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: 0964049
Sex: F
Age: 30
State: CA

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Sulfa medications

Symptoms: Two days after receiving my 2nd dose, I began noticing a rash on my stomach that initially appeared like hives. The rash then turned into small red bumps all over my back and stomach the next day. It is one week later and the rash is still extensive (now on armpits, neck and mild on legs). It itches slightly but not bad. I have tried hydrocortisone cream and Benadryl without much benefit.

Other Meds: None

Current Illness: None

ID: 0964050
Sex: F
Age: 33
State: OR

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Asparin

Symptoms: Got to touch, red circle. Went away after 3 days, came back bigger and started itching. Went away again for like 2 days and came back 3rd time with bigger circle. Close what news had in on news. I am healthcare professional.

Other Meds: Levothyroxine and Nadolol

Current Illness: .

ID: 0964051
Sex: F
Age: 69
State: TN

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

Lab Data: None

Allergies: Penicillin, Lactose

Symptoms: Took Advil going to sleep, woke up at 4:30am, real dizzy: unsteady walking to & from bathroom, walked into the wall. Dizziness was bad all morning & continued on & off all day. 1/20/21 - woke up dizzy again, but not as bad. Remained light headed all day. 1/21/21? lightheaded not as continuous. Finally feel fine in pm.

Other Meds: Atorvastatin, Pantoprazole, Levothyroxine, Citalopram, Vit. D, Aspirin325mg, CoQ 10, Calcium Citrate, Multi Vit, Triple Str Fish Oil, Vit E, Biotin, Probiotic, Iron, Ibuprofen

Current Illness: None

ID: 0964052
Sex: F
Age: 54
State: NJ

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

Lab Data:

Allergies:

Symptoms: Presents flushed, reports "heart racing"; vitals obtained/ stable, po hydration, rest, monitor x 30 minutes symptoms subside/ status improves/ reports "feels better" released from facility to home

Other Meds:

Current Illness:

ID: 0964053
Sex: F
Age: 31
State: CA

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

Lab Data: N/A

Allergies: dust, mold, grasses and unknown allergies that have caused hives. High histamine levels

Symptoms: Immediate headache during the 15 minute wait times and took Tylenol immediately. When I took off the bandaid 2 hours later the injection site was red, swollen and itchy. The later the day went the injection site reaction got worse and was the size of a golf ball. I took Advil and Tylenol every 4 to 6 hours alternating and iced the injection site. I was also fatigued the day after the injection. Swelling, redness, itching continued for a week after

Other Meds: Allegra, Pepcid

Current Illness: Dry cough that started in mid-November tested negative for covid

ID: 0964669
Sex: F
Age: 76
State: NY

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

Lab Data:

Allergies: Aspirin Evista

Symptoms: Diarrhea 2-3 x daily > 7 days (+) Hx cholecystectomy (-) Risk or hospitalization (-) Abdominal pain Plan: Complete labs to assess for electrolyte abnormality ? CBC Brat Diet 12-14-2020 Covid positive

Other Meds: Celecoxib, Lansoprazol er 15mg, Collagen, Tumeric, Ginko Gabapentin 300mg, cyclobenzaprine, Probiotic

Current Illness: Covid positive 12 -14-2020

ID: 0964681
Sex: M
Age: 1
State: CA

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

Lab Data:

Allergies: NKA

Symptoms: patient was given one additional dose of varicella. Proquad was given instead of MMR. No reaction @ the time of visit

Other Meds: N/A

Current Illness: 0

ID: 0964694
Sex: M
Age: 0
State: MD

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: NONE

Allergies: NKDA

Symptoms: Diarrhea and low grade fever - Patient was seen in the office on 1/16/21. Provider stated that since the diarrhea had become less frequent nothing needed done at the time and noted that if the diarrhea became more frequent or worse a culture would be ordered.

Other Meds: Vitamin D3

Current Illness: GERD - 12/8/2020

ID: 0964702
Sex: F
Age: 64
State: IL

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

Lab Data: none

Allergies: Baclofen Ibuprofen

Symptoms: Approx. 10-12 post immunization, pt. reports dizziness and nausea. She refused to lay down, remained in wheelchair. She asked for cola, it helped settle stomach. As dizziness subsided she had HA. We observed her for an additional 30 min. until dizziness gone. She still had some nausea & HA. Hx: migraines. (She often feels dizzy/nausea prior to migraines)

Other Meds: not known

Current Illness:

ID: 0964720
Sex: F
Age: 35
State: IA

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

Lab Data: N/A

Allergies: Penicillin

Symptoms: Started with immediate facial flushing, progressed to light-headed, headache, severe fatigue. Following day had brain fog, dizziness, nausea, slight blurred vision, headache, severe fatigue, body aches. Symptoms mostly resolved after 48 hours post vaccine.

Other Meds: Escitalopram

Current Illness:

ID: 0964732
Sex: M
Age: 1
State: CA

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

Lab Data:

Allergies: NKA

Symptoms: patient was given one additional dose of varicella. Proquad was given instead of MMR. No reaction @ the time of visit

Other Meds: N/A

Current Illness: 0

ID: 0964772
Sex: F
Age: 36
State: OR

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Vomitting *this vaccine was administered @ another facility

Other Meds:

Current Illness:

ID: 0964782
Sex: F
Age: 29
State: OR

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

Lab Data:

Allergies: NKDA

Symptoms: Hives, fever, feeling faint hot flashes, nausea fatigue clammy

Other Meds:

Current Illness:

ID: 0964792
Sex: F
Age: 34
State: OR

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Sore throat

Other Meds:

Current Illness:

ID: 0964801
Sex: F
Age: 23
State: OR

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

Lab Data:

Allergies: NKDA

Symptoms: headache stomach pain blurry vision

Other Meds:

Current Illness:

ID: 0964809
Sex: F
Age: 34
State: OR

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

Lab Data:

Allergies: NKDA

Symptoms: red, hot, painful lump @ injection site

Other Meds:

Current Illness:

ID: 0964829
Sex: F
Age: 35
State: OR

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

Lab Data:

Allergies: Latex

Symptoms: itchy, upper arms & back & chest, no visiable rash, hives resolved same day took Zyrtec.

Other Meds:

Current Illness:

ID: 0964844
Sex: F
Age: 41
State: OR

Vax Date: 01/05/2021
Onset Date: 01/08/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Achy & fever

Other Meds:

Current Illness:

ID: 0964864
Sex: F
Age: 29
State: OR

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Nausea & vomiting

Other Meds:

Current Illness:

ID: 0964875
Sex: F
Age: 53
State: OR

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

Lab Data:

Allergies: troran, demerol

Symptoms: red, hot, painful lump at injection site, skin rash

Other Meds:

Current Illness:

ID: 0964885
Sex: F
Age: 26
State: OR

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Minocycline

Symptoms: Few hives on arm next to injection site. Red lump, painful swollen lymph node

Other Meds:

Current Illness:

ID: 0964893
Sex: F
Age: 47
State: OR

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Mild headache, arm pain @ injection site

Other Meds:

Current Illness:

ID: 0964894
Sex: F
Age: 38
State: OR

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

Lab Data:

Allergies: NKDA

Symptoms: Stomach ache 12 hours after COVID vaccine

Other Meds:

Current Illness:

ID: 0965022
Sex: M
Age: 51
State: IL

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

Lab Data: n/a

Allergies: morphine

Symptoms: rash developed on both forearms. Rosacia in face normal. no itching, no respiratory issues. Patient examined on upper body - no other rash found. Administered 25mg Benadryl, 40mg Pepcid AC - after 1 hr, rash gone. 51y/o male who stated he had a rash on Back and shortly after vaccination. No resp difficulties. No other complaints. No prior tx of allergic Rx Exam - 5% redness on post aspect of forearms No resp findings Plan- offered ED/urgent prefers to go home with observation Assessment - Mild Allergic Rxn-

Other Meds: several: diabetes, asthma meds.

Current Illness: n/a

ID: 0965034
Sex: M
Age: 44
State: NY

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

Lab Data: N/A

Allergies: No

Symptoms: as soon as vaccine was administered at 1715 Pt reported dizziness, palpitations and a sudden rush of heat w/shortness of breath. V/S checked BP 144/96 P86 T97.8 SPO2 99% room air. Electrolytes given for rehydration. Pt observed for additional 30 minutes. V/S rechecked at 1810 BP 138/82 P85 RR18 T97.8 SPO2-100% Pt reported feeling better. Discharged at 1815 Pt advised to report to ER if symptoms reoccur or worsen.

Other Meds: No

Current Illness: No

ID: 0965048
Sex: M
Age: 80
State: FL

Vax Date: 11/19/2020
Onset Date: 11/19/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt report still having "Knot" at injection site and "tingling" feeling when sleeping on that arm. Reports as discomfort. Pt has not contacted medical professional for treatment. 1/21/21 * Primary Dr will call pt to come in for visit (per employee)

Other Meds:

Current Illness:

ID: 0965266
Sex: M
Age: 66
State: CA

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: codeine

Symptoms: Pt walked in clinic complaining of blistering of the skin on LEFT ANTERIOR UPPER ARM and inflammation of the skin, very warm to touch. Patient got the vaccines (Tdap on right side and PCV-13 on left side) on Saturday 1/16/2021 around 9am at clinic. On Sunday night, he noticed mild itching and pain On Monday, more itchy, feeling warm along side with the symptoms mentioned above On Tuesday, burning sensation along side with the symptoms mentioned above On Wednesday, developing blister along side with the symptoms mentioned above and no fever.

Other Meds: amlodipine 10mg qd; atorvastatin 20mg qd; aspirin 81mg qd; losartan 50mg qd

Current Illness: N/A

ID: 0965283
Sex: M
Age: 11
State: FL

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

Lab Data:

Allergies:

Symptoms: PATIENT HAD A SYNCOPE W VASO VAGAL REACTION IMMEDIATELY AFTER ADMINISTRATION OF MENACTRA AND HPV FELL to the Floor with Secondary scalp LaceRtioN. VitAl sign/ stablE Transported to EmErgENcy Room VIA Wheelchai

Other Meds: NONE

Current Illness:

ID: 0965353
Sex: F
Age: 32
State: OR

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Vasovagel response to COVID vaccine

Other Meds:

Current Illness:

ID: 0965355
Sex: F
Age: 41
State: OR

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Injection site red, hot, swollen

Other Meds:

Current Illness:

ID: 0965356
Sex: F
Age: 45
State: OR

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Small warm itchy bump @ injection site

Other Meds:

Current Illness:

ID: 0965357
Sex: F
Age: 56
State: OR

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: 2 inch knot @ inj site PCP recommended benedryl & Ibuprofen

Other Meds:

Current Illness:

ID: 0965358
Sex: F
Age: 53
State: OR

Vax Date: 01/05/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Ward red 2" lump at inj site

Other Meds:

Current Illness:

ID: 0965359
Sex: U
Age:
State: OR

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Latex

Symptoms: Swollen Knot 4" wide red, itchy warm to touch

Other Meds:

Current Illness:

ID: 0965360
Sex: F
Age: 67
State: IL

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

Lab Data: N/A

Allergies: hay fever / reactions to antibodies

Symptoms: before/during/after patient experienced tachycardia + "tingling". No rash, no resp. issues. Patient's baseline is PR=100. After 3rd set of vitals, well w/in her norms. MD advised patient as to what to expect (eg sore arm) 67 y/o female who presents with raised heart rate and body tingling. Pt thinks it could be anxiety. No vaccine allergies Exam - unremarkable except for tAchycArdiA PlAN - OBS with resolution of symptoms and tAchycARdiA. unlikely to be allergic RXN

Other Meds: NO (Ambien / Melatonine)

Current Illness: virus, but tested covid - (low grade fever)

ID: 0965361
Sex: F
Age: 41
State: OR

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: red, itchy, warm lump quarter size 1/19 grew to golf ball size 1/20

Other Meds:

Current Illness:

ID: 0965362
Sex: F
Age: 53
State: OR

Vax Date: 01/05/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Warm lump 2" in diameter

Other Meds:

Current Illness:

ID: 0965363
Sex: F
Age: 35
State: OR

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

Lab Data:

Allergies: NKDA

Symptoms: 4.5 x 3.5 cm warm, red bump at injection site

Other Meds:

Current Illness:

ID: 0965364
Sex: F
Age: 27
State: OR

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

Lab Data:

Allergies: NKDA

Symptoms: 3" rash, itchy welty red @ inJection site - improving

Other Meds:

Current Illness:

ID: 0965394
Sex: F
Age: 42
State: ME

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

Lab Data:

Allergies: NKA

Symptoms: redness/swelling/warmth to injection site - right upper arm

Other Meds: 0

Current Illness: 0

ID: 0965429
Sex: F
Age: 28
State: TX

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

Lab Data: 0.9% SODIUM CHLORIDE 1 LITER IV INFUSION

Allergies: NKA

Symptoms: MILD SHORTNESS OF BREATH, LIGHTHEADED

Other Meds: NONE

Current Illness: NONE

ID: 0965455
Sex: F
Age: 55
State: TX

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

Lab Data: NONE

Allergies: PROZAC - RASH

Symptoms: LIGHTHEADED, PALPITATIONS

Other Meds: BLOOD PRESSURE AND DIABETES MEDS

Current Illness: UNKNOWN

ID: 0965466
Sex: F
Age: 72
State: TX

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: N/A

Allergies:

Symptoms: On 1/21, pt came reported on AE at local injection site. According to pt, it developed on 01/15 with symptoms of swelling, redness, tender to touch, and itching. The size was about a quarter. Pt took Benadryl & Cortisone cream and had shown great improvement / minimal sign/ symptom at time of reporting. No other complaints reported.

Other Meds: N/A

Current Illness: N/A

Date Died: 01/19/2021

ID: 0967743
Sex: M
Age: 77
State: TX

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

Lab Data:

Allergies:

Symptoms: Possible seizer, unknown at this time, aprox 1hr and 20min after vac given. Passed away aprox 2hrs after vac.

Other Meds:

Current Illness: n/A

ID: 0971853
Sex: F
Age: 57
State: VA

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On day 8 after receiving my vaccine, Moderna, below injection site a red, raised area & itching. On day 14 still having a red spot around 3" in size, with some itching.

Other Meds: Prozac 40 mg daily, Nexium 40 mg daily, Xanax .25 mg, Propranolol 80 mg, Elavil 25 mg, Crestor 10 mg, HCTZ 25 mg

Current Illness: no

ID: 0971872
Sex: F
Age: 61
State: ME

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: ECG, labs, halter monitor

Allergies: PCN, Keflex, latex, alcohol rub, grass, mold

Symptoms: Patient reports she received Moderna Covid 19 vaccine lot #039K20A on 12/31/2021. Patient reports she developed fatigue, T 100.8, swelling and hardness at injection site 24-48 hrs after receiving vaccine. Patient self managed with Tylenol and rest. The following week, patient reports she had intermittent odd heart sensation. On 1/12/21 patient noticed a 5-6 inch red itchy mark at injection site. That night, patient developed tinnitus in the right ear. On 1/13/21 patient went to Urgent Care, then saw her otolaryngologist. Patient reports she had an ECG and labs. These tests were normal. On 1/15/21, patient went to PCP. Patient had halter monitor and is awaiting results. PCP submitted referral. Patient is awaiting appointment with allergist and employee health provider. Patient missed 3 days of work. Patient states "redness at injection site is fading and tinnitus is better."

Other Meds: Levothyroxine, Lostatin

Current Illness: denies

ID: 0971880
Sex: F
Age: 26
State: PA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Avelox, Penicillin, Cats, eggplant, dogs, latex

Symptoms: Flushing, rash to back, tachycardia

Other Meds:

Current Illness:

ID: 1353874
Sex: M
Age: 73
State:

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

Lab Data:

Allergies:

Symptoms: FATIGUE Narrative: FEVER,MYALGIA,ARTHRALGIA LASTED ONE HOUR. FATIGUE STARTED THE NEXT DAY AND LASTED ALL DAY

Other Meds:

Current Illness:

ID: 1353875
Sex: M
Age: 82
State:

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

Lab Data:

Allergies:

Symptoms: weakness, chills, disorientation Narrative:

Other Meds:

Current Illness:

ID: 1353876
Sex: M
Age: 80
State:

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: CHILLS Narrative:

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm