VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 0997364
Sex: F
Age: 53
State: NY

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: cephalosporins- unknown, levaquin-anaphylaxis, lotrimin- unknown, penicillins- hives, shellfish- angioedema, sulfa drugs- hives, bees- hives.

Symptom List:

Symptoms: Patient received second dose of vaccine on Saturday morning. Saturday night had chills and started a fever. Was not able to get out of bed at all Sunday. Had a fever ranging from 103 to 104. Tylenol brought it down to 102 for short periods. Sunday had numbness on the right side of face but did not see drooping. It has mostly resolved except for top lip to my cheek. Fever Monday was between 100-101 and patient was able to stay awake for longer periods. Tuesday had no fever and just feel tired and dizzy. Today entirely better.

Other Meds:

Current Illness: none

ID: 0997365
Sex: F
Age: 29
State: MI

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Penicillin Sulfa Cephalosporins

Symptom List:

Symptoms: Extreme body aches, chills, nausea, vomiting, headache, fatigue, joint pain

Other Meds: Trazodone Melatonin

Current Illness: None

ID: 0997366
Sex: F
Age: 55
State: MS

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Pain redness and swelling at injection site still spreading as of 2/3/2021, Headache, Nausea

Other Meds: Pravistatin 80mg, Cimetidine 800mg

Current Illness: None

ID: 0997367
Sex: F
Age: 69
State: IN

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Bactrim, sulpha

Symptom List:

Symptoms: Hard swelling and redness at injection site

Other Meds: Benicar, Breo, montelkulast, pantoprazole

Current Illness:

ID: 0997368
Sex: F
Age: 45
State: MI

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: fever of 99.9. body ache, chills.

Other Meds: birth control pill (yaz). Claritin. Calcium, multi vitamin

Current Illness: n/a

ID: 0997369
Sex: F
Age: 52
State: MD

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Allergic to Betadine/iodine solutions & Shellfish

Symptom List:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA After 10 minutes of receiving the vaccine, my throat started to swell making it difficult to swallow. A nurse administered 25mg of Benadryl then five minutes later administered an adult dose EPI Pen shot. I was then taken to the emergency room for further observations. Symptom cleared after about an hour after the EPI Pen shot was given.

Other Meds: Levothyroxine 100mcg taken @ 6:30am, 2/1/21

Current Illness: None

ID: 0997370
Sex: F
Age: 77
State: CT

Vax Date: 12/15/2020
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Penicillin, sulfa-based medication, erythromycin, dye used in contrast x-ray, hayfever

Symptom List:

Symptoms: Sudden onset in the evening of Feb 1 (17 days after initial dose)--chills, fever, headache, muscle ache, discomfort in upper chest and jaw. Temperature 100.1 which is about three degrees above my normal temp. Night sweats. Following day, malaise, headache, and discomfort when inhaling a full breath. Night sweats again. Today, much better. Able to breath fully without discomfort, not muscle aches or headache, but tired feeling.

Other Meds: Amlodopine, Metroprolol, Simvastatin, Tramadol, Montelukast. Over the counter supplements--low dose aspirin, senior vitamin, calcium

Current Illness: None

ID: 0997371
Sex: F
Age: 27
State: TX

Vax Date: 01/28/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient present with a rash covering entire body. Also c/o headache, body aches, sore throat, nasal congestion beginning 2.1.2021

Other Meds:

Current Illness:

ID: 0997372
Sex: M
Age: 33
State: NJ

Vax Date: 01/27/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Site of injection (Left Upper Arm), there is now an infection where needle was inserted. Puss is noted along with redness and hard to touch. Approximately 1/4" in diameter

Other Meds: N/A

Current Illness: N/A

ID: 0997373
Sex: F
Age: 38
State: OK

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills, headache, body ache, fever, nausea

Other Meds: Zyrtec

Current Illness: None

ID: 0997374
Sex: F
Age: 72
State: GA

Vax Date: 01/21/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Keflex Sulfa drugs Boniva Augmentin Prednisone

Symptom List:

Symptoms: Approximately 2 weeks after vaccination, injection site became red, warm to touch, itchy, and swollen, and painful to touch. Area was approximately 2 3/4" long, and 2" wide. Instructed patient to follow up with her PCP. She was instructed to place ice over area.

Other Meds: Prolia injection q 6 months Centrum Silver Calcium Caltrate +D Fish Oil Supplement

Current Illness: none

ID: 0997375
Sex: U
Age:
State: NY

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: e

Other Meds:

Current Illness:

ID: 0997376
Sex: F
Age: 33
State: IL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: peanuts, natural mango products, acidic fruits, animal dander, environmental

Symptom List:

Symptoms: sore arm, lasted approx. 36 hours.

Other Meds: Adderall 20mg immediate release Wellbutrin 100mg

Current Illness: none

ID: 0997377
Sex: F
Age: 33
State: NJ

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: Fever of 99.8 for almost 48 hours even with Tylenol every 4 hours, body aches, chills, fatigue, headache

Other Meds: probiotic, vitamin c, vitamin d, zinc, dicyclomine, tylenol (after vaccine was administered)

Current Illness: none

ID: 0997378
Sex: F
Age: 56
State: IN

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Arthrotec, molds, dust

Symptom List:

Symptoms: Rapid Heart Rate, Light Headed, Headache, Sore Arm at Injection Site

Other Meds: Zyrtec, Zoloft, Singulair, Lisinopril/HCTZ, Januvia

Current Illness: N/A

ID: 0997379
Sex: F
Age: 65
State: FL

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: aspertame

Symptom List:

Symptoms: 1. Nose felt tingly. 2. Throat started feeling weird - eventually like it was numb. 3. It felt like a tingling sensation in my veins, starting in my head then throughout. This lasted a few seconds. 4. Next, I felt dizzy and could not see well. I did not get sweaty and did not faint. This lasted approximately 5 minutes.

Other Meds: vitamins D, C, B complex, Dhea

Current Illness: None

ID: 0997380
Sex: F
Age: 29
State: NY

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Rash covering abdomen, sides, and chest. Does not itch or continue on arms or legs

Other Meds: Mirena IUD

Current Illness:

ID: 0997381
Sex: F
Age: 59
State: NY

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: After the shot I did get a reaction only on my left arm. It was a burning sensation with a rash. Eventually that went away. Around 10 days later I broke out in hives all over my body which were painful. I went to urgent care and was prescribed prednisone which I took 40 mgs. for 5 days. This lasted for a week and just stopped. I still have the spots but they are fading. I also had a swollen lymph node under my left arm.

Other Meds: None

Current Illness: None

ID: 0997382
Sex: F
Age: 55
State: TX

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reports feeling a little dizzy, mild lightheadedness, feels a little tired. Patient reports she feels anxious a little bit. Patient was seen and cleared by EMS. Patient with a history of HTN (she did not take her BP medications this morning). . Instructed patient to call her family physician, 911, or go to the nearest emergency room for any further issues.

Other Meds:

Current Illness:

ID: 0997383
Sex: F
Age: 32
State: IN

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Bee stings

Symptom List:

Symptoms: Headache, body aches slight fever

Other Meds: Vitamins

Current Illness: Covid 2 weeks prior

ID: 0997384
Sex: F
Age: 75
State: FL

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Shrimp/crab

Symptom List:

Symptoms: Rash & itching on left arm where injection was given.

Other Meds: Multi vitamin

Current Illness: None

ID: 0997385
Sex: M
Age: 46
State: OH

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Compazine

Symptom List:

Symptoms: Recieved vaccine at 525 pm 1 Feb. Sore arm at injection site, body aches, chills, low grade fever, headache, nausea, and fatigue. Woke up at 6 am on Feb 2, with symptoms. Lasted until about 10 pm 2 Feb. Took tylenol and motrin for symptoms.

Other Meds: Tylenol, ibuprofen

Current Illness: None

ID: 0997386
Sex: M
Age: 50
State: PA

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: 10 hours after receiving the vaccine I developed an acutely swollen, painful right knee, I required prednisone 20mg and symptoms subsided in about 10 hours

Other Meds: None

Current Illness: none

ID: 0997387
Sex: F
Age: 40
State: TX

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: About 1 hour after vaccine: Strange taste in mouth, strange feeling on tongue (not swollen) About 24 hours after vaccine: itchy face, headache, stiff neck and back, fatigue, low fever After 40 hours: fever gone (highest was 99.8), stiff neck and back improving, fatigue improving, face is still itchy.

Other Meds: daily vitamin

Current Illness: none

ID: 0997388
Sex: F
Age: 46
State: WI

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Injection was given subcutaneously rather intramuscularly as it should have been. As a result my entire upper arm became red, swollen, and painful/itchy. I had to take a combination of Allegra-D and Benedryl for five days to resolve the reaction.

Other Meds: Allegra-D

Current Illness: None

ID: 0997389
Sex: F
Age: 79
State: WV

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: pain in side and front of left elbow (same arm as I had the vaccine in). and down to the wrist. Difficulty stretching or raising my arm.

Other Meds: nothing

Current Illness: Cancer in remission. Taking Tabrecta, 200 mg twice a day

ID: 0997390
Sex: M
Age: 33
State: IN

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: No known allergies to medications, food, or other products.

Symptom List:

Symptoms: Individual reported body aches and extreme lower back pain near the spine. Lower back pain was reported to of occurred initially as minor two hours after receiving the injection and got worse. The back pain is still on going in the person and continued for 48 hours. Curious if linked to taking valaciclovir as the person did not recall hurting their back during the course of the day. Individual is in excellent health and physically fit.

Other Meds: Valaciclovir, 1,000 mg daily

Current Illness: None

ID: 0997391
Sex: F
Age: 41
State: MN

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Nickel, neomycin

Symptom List:

Symptoms: Large swelling (about the size of a half baseball) Large Red area Hot to the touch Pain

Other Meds: Losartan Atorvastatin

Current Illness: None

ID: 0997392
Sex: F
Age: 32
State: IN

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Pain and Lump in armpit

Other Meds:

Current Illness:

ID: 0997393
Sex: F
Age: 42
State: NJ

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: patient received 2nd dose of moderna vaccine and called to reported full body hives. she said after vaccine she did have mild fever, chills, fatigue and then developed hives. she said hives are all over her body and she took benadryl without relief. patient was contacted and instructed to reach out to occupational health for further treatment and if unable to reach them seek care at urgent care, with her pcp, or at the emergency room. current status is unknown at time of writing.

Other Meds:

Current Illness:

ID: 0997394
Sex: F
Age: 59
State: TX

Vax Date: 01/25/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: On Day 9 post vaccine #1, injection site was itchy, red, warm to the touch, with a raised, round lesion about two inches in diameter. Slightly enlarged axillary lymph node on left side.

Other Meds: Cytomel; Tirosint; Metformin; Protonix; low dose aspirin Nattokinase, Quercitin, Bromelain, L-Theanine, Tart Cherry Extract, Cinnamon, Milk Thistle, Calcium, Vitamin D3, MVI, Probiotic

Current Illness: None

ID: 0997395
Sex: F
Age: 80
State: GA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None known.

Symptom List:

Symptoms: Experiencing muscle weakness in legs and arms. Feel as if I have over-stressed those muscles, and they resist by being weak and feeling as if they sort of tremble. I usually walk one mile a day and as I was walking the day after my injection my calf in my left leg shortly after I started began to tighten up. At first I thought I would press on through but the muscle tensed more something like a "Charlie Horse." I quit walking came in an rested. I have not attempted my mile walk since then because my leg muscle is still sore from the cramp. When I raise my arms they feel heavy and seem to quiver and my legs do the same as I'm doing my stretching exercises. I have been waiting to contact anyone to see if time would take care of this problem I am having. I am seeking guidance as to whether or not I should proceed with my second injection on 18 Feb 2021. I am waiting for my doctor's office to respond regarding my call about this. I did speak with a nurse at the local HD who said I should file this side effect event report with you. I have never had a reaction to any of my flu shots and I have had one each year for a number of years. One thing I do want to mention is that my mother took the flu shot the first year it was offered and she was one who experienced muscle loss due to it and never completely recovered muscle strength.

Other Meds: Atenolol (Tenormin) 25 mg.for irregular heartbeat, one tablet per day Spironolactone (Aldactone) 25 mg. 1 tablet daily Simvastatin (Zocor) 10 mg. one tablet per day Omeprazole (Prilosec) 20 mg Cap one tablet every other day Pilocarpine (

Current Illness: None

ID: 0997396
Sex: F
Age: 61
State: TX

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: FATIGUE, SORENESS AT INJECTION SITE, MUSCLE ACHES, DIZZINESS, LIGHT HEADEDNESS, MUSCLE AND BODY ACHES

Other Meds:

Current Illness:

ID: 0997397
Sex: F
Age: 68
State: DC

Vax Date: 01/25/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: cashews

Symptom List:

Symptoms: at injection site, on Day 8, itchiness, red patch, slight swelling

Other Meds: Levothyroxine, calcium, Vitamin D

Current Illness:

ID: 0997398
Sex: F
Age: 68
State: FL

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Penicillin,amoxicillin, Quinalones, Clindamycin, ashwagandha/withaferin A

Symptom List:

Symptoms: Mild headache began a couple hours after vaccine administered, coupled with mild fatigue. 12 hours after receiving vaccine, moderate headache, moderate fatigue, and vomiting (twice in 10 minutes). 18 hours after receiving vaccine, mild headache. 22 hours after receiving vaccine only adverse symptom is slightly sore arm.

Other Meds: None

Current Illness: None

ID: 0997519
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Administered vials that were exposed to room temperature for more than 12 hours; A spontaneous report was received from an employee and a physician concerning a patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and was administered with product that was exposed to room temperature for more than twelve hours. The patient's medical history was not provided. No relevant concomitant medications were reported. On 04 Jan 2021, a freezer containing a vial of mRNA-1273 failed. At 1:11 A.M. the vial experienced a temperature excursion, exceeding 8 degrees Celsius. Over time the dose thawed and reached room temperature. On 04 Jan 2021, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection and was administered with product that was exposed to room temperature for more than twelve hours. No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The event, administered with product that was exposed to room temperature for more than twelve hours, was resolved on 04 Jan 2021.; Reporter's Comments: This case concerns a patient of unknown gender and age who received their first of two planned doses of mRNA-1273 (Lot unknown), reporting Product that was exposed to room temperature for more than twelve hours without any associated adverse events.

Other Meds:

Current Illness:

ID: 0997520
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Administered vials that were exposed to room temperature for more than 12 hours; A spontaneous report was received from an employee and a physician concerning a patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and was administered with product that was exposed to room temperature for more than twelve hours. The patient's medical history was not provided. No relevant concomitant medications were reported. On 04 Jan 2021, a freezer containing a vial of mRNA-1273 failed. At 1:11 A.M. the vial experienced a temperature excursion, exceeding 8 degrees Celsius. Over time the dose thawed and reached room temperature. On 04 Jan 2021, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection and was administered with product that was exposed to room temperature for more than twelve hours. No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The event, administered with product that was exposed to room temperature for more than twelve hours, was resolved on 04 Jan 2021.; Reporter's Comments: This case concerns a patient of unknown gender and age who received their first of two planned doses of mRNA-1273 (Lot unknown), reporting Product that was exposed to room temperature for more than twelve hours without any associated adverse events.

Other Meds:

Current Illness:

ID: 0997521
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Administered vials that were exposed to room temperature for more than 12 hours; A spontaneous report was received from an employee and a physician concerning a patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and was administered with product that was exposed to room temperature for more than twelve hours. The patient's medical history was not provided. No relevant concomitant medications were reported. On 04 Jan 2021, a freezer containing a vial of mRNA-1273 failed. At 1:11 A.M. the vial experienced a temperature excursion, exceeding 8 degrees Celsius. Over time the dose thawed and reached room temperature. On 04 Jan 2021, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection and was administered with product that was exposed to room temperature for more than twelve hours. No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The event, administered with product that was exposed to room temperature for more than twelve hours, was resolved on 04 Jan 2021.; Reporter's Comments: This case concerns a patient of unknown gender and age who received their first of two planned doses of mRNA-1273 (Lot unknown), reporting Product that was exposed to room temperature for more than twelve hours without any associated adverse events.

Other Meds:

Current Illness:

ID: 0997522
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Administered vials that were exposed to room temperature for more than 12 hours; A spontaneous report was received from an employee and a physician concerning a patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and was administered with product that was exposed to room temperature for more than twelve hours. The patient's medical history was not provided. No relevant concomitant medications were reported. On 04 Jan 2021, a freezer containing a vial of mRNA-1273 failed. At 1:11 A.M. the vial experienced a temperature excursion, exceeding 8 degrees Celsius. Over time the dose thawed and reached room temperature. On 04 Jan 2021, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection and was administered with product that was exposed to room temperature for more than twelve hours. No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The event, administered with product that was exposed to room temperature for more than twelve hours, was resolved on 04 Jan 2021.; Reporter's Comments: This case concerns a patient of unknown gender and age who received their first of two planned doses of mRNA-1273 (Lot unknown), reporting Product that was exposed to room temperature for more than twelve hours without any associated adverse events.

Other Meds:

Current Illness:

ID: 0997523
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Administered vials that were exposed to room temperature for more than 12 hours; A spontaneous report was received from an employee and a physician concerning a patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and was administered with product that was exposed to room temperature for more than twelve hours. The patient's medical history was not provided. No relevant concomitant medications were reported. On 04 Jan 2021, a freezer containing a vial of mRNA-1273 failed. At 1:11 A.M. the vial experienced a temperature excursion, exceeding 8 degrees Celsius. Over time the dose thawed and reached room temperature. On 04 Jan 2021, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection and was administered with product that was exposed to room temperature for more than twelve hours. No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The event, administered with product that was exposed to room temperature for more than twelve hours, was resolved on 04 Jan 2021.; Reporter's Comments: This case concerns a patient of unknown gender and age who received their first of two planned doses of mRNA-1273 (Lot unknown), reporting Product that was exposed to room temperature for more than twelve hours without any associated adverse events.

Other Meds:

Current Illness:

ID: 0997524
Sex: F
Age:
State: GA

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 02/03/2021
Hospital: Y

Vax Type:
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Symptom List:

Symptoms: muscle swelling; welts/hives; muscle pain; eyes swelling; tongue swelling; shut throat; blood pressure elevated; This is a spontaneous report from a contactable consumer (Patient). A 64-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: eh9899, expiration date not reported), via an unspecified route of administration on 17Dec2020 15:15 at single dose on right arm for COVID-19 immunisation. Medical history included heart disease from an unknown date and unknown if ongoing. No Known allergies to the patient currently. The patient was not pregnant. Concomitant medication in two weeks included Rosuvastatin. The patient received the vaccine in hospital. No other vaccine administered in four weeks. The patient experienced muscle swelling, welts/hives, muscle pain, eyes swelling, shut throat/tongue swelling, and blood pressure elevated hospitalization continued symptoms now for 35 days. All adverse events (AEs) started on 17Dec2020. AEs resulted in Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care and Hospitalization for two days. Patient received treatment (medications, IV's EKG many test) for AEs. No COVID prior vaccination. Patient did COVID tested post vaccination, COVID test post vaccination included Nasal Swab on 02Jan2021 with result of Negative. The outcome of events was not recovered.

Other Meds: ROSUVASTATIN

Current Illness:

ID: 0997525
Sex: M
Age:
State:

Vax Date: 01/04/2021
Onset Date: 01/01/2021
Rec V Date: 02/03/2021
Hospital: Y

Vax Type:
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Symptoms: Pneumonia; scan showed infiltration in the lungs; coughing; absolute eosinophils were high 22.2 and came down to 4.8 now; This is a spontaneous report from a non-contactable consumer (wife). An 81-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 04Jan2021 at SINGLE DOSE for COVID-19 immunisation. Medical history included Running nose from 01Jan2021. The patient's concomitant medications were not reported. The patient received Covid vaccine on the 04Jan2021. She stated on 01Jan2021 he had running nose, had negative covid test so was given the Covid vaccine. She said 7 days after the first dose on 11Jan2021, he had pneumonia, was in the hospital, scan showed infiltration in the lungs, coughing. He was on the antibiotics and prednisone. The absolute eosinophils were high 22.2 and came down to 4.8 now. She wanted to know if that was an allergic reaction to the vaccine. No follow up attempts are possible. Information about Lot and batch number could not be obtained.

Other Meds:

Current Illness:

ID: 0997526
Sex: M
Age:
State: OH

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/03/2021
Hospital:

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Symptoms: it was so faint; he checked his temperature, it was 100.3; Body aches; aching in hips; Chills; little mild headache; arm started hurting/his arm was so sore; This is a spontaneous report from a contactable consumer (patient). A 37-year-old male patient received 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL3249), via an unspecified route of administration in left arm on 19Jan2021 16:00 at single dose for covid-19 immunisation. The patient's medical history and concomitant medications were none. The patient on 19Jan2021 at about 4:00PM, got his first dose of vaccine, later clarified as COVID vaccine, and he was very energetic last night, he didn't feel the medicine going in, but today (20Jan2021), the more he was up, the worse he felt, and he checked his temperature, it was 100.3, and his employer said to not come in today, he knew can't get the virus from the vaccine, but this was not a side effect listed on the sheet. He had body aches, his arm, he can't hardly lift it, and last night he was so energetic and felt great, but his arm was so sore throughout the night, it woke him up, and he was aching in hips/aches primarily in his hips, he has hip issues, but was achy in that area. He was also starting to get a little mild headache, it was so faint right now, his symptoms came along the longer he was up, the more he was experiencing things. Primary care doctor's information declined, stated he didn't have one, he moved to another state, and didn't have one yet. Workplace said not to come if temperature was 100.4, but it's so borderline, so they said to stay home. Outcome: he had checked 4 times, and it kept saying 100.3. Overnight, his arm started hurting, but he got up today, and had chills and body aches. His arm was not hurting if he moved his arm, but other than that, he felt like something was there, but didn't ache or anything. The outcome of events faint, chills and headache was unknown, for events temperature was 100.3, body aches, arm hurting, and aching in hips was not recovered.

Other Meds:

Current Illness:

ID: 0997527
Sex: F
Age: 22
State:

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

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Allergies: None

Symptom List:

Symptoms: Presented with extreme chills at first (9 hours after shot), then fatigue, lightheadedness, brief burning at injection site, and nausea. When standing up, burning feeling occurred in the head and ears. Symptom severity lessened 24 hours after the injection.

Other Meds: Lo Loestrin Escitalopram

Current Illness:

ID: 0997528
Sex: F
Age: 42
State: NY

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

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Lab Data:

Allergies: Raglan, Imatrex

Symptom List:

Symptoms: Symptoms immediately following the vaccine on Wednesday; tachycardia, shortness of breath, dizziness. Symptoms the following day on Thursday; tachycardia, shortness of breath, weakness, fatigue. Symptoms on Friday; tachycardia, shortness of breath, weakness, fatigue, diarrhea, cough, loss of control of extremities, debilitating headache, nausea, dizziness. Symptoms on Saturday; chills, tachycardia, shortness of breath, weakness, fatigue, diarrhea, cough, loss of control of extremities, debilitating headache, nausea, dizziness, blurred vision, sensitivity to lighten and sound, sore throat, stuffy nose, ringing in ears. Symptoms on Sunday to current 2/3/21 tachycardia, shortness of breath, weakness, fatigue, diarrhea, cough, loss of control of extremities, debilitating headache, nausea, dizziness, blurred vision, sensitivity to lighten and sound, sore throat, stuffy nose, ringing in ears.

Other Meds: Levothyroxine, Adderall, vitamin D3, Collagen, Tumeric, probiotic, Motrin

Current Illness: None

ID: 0997529
Sex: F
Age: 60
State: WI

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/03/2021
Hospital:

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Lab Data:

Allergies: Sulfa Drugs (doesn't remember)

Symptom List:

Symptoms: Injection site is warm, itchy, red rash.

Other Meds: Breo Ellipta, Pantoprazole, Albuterol, Multi Vitamin+, Losartan-Hydrochlorothiazide, Levothyroxine

Current Illness: None

ID: 0997530
Sex: F
Age: 25
State:

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

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Lab Data:

Allergies: Tuna

Symptom List:

Symptoms: chills, headache, muscle soreness in arm, nausea, overall weakness; still has symptoms today, which are not subsiding redness and swelling at site about 3 hrs after the vaccine, continues to be red and swollen and very painful Has not taken any meds for the pain

Other Meds: No

Current Illness: No

ID: 0997531
Sex: M
Age:
State:

Vax Date:
Onset Date: 01/21/2021
Rec V Date: 02/03/2021
Hospital: Y

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Symptoms: Narrative: Patient is a 49 year old man with past medical history of hypertension and kidney stones who presented with a chief complaint of word finding difficulties and slurred speech. Patient was last seen normal at 1230 pm on 1/21/2021. He got his covid vaccine and shortly after he developed a headache that was on both sides of his head. Felt like 8/10 pain. He then had difficulty with speaking - he didn't know what word to say so he would make a noise. He was on the phone, and that person recommended that he come to the ED to get evaluated.In the ED, a stroke code was called. BP 169/97. NIHSS 0. A CT non con did not show any acute bleed or any signs of a stroke. After the stoke code was ended, the patient has a headache severity 1/10 and did not have any word finding difficulties. Patient was non focal by the time that the stroke code was ended. In the setting of hypertension, a blood pressure of 169/97 on admission and fluctuating symptoms, most concerning on the differential is a TIA. Given his risk factors and episodic presentation, he will need to be worked up for a stroke. The differential also includes post-vaccination reaction vs complex migraine.

Other Meds:

Current Illness:

ID: 0997532
Sex: F
Age: 48
State: KY

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

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Allergies: none

Symptom List:

Symptoms: I received my first injection of the Moderna Covid-19 vaccine on Monday evening (1/25/2021) and my arm became very sore. The next day, I could not lift my arm. By Wednesday (1/27/2021) morning, I had a terrible migraine type headache, chills, muscle aches and nausea. I went to bed and sleep the whole day. I took ibuprofen which helped ease symptoms. The headache went away by Friday but I had lingering nausea & tiredness for several days and food tasted strange to me. I felt better by Monday, Feb 1, but then on Tuesday, February 2 in the evening, I developed a large hive and swelling on my left arm where I had received the injection. I also had smaller hives on my chest and neck. I took Benadryl and the swelling went down and by Wednesday morning (2/3)- the hives were gone and feel somewhat normal again.

Other Meds: none

Current Illness: none

ID: 0997533
Sex: F
Age: 69
State: NC

Vax Date: 01/25/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

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Lab Data:

Allergies: sulfa drugs, formaldehyde (skin)

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA arm swelling, redness, itchiness ... 9 days after the shot! also dizziness. arm fine before then had a backache like a pulled muscle for 3-4 days after the shot, but might have been a coincidence - but don't recall doing anything

Other Meds: Ramipril, Simvistatin, Centrum Silver, COQ10, Calcium

Current Illness: none

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm