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: 1101041
Sex: M
Age: 68
State: MA

Vax Date: 03/01/2021
Onset Date: 03/08/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: fever (100) tiredness

Other Meds: atorvastatin,,alfuzosin ,,low dose aspirin,,stool softner

Current Illness: none

ID: 1101042
Sex: F
Age: 28
State: IN

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: By 930 that evening, i was experiencing arm pain at injection site and nausea then went to sleep. i woke up at 830 the following day 3/14, with the same symptoms as the day prior along with a migraine, light sensitivity, a fever of 100.6. i took 1000mg of tylenol and went back to sleep until 1pm. i awoke with a migraine and nausea still but fever had subsided to 99. went to sleep at 10:30, awoke today, 3/15 with headache, nausea but temperature at 98 flat. arm pain has persisted entire time and still continues.

Other Meds: Amethyst Birth Control Medication

Current Illness: endometriosis

ID: 1101043
Sex: F
Age: 43
State: WV

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: bentyl: "made sick", maybe rash diclofenac cream: heart race

Symptom List:

Symptoms: PATIENT DEVELOPED A ITHCY RASH ON FACE AND NECK THAT WOULD COME AND GO THAT STARTED THE DAY AFTER VACCINATION. was seen today, 3/15/21 day 10 after vaccination with rash still present. Will take Benadryl q 6 hours prn

Other Meds: none

Current Illness: none

ID: 1101044
Sex: F
Age: 74
State: MA

Vax Date: 03/11/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: This dose was administered in the wrong location. Resulted in redness, swelling, tenderness and swollen lymph nodes under arm.

Other Meds: none

Current Illness: none

ID: 1101045
Sex: M
Age: 45
State: IA

Vax Date: 03/09/2021
Onset Date: 03/11/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: was seen by provider 03/11/2021 with swollen eyes, rash all over with some blisters. prednisone was given. eyes remain swollen somewhat and some rash, but better.

Other Meds:

Current Illness:

ID: 1101046
Sex: M
Age: 23
State: PA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Shortly after receiving the second dose, I began experiencing some soreness around the injection site in my left arm. This worsening throughout the day, and around 5:30pm that day I began to experience some cold-like symptoms (fatigue, soreness, chills). This continued into Sunday, and it tapered off until I felt relatively normal around 4pm. I only treated this with some generic Nyquil.

Other Meds: 2mg of oral estradiol, 2 times a day 100mg of spironolactone, 2 times a day

Current Illness: I had a cold like illness around the end of February, and was tested for COVID. The test came back negative, but required that my second dose be delayed until 3/13.

ID: 1101047
Sex: F
Age: 59
State: CT

Vax Date: 03/05/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: On day 8 after the vaccine: rash, itching at injection site, low grade fever, slight sore throat and warmness/tightness in chest

Other Meds: Multi-Vitamin, Melatonin

Current Illness: None

ID: 1101048
Sex: F
Age: 53
State: NH

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: "Pt reports that she took her first COVID19 Moderna vaccine on 3/9. By 6 pm that evening had body aches, pains, chills and fever up to 104. Nausea, no appetite and mild SOB when going up stairs. The next day very fatigued and stayed in bed most of the day. Some pain at the injection site, slight redness and itching . She alternated tylenol and ibuprofen every 4-5 hours. Today she feels much better but still not 100% - still some exhaustion and achy. No fever. Appetite is mostly back, no nausea."

Other Meds: OTC thyroid supplement, Levothyroxine, Venlafaxine

Current Illness: None

ID: 1101049
Sex: M
Age: 47
State: NY

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever, chills, loss of appetite, diarrhea for 30 hours. Soreness in left arm still there

Other Meds: Lisiniprol

Current Illness: Kidney / bladder infection (e.coli) due to kidney stones

ID: 1101050
Sex: F
Age: 72
State: IN

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

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: States she has had mental fogginess and difficulty focusing since vaccine administration. Continues to the date of report (3/15/21)

Other Meds: Atorvastatin 20mg qday, Calcium-Vitamin D 600mg/400 unit BID, Coenzyme Q10 60mg bid, diclofenac 1% gel 4 times per day as needed, Eliquis 5mg BID, Fish Oil 300mg-1000mg qday, HCTZ 25mg Qday, Lisinopril 20mg qday, magnesium 250mg qday, potas

Current Illness: Ophthalmic Shingles Dx 12/24/20 and continues to get treatment

ID: 1101051
Sex: M
Age: 45
State: IN

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Sulpha

Symptom List:

Symptoms: Tightness in Jaw, severe pressure headache (Tylenol and ibuprofen )

Other Meds: Lexapro, Wellbutrin, Lovastatin

Current Illness: None

ID: 1101052
Sex: F
Age: 38
State:

Vax Date: 03/13/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: shortness of breath

Other Meds:

Current Illness:

ID: 1101053
Sex: F
Age: 81
State: VA

Vax Date: 08/17/2020
Onset Date: 08/18/2020
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Muscle weakness, fatigue easily, slight balance instability and small motor control, aches, tiny underskin tics, slight memory sluggishness. These have eased a little but not gone away and have affected my day to day ability to perform day to day tasks.

Other Meds: Centrum Silver, Miralax

Current Illness: none

ID: 1101054
Sex: M
Age: 63
State: MI

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Constant pain on the bone area on top of the left eye and makes the left eye watery. This symptoms is soothed by taking one tablet of a Regular Strength Tylenol a day in the morning. With this I can sleep well at night and ok when I wake up but the pain start like an hour after I got up from bed.

Other Meds: Hydrochlorothiazide 12.5 mg + Lisinopril 10 mg Lovastatin 40 mg Multivitamin Vitamin D

Current Illness: None

ID: 1101055
Sex: F
Age: 63
State: IN

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies: Augmentin

Symptom List:

Symptoms: Beginning at approximately 9pm on 03/13/2021, my upper arm became very sore and nausea started. By 7am on 03/14, I was extremely chilled and still nauseated, however my arm soreness was subsiding. I fell back to sleep and woke up about 2pm. I had finally warmed up but still slightly nauseated. By 6pm, I ate some dinner and today, 3/15, I feel normal.

Other Meds: Diclofenac SOD 75mg 1 tab twice daily Hydroxchloroquine 200 mg 1 tab twice daily NIFEdipine 30mg 1 tab per day Desvenlafasine Sucer 50mg 1 tab daily Synthroid 100mcg 1 tab daily Atorvastatin20mg 1 tab daily Vitamin D 2000 cp 1 capsule

Current Illness:

ID: 1101056
Sex: F
Age: 56
State: MD

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: bee stings, corn on the cob, muscadine grapes

Symptom List:

Symptoms: Injection site sore, tiredness, muscle pain all over body (especially my back), chills, sweats, joint pain all over (even my fingers), nausea and just not feeling well. All symptoms was really bad the day after the vaccine. The second day there was some relief and on the third day I was still having most of the symptoms but feeling better than I did the first and second day.

Other Meds: HTZ, amlodipine , naproxen, meloxicam, biotin, iron, vitamin C, calcium, magnesium and vitamin B12

Current Illness: none

ID: 1101057
Sex: F
Age: 61
State: OH

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Macrobid Bactrim DS Simvastatin Gluten sensitivity

Symptom List:

Symptoms: About 6 hours after receiving vaccine, the usual arm soreness became more prominent then chills, headache and nausea. Also, a terrible metallic taste in my mouth started making me produce increase saliva. My tongue felt numb and have become swollen. (This took 5-6 hours to subside, the tongue swelling was about 2x size but never increased beyond that size.) Also, during the time the systems started, I had waves of prickly or fizzy feelings that were different from the chills. These lasted at least 24 hours.

Other Meds: Enteric low dose aspirin Toprol XL Imgur Lipitor

Current Illness: None

ID: 1101058
Sex: F
Age: 50
State: OK

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache Cough Aches and pains in joints Fever Fluid in chest Trouble breathing

Other Meds: Novalog Lantus Synthyroid

Current Illness:

ID: 1101059
Sex: F
Age: 75
State: MA

Vax Date: 02/20/2021
Onset Date: 02/27/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Claritin Tab, Prolia inj.

Symptom List:

Symptoms: Noticed slight redness one-inch below injection site on 2/24/2021. At 5 AM on 2/27/2021 there was a three-inch warm, red, hard, swollen circle around the injection site. Spoke virtually to PCP's Urgent Care weekend nurse practitioner who told me to outline the red area, call back the next day if it extends beyond line and ordered IC Cephalexin 500 mg capsule, three times a day for 7 days. On 2/28/2021 the redness had extended beyond the ink line so I called the Urgent Care and the covering nurse practitioner told me to continue the antibiotic and to see my PCP the next day. On 3/1/2021, I saw my PCP. The redness had extended down my arm to almost my elbow. I was told to finish the antibiotic and

Other Meds: Lisinopril 20mg, Simvastatin 10mg, Synthroid 50mcg,

Current Illness: Experiencing hives from Prolia inj. on 11/30/2020.

ID: 1101060
Sex: F
Age: 56
State: IN

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

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

Lab Data:

Allergies: Animal dander, dust, morphine, penacillian, amixicillan

Symptom List:

Symptoms: Difficulty breathing,hives, headache, stomach ache

Other Meds: Rosuvastatin, ezetimibe, sertraline, omeprazole, cimetidine, certrizine, famatodine, pramipexole

Current Illness:

ID: 1101061
Sex: F
Age: 42
State: FL

Vax Date: 03/10/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Janssen COVID-19 Vaccine EUA Broke out in rash/hives covering neck, torso, arms, stomach and back

Other Meds: None

Current Illness: None

ID: 1101062
Sex: M
Age: 68
State: NH

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Chest and Shoulder pain, shortness of breath, extreme pain when inhaling, Pulmonary Embolism diagnosed at hospital after ct scan and blood tests showed several lung infarctions, given xarelto for 6 months and follow up with gp. and tylenol for pain

Other Meds: Duloxetine

Current Illness:

ID: 1101063
Sex: F
Age: 26
State: NY

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: latex- rash, CONTACT DERMATITIS; venlafaxine- nausea, vomiting

Symptom List:

Symptoms: The day after receiving 1st dose of COVID19 exam, patient developed rash on her chest, spreading across her neck and arms. NO airway involvement (SOB, difficulty breathing or swallowing, etc). Otherwise feels fine. NO rash at injection site. Took Benadryl with resolution of symptoms- did see a provider to double check.

Other Meds: estradioL

Current Illness: N/a

ID: 1101064
Sex: M
Age: 75
State:

Vax Date: 03/06/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: none known

Symptom List:

Symptoms: muscle soreness, joint soreness, difficulty swallowing which resulted in one vomit session, wrist weakness

Other Meds: amlodipine, pravasatatin, AREDS 2, aspirin baby, multivitamin

Current Illness: none

ID: 1101065
Sex: F
Age: 66
State: IN

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: sulfa

Symptom List:

Symptoms: blisters in mouth and numbness on left side of face chills aches sore arm

Other Meds: synthroid, rasagalene mesolate, pravastatin, grasstek, allegra

Current Illness: none

ID: 1101066
Sex: M
Age: 43
State: MA

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I have been experiencing pulsatile tinnitus in my ears since having the injection for 2+ weeks now.

Other Meds: Lisiniprol, Metformin, Atrovistatin, Fish Oil

Current Illness: None

ID: 1101067
Sex: F
Age: 29
State: WI

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Cold allergy

Symptom List:

Symptoms: Fatigue, nausea, muscle soreness, stuffy nose, dizziness, achy

Other Meds: Took Tylenol before injection

Current Illness: N/a

ID: 1101068
Sex: M
Age: 57
State: FL

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Tahini

Symptom List:

Symptoms: Experienced a delayed reaction to vaccine that occurred at 11 p. m. Administration was at 8:23 a. m. earlier in the day. Symptoms began as build up of mucous in back of throat and reflux. Very early the next morning symptoms progressed to near inability to swallow, Took 50 mg of Benadryl which gave a bit of relief. Very hard to drink the water and get it down with the two pills. The symptoms included swollen lips and inside of the mouth swelling. Went to the emergency room at the Clinic at 7:30 a. m. I was given 60 mg of Prednisone, Pepsid to coat the stomach re the steroids. Was sent home with prescription for epi pen, medrol dose pack, Pepsid and Zyrtec. Symptoms improved except for swelling of lips. However, on 3/11/21, despite taking the medication, the symptoms worsened in terms of renewed lip swell as well as new symptoms of facial flushing and chest flushing. Symptoms then abated with medication. On 3/13/21, symptoms flared again with renewed lip swelling, inside and outside check swelling and outside face and chest flushing. They they abated again with medication. On 3/14/21, lip swelling renewed as a symptom. To date, my lips do not feel right but tingly and bloated and irritated. Saw an allergist this morning who thinks I am allergic to polyglycol a preservative in the vaccine.

Other Meds: Boswellia, Saw Palmetto, B-Complex, Magnesium

Current Illness: N/A

ID: 1101069
Sex: F
Age: 70
State: NJ

Vax Date: 02/28/2021
Onset Date: 03/09/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: allergic to some antibiotic medications...developed hives and itching palms after taking 1 Aleve with an antibiotic ....allergic to some hot and spice food, skin allergies to some cosmetics and yellow jacket stings.

Symptom List:

Symptoms: After 9 days I developed redness, warmth, pain and itching at injection sight. followed by fatigue, heaviness, weakness in legs, chills and nausea. Felt flu like symptoms from about 3 days.

Other Meds: metforman 500mg. 1 a day ramifpril 5mg 1 pill a day vit.d 1000mg 1 pill a day flonase nasal spray Asmanex inhaler, 2 puffs twice a day, maintanence inhaher.

Current Illness:

ID: 1101070
Sex: M
Age: 58
State: IL

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 03/15/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient woke up the morning following vaccine administration with numbness and weakness of his right arm and hand. He later woke up from a nap that afternoon with numbness and weakness also in his right leg.

Other Meds:

Current Illness:

ID: 1101071
Sex: F
Age: 30
State: NY

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: I received the second COVID vaccine (Pfizer-BioNTech) on 2/14/21. Within 12 hours of the vaccine, "normal" reaction symptoms occurred including fever, chills, sweating and rigors, which was a shaking feeling in the legs, arms, torso and other areas of the body. These symptoms lasted 1.5 days and then seemed to disappear, only to appear again in waves over 10 days following the second vaccine. On day 10, I had a fever of 101.4. By 2 weeks out, most of the symptoms had dissipated aside from an internal shaking feeling which moves from the chest to the torso, legs etc. It's different all the time and but muscles are felt vibrating in the body and nearly 1 month later the vibrating symptoms are still present. The vibrating can be described like having an electric toothbrush inside your body.

Other Meds: Daily multi-vitamin

Current Illness: N/A

ID: 1101072
Sex: F
Age:
State: FL

Vax Date: 03/01/2021
Onset Date: 03/07/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: HR feels faster starting on march 7th, described as fluttery multiple times per day pruritis for 3 weeks after the first one. put on claritin.

Other Meds: Lisinopril

Current Illness:

ID: 1101073
Sex: F
Age: 69
State: MD

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: During my 2 covid injection, vaccine appeared to leak out from injection site. The person who administered used two cotton swabs wipe up leakage. The vaccine injection site did not appeared to be entered into the deltoid muscle. It looks to be too low and forward on my arm. I have a big bruise on my arm. This not like the first shot. I do not feel any pain on my arm from this shot, which is contrary to what most folks have said about the second shot. I do not believe I received adequate amount of the vaccine and am not sure of my protection. I do not know what to do or expect now.

Other Meds: Vitamin D3 and B-Complex and C Ibuprofen when needed and Flexeril when needed

Current Illness: Back pain

ID: 1101128
Sex: F
Age:
State: TX

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Symptoms: did not report any adverse events or issues; received an expired dose of GARD ASIL 9; This spontaneous report as received from a vaccine administrator referring to a 25-year-old female patient. The patients' pertinent medical history, concurrent conditions, concomitant medications, drug reactions and allergies were not reported. On 12-FEB-2021 at approximately 16:00, the patient was vaccinated with expired dose of HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast) (GARDASIL 9) (lot # R005341, expiration date reported as 31-DEC-2020 (conflicting, also reported as 31-DEC-2021), however upon internal validation established as 06-DEC-2020 and formulation vial; strength, dose and route were not reported) in the right arm accidentally for prophylaxis (expired product administered). It was also reported that HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast) (GARDASIL 9) did not experience any temperature excursion. The patient left the facility and did not complain of any adverse events or any issues (no adverse event). The reporter stated that the patient was scheduled to receive a COVID vaccination on 13-FEB-2021.

Other Meds:

Current Illness:

ID: 1101131
Sex: M
Age:
State:

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Rec V Date: 03/15/2021
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Symptoms: within 3 to 5 months was diagnosed with Guillain-Barre syndrome. The patient experienced effects that resulted in physical therapy and additional follow-ups for diagnosis; This spontaneous report was received from a consumer via a company representative, referring to a 11-year-old male patient. The patient's pertinent medical history, concurrent conditions, concomitant medications, previous drug reactions, or allergies were not reported. On an unknown date, the patient received "all three adolescent vaccines" including hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) as prophylaxis, meningococcal vaccine (unspecified) (manufacturer unknown) and diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid (manufacturer unknown) (strengths, anatomical sites of injection, routes of administration, lot numbers and expiration dates were not reported). On an unknown date (reported as withing 3 to 5 months), the patient was diagnosed with Guillain-Barre syndrome. The patient experienced effects that resulted in physical therapy as treatment and additional follow-ups for diagnosis. The patient sought medical attention. The outcome of Guillain-Barre syndrome and the causal relationship between the events and the suspect therapy were not reported. Upon internal review, the event Guillain-Barre syndrome was determined to be medically significant.

Other Meds:

Current Illness:

ID: 1101136
Sex: U
Age:
State: IA

Vax Date:
Onset Date:
Rec V Date: 03/15/2021
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Symptoms: unspecified injury; This case was reported by a lawyer and described the occurrence of injury in a patient who received Herpes zoster (Shingrix) (batch number unk, expiry date unknown) for prophylaxis. On an unknown date, the patient received Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced injury. On an unknown date, the outcome of the injury was unknown. It was unknown if the reporter considered the injury to be related to Shingrix.

Other Meds:

Current Illness:

ID: 1101137
Sex: M
Age: 59
State: OH

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 03/15/2021
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Symptoms: has body aches; shivering; This case was reported by a consumer via call center representative and described the occurrence of general body pain in a 59-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis. On 1st March 2021, the patient received the 1st dose of Shingrix (intramuscular) .5 ml. On 2nd March 2021, 1 days after receiving Shingrix, the patient experienced general body pain and shivering. On an unknown date, the outcome of the general body pain and shivering were not recovered/not resolved. It was unknown if the reporter considered the general body pain and shivering to be related to Shingrix. Additional details were provided as follows: The patient received shingrix and next day morning experienced body ache and shivering. The events were not resolved. The patient consented to follow up. There was discrepancy in the reported event onset date of body aches. It is 1st Mar 2021 but as per narrative it is captured as 2nd Mar 2021

Other Meds:

Current Illness:

ID: 1101138
Sex: F
Age: 73
State: MN

Vax Date: 11/01/2020
Onset Date:
Rec V Date: 03/15/2021
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Symptoms: felt " it run "up her throat and down to her chest causing chest pains; This case was reported by a consumer via call center representative and described the occurrence of chest pain in a 73-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Shingrix (Received first dose on an unknown date.). In November 2020, the patient received the 2nd dose of Shingrix (intramuscular). In November 2020, 7 hrs after receiving Shingrix, the patient experienced chest pain. The patient was treated with benadryl (nos) (Benadryl). In November 2020, the outcome of the chest pain was recovered/resolved. It was unknown if the reporter considered the chest pain to be related to Shingrix. Additional details were provided as follows: The patient reported for herself. About 7 hours after receiving the second vaccine, the patient felt it run up her throat and down to her chest causing chest pains. She called 911 because she thought she was experiencing a heart attack, then she reported it was not a heart attack. The event was recovered after 24 hours of vaccination. The patient was given Benadryl and sent home. The patient did not consented to follow up.

Other Meds:

Current Illness:

ID: 1101142
Sex: F
Age: 74
State: NY

Vax Date: 07/23/2020
Onset Date: 07/23/2020
Rec V Date: 03/15/2021
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Symptoms: first Shingrix vaccination in her left deltoid on 7/23/2020 and has not received 2nd vaccination; injection site pain; This case was reported by a consumer via call center representative and described the occurrence of injection site pain in a 74-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. Co-suspect products included Herpes zoster (Shingrix) for prophylaxis. Concurrent medical conditions included shingles (started years ago from reporting day). Concomitant products included valaciclovir hydrochloride (Valtrex). On 23rd July 2020, the patient received the 1st dose of Shingrix. On an unknown date, the patient received the 2nd dose of Shingrix. On 23rd July 2020, 6 hrs after receiving Shingrix and not applicable after receiving Shingrix, the patient experienced injection site pain. On an unknown date, the patient experienced incomplete course of vaccination. On 24th July 2020, the outcome of the injection site pain was recovered/resolved. On an unknown date, the outcome of the incomplete course of vaccination was unknown. It was unknown if the reporter considered the injection site pain to be related to Shingrix. Additional details were reported as follows: The age at vaccination was not applicable for 2nd dose. The patient received her first Shingrix vaccination in her left deltoid and experienced injection site pain which resolved on next morning. Till the time of reporting patient did not receive 2nd dose of Shingrix, which led to incomplete course of vaccination. The patient was concerned about efficacy of Shingrix with late 2nd dose. The reporter consented to follow up. This case is linked with case US2021AMR061322, reported by same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2021AMR061322:same reporter

Other Meds: Valtrex

Current Illness: Shingles (started years ago from reporting day)

ID: 1101143
Sex: M
Age: 29
State: NY

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 03/15/2021
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Symptoms: Asthma Reaction; Dizzy; Lighted headed; Difficulty breathing; A spontaneous report was received from a consumer who is a 29-year-old male patient that received Moderna's COVID-19 vaccine (mRNA-1273) and experienced dizziness, light headed, asthma reaction (asthmatic crisis) and difficulty breathing. The patient's medical history was not provided. Products known to have been used by the patient, within two weeks prior to the event, included pantoprazole 40 mg. On 28-Dec-2020, approximately three hours prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Lot number: unknown) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 28-Dec-2020, the patient developed dizziness, became light headed, experienced an asthmatic reaction and difficulty breathing. The events were treated with a dose of albuterol. The patient was transported to the Emergency Room but additional information was not provided. Action taken with mRNA-1273 in response to the events was unknown. The outcome of the events, dizziness, light headed, asthma reaction and difficulty breathing was unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds: PANTOPRAZOLE

Current Illness:

ID: 1101144
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 03/15/2021
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Symptoms: Gave the wrong vaccine; A spontaneous report was received from a health professional concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) as a second dose when the initial dose was that of Pfizer's (wrong vaccine administered). The patient's medical history was not provided. No relevant concomitant medications were reported. On an unknown date, the patient received a second dose of Moderna mRNA-1273 mistakenly (Lot number: not provided) for prophylaxis of COVID-19 infection. On an unknown date, a medical student gave an employee the wrong vaccine for their second dose. They gave Moderna vaccine instead of the Pfizer vaccine. No treatment information was provided. Action taken with mRNA-1273 in response to the event was not applicable. The event gave the wrong vaccine, was considered resolved. The reporter did not provide an assessment for the event gave the wrong vaccine.; Reporter's Comments: This report refers to a case of (Wrong Product administered) for mRNA-1273, lot # unknown with no associated AEs.

Other Meds:

Current Illness:

ID: 1101146
Sex: F
Age: 53
State: OR

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 03/15/2021
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Symptoms: Received her 2nd dose of the Moderna vaccine with 0.4ML dose; A spontaneous report was received from a nurse concerning a 53-year-old female patient, who received Moderna's covid-19 vaccine (mRNA-1273) with 0.4 ml dose (Accidental underdose). The patient's medical history was not provided. No relevant concomitant medications were reported. On 08 FEB 2021, prior to the onset of the symptoms, the patient received their second of two planned doses of mRNA-1273 (Batch number: 007M20A, expiry 25th FEB) via unknown route for prophylaxis of COVID-19 infection. On 08 FEB 2021, the patient received mRNA-1273 vaccine from an health care professional, who administered 0.4 ml lower dose of vaccine. Treatment information was not provided. The patient received both scheduled doses of mRNA-1273 prior to the event(s), therefore action taken with the drug in response to the event is not applicable. The outcome of the event received second dose of the Moderna vaccine with 0.4ML dose was recovered.; Reporter's Comments: This report refers to a case of accidental underdose for mRNA-1273 (lot # 007M20A) with no associated AEs reported.

Other Meds:

Current Illness:

ID: 1101147
Sex: M
Age: 74
State: WI

Vax Date: 10/29/2020
Onset Date: 02/23/2021
Rec V Date: 03/15/2021
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Symptoms: Possibly 3 doses adminstered to 1 patient; A spontaneous report was received from a HCP concerning about a 74 old male patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced medication error of received 3 doses of Moderna COVID-19 vaccine. The patient's medical history was not reported. Concomitant medications were not reported. On 29 Oct 2020, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Batch number: unknown) via an unknown route for prophylaxis of COVID-19 infection. On 26 Jan 2021, prior to the onset of the events, the patient received their second of two planned doses of mRNA-1273 (Batch number: unknown) via an unknown route for prophylaxis of COVID-19 infection. On 23 Feb 2020, prior to the onset of the events, the patient received their third of two doses of mRNA-1273 (Batch number: 043L20A) via an unknown route for prophylaxis of COVID-19 infection. On 23 Feb 2021, the patient experienced received 3 dose of Moderna COVID-19 vaccine. Laboratory tests was not reported. Treatment information was not provided. Action taken with mRNA-1273 in response to the event are unknown. The outcome of event was considered as recovered on 23 Feb 2021.; Reporter's Comments: This report refers to a case of Extra dose administered for mRNA-1273, lot # 043L20A, with no associated AEs.

Other Meds:

Current Illness:

ID: 1101148
Sex: U
Age:
State:

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 03/15/2021
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Symptoms: Cellulitis; A spontaneous report was received from a Non Health Professional concerning a unspecified old, unspecified gender patient was participating in the mRNA-1273 Emergency Use Program and developed cellulitis. The patient's medical history was not provided by the reporter. Concomitant medications were not provided by the reporter. The patient received their first of two planned doses of mRNA-1273 on unspecified date ( LOT/BATCH: unknown) , intramuscularly in an unknown arm for prophylaxis of COVID-19 infection. On unspecified date, the patient experienced cellulitis. Treatment history included antibiotic. Action taken for mRNA-1273 in response to the event was unknown. The outcome of the event, cellulitis was considered as unknown.; 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: 1101149
Sex: F
Age: 17
State: FL

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 03/15/2021
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Symptoms: Received Moderna Vaccine- under age requirement; A spontaneous report was received from a consumer concerning a 17-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273). The patient's medical history was not provided. No relevant concomitant medications were reported. The consumer received the first of the two planned doses of mRNA-1273 on 15 Jan 2021 (Batch# 039K20A) intramuscularly for prophylaxis of COVID-19 infection. Treatment details included none. Action taken with mRNA-1273 in response to the events was not applicable. The outcome of the event was resolved. The assessment was not provided for the event.; Reporter's Comments: This report refers to a case of product administered to patient of inappropriate age (17 year old female) for mRNA-1273 (lot number 039K20A) with no associated AEs reported.

Other Meds:

Current Illness:

ID: 1101150
Sex: F
Age: 78
State: LA

Vax Date: 01/17/2021
Onset Date: 01/31/2021
Rec V Date: 03/15/2021
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Symptoms: Cellulitis; Red circle and it covered the fleshy part of her arm; A spontaneous report was received from a consumer concerning a 78-year-old, male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and developed red circle and it covered the fleshy part of her arm/vaccination site erythema and cellulitis. The patient's medical history was not reported. Concomitant product use was not reported. On 17 Jan 2021, the patient received their first of two planned doses of mRNA-1273 (Lot number: not provided) intramuscularly in right arm for prophylaxis of COVID-19 infection. On 31 Jan 2021, approximately four days after receiving the vaccine, the patient developed a red circle and it covered the fleshy part of her arm. She was put on antibiotics for cellulitis and after a couple of days it went away, but she finished the seven days of antibiotics. On 14 Feb 2021, the patient received their second of two planned doses of mRNA-1273 (Lot number: not provided) intramuscularly in right arm for prophylaxis of COVID-19 infection. Action taken with mRNA-1273 in response to the events was continued. The outcome of the events, vaccination site erythema and cellulitis were considered recovered/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 events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1101151
Sex: F
Age: 92
State: IA

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 03/15/2021
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Symptoms: Sore arm; Passed out; loss sense of time for 36 hr; so weak to get up; Vomiting for several time; A spontaneous report was received from a consumer, who was a 92 year-old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced sore arm, lose the sense of time, vomiting for several time, so weak to get up and passed out. The patient's medical history included cancer, restless leg syndrome, allergies to shellfish and currently living in hospice. Concomitant products included rivaroxaban, digoxin, diltiazem, omeprazole, pramipexole, vitamin D3, budesonide and paracetamol prn. On 19 Feb 2021, the patient received the first of two planned doses of mRNA-1273 (Lot number: 004M20A) intramuscularly for prophylaxis of COVID-19 infection. On an unknown date after receiving the vaccine, the patient experienced sore arm. One night, she lost the sense of time for 36 hours. She got up in the middle of night and went to bathroom and was vomiting for several time. She then got back to bed with waste basket and was so weak to get up. She called the nursing home next door and she believed that they may have called 911 but was not full sure if they did or did not. The next day morning, one of the neighbors came to check on her at 11 am. When the neighbor tried to wake her up, she was passed out therefore the nursing home called 911 again. Patient believed that nurse gave her a shot to stop vomiting but do not clearly remember. She was not planning on getting the second dose of the vaccine. No treatment information was reported. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events, sore arm and so weak to get up, were unknown. The outcome of the events, lose the sense of time and passed out, were considered resolved on 22 Feb 2021.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds: XARELTO; DIGOXIN; DILTIAZEM; OMEPRAZOLE; PRAMIPEXOLE; VITAMIN D3; BUDESONIDE; TYLENOL

Current Illness: Hospice care

ID: 1101152
Sex: F
Age: 72
State: TN

Vax Date: 02/02/2021
Onset Date: 02/17/2021
Rec V Date: 03/15/2021
Hospital: Y

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Symptoms: Blood clot on right lung; soreness in arm; A spontaneous report was received from a 72 year old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and who experienced blood clot on right lung (pulmonary embolism) and myalgia. The patient's medical history was not provided. The patient had family history of blood clot (mother and brother). No concomitant product use was reported. On 02-Feb-2021, the patient received her first of two planned doses of mRNA-1273 (Lot number: 011M20A) intramuscularly for prophylaxis of COVID-19 infection. The patient had soreness in the right arm which subsided couple of days later. The patient also experienced shortness of breath for a week after vaccine administration. On 17-Feb-2021, the patient went to the hospital and underwent COVID-19 virus test, the results of which were negative. On 17-Feb-2021, the computerized tomography scan on chest showed moderate size blood clot on right lung. On 18-Feb-2021, the patient was discharged from the hospital on recommendation to initiate and continue lifetime treatment with Eliquis (apixaban, 5mg every 12 hours). According to the physician, moderate size blood clot on right lung of the patient could be attributed to the genetic history (patient's mother and brother also had blood clot). The patient also followed up with primary care physician, who informed that it was genetic and not related to vaccine. Action taken with mRNA-1273 was not reported. The outcome of the events, pulmonary embolism was unknown. The outcome of the event, myalgia was considered as recovered/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 events, a causal relationship cannot be excluded.

Other Meds:

Current Illness: Pulmonary embolism (The patient's mother and brother had blood clot)

ID: 1101153
Sex: F
Age:
State: CT

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 03/15/2021
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Symptoms: Asphyxiation; like had a heart attack; Blood pressure was 150/90; sever allergic reaction; lethargic; Arrhythmia; Fast heartbeat; A spontaneous report was received from a 46 year old female who received Moderna's COVID-19 vaccine (mRNA-1273) and who experienced asphyxiation, fast heartbeat, lethargy, blood pressure 150/90, arrhythmia and a heart attack like episode. The consumer received the first of the two planned doses of mRNA-1273 on 05-FEB-2021 (Batch #: 028L20A) intramuscularly for prophylaxis of COVID-19 infection. On 06-FEB-2021, Patient experienced fast heartbeat. On 07-FEB-2021, she became lethargic. On 08-FEB-2021, she called the EMT due to complaints of rapid heartbeat as if she was experiencing arrhythmia. The patient stated that her blood pressure was 150/90, as well as, she had asphyxiation and felt like she had a heart attack. No treatment information was provided. Action taken with mRNA-1273 in response to the events was unknown. The patient's medical history was not provided. No relevant concomitant medications were reported. The outcome of the events was unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1101154
Sex: M
Age: 87
State: FL

Vax Date: 01/26/2021
Onset Date: 02/28/2021
Rec V Date: 03/15/2021
Hospital: Y

Vax Type:
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Symptoms: Husband experienced seizure lasting 30min. after taking 2nd vaccine. 1st vaccine on 26/01/21 LOT# 00TM20A. 2nd on 23/02/21 LOT# 024M20A,5 Days after; the Ambulance took husband to hospital & Dr put the patient on a seizure med Levetiracitam 500mg; A spontaneous report was received from a consumer, concerning 87-year-old male patient, who received his second dose of Moderna's COVID-19 vaccine and experienced seizure that lasted about a half an hour. Medical history included: seizure 37 years ago during a stroke. There were no concomitant medications reported. On 26-Jan-2021, the patient received their first of two planned doses of mRNA-1273 (Lot Number: LOT# 00TM20A) and on 23-Feb-2021, he received the second dose of mRNA-1273 (LOT# 024M20A), intramuscularly for prophylaxis of COVID-19 infection. On 28-Feb-2021, five days post receive the vaccine, the patient experienced a seizure which lasted about a half an hour. The patient was taken to hospital and was treated with Levetiracitam 500mg. Action taken with the dose of mRNA-1273 in response to the event was not reported. The outcome for the event was considered as resolved on 28-Feb-2021.; Reporter's Comments: Based on the current available information which show a temporal association between the use of the product and excluding all other etiologies as reported (subject experienced seizure 37 years ago), a causal relationship with the event cannot be excluded.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm