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: 0943776
Sex: F
Age: 37
State: TX

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 20 minutes after vaccine administration, client reported swollen lips and facial flushing. Client seen and cleared by EMS

Other Meds:

Current Illness:

ID: 0943777
Sex: M
Age: 66
State: NC

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Systemic: Non-specific reaction occurred appoximately 1 hour post-vaccination. Pt unable to provide clear answers when questioned and appeared to be in distress. BP was 100/78, HR in mid-70s, and blood glucose; symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0943778
Sex: F
Age: 28
State:

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2nd vaccine on Tuesday. Wednesday started to have symptom: fatigue, chill and fever. Today 12/14/2021 only fatigue.

Other Meds:

Current Illness:

ID: 0943779
Sex: F
Age: 36
State: PA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, body aches,, chills

Other Meds:

Current Illness:

ID: 0943780
Sex: F
Age: 44
State: MT

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache

Other Meds:

Current Illness:

ID: 0943781
Sex: F
Age: 39
State: KY

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Benadryl and industrial glue

Symptoms: Red, swollen, burning, hurts to move arm. Swelling spot keeps growing.

Other Meds: None

Current Illness: None

ID: 0943782
Sex: F
Age: 33
State: OH

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: VITALS SIGNS B/P 119/79 PULSE 97 O2SAT 99% ACCUCHECK-100BS NEURO A&OX3 NO LOSS OF CONSIOUSNESS PATIENT REPORTED FEELING BETTER

Allergies: IBUPROFEN

Symptoms: "MODERNA COVID-19 VACCINE PATIENT VOLUNTARILY RECEIVED MODERNA COVID-19 VACCINE TODAY AT 0957, AND IMMEDIATE ANXIETY DRIVEN NEAR SYNCOPAL EPISODE. OBSERVED SYMPTOMS OF HYPERVENTILATING, FLUSH. PATIENT REPORTED FEELING IMPENMDING DOOM, DIZZY, INCREASED HEART RATE, FLUSH, AND STATED SHE "IS GOING TO PASS OUT" EMS FLAGGED TO STATION 6. FIRST RESPONDER EMS DID EVALUATE AND ASSESS PATIENT FOR 15 MINUTES. DOCUMENTED ACTIONS: ORTHOSTATIC VITAL SIGNS BLOOD SUGAR NEURO ASSESSMENT VACCINE SITE ASSESSMENT WNO S/S OF REACTINO QUICK VERBAL H&P

Other Meds: tRULANCE, VIT C&D HYDROCODONE-PRN

Current Illness: NONE

ID: 0943783
Sex: M
Age: 28
State: NJ

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Fever, chills, mild but persistent headache, loss of appetite.

Other Meds:

Current Illness:

ID: 0943784
Sex: F
Age: 46
State: TX

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Unknown

Symptoms: following initial vaccine 12/28, got extremely bloated with joint tightness, fluid overload, inflammation, overall discomfort, back pain which radiated to the front of the chest lasting x3 days, took Tylenol. now resolved

Other Meds:

Current Illness:

ID: 0943785
Sex: M
Age: 42
State: RI

Vax Date: 12/23/2020
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Negative COVID test

Allergies: None

Symptoms: Painful, itchy rash over dorsal aspects of hand/fingers. Worse with heat. Some vasculitis/intraepithelial bleeding

Other Meds: Tru Niagen

Current Illness: None

ID: 0943786
Sex: F
Age: 46
State: LA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: allergic to bee stings and wasps

Symptoms: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Rash (other than injection site)-Mild, Systemic: severe itching

Other Meds:

Current Illness:

ID: 0943787
Sex: F
Age: 52
State: CA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: At approximately 11:45pm on 1/13/2021 I experienced chills. My teeth were chattering and my body shook because I was so cold. This lasted for about 30 minutes. No fever and no other symptoms. Morning of 1/14/2021 my head feels heavy. Otherwise, no other symptoms.

Other Meds: None taken at time of vaccination. After vaccination on 1/12/2021 took 2 Advil. On night of 1/12/2021 took 2 Alleve. On night of 1/13/2021 took 2 Alleve.

Current Illness: None

ID: 0943788
Sex: F
Age: 24
State: UT

Vax Date: 01/07/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: sulfa antibiotics

Symptoms: Redness and swelling at the site of the injection that started 6 days after

Other Meds:

Current Illness:

ID: 0943789
Sex: F
Age: 65
State: MT

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever , body aches, shortness of breathe, headache

Other Meds:

Current Illness:

ID: 0943790
Sex: M
Age: 59
State: NC

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Systemic: Pt developed symptoms approximately 20 minutes post-vaccination. Pt reported feeling a headache, numbness, and feeling hungry. Pt had elevated HR approximately 110 and O2 sat in high 90s. BP in 130s/8; symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0943791
Sex: F
Age: 63
State: OK

Vax Date: 12/22/2020
Onset Date: 12/27/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: I had blurry vision on 12/27/2020. When I looked at grid the lines were a little wavy. I contacted my ophthalmologist macular hole in the left eye. I had surgery to repair a week ago Tuesday. I am home recovering. I have a follow up appointment on next week.

Other Meds: Yes, nothing that could have caused that.

Current Illness: No

ID: 0943792
Sex: M
Age: 45
State: IL

Vax Date: 01/06/2021
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: CBC + diff, CMP - I am told that all the tests were within normal range, but have not seen the results myself.

Allergies: pruritus with Benadryl

Symptoms: headaches - starting Jan 6th and persisting but less intense joint pain - starting Jan 6th and persisting but less intense Rash on arms, legs, thorax - erythematous, raised, vesicular in places and mildly pruritic - Jan 10 and persisting

Other Meds: Ibuprofen - PRN for headaches

Current Illness: none

ID: 0943793
Sex: F
Age: 26
State: SD

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: Neck and facial hives with swelling. Face was red and hot to tough. Benadryl taken-symptoms resolved by am

Other Meds:

Current Illness: no

ID: 0943794
Sex: F
Age: 52
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness, swelling and sore at injection site

Other Meds:

Current Illness:

ID: 0943795
Sex: F
Age: 47
State: NY

Vax Date: 01/03/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Infectious disease and autoimmune work up largely negative as of 1/14/2021 COVID-19 RT-PCR and antibody serology negative as well Elevated rheumatoid factor of 17.0 Elevated C-reactive protein 29.0

Allergies: No known allergies

Symptoms: Large pericardial effusion diagnosed on 1/10 by transesophageal echocardiogram

Other Meds: None

Current Illness: None

ID: 0943796
Sex: F
Age: 24
State: AR

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: HEADACHE, FATIQUE

Other Meds:

Current Illness:

ID: 0943797
Sex: F
Age: 33
State: PR

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: Weakness, diarrhea, dizziness, chills, and pain in the vaccinated arm

Other Meds: n/a

Current Illness: n/a

ID: 0943798
Sex: M
Age: 39
State: PA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: DENIES

Symptoms: developed lower abdominal pain the day after receiving vaccine and he feels like his abdomen is twisting.

Other Meds: DENIES

Current Illness: DENIES

ID: 0943800
Sex: M
Age: 57
State: FL

Vax Date: 01/09/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: N/A

Allergies: Iodine

Symptoms: Patient started with fever the day of the vaccine and 40 hours later developed a rash over the right deltoid area only w/ associated wheals filled out with fluid. the fever only lasted one night.

Other Meds: omperazole, vit e, meloxicam.

Current Illness: N/A

ID: 0943801
Sex: F
Age: 37
State: GA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: AND FAMOTIDINE. TRANSFERRED TO ER FOR OBS/TX

Allergies: NKDA

Symptoms: PATIENT HAD ACUTE ONSET PROSTRATION STRIDER, CHEMOSIS AND ALTERED MENTAL STATUS. ADMINISTERED EPIPEN, AND THEN ORAL BENADRYL, PREDNISONE

Other Meds: TIZANIDINE, DULOXETINE

Current Illness: NONE

ID: 0943802
Sex: F
Age: 55
State: TX

Vax Date: 01/05/2021
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Burning sensation in throat, coughing, Sunday 1/10 redness, swelling and itching at site Txt: Antihistamine tylenol

Other Meds: Tylenol & vitamin B12

Current Illness: Denies

ID: 0943804
Sex: F
Age: 29
State: IN

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: benadryl birth control pain medication

Symptoms: nausea migraine unable to move left arm lethargy

Other Meds: none

Current Illness: none

ID: 0943805
Sex: F
Age: 16
State: WI

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Booster Given Too Early

Other Meds:

Current Illness:

ID: 0943806
Sex: F
Age: 56
State: ME

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 10:00 - Shot, felt like I was given a drink of metal, instant headache. 11:30 Felt Nauseous and very tired, got home around 2:30. Had pain in left hip, left hand fingers cramped up, feet especially toes cramped up, felt sweaty and had cold sweats - started around 1:00. Continued all evening. Woke up with headache, which still had on 1/6 when reporting of reaction. Small amount of tin taste, pain in left arm, especially in back of shoulder, diarrhea when woke up.

Other Meds:

Current Illness:

ID: 0943807
Sex: F
Age: 36
State: NM

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: Chills-Mild, Systemic: Fainting-Medium, Systemic: clammy, dizzy, tingling in ears, O2 sat ok,temp ok; symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0943808
Sex: F
Age: 43
State: MT

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Body aches, fever, headache, nausea

Other Meds:

Current Illness:

ID: 0943809
Sex: F
Age: 45
State: NJ

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Hives occured 15 mins after vaccination Patient took diphenhydramine 25 mg

Other Meds:

Current Illness:

ID: 0943810
Sex: F
Age: 78
State: TX

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: following initial vaccine 12/30, pt had skin irritation directly around the injection site, itiching and states redness has now grown 2" wide x 4" long, spoke with PCP who advised to apply benedryl cream to site, pt has done so.

Other Meds:

Current Illness:

ID: 0943811
Sex: F
Age: 54
State: CT

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: bananas, dust, trees, animals

Symptoms: sore arm, headache,fuzzy head, neck pain, body aches, insomnia, tiredness, and just not feeling well

Other Meds: Allergy shots, Dupixent, Singulair, Nortriptyline, Synthroid, Maxalt, Zofran, Comivent, Nasonex, Zyrtec,

Current Illness: none

ID: 0943812
Sex: F
Age: 27
State: CA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: The morning after getting the 2nd COVID-19 vaccination, I walked to work and started to feel more fatigued than usual within about 40 minutes after starting to walk from my apartment at 0600. I had a hard time staying awake, started to become flushed and feeling feverish at 0700 at work, and began to develop a headache and nausea around 0745. I went to sick call on my ship after realizing I couldn't power through the symptoms around 0800, and my Senior Chief mentioned earlier in the report) sent me home with motrin, tylenol, and mucinex for any congestion that may come up. Today (14JAN21) I seem to be a little more active and have an easier time staying awake, the headache and nausea have dissipated completely. However, I am still feeling more fatigued than I have been lately, and I began to feel flushed and feverish again around the same time in the morning.

Other Meds: Effexor (225mg), Gabapentin (100mg 2/day), Prilosec (40mg), Flonase, Multivitamin

Current Illness: I am currently being evaluated for sx that have persisted over the last few months with some relief from the Gabapentin, but no definitive diagnosis has been found.

ID: 0943813
Sex: F
Age: 41
State: MO

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Approximately 5 minutes after receiving the vaccine, pt reported feeling light-headed and a sensation that her heart was racing . Slightly elevated BP returned to baseline by 1436.

Other Meds:

Current Illness:

ID: 0943814
Sex: F
Age: 25
State: NY

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: vaccinated at Hospital on 1/12/2021. According to patients father she developed stomach pains, constant vomiting, sweating which started at approx. 4am. She arrived at Medical center at approx. 7:20 stating she had been vomiting since 4am. Attempted PO fluids while in ED. Uncontrolled nausea persisted despite medication. Admitted to Hospital for observation for uncontrolled nausea. IV fluids given

Other Meds: unknown

Current Illness:

ID: 0943815
Sex: M
Age: 73
State: MT

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vertigo

Other Meds:

Current Illness:

ID: 0943816
Sex: F
Age: 56
State: NV

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: N/A

Allergies: Hot dogs, processed meats

Symptoms: Patient reported "Felt like my throat was closing." No other reported symptoms. She notified the Nursing Supervisor who in turn notified Dr. She was prescribed Benadryl 25 mg PO and an EpiPen. She took the Benadryl at 11:50 AM and reported a reduction in symptoms within 5 minutes. No reported sequelae. She did not need to take the EpiPen. She is not sure if anxiety contributed to the event as she was aware that an allergic reaction was possible. She reported a severe allergic reaction to dogs in the past.

Other Meds: N/A

Current Illness: N/A

ID: 0943818
Sex: M
Age: 56
State: CA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 0943819
Sex: F
Age: 46
State: OR

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: On January 4th i was sitting down eating my lunch and when I was done and went to get up I couldn't put weight on my left foot. Felt like i sprained it. The pain was there for two and a half days and suddenly it went away and i was ok. Now this past sunday January 10th my period came, 15 days earlier, and is really bad. I have to change pads like every two hours because of the amount of blood coming down and is still going on today. It has never lasted this long and I have not bleed this much for this long either.

Other Meds: none

Current Illness: none

ID: 0943820
Sex: F
Age: 42
State: NM

Vax Date: 12/15/2020
Onset Date: 12/17/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: NA

Allergies: NKDA

Symptoms: Flare of hidradenitis suppurativa in the left axilla, groin, labia and abdomen at once. Two of the abscesses became infected with warmth around the site and causing extreme pain. General malaise was felt as well.

Other Meds: Humira 40mg weekly injection Lisinopril/HCTZ 20-25 mg PO daily Vyvanse 50 mg daily

Current Illness: hypertension adult ADD hidradenitis suppurativa

ID: 0943821
Sex: F
Age: 34
State: PA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Weakness, muscle aches, headache, nausea, Had same reaction after 1st dose. More severe after 2nd dose but improving.

Other Meds:

Current Illness:

ID: 0943822
Sex: M
Age: 81
State: OK

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: NONE

Allergies: NONE KNOWN

Symptoms: FACIAL SWELLING, RASH, ITICHING OF EYES & FACE. STARTED 3 DAYS AFTER INJECTION. METHYLPREDNISOLONE 4MG TABLETS GIVEN.

Other Meds: ATENOLOT LISINOPRIL CRESTOR ASPIRIN PLAVIX ZINC 50MG VITIAM D

Current Illness: NONE

ID: 0943823
Sex: F
Age: 22
State: MO

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Approximately 10 minutes after receiving injection, patient reports feeling tightness in her throat. Benadryl 25mg po given & taken to ED via WC.

Other Meds: none

Current Illness: none

ID: 0943824
Sex: F
Age: 43
State: MA

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: Dust mites

Symptoms: Patient reports that 5 hours after her first dose of the moderna covid vaccine she noted itching on her abdomen. The itching then turned into a itchy red rash on the abdomen and back. The rash has lasted 3 weeks but is resolving slowly.

Other Meds: None

Current Illness: None

ID: 0943825
Sex: F
Age: 80
State: NJ

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: allergies to meds and maye flu vaccine

Symptoms: Systemic: Anaphylaxis-Mild, Systemic: trouble breathing, wheezing; symptoms lasted 1 day

Other Meds:

Current Illness:

ID: 0943826
Sex: F
Age: 24
State: AR

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, fatique

Other Meds:

Current Illness:

ID: 0943827
Sex: F
Age: 36
State: WI

Vax Date: 01/06/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: peanut, tree nut, soy, red pepper, peach, zest soap, percocet

Symptoms: 2 days ago noticed redness and itching at the injection site of left upper arm. Some tenderness to left axillary lymph node area. No swelling in the lymph node. Area outlined and being monitored. No noticeable lump on the arm.

Other Meds: Seasonale birth control pill, fluoxetine, B Complex, D3

Current Illness: None

ID: 0943828
Sex: F
Age: 54
State: NY

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: "On 1/5/21, I was febrile (101.9) with severe body aches, weakness and dead arm. Symptoms were present for 4 consecutive days. On 1/9/21, all symptoms subsided, afebrile. "

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm