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: 0981693
Sex: F
Age: 47
State:

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: temp of 101.7, chills, headache, nausea, vomiting diarrhea

Other Meds:

Current Illness:

ID: 0981695
Sex: F
Age: 44
State: FL

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

Lab Data: Pt. transported to hospital with O2 and IV.

Allergies: Loratadine (allergies to pollen)

Symptoms: Pt. was anxious at the time of administration, "I do not like needles, sometimes I pass out." She was advised by nurse to look away if that helped. Patient started feeling dizzy immediately after dose was administered she began feeling faint. Pt. was given O2 and IV fluids and was transported to hospital with O2 and IV. Pt. vitals normal at the time of transfer to hospital.

Other Meds: n/a

Current Illness: n/a

ID: 0981696
Sex: F
Age: 28
State: MA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Temp 104F, chills, body aches, fatigue, headache and dizziness

Other Meds: No

Current Illness: No

ID: 0981698
Sex: F
Age: 48
State: IN

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: Ice, ibuprofen

Allergies: Latex, morphine, atenolol, kiwi, papaya, mango

Symptoms: Moderate lump to Breast/axilla area

Other Meds: Ibuprofen

Current Illness: Nkne

ID: 0981699
Sex: F
Age: 52
State: NC

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: NA

Allergies: Latex, Doxycycline, Neosporin

Symptoms: I start a heavy period more than a week early, within 24hrs of receiving my second dose of Moderna. I also had shivering and fever. I woke up at 4am after receiving the second dose with shivering, fever and vaginal bleeding. Today 1/28/2021 I am still currently having a period.

Other Meds: Losartan and Atorvastatin

Current Illness: None

ID: 0981700
Sex: M
Age: 57
State: MN

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: started out as extreme chills with lower back soreness and headache, then went to a fever of 102 degrees with a severe headache severe fatigue for twenty four hours

Other Meds:

Current Illness: none

ID: 0981701
Sex: F
Age: 71
State: NY

Vax Date: 01/23/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: Codeine

Symptoms: At 10pm on 1/26/21 I experienced severe pain in my right wrist. The pain kept me awake all night. In the morning I could not touch my wrist, move it without extreme pain. The pain level was a 10/10. I made an appointment with a doctor but was not able to be seen until February 24. I took advil, wrapped it in an ace bandage with no relief. Around 4:00 pm on 1/27/21, I realized that the pain was gone. I tried moving my wrist and was able to. After that I had complete motility and no pain. Is this related to the vaccine? I've never experienced this before.

Other Meds: tirosint Valsartan Pravastatin Vit D

Current Illness: none

ID: 0981702
Sex: F
Age: 48
State: CA

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: I received my first dose on 01/19/21, one week later on 1/26/21 the site of injection began to turn red along with soreness and itching. On 1/28/21 the redness expanded and soreness persisted. I saw my primary doctor who placed me on an antibiotic in case of infection.

Other Meds: Vitamins: B12, C, D, Calcium, Fish oil and Elderberry, CIMETIDINE 400MG one time per day.

Current Illness: N/A

ID: 0981704
Sex: M
Age: 72
State: TX

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Inflamed Lymph node or Hair follicle 3" diameter.

Other Meds: Blood Pressure Medications, Type 2 Diabetes Medications, Cholesterol Medication & Plavix

Current Illness: Tooth extraction and placement of implant body

ID: 0981705
Sex: F
Age: 27
State:

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: body aches, chills, fatigue, head ache, arm pain

Other Meds:

Current Illness:

ID: 0981706
Sex: F
Age: 40
State: TX

Vax Date: 01/10/2021
Onset Date: 01/21/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Moderna COVID-19 vaccine EUA Residual muscle ache at injection site (right deltoid) now sill 19 days after injection. No treatment given- no Tylenol or other pain relievers taken during vaccination or after. Arm is dominant.

Other Meds: Allertec Asteline nasal spray

Current Illness: N/A

ID: 0981707
Sex: F
Age: 34
State: ND

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: tetanus vaccine

Symptoms: Had symptoms of fatigue, chills, malaise, redness/bruising at injection site, and site had swelling compared to baseball size. Symptoms of fatigue, chills, malaise lasted 24 hours but baseball size swelling lasted until 1/25/21 and on 1/27/21 it was quarter size in swelling.

Other Meds: none

Current Illness: none

ID: 0981708
Sex: F
Age: 56
State: NY

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: Covid test 1-28-21 pending results

Allergies: Pcn coconut

Symptoms: Chills low grade temp (had taken Tylenol) stomach cramps diarrhea and headache 6 hours after vaccine. Still with chills low grade and diarrhea 20 hours later. Getting Covid tested per ehs

Other Meds: Multi vitamin vitamin c and took Tylenol prior

Current Illness: None

ID: 0981709
Sex: F
Age: 80
State: NC

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: penicillin

Symptoms: fever, headache, muscle and joint pain, headache, chills

Other Meds:

Current Illness: covid-19 in September/October. Reaction made both my husband and me sick enough to stay in bed for 36 hours. Should we have the second injection?

ID: 0981710
Sex: F
Age: 35
State: MD

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Starting around midnight she began experiencing fever and chills, max temperature was 102 degrees Fahrenheit.

Other Meds:

Current Illness:

ID: 0981711
Sex: F
Age: 67
State: WI

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: Saw provider on 1/26/2021 and confirmed no problem with ears and to assess blood pressure. This day my blood pressure started to go down.

Allergies: Amlodipine, elastic and some tapes, Bactrim

Symptoms: By afternoon on day of injection 1/18/2021 left arm injection site sore, increased through 1/19/2021. Ringing in ears and elevated BP started 1/19/2021 and lasted one week (150/90 most of the time), low grade temp started on 1/20/2021 until the morning of 1/22/2021.

Other Meds: Atenolol 50mg, Pravastatin 10mg, CoQ10 (Ubiquinol), Ibuprofen, D3/Calcium supplement, Spironolactone/Hydrochlorothiazide 25/25

Current Illness: Low Vit D3 level, newly diagnosed osteoporosis, elevated cholesterol and on maintenance blood pressure medications

ID: 0981712
Sex: F
Age: 25
State: NC

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Cashews, pistachios

Symptoms: Thigh and groin paresthesia, cognitive confusion, and intense arthralgia from 1/27/21 2:00 am to 12:00 pm.

Other Meds: Flonase

Current Illness:

ID: 0981713
Sex: F
Age: 64
State: TX

Vax Date: 01/14/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Initially, after the injection, the place where the injection was done had a red circle around it and a hard knot under it. This went away after 3 days. on day 11, the injection spot started itching quite a bit. On day 14, a large red circle the size of a half-dollar showed up.

Other Meds: Levothyroxine, Sertraline, Lisinopril. Started taking Atorvastatin after I receive d the vaccine.

Current Illness: None

ID: 0981715
Sex: F
Age: 64
State: WA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient developed a fever right after injection, went up to 103.5 overnight, called off work the following day sick - headache and vomiting

Other Meds:

Current Illness:

ID: 0981716
Sex: F
Age: 35
State: MD

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Starting around midnight she began having fever and chills, max temp was 102 deg. F

Other Meds:

Current Illness:

ID: 0981717
Sex: F
Age: 39
State:

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Left arm pain (mild-moderate) starting 6 hours after administration. Headache and drowsiness (mild- moderate) starting 3 hours after administration.

Other Meds: none

Current Illness: none

ID: 0981718
Sex: F
Age: 63
State: FL

Vax Date: 01/12/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: covid testing but the results are not available yet

Allergies: none

Symptoms: sick with a fever, body aches, congestion, diarrhea

Other Meds: diabetes and high blood pressure meds

Current Illness: none

ID: 0981719
Sex: F
Age: 39
State: NJ

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Vancomycin

Symptoms: After the first COVID19 shot I got very red and very hot. I had a blinding headache for days. I received the shot on a Wednesday afternoon and by Saturday I felt like I could claw my eye out, that I had something in it. I went to the eye doctor Monday morning and was diagnosed with a corneal ulcer. After the second COVID19 shot I was watched for 30 minutes based on my first reaction. I again turned very red and very hot. I had hives on my arms, neck, and behind my ears. I felt lightheaded and dizzy. I received 25 mg Benadryl by mouth and was observed for another 45 minutes. At that time I walked outside and felt worse. My throat became very itchy and I kept coughing. I went back in to tell provider and received an epi pen injection into my right leg, they took my vitals, and sent me to the hospital by ambulance.

Other Meds: Zyrtec Multi Vitamin

Current Illness: None

ID: 0981721
Sex: F
Age: 34
State: NE

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: EKG- normal Blood draw- normal Chest x-ray - normal

Allergies: Amoxicillin Peanuts, Peas ,Milk Dust, Mold, Smoke Trees, Grasses

Symptoms: Headache- took Ibuprofen and headache was gone after 4 hours Heart Palpatations that started 10 minutes after getting shot- took BP twice in 30minutes after shot. Heart palpatations lasted till 8pm after ER visit and benadryl was given through IV. Fluids given, chest x-ray, ekg, blood drawn, released from ER at 9:00 pm. Still have irregular heart beat and have to take intermittent deep breaths today (1-28-2021) a day later.

Other Meds: Venlafaxine Zyrtec D

Current Illness: none

ID: 0981722
Sex: F
Age: 47
State: CA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 6 hours post vaccine, experienced fever, chills, body/muscle aches, fatigue, "brain fog" and runny nose. Self treated with Tylenol, rest, fluids, Gatorade. Symptoms lasted 5 full days, missed work x 2 days. Fully recovered by 1/27/21.

Other Meds:

Current Illness:

ID: 0981723
Sex: F
Age: 23
State:

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: N/a

Allergies: n/a

Symptoms: Fever and muscle aches lasting until noon on Sunday 24Jan2021. Diarrhea beginning on 25Jan2021 at 1:00am and lasting until noon on 25Jan2021.

Other Meds: Metformin, escitalopram, norethindrone, trulicity

Current Illness: n/a

ID: 0981725
Sex: F
Age: 31
State: MO

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: COVID 19 ANTIGEN TESTING PERFORMED 1/28/2021- NEGATIVE

Allergies: NONE

Symptoms: PT REPORTS THE FOLLOWING MORNING SHE FELT MILD BODY ACHES AND FATIGUE, PT REPORTS BY THE EARLY AFTERNOON SHE HAD FEVER, WORSENING BODY ACHES, FATIGUE, HEADACHE. PT REPORTS SHE COULD BARELY FUNCTION YESTERDAY AFTERNOON AND EVENING SHE FELT SO POORLY.

Other Meds: NONE

Current Illness: NONE

ID: 0981726
Sex: M
Age: 35
State: MN

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: Fatigue, joint pain, fever/chills x 24 hours starting 04:00 on 01/22/2021

Other Meds: Wellbutrin Celexa Tylenol Vitamin D

Current Illness: None

ID: 0981727
Sex: F
Age: 38
State: IN

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: n/a

Allergies: N/A

Symptoms: Day 1- pain in arm, headache Day 2- headache, body ache, muscle ache, cold chills, night sweats, nausea, fever

Other Meds: N/A

Current Illness: N/A

ID: 0981728
Sex: F
Age: 48
State: PA

Vax Date: 01/13/2021
Onset Date: 01/16/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: PCP evaluation 1/22/2021. Sensory and strength exam normal. Referred to neurology(visit pending). Blood work ordered/ pending. COVID test negative 1/22/2021

Allergies: None

Symptoms: Sudden onset 3 days after vaccine 1/16/2021 of paresthesia starting B/L plantar aspect feet advancing to tops feet, shin/calves, thighs(anterior and posterior) and B/L groin 1/17-20th. By 1/21, rotating paresthesia LES with intermittent nerve like shooting pains B/L UEs. 1/22-26 more UE and occasional facial paresthesia. 1/27 to present improved LE paresthesia, mild BL feet.

Other Meds: Vitamin C 1000mg daily; Vitamin D 4000iu daily; Allegra 180mg daily; MVI 1 tab daily

Current Illness: None

ID: 0981729
Sex: F
Age: 53
State: AR

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Large red swollen/feverish ring around injection site with knot in it

Other Meds:

Current Illness:

ID: 0981730
Sex: M
Age: 40
State: NY

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, muscle aches, joint pain

Other Meds:

Current Illness:

ID: 0981731
Sex: F
Age: 53
State:

Vax Date: 01/25/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: red, sore arm warm to the touch

Other Meds:

Current Illness:

ID: 0981733
Sex: F
Age: 53
State: MD

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Starting the day after the vaccine she began having vomiting, and feeling dizzy and light headed. She also had chills.

Other Meds:

Current Illness:

ID: 0981734
Sex: F
Age: 74
State: IN

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: penicillin sulfa no food allergies

Symptoms: Red welt at injection site ...thumb size on the 27th and fist size on the 28th. itchy

Other Meds: Gabapentin 1/2 600mg table 3 X/day (for shingle affects 8/2018. Valsartan hydroCHLOROthiazide baby aspirin - one in morning IBprofin 3 X per day Juice Plus Vitamins...veg., fruit, berries Vitamin D, C, Biotin and Potassium

Current Illness: none

ID: 0981735
Sex: F
Age: 70
State: NY

Vax Date: 01/15/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: On January 25, 10 days after receiving 1 st shot developed a mild rash/hives on both arms. Today it is January 28 and I am seeing rash on my cheek bones. Red areas still present on my arms and still itchy. I am taking Allegra which relieves the itch and fades red areas.

Other Meds: Metoprolol succ 50mg, Atorvastatin 40mg., Ezetimibe 10mg., Levothoroxine 88mg., cq10, calcium, D3, multi vit, Magnesium, MK7

Current Illness: None

ID: 0981736
Sex: F
Age: 76
State: LA

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: No doctors were contacted.

Allergies: some reaction to tomatoes, but can eat tomatoes like in hamburgers

Symptoms: Patient came out of a sleep feeling numb all over and head felt empty. Thrashed about on floor with muscle spasms in both legs. Kept trying to hold onto head and not swallow the tongue. The attempt to swallow the tongue went on for one hour, if the patient was reclining on a bed. If standing, the tongue felt sore. The patient was still shaken, the next morning.

Other Meds: Omepaozole dr 40 mg (daily) , Oxybutynin 5 mg twice daily), methocarbamol 500 mg(twice daily) and bi-este3-e2n(50/50)progesterone0.1mg-3mg/ml c

Current Illness: No sickness except cabin fever due to pandemic. Living only with husband, no pets except visiting felines wandering around in yard

ID: 0981737
Sex: F
Age: 47
State: WI

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: Negative COVID test done that day

Allergies: none

Symptoms: Fever, chills, body aches

Other Meds: Multivitamin, Vitamin D

Current Illness: NO

ID: 0981738
Sex: F
Age: 80
State: MN

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Clindamycin, Morphine, Oxycodone, Penicillins, tetnus vaccine None specified Seasonal Allergens (Environmental Allergens)

Symptoms: Severe muscle weakness yesterday, new onset of severe confusion

Other Meds: Acetaminophen 500mg Tablet 01/07/21 500 mg by mouth Daily 08:00 AM ,08:00 PM Indications: Chronic Pain Take 2 tablets (1000mg) by mouth twice daily. Calcitrate 200 Mg Tablet 01/07/21 200 mg by mouth Daily 08:00 AM ,08:00 PM Indications: UT

Current Illness:

ID: 0981739
Sex: F
Age: 59
State: NJ

Vax Date: 01/11/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Exacerbation of exema on hands Hives on both inner forearms ,back and chest

Other Meds: Hydrochlorothiazide Enalapril Amlodopine

Current Illness:

ID: 0981740
Sex: M
Age: 36
State: NE

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Rigors, fever (100.6?F), weakness

Other Meds: None

Current Illness: None

ID: 0981741
Sex: F
Age: 23
State:

Vax Date: 01/07/2021
Onset Date: 01/16/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Latex

Symptoms: The day following my vaccine I had a welt at the injection site. A day or two later it was gone. Approximately one week after the vaccine, I developed hives at injection site. Hives turned into another welt that continued to spread until I was given steroids to take. The steroids did cause the reaction to stop and go away.

Other Meds: Magnesium/calcium/zinc/vitamin c/vitamin d/vitamin b12/probiotic/yaz/Prozac/levothyroxine/phentermine/metformin

Current Illness:

ID: 0981742
Sex: F
Age: 36
State: WA

Vax Date: 01/18/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Large red rash on left bicep about 6 in in diameter, itching, hot to touch, a little painful

Other Meds: none

Current Illness: none

ID: 0981743
Sex: M
Age: 23
State: NJ

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: Patient had a negative COVID PCR and Antigen test on 27JAN21 and a negative COVID PCR on 28JAN21.

Allergies: no known allergies

Symptoms: Day of 2nd vaccine dose 25JAN21 patient reported muscle aches and chills, the day after 2nd vaccine dose 26JAN21 patient reported fever 102.5 and headache, 2 days after 2nd vaccine dose patient reported loss of taste.

Other Meds:

Current Illness: none

ID: 0981744
Sex: F
Age: 91
State: AL

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: Fainting-Mild

Other Meds:

Current Illness:

ID: 0981745
Sex: M
Age: 61
State: WA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient experienced vomiting, no fever, generally feels "awful"

Other Meds:

Current Illness:

ID: 0981746
Sex: F
Age: 82
State: AR

Vax Date: 01/05/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Pt in CCU with Covid

Other Meds:

Current Illness:

ID: 0981747
Sex: F
Age: 36
State:

Vax Date: 01/19/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Soreness under the right arm, top of the right arm, and muscle pain in the neck and deltoid.

Other Meds:

Current Illness:

ID: 0981748
Sex: F
Age: 36
State: WA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Next few days after vaccine: nauseous, dizzy, headache On Friday the 22nd left arm was sore again On Sunday the 24th firm, raised, mildly painful rash on upper left after under injection site. Gone in 48 hours.

Other Meds:

Current Illness:

ID: 0981749
Sex: F
Age: 49
State: NY

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Penicillin and codeine.

Symptoms: My blood pressure went up all the way to 197/139

Other Meds: Lisinopril 20mg for hypertension.

Current Illness: Hypertention

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm