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: 0936752
Sex: F
Age: 25
State: GA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: Strawberries and ozone (in air filters)

Symptoms: Headache, Body aches, Chills/trouble regulating body temperature, nauseous. Unsure how long it lasted because it was in the middle of the night. I was able to fall back to sleep and felt okay the next morning. I am still feeling a little nauseous and I am very tired because I didn't sleep well as a result of the symptoms but I felt fine enough to go to work.

Other Meds: Birth Control

Current Illness: None

ID: 0936753
Sex: F
Age: 43
State: NC

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: None

Allergies: Sulfa drug allergy

Symptoms: I almost blacked out around 8:30 AM the morning after my vaccination. I took my dogs outside and started feeling woozy and seeing spots. By the time I got back into my house, I had tunnel vision and could not see directly in front of me. I went to lay down, but ran into a piece of furniture because I was so disoriented and hit my shin on it. I collapsed on my bed. I stayed there for few hours and then I was ok. I had severe, flu-like symptoms for most of the day - fever, chills, low energy, joint pain (specifically back and hip) - that waxed and waned. I finally felt almost back to normal approximately 50 hours after the injection.

Other Meds: Celexa, Zyrtec, multivitamin

Current Illness: No

ID: 0936754
Sex: F
Age: 59
State: CT

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

Lab Data: none

Allergies:

Symptoms: pain in arm and low grade fever

Other Meds:

Current Illness:

ID: 0936755
Sex: F
Age: 53
State: TX

Vax Date: 08/15/2020
Onset Date: 08/15/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: MRI of the brain without contrast, EKG, Blood panel, Audiological Evaluation for Hearing

Allergies: None

Symptoms: Bells Palsy on the right side of face

Other Meds: None

Current Illness: Severe right earache

ID: 0936756
Sex: F
Age: 49
State: PA

Vax Date: 01/03/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: I received the 1st dose on 1/3 and experience the normal side effects of soreness at the injection site. Soreness resolved after a few day. On 1/8, I started to experience tenderness and swelling of the lymph node on the same side as the injection was administered. In addition, on 1/10, I started to experience soreness on the injection site.

Other Meds: N/A

Current Illness: N/A

ID: 0936757
Sex: F
Age: 53
State: WV

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Approximately 5 min after administration are is tingling, then got light headed. Next AM at 0700 was extremely tired. When getting out of bed in AM blacked out and fell to the floor. Was able to get up but head was cloudy all day long. She felt very sore and head hurt all day. The next am had headache.

Other Meds:

Current Illness:

ID: 0936758
Sex: M
Age: 41
State: UT

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: none that he is aware of

Symptoms: Patient reports 01/09 and 01/10 feeling body aches, fatigue and a sore arm but the evening of 01/11 he developed full body hives after taking aspirin.

Other Meds: lisinopril

Current Illness:

ID: 0936759
Sex: F
Age: 34
State:

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderate muscle soreness with painful localized lymphadenopathy (supraclavicular and axillary lymph nodes)

Other Meds:

Current Illness:

ID: 0936760
Sex: F
Age: 36
State: PA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: Patient experienced swelling in areas treated with dermal fillers 2 days after Moderna COVID vaccine

Other Meds: unknown

Current Illness: None

ID: 0936761
Sex: F
Age: 26
State: MA

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

Lab Data:

Allergies: None

Symptoms: I thought I had COVID again. I had body aches, and chills, fevers, and diarrhea. Sweating, and then freezing cold. It was not pleasant at all.

Other Meds: N/A

Current Illness: None

ID: 0936762
Sex: F
Age: 66
State: NC

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

Lab Data: NA

Allergies: Motrin-swelling PCN- anaphylaxis Shingrix vaccine- palpitations, SOB Sulfa- swelling Claritin-palpitations Losartan- dizziness

Symptoms: Tingling and swelling on sides of tongue within 10 minutes of vaccine administration

Other Meds: Synthroid 112 mcg, Diovan HCT 80-12.5 mg, Crestor 10 mg, Protonix 40 mg, Singulair 10 mg, Glucophage XR 500 mg, Albuterol HFA, Coenzyme Q10, ASA 81 mg, Viactiv supplement, Vitamin D3 5000 units.

Current Illness: NA

ID: 0936764
Sex: F
Age: 26
State: MO

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

Lab Data:

Allergies: seasonal, ragweed, dairy, grass, trees

Symptoms: My armpit lymph nodes are swollen and very tender on the same arm that my shot was given. my symptoms are not reproducible other than to palpation. There is also visible swelling. no rash or redness in the area.

Other Meds:

Current Illness:

ID: 0936765
Sex: M
Age: 18
State: PR

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: fatigue, headache, mucle pain, joint pain, chills and fever

Other Meds: Rifampin

Current Illness: no

ID: 0936766
Sex: F
Age: 61
State: GA

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

Lab Data: Unknown

Allergies: unknown

Symptoms: Erythema, swelling and heat at injections site, seen by PCP with prescription of antibiotics, improving after onset of treatment

Other Meds: Unknown

Current Illness: Unknown

ID: 0936767
Sex: F
Age: 55
State: PA

Vax Date: 12/30/2020
Onset Date: 01/03/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: MRI of brain - 1/7/2021

Allergies: nka

Symptoms: Approximately 1 - 2 hours after receiving I had numbess and soreness to my neck. A few days later started experiencing tingling, buzzing, weakness and heaviness to my right arm and leg. I reported this to my MS doctor who ordered an MRI of the brain and told me to report to you

Other Meds: vitamin d3 multivitamin calcium fish oil cranberry ambien

Current Illness:

ID: 0936768
Sex: M
Age: 40
State: MA

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

Lab Data:

Allergies: Environmental/seasonal allergies - runny nose, congestion

Symptoms: frontal headache pain score 3/10

Other Meds:

Current Illness:

ID: 0936769
Sex: M
Age: 45
State: ND

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: No e

Allergies: Seasonal

Symptoms: Severe dizziness with onset at 12 to 14 hours after injection Moderate to severe headache Moderate overall body ache, and fatigue

Other Meds: Multi vitamin

Current Illness: None

ID: 0936770
Sex: F
Age: 50
State: TX

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

Lab Data:

Allergies: Sulfa

Symptoms: woke up in the middle of the night with fever and chills, had headaches and body aches for 3 days after

Other Meds:

Current Illness:

ID: 0936771
Sex: F
Age: 63
State:

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

Lab Data:

Allergies:

Symptoms: Employee states that about 7-8 days after injection her arm began to swell, become red, and painful. Employee states that she had limited ROM for 3 days. Employee feels that the injection site might not have been in the correct location.

Other Meds:

Current Illness:

ID: 0936772
Sex: F
Age: 41
State: OH

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

Lab Data: none

Allergies: NKDA

Symptoms: Pt stated a few hours after injection, she had difficulty swallowing , hear palpitations and felt light headed

Other Meds: Atorvastatin, MVI- OTC

Current Illness: none

ID: 0936773
Sex: F
Age: 45
State: NH

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

Lab Data: N/A

Allergies: none

Symptoms: dry mouth/ metal taste/ excessive thirst, extreme dry eyes to the the point of burning/ gritty sensation (used multiple doses of natural tears to treat)

Other Meds: Wellbutrin, methylphenidate, gabapentin

Current Illness: none

ID: 0936774
Sex: M
Age: 53
State: MI

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: hurts to urinate

Other Meds: hydroCHLOROthiazide 25 MG tablet Commonly known as: HYDRODIURIL Take 1 tablet (25 mg total) by mouth once daily olmesartan 40 MG tablet Commonly known as: Benicar Take 1 tablet (40 mg total) by mouth once daily

Current Illness: none

ID: 0936776
Sex: M
Age: 29
State: ME

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 9/10 pain in left wrist (opposite side of vaccination) for 10 hours. Ibuprophen minimally helpful. Resolved completely after 24 hours. Fevers/chills/shakes for 12 hours.

Other Meds: None

Current Illness: None

ID: 0936777
Sex: F
Age: 59
State: IL

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

Lab Data: none

Allergies: coconut, peanuts latex, metal, hydrocodine, flexeril, palm oil

Symptoms: severe muscle spasms from head to toe n. im going on my third day with only ibprophin . which didn't help. . Imagine a Charlie horse that does not quit. I am callin the doctor to get something to stop this

Other Meds: 1 ibprophen

Current Illness: crohns

ID: 0936778
Sex: F
Age: 44
State: OH

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: n/a - Not seen by healthcare professional for assessment.

Allergies: Erythromycin, Bactrim

Symptoms: Developed low grade fever day 1 post injection which continued into day 2. Then developed severe watery diarrhea, headache, and body aches on day 2 post injection which continued for approximately 36 hours before subsiding. Used Ibuprofen, Tylenol, and Imodium for treatment of symptoms.

Other Meds: Losartan, Yaz, Omeprazole, Nortriptyline, Magnesium, CoQ10, Feverfew, B12, Biotin, Parafon Forte, Folic acid

Current Illness: None

ID: 0936779
Sex: F
Age: 42
State:

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: headache, nausea, vomiting. called in sick to work.

Other Meds:

Current Illness:

ID: 0936780
Sex: F
Age: 47
State: VA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: N/a

Allergies: NKA

Symptoms: Fever, nausea, HA, abdominal cramping

Other Meds: N/a

Current Illness: N/a

ID: 0936781
Sex: F
Age: 52
State: IN

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

Lab Data: None

Allergies: Sulfa and penicillin

Symptoms: Injection site swelling, burning, redness, pain post injection to current day still pain, swelling and burning

Other Meds: Aspirin, Zoloft, multi vitamin, k2d3, heart health supplements, Sudafed

Current Illness: Head congestion

ID: 0936782
Sex: F
Age: 38
State:

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

Lab Data:

Allergies:

Symptoms: Fatigue, headache, myalgia

Other Meds:

Current Illness:

ID: 0936784
Sex: F
Age: 30
State: GA

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

Lab Data: Unknown

Allergies: Unknown

Symptoms: Erythema, swelling and heat at injection site, visit to PCP with prescription of antibiotics with improvement

Other Meds: Unknown

Current Illness: Unknown

ID: 0936785
Sex: F
Age: 28
State: PA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: Arm soreness

Other Meds: Birth control , Liothyronine, phentermine, bupropion

Current Illness: n/a

ID: 0936786
Sex: F
Age: 36
State: MA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Shortly after receiving the vaccination, I was sitting in the observation area looking down at my phone when I felt a strange tingle in my throat. When I picked my head up, it went away quickly and did not happen again so I did not think it was a big deal. The RN monitoring the group approached me a few moments later and asked if I was OK because my chest was a little flushed. My complexion is very fair and I get red pretty easily just by clothing rubbing against my skin so I thought nothing of it but asked her to keep an eye on me. She came back around a couple more times and said it looked better. Thinking about my anxiety to get the vaccine, I assumed that was what it was and that everything was OK. I sat a bit longer, about 20 or so minutes after getting the vaccine and I seemed OK. Before leaving I had a brief conversation with a colleague while standing and I still felt OK. I left the facility and while driving home, my face started to feel hot and it was red. I was fairly close to my mother's house who is an RN so I called her and headed towards her house. She gave me 1 Benadryl and checked around my body for other blotchy red spots which seemed to be around my chest, torso, arms and face. She also noted my face was swollen, red and hot to the touch. I was able to eat dinner and drink 2 seltzers without issue then headed home about 6:30p. I took 1 Zyrtec at about 7:00-7:30p. Additionally, when I woke up on 1/7/2021, I felt tired, a mild sore throat and mild stuffy nose. My right arm was sore and heavy below the injection site. My face has been warm, slightly puffy and on and off red throughout the day. I had a headache in the morning when I first woke up and I have been parched all day. I took 2 - Ibuprofen when I woke up. Also throughout the day, at times I feel my chest get a little heavy.

Other Meds: None

Current Illness: None

ID: 0936787
Sex: F
Age: 39
State: IL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: Naproxen

Symptoms: The day after I had a sore arm, fatigue, headache.

Other Meds: None

Current Illness: None

ID: 0936788
Sex: F
Age: 39
State: IN

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: The day after the injection, the site became warm, red, sore and hard. Over time, the soreness has gone away, but the redness and hardness about a half dollar size around the injection site still remains. Today is day 11.

Other Meds: No medications. Supplement shake called Shakeology

Current Illness: None

ID: 0936789
Sex: F
Age: 49
State: WV

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

Lab Data: none

Allergies: no known allegries

Symptoms: painful swollen red arm shoulder to elbow joint and muscle pain sore throat low grade fever 99.5 nausea vomiting shortness of breath headache some periods of confusion

Other Meds: Tylenol

Current Illness:

ID: 0936791
Sex: F
Age: 49
State: NJ

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

Lab Data:

Allergies: Shellfish Chicken Vancomycin

Symptoms: Elevated blood pressure and headache at immediate injection body aches about 2 hours later follow by nausea low grade temp. On Sunday about 4am I started vomiting with diarrhea, joint pain, Headache, BP of 168/109 and temperature of 100.1.

Other Meds: Prozac 20mg 1 daily Losartan 50mg BID Nexium 40mg

Current Illness: None

ID: 0936792
Sex: F
Age: 41
State: MA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: Lisinopril, Metformin, Trulicity

Symptoms: Blood sugar > 300 consistently started observing day after second dose

Other Meds: HCTZ 12.5mg daily, Losartan 12.5mg daily, Adderall 15mg daily, Glucotrol XL 5mg daily, Qvar 80 2 puffs at bedtime, Zyrtec 10mg daily, prenatal vitamin daily, Vitamin D 2000 units daily, Omeprazole 20mg daily, Aspirin 81mg daily

Current Illness:

ID: 0936793
Sex: F
Age: 35
State: VA

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: hives, full-body rash

Other Meds:

Current Illness:

ID: 0936794
Sex: F
Age: 34
State: OH

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: None reported

Allergies: Morphine

Symptoms: The day after I received vaccination, I got a red painful welch (bump). I contacted my PCP and he said it was an allergic reaction. I took Benadryl a couple of days after. I also experienced fever and chills which lasted about two days. My skin also starting peeling a bit at the injection site.

Other Meds: None reported (Takes Benadryl PRN)

Current Illness: None reported

ID: 0936795
Sex: M
Age: 61
State: AR

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: Lisinopril

Symptoms: The patient reported the development of rash to trunk and neck as well as itching the day after the COVID19 vaccine was given.

Other Meds:

Current Illness:

ID: 0936797
Sex: F
Age: 33
State: MI

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Injection site reaction- swollen, hard, erythema, and hot.

Other Meds:

Current Illness:

ID: 0936798
Sex: M
Age: 59
State: NJ

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: slight headache, intestinal fluctuations, all fine

Other Meds: enalapril, atorvastatin

Current Illness: none

ID: 0936799
Sex: F
Age: 54
State: PA

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: Percocet Vicodin Erythromycin

Symptoms: Bell's Palsy

Other Meds: Kdur Hctz Biotin

Current Illness:

ID: 0936800
Sex: F
Age: 33
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: peniciline and codeine

Symptoms: severe joint main in right arm (especially wrist and elbow) almost a week after receiving the vaccine. Pain in arm pit and swollem lymph node.

Other Meds: Coq10, prenatal, vitamin D, doxycycline all at the of vaccine. A few days later (the 8th) stated IVF medications (low dose HCG and Follistim)

Current Illness: none

ID: 0936801
Sex: F
Age: 44
State: OK

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reports dizziness and feeling hot about 10 minutes post vaccination.

Other Meds:

Current Illness:

ID: 0936803
Sex: M
Age: 45
State: IN

Vax Date: 12/27/2020
Onset Date: 12/31/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: none

Allergies: intolerance to egg whites

Symptoms: Mild hives off and on on both arms and some times on torso, mostly in the mornings and self resolves in 2-3 hours without medicine. Also., partial lip edema twice noticed in the morning once on Dec31 and second time on January 4th. Both times lip edema resolved with in 4-5 hrs. on its own without any medication. Mild hives continue to show on arms and hand sporadically and self resolve with in few hours with any anti-histamine.

Other Meds: OTC vitamins

Current Illness: none

ID: 0936804
Sex: F
Age: 47
State: PA

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

Lab Data:

Allergies:

Symptoms: Late reaction of swollen lymph nodes in right axillary/breast area

Other Meds:

Current Illness:

Date Died: 01/11/2021

ID: 0936805
Sex: M
Age: 25
State: KY

Vax Date: 12/22/2020
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: None associated.

Allergies: Ceftriaxone

Symptoms: Patient received the vaccine on 12/22/20 without complication. It was reported today that the patient was found unresponsive and subsequently expired at home on 1/11/21.

Other Meds: See Continuation Field

Current Illness: Whiplash injury to neck. Sprain of ligaments of cervical spine

ID: 0936806
Sex: F
Age: 38
State: MA

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

Lab Data:

Allergies:

Symptoms: fever (2 days), chills (2 days), nausea (waves on and off 4 days), severe headache(4 days), body aches (3 days), neck pain (4 days). I still get a headache once a day since the vaccine

Other Meds:

Current Illness:

ID: 0936807
Sex: M
Age:
State: AZ

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm