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: 1023994
Sex: M
Age: 76
State: NC

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

Lab Data:

Allergies:

Symptoms: Vaccine was administered in the bicep area and not deltoid

Other Meds:

Current Illness:

ID: 1023995
Sex: F
Age: 31
State: AR

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: na

Allergies: NO

Symptoms: Fever, fatigue, nausea, diarrhea, arm pain, joint pain

Other Meds: Wellbutrin, clonazepam, trazadone,

Current Illness: NO

ID: 1023996
Sex: F
Age: 77
State: FL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: Pain in the jaw, neck, throat, bilateral lymph pain/swelling, sweating, chills, weakness - neck pain, swelling, lymphadenopathy persist now Taking acetaminophen. At home for now. Also adv warm compresses/drinks for comfort. Adv to FU with HCF trouble breathing or if symptoms persist/worsen.

Other Meds: prozac, pravastatin, ezetimibme, metoprolol

Current Illness:

ID: 1023997
Sex: F
Age: 65
State: TX

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Four days after the vaccination, on February 9, I had severe pain in my body and head and a lot of itching in my throat that made me cough. Today, February 11, my headache is very little, the body pain is a little less also with the help of Aleve, but the itching in my throat still persists and it keeps making me cough. Tomorrow I have an appointment for the Covid test at 10am. But my sister told me that if my symptoms are a reaction to the vaccine, my Covid test could be positive. And maybe it's not Covid. Should I take the test?

Other Meds: Calcium, fish oil, magnesium, vitamin D3, vitamin E, vitamin C, spironolactone.

Current Illness: None

ID: 1023998
Sex: F
Age: 76
State: TX

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: No

Allergies: None

Symptoms: Later on after getting the shot I noticed that my arm was starting to feel sore, and I got real tired so I went to bed at around 11, and I woke up a few times because I couldn't get comfortable on that sore arm. When i woke up this morning I just felt yucky and I took my temperature and I was running a fever, 101.4

Other Meds: lysonopril lodepine dulaxatine linzess roverstatin vitamin d3 vitamin b3 omega 3 baby aspirin probiotic c-q-10 D-mannose

Current Illness: None

ID: 1023999
Sex: F
Age: 80
State: ID

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: Vaccine given 01/20/2021

Allergies: None

Symptoms: Eight days after I received the first vaccination, (01/28/2021)I awakened early in the a.m. with painful itching and redness in the deltoid region of my upper left arm. Throughout the day, I experienced swelling and more redness that surrounded the injection site. The size around the injection area was about 3 inches. I called the place where I received the vaccination and was told it could be the Delayed Cutaneous Hypersensitivity that is known to occur in some patients 5 to 9 days after the vaccination. I received the injection on 01/20/2021. I was told to apply an ice pack and/or take Tylenol for pain. The swelling was resolved in two days.

Other Meds: Vitamin D, Probiotics, Fish Oil

Current Illness: GERD Chronic

ID: 1024000
Sex: M
Age: 73
State: WI

Vax Date: 02/02/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital: Y

Lab Data: 2/10/2021: SARS-Cov-2 PCR testing - positive result

Allergies: Bee Venom

Symptoms: Pt received his first dose of the Pfizer COVID-19 vaccine on 2/2/20201. Pt presented to a local ED on 2/10/2021 with symptoms of dyspnea and respiratory distress and was transferred/admitted to our hospital. He tested positive per PCR testing for SARS-CoV-2 on 2/10/2021. He is still currently admitted to our hospital receiving care. It was noted in his H&P that he had a COVID exposure approximately 2 weeks prior to presenting to the ED (unknown if he was alerted to this before getting his vaccine). He is currently recieveing remdesivir and dexamethazone to treat his COVID.

Other Meds: aspirin, fluticasone-salmeterol, hydrochlorothiazide, lisinopril, melatonin, metoprolol succinate, multivitamin, omeprazole, probiotic unspecified, rosuvastatin, sertraline, trazodone, umeclidinium bromide

Current Illness:

ID: 1024001
Sex: F
Age: 40
State: IN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Anesthesia, Versed, adhesives, and Latex

Symptoms: Headache, large muscle pain and cramping, and fatigue

Other Meds: Venlafaxine Hcl, Topiramate, Atorvastatin, Valsartan, Fluticasone Propionate, Nexium, multivitamin

Current Illness:

ID: 1024002
Sex: F
Age: 68
State: NY

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: Egg whites Seafood Ginger

Symptoms: Swollen upper arm Shaking chills Fever (100.8 highest then took Tylenol) Swollen knees Flushed face

Other Meds: Valsartan/Hctz Metoprolol Meloxican Livalo Tizanidine ASA Omeprazole Alendronate Levothyroxine

Current Illness: None

ID: 1024003
Sex: M
Age: 6
State: OR

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

Lab Data: none

Allergies: no known allergies

Symptoms: 10 minutes after vaccine were administered, patient had a syncopal episode.

Other Meds: none

Current Illness: none

ID: 1024004
Sex: M
Age: 80
State: WA

Vax Date: 02/02/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: NO

Allergies: NONE

Symptoms: 8 DAYS FROM RECEIVING MODERNA FIRST SHOT. SHOT SITE ON LEFT ARM RASH AND EXCESSIVE SWELLING. NO OTHER SYMPTOMS. IS IT NORMAL TO HAVE SIDE EFFECTS BEYOND 7 DAYS? ICED ARM, WILL GO TO EMERGENCE ROOM IF DEVELOPE FEVER OR OTHER PROBLEMS.

Other Meds: LOSARTAN 100MG, ATORVASTATIN 40MG, ASPIRIN 80MG

Current Illness: NONE

ID: 1024005
Sex: F
Age: 41
State: LA

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Morphine

Symptoms: Lymph node swelling in underarm and chest, size of grapefruit.

Other Meds: Lexapro, HCTZ, Losartan

Current Illness: None

ID: 1024006
Sex: F
Age: 71
State: FL

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Stomach pain , diarrhea and weakness/fatigue

Other Meds: Amlodipine, hydrochlorothiazide, rosuvastatin, losartan, aspirin, meclizine as needed, Tylenol as needed, ibuprofen as needed

Current Illness: none

ID: 1024007
Sex: F
Age: 71
State:

Vax Date: 02/01/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient state on the 8th and 9th day after the vaccine was given her arm had a red spot about "3 inches in diameter" and she felt nauseated. Then on the 10th day she felt achy, like the flu.

Other Meds:

Current Illness:

ID: 1024008
Sex: F
Age: 49
State: IL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: I woke up about 4am on the 8th I had fever and chills and shaky, temp was 100.5 nauseous, weak, dizzy, I called into work, I assumed the shot was working. I called my physician to let her know I was having a reaction, I diarrhea for 3 days . I just took some tylenol and after the 3 days I started feeling better

Other Meds: fluoxetine, Prozac, gabapentin, Bactrim bs, Synthroid, multivitamin

Current Illness: no

ID: 1024009
Sex: F
Age: 72
State: LA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: n/a

Allergies: gluten, morphine

Symptoms: confusion, lethargic, fever, swollen arm, numbness from waist to knee's, purple face, veins in legs hurting, hallucinations

Other Meds: nortripyline 75mg, lamotrigine 100mg, methocarbamol 750 mg, oxycodone 5mg

Current Illness: covid 19

ID: 1024010
Sex: F
Age: 15
State: CO

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: Patient's age is unauthorized to receive the vaccine but was given the first dose of the vaccine. No adverse reactions.

Other Meds: N/a

Current Illness:

ID: 1024011
Sex: F
Age: 33
State: WA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: Vital signs (normal/stable); EKG (normal); Monitoring/Observation- 3 hours in clinic; Ultimately, patient was sent home under her own power, and advised to seek medical treatment if her symptoms worsened.

Allergies:

Symptoms: Approximately 1 hour after receiving her vaccination, patient began feeling "nauseated, lightheaded, and fatigued." She did not lose consciousness and was able to ambulate normally while in the medical clinic.

Other Meds:

Current Illness:

ID: 1024012
Sex: F
Age: 57
State: CT

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Betadine

Symptoms: 8 hours after COVID vaccination, pt states she began vomiting and dry heaving. Also reports diarrhea, chills, body aches, sweats, and terrible headache.

Other Meds: None

Current Illness: None

ID: 1024013
Sex: M
Age: 81
State: NY

Vax Date: 01/18/2021
Onset Date: 02/04/2021
Rec V Date: 02/11/2021
Hospital: Y

Lab Data:

Allergies: None

Symptoms: Had a stroke, blood clot removed from brain

Other Meds: Metoprolol, Eliquis, Allopurinal, Atorvastatin, Procardia, Prograf, Cellcept, Furosemude, Tujeo, Humalog

Current Illness: None

ID: 1024014
Sex: F
Age: 66
State: CA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Same evening when I got the vaccine my arm started hurting from the shoulder to the elbow it was an intense pain I couldn't out my hand up because it will hurt it felt so heavy, I also felt fatigue & my body started hurting. The next day when I woke up I had a headache I felt space out I didn't feel myself I also got diarrhea & the diarrhea lasted until 2/10/2021.

Other Meds: Inhaler advarr Eye drop brimodin

Current Illness: No

ID: 1024015
Sex: F
Age: 45
State: IN

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Chills, headache, nausea, stiff neck

Other Meds: None

Current Illness: None

ID: 1024016
Sex: U
Age:
State: FL

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: sore arm

Other Meds:

Current Illness:

ID: 1024017
Sex: F
Age: 72
State: CA

Vax Date: 02/01/2021
Onset Date: 02/07/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Feb. 7 - 10:00 am Felt a lot of itching at site of injection. 5:00 pm Noticed pinkish bump and surrounding pink rash and slight swelling. Feb. 8 - Continued itchiness. Bump/rash area was larger and redder, oval-shaped, approximately 1.5" X 2". Feb. 9 - Redness and itchiness greatly reduced. Feb. 10 - Only faint pink noticeable. Feb. 11 - All rash is gone. I did not seek any medical advise. I read that this reaction has been observed but is not too common.

Other Meds: Lisinopril Levothyroxine

Current Illness: None

ID: 1024018
Sex: F
Age: 47
State: VA

Vax Date: 02/03/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: No tests, just did research on-line and self reporting.

Allergies: N/A

Symptoms: COVID Arm. Large red lump at injection site and itchy. My legs have been itching at night also, but maybe that is more heat rash, but thought it worth mentioning.

Other Meds: N/A

Current Illness: N/A

ID: 1024019
Sex: F
Age: 40
State: TN

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

Lab Data: None yet

Allergies: Latex

Symptoms: Covid arm

Other Meds: B complex, vitamin C, multivitamin, vitamin D

Current Illness: None

ID: 1024020
Sex: F
Age: 36
State: MT

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: No

Allergies: I am allergic to Neosporin.

Symptoms: I ran a 104 degree fever that lasted 3 days, chills, body aches that lasted 1 week, joint pain, cough that lasted for 2 1/2 weeks, headache that lasted 1 1/2 weeks, maliase that lasted for 2 weeks, and shortness of breath that lasted 2 weeks but with random occurrances.

Other Meds: I take Losarten.

Current Illness: I was diagnosed with COVID on 12/31/2020 and I was released from quarantine on 01/12/2021

ID: 1024021
Sex: F
Age: 73
State: CA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Aches & muscle pain. Chills & headache

Other Meds: Atenolol -12.5mg daily Xarelto (rivaroxaban) 20 mg Losartan potassium 50 mg daily

Current Illness: None

ID: 1024022
Sex: F
Age: 57
State: AZ

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: Patient presented to The Gym for a COVID vaccination. Prior to the vaccination the employee was asked upon arrival and prior to her vaccination about previous vaccinations and past medical history relevant to the vaccination injection. The patient stated no to all pre injection questions. The patient then received her Moderna Vaccinations, she was escorted to her observation area. While in the observation area, an assistant attempted to make a 2nd vaccination appointment. It was at this time that the patient reported that this was her 2nd vaccination and her 1st vaccination was on 01/15/21 (Pfizer vaccine). This was immediately reported to the Clinic Commander. The patient reported with conversation that she had active COVID the week after her 1st vaccination. The patient was observed for 30 minutes. Additional patient information was obtained. The patient was instructed to immediately report to the closest ER if she noted and S/S of adverse reactions. In addition, during the patient's observation time, she reported that she thought getting 2 different vaccines would be fine due to the recent article - which she pulled up on her phone (now testing obtaining different vaccines for extenuating circumstances). The patient was called the next day and again this am. She initially did experience fatigue and body aches, mild intermittent fever. This was resolving this am as per patient report via phone call per this NP.

Other Meds: unknown

Current Illness: Covid 01/23/2021

ID: 1024023
Sex: F
Age: 47
State: NC

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

Lab Data: None

Allergies: None

Symptoms: My blood pressure which has been stable became elevated. I experienced severe headache for a full day, a little blurred vision, bp 160s / 100s. My bp remained elevated for several days, is normal today at last check. I saw my primary care provider yesterday and we are monitoring things for a week to see if this passes. If not further testing or medication adjustments may be needed.

Other Meds: Lisinopril hctz 20/12.5mg Fluoxetine 40mg Women's multivitamin Ca citrate

Current Illness: None

ID: 1024024
Sex: M
Age: 38
State: AZ

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Dyphoretic; chest tightness; trouble swallowing within 15 minute waiting period Administered epinephrine and benedryl 911 called-client refused transport

Other Meds: ATenolol

Current Illness: None

ID: 1024025
Sex: F
Age: 50
State: CA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: telehealth with doctor

Allergies:

Symptoms: on first day felt vertigo and headache second day felt chillscold sore, fatigue, headache continued, joint pain. These symptoms lasted 5 days. skin felt sunburned all over and hurt to touch which lasted 2 days

Other Meds:

Current Illness:

ID: 1024026
Sex: F
Age: 32
State: OH

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: no

Allergies: seafood, nuts, dust, HPV vax, Bactrim, cats, rodents, birds

Symptoms: pt stated when she got the vax she instantly had a pain in the right arm that went to her into neck. She states from 9pm to 1:00 am she was in a delirium state and that she felt like she was melting from the inside out was running a fever but did not have one. She had swear pouring off from her body. Her ears were ringing and her body was tingling. Pt has not contacted her PCP at this time since she is now feeling better.

Other Meds: none

Current Illness: no

ID: 1024027
Sex: F
Age: 32
State: IL

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: Dairy, Vicodin

Symptoms: Severe headache, body aches, rigors and fever of 103, treated at home with oral hydration and tylenol and ibuprofen

Other Meds: Zytec, Heather, Synthroid

Current Illness:

ID: 1024028
Sex: F
Age: 71
State: CO

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: Took some Benadryl and it is calming down a bit. Will see how it does later in the day.

Allergies: Penicillin, Ultram

Symptoms: Redness, itching, heat in the arm around the injection site.

Other Meds: Gabapentin, calcium, daily multi, D

Current Illness: None

ID: 1024029
Sex: M
Age: 75
State: GA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Morphine, Augmentin, Sulfa, Tetracycline

Symptoms: Resident received plasma while hospitalized before both doses of vaccine were given. No adverse events after administration of vaccine. Facility wanted to inform of medication error.

Other Meds: Xanax, Zyprexa, Gabapentin, Nystatin Cream, Combivent, Zinc, Vitamin C, Thiamine, Acetaminophen, Gycolax powder, metoprolol, ASA, Aricept, Escitalopram, Omeperazole, Klor-Con, Melatonin, metolazone, buspirone, docusate, Vitamin B12, Multi

Current Illness:

ID: 1024030
Sex: F
Age: 69
State: NJ

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: N/A

Allergies: NKDA

Symptoms: CLIENT REPORTS REDNESS AT INJECTION SITE X 2 DAYS POST VACCINE GIVEN 1-29-2021 AND PROGRESSIVELY SPREADING REDNESS AND POSITIVE ITCH TO LEFT UPPER ARM X 2-5-2021 .CLIENT SEEN AT PROVIDERS OFFICE 2-11-2021 AND PRESENTED WITH A LARGE AREA OF DEMARCATED VERY RED , RASH LEFT UPPER ARM, EXTENDING TO THE INNER ASPECT OF LEFT ARM, SKIN WARM TO TOUCH. CLIENT REPORTS NO PAIN AT INJECTION SITE . REDNESS MEASUREMENTS OF 8 INCHES LENGH X 8 INCHES IN DIAMETER WITH RAISED BORDERS. NO OTHER MAJOR ILL EFFECTS REPORTED BY CLIENT.

Other Meds: ASPIRIN, CYTOMEL, SYNTHROID BONIVA, VIT D, ELIQUIS, TOPROL XL, LIPITOR

Current Illness: HYPERTENSION CARDIAC BYPASS

ID: 1024031
Sex: F
Age: 40
State: VA

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: Cipro, Biaxin, Bactrim

Symptoms: Redness, swelling, pain from elbow to armpit, swollen lymph nodes, hot to touch symptoms became worse and redness spread between 8am-230pm.

Other Meds: Aspirin 325mg, Wellbutrin 450mg, Seroquel 100mg, Clonazepam 1mg, Valcyclovir 500mg, Aimovig 70mg, Propanolol 20mg, Vitamin C 100mg, Vitamin D2 1000iu, Magnesium 500mg, Colace 100mg

Current Illness: NONE

ID: 1024032
Sex: F
Age: 45
State: CO

Vax Date: 01/14/2021
Onset Date: 01/20/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Allergic to bee stings

Symptoms: 6 days after first vaccine dose, patient experienced a raised, red, itchy and somewhat painful area on her arm immediately below the vaccine administration site. She described it as approximately 4-5 inches in length, a couple inches in diameter. It lasted for about 24 hours and then disappeared. She did not require any treatment, did not see or consult a doctor, and did not take any over the counter medications. Pt. described it as similar to reactions she's had to a spider bite, but there was no indication that a spider had bit her in her arm.

Other Meds:

Current Illness:

ID: 1024033
Sex: F
Age: 68
State: CA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: EKG Compared with Prior. Rhythm:sinus rhythm and normal sinus rhythm QRS: Normal. ST/T segments- No acute ST seg elevation or depression Medical Decision Making: 68 Y female presents with complaint of CHEST DISCOMFORT differiental: suspect adverse reaction to vaccine. Doubt acute coronary syndrome. Differiental also include gerd. Plan for labs, chest xray, benadryl. Recent Results (from the past 12 hour(s)) CHEM 7 (NA, K, CL, CO2, BUN, GLUC, CR) Collection Time: 02/10/21 4:15 PM Result Value Ref Range Sodium 138 135 - 145 mEq/L Potassium 4.3 3.5 - 5.3 mEq/L Chloride 104 100 - 111 mEq/L CO2 29 24 - 33 mEq/L Anion gap, ser/plas 5 5 - 16 mEq/L BUN 23 7 - 27 mg/dL GLUCOSE, RANDOM 105 60 - 159 mg/dL Creatinine 1.04 <=1.11 mg/dL Glomerular filtration rate, nonAfrican American 55 (L) >=60 mL/min GLOMERULAR FILTRATION RATE - AFRICAN AMERICAN >60 >=60 mL/min Comment, glomerular filtration rate SEE NOTE TROPONIN I Collection Time: 02/10/21 4:15 PM Result Value Ref Range Troponin I <0.02 0.00 - 0.04 ng/mL B-TYPE NATRIURETIC PEPTIDE (BNP) Collection Time: 02/10/21 4:15 PM Result Value Ref Range B type natriuretic protein 92 <=100 pg/mL PT Collection Time: 02/10/21 4:15 PM Result Value Ref Range PT 13.2 11.7 - 14.3 second(s) PT INR 1.0 Ratio CBC W AUTOMATED DIFFERENTIAL Collection Time: 02/10/21 4:15 PM Result Value Ref Range WBC COUNT 4.4 3.7 - 11.1 K/uL Red blood cells count 3.43 (L) 3.60 - 5.70 M/uL Hgb 10.6 (L) 11.5 - 15.0 g/dL Hematocrit 32.5 (L) 34.0 - 46.0 % MCV 95 80 - 100 fL RDW, RBC 13.2 12.0 - 16.5 % Platelets count 166 140 - 400 K/uL RBC's, nucleated 0 <=0 /100WC WBC AUTOMATED DIFFERENTIAL Collection Time: 02/10/21 4:15 PM Result Value Ref Range Neutrophils %, automated count 59 42 - 76 % Lymphocytes %, automated count 28 15 - 47 % Monos %, auto 11 5 - 13 % Eosinophils %, automated count 2 0 - 7 % Basophils %, automated count 0 0 - 1 % IMMATURE GRANULOCYTES %, AUTOMATED COUNT 0 0 - 1 % Neutrophils auto count 2.6 1.8 - 7.9 K/uL Narrative/Impressions of Imaging Results for 1 Day Xr Chest Result Date: 2/10/2021 XRAY CHEST ** HISTORY **: 68 years old, Shortness of Breath ** TECHNIQUE **: 1 view of the chest acquired. COMPARISON: Mammogram 6/16/2020, Radiographs 1/27/2017, 12/11/2007 ** FINDINGS **: LUNGS: Clear. No pleural effusion. MEDIASTINUM/OTHER: Normal cardiomediastinal silhouette. Surgical clips seen projecting over the lateral right chest. No acute disease. IMPRESSION: chest pain DISPOSITION: AMA CONDITION: unchanged

Allergies: Sulfa (Sulfonamide Antibiotics)

Symptoms: At 3:30pm she received her second dose of the Covid vaccine. 10 minutes later she developed 4/10 central chest tightness and nausea. Denies fever, cough,shortness of breath. Itching, swelling in the throat or swelling of the lips.

Other Meds: Famotidine (PEPCID) 40 mg Oral Tab Omeprazole Magnesium (ACID REDUCER, OMEPRAZOLE,) 20 mg Oral CPDR SR Cap Sodium Chloride (S Famotidine (PEPCID) 40 mg Oral Tab Omeprazole Magnesium (ACID REDUCER, OMEPRAZOLE,) 20 mg Oral CPDR SR Cap

Current Illness: N/A

ID: 1024034
Sex: F
Age: 31
State: WI

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itchiness, hives, swelling to arms, chest, abdomen, legs. Lips became swollen.

Other Meds:

Current Illness:

ID: 1024035
Sex: F
Age: 33
State: PA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: 2/9/21 20:00 patient states that left arm injection site is warm to touch, tender, redness, swelling and is traveling down to left elbow. Pt. states that she took benadryl lastnight, and this did not help. Pt. denies itching.

Other Meds: yes

Current Illness: denies

ID: 1024036
Sex: F
Age: 43
State: NY

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: intense red swelling around injection site

Other Meds:

Current Illness:

ID: 1024037
Sex: F
Age: 93
State: MI

Vax Date: 02/07/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: atarax, septra, macrodantin, peicillin, sulfa, contract media dye, norco, pneumovax 23, tdap

Symptoms: Vomiting since injection

Other Meds: nystatin, albuterol nebulizer, lamictal, vitamin c, Acetaminophen, aspirin, Aricept, citalopram, levothyroxine, simvastatin, azo cranberry, tums, Eliquis, breo ellipta, metoprolol tartrate, midodrine, miralax, ProAir, ponaris, tamsulosin, a

Current Illness: None

ID: 1024038
Sex: F
Age: 48
State: IN

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: N/A - did not seek medical help

Allergies: N/A

Symptoms: 2/10/21: sore arm, body aches, nausea, fatigue, chills, fever (100.5) and headache. 2/11/21: sore arm, headache (mild)

Other Meds: Multi vitamin

Current Illness: N/A

ID: 1024039
Sex: F
Age: 55
State: MO

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Codeine

Symptoms: I was ill/sick for three weeks. I am currently going through menopause and have hot flashes frequently throughout the day; not with the Covid shot. I was freezing cold. I had 4 fleece blankets on plus wool pajamas. Four nights I had to sleep in a recliner because it felt like there was an elephant on my chest and I could not breathe. Two mornings I was coming to work, left my driveway and threw up all over myself; had to turn around, take a shower, and come into work, only to only be able to work 2-4 hours per day for 3 weeks. The Sat. and Sun. following the injection, I slept until Mon. morning. I had pure exhaustion from the shot.

Other Meds: Zoloft Losartan potassium

Current Illness:

ID: 1024040
Sex: M
Age: 45
State: TX

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: EKG on 2/11/21- seen occasional PVCs

Allergies: Penicillin

Symptoms: Noticed increase in heart flutter while lying down but patient unsure if he felt flutters before vaccine

Other Meds: Felodipine 10 mg at bedtime, Lisinopril-HCTZ 20-25 mg once every morning, carvedilol 12.5 mg two times daily, Red yeast rice 600 mg 1 tab daily, DHEA 25 mg once daily, Vitamin D3 1000 IU once daily, Fish oil 1000 mg once daily, Cetirizine 1

Current Illness: None

ID: 1024041
Sex: M
Age: 65
State: OK

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: complete blood test, X-ray

Allergies: none

Symptoms: client taken to ER and IV medications administered, client currently taking PO steroids, feels better now and has easier time breathing, PCP instructed client to continue to monitor for reaction and report to ER or PCP,

Other Meds: lisinopril 10mg, furosemide 40 mg, Bayer 81mg asprini

Current Illness: none

ID: 1024042
Sex: F
Age: 68
State: CA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Headache for 3 days, cognitive problems that lasted for 2.5 weeks. I would frequently drop items held in my hands, had difficulty typing on a keyboard, had problems with tasks such as sewing , doing crossword puzzles and remembering things. For example, for many years I would do the crossword puzzle in ink and be able to complete it. During this time, I could only finish about 1/3 of the puzzle and then give up in frustration. Another example: I have been using a Nutribullet to grind coffee beans once a week for years. I had trouble assembling it for use. I tried to screw on the top having it face the wrong side. I could tell this was not correct but it took a minute to figure it out. I did not seek treatment since these things seemed subtle and I did not think clearly enough to think of that option! The symptoms have slowly resolved over a 2.5 week period. I will not get the 2nd dose because of this reaction.

Other Meds: Armour Thyroid 90 mg, Rainbow LIght Women's One Mulitivitamin, Citracal Maximum plus, Nature's Bounty D3 50 mcg, Florastor probiotic, AZO Complete Feminine Balance

Current Illness: none

ID: 1024043
Sex: F
Age: 70
State: OH

Vax Date: 02/03/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: patient developed bels palsey

Other Meds: unknown

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm