VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1595965
Sex: F
Age:
State:

Vax Date: 02/03/2021
Onset Date:
Rec V Date: 08/21/2021
Hospital:

Vax Type:
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Lab Data:

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Symptom List:

Symptoms: injection site reaction; This spontaneous case was reported by a pharmacist and describes the occurrence of VACCINATION SITE REACTION (injection site reaction) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 03-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE REACTION (injection site reaction). At the time of the report, VACCINATION SITE REACTION (injection site reaction) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No Concomitant medications were provided No Treatment information provided

Other Meds:

Current Illness:

ID: 1595966
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/21/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

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Symptom List:

Symptoms: Adverse reaction after his first Moderna shot; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (Adverse reaction after his first Moderna shot) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced VACCINATION COMPLICATION (Adverse reaction after his first Moderna shot). At the time of the report, VACCINATION COMPLICATION (Adverse reaction after his first Moderna shot) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown. No concomitant medication provided. No treatment information provided.

Other Meds:

Current Illness:

ID: 1595967
Sex: M
Age: 49
State: KY

Vax Date: 07/19/2021
Onset Date: 08/07/2021
Rec V Date: 08/21/2021
Hospital:

Vax Type:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Pain in left calf (August 7) after Janssen vaccine (July 19th). But, also in context of COVID-19 positive rapid test (August 8, 2021) with nasal congestion and family members with COVID-19. DVT evidence: d-dimer > 4,000. Venous ultrasound left calf confirmed DVT.

Other Meds: None

Current Illness: None

ID: 1595968
Sex: F
Age: 40
State: CA

Vax Date: 08/20/2021
Onset Date: 08/20/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Additional Details: Patient has history of anxiety, and admitted to being anxious before vaccine. Shortly after vaccine pt started to feel chest tightness, headache, tingling/numbness and increased heartrate/bp. I took bp was 165/104. Called and ambulance for pt since sx didnt improve and pt went to hospital. Per friend, shes feeling better but still has some chest tightness.

Other Meds:

Current Illness:

ID: 1595969
Sex: M
Age: 75
State: NH

Vax Date: 08/17/2021
Onset Date: 08/17/2021
Rec V Date: 08/21/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Sever fatigue, joint pain, headaches for 48 hours

Other Meds: Simvastatin, tamsulosin, multi vitamins, CoQ10, Omega Fish Oil, Vitamin D, magnesium,

Current Illness:

ID: 1595970
Sex: F
Age: 40
State: CA

Vax Date: 08/20/2021
Onset Date: 08/20/2021
Rec V Date: 08/21/2021
Hospital:

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Hypertension-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Following vaccination, patient complained of chest tightness, light headedness, and tingling/numbness of extremities. BP was 165/104, and since sx didnt improve, an ambulance was called. Later I spoke with friend over the phone, she stated patient is getting better but still has some symptoms and was still in hospital.

Other Meds:

Current Illness:

ID: 1595971
Sex: F
Age: 60
State: GA

Vax Date: 08/14/2021
Onset Date: 08/17/2021
Rec V Date: 08/21/2021
Hospital:

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies: Nickel Sulfur

Symptom List:

Symptoms: Ringing in my ears. Swelling in my legs, feet and ankles.

Other Meds: Synthroid Blood pressure meds

Current Illness: None

ID: 1595972
Sex: F
Age: 78
State: KS

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 08/21/2021
Hospital:

Vax Type:
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Lab Data:

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Symptom List:

Symptoms: pain; headache; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (pain) and HEADACHE (headache) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 014M20A) for COVID-19 vaccination. No Medical History information was reported. On 04-Mar-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) at an unspecified dose. On 04-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 04-Mar-2021, the patient experienced PAIN (pain) and HEADACHE (headache). At the time of the report, PAIN (pain) and HEADACHE (headache) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.

Other Meds:

Current Illness:

ID: 1595973
Sex: M
Age: 17
State: CA

Vax Date: 08/20/2021
Onset Date: 08/20/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Mild

Other Meds:

Current Illness:

ID: 1595974
Sex: F
Age: 40
State: IL

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies: Gadolinium

Symptom List:

Symptoms: Pregnant at 8 weeks, 5 days at time of second dose. 10:45am 4/15/21: Received 2nd dose. 7pm 4/15/21: 102 fever, restlessness. 2-3 max doses of Tylenol were taken. Fever kept at 102 5am 4/16/21: fever broke 4/16/21: Exhaustion, achy lasted for the day 4/17/21: vaginal bleeding for the day 4/18/21: no symptoms 4/19/21: visited obgyn: baby checked, no signs of complications Evening 4/19/21: vaginal bleeding began again 4/20/21: visited Obgyn: ultrasound, found sub chorionic hematoma

Other Meds: Cosentyx, prenatal vitamin

Current Illness: No

ID: 1595975
Sex: M
Age: 80
State: OK

Vax Date: 08/20/2021
Onset Date: 08/20/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too Low-

Other Meds:

Current Illness:

ID: 1595976
Sex: F
Age: 43
State: TX

Vax Date: 08/18/2021
Onset Date: 08/19/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Chills-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fever-Severe, Additional Details: Pt reported severe redness swollen, itchy, warm to touch at injection site. Symptoms started 1 day post injection and have been very severe. Pt is also immunocompromised and on injectable biologics. She will follow-up with her rheumatologist for further management of symptoms

Other Meds:

Current Illness:

ID: 1595977
Sex: F
Age: 74
State: GA

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Additional Details: Patient says she was dizzy. Was given some crakers and lots of ventilation. She appeared to be getting better and was given some crakers. After a few mins, she felt she was getting worse and that her throat was tightening. Was then given EPIPEN and felt better after a few mins.

Other Meds:

Current Illness:

ID: 1595978
Sex: F
Age: 35
State: WI

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: When I got the vaccine I drove over to the parking lot waiting area. I felt strange but ok. My arm had pain at the injection site with a burning sensation. I had a brief moment of narrowing vision or blurred about 5 minutes after the injection but it went away. It lasted approximately 1-2 minutes at the most. I felt just fine after I waited the 15 minutes and I left. I didn't feel the need for medical care. I filled out the V-Safe questionnaires to discuss my other symptoms that started at about 1 am the same day. but it didn't ask about at the time of injection. I reported my fever 101.8, severe chills, severe headache (worst I have ever had), joint pains, muscle and body aches, nausea, injection site pain, fatigue and tiredness, and that I was unable to attend work or do normal activities.

Other Meds: ortho tri cyclin lo

Current Illness: None

ID: 1595979
Sex: M
Age: 33
State: CT

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe

Other Meds:

Current Illness:

ID: 1595980
Sex: M
Age: 38
State:

Vax Date: 07/09/2021
Onset Date: 07/30/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Bell?s palsy

Other Meds:

Current Illness:

ID: 1595981
Sex: M
Age: 54
State: GA

Vax Date: 08/09/2021
Onset Date: 08/19/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash Generalized-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Additional Details: patient has redness over entire body including scalp area; also facial swelling and redness along with extreme itching. Rash, swelling, and itching occured 10 days after receiving vaccination.

Other Meds:

Current Illness:

ID: 1595982
Sex: F
Age: 60
State: TX

Vax Date: 08/03/2021
Onset Date: 08/03/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Medium

Other Meds:

Current Illness:

ID: 1595983
Sex: F
Age: 48
State: AZ

Vax Date: 08/20/2021
Onset Date: 08/20/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium

Other Meds:

Current Illness:

ID: 1595984
Sex: F
Age: 61
State: CA

Vax Date: 08/17/2021
Onset Date: 08/18/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Pain at Injection Site-Severe

Other Meds:

Current Illness:

ID: 1595985
Sex: F
Age: 70
State: NV

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Exhaustion / Lethargy-Severe

Other Meds:

Current Illness:

ID: 1595986
Sex: F
Age: 59
State:

Vax Date: 02/28/2021
Onset Date:
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: was given shingles vaccine 3 days after moderna vaccine; This spontaneous case was reported by a pharmacist and describes the occurrence of HERPES ZOSTER (was given shingles vaccine 3 days after moderna vaccine) in a 59-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for an unknown indication. Concomitant products included METFORMIN and GLIMEPIRIDE for Diabetes, LOSARTAN, LINACLOTIDE (LINZESS), OMEPRAZOLE, GABAPENTIN (NEURONTIN), POTASSIUM CHLORIDE, HYDROCHLOROTHIAZIDE and LEVOTHYROXINE for an unknown indication, Diclofenac. On 28-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced HERPES ZOSTER (was given shingles vaccine 3 days after moderna vaccine). At the time of the report, HERPES ZOSTER (was given shingles vaccine 3 days after moderna vaccine) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.

Other Meds: METFORMIN; GLIMEPIRIDE; LOSARTAN; LINZESS; OMEPRAZOLE; Diclofenac; NEURONTIN; POTASSIUM CHLORIDE; HYDROCHLOROTHIAZIDE; LEVOTHYROXINE

Current Illness:

ID: 1595987
Sex: M
Age: 76
State: CA

Vax Date: 03/01/2021
Onset Date: 03/03/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: became very disoriented; seemed to loose their balance; they felt like they were going to fall; felt light-headed; soreness in their arm; This spontaneous case was reported by a consumer and describes the occurrence of DISORIENTATION (became very disoriented), BALANCE DISORDER (seemed to loose their balance), FALL (they felt like they were going to fall), DIZZINESS (felt light-headed) and MYALGIA (soreness in their arm) in a 76-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 023M20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 01-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Mar-2021, the patient experienced DISORIENTATION (became very disoriented), BALANCE DISORDER (seemed to loose their balance), FALL (they felt like they were going to fall), DIZZINESS (felt light-headed) and MYALGIA (soreness in their arm). At the time of the report, DISORIENTATION (became very disoriented), BALANCE DISORDER (seemed to loose their balance), DIZZINESS (felt light-headed) and MYALGIA (soreness in their arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medication included.

Other Meds:

Current Illness:

ID: 1595988
Sex: F
Age:
State: TN

Vax Date:
Onset Date:
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Temperature over 100; This spontaneous case was reported by a nurse and describes the occurrence of PYREXIA (Temperature over 100) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Egg allergy, Drug allergy (morphine, vibramycin, clindamycin(pediatric) , Carafate, amoxicillin), Latex allergy and Penicillin allergy. Concomitant products included LISINOPRIL, VITAMIN D3, ONDANSETRON HCL, NAPHAZOLINE HYDROCHLORIDE, PHENIRAMINE MALEATE (NAPHCON-A), CARMELLOSE (LUBRICATING PLUS), PEMBROLIZUMAB (KEYTRUDA), LEVOCETIRIZINE DIHYDROCHLORIDE (LEVOCETRIZINE HYDROCHLORIDE), ALBUTEROL SULFATE, HYDROXYZINE HCL, MIRTAZAPINE (MIRTAZAPINE A), FAMOTIDINE and LEVOTHYROXINE for an unknown indication, DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]). On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PYREXIA (Temperature over 100). At the time of the report, PYREXIA (Temperature over 100) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Treatment medications were not provided.

Other Meds: LISINOPRIL; VITAMIN D3; ONDANSETRON HCL; BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]; NAPHCON-A; LUBRICATING PLUS; KEYTRUDA; LEVOCETRIZINE HYDROCHLORIDE; ALBUTEROL SULFATE; HYDROXYZINE HCL; MIRTAZAPINE A; FAMOTIDINE; LEVOTHYROXINE

Current Illness: Drug allergy (morphine, vibramycin, clindamycin(pediatric) , Carafate, amoxicillin); Egg allergy; Latex allergy; Penicillin allergy

ID: 1595989
Sex: F
Age:
State: TX

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient pain in arm at injection site next day after receiving 1st dose; Patient noticed swollen shoulder in arm at injection site; She slept all day.; burning pain all over body; Abdomen was swollen; Right side of her stomach (underneath breast) had some rash; Patient feels like having symptoms of fibromyalgia; Right side of her stomach (underneath breast)was tender; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Patient pain in arm at injection site next day after receiving 1st dose), JOINT SWELLING (Patient noticed swollen shoulder in arm at injection site), SOMNOLENCE (She slept all day.), PAIN (burning pain all over body) and ABDOMINAL DISTENSION (Abdomen was swollen) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Autoimmune disorder. Concomitant products included DEXLANSOPRAZOLE (DEXILANT), SERTRALINE HYDROCHLORIDE (ZOLOFT), ACETYLSALICYLIC ACID (BABY ASPIRIN) and cholesterol medication for an unknown indication. On 25-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 ml. On 26-Feb-2021, the patient experienced VACCINATION SITE PAIN (Patient pain in arm at injection site next day after receiving 1st dose), JOINT SWELLING (Patient noticed swollen shoulder in arm at injection site), SOMNOLENCE (She slept all day.), PAIN (burning pain all over body), ABDOMINAL DISTENSION (Abdomen was swollen), RASH (Right side of her stomach (underneath breast) had some rash), FIBROMYALGIA (Patient feels like having symptoms of fibromyalgia) and TENDERNESS (Right side of her stomach (underneath breast)was tender). At the time of the report, VACCINATION SITE PAIN (Patient pain in arm at injection site next day after receiving 1st dose), JOINT SWELLING (Patient noticed swollen shoulder in arm at injection site), SOMNOLENCE (She slept all day.), PAIN (burning pain all over body), ABDOMINAL DISTENSION (Abdomen was swollen), RASH (Right side of her stomach (underneath breast) had some rash), FIBROMYALGIA (Patient feels like having symptoms of fibromyalgia) and TENDERNESS (Right side of her stomach (underneath breast)was tender) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: DEXILANT; ZOLOFT; BABY ASPIRIN; cholesterol medication

Current Illness:

ID: 1595990
Sex: F
Age: 44
State: NY

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Migraine aura / migraine; Severe abdominal pain; Diarrhea; Dry burning on cheeks; Skin rash on face; Vomiting; A spontaneous report was received from a consumer concerning herself, a 44-year-old patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced severe abdominal pain / abdominal pain, vomiting, diarrhea, skin rash on face / rash, dry burning on cheeks / skin burning sensation migraine and migraine aura. The patient's medical history, as provided by the reporter, included Crohn's disease and irritable bowel syndrome. The patient even reports that she has migraine even before the vaccine administration. Concomitant medications reported included linaclotide daily for product use for unknown indication and the dose was unknown. On 27 Feb 2021, approximately six hours prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Batch number: 014M210A) intramuscularly in the right dominant arm for prophylaxis of COVID-19 infection. On 27 Feb 2021, the patient experienced severe abdominal pain, vomiting, diarrhea, skin rash on face, dry burning on cheeks, migraine and migraine aura. The patient states that all the symptoms have improved but are still ongoing at the time of call. Treatment information included acetaminophen of unknown dose. Action taken with mRNA-1273 in response to the events was not reported. The outcome of event(s), severe abdominal pain, vomiting, diarrhea, skin rash on face, dry burning on cheeks, migraine and migraine aura was not resolved at the time of report.; Sender's Comments: MOD21-043998:Crosslinked

Other Meds: LINACLOTIDE

Current Illness: Crohn's disease; Irritable bowel syndrome

ID: 1595991
Sex: M
Age: 67
State: PA

Vax Date: 02/19/2021
Onset Date: 02/22/2021
Rec V Date: 08/21/2021
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Symptoms: Light Headedness; Pain was over back of his eye sockets to around the temples and the top of his head; Mild headaches; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (Light Headedness), EYE PAIN (Pain was over back of his eye sockets to around the temples and the top of his head) and HEADACHE (Mild headaches) in a 67-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 004M20A and 032L20A) for COVID-19 vaccination. The patient's past medical history included Hyperlipidaemia and Anxiety. Concurrent medical conditions included Hypertension. Concomitant products included IRBESARTAN (AVAPRO), ATORVASTATIN CALCIUM (LIPITOR) and ESCITALOPRAM OXALATE (LEXAPRO) for an unknown indication. On 19-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Feb-2021, the patient experienced DIZZINESS (Light Headedness), EYE PAIN (Pain was over back of his eye sockets to around the temples and the top of his head) and HEADACHE (Mild headaches). At the time of the report, DIZZINESS (Light Headedness), EYE PAIN (Pain was over back of his eye sockets to around the temples and the top of his head) and HEADACHE (Mild headaches) outcome was unknown.

Other Meds: AVAPRO; LIPITOR; LEXAPRO

Current Illness: Hypertension

ID: 1595992
Sex: F
Age: 87
State: FL

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 08/21/2021
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Symptoms: warm arm; an off-colored dark pink circle the size of a nickel that was not sore/Pink/Off-coloured arm; red arm; swollen 2 inches in diameter; red spot; This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (red spot), ERYTHEMA (red arm), SWELLING (swollen 2 inches in diameter), FEELING HOT (warm arm) and SKIN DISCOLOURATION (an off-colored dark pink circle the size of a nickel that was not sore/Pink/Off-coloured arm) in an 87-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031L20A) for COVID-19 vaccination. No Medical History information was reported. On 11-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Feb-2021, the patient experienced ERYTHEMA (red spot). On 23-Feb-2021, the patient experienced ERYTHEMA (red arm) and SWELLING (swollen 2 inches in diameter). On an unknown date, the patient experienced FEELING HOT (warm arm) and SKIN DISCOLOURATION (an off-colored dark pink circle the size of a nickel that was not sore/Pink/Off-coloured arm). On 13-Feb-2021, ERYTHEMA (red spot) outcome was unknown. At the time of the report, ERYTHEMA (red arm), SWELLING (swollen 2 inches in diameter), FEELING HOT (warm arm) and SKIN DISCOLOURATION (an off-colored dark pink circle the size of a nickel that was not sore/Pink/Off-coloured arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant and treatment information were not provided.

Other Meds:

Current Illness:

ID: 1595993
Sex: U
Age:
State: TX

Vax Date:
Onset Date:
Rec V Date: 08/21/2021
Hospital:

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Symptoms: This spontaneous case reported by a consumer, describes the occurrence of erythema (after first shot, arm was red) in a patient, of an unknown age (around 30 in age) and gender, who received mRNA-1273 (Moderna COVID-19 vaccine) for COVID-19 immunization. No medical history reported. On an unknown date, patient received the first dose of mRNA-1273 (Moderna COVID-19 vaccine), unknown route; 1 dosage form. On an unknown date, patient received the second dose of mRNA-1273 (Moderna COVID-19 vaccine), unknown route; 1 dosage form. On an unknown date, patient experienced erythema (after first shot, arm was red). At the time of the report, erythema (after first shot, arm was red) outcome: unknown. For mRNA-1273 (Moderna COVID-19 vaccine), unknown route; dosing remained unchanged. No concomitant medications or treatment information provided. Upon internal review on Aug 4, 2021, age information added to narrative supplement. This case linked to MOD-2021-034326 (patient link).

Other Meds:

Current Illness:

ID: 1595994
Sex: U
Age:
State: DE

Vax Date: 03/03/2021
Onset Date:
Rec V Date: 08/21/2021
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Symptoms: Arm soreness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm soreness) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (Arm soreness). At the time of the report, PAIN IN EXTREMITY (Arm soreness) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1595995
Sex: F
Age:
State:

Vax Date:
Onset Date: 03/02/2021
Rec V Date: 08/21/2021
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Symptoms: Upset stomach; Gas; Cramps in stomach; Difficulty getting to the bathroom; Headache; Tired; Nausea; Got diarrhea again; Intermittent bouts of diarrhea; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (Intermittent bouts of diarrhea), ABDOMINAL DISCOMFORT (uUset stomach), FLATULENCE (Gas), ABDOMINAL PAIN UPPER (Cramps in stomach) and ASTHENIA (Difficulty getting to the bathroom) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030M20A and 042L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concomitant products included TRAZODONE, ROSUVASTATIN CALCIUM (CRESTOR) and GABAPENTIN for an unknown indication. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 02-Mar-2021, the patient experienced DIARRHOEA (Got diarrhea again). On an unknown date, the patient experienced DIARRHOEA (Intermittent bouts of diarrhea), ABDOMINAL DISCOMFORT (uUset stomach), FLATULENCE (Gas), ABDOMINAL PAIN UPPER (Cramps in stomach), ASTHENIA (Difficulty getting to the bathroom), HEADACHE (Headache), FATIGUE (Tired) and NAUSEA (Nausea). The patient was treated with BISMUTH SUBSALICYLATE (PEPTO-BISMOL) for Adverse event NOS, at an unspecified dose and frequency and LOPERAMIDE HYDROCHLORIDE (IMODIUM) for Adverse event NOS, at an unspecified dose and frequency. At the time of the report, DIARRHOEA (Intermittent bouts of diarrhea) had resolved and ABDOMINAL DISCOMFORT (uUset stomach), FLATULENCE (Gas), ABDOMINAL PAIN UPPER (Cramps in stomach), ASTHENIA (Difficulty getting to the bathroom), DIARRHOEA (Got diarrhea again), HEADACHE (Headache), FATIGUE (Tired) and NAUSEA (Nausea) outcome was unknown. This case was linked to MOD-2021-034265 (Patient Link).

Other Meds: TRAZODONE; CRESTOR; GABAPENTIN

Current Illness:

ID: 1595996
Sex: M
Age:
State: LA

Vax Date: 02/03/2021
Onset Date:
Rec V Date: 08/21/2021
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Symptoms: Sore throat; Diagnosed with upper respiratory infection; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of OROPHARYNGEAL PAIN (Sore throat) and UPPER RESPIRATORY TRACT INFECTION (Diagnosed with upper respiratory infection) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 004M20A and 013A21A) for COVID-19 vaccination. No Medical History information was reported. On 03-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced OROPHARYNGEAL PAIN (Sore throat) and UPPER RESPIRATORY TRACT INFECTION (Diagnosed with upper respiratory infection). The patient was treated with AZITHROMYCIN for Adverse event NOS, at an unspecified dose and frequency. At the time of the report, OROPHARYNGEAL PAIN (Sore throat) and UPPER RESPIRATORY TRACT INFECTION (Diagnosed with upper respiratory infection) outcome was unknown. No relevant concomitant medications were reported.

Other Meds:

Current Illness:

ID: 1595997
Sex: F
Age:
State: AZ

Vax Date: 01/23/2021
Onset Date:
Rec V Date: 08/21/2021
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Symptoms: Swollen arm; Red spots on injected site; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (Swollen arm) and VACCINATION SITE ERYTHEMA (Red spots on injected site) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 23-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced PERIPHERAL SWELLING (Swollen arm) and VACCINATION SITE ERYTHEMA (Red spots on injected site). At the time of the report, PERIPHERAL SWELLING (Swollen arm) and VACCINATION SITE ERYTHEMA (Red spots on injected site) outcome was unknown. No relevant concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1595998
Sex: M
Age: 96
State: IL

Vax Date: 02/24/2021
Onset Date: 03/01/2021
Rec V Date: 08/21/2021
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Symptoms: Positive for COVID-19; This spontaneous case was reported by an other health care professional (subsequently medically confirmed) and describes the occurrence of COVID-19 (Positive for COVID-19) in a 96-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029k20A) for COVID-19 vaccination. No Medical History information was reported. On 24-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Mar-2021, the patient experienced COVID-19 (Positive for COVID-19). At the time of the report, COVID-19 (Positive for COVID-19) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 13-Nov-2020, SARS-CoV-2 test: positive (Positive) Received Bamlanivimab on 11/19/2020.. On 25-Feb-2021, SARS-CoV-2 test: negative (Negative) Negative. On 01-Mar-2021, SARS-CoV-2 test: positive (Positive) Positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No relevant concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1595999
Sex: F
Age: 68
State: CA

Vax Date: 02/14/2021
Onset Date: 02/28/2021
Rec V Date: 08/21/2021
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Symptoms: Covid arm; Hot; Covid arm It is 6 by 6 inches in size swollen; Red arm; Red arm, it hurts; This spontaneous case was reported by a nurse and describes the occurrence of VACCINATION SITE REACTION (Covid arm), VACCINATION SITE WARMTH (Hot), VACCINATION SITE SWELLING (Covid arm It is 6 by 6 inches in size swollen), VACCINATION SITE ERYTHEMA (Red arm) and VACCINATION SITE PAIN (Red arm, it hurts) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011M20A) for COVID-19 vaccination. No Medical History information was reported. On 14-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Feb-2021, the patient experienced VACCINATION SITE REACTION (Covid arm), VACCINATION SITE WARMTH (Hot), VACCINATION SITE SWELLING (Covid arm It is 6 by 6 inches in size swollen), VACCINATION SITE ERYTHEMA (Red arm) and VACCINATION SITE PAIN (Red arm, it hurts). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Adverse event, at an unspecified dose and frequency and CORTISONE (topical) for Adverse event, at an unspecified dose and frequency. At the time of the report, VACCINATION SITE REACTION (Covid arm), VACCINATION SITE WARMTH (Hot), VACCINATION SITE SWELLING (Covid arm It is 6 by 6 inches in size swollen), VACCINATION SITE ERYTHEMA (Red arm) and VACCINATION SITE PAIN (Red arm, it hurts) was resolving. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No relevant concomitant medications were reported.

Other Meds:

Current Illness:

ID: 1596000
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/21/2021
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Symptoms: bad reaction to the first dose; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of VACCINATION SITE REACTION (bad reaction to the first dose) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for an unknown indication. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE REACTION (bad reaction to the first dose). This case was linked to MOD-2021-034320 (Patient Link). Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1596001
Sex: M
Age: 72
State: IN

Vax Date: 03/03/2021
Onset Date:
Rec V Date: 08/21/2021
Hospital:

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Symptoms: little fever about 100.3; joint and muscle pain; joint and muscle pain; headache today; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (little fever about 100.3), ARTHRALGIA (joint and muscle pain), MYALGIA (joint and muscle pain) and HEADACHE (headache today) in a 73-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Lot# 030A21A) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 03-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PYREXIA (little fever about 100.3), ARTHRALGIA (joint and muscle pain), MYALGIA (joint and muscle pain) and HEADACHE (headache today). At the time of the report, PYREXIA (little fever about 100.3), ARTHRALGIA (joint and muscle pain), MYALGIA (joint and muscle pain) and HEADACHE (headache today) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 03-Mar-2021, Body temperature: 100.3 degree Celsius High. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Treatment details included not provided

Other Meds:

Current Illness:

ID: 1596002
Sex: F
Age: 71
State: WA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 08/21/2021
Hospital:

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Symptom List:

Symptoms: Vaccination site erythema; 3 inch square below injection site which was really red, swollen and tender to touch and gradually; (square) tender to touch and gradually spread to elbow at shoulder; Sore arm; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PAIN IN EXTREMITY (Sore arm), VACCINATION SITE ERYTHEMA (Vaccination site erythema), VACCINATION SITE SWELLING (3 inch square below injection site which was really red, swollen and tender to touch and gradually) and VACCINATION SITE PAIN ((square) tender to touch and gradually spread to elbow at shoulder) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 immunization. The patient's past medical history included No adverse event (No medical history reported) since an unknown date. On 22-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 19-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 22-Jan-2021, the patient experienced PAIN IN EXTREMITY (Sore arm). On 30-Jan-2021, the patient experienced VACCINATION SITE ERYTHEMA (Vaccination site erythema), VACCINATION SITE SWELLING (3 inch square below injection site which was really red, swollen and tender to touch and gradually) and VACCINATION SITE PAIN ((square) tender to touch and gradually spread to elbow at shoulder). On 29-Jan-2021, PAIN IN EXTREMITY (Sore arm) had resolved. At the time of the report, VACCINATION SITE ERYTHEMA (Vaccination site erythema), VACCINATION SITE SWELLING (3 inch square below injection site which was really red, swollen and tender to touch and gradually) and VACCINATION SITE PAIN ((square) tender to touch and gradually spread to elbow at shoulder) had resolved. Treatment for the events included paracetamol, Benadryl. Reporter did not allow further contact

Other Meds:

Current Illness: No adverse event (No medical history reported)

ID: 1596003
Sex: F
Age: 28
State: TX

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 08/21/2021
Hospital:

Vax Type:
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Symptoms: Vaccine exposure during pregnancy; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of MATERNAL EXPOSURE DURING PREGNANCY (Vaccine exposure during pregnancy) in a 28-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012A21A) for COVID-19 vaccination. No Medical History information was reported. On 25-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. The patient's last menstrual period was on 26-Aug-2020 and the estimated date of delivery was 22-May-2021. On 25-Feb-2021, the patient experienced MATERNAL EXPOSURE DURING PREGNANCY (Vaccine exposure during pregnancy). The patient received mRNA-1273 (Moderna COVID-19 Vaccine) beginning around the twenty-sixth week of the pregnancy. On 25-Feb-2021, MATERNAL EXPOSURE DURING PREGNANCY (Vaccine exposure during pregnancy) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication was not reported .

Other Meds:

Current Illness:

ID: 1596004
Sex: F
Age: 32
State: CT

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 08/21/2021
Hospital:

Vax Type:
Manufacturer:
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Symptom List:

Symptoms: Pregnant patient received vaccine; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of EXPOSURE DURING PREGNANCY (Pregnant patient received vaccine) in a 32-year-old female patient (gravida 2, para 1) who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 012L20A and 028L20A) for COVID-19 vaccination. The patient's past medical history included Alcohol use and Nicotine dependence. Concomitant products included MINERALS NOS, VITAMINS NOS (PRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS]) for an unknown indication. On 07-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. The patient's last menstrual period was on 24-Sep-2020 and the estimated date of delivery was 01-Jul-2021. On 07-Jan-2021, the patient experienced EXPOSURE DURING PREGNANCY (Pregnant patient received vaccine). The patient received mRNA-1273 (Moderna COVID-19 Vaccine) beginning around the fifteenth week of the pregnancy. On 04-Feb-2021, EXPOSURE DURING PREGNANCY (Pregnant patient received vaccine) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 26-Oct-2020, Pregnancy test: Positive. In 2021, Ultrasound scan: normal. The patient took one year to get pregnant. Treatment information was not provided.

Other Meds: PRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS]

Current Illness:

ID: 1596005
Sex: F
Age: 82
State: CA

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 08/21/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

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Symptom List:

Symptoms: Injection site has been hurting; Pain; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Injection site has been hurting) and PAIN (Pain) in an 82-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event. Concomitant products included LOSARTAN for an unknown indication. On 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Mar-2021, the patient experienced VACCINATION SITE PAIN (Injection site has been hurting) and PAIN (Pain). At the time of the report, VACCINATION SITE PAIN (Injection site has been hurting) and PAIN (Pain) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. The patient's medical history was not provided. Concomitant product use was Cholesterol medicine. No treatment medication was reported.

Other Meds: LOSARTAN

Current Illness:

ID: 1596006
Sex: M
Age: 28
State: MI

Vax Date: 03/02/2021
Onset Date:
Rec V Date: 08/21/2021
Hospital:

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

Lab Data:

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Symptoms: Injection arm tightness; injection arm soreness; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE INDURATION (Injection arm tightness) and VACCINATION SITE PAIN (injection arm soreness) in a 28-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029A21A) for COVID-19 vaccination. Concurrent medical conditions included Colitis. Concomitant products included MESALAZINE (LIALDA) for Colitis, FEXOFENADINE HYDROCHLORIDE (ALLEGRA), MULTIVITAMIN [VITAMINS NOS], PROBIOTICS NOS, FISH OIL and INFLIXIMAB (REMICADE) for an unknown indication. On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE INDURATION (Injection arm tightness) and VACCINATION SITE PAIN (injection arm soreness). At the time of the report, VACCINATION SITE INDURATION (Injection arm tightness) and VACCINATION SITE PAIN (injection arm soreness) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information were not provided by the reporter. Patient is taking additionally unknown Immunosuppressive medications as a concomitant medications. Most recent FOLLOW-UP information incorporated above includes: On 04-May-2021: Concomitant Medication and medical history updated. On 23-Jun-2021: Non-significant Follow-up appended

Other Meds: LIALDA; ALLEGRA; MULTIVITAMIN [VITAMINS NOS]; PROBIOTICS NOS; FISH OIL; REMICADE

Current Illness: Colitis

ID: 1596007
Sex: F
Age: 63
State: AZ

Vax Date: 02/22/2021
Onset Date: 03/02/2021
Rec V Date: 08/21/2021
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Symptoms: Itching in right arm; Right Arm Rash; Swollen in right arm; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE RASH (Right Arm Rash), PERIPHERAL SWELLING (Swollen in right arm) and PRURITUS (Itching in right arm) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event (no medical records). On 22-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Mar-2021, the patient experienced INJECTION SITE RASH (Right Arm Rash) and PERIPHERAL SWELLING (Swollen in right arm). On an unknown date, the patient experienced PRURITUS (Itching in right arm). At the time of the report, INJECTION SITE RASH (Right Arm Rash), PERIPHERAL SWELLING (Swollen in right arm) and PRURITUS (Itching in right arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment information was provided.

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Current Illness:

ID: 1596008
Sex: M
Age: 20
State: MS

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 08/21/2021
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Symptoms: swelling of lymph node; Arm soreness; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Arm soreness) and LYMPHADENOPATHY (swelling of lymph node) in a 20-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031220A) for COVID-19 vaccination. No Medical History information was reported. On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Feb-2021, the patient experienced VACCINATION SITE PAIN (Arm soreness). On 28-Feb-2021, the patient experienced LYMPHADENOPATHY (swelling of lymph node). At the time of the report, VACCINATION SITE PAIN (Arm soreness) and LYMPHADENOPATHY (swelling of lymph node) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant information were not reported. Treatment information were not provided.

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Current Illness:

ID: 1596009
Sex: M
Age: 66
State: KY

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 08/21/2021
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Symptoms: Syringe malfunctioned; Incomplete dose; Soreness; This spontaneous case was reported by a consumer and describes the occurrence of SYRINGE ISSUE (Syringe malfunctioned), INCORRECT DOSE ADMINISTERED (Incomplete dose) and VACCINATION SITE PAIN (Soreness) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 04-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Mar-2021, the patient experienced SYRINGE ISSUE (Syringe malfunctioned), INCORRECT DOSE ADMINISTERED (Incomplete dose) and VACCINATION SITE PAIN (Soreness). On 04-Mar-2021, SYRINGE ISSUE (Syringe malfunctioned) and INCORRECT DOSE ADMINISTERED (Incomplete dose) had resolved. At the time of the report, VACCINATION SITE PAIN (Soreness) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications were not reported. Treatment information in response to event was not provided. Follow-up received on 31-MAr-2021 included no new information Most recent FOLLOW-UP information incorporated above includes: On 31-Mar-2021: NNI; Reporter's Comments: This report refers to a case of a 66-year-old, male patient who experienced syringe malfunctioned (Syringe issue and he received an incomplete dose (Incomplete dose administered) for mRNA-1273 (Lot number: unknown). The patient experienced soreness which is consistent with the known safety profile of the vaccine. The events of syringe issue and incomplete dose administered are considered not applicable

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Current Illness:

ID: 1596010
Sex: F
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Rec V Date: 08/21/2021
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Symptoms: Excessive yawn; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of YAWNING (Excessive yawn) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced YAWNING (Excessive yawn). At the time of the report, YAWNING (Excessive yawn) outcome was unknown. Concomitant product use was not provided by the reporter. No treatment information was provided. Reporter did not allow further contact

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Current Illness:

ID: 1596011
Sex: F
Age: 72
State: NH

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 08/21/2021
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Symptoms: Injection site rash; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE RASH (Injection site rash) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030L20A) for COVID-19 vaccination. No Medical History was provided by the reporter. On 03-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Feb-2021, the patient experienced VACCINATION SITE RASH (Injection site rash). On 10-Feb-2021, VACCINATION SITE RASH (Injection site rash) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product use was not provided by the reporter. No treatment information was provided. This case was linked to MOD-2021-034398 (Patient Link).

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Current Illness:

ID: 1596012
Sex: F
Age: 67
State: MI

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 08/21/2021
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Symptoms: Very similar to COVID/flu-ish feeling; tightness in the chest (noticed every breath); malaise; achiness; lack of interest; brain fogs; heart doesn't feel like before; just sits there and never done that before; fatigue; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 04-Mar-2021 and was forwarded to Moderna on 04-Mar-2021. This spontaneous case was reported by a consumer and describes the occurrence of INFLUENZA LIKE ILLNESS (Very similar to COVID/flu-ish feeling), CHEST DISCOMFORT (tightness in the chest (noticed every breath)), MALAISE (malaise), PAIN (achiness) and EMOTIONAL POVERTY (lack of interest) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COVID-19 antibody test positive on 22-Feb-2021. On 16-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Feb-2021, the patient experienced INFLUENZA LIKE ILLNESS (Very similar to COVID/flu-ish feeling), CHEST DISCOMFORT (tightness in the chest (noticed every breath)), MALAISE (malaise), PAIN (achiness), EMOTIONAL POVERTY (lack of interest), FEELING ABNORMAL (brain fogs), FEELING ABNORMAL (heart doesn't feel like before), ABNORMAL BEHAVIOUR (just sits there and never done that before) and FATIGUE (fatigue). At the time of the report, INFLUENZA LIKE ILLNESS (Very similar to COVID/flu-ish feeling), CHEST DISCOMFORT (tightness in the chest (noticed every breath)), MALAISE (malaise), PAIN (achiness), EMOTIONAL POVERTY (lack of interest), FEELING ABNORMAL (brain fogs), FEELING ABNORMAL (heart doesn't feel like before), ABNORMAL BEHAVIOUR (just sits there and never done that before) and FATIGUE (fatigue) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant and treatment medication details were not provided. This case was linked to MOD-2021-053819 (Patient Link).

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Current Illness:

ID: 1596013
Sex: F
Age: 66
State: PA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 08/21/2021
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Symptoms: severe pain in his right knee; joint swelling; This spontaneous case was reported by a physician and describes the occurrence of ARTHRALGIA (severe pain in his right knee) and JOINT SWELLING (joint swelling) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Protein C deficiency (Activated Protein C deficiency). Concomitant products included METHADONE for Chronic pain. On 10-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Feb-2021, the patient experienced ARTHRALGIA (severe pain in his right knee) and JOINT SWELLING (joint swelling). At the time of the report, ARTHRALGIA (severe pain in his right knee) and JOINT SWELLING (joint swelling) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Treatment medication included Vicodin up to 4 times a day. Reporter did not allow further contact

Other Meds: METHADONE

Current Illness: Protein C deficiency (Activated Protein C deficiency)

ID: 1596014
Sex: F
Age: 69
State: IN

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 08/21/2021
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Symptoms: pain all over; muscle aches; freezing but have a fever accompanied with chills; Fatigue; freezing but have a fever accompanied with chills, low grade fever; pain in the arm of the injection site; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (pain all over), VACCINATION SITE PAIN (pain in the arm of the injection site), MYALGIA (muscle aches), CHILLS (freezing but have a fever accompanied with chills) and PYREXIA (freezing but have a fever accompanied with chills, low grade fever) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 11-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Feb-2021, the patient experienced VACCINATION SITE PAIN (pain in the arm of the injection site) and PYREXIA (freezing but have a fever accompanied with chills, low grade fever). On an unknown date, the patient experienced PAIN (pain all over), MYALGIA (muscle aches), CHILLS (freezing but have a fever accompanied with chills) and FATIGUE (Fatigue). The patient was treated with PARACETAMOL (TYLENOL) for Fever, Chills, Myalgia and Pain, at an unspecified dose and frequency. At the time of the report, PAIN (pain all over), VACCINATION SITE PAIN (pain in the arm of the injection site), MYALGIA (muscle aches), CHILLS (freezing but have a fever accompanied with chills), PYREXIA (freezing but have a fever accompanied with chills, low grade fever) and FATIGUE (Fatigue) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 12-Feb-2021, Body temperature: 100.8 ?F (High) 100.8 and 101 ?F (High) 101. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported.

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Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm