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: 0938267
Sex: M
Age: 30
State: NJ

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

Lab Data: EKG; Chest X-ray; Troponins.

Allergies: None

Symptoms: Fatigue, headache, body aches, elevated heart rate and blood pressure. Chest Pain. -Total Time ~12-15 hours. Arm pain lasted ~96 hours. Loss of appetite.

Other Meds: None

Current Illness: None

ID: 0938268
Sex: F
Age: 39
State: WA

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

Lab Data:

Allergies: zinacef antibiotic

Symptoms: at 3AM I had a 101 fever , my arm was swollen I couldn't raise my arm above my head , bright red in color around injection site, temp constantanly hovered until 1/3/2021 , swelling moved to my neck lymp nodes on my right side and moved down to my armpit, headache chills also Pregnancy: High risk, age, post cancer, missed abortion in Oct 2020, 7 weeks 2 days, Ultrasound 1/11/2021 with great measurements, Due date: Aug 31st, 2021

Other Meds: Synthroid 200 mg daily, 5000IU Vitamin D, prenatal, baby asprin, zoloft 200mg at bedtime, 1000 tylonol directly after the vaccine

Current Illness: no

ID: 0938269
Sex: F
Age: 74
State: GA

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

Lab Data: None

Allergies: Penicillin, sulfur, compazine, crab meat.

Symptoms: Headache, queasiness, chills, exhaustion and strong pain in arm at site of injection. All except the tiredness gone by following morning.

Other Meds: Synthroid , Paroxetine, Rosuvastatin, Liothyronine, Metformin, Isosorbide Mononit, folic acid, niacin, vitamin B12, vitamin C, calcium, magnesium, CoQ10, fish oil, multivitamin.

Current Illness: None

ID: 0938270
Sex: F
Age: 25
State:

Vax Date: 12/22/2020
Onset Date: 12/26/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: CBC, CMP, BNP, Lactic Acid, Troponin, TSH, Free T4, CXR, EKG

Allergies:

Symptoms: Near syncope, tachycardia with palpitations, nausea, dizziness, shakiness, pallor, fever

Other Meds:

Current Illness:

ID: 0938271
Sex: M
Age: 31
State: MA

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

Lab Data: NONE

Allergies: NONE

Symptoms: SHORTLY FOLLOWING VACCINE MEMBER DEVELOPED FATIGUE, NAUSEA, VOMMITING, DIAHRRHEA, HEAD ACHE AND CHILLS

Other Meds: NONE

Current Illness: NONE

ID: 0938272
Sex: F
Age: 45
State:

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

Lab Data:

Allergies:

Symptoms: Rash to upper forearm after injection. No treatment needed.

Other Meds:

Current Illness:

ID: 0938273
Sex: F
Age: 50
State:

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

Lab Data:

Allergies: Sulfa Class [Sulfa (Sulfonamide Antibiotics)], Keflex [Cephalexin], Adhesive Tape, Lactose, Macrodantin [Nitrofurantoin]- all allergies cause skin rash & hives

Symptoms: Pt c/o difficulty swallowing, which worsened, began coughing. Epi given IM and pt transferred to ED

Other Meds:

Current Illness:

ID: 0938274
Sex: M
Age: 48
State: NY

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

Lab Data: Covid test 1/12/21...not resulted yet

Allergies: None

Symptoms: Headache fatigue muscle aches

Other Meds: Aspirin CoQ10 Livalo

Current Illness: None

ID: 0938275
Sex: F
Age: 32
State: NJ

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

Lab Data: CoVid-19 Rapid POC test, result: Detected.

Allergies: No known allergies

Symptoms: 1/8/21 had chills and fatigue in the afternoon after the vaccine. Slept, woke on 1/9/21 and noticed loss of smell/taste, on 1/10/21, had congestion with pounding headache. 1/11/21, congestion and headache continued, went to clinic and had covid test, which was positive. Taking Vitamin C shots and natural teas to help with the symptoms.

Other Meds: Nexplanon, Womens Vitamins

Current Illness: Denied at the time of the visit

ID: 0938276
Sex: F
Age: 65
State: CA

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

Lab Data:

Allergies:

Symptoms: Palm tingling enough to wake from sleep Sore arm Site injection pain

Other Meds:

Current Illness:

ID: 0938277
Sex: F
Age: 65
State: OH

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

Lab Data:

Allergies:

Symptoms: That night and following day patient reports headache and took Tylenol then Excedrin. Temperature was 99 F and was achy for 2 days.

Other Meds:

Current Illness:

ID: 0938278
Sex: F
Age: 42
State: TX

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

Lab Data:

Allergies:

Symptoms: Approximately 5 minutes after patient vaccinated she started feeling light headed and had bilateral tingling in her extremities. Patient's mother indicated she had severe pre-eclampsia prior to her delivery 3 months ago. History of hypertension, takes Labetalol 300mg TID. EMS transferred patient to emergency room due to hypertension (patient hasn't taken a second dose of 3 today).

Other Meds: Labetalol 300mg

Current Illness:

ID: 0938279
Sex: F
Age: 39
State: IN

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

Lab Data:

Allergies: None known

Symptoms: Instant headache, blurred vision/dizzy, waves of tingling, felt like couldn?t breath. Red chest per nurse report. Given Epinephrine, monitored at hospital for 4 hours following Epinephrine.

Other Meds: None

Current Illness: A tongue reaction to something ate, one week prior to vaccination.

ID: 0938280
Sex: F
Age: 49
State: UT

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

Lab Data:

Allergies: Erythromycin Keflex

Symptoms: Headache Fever 99.6 Body aches Nausea

Other Meds: Omeprazole Lisinopril Estradial

Current Illness:

ID: 0938281
Sex: F
Age: 63
State: OH

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

Lab Data:

Allergies:

Symptoms: Chills, fever (100.0 F) , aches, congestion, cough.

Other Meds:

Current Illness:

ID: 0938282
Sex: F
Age: 34
State: GA

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

Lab Data: none

Allergies: none

Symptoms: chills, body aches, headaches

Other Meds: PNV, probiotics, sunflower,lethicin

Current Illness: none

ID: 0938283
Sex: M
Age: 66
State: RI

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

Lab Data: none

Allergies: Bee stings

Symptoms: Evening after shot, site was sore and couldn't sleep on that side. During evening (12:30 pm) felt cold, shivering, felt feverish. in morning had fever of 100. Had to stay in bed and rest on and off. By Sat. night

Other Meds: lisinopril 20 mg 2x day - been taking for many years for blood pressure Rosuvastatin Calcium - 20 mg daily 80 mg baby aspirin daily Wellness Formula - 1 daily Fish Oil - 2 daily B12 - 1 daily

Current Illness: none

ID: 0938284
Sex: F
Age: 26
State: IL

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

Lab Data: 1/11/2021 pt. had a CBC and CMP. WBC 9.2, HG 13.7, HCT 42.3, Eosinophils 0.73, immature granulocytes 0.04 CMP results all normal except GFR 87.

Allergies: Augmentin Doxycycline

Symptoms: Patient is a 26-year-old female who presents today with symptoms including migraine, "brain fog", fatigue, low grade fevers, and dizziness that began 6 days ago following receiving her first dose of COVID-19 vaccine. Pt. States she was tested for COVID 3 days prior to vaccine and this was negative. Pt. Says she had been sick for 6-7 days prior to taking vaccine and believes her immune system might of been weak from this. She received Moderna COVID vaccine at hospital. Her symptoms were more persistent and with more intensity for the first 3-4 days but now the symptoms are more "off and on." Her headache is posterior and the dizziness is also "more intermittent than before." Her headache is rated 4/10 at this time. She has taken OTC NSAIDS without much relief. The "dizziness" seems to occur randomly and is not aggravated by rapid positional changes. She does ingest moderate amounts of caffeine to boost her energy level while at work. She denies visual changes/focal weakness/discoordination/nausea/vomiting/abd pain/shortness of breath/wheezing. Pt. Reports that she has been very concerned about making sure she takes the right measures to help prevent getting COVID infection. She has researched the COVID vaccines, how they are made, and which are "more potent."

Other Meds: Albuterol sulfate HFA 108 MCG/ACT inhaler, inhale 2 puffs into the lungs every 6 hours as needed for wheezing/shortness of breath. cetirizine 10 MG tablet; take one by mouth daily. montelukast 10 MG; take one tablet every night. Wixela INHU

Current Illness: Viral upper respiratory infection 1 1/2 weeks prior to receiving vaccine.

ID: 0938285
Sex: M
Age: 88
State: AZ

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

Lab Data:

Allergies: None

Symptoms: None stated.

Other Meds: --Lisinapril- & Simvastin

Current Illness: None

ID: 0938286
Sex: F
Age: 21
State: NE

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

Lab Data:

Allergies:

Symptoms: ON 1/1/21, DEVELOPED A RED RASH AROUND INJECTION SITE.

Other Meds:

Current Illness:

ID: 0938287
Sex: F
Age: 44
State: MI

Vax Date: 01/03/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: on 1/11, left arm noticed knot approximately 1 inch by 2 inches. it is red, warm to the touch, and itchy/sore, took Advil and used cold compress for approx 20 minutes. on 1/12 left arm knot grew, still warm to the touch, red, and itchy. now approx 2x3 inches

Other Meds: Ziac, Vitamin D

Current Illness: none

ID: 0938288
Sex: F
Age: 44
State: NY

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: denies

Symptoms: On 1/8, developed diarrhea, nausea, stomach upset. Called in sick on 1/8. Symptoms improved 1/10. Developed pruritus on legs, arms and posterior neck; on 1/10/2020; cannot recall time. w/ scratching becomes red. Took Benadryl last night which caused her to sleep. She reports that she had COVID PCR test performed today through CU, in the bldg. denies other symptoms, SOB, wheeze, rash. recommend that she follow-up w/ her PCP, allergist.

Other Meds: Lisinopril, combination oral, 1 a day women?s vitamins.

Current Illness: denies

ID: 0938289
Sex: M
Age: 37
State: MO

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

Lab Data:

Allergies: none

Symptoms: chills, fever, muscle pain

Other Meds: multivitamin, flonase, iron supplement, vitamin c

Current Illness: none

ID: 0938290
Sex: F
Age: 30
State: CT

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

Lab Data: n/a

Allergies: Mollusks

Symptoms: Diarrhea starting 1 hour after injection and lasting 3 hours. Feeling of having a hot flash about 4 hours after injection which subsided after 10 minutes. Abdominal bloating and distension the following day (1/09/21) which resovled after 24hours.

Other Meds: n/a

Current Illness: n/a

ID: 0938291
Sex: M
Age: 43
State: NY

Vax Date: 12/21/2020
Onset Date: 12/23/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: COVID-19- positive

Allergies: Sulfa, erythromycin

Symptoms: 12/23 I woke up around 3am in the morning with a headache, body ache, fatigues, no fever or cough. 12/26 went to an Urgent Care for COVID-19 and got results 12/27 I was positive for COVID. On 12/27 I lost my taste and smell and started experiencing SOB which lasted for the next couple days.

Other Meds: no

Current Illness: no

ID: 0938292
Sex: F
Age: 57
State: LA

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

Lab Data: None

Allergies:

Symptoms: Vaccine was administered as SQ and not as IM. Patient stated and showed injection site reaction. Recommended patient take ibuprofen and apply cold compresses two to 4 times daily. informed that reaction site should resolve within 2-3 days. Informed patient this is considered a valid dose by the CDC however is still an administration error. Also, informed patient to still received IM shingrix in 2-6 months

Other Meds: duexis, otezla

Current Illness: None

ID: 0938293
Sex: F
Age: 55
State: OH

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

Lab Data:

Allergies: Morphine, tramidol

Symptoms: Severe pain to injection area and entire upper arm. It was so severe I was unable to perform daily activities for several days. The pain has subsided but is still there even with Tylenol. I not have only kidney from donation and not comfortable taking so much medication

Other Meds: Claritin, multiple vitamin, biotin,

Current Illness:

ID: 0938294
Sex: F
Age: 48
State: IL

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

Lab Data:

Allergies: NKA

Symptoms: patient developed a fever unable to return to work the following day.

Other Meds:

Current Illness:

ID: 0938295
Sex: F
Age: 39
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: Pt had immediate dizziness, followed by fever of 101 the next day, followed by intermittent dizzinesss since, which it now has been about a week, as well as nausea.

Other Meds: None

Current Illness: None

ID: 0938296
Sex: M
Age: 27
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Took shot at 10:44am. Intense muscle soreness (more intense than others reporting it) by 10:00pm. By midnight, I got chills. 12:15am I took my temperature and it was 99.8. I went to bed. Woke up again at 5:00am with intense headache and unable to move due to strong joint and back pain. Temperature taken again and it was 100.9. Took Excedrin and continued to lay down. By 2:00pm on 1/12/21, fever was 100.8 but overall head felt better but still joint pain.

Other Meds: None

Current Illness: None

ID: 0938297
Sex: F
Age: 16
State: NH

Vax Date: 12/31/2020
Onset Date: 01/06/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: C/O Tiredness, and Headache

Other Meds:

Current Illness:

ID: 0938298
Sex: F
Age: 30
State: PA

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vertigo sx, dizziness, tinnitus , sx are improving.

Other Meds:

Current Illness:

ID: 0938299
Sex: F
Age: 47
State: MT

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

Lab Data:

Allergies:

Symptoms: Nausea, Chills, Body Aches

Other Meds:

Current Illness:

ID: 0938300
Sex: F
Age: 47
State: CO

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

Lab Data: 11/6/2020: Covid + via RNA nasal swab (few symptoms) 12/22/2020: + ATB test for Covid

Allergies: NKDA

Symptoms: Morning after vaccine was sleepy with a slight headache. Went home about 16:30. Felt nauseated with chills. Took a nap. Woke with significant chills and proceeded to dry heave for about 5 minutes. Advised to take 25mg Benadryl and also took 1 tab Advil. Symptoms resolved after about one hour. Went to bed. Following morning had stomach pain. Assumed from dry heaving, but took another 25mg Benadryl and 325mg Tylenol. Slept all day / night. Following day had diarrhea but otherwise fine.

Other Meds: insulin Estroven

Current Illness:

ID: 0938301
Sex: F
Age: 50
State: CA

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

Lab Data: xray 1/6, ultrasound 1/8

Allergies: CODEINE

Symptoms: GIVEN ON 12/23. SORENESS FELT ON LEFT ARM SITE THE NEXT DAY, WITH DECREASED MOBILITY AND STRENGTH DUE TO SEVERE SORENESS AND PAIN. PAIN PROGRESSIVELY LESSENED BUT THE SORENESS STILL VERY APPARENT. ON 1/5, SPOKE TO PRIMARY MD, XRAY ON LEFT SHOULDER DONE ON 1/6. ON 1/7, STIFFNESS WITH SEVERE PAIN UPON MOVEMENT NOTED ESP IN THE MORNING. ULTRASOUND WAS DONE ON 1/8, NOTED BICEPS TENOSYNOVITIS. ORTHOPEDIC SURGEON SEEN ON 1/11, W DX OF ADHESIVE CAPSULITIS, SUGGESTED FOR PT FOR NOW, AND OFF WORK, AND TO BE FOLLOWED UP ON 2/1 BY SAME ORTHO SURGEON. WILL NOT OFFER CORTISONE SHOT FOR NOW AS IT MAY COMPROMISED OR WEAKEN IMMUNE RESPONSE, IN WHICH MY SECOND COVID SHOT DUE ON THE 15TH OF JANUARY. FIRST APPT FOR PT ON 1/15

Other Meds: FIRST COVID SHOT GIVEN ON 12/23. SORENESS FELT ON LEFT ARM SITE THE NEXT DAY, WITH DECREASED MOBILITY AND STRENGTH DUE TO SEVERE SORENESS AND PAIN. PAIN PROGRESSIVELY LESSENED BUT THE SORENESS STILL VERY APPARENT. ON 1/5, SPOKE TO PRIMARY M

Current Illness: NONE

ID: 0938302
Sex: M
Age: 29
State: NY

Vax Date: 12/16/2020
Onset Date: 12/17/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: None

Allergies: PCN: rash

Symptoms: Dose 1 (12/16/20 9:30 am): L arm pain, malaise, fatigue, myalgias lasting 48 hours Dose 2 (1/06/21 9:30am): L arm pain, malaise, fatigue, myalgias, severe rigors starting at 2am and lasting 3 hours

Other Meds: Zyrtec, famotidine

Current Illness: None

ID: 0938303
Sex: F
Age: 45
State: CT

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

Lab Data: na

Allergies: na

Symptoms: extreme "stiffness" and pain at site, with slight swelling

Other Meds: na

Current Illness: na

ID: 0938304
Sex: F
Age: 31
State: OR

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

Lab Data:

Allergies: Latex- Hives Shrimp- Breathing troubles and swollen tongue

Symptoms: After 30 minute wait, c/o metallic taste in mouth, chest tightness, dizziness, tingling lips and tongue feels "swollen / hairy". Benadryl 50mg IM given and person taken to the Emergency Department for further evaluation and treatment.

Other Meds:

Current Illness:

ID: 0938305
Sex: F
Age: 57
State: OH

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On 1/9/21 pt reported having headache on Saturday that was relieved with Tylenol. Then 2 days later swollen lymph node and has been taking Advil.

Other Meds:

Current Illness:

ID: 0938306
Sex: M
Age: 44
State: FL

Vax Date: 01/05/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Swelling 1 inch, itchy vaccine site with fatigue

Other Meds: Centrum Uloric B6 B comp Lisinoprill

Current Illness: n/a

ID: 0938307
Sex: F
Age: 81
State: MO

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

Lab Data: CBC, BMP, UA

Allergies: Sulfa antibiotics

Symptoms: Fever (101.4 F), lethargy, and no appetite elevate BP 133/113, P-129

Other Meds: melatonin, acetaminophen, potassium chloride, lactulose, metoprolol succinate, senna plus

Current Illness:

ID: 0938308
Sex: F
Age: 26
State: MT

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

Lab Data:

Allergies:

Symptoms: Hot flashes, Body aches

Other Meds:

Current Illness:

ID: 0938309
Sex: F
Age: 50
State: NY

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

Lab Data:

Allergies: None

Symptoms: Chills, body aches, terrible headache, nausea, tired for approximately 24 hours upon onset of symptoms Left axillary lymphadenopathy for approximately 3 days

Other Meds: None

Current Illness: None

ID: 0938310
Sex: F
Age: 37
State: CO

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

Lab Data: Hearing test showed significant loss od hearing in right ear

Allergies: Latex

Symptoms: Sudden hearing loss right ear accompanied by tinnitus

Other Meds: Levothyroxine

Current Illness:

ID: 0938311
Sex: F
Age: 44
State: WI

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

Lab Data: Vitals monitored throughout on 1/12/2021: 1322 T- 100.2, HR- 105, BP- 177/105, O2- 99%; 1327 T- 99.3, o2- 100%, BP- 162/105, HR- 98, RR- 18; 1332 T- 100.4, o2- 99%, BP- 163/97, HR- 99; 1338 T- 101, o2- 100%, BP-172/104, HR-85

Allergies:

Symptoms: Within 5 minutes of receiving vaccine dose reported feeling a change. Erythema on chest and shoulders observed as well as Hypertension BP up to 172/104 and fever up to 101. This persisted for 20 minutes even after 50mg of Benadryl was administered. Ultimately an emergency response was initiated and taken to ED.

Other Meds: Zanax PRN, birth control, multivitamin, & aleve

Current Illness:

ID: 0938312
Sex: F
Age: 57
State:

Vax Date: 12/31/2020
Onset Date: 01/04/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Bruising and swelling at injection site. No other Sx. NSaids for 2 days

Other Meds:

Current Illness:

ID: 0938313
Sex: F
Age: 36
State: OH

Vax Date: 01/05/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Muscle pain, injection site pain.

Other Meds:

Current Illness:

ID: 0938314
Sex: F
Age: 43
State: MD

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

Lab Data:

Allergies: None

Symptoms: Muscle aches, headache, chills, low grade temp

Other Meds: Singulair, buspar, Wellbutrin, levothyroxine, cetirizine

Current Illness: None

ID: 0938315
Sex: F
Age: 25
State:

Vax Date: 12/21/2020
Onset Date: 12/23/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: bilateral leg weakness, near syncopy

Other Meds:

Current Illness:

ID: 0938316
Sex: F
Age: 19
State: NE

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

Lab Data:

Allergies:

Symptoms: ON 12/24/20 AT 2PM, DEVELOPED SORE ARM, LASTING UNTIL 12/25/20 AND A HEADACHE THAT LASTED UNTIL 12/26/20.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm