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: 1040366
Sex: F
Age: 49
State: NY

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

Lab Data: None

Allergies: Slight allergy to cats, dust and certain molds

Symptoms: Itchy arms within 15 minutes of injection; itchiness spreading to neck and back and arms and legs for about an hour; itching subsided within an hour Moderate muscle soreness at injection site began several hours after injection

Other Meds: Baritastic Multivitamin, iron supplement, Cetirizine, citalapram

Current Illness: None

ID: 1040367
Sex: F
Age: 93
State: MO

Vax Date: 01/13/2021
Onset Date: 01/01/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: We arrived on 02/10/2021 to give second doses to residents at facility. Upon arrival we were told several had contracted COVID-19 after their first immunization. Upon reviewing their records, it had been greater than 14 days of recovery, per CDC recommendations, they should have received their second doses. The director of nursing and the facility physician however told us we were not to vaccinate the residents until 30 days from their last negative test. After discussing guidelines and recommendations they would not change their minds. This is 1 of 18 patients that did not receive their second dose in the 6-week window at this facility.

Other Meds:

Current Illness:

ID: 1040368
Sex: M
Age: 73
State: OH

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Adverse symptoms began 3 hrs after injection and increased in severity over the next 5 days and nights. High BP to 229/98. Severe Angina requiring multiple Nitroglycerin tabs. Repeated severe Dystonia. Almost continuous, severe chest muscle , muscle spasms. Severe tremors. Intermittent high fever 102. Too weak to stand or walk on 2nd through 4 th day. Drenching sweats. Stabbing pain and fever on right arm at injection site, through the 6th day. Could only raise my arm half way-- too stiff and painful. Had confusion &difficulty speaking clearly during the 2nd and 3rd day. Intermittent loss of balance. Contacted Nurse , my Neurologist and Cardiologist. WORRIED ABOUT GETTING 2ND VACCINE ON 2-25-2021.

Other Meds: carbidopa/levadopa100, donepezil10, gabapentin300, metoprolol

Current Illness: none

ID: 1040369
Sex: F
Age: 68
State:

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt has tingling and numbness to left fingers that started after he vaccine last night.

Other Meds:

Current Illness:

ID: 1040370
Sex: F
Age: 67
State: AK

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Not done

Allergies:

Symptoms: Raised bump, blister, Blotches, swelling lips, itching

Other Meds: Omega 3, multivitamins

Current Illness:

ID: 1040373
Sex: F
Age: 23
State: UT

Vax Date: 02/13/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: I have swelling, redness, itching, and my arm is hot to touch. I have a rash from my injection site to up my arm. I noticed it yesterday and I went to the doctor. They told me it looks like a localized reaction and to take an antihistamine for a few days.

Other Meds: Ibuprofen for pain related to braces

Current Illness: None

ID: 1040374
Sex: F
Age: 75
State: MO

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

Lab Data: none

Allergies: levaquin, Fentanyl

Symptoms: One hour after immunization, a rash and redness down back appeared. She was given 50mg Benadryl and watched for another 30 minutes. No other reaction occurred

Other Meds: none on VAR

Current Illness: none listed

ID: 1040375
Sex: F
Age: 90
State: MO

Vax Date: 01/13/2021
Onset Date: 01/01/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: We arrived on 02/10/2021 to give second doses to residents at Medical center. Upon arrival we were told several had contracted COVID-19 after their first immunization. Upon reviewing their records, it had been greater than 14 days of recovery, per CDC recommendations, they should have received their second doses. The director of nursing and the facility physician however told us we were not to vaccinate the residents until 30 days from their last negative test. After discussing guidelines and recommendations they would not change their minds. This is 1 of 18 patients that did not receive their second dose in the 6-week window at this facility.

Other Meds:

Current Illness:

ID: 1040376
Sex: F
Age: 69
State: NC

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Sulfa; penicillin

Symptoms: Rash and itching at injection site appearing 8 days after shot

Other Meds: Coumadin; metformin; prevastatin; sertraline; aspirin 81; lisonopril

Current Illness:

ID: 1040377
Sex: M
Age: 69
State: MO

Vax Date: 01/13/2021
Onset Date: 01/01/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: We arrived on 02/10/2021 to give second doses to residents. Upon arrival we were told several had contracted COVID-19 after their first immunization. Upon reviewing their records, it had been greater than 14 days of recovery, per CDC recommendations, they should have received their second doses. The director of nursing and the facility physician however told us we were not to vaccinate the residents until 30 days from their last negative test. After discussing guidelines and recommendations they would not change their minds. This is 1 of 18 patients that did not receive their second dose in the 6-week window at this facility.

Other Meds:

Current Illness:

ID: 1040378
Sex: M
Age: 29
State: PA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever Arm swelling and pain Fatigue Dizzy

Other Meds: Stelara Lunesta Ativan Ocycodone Gabapentin Vitamin D Hydrocortisone Fentanyl patch

Current Illness:

ID: 1040379
Sex: F
Age: 78
State: UT

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

Lab Data:

Allergies: House dust and preservative in lanocane.

Symptoms: Exp. Date 6/30/2021. Unable to lift my left arm higher than my shoulder, swelling of upper left arm, tiredness.

Other Meds: None.

Current Illness: None

ID: 1040380
Sex: F
Age: 92
State: OH

Vax Date: 02/04/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Dust, grasses, tree pollen, molds; amoxicillin, flexeril

Symptoms: Red spot about 2" diameter, itchy and itchiness in wide area around injection site., slight ache in right arm

Other Meds: Eliquis, fish oil, flax oil, Colace, multi vitamin, vitamin D

Current Illness: None

ID: 1040381
Sex: M
Age: 72
State: FL

Vax Date: 02/01/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None. The adverse effects went away in a few hours. Did not go see a doctor as the effects wore off. Called my GP ?s office but the nurse was not familiar with what I reported nor suggested I see my GP. Called my neurologist but as of this report I have not been called back after I left a voice message. .

Allergies:

Symptoms: Extreme pain and rigidity from hips and down both legs. Wave-like sensations moving up one side of upper body and then one arm.

Other Meds:

Current Illness: I have peripheral neuropathy unrelated to an autoimmune disease.

ID: 1040382
Sex: F
Age: 96
State: MO

Vax Date: 01/13/2021
Onset Date: 01/01/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: We arrived on 02/10/2021 to give second doses to residents at Medical Resort. Upon arrival we were told several had contracted COVID-19 after their first immunization. Upon reviewing their records, it had been greater than 14 days of recovery, per CDC recommendations, they should have received their second doses. The director of nursing and the facility physician however told us we were not to vaccinate the residents until 30 days from their last negative test. After discussing guidelines and recommendations they would not change their minds. This is 1 of 18 patients that did not receive their second dose in the 6-week window at this facility.

Other Meds:

Current Illness:

ID: 1040383
Sex: F
Age: 55
State: MN

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Amoxicillin, hives Anesthetic-Benzocaine-aloe vera, hard to wake Gentamicin. itching Butoconazole (Femstat), itching Erythromycin, vomiting Doxycycline, vomiting

Symptoms: Pressure headache behind both ears. Began 8AM 2-14-2021. Began taking UP and UP brand of Acetaminophen gelcaps 500mg, took 2, every 4 hours . Continued throughout the day on Sunday. Monday 2-15-2021, headache still present along with being nauseaous throughout the day. Continued taking Acetaminophen every 4 hours Tuesday 2-16-2021, headache down to dull but present throught the day. continuted Acetaminophen, every 4 hours Wednesday 2-17-2021 headache was dull, began taking EQUALINE brand of Ibuprofen200mg. took 2 every 4 hours through out the day. Thursday 2-18-2021 headache cam on around 9:30am. Took Acetaminophen every 4 hours. Headache still present at time of my filling out this form

Other Meds: Norlyda 0.35 mg tablet ZyrTEC 10mg tablet vitamin D3 50mcg (2000IU)

Current Illness: none

ID: 1040384
Sex: F
Age: 65
State: AL

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swelling at the injection site

Other Meds:

Current Illness:

ID: 1040385
Sex: M
Age: 68
State: MO

Vax Date: 01/13/2021
Onset Date: 01/01/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: We arrived on 02/10/2021 to give second doses to residents at Medical Resort. Upon arrival we were told several had contracted COVID-19 after their first immunization. Upon reviewing their records, it had been greater than 14 days of recovery, per CDC recommendations, they should have received their second doses. The director of nursing and the facility physician however told us we were not to vaccinate the residents until 30 days from their last negative test. After discussing guidelines and recommendations they would not change their minds. This is 1 of 18 patients that did not receive their second dose in the 6-week window at this facility.

Other Meds:

Current Illness:

ID: 1040386
Sex: F
Age: 38
State: CO

Vax Date: 02/03/2021
Onset Date: 02/08/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Neck ultrasound on 2/11/21 - Thromophelitis Superficial getting a MRA with contrast (since not better) 2/19/20

Allergies: sulfano

Symptoms: got a pain in my left side of my neck right after shot. Had some headaches and chills and feeling fatigued for two days. The noticed the pain in my neck increase and my vein protruding. Went to get a neck ultrasound. they found many swollen lymph nodes and a blood clot. Diagnosis Thromophlebitis superficial.

Other Meds: lexapro

Current Illness: none

ID: 1040387
Sex: F
Age: 49
State: FL

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: Erythromycin, mushrooms, latex

Symptoms: Severe extremity edema, hives with pruritus. Mild shortness of breath. None of these events occurred with first dose. Have taken Benadryl 25mg every 6 hours. Still persistant.

Other Meds: AM: Eliquis 5mg, clopidogrel75 mg, venlafaxine ER 225mg, zofranODT8mg, hair, skin& nails vitamin, PM: Eliquis 5mg, Xanax 1mg, Benadryl 25mg

Current Illness: DVT/PE Stent placement

ID: 1040388
Sex: F
Age: 42
State:

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache Chills Body aches Red raised injection site

Other Meds: Cymbalta 60mg

Current Illness:

ID: 1040389
Sex: U
Age:
State: AZ

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

Lab Data: None

Allergies:

Symptoms: Cold sore-

Other Meds:

Current Illness:

ID: 1040390
Sex: F
Age: 73
State: MO

Vax Date: 01/13/2021
Onset Date: 01/01/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: We arrived on 02/10/2021 to give second doses to residents. Upon arrival we were told several had contracted COVID-19 after their first immunization. Upon reviewing their records, it had been greater than 14 days of recovery, per CDC recommendations, they should have received their second doses. The director of nursing and the facility physician however told us we were not to vaccinate the residents until 30 days from their last negative test. After discussing guidelines and recommendations they would not change their minds. This is 1 of 18 patients that did not receive their second dose in the 6-week window at this facility.

Other Meds:

Current Illness:

ID: 1040391
Sex: F
Age: 55
State:

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

Lab Data:

Allergies: Shellfish

Symptoms: Rash on neck 2 hours after 1st shot Rash on chest 5 days after first shot Rash on neck n chest worsen 1 hour after 2nd shot Rash on left eye n left temple 5 days after 2nd shot Rash in left ear n right top forehead 7 days after shot All rashes still present

Other Meds:

Current Illness:

ID: 1040392
Sex: F
Age: 19
State: MI

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: DAY OF SHOT: ARM STIFF AND PAINFUL. Took ibuprofen and iced area. Very painful. ER VISIT THEY DID NOTHING. **DAY AFTER SHOT: LARGE PAINFUL DARK BRUISING UNDER ARMPITS DOWN RIGHT SIDE TO RIGHT UNDER BREAST. MISSED SEVERAL DAYS OF WORK DUE TO REACTIONS. DID NOT RETURN TO DOCTOR OR HOSPITAL OR REPORT REACTION TO PHARMACY WHERE SHOT WAS GIVEN. INJECTION SITE NOT PAINFUL OR BRUISED BUT ARM WAS VERY STIFF AND SORE FOR DAYS. ** high fever and pain in arm which was a normal reaction. Took ibuprofen and applied heat for pain..

Other Meds: BIRTH CONTROL PILLS

Current Illness:

ID: 1040393
Sex: F
Age: 59
State: CA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swelling at injection site. Pain in right arm. Lasted 48 hours

Other Meds:

Current Illness:

ID: 1040394
Sex: F
Age: 21
State: NM

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Sore right upper arm starting last night. Reports increased soreness today. Denies redness, swelling, numbness, tingling, or paralysis of the extremity.

Other Meds: N/A

Current Illness: N/A

ID: 1040395
Sex: F
Age: 41
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: allergy to milk, walnuts, eggplant, bell peppers

Symptoms: One day after the vaccine, I had chills, muscle aches, headache, and neck pain on the left side. Two days after the shot, my chills went away, and neck pain increased. The neck pain has persisted since then and only worsened. I have a hard time fully opening my jaw to eat.

Other Meds: levothyroxine, liothyronine

Current Illness: none

ID: 1040396
Sex: F
Age:
State: CA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: na

Allergies: na

Symptoms: 20 min after dose - eye swollen on side of body where vaccine was received 18 hrs after dose - fever, nausea, fatigue, headache, cough, swollen glands (fever lasted 6 hrs) 36 hrs after dose- rash on chest, pain on side of body where vaccine was received increased

Other Meds: zyrtec, 5htp, counter attack

Current Illness: na

ID: 1040397
Sex: F
Age: 62
State: MD

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Zero

Allergies: zero

Symptoms: 1st Dose 012-L20A This is when the rash may have begun. I t was minor and very slow spreading. The second dose caused the rash to spread quicker and noticeably visible raised rash which was not reactive to prescription steroidal creams. it also became itchy. I wish I have made the link to the vaccine earlier. Other than this I was symptom free and so pleased that I could tell everyone I had no problems.

Other Meds: Amoxicillin and Augmentin, however I was not taking this when my first dose was taken 1-8-2021 and I believe the rash/itching began shortly thereafter and very slowly increased. I did not believe this was a reaction to my vaccination. Aft

Current Illness: Sinus infection

ID: 1040398
Sex: F
Age: 83
State: CA

Vax Date: 01/25/2021
Onset Date: 02/01/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: 2-15-21 platelets 130 2-15-21 GFR 47 This will require follow up to ensure no additional deterioration

Allergies: None

Symptoms: Patient noticed what appeared to be severe rash mostly on lower extremities (legs). It did not itch and she is not sure the onset except that it appeared sometime after her Moderna vaccine (only had one shot). She ended up at Emergency Department per her doctor's orders and was diagnosed with thrombocytopenia (platelets 130). They also found stage three kidney failure. She was not aware of these conditions prior to vaccine although it sounds like there were prior labs suggesting some issues. She was advised to not get the second vaccine as it could potentially further lower platelets. Apparently, other pts have been in their hospital with severe platelet issue post second Moderna vaccine.

Other Meds: carvedilol 12.5 mg 2x per day vitamin D (occasionally)

Current Illness: None- Very health and well

ID: 1040399
Sex: F
Age: 46
State: GA

Vax Date: 02/09/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Large red lesion around injection site measuring 8cm in diameter. The lesion is hot to touch, extremely tender and itchy. It appeared on day 7 and is still there today (18 February, 2021 - day 9 at 10pm).

Other Meds: Synthesis 50mcg

Current Illness:

ID: 1040400
Sex: F
Age: 35
State: CO

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: n/a

Allergies: Percocet: causes me to vomit

Symptoms: Tongue feeling fuzzy intermittently I took antihistamine Benadryl

Other Meds: St. John's wort, and Tylenol

Current Illness: n/a

ID: 1040401
Sex: M
Age: 35
State: CA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Sulfa/sulfur meds, gabapentin, lime beans.

Symptoms: Tuesday, 2/16/22012 about 1:20PM I started having headache. Then later hard to breathe with mask on. Around 5 PM I began having chest pain when breathing in. Wednesday I woke up about 9 am with headaches and I was really tired. Thursday 2/18/ 2021 I wake with mild headaches and chest pains when breathing in. I call the nurse at the Medical Center and she informs me that I need to come to the Emergency Room.

Other Meds: Xyrem

Current Illness:

ID: 1040402
Sex: F
Age: 74
State: CO

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: Codeine

Symptoms: Severe sore throat and severe phlegm. Gagging and choking me. Diarrhea. Began day after vaccination and throat still sore and feels like mouth sores on roof of mouth. Still phlegm but not as severe.

Other Meds: Meloxicam, hydroxychloroquine, metropol, atorvastatin, cevuline, B, D, Biotin, turmeric, Tylenol, potassium, magnesium, melatonin, enteric aspirin

Current Illness: Sjogrens Syndrome , diverticulitis

ID: 1040403
Sex: F
Age: 66
State: MI

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: Minocin dyspnea, itching and chest pain, Keflex- Hives, Codeine- nausea and Bee stings-swollen, hot leg.

Symptoms: Right arm became erythematous with heat and was hard

Other Meds: Eliquis 2.5 mg bid, Coreg 6.25 mg bid, Tramadol 50 mg 2 tabs qd, Etradiol patch 0.025 mg twice per week, Prometrium 100 mg qd, Gabepentin 300 mg 1 qd, Alprazolam 0.5 mg 1 po q hs, Prolia 60 mg q 6 months, Vitamin D 50,000 IU per week, Tyle

Current Illness: None

ID: 1040404
Sex: F
Age: 0
State: NM

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Clams actos

Symptoms: Head ache, body aches, fever, chills, nausea, fatique

Other Meds: GABAPENTIN Effexor Wellbutrin Balsalazide Synjardy metformin Pepcid Fish Oil Vitamin D Rowasa enema

Current Illness:

ID: 1040405
Sex: F
Age: 47
State: TX

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Labs done on 1/19/2021 by Dr., medication was changed to higher does.

Allergies: no allergies

Symptoms: Tightening of throat as I was walking to waiting area, chest palpitations, dizziness, fainting, and vomiting. They were not prepared for this to happen. All people that where were calling anyone to come and help me and finally and ICU doctor came and took over my care asking for benadryl from the pharmacy, a stretcher to take me to ER. Stretcher arrived was put on it and an IV was put in my right arm and the benadryl was administer in which I felt I was burning and turn real red. They then proceeded to take me to ER, where they administered more medicine through the IV. I was there for about 4 1/2 hours. When i was released my throat was still very tight, felt very fatigue, muscle ached, shortness of breath and dizzy. I was sent home with an EPI PEN, Allegra, and pepcid. I also had a referral to see the allergist doctor who could see me on Tuesday 1/19/2021 because Monday was a Holiday.

Other Meds: iron supplement, caltrate, vitamin d

Current Illness: no illnesses

ID: 1040406
Sex: F
Age: 73
State: CO

Vax Date: 02/17/2021
Onset Date:
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Patient arrived at Covid Clinic for first dose Pfizer vaccine on 2/17/21. She and driver said this was her first dose of vaccine. After Returning to clinic nirse called to report she had her first dose on 2/3/21 of Pfizer and next was supposed to be sceduled on 2/24/21. However she received second dose at our pharmacy on 2/17/21 without our prior knowledge.

Other Meds: unknown

Current Illness: unknown

ID: 1040407
Sex: F
Age: 68
State: MO

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

Lab Data:

Allergies:

Symptoms: headache , body pain

Other Meds:

Current Illness:

ID: 1040408
Sex: F
Age: 58
State: PA

Vax Date: 02/05/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: Isoniazid

Symptoms: Itching and warm to the touch at injection site 12 days after the injection. No itching, redness or warm arm immediately after injection. Started 12 days out.

Other Meds: Venlafaxine Hal er 75 mg Irbesartan 150mg Tumeric blend 500mg Ibuprofen 400 mg

Current Illness: None

ID: 1040409
Sex: M
Age: 68
State: CA

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: mild allergy to melons

Symptoms: For the last year, I have been lifting weights for about 15 min a day (COVID has been good for maintaining the routine). I did not skip any days after getting the vaccine on 2-5-21 until skipping on 2-12-21. When I did my routine on 2-13-21, my L arm said it was tougher (I expected it to be easier after a day off). Later that day and for the next day, my L arm became weak and had mild pain when I tried to raise it up or reach out or pronate it (ie with deltoid functions). If I wanted to brush my hair with my L hand, I had to use my R hand to lift my L hand up to my head. Similarly, if I wanted to turn on a faucet with my L hand, I had to use my R hand to lift my L hand to the faucet,etc. My L arm gradually returned to normal over the next 3 days. I have not lifted weights since 2-13-21. Bicep function was not affected. I did not seek medical care (I am a doctor). Only treated with rest.

Other Meds: rosuvastatin

Current Illness: none

ID: 1040410
Sex: F
Age: 42
State: PA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Within 12 hrs of receiving the vaccine I had a mild headache which I took Tylenol for; within 19 hrs of receiving the vaccine I had an elevated temperature of 101.3 and the chills, took more Tylenol; within 22 hours of receiving the vaccine I had a runny nose which lasted approximately 5 hrs and I began having severe arthritis like pain in my shins, ankles and hands (while I was exhausted, I could not sleep due to the pain). I took Advil to assist with the pain. 36 hrs after receiving the vaccine, the only side effects that remained was minimal pain in the hands and shins; approximately 48 hrs after receiving the vaccine I have some chest congestion (if I take a deep breathe it causes me to cough).

Other Meds: Kariva

Current Illness: None

ID: 1040411
Sex: F
Age: 39
State: CA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: 01/10/2021 VS AND EKG -- result no concern 01/11/21 COVID TEST--RESULT NEGATIVE 01/12/21 01/12/2021 physical exam, Vital signs, CBC and Thyroid level-- Result all WDL 01/13/21 Repeat EKG--result no concern 01/14/21 Heart ECHO--result WDL

Allergies: NONE

Symptoms: 01/09/21, 25 minutes after I got my 2nd dose, I felt heart palpitation. I my heart rate was 109 at sitting. I feel my heart beats stronger than normal. my heart palpitation didn't improve overnight. 01/10/21 I feel shortness of breath with talking and walking. My chest hurts. My head hurst. I call my hospital and talked to an RN urgent line. She suggested me to go to Urgent Care or ER. I went to Urgent Care at 1500 that day. At check in my blood pressure was 160/110 (my normal BP is around 120/90 or less) heart rate was 112. EKG was done, result no concern. Urgent Care Doctor sent me home with no medication. He said what I experienced is the reaction of my body with the Covid vaccine. He told me to go to ER if my symptoms get worse. I went and see my primary doctor ( bloods tests was done ) and Cardiologist after with EKG and ECHO done. I was off from work during that time. I feel back to normal after 10 days.

Other Meds: NEOCELL SUPER COLLAGEN + C AND BIOTIN 3 tabs daily

Current Illness: NONE

ID: 1040412
Sex: F
Age: 71
State: CT

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: seasonal environmental

Symptoms: Initially, fleeting waves of nausea. Ended quickly. Fatigue includes sleeping during the day, Surges of heat (maybe similar to hot flashes). Core to head to fingers and toes. Aware of approx. every 10-15 minutes while awake. Less frequesnt by 40-48 hours. Sensation of warmth in arthritic knuckles of fingers Symptoms stopped as abruptly as they began. No treatment.

Other Meds: Calcium with D3, multivitamin, biotin, zyrtec, baby aspirin

Current Illness: None

ID: 1040413
Sex: F
Age: 36
State: AL

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Sensitive to dairy.

Symptoms: Fever (101.1), body aches and chills, extreme fatigue, headache.

Other Meds: Multi vitamin, vitamin c

Current Illness: None

ID: 1040414
Sex: F
Age: 39
State: VA

Vax Date: 02/09/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Approx 7 days after the first dose, the injection site felt warm and firm, and was slightly reddened. Very itchy.

Other Meds: Levothyroxine, HCTZ, amlodipine, bupropion HCl XL, metformin, sertraline

Current Illness: None

ID: 1040415
Sex: F
Age: 44
State: MN

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Went to doctor on Monday 2/15 - she didn?t know what it was - advised anti allergy meds Going to dermatologist 2/19

Allergies: Allergic to flu shot - guillian barre syndrome

Symptoms: Started getting rash on stomach and back which by Sunday spread to arms and neck - so itchy

Other Meds: None

Current Illness: None

ID: 1040416
Sex: F
Age: 37
State: CA

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Fever 101.3 (reduced w/ Tylenol), severe generalized body aches, severe injection site muscle pain, nausea (no vomiting), headache, severe chills, ear pain, restlessness, short interval of mild shortness of breath. All severe symptoms resolved by 30 hours after vaccine administration.

Other Meds: none

Current Illness: none

ID: 1040417
Sex: F
Age: 73
State: IL

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Benadryl, sulfa, tetrimicyn, Ibprofin, perfumes, smoke, paint, dust, mold, natural gas, mustard, pine, cedar

Symptoms: Temperate as low as 94.7, chills, stomach pain, runny nose, diarrhea, exhaustion, joint pain, headache --- still experience 4 days later

Other Meds: pramepexil, gabapenton

Current Illness: allergies

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm