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: 0961713
Sex: F
Age: 41
State: MA

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

Lab Data:

Allergies:

Symptoms: states received the covid vaccine - developed inc hrt rate, rigors, flushing was monitored in the vaccine clinic, and then escorted to the ED -states the ED observed until sx dec - was told she had a catacholemine response, states is feeling fatigued

Other Meds:

Current Illness:

ID: 0961714
Sex: F
Age: 31
State: MD

Vax Date: 01/09/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Lymphadenopathy starting 7-8 days after

Other Meds: Multivitamin Later ibuprofen

Current Illness: No

ID: 0961715
Sex: F
Age: 39
State: IN

Vax Date: 01/06/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Big red spot on my arm where I got the shot. Hot to touch, very sore. Dr. said it was a reaction and put me on antibiotics.

Other Meds: Birth control, blood pressure meds, and vitamin supplements

Current Illness: No

ID: 0961716
Sex: F
Age: 26
State: IL

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Coconut

Symptoms: Fever - lasted about 5 hours chills, fatigue, body aches - lasted about 12+ hours

Other Meds: Birth Control

Current Illness: None

ID: 0961717
Sex: F
Age: 30
State: MN

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

Lab Data:

Allergies: None

Symptoms: Severe body aches, 100.5 temp, nausea, vomiting, severe headache, chills, cold sweats, dizziness,. Pain and swelling at injection site, muscle weakness in right arm.

Other Meds: Sertraline, abilify, sprintec

Current Illness: Covid confirmed on 12/03/2020

ID: 0961718
Sex: F
Age: 71
State: NM

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

Lab Data: NONE

Allergies: NONE

Symptoms: 1/12/21 VACCINATION. 1/19/21 INJECTION SITE "ITCHY." 1/20/21 ITCHY,RED, RAISED, WELL DEFINED, INDURATED AREA APPROXIMATELY 3" X 1.5" ABOUT 10 MM FROM INJECTION SITE

Other Meds: CITALOPRAM, MULTIVITAMINS

Current Illness: NONE

ID: 0961720
Sex: M
Age: 53
State: WA

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: erythromycin=hive penicillin=hives

Symptoms: Developed diffuse urticaria 2 days after 2nd injection of vaccine; required treatment with steroids/antihistamines, gradually cleared over 5 days

Other Meds: none

Current Illness: no other illness

ID: 0961721
Sex: F
Age: 34
State: GA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Possible allergy to a Preservative

Symptoms: Pain (tingling/burning sensations) started about six hours after injection, it continued to get worse over next several days. Pain went from ear to finger tips, including shoulder and chest. Her personal MD thinks the vaccination triggered a shingles reaction, the patient did have a few blisters pop up on shoulder

Other Meds:

Current Illness:

ID: 0961722
Sex: M
Age: 47
State: TX

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: NONE

Allergies: NKDA

Symptoms: CHILLS, FEVER 103.0, CHEST RED, HEADACHES, BONE PAIN, MUSCLE ACHES

Other Meds: ALLEGRA, FLONASE, PROTONIX, DULERA, SINGULAR, REMERON

Current Illness: NO

ID: 0961723
Sex: F
Age: 20
State:

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

Lab Data:

Allergies:

Symptoms: History of peanut allergies; carries EpiPen. Noted within 3-6 minutes following vaccine, had small rash on L inner wrist; arm where received vaccine. Chest appeared bit mottled; no apparent hive. BP 140/100, HR 140, no issues with breathing. After 5-10 minutes, took 25 mg liquid Benadryl; mottling resolved, wrist with same sized rash, L injection site with bit of redness/rash. BP 108/80, pulse 87, pulse ox 99% Taken to ED by w/c for further evaluation.

Other Meds:

Current Illness:

ID: 0961725
Sex: M
Age: 21
State: MD

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache and pain in arm that injection was given in then passed out

Other Meds:

Current Illness:

ID: 0961726
Sex: F
Age: 64
State: MO

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: bactrim

Symptoms: low grade fever, chills, aches, sensitivity to light, shakes

Other Meds: simvastatin, metoprolol

Current Illness:

ID: 0961727
Sex: F
Age: 51
State: PA

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

Lab Data: N/A

Allergies: penicillin

Symptoms: Used Tylenol and Motrin for fever, chills, profuse sweating, swollen lymph node in left armpit, GERD

Other Meds: drospierenone, levothyroxine, loratadine, advair, nasacort, albuterol, fish oil, osteo bi-flex, multi vitamin, c, d3, cinnamon, turmeric, zinc

Current Illness: No illnesses at time of vaccination; positive covid test on 11/28

ID: 0961728
Sex: F
Age: 48
State: IN

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

Lab Data: N/A

Allergies: N/A

Symptoms: Fever 37.3 C and 37.6 C Muscle pain Chills Headache Pain in the left arm at the site of injection Symptoms started 12 hours after the injection. They last about 12-14 hours. I took aspirin, ibuprofen and Tylenol.

Other Meds: N/A

Current Illness: N/A

ID: 0961730
Sex: M
Age: 63
State: AZ

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

Lab Data:

Allergies: Pollen allergies

Symptoms: Fatigue, muscle aches, chills, fever, nausea, diarrhea for a full week and wasn't over it for two weeks. The worst symptoms began the night following the injection.

Other Meds: None

Current Illness: None

ID: 0961731
Sex: M
Age: 55
State: IL

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: aspirin, egg, peanuts, bee venom, tramadol, penicillin

Symptoms: Systemic: Anaphylaxis-Medium; symptoms lasted 1 day

Other Meds:

Current Illness:

ID: 0961732
Sex: F
Age: 77
State: FL

Vax Date: 01/08/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Injection site is pink half way down my arm and warm to the touch. No pain but discomfort.

Other Meds: Lisopril, Crestor

Current Illness: None

ID: 0961733
Sex: F
Age: 30
State:

Vax Date: 01/14/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Facial swelling

Other Meds: None

Current Illness: None

ID: 0961735
Sex: F
Age: 68
State: IN

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: None everything seems to have resolved.

Allergies: Sulfa, and ciprofloxacin,

Symptoms: Day 1 late afternoon feverish and headache lasted approximately 2-3 hours went away without medication. Day 2 arm very sore from shoulder to elbow, was better by day 3. Day 3 around 11am left tricep started twitching only twice for about 1minute, later that night abdomen was twitching it woke me up ! lasted a couple minutes, next morning left quadricep was twitching for about 1 minute later muscle under left eye lasted off and on for a few minutes. Finally no more twitches !!

Other Meds: esomeprazole, multi vitamin, and vit B with C.

Current Illness: none

ID: 0961736
Sex: F
Age: 44
State: CA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Saturday Jan 16th and Tuesday January 19th Covid 19 test - both negative

Allergies: Bees, Shellfish, Sulpha Drugs

Symptoms: Day 1 some fatigue and headache. Day 2 Severe Fatigue, headache, dizziness, mild nausea, chills, body aches. Day 3, 102 fever. Severe chills, body pains, nausea, vomiting, diarrhea, headache. Pain and swelling in the arm but manageable. Covid test Saturday on Day 3, negative. Day 4 same as day 3. Could not drive due to feeling faint. Day 5 & 6 nausea still medium. chills and fever still present. Tested again for covid on Tuesday (day 6) due to headaches, nausea, body aches still present. Day 7, nausea and fatigue and chills. Day 8 woke up with huge swollen arm. it's hot, itches and very very swollen - 4" long and is painful. Medications taken on schedule Tylenol 500 mgs every 4 hrs and Advil 600 mgs every 6. Day 8 still nauseated.

Other Meds: Metformin Wellbutrin Pristiq Spironolactone Ambien Daily Vitamins

Current Illness: none

ID: 0961737
Sex: F
Age: 67
State: NY

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: ACE's, Iodine, Sulfa

Symptoms: Patient call primary care provider on 1/20/2021 at 3:00 pm and stated that she had redden and swelling of face with itching of head, neck back, face. Instructed to take Benadryl 50 mg. and 25 mg every 6 hours. Patient call next morning 1/21/2021 stated much better, believes it was from new face cream she tried.

Other Meds: Aspirin, K+, Synthroid, Albuterol;

Current Illness:

ID: 0961738
Sex: F
Age: 68
State: TX

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None. I am just now reporting this.

Allergies: None

Symptoms: 2nd day very sore- not unexpected. Nine days later, bruised at injection point, redness and swelling above and below bruise. Some itching of the skin around injection point. The bruise didn?t surprise me as I bruise easily, but the redness and swelling is a new thing. This was my first dose.

Other Meds: Vit- C, D, biotin, calcium citrate, Co Q 10, Omega 3

Current Illness: None

ID: 0961739
Sex: M
Age: 62
State: MI

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

Lab Data: SARS CoV-2 PCR test, which was negative.

Allergies: penicillin

Symptoms: Patient received her second COVID-19 vaccine. Rapid response called when patient returned to vaccine clinic and reported feeling "funny," itchy, and with a blotchy red rash around her neck. Heart rate noted to be 220/109, SpO2 100% on room air. Heart rate of 85. Emergency department PA notes questionable allergic reaction to the vaccine. Very mild erythema at the base of her beck. Given Benadryl, Solu-Medrrol and Pepcid. Heart rate of 183/95 trended down to 157/90 by the time of discharge.

Other Meds: none

Current Illness: none

Date Died:

ID: 0961741
Sex: M
Age: 89
State: NY

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The patient received his vaccine in the. morning of 1/20/2021, while getting into car to go see his pulmonologist, about 2 hours after, collapsed, unresponsive with asystolic cardiac arrest. No symptoms prior other than chronic dyspnea. No allergic type symptoms reported by family. Asystole with EMS, no response to ACLS, presented to ED, DOA.

Other Meds:

Current Illness: copd/chf/sleep apnea/afib/lymphoma

ID: 0961742
Sex: F
Age: 18
State: MN

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Around 8pm that evening after receiving the vaccine, she started to get a headache, chills and body aches. Throughout the night those symptoms got worse. Had a severe headache, chills and body aches. Compared the symptoms to having influenza. By mid afternoon of that next day her symptoms started to fade.

Other Meds: none

Current Illness: None

ID: 0961743
Sex: F
Age: 80
State: NJ

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

Lab Data: None

Allergies: Penicillin

Symptoms: About 20 minutes after receiving vaccine I felt a very hot area in the center lower part of my chest. It radiate it out and up into my throat. It only lasted a few minutes and completely went away. About seven hours later the same thing happened but the heat was not intense as it was the first time. Nail two days later, I have a slight, very slight feeling of heat in my lower throat. I?ve never had any of these symptoms before.

Other Meds: Metropolis, Hydrochlorothiazide, lisinopril

Current Illness: No

ID: 0961744
Sex: M
Age: 78
State: TX

Vax Date: 01/16/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: C-clor

Symptoms: Patient received the Moderna Vaccine January 16, 2021

Other Meds: 80 mg atorvastatin

Current Illness: no

ID: 0961745
Sex: F
Age: 38
State: TX

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

Lab Data: None

Allergies: UNK

Symptoms: itchy throat, progressive red eyes, elevated blood pressure

Other Meds: UNK

Current Illness: UNK

ID: 0961747
Sex: M
Age: 44
State: NJ

Vax Date: 01/08/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: coconut, arugula

Symptoms: Vaccine recipient received vaccine on 1/8/2021. The site of injection was sore and had redness for 2-3 days. On 1/14, he reported that he developed itchiness all over his body. He reported that the site of injection was raised and looks like a bullseye and about the size of an orange. He was advised to seek follow-up with occupational health.

Other Meds: aleve

Current Illness: none

ID: 0961751
Sex: F
Age: 50
State: NY

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

Lab Data:

Allergies: HX of severe reaction to Tdap vaccine--full body hives on high dose prednisone for a long period of time

Symptoms: First dose-sick for three days with diarrhea(8-9 trips to bathroom), body aches, fever (101.7). Second dose- still sick with fever, body aches and diarrhea

Other Meds:

Current Illness:

ID: 0961753
Sex: M
Age: 69
State: CA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: CAT Scan and blood work-at this time they have not found answers

Allergies: None

Symptoms: I have been experiencing involuntary shakes,no treatment and I am still shaking CAT SCAN to see if it might be neurological. They did not see anything with the CAT scan

Other Meds: Super B complex, vitamin C, vitamin D3, Liothyronine sodium, pravastatin sodium, synthroid (levothyroxine sodium), aspirin, probiotic with lactobacillus rhamnosus gg

Current Illness: Low blood sugar

ID: 0961755
Sex: F
Age: 30
State: MA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, body aches, chills, nausea, fatigue

Other Meds:

Current Illness:

ID: 0961756
Sex: F
Age: 38
State: MN

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

Lab Data:

Allergies: No

Symptoms: Prior to vaccination, patient denied previous reactions to vaccines or injectable products. Patient received Pfizer COVID-19 vaccine at approximately 10:55 am. Patient requested to sit down as she became faint. After sitting, patient became unresponsive with eyes rolling back in head, and gasping for breath/gurgling. Patient's head was also bobbing up and down slightly. Patient was then transferred to the floor. After moving to the floor, patient became slightly responsive but was still disoriented. 0.3 mg of epinephrine was administered into the right thigh at approximately 11:04 am. Patient's condition continued to improve, although she became nauseous with no emesis. EMS arrived at the scene and patient was monitored in the ambulance per EMS discretion but then left the scene with her husband.

Other Meds: Unknown

Current Illness: Unknown

ID: 0961758
Sex: M
Age: 87
State: GA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: TEMPERATURE 101.5, ELEVATED BLOOD PRESSURE READING

Allergies: PENICILLINS

Symptoms: FEVER 101.5, OFF BALANCE, HIGH BLOOD PRESSURE

Other Meds: VITAMIN D, FOLIC ACID, METOPROLOL TARTRATE, LISINOPRIL, FUROSEMIDE, VENLAFAXINE, ROSUVASTATIN, CLOPIDOGREL, ASPIRIN, POTASSIUM, VITAMIN B6, OXYBUTYNIN ER, LANSOPRAZOLE

Current Illness: UNKNOWN

ID: 0961762
Sex: F
Age: 70
State: TX

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: vaccines sick 3 days with flu vaccine reactions with shingles for 5 days

Symptoms: Sore arm the first morning About 26 hours after injection I became cold. 2:00pm at 28 hours my teeth began to chatter uncontrollably. 4:00pm until 8;45pm - I had 4 tylenol during this time frame Became very achy and uncomfortable around 8:45 pm At 1:00 am I felt inflamation on my whole left side. My arm hurt to the shoulder to touch or move, left breast sore, left knee (artifical replacement) was sore under knee cap. I took two extra strength tylenol for inflamation and slept for 2 hours. Woke up in a pool fo sweat, but felt fine! Should I take the second dose?

Other Meds: Rosuvastatin 10 Telmisartin 40 Hydrochlorothiazide 12.5 (2)

Current Illness: none

ID: 0961767
Sex: F
Age: 50
State: CA

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Allergy to Penicillin

Symptoms: Severe Soreness in Right arm above site of injection and formed a bump. Patient complains this occurred 2 days after receiving vaccine, and pain is unbearable between shoulder and neck with bump formation between the two points.

Other Meds: N/A

Current Illness: N/A

ID: 0961770
Sex: F
Age: 30
State: IN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Slightly less than 24 hours post my second vaccine, experienced headache, significant body aches, and fatigue. No fever. But symptoms required me to lay down/rest, and I?m healthy and active. Symptoms persisted for approximately 4-5 hours.

Other Meds: Acyclovir

Current Illness:

ID: 0961773
Sex: F
Age: 29
State: IN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Severe bodyaches at 1am, migraine, chills, sweating, fatigue lasted until 9pm.

Other Meds: Zoloft 100mg

Current Illness: None

Date Died: 01/14/2021

ID: 0961776
Sex: M
Age: 69
State: FL

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: None Known

Symptoms: 1/13/2021 12:00 PM: Patient received COVID-19 Vaccine. 1/14/2021 21:00: Nurse performed routine rounds and the patient appeared okay. 1/14/2021 22:00: CNA discovered patient unresponsive in bed, began CPR, and called 911. 1/14/2021 23:08: Pronounced deceased.

Other Meds: Acetaminophen 325mg, Aspirin 81mg, Celecoxib 200mg, Docusate Sodium 100mg, Furosemide 40mg, Glimepiride 2mg, Lantus SoloStar 100unit/ml Pen-Injector, NovoLog FlexPen 100 Unit/ml Injection Pen, Senokot 8.6mg, Nu-Iron 150mg, Lisinopril, 20mg,

Current Illness: None

ID: 0961780
Sex: F
Age: 62
State: NC

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Shell fish

Symptoms: Severe back approximately 2 hrs after vaccine Symptoms still here the day after, was advised at time of vaccine if symptoms occur and last up to 72 hrs in form primary care provider.

Other Meds: Protons, bio gaia for gut comfort

Current Illness: None

ID: 0961785
Sex: F
Age: 28
State: NJ

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

Lab Data:

Allergies:

Symptoms: Systemic: Swelling of tongue and throat; symptoms lasted 1 day

Other Meds:

Current Illness:

ID: 0961789
Sex: F
Age: 65
State: MN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: hay Fever

Symptoms: Swelling at injection site, swelling of hands, next day runny nose

Other Meds: Liothyronine 5 mg

Current Illness: None

ID: 0961792
Sex: M
Age: 33
State: IN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills, shaking, hot flashes, headache body aches for 24 hours

Other Meds:

Current Illness:

ID: 0961795
Sex: F
Age: 38
State: WI

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

Lab Data: None

Allergies: None

Symptoms: Lasting 36 hours; Fever 103* Rigors with Chills Fatigue Body aches Sweating through multiple sets of clothing Headache Brain fog Loss of appetite Took Tylenol and ibuprofen and hydrated After ~ 36 hours feel relatively normal with occasional hot flashes

Other Meds: Tylenol Ibuprofen

Current Illness: None

ID: 0961799
Sex: M
Age: 34
State: MI

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: N/A

Allergies: Amoxicillin (as a child), azithromycin

Symptoms: After both vaccines (12/30 and 1/18) I got itchiness on my scalp and body. Tiny lesions developed and disappeared and looked like mini blisters. Treated with Benadryl. Following-up with dermatologist on 1/26.

Other Meds: Vitamin D3, vitamin C, Xyzal only as needed (not daily)

Current Illness: Abdominal issues

ID: 0961801
Sex: F
Age: 47
State: CA

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

Lab Data:

Allergies: no known allergies

Symptoms: Pt received Pfizer vaccine at 9:15 in left deltoid. At 9:30 pt complained of throat feeling itchy, and tongue feeling larger than usual and numb. Provider informed, provider assessment revealed no rash, no redness, no visible swelling of tongue, and patient reported an itch on right arm. Vitals 9:35 BP 126/70, HR 88, oxygen saturation 99% on RA, and respirations of 20/min. Vitals retaken at 9:40 BP 117/70, HR 75, oxygen saturation 98% on RA, and 20 breaths/min. Vitals retaken at 9:50 BP 115/71, HR 74, oxygen saturation 98% on RA< and 18 breaths/min. At 9:53 patient stated her throat is no longer itchy, and tongue no longer feels large.

Other Meds:

Current Illness: none that patient is aware of

ID: 0961803
Sex: F
Age: 48
State:

Vax Date: 01/14/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: n/a

Allergies: JACKFRUIT

Symptoms: Chills, soreness, headache, dizziness feeling passing out on day 3. Both arms rashes and warm to touch from elbow down. Left arm more rashes than right arm.

Other Meds: N/A

Current Illness: N/A

ID: 0961804
Sex: F
Age: 37
State: CO

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Enlarged lymph node in left axilla; started 01/09/21; painful to touch; resolving

Other Meds: Juice plus vitamins Lolorestin

Current Illness: None

ID: 0961806
Sex: F
Age: 57
State: NY

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: codeine

Symptoms: 8 days after the vaccine I have itching and redness and tenderness at the sight that started out of nowhere.

Other Meds: multi vitamin

Current Illness: none

ID: 0961839
Sex: F
Age:
State: NY

Vax Date: 01/05/2021
Onset Date: 01/11/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Test Name: lab test; Result Unstructured Data: Test Result:she had testing performed at the hospital; Comments: she had testing performed at the hospital Emergency Room that ruled out a stroke; Test Name: Nasal Swab; Test Result: Negative

Allergies:

Symptoms: tingling in her right arm; I woke up on Monday very tired; she had symptoms of bells palsy; This is a spontaneous report from a contactable consumer (patient). This 41-year-old female (no pregnant) patient received 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EJ1686) on 05Jan2021 10:15AM at Upper Left Arm for COVID-19 immunization. Medical history and concomitant drug were not reported. She said she got Botox injections in her forehead, as well as, a little bit by each eye, a little less than 3 weeks prior to receiving the COVID-19 Vaccine. She clarified she believes she was injected with only 50cc's of a Botox 100mg vial. She said she does not have the Botox NDC, Lot, and Expiration Date from the Botox that was injected into her forehead and eye areas approximately 3 weeks earlier. Patient got the 1st shot of covid vaccine on 05Jan2021. On Monday she had symptoms of bells palsy and wanted clinic trials result for it. Reported her Bell's Palsy symptoms started on Monday, 11Jan2021, and she was formally diagnosed with Bell's Palsy in the right side of her face in the Emergency Room on 12Jan2021 was reported as worsened. She said the doctor told her the Bells Palsy could worsen before it improves. She said the doctors ruled out a stroke and diagnosed her with Bells Palsy. Stated she has tingling in her right arm that comes and goes on 12Jan2021. She doesn't have the right arm tingling all the time. Event details: On Saturday, 09Jan and Sunday 10Jan my right eye began to twitch from time to time. I woke up on Monday very tired and my eyes were swollen and I had bags under my eyes. I felt a little off but went to work. In the middle of the day my right eye began hurting with a burning sensation. I thought I needed to change my contact lenses. The following day, Tuesday 12Jan. I woke up and noticed that I can't fully close my right eye. I felt tired again and my eyes had bags under them. I went to work and felt like not myself. Around 10am, I ate cereal and noticed that I was chewing funny. At 1:30 pm I felt tingling around my right lip and at 4pm I noticed that smile is off and that I was not able to smile fully with my right side. That was when I went to the Emergency Room. She said she was given 3 Prednisone 20mg pills while she was at the hospital yesterday, as well as, a prescription for Prednisone 20mg tablets. She said she is to take 3 Prednisone 20mg tablets per day for 6 days. She clarified once she finishes the Prednisone 20mg prescription, she will have taken 7 days of Prednisone 20mg tablets. She stated the Prednisone 20mg tablets were dispensed in a pharmacy vial, and she does not have the NDC, Lot and Expiration Date. She said she also received a prescription for Valacyclovir 1gm tablets. She said she is to take 1 Valacyclovir 1gm tablet, three times a day, for 7 days. She said the Valacyclovir 1gm tablets are dispensed in a pharmacy bottle, and she doesn't have the Valacyclovir 1gm NDC, Lot and Expiration Date. She said she doesn't want to get the second COVID-19 Vaccine dose now. No Covid prior vaccination. Covid tested post vaccination (Nasal Swab): Yes- Negative. Outcome of reaction/event at the time of last observation was Not Recovered/Not Resolved. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm