VAERS 2021 Database www.vaers.hhs.gov

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







Manufacturers

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

COVID19 Lot Number

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

Incidents per State

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

ID: 0941144
Sex: F
Age: 46
State: CA

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

Lab Data: N/A

Allergies: Bees, Ciprofloxacin

Symptoms: Per patient: shortly after injection felt pain in opposite arm and was having slight trouble breathing/clearing throat. Patient didn't report symptoms to clinic staff and returned to work after the observation period. Around an hour after receiving the injection, the symptoms were getting worse enough to call for help. She returned to the vaccination clinic and an EpiPen was administered (911 was also activated).

Other Meds: Metformin, Elmiron

Current Illness: Not known

ID: 0941145
Sex: F
Age: 37
State: MI

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Norco

Symptoms: Rash covering my neck, breasts, abdomen and back. The rash is pink and slightly raised and itchy at times.

Other Meds: Singulair, multivitamin, probiotic

Current Illness: None

ID: 0941146
Sex: F
Age: 46
State: NY

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: Treatment with antibiotics. Follow up with PMD and work clinic.

Allergies: Seasonal, Buckwheat

Symptoms: Pt with pain, swelling and redness to left arm.

Other Meds: None

Current Illness: Denies

ID: 0941147
Sex: F
Age: 37
State: TX

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: Unconfirmed allergy (hives, rash, swelling) to amoxicillin; unconfirmed allergy to nickel (hives, rash)

Symptoms: Fatigue, arm soreness, body aches, malaise, back pain, abdominal pain (all symptoms mild and resolved in 1 day)

Other Meds: None

Current Illness: None

ID: 0941148
Sex: F
Age: 35
State: VA

Vax Date: 12/16/2020
Onset Date: 12/16/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: Negative home pregnancy tests 01/07/2021, 01/09/2021, 01/12/2021

Allergies: None

Symptoms: Dose # 1- Disseminated Nonpruritic rash Dose # 2 - chills, myalgia Both- Amenorrhea with negative preg tests. This is atypical for me.

Other Meds: DesogenBCP, VitaminC, VitaminD, Multi-Vitamin

Current Illness: None

ID: 0941149
Sex: F
Age: 49
State: MA

Vax Date: 12/29/2020
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Patient report a rash that developed significantly long after receiving her covid vaccine on 12/29. She reported the development of the rash on 1/8 and described it as warm to touch as well as 4cm growing to 6cm in size. The rash contained a small node that was raised at the injection site surrounded by a rose-colored rash. patient reported 1/11 that the rash has improved and it is barely noticeable.

Other Meds:

Current Illness:

ID: 0941150
Sex: F
Age: 72
State: TX

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

Lab Data: 150/82

Allergies: None

Symptoms: Pt states her left side of face/head and neck felt numb. States symptoms are improving.

Other Meds: Lisinopril

Current Illness: None

ID: 0941151
Sex: F
Age: 17
State: MN

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Client is 17 years old and 8 months. Moderna should be given to 18 years of age and older.

Other Meds:

Current Illness:

ID: 0941152
Sex: F
Age: 53
State: MI

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Penicillin, Biaxin, Ceclor, Relistor, Vantin, Zithromax, Latex, PCE Dispertab, tea tree topical

Symptoms: fever 101.4, malaise

Other Meds:

Current Illness:

ID: 0941153
Sex: M
Age: 72
State: IL

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: none

Allergies: penicillin

Symptoms: tiredness, headache, feeling unwell, muscle pain

Other Meds:

Current Illness:

ID: 0941154
Sex: F
Age: 49
State: TX

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

Lab Data:

Allergies: Amoxicillin

Symptoms: The day after receiving the vaccine I felt severe nausea and dizziness. My body was aching to the point that I was unable to even do the lightest of my daily activities. I had severe muscle aches and pains. I had fevers in the range from 103.7 to 104.5. The symptoms continued throughout the day. One week later, I still have muscle pains in various areas of my body.

Other Meds: None

Current Illness: None

ID: 0941155
Sex: F
Age: 36
State: PA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: denies

Symptoms: 1/11/21 8 am-received covid vaccine to left arm and left arm became painful around 10 am on 1/11/21 and she noticed a big read spot on left arm. She states that she could not sleep all night and left arm is still painful, feels like a lump, and is very red. Pt. states that she took tylenol lastnight. Pt. states that it helped with the pain.

Other Meds: synthroid

Current Illness: denies

ID: 0941156
Sex: F
Age: 51
State: MO

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I received the vaccine on Monday at 4:30, around 5:30 I noticed my tongue feeling weird, no difficulty swallowing, no resp issue and no rash. I took 25 of Benadryl and went about my evening. Tuesday around 12:00 I had that same sensation but a little stronger, I would call it a tongue swelling but no resp issues or swallowing problems. I called my PCP and he recommended me to take Zyrtec (which I take 1 daily) BID and Benadryl prn. I took 3 doses of Benadryl Tuesday and a Zyrtec Tuesday night and one Wednesday and around 8:15 had the same sensation, tongue swelling but milder. I immediately took 50 mg of Benadryl and called my Dr again and he recommended a steroid pack and Benadryl prn and to not take the 2nd dose.

Other Meds: Vitamin D3 2000 qd, Zyrtec qd, Zinc Glycinate 20 bid and Xymogen BioC 1:1 and I started the Xymogen 6 day detox on Sunday.

Current Illness: None

ID: 0941157
Sex: F
Age: 39
State: MN

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

Lab Data:

Allergies: No

Symptoms: About 15 minutes after injection arm became numb and tingly. Almost like a foot "falling asleep". About 25 minutes after I started to feel tingly on the same side of my neck as the injection. It is now 4 hours later and my arm is still numb to my fingers.

Other Meds: Mulitvitmin

Current Illness: No

ID: 0941158
Sex: F
Age: 42
State: IN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Insomnia, I was not able to sleep after my 12hr shift which is highly unusual for me. I was awake for a total of 45-50hrs before I could fall asleep. I finally took Benadryl 50mg and Melatonin 40mg and was able to fall asleep.

Other Meds: Flow vent BCP Singulair Metformin

Current Illness:

ID: 0941159
Sex: F
Age: 21
State: MT

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

Lab Data:

Allergies:

Symptoms: "I had arm and armpit soreness that evening and still am experiencing some today along with lymph node swelling on the same side where the shot was administered. The night of the 9th I experienced dizziness, chills, and nausea. I woke up with a 102 fever on Sunday which continued into Monday morning. I also had a headache all day Sunday the 10th and was very fatigued."

Other Meds:

Current Illness:

ID: 0941160
Sex: M
Age: 32
State: MN

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Lymph nodes under left arm swollen to the point of visual bulging from scapula to pectoral.

Other Meds: Zyrtec

Current Illness: None

ID: 0941161
Sex: F
Age: 35
State: NY

Vax Date: 12/31/2020
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: Evaluated by employee health 1/13 given prednesone and ceflax

Allergies:

Symptoms: A week following injection I developed a raised red hot to the touch rash. Monitored for a few days per employee health take benedryl and tylenol. No change rash proceeded to get bigger. Was given steroid and antibiotic

Other Meds: Lisinopril

Current Illness:

ID: 0941162
Sex: F
Age: 80
State: CO

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: Allergic to adhesive tape.

Symptoms: I was achy all over, injection site was hot, swollen, red and hard. I had a fever of 101.3. Because I was so miserable, I took two tylenol and hours later my fever broke and the achiness is better. Injection site is still hot, swollen, red and hard.

Other Meds: Simvastatin, Levothyroxine, Prolia shot, Omeprazole, Potassium Chloride, Losartan, Furosemide, Fluoxetine. OTC - Citracal +D, Curcum Evail, Women's One a Day Vitamin, Aspirin 81 mg, Mucinex DM, Vitamin C and Vitamin D, Tylenol

Current Illness: Fell on December 24, 2020 and fractured and dislocated my left shoulder. The only medication I was taking for this was Tylenol.

ID: 0941163
Sex: U
Age: 32
State:

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: COVID positive

Other Meds:

Current Illness:

ID: 0941164
Sex: F
Age: 49
State:

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: headache, chills, shivering, muscle aches

Other Meds:

Current Illness:

ID: 0941165
Sex: F
Age: 55
State: PA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: Fainting-Medium

Other Meds: erythromycin, sulfacetamide

Current Illness:

ID: 0941166
Sex: F
Age: 72
State: OK

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Amoxicillin Clavulanate

Symptoms: Pt reports same symptoms she had with Covid exposure in October. Fever, chills, body aches, weakness, loss of appetite, difficulty breathing.

Other Meds: traZODone HCl Oral 50 MG 1 Tab(s) once daily at bedtime Sertraline HCl Oral 100 MG 1.5 Tab(s) take 1 and 1/2 tab daily Levothyroxine Sodium Oral 50 MCG 1 Tab(s) once daily busPIRone HCl Oral 7.5 MG 1 Tab(s) twice daily Atorvastatin Calc

Current Illness: Recovering from Covid+ on 10/30/2020. CodeDescriptionDate U071COVID-19 acute respiratory disease (O)11/18/2020 J1289Other viral pneumonia (O)11/18/2020 I10Essential (primary) hypertension (E)11/18/2020 F418Other specified anxiety disorders (E)11/18/2020 G8929Other chronic pain (E)11/18/2020 G4700Insomnia, unspecified (E)11/18/2020 E039Hypothyroidism, unspecified (E)11/18/2020 E785Hyperlipidemia, unspecified (E)11/18/2020 Z9981Dependence on supplemental oxygen (E)11/18/2020 Z7982Long term (current) use of aspirin (E)

ID: 0941167
Sex: U
Age: 43
State:

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: About 12 hours after vaccine, had swelling of lymph nodes in the neck, groin, and underam, sore throat, cough and "subjective" fever (no thermometer available with chills); 1/6- reported metallic taste in mouth, then losing the sense of taste.

Other Meds:

Current Illness:

ID: 0941168
Sex: F
Age: 35
State: IN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Papaya

Symptoms: Body Aches- 400mg ibprofen taken 20 hours after vaccine Fatigue- went to bed early on following day Pain at injection site- refer to treatment for body aches. Pain persists 45 hours later.

Other Meds:

Current Illness:

ID: 0941169
Sex: M
Age: 50
State: PA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Neurontin

Symptoms: Vaccine received at 5:00 pm on 1/12/21. Around 2:00 am on 1/13/21 I experienced chills and profuse sweating which lasted for about 3 hours. Thereafter I have fatigue and generalized aching.

Other Meds: Met form in, amaryllis, trulicity, insulin

Current Illness: None

ID: 0941170
Sex: F
Age: 43
State: CA

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: arm swelling, itching, hard knot, went to MD who treated for cellulitis,

Other Meds:

Current Illness:

ID: 0941171
Sex: F
Age: 42
State:

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

Lab Data:

Allergies:

Symptoms: Headache and mild sweating

Other Meds:

Current Illness:

ID: 0941172
Sex: M
Age: 41
State: AZ

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: High Fever 101.6 F, lethargy, Confusion, Muscle/Joint aches and pains, headache, Tiredness, Chills all started about 17 hours after the shot(vaccine) Fever finally broke after taking 1000mg Tylenol. About 40 hours after the vaccine I felt normal again with just a mild aches and pains in joints.

Other Meds: Losartan Potassium 25mg

Current Illness: None

ID: 0941175
Sex: F
Age: 51
State: IA

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: Bacitracin/neomycin/polymyxin B topical - unknown Doxycycline - unknown Influenza virus vaccine - blistering eruption Sulfa drugs - unknown

Symptoms: Pt received COVID vaccine on 12/27/2020 at 1421 and tolerated well. By 1700 that same day, pt felt flushed in her hands and face. She felt a little short of breath. She started to get fluid-filled blisters on bilateral palms. This is a milder form of the reaction pt has to flu vaccines (she was advised by PCP not to receive flu vaccines because of the blistering). Pt took diphenhyramine 25 mg PO x 1 and the fluid-filled blisters resolved within a few hours. 12/28 around 0330, pt awoke and felt like her right carotid was "pulsating." Pt drank water, did not go back to sleep. "Pulsating" resoved within an hour. No other symptoms develped. In the morning, pt called employee health RN who instructed her to contact PCP and report the reaction. Pt called PCP who advised pt not to get second dose of vaccine due to her reaction to COVID and the flu vaccines.

Other Meds: Ascorbic acid 500 mg tab PO QD PRN Black elderberry caps PO QD PRN

Current Illness:

ID: 0941176
Sex: F
Age: 31
State: CA

Vax Date: 12/20/2020
Onset Date: 12/20/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I have a Nexplanon implant and haven't had my period for more than a year now. After getting the vaccine, I noticed some bleeding again. I have two other coworkers who had the same experience. One with an implant and another taking pill contraceptive.

Other Meds: Vit C, Pepcid

Current Illness: None

ID: 0941179
Sex: M
Age: 70
State: NJ

Vax Date: 01/07/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: Chest x ray CBC, CMP, TSH, T4, U/A with reflex to U/C all performed 1/12/21

Allergies: bactrim, clobezam, sulfa

Symptoms: Approximately 5 days after receiving vaccine patient presented to office complaining of worsening resting hand tremors and had a temperature of 101 F. No other source of infection found including negative chest x ray and urine studies. CBC was within normal limits. Patient with seizure history however never had symptoms similar to this. Neurological exam normal in office. Fever resolved the next day.

Other Meds: zoloft, lisinopril, trazodone, levetiracitam, aspirin, nayzilam, omeperazole, vimpat, xcopri

Current Illness: none known

ID: 0941180
Sex: U
Age:
State: IL

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No further AE information available.; Caller reporting AE for PROQUAD. Caller states a dose was given today (1/11/2021) that expired on 1/5/2021.; This spontaneous report was received from a medical assistant, referring to a patient of unknown age and gender. The patient's pertinent medical history, current conditions, previous drug reactions or allergies and concomitant medications were not provided. On 11-JAN-2021, the patient was vaccinated with an expired dose (expired product administered) of measles, mumps, rubella and varicella (oka-merck) virus vaccine live (rHA) (PROQUAD), at a dose of 0.5 milliliter (ml), as prophylaxis (formulation, strength, vaccination scheme, anatomical site of vaccination and route of administration were not reported, lot number S021328 which has been verified to be valid, expiration date reported and validated as 05-JAN-2021). There was no previous temperature excursion reported. No additional adverse events were reported.

Other Meds:

Current Illness:

ID: 0941181
Sex: F
Age:
State: OH

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Given a first dose of the Moderna vaccine of 1ml instead of .5 ml; A spontaneous report was received from a pharmacist concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and was given a first dose of the Moderna vaccine of 1 mL instead of 0.5 mL. The patient's medical history was not provided. No relevant concomitant medications were reported. The patient received their first of two planned doses of mRNA-1273 on 29 Dec 2020 intramuscularly for prophylaxis of COVID-19 infection. During the administration, the pharmacist stated that the patient was given a first dose of the vaccine of 1.0 ml instead of 0.5 ml. Treatment information was not provided. Action taken with mRNA-1273 in response to the event was not reported. The outcome of event was not reported.; Reporter's Comments: This case concerns a female patient who received their first of two planned doses of mRNA-1273 (Lot 011L20A), reporting Incorrect dosage administered without any associated adverse events.

Other Meds:

Current Illness:

ID: 0941182
Sex: M
Age: 55
State: FL

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: vaccine leaked; Very minimal pain in my arm; A spontaneous report was received from a non-health professional concerning a 55-year-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced very minimal pain in arm and vaccine leaked. The patient's medical history was not provided. No relevant concomitant medications were reported. On 29 Dec 2020, the patient received their first of two planned doses of mRNA-1273 intramuscularly in the left deltoid for prophylaxis of COVID-19 infection. On 29 Dec 2020, during vaccine administration, the patient experienced vaccine leaked and very minimal pain in arm. The patient was unsure whether he received the full vaccine dose due to the leak. Treatment information was not provided. Action taken with mRNA-1273 in response to the events was not provided. The outcome of the event, very minimal pain in my arm, was not reported. The outcome of the event, vaccine leaked, was considered resolved on 29 DEC 2020.; Reporter's Comments: This case concerns a 55 year old male patient. The patient's medical history is not provided. The patient who experienced an unexpected event of vaccine leakage. The event occurred on 29 Dec 2020 during administration of the first dose of mRNA-1273. The event is unrelated to mRNA-1273. The patient experienced very minimal pain in the arm. This will be assessed after the updating of the event term.

Other Meds:

Current Illness:

ID: 0941183
Sex: F
Age: 53
State: PR

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: PAIN INJECTION SITE,HEADACHE,CHILLED,FEVER, SWELLING INYECCION SITE AND INFLAMATION IN GANGLIOS.

Other Meds: TYLENOL

Current Illness: NONE

ID: 0941184
Sex: M
Age:
State: NM

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patients under the age of 18 were administered a COVID vaccine; A spontaneous report was received from a pharmacist concerning a 17 year-old, male, patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced patients under the age of 18 were administered a COVID vaccine. The patient's medical history was not provided. No relevant concomitant medications were reported. On 29 Dec 2020, the patient received his first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection. On 29 Dec 2020, a male patient, age 17 years old, was administered the COVID vaccine. Treatment information was not provided. Action taken with mRNA-1273 in response to the event was not reported. The event, patients under the age of 18 were administered a COVID vaccine, was considered resolved 29 Dec 2020.; Reporter's Comments: This report refers to a case of product administered to patient of inappropriate age for mRNA-1273, lot # unknown. There were no reported AEs associated with this case of product administered to patient of inappropriate age.

Other Meds:

Current Illness:

ID: 0941185
Sex: F
Age: 34
State: AR

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: FEVER, HEADACHE, VOMITING, ARM TWITCHING, ARM RED

Other Meds:

Current Illness:

ID: 0941186
Sex: F
Age: 46
State: ID

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Wheat and some antibiotics

Symptoms: Body aches, joint pain, headache, feeling light headed, intestinal cramping, chills

Other Meds: Levothyroxzine

Current Illness: None

ID: 0941187
Sex: F
Age: 39
State:

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: COVID positive

Other Meds:

Current Illness:

ID: 0941188
Sex: F
Age: 59
State: NY

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

Lab Data: Repeat COVID test that returned negative

Allergies: Morphine - makes her vomit; hazelnut - tongue feels hot

Symptoms: Patient developed a sustained headache after vaccine, that has persisted to this day, though has gotten a bit better

Other Meds: Metformin, Lipitor, Lantus insulin, irbesartan, MVI

Current Illness: No. Was COVID positive on December 11th.

ID: 0941189
Sex: F
Age: 22
State:

Vax Date: 12/19/2020
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: N/A

Allergies: Pineapple, Bees

Symptoms: Within one hour of getting first dose of vaccine PT sts she experienced a headache and sore throat, a few hours later, vomiting, and diarrhea began. on 20DEC20 PT sts headache continued and vomiting began. Diarrhea and vomiting continued intermittently over following 48 hrs. Pt went home 20DEC20 from work and was able to resume regular duties the next day with intermittent diarrhea.

Other Meds: Lithium, Prozac

Current Illness: N/A

ID: 0941190
Sex: F
Age: 26
State: FL

Vax Date: 01/04/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: monitored vitals

Allergies:

Symptoms: within the first 15 minutes she had chills fever and dizziness. she was kept for 2 hours in observation area

Other Meds:

Current Illness:

ID: 0941191
Sex: F
Age: 29
State: KS

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

Lab Data: None

Allergies: Biaxin & Codiene

Symptoms: On 1/6/2021, Felt like she got hit by a train. Fever 102. Body aches from head to toe. Dizziness with intermittent slight rash. On 1/7/2021 she developed severe muscle pain, joint pain, fever, and intermittent lightheadedness and dizziness. She went to the emergency room on 1/10/2021 but no changes made in medications. She reports her BP was 207/111 and her pulse was 165/minute and still runs that high now. She had hypertension and tachycardia. About 1.5 years ago she had a history of hypertension and tachycardia. 1/12/2021 this person continued to have hypertension and tachycardia. Instructed to make an appointment to see her primary physician.

Other Meds: Eliquis 5mg BID, LISINOPRIL 5MG DAILY

Current Illness: none

ID: 0941192
Sex: F
Age: 73
State: TX

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Injection site pain, swelling, tenderness and redness; fatigue, headache, muscle pain, chills, nausea and fever (101), some lightheadedness

Other Meds: Ramipril, Hydralazine HCL, Amlodipine Besylate, Rosuvastatin Calcium, AVONEX, FORTEO, low dose aspirin, multivitamin, vitamin D3, vitamin E, Ubiquinol, Citicoline

Current Illness: urinary tract infection (mild)

ID: 0941193
Sex: F
Age: 73
State: TX

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: no

Allergies: sulfur

Symptoms: Did not have the Lot #. Jan4-Jan11 had no reactions. 1/12, 8am notice the right arm was itching at the inj site all day. 1/13 8am saw a red circle around the inj site with swelling and hardness, redness and heat. No pain no fever.

Other Meds: Levothyroxid50mg, turmeric curcumin50mg, d3 gummy50mg,

Current Illness: no

ID: 0941194
Sex: F
Age: 27
State: IA

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Starting 24 hours after injection, employee started to develop a red, hot, tender patch of induration around the injection site. This steadily increased in size and severity over days 2 and 3 post injection. The reaction finally resolved 14 days after injection.

Other Meds:

Current Illness:

ID: 0941195
Sex: F
Age: 50
State: SD

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

Lab Data: None

Allergies: itching with morphine

Symptoms: Numbness and tingling around lips started 18 minutes following administration of injection and began spreading to cheeks. Administered one epi-pen in left thigh. Improvement of symptoms took 15 minutes post-administration of epi-pen. Seen by PA on-site

Other Meds: Diclofenac, Wellbutrin XL, Lexapro, Myrbetriq, iron, Zetia

Current Illness: None

ID: 0941196
Sex: U
Age:
State: CT

Vax Date: 01/05/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Adhesives

Symptoms: 5 days after injection pain, redness, swelling, itchy, stinging, hives and hot to the area around the injection site. Swelling and redness 6 inches by 3 inches area affected

Other Meds: Calcium, flaxseed capsule, B12, fiber capsules

Current Illness:

ID: 0941197
Sex: F
Age: 70
State: TX

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Arythromiacin (antibiotic)

Symptoms: Mild headache prior to receiving the Vaccine but the head pain has increased to severe in the hours and day afterwards. All other symptoms (body aches, sore arm etc) are minor Patient has taken 500 mg Tylenol the afternoon of the vaccine and 1000 mg the day afterwards with little affect.

Other Meds: over the counter multivitamin and Zirtec

Current Illness: mild headache

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm