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
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1597116
Sex: F
Age:
State:

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 08/21/2021
Hospital:

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Lab Data:

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Symptom List:

Symptoms: flu like symptoms; stomach pain; Body aches; fever; Chills; high pressure 166/103; Not able to stabilize high blood pressure; fatigue; This spontaneous case was reported by a consumer and describes the occurrence of HYPERTENSION (high pressure 166/103), BLOOD PRESSURE INADEQUATELY CONTROLLED (Not able to stabilize high blood pressure), INFLUENZA LIKE ILLNESS (flu like symptoms), ABDOMINAL PAIN UPPER (stomach pain) and PAIN (Body aches) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Hypertension, Chronic gastritis and Seasonal allergy. Concomitant products included ACETAMINOPHEN for an unknown indication. On 09-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Mar-2021, the patient experienced BLOOD PRESSURE INADEQUATELY CONTROLLED (Not able to stabilize high blood pressure) and FATIGUE (fatigue). On 10-Mar-2021, the patient experienced HYPERTENSION (high pressure 166/103), INFLUENZA LIKE ILLNESS (flu like symptoms), ABDOMINAL PAIN UPPER (stomach pain), PAIN (Body aches), PYREXIA (fever) and CHILLS (Chills). The patient was treated with CODEINE at a dose of 3800 mg. At the time of the report, HYPERTENSION (high pressure 166/103), BLOOD PRESSURE INADEQUATELY CONTROLLED (Not able to stabilize high blood pressure), INFLUENZA LIKE ILLNESS (flu like symptoms), ABDOMINAL PAIN UPPER (stomach pain), PAIN (Body aches), PYREXIA (fever), CHILLS (Chills) and FATIGUE (fatigue) outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 10-Mar-2021, Blood pressure measurement: 166/103 (High) Patient had high pressure. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications taken by the patient included high blood medication.

Other Meds: ACETAMINOPHEN

Current Illness: Chronic gastritis; Hypertension; Seasonal allergy

ID: 1597117
Sex: M
Age: 46
State: TX

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 08/21/2021
Hospital:

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Symptom List:

Symptoms: stuffy nose; weak; Sleep poor; hot/cold sensation; hot/cold sensation; sweating; headache; fatigue and tired; Sneezing a lot; Watery eyes; Arm was hurting; This spontaneous case was reported by a patient and describes the occurrence of SNEEZING (Sneezing a lot), LACRIMATION INCREASED (Watery eyes), PAIN IN EXTREMITY (Arm was hurting), NASAL CONGESTION (stuffy nose) and ASTHENIA (weak) in a 46-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030NDEA) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 06-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Mar-2021, the patient experienced PAIN IN EXTREMITY (Arm was hurting). On an unknown date, the patient experienced SNEEZING (Sneezing a lot), LACRIMATION INCREASED (Watery eyes), NASAL CONGESTION (stuffy nose), ASTHENIA (weak), POOR QUALITY SLEEP (Sleep poor), FEELING HOT (hot/cold sensation), FEELING COLD (hot/cold sensation), HYPERHIDROSIS (sweating), HEADACHE (headache) and FATIGUE (fatigue and tired). At the time of the report, SNEEZING (Sneezing a lot), LACRIMATION INCREASED (Watery eyes), PAIN IN EXTREMITY (Arm was hurting), NASAL CONGESTION (stuffy nose), ASTHENIA (weak), POOR QUALITY SLEEP (Sleep poor), FEELING HOT (hot/cold sensation), FEELING COLD (hot/cold sensation), HYPERHIDROSIS (sweating), HEADACHE (headache) and FATIGUE (fatigue and tired) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant and treatment medications were reported.

Other Meds:

Current Illness:

ID: 1597118
Sex: F
Age: 93
State: WI

Vax Date: 02/26/2021
Onset Date: 03/10/2021
Rec V Date: 08/21/2021
Hospital:

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Symptoms: arm kept itching; red swelling at the injection site; circular red blotch; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (arm kept itching), VACCINATION SITE SWELLING (red swelling at the injection site) and VACCINATION SITE ERYTHEMA (circular red blotch) in a 93-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013A21A) 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 10-Mar-2021, the patient experienced PRURITUS (arm kept itching), VACCINATION SITE SWELLING (red swelling at the injection site) and VACCINATION SITE ERYTHEMA (circular red blotch). At the time of the report, PRURITUS (arm kept itching), VACCINATION SITE SWELLING (red swelling at the injection site) and VACCINATION SITE ERYTHEMA (circular red blotch) 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 reported. Patient kept some cool compresses which helped.

Other Meds:

Current Illness:

ID: 1597119
Sex: F
Age:
State: OH

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

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Symptoms: Fainting; Cold; Left arm was red and itching; Left arm was red and itching; Vomiting; A spontaneous report was received from a consumer (United States) concerning herself, a female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced fainting/syncope, vomiting, cold/nasopharyngitis, her left arm was red and itching/ erythema and pruritis. The patient's medical history was not reported. Concomitant product use was not provided by the reporter. On 25 Feb 2021, prior to onset of symptoms, the patient received the first of two planned doses of mRNA-1273 (Lot number: not provided) intramuscularly for prophylaxis of COVID-19 infection. On an unspecified date, the patient experienced fainting, vomiting, developed a cold, and her left arm was red and itching. Treatment information was not reported. Action taken with mrna-1273 in response to the events was not reported. The outcome of events, fainting, vomiting, developed a cold, and left arm red and itching, was not reported.; Reporter's Comments: Very limited information regarding this event/s has been provided at this time. Further information has been requested

Other Meds:

Current Illness:

ID: 1597120
Sex: F
Age: 62
State: MD

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 08/21/2021
Hospital:

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Symptom List:

Symptoms: Got into an accident; Spasm in left arm to fingers; Headache; Pain in the injection site; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of ACCIDENT (Got into an accident), MUSCLE SPASMS (Spasm in left arm to fingers), HEADACHE (Headache) and VACCINATION SITE PAIN (Pain in the injection site) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030m20a) for COVID-19 vaccination. No Medical History information was reported. 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 HEADACHE (Headache) and VACCINATION SITE PAIN (Pain in the injection site). On 10-Mar-2021, the patient experienced ACCIDENT (Got into an accident) and MUSCLE SPASMS (Spasm in left arm to fingers). At the time of the report, ACCIDENT (Got into an accident), MUSCLE SPASMS (Spasm in left arm to fingers), HEADACHE (Headache) and VACCINATION SITE PAIN (Pain in the injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1597121
Sex: F
Age:
State:

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

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Symptoms: "jumping around activity" going on and it's getting worse; Her legs have been twitching and has gone up her back; This spontaneous case was reported by a consumer and describes the occurrence of NERVOUSNESS ("jumping around activity" going on and it's getting worse) and MUSCLE TWITCHING (Her legs have been twitching and has gone up her back) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included CARBIDOPA, LEVODOPA (CARBIDOPA LEVODOPA) and CLONAZEPAM for an unknown indication. 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 NERVOUSNESS ("jumping around activity" going on and it's getting worse) and MUSCLE TWITCHING (Her legs have been twitching and has gone up her back). At the time of the report, NERVOUSNESS ("jumping around activity" going on and it's getting worse) and MUSCLE TWITCHING (Her legs have been twitching and has gone up her back) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient had their second shot due on 31 Mar 2021. No treatment information was provided. Reporter did not allow further contact

Other Meds: CARBIDOPA LEVODOPA; CLONAZEPAM

Current Illness:

ID: 1597122
Sex: M
Age:
State:

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 08/21/2021
Hospital:

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Symptoms: pain; fever; headache; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (pain), PYREXIA (fever) and HEADACHE (headache) 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 09-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Mar-2021, the patient experienced PAIN (pain), PYREXIA (fever) and HEADACHE (headache). At the time of the report, PAIN (pain), PYREXIA (fever) and HEADACHE (headache) outcome was unknown. 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.

Other Meds:

Current Illness:

ID: 1597123
Sex: F
Age: 77
State: IN

Vax Date: 02/08/2021
Onset Date: 03/09/2021
Rec V Date: 08/21/2021
Hospital:

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Symptoms: Broke out in hives; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of URTICARIA (Broke out in hives) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 08-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 08-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 09-Mar-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced URTICARIA (Broke out in hives). At the time of the report, URTICARIA (Broke out in hives) outcome was unknown. Concomitant medication not reported. Treatment medication included Steroids. Action taken with mRNA-1273 in response to the events was not applicable. This case was linked to MOD-2021-040658 (Patient Link).

Other Meds:

Current Illness:

ID: 1597124
Sex: F
Age:
State: FL

Vax Date: 02/01/2021
Onset Date: 03/06/2021
Rec V Date: 08/21/2021
Hospital:

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Symptoms: A little under the weather; Loss of appetite; Achy Left Arm; Sore Injection Site; This spontaneous case was reported by a consumer and describes the occurrence of DISCOMFORT (A little under the weather), DECREASED APPETITE (Loss of appetite), PAIN IN EXTREMITY (Achy Left Arm) and VACCINATION SITE PAIN (Sore Injection Site) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. In February 2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 06-Mar-2021, the patient experienced DISCOMFORT (A little under the weather), PAIN IN EXTREMITY (Achy Left Arm) and VACCINATION SITE PAIN (Sore Injection Site). 06-Mar-2021, the patient experienced DECREASED APPETITE (Loss of appetite). On 09-Mar-2021, DISCOMFORT (A little under the weather), DECREASED APPETITE (Loss of appetite), PAIN IN EXTREMITY (Achy Left Arm) and VACCINATION SITE PAIN (Sore Injection Site) had resolved. No concomitant medication information was reported. No treatment information was reported. On follow-up, the patient stated she didn't report adverse events and was doing good. Action taken with mRNA-1273 Moderna COVID-19 Vaccine was not applicable Most recent FOLLOW-UP information incorporated above includes: On 21-Jun-2021: TCR was attached and does not contain any new information

Other Meds:

Current Illness:

ID: 1597125
Sex: F
Age: 72
State: MI

Vax Date: 02/28/2021
Onset Date: 03/10/2021
Rec V Date: 08/21/2021
Hospital:

Vax Type:
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Lab Data:

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Symptom List:

Symptoms: Red blotch where the shot was given / 3 inches long and 2 inches wide; This spontaneous case was reported by a consumer and describes the occurrence of RASH MACULAR (Red blotch where the shot was given / 3 inches long and 2 inches wide) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025AuA) for COVID-19 vaccination. No Medical History information was reported. On 28-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Mar-2021, the patient experienced RASH MACULAR (Red blotch where the shot was given / 3 inches long and 2 inches wide). At the time of the report, RASH MACULAR (Red blotch where the shot was given / 3 inches long and 2 inches wide) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1597126
Sex: F
Age:
State: WA

Vax Date: 03/06/2021
Onset Date:
Rec V Date: 08/21/2021
Hospital:

Vax Type:
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Symptom List:

Symptoms: High blood pressure of 173/89; Rash on right arm that itched; A little fatigued; This spontaneous case was reported by a consumer and describes the occurrence of HYPERTENSION (High blood pressure of 173/89), RASH PRURITIC (Rash on right arm that itched) and FATIGUE (A little fatigued) in an 89-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025A21A) for COVID-19 vaccination. No Medical History information was reported. On 06-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 HYPERTENSION (High blood pressure of 173/89), RASH PRURITIC (Rash on right arm that itched) and FATIGUE (A little fatigued). The patient was treated with HYDROCORTISONE at an unspecified dose and frequency. At the time of the report, HYPERTENSION (High blood pressure of 173/89), RASH PRURITIC (Rash on right arm that itched) and FATIGUE (A little fatigued) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1597127
Sex: F
Age: 76
State: AZ

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

Vax Type:
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Symptom List:

Symptoms: Heart is racing; High Blood Pressure; This spontaneous case was reported by a consumer and describes the occurrence of PALPITATIONS (Heart is racing) and HYPERTENSION (High Blood Pressure) in a 76-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032M20A) for COVID-19 vaccination. No medical history was reported. Concomitant products included ATENOLOL, AMLODIPINE and LOSARTAN for an unknown indication. On 08-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Mar-2021, the patient experienced PALPITATIONS (Heart is racing) and HYPERTENSION (High Blood Pressure). At the time of the report, PALPITATIONS (Heart is racing) and HYPERTENSION (High Blood Pressure) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information was not provided.

Other Meds: ATENOLOL; AMLODIPINE; LOSARTAN.

Current Illness:

ID: 1597128
Sex: F
Age: 61
State: MI

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 08/21/2021
Hospital:

Vax Type:
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Symptom List:

Symptoms: Temperature of 102; Arm really sore; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm really sore) and PYREXIA (Temperature of 102) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 10-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Mar-2021, the patient experienced PAIN IN EXTREMITY (Arm really sore). On 11-Mar-2021, the patient experienced PYREXIA (Temperature of 102). At the time of the report, PAIN IN EXTREMITY (Arm really sore) and PYREXIA (Temperature of 102) had not resolved. Not Provided Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1597129
Sex: F
Age: 65
State: MD

Vax Date: 03/09/2021
Onset Date: 03/09/2021
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: Arm started hurting right after vaccine/arm hurts a lot and patient is in agony; Cannot move arm; Shoulder hurts a lot; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm started hurting right after vaccine/arm hurts a lot and patient is in agony), LIMB DISCOMFORT (Cannot move arm) and ARTHRALGIA (Shoulder hurts a lot) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 056A21A) for COVID-19 vaccination. No Medical History information was reported. On 09-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Mar-2021, the patient experienced PAIN IN EXTREMITY (Arm started hurting right after vaccine/arm hurts a lot and patient is in agony), LIMB DISCOMFORT (Cannot move arm) and ARTHRALGIA (Shoulder hurts a lot). The patient was treated with IBUPROFEN at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (Arm started hurting right after vaccine/arm hurts a lot and patient is in agony), LIMB DISCOMFORT (Cannot move arm) and ARTHRALGIA (Shoulder hurts a lot) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment medication included Ibuprofen.

Other Meds:

Current Illness:

ID: 1597130
Sex: M
Age: 72
State: WV

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 08/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
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Vax Site:

Lab Data:

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Symptom List:

Symptoms: Arm killing; Severe headache; Chills; Joint pain; Feel tired slept for 9.5 hours; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm killing), HEADACHE (Severe headache), CHILLS (Chills), ARTHRALGIA (Joint pain) and FATIGUE (Feel tired slept for 9.5 hours) in a 72-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 048A21A) for COVID-19 vaccination. Concurrent medical conditions included Fractured vertebra. On 10-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Mar-2021, the patient experienced PAIN IN EXTREMITY (Arm killing), HEADACHE (Severe headache), CHILLS (Chills), ARTHRALGIA (Joint pain) and FATIGUE (Feel tired slept for 9.5 hours). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (Arm killing), HEADACHE (Severe headache), CHILLS (Chills), ARTHRALGIA (Joint pain) and FATIGUE (Feel tired slept for 9.5 hours) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1597131
Sex: F
Age:
State: NE

Vax Date: 03/01/2021
Onset Date: 03/09/2021
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: left breast sore; left breast nipple are has a bump next to it, "like she was growing another nipple"; very little warm; right arm red at injection site, size of palm of hand; This spontaneous case was reported by a consumer and describes the occurrence of BREAST PAIN (left breast sore), NIPPLE SWELLING (left breast nipple are has a bump next to it, "like she was growing another nipple"), VACCINATION SITE WARMTH (very little warm) and VACCINATION SITE ERYTHEMA (right arm red at injection site, size of palm of hand) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) 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) (unknown route) 1 dosage form. On 09-Mar-2021, the patient experienced BREAST PAIN (left breast sore), NIPPLE SWELLING (left breast nipple are has a bump next to it, "like she was growing another nipple"), VACCINATION SITE WARMTH (very little warm) and VACCINATION SITE ERYTHEMA (right arm red at injection site, size of palm of hand). At the time of the report, BREAST PAIN (left breast sore), NIPPLE SWELLING (left breast nipple are has a bump next to it, "like she was growing another nipple"), VACCINATION SITE WARMTH (very little warm) and VACCINATION SITE ERYTHEMA (right arm red at injection site, size of palm of hand) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications were reported. Treatment details were not reported.

Other Meds:

Current Illness:

ID: 1597132
Sex: F
Age: 69
State: MD

Vax Date: 03/09/2021
Onset Date: 03/10/2021
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: Dizziness; Shaky; Couldn't able to get up and walk over; Nauseous; Pain at the site of injection; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE PAIN (Pain at the site of injection), DIZZINESS (Dizziness), TREMOR (Shaky), NAUSEA (Nauseous) and GAIT INABILITY (Couldn't able to get up and walk over) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012A21A) for COVID-19 vaccination. Concurrent medical conditions included Type 2 diabetes mellitus (Type 2 diabetes mellitus) and Hypertension. Concomitant products included LISINOPRIL, METFORMIN, INSULIN GLARGINE (BASAGLAR) and SEMAGLUTIDE (OZEMPIC) for an unknown indication. On 09-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 10-Mar-2021, the patient experienced INJECTION SITE PAIN (Pain at the site of injection). On 11-Mar-2021, the patient experienced DIZZINESS (Dizziness), TREMOR (Shaky), NAUSEA (Nauseous) and GAIT INABILITY (Couldn't able to get up and walk over). On 11-Mar-2021, INJECTION SITE PAIN (Pain at the site of injection) had resolved. At the time of the report, DIZZINESS (Dizziness), TREMOR (Shaky), NAUSEA (Nauseous) and GAIT INABILITY (Couldn't able to get up and walk over) outcome was unknown. Not Provided. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.

Other Meds: Lisinopril; Metformin; Basaglar; Ozempic

Current Illness: Hypertension; Type 2 diabetes mellitus (Type 2 diabetes mellitus).

ID: 1597133
Sex: F
Age: 71
State: NY

Vax Date: 01/16/2021
Onset Date: 02/01/2021
Rec V Date: 08/21/2021
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Symptoms: if she touches she can know where she received the vaccine; uncomfortable; some positions are difficult to keep because has pain in the arm; fever; very very painful at the injection site; red at the injection site; swollen at the injection site; tenderness at the injection site; soreness at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (if she touches she can know where she received the vaccine), DISCOMFORT (uncomfortable), PAIN IN EXTREMITY (some positions are difficult to keep because has pain in the arm), PYREXIA (fever) and VACCINATION SITE PAIN (very very painful at the injection site) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 013L20A and 0L0ML0A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 16-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) at an unspecified dose. On 13-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. In February 2021, the patient experienced FEELING ABNORMAL (if she touches she can know where she received the vaccine), DISCOMFORT (uncomfortable), PAIN IN EXTREMITY (some positions are difficult to keep because has pain in the arm), PYREXIA (fever), VACCINATION SITE PAIN (very very painful at the injection site), VACCINATION SITE ERYTHEMA (red at the injection site), VACCINATION SITE SWELLING (swollen at the injection site), VACCINATION SITE PAIN (tenderness at the injection site) and VACCINATION SITE PAIN (soreness at the injection site). At the time of the report, FEELING ABNORMAL (if she touches she can know where she received the vaccine), DISCOMFORT (uncomfortable), PAIN IN EXTREMITY (some positions are difficult to keep because has pain in the arm), VACCINATION SITE PAIN (tenderness at the injection site) and VACCINATION SITE PAIN (soreness at the injection site) had not resolved and PYREXIA (fever), VACCINATION SITE PAIN (very very painful at the injection site), VACCINATION SITE ERYTHEMA (red at the injection site) and VACCINATION SITE SWELLING (swollen at the injection site) had resolved. Treatment of events was reported with acetaminophen (Tylenol, only first days).

Other Meds:

Current Illness:

ID: 1597134
Sex: F
Age:
State: FL

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 08/21/2021
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Symptoms: cannot move her arm and it is very painful; cannot move her arm and it is very painful; This spontaneous case was reported by a consumer and describes the occurrence of MOBILITY DECREASED (cannot move her arm and it is very painful) and PAIN IN EXTREMITY (cannot move her arm and it is very painful) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 044A21A) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included RIVAROXABAN (XARELTO), LEVOTHYROXINE SODIUM (SYNTHROID) and PARACETAMOL (TYLENOL) for an unknown indication. On 11-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Mar-2021, the patient experienced MOBILITY DECREASED (cannot move her arm and it is very painful) and PAIN IN EXTREMITY (cannot move her arm and it is very painful). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, MOBILITY DECREASED (cannot move her arm and it is very painful) and PAIN IN EXTREMITY (cannot move her arm and it is very painful) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information included Ice. This case was linked to MOD-2021-044200, MOD-2021-044200 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 04-May-2021: Follow up received contain second dose information

Other Meds: XARELTO; SYNTHROID; TYLENOL

Current Illness:

ID: 1597135
Sex: F
Age:
State: IL

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 08/21/2021
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Symptoms: Migraine at the right side of the brain for 5 hours; hot/cold flashes; Unable to stand and had to crawl to the bathroom; Urinating urgency, urinated on herself and floor; Headache; This spontaneous case was reported by a consumer and describes the occurrence of MIGRAINE (Migraine at the right side of the brain for 5 hours), HOT FLUSH (hot/cold flashes), DYSSTASIA (Unable to stand and had to crawl to the bathroom), MICTURITION URGENCY (Urinating urgency, urinated on herself and floor) and HEADACHE (Headache) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history information was reported. Concomitant products included VITAMINS NOS for an unknown indication. On 06-Mar-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 07-Mar-2021, the patient experienced MIGRAINE (Migraine at the right side of the brain for 5 hours), HOT FLUSH (hot/cold flashes), DYSSTASIA (Unable to stand and had to crawl to the bathroom), MICTURITION URGENCY (Urinating urgency, urinated on herself and floor) and HEADACHE (Headache). On 07-Mar-2021, MIGRAINE (Migraine at the right side of the brain for 5 hours) had resolved. At the time of the report, HOT FLUSH (hot/cold flashes), DYSSTASIA (Unable to stand and had to crawl to the bathroom) and MICTURITION URGENCY (Urinating urgency, urinated on herself and floor) outcome was unknown and HEADACHE (Headache) had resolved. On follow-up, the patient stated that she had a migraine for 5 hours the night of the vaccine but it went way and the headache went away soon after. She reported having no other reaction. No treatment information was provided. Most recent FOLLOW-UP information incorporated above includes: On 21-Jun-2021: Follow up received on 21 June 2021 and updated outcome of event, Additional event added.

Other Meds: VITAMINS NOS.

Current Illness:

ID: 1597136
Sex: F
Age: 65
State: VA

Vax Date: 01/22/2021
Onset Date: 02/24/2021
Rec V Date: 08/21/2021
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Symptoms: sore arm; Headache; Extreme Nausea; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (sore arm), HEADACHE (Headache) and NAUSEA (Extreme Nausea) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 013L20A and 039K20A) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included VALSARTAN and AJMALINE (CARDIA) for an unknown indication. On 22-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 24-Feb-2021, the patient experienced HEADACHE (Headache) and NAUSEA (Extreme Nausea). On 10-Mar-2021, the patient experienced PAIN IN EXTREMITY (sore arm). The patient was treated with FAMOTIDINE (PEPCID [FAMOTIDINE]) at a dose of 1 dosage form; ONDANSETRON (ZOFRAN [ONDANSETRON]) at a dose of 1 dosage form and PEPPERMINT [MENTHA X PIPERITA] at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (sore arm) and HEADACHE (Headache) was resolving and NAUSEA (Extreme Nausea) had not resolved. Treatment provide included bland diet, ginger ale, and ginger tea. Action taken with mRNA-1273 in response to the event was not applicable. Most recent FOLLOW-UP information incorporated above includes: On 04-May-2021: TCR received and updated event(Sore arm) onset date

Other Meds: VALSARTAN; CARDIA

Current Illness:

ID: 1597137
Sex: M
Age: 76
State: NC

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 08/21/2021
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Symptoms: This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (Dizziness) in a 76-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 014M20A) for COVID-19 vaccination. No Medical History information was reported. On 03-Mar-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Mar-2021, the patient experienced DIZZINESS (Dizziness). At the time of the report, DIZZINESS (Dizziness) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication use was provided by the reporter. Treatment for dizziness was reported as meclizine 12.5mg on unknown dates. Most recent FOLLOW-UP information incorporated above includes: On 04-May-2021: Follow-up TCR: Patient reported all adverse events resolved. Declined to provide any further information and requested not to be called.

Other Meds:

Current Illness:

ID: 1597138
Sex: F
Age: 54
State: OH

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 08/21/2021
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Symptoms: sore arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (sore arm) in a 54-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001A21A) for COVID-19 vaccination. No Medical History information was reported. On 11-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Mar-2021, the patient experienced PAIN IN EXTREMITY (sore arm). At the time of the report, PAIN IN EXTREMITY (sore 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. Concomitant medications were not reported. Treatment information in response to event was not provided.

Other Meds:

Current Illness:

ID: 1597139
Sex: M
Age:
State: NE

Vax Date: 03/09/2021
Onset Date:
Rec V Date: 08/21/2021
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Symptoms: Arm soreness; Fever; Fatigue; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm soreness), PYREXIA (Fever) and FATIGUE (Fatigue) 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 09-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), PYREXIA (Fever) and FATIGUE (Fatigue). At the time of the report, PAIN IN EXTREMITY (Arm soreness), PYREXIA (Fever) and FATIGUE (Fatigue) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. The patient stated he did not take any medication and did not visit his HCP. It is unknown if the patient received the 2nd planned dose scheduled on 08APR2021.

Other Meds:

Current Illness:

ID: 1597140
Sex: F
Age:
State: SD

Vax Date: 01/26/2021
Onset Date:
Rec V Date: 08/21/2021
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Symptoms: scratchy throat; sneezed; This spontaneous case was reported by a consumer and describes the occurrence of THROAT IRRITATION (scratchy throat) and SNEEZING (sneezed) 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 26-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-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 THROAT IRRITATION (scratchy throat) and SNEEZING (sneezed). At the time of the report, THROAT IRRITATION (scratchy throat) and SNEEZING (sneezed) outcome was unknown. No concomitant medications and treatment medications were reported. Action taken with mRNA-1273 (Moderna COVID-19 Vaccine) in response to the event was not applicable. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1597141
Sex: F
Age: 25
State: AZ

Vax Date: 02/09/2021
Onset Date: 03/10/2021
Rec V Date: 08/21/2021
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Symptoms: Cough; Runny Nose; Sore Throat; This spontaneous case was reported by a consumer and describes the occurrence of OROPHARYNGEAL PAIN (Sore Throat), COUGH (Cough) and RHINORRHOEA (Runny Nose) in a 25-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 032MZ0A and 010M20A) for COVID-19 vaccination. No Medical History information was reported. On 09-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 10-Mar-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced OROPHARYNGEAL PAIN (Sore Throat). On 11-Mar-2021, the patient experienced COUGH (Cough) and RHINORRHOEA (Runny Nose). On 11-Mar-2021, OROPHARYNGEAL PAIN (Sore Throat) had resolved. At the time of the report, COUGH (Cough) and RHINORRHOEA (Runny Nose) outcome was unknown. No concomitant medications were reported. No treatment information was provided by the reporter.

Other Meds:

Current Illness:

ID: 1597142
Sex: M
Age:
State:

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 08/21/2021
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Symptoms: he woke up shaking like crazy; he has joint pain (ankle, elbow); temperature; This spontaneous case was reported by a consumer and describes the occurrence of TREMOR (he woke up shaking like crazy), ARTHRALGIA (he has joint pain (ankle, elbow)) and PYREXIA (temperature) 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 10-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Mar-2021, the patient experienced TREMOR (he woke up shaking like crazy) and ARTHRALGIA (he has joint pain (ankle, elbow)). 11-Mar-2021, the patient experienced PYREXIA (temperature). At the time of the report, TREMOR (he woke up shaking like crazy), ARTHRALGIA (he has joint pain (ankle, elbow)) and PYREXIA (temperature) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 11-Mar-2021, Body temperature: 100 (High) high, 100.3 (High) high, 101 (High) high and 101.3 (High) high. No concomitant medications were reported. The patient self-treated with ibuprofen, twice.

Other Meds:

Current Illness:

ID: 1597143
Sex: F
Age: 79
State: MD

Vax Date: 02/09/2021
Onset Date: 03/10/2021
Rec V Date: 08/21/2021
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Symptoms: Dizziness; Weakness; Chills; Mild headache; Muscle pain at injection site; Nausea; Vomiting; Fever; Fatigue; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of DIZZINESS (Dizziness), ASTHENIA (Weakness), CHILLS (Chills), HEADACHE (Mild headache) and INJECTION SITE PAIN (Muscle pain at injection site) in an 80-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 012A21A and 030M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 09-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 10-Mar-2021, the patient experienced DIZZINESS (Dizziness), ASTHENIA (Weakness), CHILLS (Chills), HEADACHE (Mild headache), INJECTION SITE PAIN (Muscle pain at injection site), NAUSEA (Nausea), VOMITING (Vomiting), PYREXIA (Fever) and FATIGUE (Fatigue). At the time of the report, DIZZINESS (Dizziness), ASTHENIA (Weakness), CHILLS (Chills), HEADACHE (Mild headache), INJECTION SITE PAIN (Muscle pain at injection site), NAUSEA (Nausea), VOMITING (Vomiting), PYREXIA (Fever) and FATIGUE (Fatigue) outcome was unknown. Not Provided The patient was taken to the ER for observation on 10 Mar21 from 10am-6pm. The patient took the second dose of the mRNA-1273, hence action taken with the vaccine in response to the events was not applicable. No concomitant medication was reported. No treatment medication was reported.

Other Meds:

Current Illness:

ID: 1597144
Sex: F
Age: 67
State:

Vax Date: 03/01/2021
Onset Date:
Rec V Date: 08/21/2021
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Symptoms: injection site irritation; redness; itchiness; burning; swelling; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE IRRITATION (injection site irritation), ERYTHEMA (redness), PRURITUS (itchiness), BURNING SENSATION (burning) and SWELLING (swelling) in a 67-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. On 01-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 INJECTION SITE IRRITATION (injection site irritation), ERYTHEMA (redness), PRURITUS (itchiness), BURNING SENSATION (burning) and SWELLING (swelling). The patient was treated with BACITRACIN at an unspecified dose and frequency. At the time of the report, INJECTION SITE IRRITATION (injection site irritation), ERYTHEMA (redness), PRURITUS (itchiness), BURNING SENSATION (burning) and SWELLING (swelling) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. Treatment details included Bacitracin ointment. This case was linked to MOD-2021-103479 (Patient Link).

Other Meds:

Current Illness:

ID: 1597145
Sex: F
Age:
State: NJ

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 08/21/2021
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Symptoms: Sore arm; Tingling to lower part of face; This spontaneous case was reported by a nurse and describes the occurrence of PAIN IN EXTREMITY (Sore arm) and PARAESTHESIA (Tingling to lower part of face) in an elderly female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 048A21A) for COVID-19 vaccination. Concurrent medical conditions included Fibromyalgia. Concomitant products included FAMOTIDINE, CLOPIDOGREL BISULFATE (PLAVIX), ATORVASTATIN and HYDROCHLOROTHIAZIDE for an unknown indication. On 11-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-Mar-2021, the patient experienced PAIN IN EXTREMITY (Sore arm) and PARAESTHESIA (Tingling to lower part of face). At the time of the report, PAIN IN EXTREMITY (Sore arm) and PARAESTHESIA (Tingling to lower part of face) 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 is in her 70's. Treatment information was not provided.

Other Meds: FAMOTIDINE; PLAVIX; ATORVASTATIN; HYDROCHLOROTHIAZIDE

Current Illness: Fibromyalgia

ID: 1597146
Sex: F
Age:
State: NC

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 08/21/2021
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Symptoms: Feels nauseous all the time but not vomiting; Tired; This spontaneous case was reported by a consumer and describes the occurrence of NAUSEA (Feels nauseous all the time but not vomiting) and FATIGUE (Tired) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 004020A) for COVID-19 vaccination. No Medical History information was reported. On 05-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Mar-2021, the patient experienced NAUSEA (Feels nauseous all the time but not vomiting) and FATIGUE (Tired). At the time of the report, NAUSEA (Feels nauseous all the time but not vomiting) and FATIGUE (Tired) had resolved. Unknown The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Most recent FOLLOW-UP information incorporated above includes: On 04-May-2021: TCR was received on 04-May-2021: Outcome of events was updated as recovered/resolved, action taken was updated as n/a. It was reported that, no HCP care was sought by the patient.

Other Meds:

Current Illness:

ID: 1597147
Sex: F
Age:
State: AZ

Vax Date: 02/09/2021
Onset Date: 03/09/2021
Rec V Date: 08/21/2021
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Symptoms: Sore arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Sore arm) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 002A21A and 025J202A) for COVID-19 vaccination. No Medical History information was reported. On 09-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 09-Mar-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced PAIN IN EXTREMITY (Sore arm). The patient was treated with PARACETAMOL (TYLENOL) for Pain in arm, at an unspecified dose and frequency. On 10-Mar-2021, PAIN IN EXTREMITY (Sore arm) had resolved. No concomitant product use was reported. Most recent FOLLOW-UP information incorporated above includes: On 21-Jun-2021: Follow up received provided no new information.

Other Meds:

Current Illness:

ID: 1597148
Sex: F
Age: 34
State:

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 08/21/2021
Hospital:

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Allergies:

Symptom List:

Symptoms: bone pain; warmth; neck pain; headaches; This spontaneous case was reported by a physician and describes the occurrence of BONE PAIN (bone pain), FEELING HOT (warmth), NECK PAIN (neck pain) and HEADACHE (headaches) in a 34-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013A21A) for COVID-19 vaccination. No Medical History information was reported. On 09-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 10-Mar-2021, the patient experienced BONE PAIN (bone pain), FEELING HOT (warmth), NECK PAIN (neck pain) and HEADACHE (headaches). The patient was treated with IBUPROFEN (ADVIL [IBUPROFEN]) at an unspecified dose and frequency. At the time of the report, BONE PAIN (bone pain), FEELING HOT (warmth), NECK PAIN (neck pain) and HEADACHE (headaches) 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. No concomitant product use was reported

Other Meds:

Current Illness:

ID: 1597149
Sex: F
Age: 65
State: NY

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 08/21/2021
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Symptoms: diarrhea; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (diarrhea) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010A21A) for COVID-19 vaccination. No Medical History information was reported. On 11-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Mar-2021, the patient experienced DIARRHOEA (diarrhea). At the time of the report, DIARRHOEA (diarrhea) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. No treatment information was provided by the reporter.

Other Meds:

Current Illness:

ID: 1597150
Sex: F
Age:
State: VA

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 08/21/2021
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Symptoms: This spontaneous case reported by a consumer, describes the occurrence of vaccination site mass (arm is lumpy under the injection site), vaccination site warmth (arm is hot under the injection site), vaccination site erythema (arm is very red under the injection site), vaccination site swelling (arm is swollen under the injection site) and myalgia (muscle aches) in a female patient, of an unknown age, who received mRNA-1273 (Moderna COVID-19 vaccine, batch/lot# C48AAA for COVID-19 immunization. The occurrence of additional events detailed below. No medical history reported. On Mar 10, 2021, patient received the second dose of mRNA-1273 (Moderna COVID-19 vaccine), unknown route; 1 dosage form. On Mar 11, 2021, patient experienced vaccination site mass (arm is lumpy under the injection site), vaccination site warmth (arm is hot under the injection site), vaccination site erythema (arm is very red under the injection site), vaccination site swelling (arm is swollen under the injection site), myalgia (muscle aches) and bad headache. At the time of the report, vaccination site mass (arm is lumpy under the injection site), vaccination site warmth (arm is hot under the injection site), vaccination site erythema (arm is very red under the injection site), vaccination site swelling (arm is swollen under the injection site), myalgia (muscle aches) and bad headache outcome: unknown. No concomitant medication or treatment information reported. This case linked to MOD-2021-040834 (patient link).

Other Meds:

Current Illness:

ID: 1597151
Sex: F
Age: 67
State: DE

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 08/21/2021
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Symptoms: This spontaneous case was reported by a consumer and describes the occurrence of GASTRIC DILATATION (Stomach is distended), OFF LABEL USE (Got her second dose (on 40th day after first dose)), HERPES ZOSTER (Flare up of shingles) and RASH (rash is back and she is sensitive in the affected area) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030a21a) for COVID-19 vaccination. No Medical History information was reported. On 02-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Mar-2021, the patient experienced OFF LABEL USE (Got her second dose (on 40th day after first dose)). On 09-Mar-2021, the patient experienced GASTRIC DILATATION (Stomach is distended), HERPES ZOSTER (Flare up of shingles) and RASH (rash is back and she is sensitive in the affected area). On 02-Mar-2021, OFF LABEL USE (Got her second dose (on 40th day after first dose)) had resolved. At the time of the report, GASTRIC DILATATION (Stomach is distended), HERPES ZOSTER (Flare up of shingles) and RASH (rash is back and she is sensitive in the affected area) outcome was unknown. No relevant concomitant medications were reported. No treatment information was provided. This case was linked to MOD-2021-040763.

Other Meds:

Current Illness:

ID: 1597152
Sex: F
Age: 62
State: CO

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 08/21/2021
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Symptoms: Nose and lip went numb; throat tightening; Nose and lip went numb; face flushed; Upper lip swollen/lips swelled again; This spontaneous case was reported by a consumer and describes the occurrence of FLUSHING (face flushed), LIP SWELLING (Upper lip swollen/lips swelled again), HYPOAESTHESIA (Nose and lip went numb), THROAT TIGHTNESS (throat tightening) and HYPOAESTHESIA ORAL (Nose and lip went numb) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029A21A) for COVID-19 vaccination. No Medical History information was reported. On 06-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Mar-2021, the patient experienced FLUSHING (face flushed) and LIP SWELLING (Upper lip swollen/lips swelled again). On 07-Mar-2021, the patient experienced HYPOAESTHESIA (Nose and lip went numb), THROAT TIGHTNESS (throat tightening) and HYPOAESTHESIA ORAL (Nose and lip went numb). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) (intravenous) on 06-Mar-2021 for Adverse event, at a dose of UNK dosage form, prn and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) (intravenous) on 07-Mar-2021 for Adverse event, at a dose of UNK dosage form. At the time of the report, FLUSHING (face flushed), LIP SWELLING (Upper lip swollen/lips swelled again), HYPOAESTHESIA (Nose and lip went numb), THROAT TIGHTNESS (throat tightening) and HYPOAESTHESIA ORAL (Nose and lip went numb) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication was reported. Most recent FOLLOW-UP information incorporated above includes: On 30-Jun-2021:

Other Meds:

Current Illness:

ID: 1597153
Sex: F
Age: 61
State: MD

Vax Date: 02/09/2021
Onset Date:
Rec V Date: 08/21/2021
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Symptoms: Itchy palms, face and feet; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PRURITUS (Itchy palms, face and feet) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010M20A) for COVID-19 vaccination. Concurrent medical conditions included Sarcoidosis (for nine years.). On 09-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PRURITUS (Itchy palms, face and feet). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency and FEXOFENADINE HYDROCHLORIDE (ALLEGRA) at an unspecified dose and frequency. At the time of the report, PRURITUS (Itchy palms, face and feet) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product use was not provided by the reporter. Patients symptoms were at extreme on 23 Feb 2021. Reporter did not allow further contact

Other Meds:

Current Illness: Sarcoidosis (for nine years.)

ID: 1597154
Sex: F
Age: 66
State: GA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 08/21/2021
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Symptoms: vomiting on and off for 3 hrs; This spontaneous case was reported by a consumer and describes the occurrence of VOMITING (vomiting on and off for 3 hrs) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 015M20A) for COVID-19 vaccination. Concurrent medical conditions included Drug allergy (Sulfa drugs). On 25-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 25-Feb-2021, the patient experienced VOMITING (vomiting on and off for 3 hrs). At the time of the report, VOMITING (vomiting on and off for 3 hrs) outcome was unknown. No relevant concomitant medications were provided. No treatment information was provided.

Other Meds:

Current Illness: Drug allergy (Sulfa drugs)

ID: 1597155
Sex: F
Age: 67
State: ME

Vax Date: 03/08/2021
Onset Date: 03/10/2021
Rec V Date: 08/21/2021
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Symptoms: Stomach cramps; Diarrhea; Nausea; Vomiting; Headache; This spontaneous case was reported by a consumer and describes the occurrence of ABDOMINAL PAIN UPPER (Stomach cramps), DIARRHOEA (Diarrhea), NAUSEA (Nausea), VOMITING (Vomiting) and HEADACHE (Headache) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002A21A) for COVID-19 vaccination. No Medical History information was reported. On 08-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Mar-2021, the patient experienced ABDOMINAL PAIN UPPER (Stomach cramps), DIARRHOEA (Diarrhea), NAUSEA (Nausea), VOMITING (Vomiting) and HEADACHE (Headache). On 11-Mar-2021, NAUSEA (Nausea) and VOMITING (Vomiting) had resolved. At the time of the report, ABDOMINAL PAIN UPPER (Stomach cramps), DIARRHOEA (Diarrhea) and HEADACHE (Headache) had not resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were provided. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1597156
Sex: F
Age: 28
State: CT

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 08/21/2021
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Symptoms: Felt weak; Felt herself "messed up"; Whole body pain; Can not move from the bad; Swelling in eyes; Swelling in hands; Headache; Fatigue/ Felt tired; Second dose was received on 10Mar2021 (on 36 day); Chills; This spontaneous case was reported by a consumer and describes the occurrence of EYE SWELLING (Swelling in eyes), PERIPHERAL SWELLING (Swelling in hands), ASTHENIA (Felt weak), FEELING ABNORMAL (Felt herself "messed up") and PAIN (Whole body pain) in a 28-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 040A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter. Concomitant products included MULTIVITAMINS [VITAMINS NOS] for an unknown indication. On 10-Mar-2021 at 3:00 PM, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Mar-2021, the patient experienced CHILLS (Chills). On 10-Mar-2021 at 3:00 PM, the patient experienced OFF LABEL USE (Second dose was received on 10Mar2021 (on 36 day)). On 10-Mar-2021 at 6:00 PM, the patient experienced EYE SWELLING (Swelling in eyes), PERIPHERAL SWELLING (Swelling in hands), HEADACHE (Headache) and FATIGUE (Fatigue/ Felt tired). On 11-Mar-2021, the patient experienced ASTHENIA (Felt weak), FEELING ABNORMAL (Felt herself "messed up"), PAIN (Whole body pain) and MOVEMENT DISORDER (Can not move from the bad). The patient was treated with PARACETAMOL (TYLENOL) at a dose of UNK dosage form. On 10-Mar-2021 at 3:00 PM, OFF LABEL USE (Second dose was received on 10Mar2021 (on 36 day)) had resolved. At the time of the report, EYE SWELLING (Swelling in eyes), PERIPHERAL SWELLING (Swelling in hands), ASTHENIA (Felt weak), FEELING ABNORMAL (Felt herself "messed up"), PAIN (Whole body pain), MOVEMENT DISORDER (Can not move from the bad), HEADACHE (Headache), FATIGUE (Fatigue/ Felt tired) and CHILLS (Chills) outcome was unknown. She treated symptoms also with ice bag topically on arm.

Other Meds: MULTIVITAMINS [VITAMINS NOS]

Current Illness:

ID: 1597157
Sex: M
Age: 79
State: GA

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

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Symptoms: Rash on his right elbow and right thigh, the rash itched; This spontaneous case was reported by a consumer and describes the occurrence of RASH PRURITIC (Rash on his right elbow and right thigh, the rash itched) in a 79-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 31L201 and 013A21A) for COVID-19 vaccination. No Medical History information was reported. Concomitant products included VITAMIN E NOS for an unknown indication. On 03-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-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 RASH PRURITIC (Rash on his right elbow and right thigh, the rash itched). At the time of the report, RASH PRURITIC (Rash on his right elbow and right thigh, the rash itched) outcome was unknown. No treatment information was provided

Other Meds: VITAMIN E NOS.

Current Illness:

ID: 1597158
Sex: F
Age: 45
State: NJ

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 08/21/2021
Hospital:

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Symptoms: Burning inside at injection site; quarter-sized round ring described as "bull's eye" at injection site; Redness at injection site; Flu-like" aches; This spontaneous case was reported by a consumer and describes the occurrence of INFLUENZA LIKE ILLNESS (Flu-like" aches), VACCINATION SITE SCAR (quarter-sized round ring described as "bull's eye" at injection site), VACCINATION SITE ERYTHEMA (Redness at injection site) and VACCINATION SITE PAIN (Burning inside at injection site) in a 45-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 022M20A and 030L20A) for COVID-19 vaccination. The patient's past medical history included Lyme disease in 1999, Sjogren's syndrome, Psoriatic arthritis, Cancer (Cancer survivor) in 2011 and Allergy NOS since an unknown date. Previously administered products included for an unreported indication: INFLUENZA VACCINE. On 05-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-Mar-2021, the patient experienced INFLUENZA LIKE ILLNESS (Flu-like" aches). On 07-Mar-2021, the patient experienced VACCINATION SITE ERYTHEMA (Redness at injection site). On 08-Mar-2021, the patient experienced VACCINATION SITE SCAR (quarter-sized round ring described as "bull's eye" at injection site). On 09-Mar-2021, the patient experienced VACCINATION SITE PAIN (Burning inside at injection site). On 07-Mar-2021, INFLUENZA LIKE ILLNESS (Flu-like" aches) had resolved. At the time of the report, VACCINATION SITE SCAR (quarter-sized round ring described as "bull's eye" at injection site), VACCINATION SITE ERYTHEMA (Redness at injection site) and VACCINATION SITE PAIN (Burning inside at injection site) had not resolved. No relevant concomitant medications were provided. No treatment information was provided

Other Meds:

Current Illness: Allergy NOS

ID: 1597159
Sex: F
Age: 66
State: CO

Vax Date: 02/20/2021
Onset Date: 02/24/2021
Rec V Date: 08/21/2021
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Symptoms: Itching in hands and feet; Headache would come and go; A little bit of tiredness; Yeast infection; This spontaneous case was reported by a consumer and describes the occurrence of FUNGAL INFECTION (Yeast infection), PRURITUS (Itching in hands and feet), HEADACHE (Headache would come and go) and FATIGUE (A little bit of tiredness) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 023M20A) for COVID-19 vaccination. The patient's past medical history included Bell's palsy (5-6 years back.). On 20-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-Feb-2021, the patient experienced FUNGAL INFECTION (Yeast infection). On 25-Feb-2021, the patient experienced PRURITUS (Itching in hands and feet), HEADACHE (Headache would come and go) and FATIGUE (A little bit of tiredness). The patient was treated with MICONAZOLE for Yeast infection, at an unspecified dose and frequency. On 01-Mar-2021, FUNGAL INFECTION (Yeast infection) had resolved. On 02-Mar-2021, PRURITUS (Itching in hands and feet), HEADACHE (Headache would come and go) and FATIGUE (A little bit of tiredness) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient states that her adverse reactions were minor and lasted for about 5 days. Patient concern is with the 2nd dose of the COVID-19 vaccine. She wants to know if there is a chance that she might have Bell's Palsy after receiving the 2nd dose. Most recent FOLLOW-UP information incorporated above includes: On 10-May-2021: Follow up information received on 10-May-2021 and Reporter Contact information (E-mail) was added

Other Meds:

Current Illness:

ID: 1597160
Sex: F
Age:
State: TX

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

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Symptoms: Feet and hands were cold; Tested positive for COVID; A spontaneous report was received from a consumer concerning a female patient of unknown age, who received Moderna's COVID-19 vaccine (mRNA-1273) and tested positive for COVID (COVID-19) and feet and hands were cold (peripheral coldness). The patient's medical history was not provided. No relevant concomitant medications were reported. On an unspecified date, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Batch Number: unknown) for prophylaxis of COVID-19 infection. On an unspecified date, after the vaccination, the patient was tested positive for COVID and feet and hands were cold. No treatment information was provided. Laboratory information included SARS-CoV-2 test (positive). Action taken with mRNA-1273 in response to the events was unknown. The outcome of the events, tested positive for COVID and feet and hands were cold, were considered as unknown.

Other Meds:

Current Illness:

ID: 1597161
Sex: F
Age: 77
State: GA

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

Vax Type:
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Symptom List:

Symptoms: feeling headache; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (feeling headache) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 013A21A and 012M20A) for COVID-19 immunisation. No Medical History information was reported. On 02-Mar-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 03-Mar-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced HEADACHE (feeling headache). The patient was treated with PARACETAMOL (TYLENOL) at a dose of UNK dosage form. At the time of the report, HEADACHE (feeling headache) outcome was unknown. No concomitant product use was reported This case was linked to MOD21-050404 (E2B Linked Report). Most recent FOLLOW-UP information incorporated above includes: On 04-May-2021: Follow-up received on 04-MAY-2021. Updated reporter information; Sender's Comments: MOD21-050404:

Other Meds:

Current Illness:

ID: 1597162
Sex: F
Age: 89
State: NY

Vax Date: 03/06/2021
Onset Date: 03/10/2021
Rec V Date: 08/21/2021
Hospital:

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Symptoms: This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Pain radiated from the shoulder to the bottom), PERIPHERAL SWELLING (Extreme swelling) and PAIN IN EXTREMITY (Extreme Pain) in an 89-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Rheumatoid arthritis and Hypertension. On 06-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Mar-2021, the patient experienced PAIN (Pain radiated from the shoulder to the bottom), PERIPHERAL SWELLING (Extreme swelling) and PAIN IN EXTREMITY (Extreme Pain). At the time of the report, PAIN (Pain radiated from the shoulder to the bottom), PERIPHERAL SWELLING (Extreme swelling) and PAIN IN EXTREMITY (Extreme Pain) was resolving. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication not reported. Treatment medication not reported.

Other Meds:

Current Illness: Hypertension; Rheumatoid arthritis

ID: 1597163
Sex: F
Age:
State: SD

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 08/21/2021
Hospital:

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Symptoms: feel like truck run over me; Body aches; Chills; This spontaneous case was reported by a consumer and describes the occurrence of DISCOMFORT (feel like truck run over me), MYALGIA (Body aches) and CHILLS (Chills) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029A21A) for COVID-19 vaccination. No Medical History information was reported. On 10-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-Mar-2021, the patient experienced DISCOMFORT (feel like truck run over me), MYALGIA (Body aches) and CHILLS (Chills). At the time of the report, DISCOMFORT (feel like truck run over me), MYALGIA (Body aches) and CHILLS (Chills) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product use was not provided by the reporter. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1597164
Sex: F
Age: 84
State: MI

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

Vax Type:
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Symptom List:

Symptoms: Quarter size area that is pink; It got worse; There is a slight itch; Still very red; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE DISCOLOURATION (Quarter size area that is pink), CONDITION AGGRAVATED (It got worse), VACCINATION SITE PRURITUS (There is a slight itch) and VACCINATION SITE ERYTHEMA (Still very red) in an elderly female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) 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) (unknown route) 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE DISCOLOURATION (Quarter size area that is pink), CONDITION AGGRAVATED (It got worse), VACCINATION SITE PRURITUS (There is a slight itch) and VACCINATION SITE ERYTHEMA (Still very red). The patient was treated with IBUPROFEN for Vaccination site pruritus, at a dose of 2 tablets and CALAMINE, GLYCEROL, ZINC OXIDE (CALAMINE LOTION) for Vaccination site pruritus, at an unspecified dose and frequency. At the time of the report, VACCINATION SITE DISCOLOURATION (Quarter size area that is pink) and CONDITION AGGRAVATED (It got worse) outcome was unknown and VACCINATION SITE PRURITUS (There is a slight itch) and VACCINATION SITE ERYTHEMA (Still very red) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product use was not provided by the reporter. Patient took ibuprofen two tablets, applied calamine lotion, a cold cream and washed cloth to relieve the itchiness of the rash.

Other Meds:

Current Illness:

ID: 1597165
Sex: F
Age: 59
State: MI

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 08/21/2021
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Symptoms: The area around her left eye is very swollen; warm at injection site; sore at injection site; Arm is swollen at injection site; This spontaneous case was reported by a consumer and describes the occurrence of PERIORBITAL SWELLING (The area around her left eye is very swollen), VACCINATION SITE WARMTH (warm at injection site), VACCINATION SITE PAIN (sore at injection site) and VACCINATION SITE SWELLING (Arm is swollen at injection site) in a 59-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002B21A) for COVID-19 vaccination. No Medical History information was reported. On 10-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Mar-2021, the patient experienced PERIORBITAL SWELLING (The area around her left eye is very swollen), VACCINATION SITE WARMTH (warm at injection site), VACCINATION SITE PAIN (sore at injection site) and VACCINATION SITE SWELLING (Arm is swollen at injection site). At the time of the report, PERIORBITAL SWELLING (The area around her left eye is very swollen), VACCINATION SITE WARMTH (warm at injection site), VACCINATION SITE PAIN (sore at injection site) and VACCINATION SITE SWELLING (Arm is swollen at injection site) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were provided. No treatment information was provided.

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Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm