VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
PLEASE CHECK BACK SOON
Download the files above while you wait.







Manufacturers

Total Manufacturer
46,870MODERNA
532GLAXOSMITHKLINE BIOLOGICALS
353PFIZER\BIONTECH
231MERCK & CO. INC.
221UNKNOWN MANUFACTURER
62SEQIRUS, INC.
25DYNAVAX TECHNOLOGIES CORPORATION
13EMERGENT BIOSOLUTIONS
12SANOFI PASTEUR
9NOVARTIS VACCINES AND DIAGNOSTICS
5PFIZER\WYETH
5PAXVAX
2TEVA PHARMACEUTICALS
2PROTEIN SCIENCES CORPORATION
1BERNA BIOTECH, LTD.
1INTERCELL AG
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL1,906
1,575
289
IMM209286
252
236
229
s029456178
171
UT7065MA166
155
149
145
S034636133
107
U62828AA103
100
98
P10025327596
U6737AA85
UJ446AA79
78
78
59
57
4BH3254
4F47253
52
27656352
50
PP9L548
49TM346
42
40
38
MENVEO38
4F47237
R1B252M36
34
C5763AA30
93362229
25
300057A24
UNK24
22
CW311621
18
17
15
UH894AB15
3Y7NL12
R1B743M12
EJ168611
el128410
10
10
10
9
ARBA141A9
UNK9
8
UNK8
8
1F4EB8
Unknown7
7
No batch number6
5
5
UJ090AA5
5
5
4
4
4
UNK4
JEV18K95E4
UNK3
A115A3
Z127A3
3
3333324181073
2
2
2
TAR352
1
1
1
1
1
A739081
1
1
1
1
1
037K20A68,542
EL128447,700
133

Incidents per State

State Total
15,185
CA14,096
NY7,507
TX7,196
FL6,939
IN5,527
PA4,560
IL4,179
OH4,054
AZ3,856
MI3,771
NJ3,411
MA3,278
VA3,208
NC3,114
WA3,034
GA2,864
MD2,652
MN2,534
CO2,532
WI2,457
MO2,029
OR1,943
TN1,715
CT1,693
KY1,603
OK1,226
AL1,201
KS1,162
IA1,157
SC1,106
NM1,065
UT973
AR951
LA945
NE829
NV797
ME795
MT789
NH756
ID674
AK661
WV661
PR650
MS585
HI536
RI510
VT441
SD361
ND356
DE350
DC239
WY209
GU32
AS16
VI13
MP9
MH3
FM2
QM1
XB1

ID: 1057699
Sex: F
Age: 51
State: IL

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

Lab Data:

Allergies:

Symptoms: received the second dose of Shingrix earlier than recommended / first dose was administered on 5-JAN-2021; This case was reported by a nurse via call center representative and described the occurrence of drug dose administration interval too short in a 51-year-old female patient who received Herpes zoster (Shingrix) (batch number 3R45T, expiry date unknown) for prophylaxis. Concomitant products included Herpes zoster (Shingrix). On 5th February 2021, the patient received the 2nd dose of Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced drug dose administration interval too short. On an unknown date, the outcome of the drug dose administration interval too short was unknown. Additional information was provided as follows: The patient received the 2nd dose of Rotarix earlier than the recommended schedule, which led to shortening of vaccination schedule. On 5th January 201, the patient received 1st dose of Shingrix. The reporter consented to follow up. The case is linked with the case number- US2021033003, reported by the same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2021033003:same reporter

Other Meds: Shingrix

Current Illness:

ID: 1057700
Sex: F
Age:
State: TX

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

Lab Data:

Allergies:

Symptoms: libs and throat were closing; libs and throat were closing; Swelling on the face; This case was reported by a physician via call center representative and described the occurrence of throat constriction in a 51-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received the 1st dose of Shingrix. On an unknown date, 24 hrs after receiving Shingrix, the patient experienced throat constriction (serious criteria life threatening), lip swelling (serious criteria life threatening) and facial swelling (serious criteria life threatening). The patient was treated with steroids nos (Steroids) and antihistamine (Anti Histamine). On an unknown date, the outcome of the throat constriction, lip swelling and facial swelling were recovered/resolved. It was unknown if the reporter considered the throat constriction, lip swelling and facial swelling to be related to Shingrix. Additional details were provided as follows: It was reported that the 24 hours after receiving a the first dose of Shingrix the patient experienced swelling on the face, lips and throat were closing, had to go to emergency and received medications steroids and anti-histamines. The patient was now recovered. The reporter consented to follow up.

Other Meds:

Current Illness:

ID: 1057701
Sex: F
Age: 75
State: TX

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills; A spontaneous report was received from a consumer, concerning herself, a 75-year-old, female patient who received Moderna's COVID-19 Vaccine (mRNA-1273) and developed chills. The patient's medical history was not provided. Concomitant product use was not provided. On 15 Jan 2021, the patient received their first of two planned doses of mRNA-1273 (Lot # unknown) in the left arm for prophylaxis of COVID-19 infection. On 17 Jan 2021, after vaccine administration, since Sunday, the patient started experiencing chills. No treatment information was provided. Action taken with mRNA-1273 in response to the event was unknown. The outcome of the event chill was considered not resolved at the time of this report.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of this event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1057702
Sex: F
Age: 42
State: NY

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Herpes Opthlamic Zoster; A spontaneous report was received from a consumer concerning a 42 years-old, female patient who received Moderna's COVID-19 Vaccine (mRNA-1273) and developed Herpes Ophthalmic Zoster/MedDRA PT: Ophthalmic herpes zoster. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. The patient received their first of two planned doses of mRNA-1273 (Lot #not provided) on an unknown date. On 09 Feb 2021, the patient received their second of two planned doses of mRNA-1273 (Lot #, site of injection and route of administration Not provided) for the prophylaxis of COVID-19 infection. On 11 Feb 2021, the patient was diagnosed with Herpes Ophthalmic Zoster. Treatment details were not provided. The patient received both scheduled doses of mRNA-1273 prior to the event ; therefore, action taken with the drug in response to the event is not applicable. The outcome of the event Herpes Ophthalmic Zoster was unknown.; Reporter's Comments: Very limited information regarding this event has been provided at this time. Further information has been requested.

Other Meds:

Current Illness:

ID: 1057703
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Gall bladder dysfunction; A spontaneous report was received from a medical assistant concerning a patient of unspecified age and gender, who Moderna's COVID-19 Vaccine (mRNA-1273) and experienced gall bladder dysfunction. The patient's medical history was not reported. Concomitant product use was not provided by reporter. On unknown date, the patient received their first of two planned doses of mRNA-1273 (Lot number: unknown) for prophylaxis of COVID-19 infection. On an unspecified date, after receiving vaccine, the patient experienced gall bladder dysfunction. Hence, due to this reaction the second dose of vaccine was not administered. Treatment information was not provided. Action taken to mRNA-1273 in response to event was temporarily withheld. The outcome of event gall bladder dysfunction was unknown at the time of this report.; Reporter's Comments: Very limited information regarding the event has been provided at this time and is insufficient for causality assessment. Further information has been requested.

Other Meds:

Current Illness:

Date Died: 02/12/2021

ID: 1057704
Sex: F
Age:
State: FL

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: Test Name: bone marrow biopsy; Result Unstructured Data: showed high grade MDS with 19% blasts.; Test Date: 202006; Test Name: blood work; Result Unstructured Data: Normal; Test Name: body temperature; Result Unstructured Data: degrees Fahrenheit; Test Name: CAT scan; Result Unstructured Data: bilateral pleural effusion; Test Name: IL-6; Result Unstructured Data: High; Test Name: lab profile; Result Unstructured Data: elevated d-dimer and ferritin levels; Test Name: Pancytopenia; Result Unstructured Data: abnormal

Allergies:

Symptoms: High grade MDS; Multiorgan failure; Pancytopenia; shortness of breath; Inflammatory marker increased; Chills; Fever; Fatigue; A spontaneous report was received from a healthcare provider concerning a 71Years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and who experienced chills, fever, fatigue, pancytopenia, shortness of breath (dyspnoea), multi organ failure, and myelodysplastic syndrome (MDS). The patient's medical history was reported to include Breast Cancer and mastectomy. No relevant concomitant medications were reported. On 16 Jan 2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (lot/batch:unkown) intramuscularly for prophylaxis of COVID-19 infection. On 16 Jan 2021, The patient experienced events like chills, fever, and fatigue. On an undisclosed date, the patient was admitted to the hospital for shortness of breath. Laboratory details include Bone Marrow biopsy with abnormal results such as showed high grade MDS with 19% blasts. Blood work done with normal results. Body temperature results came out 103 degrees Fahrenheit. On 30 Jan 2021 the patient experienced worsening shortness of breath and was intubated. Her IL-6 was very high, and she had profound liver failure. She ended up needing pressors and requiring continuous renal replacement therapy. Treatment included steroids. Action taken with mRNA-1273 in response to the events was not applicable. The patient died on 12 Feb 2021. The cause of death was reported as high grade MDS. An autopsy was planned.; Reporter's Comments: Very limited information regarding these events has been provided at this time. Further information has been requested.; Reported Cause(s) of Death: unknown cause of death

Other Meds:

Current Illness:

ID: 1057705
Sex: F
Age: 36
State: IA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Allergic reaction; Syringe malfunctioned and the vaccine ran down patients arm/ noticed there was still some vaccine left in the syringe; Syringe malfunctioned and the vaccine ran down patients arm/ noticed there was still some vaccine left in the syringe; Administered another new dose; A spontaneous report was received on 12 FEB 2021 from a pharmacist concerning a 36-years-old, female patient who received second dose of Moderna's COVID-19 vaccine and had syringe malfunctioned and the vaccine ran down patients arm/ noticed there was still some vaccine left in the syringe developed allergic reaction, heart racing, arm was on fire and throat was itchy and was administered another new dose. The patient's medical history was not provided. No relevant concomitant medications were reported. On an unspecified date, the patient received their first of two planned doses of mRNA-1273 on 28 Jan 2021 (LOT number: unknown) for COVID-19 infection prophylaxis. On 28 JAN 2021, patients received second dose of mRNA-1273(BATCH/LOT number: 025J20-2A) in the right upper arm for the prophylaxis of COVID-19 infection. On 28 JAN 2021, when patient received the vaccine, the syringe was "malfunctioned", and the vaccine ran down patient's arm. Vaccine administrator noticed there was still some vaccine left in the syringe and thought the patient did not receive that dose because it was leaked down patients arm. The patient received another new dose. After receiving vaccine, patient had an allergic reaction, heart racing, arm was on fire and throat was itchy. Treatment for the events provided was diphenhydramine. Action taken with mRNA-1273 in response to the events was not applicable. The outcome of the event's allergic reaction, heart racing, arm was on fire and throat was were unknown. The outcome of the events syringe malfunctioned, and the vaccine ran down patients arm noticed there was still some vaccine left in the syringe developed and administered another new dose were considered resolved.; Reporter's Comments: 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: 1057706
Sex: F
Age: 78
State: IL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/26/2021
Hospital: Y

Lab Data: Cat scan, carotid doppler, MRI. Cat scan and doppler were normal. Patient is seeing neurologist today to discuss MRI.

Allergies:

Symptoms: Patient has episode of amnesia possibly cause by seizure. Patient also had headache, chills, fatigue.

Other Meds: Calcium, Vitamin D, no medications

Current Illness:

ID: 1057707
Sex: F
Age: 71
State: TN

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 02/26/2021
Hospital:

Lab Data: Blood work

Allergies: Sulfur, Anquentolone ?

Symptoms: I got the vaccine felt fine arm felt sore that night. I exp redness on left arm appeared to become larger. I contacted my PCP set up a Telehealth was told to come in the office. She wanted to give it few more days for observation and was prescribed a Prednisone dose pack 6 days,EpiPen. The symptoms started to slowly go away.My PCP took blood work (2)was concerned that vaccine might have triggered Hepatitis over 40 years ago.

Other Meds: Yes doesn't wish to provide

Current Illness: No

ID: 1057708
Sex: F
Age: 69
State: SC

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

Lab Data:

Allergies:

Symptoms: Patient received a Modena COVID vaccine instead of Prevnar 13. Patient has already received two PFIZER COVID vaccines.

Other Meds:

Current Illness:

ID: 1057709
Sex: M
Age:
State:

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

Lab Data:

Allergies:

Symptoms: stroke; A spontaneous report was received from a consumer concerning a male patient who experienced a stroke/cerebrovascular accident. The patient's medical history was not provided. Concomitant medications were not provided. On an unspecified date, the patient received one of two planned doses of mRNA-1273 intramuscularly for the prophylaxis of COVID-19 infection. On an unspecified date, the patient reported that he had a stroke. Treatment information was not provided. Action taken with mRNA-1273 was not reported. The outcome of the event, stroke, was not reported/unknown.; Reporter's Comments: Very limited information regarding this event has been provided at this time. No further information is expected

Other Meds:

Current Illness:

ID: 1057710
Sex: M
Age: 70
State: NC

Vax Date: 02/16/2021
Onset Date: 02/22/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 6 days after second injection - full body rash with hives and itch. 2 ED visits. Dermatology consult - treated with Prednisone and Zyrtec. In day 4 patient appears to be improving - steroids and antihistamines prescribed for additional week.

Other Meds: Nexium; Lipitor

Current Illness: None

ID: 1057711
Sex: M
Age: 34
State:

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

Lab Data:

Allergies:

Symptoms: Loss of vision, feeling of "feeling weird" Patient refused transport

Other Meds:

Current Illness:

ID: 1057712
Sex: F
Age: 42
State: GA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: Allegra

Symptoms: Moderna COVID-19 Vaccine EUA Fever - approximately 12 hours post-injection and lasted approximately 5 hours (resolved) Swelling of right side of the face (under eye area) - approximately 20 hours post-injection and still occurring 48 hours post-injection.

Other Meds: Concerta, Tirosint, Cytomel, Zoloft, Probiotic, B-12 supplement, multi-vitamin

Current Illness: None

ID: 1057713
Sex: F
Age: 56
State: OK

Vax Date: 01/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/26/2021
Hospital: Y

Lab Data: CBC, CMP on: 2/9/2021, 2/10/2021, 2/11/2021, 2/12/2021, 2/13/2021, 2/14/2021, 2/15,2021, 2.16.2021, 2/17/2021, 2/18/2021, 2/22/2021, and 2/25/2021.

Allergies: None

Symptoms: Extreme ITP, platelets <1,000, spontaneous bleeding, bruising, petechiae

Other Meds: Plaquenil

Current Illness:

ID: 1057714
Sex: M
Age: 83
State: DE

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

Lab Data: none

Allergies: unknown

Symptoms: Patient presented to clinic for 2nd dose of COVID vaccine after being unable to receive 1st dose. Patient advised he had one COVID vaccine for 1st dose. After injection by the nurse and entry into -it was discovered that patient had Covid vaccine for 1st dose-not other. After explanation to patient-he insisted that he still had COVID VACCINE. Called call center and they advised nothing else for patient to do-no further vaccination required. Patient monitored for 30 minutes and no reaction. Patient called 1 hour post injection and still no reaction.

Other Meds: unknown

Current Illness: none

ID: 1057715
Sex: M
Age: 73
State: ND

Vax Date: 02/17/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None.

Allergies: Percocet (hallucinations).

Symptoms: Started out yesterday, 8 days after the vaccine on 2/25/21 the arm was itchy, then got a real hard knot underneath the skin, which has been warm and hard since that time. He took an Aleve for that and muscle aches.

Other Meds: Xarelto, Flomax, Lasix, Lipitor, Lotensin, Toprol, Cardizem, Alopurinal, aspirin 81 mg, glucosamine chondroitin.

Current Illness: None.

ID: 1057716
Sex: F
Age: 35
State: TX

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

Lab Data:

Allergies:

Symptoms: After my first vaccine, I inexperienced myalgia and about ten days later I began to have low back pain.

Other Meds:

Current Illness:

ID: 1057717
Sex: M
Age:
State: MN

Vax Date: 01/28/2021
Onset Date: 02/11/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: the second dose of the vaccine 14 days after the first dose; A spontaneous report was received from a pharmacist regarding a male patient of unreported age that received Moderna's COVID-19 vaccine (mRNA-1273) that received the second dose 14 days after the first/inappropriate schedule of vaccine administered. The patient's medical history was not included. Products known to have been used by the patient were not provided. On 28 Jan 2021, the patient received the first of two planned doses of mRNA-1273 (Lot number: unknown) intramuscularly for prophylaxis of COVID-19 infection. On 11 Feb 2021, the patient received the second of two planned doses of mRNA-1273 (Lot number: unknown) intramuscularly for prophylaxis of COVID-19 infection. The second dose was scheduled and given 14 days after the first dose. The patient received both scheduled doses of mRNA-1273 prior to the event; therefore, action taken with the drug in response to the event is not applicable. The outcome of the events, the second dose being administered 14 days after the first dose, was considered resolved on 11 Feb 2021. The outcome of the events, the second dose being administered 14 days after the first dose, was considered resolved.; Reporter's Comments: This report refers to a case of inappropriate schedule of vaccine administered for mRNA-1273 (lot #unknown) with no associated AEs reported. Patient received second dose 14 days after the first dose.

Other Meds:

Current Illness:

ID: 1057718
Sex: F
Age: 41
State: MN

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: amoxicillan

Symptoms: Moderna COVID-19 Vaccine EUA 1) Woke up at 2am with great pain in my left arm and my left hand feeling "asleep" and difficult to move. This sometimes happens when my arm is in an awkward position over my head, but I was sleeping on my back and my arm was straight at my side in a position where I've never before had it lose sensation. 2) I was not able to move my arm without extreme discomfort (i.e. the worst I've ever felt after any shot) from about 5 hours after until about 20 hours after receiving the shot. 3) Diagnosed with Eustachian Tube Dysfunction as a side effect of vaccination (onset 37 hours after vaccination). Diagnosis by Dr 2/19/2021. Treated with Loratadine 10mg and Prednisone 40mg for 5 days.

Other Meds: multivitamin, Vitamin D 5000mg, DHA, lavender oil

Current Illness: none

ID: 1057719
Sex: F
Age: 73
State: KY

Vax Date: 02/22/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Penicillin Levaquin

Symptoms: Red patch developed on 02/25/2021 at injection site (approx. 2? across) warm to touch and occasional slight itch. Used cold compress twice to ease down. On 02/26/2021 - Red patch increased in size to 3? across and still warm to the touch.

Other Meds: Amlodipine Besylate/Benazepril HCL CAP 10-40 - 1 a Day Metformin HCL ER TAB 500 mg - 1 a Day Farxiga 10 mg - 1 a Day Toprol XL 25 mg - 1 a Day Atorvastatin calcium Tab 10 mg - 1 a Day

Current Illness: None

ID: 1057720
Sex: F
Age: 47
State: WI

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

Lab Data:

Allergies: multiple allergies

Symptoms: Within 30 minutes of vaccination, client experiences difficulty swallowing and breathing. Epinephrine was administered and EMS/911 activated. Respiratory symptoms slightly improved with epinephrine, and EMS arrive and transported to ER.

Other Meds: many, unable to obtain onsite due to quick transport to EMS

Current Illness:

ID: 1057721
Sex: M
Age: 21
State: FL

Vax Date: 01/22/2021
Onset Date: 01/28/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: As above

Allergies: None

Symptoms: Patient had 1st COVID vaccine on 01-22-21. Had 48 hrs of typical reactogenicity symptoms including low fever, fatigue, dizziness. Felt well for post vaccination days 3-5. Then on post-vaccination day 6, he developed fevers, sore throat. Symptoms persisted x10 days and sore throat pain led to decreased appetite and 10lb weight loss. Due to fever, he was tested for COVID by PCR on 02-01-21 and was positive. He had no anosmia and Respiratory Pathogen Panel on 02-01-21 was negative for influenza and 17 other viral pathogens including negative testing to Coronavirus 229e, OC43, N163, and HKU1.

Other Meds: None

Current Illness: COVID PCR (+) on 12-06-2020 NO sick symptoms on day of vaccination 01-22-21 New onset symptoms on 01-28-21 and COVID PCR (+) on 02-03-2021

ID: 1057722
Sex: F
Age: 87
State: TX

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: After waiting here 15 minutes she got up to walk back to her apartment. She began to feel a little light headed, dizzy, and and warm. She felt like she needed to sit down immediately. Her temperature and BP were check; both were normal. We gave her some water and cold towel to put on the back of her neck then had her sit down for a while longer till she was feeling better. She said she felt immediately better after the water and after a while a facility staff member came to take her home. As I talked to her she did tell me that she has a history of passing out so this may have played a part in the event.

Other Meds:

Current Illness:

ID: 1057723
Sex: F
Age: 64
State: MD

Vax Date: 02/17/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Covid Arm - swelling and redness

Other Meds: Meloxicam

Current Illness: None

ID: 1057724
Sex: F
Age: 75
State: TX

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None to date

Allergies: none

Symptoms: Today is Friday, 02/26/2021. I Received 2nd Moderna vaccine on Sunday, 02/21/2021, at 12:15 PM; for the next 96 hours, sore arm, ran fever, off and on, between 101 and 100, body aches, continued headache, taking Tylenol. 5th day, fever subsided, body aches improved, but headaches continue. I have a compromised lung issue due to recurrent pneumonias in the past, last episode 3 years ago. However, whenever I get a cold, or sinus infection, my lungs are affected, and I need to check in with my doctor how to prevent the pneumonia. Treatment is usually antibiotics and /or inhaler. After the flu like symptoms described above, I feel a burning in my lungs that indicate a possible problem. I have put in a call to Dr. office regarding this issue. The severe headaches continue today, the 5th day after Covid Vaccine Moderna #2. I continue taking Tylenol for the headaches.

Other Meds: zertec, SamEES, cranberry pill

Current Illness: none

ID: 1057725
Sex: U
Age: 24
State:

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

Lab Data:

Allergies:

Symptoms: Rash on both sides of the face

Other Meds:

Current Illness:

ID: 1057726
Sex: F
Age: 58
State: IL

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: SLIGHT RAISED RED AREA AROUND THE INJECTION SITE.

Other Meds:

Current Illness:

ID: 1057727
Sex: F
Age: 55
State: CT

Vax Date: 02/17/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Medication allergies: Amoxicillin, Sulfa, Reglan, Diflucan Foods: Peaches, cherries

Symptoms: Left arm soreness day 2 day 4 swelling at site, day 5/6 red round patch itchiness still slightly sore

Other Meds: Synthroid .50mcgs, wellbutrin 300xl, trintellix 10 mgs , Pylera

Current Illness: H-Pylori

ID: 1057728
Sex: F
Age: 36
State: CA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: skin is on fire after second dose; swelling in her soft palate after second dose; angioedema after 2nd dose; Ribs were swollen after 2nd dose; tongue was swollen//2nd dose; Covered in hives after 2nd dose; small reaction// 1st dose; A spontaneous report was received from a healthcare facility staff member concerning a 36-year female patient who developed urticaria, angioedema, swollen ribs, swollen tongue, hives that were welts, skin burning and soft palate swelling. The patient's medical history was not provided. Concomitant product use was not provided/unknown by the reporter. The patient received their first of two planned doses of mRNA-1273 (Batch number: 025L20A) on 14-JAN-2021 intramuscularly in the left arm for prophylaxis of COVID-19 infection. After the patient's first injection on 14-Jan-2021 the patient developed a small reaction within 45 minutes. The patient received their second of two planned doses of mRNA-1273 (Batch number: 006M20A) on 11-FEB-2021 intramuscularly in the right arm for prophylaxis of COVID-19 infection. After the receiving their second injection on 11-FEB-2021 the patient went to the ER on 12Feb2021. The patient developed angioedema and an epinephrine pen was used. The patient also had swollen ribs, a swollen tongue and hives and was given a steroid shot. The patient then returned to the ER on 14Feb2021 for angioedema. The patient was given intravenous Diphenhydramine, intravenous dexamethasone and intravenous Famotidine. The patient developed hives that became welts, that were bright red in color and burned. The patient described that their skin felt like it was on fire, and there was swelling in their soft palate. The outcome of the events were unknown/not reported.; Reporter's Comments: This case concerns a 36 year old, female patient, who experienced a serious unexpected event of Angioedema, and a few non-serious events, after receiving second dose mRNA-1273 (Lot# 006M20A). 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. Further information has been requested.

Other Meds:

Current Illness:

ID: 1057729
Sex: U
Age: 46
State: CA

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

Lab Data:

Allergies: n/a

Symptoms: I got my first and seconds doses at this site and both times there were massive issues w/ lack of organization such as; At the registration table, you're handed paperwork but no way to clean your hands after there are multiple people milling around and no organized staff I was taken inside to a small office to be registered for 25 min., the staff hand on 1 layer mask, and 2 other people came into the office while I was there. you have to pass everyone in the waiting line outside the outside line funnels inside into a narrow hallway (less than 5' across) this inside hallway is open to 2way foot traffic the whole time. inside the vaccine room I saw 2 providers not sanitize their hands between people. cloth chairs were used and not wiped down a man (staff, unable to see the last name on the badge) took off their mask 2x in the vaccine area. the observation area was understaffed.

Other Meds: n/a

Current Illness: n/a

ID: 1057730
Sex: F
Age: 74
State: DE

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: NO

Allergies: BETADINE SKIN CLEANER ACCUPRIL VICTOZACEPHALOSPORINS IODINE CLOTIMAZOLE IBUPROFEN

Symptoms: REDNESS AND ITCHING NO TRETMENT

Other Meds: NO

Current Illness: NO

ID: 1057731
Sex: M
Age: 52
State: VA

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

Lab Data:

Allergies: NKDA

Symptoms: Pt reported feeling weak and tired, like he was about to have a MS relapse during refill consult for MS medication. His second dose of CoVID Moderna was received on 2/25/2021. Advised common reaction to feel fatigued and weak esp after second dose. If it were to continue past 5 days consider follow up with neurologist to r/o relapse.

Other Meds: Glatiramer, MVI, Omega 3-6-9, Vitamin D, Zyrtec

Current Illness:

ID: 1057732
Sex: F
Age: 34
State: WI

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: none

Allergies: sulfa drugs

Symptoms: Rash noted in right armpit day following vaccine, spread down the same side of torso, then appeared in other armpit a few days later. Continued to spread down that second side of torso. Saw partner of my PCP who put me on Doxycycline 100mg BID for 7 days with no change. Saw dermatologist who dx with pityriasis rosea and suggested reporting to VAERS.

Other Meds: lexapro 10mg, mag-oxide 400mg, aloe vera caps

Current Illness: none

ID: 1057733
Sex: F
Age: 54
State: OH

Vax Date: 01/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Still experiencing Swollen Lymph nodes under arms

Other Meds: fiber gummies

Current Illness: none

ID: 1057734
Sex: F
Age: 72
State: AZ

Vax Date: 02/06/2021
Onset Date: 02/09/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: doxylcycline

Symptoms: delayed arm rash about 6 inches by 3. Not itchy 'delayed cutaneous hypersensitivity

Other Meds: Colesevelam 625 mg,amlodipine besylate 5mg, spironolactone25mg, simvastin 5mg, gammagard infusion weekly, spriva, breo, proventil inhalers

Current Illness: bladder infecctions

ID: 1057735
Sex: M
Age: 67
State: OH

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: K-Flex; Ceclor; possibly Pencillin

Symptoms: Mild soreness at the site of the injection beginning about two hours after the injection. Took Tylenol about four hours after the injection. Soreness went away fairly quickly after taking the Tylenol. Had only a fairly slight soreness during day two. No soreness from day three onward.

Other Meds: Effexor; Claritin

Current Illness: None

ID: 1057736
Sex: F
Age: 35
State: TX

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: After my second vaccine, I experienced worsening low back pain and bilateral pelvic pain. I tested positive for pregnancy. I followed up with my gynecologist due to my vaginal bleeding and worsening low back pain.

Other Meds: Pre-natal vitamins

Current Illness:

ID: 1057737
Sex: M
Age: 33
State: AZ

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/26/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: infection; suspected gout; huge pain at middle finger on right arm; A spontaneous report received from a consumer who is 33-year-old male patient who received first dose of Moderna COVID-19 vaccine and experienced pain in middle finger of the opposite vaccine arm. The patient's medical history was not provided. Concomitant product use was not provided. On 27 Jan 2021, the patient received their first of two planned doses of mRNA-1273 (batch #: 032L20A) intramuscularly in the left arm or prophylaxis of COVID-19 infection. Patient stated that he received his 1st dose of the Moderna COVID-19 vaccine on 27 Jan 2021 in his left arm and had no soreness. The next morning, on 28 Jan 2021, he woke up with a huge pain in his middle finger on the right arm. The doctor gave him antibiotics and suspected it was gout. Patient stated he went to his PCP and he asked him to go to emergency room. The patient stated that he was given IV and antibiotics. The patient stated that they did a lot of blood work and blood culture (results not provided). He stated that a 90 min surgery was performed, and he stayed in the hospital for three to four days. The hospital lost the specimen, so he doesn't know what kind of infection he had. The patient stated that he doesn't know if he should receive the 2nd dose of the Moderna COVID-19 vaccine or not. Patient was treated with antibiotics and surgery. Action taken with mRNA-1273 in response to the event was unknown. The outcome of the event was unknown.; Reporter's Comments: Very limited information regarding these events has been provided at this time. No further follow-up information is expected.

Other Meds:

Current Illness:

ID: 1057738
Sex: F
Age: 34
State:

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 24 hrs after vaccine got low grade fever, chills anad myalgias, called off work

Other Meds:

Current Illness:

ID: 1057739
Sex: F
Age: 68
State: MI

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

Lab Data:

Allergies: unknown

Symptoms: Patient experienced dizziness after administration. She told me she felt numbness and heaviness in her arms and legs about 10 minutes after the vaccine. I checked her blood pressure two times and both times they were in the 140s/90s. I gave her a bottle of water and monitored her for 30 minutes. She did say the dizziness went away and felt better. She left after 30 minutes feeling well.

Other Meds: unknown

Current Illness: unknown

ID: 1057740
Sex: F
Age: 73
State: TN

Vax Date: 02/11/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Red circle, 3 inch diameter at injection site, hot to touch.

Other Meds: Warfarin, tikosyn , potassium, ezetimibe, levothyroxine, ropinirole, lisinopril Vitamin a,b,c,d,fish oil, probiotic, lutein, calcium, magnesium, zinc, omerprozerol, zyrtec

Current Illness: None

ID: 1057741
Sex: M
Age: 48
State: MI

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

Lab Data: none

Allergies: nkda

Symptoms: client was administered vaccine by IM inj. LD in a semi fowlers in private room at 06:20pm. Client remained alert and moved to chair in sitting position. client then had an episode of syncope in chair and was held upright. client had reduced consciousness but was able to respond verbally to voice. client was assist of two to a wheel chair and moved back to private room and administered O2 via NRB @ 4lpm. Client responded well and quickly, was more alert and oriented x3. client given orange juice at 06:30 and was fully alert and orientated, talkative and calm. O2 off at 06:35. Continued to monitor symptoms q 5 mins for 30 mins. Client is an athletic runner. His BP remained in the 92/48 range and his HR at 54. Client was released 06:55.

Other Meds: unknown

Current Illness: unknown

ID: 1057742
Sex: F
Age: 79
State: NY

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

Lab Data:

Allergies:

Symptoms: Per NP note, "...presented to vaccine cancer center to receive first dose of COVID 19 vaccination. First dose of Pfizer vaccine (Lot # EN6202) administered. Immediately after administration, Pt complained of acute mid-sternal chest pain described pressure. EKG completed, Pt observed for an additional 20 minutes, reported spontaneous resolution of symptoms. Prior to discharge pain completely resolved, lungs clear to auscultation , cardiac exam with normal S1 & S2,no rubs, gallops or murmurs. Pt admitted to being anxious, has a documented history of white coat syndrome."

Other Meds:

Current Illness:

ID: 1057743
Sex: M
Age: 65
State: NY

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

Lab Data:

Allergies:

Symptoms: Injection site cellulitis noted on 2.26.21

Other Meds:

Current Illness:

ID: 1057744
Sex: F
Age: 75
State: MN

Vax Date: 02/17/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: none

Allergies: amlodipine, crestor, Lipitor, lisinopril, niacin, pravastatin, Fosamax, Levaquin, nitrofurantoin

Symptoms: rash - two pink itchy spots on neck and lower jaw - no other rash - present for several days without spread at time of evaluation

Other Meds: aspirin 81 mg/day, celecoxib, vaginal estrogen, famotidine, fluticasone nasal spray, losartan, omeprazole, raloxifene, sucralfate

Current Illness: none

ID: 1057745
Sex: F
Age: 67
State:

Vax Date: 02/14/2021
Onset Date: 02/22/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: 2 biopsies taken.

Allergies:

Symptoms: Moderna Covid-19 Vaccine EUA. On Feb 14, 2021, I received Moderna 011M20A vaccine at pharmacy. I had no side effects until 9 days after the injection, when I noticed a huge, raised, hot welt at the side of the injection, a painful and hard lymph node under my left arm, and a small symmetrical rash on my back just below the waist. I began taking Benadryl on day 10 after the injection, and the lymph node and left arm welt subsided after 48 hours of their appearance but the rash was uncontrollable. It was very itchy, sometimes pins and needles, always symmetrical, and appeared on either side of my head under my hair, more extensively all over my back, and on my inner thighs. On Feb 24 I went into Pharmacy , where I received my injection, and reported my reactions to the pharmacist there. The next day, Feb 25, I became so uncomfortable with my rash that I got an appointment to see my dermatologist, who took 2 biopsies of the rash, and when I asked if I could describe it as a "bad, full body rash," her answer was "absolutely!" Today, Feb 26, is the first day I have no new spots or traveling rash areas, and I think I am controlling the rash with Benadryl and there is less itching today. I am worried about the side effects I might have with the second Covid shot

Other Meds:

Current Illness:

ID: 1057746
Sex: F
Age: 38
State: KS

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

Lab Data: No interventions

Allergies: None

Symptoms: Pt c/o dizziness and feeling tired after injection. Denies SOA or other sx. VSS. Pt given oral hydration and snacks. Pt observed for 45 minutes without change in dizziness. Pt recommended to go to ER. Pt declined. Left ambulatory.

Other Meds: Levothyroxine Daily Vitamin

Current Illness:

ID: 1057747
Sex: F
Age: 55
State: MA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: Did not seek medical attention

Allergies: PROPECIA, LISINOPRIL, metoprolol, spironolactone

Symptoms: Pounding chest turned red, tapid heart beat & breathing, muscle pain, mild headache, fatigue, diarrhea, low grade fever

Other Meds: Simvastatin 20mg., Multi-vitamin, D3 2000 iu (x2), Fish Oil 1000 mg., Candesartan Cilexetil 8 mg., Amlodipine Beslyate 5mg., Bupropion HCL XL 150 mg., Percocet 7.5

Current Illness: None

ID: 1057748
Sex: F
Age: 71
State: OH

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Within 24 hrs, experienced severe dizziness, resulting in 2 falls while attempting to stand up. Also had headache, loss of appetite, and nausea, but the alarming side effect was the dizziness. Dizziness also subsided after less than 12 hrs.

Other Meds: Vit D3 4000 IU, generic Claritin

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm