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: 0954974
Sex: M
Age: 46
State: MI

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: cats

Symptoms: pt after injection had pain in injection site with tingling down to the fingertips. Pt stated next day he felt nauseas w/ swelling of the right lymph nodes and hot/cold flashes with vomiting. pt also experienced body aches and fatigue w/ rapid heart beat and sore throat, cough and lost his voice.

Other Meds: none

Current Illness: none

ID: 0954975
Sex: F
Age: 56
State: MA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 10 minutes after the time of the injection I developed metal taste in mouth this lasted about 1 hour went away and came back later in the day. 13 hours after the vaccine injection I developed extreme rigors lasting atleast 60 minutes followed by very hot body temperature to touch unable to sleep body not comfortable cold then hot and very bad headache. Next day rested all day terrible headache, body aches and chills on and off. The next night did sleep for 5 hours then woke up soaked hair night garments had to change still had headache and just felt achy and tired all day mild headache arm was sore warm at inj site and very itchy. Third day headache was gone just felt extreme fatigue and today tired but feel more like myself.

Other Meds:

Current Illness:

ID: 0954976
Sex: F
Age: 31
State:

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

Lab Data:

Allergies: aspirin (hives), penicillin (hives), shellfish (swelling/edema)

Symptoms: Following her first COVID vaccine, patient reported feeling diaphoretic and not feeling well. Patients VS were monitored. Patient did report that she did not eat anything before coming. Water and crackers were provided. Cold damp towel was placed in back of patients neck. 10:27am- 96/59, HR 90 O2-98% 10:34am- 73/46, HR 81 O2- 95% 10:35am- 89/55, HR 82, O2- 98% 10:36am-95/66, HR 84, O2-98% 10:38am- 103/70, HR 104, O2- 98% VS retaken @ 10:42- 113/79, HR 93, O2- 95%, patient did not want to go to the Emergency Department. Patient was monitored for another 15 minutes and VS were: 108/76, HR, 8, O2- 95%. Patient discharged from clinic.

Other Meds:

Current Illness:

ID: 0954977
Sex: M
Age: 53
State: FL

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

Lab Data: None to date

Allergies: NKA

Symptoms: Fever / chills Restlessness Vomiting HA

Other Meds: Rx: Amlodipine, metoprolol, triamterene, Janumet No dietary / herbal supplements

Current Illness: None

ID: 0954978
Sex: F
Age: 51
State: VA

Vax Date: 01/09/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Urticaria staring at injection site and spreading across chest, neck and torso.

Other Meds:

Current Illness:

ID: 0954979
Sex: F
Age: 33
State: IN

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Syncope Fatigue Malaise Chills Weakness when walking Dizziness Lethargic

Other Meds: Zoloft Jaimies birth control

Current Illness: None

ID: 0954980
Sex: F
Age: 59
State: NC

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Pt has had multiple reactions to vaccines including flu vaccines and tdap.

Symptoms: Pt developed injection site tenderness and bruising three days after vaccine. Pt has been self administrating Benadryl at home. Pt also has bilateral lymphadenopathy in her armpits.

Other Meds:

Current Illness:

ID: 0954981
Sex: F
Age: 68
State: NY

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: Vital signs and oral diphenhydramine 25 mg x 1 dose

Allergies: penicillin

Symptoms: Patient had discoloration of knuckles and cold hands. Given oral diphenhydramine 25 mg x 1 dose

Other Meds:

Current Illness:

ID: 0954982
Sex: F
Age: 43
State: IA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: itching that started in the arm where vaccine was administered, then traveled up arm to face and then gradually all over body. No rash. Client has had a head ache since the day of the vaccine.

Other Meds: Linzest, Miralaax PRN, Meloxicam

Current Illness: none

ID: 0954983
Sex: F
Age: 36
State: VA

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

Lab Data:

Allergies: Penicillin, Ceftin

Symptoms: Headache, hight fever, chills, joint and body aches. Swollen gland and lymph node on side of injection site.

Other Meds: Pristiqu

Current Illness: None

ID: 0954984
Sex: M
Age: 80
State: NC

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: 3? round red hive at injection site ,hard X 2days. Itching on lower arm day after then stopped by end of day

Other Meds: Xarelto 20mg daily Lisinopril 5 mg dail B12 1000mcg daily

Current Illness: None

ID: 0954985
Sex: F
Age: 34
State: DC

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: swollen lymph node left axilla and left clavicle

Other Meds: multivitamin

Current Illness: none

ID: 0954986
Sex: F
Age: 26
State:

Vax Date: 12/23/2020
Onset Date: 12/25/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Burning/tingling pain on eyebrow, over the course of three weeks burning stinging sensation moved to cover left side of face, left eyeball, and arm. Painful. No visible rash.

Other Meds: Ibuprofen

Current Illness: N/A

ID: 0954987
Sex: F
Age: 49
State: OH

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Swelling, warmth, and pain noted to area of injection ~ 8 days from administration. Redness and itching noted over entire bicep approx12-13 days from administration.

Other Meds: metformin, atorvastatin, hydrochlorothiazide, sertraline, colace

Current Illness: none

ID: 0954988
Sex: F
Age: 49
State: IL

Vax Date: 12/21/2020
Onset Date: 01/11/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: covid positive 1 week after 1st injection. chills fever cough loss of smell & taste body aches headache & pain in left arm. some shortness of breath. 2nd injection headache w/ fever some aches still have headaches & a slight cough

Other Meds: n/a

Current Illness: n/a

ID: 0954989
Sex: F
Age: 84
State: IN

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

Lab Data:

Allergies:

Symptoms: Dizziness - hx of high blood pressure. States she gets white coat syntrome. Checked blood pressure 190/90; P 82. Had a snack and juice and observed. Discharged at 9:47 B/P 188/80 P 74. Dizziness resolved.

Other Meds:

Current Illness:

ID: 0954990
Sex: F
Age: 28
State: CA

Vax Date: 01/11/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Ceclor

Symptoms: I had no adverse reactions after the shot - felt fine through the week. 5 days later (Saturday) I started to get a rash on both sides of my torso. I treated it with Benadryl and hydrocortisone. It did seem to subside a little bit. On Sunday night (6 days after injection), my left arm began to welt at the injection site. It is red and itchy.

Other Meds: Gabapentin, tramadlo, norco, promethazine, tizanadine, magnesium, vitamin D3, calcium

Current Illness: None

ID: 0954991
Sex: F
Age: 59
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 01/12/2021: Developed body aches at 8:30 pm 01/12/2021: Fever at 10:10 pm, 101.2, Tylenol taken, 400 mg 01/13/2021: Fever at 2:30 am, 102.6, Tylenol takn, 600 mg 01/13/2021: Fever at 7:00 am 101.4, Tylenol taken, 400 mg 01/13/2021: Fever at 12:15 pm 102.6, ice packs 01/13/2021: Fever at 5:30 pm 100.9, 01/13/2021: Fever at 12:30 am, 102..4, Tylenol taken 600 mg 01/13/2021: Fever at 10:00 am, 101.3, Tylenol taken, 400mg 01/13/2021: Fever at 4:00 pm, 100.7, 01/13/2021: Fever at 10:30 pm, 101.9, Tyelenol taken 01/14/2021: Fever broke, 6:00 am

Other Meds: None

Current Illness: None

ID: 0954992
Sex: M
Age: 23
State: IN

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

Lab Data: N/a

Allergies: Allergic to: penicillins, sulfa drugs, asithromycin (bone are major allergies, just rashes)

Symptoms: Fever, chills, muscle aches, joint pain, fatigue - all only lasted 24 hours

Other Meds: Omeprazole 20 mg daily Psyllium husk daily

Current Illness: None, GERD

ID: 0954993
Sex: F
Age: 70
State: VA

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Awaken from sleep at 3 am 1/17 with severe headache, chills, shaking., severe thirst. Severe fatigue and aching in back and legs. Took 200 mg Advil. Slept for entire 12 hours only getting up to bathroom. By 5p fatigue liefting. Headache remained. Additional 200mg Advil. By 1/18 fatigue 80% gone. Headache lifted. By end of the day back to 100%

Other Meds: Bystolic, Lexpro, Glucophage, Advair

Current Illness: none

ID: 0954994
Sex: F
Age: 67
State: CO

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

Lab Data: None

Allergies: Penicillin, Erythromycin, Benadryl, Aspirin, Barley and all gluten products, egg whites, artificial preservatives, artificial flavors, artificial colors, and I react to scents.

Symptoms: An hour after the vaccine, my lower lip started swelling and feeling puffy. It got worse and the inside of my mouth started feeling more puffy and full. I called my doctor. He directed to go to the Emergency Department right away. Since I'm allergic to Benadryl, my doctor wanted to make sure I'd be OK. I was treated with 40 mg of oral Prednisone and given a prescription to continue taking 20 mg daily for the next 3 days. The Emergency Department doctor recommended that I do not take the 2nd dose, but I wondered if I was on Prednisone the day of the next shot if I'd be safer? The ER doctor thinks the next reaction of a swelling lip/mouth could be more intense after the 2nd dose. I will follow up with my internist. I've had a mild swelling of my lip a few times in my life after eating something with artificial preservatives.

Other Meds: Synthroid, Timolol and Lumigan eye drops for high eye pressure. Vitamin D3, Vitamin C - 500 mg. Liquid multivitamin, Liquid fish oil.

Current Illness: None

ID: 0954995
Sex: F
Age: 57
State: NY

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: Vital signs, NP came to clinic to see patient and administered po diphenhydramine 50 mg x 1 dose

Allergies:

Symptoms: Patient complained of pruritis and rash post vaccine on arms legs and surface of tongue. Given diphenhydramine 50 mg po x 1 dose and symptoms resolved

Other Meds:

Current Illness:

ID: 0954996
Sex: F
Age: 34
State: IN

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital: Y

Lab Data: 1/18, CT scan, ekg, lab tests, chest xray

Allergies: Macrobid

Symptoms: Had severe body aches m, fever, headache, progressed into dizziness and "foggy memory", started to have some chest pain. Felt as if I was intoxicated, lasted the whole day. Woke up the next morning and still felt "out of it" and weak but thought it would get better, went to work (im a nurse). Started having continous vomiting, shortness of breath and chest pain at work. As well as severe tremors. I was taken to the hospital, given fluids and my QT was prolonged with my heart which i have never had before . Was given iv magnesium and waited for my heart rhythm to improve. Was told not to take anymore of my prescribed medications or nausea medications and follow up with my pcp the next day. Im still feeling horrible, nausea, body aches, low grade fever and I am 72 hours out. Now I have huge hospital bill to pay, can't work currently because I still feel bad and my heart has a weird rhythm. Hoping this helps as if this was what I was expecting I would have never got it.

Other Meds: Prozac, amytriptiline, Zofran, methylphenidate, melatonin, multivitamin, emergency c, vit d

Current Illness: None

ID: 0954997
Sex: F
Age: 26
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Keflex

Symptoms: Onset of S/S was approximately 1200 1/14/2021. Skin reaction with urticaria reaction at injection site. She became worse within that hour with severe abdominal pain and reported to the ED for care. Rapid COVID test NEG. She is feeling better today 2 days later. Since this reaction is > 48 hours I have asked her to contact the call center and recommended a PCR COVID 19 test

Other Meds: Mirena

Current Illness: NO

ID: 0954998
Sex: F
Age: 27
State: TX

Vax Date: 12/30/2020
Onset Date: 01/09/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: Blood work pending

Allergies: NA

Symptoms: fever, headache, body aches, extremely sore injection sight for 2 days following injection. Jan 9th both legs have become broken out in TONS of bruises and have only increasingly become worse everyday.

Other Meds: Wellbutrin, Lexapro, Phentermine

Current Illness: NA

ID: 0954999
Sex: M
Age: 29
State: IN

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Fever, chills, night sweats, muscle aches, joint aches all started approximately 14 hours after the vaccine (2100, 1/17,2021) and continued for approximately 6 hours (0300). Joint and muscle aches and pains however continued for approximately 24 hours (until 2100, 1/18/2021). Treatment was acetaminophen 1000mg q6-8h with little to no relief of symptoms.

Other Meds: Fish oil; vitamin d

Current Illness: N/A

ID: 0955000
Sex: F
Age: 42
State: FL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: Patient was administered 2nd vaccine on 1-8-21 by a nursing student. During 15 observation period, arm began to feel cold at injection site area. At that point the patient realized the vaccine was given toward the back of upper left arm near the fatty tissue instead of toward the middle of the arm. Approximately 20 min after vaccine administration, patient became short of breath, dizzy, light headed, and throat felt a little swollen and almost passed out. A rapid response was called and the patient was seen by Occupational Health. The patient's BP and heart rate were elevated but normalized during observation in Occupational Health. At this time, the patient did not feel they needed to be seen in the emergency department. The patient was discharged home at this time. 12 hours after the shot, the patient began experiencing normal side effects from the vaccine. The nursing student was informed of administration at the incorrect site.

Other Meds:

Current Illness:

ID: 0955001
Sex: F
Age: 42
State: KS

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: urine culture, cbc 01/17/21

Allergies: PENICILLIN

Symptoms: fever, chills, weakness, sweating, blood in urine, high blood pressure, headache

Other Meds: CITALOPRAM,LISINOPRIL, DITALIZEM

Current Illness: NONE

ID: 0955002
Sex: F
Age: 43
State: PA

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

Lab Data:

Allergies: PCN

Symptoms: Left arm is sore, bad headache which did get better after took Tylenol, left arm still sore 1/19

Other Meds: multivitamin,

Current Illness: none

ID: 0955003
Sex: F
Age: 51
State: KS

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: N/A

Allergies: unknown

Symptoms: Vaccinated person reports one day after loss of voice then one week later developing several canker sores on right side of tongue. As of 1/18/21 vaccinated person now has multiple canker sores on right side of tongue & on left side as well along with sore under tongue. Vaccinated person reports pain with swallowing & lips & tongue are swollen. Can eat only liquids without pain. Can swallow solids, but very painful. Vaccinated person went to Urgent Care 1/16/21 & prescribed two suspensions to mix together to help the sores--Nystatin & First Mouthwash. Vaccinated person reports suspensions are relieving pain.

Other Meds: unknown

Current Illness: no illnesses

ID: 0955004
Sex: M
Age: 59
State: GA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: After vaccination, pt stated he felt light-headed and heart/chest was fluttering. BP 152/98 (pt normally runs 110/60) and pulse 109-112 (pt states is normal for him). O2 sat 95-97% R16. Pt also c/o headache. Pt monitored for 20 minutes and states still some "feeling funny", but no worsening of s/s. Last BP 146/90 P105. Pt refused transport, continued nurse monitoring or EMS evaluation, even with cardiac history. Advised to call EMS if he continued to have any problems. Phoned pt on 1/14 to check status and said he was "extremely sick" with cough, body aches, possible fever. Advised pt to have medical evaluation asap.

Other Meds: Xanax, prn, Ecchinasia

Current Illness: None

ID: 0955005
Sex: F
Age: 49
State: NC

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Latex

Symptoms: Chills, headache, joint pain, low grade fever, fatigue, tiredness Rest, OTC Tylenol/Ibuprofen, Water intake

Other Meds: Voltaren 75mg twice daily Myrbetriq 50mg daily

Current Illness: None

ID: 0955006
Sex: F
Age: 41
State: IL

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: A few hours after administration, itchy hives on neck and jawline

Other Meds: Paroxetine

Current Illness: None

ID: 0955007
Sex: M
Age: 27
State: NY

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

Lab Data: Vital signs, patient reported feeling better ~ 5 minutes

Allergies: No Known Allergies

Symptoms: Patient reported diaphoresis, stomach cramps and dizziness post vaccine

Other Meds:

Current Illness:

ID: 0955008
Sex: F
Age: 81
State: CO

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Azithromycin - Diarrhea, Adhesive - not specified, Aleve - not specified, Alphagan - swelling, fatigue, Beta-blocker - not specified, iodine - not specified, meloxicam - not specified, nut - not specified, other (chocolate, dogs, environment - not specified), shellfish -not specified, sulfa - not specified.

Symptoms: Pt received dose #1 Moderna COVID Vaccine 1/15/21 Clinic. Experienced nausea which resolved on it's own. No interventions or escalation of care. Entered for tracking.

Other Meds:

Current Illness:

ID: 0955009
Sex: F
Age: 25
State: IN

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

Lab Data:

Allergies: Amoxicillin, mold

Symptoms: Began 15 minutes after injection: flushing/redness of the face, lasted thirty minutes Began 2 hours after injection: two hives on left upper lip, lasted thirty minutes

Other Meds: Junel Fe 1x/day Zyrtec 2x/day Pepcid 2x/day 1 gm Sodium chloride 1x/day Probiotic

Current Illness: UTI

ID: 0955011
Sex: F
Age: 62
State: ME

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: NONE

Allergies: no

Symptoms: 01/16/2021- FATIGUE, AND DULL HEADACHE 01/17/2021-FATIGUE LOSS OF APPETITE 01/18/2021-FATIGUE- LOW GRADE FEVER WITH MUSCLE ACHE 01/19/2021 SOME FATIGUE BUT FEELING BETTER

Other Meds: Lisinaprol for blood pressure only

Current Illness: none

ID: 0955012
Sex: F
Age: 71
State: FL

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital: Y

Lab Data: electrocardiogram 1/15/21- AFIB with rapid Vent response, nonspecific ST abnormality, probably digitalis effect. No previous available for comparison. rate-164

Allergies: Penicillin

Symptoms: Pt complained at ED of Headache, Nausea, SOB, felt like had been running. Pt in AFIB started on cardizem admitted to hospital 1/15 discharged 1/17

Other Meds: zinc 220, dexamethasone 4mg, bacid caplet, azithromycin, atorvastatin, montelukast, amitriptyline, warfarin, ascorbic acid, cholecalciferol,

Current Illness: discharged from hospital 1/1/21 for COVID 19

ID: 0955013
Sex: F
Age: 47
State: MO

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

Lab Data: None

Allergies: Penicillin

Symptoms: I have slight soreness at the injection site and some fatigue, both of which I expected. However, I am also experiencing significant "brain fog". It is difficult to do my normal activities and I lose track of what I am doing. It feels like I have a cloud inside my brain. I have not gone to the doctor, but felt this should be noted.

Other Meds: Daily Multivitamin, Plus additional Vitamin C and Zinc Plexus Dietary Supplements

Current Illness: None

ID: 0955014
Sex: M
Age: 16
State: RI

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccine was given to person under the age of 18. Screening measures have been reinforced to prevent continued vaccination under the age established .

Other Meds:

Current Illness:

ID: 0955015
Sex: F
Age: 33
State: MD

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Shellfish

Symptoms: Metallic taste and metallic cold feeling on tongue, intermittent. It was all the time the first two days, then it started to come and go, and has subsided over time to only be once or twice a day for roughly 15 minutes at a time.

Other Meds: Effexor ER 75mg, women's one a day vitamin, cranberry pills

Current Illness: None

ID: 0955016
Sex: F
Age: 63
State: RI

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None yet

Allergies: Not allergic but sensitive to codeine

Symptoms: Numbness in left hand within minutes of shot and still numb 8 days later.

Other Meds: Vitamin D3, Amlodipine Besylate 10mg

Current Illness: None

ID: 0955017
Sex: F
Age: 40
State: PR

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: NONE

Symptoms: Back pain, headache, joint pain, weakness, fever, chest pain.

Other Meds: ACETAMINOPHEN, BABY ASA, ZINC 50MG, VITAMIN C 1000 MG, B COMPLEX, MTV, TUMS

Current Illness: NONE

ID: 0955018
Sex: M
Age: 73
State: AK

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Vertigo, nausea and nystagmus while lying in bed about 43 hrs. post injection (1/16/21). Sat up and nystagmus persisted for 30-45 sec. then resolved. Nausea improved but not resolved during the day. Same events the next 2 mornings (1/17/21 & 1/18/21) with less severe nausea. Vertigo was counter-clockwise. Nystagmus was horizontal.

Other Meds: Zestoretic (lisinopril 10mg/hydrochlorthiazide 12.5mg)

Current Illness: hypertension

ID: 0955019
Sex: F
Age: 25
State: IN

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: CT scan-- CT did not show anything, but only because they did not get the image as the TIA was happening.

Allergies: none

Symptoms: transient ischemic attack I was working and felt unusually exhausted, lost vision in my right eye for over an hour, and called my boyfriend to tell him I wasn't feeling well and that I would try to make it through my work shift. I then called him back 4 minutes later and failed to form words, and also could not type words. I felt like I was going to faint and have no recollection of 10 minutes during that time. I had to leave work to go to the emergency room. I had a massive headache for 3 days following my TIA.

Other Meds: none

Current Illness: none

ID: 0955020
Sex: M
Age: 62
State: WA

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt feeling very nauseous, throwing up, pain in his tummy. very uncomfortable, dry heaving, could not sleep. for 10 hours now

Other Meds: High blood pressure medication,

Current Illness:

ID: 0955021
Sex: F
Age: 46
State: PR

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

Lab Data:

Allergies: CIPRO

Symptoms: HEADACHE DIZZINESS TINGLING IN LOWER EXTREMITIES

Other Meds: no

Current Illness: NO

ID: 0955022
Sex: M
Age: 75
State: TN

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Moderna COVID-19 Vaccine . Fatigue, headache, muscle pain, joint pain, chills, and fever for three-day duration.

Other Meds: Lisenopril 10 mg once daily. Pravastatin 20 mg once daily. Multivitamin once daily.

Current Illness: None

ID: 0955023
Sex: F
Age: 72
State: TX

Vax Date: 01/07/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: Itch, redness, fever, swelling at site of injection on left arm 11 days after vaccination

Other Meds: Flecainide 100mg twice daily Metoprolol 50mg daily Rivaroxaban 15 mg daily Pravastatin 40mg every other day Fenofibrate 145mg daily Hydrochlorothiaziade 25mg daily Losartan 50 mg daily

Current Illness: none

ID: 0955024
Sex: F
Age: 49
State: FL

Vax Date: 01/10/2021
Onset Date: 01/12/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Flu/cold symptoms (aches, pain, fatigue) and blister at injection sight

Other Meds: Fluoxetine, Vitamin D3, Iron, Fish oil, Algae supplement, multi vitamin

Current Illness: N/A

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm