meds: Lexapro

Current Illness:

ID: 0945259
Sex: F
Age: 64
State:

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: Extreme Diarrhea, Nausea. Started 2.5 hours after shot was given Explosive .............

Other Meds: statin amlodopine B Complex 81 mg aspirin

Current Illness: NONE

ID: 0945260
Sex: F
Age: 57
State: OH

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: Heart racing, nausea, migraines headache, fever

Other Meds: Advil

Current Illness: COVID 19 one month ago

ID: 0945261
Sex: F
Age: 31
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: Allergies not on file in immunization clinic medical chart

Symptoms: Patient received her first dose of the Moderna COVID-19 Vaccine EUA at 1850. She then noted itchiness and redness at site of injection and to bilateral upper extremities (BUE) (arms, hands) at 1900. The RN who administered the vaccine notified another RN in the clinic to assess the patient and noted redness and hives were visible. Patient complained of itching to BUE and more redness than usual to her eczema. A pharmacist and RN in the clinic gave the patient her first Benadryl 25mg at 1915 for the itching and hives. Patient stated at 1930 that she would like second dose of Benadryl with symptoms not worsening but not getting better, second dose of Benadryl 25 mg was given at 1936. As symptoms were not getting worse after second dose of Benadryl, patient stated that she would like to go home. Patient was watched in the clinic for ~1 hr after receiving her vaccine. Friend came to pick up the patient at 2003 and the RN in the clinic informed the patient to call or go to ED/ Urgent care if symptoms worsened - patient expressed understanding.

Other Meds: Not available

Current Illness: Not available

ID: 0945262
Sex: F
Age: 51
State: PA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: About 24 hours after 1st vaccine noticed mild red skin rash across stomach and back. Back is slightly itchy, while stomach rash is not. Still evident 48 hours later.

Other Meds: Calcium w/Vitamin D, daily probiotic

Current Illness: None

ID: 0945263
Sex: F
Age: 36
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, arm pain, fever

Other Meds:

Current Illness: Covid in December

ID: 0945264
Sex: M
Age: 26
State: WY

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None.

Allergies: None.

Symptoms: Within the first hour patient advised it felt like was was bruised up. Really tender. After about 6 hours patient advised stomach started to feel upset. And 12 hours after the shot advised started to get a fever. Patients body was really warm. Patient stated had a migraine of a headache and body felt really sore and weak. Patient got diarrhea. The chills as well. After about 24 hours and up to 32 hours the only thing left was a headache.

Other Meds: None.

Current Illness: None.

ID: 0945265
Sex: M
Age: 42
State: NY

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: fever developed and increased to 101.5 within an hour, the next 36 hours I experience continued fever over 101 that was reduced by 1000 mg of Tylenol, severe muscular body aches, general weakness, and persistent headache localized behind the eyes. The symptoms sided over the last 12 hours of the 36 hours mentioned. A very light state of feeling tired persisted another 24 hrs as well as a slightly elevated temperature (1-1.5 degrees). I was positive for Covid in March of 2019 for a total of 6 weeks. The first two weeks were the most intense. This felt like a scaled down version of those two weeks. I never required hospitalization or supplemental oxygen in March.

Other Meds: fluticazone inhaler twice daily for asthma, albuterol inhaler as needed for asthma

Current Illness: none

ID: 0945266
Sex: F
Age: 46
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills, muscle aches. Resolved

Other Meds:

Current Illness:

ID: 0945267
Sex: M
Age: 36
State: TX

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Had severe reaction to the vaccine not necessarily adverse events but still wanted to report it. I am a physician who likely had contracted COVID in 04/2020 and has been suffering long COVID sx since. No significant reaction to dose 1 of the Pfizer vaccine other than sore arm. 2nd dose within 12 hours had severe rigors, severe chills, then fever to 39.6 the first night (took 1 dose of tylenol and 1 of advil after), temp of 38-39 the next 12 hours, and then the 2nd night had a fever high of 41.4 degrees (took another tylenol). Had sweats the entire night after and defervesced after. Day 3-5 mostly involve myalgia, nausea, anorexia, malaise, chills, HA, and mild SOB. Took about 1 week to "recover" to my long COVID baseline after the 2nd dose of vaccine. Still having a bit worse SOB now compared to prior to 2nd dose but unsure if it has to do with the vaccine at this point. Had tested for positive anti-spike protein ab (likely from the 1st dose) the morning of my 2nd dose of vaccine.

Other Meds: Montelukast, aspirin, famotidine, allegra, MVI

Current Illness: Possibly long Covid syndrome. Started having Covid sx in April 2020 and has been ongoing for the last 10 months. Never was able to test positive on PCR or antibody but was very healthy prior, all other workup since negative. 10 month of persistent and waxing/waning Covid sx such as SOB, HA, myalgia, chills, fatigue, brain fog, intermittent malaise, nasal congestion, etc.

ID: 0945269
Sex: F
Age: 25
State: CT

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: N/a

Symptoms: Dry, flaky and swollen rash on face. Left cheek, right cheek and right side bridge of nose, and under chin on left side. I noticed it on 1/12/21 and it got progressively worse by 1/14/21.

Other Meds: Zyrtec

Current Illness: N/a

ID: 0945270
Sex: M
Age: 53
State: CA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: chills, body aches, fatigue

Other Meds: alkaline water, vit c, D, and zinc tylenol

Current Illness: none

ID: 0945271
Sex: F
Age: 56
State: NH

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient was extremely dizzy and nauseous after receiving vaccine. stated room was spinning. after 15 minutes and having a glass of water she felt better

Other Meds:

Current Illness:

ID: 0945272
Sex: M
Age: 30
State: CA

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Patient received vaccine, waited 30 minutes and left. He reports he was fine until about 7 pm when he began to have significant chills and diaphoresis. This resolved overnight, he felt a little "weak" the next day. Was able to come to work. Was afebrile. Reports he is back to normal.

Other Meds:

Current Illness:

ID: 0945273
Sex: F
Age: 38
State: VA

Vax Date: 01/11/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Gluten intolerance/ dairy intolerance

Symptoms: Woke up at five a.m. nauseous, migraine. Tried to eat something. Felt like morning sickness. (No way I'm preggo- tubes removed). Vomit 6:45am, chills, joint pain, muscle ache fatigue, headache, nausea all day. Bridge of nose hurts, ears hurt throat hurts feels like drainage. No fever. Greenish color to my face. Heating pad, rest, water, Advil 4:30 pm and hot bath.

Other Meds: Prozac 60 mg Lamectal 150mg

Current Illness: None

ID: 0945274
Sex: F
Age: 95
State: NC

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: She was take to hospital at about 3pm. Do not know outcome

Allergies: unknown

Symptoms: Shortly after being vaccinated patient started vomiting. Staff was able to help her and stop vomiting. Later she started vomiting again. Vomit was black and was also passing black stool. This was reported by director of FACILITY.

Other Meds: unknown

Current Illness: unknown

ID: 0945275
Sex: F
Age: 22
State: VA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Almonds, Amoxicillin, Zithromycin, Suprax

Symptoms: 9:28 C/O numb tongue, itchy head and face. Self administered Children's Liquid Benadryl 10 ml 9:34 PO2 99%, P 109/86 repeat, BP 139/74 9:36 PO2 99%, P 85 BP 159/89 9:39 Itchy face/head 10:13 Ok stable

Other Meds: Emgality 1 injection per month for migraines

Current Illness: N/A

ID: 0945276
Sex: F
Age: 83
State: NY

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: patient refused all tests and observation, left against medical advice from the ED

Allergies: Penicillin

Symptoms: Shortness of breath for 10 mins, self resolved

Other Meds: sertraline, trazodone, trulicity, lantus, metformin, atorvastatin, lisinopril, quetiapine, nifedipine

Current Illness: none

ID: 0945277
Sex: M
Age: 48
State: NY

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Pt. was sitting during observation period, became lightheaded. Did not say anything to staff. Pt. fell over out of chair and hit head on the ground. Pt. became responsive approx 1min after staff was at patient side. Pt. was rolled over and became A&O x 3

Other Meds: Synthyroid

Current Illness: None

ID: 0945278
Sex: F
Age: 43
State:

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Employee received 2nd dose of Pfizer vaccine. After about 13 minutes, patient returned to vaccination station with complaints of itching and mild hives noted to left forearm. Benadryl 50mg po dispensed at 1345. Pulse Ox: 94%, HR: 70. Pt stated Pulse ox normally runs at this level due to hx of asthma. Itching continued to progress up left arm and down left leg. Denied any reaction after first dose. Vaccine Clinic staff notified. Pt escorted by staff to convenient care at 1353.

Other Meds:

Current Illness:

ID: 0945279
Sex: F
Age: 32
State: NJ

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Per patient, no known allergies

Symptoms: Patient reported feeling itchy all over. She reported no hives or rash and no difficulty breathing. Patient was given 2 tablets of Diphenhydramine 25mg. The patient remained in the pharmacy for 30 minutes following the injection. She reported feeling better and no further itching before leaving the pharmacy. I called to follow up with the patient the same evening and she reported she was doing better and had no additional itching after leaving the pharmacy.

Other Meds:

Current Illness:

ID: 0945280
Sex: F
Age: 37
State: CA

Vax Date: 01/04/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash at injection site

Other Meds:

Current Illness:

ID: 0945281
Sex: F
Age: 50
State:

Vax Date: 12/24/2020
Onset Date: 12/26/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Two days after first vaccine, patient states that she experienced lymphadenopathy of left armpit. Resolved without treatment after a week.

Other Meds:

Current Illness:

ID: 0945282
Sex: F
Age: 32
State: CA

Vax Date: 12/21/2020
Onset Date: 12/28/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: An autopsy of my daughter has been completed and additional genetic testing is pending.

Allergies: None

Symptoms: One week after I was vaccinated, my partially breast fed infant daughter (DOB 10/02/2020) died in her sleep on 11/28/2020. The cause of death is not known. I am reporting her death here because of the relative proximity of my vaccination and her death.

Other Meds: Spiriva, Dulera, Lexapro, Singulair

Current Illness: None

ID: 0945284
Sex: M
Age: 45
State: CT

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I experienced tachycardia, almost lost consciousness in the early morning of 1/13/21. I had to call 911. When EMT's arrived about 10 minutes, my heart rate went down to 100bpm. I decided not to go to hospital and just continue observation. I still have a feeling of increased nervousness and palpitation in my chest today.

Other Meds: Fish oil, Acetaminophen.

Current Illness: None

ID: 0945285
Sex: F
Age: 30
State: NJ

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fatigue, Nausea, Arm soreness Currently pregnant: EDD 08/20/2021

Other Meds: Insulin, Prenatal Vitamin

Current Illness: None

ID: 0945286
Sex: F
Age: 37
State: AR

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: body aches and chills 1/14 all day

Other Meds: birth control

Current Illness: no

ID: 0945287
Sex: M
Age: 28
State: CO

Vax Date: 12/23/2020
Onset Date: 12/27/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: Covid test - positive

Allergies: None

Symptoms: First day - tired; 2nd day chills ,coughing , congestion ,and headache, super exhausted; little fever 99. Mucinex DM and Tylenol. Tested positive for COVID on December 29th 2020 and quarantined. Symptoms lasted that whole week - 6-7 days.

Other Meds: No

Current Illness: Nothing

ID: 0945288
Sex: F
Age: 53
State: CA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: mild pollen allergy

Symptoms: Felt very tired the evening of my 2nd dose of Covid vaccine. Woke early the next morning (01/08/21) with a high fever, chills, body aches, fatigue. Fever broke around midnight that night and I felt back to normal around noon the next day. Overall, I felt unwell for about 48 hours, and very sick for about 18 hours. I did not medicate for sx as we were advised by the hospital against NSAIDS to maximize antibody production.

Other Meds: Nutrafol (dietary supplement for hair loss)

Current Illness: None

ID: 0945289
Sex: F
Age: 57
State: TX

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/14/2021
Hospital: Y

Lab Data: Lots of labs, covid test (positive)

Allergies: codeine, sulfa

Symptoms: I had fatigue, headache, pain, weakness and I was so miserable decided to go to ER on (12/24/20) and then was transferred to hospital admitted (12/25/20) one day - discharged on 12/26/20 at night

Other Meds: Placamil, Celebrex, hydrocholorotidizide, Estrace, Orapamil

Current Illness: No

ID: 0945290
Sex: F
Age: 35
State: IL

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Overnight on 1/13 into 1/14 patient woke up feeling unwell and had a fever and a very sore arm where the vaccine was given. The site of administration is red, burning, tender, and warm to the touch. No more fever today.

Other Meds:

Current Illness:

ID: 0945291
Sex: M
Age: 73
State:

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient's wife called complaining of improper immunization technique. Pharmacist had administered into shoulder instead of deltoid. Complains of radiatin pain, unable to move arm. Requesting pharmacist who discovered error to submit to VAERS and also internal incident reporting

Other Meds:

Current Illness:

ID: 0945292
Sex: F
Age: 49
State: IN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: Kiwi

Symptoms: Fever of 102, chills, headache, body aches, nausea, sweats, lasting from 12 midnight until about 1-2 pm the next day. The symptoms were severe enough I could not work and 800 mg of ibuprofen did not take fever down enough to work or help much with the myalgia. Symptoms improved after about 14-16 hours of onset.

Other Meds: Lexapro 10 mg daily Benadryl OTC as needed

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm