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: 1005889
Sex: F
Age: 50
State: MD

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

Lab Data: none

Allergies: penicillin

Symptoms: Moderna Covid-19 vaccine EUA 2/2/21 fatigue, headache, pain at site and nausea 2/3/21 body ache, heachache, nausea, fatigue 2/4/21 abdominal pain, body ache, fatigue, nausea, headache 2/5/21 heart rate up to 130, fatigue, nausea, body ache, abdominal pain

Other Meds: synthroid

Current Illness: none

ID: 1005893
Sex: F
Age: 40
State: TX

Vax Date: 12/16/2020
Onset Date: 12/22/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data: COVID-19-positive

Allergies: aspirin, mango, latex

Symptoms: A few days after the vaccination I begin having mild symptoms as if I had COVID so I went and got tested on 12/24 and was positive for covid. I was experiencing SOB so I had a virtual Urgent Care and was prescribed a weeks worth of Deckadron and antibiotic and all symptoms cleared up. I also experienced extended abdominal distenstion for an extended period of time.

Other Meds: Vit C, Vit D., Multivitamin, Claritin 10mg

Current Illness: no

ID: 1005897
Sex: F
Age: 83
State: SC

Vax Date: 01/19/2021
Onset Date: 02/01/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: MRI, CT Scan, lots of labs, urine, EKG and even a Covid test which was negative. Her labs and all other tests found nothing. We were thrown and all they can say was maybe a TIA. Today, Friday, February 5, 2021, my mom is back to normal. She can now read, potty, back on her computer, and acts if nothing happened.

Allergies: NKA

Symptoms: My mom became very disoriented for 2-3 full days. She couldn't remember her birthday, where she was, her doctor's name, etc.... We took her to her doctor and she thought she had a stroke. We went to the ER for every test possible. She became disoriented and also had to put adult briefs on her. On Sunday she was driving and on Monday she was totally disoriented. My dad called and I rushed home 2 1/2 hours away. This was a terrifying event. She was glossy eyed and couldn't read. She didn't have any paralysis; thank goodness. It was all pretty much mental.

Other Meds: Mobic

Current Illness: No

ID: 1005901
Sex: F
Age: 83
State:

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

Lab Data:

Allergies:

Symptoms: Unsteady gait, slurred speech, general pain

Other Meds:

Current Illness:

ID: 1005905
Sex: F
Age: 56
State: CT

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Headache, body aches, lethargy

Other Meds: Unknown

Current Illness: None

ID: 1005909
Sex: M
Age: 41
State: NV

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: HEADACHE FOR MORE THAN 10 DAYS

Other Meds: no

Current Illness: no

ID: 1005913
Sex: F
Age: 26
State: CA

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

Lab Data:

Allergies:

Symptoms: I received my second dose on Tuesday, 2/2 @ 3;30 PM, with L arm tingling starting 30 minutes after my dose. Tingling, numbness, and coldness later expanded to the entire left side of my body, which persisted for more than 8 hours. It felt like the left side of my body was somewhat disassociated from the other side.

Other Meds:

Current Illness:

ID: 1005917
Sex: F
Age:
State: FL

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

Lab Data:

Allergies:

Symptoms: worsening pain at injection site, redness, chills, pain in neck and shoulders 1st dose 1/7/21, 7:00am, 2nd dose 2/2/21 noon referred to primary provider, OTC advil for pain

Other Meds:

Current Illness:

ID: 1005920
Sex: F
Age: 72
State: IL

Vax Date: 01/26/2021
Onset Date: 02/02/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: One week after Moderna vaccine red, itchy, painful rash appeared at injection site. Approximately 4"x3" Although it seems to be lightening a tiny bit in color, the rash is growing. Now, approximately 5"x3" Upon my own investigation (via Google) learned this is called COVID arm. It is not typically listed as a side effect. It is most commonly seen in 30-40 y/o women (I'm 72). I want to make sure it is safe to receive the 2nd vaccine.

Other Meds: Dorzolamide/Timolol eyedrops Latanoprost eyedrops Gabapentin

Current Illness: Small Intestinal Bacteria Overgrowth

ID: 1005922
Sex: F
Age: 69
State: CA

Vax Date: 01/28/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: septra

Symptoms: swolen face

Other Meds: Elaquis Myrbetric Metoprolol Gabapentin

Current Illness: none

ID: 1005925
Sex: F
Age: 46
State: MS

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I had shortness of breath (asthma like symptoms) after Covid for 3 months. I had finally stopped having the shortness of breath and having to use an inhaler for 2 weeks before taking the COVID vaccination. I started having the asthma like symptoms again two days after taking the vaccine. I am still having shortness of breath and having to use an inhaler on a daily basis and it has been over 2 weeks since the vaccine. I also had flu like symptoms including fever, chills, body aches immediately after the vaccine for 48 hours.

Other Meds:

Current Illness:

ID: 1005927
Sex: F
Age: 50
State: VA

Vax Date: 01/26/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: On 2/3/21 I woke up around 6am with a swollen arm, red, itchy and warm to the touch. I went to Patient First that evening, after consult with my primary care. The doctor at Patient First prescribed: Cefdinir 300 mg, Triamcinolone Acetonide Cream 0.1% and Hydroxyzine HCL 25 mg. My symptoms are improving but are still there.

Other Meds: Methimazole and Triamterene-HCTZ

Current Illness: None

ID: 1005931
Sex: F
Age: 18
State: AK

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Patient presented with "pressure on the throat, difficulty swallowing". Airway patent and lungs clear on initial observation in lower lobes with developed slight wheeze in upper airway on arrival to hospital 30 mins later. Patient received Albuterol 2.5mg/3cc saline nebulizer treatment during transport.

Other Meds: vitamin D, vitamin C

Current Illness: None

ID: 1005935
Sex: F
Age: 41
State: ME

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

Lab Data:

Allergies:

Symptoms: 10 min after second dose vaccine, she felt tightness in her chest. Patient has history of Asthma and self medication with albuterol inhaler. O2 Sats, BP and Pulse all normal through observation period. Patient was observed for an additional 30 min. No further need of albuterol and left with chest clear with no wheezing

Other Meds: Albuterol Inhaler

Current Illness:

ID: 1005939
Sex: F
Age: 23
State: ME

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: yes-no other information

Symptoms: an hour after receiving second dose: began sneezing and had runny nose, started "panting" and feeling short of breath (described as when you have gone up a flight of stairs and have trouble catching your breath) felt the onset of a headache. She then went home, where she did a nebulizer treatment and reported that it was helpful and was in and out of a deep sleep. Following day she reports "the worst headache," body aches and a low grade fever.

Other Meds:

Current Illness:

ID: 1005944
Sex: F
Age: 65
State: GA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: Codeine

Symptoms: Severe headache for 3 days, itching and rash only on upper body, saw Dr. at Health Center and received Steroid Dose Pack along with a Prednisone Injection, rash in healing stages, not completely gone

Other Meds: Patient did not provide this information

Current Illness: Patient did not provide information

ID: 1005947
Sex: F
Age: 20
State: IN

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Injection site hot to touch, swollen, itchy, and hurts to touch. Extreme Fatigue.

Other Meds: Sertraline, Buspirone, Pantoprazole, Dicyclomine, Hydroxyzine, Mirena IUD, Vitamin D supplement, Daily multivitamin

Current Illness:

ID: 1005951
Sex: M
Age: 42
State: GA

Vax Date: 01/15/2021
Onset Date: 01/21/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: None. Only reported allergy is to poison ivy.

Symptoms: Patient received his first dose of the Pfizer-BioNTech COVID-19 vaccine on 12/28/2020 without and adverse events reported after this dose. However, after receiving his second dose of the vaccine on 1/15/2021 in his left deltoid, he noted a rash on his bilateral antecubital fossae on the morning of 1/21/2021. He reported that the rash was erythematous in nature, raised, and pruritic describing the presence of small papules over an erythematous patch of skin that was approximately 1 inch in diameter on both sides. He noted the rash on both antecubital fossae at the same time on the morning of 1/21/2021. Since onset, he has been using topical hydrocortisone cream for symptomatic management. Although these lesions have improved, they have not yet completely resolved. He denied any other symptoms associated with the rash and also denied any other exposures or changes in skin products that might have precipitated this rash.

Other Meds: OTC Multivitamin

Current Illness: None

ID: 1005954
Sex: F
Age: 47
State: FL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: BODY ACHINESS, FEELS LIKE PINS AND NEEDLES

Other Meds: NONE

Current Illness: NONE

ID: 1005955
Sex: F
Age: 63
State: OR

Vax Date: 12/27/2019
Onset Date: 12/27/2019
Rec V Date: 02/05/2021
Hospital:

Lab Data: Exam 2/04/2021

Allergies: None

Symptoms: Patient c/o R. deltoid muscle spasticity and pain since injection.

Other Meds: Anastrozole 1 mg Caltrate 600 mg Vitamin D 1000 IU Fish Oil 1,000 mg Probiotic Vitamin C 500 mg

Current Illness: None

ID: 1005956
Sex: F
Age: 90
State:

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

Lab Data:

Allergies:

Symptoms: Stroke-like symptoms, anxiety attack.

Other Meds:

Current Illness:

ID: 1005958
Sex: F
Age: 66
State:

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: On day 7, my armed swelled up with a large area of red rash.

Other Meds: Vitamin D3 Multi vitamin Advil

Current Illness: None

ID: 1005960
Sex: M
Age: 41
State: MT

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

Lab Data:

Allergies: NONE

Symptoms: 1st dose given on 1/7/21, experienced headache, muscle aches, fever, chills and occurred approximately 24 hours after injection and lasted approximately 24 hours 2nd dose given on 2/2/21, experienced headache, muscle aches, fever, chills and occurred approximately 9 hours after injection and lasted approximately 30 hours Both times treated with Ibuprofen on a regular 6 hour schedule

Other Meds: PRILOSEC, LEXAPRO, CRESTOR, ADVAIR

Current Illness: NONE

ID: 1005962
Sex: F
Age: 93
State:

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

Lab Data:

Allergies:

Symptoms: "didn't feel well"

Other Meds:

Current Illness:

ID: 1005964
Sex: F
Age: 78
State: FL

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

Lab Data:

Allergies:

Symptoms: Sore injection site beginning last night. This morning, woke up with chills, began feeling "feverish" throughout the day. Pt took Excedrin prior to calling. Vaccine Administration dates: 1/06/2021, 02/02/2021

Other Meds:

Current Illness:

ID: 1005966
Sex: U
Age:
State: KS

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

Lab Data:

Allergies:

Symptoms: hearing loss; neuropathy; postherpetic neuralgia; severe outbreak of herpes zoster; This initial spontaneous report was received from a lawyer regarding a case in litigation and refers to a patient of unknown age and gender. On an unknown date, the patient was inoculated with zoster vaccine live (ZOSTAVAX) (lot#, expiration date, dose, route of administration and anatomical location were not reported) for the prevention of shingles (herpes zoster). On an unknown date, after receiving zoster vaccine live (ZOSTAVAX), the patient suffered a severe outbreak of herpes zoster, postherpetic neuralgia, neuropathy and hearing loss. As a result of these symptoms, patient was seen and treated by medical providers and was still under their care. As a direct and proximate result of zoster vaccine live (ZOSTAVAX), patient's symptoms have resulted in physical limitations not present prior to using the vaccine. Patient also experiences mental and emotional distress due to resulting physical limitations and seriousness of patient's condition. As a result of zoster vaccine live (ZOSTAVAX), patient sustained severe and permanent personal injuries. Further, as a tragic consequence of Company's wrongful conduct, patient suffered serious, progressive, permanent, and incurable injuries, as well as significant conscious pain and suffering, mental anguish, emotional distress, loss of enjoyment of life, physical impairment and injury. As a direct and proximate result of Company's conduct, patient has suffered and incurred damages, including medical expenses; the loss of accumulations; and other economic and non-economic damages. Upon internal review, the events of neuropathy and hearing loss were considered to be medically significant.

Other Meds:

Current Illness:

ID: 1005967
Sex: M
Age: 88
State: TX

Vax Date: 01/07/2021
Onset Date: 01/17/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Shortness of breath.

Other Meds: Multi Vitamines, Calcium, Fish Oil

Current Illness: None

ID: 1005968
Sex: M
Age: 51
State: TX

Vax Date: 10/23/2020
Onset Date:
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: arm pain; This case was reported by a consumer and described the occurrence of pain in arm in a 51-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis. On 23rd October 2020, the patient received the 1st dose of Shingrix. On an unknown date, less than 2 months after receiving Shingrix, the patient experienced pain in arm. The patient was treated with ibuprofen (Advil). On an unknown date, the outcome of the pain in arm was recovered/resolved. It was unknown if the reporter considered the pain in arm to be related to Shingrix. Additional details were provided as follows: Age at vaccination was not reported. The patient received the first dose of the Shingrix vaccine in unknown arm and had upper arm pain for 4 days and it resolved within a few days after he took Advil. For tolerance of 2nd dose refer case US2020255813.; Sender's Comments: US-GLAXOSMITHKLINE-US2020255813:

Other Meds:

Current Illness:

ID: 1005969
Sex: F
Age:
State: IA

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

Lab Data:

Allergies:

Symptoms: Received 0.3 - 0.4 ml; Syringe fracked and leaked out; A spontaneous report was received from a pharmacist concerning a 66-year-old, female, patient who received Moderna's COVID-19 vaccine (mRNA-1273) and the syringe fracked and leaked out and the patient received 0.3 - 0.4 ml. The patient's medical history was not provided. Concomitant product use was not reported. On an unknown date, the patient received their first of two planned doses of mRNA-1273 intramuscularly (Lot number: 042L20A) for prophylaxis of COVID-19 infection. On the unknown date, during vaccine administration, the syringe fracked and leaked out and the patient received 0.3 - 0.4 ml of the vaccine dose. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events, syringe fracked and leaked out and received 0.3 - 0.4 ml, was considered resolved.; Reporter's Comments: This case concerns a 66-year-old patient who received their dose of mRNA-1273 (Lot 042L20A), reporting patient received 0.3 - 0.4 ml and syringe issue without any associated adverse events reported at this time.

Other Meds:

Current Illness:

ID: 1005970
Sex: F
Age: 24
State: TX

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Already got the 2 doses,first dose on 30Dec2020 and the second dose on 20Jan2021; Pregnant; A spontaneous report was received from a nurse, a 24-year-old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced already got the 2 doses, first dose on 30Dec2020 and the second dose on 20Jan2021 and she is pregnant. The patient's medical history was not reported. The patient's prior history of pregnancies is not provided. Concomitant medication is Multivitamins. On 30 Dec 2020, the patient received their first of two planned doses of mRNA-1273 (Lot number: 037K20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 20 Jan 2021, the patient received the second of the two planned doses of m-RNA-1273 intramuscularly in the left arm for prophylaxis of COVID-19 infection. She did not report any side effects and her due date was on 27 June 2021. The patient received both scheduled doses of mRNA-1273 prior to the events; therefore, action taken with the drug in response to the events is not applicable. The outcome of the events, already got the 2 doses first dose on 30 Dec 2020 and the second dose on 20 Jan 2021 and vaccine exposure during pregnancy, were considered resolved on 20 Jan 2021.; Reporter's Comments: This case concerns a 24-year-old female who reported inappropriate schedule of product administration and maternal exposure during pregnancy. Estimated due date is 27 June 2021. Subject received 2 doses of COVID 19 vaccine( mRNA-1273) lot # 037K20A with latency of 22 days. There were no reported AEs associated with this case of Inappropriate schedule of product administration and maternal exposure during pregnancy.

Other Meds: MULTI VIT

Current Illness:

ID: 1005971
Sex: F
Age: 90
State: GA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: PT OBSERVED FOR 15 MIN AFTER ADMINISTRATION OF VACCINE. SON-IN-LAW STATES THEY WERE AT THE STOP SIGN WHEN PT BEGAN TO FEEL HER FACE FELT VERY WARM AND FLUSHED. 1400 : BP 200/92 P 80 R 16. IN NAD. BS CLEAR & EQUAL. EMS PRESENT ON SITE AND ALSO ASSESSED PT AND RAN AN EKG. PT DID NOT DESIRE TRANSPORT. DOES TAKE BP MED. PT AND HER DAUGHTER BOTH STATE SHE TOOK HER MEDICATION THIS AM AND BP IS WELL CONTROLLED. REPORTS RECENT CARDIOLOGY CHECKUP WAS NORMAL. 1445 : 205/84 P 79 R 14. 1450 : 205/83, 72, R 14. 1500 : 180/90, P 72, R 14. 1505 : 180/82, P70M R 14. 1510 : 170/84, P 70, R 14. 1515 : 158/80, P 78, R 14. PT DRINKING WATER AND STATES SHE FEELS MUCH BETTER. DISPOSITION : HOME W/DAUGHTER.

Other Meds: UNKNONW

Current Illness: NONE KNOWN

ID: 1005972
Sex: F
Age: 37
State: NJ

Vax Date: 12/26/2020
Onset Date: 01/24/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fatigue; Received a third dose of the vaccine; The nurse missed my deltoid; Slight tenderness at the injection site; A spontaneous report was received from a physician, who was a 37-year-old, female, patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced the nurse missed my deltoid, slight tenderness at the injection site, received a third dose of the vaccine, and fatigue. The patient's medical history was not provided. No relevant concomitant medications were reported. On 26 Dec 2020, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection. On 24 Jan 2021, the patient received their second of two planned doses. On 27 Jan 2021, the patient received a third dose of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection. On 24 Jan 2021, the patient received her second dose of the vaccine and the nurse administering the vaccine missed her deltoid. The patient experienced slight tenderness at the injection site. On 27 Jan 2021, the patient received a third dose of the vaccine. On 29 Jan 2021, the patient reported she began experiencing fatigue on an undisclosed date. No treatment information provided. The patient received both scheduled doses of mRNA-1273 prior to the events; therefore, action taken with the drug in response to the events is not applicable. The outcome of the event, the nurse missed my deltoid, was considered resolved on 24 Jan 2021. The outcome of the event, received a third dose of the vaccine, was considered resolved on 27 Jan 2021. The outcome of the event, slight tenderness at the injection site, was considered resolved on 29 Jan 2021. The outcome of the event, fatigue, was unknown.; Reporter's Comments: This case concerns a 37 year old female subject who experienced non-serious events of nurse missed my deltoid, slight tenderness at the injection site, received a third dose of the vaccine, and fatigue after a second and third dose of mRNA-1273. A third dose was given as second dose was not injected into deltoid muscle. All events had resolved at the time of this report. Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1005973
Sex: F
Age: 63
State: VA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: administered under the deltoid, subcutaneously, instead of in the muscle; administered under the deltoid, subcutaneously, instead of in the muscle,; A spontaneous report (United States) was received from a nurse, who was a 63 year old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and it was administered under the deltoid, subcutaneously, instead of in the muscle. The patient's medical history was not provided. No relevant concomitant medications were reported. On 19 Jan 2021, the patient received their first of two planned doses of mRNA-1273 (Lot: 013L20A) subcutaneously in left arm for prophylaxis of COVID-19 infection. On 19 Jan 2021, the patient, who is a nurse, reported that vaccine was administered under the deltoid, subcutaneously, instead of in the muscle. She stated, she gave the injection at a 90-degree angle but below the deltoid. She also mentioned that she showed the manager of the department of health, who went to the supervisor, "they said it should be higher". Treatment information was not provided. Action taken with mRNA-1273 in response to the event was not reported. The event, it was administered under the deltoid, subcutaneously, instead of in the muscle, was considered resolved on 19 Jan 2021.; Reporter's Comments: This report refers to a case of 63 yr old female patient who experienced a Product administration error - incorrect route of product administration for mRNA-1273, lot # 013L20A. There were no reported AEs associated with this case of incorrect route of product administration.

Other Meds:

Current Illness:

ID: 1005974
Sex: F
Age: 29
State: MO

Vax Date: 12/31/2020
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: received 2nd dose of the Pfizer Vaccine, Interchangeability; A spontaneous report was received from a nurse who was also a patient, of 29-year-old, female who was administered Moderna's COVID-19 vaccine on 31-DEC-2020 and received second dose of the Pfizer vaccine (interchangeability). The patient's medical history was not provided. No relevant concomitant medications were reported. On 31-DEC-2020, prior to the onset of the event, the patient received their first of two planned doses of mRNA-1273 (Lot number: 039K20A) through intramuscular route at the facility for prophylaxis of COVID-19 infection. The patient was a travelling nurse. The patient had received second dose of the Pfizer vaccine (Lot number: EL1283) on 29-JAN-2021. Patient reported no symptoms. No treatment information was provided. The action taken for Moderna COVID-19 vaccine was not reported. The outcome of the event, received second dose of the Pfizer vaccine (interchangeability) was considered resolved on 29-Jan-2021.; Reporter's Comments: This case concerns a 29-year-old female patient who received their second of two planned doses of mRNA-1273 (Lot: EL1283), reporting Wrong product administered without any associated adverse events.

Other Meds:

Current Illness:

ID: 1005975
Sex: F
Age:
State: PA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received only a partial dose; A Spontaneous report was received from a healthcare professional concerning a female healthcare worker in her '50s' who was participating in the mRNA-1273 Emergency Use Program and the patient received only a partial dose. The patient's medical history was not provided. No relevant concomitant medications were reported. On 27 Jan 2021, the patient received their first of two planned doses of mRNA-1273 (Lot # 028L20A) for prophylaxis of COVID-19 infection. The patient received only a partial dose and does not have any special condition. No treatment information was provided. Action taken with the second dose of mRNA-1273 in response to the event was not reported. The event, patient received only a partial dose was considered resolved on 27 JAN 2021.; Reporter's Comments: This report refers to a case of incorrect dose administered for mRNA-1273. There were no reported adverse events associated with this case.

Other Meds:

Current Illness:

ID: 1005976
Sex: F
Age: 34
State: IN

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: n/a

Allergies: Latex. Perfumed products in any skin/soap products.

Symptoms: Chills. Fever. Body aches. Ear hurts. Fatigue.

Other Meds: I used Naproxen to relieve fever and pain.

Current Illness: I got period on the same day, if that matters.

ID: 1005977
Sex: U
Age:
State: NC

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

Lab Data:

Allergies:

Symptoms: vaccine removed from freezer and only thawed for 20 minutes before being administered to patient; A spontaneous report was received from a healthcare professional concerning a patient, of unknown age/gender, who received Moderna's COVID-19 vaccine that was removed from the freezer and then allowed to only thaw for 20 minutes before being administered to the patient. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. On unknown date, the patient received their first of two planned doses of mRNA-1273 (Lot number: unknown) intramuscularly for prophylaxis of COVID-19 infection. On an unspecified date, the patient received Moderna's COVID-19 vaccine that was removed from the freezer and then allowed to only thaw for 20 minutes before being administered. Treatment information was not provided. Action taken with the second dose of mRNA-1273 in response to the event was not reported. The outcome for the event, vaccine removed from freezer and only thawed for 20 minutes before being administered to patient, was resolved.; Reporter's Comments: This case concerns a patient of unknown age and gender, who received their first of two planned doses of mRNA-1273 (Lot: 027L20A), reporting Product preparation error.

Other Meds:

Current Illness:

ID: 1005978
Sex: F
Age: 62
State: TX

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: some of the vaccine to drip out on my arm; my arm was painful and kind of sore where the injection site was; some of the vaccine to drip out on my arm; A spontaneous report was received from a consumer, who is 62-year-old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and resulting in the event of inappropriate dose of vaccine administered and some drops went out, pain and soreness at injection site. The patient's medical history was not provided. Concomitant medications were not reported. On 27 Jan 2021, the patient received her first of two planned doses of mRNA-1273 (Batch number: 007M20A) intramuscularly in her right arm for the prophylaxis of COVID-19 infection. On 27 Jan 2021, the patient received the vaccine resulting in the event of inappropriate dose of vaccine administered and some of liquid went down from shoulder to her wrist. The patient experienced pain and soreness at injection site. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the event, inappropriate dose of vaccine administered, was considered as resolved on 27-Janp-2021 and the event, pain and soreness at injection site, was not reported.; Reporter's Comments: This case concerns a 62 old female patient who received her first of two planned doses of mRNA-1273 (Batch number: 007M20A) intramuscularly in her right arm for the prophylaxis of COVID-19 infection and resulting in the event of inappropriate dose of vaccine administered and some drops went out, and non-serious listed event of pain and soreness at injection site. Based on the current available information, the event of pain and soreness at the injection site is an expected event.

Other Meds:

Current Illness:

ID: 1005979
Sex: U
Age:
State: IA

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

Lab Data:

Allergies:

Symptoms: 2 patients were inadvertently injected with 1.0 mL, instead of 0.5 mL, of Moderna COVID vaccine; A spontaneous report was received from a health care professional (Physician) concerning two patients who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced accidental overdose. The patients' medical history was not provided. Concomitant products were not provided. On an unknown date, the patients received their doses of mRNA-1273 (Lot number unknown) for prophylaxis of COVID-19 infection (route of administration and injection site unknown). The HCP stated that, the patients were inadvertently injected with 1.0mL, instead of 0.5mL of the vaccine. Treatments for these events were not provided. Action taken with mRNA-1273 in response to the event was not reported. The event, accidental overdose was considered resolved.; Reporter's Comments: This report refers to a case of accidental overdose for mRNA-1273. There were no reported adverse events associated with this case.

Other Meds:

Current Illness:

ID: 1005980
Sex: F
Age: 28
State: MA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: EKG, Glucose, blood work, CT scan

Allergies: Amoxicillin

Symptoms: Sore arm for 3 days, headaches same day until current, chills same day to current, dizziness same day till current, fatigue, diarrhea increased heart rate

Other Meds: Women every day Multivitamins, fish oil, zinc, turmeric & ginger, vitamin d, c , biotin, pre/pro biotic

Current Illness: None.

ID: 1005981
Sex: F
Age: 62
State: PA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: cefzil

Symptoms: Got injection Friday at 12 noon, Saturday morning woke up with fever 101.2, diarrhea x 12 hours, headache x 3 days (frontal) on Sunday developed a baseball size red, hard and warm to touch raised area around injection site. This lasted for 3 days

Other Meds: hctz 25 mg daily daily multi vitamin Naprosyn

Current Illness: none

ID: 1005982
Sex: F
Age: 51
State: NY

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: latex

Symptoms: shortness of breath, chest tightness

Other Meds:

Current Illness:

ID: 1005983
Sex: F
Age: 47
State: CA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: TRAMADOL

Symptoms: SWOLLEN ARM , REDNESS, ITCHY AND WARM TO TOUCH, RASH

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1005984
Sex: M
Age: 0
State: RI

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

Lab Data:

Allergies:

Symptoms: While receiving second dose the vaccinator inserted what appeared to be an empty syringe. The vaccinstor stated "oops" and withdrew the needle. The vaccinator then filled a second syringe and and re-injected patient. The issue is the person being vaccinated is concerned that he may have had air injected into the deltoid muscle and/or may have been over vaccinated. He reported to the Pod Commander and his supervisor at work.

Other Meds:

Current Illness:

ID: 1005985
Sex: F
Age: 90
State:

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

Lab Data:

Allergies:

Symptoms: "didn't feel well"

Other Meds:

Current Illness:

ID: 1005986
Sex: M
Age: 36
State: SC

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

Lab Data: None

Allergies:

Symptoms: Whole body moderate muscular weakness and fatigue beginning 18 hours after injection, increasing in severity to 36 hours after injection. Moderate to severe migraine beginning 24 hours increasing to 36 hours after injection. Full recovery 42 hours after administration.

Other Meds: Escitalopram 10 mg daily

Current Illness:

ID: 1005987
Sex: F
Age: 53
State: MT

Vax Date: 01/19/2021
Onset Date: 01/25/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: Advised to consult provider.

Allergies:

Symptoms: Injection site pain radiating down into the elbow, up the shoulder and into the neck. L arm was sore first week but worsened the 2nd week and is not having mobility issues with terrible constant pan.

Other Meds:

Current Illness:

ID: 1005988
Sex: F
Age:
State: WA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shingles: Approximately 3 hours after receiving vaccine, experienced redness and tenderness under eyebrow of right eye.; Tenderness under eyebrow of right eye/pain behind right eye that did not go away for more than 5 days; Shingles: Approximately 3 hours after receiving vaccine, experienced redness and tenderness under eyebrow of right eye.; This is a spontaneous report from a contactable healthcare professional (HCP). A 40-year-old female patient received first single dose of BNT162B2 (Pfizer- BioNTech, Solution for injection, batch/lot number and exp date not reported), via an unspecified route of administration (vaccine location: right arm) on 14Jan2021 16:00 for COVID-19 immunization. Vaccination facility: Hospital. The patient had no relevant history. The patient was not pregnant at time of vaccination and at the time of reporting. The patient had no known allergies. The patient did not have Covid prior vaccination. Concomitant medication (other medications in two weeks) included multivitamin (unspecified). There was no other vaccine in four weeks. On 14Jan2021 19:00, the patient experienced shingles: approximately 3 hours after receiving vaccine, experienced redness and tenderness under eyebrow of right eye. Experienced pain behind right eye that did not go away for more than 5 days. Sought medical attention and ophthalmologist diagnosed shingles on 20Jan2021. The adverse events resulted in Doctor or other healthcare professional office/clinic visit, and Emergency room/department or urgent care. Treatment for the adverse events included antiviral medication and steroid drops. Patient was not Covid tested post vaccination. The patient had not recovered from the events at the time of reporting. Information about lot number and expiry date for the suspect product will be requested in follow-up attempts.; Sender's Comments: Based on temporal association, the causal relationship between BNT162B2 and the events herpes zoster, eyelid pain and erythema of eyelid cannot be excluded. The information available in this report is limited; information on previous occurrences of shingles, if any, would aid in case assessment. This case will be reassessed once additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees, and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 1005989
Sex: F
Age: 73
State: NC

Vax Date: 01/29/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: NONE

Allergies: Allergic to dairy products. I get an adverse reaction from most medications even over the counter Tylenol and Advil. Make me light headed and stomach aches.

Symptoms: The night of the vaccine I got a mild headache during the night and it lasted about 24 hours. A WEEK AFTER THE VACCINE I AM EXPERIENCING VERY ITCHY AREA WHERE THE VACCINE WAS INJECTED. IT IS RED AND HOT BUT THERE IS NO PAIN. I ALSO EXPERIENCED FATIGUE ON THURSDAY, FEB. 4TH.

Other Meds: Nortriptyline 30mg nightly, Senna laxative nightly, Dextrin fiber powder nightly. Morning one a day vitamin

Current Illness: Nerve pain in legs which is controlled by Nortriptyline

ID: 1005990
Sex: M
Age:
State: NC

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: Test Name: blood pressure; Result Unstructured Data: Test Result:140/65; Comments: before Lunch; Test Date: 20210119; Test Name: blood pressure; Result Unstructured Data: Test Result:200/93; Comments: went up the day he hook the vaccine to 200/93; Test Date: 20210119; Test Name: blood pressure; Result Unstructured Data: Test Result:190/80; Comments: that day it was like 190/80 something; Test Date: 20210119; Test Name: blood pressure; Result Unstructured Data: Test Result:189/82; Comments: later he checked it was 189/82; Test Date: 20210119; Test Name: blood pressure; Result Unstructured Data: Test Result:kept comming down; Comments: He waited some more, and it kept coming down; Test Date: 20210119; Test Name: blood pressure; Result Unstructured Data: Test Result:140/55; Comments: it slipped to 140/55; Test Date: 20210119; Test Name: blood pressure; Result Unstructured Data: Test Result:kept coming down 10 to 15 points; Comments: The Blood pressure kept coming down 10 to 15 points every hour; Test Date: 20210119; Test Name: blood pressure; Result Unstructured Data: Test Result:118/65; Comments: The Last one he took later that day was 118/65

Allergies:

Symptoms: irregular hearbeat; Belching; Gas; Stomach cramps; felt antsy; his blood pressure went up the day he hook the vaccine to 200/93; He was anxious feeling; sharp pains in his right eye; Ears Felt Funny; This is a spontaneous report from a contactable consumer (patient). An 80-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EK9231; expiry date not reported), via an unspecified route of administration on 19Jan2021 11:00 at single dose for COVID-19 immunization. Medical history included high cholesterol and blood pressure abnormal from an unknown date and unknown if ongoing. Concomitant medication included propranolol hcl for blood pressure and an unspecified cholesterol pill. The patient previously received influenza (Flu shot) on an unspecified date (years) ago for immunization and experienced light headed. The patient reported that his blood pressure went up the day he hook the vaccine to 200/93 and he was real concerned about that. He took a blood pressure pill and was having some sharp pains in his right eye (he had 3-4 at different times). He was anxious feeling and could hear it blowing in his ears (which happens when his blood pressure is high). He stated he has never had his blood pressure that high and has never had any heart problems. The patient asked, whether he was in the danger zone, the danger zone of having a stroke and if they should take their second dose. The patient wondered if they could just take the first dose only. It was further reported that he took the vaccine yesterday or the day before (19Jan2021) at 11'o clock. He didn't have any problems, he just got home. Then 11'o clock at night he had fallen asleep during the day and woke up at that time, 11'o clock and he felt Antsy, his blood pressure was up, his ears puffed real high, he's on Blood Pressure medication. He Clarified further that his First Dose was on 19Jan2021 at 11 o clock during the day. Then 12 hours later that same day, he woke up, and that's when he felt antsy and the blood pressure being up. Normally he takes his Blood Pressure 2-3 times a week but that day it was like 190/80 something. When he saw it, he sat down, and thought if he relaxed it would go down. He went back over in 45 minutes or an hour later and it was 200/93, he thought he had sharp pain in the right eye during that time as well. He Never had that before, he had pain in eye before, but not like this. He then told himself maybe he should take a blood pressure pill, because he was concerned he didn't want to stroke out. He took a Blood pressure pill and then relaxed for an hour later he checked it was 189/82. He waited some more, and it kept coming down. He stayed in the recliner all night. Then on 20Jan2021 he checked and it slipped to 140/55 at about 5 o clock. The Blood pressure kept coming down 10 to 15 points every hour. The last one he took later that day was 118/65. He explains that his Blood pressure normally runs 120/65 to 140/70 normally. His blood pressure medication is only 10mg, its a low dose, he is a Healthy Person, he walks every day, his weight is good. The blood pressures provided were from 11AM to 11PM at night of 19Jan2021. It was the same day when he felt the ears feeling funny, and the sharp pain in the right eye, he has never had that before. He also forgot to mention that the next day he had a lot of stomach irregularities , he had cramping, it was uncomfortable, this was on 20Jan2021, he was also belching, and had gas. It went away that evening lasting 4-5 hours, it started in the morning 10 o clock went till 3 or 4PM. The BP value of 140/65 was from today, before lunch. The right eye sharp pain went away during the night, after he took his blood pressure pill, he didnt notice it anymore after. He doesn't know if the vaccine caused this. He couldn't tell any difference even with the pain. The ears feeling funny, he took his blood pressure a couple times a day. The monitor is showing an irregular heart beat, he didn't notice that before. He has had no positive COVID test or Antibody Test prior to the vaccine. The patient recovered from sharp pains in his right eye, ears felt funny on 19Jan2021, stomach cramps, belching, gas on 20Jan2021 while the outcome of the rest of the events was unknown.

Other Meds: PROPRANOLOL HCL

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm