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: 1037070
Sex: M
Age: 28
State: FL

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Confusion, short term memory, disorientation, and poor concentration starting at 6:30pm on the day after the 1st injection; immediate effect of dry mouth since the injection.

Other Meds: Omega 3

Current Illness:

ID: 1037071
Sex: F
Age: 33
State: NY

Vax Date: 02/05/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: Erythromycin

Symptoms: 2/10/21: Mouth, lips, tongue, throat, and neck swelling. Blistering on tongue. Dysphagia. Racing heart. Weak feeling. Swollen neck lymph nodes. Took Benadryl which helped some with the swelling and swallowing. Still experiencing swollen lymph nodes, tongue swelling, and weakness. In addition: 1/21/21 - 8:30 am: Experienced face swelling and red rash on face. 1st Covid Moderna Vaccine dos 1/8/21 Lot # 026L20A. Also took Benadryl for relief. Rash lasted 2 days.

Other Meds: Syeda (birth control)

Current Illness:

ID: 1037073
Sex: F
Age: 85
State: TX

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Chills, temperature, nausea/vomiting, temperature 100.5, body ache, arm redness/itching.

Other Meds: Women?s 1 a day vitamin; calcium 500mg; osteo biflex; biotin 5,000mcg; tuna omega3 oil; vitamin D 2,000mg; mag/potassium 100 mg; Crestor 10 mg. Prolia.

Current Illness: None

ID: 1037074
Sex: F
Age: 39
State: CO

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: 1/7/21-Spinal MRI (negative), C-Reactive protein (51), CBC (Normal) 2/1/21- C-reactive protein (6), TSH (1.53)

Allergies: Latex, macrobid, levoquin, dermabond glue (surgical glue), vicodin, percocet, codeine, tomatoes, citrius fruits

Symptoms: Numbness and tingling (parathesia) in both legs from hips to balls of heels which started 32 hours after vaccine, Pfizer Covid vaccine #2. 12 hours after vaccine hip/groin pain, but resolved prior to parathesia. No more hip pain. Parathesia lasted 2 full weeks, but now is current intermittent in occurance, worse at 2 AM while skeeping. Parathesia currently from knees to balls of heels, mainly in back of knees.

Other Meds: Zyrtec

Current Illness: None

ID: 1037075
Sex: F
Age: 77
State: RI

Vax Date: 01/30/2021
Onset Date: 02/06/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Perkadan, Codene, Flaygel, Bactrium

Symptoms: My arm had a big round circle and a rash. It was also itchy. I ued Benedryl every day for the next three days and then it subsided.

Other Meds: Atenolol, Baby Aspirin, Crestor, Hydrochlorothiazide, Omeprazole, Synthroid, Zyrtec, Allegra

Current Illness:

Date Died:

ID: 1037076
Sex: M
Age: 89
State: NE

Vax Date: 01/26/2021
Onset Date: 01/30/2021
Rec V Date: 02/17/2021
Hospital: Y

Lab Data: x-rays and labs completed during ER visit and hospitalization from 01/30/2021-02/03/2021

Allergies: Orange Juice

Symptoms: Resident developed increased confusion on 01/30/2021 that may have been related to vaccine or to residents other medical conditions including dementia, anxiety, shortness of breath, history of lung cancer, and COPD. Sustained a fall with fracture and was transferred to Hospital. Surgical intervention performed to repair hip. Resident returned to Skilled Nursing facility. Did not recover after surgery and family chose palliative measures. Resident died/ expired on 02/09/2021.

Other Meds: Albuterol, Eliquis, Ativan, Gabepentin, Lasix, & others.

Current Illness: Hx Lung CA, COPD, dementia, A. Fib, Anxiety, edema, SOB

ID: 1037077
Sex: M
Age: 73
State: CA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: All tests done on 02/17/2021 EKG AND CHEST X-RAY CT SCAN HEAD AND NECK ECHOCARDIOGRAPHY BLOOD TESTS CORONAVIRUS TESTS (nasal swabs)

Allergies: Rosuvastatin

Symptoms: Syncope, weakness, thirst Severe neck pain after falling on floor

Other Meds: Amlodipine Indapamide Gabapentine Ibuprofen

Current Illness: None

ID: 1037078
Sex: F
Age: 60
State: CA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: UI - three taken - one at my office; Urgent Care Urine Culture - taken by URgent Care

Allergies: Sulpha meds; cow's milk proteins

Symptoms: Tuesday in the early am, I woke up and I took my temperature - it was 101.2 (I had taken Ibuprofen 5 hrs prior). I got something to eat and then I took 800 mg of Ibuprofen. I bundled up - h ad chills and fever. Left arm was killing me. I went back to bed. I could hardly move my left arm. I oculdn't lay on it - the ibuprofen didn't work. I had to call out of work. I cancelled Tuesday. I was in bed. I drank a lot of water before the vaccine and after the vaccine. I had soup broth, tea, juice, cider. I slept 3-4 hour nap in afternoon. Diarrhea and cramps late tuesday night - bathroom and bed all of Tuesday. Had a fever again on Wednesday night - 101 (oral). Tired. Left arm was killing me. I continued 800 mg ibuprofen every 6 hours on Tuesday. I started VIT DE again. I was mostly exhausted and my arm still hurt badly. on Wednesday and Thursday. Thursday didn't take any ibuprofen - pushed through the day. On the 5th of February, for the first time in my life - left flank pain; sharp left lateral pain. I couldn't pee for three hours. I was drinking three quarts of water. For the most part, it didn't hurt a lot to move my left arm but it hurt. Bladder was not full even though I couldn't pee. I went to URGENT CARE - Doctor on Duty - (Friday, the 12th) UA - no nitrates; large amount of blood but everything was normal. No growth after 48 hours. Flomax - dialator and started to urinate. I didn't have any sense that I had to pee. Friday, the 5th, I took the Flomax once a day - 0.4 micrograms - I took it Friday and Saturday. I did abdomen warm compresses in my abdomen and back. I did it on Sunday twice, two. I started back up on Ibuprofen on Friday, Saturday. Monday - I got my PCM - Monday the 15th - He did a UA and I had no blood. I stopped Ibuprofen on Monday. He is going to do a renal ultrasound. I had never had a kidney stone but he has put in a referral to get that done. Tuesday (after President's day) - UA results - negative and no blood and he wasn't going to send it for culture. I still have minor left flank pain here and there.

Other Meds: thyroid medication; Lipitor at night; Omega 3 fatty acids twice a day; Collagen tablets - 5 a day; Ibuprofen

Current Illness: Adverse health 1st dose of Moderna COVID vaccine

ID: 1037079
Sex: F
Age: 52
State: CA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Headache and low grade fever, 100.4 degrees

Other Meds: No

Current Illness: No

ID: 1037080
Sex: F
Age: 72
State: WV

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: No testing performed. Prescribed Prednisone 40mg for 5 days and also advised to continue Benadryl and start Pepcid until reaction was improved. A day after starting Prednisone, patient already reports improvement in rash, although not resolve.d.

Allergies: Arimidex, Restasis, Sulfonamides, sulfites, almond, motrin, mickel, aromasin, tamoxifen

Symptoms: 3 hours after receiving the second dose of the Pfizer vaccine, patient broke out into diffuse, erythematous and pruritic rash although by exam not consistent with hives. I saw the patient 4 days later and her symptoms were persistent and she was fearful to seek care because she thought steroids might blunt her immune reaction to the virus. She has had multiple similar rashes when she has taken new drugs, specifically antibiotics and antiestrogen therapy for history of breast cancer. She has required oral steroids before for similar rashes.

Other Meds: Plaquenil 200mg daily, HCTZ 25mg daily, Cevimeline 30mg (taking inconsistently), Epi pen PRN, Biotin, Tramadol 50mg q6hr PRN, Tylenol PRN, Loratidine 10mg PRN, Duloetine 20mg daily, artificial tears PRN, Vitamin D

Current Illness:

ID: 1037081
Sex: F
Age: 41
State: MI

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Visited ED on 07/11/2021

Allergies: No

Symptoms: Tightness in the chest, throat, ears, and head with a feeling of dizziness started on the 4th day after receiving the vaccine. Feeling extremely fatigued and difficulty breathing. Falling asleep whenever and wherever. Rashes all over the body including the face that come and go. Burning pain and a feeling of flushing when the rash develops. Waking up in the nights with the rashes and itchiness that is unbearable. Experiencing difficulties staying focused and complete a single task. Off from work for a week now due to continuous dizziness.

Other Meds: Cymbalta for fibromyalgia, multivitamin.

Current Illness: No

ID: 1037082
Sex: F
Age: 70
State: CA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Demerol

Symptoms: Rash with welts about 4" x 3" around injection site. Lasted about two days.

Other Meds: Metformin Hcl ER 500 mg 4X per day Repaglinide 4 mg 3X per day (at meals) glipiZIDE XL 5 mg Baby aspirin 81 mg Spironolactone 50 mg 2X per day Synthroid 75 mcg Simvastatin 20 mg Lisinopril 2.5 mg OS Cal 500 mg calcium 200 IU D3 once per d

Current Illness:

ID: 1037083
Sex: F
Age: 82
State: GA

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: The morning following vaccination, the patient noticed that the injection site was red and swollen. Patient was advised that she can place ice on the site and take Tylenol to help with discomfort.

Other Meds: Prednisone, levothyroxine, gabapentin, erythromycin eye ointment, aspirin 81mg

Current Illness: None reported

ID: 1037084
Sex: M
Age: 51
State: CA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Severe chills and severe muscle ache, especially in the legs, woke me up in the night. Taking 209 mg Ibuprofen helped me finally sleep. Severe chills lasted for one hour, which was 20 min after taking Ibuprofen. Muscle ache continues even now (2/17/2021 at 5:30 pm). Still in bed, taking rest as I don?t have the energy to do any work.

Other Meds: Levothyrixine 50 mcg daily; Ramipril 5 mg daily; Lovastatin 10 mg daily; Hydrochrolothiazide 12.5 mg daily; Amlodipine 5 mg daily; Meloxycam 5mg daily; PreserVision one capsule daily; Vitamin D3 daily; SloNiacin daily

Current Illness: None

ID: 1037085
Sex: F
Age: 83
State: NY

Vax Date: 02/13/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2/16/21 New swelling and pain at injection site. Oval slotchy hot rash around the injection site. 2/14/21 Swelling soreness at injection site and headache

Other Meds:

Current Illness:

ID: 1037086
Sex: F
Age: 27
State:

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: My left arm (site of injection) was burning during the first hour after getting the vaccine (02/11/21). It was sore for the first two days. A bruise formed on day 4 and grew in size. On day 5, a body rash formed on my entire back and began radiating to both arms and neck on day 6 (which is still occurring today, 02/16/21).

Other Meds: Junel Fe 1/30mcg (birth control)

Current Illness: None

ID: 1037087
Sex: F
Age: 68
State: SC

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: approximately 20-25 minutes after receiving the shot my tongue had slight swelling - lasted about 45 minutes

Other Meds: synthroid, lipator, daily multi vitamin

Current Illness:

ID: 1037088
Sex: F
Age: 40
State: FL

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 24 hours of fatigue, low grade fever, nausea and vomiting, heartburn, body aches, chills, headaches. Treated with Advil and rest. Completely gone after 24 hours from start of symptoms

Other Meds: None

Current Illness: None

ID: 1037089
Sex: M
Age: 71
State: NY

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: Lipitor

Symptoms: Moderna COVID-19 Vaccine EUA. Chills, slight fever, extreme fatigue. Lasted 24 hours

Other Meds: Amlodipine/Benazepril, fenofibrate, Eliquis, carvedilol, omeprizol, pepcid, hydrochlorozyacide, fish oil

Current Illness: None

ID: 1037090
Sex: F
Age: 48
State: NY

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Lobster

Symptoms: 102? fever, body aches, stomach pain

Other Meds: None

Current Illness: Sinuses

ID: 1037091
Sex: F
Age: 38
State: NE

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies: no known allergies

Symptoms: bruising at injection site, severe headache, difficulty sleeping, Per patient: "felt like someone socked my arm"

Other Meds: uknown

Current Illness: unknown

ID: 1037092
Sex: F
Age: 40
State: AZ

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: lamb, cats, dogs

Symptoms: 4 hours after the 2nd dose I started coughing and feeling a little achy. about 8 hours later I started getting chills and major aches and pains. By 12 hours after I had the worst headache of my life along with major chills and awful body aches. The chills and aches were so back I couldn't sleep through them and was up most of the night bundled up under 4 blankets shivering and achy. I felt so dehydrated and drank water all night long. Every time I'd try to stand up out of bed I felt like I was going to throw up. About 24 hours after the shot the symptoms started to ease and I was able to stand and move again. Just been completely drained of all energy and have had no appetite since (at about the 30 hour mark).

Other Meds: Allegra

Current Illness: none

ID: 1037093
Sex: F
Age: 76
State: GA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: aspirin

Symptoms: Started to get achy later that night after shot. Achiness got worse as all joints and bones hurt. Got up next morning with a temp of 101* and still achy all over. Slept most of the day with same symptoms. Got up next morning (Feb 17) fever was gone, aches were gone, but very very tired all day. A little unsettled stomach. Everything improved as the day went on. There is a report # 269542 from the first shot reported by telephone.

Other Meds: levothroxin Advair Vitamin D

Current Illness:

ID: 1037094
Sex: F
Age: 53
State: MA

Vax Date: 02/13/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever was first day after, gone quickly. Rash spreading all over body on 2/17 (4 days later), red, puffy and itchy. Torso front and back, lower abdomen, neck, arms down to wrists. Took some Benadryl at 7:40, hope it will call down and pass.

Other Meds:

Current Illness:

ID: 1037095
Sex: F
Age: 72
State: NY

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA. Chills, muscle aches, extreme fatigue.

Other Meds: None

Current Illness: None

ID: 1037096
Sex: F
Age: 71
State: WA

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: EKG on 02/16/21

Allergies: Possibly coffee and /or chocolate, and normally, but for her large doses, of any medication. She'll often cut them in half.

Symptoms: Possibly heart irregularities induced by vacine

Other Meds: Over the counter Vitamin pills

Current Illness: None

ID: 1037097
Sex: F
Age: 38
State: NC

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Chemstation after 23

Symptoms: Face stared to flush at 8pm, by 815pm face looks and feels like a sun burn.

Other Meds: Nortriptyline, lipitor, microgesten

Current Illness: Chronic pain disorder

ID: 1037098
Sex: F
Age: 78
State: IN

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The patients daughter states that the patient woke up the morning after receiving the vaccine and does not recognize family members, stops eating in the middle of her meal and doesn't remember what she was doing, has a greatly decreased appetite. Daughter states she is declining quickly.

Other Meds:

Current Illness:

ID: 1037099
Sex: F
Age: 32
State: IL

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Facility nurse and pharmacist reviewed all the consent forms for the clinic prior to going to rooms, all were signed. Nurse grabbed vaccination cards only and the nurse and pharmacist headed to the rooms. Pharmacist administered vaccine to patients nurse said only received 1 vaccine per the card. They failed to check if the consent forms matched up with the cards. The card for patient did not get filled out at the second clinic but the pt did receive the second shot. When the nurse and pharmacist entered the room the pt stated " I already received both of my shots" nurse replied, "no you only got one shot you need one more." With no consent form to compare to the pharmacist administered the vaccine. After pharmacist left for the day the nurse realized when matching cards up with consent forms that there was not a consent form for the pt. After going through the consent forms from prior clinics they realized the miss on the documentation on the vaccine card and the error of the third vaccine. Facility contacted pts physician whom advised to monitor pt.

Other Meds:

Current Illness:

ID: 1037100
Sex: M
Age: 49
State: PA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever, chills, body aches, headache

Other Meds:

Current Illness:

ID: 1037101
Sex: F
Age: 59
State: AZ

Vax Date: 01/06/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Covid PCR nasopharyngeal swab positive by Sonora Quest, test performed here at Sacred Peaks.

Allergies: NKDA

Symptoms: Patient tested positive for covid more than 2 weeks after her second covid vaccine. Tested positive on 2/16/21. Second covid shot was on 1/6/21 at another facility, but we have the vaccine card scanned in our system. Patient is completely asymptomatic. Source of exposure is unknown.

Other Meds: levothyroxine, atorvastatin, loratadine, metformin, vit D, calcium

Current Illness:

ID: 1037102
Sex: M
Age: 21
State:

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Vital signs.

Allergies: none

Symptoms: Patient a Vaso Vagal even. became pale , slight diaphoresis. and LOC momentary. . recovered when patient placed in supine position . MD arrived. on scene. patient awake HR 49 B/P 100/60 Resp 16 02 sat 96%. no Respiratory distress or Rash. Patient. recover after po fluids. and snack given.

Other Meds: none known

Current Illness: none

ID: 1037103
Sex: F
Age: 60
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient received second dose of COVID-19 vaccine series, 1 day early. Her first vaccine was given on 2/1/21 and she received her second dose on 2/17/21, 16 days apart. No adverse event reported by patient.

Other Meds:

Current Illness:

ID: 1037104
Sex: F
Age: 72
State: PA

Vax Date: 02/11/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: Penicillin Nalfon Crestor

Symptoms: Swollen lymph?s in left arm pit. Still have after 4 days from when I first noticed it. Very uncomfortable. I am not near my medical doctor(I am currently out-of- state), so have not seen anyone about this.

Other Meds: Losartin Prevastatin Vitamin d Lexapro

Current Illness: None

ID: 1037105
Sex: F
Age: 58
State: AL

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: pt fainted

Other Meds: n/a

Current Illness: n/a

ID: 1037106
Sex: F
Age: 43
State: CA

Vax Date: 02/03/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash on left arm, swollen left neck lymph node

Other Meds:

Current Illness:

ID: 1037107
Sex: F
Age: 24
State: MA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nausea dizziness pain chills

Other Meds: Stimulants, ssri, antipsychotic

Current Illness:

ID: 1037108
Sex: M
Age: 64
State: PA

Vax Date: 02/03/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: not available

Allergies: no known drug allergy

Symptoms: pt has bells-palsy and being treated with prednisone and isopta tear drops

Other Meds: no

Current Illness: no

ID: 1037109
Sex: F
Age: 51
State: PA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: headache, tired, body aches

Other Meds:

Current Illness:

ID: 1037110
Sex: F
Age: 68
State: NY

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital: Y

Lab Data: Xray of lungs and hip. CT of head and lungs. Sonogram of liver. Many lab tests while in hospital.

Allergies: sulpha, dilantin, singular, levaquin,

Symptoms: high fever, loss of ability to ambulate, fell on floor. Taken to hospital by ambulance. Low blood pressure, low oxygen, numerous labs were outside of normal limits,, elevated lactic acid. Received methyloredbuise 60mg every 6 hours (I think three times) Admitted on Feb 14th. Discharged on Feb 16th.

Other Meds: prednisone, synthroid, crestor, xolair, low dose asprin, calcium and vitamin D, Ventolin as needed, advair 500/50, allery shots, reclass infusion, lucentis, amoxicillin (before dentist)

Current Illness: none

ID: 1037111
Sex: M
Age: 38
State: MI

Vax Date: 02/09/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: COVID Arm, Swelling, redness, pain, ichyness surrounding the injection site.

Other Meds:

Current Illness:

ID: 1037112
Sex: F
Age: 70
State: SC

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: pt says that her tendon was hit during administration

Other Meds:

Current Illness:

ID: 1037113
Sex: F
Age: 62
State: CA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies: Shellfish

Symptoms: Hives and redness on chest and down right arm, 25 minutes after vaccine administered. 50 mg Liquid Benadryl given. Symptoms resolved in 6 minutes.

Other Meds: Celebrex

Current Illness: none

ID: 1037114
Sex: M
Age: 88
State: WA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: Levaquin Sulfa

Symptoms: The next day patient developed hives which have spread over the week.

Other Meds: None

Current Illness: Denies

ID: 1037115
Sex: F
Age: 67
State: ID

Vax Date: 02/09/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: redness, pain, itchy, hot, hardness and little bumps like pimples at injection site on my right upper arm

Other Meds: Losartan, Metformin, Advil

Current Illness: Asthma, Fibromyalgia, Type 2 Diabetes

ID: 1037116
Sex: F
Age: 38
State: MN

Vax Date: 02/11/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Cephalexen

Symptoms: 2/14/2021: Runny nose and half of left side of lips filled with painful cold sores.

Other Meds: None

Current Illness: No

ID: 1037117
Sex: F
Age: 46
State: MI

Vax Date: 02/08/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Arm lump, rash, soreness and itchy.

Other Meds: Spironolactone

Current Illness: No

ID: 1037118
Sex: F
Age: 50
State: VA

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies: ivp dye

Symptoms: 16 hours post vaccine - severe chills, fever up to 100.4, mild nausea, muscle aches 24 hours post vaccine - fever up 100, moderate fatigue, mild chills, poor appetite, mild redness just below injection site, unable to report to work, mild congestion 48 hours post vaccine - fever resolved, moderate fatigue, improved appetite, resolved chills, increased swelling and redness just below injection site, improved congestion, mild sore throat, unable to report to work

Other Meds: wellbutrin ambien gabapentin premarin oral calcium vitamin b vitamin d benadryl pseudophed

Current Illness: none

ID: 1037119
Sex: F
Age: 56
State: MD

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I developed a rash on my trunk and Back two days after receiving the vaccine. It is 5 days now and the rash continues. Not really responding to Benadryl. The rash is not raised, is red, and is not really itchy.

Other Meds: Pantoprazol, famotidine, vitamin D, calcium supplement, Zyrtec

Current Illness: GERD

ID: 1037120
Sex: F
Age: 32
State: OR

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Paramedics did Blood pressure and O2 and both were very good.

Allergies: none

Symptoms: Pt received shot at 3:30 pm on 2/17/21 and was sitting in the 15 minute observation area when she expressed that she was having a tightness across her chest and was having difficulty breathing. After speaking with the patient I learned she had a ventolin inhaler and asked her to use it. I told her to stay for another 10 min to be watched and assess if she needed further care. After 5 min she expressed that she was not improving. The decision was made to call 911 so that she could evaluated. Paramedics arrived and evaluated her, and decided to transport her to Kaiser hospital as they said they "couldn't rule anything out in the field".

Other Meds: meloxicam, baclofen, cyclobenzaprine, ventolin, botox injections for migraines

Current Illness: was in a car accident

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm