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: 1019211
Sex: F
Age: 51
State: CA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: NKA

Symptoms: Muscle soreness, L axillary lymph nodes and Left lateral breast pain.

Other Meds: Victoza, Zoloft, aspirin, omeprazole, vitamin D, cetirizine

Current Illness: None

ID: 1019212
Sex: M
Age: 72
State: FL

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: maybe preservative

Symptoms: Client attended by onsite EMT complained of sore throat, numbness to the throat. Client had stopped Methotrasate 2 weeks earlier. BP 144/78, HR 72, O2 sat 96. Client stated he felt better and was released home.

Other Meds: Methotrexate, Rosuvastatin, Folic acid

Current Illness: High cholesterol, rheumatoid arthritis

ID: 1019213
Sex: F
Age: 40
State: PA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Seasonal Unknown but have chronic rhinitis/mild asthma, eczema

Symptoms: Red, hot, swollen , hard lump with pain and itching about 12 hrs after vaccine Very swollen lymph nodes in axilla of that arm 36 hrs after vaccine Body aches, headache, chills, GI upset About 12-26 hrs after vaccine.

Other Meds: Metoprolol 25 mg bid Sertraline 150 mg daily Lorazepam 4 mg daily split in doses Zyrtec daily Vit D3 2000 un daily Multivitamin for women

Current Illness: None

ID: 1019214
Sex: F
Age: 61
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: erythromycin, ceftin, sensitivity to latex

Symptoms: Temperature of 102.2 (afternoon of 2/6/2021) Headache (11:30 am 2/6/2021 - am of 2/7/2021) Ear ache (11:30 am 2/6/2021 - am of 2/7/2021) Fatigue (11:30 am 2/6/2021 - pm of 2/7/2021) Body aches (11:30 am 2/6/2021 - pm of 2/7/2021) Felt like my body temperature had trouble regulating (pm of 2/7/2021 until am of 2/9/2021)

Other Meds: duloxetine, multivitamin, vitamin D, calcium, HydroEyes,

Current Illness: none

ID: 1019215
Sex: M
Age: 40
State: IL

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Within 5 minutes of getting the shot on 2/6 I felt pain in the upper arm that moved down to forearm into left pinky. At approximately 3 pm arm started to hurt at the injection site. Iced for the next 36 hours until the swelling went down. On 2/7/21 at 10 pm started feeling like sickness was starting. On 2/8/21 was lethargic with body aches, headache, dry cough, and temperature up to 101.5 degrees F. Took 325 mg of Tylenol every 6 hrs. 2/9/21 up dose of Tylenol to 500 mg every 6 hrs as fever increased. Experienced night sweating and severe joint pain in hips, lower back, and along the upper spine. Fever broke at approximately 7 pm 2/9/21. Joint pain continues through 2/10/21

Other Meds:

Current Illness:

ID: 1019216
Sex: F
Age: 47
State: AZ

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: arm very sore and hard to move; headache; restless-unable to sleep (not normal for me); sore eyes; stuffy nose that was non-existent the day of vaccine.

Other Meds: Acai Berry pills for regulation; bupropion 450mg.

Current Illness: N/A

ID: 1019217
Sex: F
Age: 39
State: VA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: NA

Allergies: Phenergan

Symptoms: First vaccine of the Pfizer I had shortness of breath/chest discomfort and the other side effects from it and I did fine, Then then for the 2nd series 2 days later, I developed the same symptoms + cough and since then my cough has not improved and my pulmonologist, Doctor instructed me to put in a VAERS. I am a complicated asymptomatic who after being infected with COVID 19 has severe cough in which after many months of treatment by Doctor, my cough got better but after the 2nd vaccine of COVID 19 the cough came back.

Other Meds: Astelin; Flonase; Advair; Singular; MiraLAX; Zyrtec; DuoNeb; Fish Oil; Protonix

Current Illness: Asthma; allergies

ID: 1019218
Sex: F
Age:
State:

Vax Date: 03/01/2016
Onset Date: 05/01/2016
Rec V Date: 02/10/2021
Hospital:

Lab Data: On an unspecified date in 2016, magnetic resonance imaging of the brain showed inflammation. On an unspecified date in May-2016, magnetic resonance imaging of the spine showed a small inflammation.

Allergies:

Symptoms: inflammation of spinal cord + in brain (Multiple Sclerosis was diagnosed a few months later)

Other Meds:

Current Illness:

ID: 1019219
Sex: F
Age: 61
State: MO

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Soy

Symptoms: I had flu like symptoms headache and dizziness with both doses. The symptoms of the first dose stopped at day 3. After the second dose, 3 weeks later, the symptoms appeared later but held on to day 5 or 6, except the more extreme dizziness which I still have. It is worse on some days and there is some nausea in the mornings with headache. I have never had vertigo but this is what I imagine it to be.

Other Meds: CoQ10, Probiotic, Vitamin D, Magnesium

Current Illness:

ID: 1019220
Sex: F
Age: 66
State: FL

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Client alerted onsite EMS concerning weakness. VS: B/P 130/60, Heart rate 72. Client stated she felt better and asked her husband to drive. Client released home at 8:28 am.

Other Meds: none

Current Illness: denies

ID: 1019221
Sex: F
Age: 48
State: IL

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: covid test on February 8th

Allergies: strawberries, raspberries

Symptoms: sinus infection/ one week later

Other Meds: trinessa

Current Illness: none

ID: 1019222
Sex: M
Age: 41
State: WI

Vax Date: 01/25/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Head CT scan on 2/9/2021 H/H and BMP labs on 2/9/2021

Allergies: None

Symptoms: Bells Palsy DX on 2/9/2021 Started feeling right sided facial numbness on 2/8/2021 at 4:00 pm. Then noticed slight right eye droop.

Other Meds:

Current Illness: None

ID: 1019223
Sex: M
Age: 96
State: MA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1019224
Sex: M
Age: 63
State: MA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1019225
Sex: F
Age: 60
State: OH

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Shaking chills, body aches, nausea, headache followed by fever and exhaustion. Improved in 12 hrs. Returned to normal in 24 hrs. All normal side effects but more intense than anticipated.

Other Meds: Vitamin D, C, E, B6 taken evening prior

Current Illness: None

ID: 1019226
Sex: F
Age: 39
State: KS

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: One week later I still have left sided neck and shoulder pain (the same side of the injection). I have never had neck pain in my life. I am a healthy 39 year old female. I also had a blotchy red rash at the injection site on Sunday. That has now subsided.

Other Meds: Thyroid medicine

Current Illness: None

ID: 1019227
Sex: F
Age: 74
State: MA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Incorrect Reconstitution.

Other Meds:

Current Illness:

ID: 1019228
Sex: F
Age: 52
State: MI

Vax Date: 02/08/2021
Onset Date: 02/01/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: non

Symptoms: I received my first dose of the Moderna vaccine at 0830 am and my symptoms began at 1900 for about 36 hours. Fever, chills and body aches.

Other Meds: Metoprolol, Entresto, Spironolcatone, Farxiga

Current Illness: non

ID: 1019229
Sex: F
Age: 33
State: PA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: ultrasound

Allergies: Gluten, penicillin

Symptoms: rigors, headache, chills, low grade fever (100.2). Was 4 weeks pregnant at time and 9 week ultrasound revealed no growth past 6 weeks and no fetal heart tones.

Other Meds: prenatal, levoxyl

Current Illness: none

ID: 1019230
Sex: F
Age: 59
State: MA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1019231
Sex: F
Age: 40
State: GA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: headache, dizziness, weakness and runny nose

Other Meds: ibuprofen

Current Illness: none

ID: 1019232
Sex: M
Age: 71
State: FL

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Sixteen hours after my second Moderna vaccination I experienced full body aches, dizziness, nausea, chills and a raspy throat.

Other Meds: Xarelto, Flecainide, Losartan, Bisoprolol Fumarate

Current Illness: None

ID: 1019233
Sex: F
Age: 35
State: KY

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Received second vaccine on 2/3/21. Right arm where shot was received started getting sore, red, and hot on same day. Worsening and on 2/6/21 went to urgent care,

Other Meds:

Current Illness:

ID: 1019234
Sex: F
Age: 64
State: MA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1019235
Sex: F
Age: 73
State: MO

Vax Date: 02/01/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: Sulfa

Symptoms: February 9th noticed sore at injection site, February 10th woke up with soreness and swelling at the injection site, warm to touch.

Other Meds: Ferrous Sulfate, Turmeric, Probiotic, Calcium, multiple Vitamin

Current Illness: none

ID: 1019236
Sex: F
Age: 71
State: FL

Vax Date: 02/01/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Hard itchy red bump at injection site starting on day 3 and continuing on day 6

Other Meds: Synthroid, calcium

Current Illness: None

ID: 1019237
Sex: M
Age: 35
State: MA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1019238
Sex: F
Age: 36
State:

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Pain from injection site (left deltoid) to wrist 6/10 with limited mobility. Numbness/tingling in ulnar nerve distribution in the left hand. Started day after injection. 48 hours of fatigue and hypersomnia. Day 6 post injection, left side supraclavicular and posterior cervical chain lymphadenopathy which has persisted without change. 2nd dose scheduled 2/13/2021.

Other Meds: Valtrex

Current Illness: none

ID: 1019239
Sex: F
Age: 46
State: MN

Vax Date: 02/02/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Itching, swelling, hot to touch at the site of the vaccination needle, arm sore - this is 8 days after the vaccinaton. Initial shot had arm pain the next 12-24 hours, then no symptoms. This new swelling and itching started this morning.

Other Meds: tamoxifen, calcium supplement, vitamin D

Current Illness: cancer treatment going since November

ID: 1019240
Sex: F
Age: 64
State: MA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1019241
Sex: F
Age: 35
State: ME

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Keflex and shrimp

Symptoms: My left arm is swollen, red, itchy and warm to the touch. There is a small amount of pain also

Other Meds:

Current Illness:

ID: 1019242
Sex: U
Age:
State: FL

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Black and blue bruising at the site that went away 5 days later but pt now has a red spot at the site. 2nd shot due the 13th Feb

Other Meds:

Current Illness:

ID: 1019243
Sex: M
Age: 59
State: MD

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Soreness and Rash at injection site Moderate Flu like symptoms including fatigue, vomiting, total body aches No fever Mild headache

Other Meds: Mature Multi Vitamins & Minerals (Adult 50+) one tablet per day Triple Flex joint & muscle support formula 2 tables per day

Current Illness: None

ID: 1019244
Sex: M
Age: 74
State: ME

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: Lipitor

Symptoms: About 3 AM, chills, dizziness, weakness shortness of breath. Normal breathing restored after 40 minutes followed by fever and extreme exhaustion. Episode began to end about11:00 AM same day.

Other Meds: Metrapolol, Rusoavstatin ,Asprin 81mg, Multivitamin

Current Illness: None

ID: 1019245
Sex: F
Age: 71
State: MA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: following the vaccination shot on same day 2/6/21 complaints of injection site pain and headache she was found deceased in her residence 2/8/21 8:00 am

Other Meds: cilostazol, rosuvastatin, oxybutynin, albuterol inhaler, spiriva inhaler

Current Illness:

ID: 1019246
Sex: F
Age: 31
State: MA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1019247
Sex: F
Age: 51
State: KY

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: CT head negative 2/8/21 Ct cervical spine negative 2/8/21 Potassium 5.2 2/8/21

Allergies: Latex

Symptoms: Received 2nd vaccine on 2/5/21 and on 2/6/21 started having a headache. Experienced tingling and pinprick sensation over her entire body. Went to ER on 2/8/21.

Other Meds:

Current Illness:

ID: 1019248
Sex: F
Age: 58
State: ME

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: carrot juice macadamian nuts

Symptoms: Shingrix 50 MCG - cold chills, fever, extremely hot, sweating, cold, body aches, nausea, muscle aches, bone aches, slight headache

Other Meds: Trazodone Hydrochloride 25 mg

Current Illness: none

ID: 1019249
Sex: M
Age: 57
State: MA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1019250
Sex: M
Age: 34
State: IN

Vax Date: 01/08/2021
Onset Date: 01/21/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: D-Dimer 0.31, Sodium 137, Potassium 4.1, Chloride 105, CO2 27, Glucose 102, BUN 9, Creatinine 1.02, GFR 95, Calcium 9.5, WBC 6.7, RBC 6.00, HGB 17.1, HCT 51.2, MCV 85.3, MCH 28.5, MCHC 33.4, RDW 14.3, Platelets 279, MPV 9.4, Segs relative 57, Lymphocytes 26, Monocytes 15, Eosinophils 1, Basophils 1, Absolute neutrophils 3.75, Absolute lymphocytes 1.72, Absolute monocytes 1.00, Absolute eosinophils 0.09, Absolute basophils 0.09 Normal chest xray, abnormal EKG-sinus rhythm with PVC's, T-Wave abnormality

Allergies: none

Symptoms: chest pain/pressure

Other Meds: Citalopram Verapamil Lisinopril/HCTZ Atenolol Wellbutrin

Current Illness: none

ID: 1019251
Sex: F
Age: 71
State: FL

Vax Date: 01/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Spoke to my Dr. looking into Meds. I do not think I should get shot #2

Allergies: None

Symptoms: Day if shot got a bit tingly but nothing more then that. Day three Started getting neuropathy in my hands my feet and my face. Tingling and pins and needles. Everyday a bit worse. Today it is effecting my voice and my eye sight is a bit blurry. This is my 2nd report VAERS 289113 was the first. Not getting better but symptoms a getting a bit worse.

Other Meds: Losartan Famotidine Biotin Vit D 3

Current Illness: None

ID: 1019252
Sex: M
Age: 66
State: FL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none; patient was counseled to visit the hospital for a complete diagnosis and workup.

Allergies: None

Symptoms: patient woke up and his hands were shaking, the left side of his face was numb, and tingling in his hands and feet. At this moment the face numbness went away, the feet and hands are better.

Other Meds: Rx: spariva, profenol

Current Illness:

ID: 1019253
Sex: M
Age: 60
State: MA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1019254
Sex: F
Age: 40
State: PA

Vax Date: 01/30/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Reddened warm circular shape below injection site 24cm in length

Other Meds: None

Current Illness: None

ID: 1019255
Sex: F
Age: 41
State: AR

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Patient describes "numbness and tingling feeling to left cheek off and on. feels like my face was injected with lidocaine".

Other Meds: Phenergan Acyclovir Prednisone eye drops Wellbutrin Prilosec Calcium Carbonate/Vitamin D3 Biotin

Current Illness:

ID: 1019256
Sex: F
Age: 70
State: FL

Vax Date: 02/01/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Penicillin Shellfish

Symptoms: Headache, joint aches, low fever, occasional chills, fatigue

Other Meds: Synthroid, rosuvastatin, fosamax, aspirin, calcium, Areds, magnesium, biotin

Current Illness: None

ID: 1019257
Sex: F
Age: 40
State: NY

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: Shellfish, contrast dye, PCN, Codeine, Levaquin, sulfa, mycins

Symptoms: I had Chills, low grade fever, site sorness, arm stiffness, worsened joint and muscle pain and fatigue for 3 days

Other Meds: Gabapentin, Trazadone, Nexium, dandelion root, and 800 mg Motrin

Current Illness: none

ID: 1019258
Sex: F
Age: 23
State: MA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1019259
Sex: F
Age: 69
State: FL

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever, back pain , headache , welt on arm

Other Meds:

Current Illness:

ID: 1019260
Sex: F
Age: 28
State: NY

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Urine Culture- nothing detected 2/5/21 Stool sample- not done yet

Allergies: Sulfa drugs

Symptoms: Fever of 100.3, lower abdomen pain, vomiting, diarrhea and headache

Other Meds: Lisinopril

Current Illness: UTI one month before

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm