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: 1043501
Sex: F
Age: 75
State: IL

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: none

Allergies: asthma, allergic to mix inhalants, dust, pollen, cat and one dandy, feathers

Symptoms: Chills and headache beginning 3 hours after the vaccine. Treated with Tylenol and bedrest. Chills ended in 6 hours Headaches lasted on an off for a week.

Other Meds: Flovent 44mcg 2 puffs twice a day Ventolin90 mcg as needed (not taken in several months) Montelukast 10 mg once a day Fexofenadine HCl 60mg (Allegra) once a day in spring and summer (taking now) Furosemide 40 mg once a day Spironolactone 2

Current Illness: none

ID: 1043502
Sex: F
Age: 67
State: NJ

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Approximately 14 hrs later pain in arm, chills, headache, nausea, stomach discomfort, heavy chest, slight fever, joint aches and fatigue

Other Meds: High blood pressure Cholesterol Water pill Vitamin K-D

Current Illness: I suffer from migraines about 3 times a month

ID: 1043503
Sex: M
Age: 65
State: WI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No adverse event reported. Only air was administered. Patient returned to get revaccinated.

Other Meds:

Current Illness:

ID: 1043504
Sex: M
Age: 77
State: CA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Profound fatigue, loss of appetite, continued unabated for 11 days. Still experiencing mild symptoms now, 14 days later.

Other Meds: Ritalin, 15 mg/day. Vitamins B, D, and E.

Current Illness: None

ID: 1043505
Sex: F
Age: 62
State: IL

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: No testing node- did not feel symptoms warranted medical advice.

Allergies: Tetanus Toxoid

Symptoms: About hrs after receiving injection- bad headache started - same as with the first injection. Not debilitating. Then extreme fatigue started, some minor dizziness. Not debilitating. I work in a cardiology office. Administrator advised me not to come in. Ended up sleeping for most of the next 18 hrs. No nausea, no elevated temp. Just unbelievable fatigue.

Other Meds: Furosemide Nebivolol Levothyroxine Potassium chloride ER Metolazone Bupropion XL ASA Motrin Tumeric

Current Illness: None

ID: 1043506
Sex: M
Age: 66
State: WI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No adverse event reported. Only air was administered. Patient returned to get revaccinated.

Other Meds:

Current Illness:

ID: 1043507
Sex: F
Age: 73
State: IN

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: N/A

Allergies: CEPHLASPORINS, CERTAIN OPIOIDS

Symptoms: SWELLING FROM FEET TO ABOVE KNEE, NO RASH, NO REDNESS, NO FEVER, STARTED THE EVENING AFTER VACCINATION, ABOUT 7 HOURS LATER, AND HAS CONTINUED THROUGH TO TIME OF REPORT 45 HOURS LATER

Other Meds: BLOOD PRESSURE

Current Illness: HYPERTENSION

ID: 1043508
Sex: F
Age: 45
State: NY

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

Lab Data: offered Benadryl and patient declined she refused treatment by EMS and symptoms resolved prior to leaving the facility

Allergies: Singular seasonal environmental allergies Tetanus Shot

Symptoms: numbness & tingling on left side of tongue VS BP 110/62 P 72

Other Meds: Tirosant 125mg orally daily Vitamin D 2000U daily MVI daily

Current Illness: NA

ID: 1043509
Sex: M
Age: 28
State: OR

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: Dimethicone

Symptoms: Pain in arm within an hour, swelling in arm within 3-6 hours; pain and swelling started to subside within 36 hours; rash at injection site developed between 36 and 48 hours of injection. Sudden onset of intense chills/shivering and loss of appetite 12 hours after injection; fever symptoms started to subside after 12 hours of onset.

Other Meds: Lexapro 20mg, multivitamin, valacyclovir

Current Illness: None

ID: 1043510
Sex: F
Age: 73
State: IN

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: The next day my arm was very sore. the area around the injection was tender to the touch. It became very red in a wide area and itched. The redness continued for several days before it started to disappear. The itching continued. It is still slightly red.

Other Meds: Lisinopril-HCTZ 10-12.5 MG Multi vitamin

Current Illness: None

ID: 1043511
Sex: F
Age: 73
State: MN

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: none

Allergies: All dairy products, milk

Symptoms: Covid arm symptoms...... Itchy reddish rashes 9 inches long along my left arm. Covid-arm started 9 days after vaccine jab, and still going on up to now from February 13- ongoing to February 20.

Other Meds: Amlodipine 10 mg

Current Illness: none

ID: 1043512
Sex: F
Age: 70
State: CA

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

Lab Data: N/A

Allergies: no

Symptoms: sob, nausea, vomiting, tremor, tachycardia, hypoxia

Other Meds:

Current Illness: new diagnosis lung cancer, diabetes, emphysema, anxiety, high blood pressure

ID: 1043513
Sex: M
Age: 64
State: IL

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: Dates unknown. See above.

Allergies: NKA

Symptoms: Patient went to his primary care md because he was having an ocular disturbance. The md described it as a ocular migraine but voiced his concern that it could be a TIA. The patient experienced this 3 days after receiving shot. The patient did follow up with an eye doctor where they were told everything looked normal. patient concerned this was unnecessary and then question consequence of receiving second dose.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1043514
Sex: F
Age: 45
State: AZ

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: none

Allergies: Elavil, protonix, symbicort, Cymbalta, biaxin, breo, all green leafy veggies, melons, nitrates, msg,

Symptoms: left arm- swollen, red, warm to touch, painful- received vaccine on tues evening, wed woke up with symptoms, on Saturday- arm is more red and swollen.

Other Meds: isagenix vitamin packets bid, Nexium 40mg daily, NP-thyroid 30mg daily, dulera 200/5mcg 2 puffs bid, Zyrtec 10mg qhs, singular 10mg qhs, trazadone 200mg qhs, xopenox inhaled and nebs prn, Zofran 4mg prn, etodolac 400mg prn

Current Illness: had covid dec 10, 2020

ID: 1043515
Sex: F
Age: 68
State: OH

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: NONE

Allergies: NKA

Symptoms: 14 HOURS AFTER #2 VACCINE INJECTION, STARTED WITH SUDDEN ONSET OF GENERALIZED ACHING, CHILLING, VERY TIRED JUST WANTED TO LAY DOWN AND CLOSE MY EYES. ORAL TEMPERATURE WAS 99.8F. AT 3 AM, WAS UP FOR SECOND TIME TO URINATE, ON WAY BACK TO BED FELT WEAK AND DIZZY AND PASSED OUT, UNKNOWN FOR HOW LONG. WOKE UP ON FLOOR SOAKED IN PERSPIRATION, FELT WEAK. THEN FELT LIKE I WAS GOING TO VOMIT AND HAVE A STOOL., CRAWLED TO BATHROOM. IT WAS ALL I COULD DO TO PULL MYSELF UP TO COMMODE( I LIVE ALONE). HAD ONE LOOSE STOOL, NO VOMITTING BUT DRY HEAVES X5. THEN JUST LAID ON FLOOR AT BATHROOM, WAS COLD BUT TOO TIRED TO CRAWL OVER TO BED TO PULL DOWN BLANKET. SLEPT ON FLOOR, WOKE UP 4 TIMES AND JUST ROLLED OVER FELT VERY SLEEPY AND COLD. WOKE UP 7AM, FELT MORE NORMAL AND BY NOON SEEMED NORMAL.

Other Meds: Pepcid 40 mg daily 1 multi vitamin top care health fiber powder supplement

Current Illness: NONE

ID: 1043516
Sex: F
Age: 69
State: WI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No adverse event reported. Only air was administered. Patient returned to get revaccinated.

Other Meds:

Current Illness:

ID: 1043517
Sex: F
Age: 49
State: KY

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: Penicillin Erythromycin Vancomycin Azithromycin Clindamycin Floxin Levaquin

Symptoms: Fever 101.7 lasting approximately 10 hours unrelieved by Tylenol or Ibuprofen Muscle aches Headache Sore arm

Other Meds: Humira 40 mg injection every 2 weeks Methotrexate 20 mg weekly Folic Acid Prilosec Diclofenac Tizanidine Amitriptyline Hydroxychloroquine

Current Illness: None

ID: 1043518
Sex: F
Age: 53
State: CA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: self-management: I took 1000mg Tylenol every 4 hours for 3 days, starting 2/16/2021 at 4:15 pm, then 1000 mg Tylenol every 6 hours for 24 hours, and now 1000 mg Tylenol twice daily. Vitamin C 500 mg daily from 2/17/2021 till date.

Allergies: None

Symptoms: symptoms: severe generalized body pain, red swollen and painful injection site, fever, nausea, headache, and generalized weakness. I did not go to the hospital. I was able to manage myself.

Other Meds: Amlodipine, vitamin D

Current Illness: None

ID: 1043519
Sex: F
Age: 26
State: MH

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

Lab Data: None

Allergies: Penicillin

Symptoms: I visited Hospital after noticing a reaction to the covid shot. The left side of my face including my eye, cheek and lips felt swollen and numb. I also had the chills. The doctor was unable to give me any information related to my reaction from the vaccine and recommended I take Tylenol. However this reaction persisted for the past four days. The swelling has subsided.

Other Meds: None

Current Illness: None

ID: 1043520
Sex: F
Age: 58
State: CO

Vax Date: 02/12/2021
Onset Date: 02/17/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: n/a

Allergies: NO

Symptoms: Wednesday evening Feb. 17th diarrhea, nausea accompanied with intestinal pain. Feb. 18th am, diarrhea, nausea, intestinal pain and a strange pain in the urethra area. Feb. 18th 4:30 pm, 100.5 Fahrenheit, severe headache, body aches, slight cough, dizzy and thirst. 1 325 mg Aspirin at 9 pm. Feb. 19th-mild headache and a little dizzy in am. Feb. 20th appetite recovered, a little tired still.

Other Meds: NO

Current Illness: NO

ID: 1043521
Sex: F
Age: 37
State: ID

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: Unknown

Allergies: None

Symptoms: Client states she began having sporadic "pulsing" near stomach/rib cage area and it was visible externally

Other Meds: NA

Current Illness: None

ID: 1043522
Sex: F
Age: 27
State: AK

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: Have not had any yet, going to talk to my doc and talk about having an Allergy test for it.

Allergies: Wheat grain, Almonds, dust, seasonal,

Symptoms: was very tried at 1:30 after lunch. Had to take a nap around 3:30pm so I could do my my evening events. Went to bed very tiered at 9pm that night then woke up to go to the bath room about 3am next morning and I got dissey, I felt like I was spinning I also was hungry than normal and had to eat before I could go back to bed, this is not usual. when I woke up the next day I was okay but I found hives on my neck so I took a Benadryl for Allergies and Called my health clinic. Also feel vary tiered for the next 3 days after like one would have from an Allergy reaction, still trying to find my energy mostly really tiered after lunch and dinner feel like I need to go to bed. Been really hungry as well after vaccination but that is probably due to Vaccine + cold weather+ Daily work and Activities; letting you know about that cause it is happening around the same time and seems like I am more hungry than was before the vaccination.

Other Meds: Elderberry with Vitim D - Airborne brand, Maca Root 1230mg-Simple Truth brand , Ginger Root 550mg- Nature's Bounty, Turmeric 450mg- Nature's Bounty, Echinacea 400mg-Finest Nutrition, Iron 65mg-Nature's Bounty and Women's Daily vitamin-V

Current Illness:

ID: 1043523
Sex: F
Age: 61
State: TX

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

Lab Data:

Allergies:

Symptoms: HeadAche, joint pain, fever, chills

Other Meds:

Current Illness:

ID: 1043524
Sex: F
Age: 69
State: WI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No adverse event reported. Only air was administered. Patient returned to get revaccinated.

Other Meds:

Current Illness:

ID: 1043525
Sex: M
Age: 92
State: OH

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: NA

Allergies: None aware of

Symptoms: Rash on upper back, lower back, shoulders, leg, and arms

Other Meds: Tamsulosin, Propranolol, Multivitamin, D3, Doezolamide, latanoprost, dorzolamide, areds2

Current Illness: NA

ID: 1043526
Sex: F
Age: 81
State: AZ

Vax Date: 02/04/2021
Onset Date: 02/14/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: Have not done any testing.

Allergies: codeine derivatives, ibuprofen caps, NSAIDS

Symptoms: (Sorry, couldn't read 2 numbers of the lot number) I did experience the shot hurting just a little on first and second day, not unlike any other injection I have had in the past. On or around 2/14/21, I started experiencing itching/redness and a lump and warming of the skin which got a little worse in the next few days. The lump went away first. I still have a small amount of warmth and redness/itching today 2/20/21. Yesterday on the 19th, I did have a slight headache (not usual for me) and was a little more tired than normal. Today, so far, I feel fine other than the small amount of itching and redness.

Other Meds: levothyroxine, lisinopril, metoprolol succinate, pantoprazole, simvastatin, magnesium oxide, sodium bicarbonate, coQ10, fish oil, preser vision AREDS 2, theracran one, tylenol arthritis, vitamin d3, womens vitamin, refresh advanced eye drop

Current Illness: chronic kidney disease stage 3, high blood pressure (controlled by meds), borderline diabetes

ID: 1043527
Sex: M
Age: 70
State: NY

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 103 fever, body aches, headache, chills, foggy

Other Meds: Atenolol, hctz

Current Illness: None

ID: 1043528
Sex: F
Age: 78
State: CA

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

Lab Data:

Allergies: none

Symptoms: Flu like symptoms: chills, muscle ache, headache, low grade fever, for 2 days.

Other Meds: Levothyroxine 88mcg Nortriptyline 25mg Mirtazapine 15 mg Pravastatin 80mg Lorazepam .5mg Omeprazole as needed

Current Illness: none

ID: 1043529
Sex: F
Age: 55
State: IL

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: Execedrin

Symptoms: Patient complained of numbness on right side of tongue within 5 minutes of receiving the injection. The numbness spread across and to the back of her tongue and patient complained that her mouth was feeling heavy and dry within 15 minutes of receiving the injection. Paramedics were on site @nd patient elected to be transported to the hospital.

Other Meds: Unknown

Current Illness: Unknown

ID: 1043530
Sex: F
Age: 30
State: GA

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Individual received vaccine 2/18/21. Woke up morning of 2/19/21 with pain to right eye. Redness and drainage noted to eye on morning of 2/20/21.

Other Meds: Cymbalta, Metformin, Topamax

Current Illness: Common cold a few days prior to vaccination

ID: 1043531
Sex: F
Age: 67
State: MD

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Ocular migraine ; Regular migrain

Other Meds:

Current Illness:

ID: 1043532
Sex: F
Age: 69
State: WI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No adverse event reported. Only air was administered. Patient returned to get revaccinated.

Other Meds:

Current Illness:

ID: 1043533
Sex: F
Age: 53
State: MN

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: Sulfa antibodics

Symptoms: Sore throat, fever of 101, body aches, head ache, loss of taste, and fatigue

Other Meds: Synthroyd, Premarin, vitamin D, aloe vera

Current Illness: None

ID: 1043534
Sex: F
Age: 65
State: FL

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: Quinolones

Symptoms: Patient was experiencing fever (pt reported peak temp to be 100.7F), fatigue, malaise and aches.

Other Meds: CoQ10, vitamin D

Current Illness: none

ID: 1043535
Sex: F
Age: 67
State: WI

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None.

Allergies: Allergic to Bactrim and Aspirin.

Symptoms: Mild body aches 2/18 evening through 2/19, mild chills night of 2/18. Persistent headache 2/18 night through 2/19. Tiredness all day 2/19. No fever, diarrhea or vomiting.

Other Meds: Hydroxychloroquine sulfate, 400 mg taken morning of 2/18.

Current Illness: No other illnesses

ID: 1043536
Sex: F
Age: 24
State: TX

Vax Date: 02/09/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: Iodine, shelfish

Symptoms: Large red splotch size of baseball. Thick red ring around splotch. Hot, raised, itchy.

Other Meds:

Current Illness:

ID: 1043537
Sex: F
Age: 44
State: TN

Vax Date: 02/09/2021
Onset Date: 02/15/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: Penicillins

Symptoms: Large area of redness over entire upper arm with itching and burning.

Other Meds: None

Current Illness: None

ID: 1043538
Sex: F
Age: 39
State: CA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1035: Pt rec'd Covid vaccine 1110: Pt c/o dizziness. Also occurred w/1st vaccine. This time is a little less severe 1115: BP 102/68 HR 79 RR 16 SpO2 100% 1119: Monitored sat for 45 mins after vaccine. Discharged home w/spouse

Other Meds:

Current Illness:

ID: 1043539
Sex: F
Age: 51
State: PA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Headache for 32 hours, Severe pain at injection site 48 hours, Aches all over body 32 hours, Possible Low grade fever 5 hours, Rash on upper abdomen continues

Other Meds: Sertraline HCL 25 mg, Loratadine D12

Current Illness: None

ID: 1043540
Sex: F
Age: 49
State: SC

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: Latex allergy

Symptoms: Pain and swelling in armpit. Jaw pain on left side. Bad headache

Other Meds: None

Current Illness: Covid 1.21.2021

ID: 1043541
Sex: F
Age: 36
State: AZ

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: Heart monitor, blood pressure, blood sugar POC tests

Allergies: None

Symptoms: About 12 hours after receiving the shot, I woke up in the night feeling unusual. I went to the bathroom, where I felt pressure in my head, increased ringing in my ears, and increased loss of vision. A few moments later when I realized this was an emergency, I could no longer see or walk. I crawled blindly through the home feeling for the walls and familiar facets calling out for help. My family woke up and called emergency. By then, I was nearly gone/unconscious. I was laid down on cold tile until the paramedics arrived. Heart, blood sugar, and blood pressure were all tested. Considering I'm a completely healthy individual, they attributed it to the vaccine.

Other Meds: Only supplements: multivitamin, hemp oil capsules, magnesium, ashwagandha

Current Illness: None

ID: 1043542
Sex: F
Age: 30
State: VA

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

Lab Data:

Allergies: none

Symptoms: Dizziness progressed to shortness of breath and chest pain; benadryl given x 1; Epi when the patient complained of throat tightness and difficulty. EMS transfer to hospital

Other Meds: none

Current Illness: none

ID: 1043543
Sex: F
Age: 68
State: WI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No adverse event reported. Only air was administered. Patient returned to get revaccinated.

Other Meds:

Current Illness:

ID: 1043544
Sex: F
Age: 47
State: CT

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: I haven't gone to the hospital as of yet.

Allergies: Oxycodone-acetaminophen, prochlorperazine, Oxycodone-HCL, Metronidazole, Ciproflaxin

Symptoms: Nine hour high fever of 102?F, severe chills, severe muscle aches, severe joint pain, nauseous, diarrhea, headache, debilitating fatigue/tiredness

Other Meds: Robaxin, Motrin, melatonin, propranolol, Lyrica.

Current Illness:

ID: 1043545
Sex: M
Age: 79
State: CA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: Provider visit on 2/20/2021

Allergies: NKA

Symptoms: Arm swelling, increased warmth, erythema, and mild pain ongoing x4 days and not improving

Other Meds: Acyclovir, aspirin EC, Revlimid, Flomax

Current Illness: N/A

ID: 1043546
Sex: F
Age: 67
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Patient developed significant difficulty breathing and tightness about 15 minutes after receiving the vaccination. Patient received, IV fluids, IM epinephrine, IV solumedrol, IV Pepcid, IV Benadryl. Also received a nebulized albuterol treatment. Patient improved and was observed for 2 hours and discharged home.

Other Meds: Lisinopril

Current Illness: None

ID: 1043547
Sex: F
Age: 69
State: TX

Vax Date: 02/06/2021
Onset Date: 02/09/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: Peanuts

Symptoms: Loud crackling noise in both knee joints when getting up or sitting down. No pain, no swelling or redness.

Other Meds: Calcium, Vit D3, Zinc, Glucosamine, Atorvastatin, Cellwise, Florify Daily Probiotic

Current Illness:

ID: 1043548
Sex: F
Age: 64
State: TX

Vax Date: 02/04/2021
Onset Date: 02/15/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: latex

Symptoms: red itchy round patch on arm of injection site, intermittent nausea subsided after 5 days

Other Meds:

Current Illness:

ID: 1043549
Sex: F
Age: 79
State: CA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: environmental allergies, dog and horse hair, cypro, and sulfa drugs

Symptoms: 2nd dose lot #042L20A. Had not reaction the 1st shot. 2nd shot (Tuesday) within few hours was cold and tired. Next morning (Wednesday) temp which is normally 96.9 was 100 in am and 102 in pm. Was extremely exhausted. Oxygen sat which is normally 99 was running around 92. Next morning (Thursday) temp 99.9 and was exhausted all day. I can not say if aches was from COVID as I am always somewhat achy. Friday woke up feeling great but with a few hours started to feel strange - took blood pressure and was 102/56 in am. Later in afternoon was at 136/90. Oxygen sat back to 99 all day. Blood pressure been running high since.

Other Meds: singular, protonix, losartan, Vitamin D3, Zinc, elderberry, Vitamin B and C, Fish Oil, Turmeric, Milk Thistle

Current Illness: lots of sinus drainage

ID: 1043550
Sex: F
Age: 46
State:

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

Lab Data:

Allergies:

Symptoms: Failed at vaccine table. EMS evaluated. P66 SaO2 98% R18 BP100/72 3:45 P 63 Sawyer 94% (cold finger) R16-18 BP 90/pulse 4pm P62 BP 118/Pulse SaO2 90% Husband came to take clientele. Drank 2 waters and had recent shoulder surgery

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm