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: 1033600
Sex: F
Age: 44
State: MD

Vax Date: 01/25/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: shingles

Other Meds: Buproprion Ferrous Sulfate MVI Sertraline

Current Illness: none

ID: 1033601
Sex: M
Age: 75
State: VA

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

Lab Data: None

Allergies: Erythromycin

Symptoms: 09:30 slight injection site pain 14:00 vertigo 14:10 diarrhea 14:35 diarrhea 19:30 took Tamsulosin 0.4 mg Atorvastin K 40mg Metoprolol Succ ER 25mg Nicotinamide 500mg Krill Oil 500mg Biotin 10Kmcg 21:00 rapid heart beat followed by nasal congestion and coughing making breathing difficult 23:00 symptoms continued but got more severe and resembled a bad head cold but no fever; body temperature taken orally was 96.7F started use of Afrin Nasal Spray both nostrils to control congestion and post-nasal drip which was causing cough; took one (1) oral tablet of Coricidin HBP Max and continued use of Afrin; symptoms began to subside; 02:00 02/16/2021 fell asleep sitting up; 10:00 woke with no symptoms but continued to have a sore R arm at injection site; no need for additional Tx or medications; no physician consultation

Other Meds: Lostaran K 50mg Probiotic 60.5 billion Finasteride 5mg Multivitamin with minerals Cranberry powder Tumeric 500mb

Current Illness: None

ID: 1033602
Sex: F
Age: 49
State: IN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None taaken.

Allergies: Morphine

Symptoms: Nothing at all for 12 hours. Then normal soreness around site followed by achiness all over body by hour 15. Fevers up to 101.9 on day 2 with horrible pain all over especially in ribs/trunk of body. Day 4 began having swelling under right arm and in right breast. Multiple lymph nodes swollen. Gradually got better with no fever after 5 days, acches gone after 7 to 10 days but even today i still have nodes and a little soreness in my right armpit and lateral side of my right breast.(2/16/21).

Other Meds: Levothyroxine methylfolate, methylB12

Current Illness: None

ID: 1033603
Sex: M
Age: 71
State: NJ

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: See above

Allergies: Allergic o inner lining of casts

Symptoms: Fullness and decreased hearing in right ear starting 5 days after vaccination. Got hearing test on 2/15/21 which showed decreed hearing in right ear secondary to nerve conduction problem. Within a few hours hearing got better, and hearing was retested the next day and found to be essentially back to normal. I had taken Naprosyn on 2/15. MD had originally prescribed Prednisone bur I did not take since I was getting better without it. By 2/16/21 in the AM my hearing in the right ear seemed fine and there was no sense of fullness.

Other Meds: chlorthalidone, simvastatin. potassium citrate, potassium chloride, finasteride, vascepa, multivitamin, D3, Zinc Magnesium and vitamin C

Current Illness: None

ID: 1033604
Sex: F
Age: 48
State: MI

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: PCN EES

Symptoms: 10 hours after injection, fever 103.6, chills, random moving rotation joint pain, headache and nausea , pain at injection site, all symptoms lasting for 48 hours

Other Meds: zyrtec pulmicort vitactive vitamin D

Current Illness: none

ID: 1033605
Sex: M
Age: 73
State: MT

Vax Date: 01/29/2021
Onset Date: 02/04/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Monday 2/15 INR 1.7

Allergies: NKDA

Symptoms: Prostate bleeding for 3 hours 6 days post vaccination. History of bleeding but always with a known cause. Last INR before 2.4 and after event with hold of coumadin for 1 day was 1.7

Other Meds: Warfarin 4 mg QD x 5 years Fenasteride 5 mg QD Allupurinal 300 mg QD Vitamin E, C and D

Current Illness: No

ID: 1033606
Sex: F
Age: 73
State: DC

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Sulfur medications

Symptoms: On day 2 after second dose, that arm had a large red swollen itchy area near injection site. After about 8 hours of applying ice, some of the swelling has gone down. Area is still very red, itchy and sore.

Other Meds: Synthroid Keppra Metoprolol

Current Illness: None

Date Died: 02/14/2021

ID: 1033607
Sex: M
Age: 73
State: CA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Vomiting, death.

Other Meds: Metformin, anti depressant, baby aspirin.

Current Illness: Allergies

ID: 1033608
Sex: F
Age: 64
State: CT

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

Lab Data: N/A

Allergies: None known

Symptoms: COVID-19 Vaccine EUA: I got the vaccine at 11 am on 2/15/21. There were not immediate adverse effects. By 3:00PM, my arm was becoming very sore. By 8:00 PM, my right arm was extremely sore and overall body aches ensued as I began to feel weak. By 9:00 PM, I felt the need to get into bed and had chills, a severe headache and pain over my whole body, accompanied by shooting burning sensations down both arms into my palms and fingers. I had not taken any medication for the discomfort up to this point. As time went on, my pain became excruciating, I never felt this kind of pain in my entire body. I had pain in areas I never felt pain before like my arms, hands and toes. I also had extreme pain in the back of my neck, both shoulders, both arms, my hips and knees. The pain was so intense and throbbing, my headache was severe at my temples and I had chills. I did not take my temp, but I am sure I had a fever, although I was not sweating. I could not sleep at all and finally broke down at 1:30 am and took an Advil. There was minimal help with the Advil and I slept on and off over the next 4 hours. Throughout today, the headache, chills and pain continued, but slightly less and I was able to take a 2 hour nap. I think it important to note that I had more of a reaction to the first COVID shot that most others I talked with and felt an ongoing weakness after the first shot over the course of the month. I understand that some of my symptoms are part of my body's reaction to building antibodies, but with the intensity of my reaction, I have to wonder if there is more going on.

Other Meds: None

Current Illness: None

ID: 1033610
Sex: F
Age: 66
State: WI

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

Lab Data: None

Allergies: No known

Symptoms: Only air was administered, no vaccine was given. No adverse event was reported.

Other Meds: No known

Current Illness: No Known

ID: 1033611
Sex: M
Age: 68
State: CA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/16/2021
Hospital: Y

Lab Data: skin biopsy - pending

Allergies: Naproxen

Symptoms: very pruritic maculopapular -purple and red rash diffusely throughout body and extremities and neck. Sores in the mouth and blisters forming on palms of hands and soles of feet with some pain, ureteral meatus erythema and anal erythema. pain with swallowing

Other Meds: Hydroxyzine

Current Illness: Macular degeneration - injections

ID: 1033612
Sex: M
Age: 64
State: CA

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

Lab Data:

Allergies: Penicilin

Symptoms: I woke up next day (today) with my RIGHT EYE swollen and itching.a little pain around my eye.

Other Meds: advil 200 (3) earlier

Current Illness: none

ID: 1033613
Sex: F
Age: 69
State:

Vax Date: 01/10/2021
Onset Date: 01/24/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: On 1/27/21 COVID test done and on 1/28/21 received positive test results for COVID.

Allergies:

Symptoms: On 1/24/21, 5 days after vaccine started getting sore throat and runny nose, 3 days after symptoms started loss of smell and taste.

Other Meds:

Current Illness:

ID: 1033614
Sex: F
Age: 42
State: FL

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 02/16/2021
Hospital: Y

Lab Data: CT head without contrast 2/10/21: no acute intracranial abn MRI L-spine 2/12/21: Mild diffuse enhancement of the cauda equina nerve roots, which may be seen with Gillian Barre syndro MRI brain demyelinating disease 2/12/21: No acute intracranial abnormality. No abnormal parenchymal enhancement. No evidence of acute/subacute ischemia LP 2/11/21: cytoalbuminologic dissociation (75 protein, 3 WBC)

Allergies: Latex, tramadol

Symptoms: Patient received first Moderna vaccine on 1/15/2021. Delayed injection site reaction which was warm and erythematous 1 week after vaccination on left arm for which was seen by PCP and prescribed Bactrim for 10 days. On 2/3/21 patient experienced itchiness in hands and feet with pins and needles sensation. Seen by PCP on 2/4/21 and was started on Medrol Dose Pack for pruritis and paresthesias. 2/10/21 presented to ED with progressive sensory motor polyneuropathy and early gait dysfunction. Patient started plasmapharesis treatment for suspected Guillan-Barre Syndrome on 2/11/2021.

Other Meds:

Current Illness:

ID: 1033615
Sex: F
Age: 48
State: CA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itching - given Benadryl

Other Meds:

Current Illness:

ID: 1033616
Sex: F
Age: 52
State: CA

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

Lab Data: none

Allergies: unknown

Symptoms: after the injection she complained of an itching sensation at the injection site. By the evening around 7 pm a rash began to form and reddness. she used topical Benadryl to the site. according to the patien the area was warm to touch. by the morning she complained of chills, and hardness to the injection site.c/o body aches and temp 100.2. she rested and took in fluids. noted today the red area to l arm is fading and no fever to site. She denies any discomfort at this time.

Other Meds: unknown

Current Illness: unknown

ID: 1033617
Sex: F
Age: 71
State: FL

Vax Date: 01/29/2021
Onset Date: 02/09/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Pineapple, cashew nuts, poison ivy

Symptoms: "Covid Arm" ...Red, itchy, very hot patch on left arm about 8 days after shot...lasted 3-4 days I experienced something similar as is discussed in this article

Other Meds: Ativan 1mg for sleep. Bisoprolol Fumarate 1mg daily

Current Illness:

ID: 1033618
Sex: F
Age: 62
State: ME

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

Lab Data: None

Allergies: Lactose

Symptoms: Extremely sore arm, fever, chills, headache, body aches, nausea, dizziness

Other Meds: Levothyroxine

Current Illness: None

ID: 1033619
Sex: F
Age: 59
State: NH

Vax Date: 02/11/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Aspartame, asulfame Epinephrine Erythromycin antibiotics

Symptoms: Most recent has been a greenish coating on tongue with blisters on back. It is sore but can eat and drink normally. Also glands in neck are sore. This second vaccine hit me harder that first with flu like symptoms and abdominal pain which lasted 2.5 days after shot. Still feeling fatigued but can do normal activities. No treatment.

Other Meds: None

Current Illness: None

ID: 1033620
Sex: F
Age: 69
State: AL

Vax Date: 01/28/2021
Onset Date: 02/06/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 8 days after my shot I had chills and was very cold for 8 hrs. Later that day my arm above the injection site had a red, itchy rash the size of a softball.

Other Meds: Synthroid Alleve Omeprazole

Current Illness:

ID: 1033621
Sex: M
Age: 74
State: WI

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

Lab Data:

Allergies:

Symptoms: Only air was administered, no vaccine was given. No adverse event was reported.

Other Meds:

Current Illness:

ID: 1033622
Sex: F
Age: 43
State: WI

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: COVID test

Allergies: No known allergies

Symptoms: Symptoms the following day: 9/10 headache, all over body aches, nausea, dizziness, fatigue, urinary retention. The day after that I woke up with a skin reaction (red, blotchy) on my neck, chest, back, upper abdomen, and itching across my upper back.

Other Meds: None

Current Illness: Cold symptoms approximately 2-3 weeks prior. Was COVID tested at that time and it was negative.

ID: 1033623
Sex: F
Age: 9
State: CA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: N/A

Allergies:

Symptoms: No adverse event observed.

Other Meds:

Current Illness:

ID: 1033624
Sex: F
Age: 29
State: IL

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: CT Contrast Dye

Symptoms: Rash- initially 3 raised red dots approx. dime size each near injection site. Rash turned into one large, slightly raised circle near injection site. It was mildly itchy, but other than that did not have any other symptoms. Rash lasted 3 days.

Other Meds: Trokendi 100mg, Vitamin D3, Zoloft 100mg, Welbutrin 150mg, Zyrtec D

Current Illness: UTI/Bladder Infection

ID: 1033625
Sex: M
Age: 65
State: IL

Vax Date: 01/30/2021
Onset Date: 02/03/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None Just an observation !!!!!!!

Allergies: None

Symptoms: VACCINE EUA 18 I Lost the ability to get drunk . Liquor or wine taking not taking affect . I am serious this is not a JOKE i am for real . I enjoy liquor but cannot get drunk any more after the vaccine Any idea what has happen to my DNA

Other Meds: None

Current Illness: None

ID: 1033626
Sex: F
Age: 74
State: AZ

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: History of allergic reaction to Iodine and Penicillin

Symptoms: patient was being observed for 30 mins after injection and 20 mins within the observation patient started to develop symptoms of: shortness of breath, left leg numbness and chest pressure. Blood pressure was at 207/97 and pulse was 113, no meds were given to patient. 911 was call and patient was transported to hospital at 12:50pm

Other Meds: none taken

Current Illness: none that is known of

ID: 1033627
Sex: M
Age: 63
State: KY

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: ACE inhibitors, tetanus toxoid

Symptoms: Debilitating fatigue, fever, sore throat, chills, cervical lymphadenopathy, all lasting 36 hours.

Other Meds: Losartan, HCTZ, aspirin,atorvastatin.

Current Illness: None

ID: 1033628
Sex: M
Age: 43
State: PA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: MAYO

Symptoms: HEADACHE, VOMITING, DIZZY

Other Meds: NONE

Current Illness: UNKNOWN

ID: 1033630
Sex: F
Age: 61
State: IL

Vax Date: 01/01/2021
Onset Date: 01/04/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Penicillin/serum sickness

Symptoms: Onset of a large painful purple blue lump at the injection site within 90 minutes of the vaccine. Progressive pain and swelling at the site for one week with pain traveling down the left arm and up to the left shoulder and upper back. Development of a large raised, itchy red skin lesion at the injection site on day eight followed by a blotchy itchy rash of the left arm, shoulder an upper back. Symptoms progressed until day ten when a Medrol Dosepak was started. The rash and lump on the left arm resolved within twelve hours but intermittent pain of left arm persists.

Other Meds: Allegra

Current Illness: None

ID: 1033631
Sex: F
Age: 68
State: NY

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: Amoxicillin, Demerol

Symptoms: I had mild pain and itching in my arm the evening of the day of the vaccine (02/12). The next morning I woke up feeling awful, I had a fever of just over 100 and chills, vomiting and diarrhea, body aches and a medium headache. This lasted the full day. I couldn't eat or drink anything...kept coming back up and out... really awful. When I had Covid-19 back in March although I had a fever for 10 days, I had none of these symptoms... I just lost my sense of taste and smell for 7 months.

Other Meds: none... multi-vitamin plus turmeric plus estherC with D3 plus bal of nature fruits and veggies plus Liquid BioCell Life for joints (phyto nutrients, antioxidents, hyaluronic acid and collagen). Did not take any of the afoementioned when I

Current Illness: none

ID: 1033632
Sex: F
Age: 77
State: CA

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Pain and intense itching in muscle area of injection onset eight days after injection starting with mild itching progressing to intense itching and pain with minor relief from topical corticosteroid cream

Other Meds: Amlodipine 5 mg, Losartan 25 mg, Gabapentin 600 mg, Levothyroxine 25 mcg, Simvastatin 10 mg, Lorazepam 5 mg. Calcium 600 mg, CoQ10 200, Multi-Vitamins, Melatonin 10 mg,

Current Illness: None

ID: 1033633
Sex: F
Age: 49
State: NC

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: PCN

Symptoms: Fever 100.2, muscle joint ache, general malaise x 24 hours.

Other Meds: Toprol Xl, losarten, zinc, hctz, protonix, vitamin D, calcium citrate,

Current Illness: None

ID: 1033634
Sex: F
Age: 43
State: KY

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

Lab Data:

Allergies: aspirin, morphine (injection), dilaudid (injection), latex, cinnamon, gold, nickel, valacyclovir, pennsaid (gel form only, not allergic to diclofenac oral or via topical ointment)

Symptoms: hives over multiple body areas (arms, legs, trunk)

Other Meds: alopurinol, meloxicam, flovent, singulair

Current Illness:

ID: 1033635
Sex: F
Age: 70
State: IN

Vax Date: 02/01/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Patient received dose on 2/1. On 2/10, patient awoke with itching and redness (2" diameter) on the right arm. Patient self managed with Cortizone 10. Redness improved and almost gone by 2/16.

Other Meds: Atorvastatin

Current Illness:

ID: 1033636
Sex: F
Age: 63
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Penicillin, Sulfide, Opiates, corn, peanuts, beestings

Symptoms: Within in an hour of receiving the vaccine, under the injection about 2-3 inches below the site, the muscle group was sore. The next morning I was dizzy, lightheaded, mild headache, nausea, chills. It went all throughout the day. I just drank some clear liquids and ate some soup. When I woke up the next day about 36 hours after receiving the vaccine I had low energy, nauseous, and lightheaded . By that night my arm started feeling weird, it had a tinging feeling, I went to look at it the mirror and there was a red area and bumps but it was lower under the injection site. It seemed to get worse, swelling and more rash so I took Loratadine 10 MG (antihistamine). I went to bed and when I woke up this morning the rash was gone but the soreness is still there and the tinging feeling in my arm is still there. It feels like when your arm falls asleep. I tried to called my doctor but their phones are down and I will try reach back out this afternoon.

Other Meds: Vitamin D3 2000 units. Vitamin C 1000 units, Viviscal (promotes hair growth, supplement)

Current Illness:

ID: 1033637
Sex: M
Age: 63
State: NC

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Labs 2/5/21, 2/12/21 and 2/15/21, doctor visit 2/8/21

Allergies: Penicillin, sulfa drugs

Symptoms: Platelet count 23 on 2/5/21 (TSH 0.005), platelets 30 on 2/12/21, and 14 on 2/15/21. Appointment with oncologist on 2/18/21.

Other Meds: Flecainide 50 mg/2 daily, Metoprol 25 mg/ 1/2 tab daily, Alfuzosin 10mg ER, 1 daily, Buspirone 7.5/1 daily Fish Oil 1000mg, D3 125 mcg., Osteo Bi-flex, Cinnamon w/Chromium 2000 mg

Current Illness: None

ID: 1033638
Sex: F
Age: 92
State: NV

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: mold

Symptoms: very mild soreness in left shoulder

Other Meds: levothyroxine, Pro Air inhaler, calcitonin saoman, calcium + vitamin D, glucosamine + chondroiten

Current Illness: none

ID: 1033639
Sex: F
Age: 92
State: CA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: NONE

Allergies: SULFA DRUGS

Symptoms: SWELLING AND PAIN IN HAND AND WRIST IN RIGHT ARM (WHICH IS THE ARM THAT WAS VACCINATED). PAIN AND HEAT AT SITE OF VACCINATION. INTENSE ITCHING, SORENESS AND REDNESS WHICH BEGAN 2 TO 3 DAYS AFTER VACCINATION OVER INJECTION SITE. THE PINK/RED, ITCHY, RASHY AREA HAS NOW DESCENDED TO HER ELBOW, IS SLIGHTLY SWOLLEN, 3 INCHES BY 5 INCHES (NO LONGER OVER INJECTION SITE)

Other Meds: Warfarin, ATENOLOL, DIGOXIN, TRAMADOL, VITAMIM D, MAGNISIUM

Current Illness: UTI 3 WEEKS PRIOR TO VACCINATIONS TREATED WITH GENERIC KEFLEX

ID: 1033640
Sex: M
Age: 26
State:

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

Lab Data:

Allergies:

Symptoms: Flu like symptoms. Fever, Chills, Headache, Body Aches

Other Meds:

Current Illness:

ID: 1033641
Sex: F
Age: 65
State: FL

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: 2/15/21 Dr appointment. Oxygen level was 99. My usual oxygen level is 100. Electrocardiogram was reported to be normal.

Allergies: Penicillin, Codeine, Flouride, Sulfur, Some Myacin antibiotics, Sorbitol, Epinephrin sensitivity, some food presevatives. Allergic to egg substitute.

Symptoms: 1/31/21 - 5 PM occasional heart racing. Restless sleep that evening. 2/1/21 through 2/03/21- Headache 2/1/21 through 2/2/21 - Loose stool and some slight nausea from time to time. 2/1/21 started feeling a bit off balance and dizzy especially when first standing up. This still happens occasionally as of 2/16/21. 2/7/21 felt pressure in chest and difficulty catching a deep breath. Feel like I'm not getting a comfortable amount of oxygen although I am able to breathe normally without wheezing or catching my breath. This is still the case today 2/16/21

Other Meds: Prescription Medication: Estradiol 0.1 mg Patch (twice weekly) Dietary Supplements: Omega 3 1280 mg daily; Vitamin D3 2000 mg daily; Vitamin C 500 mg daily; Zinc Picolinate 30 mg daily; B-12 Sublingual 1,000 mcg; Florastor Probiotic 1 dai

Current Illness: None

ID: 1033642
Sex: F
Age: 66
State: CA

Vax Date: 02/01/2021
Onset Date: 02/04/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Demerol, tetracycline, avocado, plums, pollens, grasses.

Symptoms: I had reddness, pain and a knot at the site of injection 11 days afterward. Pain radiated up my shoulder when I press on the knot. I took tylenol for the pain. At day 9, I took ibuprophen and benadryl. I still have discoloration but the knot has gone down alot. It's more of a welt the length of my thumb now.

Other Meds: Metformin, fosinopril, pravastatin, cetrazine hydrochloride

Current Illness:

ID: 1033643
Sex: F
Age: 66
State: CT

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

Lab Data:

Allergies: amoxicillin

Symptoms: Dizziness from about an hour and a half after injection. Inability to walk steadily because of it. the day after the vaccine I called my doctor and the on-call DR. responded recommending an over-the-counter anti-dizziness medicine that started with an "A. " I live alone so I ordered what seemed to be its aquivilantnMeclinzine 12.5 mg. I did not receive it until Monday 2/15. I took it at 1:29 pm and did not feel any effect until around 5:30 when I started to feel druggie and drowsy. I laid down and slept most of the night waking at 6:00 am still having the same symptoms. It is 3:14 Tuesday 2/16 and I am still feeling druggie and drowsy. I am going to call my doctor tomorrow if I do not feel any better. I am not going to take any medication until then.

Other Meds: sertaline 100mg

Current Illness: none

ID: 1033644
Sex: F
Age: 61
State: MO

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: I have called my doctor and he is ready to see me if I wish. He wanted me to report it first.

Allergies: Dilantin, Statins, Stadol. Dilaudid, Melatonin

Symptoms: Itching, redness and swelling from injection site down to the elbow area. Also swelling under the arm to the left side of the left breast with tenderness upon pressing on the left breast. Skin is very tender to touch when I try to scratch it. There is a pink tint to the skin but not red. Am not running a fever.

Other Meds: Tegretol ER 400mg, Losartan 100mg, Omeprazole 20 2xdaily, Prozac 40mg

Current Illness: None

ID: 1033645
Sex: F
Age: 68
State: NC

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

Lab Data:

Allergies: Almond oil Contrast medium

Symptoms: Nausea Muscle aches and cramping Back and chest pain Headache Swelling and itching at injection site Low grade fever Chills Beginning 02/15 and continuing today: 02/16/2021

Other Meds: Magnesium taurate Vitamin D Omeprazole Diltiazem Eliquis

Current Illness: None

ID: 1033646
Sex: F
Age: 35
State: WI

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received Moderna as 2nd dose when should have been given Pfizer.

Other Meds: unknown

Current Illness:

ID: 1033647
Sex: F
Age: 66
State:

Vax Date: 02/07/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On post vaccination day 6 the patient developed erythema, swelling and induration of ca. 8cm at the around the injection site and a pruritic rash of the anterior cervical area and upper thorax. On post vaccination day 7 the swelling, erythema, and induration of the injection site had expanded to 10 cm, the rash of the cervical area somewhat resolved but a mild pruritic rash of the face had developed.

Other Meds:

Current Illness:

ID: 1033648
Sex: M
Age: 61
State: OR

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital: Y

Lab Data: Labs done 2/14: Sodium Level 134 mEq/L Potassium Level 4.9 mEq/L HI Chloride Level 98 mEq/L Carbon Dioxide Level 20 mEq/L LOW Anion Gap 20.9 mEq/L HI Glucose Level 143 mg/dL HI BUN 51 mg/dL HI Creatinine 5.87 mg/dL CRIT Est CrCl IBW (mL/min)-RX 11.82 mL/min BUN / Creatinine Ratio 8.7 LOW GFR Estimated Non African American 10.5 mL/min/1.73 m2 GFR Estimated African American 12.7 mL/min/1.73 m2 Calculated GFR 10.5 mL/min/1.73 m2 LOW Comment GFR Comment GFR Calcium Total 8.8 mg/dL Total Protein 6.4 gm/dL Alkaline Phosphatase 147 Units/L HI ALT/SGPT 12 Units/L AST/SGOT 11 Units/L Bilirubin Total 1.0 mg/dL Albumin Level 3.1 gm/dL LOW Globulin Level 3.3 gm/dL Albumin/Globulin Ratio 0.9 LOW C-Reactive Protein 1.0 mg/dL HI WBC Count 7.77 thou/cumm Red Blood Cell Count 3.03 million/mm3 LOW Hemoglobin 10.2 gm/dL LOW Hematocrit 32.7 % LOW MCV 107.9 FL HI MCH 33.7 Picograms MCHC 31.2 gm/dL RDW 17.5 % HI Platelet Count 256 thou/cumm MPV 9.8 FL Diff Method AUTO DIFF Neutrophil Percent 72.9 % Lymphocyte Percent 16.5 % Monocyte Percent 7.9 % Eosinophil Percent 1.9 % Basophil Percent 0.4 % Immature Granulocyte Percent 0.4 % Nucleated RBC Percent 0.0 % Nucleated RBC 0.00 thou/cumm Neutrophil Absolute 5.67 thou/cumm Lymphocyte Absolute 1.28 thou/cumm Monocyte Absolute 0.61 thou/cumm Eosinophil Absolute 0.15 thou/cumm Basophil Absolute 0.03 thou/cumm Immature Granulocyte Absolute 0.03 thou/cumm CT neck done 2/14/2021: Retropharyngeal effusion extending from the oropharynx to the level of the thyroid cartilage. This measures approximately 8.4 cm in length and up to approximately 1.6 cm in thickness. Moderate narrowing of the oropharynx.

Allergies: Calcitriol- Nausea and vomiting. Clindamycin- Nausea. Dicloxacillin Sodium- Nausea and vomiting. Doxycycline- Unknown. FentaNYL- Disorientation. Morphine- Itching and emesis. Paxil- Homicidal ideation. Tape- Blisters..

Symptoms: approximately 1 week post 1st dose, patient had sensation of foreign body in throat; some pain in neck; & facial swelling

Other Meds: Amlodipine; Aspirin; Atropine 1% solution; Atrovastatin Calcium; Gabapentin; Glimepiride; Lactulose; Lorazepam; Melatonin; Omeprazole; Oxycodone; Prednisolone acetate; whey protein; spironolactone; timolol; Vitamin D-3; Auryxia Oral; Lokel

Current Illness: see long standing conditions

ID: 1033649
Sex: F
Age: 67
State: NY

Vax Date: 02/05/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Cat scan dye ,codeine

Symptoms: Covid ?arm?. Swelling, itching at site of vaccination 10 days after being vaccinated. Lasting approx 2 days.

Other Meds: Arava, tegretol, fluoxetine, meloxicam,

Current Illness: Nonr

ID: 1033650
Sex: F
Age: 67
State: NY

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

Lab Data:

Allergies: None known

Symptoms: Tylenol

Other Meds: Hydrochlorothiazide 25 mg Amlodipine Besylate 5mg Othezla 30mg (2x) Atorostatin 20mg

Current Illness: None

ID: 1033651
Sex: F
Age: 49
State: MD

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: pineapple, seasonal allergies, tegretol, dilantin, phenobarbital, xanax, all sulfamides

Symptoms: Fever started 2 hrs after administration. Overall malaise, fatigue, body aches, headache, chills.

Other Meds: vit c and vit d

Current Illness: occular migraine

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm