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: 0959108
Sex: M
Age: 52
State: IN

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

Lab Data:

Allergies: Augmentin.

Symptoms: Approximately 4-5 hours after the injection, my right elbow began hurting. There is no swelling or injury. The elbow is a burning pain. It hurts to even touch my elbow!

Other Meds: Vitamin D 50 mg daily

Current Illness: None

ID: 0959109
Sex: F
Age: 30
State: CA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The patient received her first dose of the Pfizer vaccine on 12/26/2020. Following the second dose of the Pfizer vaccine, the patient became lightheaded, dizzy, and wheezed 20-30 minutes after the injection. 25 mg Benadryl administered, along with Epi-Pen. The patient was transported to the ED.

Other Meds:

Current Illness:

ID: 0959110
Sex: F
Age: 34
State: OH

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

Lab Data:

Allergies: Bees, wasps, amoxicillin, latex, banana, nickel, adhesives

Symptoms: Moderna COVID-19 Vaccine EUA A 4.5 cm itchy, red, warm rash noticed at about 5:30 pm on 1/19/21. The rash is located 2cm below the vaccine injection site on the left deltoid. The rash has not spread but continues to be bothersome.

Other Meds:

Current Illness:

ID: 0959111
Sex: F
Age: 27
State: NC

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

Lab Data:

Allergies:

Symptoms: Chills, body aches, runny nose, Headache, Temperature 99.4, lymph node swollen and tinnitus.

Other Meds:

Current Illness:

ID: 0959112
Sex: F
Age: 53
State: DE

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

Lab Data: none

Allergies: none

Symptoms: Employee given Pfizer for Dose #2 instead of Moderna. Error. No adverse reaction.

Other Meds: none

Current Illness: none

ID: 0959113
Sex: F
Age: 45
State: TX

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Vicodin Amoxicillin Cephalaxin Cymbalta Contrast dye Barium Sulphate

Symptoms: Since that day I have experienced dizziness, pain in the arm, swollen lymph nodes both sides of the neck and under arms and lot of nausea.. I also had severe body ache for 4 days after the shot. Dizziness gets worse if I walk faster.

Other Meds: Gabapentine 500mgs Bupropion 300mgs Buspirone 15mgs Lexapro 10mgs Atenolol 25mgs Aspirin 81mgs

Current Illness: Fibromyalgia Atrial fibrillation

ID: 0959114
Sex: F
Age: 30
State: OR

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I received my first dose of the vaccine. I felt fine when I waited the 15 minutes after receiving it. Then about 5 minutes after leaving, I felt weak as if I was about to faint. Once I got to Peds, I felt even more weak. I could barely sit up. Nurse advised me to go back. Once I got there I was still feeling weak. I was sent home. The rest of the evening I was still feeling weak and as if I was about to get a headache, The next day (1/8), I felt muscle aches and tiredness. It hurt to even walk. As well my arm where I received the vaccine was sore and hurt to move.

Other Meds:

Current Illness:

ID: 0959115
Sex: F
Age: 34
State: FL

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

Lab Data: Multiple Audiograms

Allergies: None

Symptoms: Tinnitus started in right ear within hour after receiving first vaccination but resolved within a couple of day. Within 24 hours of receiving second vaccination had muffled hearing, Jan 3, 2021. Symptoms were ignored thinking they would resolve. When symptoms persisted and evaluated patient was noted to have a severe right sided low frequency hearing loss with poor word recognition score. Patient was started on high dose steroids with partial recovery of symptoms.

Other Meds: None

Current Illness: None

ID: 0959116
Sex: M
Age: 32
State: MD

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

Lab Data:

Allergies:

Symptoms: He premedicated with Tylenol and took a 2nd dose later in the day. About 10 hours after the injection he had a mild headache and fatigue. Later that evening he developed body aches, fatigue, severe headache, chills and low grade fever. Symptoms lasted for 24 hours. He also took motrin.

Other Meds:

Current Illness:

ID: 0959117
Sex: F
Age: 34
State: VA

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Hyperglycemia (>200) beginning at onset of other side effects (low grade fever, chills, body aches) at around 8hrs after vaccine (1/16 @ 2000hrs). Hyperglycemia persisting past other effects (which lasted ~24hrs) and now at day 4 of persistent BGL >200, with periods of >300. BGL is typically well maintained (most recent A1C was 6.3%).

Other Meds: Lantus (insulin) and Humalog (insulin)

Current Illness: N/A

ID: 0959118
Sex: F
Age: 57
State: MA

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

Lab Data:

Allergies: Nickel

Symptoms: Woke up in the middle of the night nauseous and very dizzy. Vomited. In the morning and for the rest of the day, headache, fatigue, muscle pain throughout body, shivering overall very tired.

Other Meds:

Current Illness: None

ID: 0959119
Sex: F
Age: 18
State: GA

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

Lab Data: mother is unsure

Allergies: Fish, grass, dust, dog,

Symptoms: Within 30 minutes of receiving the vaccine her face swollen up. She was transported to ER. Her sister took her. They treated with an allergic reaction with steroids and Benadryl. She came home after being treated. Today - she starting having body aches and a fever.

Other Meds: Albuterol Inhaler

Current Illness:

ID: 0959120
Sex: F
Age: 31
State:

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Fish Allergy

Symptoms: Moderna COVID-19 Vaccine EUA. Swollen Left Eyelid 1st day and on 2nd day Right Eye Swollen as well

Other Meds:

Current Illness:

ID: 0959121
Sex: F
Age: 37
State: CA

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

Lab Data: None yet

Allergies: Azithramycin, sever diarrhea

Symptoms: Painful lump, swelling, rash/hives at injection site 8th day after getting shot. Spot is getting progressively painful.

Other Meds: Iron pills and vitamin C

Current Illness: No

ID: 0959122
Sex: F
Age: 52
State: NM

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: contrast dye

Symptoms: Patient reported feeling unwell, dizzy, dry heaving. Patient was watched monitored and charge RN was notified. No additional intervention.

Other Meds: atorvastatin 20mg qhs, meloxicam 15mg qday, multivitamin qday

Current Illness: none

ID: 0959123
Sex: F
Age: 33
State: NY

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: N/A

Allergies: Nickel -- topical skin allergy with rash

Symptoms: On 1/18/21, exactly one week after injection, the injection site became swollen, red, and very itchy. I developed a rash across my upper chest and back. The rash was also itchy. The next day, on 1/29/21, a lymph node above my left collarbone swelled to the size of a walnut.

Other Meds: Drospirenone/ethinyl estradiol (3mg daily) Propranolol (80mg nightly) Centrum Women's Multivitamin

Current Illness: None

ID: 0959124
Sex: F
Age: 61
State: OK

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: WBC 5.4 RBC 4.61 Hgb 13.9 Hct 40.5 MCV 87.8 Platelets 227,000 Troponin < 0.01 K+ 3.4 NA 140 Cl 105 CO2 22 Glucose 98 BUN 0.73 Ca 8.7 BUN/Creatinine 12.3 12 Lead EKG HR 86 RR 698 Atrial Rate 86 PR interval 162 P 122 QT 385

Allergies: none

Symptoms: I had an immediate reaction to the covid vaccine within 30 seconds after the injection. I felt a warm sensation after the vaccine in my deltoid muscle then felt it go up both my ears, around my head. I then felt the same warm sensation in my abdomen, followed by buzzing of my entire body with light headedness. I could breath, I could talk, but I had an urgency for others around me to know that I wasn?t feeling well and something was not right. I asked my colleagues if someone could take me to the ER for monitoring. They immediately put me in a recliner and elevated my legs. This did not relieve my symptoms and asked to go to the ER. I got to the ER and laid on the stretcher with continued increased buzzing sensation especially in my finger tips and arms. My vital signs were 148/88 and HR 88 (elevated from my normal of 100-120/60-70, HR 60s). The buzzing turned into a sensation in my arms that rumbled erratically. I thought something bad was about to happen and that my blood cells would burst. Then I also felt icy cold in my arms and my gut. Next what happened were teeth chattering shivers. All these symptoms occurred in a matter of minutes. They started an IV, drew blood, gave me Benadryl and ran IV fluids. My vitals did not reflect what I felt inside, but as symptoms let up, my VS returned to normal. As quickly as the symptoms started, they eventually calmed down and I was able to leave the ER in 1.5 hours to go home. I was very scared. The ER doctor thought I had a hyperimmune response to the vaccine.

Other Meds: Estradiol 1.0mg daily Provera 2.5mg daily

Current Illness: COVID

ID: 0959125
Sex: F
Age: 76
State: KY

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/20/2021
Hospital: Y

Lab Data: 1/16/2021 WBC-10.30, D-dimer 1.77, Potassium 3.3, BUN 32, Creatinine 2.10, glucose 578 Chest X-ray: bilateral scattered peripheral infiltrates

Allergies: latex, levofloxacin

Symptoms: Employee received vaccine on 12/29/2020, was diagnosed with COVID-19 on 1/12/2021, had ED visit, received the Bamlanivimab infusion, returned to the ED on 1/16/2021, was admitted with dehydration, currently remains inpatient receiving Remdesivir infusion.

Other Meds: zolpidem Qhs PRN, Valsartan-HCTZ po daily, Rosuvastatin po daily, Pioglitazone po daily, HCTZ po daily, glimepiride po bid, diclofenac sodium po bid, vitamin d3 50,000 units po 1 x week, atenolol 25mg po daily, amlodipine po daily

Current Illness: none reported

ID: 0959126
Sex: F
Age: 43
State: PA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: penecillin, bee stings

Symptoms: soreness, tenderness, turning to swelling, welted, hot to touch, red spreading into a wider circle

Other Meds: Synthroid 1xdaily 250mcg, Multivitamin gummy

Current Illness: none

ID: 0959127
Sex: F
Age: 74
State: NM

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: n/a

Allergies: red dye through iv

Symptoms: redness soreness and swelling

Other Meds: Simvastatin 20mg, Dicyclomine 10mg, sertraline 100mg,probiotic,ginger pill

Current Illness: n/a December 1st had Covid ...still received injection

ID: 0959128
Sex: F
Age: 50
State: NY

Vax Date: 01/07/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none to date

Allergies: Codeine

Symptoms: My upper left arm has a red butterfly shaped outline about 6 inches wide

Other Meds: None

Current Illness: None

ID: 0959129
Sex: F
Age: 81
State: HI

Vax Date: 01/05/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: Sulfur, Aspirin

Symptoms: 1/5/21 PT was vaccinated. 1/16/21 arm became red/itchy/swollen at vaccination site.

Other Meds: Calcium B3 600mg once daily, One a Day Women's Multivitamins once daily, Metformin 1000 mg twice daily, Losartan 50 mg once daily, Alogliptin 12.5 mg once daily, Atorvastain 40 mg once daily, Benadryl as needed, Loratadine 10 mg once dail

Current Illness: None

ID: 0959131
Sex: F
Age: 29
State: OR

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: My symptoms started on 1/12/21 and lasted through 1/13/21. My highest temp. was 102.5 F.

Other Meds:

Current Illness:

ID: 0959132
Sex: F
Age: 65
State: FL

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: tingling in left arm. injection was in left arm. the tingling is constant.

Other Meds: none

Current Illness: none

ID: 0959133
Sex: F
Age: 36
State: WI

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

Lab Data:

Allergies:

Symptoms: Arm is red, swollen, and hot to the touch since she had her vaccine.

Other Meds:

Current Illness:

ID: 0959134
Sex: F
Age: 28
State: IN

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: 01/19/21 6am- intense pain at injection site and small blue bruise. 10am- body aches began, upset stomach, swollen tonsils, scratchy throat, very tired, unable to move right arm without pain and very tender to the touch. 12pm- worsened all symptoms listed above 4pm- body aches starting to get better, still experiencing intense arm pain and scratchy throat 9pm- headache began. Took 600mg ibuprofen and went to bed 01/20/21 6:30 am- woke up with a headache, right arm feeling much better but still some discomfort. 9:30am- headache. Took 800mg ibuprofen 1:00 pm- all symptoms have subsided

Other Meds: Sertraline and buspirone

Current Illness: None

ID: 0959135
Sex: M
Age: 42
State: PA

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

Lab Data:

Allergies:

Symptoms: The evening of receiving the vaccine developed body aches, chills, fever, fatigue, headache and sore throat. tested on 12/24/20 for covid results negative. After 10 days developed full body tremors, now improving and then after 2.5 weeks had difficulty walking and leg pain/discomfort. Blood work on 1/13 revealed CPK of 934

Other Meds:

Current Illness:

ID: 0959136
Sex: F
Age: 34
State: AR

Vax Date: 01/14/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Chills, Headache, arm soreness at injection site and sleeplessness at 12 hour mark, single episode of loose bowels at 24 hour mark, general malaise at 12-24 hours post injection

Other Meds:

Current Illness:

ID: 0959137
Sex: M
Age: 48
State: NJ

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: developed discomfort/stinging sensation to right of umbilicus, radiating around to R flank. 36 hours after onset of sensation developed 6 lesions in dermatomal distribution that have since increased in number and have appearance consistent with zoster - small vesicluar rash on erythematous base. Started on oral Valtrex 1000mg po

Other Meds: NONE

Current Illness: NONE

ID: 0959138
Sex: M
Age: 63
State: CA

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

Lab Data: N/A

Allergies: N/A

Symptoms: Pt awoke multiple times in the early morning sleeping period profusely sweating and needing to change of clothes, sheets/blankets and undergarments at times 1:00AM, 3:00AM, 5:00AM, fever, headache. Symptoms have improved with Panadol medicine dose. Pt states since 1st dose feeling of drunkenness' and imbalanced has persisted.

Other Meds: Panadol 500 mg dose

Current Illness: N/A

ID: 0959139
Sex: F
Age: 35
State: MD

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1)arm soreness that lasted for a couple of days 2)bad headache that started 2 days after the vaccine and require Motrin

Other Meds:

Current Illness:

ID: 0959140
Sex: F
Age: 43
State: IL

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: adhesive tape, Latex; sensitivities to clarithromycin, erythromycin, and Suprep

Symptoms: approximately 12 hours after vaccine was administered, patient experienced the following symptoms: severe chills and muscle aches; fever of 102.6 that did not respond to Tylenol, headache, vomiting, fatigue, shortness of breath, and chest tightness. She states they lasted for approximately 18 hours, and have started improving in the past 24 hours. Still having symptoms of mild to moderate muscle aches and some shortness of breath. Using albuterol inhaler as needed. Patient is recovering at home currently.

Other Meds: amlodipine, calcium-Vitamin D, Lexapro, ProAir

Current Illness:

ID: 0959141
Sex: F
Age: 52
State: NY

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

Lab Data:

Allergies: none

Symptoms: Moderna Covid-19 vaccine EUA Soreness at the injection site, body aches, chills, fatigue Treated effectively with ibuprofen

Other Meds: iron, levothyoxine

Current Illness: none

ID: 0959142
Sex: F
Age: 83
State: CT

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

Lab Data:

Allergies: Amoxicillin Codeine Compazine Contrast Dye Cortisone Arithromycin Penicillin Sulfa Ciprofloxacin

Symptoms: Patient received first dose of Moderna vaccine today at 2:20pm. She was asked to wait in observation area for 30 minutes which went without incident. At 3:10pm husband came into clinic to notify staff was feeling unwell. Recipient was found in car to be alert and oriented X3 but complaining of scratchy throat with difficulty swallowing and 10/10 headache. VS at 3:15pm were HR 78 BP 142/84 and O2 SAT 97% RA. Patient able to verbalize her condition and able to follow instructions. Denies dizziness or loss of consiousness. Denied nausea, vomiting. Epinephrine on hand but not administered as patient declined and patient was responding to commands appropriately. 911 called and assessed patient at scene. After being assessed in ambulance, patient declined being transported to hospital and signed release with ambulance staff.

Other Meds: Plavix Crestor Magnesium Vitamin D3 DOK Vitamin C B12 CoQ10 Atrovert Nasal Spray Percocet

Current Illness: not available

ID: 0959143
Sex: F
Age: 22
State: IA

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

Lab Data:

Allergies: Sulfa antibiotics

Symptoms: Patient received the Moderna COVID-19 vaccine for vaccination #1 and received the Pfizer COVID-19 vaccine in error for vaccination #2

Other Meds: Unknown

Current Illness:

ID: 0959144
Sex: F
Age: 27
State:

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/20/2021
Hospital: Y

Lab Data: Lumbar puncture, MRI brain

Allergies: None

Symptoms: Idiopathic intracranial HTN - IIH

Other Meds: OCPs

Current Illness: none

ID: 0959145
Sex: F
Age: 26
State: OH

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: I lost my sense of smell and taste 3 days after receiving the vaccine. no other symptoms

Other Meds: adderall, zoloft, and nexplanan

Current Illness: running/stuffed nose

ID: 0959146
Sex: F
Age: 86
State: GA

Vax Date: 01/13/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: drinking alcohol

Symptoms: Not only did I get a reaction on the 17th but also the same reaction today on Jan 20th. Fever of 101.3 Cold, and tired. Took 2 tylenol and 2 pm and will take 2 more at 8 PM

Other Meds: Januvia Tabs 50 mg Atorvastatin Tabs 10mg Glimepiride Tabs 2mg Chlorthalidone Tabs 25mg Losartan Tabs 100mg

Current Illness: none

Date Died:

ID: 0959147
Sex: F
Age: 83
State: OH

Vax Date: 12/28/2020
Onset Date: 01/02/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none as resident was comfort care only

Allergies: penicillin

Symptoms: Unknown as to any correlation with vaccine as this was a hospice patient that was already experiencing decline. Patient became Jaundice for approximately one week prior to expiring.

Other Meds:

Current Illness: Alzheimer's disease, Type 2 with chronic kidney disease,

ID: 0959148
Sex: F
Age: 54
State: NY

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: lactose intolerant

Symptoms: Delayed induration and induration at injection site. Started 72 hours after vaccine continuing at least till day 9. Likely DTH/ Type IV reaction

Other Meds: levothyroxine, meloxicam, mometasone cream, naproxen (c meals)

Current Illness: None

ID: 0959149
Sex: F
Age: 24
State: HI

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 9:55 am Participant, while waiting in the post-vax area, asked area monitor for water. She stated that she felt warm. Complained of lightheadedness. No nausea, difficulty breathing. Monitor provided her a bottle of water and asked EMS who was on standby in the area to take her blood pressure (115/67, pulse 72). 10:30 participant informed EMS that she felt fine and EMS offered to wheel her to her friend's car. PHN briefly met participant and she stated, "I'm feeling fine."

Other Meds:

Current Illness:

ID: 0959150
Sex: F
Age: 26
State: OR

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Light headed, rash on arm that vaccine was administered too

Other Meds:

Current Illness:

ID: 0959151
Sex: M
Age: 38
State: VA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: N/A

Allergies: No

Symptoms: Body aches, fatigue, Fever (101F), less than 10 hours

Other Meds: multivitamin benazepril HCTZ

Current Illness: None

ID: 0959152
Sex: F
Age: 32
State: HI

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 11:15 am Participant was sitting in post-vaccination monitoring area. She raised her hand and complained of lightheadedness. Monitor offered her bottled water. She stated she had eaten breakfast. No other complaints. BP 140/80, pulse 90, RR 16. No signs or symptoms of distress. She was able to walk 10 feet forward and back to her chair without difficulty. She stated she will continue to sit until she feels ready. 11:36 am stated she felt okay and proceeded to the exit.

Other Meds: Omeprazole, levothyroxine, birth control

Current Illness:

ID: 0959153
Sex: F
Age: 41
State: SC

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: I woke up the morning after I received vaccine with positional vertigo. I have had it once before, about 10 years ago, but it was after a sinus infection. I have no congestion, no ear issues. It has now been almost a week, and the vertigo persists. It is especially worse when I go to bed and when I get up too fast.

Other Meds: Lexapro x 8 years, Prenatal Vitamin, Nexium

Current Illness: None

ID: 0959154
Sex: M
Age: 28
State: CT

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

Lab Data:

Allergies:

Symptoms: red rash on front of neck slight trouble breathing 25 mg diphenhydramine given

Other Meds:

Current Illness:

ID: 0959155
Sex: M
Age: 69
State: SD

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: Lab cbc Chest x-ray AP and lateral EKG

Allergies: None

Symptoms: Fever Stomach ache Loss of Appetit Cold stuffy nose Difficulty breathing Lasted about 24 hours with acceptation of the stuffy nose (Cold)

Other Meds: B6, B12, Melatonin 5mg, Simvastatin, Omeprazole, Acyclovir, Metrol-prol Succinate ER, Bactrim , Duloxetine, Tamsulosin Hydrochoerid, Pot CL Tablets, Chlorthalid Tabs

Current Illness: None

ID: 0959156
Sex: F
Age: 39
State: PA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Almonds (getting tested currently)

Symptoms: Around 12 hrs later, I started feeling general fatigue, chills, no fever and achy all over. Didn't sleep well. I didn't take any meds since I'm pregnant. Symptoms peaked around 26 hours after vaccine. I slept almost all day. A very deep sleep. I started to feel a little better gradually. At 36 hours, I was completely back to normal. I am currently 31 weeks. I was 29 when I received the vaccine. Even with everything I experienced, I would do it again.

Other Meds: Prenatal vitamins

Current Illness:

ID: 0959157
Sex: F
Age: 33
State: MD

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

Lab Data: N/A

Allergies: Shrimp, dust

Symptoms: Headache on right side; feels increased heart beat; dizziness, feeling of blacking out, stuffiness, cold sweat. BP118/80. Improved over time but still some right headache & eyes "tired" @1:10pm @pick-up by husband. Transported to car via wheelchair.

Other Meds: Prenatals

Current Illness: DNC a month prior due to miscarriage

ID: 0959158
Sex: F
Age: 65
State: FL

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: arm numbness. tingling sensation in total arm.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm