VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
28,193
AK1,084
AL2,357
AR1,552
AS31
AZ7,318
CA28,113
CO5,391
CT3,688
DC679
DE742
FL15,245
FM3
GA6,071
GU48
HI1,016
IA2,291
ID1,259
IL9,099
IN13,937
KS2,303
KY3,047
LA2,084
MA6,618
MD5,716
ME1,479
MH5
MI8,186
MN5,591
MO4,444
MP10
MS1,192
MT1,264
NC7,310
ND661
NE1,480
NH1,554
NJ7,347
NM1,943
NV1,714
NY15,329
OH9,083
OK2,500
OR3,708
PA9,656
PR1,070
QM1
RI1,028
SC2,716
SD664
TN3,894
TX15,169
UT2,152
VA6,860
VI22
VT887
WA6,284
WI5,307
WV1,172
WY426
XB4
XL1
XV1

ID: 1011342
Sex: F
Age:
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia & Fever Narrative: 0830 immunization. 2200. Shivering so bad she couldn't fall asleep until 03:00. Then sweats. Real bad sweats. Aches & pains all over. Bad retro-orbital headache. T-max 100.0 First dose in series had only significant local soreness

Other Meds:

Current Illness:

ID: 1011343
Sex: F
Age: 59
State:

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Sedation, Myalgia, Arthralgia, Tender lymph nodes under arm and neck

Other Meds:

Current Illness:

ID: 1011344
Sex: F
Age: 52
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Dizziness, HYPERtension, Syncope, Tachycardia, DIZZINESS AND LIGHTHEADED NESS AFTER VACCINE THIS AM AROUND 8:30. AT 12:30, WAS VERY PALE, WARM, DRY AND FEELING FAINT. 165/87, 104, 96.2, 98%, BLOOD GLUCOSE 158. NO SOB, RASH, OR ITHCING. AFTER 30 MINUTES WAS 112/69, 73, 18, 98%. Narrative:

Other Meds:

Current Illness:

ID: 1011345
Sex: F
Age: 65
State:

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Flu like symptoms headaches, chills, nausea

Other Meds:

Current Illness:

ID: 1011355
Sex: M
Age: 51
State:

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Flu like symptoms

Other Meds:

Current Illness:

ID: 1011405
Sex: F
Age: 54
State:

Vax Date: 12/22/2020
Onset Date: 12/30/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache fatigue, sore throat Narrative:

Other Meds:

Current Illness:

ID: 1011501
Sex: M
Age: 44
State:

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: SkinRash injection site pain and swelling

Other Meds:

Current Illness:

ID: 1011521
Sex: F
Age: 35
State:

Vax Date: 12/28/2020
Onset Date: 12/31/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: SkinRash 2 days after vaccine onset of painful skin rash 2 inches below deltoid Narrative: Mildly painful rash two inches below deltoid

Other Meds:

Current Illness:

ID: 1011565
Sex: M
Age: 46
State:

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Arthralgia, NauseaVomiting, chills Narrative:

Other Meds:

Current Illness:

ID: 1011617
Sex: F
Age: 36
State:

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia & Arthralgia Narrative:

Other Meds:

Current Illness:

ID: 1011637
Sex: F
Age: 46
State:

Vax Date: 01/04/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Hypertension + chostochondritis left ribs 1-3 Narrative: Patient reported slightly elevated BP at 143/93 and reproducible chest pain on 1/8/2021 at 9:00am. Wanted to be examined as her 2 year boyfriend recently died of an arrhythmia. Has history of fibromyalgia and BP is "always is elevated when she see's a provider". BP improved to 138/76 on repeat after 15 min of discussion.

Other Meds:

Current Illness:

ID: 1012028
Sex: M
Age: 65
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Light-headedness Narrative: Pt on 15min observation and complained of being lightheaded; BP taken at 1606, BP 120/80; pt was observed for another 15mins; VS taken at 1623, BP 102/62, HR 71, 02Sat 100%; pt states she is feeling better and ready to go home.

Other Meds:

Current Illness:

ID: 1012056
Sex: F
Age: 38
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: SkinRash & UrticariaPruritus Narrative: Patient reports an itchy rash from head to toe starting night of injection, missed work

Other Meds:

Current Illness:

ID: 1012058
Sex: M
Age: 52
State:

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia & Fever

Other Meds:

Current Illness:

ID: 1012059
Sex: F
Age: 51
State:

Vax Date: 12/23/2020
Onset Date: 12/27/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever COVID diagnosis 12/27/2020

Other Meds:

Current Illness:

ID: 1012060
Sex: F
Age: 48
State:

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache & Myalgia

Other Meds:

Current Illness:

ID: 1012062
Sex: F
Age: 64
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Dizziness, Headache, Myalgia, ErythemaMultiform, L arm pain,

Other Meds:

Current Illness:

ID: 1012063
Sex: F
Age: 34
State:

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia, Arthralgia, NauseaVomiting, chills, sweats

Other Meds:

Current Illness:

ID: 1012064
Sex: F
Age: 52
State:

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia, Fatigue

Other Meds:

Current Illness:

ID: 1012065
Sex: F
Age: 32
State:

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: ErythemaMultiform, UrticariaPruritus, 12/31-1/1 site redness and swelling, sore faded away. then returned on 1/6 red, swollen, itchy felt like big bug bite 1/7 hardened large circle swollen, erythema, itchy, dull pain. Narrative: 12/31-1/1 site redness swelling, sore faded away. then returned on 1/6 red, swollen, itchy felt like big bug bite 1/7 hardened large circle swollen, erythema, itchy, dull pain. Takes Flonase everyday, ice applied 1/6 with some relief.

Other Meds:

Current Illness:

ID: 1012066
Sex: F
Age: 57
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: fatigue, left tongue swelling, night sweats Narrative:

Other Meds:

Current Illness:

ID: 1012067
Sex: F
Age: 50
State:

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: SkinRash chills, sore throat, body aches

Other Meds:

Current Illness:

ID: 1012068
Sex: M
Age: 49
State: MI

Vax Date: 10/06/2020
Onset Date: 11/17/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Symptoms: & SIRVA

Other Meds:

Current Illness:

ID: 1012069
Sex: M
Age: 63
State: WA

Vax Date: 12/05/2019
Onset Date: 04/01/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: & LIP SWELLING (9/15/20@15:31:30)

Other Meds:

Current Illness:

ID: 1012071
Sex: M
Age: 65
State: NY

Vax Date: 12/31/2020
Onset Date: 01/05/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Narrative: Symptoms: Headache, Myalgia, NauseaVomiting & body ache Treatment:

Other Meds:

Current Illness:

ID: 1012077
Sex: M
Age: 70
State: MS

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Narrative: Patient received vaccination on 12/31/ 2020 and reports on 1/6/2021 that he had vivid dream/hallucination approximately the next evening after receiving vaccination and then reports having another vivid dream/hallucination on the 3rd day post-vaccination. Pt did not receive any treatment medication for vivid dream/hallucination. Pt does not have any noted history of hallucinations in the past. Current orders in place by provider: Labs, UA/ C&S, I&O Q4H, NEURO CHECK Q4H, VS Q4H. PMH: recurrent major depressive disorder, adjustment disorder with depressed mood. Symptoms: Hallucinations & VIVID DREAM Treatment:

Other Meds: PPD 12/23/2020

Current Illness:

ID: 1015725
Sex: M
Age: 40
State:

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Reported numbness in lips and L Malar area; no angioedema Narrative: Employee was taken to facility in wheelchair, evaluated and stable. Diagnosis vasovagal due to needle anxiety vs mild allergic reaction to MODERNA vaccine. Given 50mg Benadryl and Solumedrol 125mg IM. Monitored for 30 minutes, completely asymptomatic. Release home in care of wife.

Other Meds:

Current Illness:

ID: 1015726
Sex: F
Age: 49
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever Facial tingling, blue nailbeds Narrative: Facial tingling resolved. Still has low grade fever, fatigue

Other Meds:

Current Illness:

ID: 1015727
Sex: F
Age: 38
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache Narrative:

Other Meds:

Current Illness:

ID: 1015728
Sex: F
Age: 59
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache

Other Meds:

Current Illness:

ID: 1015729
Sex: F
Age: 45
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Dizziness, NauseaVomiting, right arm mild soreness Narrative: 12/29 employee reports onset of dizziness and nausea about 2 hours after the vaccine. Her right arm is slightly sore. 12/30 - symptoms have improved and are very slight today. 12/21 resolution of all symptoms.

Other Meds:

Current Illness:

ID: 1015800
Sex: F
Age: 53
State:

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Sedation, fatige

Other Meds:

Current Illness:

ID: 1015807
Sex: F
Age: 47
State:

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia & Fever Narrative:

Other Meds:

Current Illness:

ID: 1015815
Sex: M
Age: 58
State:

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache sore right arm Narrative: Reported headache and sore right arm

Other Meds:

Current Illness:

ID: 1015822
Sex: M
Age: 89
State:

Vax Date: 12/22/2020
Onset Date: 12/25/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia & CoughWheeze

Other Meds:

Current Illness:

ID: 1015823
Sex: M
Age: 72
State:

Vax Date: 12/22/2020
Onset Date: 12/24/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever

Other Meds:

Current Illness:

ID: 1015824
Sex: M
Age: 36
State:

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache Narrative: Reported headache

Other Meds:

Current Illness:

ID: 1015825
Sex: M
Age: 63
State:

Vax Date: 12/22/2020
Onset Date: 01/05/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Rash

Other Meds:

Current Illness:

ID: 1015826
Sex: M
Age: 51
State: OH

Vax Date: 09/26/2011
Onset Date: 09/26/2011
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Symptoms: SkinRash & itching Treatment: DIPHENHYDRAMINE 50 MG ONCE, METHYPREDNISOLONE 30 MG ONCE, PREDISONE 40mg today, 20mgx2d, 10mgx2d MG

Other Meds:

Current Illness: Dysthymic Disorder Hyperlipidemia Osteoarthritis Diabetes

ID: 1015827
Sex: F
Age: 37
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia, Arthralgia, Fever, Diarrhea & NauseaVomiting

Other Meds:

Current Illness:

ID: 1015828
Sex: M
Age: 52
State:

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache Fatigue

Other Meds:

Current Illness:

ID: 1015829
Sex: F
Age: 65
State:

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache

Other Meds:

Current Illness:

ID: 1015830
Sex: F
Age: 35
State:

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia FATIGUE Narrative:

Other Meds:

Current Illness:

ID: 1015831
Sex: M
Age: 68
State:

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache

Other Meds:

Current Illness:

ID: 1015832
Sex: F
Age: 53
State:

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Dizziness, NauseaVomiting, fatigue Narrative:

Other Meds:

Current Illness:

ID: 1015833
Sex: M
Age: 38
State:

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia, Fever, chills, day after fatigue and headache

Other Meds:

Current Illness:

ID: 1015857
Sex: F
Age: 59
State:

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache very fatigue, soreness at injection site Narrative: stayed home from work

Other Meds:

Current Illness:

ID: 1016012
Sex: F
Age: 52
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia Narrative:

Other Meds:

Current Illness:

ID: 1016019
Sex: F
Age: 52
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia chills Narrative:

Other Meds:

Current Illness:

ID: 1016248
Sex: F
Age: 46
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia, Arthralgia, NauseaVomiting, Fatigue, pain/swelling of injection site Narrative: Swelling/pain/tenderness at injection site starting 6-7 hours after vaccination, continuing for 3-4 days. Headache, body aches, nausea and fatigue starting 24 hours after vaccination (all continued for 3-4 days). At time of report (8 days post vaccination), still complains of headache and fatigue.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 279,999

Page last modified: 03 October 2021 5:28pm