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**
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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: 0964328
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; A spontaneous report was received from a nurse concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and was vaccinated with vial that might have had a temperature excursion. The patient's medical history was not provided. No relevant concomitant medications were reported. On 22 Dec 2020, the nurse reported a shipment was received. The vial arrived frozen and was placed in a freezer at recommended temperature. On 02 Jan 2021, the freezer had failed, and the temperature alarm system did not alert anyone. It was noted that the freezer temperature at 5:50 AM was -5 degrees Celsius (C), at 7:50 AM the freezer was a 1.5 C. It remained between from 9.7 C at 12:51 PM then went to 8.3 C at 1:51 PM then down to -8.7 C at 2:51 PM. On 03 Jan 2021 8:45 PM, the freezer returned to its normal temperature of -20.9 C, -1 C then went to 5.5 C at 11:56 PM. On 04 Jan 2021, the temperature climbed to 19.4 C. On the same day, the patient received their first of two planned doses of mRNA-1273 (Lot number: 025J20-2A, 025L20A, or 027L20A) intramuscularly for prophylaxis of COVID-19 infection and experienced vaccination with vial that might have had a temperature excursion No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event, vaccinated with vial that might have had a temperature excursion, was considered resolved on 04 Jan 2021.; Reporter's Comments: This report refers to a case of out of specification product use, product temperature excursion issue, and product storage error for mRNA-1273. There were no reported AEs associated with this case.

Other Meds:

Current Illness:

ID: 0964329
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; A spontaneous report was received from a nurse concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and was vaccinated with vial that might have had a temperature excursion. The patient's medical history was not provided. No relevant concomitant medications were reported. On 22 Dec 2020, the nurse reported a shipment was received. The vial arrived frozen and was placed in a freezer at recommended temperature. On 02 Jan 2021, the freezer had failed, and the temperature alarm system did not alert anyone. It was noted that the freezer temperature at 5:50 AM was -5 degrees Celsius (C), at 7:50 AM the freezer was a 1.5 C. It remained between from 9.7 C at 12:51 PM then went to 8.3 C at 1:51 PM then down to -8.7 C at 2:51 PM. On 03 Jan 2021 8:45 PM, the freezer returned to its normal temperature of -20.9 C, -1 C then went to 5.5 C at 11:56 PM. On 04 Jan 2021, the temperature climbed to 19.4 C. On the same day, the patient received their first of two planned doses of mRNA-1273 (Lot number: 025J20-2A, 025L20A, or 027L20A) intramuscularly for prophylaxis of COVID-19 infection and experienced vaccination with vial that might have had a temperature excursion No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event, vaccinated with vial that might have had a temperature excursion, was considered resolved on 04 Jan 2021.; Reporter's Comments: This report refers to a case of out of specification product use, product temperature excursion issue, and product storage error for mRNA-1273. There were no reported AEs associated with this case.

Other Meds:

Current Illness:

ID: 0964330
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; A spontaneous report was received from a nurse concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and was vaccinated with vial that might have had a temperature excursion. The patient's medical history was not provided. No relevant concomitant medications were reported. On 22 Dec 2020, the nurse reported a shipment was received. The vial arrived frozen and was placed in a freezer at recommended temperature. On 02 Jan 2021, the freezer had failed, and the temperature alarm system did not alert anyone. It was noted that the freezer temperature at 5:50 AM was -5 degrees Celsius (C), at 7:50 AM the freezer was a 1.5 C. It remained between from 9.7 C at 12:51 PM then went to 8.3 C at 1:51 PM then down to -8.7 C at 2:51 PM. On 03 Jan 2021 8:45 PM, the freezer returned to its normal temperature of -20.9 C, -1 C then went to 5.5 C at 11:56 PM. On 04 Jan 2021, the temperature climbed to 19.4 C. On the same day, the patient received their first of two planned doses of mRNA-1273 (Lot number: 025J20-2A, 025L20A, or 027L20A) intramuscularly for prophylaxis of COVID-19 infection and experienced vaccination with vial that might have had a temperature excursion No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event, vaccinated with vial that might have had a temperature excursion, was considered resolved on 04 Jan 2021.; Reporter's Comments: This report refers to a case of out of specification product use, product temperature excursion issue, and product storage error for mRNA-1273. There were no reported AEs associated with this case.

Other Meds:

Current Illness:

ID: 0964331
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; A spontaneous report was received from a nurse concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and was vaccinated with vial that might have had a temperature excursion. The patient's medical history was not provided. No relevant concomitant medications were reported. On 22 Dec 2020, the nurse reported a shipment was received. The vial arrived frozen and was placed in a freezer at recommended temperature. On 02 Jan 2021, the freezer had failed, and the temperature alarm system did not alert anyone. It was noted that the freezer temperature at 5:50 AM was -5 degrees Celsius (C), at 7:50 AM the freezer was a 1.5 C. It remained between from 9.7 C at 12:51 PM then went to 8.3 C at 1:51 PM then down to -8.7 C at 2:51 PM. On 03 Jan 2021 8:45 PM, the freezer returned to its normal temperature of -20.9 C, -1 C then went to 5.5 C at 11:56 PM. On 04 Jan 2021, the temperature climbed to 19.4 C. On the same day, the patient received their first of two planned doses of mRNA-1273 (Lot number: 025J20-2A, 025L20A, or 027L20A) intramuscularly for prophylaxis of COVID-19 infection and experienced vaccination with vial that might have had a temperature excursion No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event, vaccinated with vial that might have had a temperature excursion, was considered resolved on 04 Jan 2021.; Reporter's Comments: This report refers to a case of out of specification product use, product temperature excursion issue, and product storage error for mRNA-1273. There were no reported AEs associated with this case.

Other Meds:

Current Illness:

ID: 0964332
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; A spontaneous report was received from a nurse concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and was vaccinated with vial that might have had a temperature excursion. The patient's medical history was not provided. No relevant concomitant medications were reported. On 22 Dec 2020, the nurse reported a shipment was received. The vial arrived frozen and was placed in a freezer at recommended temperature. On 02 Jan 2021, the freezer had failed, and the temperature alarm system did not alert anyone. It was noted that the freezer temperature at 5:50 AM was -5 degrees Celsius (C), at 7:50 AM the freezer was a 1.5 C. It remained between from 9.7 C at 12:51 PM then went to 8.3 C at 1:51 PM then down to -8.7 C at 2:51 PM. On 03 Jan 2021 8:45 PM, the freezer returned to its normal temperature of -20.9 C, -1 C then went to 5.5 C at 11:56 PM. On 04 Jan 2021, the temperature climbed to 19.4 C. On the same day, the patient received their first of two planned doses of mRNA-1273 (Lot number: 025J20-2A, 025L20A, or 027L20A) intramuscularly for prophylaxis of COVID-19 infection and experienced vaccination with vial that might have had a temperature excursion No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event, vaccinated with vial that might have had a temperature excursion, was considered resolved on 04 Jan 2021.; Reporter's Comments: This report refers to a case of out of specification product use, product temperature excursion issue, and product storage error for mRNA-1273. There were no reported AEs associated with this case.

Other Meds:

Current Illness:

ID: 0964333
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; A spontaneous report was received from a nurse concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and was vaccinated with vial that might have had a temperature excursion. The patient's medical history was not provided. No relevant concomitant medications were reported. On 22 Dec 2020, the nurse reported a shipment was received. The vial arrived frozen and was placed in a freezer at recommended temperature. On 02 Jan 2021, the freezer had failed, and the temperature alarm system did not alert anyone. It was noted that the freezer temperature at 5:50 AM was -5 degrees Celsius (C), at 7:50 AM the freezer was a 1.5 C. It remained between from 9.7 C at 12:51 PM then went to 8.3 C at 1:51 PM then down to -8.7 C at 2:51 PM. On 03 Jan 2021 8:45 PM, the freezer returned to its normal temperature of -20.9 C, -1 C then went to 5.5 C at 11:56 PM. On 04 Jan 2021, the temperature climbed to 19.4 C. On the same day, the patient received their first of two planned doses of mRNA-1273 (Lot number: 025J20-2A, 025L20A, or 027L20A) intramuscularly for prophylaxis of COVID-19 infection and experienced vaccination with vial that might have had a temperature excursion No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event, vaccinated with vial that might have had a temperature excursion, was considered resolved on 04 Jan 2021.; Reporter's Comments: This report refers to a case of out of specification product use, product temperature excursion issue, and product storage error for mRNA-1273. There were no reported AEs associated with this case.

Other Meds:

Current Illness:

ID: 0964334
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; A spontaneous report was received from a nurse concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and was vaccinated with vial that might have had a temperature excursion. The patient's medical history was not provided. No relevant concomitant medications were reported. On 22 Dec 2020, the nurse reported a shipment was received. The vial arrived frozen and was placed in a freezer at recommended temperature. On 02 Jan 2021, the freezer had failed, and the temperature alarm system did not alert anyone. It was noted that the freezer temperature at 5:50 AM was -5 degrees Celsius (C), at 7:50 AM the freezer was a 1.5 C. It remained between from 9.7 C at 12:51 PM then went to 8.3 C at 1:51 PM then down to -8.7 C at 2:51 PM. On 03 Jan 2021 8:45 PM, the freezer returned to its normal temperature of -20.9 C, -1 C then went to 5.5 C at 11:56 PM. On 04 Jan 2021, the temperature climbed to 19.4 C. On the same day, the patient received their first of two planned doses of mRNA-1273 (Lot number: 025J20-2A, 025L20A, or 027L20A) intramuscularly for prophylaxis of COVID-19 infection and experienced vaccination with vial that might have had a temperature excursion No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event, vaccinated with vial that might have had a temperature excursion, was considered resolved on 04 Jan 2021.; Reporter's Comments: This report refers to a case of out of specification product use, product temperature excursion issue, and product storage error for mRNA-1273. There were no reported AEs associated with this case.

Other Meds:

Current Illness:

ID: 0964335
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; A spontaneous report was received from a nurse concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and was vaccinated with vial that might have had a temperature excursion. The patient's medical history was not provided. No relevant concomitant medications were reported. On 22 Dec 2020, the nurse reported a shipment was received. The vial arrived frozen and was placed in a freezer at recommended temperature. On 02 Jan 2021, the freezer had failed, and the temperature alarm system did not alert anyone. It was noted that the freezer temperature at 5:50 AM was -5 degrees Celsius (C), at 7:50 AM the freezer was a 1.5 C. It remained between from 9.7 C at 12:51 PM then went to 8.3 C at 1:51 PM then down to -8.7 C at 2:51 PM. On 03 Jan 2021 8:45 PM, the freezer returned to its normal temperature of -20.9 C, -1 C then went to 5.5 C at 11:56 PM. On 04 Jan 2021, the temperature climbed to 19.4 C. On the same day, the patient received their first of two planned doses of mRNA-1273 (Lot number: 025J20-2A, 025L20A, or 027L20A) intramuscularly for prophylaxis of COVID-19 infection and experienced vaccination with vial that might have had a temperature excursion No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event, vaccinated with vial that might have had a temperature excursion, was considered resolved on 04 Jan 2021.; Reporter's Comments: This report refers to a case of out of specification product use, product temperature excursion issue, and product storage error for mRNA-1273. There were no reported AEs associated with this case.

Other Meds:

Current Illness:

ID: 0964336
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; A spontaneous report was received from a nurse concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and was vaccinated with vial that might have had a temperature excursion. The patient's medical history was not provided. No relevant concomitant medications were reported. On 22 Dec 2020, the nurse reported a shipment was received. The vial arrived frozen and was placed in a freezer at recommended temperature. On 02 Jan 2021, the freezer had failed, and the temperature alarm system did not alert anyone. It was noted that the freezer temperature at 5:50 AM was -5 degrees Celsius (C), at 7:50 AM the freezer was a 1.5 C. It remained between from 9.7 C at 12:51 PM then went to 8.3 C at 1:51 PM then down to -8.7 C at 2:51 PM. On 03 Jan 2021 8:45 PM, the freezer returned to its normal temperature of -20.9 C, -1 C then went to 5.5 C at 11:56 PM. On 04 Jan 2021, the temperature climbed to 19.4 C. On the same day, the patient received their first of two planned doses of mRNA-1273 (Lot number: 025J20-2A, 025L20A, or 027L20A) intramuscularly for prophylaxis of COVID-19 infection and experienced vaccination with vial that might have had a temperature excursion No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event, vaccinated with vial that might have had a temperature excursion, was considered resolved on 04 Jan 2021.; Reporter's Comments: This report refers to a case of out of specification product use, product temperature excursion issue, and product storage error for mRNA-1273. There were no reported AEs associated with this case.

Other Meds:

Current Illness:

ID: 0964337
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; A spontaneous report was received from a nurse concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and was vaccinated with vial that might have had a temperature excursion. The patient's medical history was not provided. No relevant concomitant medications were reported. On 22 Dec 2020, the nurse reported a shipment was received. The vial arrived frozen and was placed in a freezer at recommended temperature. On 02 Jan 2021, the freezer had failed, and the temperature alarm system did not alert anyone. It was noted that the freezer temperature at 5:50 AM was -5 degrees Celsius (C), at 7:50 AM the freezer was a 1.5 C. It remained between from 9.7 C at 12:51 PM then went to 8.3 C at 1:51 PM then down to -8.7 C at 2:51 PM. On 03 Jan 2021 8:45 PM, the freezer returned to its normal temperature of -20.9 C, -1 C then went to 5.5 C at 11:56 PM. On 04 Jan 2021, the temperature climbed to 19.4 C. On the same day, the patient received their first of two planned doses of mRNA-1273 (Lot number: 025J20-2A, 025L20A, or 027L20A) intramuscularly for prophylaxis of COVID-19 infection and experienced vaccination with vial that might have had a temperature excursion No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event, vaccinated with vial that might have had a temperature excursion, was considered resolved on 04 Jan 2021.; Reporter's Comments: This report refers to a case of out of specification product use, product temperature excursion issue, and product storage error for mRNA-1273. There were no reported AEs associated with this case.

Other Meds:

Current Illness:

ID: 0964338
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; A spontaneous report was received from a nurse concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and was vaccinated with vial that might have had a temperature excursion. The patient's medical history was not provided. No relevant concomitant medications were reported. On 22 Dec 2020, the nurse reported a shipment was received. The vial arrived frozen and was placed in a freezer at recommended temperature. On 02 Jan 2021, the freezer had failed, and the temperature alarm system did not alert anyone. It was noted that the freezer temperature at 5:50 AM was -5 degrees Celsius (C), at 7:50 AM the freezer was a 1.5 C. It remained between from 9.7 C at 12:51 PM then went to 8.3 C at 1:51 PM then down to -8.7 C at 2:51 PM. On 03 Jan 2021 8:45 PM, the freezer returned to its normal temperature of -20.9 C, -1 C then went to 5.5 C at 11:56 PM. On 04 Jan 2021, the temperature climbed to 19.4 C. On the same day, the patient received their first of two planned doses of mRNA-1273 (Lot number: 025J20-2A, 025L20A, or 027L20A) intramuscularly for prophylaxis of COVID-19 infection and experienced vaccination with vial that might have had a temperature excursion No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event, vaccinated with vial that might have had a temperature excursion, was considered resolved on 04 Jan 2021.; Reporter's Comments: This report refers to a case of out of specification product use, product temperature excursion issue, and product storage error for mRNA-1273. There were no reported AEs associated with this case.

Other Meds:

Current Illness:

ID: 0964339
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; Vaccinated with vial that might have had a temperature excursion; A spontaneous report was received from a nurse concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and was vaccinated with vial that might have had a temperature excursion. The patient's medical history was not provided. No relevant concomitant medications were reported. On 22 Dec 2020, the nurse reported a shipment was received. The vial arrived frozen and was placed in a freezer at recommended temperature. On 02 Jan 2021, the freezer had failed, and the temperature alarm system did not alert anyone. It was noted that the freezer temperature at 5:50 AM was -5 degrees Celsius (C), at 7:50 AM the freezer was a 1.5 C. It remained between from 9.7 C at 12:51 PM then went to 8.3 C at 1:51 PM then down to -8.7 C at 2:51 PM. On 03 Jan 2021 8:45 PM, the freezer returned to its normal temperature of -20.9 C, -1 C then went to 5.5 C at 11:56 PM. On 04 Jan 2021, the temperature climbed to 19.4 C. On the same day, the patient received their first of two planned doses of mRNA-1273 (Lot number: 025J20-2A, 025L20A, or 027L20A) intramuscularly for prophylaxis of COVID-19 infection and experienced vaccination with vial that might have had a temperature excursion No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event, vaccinated with vial that might have had a temperature excursion, was considered resolved on 04 Jan 2021.; Reporter's Comments: This report refers to a case of out of specification product use, product temperature excursion issue, and product storage error for mRNA-1273. There were no reported AEs associated with this case.

Other Meds:

Current Illness:

ID: 0964340
Sex: F
Age: 43
State: PR

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The Patient reports general malaise, fever and pain in the left deltoid arm.

Other Meds:

Current Illness:

ID: 0964341
Sex: M
Age: 65
State: TX

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt. was given expired vaccine. Vaccine expired on 12/22/2020 and given on 1/12/2021.

Other Meds:

Current Illness:

ID: 0964342
Sex: F
Age: 57
State: IN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Temps 101-102.5, headache, body aches, lasted 18-20h, treated w ibuprofen and rest

Other Meds: Vitamins, coq10

Current Illness: None

ID: 0964343
Sex: F
Age: 69
State: MA

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Tamoxifen

Symptoms: An approximately 4 inch x 2 inch warm, itchy, red raised red welt appeared at site of injection 7 days after dose given. I was evaluated at a local acute care facility, and prescribed a methylprednisolone taper. Other than some brief right arm discomfort, no other symptoms were noted.

Other Meds: Metoprolol, Simvastatin, Restasis, Omeprazole, multivit, vitamin D, Calcium, Levothyroxine, Prevagen, low dose aspirin

Current Illness: none

ID: 0964344
Sex: M
Age: 20
State: KY

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vomiting/dry heaving past hour

Other Meds:

Current Illness:

ID: 0964345
Sex: F
Age: 57
State: MI

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pfizer-BioNTech Covid-19 vaccine EUA Rash patch on both sides of neck, both sides of upper chest (size of orange), inside of upper arms. Started 1/9/2021. Rash patch on inside and top of right forearm. Started 1/13/2021. Rash patch on lower left side of back. Started 1/15/2021. Treatments tried-no relief - Zyrtec, Benadryl, Hydrocortisone Cream, Atarax, Triamcinolone Cream.

Other Meds:

Current Illness:

ID: 0964346
Sex: F
Age: 40
State: CT

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Allergy to sulfa drugs (rash) and wellbutrin xl (anaphylaxis, hives)

Symptoms: swelling, redness, itching at/around injection site - mild but onset was one week after receiving vaccine

Other Meds:

Current Illness:

ID: 0964347
Sex: F
Age: 62
State: CO

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Bactrim, Sulfa, Zoloft

Symptoms: Pain in left upper arm @ 7/10 with tenderness in lymph area, "brain fog", fatigue, dizziness

Other Meds: Lyrica, Onfi, Keppra, Levothyroxine, Liothyronine, Magnesium, B Complex, Vitamin D3, Multivitamin, EPA/DHA

Current Illness: None

ID: 0964348
Sex: F
Age: 66
State: KY

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: A total of 5 Migraines in a 3 week period, starting the day following receiving the vaccine. Normally have 1 every 1-2 yrs. Migraines have subsided now. Appointment with medical provider on 1/29/21

Other Meds: Losartin, Nexium, Arthotec, Amlodipine, Effexor, CoQ10, Simvastatin

Current Illness: None

ID: 0964349
Sex: M
Age: 15
State: MO

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccine given to someone less than 16 years of age.

Other Meds:

Current Illness:

ID: 0964350
Sex: F
Age: 29
State: KY

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Hypertensive (167/91), tachycardia HR of 126, flushing, dizzy, dry mouth, sweating. patient refused further care and her symptoms improved then left the waiting area at 2:55pm. Before leaving, her vitals were BP 133/69, HR 70 and SpO2 100% on room air.

Other Meds:

Current Illness:

ID: 0964351
Sex: F
Age: 47
State: UT

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: I had the Moderna shot last evening. At first, just a sore arm and slight headache. Started feeling worse 12 hours later. Main complains: Diarrhea, feeling faint - so much so, I laid down three times and crawled so as not to pass out, chills

Other Meds: levothyroxine, vitamin c, zinc, ibuprofen

Current Illness:

ID: 0964352
Sex: F
Age: 45
State: IA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Penicillin, Sulfa, Kiwi

Symptoms: nausea (gagging), headache, fatigue, feeling hot (no fever). Symptoms started the same evening I received the shot, am now on day 4 and symptoms have eased up, but still present.

Other Meds: multivitamin, Vitamin D, paroxetine, amlodipine, metformin

Current Illness: None

ID: 0964353
Sex: M
Age: 19
State: VA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Allergies to dairy, pollen, and dust

Symptoms: I got the injection at 3:35pm on 1/20 in my left arm. Within the first 30 minutes, my shoulder around the injection site was incredibly sore, my left elbow had a lot of joint pain, and my left thumb and index fingers went numb within the first 30 minutes, I woke up at 8:00am on 1/21 and noticed that I had a light headache, felt extremely groggy, and was experiencing an uncomfortable amount of muscular and joint pain. I went to work at 9:00 and on the drive there, I began to feel dizzy and I felt as if when I turned my head, my vision would lag behind and take a second to process my surroundings. By 10:00, my muscular and joint pains were significantly amplified, my headaches were increasing in frequency and amplitude. I also began to have the chills, followed by periods of radiating heat from my body. Coworkers told me I looked very flushed, however, I never developed a fever. By 11:00, the muscular and joint pains, coupled with the headaches forced me to sit down and I almost broke down into tears. There were three sperate times where I began to get very lightheaded and thought I was going to pass out ( I did not). I went home at noon and noticed that my muscles felt like they were on fire. I took Tylenol and Advil whenever I could, which helped to reduce the symptoms. we had dinner at 7:00, however, I had no appetite, without eating since noon. On 1/22, I woke up at 8:30 with a pounding headache, muscular and joint pains still there, however reduced, and the same groggy feeling. This morning, I also noticed that I had a very sharp stomach pain in my abdomen. I also woke up with a severe nosebleed, which is extremely uncommon for me.

Other Meds: Airborne gummy vitamin - Vitamin C vitafusion Multivites - Vitamins A, C, D, E, B-6, B-12, Folic Acid, Pantothenic Acid, Niacin, Folate, Biotin, and Chromium

Current Illness:

ID: 0964354
Sex: M
Age: 56
State: NJ

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: INJECTION SITE SORENESS/ LIGHT SENSITIVITY/ FATIGUE/ SLIGHT HEADACHE REST; NAPROXIN

Other Meds: OMEPRAZOL; SAW PALMETTO; VIT D; ZINC; TURMERIC; MULT VIT; ACV

Current Illness: NONE

ID: 0964355
Sex: M
Age: 30
State: IN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: First shot was in my right arm on 12/30/2020, I only experienced minor pain in my right arm the next day around the injection site. Second shot was in my right arm on 01/20/2021, the next day I experienced a minor fever, minor body aches, a headache, and tiredness. These symptoms lasted approximately 12 hours. These symptoms matched what co-workers and friends had also experienced.

Other Meds: N/A

Current Illness: N/A

ID: 0964356
Sex: F
Age: 49
State: NC

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data: Went to ER vitals taken and Benadryl given

Allergies: Sulfa

Symptoms: Rash, pain,swelling at site, hypertension and fever for several days

Other Meds: Ibuprofen

Current Illness:

ID: 0964357
Sex: F
Age: 75
State: FL

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Fish - breakout in hives Advil/Aleve - breakout in hives

Symptoms: Does not have the lot number. Is a daily smoker. When I got home an hour later my arm was sore so I put ice on it then I started getting nauseous and lightheaded. All day Wednesday nauseous and lightheaded. Yesterday (Thursday) I was feeling a little better and today I am feeling a little better still feeling the same symptoms just not as bad.

Other Meds: Protonic - for acid reflux every day, Zoloft 100mg (genetic brand) once a day, Clonazepam 0.5 MG twice a day, Tamazepam 30 MG at bedtime, Atorvastatin 10 mg at bedtime. Benadryl 1-2 times a day, Inhaler - Anoro

Current Illness:

ID: 0964358
Sex: F
Age: 85
State: GA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: LADY SAYS WITHIN A HOUR OF VACCINATION SHE EXPERIENCED NUMBNESS IN THE EAR AND PAIN IN HER JAW (TOOTHACHE TYPE PAIN). SHE ALSO HAD THE SORENESS IN THE ARM FOR 3 DAYS. ALL SYMPTOMS HAPPENED ON HER LEFT SIDE (INJECTION SIDE).

Other Meds:

Current Illness:

ID: 0964359
Sex: M
Age: 56
State: PR

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data: oximetry, blood pressure

Allergies: Sea food

Symptoms: Burning sensation, difficult to swallow, dizziness, redness in the chest, deep pain in the puncture area, iron flavor,

Other Meds: Vit C, Zinc, Vit D, Tranferfactor

Current Illness: HBP, DM, meniere syndrome

ID: 0964360
Sex: F
Age: 33
State: MI

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Body aches, chills, possible fever (temperature not actually taken) On night of administration lasting through second day, or day after vaccination administration

Other Meds: Oral birth control (necon)

Current Illness: None

ID: 0964361
Sex: F
Age: 39
State: IL

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Ceclor and guaifenesin

Symptoms: eight days after vaccine woke up with red raised patch going from injection site down arm just a skinny stripe. It was hot to touch. Felt like i got stung by a bee. Today it is still red, slight less hot and swollen. Have not taken any medications.

Other Meds:

Current Illness:

ID: 0964362
Sex: F
Age: 30
State: NH

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Red splotchy rash from neck to tailbone and also from chest to waist, not raised but warm to the touch and intermittently itchy. Discovered at 5:30pm on 1/21, front rash has diminished as of 8am 1/22 but is still present. No fever

Other Meds: Mylan

Current Illness: N/A

ID: 0964363
Sex: F
Age: 58
State: KY

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Trees, cats, dogs, mold

Symptoms: 8 days after vaccine, the vaccine site began with a itchy rash on 01/21/21, it has since become hot, red circle about 2 inch in diameter, swollen.

Other Meds: Metoprolol, Claritin, Vitamins and supplement which include, probiotics, enzymes, numerous herbal remedies. Took Fluconazole on Monday, 01/18/2021

Current Illness: Yeast infection

ID: 0964364
Sex: F
Age: 88
State: OH

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: NA

Allergies: NA

Symptoms: very nauseated after injection. Close to vomiting. BP 149/74, HR 95. Given water to sip on and monitoring. Repeat BP 151/72, HR93. Nausea resolved after 20 minutes

Other Meds: synthroid

Current Illness: NA

ID: 0964365
Sex: F
Age: 21
State: PA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Severe nausea and vomiting, body aches and joint aches, chills, sweating, fatigue. Lasted about 24 hours. I slept for a total of 16 hours the day after getting the vaccine and could not do daily activities. I took Tylenol and drank fluids.

Other Meds: none

Current Illness: none

ID: 0964366
Sex: F
Age: 31
State:

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: got vaccine last 01/12/2021, first Moderna dose, was fine but L arm hurt at injection site; then, on either 1/13 or 01/14 morning (cannot remember), she woke up with a feeling of pressure "right in the middle of my chest". It has been consistently present since then, no pain.

Other Meds:

Current Illness:

ID: 0964367
Sex: M
Age: 77
State: FL

Vax Date: 01/07/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Notice minor sensitivity when touch injection site. Some swelling and slight redness around the injection site and site is warm. I am also aware of slight itching feeling. I do not have fever. None of these are severe but rather I am aware of them and wonder if I should still experience them since I received the first dose on 1/7/2021. Do I need to be concerned or contact my primary physician?

Other Meds: Eliquis 5 mg, Finasteride 5 MG, Metoprolol Succinate Er 24hr 50 mg tab, Omeprazole DR 40 Mg , Simvastatin 20 mg, Tamsulosin 0.4 mg, Ventolin Hfa 108 Mcg, Spiriva Resimat 1.25 mcg, Flonase

Current Illness: none

ID: 0964368
Sex: M
Age: 34
State: NH

Vax Date: 01/16/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Rash and swollen right arm

Other Meds: N/A

Current Illness: N/A

ID: 0964369
Sex: F
Age: 38
State: MN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Ancef, Celexa, Cephalosporins, Levaquin, Penicillins, Quinolones, Serotnin, Sulfa, Erythromycin

Symptoms: Neck Pain, throbbing headache, muscle pain everywhere

Other Meds: Xanax, Ambien, Lexapro, Imitrex

Current Illness: N/A

ID: 0964370
Sex: F
Age: 61
State: NY

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Extreme arm pain--feels like arm is broken. Also feels like an air pocket in ear on the side of the vaccine.

Other Meds:

Current Illness:

ID: 0964372
Sex: F
Age: 42
State: CT

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: NONE

Allergies: DENIED

Symptoms: THE PATIENT DESCRIBED SYMPTOMS OF FEVER ( UPTO 102, FOR WHICH SHE TOOK TYLENOL, AND IT RESOLVED. SHE DESCRIBED,VOMITTING

Other Meds: NONE

Current Illness: DENIED

ID: 0964373
Sex: F
Age: 39
State: IN

Vax Date: 01/01/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Received the vaccine at 9:30.am on Wednesday. By noon on Thursday,felt soreness in arm. By 6pm, I felt a heaviness in every muscle- had to go to bed. Took Advil and had a good nights rest. Woke up the next morning, feeling better but I started feeling fatigued and achy by noon. I had to leave my job and went home and slept for 3 hours. Had dinner but had to go back to bed due to fatigue. Took Advil and Tylenol and feeling better on Friday morning.

Other Meds: None

Current Illness: None

ID: 0964374
Sex: M
Age: 42
State: NM

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: nka

Symptoms: Complete COVID symptoms again. Hard time breathing, fever and body aches

Other Meds: Folic Acid, Gabapentin, Atenolol, baby aspirin,

Current Illness: Had covid, sars pneumonia 11/17/2020. Was given plasma and resdemsivier

ID: 0964375
Sex: M
Age: 76
State: WA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: caffeine

Symptoms: Low grade temperature of 101.2 dealt with by taking aspirins. Overall body ache dealt with by aspirins. Extreme pain in area of left arm/shoulder where the vaccine was given. Arm severely ached for 48 hours in any position, was very tender/painful to touch, and difficult to use or move. I'm pretty tough where pain is concerned with past injuries (broken leg in 17 pieces, severely sprained ankles, broken ribs, broken tail bone from horse accident. This vaccination arm pain was right up there with the worst.

Other Meds: None

Current Illness: None

ID: 0964376
Sex: M
Age: 48
State: AZ

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data: cbc, crp, triponents bubble study, EKG

Allergies: None

Symptoms: 8 minutes after the vaccine i satrt to experience some tingling to my left earlobe. It then radiated to my left jaw line where i felt an onset of numbness. the numbness hten radited to my left shoulder all the way down to my left extrremity digits. atthat time i waived over a nurse who waived a physician who check my radial pulse, pulse was noted in the 70's. At that time the physician asked a EMT perofrmed four evalautions of my BP and my BP was reading syttolically between was 140-150 and my datolics was reading 110-115. Throughout that time the numbness was still to my left side of my face and shoulder and arm and to myfingers. This was only localized to those two areas. At that time it was requested for me to go to the hospital to seek medical attention. I deferrred to going home to check my BP and at that time i was running 150/100. The numbness was still present and mu thought process my body was stressed out. I then took a nice cold shower with breathing techniques. I did orthastatics on myself. I then followed with my PCP the next day and she ordered bunch of labs, CRP, triponents, CBC, bubble study and chest x-ray and EKG. ALl the testes were deemed to be negative. My systolics were 120/80 when i saw my PCP, however i was recommedned to take the whole week off and was recommended to go back to work after the new year. After five days the numbness went away to my digits went away but not to my face. My grips were equal. I had no Bal palsy nor stroke. The numbness sill persisted up till day 9 and the umbness to the face went away.

Other Meds: None

Current Illness: None

ID: 0964377
Sex: M
Age: 28
State: PA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Avocado

Symptoms: Within 2 hours intense pain at vaccination site out of proportion to injection Within 5 hours, malaise and generalized body aches Within 12 hours chills, rigors, headache All symptoms resolved within 18 hours post injection

Other Meds: Buproprion 100mg Fexofenadine Multivitamin

Current Illness: None

ID: 0964379
Sex: F
Age: 33
State: IN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Penicillins

Symptoms: Tongue was numb for 3 hours. Then base of tongue and throat were tingling and cold.

Other Meds: Wellbutrin, Prozac, Krill Oil, Biotin

Current Illness: Sinus issues before

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm