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: 1004856
Sex: F
Age: 59
State:

Vax Date: 01/20/2021
Onset Date:
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: joint pain low grade fever nausea body aches

Other Meds:

Current Illness:

ID: 1004867
Sex: F
Age: 33
State:

Vax Date: 01/20/2021
Onset Date:
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills vomited/nauseated temp. headache body aches

Other Meds:

Current Illness:

ID: 1004873
Sex: F
Age: 49
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: facial rash

Other Meds:

Current Illness:

ID: 1004874
Sex: U
Age: 61
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: bad headache all day

Other Meds:

Current Illness:

ID: 1004875
Sex: F
Age: 65
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: heat; redness @ site

Other Meds:

Current Illness:

ID: 1004876
Sex: M
Age: 41
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: torso rash

Other Meds:

Current Illness:

ID: 1004877
Sex: F
Age: 46
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: sore @ site cold, chills body aches took tylenol

Other Meds:

Current Illness:

ID: 1004894
Sex: F
Age: 45
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills temperature & sinus headache body aches lower back pain

Other Meds:

Current Illness:

ID: 1004895
Sex: M
Age: 38
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: site pain (R arm pain)

Other Meds:

Current Illness:

ID: 1004909
Sex: U
Age: 60
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: chills fatigue headache body ache nausea s/s started 1/20/21 & lasted 21/2 days

Other Meds:

Current Illness:

ID: 1004911
Sex: M
Age: 50
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: flushing severe back aches kidney pain sever jant pain (elbow) wrist hands; knees headache

Other Meds:

Current Illness:

ID: 1004914
Sex: F
Age: 11
State: NC

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

Lab Data:

Allergies:

Symptoms: Pt Rcv'd menveo on -2-1-21 - arm started swelling from elbow to shoulder on -2-1-21 - seen in office on 2-3-21. Per provider L arm Swollen, Red, itchy, null fever. -- Pt treated with cefdinir BIX x10days due to cellulitis & induration.

Other Meds: Miralax PRN

Current Illness:

ID: 1004918
Sex: M
Age: 1
State: IL

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

Lab Data: NONE

Allergies: none

Symptoms: Pt woke with swelling & redness on left thigh at injection site

Other Meds: none

Current Illness: 1/15/21 ARl (J22) fever

ID: 1004932
Sex: F
Age: 50
State: AL

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

Lab Data: N/A

Allergies: Darvocet

Symptoms: 1/29/21 Patient received COVID - 19 vaccine (#1 series) that night she developed redness, itching & swelling to left upper arm. Patient took Claritin over the weekend. Redness & swelling better on 2/1/21 But, still very itchy. Will order Prednisone 60mg QDx14d take Benadryl PRN & use Sarna sensitive for itching f/u PRN

Other Meds: Lysine, Omega 3, Potassium, B complex, probiotics, Fish oil, Tylenol, Essential oils, evening primrose

Current Illness: N/A

ID: 1004974
Sex: M
Age: 68
State: NJ

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Audiogram , Ordered MRI,

Allergies: NKDA

Symptoms: Pt developed sudden hearing loss on 1/29/2021

Other Meds: Avapro, Lipitor, Tricor, Potassium citrate, Aspirin

Current Illness: HTN, HLD

ID: 1005004
Sex: F
Age: 83
State:

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Circular area of erythema, itching & rash close to the injection site

Other Meds:

Current Illness:

ID: 1005018
Sex: F
Age: 33
State: VA

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

Lab Data: None

Allergies: N/A

Symptoms: Developed a headache 18 hrs after vaccine. Followed by bodyaches. Fever noted of 101.7 degrees F (oral) on 2/2/2021 @ 6pm. Fever lasted until 5am on 2/3/2021. On 2/3/2021 @ 4pm noticable redness and swelling in upper left arm. Arm is tender to touch and also warm. On 2/4/2021 redness has spread.

Other Meds: Metformin 500mg BID, Levothyroxine 175 mcg a day

Current Illness: Dx with Covid on 1/19/2021

ID: 1005035
Sex: F
Age: 95
State: CA

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

Lab Data:

Allergies:

Symptoms: spoke with staff at retirement center & pt completed 2 doses of Pfizer vaccine & today at clinic had #1 Moderna.

Other Meds: Tylenol, Miralex, allegra, lotrimin, celebrex, levothyroxine, ASA

Current Illness:

ID: 1005059
Sex: F
Age: 76
State: CA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: NA

Allergies: Neosporin, Pen G, Sulfa, Ceclor, Clindamycin, fexofenadine

Symptoms: Patient states two hours following vaccine injection, she experienced dizziness, feeling faint and an erratic heart (40-83 beats per minute) Breathing was fine, oxygen saturation was at 98. These symptoms lasted for about 2 hours.

Other Meds: albuterol HFA prn Vitamin D - 1000 IU, B-Complex-C

Current Illness: none

ID: 1005077
Sex: M
Age: 31
State: CA

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

Lab Data: none

Allergies: none

Symptoms: Left arm - shoulder elbow to forearm - unable to lift arm, 0 N & T Limited ROM not worsening tenniz ball induration at injection site, warm, tender to touch, w/movement 9/10 pain Ibuprofen - helps a little, & Biofreeze Rec - F/U w/PCP Offered Occ med - declines at this time. Rib pain

Other Meds: multi-vit, vit. C, HCTZ, ibuprofen

Current Illness: none

ID: 1005174
Sex: F
Age: 48
State: NY

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

Lab Data:

Allergies: penicillin-anaphlaxis

Symptoms: C/O headache, became flushed in face BP, Pulse, respirations monitored for 1 hours and 45 minutes, cold compress to face and ice pack to left arm site

Other Meds: Aubagio

Current Illness: Multiple Sclerosis

ID: 1005193
Sex: F
Age: 84
State: NY

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

Lab Data:

Allergies: in past

Symptoms: C/O numb lips, 'heart racing" B/P, Pulse, respirations monitored for 2 hours

Other Meds: None known

Current Illness: hypertension

Date Died: 01/23/2021

ID: 1005533
Sex: M
Age: 89
State:

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 02/04/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Narrative: 89yo with type 2 DM, HT, pacemaker and prior COVID+ in Nov 2020. Shortly after administration of 2nd Covid vaccine, patient began to have increased cognitive decline and 2 days after he expired at the facility

Other Meds:

Current Illness:

ID: 1005596
Sex: M
Age: 53
State: CO

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: N/A

Allergies: Zostrix, hydroxyzine, succinylcholine, contrast Dye

Symptoms: -Patient had Mild rash stating to cervical area on 1-12-2021 @ aprox 11AM. AT 1600 rash was rasied & itchy & Facial swelling to Lips, eyes & tongue was noted. Provider notified 50 mg PO BenadryL given with positive effects reaction resolving by 1-13-2021 Resident has never had reactions to any vaccines recieved at any Time.

Other Meds: Norvasc 10mg, Oxycodone 10mg, Amitriptyline 75mg, Aspirin 81mg, Flomax 0.4 mg, Lipitor 40mg, Lisinopril 20mg, Lyrica 300mg BID, Metformin 500mg BID

Current Illness: Infection of cervical hardware with antibiotic Tx (cefadroxil 500mg BID started 12-24 x 30 days

ID: 1005603
Sex: F
Age: 96
State: GA

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness: HTN

ID: 1011163
Sex: F
Age: 50
State:

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: hematuria Narrative: Employee stated that she had hematuria with clots the morning after her vaccination, It was recommended that she see her private physician

Other Meds:

Current Illness:

ID: 1011164
Sex: F
Age: 37
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, Myalgia, Chills, temp with acetaminophen was 99.2 Narrative: 2nd dose 1/6 11:00 did OK until about 20:00, developed Achy, chills, HA, took Tylenol with some benefit. Achiness is worst. Chills, but temp is 99.2.

Other Meds:

Current Illness:

ID: 1011165
Sex: F
Age: 68
State:

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Dizziness c/o feeling warm and flushed. Felt dizzy while getting into recliner. monitor 15 min. Resolved. Narrative: 2nd dose given. C/o feeling warm and flushed. 183/73, 63, O2sat 100%. Felt "dizzy" when transferring to the recliner. no loc. VS monitored: 159/71, 60; After 15 min: 138/64, 60 and asymptomatic and no c/o

Other Meds:

Current Illness:

ID: 1011652
Sex: M
Age: 42
State: WV

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Arm at administration site swollen and red Hot to touch. Itching with swelling. Took Benadryl - some help took another Swelling & itch went away Red color remained - turned in to "moonshape" 2 days later Benadryl worked immediately, but needed 2 doses

Other Meds: N/A

Current Illness: N/A

ID: 1013011
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Received initial COVID vaccine at about 1200 today. About ten minutes later started to feeling burning CP, SOB, feeling of tongue swelling, and had a loose stool. Now feeling lightheaded. Was feeling fine prior to the immunization. Anxiety. Anaphylaxis. 30 yo female known hx of allergic reaction/atopy to vaccines presented with anaphylaxis approx 10 minutes after the covid-19 Pfizer vaccine.

Other Meds:

Current Illness:

ID: 1013023
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Pt got pfizer covid vaccine on 1/3 (approx 48 hrs PTA) where she a CNA. She got the vaccine in the afternoon. Pt felt well on the day of the vaccine, but yesterday (1/4, one day after vaccine), pt syncoped at work in the evening. She had eaten normal meals that day. After syncopal episode, her blood sugar was normal. Her blood pressure was 76 / 56. Pt felt very lightheaded prior to syncope. No chest pain, dyspnea, no palpitations. Pt was unconscious just briefly. Pt states she did have some tingling in her R arm, R foot, and entire tongue. Pt is still having a HA. No other sxs. Has not taken anything for these sxs. When pt syncoped, she landed on soft bed, did not hit head on anything hard. Pt syncoped once previously at age 9. Pt has soreness at injection site, but no swelling or erythema.

Other Meds: Pfizer COVID-19 vaccine

Current Illness:

ID: 1017647
Sex: F
Age: 51
State:

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

Lab Data:

Allergies:

Symptoms: Dizziness, Headache & Syncope Narrative: 2nd dose received 0830 on 2/2/21. At 1900 hours body aches & chills. At 2400 hours awoke with abdominal discomfort, became dizzy, then loss of consciences for few seconds and fell to kitchen floor injuring head. Next morning on 2/3/21, syncope in bathroom and loss of consciousness for few seconds and fell to floor. While on floor being held by husband, 2 more episodes of syncope. Went to ER admitted.

Other Meds:

Current Illness:

ID: 1017654
Sex: F
Age: 62
State:

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/04/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Headache, Arthralgia, Fever, Angina, FATIGUE, CHILLS, PAIN/SWELLING INJ SITE, CHEST PAIN Narrative: She was hospitalized on 1/24/2021 in the AM D/C home 1/25/2021 PM for abnormal EKG. She is set up for a stress ECHO with plans follow up with PCP on 2/1/2021. She is fatigued and has headache, chest pain that is stabbing in nature has improved. She has SARS-CoV-2 test pending. CRNP She plans on returning to duty tomorrow at 0730. She is going to bring her work restriction note from her PCP. She has been directed to report to employee health for return duty evaluation CRNP 2/2/2021

Other Meds:

Current Illness:

ID: 1017662
Sex: M
Age: 34
State:

Vax Date: 01/19/2021
Onset Date: 01/22/2021
Rec V Date: 02/04/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Headache Pericarditis Narrative: Diagnosed as idiopathic pericarditis.

Other Meds:

Current Illness:

ID: 1017668
Sex: F
Age: 27
State:

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

Lab Data:

Allergies:

Symptoms: Dizziness, Headache, Myalgia, Rash, shaking, pale, diaphoretic, dyspneic, pain at injection site Narrative:

Other Meds:

Current Illness:

ID: 1017685
Sex: M
Age: 74
State:

Vax Date: 12/23/2020
Onset Date: 01/02/2021
Rec V Date: 02/04/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Angina MI Narrative: Employee presented to ED with chest pain. Cath showed 99% blockage of LAD and diagonal. Employee transferred to another hospital for w/u for CABG. Prior to assessment for CABG, employee coded. Urgent cath. with multiple stents placed. At time of reporting of event, employee was recovering. Cardiologist instructed employee to complete COVID vaccination series which was done on 1/20/2021.

Other Meds:

Current Illness:

ID: 1420817
Sex: F
Age: 46
State:

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

Lab Data:

Allergies:

Symptoms: facial pain, redness, pins and needles like fiberglass been run across face Narrative:

Other Meds:

Current Illness:

ID: 1420828
Sex: F
Age: 39
State:

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

Lab Data:

Allergies:

Symptoms: Fever Narrative:

Other Meds:

Current Illness:

ID: 1420830
Sex: F
Age: 58
State:

Vax Date: 01/05/2021
Onset Date: 01/25/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache Fatigue, Body aches and Joint pain Narrative:

Other Meds:

Current Illness:

ID: 1420834
Sex: M
Age: 58
State:

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

Lab Data:

Allergies:

Symptoms: Headache, Myalgia, Fever, NauseaVomiting, fatigue,chills Narrative:

Other Meds:

Current Illness:

ID: 1420835
Sex: F
Age: 63
State:

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

Lab Data:

Allergies:

Symptoms: Dizziness & Headache Narrative

Other Meds:

Current Illness:

ID: 1420836
Sex: M
Age: 52
State:

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

Lab Data:

Allergies:

Symptoms: Myalgia, Fever, C/O FATIGUE Narrative:

Other Meds:

Current Illness:

ID: 1420837
Sex: F
Age: 68
State:

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

Lab Data:

Allergies:

Symptoms: Headache, Myalgia Fatigue Narrative:

Other Meds:

Current Illness:

ID: 1420839
Sex: M
Age: 59
State:

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

Lab Data:

Allergies:

Symptoms: Headache FATIGUE, CHILLS Narrative:

Other Meds:

Current Illness:

ID: 1423208
Sex: M
Age: 24
State:

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

Lab Data:

Allergies:

Symptoms: Headache, Fever, NauseaVomiting, Fatigue Narrative:

Other Meds:

Current Illness:

ID: 1423209
Sex: F
Age: 61
State:

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

Lab Data:

Allergies:

Symptoms: Headache, Myalgia, Arthralgia, fatigue Narrative:

Other Meds:

Current Illness:

ID: 1423220
Sex: F
Age: 51
State:

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

Lab Data:

Allergies:

Symptoms: Headache, Myalgia & Fever Narrative:

Other Meds:

Current Illness:

ID: 1423221
Sex: F
Age: 41
State:

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

Lab Data:

Allergies:

Symptoms: Myalgia, Diarrhea & Nausea Vomiting Narrative:

Other Meds:

Current Illness:

ID: 1423222
Sex: F
Age: 52
State:

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

Lab Data:

Allergies:

Symptoms: Chills, fatigue, upset stomach, cramping, chemical taste in mouth Narrative: Chills, fatigue, upset stomach, cramping, chemical taste in mouth; took tylenol.

Other Meds:

Current Illness:

ID: 1423223
Sex: F
Age: 57
State:

Vax Date: 12/03/2020
Onset Date: 12/30/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: CHILLS AND FATIGUE Narrative

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm