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: 1067094
Sex: F
Age: 69
State: NC

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None.

Allergies: None.

Symptoms: Her arm got immediately sore, then about 7:00 PM she got chills, achy, did not feel good, covering up. Then she took her temp around 11:00 PM and hers was 100. Almost the feeling of having the COVID virus all over. Had night sweats, still doing that. Joint aching, muscle aching, just wiped out with no energy. Overall weakness, like a dishrag. Took Tylenol for the fever. Still having the night sweats last night but otherwise basically back to normal.

Other Meds: CoQ10, glucosamine chondroitin, multivitamin, vitamin D3, Ramopril, Amlodipine, Hydrochlorothiazide, Pantoprazole, Omega 3, baby aspirin.

Current Illness: Diagnosed with COVID 19 on 1/13/21.

ID: 1067095
Sex: F
Age: 89
State: CA

Vax Date: 02/11/2021
Onset Date: 02/15/2021
Rec V Date: 03/02/2021
Hospital: Y

Lab Data:

Allergies: Lisinopril

Symptoms: first dose of vaccine on 2/11/2021, then hospitalized with covid pneumonia on 2/15/2021

Other Meds: aspirin, metoprolol, gabapentin, atorvastatin, losartan, warfarin

Current Illness: no

ID: 1067096
Sex: F
Age: 41
State: CA

Vax Date: 02/16/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: I told the triage nurse I was on day 12 of my 2nd COVID shot and he said, "That's great." I did not have blood work or an EKG or any other testes ran at the hospital. I was discharged in just over an hour.

Allergies: Bees

Symptoms: I do not have a peanut allergy but I did eat waffles topped with peanut butter for breakfast that morning. About 30 minuets after eating the waffles I started to feel sick to my stomach, both like nausea and also having to have a bowel movement. I went to lie down in bed and after about 15 minuets my heart began to race and I felt very hot. I got up to get my pulse oximeter and noticed my face was very red and I had red blotches down my neck, chest and shoulders. My pulse was at 120 so I laid back down for a few minuets. I felt like I needed to have a BM so got back up to go to the toilet when I saw the hives were now down my arms to my wrists so I took 1 Benadryl 25 mg. I still did not have a BM or vomit. My chest began to have tightness and pressure and I felt short of breath. I was home alone and was feeling very scared. I took 2 aspirin 325 mg each. I unlocked the front door and got my daughter's Epi-Pen Jr. 0.15 mg. I waited a few minuets yet and began to sweat heavily, I was feeling cold and like I was going to faint. I gave myself the Epi-Pen Jr and called 911 around 11:50 AM. I never lost consciousness thankfully. EMS arrived and gave me another 25 mg of Benadryl IM in my left arm and they started me on fluids. I received a prednisone and pepcid shots at the hospital.

Other Meds: spironolactone for acne, multi-vitamin, flax seed oil, lecithin, biotin.

Current Illness: None

ID: 1067097
Sex: F
Age: 66
State: MI

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Headache, fever, chills, body aches, shortness of breath, severe night sweats

Other Meds: Felodipine Rosuvastain Metformin

Current Illness: None

ID: 1067098
Sex: F
Age: 53
State: FL

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

Lab Data:

Allergies: no known allergies

Symptoms: Patient reported feeling tingling in the tongue and around her mouth for approximately three hours after receiving the COVID vaccine then subsided without any further intervention.

Other Meds: none

Current Illness: None

ID: 1067099
Sex: M
Age: 31
State: TX

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: small red bumps on crook of right arm. Lasted a couple of days, majority gone now. As they disappeared they turned brown.

Other Meds: atorvastatin, triamcinolone, remicade, one a day vitamin, mangnesium.

Current Illness:

ID: 1067100
Sex: F
Age: 54
State:

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

Lab Data:

Allergies:

Symptoms: About 5 minutes after injection patient report bilateral swelling and itching. Mild erythema noted, no other rash or open areas. No hives, or raised lesions.

Other Meds:

Current Illness:

ID: 1067101
Sex: F
Age: 59
State: NY

Vax Date: 01/28/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: penicillin contrast dye

Symptoms: viral conjunctivitis in left eye - for this diagnosis, I went to Vision Care

Other Meds: Estrodol Progestrone

Current Illness: Swollen glands Canker sores (bad case) Nausea/stomach bug sore throat shingles

ID: 1067102
Sex: F
Age: 71
State: CA

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none

Allergies: heparin, atorvastatin

Symptoms: Fever 101 degrees F., taken orally. Skin red, tense, pruritic around injection site measuring 6 inches by 4 inches, ongoing for 5 days.

Other Meds: Montelukast, pravastatin, coQ10, riboflavin, Zyrtec, calcium, Tylenol, vit D, ibuprofen

Current Illness: five weeks post op rotator cuff repair surgery

ID: 1067103
Sex: F
Age: 71
State: FL

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: contrast in CT scans, some anesthetics, sulfa drugs, drug flagyl, some food preservatives

Symptoms: About two hours after receiving vaccine #1, I had the feeling of being high--woozy, light-headed, a feeling of moving in slow motion and feet not quite touching the ground. I felt weak the following day, as if recovering from an illness, but the feeling in my head was gone. Only a slight soreness in my arm remained.

Other Meds: omeprazole 40mg, alprazolam 0.5mg

Current Illness: cold, sinus problem

ID: 1067104
Sex: F
Age: 72
State: TN

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

Lab Data:

Allergies: Fluorouracil, bactrim

Symptoms: Patient reports after she received her first dose on 2/18/21 she experienced diarrhea, nausea, chills and body aches.

Other Meds: Unknown

Current Illness: unknown

ID: 1067105
Sex: F
Age: 68
State: GA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Severe migraine headache lasting 48 hours. Fatigue. Sore arm. Sleepiness. Body aches and pains. Prolonged fever not responsive to Tylenol. Fever peaked at 104 degrees at 10 pm (36 hours after injection). At the same time, my blood pressure was elevated to 200/100. Severe symptoms passed after 48 hours. Minor symptoms lasted for 3 full days.

Other Meds: Metoprolol, Cymbalta, Pepcid, Flonase, Singulair,

Current Illness:

ID: 1067106
Sex: F
Age: 30
State: CA

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: After I took vaccine, within 2 hours, I had a very sore arm - very painful. I took Tylenol - extra strength - two every two hours. Two days it faded away and went away. Monday, following vaccine - armpit pain. Tuesday - swollen lymph node - very painful under arm; Wednesday I woke up and my injection site was very red, big rash (bigger than the size of my palm) and I couldn't move my arm from swollenness and it was very itchy. Dr on Thursday or Friday he Gave me steroid cream - triamcinolone and he told me to take Benadryl and Tylenol. It lasted about five days after my doctor visit.

Other Meds: Almorone; Nasal Spray - Flonase

Current Illness: no

ID: 1067107
Sex: F
Age: 65
State: CA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: About 4 hours after second shot, headache, chills and body aches for 36 hours. Then felt fine for 12 hours, and then the next 12 hours body sweats all night and some diarrhea the next morning and a feeling of just not being right. I attribute this to flu like symptoms that everyone says is associated with Moderna shot 2.

Other Meds: Omega fish oil, baby aspirin 81 mg, progesterone 100mg x 1, estradiol patch .75 2x week, levothyroxine.112 mg daily,

Current Illness: none

ID: 1067108
Sex: F
Age: 67
State: NY

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

Lab Data: None.

Allergies:

Symptoms: About 10 minutes after I received the injection, I felt dizzy. Prickling sensations and flushing on the backs of my hands and on my face. Racing heartbeat. The symptoms lasted for about 5 minutes, then subsided completely. Approximately an hour later I felt very tired, and had a mild headache. Took a Tylenol tablet and rested. Felt better after about 2 hours.

Other Meds: No prescription medications. No herbal remedies. Dietary supplements taken 2 hours prior with breakfast.

Current Illness:

ID: 1067109
Sex: F
Age: 44
State: MI

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: ARITHRYMYCIN, PENICILLIN

Symptoms: I experienced palpitations, dizziness and I felt like I was having a panic attack within 5 minutes of the vaccine. I took Adavan medication. The following day I felt extreme exhaustion and fatigue. I was unable to do my work because I was so tired and had brain fog. More importantly, panic, heart racing feeling that was concerning to me because I thought it was related due to my seizures. Had a consult to my PCP and neurologist and they are monitoring me due to my symptoms. This has happened to me three times. As far as my second dose I had no reaction to the vaccine.

Other Meds:

Current Illness:

ID: 1067110
Sex: M
Age: 73
State: TX

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Numbness at injection site Swelling of lower lip

Other Meds: Ibuprofin Gabapentin

Current Illness:

ID: 1067111
Sex: F
Age: 36
State: MI

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

Lab Data:

Allergies: cinnamon, Keflex, Augmentin, , sulfas

Symptoms: Patient describes "ridges" on tongue and Hives to chest

Other Meds: Benadryl 12.5mg at approx. 1300 and again at 1440 after reaction

Current Illness: Mast cell activation syndrome

ID: 1067112
Sex: F
Age: 43
State: TX

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Latex

Symptoms: Body aches, fatigue, vomiting x 3, pain in right arm from shoulder to elbow x 3 days, skin was painful to the touch.

Other Meds: None

Current Illness: None

ID: 1067113
Sex: F
Age: 25
State: AL

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

Lab Data:

Allergies: Ativan Cefzil Betadine

Symptoms: I felt bad six hours after shot lightheaded and dizzy with headache running a low grade fever. Shakes and chills like I had the flu. Bodyaches and it hurt to touch my skin. It lasted about 12 hours. A little Nausea. I took Tylenol 10 hours after shot and the Zofran for Nausea. The next day I was really run down for three more days.

Other Meds: Vitamin C Zinc Fish Oil, Vitamin B12 Vitamin D3 with K2 and Sea Iodine Citalipram 20mg Liosaramine 12mcg

Current Illness:

ID: 1067114
Sex: M
Age: 51
State:

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

Lab Data:

Allergies: penicillin

Symptoms: Pain in injection site 3 hours later which continue to increase to severe. Fever, chills, muscle and joint/ body aches, headache which increased to severe. Fatigue, unable to sleep for a period of time.

Other Meds:

Current Illness:

ID: 1067115
Sex: F
Age: 93
State: NY

Vax Date: 02/28/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
Hospital: Y

Lab Data: BNP 6758 3/2

Allergies: penicillin

Symptoms: Foot pain 1 day after, 2 days after weak, and short of breath with cough; went to ED. Admit for CHF

Other Meds: xarlto,norvasc, hctz, cor, amitriptyline

Current Illness:

ID: 1067116
Sex: F
Age: 45
State: MA

Vax Date: 12/18/2020
Onset Date: 12/21/2020
Rec V Date: 03/02/2021
Hospital:

Lab Data: no

Allergies: Cephalosporins, treenut, seasonal allergies

Symptoms: A couple days later I notice an ecema type rash that had appeared on both eye lids and monitored. I reached out to my PCP who recommend desonide steroid cream which clear it up within about 5 days the rash disappeared.

Other Meds: Zyrtec, Vit. B & D. Fish Oil

Current Illness: no

ID: 1067117
Sex: F
Age: 65
State: MO

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Penicillin Sulfa drugs Rho game shot Sudafed and other otc cold medicined

Symptoms: Typical "covid arm' started same day, lasted three days, left and reappeared 9 days after shot,vthen lasted 3 days Raised red, itchy burning circle

Other Meds: Blood pressure Blood thinner Cholesterol Prolia

Current Illness:

ID: 1067118
Sex: M
Age: 71
State: IL

Vax Date: 02/28/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 2nd day- overall weakness, muscle ache in both legs, diarhea, took 800 mg ibuprofin in afternoon, leg aches went away about 4 hours later, no swelling at left arm injection site, just a little sore, next day felt fine in the morning, no aches at all.

Other Meds: pioglitazone/45mg, metformin/1000mg, glimepiride/1mg, lisinopril-hydroclorathizide20/25mg, simvastatin/20mg, eliquis/5mg,carvedilol/12.5mg, areds2, vitaminD/5000iu, ferrous sulfate/325mg

Current Illness: none

ID: 1067119
Sex: F
Age: 59
State: NY

Vax Date: 02/19/2021
Onset Date: 02/24/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None

Allergies: PCN, Sulfa, Zestril, Biaxin, Aubagio, Tecfidera, Tysabri

Symptoms: Around 8:30 am I began to notice hives on my face, neck and shoulders. There was mild itching. As the day progressed the rash became more pronounced with my entire forehead red and more itchy. Around 11:00 am I also noticed that my injection site was now a 2x4 raised, hot, red lesion (Covid Arm) Unable to be seen by my primary doc I went to Urgent Care at ~3:00 pm. Was told it was a reaction to the vaccine. I was instructed to take Benadryl and Pepcid 20 mg 2 tablets twice a day prn for 5 days for itching. The rash lasted for 2 days and resolved on 2/27/21. The arm resolved 2/26/21.

Other Meds: Multi vitamin Vit D

Current Illness: None

ID: 1067120
Sex: F
Age: 44
State: WA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: not needed - but I reported this to my doctor who gave me this website to report it to

Allergies: n/a

Symptoms: I take continuous birth control to not have my period. I haven't had my period in months. Approximately 2 hours after receiving my first dose of Moderna, I got my period. I googled and saw other reports of other women having this issue- so thought I better report it as it may effect menstrual cycles.

Other Meds: L-Norges/Eth Est (Kurvelo)28's O.15/30 - Generic for Levien Tabs 28's (Berlex)

Current Illness: n/a

ID: 1067121
Sex: F
Age: 56
State: CA

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

Lab Data:

Allergies:

Symptoms: Dizziness; BP 137/86 (pulse 72), O2 sat 98%. Given water.

Other Meds:

Current Illness:

ID: 1067122
Sex: F
Age: 26
State: IA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient had spotting day after vaccine and then return to normal period

Other Meds:

Current Illness:

ID: 1067123
Sex: M
Age: 69
State: MN

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Clozopine

Symptoms: increased tiredness, lethargic, headache

Other Meds: Tylenol, aspirin, Lipitor, Cogentin, Benadryl, Depakote, wixela/Advair, Lasix, Haldol, novolog, lantus, Synthroid, lithium, melatonin, metformin, Prilosec, miralax, propranolol, artificial tears, Metamucil, Seroquel, senna, clinoril

Current Illness: Schizoaffective disorder, front temporal dementia, CHF, hypertensive heart disease with heart failure, type 2 DM, sleep apnea, COPD

ID: 1067124
Sex: F
Age: 75
State: KS

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: no

Allergies: shellfish, anchovies, certain antibiotics, codeine,

Symptoms: pt stated that she started getting a cough and scratchy throat soon after taking the covid vax. She also had a sore arm and her heart was beating harder that usual. Pt went to bed and woke up hot and feverish, she got up to use the bathroom and was unsteady on her feet and very disoriented. She had severe head fog and pain in her head, neck, shoulders and abdomen like her body was extremely inflamed. She would experience this every time she got up about which was about every 2 hours. She slept most of the day the next day and had swollen lymph nodes in her neck. She had fatigue and head fog for over a week. Pt had headache and dizziness yesterday 3/1/2021 on still has some fatigue today on 3/2/2021. Pt has not contacted her PCP at this time. Pt states she will not get another vaccine.

Other Meds: levothyroxine 88mg, omeprazole 20mg, propranolol 20mg, pregabalin 75mg, myrbetriq 50mg, Cetirizine 10mg, Vitamin D, E, and B12, Senna

Current Illness: no

Date Died: 02/26/2021

ID: 1067125
Sex: M
Age: 86
State: TX

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: was reported to staff at Health Department that client passed away hours after receiving Moderna vaccine, also reported that client had multiple health conditions.

Other Meds:

Current Illness:

ID: 1067126
Sex: F
Age: 76
State: TN

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Potassium clavulanate

Symptoms: Patient states she "felt achy" for 2 days post-2nd dose.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1067127
Sex: M
Age: 68
State: MI

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

Lab Data: CBC, CMP, ESR, TSH All normal with the exception of mildly elevated eosinophils.

Allergies:

Symptoms: Severe head to toe papular rash with intense pruritus and elevated temperature of 101.6

Other Meds:

Current Illness:

ID: 1067128
Sex: M
Age: 68
State: GA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None

Allergies: Sea food and Corn

Symptoms: Hives on the left and right wrists. Resolved by the next morning.

Other Meds: Lisinopril/HCTZ, Fe, Centrium Silver

Current Illness: None

ID: 1067129
Sex: M
Age: 49
State: FL

Vax Date: 02/05/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: tree nuts, ethanol

Symptoms: My left eye was red and itchy. My left eyelid had some swelling. Used artificial tear drops, took one Pepcid, took one Bendaryl. Redness and swelling went away within 3 hours.

Other Meds: baby aspirin

Current Illness:

ID: 1067130
Sex: F
Age: 70
State: CA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs, MSG, dairy, processed meats, chlorine, polyester, wool

Symptoms: Vomiting, vertigo, fainting, migraine, nausea, body aches, fatigue

Other Meds: Collagen protein

Current Illness: None

ID: 1067131
Sex: M
Age: 74
State: CA

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

Lab Data: none

Allergies: NKA

Symptoms: Left deltoid nodule s/p Pfizer vaccine admin

Other Meds: Neurontin, Januvia,Simvastatin, Glyburide,Invakana, Losaartan

Current Illness: DM, Hyperlipidemia

ID: 1067132
Sex: F
Age: 50
State: NC

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

Lab Data:

Allergies: Amoxicillin, Ciprofloxacin, , Sulfa drugs, Penicillin, Clindamycin

Symptoms: Roughly 25 minutes after receiving the vaccine, I experienced numbness in my face (both sides). It lasted approx. 1.5 - 2 hours. No treatment was sought as there were no issues with breathing. The feeling returned to normal on its own.

Other Meds: Norgestrel-Ethinyl Estradiol (Cryselle/28) VitaFusion Melatonin Gummies

Current Illness: None

ID: 1067133
Sex: M
Age: 58
State: TX

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

Lab Data: none

Allergies: iodine, shellfish

Symptoms: Fast Heartbeat ( 110per minute)

Other Meds: lovestatin 20mg, Lisinopril-Hydr 20-25 mg, metformin 1000mg, Asprin 81mg

Current Illness:

ID: 1067134
Sex: M
Age: 70
State: CA

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

Lab Data:

Allergies: amlodipine, pepcid

Symptoms: received first dose of covid vaccine on 2/2/2021. Then hospitalized with covid disease / pneumonia on 2/12/2021

Other Meds: levothyroxine, metoprolol, omeprazole, sildenafil, duloxetine, simvastatin, tamsulosin,

Current Illness:

ID: 1067135
Sex: M
Age: 64
State: TX

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

Lab Data: EKG normal

Allergies: None

Symptoms: Within 5 minutes felt flushed , high blood pressure and heart rate, body trembling, red skin rashes.

Other Meds: Amlodipine, metformin, Bystolic, testosterone, Buspirone Vitamin D3, magnesium

Current Illness: Rotator cuff surgery,

ID: 1067136
Sex: F
Age: 51
State: TX

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

Lab Data: None.

Allergies: Allergic to alcohol.

Symptoms: Within 10 Minutes of receiving my first dose I began to feel dizzy and my vision was somewhat blurry. I checked my heat rate and it was 160. I motioned for the nurse and the pharmacist who was present monitored me for about an hour. My heart rate did not go below 110 for at least 45 min. I drank water and was allowed to leave once my HR was 88. I was able to drive home and did not have any other symptoms.

Other Meds: Methotrexate. Remicade. Tramadol.

Current Illness: Rheumatoid Arthritis.

ID: 1067137
Sex: F
Age: 67
State: NJ

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: soy, sulfur, quinalones, synthetic preservatives and additives

Symptoms: Day 1: uncontrollable coughing spasms for several minutes, piercing joint pain in left shoulder capsule and right ankle, 101 degree fever lasting 6 hours Day 2: chills, exhaustion/weakness, inability to concentrate, lack of appetite Day 3 &4: waves of muscle aches and exhaustion

Other Meds:

Current Illness:

ID: 1067138
Sex: F
Age: 65
State: CA

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

Lab Data: None

Allergies: Keflex, penicillins, garlic, peanut, and shrimp.

Symptoms: Patient received the first dose of the Pfizer COVID-19 vaccine and subsequently developed hives on her mouth, neck, and chest. Associated with mild chest discomfort and throat swelling, but not with shortness of breath. Patient was given epinephrine and Benadryl by medics and pharmacist on scene. Patient took Benadryl 25mg prior to vaccine. Patient was given Solu-medrol and Pepcid in ED. Normal EKG and no further allergic reaction noted.

Other Meds: Estrace vaginal cream, Lidex ointment, Flonase, Atarax, Protonix, Pred Forte, Armour thyroid, and triamcinolone

Current Illness:

ID: 1067139
Sex: F
Age: 50
State: MI

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

Lab Data: None

Allergies: Cefzil, penicillin, geodon, latex

Symptoms: Diarrhea and nausea onset at 4:30pm on day of vaccine, 3/1/2021. Headache onset at 6:30am the following morning, 3/2/2021.

Other Meds: Effexor, Lipitor, Trintellix, Seroquel, acetaminophen

Current Illness: None

ID: 1067140
Sex: F
Age: 63
State: NY

Vax Date: 01/21/2021
Onset Date: 02/03/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: 2/5/2021 mammogram, ultrasound and biopsy 2/11/2021 MRI 3/4/2021 planned CT scan

Allergies: Shellfish, raw pitted and seeded fruit, penicillin

Symptoms: On 2/3/2021 a severe burning sensation began on the right side of my right breast. I also felt a lump in the armpit. On 2/5/2021 a mammogram, ultrasound and biopsy were performed at the Clinic. I was informed on 2/8/2021 that I had two cancerous tumors. On 2/22/2021 I met with both the medical oncologist and breast surgeon. I?m now wondering if there is a false positive based upon articles I?ve read. Thus I?m reporting this to you.

Other Meds: Azelestine, Valtrex, hydrochlorothiazide, multivitamin, Zeal

Current Illness: None

ID: 1067141
Sex: F
Age: 22
State: CA

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

Lab Data:

Allergies: NKDA

Symptoms: After vaccination, client stated that she felt faint . Syncopal episode ensued for 10 seconds with muscle tension in arms per mother's report . MD on site assessed client and ALS / EMS activated at 11:05. Chief informed and patient transferred to hospital at 11:18.

Other Meds: None reported by mother.

Current Illness: None reported by mother.

ID: 1067142
Sex: F
Age: 60
State: MN

Vax Date: 02/09/2021
Onset Date: 02/12/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: 2/19/2021: CRP 12.8, CK 77, NT pro-BNP 354. 2/24/21: WBC8.0, HGB 13.3, PLT 304, Sed Rate 37, CRP 17.8, AST 26, Creat 0.77,ANA 0.4, CCNP <15.6, RA factor <15, UA normal, SPEP No monoclonal protein. 3/1/21: SS-A/Ro Ab IgG, SS-B/LA, Sm Ab, RNP, Sc 170, Jo 1 Ab, Myeloperoxidase, proteinase 3, all were <0.2. ANA Hep2 substrate <1:80 (neg).

Allergies: Adhesives IVP contrast dye

Symptoms: Vaccine given 2/9/21. On the afternoon of 2/12/21 I began to have joint pains in my right wrist. By 2/10/21 in the morning both elbows, knees and wrists were sore. Elbows and right knee felt warm to the touch. Nodules or red spots developed around the joints. I could barely walk or climb in and out of the car, the bed, and had a very difficult time standing up from the toilet or a low chair or couch. No fever, but did have a few chills with teeth chattering at least twice.

Other Meds: Amiodarone 400 mg daily Metoprolol succinate 75 mg daily Lisinopril 2.5 mg daily Venlafaxine 37.5 mg bid Atorvastatin 10 mg daily Preservision supplement bid Multivitamin 1 tab daily Vitamin D, 2000 units daily aspirin 81 mg daily

Current Illness:

ID: 1067143
Sex: F
Age: 34
State: CO

Vax Date: 02/14/2021
Onset Date: 02/24/2021
Rec V Date: 03/02/2021
Hospital: Y

Lab Data: Lactate - 2.4 on 02.25.21 C-Reactive Protein - 117.9 on 02.27.21 WBC - 11.4 on 02.27.21 Potassium - 3.4 on 02.27.21 Calcium - 8.1 on 02.27.21 GFR - 76 on 02.27.21

Allergies: L-Lysine - 1500mg Vitamin C - 100mg Garlic Bulb - 200mg Echinacea - 100mg Propolis - 25mg Licorice Root - 15mg

Symptoms: On 02.24.21 in the evening I began experiencing body aches. The following day I had a fever of 100.8 and saw an Urgent Care provider who referred me to the hospital. Upon arrival my fever spiked to 102.3, bloodwork showed elevated lactate at 2.4 and pulse rate was over 119. I was admitted with sepsis symptomatology.

Other Meds:

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm