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: 0950490
Sex: F
Age: 54
State:

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

Lab Data:

Allergies:

Symptoms: Headache chills

Other Meds:

Current Illness:

ID: 0950496
Sex: F
Age: 37
State:

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Dizziness, Headache, Myalgia, Arthralgia, NauseaVomiting, Injection site pain

Other Meds:

Current Illness:

ID: 0950501
Sex: F
Age: 41
State:

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Diarrhea left arm pain; abdominal pain 12/22 - vaccinated 12/23 onset of left arm pain and couldn't lift her arm. 12/24 arm pain improved. 12/25 felt normal and healthy 12/26 stomach sharp pain, diarrhea and felt shaky. 12/30 tested negative for COVID-19. 12/31 - symptoms persisted through today and have improved for the first time today. Left with only mild abdominal ache. Not sure the abdominal symptoms are related to the vaccine. She was advised to seek medical care if symptoms persist or worsen.

Other Meds:

Current Illness:

ID: 0950505
Sex: F
Age: 49
State:

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

Lab Data:

Allergies:

Symptoms: Headache, Myalgia, Fever, Headache, sore muscles, fever and sore throat Narrative:

Other Meds:

Current Illness:

ID: 0950506
Sex: F
Age: 44
State:

Vax Date: 11/05/2020
Onset Date: 11/05/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: UrticariaPruritus Narrative:

Other Meds:

Current Illness:

ID: 0950507
Sex: F
Age: 30
State:

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

Lab Data:

Allergies:

Symptoms: Headache, Myalgia, Arthralgia, NauseaVomiting, Injection site pain, fatigue, chills

Other Meds:

Current Illness:

ID: 0950508
Sex: F
Age: 62
State:

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

Lab Data:

Allergies:

Symptoms: Headache FAtigue

Other Meds:

Current Illness:

ID: 0950509
Sex: F
Age: 42
State:

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

Lab Data:

Allergies:

Symptoms: redness pain edema at inj site

Other Meds:

Current Illness:

ID: 0950510
Sex: F
Age: 37
State:

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

Lab Data:

Allergies:

Symptoms: FEELING FLUSHED, MILD FACIAL FLUSHING Narrative: 0825 C/O FEELING HOT , MILD FACIAL FLUSHING 120/84 P101 99% RA R 18 0837: 50MG BENADRYL GIVEN IM, 0841: C/O DRY MOUTH, FEELING SHAKY 0834: 124/83 P 102 99.4 100% RA 0850: C/O DRY MOUTH, COLD 0840: 118/77 P: 104 100% RA 100% RA.... 0855: 118/84 P101 100% RA T 99.0 0905: TRANSPORTED BY EMT

Other Meds:

Current Illness:

ID: 0950511
Sex: F
Age: 50
State:

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

Lab Data:

Allergies:

Symptoms: Headache, Myalgia, Arthralgia, NauseaVomiting, Fatigue Narrative:

Other Meds:

Current Illness:

ID: 0950512
Sex: F
Age: 49
State:

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

Lab Data:

Allergies:

Symptoms: Headache Left arm pain Narrative: 12/29 - onset of left arm pain. 12/30- onset of headache. 12/31 headache still present but improve. Arm is mildly sore - much better

Other Meds:

Current Illness:

ID: 0950513
Sex: F
Age: 61
State:

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

Lab Data:

Allergies:

Symptoms: Myalgia

Other Meds:

Current Illness:

ID: 0950514
Sex: F
Age: 30
State:

Vax Date: 12/23/2020
Onset Date: 12/28/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash erythema, swelling and itching to site of injection Narrative: employee presented with itching, erythema, and swelling to site of injection past 48 hours of injection.

Other Meds:

Current Illness:

ID: 0950551
Sex: F
Age: 37
State:

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

Lab Data:

Allergies:

Symptoms: Myalgia Chills,fatigue Narrative:

Other Meds:

Current Illness:

ID: 0950557
Sex: F
Age: 52
State:

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

Lab Data:

Allergies:

Symptoms: flushed and lips tingling within minutes of vaccination. After 30 min, nearly resolved. Employee declined PO Benadryl but was provided one "to go".

Other Meds:

Current Illness:

ID: 0950563
Sex: F
Age: 50
State:

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

Lab Data:

Allergies:

Symptoms: Rash, NauseaVomiting, pruritus Narrative: Developed dry heaves, rash and itching 9 min after receiving COVID vaccine (1st dose) during observation; Epipen given in vaccination room; transferred to R by ambulance. In ER she was given Diphenhydramine 25 mg PO and Famotidine 20 mg PO. Observed for 1-1/2 hours and discharged.

Other Meds:

Current Illness:

ID: 0950575
Sex: F
Age: 35
State:

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

Lab Data:

Allergies:

Symptoms: flushed feeling

Other Meds:

Current Illness:

ID: 0950580
Sex: M
Age: 55
State:

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

Lab Data:

Allergies:

Symptoms: Myalgia

Other Meds:

Current Illness:

ID: 0950581
Sex: F
Age: 0
State:

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

Lab Data:

Allergies:

Symptoms: Headache & Myalgia

Other Meds:

Current Illness:

ID: 0950582
Sex: F
Age: 48
State:

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Employee reported on 12/30/20 that she noticed a pea-size knot on left chest wall below clavicle with soreness after vaccine.

Other Meds:

Current Illness:

ID: 0950583
Sex: F
Age: 39
State:

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sedation, Myalgia, Diarrhea, pain and chills also reported Narrative: Employee notes approximately 48 hours of COVID like symptoms, similar but milder than what they experienced with the infection. Noted extreme fatigue, pain, diarrhea, chills and muscle aches with resolved after approximately 48 hours.

Other Meds:

Current Illness:

ID: 0950584
Sex: F
Age: 44
State:

Vax Date: 12/23/2020
Onset Date: 12/27/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, Myalgia & Angina

Other Meds:

Current Illness:

ID: 0950585
Sex: F
Age: 64
State:

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, NauseaVomiting, fatigue, numbness and tingling right arm and leg.

Other Meds:

Current Illness:

ID: 0950586
Sex: F
Age: 33
State:

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash, UrticariaPruritus, Injection site rash, pruritus Narrative:

Other Meds:

Current Illness:

ID: 0950587
Sex: F
Age: 40
State:

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

Lab Data:

Allergies:

Symptoms: Metallic taste in mouth

Other Meds:

Current Illness:

ID: 0950588
Sex: M
Age: 43
State:

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Myalgia & Arthralgia

Other Meds:

Current Illness:

ID: 0950589
Sex: M
Age: 55
State:

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

Lab Data:

Allergies:

Symptoms: Myalgia Mild left arm soreness 1 hour after receiving the vaccine and generalized malaise/myalgia Narrative: Employee reports mild left arm soreness 1 hour after receiving the Vaccine and generalized malaise/myalgia.

Other Meds:

Current Illness:

ID: 0950590
Sex: F
Age: 30
State:

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: UrticariaPruritus HIVES ON ARM AND BACK Narrative:

Other Meds:

Current Illness:

ID: 0950591
Sex: M
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Dizziness, Palpitations & HYPERtension Narrative: Employee received vaccine this AM at approximately 0853 this AM, Patient was monitored for 30 minutes after receiving vaccine based on employees verbal report of having a prior reaction to the flu vaccine about 10 years ago. The employee reported having heart palpitations and it felt like "heart was beating out of chest" while on duty after the observation period was complete. The employee returned to the vaccine clinic for further evaluation and was assessed and vitals were taken. Employee was noted to have a heart rate around 105-110s and a BP of 170s/ 90s which the employee stated was "unusual". The employee was then monitored for an additional 30mins, which after 15 mins the employee stated "I'm feeling really bad" , employee reported dizziness and stated "I feel like I'm going to pass out. The employee was started on 2L 02 via face mask and transported to the ER for further evaluation. Vitals were reassessed and found to be within normal limits. Patient verbally reported feeling much better at this time.

Other Meds:

Current Illness:

ID: 0952088
Sex: M
Age: 50
State:

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

Lab Data:

Allergies:

Symptoms: NauseaVomiting

Other Meds:

Current Illness:

ID: 0952089
Sex: F
Age: 49
State:

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

Lab Data:

Allergies:

Symptoms: Patient reports scratchy throat, metallic taste in mouth, "weird" feeling on tongue, "rash" on tongue, denies tongue swelling, denies throat swelling. Benadryl 50mg PO given. Patient states symptoms did not worsen after Benadryl given. Patient reports scratchy throat, metallic taste in mouth, "weird" feeling on tongue, "rash" on tongue, denies tongue swelling, denies throat swelling. O2 saturation 99%. Benadryl 50mg PO given. Patient states "feeling better" and symptoms did not worsen after Benadryl given.

Other Meds:

Current Illness:

ID: 0952090
Sex: M
Age: 0
State:

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

Lab Data:

Allergies:

Symptoms: Dizziness, Headache, Myalgia, Arthralgia, Fever, mental foggy arthralgias/myalgias, chills. 12/31 fever resolved.

Other Meds:

Current Illness:

ID: 0952091
Sex: M
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Felt Cold tingling in 4th and 5th Fingers to right hand Narrative: Pt at on site 15min observations immediately after receiving Covid-19 Vaccination Informed monitor staff of 4th and 5th finmgers on right have felt cold Monitor checked VS: BP=134/85 P=73 O2-98% BP=127/74 P=73 BP-115-75 P=73 O2-am98% Situation resolve by 1045

Other Meds:

Current Illness:

ID: 0952099
Sex: F
Age: 52
State:

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

Lab Data:

Allergies:

Symptoms: Dizziness, Myalgia, difficulty sleeping, dizziness arm pain.

Other Meds:

Current Illness:

ID: 0952107
Sex: M
Age: 34
State:

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

Lab Data:

Allergies:

Symptoms: Headache, Myalgia, Arthralgia, Fever, Diarrhea, Tachycardia, HA resolved 12/29, aches chills conts. 12/31 all symptoms resolved, Covid tested negative.

Other Meds:

Current Illness:

ID: 0952117
Sex: M
Age: 50
State:

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Dizziness & Headache

Other Meds:

Current Illness:

ID: 0952123
Sex: M
Age: 47
State:

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

Lab Data:

Allergies:

Symptoms: Dizziness After 5 minutes after being vaccinated, pt began to feel lightheaded and dizzy and slightly short of breath, heart rate was 160 and BP was 128/90 with 100% O2 sats on 6L. After that her heart rate started to come down two minutes later to 129

Other Meds:

Current Illness:

ID: 0952124
Sex: F
Age: 19
State:

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

Lab Data:

Allergies:

Symptoms: Myalgia & Arthralgia

Other Meds:

Current Illness:

ID: 0952125
Sex: M
Age: 31
State:

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

Lab Data:

Allergies:

Symptoms: Headache & Myalgia

Other Meds:

Current Illness:

ID: 0952126
Sex: F
Age: 44
State:

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

Lab Data:

Allergies:

Symptoms: Dizziness Little wave of dizziness 100/62 HR62 O2 99%, 100/67 HR 73 Narrative:

Other Meds:

Current Illness:

ID: 0952127
Sex: M
Age: 63
State:

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

Lab Data:

Allergies:

Symptoms: Headache, Myalgia, Arthralgia, Fever, Right arm pain, fatigue

Other Meds:

Current Illness:

ID: 0952128
Sex: M
Age: 35
State:

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

Lab Data:

Allergies:

Symptoms: Headache, Fever, chills, HA and temp resolved 12/31 Narrative:

Other Meds:

Current Illness:

ID: 0952129
Sex: M
Age: 36
State:

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Left arm pain, fatigue

Other Meds:

Current Illness:

ID: 0952130
Sex: U
Age: 44
State:

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

Lab Data:

Allergies:

Symptoms: left arm pain, swelling

Other Meds:

Current Illness:

ID: 0952131
Sex: M
Age: 21
State:

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

Lab Data:

Allergies:

Symptoms: Fever soreness at injection site and arm, feels warm Narrative: No OTC meds necessary, just began.

Other Meds:

Current Illness:

ID: 0952132
Sex: M
Age: 51
State:

Vax Date: 12/24/2020
Onset Date: 12/29/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash Injection site pain, rash, warmth and edema.

Other Meds:

Current Illness:

ID: 0952133
Sex: F
Age: 47
State:

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

Lab Data:

Allergies:

Symptoms: Injection site pain/discomfort

Other Meds:

Current Illness:

ID: 0952134
Sex: F
Age: 37
State:

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

Lab Data:

Allergies:

Symptoms: Dizziness Injection site pain

Other Meds:

Current Illness:

ID: 0952135
Sex: M
Age: 32
State:

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

Lab Data:

Allergies:

Symptoms: Myalgia, Arthralgia, pain in Rt deltoid/shoulder with ROM>above shoulder, weakness . no sensory deficit. 12/31 arm better with IB.

Other Meds:

Current Illness:

ID: 0952136
Sex: F
Age: 0
State:

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

Lab Data:

Allergies:

Symptoms: Headache, Myalgia, Fever, CoughWheeze, malaise, congestion Narrative:

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm