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
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 0982184
Sex: M
Age: 54
State:

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia, Fever, lump under left arm axilla the size of a baseball or bigger, not red, not hot, but very painful, also had chills yesterday, fever was at 102F Narrative: Has appt to see Occ Health provider today to evaluate the lump. Occupational health evaluated the mass, it appears to be fluid filled and may be larger than a baseball, it is substantial, the employee was sent to the ED for further evaluation to rule out infection or other possible diagnosis. Patient will need an ultrasound, CT scan, blood work, etc.

Other Meds:

Current Illness:

ID: 1326307
Sex: M
Age: 56
State:

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia Trouble sleeping, diarrhea

Other Meds:

Current Illness:

ID: 1326308
Sex: M
Age: 46
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Fever, Nausea Vomiting, Chills

Other Meds:

Current Illness:

ID: 1326309
Sex: F
Age: 40
State:

Vax Date: 12/23/2020
Onset Date: 12/28/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Asymptomatic covid positive on 12/28/2020 found on routine testing. Had been tested twice a week for several weeks for covid on routine surveillance. first test after covid vaccine positive. was negative for covid when tested on 1/4/2021 and 1/6/2021. con Narrative:

Other Meds:

Current Illness:

ID: 1326310
Sex: F
Age: 45
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia, Arthralgia, fatigue Narrative:

Other Meds:

Current Illness:

ID: 1326311
Sex: M
Age: 43
State:

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia, Arthralgia, Fever, NauseaVomiting, chills, fatigue, , pain arm Narrative:

Other Meds:

Current Illness:

ID: 1326312
Sex: F
Age: 31
State:

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, CoughWheeze, swelling at site and warmth Narrative:

Other Meds:

Current Illness:

ID: 1326313
Sex: F
Age: 49
State:

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia, Fever, Diaphoresis, swollen glands L>R Narrative:

Other Meds:

Current Illness:

ID: 1326314
Sex: F
Age: 37
State:

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Arthralgia, Fever, Chills, Malaise Narrative:

Other Meds:

Current Illness:

ID: 1326315
Sex: F
Age: 53
State:

Vax Date: 12/12/2020
Onset Date: 01/03/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia, Arthralgia, NauseaVomiting, fatigue, feeling hot Narrative:

Other Meds:

Current Illness:

ID: 1326316
Sex: M
Age: 93
State:

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Injection site pain/discomfort Narrative: From 12/17/20 COVID-19 Screen note at23:06, vet reported some discomfort to right upper arm (where received vaccine) but that the pain was "ok". No additional pain reported in subsequent notes.

Other Meds:

Current Illness:

ID: 1326317
Sex: M
Age: 72
State:

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Injection-site pain/discomfort Narrative: Per COVID-19 Screen note 12/17/20at23:12: No side-effects noted other than verbalization of some discomfort to right upper arm. Offered pain med but said no. No redness, no swelling noted to site. 12/18/20 COVID-19 Screen note at22:51 has addendum at23:11: pt reported still w/ discomfort to right deltoid site. Offered pain med but declined. 12/19/20 COVID-19 Screen note at03:37 states patient denied pain/discomfort.

Other Meds:

Current Illness:

ID: 1326318
Sex: M
Age: 66
State:

Vax Date: 12/17/2020
Onset Date: 12/18/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fatigue Narrative: Pt is a 66 year old male with PMH significant for paranoid schizophrenia, aortic stenosis s/p TAVR 2015 admitted to short-stay rehab post- hospital stay 12/7-12/10 for falls and gait instability. Pt received COVID-19 vaccine 12/17/20. Pt refused physical therapy 12/18/20 d/t fatigue and also expressed being "too tired" during occupational therapy visit 12/18/20. No further reports of fatigue after these events.

Other Meds:

Current Illness:

ID: 1326319
Sex: M
Age: 73
State:

Vax Date: 12/23/2020
Onset Date: 12/25/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Redness and pain at injection site Narrative: Patient received Moderna COVID-19 vaccine on 12/23/20, administered to left deltoid without complications. Veteran was monitored for 15 minutes after administration and no adverse effects were noted at that time. RN note on 12/25/2020 reported that veteran had redness to left deltoid where COVID vaccine was administered that was reportedly the size of a half dollar. RN note states patient verbalized soreness at his left deltoid but denied other symptoms. RN note on 1/3/21 reported patient had a rectangular patch of redness (1 in x 3 in) from injection site on left deltoid that was reportedly traveling from injection site towards dorsal deltoid. RN reported swelling at injection site. Skin reported to be intact, no reported discharge or pain on 1/3/20.

Other Meds:

Current Illness:

ID: 1326320
Sex: M
Age: 73
State:

Vax Date: 12/17/2020
Onset Date: 12/19/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Narrative: Patient is a 73 year old male with PMH significant for dementia. Per 12/19/20 Nursing Inpt Noteat02:17: Pt was found to have tachycardia to 166 on routine vital check 12/19/20 at00:50. Resident also noted to beusing diaphragmatic muscles to breathe. When EKG performed, HR down to 100 and in sinus rhythm. Pt was sent to ER but no interventions were taken. ED workup reported unremarkable and patient was sent back to community living center. 12/19/20 Nursing Inpt Note at14:50: at0810 V/S taken and recorded, P- 88,02 sat 94%. No further tachycardia episodes noted.

Other Meds:

Current Illness:

ID: 1326321
Sex: M
Age: 71
State:

Vax Date: 12/16/2020
Onset Date: 12/16/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: tenderness of injection site Narrative: 12/16/20 Assessment note at23:45: Right deltoid covid site tender to touch but no redness. Patient is afebrile, 97.6, no complain of pain. 12/17/20 Assessment note at14:16: Patient denies any chills or mobility changes, with minimal tenderness only per patient, no change in LOC or behavior. Right deltoid administration site without any skin discoloration or any visible issue. 12/17/20 Assessment note at22:35: Vaccine site is intact, no complain of pain, no redness noted.

Other Meds:

Current Illness:

ID: 1326322
Sex: M
Age: 51
State:

Vax Date: 12/16/2020
Onset Date: 12/19/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Severe chills, general malaise Narrative: 12/19/20 Shift note at12:10: c/o chill. Vital sign check was normal. Covered with blankets. 12/19/20 OT Unable to Treat note at13:47: Pt reporting severe chills and general malaise, possibly as a side effect to COVID-19 vaccine. Pt deferred therapy until next week, requesting to sleep. 12/19/20 Shift note at17:45: no c/o chill at this time.

Other Meds:

Current Illness:

ID: 1326323
Sex: M
Age: 75
State:

Vax Date: 12/16/2020
Onset Date: 12/16/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Chills Narrative: Per SHIFT note 12/16/20: Patient received COVID vaccine Pfizer at approximately 1300. Patient reported chills and no further symptoms, vital signs are stable. Patient believes that it could be a part of his tendency to run cold. Extra blankets were provided to patient and room temperature has been increased to 70 degrees. Patient stated that he no longer felt chills after interventions were performed. Per 12/17/20 Inpt attending note, "No acute events overnight. Some chills last night but feels fine now."

Other Meds:

Current Illness:

ID: 1395507
Sex: F
Age: 57
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: RespDepression, HYPERtension, chest burning Narrative: Pt c/o Shortness of breath minutes after vaccine received. 02 Saturations 98-100% BP initially 173/90, rechecked 10 minutes later and its was 178/102. Pt also c/o chest burning "like heartburn" .

Other Meds:

Current Illness:

ID: 1395509
Sex: M
Age: 41
State:

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: muscle aching, joint pain, chills, headache Narrative: Muscle aching and insomnia the day of injection progressing to chills, joint pain, headache, unable to sleep symptoms continue today the day after injection "feels like hit by a truck"

Other Meds:

Current Illness:

ID: 1395510
Sex: F
Age: 36
State:

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/10/2021
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: 1395511
Sex: M
Age: 51
State:

Vax Date: 12/24/2020
Onset Date: 01/01/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: delayed (7 days) induration 4x6cm distal to injection site Narrative: Delayed onset of puritic mildly painful induration 4x6cm , distal to inj site. no other symptoms

Other Meds:

Current Illness:

ID: 1395514
Sex: F
Age: 62
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Rash Reynaud's distal fingers-self-limited, chills. No fever. All vaccine side effects experienced between 4-10 hours post- vaccination. Narrative: Called Employee Occupational Health report syptoms

Other Meds:

Current Illness:

ID: 1395517
Sex: M
Age: 49
State:

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SORENESS AT INJECTION SITE Narrative:

Other Meds:

Current Illness:

ID: 1395521
Sex: F
Age: 64
State:

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Anigina Narrative: Patient received Covid 19 vaccination at 1513. Due to an allergy to honey bees, she was monitored by RN for 30 minutes, ended 1543. When observation period was completed, RN asked patient if she was okay. Employee stated, "I'm having some tightness in my chest, but I'm okay." Employee also stated that she sometimes has SOB and tightness of chest. Vital signs obtained BP 185/82-P 77- R 20- O2 sat 100% room air, T 97.4. BP rechecked 206 /85. Employee asked by staff if she has hypertension, stated yes. Asked by this writer when was the last time she had taken BP medications and she stated today before lunch. Advise that EMS will be notified that she could go to hospital, employee refused. Leadership notified of situation and advised that nursing staff still call 9-1-1. 1554 9-1-1 notified via telephone by RN. Employee asked if any history of heart attack, denied however did disclose history of four heart stents. Approximately 1606 EMS arrived to building 6 to escort employee to hospital, patient refused to go to hospital. Leadership at vaccination clinic, advised employee call 9-1-1 or go to nearest hospital if tightness in chest persist, expressed understanding.

Other Meds:

Current Illness:

ID: 1395582
Sex: F
Age: 42
State:

Vax Date: 12/26/2020
Onset Date: 12/28/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: tingle in throat, scratchy Narrative: Benadryl 50mg given per provider. Employee sat for additional 30 minutes with no additional signs of reaction

Other Meds:

Current Illness:

ID: 1395596
Sex: F
Age: 35
State:

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: BlurredVision, Dizziness, Tachycardia, PATIENT REPORTED 'TUNNEL VISION, HEARING CHANGES, AND A CLAMMY/SWEATY FEELING'. Narrative: PATIENT WAS AT THE END OF 15 MINUTE OBSERVATION TIME (APPROX 7:59 AM) WHEN SHE REPORTED FEELING, SWEATY, CLAMMY, LIGHTHEADED, AND DIZZY. SHE REPORTED EXPERIENCING TUNNEL VISION AND HEARING CHANGES. PATIENT WAS MONITORED UNTIL 8:35AM. PATIENT AMBULATED ON HER OWN WITHOUT ASSISTANCE AND STATED SHE FELT BETTER BEFORE LEAVING THE CLINIC. VITALS WERE AS FOLLOWS. 8:02AM 128/90 98% 97P 8:09AM 117/85 98% 96P 8:15AM 126/80 97% 94P 8:20AM 122/84 97% 97P

Other Meds:

Current Illness:

ID: 1395599
Sex: F
Age: 33
State:

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Dizziness, Tachycardia, PATIENT REPORTED 'ROOM SPINNING, LIGHT HEADEDNESS, SWEATING, CLAMMY FEELING' Narrative: PATIENT WAS AT THE END OF HER 15 MINUTE OBSERVATION TIME (APPROX 8:01AM) WHEN SHE REPORTED SHE FELT LIKE THE ROOM WAS SPINNING. SHE COMPLAINED OF A SWEATY/CLAMMY FEELING AND LIGHTHEADED/DIZZINESS. PATIENT WAS MONITORED UNTIL APPROX 8:35AM WHEN SHE FELT WELL ENOUGH TO AMBULATE STEADILY ON HER OWN. PATIENT STATED SHE WAS FEELING BETTER PRIOR TO LEAVING THE CLINIC. VITALS WERE AS FOLLOWS. 8:05AM 135/91 97% 100P 8:10 AM 127/92 98% 99P

Other Meds:

Current Illness:

ID: 1395601
Sex: M
Age: 38
State:

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia, sore arm Narrative: day of vaccine had sore arm, body ache, second day had sore arm and mild headache, third day had sore arm

Other Meds:

Current Illness:

ID: 1395604
Sex: F
Age: 27
State:

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Dizziness, Myalgia, Fever, SkinRash & rash Narrative: Swelling and pain of injection site for 4 days following vaccination. Fever for 2 days Missed 2 days of work.

Other Meds:

Current Illness:

ID: 1395605
Sex: M
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia, Coughwheeze, Rhinorrhea, nasal congestion, scratchy throat, sneezing. Narrative:

Other Meds:

Current Illness:

ID: 1395608
Sex: F
Age: 48
State:

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache Narrative: 2PM DAY AFTER INJECTION REPORTS EXPERIENCING A SEVERE MIGRAINE. PATIENT DOES SUFFER FROM MIGRAINE EPISODES, HOWEVER, ALL USUAL METHODS FOR EASING MIGRAINES WERE UNSUCCESSFUL (CAFFEINE, EXCEDRIN,SLEEP). EXPERIENCED CONTINUING THROBNING OVER LEFT EYE THAT ALSO AFFECTED VISION IN THAT EYE. STILL SOME THROBBING BUT NO LONGER LOSS OF VISION.

Other Meds:

Current Illness:

ID: 1395610
Sex: F
Age: 49
State:

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia, Arthralgia, Fatigue, sore throat, loss appetite Narrative: The employee stated that she would go to see her doctor to be treated for the above symptoms, if she was not directed to Employee Health Clinic to be seen.

Other Meds:

Current Illness:

ID: 1395612
Sex: U
Age: 57
State:

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: CRAMP IN FEET Narrative:

Other Meds:

Current Illness:

ID: 1395613
Sex: F
Age: 37
State:

Vax Date: 12/23/2020
Onset Date: 12/25/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: BlurredVision, Headache, CoughWheeze, HYPERtension, Syncope, shortness of breath Narrative:

Other Meds:

Current Illness:

ID: 1395614
Sex: M
Age: 38
State:

Vax Date: 12/22/2020
Onset Date: 12/31/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Arthralgia & Fever Narrative:

Other Meds:

Current Illness:

ID: 1395615
Sex: M
Age: 36
State:

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia, Arthralgia & NauseaVomiting Narrative:

Other Meds:

Current Illness:

ID: 1395616
Sex: M
Age: 52
State:

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia

Other Meds:

Current Illness:

ID: 1395617
Sex: F
Age: 62
State:

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SORENESS AT INJECTION SITE Narrative:

Other Meds:

Current Illness:

ID: 1395618
Sex: M
Age: 33
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/10/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Seizures, UrticariaPruritus & NauseaVomiting Narrative: NORMALLY HAVE SEIZURES EVERY EVENING, BUT THIS SEIZURE ABOUT 5.5 POST VACCINE WAS MUCH MORE SEVERE WITH "EYES ROLLING IN BACK OF HEAD" AND FELT "IN A DAZE". TOOK AN EXTRA DOSE OF CLONAZIPAM 1 MG

Other Meds:

Current Illness:

ID: 1395619
Sex: M
Age:
State:

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache & Fever Narrative:

Other Meds:

Current Illness:

ID: 1395620
Sex: M
Age: 36
State:

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Dizziness, Headache, Sedation, Phlebitis, Rash & UrticariaPruritus Narrative:

Other Meds:

Current Illness:

ID: 1395621
Sex: M
Age: 37
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia, Arthralgia, Fever & UrticariaPruritus Narrative:

Other Meds:

Current Illness:

ID: 1395623
Sex: M
Age:
State:

Vax Date:
Onset Date: 12/29/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever & Diarrhea Narrative:

Other Meds:

Current Illness:

ID: 1395624
Sex: M
Age: 26
State:

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia, Fever, CHILLS SORENESS AT INJECTION SITE Narrative:

Other Meds:

Current Illness:

ID: 1395625
Sex: F
Age: 56
State:

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia, SkinRash, Rash & UrticariaPruritus Narrative:

Other Meds:

Current Illness:

ID: 1395627
Sex: F
Age: 56
State:

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SORENESS AT INJECTION SITE AND FATIGUE Narrative:

Other Meds:

Current Illness:

ID: 1395628
Sex: M
Age: 41
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: DROWNY AND SORENESS AT INJECTION SITE Narrative:

Other Meds:

Current Illness:

ID: 1395630
Sex: F
Age: 46
State:

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia, Arthralgia, Fever, sweating, pain, swelling, warmth at injection site, body aches Narrative:

Other Meds:

Current Illness:

ID: 1395632
Sex: F
Age: 40
State:

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia, Arthralgia, Fever, NauseaVomiting, tenderness of neck/armpit, lymph node enlargement Narrative:

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm