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: 1026750
Sex: F
Age: 92
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None performed

Allergies: NKA

Symptoms: Symptoms hit suddenly around 2pm on 2/112021( approx. 25 hours after vaccination) Soreness in right arm, Stomach cramping, Severe Chills, Low grade temp 99.8, Nausea. Pt was given Tylenol at 530pm and again at 2 a.m. on 2/12/2021. Symptoms subsided by the morning of 2/12/2021 but patient remained fatigued and "drained." She did not seek medical attention for this

Other Meds: Eliquis, Areds 2 vitamins Furosemide Cartia XL Digoxin

Current Illness: None

ID: 1026751
Sex: F
Age: 70
State: IN

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: Penicillin, tramadol, arthritic dugs, soy, peanuts, wheat,

Symptoms: Freezing cold, 3 hours later sweating, headace, no abnornal temperature, slept 12 hours. Next day cold and calmy, headaces. napped 2 hour then awoke and felt better but very treid.

Other Meds: none

Current Illness: none

Date Died: 02/08/2021

ID: 1026752
Sex: F
Age: 77
State: OH

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/12/2021
Hospital: Y

Lab Data:

Allergies: Ace Inhibitor Allergy Morphine- Adverse Rxn

Symptoms: Developed vomiting, seizure and cardiac arrest, V Fib

Other Meds: Plavix Furosemide Amiodarone Humulin Lantus Levothyroxine NTG SL Pepsid Spironolactone Alprazolome Isosorbide Trazadone Nystatin topical Hydroxyuria Sertraline

Current Illness:

ID: 1026753
Sex: F
Age: 32
State: WI

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: N/A

Allergies: Amoxicillin, bee venom

Symptoms: Developed itching, numbness in feet, and chest tightness 10-20 minutes after vaccine.

Other Meds: Albuterol 90 mcg/puff PRN, diclofenac 50 mg TID PRN, verapamil 20 mg BID, meclizine 25 mg TID PRN, metoclopramide 10 mg TID PRN

Current Illness: N/A

ID: 1026754
Sex: M
Age: 59
State: MO

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

Lab Data: None

Allergies: None

Symptoms: Sore Left Arm, High Fever Controlable, Chills, Headache, Body Aches, Fatigue

Other Meds: Odeffsey, Tivicay, Valtrex, Lasinopril, Flomax, Benedryl, Xanax, Vitamin D, Vitamin C, Tumeric, CoQ10, Alka Seltzer Plus

Current Illness: None

ID: 1026755
Sex: F
Age: 75
State: FL

Vax Date: 02/02/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: Iodine

Symptoms: On day 8 after the injection the injection area again became red , feverish, and sore. On day 10 the redness, feverish and sore area have spread larger, toward the underside of my bicep.

Other Meds: Valsartan 320MG, Carvedilol 6.25mg, Estradiol 1mg, Amlodpine 5mg, Armour 15mg, Asprin 81mg, Prevagen, Thrive-hGH

Current Illness:

ID: 1026756
Sex: M
Age: 47
State: KY

Vax Date: 02/01/2021
Onset Date: 02/06/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Tested negative for covid on 2/12.

Allergies: POISON IVY EXTRACT

Symptoms: Presents to ICC with fever, chills, and headache six days after receiving 2nd dose of covid vaccine. Tested negative for covid on 2/12. Diagnosed with Acute Viral Syndrome.

Other Meds:

Current Illness:

ID: 1026757
Sex: F
Age: 40
State: MA

Vax Date: 01/22/2021
Onset Date: 02/03/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: After 5 days, I have had pain in my right arm to my chest and the same pain from my right arm to my back. This pain does subside when I take Advil but then will return later that day. I have now had this pain for almost 3 weeks.

Other Meds: daily vitamin, daily probiotics, daily allergy pill for seasonal allergies

Current Illness: n/a

ID: 1026758
Sex: M
Age: 65
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Dizzy, sleepy, was at work and got sent home

Other Meds:

Current Illness:

ID: 1026759
Sex: F
Age: 58
State: PA

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Saw dermatologist 2/11/21. Saw orthopod 2/12/21 and had xray rt knee. Acute post reaction lasted approximately 12 hours along with lingering transient body aches approximately one week.

Allergies: Latex, anectine

Symptoms: Not sure if related, however 2 days after my 2nd vaccine, developed acute Rt knee swelling, crepitus, clicking, locking and pain. It has progressively gotten better, though not 100 % yet. Saw an orthopod and will wait and see. Also developed acute seborrheic dermatitis, or psoriasis and will be medicated for same (per dermatologist) . Feel certain it is an inflammatory reaction to vaccine, though would still get it, however, feel as though this info is important to overall data. Also, had severe fever, chills, body aches 12 hours after 2nd vaccine (already reported).

Other Meds: Losartsan, omeprazole, zolpidem

Current Illness: none

ID: 1026760
Sex: F
Age: 52
State: NY

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: I notified my primary care physican and am waiting for an appointment to see an allergist.

Allergies: Multiple food and environmental allergies.

Symptoms: In less than 15 minutes after the Covid shot, I felt intense heat in my face and all over my body. My right hand felt numb. I felt a rushing feeling in my veins like I'd been given an IV in my hand. I had red blotches on my neck. I was given 25 mg of Benadryl by the onsite doctor. Within an hour the neck blotches were gone. The numbness in my right hand went away after five hours. The intense heat in my face and entire body was gone after two hours. The following day, I felt lightheaded.

Other Meds: Iron supplement.

Current Illness: None

ID: 1026761
Sex: F
Age: 83
State: WA

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

Lab Data:

Allergies:

Symptoms: Upon administering the dose, the vaccine leaked out of the syringe where the needle meets the barrel.

Other Meds:

Current Illness:

ID: 1026762
Sex: F
Age: 65
State: FL

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

Lab Data: None

Allergies: Codeine, epinephrine, mango, seasonal pollens

Symptoms: Went to bed at 9 pm feeling fine. Awoke at 3 am feeling feverish, excrutiating headache, joint pain so intense I could not walk, body aches, cough. Pain so intense, could not get back to sleep. Tried wet towel to head, did not help. Took Tylenol, finally took edge off pain enough I could go back to sleep. Awoke some time later drenched in sweat. Finally got back to sleep, woke up in the morning feeling feverish and all the same symptoms except no cough. Used icepack and wet towel to no aavail. Unable to eat breakfast or drink coffee until took more Tylenol.

Other Meds: Lamotrigine, Quetiapine, Women's Senior multivitamin plus minerals, Calcium, B12, Biotin + Keratin

Current Illness: None

ID: 1026763
Sex: F
Age: 50
State: OH

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

Lab Data:

Allergies: none

Symptoms: Patient showed injection site rash about 10 days after vaccination.

Other Meds:

Current Illness:

ID: 1026764
Sex: M
Age: 76
State: IL

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Potential allergic reaction - epinephrine administered PT had seizure activity at 11:45am, within 30 minutes after administration of first COVID vaccine (Moderna) Epinephrine (0.3mg) administered by provider at 11:47am PT had audible and palpable pulse, approximately 180 bpm that declined to 107 at time of arrival of the fire/ambulance department, respirations and heart rate did not cease during event PT in postictal state after seizure however able to dictate to Fire Department his name, date of birth and his last seizure which he states was "a month ago" Patient was transported to Hospital in stable condition Fire Department

Other Meds: N/A

Current Illness: N/A

ID: 1026765
Sex: M
Age: 26
State: NY

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

Lab Data:

Allergies: None

Symptoms: Covid like symptoms - full body chills, full body soreness especially in the chest and neck areas, headache, general malaise and lethargy, extreme pain at injection site - so severe that it woke me up from sleep.

Other Meds: None

Current Illness: None

ID: 1026766
Sex: M
Age: 72
State: CA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: N/A

Allergies: Shell fish

Symptoms: Fever, loss of equilibrium, weakness, feelings of needing to urinate but can't. Inability to stand, walk, or move around. Pour apatite. Fell while trying to make it back to my daughters car. Got home and laid down with ice pack. Fell again on my way to bed. Remained in bed for most of the time but fell again when I tried to get up. Was given Tylenol for the fever, ice packs and icyhot for the bruises.

Other Meds: Elequis, Lesinopril, Tylenol

Current Illness: Heart arithmia, Parkinsons, Dementia

ID: 1026767
Sex: F
Age: 68
State:

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: sulfa, aspirin (desensitized to aspirin, so use each day to maintain desensitization

Symptoms: Pain, tenderness, redness, raised swelling, itching, left upper arm, surrounding site of injection. Delayed reaction that began about 4 days after injection. Looks like tip of "tennis ball" size area protruding from site. Site looks very much like the Moderna "COVID arm" described online. Today, still present, but better.

Other Meds: Advair inhaler, estrogen, Nasacort nasal spray, levothyroxine, estradiol, pantoprazole, aspirin, Mucinex

Current Illness: fracture to left great toe and contusion left hip, sustained on day of first vaccine 1/8/2021

ID: 1026768
Sex: M
Age: 65
State: NY

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital: Y

Lab Data: His platelets are 81, INR is over 9.

Allergies: N.K.D.A

Symptoms: Bruising and bleeding on his hands and right medial thigh.

Other Meds: Taking Lasix 20 mg tablet, Sig: 1 tab(s) orally once a day Start Date: 09/01/2020 Refill protein powder - dissolve in water, Sig: 2 scoop po 4x day Taking tamsulosin 0.4 mg capsule, Sig: 1 cap(s) orally once a day Refill lisinopril 2.

Current Illness: Chronic acquired lymphedema I87.2 Chronic venous stasis dermatitis of both lower extremities I83.029 Venous stasis ulcer, left D68.59 Primary hypercoagulable state E46 Protein deficiency G80.8 Monoplegic infantile cerebral palsy F89 Disability, developmental N02.8 Recurrent and persistent hematuria with other morphologic changes N04.9 IgA nephropathy with nephrotic syndrome N18.9 CKD (chronic kidney disease) E88.09 Hypoalbuminemia I10 Essential hypertension E55.9 Vitamin D deficiency I73.9 Peripheral vascular disease, unspecified L97.311 Ulcer of ankle, right, limited to breakdown of skin I11.9 Hypertensive heart disease without heart failure L97.921 Skin ulcer of left lower leg, limited to breakdown of skin Q61.3 Polycystic kidney disease Q44.6 Polycystic liver disease, congenital D68.59 Hypercoagulable state L97.321 Chronic ulcer of ankle, left, limited to breakdown of skin Z79.01 Long term (current) use of anticoagulants E78.2 Mixed hyperlipidemia I89.0 Lymphedema, not elsewhere classified N40.0 BPH (benign prostatic hyperplasia) Z79.01 Long term current use of anticoagulant therapy

ID: 1026769
Sex: F
Age: 47
State:

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nausea, Vomittng, Stiffness, Joint Pain, Loss of Smell / Taste, Headache, Body Ache, Fever, Fatigue

Other Meds: none

Current Illness: none

ID: 1026770
Sex: M
Age: 68
State: WA

Vax Date: 02/03/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: Sensitive to egg yolks, lactose intolerant.

Symptoms: Moderna COVID-19 Vaccine , injection site on left arm experienced minor swelling over a hard lump, redness and itching nine days post injection.

Other Meds: Low dose aspirin, simvastatin, lisinopril, lasix, nitroglycerin, metoprolol, phentamine, benedryl.

Current Illness: None.

ID: 1026771
Sex: F
Age: 86
State: CA

Vax Date: 02/03/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: itch at injection site, currently unresolved

Other Meds: Atenolol, Atorvastatin, baby aspirin, calcium

Current Illness: none

ID: 1026772
Sex: F
Age: 24
State: WI

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

Lab Data: N/A

Allergies:

Symptoms: Developed itching around throat/face area shortly after second vaccine. She did not have any other complications, was monitored in the emergency department, and sent home in stable condition.

Other Meds: N/A

Current Illness: N/A

ID: 1026773
Sex: F
Age: 26
State:

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

Lab Data:

Allergies: None

Symptoms: Left eye started swelling day after vaccine (profuse redness and edema almost swollen shut), full body aches.

Other Meds: None

Current Illness: None

ID: 1026774
Sex: F
Age: 63
State: OH

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none as of yet

Allergies:

Symptoms: Had pain in right arm from the start. Arm continued to get worst as time went on. Not able to lift arm up and down or forwards and backwards without severe pain.

Other Meds:

Current Illness:

ID: 1026775
Sex: F
Age: 73
State: MD

Vax Date: 02/05/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: no

Allergies: Darvon, Percodan, Levothyroxine,

Symptoms: pt stated after the vax that she had a sore arm around the injection site. On 2/11/2021 pt states she got dizzy, light headed and her face feels flushed.

Other Meds: Synthroid, vitamin C & D-3, Turmeric, COQ10, Probiotic, aspirin .81 mg, glucosamine, calcium citrate 250mg, Mega Red, Natural Cranberry, Biotin

Current Illness: no

ID: 1026776
Sex: F
Age: 28
State: WI

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

Lab Data:

Allergies:

Symptoms: Chills, body sweats, sore muscles, joint pain, nausea, headache for 20 hours

Other Meds:

Current Illness:

ID: 1026777
Sex: F
Age: 40
State: PR

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: At 10 minutes after vaccination the pt develops dysphagia,salivation and recurrent cough. We treat inhouse facilities w solumedrol 125mg IV and she was under observation during 1 hour and half without any other complications and was sent home.

Other Meds: b complex, folic acid, calcium, magnesium,zinc

Current Illness:

ID: 1026778
Sex: F
Age: 76
State: AZ

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

Lab Data:

Allergies: N/A

Symptoms: None stated.

Other Meds: Eliquios Blood Press Med..Metoprolol tartrate 50 mg 1/day Diuretic .....Hydrochlorothiazide 25 mg 1/day

Current Illness: N/A

ID: 1026779
Sex: F
Age: 45
State:

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: nkda

Symptoms: Vasovagal type reaction, dizzy, improved with lying down and cont observation x 25min, juice. ambulated and bp 118/77 on d/c. 99%ra. p=78

Other Meds:

Current Illness:

ID: 1026780
Sex: F
Age: 52
State:

Vax Date: 02/05/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Starting last night some nausea, then a lot of sweating in the night as well as ongoing mild nausea. Low fever. Now I have general fatigue and muscle aches.

Other Meds:

Current Illness:

ID: 1026781
Sex: F
Age: 64
State: TX

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Fever, headache, body aches. Tylenol 7 PM fever resolved. All symptoms resolved by the next day.

Other Meds: Diabetes insulin medication, Aleve

Current Illness: N/A

ID: 1026782
Sex: M
Age: 80
State: MI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: MALE EXPERIENCE TINGLING IN HIS LEFT ________10 MINUTES AFTER VACCINATION. ONSITE EMS AND PHYSICIAN REQUESTED. NO OTHER ADVERSE EFFECTS REPORTED BP FLUCTUATED 121/93 TO 148/93 HR FLUCTUATED BETWEEN 100-130. SYMPTOMS HAD NOT RESOLVED AT 1036AM. ONSITE PHYSICIAL RECOMMENDED PATIENT BE TRANSPORTED TO E.R. FOR OBSERVATION DUE TO HISTORY OF A-FIB AND TIA'S. PATIENT REFUSED, SAID HE WOULD DRIVE HIMSELF AGAINST MEDICAL ADVISE. AFTER FURTHER DISCUSSION BETWEEN PATIENT AND SITE COMMANDER, PATIENT AGREED TO BE TRANSPORTED TO ER BY EMS. NO ADVERSE REACCTION REPORTED TO VACCINES, HE RECIEVED FLU, PNEUMONIA AND SHINGES VACCINE IN 2020

Other Meds: CLOPIDOGREL, METOPROLOL TARTRATE, AMLODIPINE

Current Illness:

ID: 1026783
Sex: M
Age: 33
State: MS

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

Lab Data: Over a dozen test including balance, vision, hearing, spinal cord pressure, ct scan, and mri. All performed on 02/10/2021 and 02/11/2021.

Allergies: None

Symptoms: I noticed a headache in the very top of my head within an hour of getting the vaccine. I thought it was normal because everyone I know said they got a headache from it. Over the next few hours, the pain moved down the back of my neck and became a burning sensation at the bottom of my skull. The pain was not excruciating but was constant. I thought it would eventually go away. I'm a pilot and fly for a living. Two days after receiving the vaccine I flew my plane and immediately noticed something was wrong with me. I was having a very hard time focusing. Approximately 2 hours into my flying I felt sudden and extreme pressure in my head and nearly blacked out. I immediately landed and stopped flying. Two days later I tried flying again and the exact same thing happened again after 20 minutes. The burning in my neck intensified and was now accompanied by dizziness, nausea, disorientation, confusion, uncontrollable shaking, and tinkling in my toes and fingers. I immediately went to my hometown doctor and he diagnosed me with vertigo. He prescribed me meclizine on Friday 02/05/2021. I took the medicine as prescribed all weekend with no relief. Monday 02/08/2021 I made an appointment for that Wednesday at the Institute. During Wednesday 02/10/2021-02/11/2021 I had roughly 10-15 test performed on me including balance, eye and hearing test, CT scan, MRI, and measured my spinal fluid pressure. The physician determined on 02/11/2021 that I had an allergic reaction to the Pfizer COVID vaccine the severely increased the pressure in my spinal cord and brain stem. That pressure causes my vision problems and ultimately ruptured my left inner ear breaking off several crystals in the process. I cannot fly with this condition. I'm currently taking Diamox to reduce the pressure in my spinal cord and brain stem.

Other Meds: None

Current Illness: None

ID: 1026784
Sex: F
Age: 51
State: AZ

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Very soon after the shot, I felt a slight warming/burning sensation in my throat and chest. After a few minutes, I realized it felt like acid reflux, which I get occasionally.

Other Meds: Effexor, Lamotrigine, Atenelol and Rosuvastatin

Current Illness: Possible spider bites on face - swelling and redness. Took antibiotics

ID: 1026785
Sex: F
Age: 59
State: AL

Vax Date: 01/29/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: na

Allergies: Sulfur drug Morphine

Symptoms: My Blood sugar has been spiking/raising. If anything I had previously low Blood Sugar prior to Vaccine

Other Meds: Cellexa Lipitor Synthroid

Current Illness: none

ID: 1026786
Sex: F
Age: 85
State: CA

Vax Date: 01/29/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Itchiness, rash, redness and swollen in upper arm which started Wednesday morning. Visited Doctor Thursday, 2/11 and believes the rash is caused by detergent.

Other Meds: Metformin, Amlodipine Besylate, Caltrate, PreservVision, Vitamin D-3

Current Illness: None

ID: 1026787
Sex: F
Age: 35
State: KS

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

Lab Data:

Allergies: None

Symptoms: Fever 101, headache, body aches, chills, nausea

Other Meds: Prenatal vitamin

Current Illness: COVID-19 + November 2020, 33 weeks pregnant

ID: 1026788
Sex: F
Age: 52
State: NM

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

Lab Data:

Allergies: compazine, droperidol; erythromycin base; inapsine; iodine; nortriptyline; toradol; verapamil, onestat

Symptoms: 02/11/21@1435-Pt complaing of naueas and headache then stated she was short of breath after vaccine given. RN contacted, pt given Benadryl 12.5 mg. Pt stated she has anxiety. Pt became upset and started crying. Pt closed observed. O2 sat 94% P-73; BP 152/92. Pt states she also get migraines and feels like one is starting. Tylenol 320 mg oral liquid given. Pt started vomiting at 1450, stated she vomited Tylenol. 1453-BP 144/100; p-70; O2 95%. Pt states she has not eaten since yesterday afternoon and hasn't really been taking much fluids. Offered pt a cookie to eat and water to drink. Pt stated she felt better. Continued to observe pt. NP came out to assess pt. Pt states she would like to go to ER to be seen. Pt was instructed to go to the ER, pt refused. AMA form completed and signed. 1530- Pt's BP 164/110 right arm, 162/102 left arm. Pt started vomiting again and stated she does not feel good. Transport called and arrived. Pt's BP done by fire and rescue was 176/104. Pt taken via ambulance. gp,rn

Other Meds: Baclofen; clonazepam, duloxetine; ibuprofen; imitrex; lamotrigine; lisinopril; omeprazole; ondansetron; pregabalin; promethazine; ropinirole;. zolipidem; iron, benadryl, vitamins

Current Illness: Anxiety disorder, bipolar disorder, chronic back pain, Guillain-Barre syndrome, heartburn, hypertension, insominia, migraine, primary fibromyalgia syndrome, restless legs

ID: 1026789
Sex: F
Age: 55
State:

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: nkda

Symptoms: palpitations, no dizzyness, stiffness, no sob. 97%ra, p-68, 170/102. pt lie down in tent, observed for 15-20min. fetl better. no further palpitations. ambulated around room and to car without event.

Other Meds:

Current Illness:

ID: 1026790
Sex: F
Age: 52
State: IL

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Injection site soreness continuous for the first 72 hours after first vaccination and second vaccination. One month later, I am experiencing intermittent soreness at the injection site (non dominant arm for both injections). Does not inhibit function but sore feeling ebbs and flows and sometimes bicep feels sore. Just wanted to report it. No follow up needed

Other Meds: none

Current Illness: none

ID: 1026791
Sex: F
Age:
State: FL

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

Lab Data: None

Allergies: Darvin, Darvocet,Dilaudid

Symptoms: Started with tingling in different places on my arms, legs, abdomen, neck. Started a couple of hours after the vaccine was given and has continued today. This is the first vaccine.

Other Meds: Synthroid 112 mcg., colace 100mg 2 tabs twice a day. Potassium cl. 10 me. One twice a day. Plaqunil 200 mg one tab q am and 1/2 tab at HS. Protons 40 mg daily. Premarin 1.25 mg daily. Cozaar 50 mg one at HS. Dilitazem Er 240mg dail

Current Illness: Hx of psoriasic arthritis

ID: 1026792
Sex: F
Age: 72
State: FL

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Low grade fever and chills for 24 hours. Severe body aches for 24 hours. Very sore injection site slowly improving after 24 hours. Red splotches and slightly itchy rash near injection site developed after 48 hours and are still ongoing.

Other Meds: Atenolol, Estradiol, Nexium

Current Illness: None

ID: 1026793
Sex: F
Age: 58
State: MN

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fatique, Nausea, weakness, headache

Other Meds:

Current Illness:

ID: 1026794
Sex: F
Age: 81
State: HI

Vax Date: 01/15/2021
Onset Date: 01/19/2021
Rec V Date: 02/12/2021
Hospital: Y

Lab Data: Contact Medical Center

Allergies: AMOXICILLIN (RASH)

Symptoms: Left facial droop. Sent to Emergency Department via EMS 1/19/2021.

Other Meds: AMMONIUM LACTATE 12 % LOTION; ARTIFICIAL TEARS (OR EQUIVALENT); ASPIRIN 81 MG TABS; CALCIUM 600 MG + D3 400 IU TABS; CORN STARCH POWDER TOPICAL; DONEPEZIL 5 MG TAB; FLUOCINONIDE 0.05 % CREAM; LANTUS SOLOSTAR 100 UNIT/ML SOPN; LISINOPRIL 2.5

Current Illness: DM, HTN, HYPERLIPIDEMIA, MILD COGNITIVE IMPAIRMENT, DEMENTIA, OBESITY

ID: 1026795
Sex: M
Age: 34
State:

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: anxious, palpitations, lightheadedness, face,hand numbness, nausea, sweating, tingling hand and face, observed, water given, HR 116, patient taken to ED, no meds given.

Other Meds:

Current Illness:

ID: 1026796
Sex: F
Age: 42
State:

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: nkda

Symptoms: pre-syncope, no n/v. no tru syncope. observed pt in car. 98ra. put feet up on dashboard. q10min checks and given juice. she felt much better after 30min obs and husband drove her home.

Other Meds:

Current Illness:

ID: 1026797
Sex: F
Age: 58
State: NY

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: fever, fatigue, loss of appetite, headache

Other Meds: cymbalta atorvastatin zubsolv buspara vitamins D3 and B12

Current Illness: none

ID: 1026798
Sex: F
Age: 73
State: NC

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Bruising under right eye. No pain.

Other Meds: Pravastatin, Restasis, Vitamins B, C, D, E and Multi. Zinc, Collagen, Glucosamine, Calcium, Krill Oil, Turmeric, Biotin

Current Illness: None

ID: 1026799
Sex: F
Age: 59
State: CA

Vax Date: 01/31/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: itchy rash like redness & tenderness near & around injection site approximately 8 to 9 days after initial immunization date.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm