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: 1431368
Sex: F
Age: 88
State: MI

Vax Date: 03/17/2021
Onset Date: 06/06/2021
Rec V Date: 06/28/2021
Hospital: Y

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

Lab Data:

Allergies: Avapro, Benicar, lidocaine, Macrobid, quinidine-quinine analogues, sulfas, cozaar

Symptom List: Dysphagia, Epiglottitis

Symptoms: Fully vaccinated patient admitted to hospital with detected COVID PCR test. Patient with positive COVID swab in ED on 05/31/21. Came to ED with leg swelling, weakness. Discharged home on 1 L/NC of O2 due to lower O2 sats 92-94%. Patient seen again in ED on 06/06/21 this time for increasing shortness of breath, increasing oxygen demand, and icnreased work breathing. O2 needs since last ED visit increased to 2-3 L. Admitted to hospital for COVID infection and CHF exacerbation. Treated with aggressive diuretics, remdesivir, and dexamethasone. Blood cultures tested positive and was started on IV ATB's. Patient discharged back to AFC with Hospice services.

Other Meds: Xanax, Norvasc, vitamin C, Tenormin, calcium supplement, D3 supplement, celexa, B12 supplement, digoxin, multivitamin, Neurontin, Lasix, levothyroxine, melatonin, K-dur, Pravachol, Flomax, coenzyme 10, coumadin, sinc

Current Illness: increasing weakness and failure to thrive

ID: 1431369
Sex: F
Age: 45
State: CT

Vax Date: 06/28/2021
Onset Date: 06/28/2021
Rec V Date: 06/28/2021
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: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Administered expired MMR II vaccine with expiration date of 2020NOV01

Other Meds:

Current Illness:

ID: 1431370
Sex: M
Age: 20
State: MA

Vax Date: 06/24/2021
Onset Date: 06/24/2021
Rec V Date: 06/28/2021
Hospital: Y

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: None known

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

Symptoms: Chest pain developed later on the same day as his 2nd Moderna COVID-19 vaccine dose. He presented to the emergency department on 6/27/21. Other symptoms, including body aches, headaches, and fatigue resolved prior to presentation. The chest pain resolved completely by 6/28/21, the day after presentation. He was given ibuprofen for pain management. He was monitored on telemetry without significant events as of the time of this report. He was being treated for a presumed diagnosis of myocarditis secondary to the Moderna COVID-19 vaccine.

Other Meds:

Current Illness: None known

ID: 1431371
Sex: F
Age: 33
State: TX

Vax Date: 06/22/2021
Onset Date: 06/22/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: Macrobid, cephaloxime

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Constant dizziness, migraines & elevated blood pressure (not typical) every day since injection.

Other Meds: Daily- Adderall xr, multivitamin, probiotic gummy, gabapentin, omeprazole, calcium citrate/d3 chew, amitriptyline, zyrtec As needed-klonopin, promethazine, zofran, tizanidine, lidocaine patch, tiger balm, volteran gel, biofreeze, tylenol,

Current Illness: Uti (treated with keflex 3 weeks prior)

Date Died: 05/12/2021

ID: 1431372
Sex: F
Age: 49
State: OH

Vax Date: 05/11/2021
Onset Date: 05/12/2021
Rec V Date: 06/28/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: 13 hours after the patient had had her 2nd covid-19 shot, she was found dead. She had indicated that she had no side effects after her shot.

Other Meds:

Current Illness:

ID: 1431373
Sex: M
Age: 9
State: PR

Vax Date: 06/21/2021
Onset Date: 06/21/2021
Rec V Date: 06/28/2021
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:

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

Symptoms: It has come to my knowledge that the nurse vaccinated a child under 12 years old. No adverse effects have been reported.

Other Meds:

Current Illness:

ID: 1431374
Sex: F
Age: 66
State: NY

Vax Date: 03/20/2021
Onset Date: 03/01/2021
Rec V Date: 06/28/2021
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: Levaquin - Antibiotic Augmentin - Antibioic Adhesive Tape like bandaids and tape - I break out into a rash.

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Shortly after getting the 2nd vaccine, I started getting Fecal Incontinence. I would get no cramps, no indication that I needed to use the bathroom, NOTHING. The feces just flowed right out of my body like a waterfall or kitchen faucet and ran down my legs and all over me. I had a mess that I could not control.

Other Meds:

Current Illness: No

ID: 1431375
Sex: F
Age: 71
State: VA

Vax Date: 04/27/2021
Onset Date: 05/01/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs, topical Thiomersal (contact lens solution). No reactions to flu shot, etc.

Symptom List: Pharyngeal swelling

Symptoms: Pain along side for 2 days (shooting pain along ribs). Broke out with blisters 2 days after the pain started. Spot approximately as big as an egg on left back. Small strip 1'' x 1/4'' under left breast.

Other Meds: Metformin, Pravastatin, Tolterodine Tartrate, CoQ10, Glucosamine HCL/Chondroitin, Multivitamin, D3, PreserVision, Lysine

Current Illness: None

ID: 1431376
Sex: M
Age: 14
State: MO

Vax Date: 06/09/2021
Onset Date: 06/19/2021
Rec V Date: 06/28/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Hives started 6/19/2021

Other Meds: Lexapro

Current Illness: None

ID: 1431377
Sex: F
Age: 57
State: NE

Vax Date: 03/18/2021
Onset Date: 06/18/2021
Rec V Date: 06/28/2021
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: flu vaccine, tamiflu, codeine, Botox, methadone, sumatriptan, gabapentin, carbamazepine,

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Starting immediately after the vaccine, I had flushing red and hot across my chest, numbness in my left hand and horrible nerve pain shot down to my fingers. I also had pain in my back and shoulder. After the 30 minute waiting period, I tried to get up to stand and my foot was asleep and had "firey" nerve pain. When I got home, my nerve pain worsen and I had whole body pain. I have horrible headaches, eye pain and extreme left arm pain at injection and all the way down to my elbow. It a very deep pain. The pain is above a 10 of 10 and not control with my regular pain meds (baseline pain before covid vaccine 6/10). It seems like the COVID vaccine has made my body pain unbearable and more intense. I also have been having to urinate every 30 minutes.

Other Meds: Oxycontin, Oxycodone, baclofen, amitriptyline, metoprolol, Omprazole, Triamterene/HCTZ, Nitroglycern, Sildenafil, Valium, Allegra, Benadryl,

Current Illness: none

ID: 1431378
Sex: F
Age: 9
State: PR

Vax Date: 06/21/2021
Onset Date: 06/21/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: It has come to my knowledge that the nurse vaccinated a child under 12 years old. No adverse effects have been reported.

Other Meds:

Current Illness:

ID: 1431379
Sex: F
Age: 34
State: MN

Vax Date: 01/20/2021
Onset Date: 06/21/2021
Rec V Date: 06/28/2021
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: NA

Symptom List: Rash, Urticaria

Symptoms: swollen sore lymph nodes. no treatment, still swollen 6 months later. Have tried Tylenol and ibuprofen

Other Meds: Swollen lymph nodes the day after the second immunization and they are still sore and swollen 6 months later.

Current Illness: NA

ID: 1431380
Sex: F
Age: 68
State: TX

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: Statin (HMG-CoA-Reductase inhibitor); wheat bran

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

Symptoms: COVID-19 Vaccine EUA (Pfizer) On 3/5/2021 the patient stated symptoms started the 1st night after she got it and included the following: Nose & Sinuses Swelled Shut, Chest Pressure, "Buzzing" Body Aches & Sharp Shooting Pains, Increased Heart Rate, Chills but then would change to extreme hot flashes, Throbbing Pain In Feet & Ankles, Dizziness, Nausea, Ear Ache, NO fever, BP ran around 139/68, Developed blisters around injection site (have healed & its just red now). On 6/22/2021 the patient states she felt great before the vaccine but within 10 days or so she had multiple symptoms. Patient complained of nonspecific vague dyspnea on exertion and chest pressure with walking or physical activity onset after vaccine.

Other Meds: Cholecalciferol (D3) 1,000 unit tablet by mouth twice daily;

Current Illness: None

ID: 1431381
Sex: M
Age: 72
State: CO

Vax Date: 01/30/2021
Onset Date: 06/26/2021
Rec V Date: 06/28/2021
Hospital: Y

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: NKDA

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

Symptoms: COVID (+) 6/26/21 -- > admitted to Medical Center despite being fully vaccinated.

Other Meds: Eliquis, Atorvastatin, Doxazosin, Losartan, Pantoprazole, Dexamethasone, Lantus, Cholecalciferol.

Current Illness: Ascending aortic aneurysm w/endovascular stent graft, hyperlipidemia, OSA, PVD, DM2, TIA, GERD, CAD w/stents and CABG, CKD Stage 4, COPD, h/o PE, BPH and L-renal stenosis.

ID: 1431382
Sex: F
Age: 20
State: WI

Vax Date: 06/21/2021
Onset Date: 06/27/2021
Rec V Date: 06/28/2021
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: None

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

Symptoms: Patient comes in today concerned about a lump she found in her left axilla. She first noticed her left axilla was swollen and tender yesterday. She has gotten cysts and acne in armpit area before, but this feels different and nothing is seen externally like it normally would be with a cyst. Hasn't noticed any other lumps anywhere else. Got vaccine in left arm one week ago on 06/21. Left axilla appeared mildly swollen/bulging over bra compared to right axilla. Some scarring from previous acne and cysts was noted in the left axilla, but no active lesions were seen. Two lymph nodes were enlarged and palpable. One was 1/2 cm in diameter, tender, and mobile. The second was just superior to it along the axillary chain and was ~3 mm in diameter, mobile, and tender. Right axillary was unremarkable. No lymphadenopathy was noted in the right axilla or any of the lymph node chains on the right side of the neck.

Other Meds: None

Current Illness: unknown

ID: 1431383
Sex: F
Age: 0
State: TX

Vax Date: 06/21/2021
Onset Date: 06/21/2021
Rec V Date: 06/28/2021
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: None

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

Symptoms: Fever, chills, headache, nausea, dizziness x 1 week.

Other Meds: None

Current Illness: None

ID: 1431384
Sex: M
Age: 81
State: MI

Vax Date: 02/19/2021
Onset Date: 06/12/2021
Rec V Date: 06/28/2021
Hospital: Y

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

Lab Data:

Allergies: Bee stings

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

Symptoms: Fully vaccinated patient admitted to hospital with positive COVID PCR test. Patient seen in ED for headache and increasing shortness of breath, and occasional (chronic) cough, abdominal pain. Denied chest pain, nausea, vomitting, change in bowel habits, vision changes, weakness, paresthesias. Denied known sick contacts. Patient was in A fib with RVR and PVC's. Rate 114 per EKG. US showed gallstones, labs showed elevated liver enzymes and bilirubin of 4.5. Patient seen by GI no intervention recommended at this time as patient reported all symptoms had resolved on day after admission. Patient to follow up with PCP and d/c'd from hospital.

Other Meds: Lipitor, Coreg, Baraclude, Coumadin

Current Illness: N/A

ID: 1431386
Sex: M
Age: 33
State: IL

Vax Date: 03/24/2021
Onset Date: 05/31/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: ceclor and minocycline

Symptom List: Ear pain, Hypoaesthesia

Symptoms: blood clot in left leg, cramping and soreness, tender to the touch. currently taking Eliquis for the next 6 months

Other Meds: fish oil, vitamin d, zinc, echinacea

Current Illness:

ID: 1431387
Sex: F
Age: 56
State: TX

Vax Date: 05/06/2021
Onset Date: 06/09/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 06/10 Allergy fallout and by 06/11 Chest burning with bronchitis. 6/16 saw doctor @ 03:00 CT. Issues persist

Other Meds: Symbicort, Etinstine, Olopatadine HCL, Metformin HCL, Liothyronine SOD, Levothyroxine, Progesterone, Testosterone, Albuterol, Ventolin, Levalbuterol, Budesonide, Fexofenadine, Loratadine, Nasacort, Nasal Saline, Mucinex, Move Free Ultra, Re

Current Illness: None

ID: 1431388
Sex: F
Age: 15
State: RI

Vax Date: 06/28/2021
Onset Date: 06/28/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: NKA reported

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

Symptoms: We administered dose 1 of Pfizer COVID 19 vaccine to the patient without incident at administration. She was asked to wait for 15 minutes in our waiting area and about 10 minutes after her vaccine, I noticed her slumping in her chair and ran over to her. We called an ambulance, helped her to the floor, and checked her pulse. We were able to feel her pulse, but she did seem to faint for a few seconds. She then remained responsive, answered our questions, and squeezed our hands when we asked. We did not administer any rescue medications. The ambulance arrived and they did transport her to the ER.

Other Meds: Unknown

Current Illness: None reported

ID: 1431389
Sex: M
Age: 44
State: NJ

Vax Date: 03/18/2021
Onset Date: 04/19/2021
Rec V Date: 06/28/2021
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: penicillin, clarithromycin, pet dander

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

Symptoms: Shingles one month after vaccination

Other Meds: lisdexamfetamine, loratadine, nexium, paxil, adderall, Mirtazapine, Venlafaxine, neurontin, ablify

Current Illness: none

ID: 1431391
Sex: M
Age: 30
State: FL

Vax Date: 05/04/2021
Onset Date: 05/05/2021
Rec V Date: 06/28/2021
Hospital: Y

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: Unevaluable event

Symptoms: I was immunized with the 2nd dose of the Pfizer COVID-19 vaccines on May 4th, 2021, and on May 5th started experiencing left shoulder pain radiating to the arm, and upon breathing in pain would intensify. On the night of May 5th pain started to increase and decided to report to the hospital. On May 6th I was admitted to the hospital to further identify what was causing the shoulder pain, deferent test were performed with normal result but upon performing CT Scan, it was identify that I had blood clots on the left lung (pulmonary embolism). Upon several questions asked by the health care team, the doctors at the Hospital stated that the main cause of the blood cloths was the 2nd dose of the Pfizer COVID-19 vaccine due to my healthy status and being the only thing that I had completed different in the days prior to the hospitalization. Due to this I was prescribed a 3 month anti coagulant treatment for the embolism.

Other Meds: NONE

Current Illness: NONE

ID: 1431392
Sex: F
Age: 68
State: CA

Vax Date: 06/11/2021
Onset Date: 06/11/2021
Rec V Date: 06/28/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Day 1: Arm pain, low grade fever, joint pain, headache. fatigue, eye sensitivity. Day 2: Redness immediately around injection site. Severe body aches, axial (underarm) lymph tenderness and swelling, mild asthma exacerbation (controlled via inhalers,) severe fatigue, light sensitivity/aversion. Difficulty concentrating, somnolence. Day 3: Significantly reduced symptoms. Day 4: Resolution of symptoms. Day 5 - 15: No additional symptoms. Day 16: Menstrual-like cramps (post-menopausal. Also happened after first dose. Has never happened outside this context.) Mild, self-limiting. Day 17: Cramps resolved. No additional symptoms.

Other Meds: Balsalazide, albuterol, lasix, pulmicort, docusate sodium, famotidine, klor-con (potassium.)

Current Illness:

ID: 1431393
Sex: F
Age: 27
State: NY

Vax Date: 06/28/2021
Onset Date: 06/28/2021
Rec V Date: 06/28/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: Pt was administered 0.5 ml instead of 0.3 ml. No adverse reaction or complaint from pt.

Other Meds:

Current Illness:

ID: 1431394
Sex: F
Age: 13
State: NY

Vax Date: 06/24/2021
Onset Date: 06/25/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: vomited diarrhea fever red marks everywhere extremely itchy pediatrician benedryl

Other Meds: lexoprol vivance intuniv

Current Illness:

ID: 1431395
Sex: F
Age: 31
State: OR

Vax Date: 06/26/2021
Onset Date: 06/26/2021
Rec V Date: 06/28/2021
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: penicillin

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

Symptoms: patient stated her arm was numb and itchy at the injection site starting shortly after the injection

Other Meds:

Current Illness:

ID: 1431398
Sex: M
Age: 36
State: ID

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 06/28/2021
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: The day I got it I was fine, I had no problems, the next day I worked hadn't drinking much water and really taxed my body and then the next day I had flu like symptoms and what concerned me was I was having heart palpitations that kept me up, and symptoms last for 5 days.

Other Meds: Lisinopril; rosuvastatin; high dose omega 3s; multivitamin GNC mega men's; VIT D

Current Illness:

ID: 1431399
Sex: F
Age: 9
State: PR

Vax Date: 06/21/2021
Onset Date: 06/23/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: It has come to my knowledge that the nurse vaccinated a child under 12 years old. Patient presented a rash after vaccinated. No other event until today.

Other Meds:

Current Illness:

ID: 1431400
Sex: F
Age: 36
State: IL

Vax Date: 03/10/2021
Onset Date: 03/13/2021
Rec V Date: 06/28/2021
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: no

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

Symptoms: 3 days after vaccination, 03/13/2021, I had rapid severe onset of pain on both arms from shoulder to fingertip , where I could not use either arms, simultaneously shooting pain on both arms. 8 days later I developed severe, severe dizziness. I went to my primary doctor. She prescribed prednisone. The dizziness was so severe they did a brain MRI and it was normal. I was referred to an orthopedic doctor, who did cortisone injection to both of my shoulders were unhelpful. xrays of shoulders Orthopedic referred me to neurologist. The neurologist diagnosed me with Parsonage Turner Syndrome. The neurologist said the dizziness was from the vaccine, not only my nerves in shoulder my scabulas my entire arm were being attacked. It is also attacking my vestibular nerves in my ears. For the past 3 months, 24/7 days it has not gone away.

Other Meds: cryselle birth control

Current Illness: no

ID: 1431401
Sex: M
Age: 23
State: VA

Vax Date: 06/17/2021
Onset Date: 06/17/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Irregular heartbeat; tachycardia; fast heartbeat at unusual times.

Other Meds: None

Current Illness: None

ID: 1431402
Sex: F
Age: 24
State: NY

Vax Date: 06/28/2021
Onset Date: 06/28/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: Seasonal allergies.

Symptom List: Injection site pain

Symptoms: Nausea/ vomiting/ headache.

Other Meds: None

Current Illness: Diabetic

ID: 1431403
Sex: M
Age: 69
State: CA

Vax Date: 01/25/2021
Onset Date: 02/25/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: After two days I got the Vaccine, I notice I had a red irritation at the site I got the shot.

Other Meds: AStatin

Current Illness: No

ID: 1431404
Sex: F
Age: 72
State: MA

Vax Date: 04/01/2021
Onset Date: 06/24/2021
Rec V Date: 06/28/2021
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: carvedilol Ceclor cefaclor Crestor hydralazine iodine losartan melatonin rosuvastatin simvastatin St. John's wort

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

Symptoms: new onset localized eruption both upper arms.

Other Meds: amLODIPine 2.5 mg aspirin 81 mg atorvastatin 10 mg Cozaar 50 mg Eliquis 5 mg ezetimibe 10 mg Lasix 20 mg Lidocaine Pain Relief 4 % topical patch metoprolol succinate ER 25 mg

Current Illness: N/A

ID: 1431405
Sex: F
Age: 59
State: IL

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 06/28/2021
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: Chocolate, coffee, large amounts of red dye40 snd yellow dye 5. Minor reactions to almonds and sometimes peanuts if I over eat them. Sesame seeds and oil. Asparagus, Washington apples.

Symptom List: Tremor

Symptoms: I had the shot at 1:17pm, I was extremely fatigued and fell asleep until 12:10am. I woke up because I needed to use the restroom but as I attempted to move, I felt a great deal of pain along the length of my spine. As if someone wrap a cloth around it and tighten it beyond any I?ve ever felt; it brought me to tears. After about a minute it stopped and I gingerly went to the restroom. My head was heavy and I had chills but the fever at that time was only 97.5 degrees. The only other reaction at that time was that my left side of the neck felt achy but that happened with the first shot as well.

Other Meds: Levothyroxine, multivitamin, D3, copper, B12, and skin, hair, nails supplement.

Current Illness: None

ID: 1431406
Sex: M
Age: 54
State: CA

Vax Date: 05/21/2021
Onset Date: 05/23/2021
Rec V Date: 06/28/2021
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: penicillin

Symptom List: Erythema, Pruritus

Symptoms: after the first dose, he came home and that night he had a headache, the nest day he still had a headache and on this day he went to urgent care, after the second day he had a really bad headache was dizzy and had fever he could not get out of bed. he went to urgent care on the second day also. Urgent care suggested he visit his primary doctor. On the third day he visited his PCP, the PCP took xray and MRI and prescribed painkillers. The primary doctor stated it was ok to take the second dose and after taking the second does of the vaccine that was taken at the same location and the lot number is EW0183 he got really sick. He had the same symptoms after the second dose but they became more severe. Also has severe pain in left side down abdomen.

Other Meds: Prefer not to disclose

Current Illness: none

ID: 1431407
Sex: M
Age: 47
State: TN

Vax Date: 06/28/2021
Onset Date: 06/28/2021
Rec V Date: 06/28/2021
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: Penicillin

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

Symptoms: Patient reported before vaccine administration that he was bothered by his high blood pressure-LPN checked-150/100-then used automatic BP cuff-was 128/88- within 15 minutes patient complained of chest pain which worsened when laid down. BP-138/88. Requested EMS-was transported to Hospital.

Other Meds: Fluoxetine 20 mg Lisinopril 10 mg HCTZ 25 mg Albuterol 90 mcg.

Current Illness: Hypertension

ID: 1431408
Sex: F
Age: 61
State: FL

Vax Date: 04/07/2021
Onset Date: 06/22/2021
Rec V Date: 06/28/2021
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: Bactrim (allergy not specifed)

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

Symptoms: Patient received COVID-19 vaccine (Pfizer) on 3/17/21 and 4/7/21. On 6/22, she required admission to hospital due to SOB. Pt presented with "gradually worsening SOB in last 10 days with frequent wheezing and productive cough of white sputum. She is a former smoker; quit 1 month ago. Desatting to 80s with fever." COVID-19 positive on 6/22; COPD exacerbation also noted. Seen in outpatient pulmonary clinic on 6/14: "Patient is on 1.5 L O2 during the day and 2 L during the night since last year." Hx of ILD. Patient still hospitalized at this time for COPD exacerbation and NSVT. Reporting due as a breakthrough positive case per EUA requirements.

Other Meds: amitriptyline 25 mg qhs, amlodipine 5 mg daily, aspirin 81 mg daily, atorvastatin 40 mg qhs, Symbicort 160-4.5 mcg 2 puffs BID, calcium 500 mg/vitamin D 200 mg once daily, carisoprodol 350 mg daily, carvedilol 6.25 mg BID, estradiol 1 mg PO

Current Illness: Of note, patient was recently seen in pulmonary clinic on 6/14. She is currently being treated with prednisone 20 mg qd for her ILD. Also had recent hospitalization in April for DKA and steroid induced hyperglycemia for which she was newly started on insulin.

ID: 1431409
Sex: M
Age: 18
State: CT

Vax Date: 06/25/2021
Onset Date: 06/27/2021
Rec V Date: 06/28/2021
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: NKA

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 2 days after the vaccine, developed Right Lower Quadrant pain - varying in severity from 2 to 7 out of 10, intermittent. Suspected mesenteric adenitis, possibly secondary to vaccination. DDx includes appendicitis. Plan - observe at home, follow up if worsening symptoms or not resolving later this week.

Other Meds: none

Current Illness: none

ID: 1431411
Sex: M
Age: 47
State: NY

Vax Date: 04/14/2021
Onset Date: 06/23/2021
Rec V Date: 06/28/2021
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: Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose Pfizer 03/24/2021 Lot# ER8727. 2nd dose: Pfizer 04/14/2021 Lot# EW0150. Diagnosed COVID positive: 06/24/2021. Exposure: Home. Symptoms: Headache.

Other Meds:

Current Illness:

ID: 1431412
Sex: M
Age: 11
State: PR

Vax Date: 06/21/2021
Onset Date: 06/23/2021
Rec V Date: 06/28/2021
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: allergic to penicillin

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

Symptoms: It has come to my knowledge that the nurse vaccinated a child under 12 years old. Patient presented a rash after vaccinated. No other known event.

Other Meds:

Current Illness:

ID: 1431413
Sex: M
Age: 13
State: MS

Vax Date: 06/21/2021
Onset Date: 06/21/2021
Rec V Date: 06/28/2021
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: Pain in extremity

Symptoms: Received vaccine in clinic room. Eight minutes after receiving COVID-PFE vaccine, patient complained he was ready to go and felt drowsy. The temperature did seem warm in the clinic room, so I escorted them 30 feet to the lobby. As the patient passed through the door to the lobby, his gait, he seemed to lose his ability to remain upright and started to collapse. I was able to catch him prior to hitting the floor. He never lost consciousness, but we moved him into a clinic room to evaluate and further monitor him. His blood pressure was a little low initially at 110/50, but came up to 112/60 (closer to his normal) after five to ten minutes. His pulse was strong and regular. We gave him a cool, wet compress to the forehead, cool water to drink, and chocolate candy. He was able to answer questions appropriately. We monitored him for another 30 minutes before releasing him. His mother was present with him and is a nurse practitioner. I called the Mom on 6/22/21 (the day after the event). She (Mom) reports the patient went home, laid down for about 45 minutes, then played video games. I recommend she considers getting the second dose at either Hospital, so that a higher level of care is available if needed.

Other Meds: none

Current Illness: none

ID: 1431414
Sex: M
Age: 44
State: CO

Vax Date: 04/10/2021
Onset Date: 05/11/2021
Rec V Date: 06/28/2021
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: Possible delayed type hypersensitivity reaction after both doses

Other Meds:

Current Illness:

ID: 1431415
Sex: M
Age: 14
State: TX

Vax Date: 06/08/2021
Onset Date: 06/15/2021
Rec V Date: 06/28/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: My son experienced severe bruising about one week later after receiving his Pfizer vaccine. My son right arm was very sore as well. He also had little bumps, petichae all over his body. He still has the bruising and he had a sore, scab where he fell down before the vaccine and he could not stop the bleeding at the site. I took him to ER, performed a complete blood work and platelet count. On 06-22-2021, his platelet count had dropped to 15,000. The ER did not admit him and we had to go back to the ER last Thursday 06-24-2021 and his platelet count 13,000.

Other Meds:

Current Illness:

ID: 1431416
Sex: F
Age: 70
State: MA

Vax Date: 04/26/2021
Onset Date: 05/13/2021
Rec V Date: 06/28/2021
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: none

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

Symptoms: Seventeen days after the second injection, I noticed a very large lump in my armpit and a smaller one in my neck. I visited my primary M.D. and she thought it might be due to the vaccine, but just to be on the safe side, she ordered ultrasounds of both areas. Results revealed prominent, enlarged lymph node in armpit >2 cm. Radiologist agreed with doctor that it might be due to vaccine and recommended ultrasounds be repeated in 3 months. I am terrified that this vaccine may have given me LYMPHOMA because I still have these lumps.

Other Meds: Multivitamin; Vitamins E, C, Calcium, Magnesium, Glucosamine

Current Illness: none

ID: 1431417
Sex: M
Age: 70
State: FL

Vax Date: 03/13/2021
Onset Date: 05/02/2021
Rec V Date: 06/28/2021
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: No

Symptom List: Vomiting

Symptoms: I started on 05/02/2021 I started having these symptoms where my pulse rate drops down to 46-48 mins per beat and it lasts for a few mins an it last for about 3-4 mins and then it goes back to normal. An when it happens it feels like a little tightness and heaviness and it mess with my breathing and I have to stop what I am doing to be able to get it back to normal. Two weeks ago I got Bronchitis and I have never had that before and they tested me for COVID but it came back negative and I was put on Amoxicillin 875mg and put me on a steroid, Prednisone for 10 days and they put me on the Wellbutrin inhaler. I was weezing, coughing and congested.

Other Meds: My meds are, Irbesartan 300 mg, Maxzide, Lipitor 40mg, Protonix 40mg, Metformin 1000 mg, Glimepiride 2mg, Atenolol 25mg and Amlodipine 2.5mg.

Current Illness: No

ID: 1431418
Sex: F
Age: 60
State: MN

Vax Date: 06/25/2021
Onset Date: 06/26/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: PENICILLIN ALLERGY

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: PATIENT STATES SHE HAS A RED ARM THAT EXTENDS INTO HER SHOULDER BLADE AND DOWN TO HER ELBOW. SHE FEELS AS THOUGH HER LYMPH NODES ARE SWOLLEN IN HER ARM AND NECK AND SHE FEELS FLUID FILLED PATCHES (CYSTS) DOWN BY HER ELBOWS. I ADVISED HER TO CONTACT HER DR.

Other Meds: MULTIVITAMIN, CALCIUM

Current Illness: N/A

ID: 1431419
Sex: M
Age: 49
State: AZ

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 06/28/2021
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:

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

Symptoms: PATIENT STATES THAT HE HAS LEFT SHOULDER PAIN AFTER RECEIVING HIS 1ST MODERNA VACCINE IN THE LEFT ARM HE HAS HAD SHOULDER PAIN. HE STATES THAT IT GOT WORSE WITH THE 2ND VACCINE AND HAS BEEN PAINFUL EVER SINCE. HE STATES THAT THE PAIN HAS INCREASED IN THE LAST 2 WEEKS. HE HAS TRIED ICING IT. HE STATES THAT HE WILL MAKE AN APPOINTMENT WITH HIS PRIMARY CARE PROVIDER TO FOLLOW UP

Other Meds:

Current Illness:

ID: 1431420
Sex: F
Age: 22
State: IL

Vax Date: 06/28/2021
Onset Date: 06/28/2021
Rec V Date: 06/28/2021
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: unknown

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient passed out approximately 5-10 minutes after receiving vaccine. She may have hit her head while she was falling. She then had 2 seizures. 911 was called. Patient's blood pressures were 99/58 and 95/42. Patient had only eaten granola bar and yogurt today. She had also previously passed out while getting a tattoo. Patient's mother was going to take her to hospital to get further treatment.

Other Meds: unknown

Current Illness: unknown

ID: 1431421
Sex: F
Age: 33
State: MA

Vax Date: 05/26/2021
Onset Date: 06/10/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Serum sickness (several days of fever, chills, cough, sore throat in the setting of 2w of traveling urticarial rash and generalized malaise, improved with symptomatic management.

Other Meds:

Current Illness:

ID: 1431422
Sex: F
Age: 16
State: IN

Vax Date: 06/25/2021
Onset Date: 06/26/2021
Rec V Date: 06/28/2021
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: None

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

Symptoms: On 6/25/21, MA administered two vaccines, Men B and MCV4 to Left arm. Men B and MCV4. 24 hours after injection, child c/o pain and pruritic rash to back side of left arm. Child was evaluated per Dr. Per Dr.'s discussion with MA, injection of Men B was in deltoid area of arm, while MCV4 was administered lower and toward the back of the arm, thus giving per SQ route instead of IM. Child was treated with OTC hydrocortisone cream. Pt. instructed to return for further worsening or no improvement. RN Clinical lead( myself) and office manager were notified of event. RN discussed with MA proper route for MCV4. Vaccine adminstration reeducation and annual skills checkoff to be completed later this week with MA.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm