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: 1011478
Sex: F
Age: 50
State: MD

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Headache, neck and shoulder pain. 1 week following vaccine had red itchiness at site of injection.

Other Meds: None

Current Illness: None

ID: 1011479
Sex: F
Age: 69
State: ID

Vax Date: 01/27/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Morphine

Symptoms: Patient has a delayed red swollen reddened area at the injection site.

Other Meds:

Current Illness:

ID: 1011480
Sex: F
Age: 22
State: GA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: NKA previously

Symptoms: Pt received vaccines at 0740am and at 0743am she developed SOB, nausea, tingling/swelling of lips, throat swelling, and redness of the face and upper extremities. She received EpiPen 0.3 IM, Benadryl 25mgPO, and alb neb. Within a few minutes of received the epi, patient BBS CTA, color of lips and skin returned to normal, denied SOB, denied tingling and swelling with none noted on assessment either. She was monitored in the office for approx. 1 more hour at which time she was discharged with instructions to call 911 if any allergic symptoms reoccurred.

Other Meds: Vienva 0.1-20 MG-MCG per tablet; Take 1 tablet by mouth 1 (one) time each day, albuterol HFA (PROVENTIL HFA;VENTOLIN HFA) 108 (90 Base) MCG/ACT inhaler; Inhale 2 puffs every 4 (four) hours if needed for wheezing or shortness of breath, tria

Current Illness: She had COVID 1.5 months ago.

ID: 1011481
Sex: F
Age: 28
State: TN

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: Large hard lump appeared at site of injection. Extremely itchy. With in 2 hours, lump grew to be 3 inches in diameter with a 5 inch diameter redness around from site of injection. Extremely hot to the touch. Lasted 3 days. No fever, vomiting, or diarrhea. Took Benadryl, advil, and used benadryl and cortizone cream.

Other Meds: Lexapro 10 mg

Current Illness: NA

ID: 1011482
Sex: F
Age: 52
State: MA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: n/a

Allergies:

Symptoms: 1-20-21: fever (temp unknown), fatigue, lethargy, flu-like symptoms including aches and pains and continued on for days. On 1-22-21 fever was 102.7F. Cellulitis at site of infection noticed on arm a few days later. Went to walk-in clinic on Saturday 1/23/21 and received a prescription for doxycycline (unsure of dose- take twice daily for 7 days).

Other Meds:

Current Illness:

ID: 1011483
Sex: F
Age: 38
State: VA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None. Vital signs slightly elevated, but within normal ranges.

Allergies: None

Symptoms: Cold, tingling throughout left arm. Pain in wrist. Nausea and dizziness, body tremors.

Other Meds: None

Current Illness: None

ID: 1011484
Sex: F
Age: 69
State: IN

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: No.

Allergies: sulfa macrodaton amoxicillin penicillin

Symptoms: Just had the shot, waited 20 minutes and left and then went to get groceries and started itching in my neck first and went down underneath my breasts, stomach, and arms around 3:30, 4:00 o'clock. Saturday evening burning and itching is really bad. Put some topical creams on it. Next day itching was less bad but I was sore and tender. Today the itching isn't as bad, but its hot to the touch.

Other Meds: calcium daily vitamin d3 daily blood pressure enderol LA sleeping pill ambien anxiety pill ativan as needed

Current Illness: No

ID: 1011485
Sex: F
Age: 57
State: MN

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: Sulfa

Symptoms: Body aches, chills low grade temperature 99 degrees

Other Meds: Aspirin 650 mg daily

Current Illness: None

ID: 1011486
Sex: F
Age: 56
State:

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received 2nd dose of vaccine on 2/1/21. On 2/2/21 and 2/3/21 felt chills, headache, fatigue.

Other Meds:

Current Illness:

Date Died: 02/06/2021

ID: 1011487
Sex: M
Age: 70
State: CO

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: CPR/ ACLS initiated on 2/6/2021

Allergies: Protein Supplement

Symptoms: Received Covid vaccine in am. Last seen by family at 17:30 pm and observed to be well. About an hour later he collapsed, unresponsive. A 911 call was initiated at 18:29. Paramedics arrived to find the patient in cardiac arrest. CPR/ACLS was initiated, but resuscitation was unsuccessful. Pt. was transported to MC where he was pronounced dead at 19:32. There was no sing of an injection site reaction, nor of allergic reaction..

Other Meds: Tylenol, albuterol, Norvasc, Eliquis, Voltaren, Neurontin, lidocaine, Cozaar, Mevacor, Lopressor, Prilosec, Miralax, Senna, Renvela, Kayexolate, Incruse Ellipta, Vit. B complex, Coumadin

Current Illness:

ID: 1011488
Sex: F
Age: 63
State: FL

Vax Date: 01/11/2021
Onset Date: 01/15/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Hospital E.R on 2/1/2021.

Allergies: Penicillin

Symptoms: Got covid 4 days after vaccine, severe cough, loss of taste, smell, aches, pain especially in my left side of neck. Went to E.R due to muscle spasms, taking motrin, tylenol. Still have severe neck pain.

Other Meds: Zinc, d3, potassium, magnesium

Current Illness: None

ID: 1011489
Sex: F
Age: 59
State: MI

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: NONE

Allergies: Compazine

Symptoms: HIVES ON TORSO AND BACK 10+ HOURS POST SECOND DOSE; JOINT PAIN, FEVER, HEADACHES

Other Meds: Losartan, Metoprolol, Metformin, Brilinta, low dose aspirin

Current Illness: n/a

ID: 1011490
Sex: F
Age: 25
State: WI

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Negative pregnancy, WNL CBC and CMP, normal CT scan

Allergies: Iodine

Symptoms: ED COURSE & MEDICAL DECISION MAKING Patient is a 25-year-old female who presents as a first responder to the emergency department today. On my initial evaluation she is awake, alert, and in no acute distress, she does appear drowsy. She is fully oriented and able to answer questions. She has a normal neurologic exam. Her labs show negative pregnancy, mild anemia, no leukocytosis, unremarkable CMP, normal CK. A CT scan of her head shows no acute abnormalities. The evaluation she appeared back to baseline. On chart review it appears that she has previously been diagnosed with psychogenic nonepileptiform seizure and so no medication been previously recommended by her neurologist. It is possible that her Covid vaccine triggered a recurrence of these versus this episode represents a true seizure. Therefore I did recommend against driving, working at heights, swimming alone, and recommended things to help avoid seizures. I recommended she follow-up with her primary care doctor as well as her neurologist. I do not think she requires any medication today. She is ambulating with a stable gait in the emergency department. She will be discharged home, she was provided with reasons return to the emergency department.

Other Meds: Albuterol Flexeril Motrin

Current Illness: None

ID: 1011491
Sex: F
Age: 67
State: LA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: Codeine

Symptoms: I had a fever of 103 and headache that lasted 4 days.

Other Meds: Losartan-HCTZ 100 -12.5 Plavix Multi Vitamin D3 Low dose aspirin Metoprolol 100 mg

Current Illness: None

Date Died: 01/27/2021

ID: 1011492
Sex: F
Age: 94
State: NH

Vax Date: 01/07/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: CBC and BMP 12/2/2021-not Covid-19 related: WBC 6.17 RBC 3.80 HGB 11.2 HCT 36.6 Platelet Count 234 BUN/CREA 22/0.64 Creatinine 0.64 Calcium 9.0 Sodium 144 Potassium 3.9 Chloride 111 1/18/2021- PCR positive.

Allergies: Macrobid

Symptoms: 1/18/2021- Tested positive for Covid-19. 1/20 Patient lethargic, unable to swallow. 1/24 Although 90% O2 sat on RA, it has decreased from her baseline ranging at high 90's. 1/27/2021 Patient passed.

Other Meds: Escitalopram Miralax Isosorbide Mononitrate Lactulose Melatonin Milk of Magnesium, Protnix, Acetaminophen, Senna-S, Zyprexa, Aspercreme lot

Current Illness: NONE

ID: 1011493
Sex: F
Age: 56
State: WV

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: N/A

Allergies:

Symptoms: Fever of 101F, body aches, joint pain, headache. Symptoms persisting beyond 48 hours post vaccination.

Other Meds:

Current Illness:

ID: 1011494
Sex: F
Age: 35
State: FL

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Codiene

Symptoms: ?Covid arm?. Sure is swollen, red, tender, and hot to touch

Other Meds: None

Current Illness: None

ID: 1011495
Sex: F
Age: 68
State: NY

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: I did not get any tests . I just feel the pain and think the vaccine triggered the pain of the RA which I found out I have after I got the vaccine.

Allergies: Amoxycillin

Symptoms: I believe that the covid vaccine triggered pains of rheumatoid arthritis in my right leg. I believe I already had rheumatoid arthritis, (although I was diagnosed afterward, with tests I took prior) but I never had pain like this before.

Other Meds: Lexapro Synthroid Rouvastatin

Current Illness: On January 25th I found out I had Rheumatoid arthritis. the next day after the vaccination I had a lot of pain and still have in my right leg and thigh.

ID: 1011496
Sex: F
Age: 65
State: MA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: 2/6/21 CBC, Treponin levels, D-Dimer, BMP,-all normal, ECG - PVCs , PVCs diminished after 20 meq oral potassium, subsequently returned. 2/7/21 Thyroid, cardiac stress test -normal

Allergies: Penicillin

Symptoms: I develop PVCs about 11hrs post vaccination along with other common symptoms. PVCs have continued to present. 8 days post vaccination I developed chest pain with the PVCs.

Other Meds: Omeperazol, Wellbutrin, biotin, multivitamin, PRN immetrex

Current Illness: None

ID: 1011497
Sex: F
Age: 49
State: TN

Vax Date: 01/22/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Almonds, shell fish, latex and penicillin.

Symptoms: Itching, swelling in a square shape around injection site and tender to touch. 15 days after injection. Still there and on day 3. I have read they are calling this Covid arm.

Other Meds: None

Current Illness: None

ID: 1011498
Sex: F
Age: 32
State: WV

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Zithromax Ceclor

Symptoms: Large welt and swollen arm

Other Meds: None

Current Illness: None

ID: 1011499
Sex: M
Age: 43
State: PA

Vax Date: 12/29/2020
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Shellfish

Symptoms: pt has redness and arm swelling, but not until 10 days after receiving vaccine

Other Meds:

Current Illness:

ID: 1011500
Sex: F
Age: 27
State: NY

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: C-reactive protein and WBC high for blood work; chest x-ray 1 view moderate expanded lungs

Allergies:

Symptoms: Vaccine was administered around 5 PM on 1/14/2021. Chest pain started around 9 PM the same day and continued, also had some shortness of breath. Headed to emergency room around 4 AM on 1/15/2021. Several tests were done, found general systemic inflammation. Chest pain caused by inflammation in lungs and airways. Treated with ibuprofen and chest pain cleared in about 40 minutes. Discharged at 1/15/2021 around 7 AM.

Other Meds:

Current Illness:

ID: 1011502
Sex: F
Age: 68
State: LA

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: Patient experienced fever of 100.4, chills, diarrhea, vomiting, nausea, dizziness, and joint/body pain. Patient also passed out and suspects hit head on toilet. There is a scratch on her forehead but no bump.

Other Meds: unknown

Current Illness:

ID: 1011503
Sex: F
Age: 57
State: WI

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: no lab tests

Allergies:

Symptoms: several minutes after vaccine dose patient reported funny sensation in her tongue

Other Meds: albuterol inhaler, otezla, doxycycline, epi-pen, Advair diskus, Flonase, Mucinex, lantus, duo-neb, lisinopril, loratadine, metformin XR, Montelukast, pravastatin

Current Illness: n/a

ID: 1011504
Sex: F
Age: 21
State: NM

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Pneumovax23 giving instead of HPV, as intended

Other Meds: None

Current Illness: None

ID: 1011505
Sex: M
Age: 67
State: AL

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: pt states he has altered sense of smell. Says he has a constant smell of burnt molasses. Pt called his physician friend and was told just to keep an eye out for any other symptoms.

Other Meds: Amlodipine - Benazepril 5-20 mg

Current Illness: no

ID: 1011506
Sex: F
Age: 51
State: CA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: Vicadan

Symptoms: Fatigue and headache on the first day, Thursday. On second day experience extreme fatigue, heaviness in body, fever up to 103; severe body aches. Lasted Friday, Sat (some relief); then on Sunday felt normal again after sleeping and taking Motrin.

Other Meds: Metphormin, Genuvia, Krestor, Prilosec, Lysinapril, aspirin (baby)

Current Illness: No

ID: 1011507
Sex: F
Age: 34
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: all over body itching without any rash when given the first dose. Second dose the itching intensified

Other Meds: none

Current Illness: none

ID: 1011508
Sex: F
Age: 33
State: NY

Vax Date: 01/30/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 1st 2 days- Fatigue, weakness, muscle aches. 7 days later on 2/6/2021: Severe Lt hip pain, pain w/ direct pressure or walking. 9 days later on 2/8/2021: Continuous Lt hip pain as well as new onset of Rt hip pain.

Other Meds: None

Current Illness: None

ID: 1011509
Sex: F
Age: 70
State: OH

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA Headache, nausea, no appetite, very tired. Began when I woke the day after the injection which was a Saturday and lasted approximately 1 1/2 days. By Sunday afternoon my appetite returned, the headache was gone, the tiredness was gone. There was no treatment other than to sleep and put ice on my head for the headache.

Other Meds: Hydroxychloroquine, Leucovorin, Methotrexate, low dose aspirin

Current Illness: None

ID: 1011510
Sex: F
Age: 72
State: NY

Vax Date: 01/01/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: Sulfur augmenten

Symptoms: Pain on site of shot. Red rash , itchy. Still have rash 12 days later . Tired

Other Meds: Lipator celexa

Current Illness: None

ID: 1011511
Sex: F
Age: 73
State: KY

Vax Date: 01/25/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: Injection sight became hot and red (9th day after injection) and very itchy. Lasted three days. Today injection sight is not red or itchy, just slightly bruised looking..

Other Meds: Fluoxine 10mg Atorvastatin 20mg Metoprolol 50MG Alendronate 70mg apirin 81mg Unisom sleep tab

Current Illness: None

ID: 1011512
Sex: F
Age: 57
State: SC

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: SOB with chest pain, headache

Other Meds:

Current Illness:

ID: 1011513
Sex: M
Age: 73
State: CA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Soreness around the shot area. The Majority of the soreness went away in 2 days.

Other Meds: Atorvastatin, Vitamin B-3

Current Illness: None

ID: 1011514
Sex: F
Age: 28
State: NJ

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: No known medication allergies. Allergy to apples and cherries.

Symptoms: Moderna COVID-19 vaccine EUA I had generalized body pain within 24 hours. I developed redness below the site of injection. The site of redness is very sensitive and warm to touch. I have also developed a sore throat within 48 hours of the vaccination.

Other Meds: None

Current Illness: None

ID: 1011515
Sex: F
Age: 71
State: AL

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Adhesive Tape-silicones Latex

Symptoms: Flushing, numbness left hand and fingers, quivering and burning in chest, numbness and tingling of lips with metallic taste. Blood pressure 160/100, Heart rate 125-130. O2 saturation on room air 96-98%. Patient transported to Emergency Room via private vehicle. Patient declined ambulance transport.

Other Meds: cephALEXin (KEFLEX) 500 mg capsule Take 500 mg by mouth 3 times daily. Before dental Procedures pantoprazole (PROTONIX) 40 mg EC tablet Take 40 mg by mouth daily. ranitidine (ZANTAC) 150 mg tablet Take 150 mg by mouth at bedtime. gabapentin

Current Illness:

ID: 1011516
Sex: F
Age: 59
State: TX

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: N/A

Allergies: Remicade infusi?n

Symptoms: Fatigue and weakness

Other Meds: Rinvoq, lyrica, methotrexate, folic acid, prednisone, tramadol, montelukast, Flovent, albuterol, pantoprazole, atorvastatin

Current Illness: Neuropathy, rheumatoid arthritis, asthma/ bronchitis, acid reflex, high colesterol

ID: 1011517
Sex: F
Age: 83
State:

Vax Date: 01/07/2021
Onset Date: 01/12/2021
Rec V Date: 02/08/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Patient reported left arm numbness. Went to the hospital for full stroke evaluation all tests returned negative. (CT scan, MRI, etc.). Patient was observed overnight and released from hospital with resolved symptoms and negative report of any stroke or mini-stroke. Patient has had follow-up appointments with PCP and Cardiologist. Received ok from PCP prior to second dose vaccination of COVID.

Other Meds:

Current Illness:

ID: 1011518
Sex: F
Age: 69
State: TX

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Office visit prescribed tylenol

Allergies: Peanuts

Symptoms: In bed high fever nausea arm swollen to elbow extreme soreness. Slept for 2 days

Other Meds: Zinc, Vitamin c, D3, Elderberry, Baby aspirin

Current Illness: 0

ID: 1011519
Sex: M
Age: 33
State: PA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: none known

Symptoms: pt fainted post vaccination- caught by paramedic. treated and monitored by paramedic. BS 70, BP 99/40, HR 52. given ginger ale and H20, assessed and monitored by paramedic- helped to sit/stand- initially felt well then dizzy and helped to sit, HR dipped to 40s/50s after each time of sit/stand attempt- pt was advised on benefit of further eval @ ER- he agreed and ambulance was called.

Other Meds: none known

Current Illness: none known

ID: 1011520
Sex: F
Age: 77
State: WA

Vax Date: 02/01/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: I do not do well with medications I have side effects with a lot of different medications.

Symptoms: On the Friday on the 5th, I went to coffee and on the way home it felt like my lip is swelling. I looked and noticed it swollen. It is still swollen as of today. I just sent a message to my doctor. I have taken some allergy medication that I had and some Benadryl.

Other Meds: Losartan Potassium 100 MG daily, Spironolactone 25 MG daily, Carvedilol 12.5 MG two in the AM and two in the PM. Multivitamin, Vitamin C, Calcium, Vitamin D, Magnesium, Baby Aspirin, and Probiotic

Current Illness:

ID: 1011522
Sex: F
Age: 46
State: NY

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Vital signs, enhanced observation

Allergies: eggs, dust mites

Symptoms: pt verbalized tingling in hands and swelling in hands post vaccination.

Other Meds: albuterol inhaler, Flovent inhaler

Current Illness:

ID: 1011523
Sex: F
Age: 80
State: AR

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Feb.5, 2021 CAT Scan; stroke.

Allergies: penicillin, vancomycin

Symptoms: Mild stroke about 9am. Fell on floor, needed help to stand up and walk, garbled speech, headache, temp. 98.0, 98.2, 98/3; not swallowing food, couldn't handle food. Could not hold cracker, bread or find mouth with hand. needed help to go to bathroom, couldn't answer telephone, was dizzy, couldn't balance herself, she fell 3 times on Feb. 3, I took the top off a water bottle and handed it to her she kept trying to unscrew the lid even after I showed her I had the lid in my hand. Feb. 4 she had the dry heaves all morning, she slept all afternoon. I called the doctors office @ 8:00am and again later @ 8:30am. He said he wanted her to have a CAT scan Medical Center. He said they would call

Other Meds: Glipizide, Ibandronate sodium, Metformin, Triamterene

Current Illness: none

ID: 1011524
Sex: M
Age: 59
State:

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: IV Iodine Contrast

Symptoms: swollen face and hands rash on face and hands light-headed inability to walk at normal rate shortness of breath dryness in throat higher than normal blood pressure

Other Meds: lisinopril crestor

Current Illness: COVID 19

ID: 1011525
Sex: F
Age: 73
State: OK

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: No reaction until 10pm. Injection site became sore and tender, Had chills during the night. Following morning was running 102 degree temperature, heart rate was 107 and blood pressure was 90/60. Took two 650 mg tylenol and temperature was back to normal within 5 or 6 hours. Heartrate never got below 102 until late afternoon and blood pressure was still low at bedtime. Uneventful night and all was normal the following morning. No reaction since.

Other Meds:

Current Illness:

ID: 1011526
Sex: F
Age: 53
State: TX

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: NA

Allergies: Dexamethasone Neomycin

Symptoms: 2/7/2021 12:00pm - diahreah 8:00 pm - headache, chills 9:00 pm - + slight fever, nausea Continued 02/08/2021

Other Meds: Estradiol 1 mg Testosterone 3 mg Levothyroxine 100mcg Effexor 225 Oxybutynn ER 15mg Omeprazole 2.5 mg Nasacort

Current Illness: Cold/respiratory infection Jan 20-27, tested negative for C19 and flu

ID: 1011527
Sex: M
Age: 70
State: WI

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: the first day just sore shoulder, the next day could not lift the arm in or out. had to use my other arm to lift it up. the pain is on the back side in the muscle area in my shoulder blade area . No strength in arm in the upper movement. my pain is about an 8 to 10 if i try to move it. can hold it up on my elbow on the table but if i take it off it just falls.

Other Meds: Irbesartan, delphinic sodium, omeprazole, multivitamin

Current Illness:

ID: 1011528
Sex: F
Age: 43
State:

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Numbness and tingling on set four hours after dose.

Other Meds:

Current Illness:

ID: 1011529
Sex: F
Age: 36
State: AR

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Coconut and all coconut scented products

Symptoms: Diarrhea, Nausea, Headache, Bodyache, and pain at the site of the injection. All symptoms are still present 4 days post injection with the exception of the pain at eh injection site.

Other Meds: Euthorox (Levothyronxine), Ibuprofen

Current Illness: Rotator cuff repair of right shoulder ( vaccine was given in opposite arm)

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm