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: 0956783
Sex: M
Age: 89
State: MN

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

Lab Data:

Allergies: NKA

Symptoms: CONGESTION, BODY ACHES, CHILLS, COUGH, FATIGUE

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 0956784
Sex: F
Age: 50
State: CA

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None- Awaiting an appointment with primary doctor

Allergies: Penicillin, Metal allergies (nickel)

Symptoms: Vaccine sight became increasingly bruised, inflamed and itchy. Although the injection site was sore for day 1-3, there was no redness or increased swelling. After resuming a regular workout schedule, on 1/16 I noticed the area was red, sore, itchy and grew to about 6 inches long on my left deltoid appearing in a triangular shape. On 1/17 and 1/18 the site continued to itch, cause redness and is still sore. On 1/19, today, the redness, swelling and itch has decreased but is still evident.

Other Meds: Synthroid, Multivitamins

Current Illness: None

ID: 0956785
Sex: F
Age: 54
State: VA

Vax Date: 10/07/2020
Onset Date: 10/08/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reported swelling around collar bone (raised skin about 0.5 inch) with pain and coughing. Patient was instructed to take Benadryl and ibuprofen and to ice the affected areas. Patient was also told to call back if symptoms got worse.

Other Meds:

Current Illness:

ID: 0956786
Sex: M
Age: 50
State: CA

Vax Date: 12/17/2020
Onset Date: 12/20/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: severe low back pain. worsened after 2nd dose

Other Meds: none

Current Illness: none

ID: 0956787
Sex: F
Age: 35
State: IL

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

Lab Data: N/A

Allergies: Amoxicillin - rash Minocycline - rash

Symptoms: Axillary lymph node swelling, rash on left arm which has migrated from injection site. Painful when pressure is applied, intermittently itchy, and feels tight. Injection site pain has been present since the day after the dose, but I only feel it when applying pressure on it (e.g., when lying in bed). Feeling of tightness began a few days ago near underarm crease. Rash on left arm (near armpit and also on shoulder) began today. Today was also the first day I noticed the lump in my underarm (which I assume is a swollen lymph node).

Other Meds: Modafinil 100 mg Lamotrigine 250 mg (125 2x a day) Multivitamin Probiotic

Current Illness: N/A

ID: 0956788
Sex: M
Age: 68
State: FL

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

Lab Data:

Allergies: None

Symptoms: On the first day after my shot i had a 2 degree fever and chills starting in late morning (a bit over 24 hours after shot). The fever started dropping after 2-3 hours and was gone by evening. I?ve had no issues since.

Other Meds: Simbastatin Lisinopril Wellbutrin Mirtazipan

Current Illness: None

ID: 0956789
Sex: F
Age: 29
State: CA

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

Lab Data:

Allergies:

Symptoms: Medical called to evaluate patient 2nd symptoms started approximately 10 mn after injection. She states she felt a wave of tingling come over her chest, her heart starting racing. She then began to feel that she had a dry mouth/ and throat clearing. 12:26 epi pen given by rn prior to ems arrival Pt moved over to observation tent.

Other Meds:

Current Illness:

ID: 0956790
Sex: F
Age: 50
State: KS

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

Lab Data: none

Allergies: lamisil, minocycline, Keflex all causes rashes

Symptoms: dizziness, almost syncopal for 3 hours

Other Meds: lisinopril, propranolol, pepcid

Current Illness: none

ID: 0956791
Sex: F
Age: 57
State: IL

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

Lab Data:

Allergies: No Known Drug or Food Allergies

Symptoms: Tachycardia, brain fog, fatigue, muscle aches, low grade fever, body aches, body pain, redness and swelling at injection site, weakness and palpitations.

Other Meds: Tylenol, Cetirizine, Calcium, Vitamin D and multivitamin

Current Illness:

ID: 0956792
Sex: F
Age: 38
State: KY

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

Lab Data:

Allergies:

Symptoms: Patient reports rash for 2 weeks, treated with benadryl. Small welts still remain. Itching resolved.

Other Meds:

Current Illness:

ID: 0956793
Sex: F
Age: 78
State: GA

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

Lab Data: ED performed CBC, CMP, and Troponin 1 on 1-19-21

Allergies: Alendronate Sodium Anaphylaxis Influenza A (h1n1) Vac 09 (pf) Lotensin [Benazepril] Macrobid [Nitrofurantoin Monohyd/m-cryst] Norvasc [Amlodipine] Uribel [Methen-m.blue-s.phos-phsal-hyo] Acetaminophen Boniva [Ibandronate] Covera-hs [Verapamil] Esomeprazole Magnesium Ibandronate Sodium Influenza Virus Vaccine Tri-split 2007-2008 Oxycodone Hcl Plavix [Clopidogrel] Ramipril Simvastatin Sulfamethoxazole Trimethoprim Oxycodone-acetaminophen Provera Cap

Symptoms: Patient stated she has had anaphylactic reaction to a flu vaccine a couple months ago. Patient stated she spoke with her physician and he still recommend her to receive the COVID-19 vaccine today. Discussed premedication; however, patient stated that doesn't work. Patient was observed for 30 minutes. After that time, patient stated to the observer , RN her left arm "hurt all the way down" and "chest felts heavy". Encouraged patient to go to ED, but patient declined. Nurse assessed patient who then felt short of breath. , RN took patient, via wheelchair, to ED. Husband was with patient. ED triage took patient back and husband checked in patient.

Other Meds: aspirin 81 MG chewable tablet daily clobetasoL (TEMOVATE) 0.05 % cream topically daily hydrochlorothiazide (HYDRODIURIL) 25 MG tablet daily Potassium 10mEq 2 tablets daily krill oil 500 mg Cap daily levothyroxine (SYNTHROID) 88 MCG tablet d

Current Illness: Complete heart block 12/23/20

ID: 0956794
Sex: M
Age: 50
State: GA

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

Lab Data:

Allergies: PCN

Symptoms: Fatigue, chills, fever, sweats, local reaction L arm to injection site

Other Meds: Lamictal 200mg po BID Zoloft 250mg daily Zyrtec 10mg daily

Current Illness:

ID: 0956795
Sex: F
Age: 68
State: MN

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

Lab Data: NONE

Allergies: NKA

Symptoms: COUGH, HEADACHE, FATIGUE, SHORTNESS OF BREATH, BODY ACHES, CHILLS

Other Meds: Medications Schedule Med days Assigned Advair disc 250/50 inhalant by mouth 08:00 AM, 08:00 PM Started: 11/2/18 12:00 AM Daily 2 x a day Morning Shift Leader, Afternoon Shift Leader Aspirin 325mg by mouth 08:00 AM Started: 11/2/18 12:00 AM

Current Illness: NO KNOWN

ID: 0956796
Sex: F
Age: 52
State: MI

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

Lab Data:

Allergies: Sulfa medicine, trees, grass and other seasonal allergies.

Symptoms: Chills 3 Days, Dizziness 3 Days, Nausea and diarrhea 3 Days.

Other Meds: Ibuprofen, Women's over 50 vitamin, Vitamin D and Benadryl

Current Illness: Sinus and allergies issues

ID: 0956797
Sex: F
Age: 47
State: MO

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

Lab Data: none

Allergies:

Symptoms: pt developed facial redness, eyes feeling like fire, itching, burning and itching on her head. Pt also reported a rash - came to clinic to be evaluated - was given loratadine 10 mg PO x 1. 45 min later reported that symptoms were better. rash resolving and eyes felt better.

Other Meds:

Current Illness:

ID: 0956798
Sex: M
Age: 26
State: CO

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: nka/nkda

Symptoms: 9 days after first injection, patient reports left hand numbness, decrease in ability to distinguish temperature, pain. Paresthesias occur dorsal and palmar aspect of left hand, distal to wrist. No skin changes, intact pulses, normal strength. Injection site mildly swollen approximately 3cm, no erythema or fluctuance. Normal sensation of entire arm proximal to wrist. Also having some left sided upper back tightness.

Other Meds: none

Current Illness: none

ID: 0956799
Sex: F
Age: 50
State: MO

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: no known

Allergies: no

Symptoms: Was fine until Sunday 1/22/2021, around 9 pm, arm began to itch, get red. Now swollen and very tender. No fever or other side effects.

Other Meds: spironolactone metolazone adipex trinaz potassium

Current Illness:

ID: 0956800
Sex: F
Age: 79
State: VA

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

Lab Data: Dr. advised to call him if the condition persistent in a week and back to see him.

Allergies: penicillin, peanuts

Symptoms: on 1/13/21 after the shot and stayed at rest area for 15 minutes, as we went outside , walking to the parking lot, I noticed a distinctive stinging pain on back of my right hand below thumb, I saw puff veins and a quarter-size lump that was very painful. I took Tylenol and put on my arm-wrist wrap wrapping overnight, it started to get warm and red the next two day. I called my primary physician on Monday 1/18/21 and have a victual visit for 15minutes at 3PM. It is getting better as of now on 1/19/21.

Other Meds:

Current Illness: hypertension, thyroids' irregular heart beats

ID: 0956801
Sex: F
Age: 26
State: VT

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

Lab Data:

Allergies: Mushrooms

Symptoms: Vaccine given 1/15/21, on 1/16 and 1/17/21 reports arm soreness "felt like my arm was being ripped off" on evening of 1/7/21 bad headache, On 1/18/21 symptoms continued and overnight into Tuesday 1/19/21 Temp 101.3 chills and aching body, headache continues.

Other Meds:

Current Illness:

ID: 0956802
Sex: F
Age: 32
State: MO

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

Lab Data:

Allergies:

Symptoms: reporting what she terms a pocket under the skin where the shot was given. She states it is deep and hard and feels like it is not absorbing. This happened with her B12 shot as well.

Other Meds:

Current Illness:

ID: 0956803
Sex: M
Age: 42
State: CA

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

Lab Data: none

Allergies: No

Symptoms: Raised rash on the upper abdomen

Other Meds: Unknown

Current Illness: No

ID: 0956804
Sex: F
Age: 40
State: WI

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

Lab Data: No

Allergies: I allergic to sulphur drugs with a reaction of hives.

Symptoms: Within 6 minutes I had a metalic taste in my mouth, the roof of my mouth went numb, my tongue started to swell up, the inside of my mouth started to swell up. I lost sense of taste to even water. I was allowed to take my 50 mg of benedryl. My BP was 171/100. I was taken to the ED and that is where I received the vaccine as well.

Other Meds: I take flutcordisone, topamax, synthroid, and zoloft.

Current Illness: No

ID: 0956805
Sex: F
Age: 89
State: AK

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

Lab Data: None

Allergies: Ace inhibitors, codeine, iodine, sulfamethoxazole-trimethoprim

Symptoms: called the clinic the day after the vaccine to report her lips and tongue had felt tingly and that she is OK now. She declined to come in to be seen. Her daughter, also called, later, to report that lip and tongue swelling. denies ever having any trouble breathing or any other reaction. This was added to her Electronic medical record and documented .

Other Meds: Diltiazem, Hydrochlorothiazide and pioglitazone.

Current Illness: None

ID: 0956806
Sex: F
Age: 49
State: VA

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: N/A

Allergies: NKA

Symptoms: knees began itching, developed hive in lower extremities during the night (1/13) s/s resolved in the morning 1/14 1/14 evening elbows began itching, then hives to both upper extremities and back and down into lower extremities, and both hands took Advil/Benadryl 1/15 intermittent itching in various areas

Other Meds: Claritin PRN, Vitamin A, Vitamin B, Magnesium, Zinc

Current Illness: Denies

ID: 0956807
Sex: F
Age: 57
State: CA

Vax Date: 01/08/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Arm soreness Migraine headache Nausea Hot and cold Fatigue Unsure of fever Numbness and tingling in both hands

Other Meds:

Current Illness:

ID: 0956808
Sex: M
Age: 55
State: NJ

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

Lab Data: have not gone back to doctor since taking vaccine

Allergies: possibly penicillin but unsure, some seasonal pollen allergies

Symptoms: tight muscle, soreness, chills, achiness, and shaking

Other Meds: Tylenol, probiotic, multi vitamin

Current Illness: none

ID: 0956809
Sex: F
Age: 81
State: MN

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

Lab Data: NONE

Allergies: NKA

Symptoms: BODY AHCES, CONGESTION, CHILLS

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 0956810
Sex: F
Age: 72
State: TX

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

Lab Data:

Allergies: Aleve, Keflex, Bactrim, animal dander, mold, mildew

Symptoms: I experienced swelling of knuckles in my right hand and cannot make a fist that night, and every night since. It dissipates approximately 10-15 minutes every morning. The psoriatic arthritis has affected my skin & toes, but never my hands.

Other Meds: Metformin, Bydureon, Lisinopril, Skyrizi, Vitamin D3

Current Illness: Type 2 Diabetes, High Blood Pressure, Psoriatic Arthritis

Date Died: 01/18/2021

ID: 0956811
Sex: M
Age: 75
State: NJ

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

Lab Data:

Allergies:

Symptoms: Resident was noted unresponsive, no respiration, no blood pressure, no pulse, code blue called according to facility protocol, resident is full code, CPR started, 911 called, arrived and took over from staff. Resident was pronounced dead at 1:16pm 1/18/21

Other Meds:

Current Illness:

ID: 0956812
Sex: F
Age: 35
State: CA

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

Lab Data:

Allergies: NONE

Symptoms: 102.3 TEMPERATURE THE NEXT MORNING ALONG WITH NAUSEA AND A SEVER HEADACHES, COLD SWEATS, FATIGUE AND DIZZY SPELLS.

Other Meds: PRENATAL VITAMINS

Current Illness: NONE

ID: 0956813
Sex: F
Age: 86
State: AK

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: slufa,cipro,macrobid,pen,contast dye, tree, wool, weed, cat,

Symptoms: Pt reportedly had redness and swelling with a pneumovax shot 4-8 years ago. #9 meds continued: Pantoprazole, Levemir, Wixela, Vita C and D, ASA, Cranberry, D-Mannose, MiraLax, PreserVision, #10 allergies continued: "bleach, ink, Certain cleaning products and make-up products"

Other Meds: Synthrod, Enalapril, Rosuvastatin, Fenofibrate, Gabapentin,

Current Illness: none

ID: 0956814
Sex: F
Age: 43
State: MI

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

Lab Data: None

Allergies: N/a

Symptoms: Significant fatigue that starts every afternoon usually with a headache until I go to bed. Then wake up fine to only the fatigue starting over again in the afternoon. Usually take naproxen for the headache. This has occurred everyday since the day after getting the vaccine.

Other Meds: Birth control

Current Illness: None

ID: 0956815
Sex: F
Age: 38
State: TX

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

Lab Data: none

Allergies: ASA, NSAIDS, Bee venom

Symptoms: Patient felt hot tingling sensation traveling up her right arm. BP 120/70; HR 80; Lungs clear bilaterally, PERL. 1359 gave benadyl 5 mL Patient declined EMS transport. BP 120/90; HR 84; BBS, PERL per EMT assessment Patient discharged per EMT. Patient left ambulatory to personal vehicle.

Other Meds: none

Current Illness: none

ID: 0956816
Sex: F
Age: 38
State: TX

Vax Date: 12/16/2020
Onset Date: 12/23/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: CMP Tripone BMP pregnancy test CT TEST Cardiologist ran additional test

Allergies: Cats

Symptoms: I had palpitations, tachycardia and shortness of breathe. I went to the ER, and was there for three hours. I have interment Tachycardia, and have seen a Cardiologist and now on medication.

Other Meds: Vitamin D Pre-natal gummies

Current Illness:

ID: 0956817
Sex: F
Age: 57
State: UT

Vax Date: 01/07/2021
Onset Date: 01/12/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: percocet

Symptoms: By the following Tuesday after the vaccine the patient noticed swollen lymph nodes in her arm she received the vaccine in. She reports swelling and tenderness in her armpit, elbow and forearm that has slowly improved but is still present.

Other Meds:

Current Illness:

ID: 0956819
Sex: F
Age: 31
State: IN

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

Lab Data: Observed. Sent to ED.

Allergies: Latex, extra precautions taken.

Symptoms: Fullness of Throat and angioedema.

Other Meds:

Current Illness:

ID: 0956820
Sex: F
Age: 59
State: VA

Vax Date: 01/09/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Patient described erythema and itchiness to right upper arm where vaccine had been given starting the evening of 1/18/2021. Was seen and given creams to place on her arm. When I saw her the AM of 1/19/2021 the arm was normal. She is a nurse and was concerned enough to seek treatment.

Other Meds:

Current Illness:

ID: 0956821
Sex: F
Age: 29
State: CA

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

Lab Data:

Allergies:

Symptoms: FEELING LIGHTHEADED AND FOGGY. ETA 10AM FEELING NAUSEA , SHAKY AND SWEATY. DISCOLORATION IN FACE STARTED HAPPENING AND HEART WAS FEELING FAST. PER EMPLOYEE FEELING LIKE FAINTING. ICE PACK WAS APPLIED TO FACE/HEAD, DRANK COLD WATER, JUICE AND HAD A PIECE OF CANDY. 15MIN AFTER, PER EMPLYEE FELT BETTER.

Other Meds:

Current Illness:

ID: 0956822
Sex: M
Age: 86
State:

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

Lab Data:

Allergies:

Symptoms: Arm soreness

Other Meds:

Current Illness:

ID: 0956823
Sex: F
Age: 46
State: CA

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

Lab Data:

Allergies:

Symptoms: Pain and numbness on L forearm near the injection site Mild hypertension and tachycardia

Other Meds:

Current Illness:

ID: 0956824
Sex: F
Age: 83
State:

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

Lab Data:

Allergies:

Symptoms: Arm soreness

Other Meds:

Current Illness:

ID: 0956825
Sex: F
Age: 34
State: WI

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: Have been reporting Asked my eye doctor about it at my annual appointment on 1/15 (not a separate appointment; already scheduled appointment)

Allergies: N/A

Symptoms: Initially, I had severe arm and back pain that lasted 3-4 days. On day 1-2, I was extremely exhausted, so exhausted that I actually wet the bed and I have NEVER wet the bed as an adult, which was extremely embarrassing. The worst part is, since the shot, day 1, my eye has been twitching. I have been reporting it . I do not think it is just a coincidence anymore like I originally thought. I have had eye twitches in the past but they have never lasted this long! It has been 3 weeks and there is no end in sight. The time between twitches is sometimes less, but the severity of the twitching is getting more intense, sometimes causing my eye to blink (although usually its a lateral upper eyelid twitch) and I have had 1-2 instances of my upper lip twitching along with it (within the last couple of days). The eye is driving me crazy. I can't fall asleep at night because it keeps me awake and it twitches when I'm trying to fall asleep. There has been nothing that has changed in terms of increased stress, increased caffeine consumption, decreased sleep, etc. to have explained this persistent eye twitching. I did have my annual eye exam on 1/15/2021 and talked to him about it and he said we will continue to watch it. It was just annoying at first but it will not go away and like I said, the intensity and pulsating of the twitch is getting progressively worse.

Other Meds: Sertraline, famotidine

Current Illness: N/A

ID: 0956826
Sex: F
Age: 58
State: SD

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

Lab Data: PCP increased depression meds and my pregabalin, also checked my A1C

Allergies: unknown

Symptoms: The evening of receiving the vaccine every muscle and joint in my body was achy, started feeling anxious and depressed, just to the point that I could not leave my bed for a week, extreme fatigued. I feel a little better, started making myself get up and do stuff and went back to work on 01/11/2021.

Other Meds: levotiroxin. efexer, tramadol. multivitamin. vitamin C, Vitamin D, etomephrazol, pregnendone, dhea, suvistatin. megared, calcium and vitamin D, immuno defense, samE, timolol, iron

Current Illness: no

ID: 0956827
Sex: F
Age: 43
State: DE

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

Lab Data: None

Allergies: None

Symptoms: Fever muscle aches fatigue stomach ache

Other Meds: None

Current Illness: Rash of unknown origin

ID: 0956828
Sex: F
Age: 78
State: CA

Vax Date: 01/16/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: I DON'T KNOW if this was a reaction to vaccine: I felt "weird" for a few seconds, so I decided to take my blood pressure and heart rate. HR 185, BP 90/57. I continued to monitor and over next 90 minutes my HR went to 165 then 175, back to 165, and my BP got as low as 57/37 and everything in between that low and 90/57. After about 90 minutes both HR and BP stabelized to 112/90. I have never had any heart issues. I have felt fine since then.

Other Meds: levothyroxine, losartan, Vit B12, Vitamin D3, baby aspirin, multivitamin, glucosamine with MSM.

Current Illness: none

ID: 0956829
Sex: F
Age: 42
State: ID

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

Lab Data: n/a

Allergies: n/a

Symptoms: Patient c/o of symptoms starting that evening: chills, body aches, HA, fatigue that lasted for 2 days. Patient had COVID-19 in August 2020. Patient states "it feels like I had COVID all over again."

Other Meds: Levothyroxine, Alogliptin, Multi-Vitamin with minerals, Metformin, Ergocalciferol, Dulaglutide, Vitamin C

Current Illness: n/a

ID: 0956830
Sex: F
Age: 36
State: MI

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

Lab Data: Covid test - negative

Allergies: NA

Symptoms: Just over 24 hours post injection, intense chills and rigors set in, along with severe body aches and headache. After about 4 hours of chilld, despite ibuprofen, I then erupted into a fever (Tmax = 101.7). By the following morning, temperature had improved to 99.9 but a headache remained through the next 3 days.

Other Meds: Ibuprofen

Current Illness: NA

ID: 0956831
Sex: F
Age: 34
State: ND

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

Lab Data: VS at 1628: BP 124/74, P 73 O2 100% VS at 1643: BP 135/67, P 73, O2 100%

Allergies: Clindamycin and Macrobid

Symptoms: Pt waited her 15 minutes and left, feeling fine. She walked to the elevator and feel light headed. She sat on a bench and a staff member brought her back to the clinic in a wheel chair. She reports she has had lots of stress lately, so wonders if it was a stress response. Pt was pale but no diaphoresis, SOB, angioedema, or other worrisome sx. Drank 8 oz juice and recovered well.

Other Meds: B12 injections Oral Meds: Vitamin D Zinc Multivitamin Spironolactolone 100 mg daily Flexeril 10 mg PRN Zyrtec 10 mg daily Metformin 850 mg bid Ativan PRN

Current Illness: None

ID: 0956832
Sex: F
Age: 65
State: DE

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

Lab Data: Blood work, chest X-ray, EKG

Allergies: Sulfer

Symptoms: Bronco spasms, racing pulse, anxiety Treatment was Xanax, nebulizer, prednisone

Other Meds: Rosuvastatin, Metformin, olmesartan HCL, montelukast, cetrizine, Breo inhaler, Fluticasone, Aspirin 81mg, mucus relief, multivitamin, Preservision, fish oil, albuterol as needed, Reclast infusion once a year (Sept)

Current Illness: Back pain

ID: 0956833
Sex: F
Age: 79
State: OK

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: Penicilln/ simvastatin/ clindamicin / zocor

Symptoms: On the second day, I had to drive to get the car serviced. When I got home I was very dizzy, got out of the car took 12 steps backward I was so dizzy it did not end in a fall.. I went into my house and tried to eat and it turned my stomach just to look at food. I lay down and slept until 10 am the next day. Now when I get up in the morning I am too dizzy to walk to the bathroom. I must wait 5 minutes before getting on my feet.

Other Meds: OMG!

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm