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: 1003005
Sex: F
Age: 44
State: VA

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Wasps

Symptoms: Had a gout flare up 2 - 3 days after vaccine. Have not changed diet and am on medicine for.

Other Meds: Allopurinal, Losartan, Synthroid, Incassia Multi-vitamin, D3, Glucosimine Chondrotin, Tart Cherry extract

Current Illness:

ID: 1003006
Sex: M
Age: 64
State: GA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: unknown

Allergies: unknown

Symptoms: Fever, shivering, temperature of 104, after taking 1000mg Tylenol, still had shaking/chills, headache, nausea temperature of 103. Took again 1000mg Tylenol. No information provided after Tylenol was taken.

Other Meds: unknown

Current Illness: unknown

ID: 1003007
Sex: F
Age: 33
State: GA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: After work, she started to feel swelling on the right side of her throat with a lot of pain in her throat. This pain lasted for about a week. She states that her lymph nodes were significantly and noticeably enlarged. She tried to contact her physician at the hospital but was unable to get in contact with a physician. Headaches from Friday night (1/15/2021) to Tuesday (1/19/2021). Medicine taste in mouth during work then started to get headaches and then throat started to swell. Right now, she doesn't have any headaches, but the lymph nodes on the right side is still slightly swollen and painful to the touch. Not as pronounced as the first few days.

Other Meds: Tramadol

Current Illness:

ID: 1003008
Sex: F
Age: 64
State: LA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The adverse event outcome was great no symptons

Other Meds:

Current Illness:

ID: 1003009
Sex: F
Age: 66
State: FL

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: N/A

Allergies: sulfadiazine, sulfa drugs, shellfish

Symptoms: Immediate adverse reaction: Trouble breathing. Numbness L fingers, then jaw, then R fingers. Blood Pressure Emergency Room High. Fast heartbeat. Dizziness. Weakness. Trouble communicating-at a loss for words. Took Lisinopril-HCTZ20-12.5 while being monitored by RNs for BP and heart rate. 5 minutes thereafter, fuzzy cloud lifted from brain. Eventually felt OK to leave site.

Other Meds: Lisinopril-HCTZ20-12.5, Metamucil, Caltrate 600+D3, Aleve 220mg Liquid Gel Cap, occasionally Kirkland Allergy Medicine Diphenhydramine HCI 25mg

Current Illness: None

ID: 1003010
Sex: F
Age: 37
State: OR

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Unknown

Symptoms: 11:45 Lips tingling/burning, "feels warm". BP 156/111, HR 101, O298%. Left observation area at 12:10p.

Other Meds: Unknown

Current Illness: Unknown

ID: 1003011
Sex: F
Age: 41
State: SC

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: Sulfa Strawberries

Symptoms: Rash, redness, swelling at injection site since yesterday General fatigue since yesterday

Other Meds: Unithroid Vitamin D Multivitamin

Current Illness: No

ID: 1003012
Sex: F
Age: 54
State: LA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt complained of rash, itching, and swelling that lasted up to 1 week. Pt confirmed she did not use anything to treat.

Other Meds:

Current Illness:

ID: 1003013
Sex: F
Age: 41
State: MO

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: sulfa - hives

Symptoms: 3 Feb 2021: Around 14:00 the patient received her Vaccine Dose. Soon after while sitting in observation, the patient began to experience "hot" red ears and alerted Medic Staff, who observed redness spread down the neck and onto the chest. The patient stated that she was not experiencing any itching or shortness of breath at that time. She was observed by medic staff who took medical history and observed the patient for escalation of symptoms. She was given 50mg of diphenhydramine at 14:44 following post vaccine anaphylactic protocol. She still reported zero itching and swelling or SOB. 14:53 BP recorded at 238/146 HR 108 pulse ox: 96%. EMS was called and arrived on scene and was turned over to their care at 15:15.

Other Meds: losartan

Current Illness: HTN Seasonal Allergies

ID: 1003014
Sex: F
Age: 39
State: NY

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swelling, redness, hot to touch for more than 2 weeks after injection. Met with provider and injection site was still red, raised and warm to the touch. Prescribed 10 day antibiotic. Currently on day 8. Injection site visibly better but very dry. Still slightly warm to the touch.

Other Meds:

Current Illness:

ID: 1003015
Sex: M
Age: 4
State: OH

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Patient started blinking repetitively after receiving vaccine. Has continued to have repetitive blinking 3-4 time every minute since. Seen in office on 2/4/2021.

Other Meds: None

Current Illness: None

ID: 1003016
Sex: F
Age: 44
State: MO

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Dizziness, nausea, Fainting, extreme headaches, brain fog, impacted depth perception, extreme muscle pain, knots in large muscles, diarrhea.

Other Meds: Albuterol

Current Illness: Sinus infection

ID: 1003017
Sex: F
Age: 61
State: AZ

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: N/A

Other Meds: N/A

Current Illness: N/A

ID: 1003018
Sex: F
Age: 30
State: CA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Medication error 0.3ml was administered when 0.5ml was the recommended dose per manufacturer. Per CDC and the manufacturer no treatment, facility advised to follow up with 2nd dose of 0.5ml of Moderna 28 days post 1st dose administration.

Other Meds:

Current Illness:

ID: 1003019
Sex: M
Age: 33
State: MI

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: ECG - normal sinus rhythm

Allergies: dilaudid (hives), aspartame (GI upset), chocolate (GI upset), gadolinium contrast (reaction not specified), morphine ("shut down liver"), pseudoephedrine (shakes), tramadol (upset stomach)

Symptoms: patient had palpitations immediately after vaccination and a sense of 'chest pressure.' Transferred to ED for evaluation.

Other Meds: folic acid, magnesium, cellcept, norflex, protonix, lyrica, tacrolimus, ursodial, bactrim

Current Illness:

ID: 1003020
Sex: F
Age: 59
State: RI

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: bees

Symptoms: 59 yr old female feeling nauseous and dizzy after receiving her first covid 19 vaccine. pt tried to vomit in the bathroom but didn't. pt was able to walk and was walked over to private treatment room for an assessment. pt level of consciousness was normal. pt was a/ox4. pt vs were taken and pt bp was 114/76, hr 86, rest 18, spo2 was 98% room air. pt ls were clear bil. pt felt better sitting down and does not feel nauseous or dizzy anymore. pt feels her symptoms may have been the result of being nervous about the vaccine and wearing her mask all day. pt doesn't want to be seen at hospital and wants to go home. pt left after assessment was complete.

Other Meds: flumadine, epic pen, tegretol, trazodone, Xanax,

Current Illness: no illnesses prior or during vaccination

ID: 1003021
Sex: F
Age: 35
State: MD

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The day after the injection she noticed multiple swollen lymph nodes, 2 in her axilla, 1 near her clavicle and one near her throat.

Other Meds:

Current Illness:

ID: 1003022
Sex: F
Age: 29
State: IN

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills, fever, headache

Other Meds:

Current Illness:

ID: 1003023
Sex: F
Age: 50
State: PA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: denies

Symptoms: Pt. states that around 1600 pm on 2/3/21 she started having difficulty swallowing along with feeling her heart beat fast. Pt. states that she went to ER where she was given an epi pen and steroids and observed for a few hours before being discharged from the er to follow up with her pcp. Pt. states that today she is feeling much better and is able to swallow.

Other Meds: yes

Current Illness: denies

ID: 1003024
Sex: M
Age: 66
State: MO

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Patient called in today, 02/04/2021 to let me know he had some adverse reactions to the COVID vaccination he received on 02/02/2021. Patients states that in the evening after the vaccination he developed at 102 degree f. fever that was accompanied by a headache and body aches. Patient also stated he did not sleep well that night. He stated his this symptoms lasted approximately 24 hours. He denied any symptoms today. Patient also reported that he was positive for Covid-19 in March of 2020.

Other Meds:

Current Illness: None

ID: 1003025
Sex: F
Age: 56
State: FL

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Nausea, vomiting, fever, chills, headache

Other Meds: Synthroid, Lipitor, melatonin, valerian, MVI, Flonase, Dimetapp, ibuprofen, acetaminophen

Current Illness: None

ID: 1003026
Sex: M
Age: 34
State: ME

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: N/a

Allergies: Penicillin

Symptoms: Full body chills and aches and pains. Headache. Mild fever

Other Meds: Multivitamin- men?s health

Current Illness: N/a

ID: 1003027
Sex: F
Age: 50
State:

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever sore arm body aches starting on 02/03/2021-02/04/2021

Other Meds:

Current Illness: COVID-19 on 01/06/2021

ID: 1003028
Sex: M
Age: 37
State: WA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: none

Allergies: chlorhexidine melon (watermelon, honeydew, cantelope) bananas adhesives

Symptoms: Injection caused severe shoulder discomfort believed to be related to placement of the vaccination. Vaccinator gave the injection too high missing the deltoid.

Other Meds: Allegra

Current Illness: None

ID: 1003029
Sex: F
Age: 68
State: CA

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: Sulfa, penicillin, red dye

Symptoms: Large - 4" x 3" red, very itchy welt at vaccine site. Started 8 days after vaccination and lasted for 2 days then gradually vanished over next 2 days. I used hydrocortizone. Searched online and found reference to "Covid Arm" which included the same symptons. I'm glad I found that info because I was worried because the reaction was so long after the vaccine was received. I was concerned about taking the second dose, but was relieved after reading the articles online.

Other Meds: Morning Levothyroxine 50 mcg, thyroid, before breakfast Carvedilol 3.12 mg, heart Clopidogrel 75 mg, heart Duloxetine HCL DR 60 mg, nerve pain Gabapentin 600 mg, nerve pain Lamotrigine 100 mg, nerve pain 2:30 ? 3:00 afternoon Gabapentin 60

Current Illness: none

ID: 1003030
Sex: F
Age: 28
State: PA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever and sore arm x24 hours. 4 days later she had redness around the injection site that was itchy.

Other Meds:

Current Illness:

ID: 1003031
Sex: M
Age: 59
State: WA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: little soreness in injection sight

Other Meds:

Current Illness: none

ID: 1003032
Sex: F
Age: 24
State: IL

Vax Date: 12/20/2020
Onset Date: 12/20/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: At night I started having body aches and joint pain, I felt like I had a fever, but did not check temperature, had chills. Couldn't not sleep well. Took Tylenol every 6 hours with no improvement. By mid morning the next day they pretty much have all gone away.

Other Meds: Adderall, lobutren, disterol, Xanax, daily vitamin D as well as multivitamin. and B12

Current Illness: No

ID: 1003033
Sex: M
Age: 52
State: RI

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever 101.7, chills, migraine What I was worried about was my hearing diminished by about 50% for about 12 hours and ringing and echo in my ears. Echo started about 2pm on 2/3 day after shot. Today the ringing in my right ear is still ongoing. Fever and headache are gone.

Other Meds: Zyrtec Prevastatin Nubamatone

Current Illness: None

ID: 1003034
Sex: M
Age: 75
State: AZ

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: xray of left wrist - no acute findings (2/4/2021)

Allergies: none

Symptoms: Pain & swelling in left wrist with limited range of motion since IM injection in left deltoid

Other Meds: 1) ASPIRIN 325MG EC TAB TAKE ONE (1) TABLET BY MOUTH ACTIVE EVERY DAY FOR THE HEART 2) CARBOXYMETHYLCELLULOSE 0.5% OPH SOLN PLACE 1 DROP IN ACTIVE BOTH EYES 4 TIMES A DAY FOR DRY EYES 3) CARBOXYMETHYLCELLULOSE 1%

Current Illness: none

ID: 1003035
Sex: F
Age: 50
State:

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Staff had her 2nd vaccine on Thursday 01/28/2021. From Friday 01/29/2021 started nausea. Because of nausea, staff feels dizzy, scratchy throat and cough. Staff still feeling nausea.

Other Meds:

Current Illness:

ID: 1003036
Sex: F
Age: 67
State: WA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever of 100.2, chills, muscle ache, arm ache

Other Meds: synthroid

Current Illness:

ID: 1003037
Sex: M
Age: 26
State:

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever of 101.7 F.

Other Meds:

Current Illness:

ID: 1003038
Sex: F
Age: 33
State: CA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Taken to ED

Allergies: Influenza vaccine

Symptoms: Cheek swelling

Other Meds:

Current Illness:

ID: 1003039
Sex: F
Age: 55
State: GA

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Piroxicam

Symptoms: 100.7 fever, headache, body aches. Then the L arm started itching and hives, redness, welts. The whole arm and shoulder are swollen and twice the size of other arm. Hives beginning to appear on other parts of my body.

Other Meds: Daily Multivitamin, B-12

Current Illness: None

ID: 1003040
Sex: F
Age: 44
State:

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Noticed red welts to bilateral cheeks.

Other Meds:

Current Illness:

ID: 1003041
Sex: F
Age: 66
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: About 15 hours after receiving the vaccine, I started with muscle aches. Then I got uncontrollable chills followed by a high fever. Woke up about three in the morning with a headache over my right eye that was unbearable. Took some Tylenol and woke up this morning and just have a slight headache

Other Meds:

Current Illness:

ID: 1003042
Sex: M
Age: 64
State: CA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: N/A

Allergies:

Symptoms: 1045 Patient c/o nausea; he was encouraged to lay down on a cot, he however declined. Agreed to sit with RN in the Vaccine Administration room. He stated that he was nauseated prior to the vaccine because he had had coffee without eating breakfast. He was alert and actively interacting with this RN, while he waited to feel better. 1104 Patient stated he no longer felt nauseated. He walk out clinic stable.

Other Meds:

Current Illness:

ID: 1003043
Sex: M
Age: 80
State: TX

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Penicillin, Aspirin

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA

Other Meds: Plavis, Folvite, Zoco, Methotrexate, Metoprolol, Prilosec

Current Illness:

ID: 1003044
Sex: F
Age: 51
State: OK

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Nkda

Symptoms: Headache & sore at injection site

Other Meds:

Current Illness: Cancer

ID: 1003045
Sex: F
Age: 36
State: IL

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Starting at 1:00 am, I awoke with chills, body aches, headache and a 100.0 fever. This lasted until about 1am the next day, so about 24 hours. My fever got as high as 101.0. I took Advil every 4-6 hours but it did not help.

Other Meds: Montelukast, Lessina, women's multivitamin

Current Illness: None

ID: 1003046
Sex: F
Age: 68
State: OK

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: allergic to sulfa drugs, allergic to clonidine, mild allergy to certain pollens

Symptoms: Jan. 29 (evening): mild headache, mild chills, pain at injection site Jan. 30 (all day): moderate headache, chills, aching (muscles), fatigue, low-grade fever (100.2), mild nausea, sore upper arm Jan. 31: mild headache, mild muscle/joint ache, chills, fatigue, pain at injection site, loss of appetite Feb. 1: mild pain at injection site Feb. 2: all symptoms resolved

Other Meds: levothyroxine, carvedilol, atorvastatin, chlorthalidone

Current Illness: symptomatic COVID-19 diagnosed by RT-PCR on 01/05/2021

ID: 1003047
Sex: F
Age: 58
State: OR

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Unknown

Symptoms: 12:30 Heart palpating, sweating. 12:35 VS: 146/108, HR 103, O2 96%. Left observation area at 12:45pm.

Other Meds: Unknown

Current Illness: Unknown

ID: 1003048
Sex: F
Age: 41
State: MS

Vax Date: 01/07/2021
Onset Date: 01/12/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness and puffiness around injection site approximately 2 inches across. Noticed 4-5 days after initial injection.

Other Meds:

Current Illness:

ID: 1003049
Sex: F
Age: 58
State: AZ

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Minute rice

Symptoms: Fever 101.9 at 18 hours, body aches, headaches, chills, tight chest/throat post 48 hours. Fevers and chills back at 48 hours with headaches again.

Other Meds: Flax seed oil, B12 complex, d, lutein & zeaxanthin

Current Illness: None

ID: 1003050
Sex: F
Age: 71
State: NY

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Penicillin, Vancomycin, Triamcinolone, Kenalog, Intolerance: Azithromycin Foods: Almonds, some apples.

Symptoms: Fever, muscle aches, weakness, dizzy spells, lack of sleep, back pain, pain at injection site. Headaches, whole body pain.

Other Meds: Omeprazol

Current Illness: None

ID: 1003051
Sex: M
Age: 82
State: GA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: THE DAY AFTER THE PATIENT RECEIVED THE VACCINATION HE SPIT SOME BLOOD. HE DOES NOT KNOW IF IT RELATED TO THE VACCINE OR NOT. 2-3 MORE DAYS LATER THE PATIENT SPIT AGAIN AND THERE WAS MORE BLOOD. THE PHARMACIST AT PHARMACY (WHERE VACCINE WAS GIVEN) ADVISED THE PATIENT TO CALL HIS DR TO SCHEDULE AN APPT TO SEE IF THERE IS ANOTHER MEDICAL PROBLEM GOING ON.

Other Meds:

Current Illness:

ID: 1003052
Sex: F
Age: 29
State: MD

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient immediately stated that she was dizzy after receiving vaccine. BP 141/96. She stated that she has anxiety. She sat for 25 and friend drove her home. She was advised to call her primary care doctor if not feeling well and call EMS for an emergency.

Other Meds:

Current Illness:

ID: 1003053
Sex: F
Age: 57
State: TX

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever 100.4*F, dizziness.

Other Meds:

Current Illness:

ID: 1003054
Sex: M
Age: 29
State: NC

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: BP 150/88

Allergies: No known allergies

Symptoms: Nausea/vomiting, chills, lightheadedness, headache, flushing

Other Meds: Ibuprofen PRN

Current Illness: No known illnesses

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm