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
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 1085146
Sex: F
Age: 79
State: CA

Vax Date: 02/25/2021
Onset Date: 03/07/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Dust, trees, grass

Symptom List: Dysphagia, Epiglottitis

Symptoms: Chills, low grade fever, aches

Other Meds: Vitamin D, glucosamine, lutein, biotin, magnesium Allegra, Zyrtec, Flonase Escitalatopram, Immunoglobulin, statin drug

Current Illness: None

ID: 1085147
Sex: F
Age: 32
State: IN

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Duricef

Symptom List: Anxiety, Dyspnoea

Symptoms: Fever and chills for 24 hrs, swollen lymph nodes in armpit of injection site still ongoing

Other Meds:

Current Illness: Asthma

ID: 1085148
Sex: F
Age:
State: PA

Vax Date:
Onset Date: 12/01/2020
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: Injection site spot; similar to bursitis/ possible bursitis; shoulder pain (in injected arm) which radiated and caused lack of mobility; shoulder pain / pain in the upper part of the arm / forearm and into her thumb; pain in the upper part of the arm / forearm and into her thumb; which radiated and caused lack of mobility; pain under the arm.; difficult for her to put on her car seatbelt/ affected her mobility with respect to dressing herself / no longer reach behind her back to tie the apron; This case was reported by a consumer via call center representative and described the occurrence of injected limb mobility decreased in a 75-year-old female patient who received Herpes zoster (Shingrix) (batch number 9974P, expiry date 9th May 2022) and (batch number CD9MZ, expiry date 9th May 2022) for prophylaxis. Co-suspect products included COVID-19 VACCINE (COVID 19 VACCINE) for prophylaxis. The patient's past medical history included bursitis (had bursitis about one year ago and about 10 to 11 years before that). On 28th December 2020, the patient received the 1st dose of Shingrix (intramuscular) .5 ml. On an unknown date, the dose was an unknown dose. On an unknown date, the patient received COVID 19 VACCINE. In December 2020, less than a week after receiving Shingrix, the patient experienced injected limb mobility decreased, shoulder pain, pain in arm, radiating pain, bursitis, axillary pain and activities of daily living impaired. On an unknown date, the patient experienced injection site discoloration. The patient was treated with paracetamol (Tylenol). On an unknown date, the outcome of the injected limb mobility decreased, shoulder pain, pain in arm, radiating pain, bursitis, axillary pain and activities of daily living impaired were not recovered/not resolved and the outcome of the injection site discoloration was unknown. It was unknown if the reporter considered the injected limb mobility decreased, shoulder pain, pain in arm, radiating pain, bursitis, axillary pain and activities of daily living impaired to be related to Shingrix. Additional details were provided as follows: The reporter reported for herself. The patient received dose of Shingrix in the left deltoid. The patient received covid 19 vaccine in the right arm. The reporter stated that, a day or two after the Shingrix shot, the patient experiencing shoulder pain in the left shoulder similar to bursitis. The patient stated that, the pain had been in different areas of the shoulder and had made it difficult for her to put on her car seatbelt. It had also affected her mobility with respect to dressing herself (putting on pajamas) and it was painful to wear an apron because she could no longer reach behind her back to tie the apron herself. The pain gradually got worse and spread to the shoulder and pain in the upper part of the arm, and the back of the arm, and under the arm, then the pain also radiated down into her forearm and into her thumb. The patient had not reported this to her primary care physician yet. The patient did make an appointment with her orthopedic doctor but she postponed the appointment because she was concerned that they might give her a cortisone injection and she had an appointment to get a Covid-19 vaccine and was concerned that a cortisone injection might interfere with the Covid19 vaccine. The patient received covid 19 vaccine in the opposite arm (the right arm) and got a little spot on her arm at the injection site. The patient received extra strength Tylenol (twice a day) every day as a treatment. Till the time of reporting, the patient feels a little less than it had been for the past month. It was dissipating on the day of reporting. The reporter consented to follow up.

Other Meds:

Current Illness:

ID: 1085149
Sex: M
Age: 90
State: IN

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: None.

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: He came home, laid down and went to sleep and slept all day long. He had incontinence or urine, and could not put any weight on his legs, could not stand on his own and confused about what was going on. His wife was able to get him up after pulling and tugging on him, and mentally confused. He was able to go to the bathroom, and got him back to bed. He had a urinary accident and slept until the evening. She could tell he was better and walked with a walker. She said the symptoms resembled a stroke, but he got better. He did not take anything, did not want anything for the symptoms. She does not think that he ate anything that night. He says that he's fine now.

Other Meds: Flax seed oil, Donepezil.

Current Illness: None.

ID: 1085150
Sex: M
Age: 73
State: NC

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Herpes sine Herpete involving C3 R side. I had the same thing 2 years ago documented by serology. I have had Shingrix vaccine. As this has occurred less than 2 weeks after 2nd vaccine dose I felt it should be reported

Other Meds: Pepcid, doxazosib, finesteride

Current Illness: None

ID: 1085151
Sex: M
Age: 72
State: ME

Vax Date: 03/02/2021
Onset Date: 03/04/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Pollen

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: Diffuse myalgias and joint pains including pleuritic chest onset approximately 36 hours after dose administered. Resolved after another 24 hours. Recurred again for < 24 hours and then resolved.

Other Meds: Lisinopril, dutasteride, atorvastatin, tamsulosin

Current Illness: None known/recorded

ID: 1085152
Sex: F
Age: 23
State: NY

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Snycopal episode immediately following vaccination, patient was lowered to floor, BP slightly low at 92/40. Patient diaphoretic, brought to cot. Evaluated client after fifteen minutes, sent home via medical transport.

Other Meds:

Current Illness:

ID: 1085153
Sex: F
Age: 67
State: OR

Vax Date: 03/07/2021
Onset Date: 03/08/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: morphine, Claritin

Symptom List: Pharyngeal swelling

Symptoms: woke up morning after vaccination and was experiencing dizziness after rising. Still experiencing dizzines today March 9, 2021

Other Meds: Omeprazole, Zyrtec, probiotic, algaecal, strontium citrate, Vitamin D3, active B vitamin, fiber capsule, Pravastatin, CoQ10

Current Illness: none

ID: 1085154
Sex: F
Age: 28
State: AZ

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Never had allergies to any medications or food products. Have seasonal allergies -- tested and allergic to tree pollen and most specifically oak trees.

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: I want to preface this by saying that I believe the vaccine was administered more posterior and superior than a IM injection into the deltoid should be. This was confirmed by other health providers. Approximately 1 week s/p vaccine dose 1, I was lifting weights around 8PM (bench press), when I noticed some sudden soreness/pain in my shoulder joint on my left side (5/10). I returned home and around 11PM my shoulder felt mildly pruritic and very warm to the touch. I noticed a nodule palpable under the skin, measuring approximately 1cm, and it was then that I realized that it was in the same location of my vaccination injection (I will include photos of injection site and reaction). The nodule continued to grow ~2cm, when I decided to call the advice nurse line, (I am a 2nd yr MD-PhD student). I was advised to take diphenhydramine and go to the ER if I felt anaphylactic reaction occurring, and they made me a morning appt with the NP at the clinic. The diphenhydramine seemed to stop the progression, however the following morning the 2cm nodule was still present and warm to the touch, but was no longer pruritic. The NP received photos and advised that I continue antihistamines - diphenhydramine at night and loratidine during the day for ~5 days. She did agree that the injection was not a proper deltoid injection. Over the course of 3 days the nodule disappeared. I had no issues with the second vaccination.

Other Meds: Iron supplements (60), Women's multivitamin.

Current Illness: No illnesses.

ID: 1085155
Sex: M
Age: 78
State: IN

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: sulpha

Symptom List: Diarrhoea, Nasal congestion

Symptoms: achey body chills listless no appetite for 10 hrs.

Other Meds: Atenolol-chlorthalidone 50-25MG Sulindac 200MG Simvastatin 40 MG Pantoprazole 40 MG

Current Illness: none

ID: 1085156
Sex: F
Age: 52
State: GA

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Aspirin, ibuprofen

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Since the first vaccination on 2/04/2021, I have had intense itching episodes whole body. I have had a rash on my hand mainly on my left side. These itching episodes have continued since the second vaccine on 3/3/2021. I also had intense body and joint pain which began about 8 hours after the second Moderna injection which continued for 12 hours or so. I understood that this was likely to occur however, after the intense pain and soreness subsided, I am concerned that the joint pain remains. I am in hopes that is subsides soon. I was not experiencing joint pain like I am having now prior to the vaccine. These things that I am experiencing have not led me to the doctor yet. I am in hopes that the itching and the joint pain will subside.

Other Meds: Omega 3, Synthroid, Flonase, Astelin nasal spray, Mutivitamin, Calcium and meloxicam

Current Illness:

ID: 1085157
Sex: F
Age: 67
State: IN

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: oral Benadryl

Symptom List: Rash, Urticaria

Symptoms: Overall aches, fatigue, fever and chills for which I took Aspirin 3X's across 24 hours. Initial symptoms lasted 12 hours. Since I was feeling fine by 9:00 the next morning (24 hours after the vaccination,) I resumed my usual busy Saturday morning-activites but by 12:00pm the symptoms had returned. That is when I took the 3rd dose of Aspirin and slept for 3 hours. Sunday I was pretty much inactive. Since then I have felt fine (if more fatigued than usual.)

Other Meds: Metoprolol, Meloxicam, Levothyroxine, Vitamin D, Centrum multivitamin for women over 50

Current Illness:

ID: 1085158
Sex: M
Age: 92
State: RI

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1085159
Sex: F
Age: 59
State: TN

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Shell Fish

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: Approximately 28 hours after receiving the vaccine, I became very dizzy, to the point that my head was spinning so fast I would pass out. When I would wake up, I was so nauseated that I tried to throw up but hadn't eaten anything, so I had dry heaves. I would wake up and repeat this process over and over. After about 6 hours the dizziness got better but I could not walk by myself as I was so wobbly and weak. My husband tried to get me to the car to take me to the ER but I couldn't stand up. I felt a little better the next day (Sunday) but was unable to keep anything down. I slept a lot as I felt exhausted. I was unable to work on Monday or Tuesday as I was still very disoriented. I would periodically had dizzy spells where I thought I was going to pass out, so when I went back to work on Wednesday, my husband drove me to work and picked me up. At work, when walking I still was very unsteady on my feet and kind of had to hold onto the wall to keep my balance. This stayed with me thru the next week. I felt better the following week and have not had any other issues.

Other Meds: Amaryl, Prevacid, Multivitamin, Vitamin D3 5,000 units, Premarin, Cymbalta, Crestor, metformin, Lisinopril, Celebrex, Ozempic, Lyrica, Metamucil, Zyrtec

Current Illness: N/A

ID: 1085160
Sex: M
Age: 78
State: ND

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Bees

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Within 48 hours of receiving covid vaccine, patient started experiencing severe headaches, mild nausea, and moderate chills. patient had tried OTC medication to help with symptoms with little to no relief. Same reaction/symptoms happened after 2nd covid dose. Symptoms are still present as of 3/9/2021 and not getting any better. 2nd covid shot was 2/11/2021 LOT:016M20A

Other Meds: Omeprazole Simvastatin Aleve/advil as needed

Current Illness: No illness at time of vaccine or before

ID: 1085161
Sex: F
Age: 78
State: PA

Vax Date: 03/04/2021
Onset Date: 03/08/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Red rash on arm, spreading, warm to touch

Other Meds:

Current Illness:

ID: 1085162
Sex: F
Age: 41
State: MO

Vax Date: 01/20/2021
Onset Date: 03/01/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: cephalexin

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: Unsure if directly caused by vaccine, but wanted to report it just in case: Left arm pain, numbness, tingling and weaknesses started on Monday March 1, Rash on left hand and upper body began on Wed March 5, diagnosed with Shingles on Thursday March 6.

Other Meds: melatonin advil (day of shot) propanolol (as needed) seroquel (as needed) mirtazapine (as needed)

Current Illness: none

ID: 1085163
Sex: F
Age: 59
State: NV

Vax Date: 10/06/2020
Onset Date:
Rec V Date: 03/09/2021
Hospital: Y

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: had a fever / had to go to the hospital.; couldn't barely move / had to go to the hospital.; was completed dehydrated /had to go to the hospital.; Rash at the injection site (Left arm) 6 inches long and 3 inches wide. / had to go to the hospital.; This case was reported by a consumer via call center representative and described the occurrence of fever in a 59-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. Co-suspect products included Herpes zoster (Shingrix) for prophylaxis. On 6th October 2020, the patient received the 1st dose of Shingrix. On an unknown date, the patient received the 2nd dose of Shingrix. On an unknown date, less than 5 months after receiving Shingrix and not applicable after receiving Shingrix, the patient experienced fever (serious criteria hospitalization), mobility decreased (serious criteria hospitalization), dehydration (serious criteria hospitalization), injection site rash (serious criteria hospitalization) and incomplete course of vaccination. On an unknown date, the outcome of the fever, mobility decreased, dehydration, injection site rash and incomplete course of vaccination were unknown. It was unknown if the reporter considered the fever, mobility decreased, dehydration and injection site rash to be related to Shingrix. Additional information was provided as follows: The case was reported by patient herself. The reporter was asking if Shingrix contain the Polyethylene glycol or polysorbate, due to being interested in COVID vaccine. The patient had to go to the hospital after receiving 1st dose of vaccine. The patient stated she was completely dehydrated and could not barely move also had a fever. She experienced rash at the injection site (Left arm) 6 inches long and 3 inches wide. The reporter was unable to provide vaccine details. The patient was advised not to get the Second shot of Shingrix The reporter consented to follow up.

Other Meds:

Current Illness:

ID: 1085164
Sex: F
Age: 73
State: PA

Vax Date: 02/20/2021
Onset Date: 03/06/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: PNC13
Manufacturer: PFIZER\WYETH
Vax Name: PNEUMO (PREVNAR13)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: PCN

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient stated that she developed some hives on her neck after receiving the vaccine and about 2 weeks after vaccination began having stomach upset that she is still experiencing

Other Meds: N/A

Current Illness: N/A

ID: 1085165
Sex: F
Age: 71
State: NY

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: RV1
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: ROTAVIRUS (ROTARIX)
Lot:
Dose Series: 1
Vax Route: PO
Vax Site: MO

Lab Data:

Allergies: none

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Got shot at 3:30pm by 10:30pm had symptoms of bell palsy (eye sagged) On 3/6/21 eye and mouth sagged. Went to emergency room, was given Prednisone 50mg, still having problems with eye and mouth.

Other Meds: Omeprazole, B-6, iron pill

Current Illness: none

ID: 1085166
Sex: F
Age: 73
State: NY

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: sulfities, sulfa, penicillin, vasotec, tree nuts, injectable Caines, Talwin, norvasc,

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Anaphylactic reaction-flushing, lump throat, cough onset within 10 minutes. InER 2hrs home on medication solumedrol, benadryl,pepcid, IV fluids

Other Meds: Prednsone, Diovan,Lipitor, MgCaZn, vit D3, baby ASA, cinnimon, benadryl, cq10

Current Illness:

ID: 1085167
Sex: F
Age: 74
State: NY

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1085168
Sex: F
Age: 50
State: IN

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Codeine

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Fever - 100.1 afternoon of 3/5, fever 98.9 into 3/6 Headache - 3/5 and 3/6 Joint ache - 3/5 and 3/6 Arm swollen and itchy at injection site

Other Meds: Lexapro Trazadone Metoprolol Calcium supplement

Current Illness: None

ID: 1085169
Sex: F
Age: 66
State: ID

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: sulfa drugs, mold and mildew, cats, mercury, nickel

Symptom List: Injection site pain, Pain

Symptoms: pt stated that the morning after the covid vax she felt nauseated, fatigued, had chills, racing heart beat, strange taste in her mouth. One week after getting the vax she still has all of these symptoms and has an appt w/ her PCP on 3/11/2021. She states she feels like she did when she had carbon monoxide poisoning 3 years ago.

Other Meds: no

Current Illness: no

ID: 1085170
Sex: F
Age: 63
State: WI

Vax Date: 01/15/2021
Onset Date: 01/24/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Morphine, Toradol, Wool, Pine, Gnats

Symptom List: Injection site pain, Menorrhagia

Symptoms: About 9 days after receiving the 1st shot on 1/15/21 a rash appeared on my chest area. Raised bumps and non spreading. I have now received my second dose on 2/11/21 .Had reactions that occurred the next day of chills, muscle and body aches, slept for 14 hours, totally fatigued, headache on day 4 ran a fever and then symptoms decreased. except for the rash that has never went away.

Other Meds: Venlafaxine / Omeprazole/Allegra/Vitamin D3/B12/Cranberry/E

Current Illness: None

ID: 1085171
Sex: F
Age: 79
State: MA

Vax Date: 02/22/2021
Onset Date: 03/03/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Latex

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: Day 9 after vaccine felt slight itchiness at vaccine site off & on during day; Day 10 after vaccine woke up to itchy red circular rash around vaccine site approximately 1 1/2"x2". Day 11 after vaccine rash site increased to 2" x 2 1/2" & itchy around edges. Rash slightly lighter in color except around edge. Day 12 after vaccine rash @ 2 1/2" x 2 12" but much lighter-pinkish- in color & very little itching. Day 13 rash very light pink & no itching. Day 14, rash hardly visible. No itching and each day after visibly disappearing.

Other Meds: Nadolol 40 mg twice daily; Vitamin D; Vitamin C

Current Illness: None

ID: 1085173
Sex: M
Age: 19
State: MA

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild

Other Meds:

Current Illness:

ID: 1085174
Sex: F
Age: 58
State: IN

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Penicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 10 hours after injection began running a fever of 102, chilling, achy, headache. Treated with tylenol and lasted about 5 hours. Felt very tired and achy for the next 12-14 hours. Returned to work two days after feeling fine.

Other Meds: D3, Vitamin C, Magnesium, Zinc, Biotin, Lutein, Probiotic, Claritin, Metamucil

Current Illness: NA

ID: 1085175
Sex: F
Age: 70
State: MO

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: History of allergy to multiple medications and foods

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Approximately 20 minutes after receiving the 2nd covid vaccine pt reported feeling lightheaded and dizzy which progressed to flushed blotchy redness on chest and neck. BP 190/104. Approx 3 minutes later pt reported feeling like throat was swelling and was having difficulty swallowing. Pt had premedicated with Benadryl 25mg po prior to arrival due to history on anaphylaxis to multiple other medications and foods. Benadryl 25mg po was administered and pt assisted to exam room. Pt began to be anxious and said swelling was getting worse. Epinephrine (1mg/ml) 0.5mg IM administered per standing order.Refused ambulance or transfer to ER at this time. Husband at side and said this has happened previously and she knows how to manage without the ER. 10 minutes after 1st dose of epinephrine a second dose of 0.5mg epinephrine administered due to continued swelling. PT was monitored in clinic. Left ambulatory with no resp distress or resp symptoms noted. Pt and husband refused EMS and ER. Instructed to follow-up with PCP and s/s to seek further treatment from ER.

Other Meds: unknown

Current Illness:

ID: 1085176
Sex: F
Age: 25
State: OH

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Propofol, latex, kiwi

Symptom List: Nausea

Symptoms: 1/5/2021 vaccination; sore arm, tenderness 1/8/2021 symptoms subsided 1/12 itchy red hot. Continued to increase in size. Started out as size of eraser and got as big a baseball. Prescribed steroids for the 2nd injection but I never took them. 1/17 started to dissipate *2nd vaccination; fatigue.

Other Meds: Cymbalta

Current Illness: n/a

ID: 1085177
Sex: F
Age: 53
State: CA

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: no

Symptom List: Injection site pain

Symptoms: shivering, cold, feverish, muscle aches

Other Meds: none

Current Illness: no

ID: 1085178
Sex: F
Age: 65
State:

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Initial sweaty and short of breath with pulse of 126 and oxygen saturation of 99%; rapidly improved with stable vital signs

Other Meds:

Current Illness:

ID: 1085180
Sex: M
Age: 70
State: IN

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: Overly tired, cold, some shivers and a headache at the end Took A Tylenol Cold & Head caplet in the afternoon and the symptoms started to ease up. Felt normal at 3 am the next day except for the raging headache but that went away by 5 am.

Other Meds: Metformin, Glipizide ER, Entresto 97mg/104 mg, Rosuvastatin, Tamsulosin, Carvedilol, Clopidogrel, Aspirin 81 mg, Isosorbide Mononitrate, Vitamin C, Vitamin B12, Vitamin D3 and Vitamin E

Current Illness: None

ID: 1085181
Sex: F
Age: 53
State:

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Body aches and fatigue.

Other Meds:

Current Illness:

ID: 1085182
Sex: F
Age: 47
State: TX

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Red Dye

Symptom List: Erythema, Pruritus

Symptoms: Within 2 minutes of receiving the vaccine itching and tightness of the throat. still itching and throat is closing.

Other Meds:

Current Illness: Bronchitis

ID: 1085183
Sex: F
Age: 53
State: IN

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies: allergic to Lisinopril

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: I had body aches, slight headache and felt drained of energy. Flu like symptoms

Other Meds: Hydrochlorothiazide and Amlodipine Besylate

Current Illness: n/a

Date Died: 02/02/2021

ID: 1085185
Sex: F
Age: 44
State: VA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 03/09/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: testing positive for COVID; Fever for 3 hours after the vaccine/ High temperature; Joint pain; Severe upper back pain; Headache; A spontaneous report was received from a nurse concerning a 44-year-old female patient who experienced fever for 3 hours after vaccination, headache, joint pain, and severe upper back pain. 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 dulaglutide, metformin, empagliflozin, losartan, amlodipine, levothyroxine, simvastatin, allopurinol, estrogen, colchicine, calcium, zinc, multivitamin and vitamin C. On 05 Jan 2021, the patient received mRNA-1273 (Lot number 026L20A) intramuscularly for prophylaxis of COVID-19 infection. On 05 Jan 2021, patient experienced fever for 3 hours after vaccination. The patient also experienced headache, joint pain, and severe upper back pain. The patient stated her temperature was high from 05 Jan 2021 until 09 Jan 2021 when it went down. Treatment information was not provided. Follow-up received on 21 Feb 2021, from the patient's husband, included that the patient tested positive for Covid-19 on 09 Jan 2021 and was hospitalized on 11 Jan 2021. The patient never recovered from her symptoms and the patient died on 02 Feb 2021. Action taken with mRNA-1273 in response to the events was not applicable. The outcome of the events Coronavirus test positive was fatal and for headache, joint pain, severe upper back pain and temperature were unknown. The cause of death was reported as Coronavirus test positive and autopsy details was unknown.; Reporter's Comments: This case concerns a 44-year-old female who was hospitalized with a serious unexpected event of COVID-19 with fatal outcome along with NS unexpected back pain and NS expected fever, headache, arthralgia. Event onset was 5 days after the first dose of mRNA-1273. Treatment not reported. Event outcomes fatal. Autopsy results unknown. Based on current available information and temporal association between use of the product and the start date of the event, a causal relationship cannot be excluded.; Reported Cause(s) of Death: Testing positive for COVID

Other Meds: TRULICITY; METFORMIN; JARDIANCE; LOSARTAN; AMLODIPINE; SYNTHROID; SIMVASTATIN; ALLOPURINOL; ESTROGEN; COLCHICINE; CALCIUM; ZINC; VITAMIN C ACID

Current Illness:

ID: 1085186
Sex: F
Age:
State:

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Other side effects; Anaphylaxis; Anaphylaxis; A spontaneous report was received from a nurse, concerning a 32-year-old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced 2 episodes of anaphylaxis (onset: 28 Jan 2021 and 29 Jan 2021) and other unspecified side effects. The patient's medical history was not provided. No relevant concomitant medications were reported. On an unspecified date patient took her first of two planned doses. On 28 Jan 2021, prior to the onset of the events, the patient received their second of two planned doses of mRNA-1273 (lot/batch: 028L20A) intramuscularly for prophylaxis of COVID-19 infection. On 28 Jan 2021, the patient experienced the event of anaphylaxis (life threatening), within 30minutes after the second dose of vaccine. Hence, she received epinephrine and her condition did not improve so received a second dose of the same, also was treated with diphenhydramine and oxygen and sent home. Next day, on 29 Jan 2021, the patient again went into anaphylaxis, hence, received another epinephrine and was also given with prednisone due to which patient got better and was stable today. But, however, she still having other side effects but not anaphylaxis. The patient's clinical history says that on Sunday night she continued to be symptomatic with vaccine side effects. The patient was confirmed to be not pregnant. Treatment for event other side effects were unknwon. Action taken with mRNA-1273 in response to the events were not reported. The outcome of events anaphylaxis (onset: 28 Jan 2021) and anaphylaxis (onset date: 29 Jan 2021) was resolved on 29 Jan 2021. The outcome of event other side effects was considered unknown 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 the events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1085187
Sex: F
Age: 83
State: AL

Vax Date: 01/25/2021
Onset Date: 02/01/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Diarrhea; A-afib; A spontaneous report was received from an 83-year-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced diarrhea followed by exacerbation of her A-fib (atrial fibrillation). The patient's medical history included hypertrophic obstructive cardiomyopathy. Concomitant product use was not provided. On 25-Jan-2021, prior to the onset of events, the patient received their first of two planned doses of mRNA-1273 (batch number 011M20A) for prophylaxis of COVID-19 infection. On 01-Feb-2021 (reported a week later), the patient experienced persistent diarrhea. She stated, "I believe it's affecting my heart" and that "she went into A-fib since having diarrhea." Treatment information was not provided. Action taken with mRNA-1273 in response to the events was unknown. The events of diarrhea and atrial fibrillation were 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 the events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1085188
Sex: F
Age:
State: TX

Vax Date: 01/30/2021
Onset Date: 02/20/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Broke the bone of my eye socket (bottom part); Broke my right-hand wrist; Broke my right-hand wrist; I slipped outside while given food to birds; A spontaneous report was received from a consumer who was a 50- year-old female, patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced the events, slipped outside while giving food to birds(fall), broke her right-hand wrist (hand fracture; wrist fracture) and broke the bone of her eye (facial bone fracture). The patient's medical history was not provided. Concomitant medications reported included lisinopril and vitamins. On 30-JAN-2021, prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Lot: 010M20A) intramuscularly in the right arm for prophylaxis of COVID-19 infection. On 20-FEB-2021, patient reported that she slipped outside while giving food to birds. She stated that she broke her right hand and wrist as well as the bottom part of her eye socket. The patient was scheduled to receive the second dose of mRNA-1273 on 27-FEB-2021 and was unsure as to whether or not to get it due to the fact that she had recently received a Tetanus vaccine. Treatment for the events included a cast to the right upper extremity and a tetanus shot to the right arm on 20-FEB-2021. Action taken with mRNA-1273 in response to the events was unknown. At the time of this report, the events, slipped outside while giving food to birds(fall), broke her right-hand wrist (hand fracture; wrist fracture) and broke the bone of her eye (facial bone fracture), were considered recovering/resolving.; Reporter's Comments: This case concerns a 50 year old, female patient, who experienced a serious unexpected event of Facial bones fracture, hand fracture, wrist fracture, and fall, 22 day after receiving 1st dose of mRNA- 1273 (Lot# 010M20A). Based on the mechanism of action of mRNA-1273, the events are assessed as unlikely related to mRNA-1273. Further information has been requested.

Other Meds: LISINOPRIL; VITAMINS NOS; TETANUS VACCINE

Current Illness:

ID: 1085189
Sex: F
Age: 46
State: MA

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Hearing in her right ear is now muffled; Places her finger in her right ear, it feels numb; Couldn't get off the couch; Vomiting; Dizziness; Vertigo/Felt spinning all day long; No hearing in right ear; Left earache; Beeping noise right ear; Nauseated; Neck and shoulders were also achy; Head felt like it would explode; Ears were full of pressure; Neck and shoulders were also achy; Chills; Body aches; A spontaneous report, was received from a consumer (patient), a 46 years-old female patient, unknown race and ethnicity, who was administered Moderna's COVID-19 vaccine (mRNA-1273), and experienced no hearing in right ear (deafness unilateral), ears were full of pressure (ear congestion), neck and shoulders were also achy (neck pain), left earache (ear pan), beeping noise right ear (tinnitus), hearing in her right ear is now muffled (hypoacusis), place her finger in her right ear, it feels numb (hypoaesthesia), body aches (pain), dizziness, couldn't get off the couch (asthenia), vertigo/felt spinning all day long (vertigo), chills, neck and shoulders were also achy (arthralgia), head felt like it would explode (headaches), nauseated (nausea), and vomiting. The patient's medical history included ear infection as a child, hysterectomy (5 years ago) and knee surgery (8 years ago). The patient was allergic to penicillin and sulfa drugs. Concomitant medications were not reported. On 09 Feb 2021, prior to the onset one events, the patient received the second of planned doses of mRNA-1273 (Lot number: 001A21A), intramuscularly in the left arm for the prophylaxis of COVID-19 infection. On 09 Feb 2021, after administering the vaccine, at night she started experiencing a bad reaction which includes body aches and chills. On 10 Feb 2021, in the morning, the patient head felt like it would explode, reported headaches, and her ears were full of pressure. She stated that her neck and shoulders were also achy. The patient stated that she took acetaminophen as treatment medication. On 11 Feb 2021, in the morning, the patient had a left earache and no hearing in right ear except a beeping noise. The patient also stated that she was feeling nauseated and called her primary healthcare professional and was advised to go to urgent care on the same day. The patient stated that she was prescribed prednisone (one tablet three times a week) and ear infection was ruled out. On 13 Feb 2021, the patient experienced vertigo, dizziness, but body aches were mostly gone. On 14 Feb 2021, the patient stated that it was the worst day, as she couldn't get off the couch, felt spinning all day long, and was vomiting. On 15 Feb 2021, the patient reported that she threw up in the morning and was nauseated and dizzy. The patient stated that she then went to see ear nose throat (ENT) specialist. It was reported that the findings from ENT Specialist was hearing loss in right ear and was prescribed a prednisone dose pack and unknown anti-nausea medication. On 23 Feb 2021, the patient stated that the hearing in her right ear was now muffled and can't hear high pitch in right ear. The patient stated that the hearing loss was ongoing and was still experiencing headaches. The patient stated that she currently isn't working and can't drive. The patient also stated that if she places her finger in right ear, it feels numb. The patient stated that she was scheduled to have a magnetic resonance imaging (MRI) done on 10 Mar 2021, if her hearing doesn't return. Action taken with second dose of mRNA-1273 in response to the event was not applicable. The outcome of the events, no hearing in right ear, ears were full of pressure, left earache, hearing in her right ear is now muffled, place her finger in her right ear, it feels numb, head felt like it would explode, were considered as not recovered; that of event body aches was considered as recovering/resolving; that of events neck and shoulders were also achy, beeping noise right ear, dizziness, couldn't get off the couch, vertigo/felt spinning all day long, chills, neck and shoulders were also achy, nauseated and vomiting, were 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 events, a causal relationship cannot be excluded.

Other Meds:

Current Illness: Drug allergy (Sulfa); Penicillin allergy (Penicillin)

ID: 1085190
Sex: F
Age: 73
State: TX

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: heavy weight was pressuring their chest/experienced like a heavy thing was moving across their chest; hard time breathing as if earing several masks over their head/They felt their breathing was inhibited; oxygen level dropped to 80%; pulse was at 115; heart was really fastthrough the days, beating really fast and feeling it was moving up the throat given a choking feeling; A spontaneous report was received from a consumer who was a 73-year-old, female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced a heavy weight was pressuring their chest from the inside, and also felt like a heavy pressure coming from outside their body/Chest discomfort, like a heavy thing was moving across their chest, they had a hard time breathing as if earing several masks over their head felt their breathing was inhibited/dyspnea, oxygen level dropped to 80%/oxygen saturation decreased, pulse was at 115/ heart rate increased, felt their heart was fast trough the day regularly, for 5 days, beating really fast and feeling like it was moving up their throat, giving them a choking feeling/choking sensation. The patient's medical history included high blood pressure, and thyroid disorder. Concomitant medications included enalapril hydrochlorothiazide, simvastatin for "cholesterol" and a "thyroid medication." On 29-Jan-2021, at 0931, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Lot number: 004M20A ) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 29-Jan-2021, 46 minutes after vaccine administration, patient reported that she started feeling like a heavy weight was pressuring her chest from the inside and also felt like a heavy pressure was coming from outside her body. At 1100, she stated that she experienced a feeling like a heavy thing was moving across her chest and she reportedly had a hard time breathing. Her oxygen level dropped to 80%, but by breathing intensely she managed to bring it to 84-87%. She reported her pulse to be 115. All of these symptoms lasted for 20 minutes. Later, she reported that her oxygen level returned to 90% and then eventually to 94%. However, she reported that for the next few days she felt like her heart rate was fast through the day, for about 5 days. She said that she felt like it was beating really fast and felt like it was moving up her throat, giving her a choking feeling. Since last Friday, 05-Feb-2021, she stated that she has had no more problems. Patient reached out to her HCP who denied her any post-vaccine related attention. Treatment activities for event included taking ibuprofen 600 mg after the vaccination. Action taken with mRNA-1273 in response to the events was unknown. The outcome of event, experienced a heavy weight was pressuring their chest from the inside, and also felt like a heavy pressure coming from outside their body, like a heavy thing was moving across their chest, they had a hard time breathing as if earing several masks over their head felt their breathing was inhibited, oxygen level dropped to 80%, pulse was at 115, was considered recovered/resolved.; Reporter's Comments: This case concerns a 73-year-old female who experienced serious unexpected events of Chest discomfort, dyspnea, oxygen saturation decreased along with a nonserious unexpected events of heart rate increased and choking sensation. Event onset 46 minutes after the first dose of mRNA-1273. Treatment with ibuprofen. Events resolved. Based on 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: ENALAPRIL+HCTZ; VASTATIN

Current Illness: Cholesterol blood increased (Patient reported using cholesterol medication.); Hypertension (High blood pressure); Thyroid disorder (Patient reported use of thyroid medication.)

ID: 1085191
Sex: M
Age: 85
State: IL

Vax Date: 01/26/2021
Onset Date: 02/21/2021
Rec V Date: 03/09/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: UTI; weakness; neck pain; A spontaneous report was received from a healthcare professional concerning an 85-year-old, male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced UTI (urinary tract infection), weakness (asthenia) and neck pain. The patient's medical history was not provided. Concomitant medications were not reported. On 26-Jan-2021, the patient received the second of two planned doses of mRNA-1273 (LOT/BATCH: 029K20A) intramuscularly in the right arm for prophylaxis of COVID-19 infection. On 21-Feb-2021, the patient went to the hospital and was admitted for two days for UTI, weakness, and neck pain. Treatment for the events was not reported. 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, UTI, weakness and neck pain, 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: 1085192
Sex: F
Age: 73
State: IN

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 03/09/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: cellultis; left lower leg turned stop-light red; swollen; itchy; A spontaneous report was received from a consumer who was a 73-year-old, female patient who received Moderna's COVID-19 vaccine and who developed cellulitis, her left lower leg turned stop-light red, swollen and itchy. The patient's past medical history included cellulitis. No relevant concomitant medications were reported. On 19-Feb-2021, approximately 2 hours prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (LOT/BATCH: 016M20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On the day of vaccination, the patient reported that her left lower leg turned stop-light red and that it became swollen and itchy. The patient was admitted to the hospital 20-Feb-2021 through 22-Feb-2021 where she was treated with intravenous vancomycin. Treatment for the event included intravenous vancomycin. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events, cellulitis, her left lower leg turned stop-light red, swollen and itchy, 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:

Date Died: 02/22/2021

ID: 1085193
Sex: F
Age: 69
State: CA

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Unconscious; Felt a bit sore at the injection site; A spontaneous report was received from a consumer and healthcare facility staff member concerning a 69 years old, female patient who experienced little bit sore at the injection site, unconscious and passed away. The patient's medical history was not provided. No relevant concomitant medications were reported. On 22 Feb 2021, prior to the onset of the symptoms, the patient received their second of two planned doses of mRNA-1273 (Batch number not provided) intramuscularly for prophylaxis of COVID-19 infection. The patient experienced sore at the injection site and unconsciousness both since 22 Feb 2021. The husband of the patient performed CPR as instructed by 911 and EMT's and police performed medical procedure which included injections and electrical shock both on 22 Feb 2021. The patient died on 22 Feb 2021. Treatment information was not 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 patient died on 22 Feb 2021. The cause of death was unknown. Plans for an autopsy were not provided.; Reporter's Comments: This is a case of death of a 59-year-old, female patient who experienced injection site sore and became unconscious on the same day after mRNA-1273 administration and subsequently expired. Although critical details such as the patient's medical history and actual cause of death is lacking, based on the current available information which shows a strong temporal association with the product use, thus, a causal relationship cannot be excluded. injection sore is consistent with product safety profile and cannot be excluded.; Reported Cause(s) of Death: Unknown cause of death

Other Meds:

Current Illness:

ID: 1085194
Sex: M
Age: 69
State: MI

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/09/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: could not breath; violent shaking in the right arm; could not walk; legs and knees were in a lot of pain/arms hurt; warm feeling over face; blurred vision in left eye; lost vision in the left eye, only had peripheral vision; sick to stomach; achy; Fever; upset stomach; legs and knees were in a lot of pain/pain in hip/knees, arms and hand joints both hurt; Hip and pelvic area had pain; feet burning; A spontaneous report was received from a consumer who was also a 70-year-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced upset stomach, violent shaking in right arm, legs and knees in lot of pain, could not walk and breath, fever, hip and pelvic pain, feet burning, achy and sick to stomach, warm feeling over face, loss of vision, blurred vision, and hands hurt. Medical history included hip prosthesis and COVID-19. Concomitant medications included atorvastatin calcium. On 26 Feb 2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (lbatch: 023M20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. By noon on 26 Feb 2021, he started getting minor side effects (not specified). By that evening, he had an upset stomach. A little after 11 pm, he experienced violent shaking in the right arm. His legs and knees were in a lot of pain and he could not walk. His family called 911 because he could not breath and was admitted to the ER. A thorough check up was done (not further specified) and he had documented leg and knee pain and fever. hip and pelvic area had pain, he could not walk, his feet were burning. He also felt achy and sick to his stomach. The patient said his adverse events were similar to when he had COVID-19 but said this was worse. On 28 Feb 2021, the patient lost vison in his left eye, only had peripheral vision, along with blurred vision in his left eye. His knees, arms, and hand joint both hurt. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The events resolved on 01 Mar 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: LIPITOR

Current Illness:

ID: 1085195
Sex: F
Age:
State: GA

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Double pneumonia; A spontaneous report was received from a consumer (daughter of the patient) for a female patient of an unspecified age who received Moderna's COVID-19 vaccine (mRNA-1273) and who developed double pneumonia. Patient had heart problems. No concomitant product use was reported. On 03- Feb-2021, the patient received their first dose of mRNA-1273 (Lot number: unknown) intramuscularly for prophylaxis of COVID-19 infection. On an unknown date the patient developed double pneumonia. Patient was hospitalized on 26-Feb-2021. The reporter believed the hospitalization had nothing to do with the vaccine. She was just concerned about re-scheduling the second vaccine appointment. Serious ness criteria: Hospitalization Treatment information was unknown. Action taken with mRNA-1273 was unknown. The outcome of the event of double pneumonia 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: Heart disorder

ID: 1085196
Sex: F
Age: 69
State: OH

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Feeling faint; Light headed; Fatigue; Diarrhea; Nausea; Vomited; Sore arm; A spontaneous report was received from a consumer concerning a 69-Years old, female patient who experienced the events syncope, dizziness, pain in extremity, diarrhoea, nausea, vomiting and fatigue. 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 metformin for diabetes type 2, valsartan 25mg for high blood pressure and paroxetine for anxiety and depression. On 09 Feb 2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (lot/batch: 031M20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 09 Feb 2021, the patient experienced sore arm. On 11 Feb 2021, the patient felt very bad had nausea and vomited. The patient also experience diarrhea on the same day. On 12 Feb 2021, the patient woke up with feeling faint and lightheaded. The patient reported that she cannot put anything in their mouth and experienced fatigue. The event syncope was considered to be serious with seriousness criteria - medically significant and all other events were non-serious. Action taken with mRNA-1273 in response to the events was not unknown. The outcome of the events syncope, dizziness, pain in extremity, diarrhoea, nausea, vomiting and fatigue 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 these events, a causal relationship cannot be excluded.

Other Meds: METFORMIN; VALSARTAN; PAROXETINE

Current Illness:

ID: 1085197
Sex: M
Age:
State: DE

Vax Date: 02/05/2021
Onset Date: 02/01/2021
Rec V Date: 03/09/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: has a whole lot of fluid; was weak and all sorts of a mess/Had been really weak; This is a spontaneous report from a contactable consumer (patient's wife) via a medical information team. An 85-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/lot number: Not Provided, NDC number: Not Provided, Expiration date: Not Provided), via an unspecified route of administration on 05Feb2021 at single dose for COVID-19 immunisation. The patient's medical history included sick prior to receiving the vaccine. Concomitant medications were not reported. It was reported that, caller (75-year-old, female) and husband received the first dose of the COVID vaccine on 05Feb2021. Caller has information that the vaccination center provided that states, "you should receive your second dose between 26Feb2021 and 01Mar2021. You should receive your second dose for maximum protection. Follow-up to receive the second dose." Caller asked, "where do I need to get the second shot". Caller stated that she took her husband to the hospital on Wednesday. Caller states that her husband was already sick prior to receiving the vaccine and the hospital admission was "not from the vaccine." Caller states that her husband "was weak and all sorts of a mess on an unspecified date in Feb2021." Caller states that "they drained fluid out of him yesterday (on an unspecified date in Feb2021) and he should be home sometime by the end of next week." Caller was a woman who was calling to seek information about where her and her husband could go to get the second dose of the COVID vaccine. Caller states that her husband was in the hospital, but he should be home some time. Caller stated she needs to know where she can take her husband to get the second dose of the vaccine. Caller reports her husband has been in the hospital on an unspecified date in Feb2021 because he has a whole lot of fluid on an unspecified date in Feb2021. Caller states that her husband has been sick for a while, and on Wednesday she took him to the hospital. Caller reports that the hospital called her yesterday and they said they had to drain a lot of fluid out of him, and they wanted to keep him. Caller states that he had been really weak on an unspecified date in Feb2021. Caller states that this doesn't really have anything to do with the COVID vaccine. The event has a whole lot of fluid was considered as serious (hospitalization) by the consumer. The outcome of the events was unknown. Information on the lot/ batch number has been requested.

Other Meds:

Current Illness:

ID: 1085199
Sex: M
Age:
State: WV

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: I developed severe chills immediately after lifting a 40 pound object off of the floor using both arms; severe full body aches; headaches; This is a spontaneous report from a contactable consumer (patient). A 36-year-old male patient received second dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: EN6200), via an unspecified route of administration in left arm on 24Feb2021 00:30 at single dose for COVID-19 immunisation. Facility type vaccine was hospital. The patient medical history was not reported. No covid prior vaccination. No known allergies. There were no concomitant medications. The patient previously took first dose bnt162b2 (lot number=EL9269, vaccine location=Left arm]) at the age of 36-year-old on 05Feb2021 11:30 PM for COVID-19 immunization. Patient did not receive other vaccine in four weeks. Patient developed severe chills immediately after lifting a 40 pound object off of the floor using both arms. The room temperature was 73 degrees. Patient put on thermal clothing, wrapped himself in a heated blanket and placed an additional blanket on top, with no relief. Patient debated calling #. Patient was afraid patient would go into shock if patient couldn't get warm. Patient finally found relief by sitting in front of a propane heater, where patient eventually slept. Patient had severe full body aches, chills and headaches for four days which patient treated with ibuprofen and Tylenol. Event onset date was 24Feb2021 23:00. AE resulted in: [Life threatening illness (immediate risk of death from the event)]. No covid tested post vaccination. Therapeutic measures were taken as a result of events (Heat therapy, tylenol, ibuprofen). The outcome of events was reported as recovering.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm