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: 0925082
Sex: F
Age: 38
State: NH

Vax Date: 12/24/2020
Onset Date: 12/31/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: milk- mild latex-mild

Symptoms: hive like appearance at injection site, next day 1/1 followed by redness and hot to the touch, worse on 1/2 went away by 1/3. returned with redness and hot to the touch on 1/5 worse on 1/6 starting to go away today 1/7

Other Meds: mirena IUD omeprazole

Current Illness: none

ID: 0925083
Sex: F
Age: 38
State: GA

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

Lab Data:

Allergies: Rocephin Sulfa Augmentin

Symptoms: I think there should be a warning against drinking alcohol after the vaccine . Had the same amount as I usually do, 2 mixed drinks, but felt exaggerated affects and dizzy. Speaking to others- 1 glass of wine felt like 2-3.

Other Meds: Multivitamin and Prevacid 40 mg once a day

Current Illness: None

ID: 0925084
Sex: M
Age: 69
State: GA

Vax Date: 01/06/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: N/A

Allergies: None that I am aware of.

Symptoms: Injection site pain, headache, muscle pain, chills, joint pain, nausea.

Other Meds: Metformin 2 500 MG daily, 1 Fenofibrate 145 MG daily, Januvia 100MG daily, Simvastatin 20 MG daily and 1 Adult Multivitamin daily.

Current Illness: Diabetes, Hypertension, Vitamin D Deficiencies, and High Cholesterol.

ID: 0925085
Sex: M
Age: 38
State: MN

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Stomach Cramping Vomiting Diarrhea Nausea Body Weakness Chills Sweating profusely without a fever

Other Meds: Cymbalta Buspirone Inderal Magnesium Vitamin-D Prilosec

Current Illness: None

ID: 0925086
Sex: F
Age: 42
State: IN

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

Lab Data:

Allergies:

Symptoms: usual adverse reactions included body aches, chills, low grade temp (below 100.0F)runny nose, head congestion. Around 8:30pm, eyes began watering and burning, migraine type pain on left side of head began. At 6am January 7, 2020 left side of face was swollen and sensitivity to light present, pressure and discomfort only on that side of face. Eye swollen and continuously watering.

Other Meds:

Current Illness:

ID: 0925087
Sex: F
Age: 40
State: PA

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Welt on arm noticed on 1/6/21. Next morning on the 7th, noticed it was bigger, red, swollen and warm. Called my workplace's health line and got antibiotics.

Other Meds: Unithroid, multi-vitamin, prilosec

Current Illness:

ID: 0925088
Sex: F
Age: 34
State: PA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swollen throat, hives, and itchy body.

Other Meds:

Current Illness:

ID: 0925089
Sex: F
Age: 57
State: PA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Site redness, swelling, tenderness, swelling of lymph nodes. Chills.

Other Meds:

Current Illness: None

ID: 0925090
Sex: F
Age: 60
State: TX

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

Lab Data:

Allergies:

Symptoms: Employee with low grade fever, chills and shaking starting at 2am. Tmax at 5:30 am of 101.2. Self medicated with Motrin with some improvement of symptoms.

Other Meds:

Current Illness:

ID: 0925091
Sex: M
Age: 44
State: IN

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: N/A

Allergies: none known

Symptoms: Started to feel tired the next day at or around 9 AM. At or around 1230, took temp for the first time and it was 100.2 . Took again in two hours, the same. Took IBUPROFEN. At 430, took temp again, 99.6. Then took IBUPROFEN again 4 hours after 430. Went to sleep, slept through the night. Woke up and took temp, it was normal and was not elevated. No current concerns to note.

Other Meds: Currently taking buspar and Zoloft.

Current Illness: none known

ID: 0925092
Sex: M
Age: 49
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: Headache, Fatigue, Body aches

Other Meds: Talmasartan 80mg, Amlodipine 5mg

Current Illness: None

ID: 0925093
Sex: F
Age: 3
State: MI

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

Lab Data: N/A

Allergies: NKDA

Symptoms: No known adverse reaction. Patient given Kinrix and not in correct age range. Patient met minimum interval requirements between doses. She has had two previous doses of DTaP and two previous doses of Polio.

Other Meds: Not asked

Current Illness: None over last two days per Mother

ID: 0925094
Sex: M
Age: 69
State: AZ

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: extreme chills, body aches, fever over 100 degrees on day 2, day 3 severe body aches.

Other Meds: Lisinopril, Allopurinol, Indapamide, rosuvistatin

Current Illness: vertigo

ID: 0925095
Sex: F
Age: 25
State: IA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 3:00am - vomiting, headache, dizziness, chills, nausea, fever, extreme fatigue

Other Meds: none

Current Illness: none

ID: 0925096
Sex: M
Age: 66
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Moderate injection site pain, mild loss of appetite, mild headache, mild fatigue and mild nausea. No treatment.

Other Meds: Omeprazole, Verapamil, Atorvastatin, Aspirin 81mg, Zovirax, Metformin, Glipizide

Current Illness: None

ID: 0925097
Sex: F
Age: 39
State: IL

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: One week after vaccine, lump at site of vaccine with redness and warmth at the site

Other Meds:

Current Illness:

ID: 0925098
Sex: U
Age:
State:

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

Lab Data: None

Allergies:

Symptoms: Dry tongue, fast heart beat, redness and inflammation on vaccination area, inflammation of node in the vaccination arm and joint and muscle pain. Chills, headache and change of taste.

Other Meds:

Current Illness:

ID: 0925099
Sex: F
Age: 50
State: PA

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

Lab Data:

Allergies: penicillin rash

Symptoms: CHILLS, FULL BODY SKELETAL ACHES AND FEVER

Other Meds: none

Current Illness: none

ID: 0925100
Sex: F
Age: 31
State: NC

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Moderate fatigue and extreme arm pain 24 hours after shot. Arm pain subsided after 3 days but swelling and redness still present as of 1/7/2021. Very mild itching at injection site as of 1/1/2021

Other Meds: Prozac, Lithium, Adderall

Current Illness: None

ID: 0925101
Sex: F
Age: 21
State:

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Penicilin

Symptoms: Low grade fever, chills, body/joint aches/pain

Other Meds:

Current Illness:

ID: 0925102
Sex: F
Age: 55
State: PA

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Injection inadvertently given subcutaneously (should have been an intramuscular shot)

Other Meds: crestor. HCTZ

Current Illness: none

ID: 0925103
Sex: F
Age: 64
State: NJ

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

Lab Data:

Allergies: no

Symptoms: Palms of hands turned red and blotchy after 10 -15 minutes. Pharmacist gave patient benadryl. Symptoms abated after aprox 30 minutes

Other Meds: Estradial 0.0375 patch

Current Illness: none

ID: 0925104
Sex: F
Age: 42
State: CT

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

Lab Data:

Allergies: hydrocodone, metronidazole

Symptoms: Pt received vaccine and ten minutes later began complaining of numbness to her face and heart palpitations. At the this time she denied dyspnea, difficulty swallowing, chest pain, nausea/vomiting. She also experienced facial flushing, nausea/vomiting, and diarrhea. She was given 50mg of diphenhydramine intramuscularly. She seemed to make a full recovery.

Other Meds: aspirin 81mg tab, buspirone 10mg tab, doxycycline 100mg tab, clotriamazole cream, metoprolol tart 25mg tab

Current Illness: n/a

ID: 0925105
Sex: F
Age: 36
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Got vaccine at 1100am Starting at about 1100pm, I developed shaking chills, myalgia, Frontal Headache, nausea. I had redness and soreness at site of injection. Symptoms resolved within 24hrs with help from Tylenol.

Other Meds: None

Current Illness: None

ID: 0925106
Sex: F
Age: 52
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Cold sore on left corner of mouth, resolved in 1 day with Abreva & Valtrex; mild dizziness for about an hour, injection site tenderness resolved in 1 day

Other Meds: Advair, Singulair, Citalopram, Esomeprazole, Claritin generic, Fluticasone

Current Illness: None

ID: 0925107
Sex: F
Age: 49
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Arm became increasingly sore at The site throughout the day. Around 1130 last night I got the chills &started to feel achy. I took my temperature there was no fever. Around 330 this morning I woke up feeling much worse with the chills achiness took my temp it was 100.6 took some Motrin. I went back to bed very hard time sleeping because I felt so terrible. Woke up this morning so far no fever but feel achy, still have chills and really fatigued.

Other Meds: None

Current Illness: Respiratory infection 12/21/20

ID: 0925108
Sex: F
Age: 54
State: IN

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: sufla

Symptoms: Fever of 101 , chills and severe headache for 36 hrs. Sick, weak, no appetite, I felt like I did when I had Covid in June of 2020. Injection site has red raised area that measures 3"x2". The injection site area seems to grow larger each day. The area is sore and itches.

Other Meds: vit D3, Multivitamin, levothyroxine, cholersterol med.

Current Illness: no

ID: 0925109
Sex: F
Age: 37
State: FL

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Pruritic aculopapular rash across abdomen and lower extremities

Other Meds: Prozac

Current Illness: None

ID: 0925110
Sex: F
Age: 40
State: MS

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Headache and severe stomach pain lasting 2 days

Other Meds:

Current Illness:

ID: 0925111
Sex: F
Age: 50
State: IN

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

Lab Data: N/A

Allergies: N/A

Symptoms: Lethargy/fatigue, mild headache (off and on) since approx. 5.5 hrs after vaccine.

Other Meds: bupropion 300XL, magnesium, vitamin D3

Current Illness: N/A

ID: 0925112
Sex: F
Age: 26
State: IN

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: N/a

Allergies: Zaditor

Symptoms: Skin hurting Restlessness Fever Headache Shortness of breath Seeing flashes Malaise Muscle aches

Other Meds: Insulin Omeprazole Loraditine

Current Illness: Covid-19

ID: 0925113
Sex: F
Age: 73
State: PR

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

Lab Data: 01/07/2021 Serological Test Positive for antibodies IgG

Allergies:

Symptoms: Strong nausea, vomiting and pallor.

Other Meds:

Current Illness:

ID: 0925114
Sex: F
Age: 45
State: ID

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

Lab Data: none

Allergies: coconut and Bee stings

Symptoms: Patient started to have itching on her right side of the neck, then the itching started in the right arm where shot was givien. Patient had redness on the right deltiod. Patient did not have any shortness of breath. Was given 2 tabs of 25mg benadrly @ 5:40 pm. Patient was watched for 30 mins. Patient did have itching that spread to the whole body. Patient said last night she cont to have itching all over the body. She took 2 more benadrly @ 10:00 pm. Patient reports that she is still having itching today 01/07/2021. Took a allergy tab in the am. Patient also reports feeling swollen in the face, neck and hands.

Other Meds: Burpropion 150 mg, Kelnor, Metoprolol ER 25 mg, Methimazole 5 mg

Current Illness: None

ID: 0925115
Sex: F
Age: 37
State: AR

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Environment

Symptoms: Fever, Severe headache and body aches, Tachycardia 120-150, Shortness of breath, Hypertension 160/110

Other Meds: Singulair, Flonase, Seasonique, Multivitamin,

Current Illness: none

ID: 0925116
Sex: M
Age: 22
State:

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Anaphylaxis to peanuts and tree nuts

Symptoms: Moderna COVID-19 Vaccine: Fever (101.5), tenderness at injection site, headache, nausea, body aches, fatigue

Other Meds:

Current Illness:

ID: 0925117
Sex: F
Age: 21
State: IN

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fatigue, fever, chills, & hot flashes

Other Meds:

Current Illness:

ID: 0925118
Sex: F
Age: 49
State: KY

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: ?Pfizer-BioNTech COVID-19 Vaccine EUA Pfizer Covid 19 vaccine 30mcg/0.3ml Vaccine administered on 12-31-20 at 3:38 pm. Pfizer vaccine Lot EL0142. 0.3ml IM, left deltoid. states felt dizzy after receiving injection. left arm soreness noted during night; 'knot' noted on left deltoid, when awoke on 1-1-21; knot grew to ~5x5 cm max size over 48 hrs. Itchy, but painful if tried to scratch. Took Benadryl 1-3-21, took Zyrtec 1-4-21. Evaluated at Employee Health on 1-5-21. Some dizziness with position change. Exam: No fever. No orthostatism to BP. Pulse 77-- >94 from lying to standing. Left lateral deltoid with 3.75 x 5 cm mildly tender, indurated area of erythema, with central erythematous punctum (presumed site of injection). Instructed to take OTC antihistamine (Zyrtec) daily until 7 days after symptoms resolve. PMH significant for Covid 19 infection (positive test Oct. 28, 2020). Hospitalized 11-4-20 for decreased O2 saturation. Treated with Remdesivir. Post-Covid infection shortness of breath/dizziness. A picture of the affected area is available if requested

Other Meds:

Current Illness: PMH significant for Covid 19 infection (positive test Oct. 28, 2020). Hospitalized 11-4-20 for decreased O2 saturation. Treated with Remdesivir. Post-Covid infection shortness of breath/dizziness.

ID: 0925119
Sex: M
Age: 45
State:

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

Lab Data: none

Allergies: Levaquin allergy

Symptoms: Developed acute inspiratory wheeze approximately 6 hours after the vaccination was received. Wheeze persisted for 30 hours

Other Meds: Vitamins A,D,E, and C

Current Illness: none

ID: 0925120
Sex: F
Age: 28
State: FL

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: Ultrasound

Allergies: none

Symptoms: had a 102 degree fever for about 15 hours which started the evening of 1/5/21, which also included chills and muscle aches. The muscle aches lasted about 24 hours. The injection site was my left arm and I now have swelling in my left axilla which started the evening of 1/6/21 and is still currently swollen. I am an ultrasound technologist and was able to scan myself this morning when I came back to work. It appears I have a cluster of reactive lymph nodes in the area of swelling within my left axilla, the largest measuring 3.0 cm. It is very tender in the area of swelling and the pain radiates down my left arm. I had a lot of pain at the injection site that lasted for about 24 hours, it is now subsiding. However, for the last 24 hours it has been very painful to bend my arm. Any time I tried to bend my arm it sent a throbbing pain down to my left hand, it is still occurring today.

Other Meds: Birth control pills

Current Illness: no

ID: 0925121
Sex: F
Age: 48
State: MD

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: IV Dye

Symptoms: On January 4th we were made aware of the following: A few minutes after receiving the vaccine at 8 am on 12-23-2020, the associate suffered from a severe headache 8/10, tingling sensation, BP checked Systolic in 180s, Extremely weak and tired, Severe nausea and dry heaving. Rapid response called, and associate was sent to ER. Headache 7/10. 1 gram Tylenol. Associate states ?Shaking, and I experienced delayed response when questioned by staff. 1 liter saline. Hives treated with Benedryl. In ER from 8am to 11:30am. It was determined that this was not an anaphylactic response. Associate went home with a headache 4/10. Groggy all day from Benedryl. I still have headaches constantly in frontal lobe. The headache pain Can rise from 2 / 10 to 8 /10. The constant headache is in the left frontal lobe. When the headache increases, It radiates into the temporal area as well. Dec 31, I went to Patient First. I was given Toradol IM, but the headache didn?t go away. I was given Flexeril, but it doesn?t help the pain. I am now using Excedrin to take the edge off. Associate is awaiting physician?s return call, but Dr. is out of town. Another doctor in the clinic would not see associate, as they don?t cover other physician?s patients. No fever, no respiratory symptoms.

Other Meds:

Current Illness: Hypertension well controlled, Diabetes well controlled.

ID: 0925122
Sex: F
Age: 57
State:

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: Blood tests including coag studies, D-dimer, and cardiac markers. EKG. All normal. U/S of LLE which showed no signs of DVT. With tests revealing no evidence of DVT, pt discharged w/ symptomatic care.

Allergies: NSAIDS

Symptoms: Muscle spasms in neck within 1 hour of receiving vaccine. Severe cramp L calf less than 24 hours after receiving vaccine. Both these symptoms continued until medical evaluation on 07 Jan.

Other Meds: JANUVIA

Current Illness: DM II

ID: 0925123
Sex: M
Age:
State: NC

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

Lab Data: None

Allergies: Statins - Morphine

Symptoms: None

Other Meds: Gemfiberozil600mg Metforman1000mg Glyburide 5mg Doxazosin 2 mg Losartan 200mg Aspirin 81 mg Repatha Sureclick 140 mg

Current Illness: None

ID: 0925124
Sex: F
Age: 51
State: OH

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: Seasonal allergies

Symptoms: Nausea, diarrhea, vomiting, malaise, joint pain, muscle pain

Other Meds: Effexor Atorvastatin Omeprazole Famatodine

Current Illness: None

ID: 0925125
Sex: F
Age: 40
State: IN

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Developed chills, fever (102), headache, body aches, back pain, sore arm at injection site. I had covid March 2020.

Other Meds: None

Current Illness: None

ID: 0925126
Sex: F
Age: 43
State: PR

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: NONE

Allergies: Penicillin

Symptoms: Intense pain at vaccination site, can't use my arm for anything, fever 38.9C that only goes down with ibuprofen. Chills, pain all over the body, can't put my feet on the floor because of plantar pain on my feet. Rib pain and axillary pain on my left side, lack of appetite, throat pain, stomach pain

Other Meds: losartan, toprol,metformin,amlodipine,vit d 3,

Current Illness: no

ID: 0925127
Sex: F
Age: 47
State: FL

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Fatigue, fogginess, difficulty concentrating, sleepiness

Other Meds: Effexor ER 150mg EVE multi vitamin Vit D3 5000UI B100

Current Illness: none

ID: 0925128
Sex: F
Age: 64
State: NJ

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: None.

Allergies: No known allergies.

Symptoms: Tightening in the throat.

Other Meds: Atorvastatin, Metoprolol, Ticagrelor, Aspirin.

Current Illness:

ID: 0925129
Sex: F
Age: 44
State: NJ

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

Lab Data: none

Allergies: Natural pistachio Latex

Symptoms: Since I got the vaccine, my left eye bothers me in way that I have a watery, itching , red eye & feeling of sand on it. It bothers me more at night, it started at the same night of vaccination (1/4/21). Today is 1/7/21 and still bothering me.

Other Meds: Levothyroxine 88mcg 1 tab po daily dexilant 60 mg 1 tab po daily Align 1 tab po daily Vit C 1000 mg 1 envelope daily Losartan 50 mg 1 tab po daily

Current Illness:

ID: 0925130
Sex: F
Age: 47
State: NY

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

Lab Data: None

Allergies: Latex, flu vaccine, mangoes, peaches, kiwis, pistachios, apricots, wheat

Symptoms: Tongue tingling, confusion, anxiety, increased blood pressure, dry throat, increased heart rate,

Other Meds: Epinephrine, Benadryl, Ibuprofen

Current Illness: Hypertension

ID: 0925131
Sex: M
Age: 33
State: IN

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

Lab Data: None

Allergies: NKA

Symptoms: Loss of appetite, Chills, fever, chest pain. Took a gram of Tylenol per day.

Other Meds: Vit D

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm