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

ID: 1009555
Sex: F
Age: 25
State: MN

Vax Date: 01/30/2021
Onset Date: 02/07/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: Egg, milk, peanuts, shrimp, codfish

Symptoms: Large, red ring around injection site. Itchy, painful and swollen in that area.

Other Meds: Sprintec, Vitamin D gummies, cetrizine HCI 10 mg, Flonase

Current Illness:

ID: 1009556
Sex: F
Age: 71
State:

Vax Date: 01/15/2021
Onset Date: 02/07/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Mild site pain, headache, joint pain and fever

Other Meds:

Current Illness:

ID: 1009557
Sex: F
Age: 71
State: FL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: Self check of temp

Allergies: Flagyl, Axid, Oxycodone

Symptoms: Fairly severe adverse events started around 3:30AM next morning with shaking chills, temp 102, headache, severe neck pain, nausea, generalized myalgia and arthralgia, axillary tenderness radiating to left hand, profound fatique/malaise, anorexia, and, of course, injection site swelling, redness, warmth and pain. Fever continued to spike at intervals over next 24 hours. I was able to reduce fever with ES tylenol or Ibuprofen, put H/A , neck pain, arthralgia and myalgia were unrelieved, even with hydrocodone /Apap 7.5/325. In short, this was a miserable 24 hours. I did not feel able to get out of bed until 10AM the following day.

Other Meds: lipitor, cymbalta, norvasc, singulair, anoro inh., albuterol inh., zyrtec, nexium, mucinex dm, albuterol neb., diclofenac, xanax, hydrocodone with apap, ASA 81mg, Vits. C, D, Calcium, Folic acid, A, E, B complex, )mega 3 Fish oil, gluco

Current Illness:

ID: 1009558
Sex: F
Age: 84
State: OH

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: Tetanus Morphine OxyContin

Symptoms: Round red painful site that continued to spread. Treatment: benedryl and prescription from urgent care .. cephalexin 500 mg

Other Meds: Nothing

Current Illness: None

ID: 1009559
Sex: F
Age: 46
State: OR

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever, chills, aching muscles, sensitive skin, fatigue

Other Meds: None

Current Illness: None

ID: 1009560
Sex: F
Age: 65
State:

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Ran 100.4 fever and developed red rash over front of neck, around 3-4" wide and high

Other Meds:

Current Illness:

ID: 1009561
Sex: F
Age: 36
State: MN

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: On Saturday (02/06) my left arm was swollen, tender, warm and sore. Also, redness and itchiness and pain in arm pit. Saw a doctor on the same day and was prescribed Benadryl, cortisone cream and ibuprofen. Next day the swelling is down, most symptoms are gone but the pain on armpit and redness.

Other Meds: Women?s vitamins and vitamin D

Current Illness: None

ID: 1009562
Sex: F
Age: 64
State: MO

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: None

Allergies: Penicillin, Keflex

Symptoms: Fever (100.6), Chills, Sever headache, body aches, fatigue, tachycardia. All except tachycardia ended by afternoon of 2/5. Tachycardia ongoing. Heart rate raises to ~108 with a mere walk down the hallway of my house.

Other Meds: Chlorthlid, Cat's Claw, Hydrangea Root, Magnesium Glycinate, Zinc, probiotic

Current Illness: NONE

ID: 1009563
Sex: M
Age: 73
State: IL

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Pharmacy technician, thought she was injecting patient with COVID19 Moderna, but she ended up injecting the patient with a blank syringe of 0.5ml of air. When she realized there wasn't any vaccine in the syringe, she informed the patient and he was OK with her injecting his arm again with a syringe filled with 0.5ml COVID19 Moderna. Patient did not show/mention any adverse events.

Other Meds: Unknown

Current Illness: None

ID: 1009564
Sex: F
Age: 71
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Extreme sore muscles so that moving hurt. Nauseated. Dry heaves. Slight fever. Slight chills. Headache. Very tired. Not hungry.

Other Meds: Vit D-3, Levothyroxcine, Calcium, Omeprazole, Escitalopram

Current Illness: None

ID: 1009565
Sex: F
Age: 71
State: FL

Vax Date: 01/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: None yet

Allergies: None that I know of

Symptoms: Tingling and pins and needles hands feet face and neck Seems like it is getting worse each day.

Other Meds: Losartan, vitamin D, famotidine, biotin

Current Illness: None

ID: 1009566
Sex: F
Age: 27
State:

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Mild site reaction, chills and fever

Other Meds:

Current Illness:

ID: 1009567
Sex: F
Age: 33
State: CA

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Delayed site reaction including warmth, redness, swelling and localized rash. Began on 1/23 and fully resolved on 1/25 Treated with Benadryl 50mg x1

Other Meds: Birth control Multivitamin Vyvanse

Current Illness: N/A

ID: 1009568
Sex: F
Age: 39
State: NC

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: Tsh, CBC, troponin sensitive, ecg, EKG, and chest X-ray at new medical center

Allergies: None

Symptoms: At or around 2300 on 2/4/2021 I began feeling tense, major body aches, and had a temp of 99.6?. I went to emergency department for nausea vomiting. Dizziness. Seeing stars when moving, and rapid heart beat that would not stop and my chest began hurting. Dr saw me in the Ed where I was administered iv bolus fluids along with the meds: toradol, dexamethasone, pepsid, Benadryl, and zofran. I went home and laid on the couch all evening until the chest pain became so intense I went to new medical center emergency department. I was then given iv fluids along with phenergan, toradol, dilaudid, and Ativan. I got a chest X-ray, ecg, ekg, and a bunch of blood work to rule out things.

Other Meds: Effexor 140 mg ER od;Dextroamphetamine 20mg od;Loaartin 50 mg od ;Tylenol 500 mg 2 prn

Current Illness: None

ID: 1009569
Sex: F
Age: 81
State: MA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: Allergies to fish, seafood, gluten, dairy, environmental (dust, mold, pollens), perfume, grcats, stinging insects; migraines triggered by very ripe cantaloupe, strawberries, avocados, mushrooms

Symptoms: No side effects on day of vaccination. Next a.m. (Feb. 5): sneezing, stuffy nose, chills, aches; these symptoms lasted until evening of Feb. 6. I take a natural antihistamine during pollen seasons (Natural D-Hist)--started that 3X a day a.m. Feb. 6, and also echinacea and astragalus tinctures 3X a day through Feb. 7. These remedies helped, and I was feeling ok by evening of Feb. 6.

Other Meds: Taken in the morning (regular a.m. regimen): thyroid replacement, multivitamin, calcium supplement, boswellia, L-carnitine, DHEA (10 mg.), probiotic, adrenal support, Ubiquinol (active CoQ10

Current Illness: none

ID: 1009570
Sex: F
Age: 59
State: AZ

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: strawberries

Symptoms: It started with a quarter size redness, swelling, and itching. By the third day the swelling and itching went away. Seven days later, I woke up with itching, redness and swelling grown 20mm, the bump feels hard.

Other Meds: Synthroid 112mcg Citracal Pioneer Calcium Magnesium OmegaGenics EPA-DHA 720 Vitamin D3 Carditone Turmeric Calm Multi-vitamin

Current Illness:

ID: 1009571
Sex: F
Age: 78
State: KS

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: NONE

Allergies: Strong allergy to any Statin

Symptoms: The day after I didn't have much energy. Woke up the day after with a little rash which spread all over my body. Secon day energy back but rash was worse, rataher angry red and beginning to itch.

Other Meds: 2nd shingle shot 2/3/2021 area asround the shot tuened pink Exetimibe 10mg Cyclobenzaprine 10mg Dairy Relief Melatonin 10mg

Current Illness: Covid19 about one anda half ago

ID: 1009572
Sex: F
Age: 76
State: MD

Vax Date: 01/21/2021
Onset Date: 01/30/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: none

Allergies: Sulfa

Symptoms: Starting about 9 days after the first dose, I developed a painful, hot, red itchy rash at vaccine site. It went away after about 3 days, but has returned today. The area is even larger than originally. The arm is NOT painful, but it is very red and itchy.

Other Meds: famotadine, calcium, vitamin D, magnesium, Align (probiotic)

Current Illness: none

ID: 1009573
Sex: M
Age: 89
State: CA

Vax Date: 01/17/2021
Onset Date: 01/24/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Itchiness over front and back of torso also arms.

Other Meds: Cartia XL180 mg xarelto 20 mg lexapeo 10 mg . provastatin 40mg. Urolic 40 mg

Current Illness: None

ID: 1009574
Sex: F
Age: 72
State: FL

Vax Date: 01/25/2021
Onset Date: 02/02/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Itchy red rash on left arm, about 3 inches tall, 2 inches wide...appeared about 1 week after the injection Have applied Benadryl spray, taken Benadryl tablets Rash is much better but still visible

Other Meds: Probiotics, 20 mg statin, vitamin D, vitamin C, fish oil, red yeast rice, 81 mg aspirin

Current Illness: None

ID: 1009575
Sex: F
Age: 57
State:

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: Iodine, Shellfish, Chocolate

Symptoms: Swelling throat, sores in mouth, swelling eyes

Other Meds:

Current Illness:

ID: 1009576
Sex: F
Age: 39
State: TN

Vax Date: 02/01/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Large ulcers/sores under tongue with fever/fatigue 4+ days after vaccination; had typical post vaccine symptoms 24-48 hours after injection that resolved.

Other Meds: Fluoxitine 10mg

Current Illness: None

ID: 1009577
Sex: M
Age: 59
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: Symptoms resolved without medical intervention.

Allergies: Citric Acid, Bee stings

Symptoms: Significant intractable body and joint aches from 14-36 hours post vaccine. Chills from 29 hours-32 hours post vaccine. Mild but intractable headache from 24-42 hours post vaccination.

Other Meds: Prilosec 10mg, multi vitamin, Glucosamine , Melatonin 3mg

Current Illness: None

ID: 1009578
Sex: M
Age: 50
State:

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: Mango, pistachio

Symptoms: Had strong flu-like symptoms for 36 hrs after receiving the vaccine which included a 101 degree fever, bad muscle aches, and headache. Felt worse than when I actually had Covid-19.

Other Meds: None

Current Illness: Received a positive COVID-19 test on 4 Dec 2020

ID: 1009579
Sex: F
Age:
State: NV

Vax Date:
Onset Date:
Rec V Date: 02/07/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: Redness, swelling and intense itching below injection site. Developed golf ball sized lump for two weeks. Redness is still there today.

Other Meds: Blood pressure medication

Current Illness: No

ID: 1009580
Sex: F
Age: 68
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: None

Allergies: Tylenol

Symptoms: Aleve, rest. Slept almost 24 hours. Symptoms lasted about 36 hours

Other Meds: Protons Limit or Amlodipine Claritin Multivitamin

Current Illness: Chills, body aches, low grade temp(99.1) , very tired

ID: 1009581
Sex: M
Age: 42
State: VA

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Niacin reaction coupled with fever and body aches caused extreme nausea and extreme shivering.

Other Meds: Ceterizine, Niacin, Flax Oil, Multivitamin

Current Illness: None

ID: 1009582
Sex: M
Age: 26
State: CA

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 7 days after receiving the first dose on 1/6/2021 in my left arm, the injection site became swollen, erythematous, itchy, and painful. The symptoms lasted for 7 days. The lot number for the first vaccine was 025J20-2A. 2 days after receiving the second dose on 2/3/2021 in my right arm, the injection site became swollen, erythematous, itchy, and painful. The symptoms lasted are still ongoing. The lot number for the second dose was 010M20A.

Other Meds: None

Current Illness: None

ID: 1009583
Sex: M
Age: 69
State: CA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Slight soreness in arm

Other Meds:

Current Illness:

ID: 1009584
Sex: F
Age: 27
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills, sweating, headache, body aches, 103.5 fever (highest), fever over 100 for 15 hours.

Other Meds: Fluoxetine, bupropion, birth control

Current Illness:

ID: 1009585
Sex: F
Age: 36
State: ID

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: about to go to the Community Care place

Allergies: allergic to wheat, corn, soy, dairy, eggs, nightshades

Symptoms: bottoms of both feet turned dark brown third day (normal reactions first and second day like low fevers and fatigue)

Other Meds: ibuprofen, multivitamin, relax max by biotics, iron supplement

Current Illness: colds

ID: 1009586
Sex: F
Age: 33
State: WA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Extreme fatigue next day with mild headache, strong fatigue again 3 days after injection

Other Meds:

Current Illness:

ID: 1009587
Sex: F
Age: 47
State: MD

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: 1st Vaccine: soreness in upper arm 2nd Vaccine: Chills, fever, body aches, muscle aches, nausea, dizziness, lethargic, hissing noise from my right ear

Other Meds: 75mg Zoloft

Current Illness: no

ID: 1009588
Sex: F
Age: 33
State: NY

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: GYN sent culture swabs for various tests. So far all negative. Will know the last results this Wednesday (2/10/2021)

Allergies: Shellfish- crustaceans

Symptoms: Beginning the day after the shot I started with vaginal swelling which wasn?t terrible that day but by the second day (Thursday) it was severe. I worked that entire day not realizing just how bad it was but by the end of the day I could barely walk out to my car. I was in so much pain and so swollen that by the next day I could not do anything. I went to my GYN first thing that morning (Friday) where they swabbed to send for various tests which have all come back negative so far. I had to return for a re-culture that had come back inconclusive and we are still waiting on those results. I have been given an antibiotic and prednisone which still have not resolved the swelling. I am about 50% resolved and almost 2 weeks later at this point but there is still significant internal swelling which is uncomfortable but not hindering me from working. I was out of work for an entire week and not able to do anything for that entire timeframe.

Other Meds: Balziva- birth control

Current Illness: Nothing

ID: 1009589
Sex: F
Age: 65
State: FL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: chills and shakes ~8hrs after shot. increasingly nauseous. muscle aches by 10pm. progressively worse and bad 1-1:30 early next morning. really thirsty and very bad back and stomach pains. found it very painful to move. bedridden for next 36 hours then improved quite quickly. now only slight headache & stomach ache

Other Meds: vitamin D

Current Illness: none

ID: 1009590
Sex: F
Age: 66
State: OK

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Redness, tash, itching at injection site

Other Meds:

Current Illness: None

ID: 1009591
Sex: M
Age: 67
State: NC

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: None

Allergies: PCN

Symptoms: Very slight headache initially but went away after approximately one hour. Rest of day I felt slightly energized. The next day I felt a little tired.

Other Meds: Atarax 20mg

Current Illness: None

ID: 1009592
Sex: F
Age: 73
State: WY

Vax Date: 01/28/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: None

Allergies: Caine?s, monostat, nickel

Symptoms: COVID arm, redness, itching and hive-like rash nine days after injection

Other Meds: Lisinopril, Atorvastatin sotalol, Xeralto

Current Illness: None

ID: 1009593
Sex: F
Age: 37
State: MD

Vax Date: 02/01/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 02/06/2021 Headache entire 01:00 to 22:30 fever at 01:00 101.6 Fever 03:16 102.4 dizziness/weakness Fever 06:30 102.2 Fever 09:00 103.2 Fever 12:30 102 Fever 14:20. 102.4 Fever 16:00 103.2 Fever 19:00 102.6 Fever 22:00 102.4 All while taking Motrin and Tylenol alternating and ice packs to core areas to break fevers

Other Meds:

Current Illness:

ID: 1009594
Sex: F
Age: 33
State: NM

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: EKG 2/6/21 to rule out cardiac cause for presumed gallstone pain; results normal.

Allergies: NKA

Symptoms: Fever (Tmax: 101.2 F) x 36 hours, treated with acetaminophen with temporary relief. Pain to injection site, ongoing. Nausea, loose stools x 24 hours, resolved without intervention. Day 2 post vaccination: gallstone (presumed) which passed on it's own after 18 hours, acetaminophen taken for pain control. Ongoing: red, raised, irregularly shaped area to right upper arm. Area not at injection site but border within 1 inch of injection site. No itching to area, but painful to palpation. Benadryl taken and hydrocortisone cream applied with no effect. Area continues to grow gradually.

Other Meds: Escitalopram, bupropion, acetaminophen

Current Illness: Previously reported adverse reaction to 1st dose COVID-19 vaccine. Date reported: 1/19/21. Temporary E-report number: 249010. Condition now being reported as "COVID arm" resolved by the time of second dose.

ID: 1009595
Sex: M
Age: 79
State: AZ

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Chills and general body aches. Took two tylenol , went to bed. In bed almost all of next day. Unable to eat.

Other Meds: warfarin, simvastatin, diltiazem

Current Illness: none

ID: 1009596
Sex: M
Age: 29
State: TX

Vax Date: 01/27/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: Following labs were done on Feb 6, 2021 WBC 5.65 x10(3)/mcL (Normal is 4.40-10.80 x10(3)/mcL) Blood Lab RBC 4.90 x10(6)/mcL (Normal is 4.40-5.80 x10(6)/mcL) Blood Lab Hgb 15.5 g/dL (Normal is 13.5-17.5 g/dL) Blood Lab Hct 43.8 % (Normal is 39.5-49.5 %) Blood Lab MCV 89.4 fL (Normal is 80.0-97.0 fL) Blood Lab MCH 31.6 pg (Normal is 25.8-32.9 pg) Blood Lab MCHC 35.4 g/dL (Normal is 31.0-35.0 g/dL) Blood Lab RDW-CV 11.7 % (Normal is 11.1-15.1 %) Blood Lab Platelet Count 327 x10(3)/mcL (Normal is 140-400 x10(3)/mcL) Blood Lab MPV 10.2 fL (Normal is 8.6-12.4 fL) Blood Lab NRBC Auto Rel 0.0 /100WBC (Normal is 0.0-0.0 /100WBC) Blood Lab NRBC Auto Abs <0.01 x10(3)/mcL (Normal is 0.00-0.00 x10(3)/mcL) Blood Lab Neutrophil Rel 64.9 % (Normal is 38.8-76.4 %) Blood Lab Lymphocyte Rel 27.1 % (Normal is 17.8-46.6 %) Blood Lab Monocyte Rel 7.1 % (Normal is 3.0-11.0 %) Blood Lab Eosinophil Rel 0.7 % (Normal is 0.0-6.0 %) Blood Lab Basophil Rel 0.2 % (Normal is 0.0-2.0 %) Blood Lab Neutrophil Abs 3.67 x10(3)/mcL (Normal is 1.90-7.90 x10(3)/mcL) Blood Lab Lymphocyte Abs 1.53 x10(3)/mcL (Normal is 0.95-4.90 x10(3)/mcL) Blood Lab Monocyte Abs 0.40 x10(3)/mcL (Normal is 0.14-1.20 x10(3)/mcL) Blood Lab Eosinophil Abs 0.04 x10(3)/mcL (Normal is 0.00-0.70 x10(3)/mcL) Blood Lab Basophil Abs <0.03 x10(3)/mcL (Normal is 0.00-0.20 x10(3)/mcL) Blood Lab UA Color Light Yellow (Normal is Dark Yellow) Urine Lab UA Appear Clear (Normal is Clear) Urine Lab UA Spec Grav 1.014 (Normal is 1.000-1.030) Urine Lab UA pH 7.5 (Normal is 5.0-7.9) Urine Lab UA Protein 2+ (Normal is Negative) Urine Lab UA Leuk Est Negative (Normal is Negative) Urine Lab UA Nitrite Negative (Normal is Negative) Urine Lab UA Glucose Negative (Normal is Negative) Urine Lab UA Ketones 2+ (Normal is Negative) Urine Lab UA Bili Negative (Normal is Negative) Urine Lab UA Urobilinogen Normal mg/dL (Normal is Normal mg/dL) Urine Lab UA Blood Negative (Normal is Negative) Urine Lab UA WBC 0-2 /hpf (Normal is 0-5 /hpf) Urine Lab UA RBC 0-2 /hpf (Normal is 0-2 /hpf) Urine Lab UA Bacteria Few /hpf (Normal is Few /hpf) Urine Lab UA Squam Epith None /hpf (Normal is Moderate /hpf) Urine Lab UA Mucus Few /lpf (Normal is Few /lpf) Urine Lab Glucose Level 94 mg/dL (Normal is 70-110 mg/dL) Blood SATX Shared Interfaces Sodium Lvl 140 mEq/L (Normal is 136-149 mEq/L) Blood SATX Shared Interfaces Potassium Lvl 4.4 mEq/L (Normal is 3.5-5.0 mEq/L) Blood SATX Shared Interfaces Chloride Lvl 100 mEq/L (Normal is 99-110 mEq/L) Blood SATX Shared Interfaces CO2 27 mEq/L (Normal is 24-31 mEq/L) Blood SATX Shared Interfaces AGAP 17 Blood SATX Shared Interfaces Calcium Lvl 9.8 mg/dL (Normal is 8.5-10.5 mg/dL) Blood SATX Shared Interfaces BUN 7 mg/dL (Normal is 10-26 mg/dL) Blood SATX Shared Interfaces Creatinine Lvl 0.67 mg/dL (Normal is 0.50-1.24 mg/dL) Blood SATX Shared Interfaces Albumin Lvl 5.1 g/dL (Normal is 3.2-5.5 g/dL) Blood SATX Shared Interfaces Alk Phos 69 units/L (Normal is 40-150 units/L) Blood SATX Shared Interfaces ALT 24 units/L (Normal is 0-55 units/L) Blood SATX Shared Interfaces AST

Allergies: IV Contrast(media) Cymbalta(adverse reaction not sure if allergy but it cause dysautonomia, insomnia, hypertension, irregular hr, body aches, chills/burning sensation, weak appetite)

Symptoms: This is my 2nd VAERS related incident to the Moderna COVID Vaccine(previous VAERS incident #271354 from 1/29). From late Thursday 2/4 to Saturday 2/6 I experienced palpitations, warm sensations, insomnia, weak appetite, excessive dry mouth, irregular heart rate, mild chills, infrequent urination(range from low to heavy urination), mild weakness/fatigue, increased TMJ/bruxism issues,BP spike, excessive thirst sensation(despite hydration). I was seen at hospital ER on Feb 6,2021.

Other Meds: Valium Gabapentin Multivitamin

Current Illness: n/a

ID: 1009597
Sex: F
Age: 28
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Fever: 100.9; body ache, headache; drowsiness; sweating

Other Meds: Vitamin C; Sudafed

Current Illness: Common allergies

ID: 1009598
Sex: F
Age: 64
State: OK

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Itch, redness around site 8 days after injection. Treating with topical cortisone and Benedryl

Other Meds: Lisinopril, armour thyroid, allopurinol, progesterone

Current Illness: None

ID: 1009599
Sex: F
Age: 23
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fatigue, headache

Other Meds:

Current Illness:

ID: 1009600
Sex: F
Age: 75
State: OK

Vax Date: 02/04/2021
Onset Date: 02/07/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: Unknown

Allergies: Latex, Caffeine, Percocet

Symptoms: Itching-Hydroxyzine-Itching Starting to relieved

Other Meds: Unknown

Current Illness: Unknown

ID: 1009601
Sex: F
Age: 73
State: TX

Vax Date: 01/28/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: Red, sore, itchy 3? diameter patch at site of shot 9 days after receiving shot. Also headache and body aches.

Other Meds: Vytorin, Synthroid, Omeprazole, Metoprolol, Prozac, zomig

Current Illness: None

ID: 1009602
Sex: M
Age: 82
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Complete body ache, nauseous, sweating, fever.......I felt like someone beat me up with a baseball bat....couldn't even get out of bed it started about 12:30 AM and lasted about the rest of the following day...

Other Meds:

Current Illness:

ID: 1009603
Sex: F
Age: 52
State: KY

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data: None

Allergies: Penicillins, Codeine, Valproic Acid, Clindamycin, Metronidazole, Fagyl

Symptoms: Pounding headache, body aches, nausea on the night of shot. I took 2 extra strength Tylenol. In the middle of the night I had diarrhea. 11am the next morning the body aches started back. By 1 pm chills had started. This lasted until the next day.

Other Meds: Atenolol, Citalopram, Clonazepam, Amitriptylin, Bayer Aspirin

Current Illness: none

ID: 1009604
Sex: F
Age: 40
State: CT

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Starting at 4hrs post injection: Very strong arm pain, unable to move arm lasted 6hrs Headache lasted 24hrs - resolved after 2x tylenol doses Chills lasted 24hrs - resolved after 2x tylenol doses Low grade fever lasted 24hrs - resolved after 2x tylenol doses Fatigue lasted 48hrs

Other Meds: Prenatal vitaimes

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm