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: 1011737
Sex: F
Age: 30
State: NJ

Vax Date: 01/29/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Blood work done on 02/06/2021 at Medical Center. Everything came back normal

Allergies: None

Symptoms: About an hour after receiving the vaccine I felt weakness in my arm and it was sore. Next day the injection site was swollen and I had mobility problems. I had a fever but it didn?t linger and a cough that lasted for 2 days. On Thursday 02/04/2021, I felt pain in my armpits and neck. The next day it was completely swollen. I went to the ER on 02/06/2021 and the gave me Motrin and an IV to help with the inflammation. Today is 02/08/2021 and my lymph nodes on my neck and armpit on my left side are still swollen and painful to the touch and I?m having problems moving my neck.

Other Meds: Vitamin c, biotin gummies and Norethindrone birth control started on 02/05/2021

Current Illness: None

ID: 1011738
Sex: F
Age: 48
State: PA

Vax Date: 01/30/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Cow's milk (mild respiratory reaction)

Symptoms: Raised red lump at injection site appeared 8 days after first dose injection. Lump is only mildly painful and warm.

Other Meds: Lisinopril HCTZ

Current Illness:

ID: 1011739
Sex: F
Age: 39
State: VA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: soreness in arm Chills, fever, body aches, swollen lymph nodes began about 12 hours after the shot and continued for 36 hours. Headache 36 hours

Other Meds: Levothyroxine 75 mcg

Current Illness: none

ID: 1011740
Sex: M
Age: 101
State: SC

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

Lab Data: N/A

Allergies: PPD serum

Symptoms: Swelling, redness, pain, heat below injection site

Other Meds: Aspirin EC Tablet Delayed Release 81 MG (Aspirin) Azelastine HCl Solution 137 MCG/SPRAY Bacid Tablet (Probiotic Product) Cholecalciferol Tablet 1000 UNIT DilTIAZem HCl Tablet 30 MG Dorzolamide HCl-Timolol Mal Solution 22.3-6.8 MG/ML Flomax

Current Illness: Diabetes

ID: 1011741
Sex: M
Age: 75
State: CA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Arthritis flair up in knees,elbows,and hands.

Other Meds:

Current Illness:

ID: 1011742
Sex: M
Age: 66
State: TX

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: "Patient was hypertensive and tachycardia post COVID vaccine. Sent to ED. BP 206/108, 183/103, 175/91. P 102, 100, 103. Back to baseline when presenting to ED.

Other Meds:

Current Illness:

ID: 1011743
Sex: F
Age: 55
State: NY

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: I have a very red arm at injection site. It is swollen and sore and is much larger than just injection site. It first appeared about 50 hours post injection. Cold compresses were applied but there was no relief. Tylenol did not lessen pain. It is currently 72 hours post injection and arm is on same condition.

Other Meds: Levothyroxin Vitamin B Iron

Current Illness: None

ID: 1011744
Sex: F
Age: 16
State: IN

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: Acetaminophen Ibuprofen

Symptoms: swelling of the left arm redness of left arm painful to move left arm apply ice to the left arm area, take Aleve as directed after food. if worsening follow up in the clinic.

Other Meds:

Current Illness: UTI

ID: 1011745
Sex: F
Age: 51
State: NC

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Pcn

Symptoms: Swelling and very painful arm. The size of a grapefruit. Fever, headache, weakness and body aches

Other Meds: Trazadone

Current Illness: None

ID: 1011746
Sex: F
Age: 75
State: CA

Vax Date: 01/26/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: rash on arm where Moderna vaccination was administered

Other Meds:

Current Illness: none

ID: 1011747
Sex: F
Age: 44
State: VA

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna Covid-19 Vaccine EUA On Day 8 after receiving the first dose of Moderna Vaccine, an itchy rash developed on left arm near the injection site. Skin was irritated and red. Treated with Hydrocortisone cream for approximately 24 hours. Rash disappeared after about 36 hours.

Other Meds:

Current Illness:

ID: 1011748
Sex: F
Age: 39
State: VT

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: One week after vaccine developed itching, pain, redness, and mild swelling at injection site. The initial pain at injection site had gone away prior to coming back on day 7 with the itching, redness, and mild swelling.

Other Meds: levothyroxine, fluoxetine

Current Illness: none

ID: 1011749
Sex: F
Age: 72
State: MI

Vax Date: 01/21/2021
Onset Date: 01/24/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Lab: APTT, CBC and differential, Comprehensive Metabolic Panel, Non-fasting, D-dimer, quantitative, Magnesium, N-Terminal ProBNP, Protime-INR, T4, free, TSH, Troponin l STAT, Urinalysis with microscopic (clean catch) Imaging Tests: CT Angiography Chest for PE Protocol, CT Head Or Brain Without Contrast, ECG 12 lead performed 2 times, X-ray chest 2 view, XR Ankle Complete Right, XR Knee Complete Right Orthostatic vitals Telemetry monitoring

Allergies: Sulfa Drugs ? rash, hives Demerol (Meperidine) ? hives, itching, swelling Hydromorphone (Dilaudid) - Narcotic Coconut ? gas, abdomen pain, nausea Cat hair ? rash, runny nose, itchy eyes Molds ? runny nose, itchy eyes Allegra ? hives Zyrtec ? hives Proventil ? hives Most Antihistamines -- ** I CAN TAKE BENADRYL ** Pramoxine Hydrocloride ? rash, itching Nabumetone ? rash Naproxen Sodium ? rash Loratadine ? hives Cetirizine Hcl - rash Smoke ? asthma, eye irritation Lactose Intolerant, milk ? gas, diarrhea (I CAN eat cheese, cottage cheese, yogurt) Hydrocodone ? Acetaminophen 7.5-500 mg (severe muscle spasms) Fluocinonide Cream USP, 0.05% (Lidex) -Intensified the itch of the rash that it meant to calm.

Symptoms: 1/21/2021, 4 pm, Covid-19 first shot, Pfizer, Lot EL3246 On 1/24/2021 at 5 am I had bad heartburn so I got out of bed, took a couple of TUMS and sat in chair , At 6 am I went to get in bed and felt nausea and started to go to the bathroom but ended up fainting. When I came to I started vomiting., Then my husband had to help me off the floor and get to the bathroom. I was vomiting and had Diarrhea. My temperature was normal. When symptoms subsided in about a half hour time I realized my right foot, leg and knee hurt. At approximately 1 pm my daughter insisted that I go to the ER, where I was treated.They ran a bunch of test but did not find anything seriously wrong with me and sent me home.

Other Meds:

Current Illness: None

ID: 1011750
Sex: M
Age: 52
State: MD

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Starting the day after the injection he began experiencing arm swelling, stomach cramps and brain fog. He saw his PCP who recommended Benedryl.

Other Meds:

Current Illness:

ID: 1011751
Sex: M
Age: 77
State: IN

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Sinus problems

Symptoms: None stated.

Other Meds: Terazosin, Hydralazine, vitaminD3

Current Illness: No

ID: 1011752
Sex: F
Age: 76
State: SC

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: none known

Symptoms: fever 104 extreme fatigue loss of muscle tone: could not move

Other Meds: baby aspirin Lisinopril Toprol Metformin Synthroid

Current Illness: none

ID: 1011753
Sex: F
Age: 52
State: AZ

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: Headache, chills, fever, loss of appetite, body aches.

Other Meds: NA

Current Illness: None

ID: 1011754
Sex: F
Age: 43
State: CA

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

Lab Data: None.

Allergies: Aspirin sensitivity (dizziness).

Symptoms: Approximately 12 hours after the vaccine felt nauseated, and then she passed out. She got really cold to the point that she was layered up with blankets, shivering with 4 layers, teeth shattering, possibly going into shock, took Tylenol, her temp was 100. She went to sleep and was just trying to get warm. The next morning she still had a fever of 100. She continued to take Tylenol and by Friday 2/5/21 was okay. She is 4'11 and weighs 85#, wondering if the dose was too strong for her body frame, otherwise healthy person.

Other Meds: None.

Current Illness: None.

ID: 1011755
Sex: M
Age: 75
State: CO

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: severe chills and shivering, headache, major lower back pain. lasted 12 hours, then another 12 hours before headache subsided.

Other Meds: 20mg Lisprinoril

Current Illness: none

ID: 1011756
Sex: F
Age: 72
State: TX

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received COVID vaccine and felt dizzy and nauseating 10 minutes after. Later developed palpitation. Vital and O2 Sat stable. MD on site examined the patient and triaged to send patient to ED. Symptoms recovered when presenting to ED.

Other Meds:

Current Illness:

ID: 1011758
Sex: F
Age: 74
State: CO

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

Lab Data: EKG, Echocardiogram

Allergies: Codeine, Sulfa drugs

Symptoms: Atrial Fibrillation requiring ER visit and hospitalization. Treated in hospital with medication. Hip and joint pain requiring doctor visit. Not resolved after one month.

Other Meds: Irbesartan, Aspirin, Zyrtec

Current Illness: Joint pain, heart palpitations

ID: 1011759
Sex: F
Age: 73
State: IN

Vax Date: 01/31/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Have not contacted anyone.

Allergies: Penicillin, Keflex, Sulpha

Symptoms: Itching at injection site in the afternoon of 02/07 then swelling, redness and heat during the night causing sleeplessness. Symptoms continuing now on 02/08 though not quite as bad.

Other Meds: Venlafaxine XR Cap 150MG, , Vit C, Vit D, Vit E, Centrum Multi Vit, Calcium, Flax Seed Oil, Ginkgo, Green Tea, Lutein.

Current Illness: None

ID: 1011760
Sex: F
Age: 28
State: AR

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Chest pain started on 01/30/2021 around 1pm. At this time the chest pain was constant. The next couple of days the chest pain was only on exertion. The chest pain got better and I only experienced slight SOB of exertion over the next few days. Last night (02/07/2021) I experienced extreme dizziness (when walking and lying down). While laying in bed the room was spinning.

Other Meds: No

Current Illness: No

ID: 1011761
Sex: F
Age: 67
State: IN

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Started at 3:00 AM on Sunday, 2/7/2021. With chills, low grade fever, 99.1 - 100.5, muscle aches, fatigue. Lasting approximately 18 hours.

Other Meds: Vitamin D3, Co Q 10, Zinc, Hydroxychloroquine

Current Illness: None

ID: 1011762
Sex: M
Age: 57
State: PA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: sore arm, body aches, headache, fever, chills, lethargy

Other Meds:

Current Illness:

ID: 1011763
Sex: M
Age: 54
State: CA

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

Lab Data:

Allergies: No

Symptoms: On Thurs, had fatigue, body aches, fever, pain in left arm. This continued through Friday; patient felt fine by Saturday. Patient got lots of rest and drank lots of water.

Other Meds: No

Current Illness: No

ID: 1011764
Sex: M
Age: 74
State: CO

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: chills, severe fatigue, body aches, (developed diaphram cough) next day was gone

Other Meds: synthoid 137ug

Current Illness:

ID: 1011765
Sex: F
Age: 32
State: CA

Vax Date: 01/07/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: First dose I had a sore arm and diarrhea Second does I had, nausea, diarrhea, chills, fever, loss of appetite.

Other Meds: Hydralazine, Humalog. Humalin

Current Illness: None

ID: 1011766
Sex: F
Age: 29
State:

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

Lab Data:

Allergies:

Symptoms: fever, urticaria, myalgias and painful gums

Other Meds:

Current Illness:

ID: 1011767
Sex: F
Age: 49
State: WI

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: First and second COVID 19 dose resulted in a red, puffy, warm arm. Both doses also caused patient to feel achy and have joint pain in her hands.

Other Meds:

Current Illness:

ID: 1011768
Sex: F
Age: 69
State: IN

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: 2/5/21 saw PCP diagnosed with Shingles

Allergies: Clindamycin

Symptoms: 1/28 vaccinated, 1/29 fatigue, 1/30 pt started experiencing right side pain below breast, 2/5/21 pt went to PCP and was diagnosed with Shingles.

Other Meds: Metformin, Levothyroxine, Valsartan

Current Illness:

ID: 1011769
Sex: F
Age: 65
State: FL

Vax Date: 02/01/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swolen Lymph nodes, numb arm, itchy rash all on arm where vaccine was administered

Other Meds: Multi vitamin Apple cider and beet supplements turmeric supplement Vitamin C

Current Illness:

ID: 1011770
Sex: F
Age: 56
State: NV

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Headache 1 hour after vaccine. Chills the next morning at 6:00am, followed by headache and periods of being hot after taking Advil

Other Meds: High BP (losartan) cholesterol meds, fluoxidine, multi vitamin, Advil

Current Illness: None

ID: 1011772
Sex: M
Age: 63
State: PA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: Sulfamethoxazole

Symptoms: 2/5/.21 @ 1:00 PM visited my Primary Care DR: he did a physical evaluation and provided guidance on the signs of Stroke "FAST" Patient Issues: Physical shaking like Parkinsons , Heart Palpitations and rapid BPM, Chest Pressure, shallow breathing, stuttered speech, Slurred Speech, Headaches, Confusion and lack of short term recall, red flush face, difficulty in comprehending conversations, reading

Other Meds: Mucinex - Maximum Strength Expectorant Maximum Strength store Brand - Pseudoephedrine Hydrochloride

Current Illness: None

ID: 1011773
Sex: F
Age: 69
State: TX

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None.

Allergies: Sulfa

Symptoms: Severe chills, headache, fatigue, lack of appetite. Chills lasted few hours. The rest lasted till 1.5 days.

Other Meds: Metoprolol, Losartan, levothyroxine, vitamin C, vitamin D

Current Illness: No

Date Died: 02/06/2021

ID: 1011774
Sex: M
Age: 81
State: GA

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: NONE

Allergies: NONE KNOWN

Symptoms: Cardiac arrest resulting in death on the third day post vaccine administration, 0224. Reported syncopal event post toileting. Rescue measures attempted but not successful. Time of death 0358, 02/06/2021.

Other Meds: ASPRIN CLOPIDOGREL LISINOPRIL NITROQUICK FINASTERIDE AMLODPINIE PRAVASTATIN TAMSULOSIN

Current Illness: CAROTID ARTERY STENOSIS CORONARY ARTERY DISEASE PACEMAKER CABG, 4-VESSEL BPH

ID: 1011775
Sex: F
Age: 62
State: PA

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 1 week following my injection I developed redness, extreme itching, swelling , and warmth at the injection site in my left upper arm. Symptoms resolved in 48 hours; I took Benadryl and applied Hydrocortisone cream to the site.

Other Meds: Chlorpheniramine Maleate 4 mg daily Prilosec 20 mg daily Align probiotic 1 capsule daily Tylenol 1000 mg

Current Illness: None

ID: 1011776
Sex: F
Age: 41
State: TX

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Two days after injection, I had a large (baseball size) knot form at the injection site. The knot was hot to the touch and very sore. Lasted about 3 days.

Other Meds: adderall

Current Illness:

ID: 1011777
Sex: F
Age: 56
State: IL

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: N/A

Allergies: Sulfa drugs

Symptoms: After receiving the injection, my face and neck turned bright red. It took about an hour for the redness to go down. The next morning, I noticed a few small pimples on my cheeks and a slight red /dry patch on my forehead.

Other Meds: None

Current Illness: None known

ID: 1011778
Sex: F
Age: 39
State: CA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

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

Other Meds:

Current Illness:

ID: 1011779
Sex: F
Age: 27
State: IL

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: N/A

Symptoms: Joint and muscle pain/aches all over the body, painful headache, slight nausea with flu like symptoms, tiredness

Other Meds: Nardil, hydroxyzine, lamictal, seroquel, spironolactone

Current Illness: N/A

ID: 1011780
Sex: F
Age: 36
State: PA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: ceftin,

Symptoms: Sore arm immediately after vaccine. Left hand was also sore to the touch for the rest of the day. Fatigue started several hours after and lasted for about 40 hours. Nausea started several hours after and the following day diarrhea started and lasted for the day. The evening of the vaccine I started having small bumps appear inside on my lower lip.

Other Meds: Zoloft, Vitamin D, flonase

Current Illness: NA

ID: 1011781
Sex: U
Age: 78
State: WA

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: NA

Allergies: Sulfa antibiotics, formaldehyde

Symptoms: erythematous rash of upper arm and vaccine site

Other Meds: Eliquis, diltiazem, Levothyroxine, CoQ10, Turmeric, MVI, probiotic

Current Illness: 0

ID: 1011782
Sex: F
Age: 43
State: NY

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: When dose was administered, needle detached from the syringe. This led to some vaccine on the patients arm and an improper amount of vaccine administered.

Other Meds:

Current Illness:

ID: 1011783
Sex: F
Age: 45
State: FL

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Fatigue began 02/04/21 and lasted approximately 24 hours. Hives began 02/05/21 and continue as of 02/08/2021, currently using Benedryl, Cholecystitis began 02/07/2021 with bloated feeling and abdominal pain behind belly button and off to the right side of abdomen pain is beginning to ease off as of 02/08/2021.

Other Meds: Lisinopril, Methotrexate, Xeljanz, Folic Acid

Current Illness: None

ID: 1011784
Sex: F
Age: 20
State: AR

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: chills, nausea, fever, muscle fatigue, could not sleep, body aches, rash on face. started around 9:30 p.m on February 6, ended around 6:30 on February 7. Rash on face began around 11 a.m on Feb. 8.

Other Meds: sertraline norgestimate-ethinyl estradiol

Current Illness: none

ID: 1011785
Sex: F
Age: 65
State: NC

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

Lab Data: None needed

Allergies: Codeine, Amoxicillin

Symptoms: Chills, headache, body aches, joint pain , neck and low back pain, eye and mouth pain, skin sore to touch all over, excessive tiredness, lethargy, loss appetite.

Other Meds: Telmisartan HCTZ; Rosuvastatin; Tumeric; ASA 80mg; Elderberry; multivitamin; Calcium & Vitamin D

Current Illness: None

ID: 1011786
Sex: M
Age: 21
State: UT

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: No adverse events. Vaccine was administered before 28 days. 1st dose was given 01/20/2021 and 2nd dose was given on 02/05/2021.

Other Meds: None

Current Illness: None

ID: 1011787
Sex: U
Age:
State: IN

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

Lab Data: None

Allergies:

Symptoms: Fever of 101.5, nausea, headache, extreme weakness, fatigue

Other Meds:

Current Illness:

ID: 1011788
Sex: M
Age: 67
State: OK

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: MRI CT of head EEG

Allergies: codeine

Symptoms: Acute confusion and disorientation muscle aches

Other Meds: Lactulose, spirolactone lisinopril rifaxamin

Current Illness: cirrohosis hepatic encephalopathy

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm