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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0962931
Sex: M
Age: 44
State: MT

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fatigue & Joint Pain

Other Meds:

Current Illness:

ID: 0962932
Sex: F
Age: 57
State: GA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Spoke with DR via video chat 01/19/2021 told Dr. my symptoms . He suggested I take a COVID test. Results came back negative. Spoke again to physician today. Wanted to have some labs done because I still was not quite feeling well. Dr. ordered electrolytes and vitamin D test . I fasted and lab took blood today.

Allergies: spider/ant bites

Symptoms: Had COVID vaccine on January 9 . The next two days had chills at night. On January 11 Daughter COVID test came back positive-she was not having symptoms was getting tested for possible return to school. On January 13th husband's test results came back positive for COVID he had not symptoms. I had not symptoms of COVID before COVID vaccine. Between the second day until todays date did not record my symptoms (dates/times) but I did have loss of appetite, diarrhea, loss of smell, tried to eat but nothing tasted good drank water ginger ale, fevers between 103.7 (This was the highest recorded) to -102 for at least 5 days I took coated Tylenol 500 mg to decrease my fevers. Never had a cough or shortness of breath. When performed house hold activities : for example moping floor would have to rest/sit down and take a break(felt tired/weak). Yesterday was the first time my temperature got below 100 degrees at 99.1 . Was able to eat a little solid food yesterday. Appetite better today.

Other Meds: atorvastatin 20 mg

Current Illness:

ID: 0962933
Sex: F
Age: 50
State: CA

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: chills fever exhaustion nausea red and swollen at the injection site

Other Meds:

Current Illness:

ID: 0962934
Sex: M
Age: 71
State: IN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Flu like symptoms. Aches chills fatigue. 36 hours in duration

Other Meds:

Current Illness:

ID: 0962935
Sex: F
Age: 33
State: WA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Left hand and wrist is numb since the injection.

Other Meds: Cymbalta Topamax Flexeril Gabapentin Ropinirole Nadolol

Current Illness: N/A

ID: 0962936
Sex: F
Age: 31
State: CA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Was monitored for approx 15 min, and released. Returned to vaccine clinic approx 15 mins later with bumps on tongue, and swelling. 50 mg Benadryl given. BP 115/95, however pt stated she takes lisinopril at home

Other Meds: Unknown

Current Illness: unknown

ID: 0962937
Sex: F
Age: 36
State: CO

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Ceclor

Symptoms: Immediately after the vaccine, left arm/injection site was extremely sore. Two days after the site of administration was raised and very tender to touch. On the third day, redness remained. By the fifth day, arm felt less sore and redness had dissipated. On the seventh day, redness and itching came back at the injection site. As of today, a week post vaccine, my arm is still red and warm to the touch at the injection site.

Other Meds: Oral contraceptives

Current Illness: n/a

ID: 0962938
Sex: F
Age: 38
State: SD

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Pork and Nickel

Symptoms: Localized pain at first in the left arm deltoid at the injection site; then at 12:00am woke up feeling as if her arm was broke. She describes the pain as stabbing pain that is in the arm at the injection site, radiates down the left side axillary to thoracic region. She also has noted episodes of feeling really hot and then really cold.

Other Meds: NONE

Current Illness: NONE

ID: 0962939
Sex: M
Age: 29
State: CT

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

Lab Data:

Allergies: NKA

Symptoms: Vaccine administered @ 11:00a.m. @ 11:01 patient vomited x1. Reported feeling hot, skin pale in color. Systolic BP in 80's. HR 60 RR 16 02 sat 92% rm air. Patient responsive, increasingly, "feeling hot" Assisted to floor in supine position. 11:15a.m. 130/79 HR 76 RR 16 Symptoms improving. 11:20a.m. Patient able to stand and walk to observation area where he sat until 11:45a.m. Declined EMS transport to hospital. Denied further complaints. Ambulated out of clinic. VS on d/c 148/72 HR 88 RR 18 02 sat 98% rm air. A&O x3. Reported hx. of syncope during past blood draws.

Other Meds:

Current Illness:

Date Died: 01/20/2021

ID: 0962940
Sex: M
Age: 83
State: WI

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: Galantamine

Symptoms: Pt received second dose of COVID vaccine on 01/20/2021 at 1430. At 1600 Pt developed a wet productive cough with coarse crackles. Pt ate dinner at 5 pm cough persisted. At 18:30 the nurse went to Pt's room to give him his medications. Pt still had a cough, denied shortness of breath. Pt was in a good mood and joking with staff. Pt asked to be shaved. At 19:45 Pt was sitting in the lounge and a CNA noticed that Pt was pale/white in color and clammy. 02 Sat was 85%. Respirations were labored. Pt was placed on 4 L of 02. Increased to 5 L via face mask and 02 sat was 89-90%. Ambulance was called at unknown time. Pt arrived at Medical Center at 2120 and was pronounced dead at 2127.

Other Meds: Acetaminophen, Digoxin, Insulin glargine, Loratadine, Simvastatin, Tamsulosin, Warfarin

Current Illness: Unknown

ID: 0962941
Sex: F
Age: 49
State: TX

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chest pain, jaw pain, headache, kidney pain,. chest pain every 5-7 breaths, pressure on her chest, Pain was in the center of her chest. Jaw pain was bilateral and headache was on the left and unrelieved with advil. She also reported difficulty thinking.

Other Meds:

Current Illness:

ID: 0962942
Sex: F
Age: 31
State: CA

Vax Date: 01/13/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: penicillin

Symptoms: 6 days after the injection (1/19/21) I got lymphadenopathy on my left underarm, it was painful but by today (1/21/21) it is smaller and not painful. On 1/20/2021 I noticed the site of injection is red, swollen, and a little hard, however, it is not painful at all. The redness, swelling, and hardness didn't appear until the 20th of Jan, it was fine before then. I have been getting major headaches every day since I got the vaccine.

Other Meds: none

Current Illness: none

ID: 0962943
Sex: F
Age: 89
State: KS

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient tested positive for COVID on 01/06/2021. Patient received out patient monoclonal antibody treatment on 01/10/2021.

Other Meds:

Current Illness:

ID: 0962944
Sex: F
Age: 49
State: CA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: No test and laboratory works made.

Allergies: None

Symptoms: Sore and heavy arm after an hour. The next day i felt body ache.

Other Meds: None

Current Illness: None

ID: 0962945
Sex: F
Age: 42
State: OH

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever, chills, body aches, nausea

Other Meds: None

Current Illness: No e

ID: 0962946
Sex: F
Age: 26
State: PA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Severe/debilitating pain in right arm, possible flare of autoimmune disorder including severe all-over joint and muscular pain with joint swelling that Advil is not eliminating, chills, fatigue

Other Meds: Plaquenil 400mg dosage

Current Illness: None

ID: 0962947
Sex: F
Age: 28
State: OH

Vax Date: 12/22/2020
Onset Date: 12/26/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: PNC, Prednisone, Ceclor

Symptoms: Arm pain, Lymph node swelling in right arm pit area. Headache. Fatigue.

Other Meds: Adderall, Prilosec, Zyrtec, Singular.

Current Illness: No illnesses one month prior.

ID: 0962948
Sex: F
Age: 71
State: SC

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: codeine

Symptoms: Arm, shoulder and lower back pain, bodyaches, diarrhea, nausea, vomiting, fatigue, weakness on day after vaccine; fatigue and weakness on day 2 after.

Other Meds: eliquis, profafenone, metropolol, zoloft, crestor, rhythmol, zetia, maxide; centrum silver womens, zyrtec (all generics e cept eliquis)

Current Illness: none

ID: 0962949
Sex: M
Age: 40
State: NY

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: developed shingles in T10 dermatome on the right side of the body

Other Meds: none

Current Illness: none

ID: 0962950
Sex: F
Age: 27
State: IA

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reported swelling of lymph nodes in armpit, inflamed injections site, pain. Recommended icing the area, take diphenhydramine and some Tylenol and/or ibuprofen for pain and inflammation.

Other Meds:

Current Illness:

ID: 0962951
Sex: F
Age: 79
State: MT

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Injection Site Pain

Other Meds:

Current Illness:

ID: 0962952
Sex: F
Age: 29
State: OR

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: HCG test 1/11 and 1/13

Allergies: Allergy to doxycycline

Symptoms: Miscarriage

Other Meds: Herbal remedy from acupuncturist

Current Illness: None

ID: 0962953
Sex: F
Age: 74
State: AZ

Vax Date: 01/12/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: seen at an urgent care

Allergies: Sulfa drugs, Nsaids, polypsorin, Anti-inflammatories Lactose intolerant

Symptoms: Redness and itching at the site about 4 days after two days following a rash on face, hands and feet and lower back. Swelling of lips and face

Other Meds: Estradiol vitamin D B12

Current Illness: None

ID: 0962954
Sex: M
Age: 40
State: FL

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Metallic Taste from eating and drinks

Other Meds: none

Current Illness: none

ID: 0962955
Sex: M
Age: 53
State: IN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: no

Symptoms: I was sick all day fevers chills dry heaves no energy

Other Meds: no

Current Illness: no

ID: 0962956
Sex: F
Age: 89
State: KS

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Resident tested positive for COVID on 01/06/2021. Resident received out patient monoclonal antibody treatment on01/10/2021.

Other Meds:

Current Illness:

Date Died: 01/18/2021

ID: 0962957
Sex: F
Age: 88
State: IL

Vax Date: 01/15/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Unknown

Allergies: NKDA

Symptoms: Patient became lethargic with labored breathing and decreased oxygen saturation. Expired after sent out of facility for treatment.

Other Meds: Atorvastatin, Enalapril maleate, Metoprolol, Maxzide

Current Illness: COVID recovered

ID: 0962958
Sex: F
Age: 35
State: AR

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nausea sore throat headache fatigue fever (100.5) body aches change in taste vision changes (cannot see items up close) injection site soreness with sharp pains that radiate down left arm

Other Meds:

Current Illness:

ID: 0962959
Sex: F
Age: 27
State: NJ

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: normal hearing test, normal covid test

Allergies: none

Symptoms: Reports on 1/14/2021 had Pfizer vaccine left arm and at night notice burning sensation right side face and dull tingling following three days and tinnitus bilateral worse on right ear and day four pain in both ears and TMJ and front of ear pain and sinus congestion day 6. She went to Telehealth twice personal nurse practitioner and gave Amoxil for ear pain and ENT evaluated ears,nose and throat and hearing test and covid test which exam and test normal. She stilll suffers today intermittently dull tingling right side sided of face and tinnitis both ear and headache.

Other Meds: Loestrin BCP, xanax

Current Illness: allergic rhinitis, allergies

ID: 0962960
Sex: F
Age: 51
State: MI

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Red, warm to touch, itchy, a lump on the deltoid muscle started on 1/20/21

Other Meds: Metformin, Glipizide, Synthroid, Simvastatin, Hydrochlorothiazide, Aspirin, Multi vitamin, Vitamin C, Vitmain D3, B Complex, Gabba

Current Illness: Pneumonia and sinus infection

ID: 0962961
Sex: F
Age: 51
State: CA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: ON THE 2ND DAY POST VACCINATION OF THE MODERNA COVID 19 VACCINE, I BEGAN TO EXPERIENCE CHEST TIGHTNESS. IT FELT AS IF I WAS BEING SQUEEZED IN A VICE. I DID NOT HAVE A COUGH. IT ALMOST FELT LIKE I WAS HAVING A HEART ATTACK. IT RADIATES TO MY NECK AND MAKES ME SWALLOW HARD TO IMPROVE THE SX NO FEVER NO COUGH TODAY IS THE 2ND DAY POST VACCINE AND I STILL HAVE THE SENSATION THAT MY CHEST IS BEING SQUEEZED.

Other Meds:

Current Illness:

ID: 0962962
Sex: F
Age: 58
State: NC

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

Lab Data:

Allergies: Unknown

Symptoms: Complaints of shortness of breath & wheezing

Other Meds: None

Current Illness:

ID: 0962963
Sex: F
Age: 40
State: AL

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

Lab Data: None

Allergies: Biologics- Xolair

Symptoms: Patient reported feeling "funny", became clammy and cool, pale for several minutes. Patient reports similar symptoms previously with other injections.

Other Meds: None Reported

Current Illness: None reported

ID: 0962964
Sex: F
Age: 48
State: IA

Vax Date: 12/30/2020
Onset Date: 01/03/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: left arm numbness and tingling

Other Meds:

Current Illness:

ID: 0962965
Sex: F
Age: 28
State: NJ

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Augmentin

Symptoms: Giant hive in left Arm of if injection site one week prior To injection. Hard lump; hot to the touch

Other Meds: Metformin er 1,000 mg Junel 1.5/30 B12 1,000 mg Vitamin D 50,000 once a week Sertraline 50mg Vitamin C

Current Illness: None

Date Died: 01/16/2021

ID: 0962966
Sex: F
Age: 80
State:

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Codeine

Symptoms: On Saturday, 1/16/2021, Patient went to the grocery store. Upon her return, she indicated she was experiencing N/V and some throat swelling. Patient subsequently collapsed and expired before she could be brought to an emergency room. During investigation by Coroners Office, it has been reported that Patient may have gotten some takeout food while she was out. Labs are pending and the Coroners investigation is ongoing. Spouse believes that her death was caused by the vaccine.

Other Meds:

Current Illness:

ID: 0962967
Sex: F
Age: 36
State: CA

Vax Date: 01/09/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: anyhdrous glucose, benzonatate, methyl salicitate, salicyclic acid, sodium salicytate, wintergreen flavor

Symptoms: 9 days after injection, pt began to develop erythema, warmth and tenderness around the injection site. It spread from a quarter size on 1/19/2021 to approximately 12 cm x 6 cm today, with increase pain, warmth and stiffness.

Other Meds: nothing taken at the time of vaccination.

Current Illness: n/a

ID: 0962968
Sex: F
Age: 51
State: KY

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Was tested for COVID-19, results were negative. 01/21/2021

Allergies: none

Symptoms: Cold chills, no fever. Headache and body ache. Nausea (mild)

Other Meds: Calcium with vitamin D,Biotin

Current Illness: none

ID: 0962969
Sex: F
Age: 52
State: VA

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: Sore at injection site for about 3 days, then began to resolve. Woke up on 1/20/21 with pain at site rated at 6. Redness and swelling at site approximately 3 inches x 2 inches, warm to touch. Writer advised vaccine recipient to be evaluated by PCP ASAP. She reports being evaluated on 1/21/21 and was prescribed an oral antibiotic, and given a steroid injection. She describes symptoms as improving today.

Other Meds: "Fluid Pill", Vitamin D, "anxiety pill", (2) sleeping pills

Current Illness: Denies

ID: 0962970
Sex: F
Age: 57
State: MD

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: N/A

Allergies: No

Symptoms: Heaviness in legs with muscle tightness/soreness, slight temporal headache, sore L UE at injection site, some nausea later in the day.

Other Meds: Bupropion, Levothyroxine

Current Illness: No

ID: 0962971
Sex: F
Age: 83
State: KS

Vax Date: 12/30/2020
Onset Date: 01/11/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Resident tested positive for COVID 01/11/2021.

Other Meds:

Current Illness:

ID: 0962972
Sex: F
Age: 41
State: IN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, chills, nausea, vomiting, headache, muscle spasms, myalgia, dizziness/light headedness

Other Meds: Tri-lo-sprintec

Current Illness:

ID: 0962973
Sex: M
Age: 83
State: FL

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: pt stated having pain in the are of the injection site, chills, and headache. pt wanted to notate that he had been tested in November 2020 for covid anti bodies and was found to still have them in his system.

Other Meds: tylenol

Current Illness: none

ID: 0962974
Sex: F
Age: 44
State: MA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever,headache, chills, body aches, sore throat

Other Meds: None

Current Illness: None

ID: 0962975
Sex: F
Age: 49
State: MT

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Body aches and Extreme Fatigue

Other Meds:

Current Illness:

ID: 0962976
Sex: F
Age: 58
State: NJ

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

Lab Data: Taken to ED for treatment

Allergies: famotidine Odor of floor wax and stripper

Symptoms: Complained of tingling and swelling in the lips about 10 minutes after receiving vaccine

Other Meds:

Current Illness:

ID: 0962977
Sex: F
Age: 32
State:

Vax Date: 01/11/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: went to urgent care c/o nonspecific chest pain x 1 week

Other Meds:

Current Illness:

ID: 0962978
Sex: F
Age: 45
State: CA

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: vitals, pulse oximeter

Allergies: no

Symptoms: Numbness, tingling, itching of left arm, whereas vaccine was administered to the right arm

Other Meds: no

Current Illness: no

ID: 0962979
Sex: F
Age: 55
State:

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Evening of second dose extremely tired, headache, next morning fever 100.3F with headace, general weakness, better with tylenol, second morning a sore and swollen lymph node under left arm (injection side)

Other Meds: none

Current Illness: none

ID: 0962980
Sex: M
Age: 63
State: MD

Vax Date: 01/07/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital: Y

Lab Data: 1/18/21 cbc shows normal wbc, normal hb, plts 1k 1/19/21-plts 1k 1/20/21-plts 2k 1/21/21-plts 4k

Allergies: penicillin sulfa

Symptoms: admitted to shady grove hospital for ITP(immune mediated thrombocytopenia) plts were 1 on admission have not responded to typical ITP therapies, platelets still 4 today after 4 days in hospital workup shows ITP no other risk factors or history of itp or autoimmunity

Other Meds: rosuvatatin 10mg po daily lisinopril 10mg po daily metformin 750 mg po bid centrum MVI asa 81mg po daily

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm