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: 1597616
Sex: F
Age: 70
State: WI

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 08/21/2021
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Symptoms: Only slept 2 hours at night; Sore arm at the injection site; Headache; Fever; Chills; Body aches; This spontaneous case was reported by a consumer and describes the occurrence of INSOMNIA (Only slept 2 hours at night), VACCINATION SITE PAIN (Sore arm at the injection site), HEADACHE (Headache), PYREXIA (Fever) and CHILLS (Chills) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 15-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) (unknown route) 1 dosage form. On 15-Mar-2021, the patient experienced INSOMNIA (Only slept 2 hours at night), VACCINATION SITE PAIN (Sore arm at the injection site), HEADACHE (Headache), PYREXIA (Fever), CHILLS (Chills) and MYALGIA (Body aches). At the time of the report, INSOMNIA (Only slept 2 hours at night), VACCINATION SITE PAIN (Sore arm at the injection site), HEADACHE (Headache), PYREXIA (Fever), CHILLS (Chills) and MYALGIA (Body aches) outcome was unknown. Concomitant product use was not provided by the reporter. Treatment information was not provided. Action taken with mRNA-1273 in response to the events was not applicable.

Other Meds:

Current Illness:

ID: 1597617
Sex: M
Age: 72
State: MO

Vax Date: 02/09/2021
Onset Date: 03/13/2021
Rec V Date: 08/21/2021
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Symptoms: Severe chest pain (severe weight on chest); Night sweats after second shot; This spontaneous case was reported by a consumer and describes the occurrence of CHEST PAIN (Severe chest pain (severe weight on chest)) and NIGHT SWEATS (Night sweats after second shot) in a 72-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029A21A and 016M20A) for COVID-19 vaccination. Concurrent medical conditions included Penicillin allergy. Concomitant products included ACETYLSALICYLIC ACID (ASPIRIN 81), LISINOPRIL, LEVOTHYROXINE, VITAMIN C [ASCORBIC ACID], MAGNESIUM, CALCIUM and MELATONIN for an unknown indication. On 09-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 13-Mar-2021, the patient experienced CHEST PAIN (Severe chest pain (severe weight on chest)) and NIGHT SWEATS (Night sweats after second shot). On 14-Mar-2021, NIGHT SWEATS (Night sweats after second shot) had resolved. On 15-Mar-2021, CHEST PAIN (Severe chest pain (severe weight on chest)) had resolved. Treatment information was not provided. Action taken with mRNA-1273 in response to the event was not applicable. This case was linked to MOD-2021-045999 (Patient Link).

Other Meds: ASPIRIN 81; LISINOPRIL; LEVOTHYROXINE; VITAMIN C [ASCORBIC ACID]; MAGNESIUM; CALCIUM; MELATONIN

Current Illness: Penicillin allergy

ID: 1597618
Sex: M
Age: 71
State: NM

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 08/21/2021
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Symptoms: This spontaneous case was reported by a consumer and describes the occurrence of ORAL HERPES (Cold sores around his lip and nose), VACCINATION SITE MASS (Sizable bump at the injection site) and VACCINATION SITE RASH (Rash at the injection site) in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002a21a) for COVID-19 vaccination. Concurrent medical conditions included Hypertension and Diabetes mellitus. 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 VACCINATION SITE MASS (Sizable bump at the injection site) and VACCINATION SITE RASH (Rash at the injection site). On 08-Mar-2021, the patient experienced ORAL HERPES (Cold sores around his lip and nose). At the time of the report, ORAL HERPES (Cold sores around his lip and nose), VACCINATION SITE MASS (Sizable bump at the injection site) and VACCINATION SITE RASH (Rash at the injection site) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment information was provided. Concomitant medication included blood pressure and diabetic medications. The patient stated he had his second dose since then with no adverse events. Most recent FOLLOW-UP information incorporated above includes: On 20-May-2021: Event outcomes were updated to recovered/resolved and second dose taken added in I narrative.

Other Meds:

Current Illness: Diabetes mellitus; Hypertension

ID: 1597619
Sex: F
Age: 68
State: PA

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 08/21/2021
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Symptoms: Headache; Fever; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (Headache) and PYREXIA (Fever) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 047A21A) for COVID-19 vaccination. No Medical History information was reported. On 15-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Mar-2021, the patient experienced HEADACHE (Headache) and PYREXIA (Fever). At the time of the report, HEADACHE (Headache) and PYREXIA (Fever) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication list was not provided. Treatment information was not provided. This case was linked to MOD-2021-046006 (Patient Link).

Other Meds:

Current Illness:

ID: 1597620
Sex: F
Age: 86
State: NJ

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 08/21/2021
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Symptoms: Muscle weakness; She was able to stand up with walker and move to other chair. Her ability to do this has decreased by 50% to 75%; This spontaneous case was reported by a consumer and describes the occurrence of MUSCULAR WEAKNESS (Muscle weakness) and MOBILITY DECREASED (She was able to stand up with walker and move to other chair. Her ability to do this has decreased by 50% to 75%) in an 86-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 048A21A) for COVID-19 vaccination. Concurrent medical conditions included Muscular dystrophy and Walker user (uses a walker from one chair to another). 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 MUSCULAR WEAKNESS (Muscle weakness) and MOBILITY DECREASED (She was able to stand up with walker and move to other chair. Her ability to do this has decreased by 50% to 75%). At the time of the report, MUSCULAR WEAKNESS (Muscle weakness) and MOBILITY DECREASED (She was able to stand up with walker and move to other chair. Her ability to do this has decreased by 50% to 75%) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. Treatment information was not provided.

Other Meds:

Current Illness: Muscular dystrophy; Walker user (uses a walker from one chair to another)

ID: 1597621
Sex: M
Age: 72
State: CA

Vax Date: 02/11/2021
Onset Date: 03/12/2021
Rec V Date: 08/21/2021
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Symptoms: vaccine has attack a nerve in his face; I experienced soreness in my lower right jaw; It felt like someone had pulled out all my teeth simultaneously and poured acid into the cavities in my jaw; arm soreness; fatigue; slight fever; bad gum pain; achiness; This spontaneous case was reported by a consumer and describes the occurrence of FACIAL NERVE DISORDER (vaccine has attack a nerve in his face), GINGIVAL PAIN (bad gum pain), PAIN (achiness), PAIN IN JAW (I experienced soreness in my lower right jaw) and FEELING ABNORMAL (It felt like someone had pulled out all my teeth simultaneously and poured acid into the cavities in my jaw) in a 72-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 0011321A and 029LZ0A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Cancer (does not have any vocal chords due to previous bout with cancer.), Blood pressure high and Cardiac discomfort. Concomitant products included OMEPRAZOLE (OMEPRAZOL A) for Acid reflux (oesophageal), AMLODIPINE BESILATE (AMLODIPINE (ALS BESILAAT) SANDOZ) for Blood pressure high, DIPHENHYDRAMINE HCL for Runny nose. On 11-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 12-Mar-2021, the patient experienced GINGIVAL PAIN (bad gum pain), PAIN (achiness), PAIN IN EXTREMITY (arm soreness), FATIGUE (fatigue) and PYREXIA (slight fever). On an unknown date, the patient experienced FACIAL NERVE DISORDER (vaccine has attack a nerve in his face), PAIN IN JAW (I experienced soreness in my lower right jaw) and FEELING ABNORMAL (It felt like someone had pulled out all my teeth simultaneously and poured acid into the cavities in my jaw). The patient was treated with GABAPENTIN at a dose of 1000 mg three times a day; AMOXICILLIN, CLAVULANATE POTASSIUM (AUGMENTINE SR) at an unspecified dose and frequency; CHLORHEXIDINE at an unspecified dose and frequency and IBUPROFEN at an unspecified dose and frequency. At the time of the report, FACIAL NERVE DISORDER (vaccine has attack a nerve in his face) outcome was unknown and GINGIVAL PAIN (bad gum pain), PAIN (achiness), PAIN IN JAW (I experienced soreness in my lower right jaw), FEELING ABNORMAL (It felt like someone had pulled out all my teeth simultaneously and poured acid into the cavities in my jaw), PAIN IN EXTREMITY (arm soreness), FATIGUE (fatigue) and PYREXIA (slight fever) had not resolved. The patient had done EKG Physician has scheduled him a MRI of the Brain Most recent FOLLOW-UP information incorporated above includes: On 31-Mar-2021: Follow up received contains significant information: event was updated. On 25-Jul-2021: Follow up received contains significant information: events ,lab details and concomitant medication provided, patient information was added

Other Meds: AMLODIPINE (ALS BESILAAT) SANDOZ; DIPHENHYDRAMINE HCL; OMEPRAZOL A

Current Illness: Blood pressure high; Cancer (does not have any vocal chords due to previous bout with cancer.); Cardiac discomfort

ID: 1597622
Sex: F
Age:
State: LA

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 08/21/2021
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Symptoms: body aches; cough; big sore in my nose; chills; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (body aches), COUGH (cough), RHINALGIA (big sore in my nose) and CHILLS (chills) in a 56-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. D14M20A) for COVID-19 vaccination. The patient's past medical history included COVID-19 on 26-Apr-2020. Concurrent medical conditions included Hypertension and High cholesterol. On 11-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Mar-2021, the patient experienced MYALGIA (body aches), COUGH (cough), RHINALGIA (big sore in my nose) and CHILLS (chills). At the time of the report, MYALGIA (body aches), COUGH (cough), RHINALGIA (big sore in my nose) and CHILLS (chills) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 26-Apr-2020, SARS-CoV-2 antibody test: positive (Positive) Positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications included high blood pressure medicine and cholesterol medicine. Treatment information in response to events was not provided. Most recent FOLLOW-UP information incorporated above includes: On 22-Jul-2021: Non-significant information received on 23-JUL-2021. reporter email updated.

Other Meds:

Current Illness: High cholesterol; Hypertension

ID: 1597623
Sex: F
Age:
State: MI

Vax Date:
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Rec V Date: 08/21/2021
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Symptoms: major cramps; whole body aches; headache; joint pain; leg drag; both arms, severe pain; stomach cramps; This spontaneous case was reported by a consumer and describes the occurrence of GAIT DISTURBANCE (leg drag), ABDOMINAL PAIN UPPER (stomach cramps), MUSCLE SPASMS (major cramps), PAIN IN EXTREMITY (both arms, severe pain) and HEADACHE (Headache) in a 23-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 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) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced GAIT DISTURBANCE (leg drag), ABDOMINAL PAIN UPPER (stomach cramps), MUSCLE SPASMS (major cramps), PAIN IN EXTREMITY (both arms, severe pain), HEADACHE (Headache), PAIN (whole body aches) and ARTHRALGIA (joint pain). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, GAIT DISTURBANCE (leg drag), ABDOMINAL PAIN UPPER (stomach cramps), MUSCLE SPASMS (major cramps), PAIN IN EXTREMITY (both arms, severe pain), HEADACHE (Headache), PAIN (whole body aches) and ARTHRALGIA (joint pain) outcome was unknown. No relevant concomitant medications reported. Action taken with mRNA-1273 (Moderna COVID-19 Vaccine) in response to the event was not applicable.

Other Meds:

Current Illness:

ID: 1597624
Sex: M
Age: 85
State: IN

Vax Date: 01/19/2021
Onset Date:
Rec V Date: 08/21/2021
Hospital:

Vax Type:
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Symptoms: Diarrhea; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (Diarrhea) in an 86-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 039K20A and 006M20A) for COVID-19 vaccination. Concomitant products included METOPROLOL, CLOPIDOGREL, LISINOPRIL, ATORVASTATIN, TAMSULOSIN, AMLODIPINE, VITAMIN C [ASCORBIC ACID] and IRON for an unknown indication. On 19-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 18-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 DIARRHOEA (Diarrhea). At the time of the report, DIARRHOEA (Diarrhea) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was not applicable. Concomitant medications included centrum. Treatment information was not provided.

Other Meds: METOPROLOL; CLOPIDOGREL; LISINOPRIL; ATORVASTATIN; TAMSULOSIN; AMLODIPINE; VITAMIN C [ASCORBIC ACID]; IRON

Current Illness:

ID: 1597625
Sex: F
Age: 77
State: MN

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

Vax Type:
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Symptoms: itchy rash red spot on arm; This spontaneous case was reported by a consumer and describes the occurrence of RASH PRURITIC 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 02-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Feb-2021, the patient experienced RASH PRURITIC. At the time of the report, RASH PRURITIC had not resolved. 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 product use was not provided by the reporter. Treatment information was not provided. This case was linked to MOD-2021-221115.

Other Meds:

Current Illness:

ID: 1597626
Sex: F
Age: 29
State: CA

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 08/21/2021
Hospital:

Vax Type:
Manufacturer:
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Symptoms: massive headache; muscle pain; felt super-hot at first, then felt like she was freezing; muscle pain; feels really cold; skin is hot to the touch; felt like she had to throw up or vomit; body aches; chills described as having goosebumps and feeling like her hair was standing; stomach upset; dry heaves; fever; shaking; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of MYALGIA (body aches), CHILLS (chills described as having goosebumps and feeling like her hair was standing), ABDOMINAL DISCOMFORT (stomach upset), RETCHING (dry heaves) and PYREXIA (fever) in a 30-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. The patient's past medical history included COVID-19. Concomitant products included DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PARACETAMOL, PSEUDOEPHEDRINE HYDROCHLORIDE (DAYQUIL) and DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE, EPHEDRINE SULFATE, ETHANOL, PARACETAMOL (NYQUIL) for an unknown indication. On 15-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Mar-2021, the patient experienced MYALGIA (body aches), CHILLS (chills described as having goosebumps and feeling like her hair was standing), ABDOMINAL DISCOMFORT (stomach upset), RETCHING (dry heaves), PYREXIA (fever), TREMOR (shaking) and NAUSEA (felt like she had to throw up or vomit). On 16-Mar-2021, the patient experienced HEADACHE (massive headache), the first episode of MYALGIA (muscle pain), FEELING OF BODY TEMPERATURE CHANGE (felt super-hot at first, then felt like she was freezing), the second episode of MYALGIA (muscle pain), FEELING COLD (feels really cold) and SKIN WARM (skin is hot to the touch). The patient was treated with PARACETAMOL (TYLENOL) (oral) at a dose of 500 mg. At the time of the report, MYALGIA (body aches), CHILLS (chills described as having goosebumps and feeling like her hair was standing), ABDOMINAL DISCOMFORT (stomach upset), PYREXIA (fever), TREMOR (shaking), HEADACHE (massive headache), FEELING OF BODY TEMPERATURE CHANGE (felt super-hot at first, then felt like she was freezing), NAUSEA (felt like she had to throw up or vomit), the last episode of MYALGIA (muscle pain), FEELING COLD (feels really cold) and SKIN WARM (skin is hot to the touch) outcome was unknown and RETCHING (dry heaves) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 15-Mar-2021, Body temperature: 101 degree Celsius High. On 16-Mar-2021, Body temperature: 97.5 degree Celsius normal. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. On 15-Mar-2021, about six or seven in the evening the patient had stomach upset and she felt like she had to throw up or vomit. On the same day around 9 pm or 10 pm, the patient had a fever of 101 degrees. On 16-Mar-2021, the patient had goosebumps again in the morning. On 16-Mar-2021, the patient missed work due to symptoms. Treatment medication included unspecified inhaler.

Other Meds: DAYQUIL; NYQUIL

Current Illness:

ID: 1597627
Sex: M
Age: 65
State: GA

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

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Symptoms: he lost 18 pounds; back problem; thought the pain from arthritis increased from his ankles to his neck after first dose; muscle pain for a little over three weeks; Not sleeping; Not eating; This spontaneous case was reported by a consumer and describes the occurrence of INSOMNIA (Not sleeping), EATING DISORDER (Not eating), WEIGHT DECREASED (he lost 18 pounds), BACK PAIN (back problem) and ARTHRITIS (thought the pain from arthritis increased from his ankles to his neck after first dose) in a 65-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. unk) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Seizures (Hasn't had a seizure in ten years while on medication) and Arthritis. Concomitant products included SODIUM CHLORIDE for an unknown indication. On 01-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 02-Mar-2021, the patient experienced INSOMNIA (Not sleeping). 02-Mar-2021, the patient experienced EATING DISORDER (Not eating). On an unknown date, the patient experienced WEIGHT DECREASED (he lost 18 pounds), BACK PAIN (back problem), ARTHRITIS (thought the pain from arthritis increased from his ankles to his neck after first dose) and MYALGIA (muscle pain for a little over three weeks). The patient was treated with IBUPROFEN (oral) at a dose of unknown and PARACETAMOL (TYLENOL) (oral) at a dose of unknown. At the time of the report, INSOMNIA (Not sleeping), EATING DISORDER (Not eating), WEIGHT DECREASED (he lost 18 pounds), ARTHRITIS (thought the pain from arthritis increased from his ankles to his neck after first dose) and MYALGIA (muscle pain for a little over three weeks) had resolved and BACK PAIN (back problem) had not resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Unspecified concomitant medications for control of high blood pressure, pulse rate, seizures, allergies, itching, temper, and an antacid, were reported. This case was linked to MOD-2021-046048, MOD-2021-026103 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 20-Jul-2021: Significant FU contains AE outcome , events added.

Other Meds: SODIUM CHLORIDE

Current Illness: Arthritis; Seizures (Hasn't had a seizure in ten years while on medication)

ID: 1597628
Sex: F
Age: 61
State: CA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 08/21/2021
Hospital:

Vax Type:
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Vax Route:
Vax Site:

Lab Data:

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Symptom List:

Symptoms: soar arm; Not convinced their was any vaccine in her shot / forgot to ask to see the vile because she was so nervous; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (soar arm) and NERVOUSNESS (Not convinced their was any vaccine in her shot / forgot to ask to see the vile because she was so nervous) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003A21A) for COVID-19 vaccination. No Medical History information was reported. On 16-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Mar-2021, the patient experienced PAIN IN EXTREMITY (soar arm) and NERVOUSNESS (Not convinced their was any vaccine in her shot / forgot to ask to see the vile because she was so nervous). At the time of the report, PAIN IN EXTREMITY (soar arm) and NERVOUSNESS (Not convinced their was any vaccine in her shot / forgot to ask to see the vile because she was so nervous) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medications was not provided by the reporter. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1597629
Sex: M
Age: 63
State: TX

Vax Date: 01/22/2021
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Rec V Date: 08/21/2021
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Symptoms: Cough; COVID-19; Temperature of 99.4F; missed second dose of vaccine; This spontaneous case was reported by a consumer and describes the occurrence of PRODUCT DOSE OMISSION ISSUE (missed second dose of vaccine), COVID-19 (COVID-19), COUGH (Cough) and PYREXIA (Temperature of 99.4F) in a 63-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 22-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PRODUCT DOSE OMISSION ISSUE (missed second dose of vaccine), COVID-19 (COVID-19), COUGH (Cough) and PYREXIA (Temperature of 99.4F). At the time of the report, PRODUCT DOSE OMISSION ISSUE (missed second dose of vaccine) had resolved and COVID-19 (COVID-19), COUGH (Cough) and PYREXIA (Temperature of 99.4F) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 99.4 (normal) Normal. On an unknown date, SARS-CoV-2 test positive: unknown (Positive) Positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication were provided by the reporter. No treatment information were provided by the reporter. Most recent FOLLOW-UP information incorporated above includes: On 22-Jul-2021: Follow up received included no new significant information. Corrections made in initial where lab data added,covid investigation removed from event tab and added event COVID-19

Other Meds:

Current Illness:

ID: 1597630
Sex: F
Age: 51
State: GA

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 08/21/2021
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Symptoms: left arm was killing her; left ear pain; left shoulder pain; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (left arm was killing her), EAR PAIN (left ear pain) and ARTHRALGIA (left shoulder pain) in a 51-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 15-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Mar-2021, the patient experienced PAIN IN EXTREMITY (left arm was killing her), EAR PAIN (left ear pain) and ARTHRALGIA (left shoulder pain). At the time of the report, PAIN IN EXTREMITY (left arm was killing her), EAR PAIN (left ear pain) and ARTHRALGIA (left shoulder pain) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.

Other Meds:

Current Illness:

ID: 1597631
Sex: F
Age: 79
State: MI

Vax Date: 02/12/2021
Onset Date: 03/12/2021
Rec V Date: 08/21/2021
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Symptoms: Top part of right arm warm to elbow; Top part of right arm red to elbow; Top part of right arm swollen to elbow; Chills; had fever; feeling bad; Top part of right arm sore to elbow; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Top part of right arm sore to elbow), FEELING ABNORMAL (feeling bad), VACCINATION SITE WARMTH (Top part of right arm warm to elbow), VACCINATION SITE ERYTHEMA (Top part of right arm red to elbow) and VACCINATION SITE SWELLING (Top part of right arm swollen to elbow) in a 79-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 002821A and 015M20A) 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 METOPROLOL, ATORVASTATIN, FAMOTIDINE, COLECALCIFEROL (VIT D3), OXYBUTYNIN and ACETYLSALICYLIC ACID (BABY ASPIRIN) for an unknown indication. On 12-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 12-Mar-2021, the patient experienced VACCINATION SITE PAIN (Top part of right arm sore to elbow) and FEELING ABNORMAL (feeling bad). On 13-Mar-2021, the patient experienced CHILLS (Chills). 13-Mar-2021, the patient experienced PYREXIA (had fever). On an unknown date, the patient experienced VACCINATION SITE WARMTH (Top part of right arm warm to elbow), VACCINATION SITE ERYTHEMA (Top part of right arm red to elbow), VACCINATION SITE SWELLING (Top part of right arm swollen to elbow) and MYALGIA (sore arm). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. On 14-Mar-2021, CHILLS (Chills) and PYREXIA (had fever) had resolved. On 19-Mar-2021, VACCINATION SITE PAIN (Top part of right arm sore to elbow) had resolved. At the time of the report, FEELING ABNORMAL (feeling bad) and VACCINATION SITE SWELLING (Top part of right arm swollen to elbow) outcome was unknown and VACCINATION SITE WARMTH (Top part of right arm warm to elbow) and VACCINATION SITE ERYTHEMA (Top part of right arm red to elbow) was resolving. Concomitant medication include shampoo for lupus in scalp Action taken with mRNA-1273 in response to the events was not applicable. Treatment include alcohol on arm Most recent FOLLOW-UP information incorporated above includes: On 16-Jun-2021: Updated reporter's address, updated first dose details, updated concomitant medications, updated treatment details, added two additional events Pyrexia and Feeling abnormal, updated stop date of the events and changed event outcome from recovering to recovered/resolved. On 16-Jun-2021: Follow-up information received on 16-JUN-2021 contains no new information.

Other Meds: METOPROLOL; ATORVASTATIN; FAMOTIDINE; VIT D3; OXYBUTYNIN; BABY ASPIRIN.

Current Illness:

ID: 1597632
Sex: F
Age: 57
State: MI

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 08/21/2021
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Symptoms: Drowsiness; Fever; Chills; Bleeding at injection site; Sore arm /pain n arm; Pressure in arm; Inability to move arm; Feeling something in the chest; Feeling hot; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of VACCINATION SITE HAEMORRHAGE (Bleeding at injection site), PAIN IN EXTREMITY (Sore arm /pain n arm), LIMB DISCOMFORT (Pressure in arm), VACCINATION SITE MOVEMENT IMPAIRMENT (Inability to move arm) and CHEST DISCOMFORT (Feeling something in the chest) in a 57-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. Concurrent medical conditions included Hypertension. Concomitant products included METFORMIN for an unknown indication. On 13-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Mar-2021, the patient experienced VACCINATION SITE HAEMORRHAGE (Bleeding at injection site), PAIN IN EXTREMITY (Sore arm /pain n arm), LIMB DISCOMFORT (Pressure in arm), VACCINATION SITE MOVEMENT IMPAIRMENT (Inability to move arm), CHEST DISCOMFORT (Feeling something in the chest), FEELING HOT (Feeling hot), PYREXIA (Fever) and CHILLS (Chills). On 16-Mar-2021, the patient experienced SOMNOLENCE (Drowsiness). On 13-Mar-2021, VACCINATION SITE HAEMORRHAGE (Bleeding at injection site) had resolved. On 16-Mar-2021, CHEST DISCOMFORT (Feeling something in the chest), FEELING HOT (Feeling hot), PYREXIA (Fever) and CHILLS (Chills) had resolved. At the time of the report, PAIN IN EXTREMITY (Sore arm /pain n arm), LIMB DISCOMFORT (Pressure in arm), VACCINATION SITE MOVEMENT IMPAIRMENT (Inability to move arm) and SOMNOLENCE (Drowsiness) outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 13-Mar-2021, Blood pressure measurement: elevated (Inconclusive) Blood pressure increase was attributed to the pain in her arm following injection of Moderna on 13Mar2021. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications included blood pressure medicine and pain medicine Treatment medication included Blood pressure medicine dose increase, Pain medicine, Antibiotic and Ice pack

Other Meds: METFORMIN

Current Illness: Hypertension

ID: 1597633
Sex: F
Age: 79
State: CT

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 08/21/2021
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Symptoms: Fever of 100 degrees F; Headache; Muscle pain; Pain is gradually getting worse; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Pain is gradually getting worse), PYREXIA (Fever of 100 degrees F), HEADACHE (Headache) and MYALGIA (Muscle pain) in a 79-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 044A21A) for COVID-19 vaccination. Concurrent medical conditions included Immune thrombocytopenic purpura. On 15-Mar-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Mar-2021, the patient experienced PAIN (Pain is gradually getting worse). On 16-Mar-2021, the patient experienced PYREXIA (Fever of 100 degrees F), HEADACHE (Headache) and MYALGIA (Muscle pain). The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date at an unspecified dose and frequency. At the time of the report, PAIN (Pain is gradually getting worse), PYREXIA (Fever of 100 degrees F), HEADACHE (Headache) and MYALGIA (Muscle pain) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 16-Mar-2021, Body temperature: 100 f (High) 100 F. 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 was reported

Other Meds:

Current Illness: Immune thrombocytopenic purpura

ID: 1597634
Sex: F
Age:
State: NE

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 08/21/2021
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Symptoms: arm is sore/arm still sore; Tired; unwell; overall weakness; achy; This spontaneous case was reported by a consumer and describes the occurrence of MALAISE (unwell), ASTHENIA (overall weakness), MYALGIA (achy), VACCINATION SITE PAIN (arm is sore/arm still sore) and FATIGUE (Tired) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025A21A) for COVID-19 vaccination. The patient's past medical history included COVID-19 on 05-Nov-2020. 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 MALAISE (unwell), ASTHENIA (overall weakness), MYALGIA (achy) and FATIGUE (Tired). On 15-Mar-2021, the patient experienced VACCINATION SITE PAIN (arm is sore/arm still sore). At the time of the report, MALAISE (unwell), ASTHENIA (overall weakness), MYALGIA (achy), VACCINATION SITE PAIN (arm is sore/arm still sore) and FATIGUE (Tired) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided. No treatment information provided. Most recent FOLLOW-UP information incorporated above includes: On 22-Jul-2021: Additional information received include no new information.

Other Meds:

Current Illness:

ID: 1597635
Sex: F
Age:
State: TX

Vax Date: 03/05/2021
Onset Date: 03/01/2021
Rec V Date: 08/21/2021
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Symptoms: Pain and Burning/stinging sensation at the injection site; Swelling at the injection site; Rash at the injection site; Covid arm; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE REACTION (Covid arm), VACCINATION SITE PAIN (Pain and Burning/stinging sensation at the injection site), VACCINATION SITE SWELLING (Swelling at the injection site) and VACCINATION SITE RASH (Rash at the injection 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 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 VACCINATION SITE PAIN (Pain and Burning/stinging sensation at the injection site). In March 2021, the patient experienced VACCINATION SITE REACTION (Covid arm), VACCINATION SITE SWELLING (Swelling at the injection site) and VACCINATION SITE RASH (Rash at the injection site). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency and LORATADINE, PSEUDOEPHEDRINE HYDROCHLORIDE (BENADRYL 24 D) at an unspecified dose and frequency. At the time of the report, VACCINATION SITE REACTION (Covid arm), VACCINATION SITE PAIN (Pain and Burning/stinging sensation at the injection site), VACCINATION SITE SWELLING (Swelling at the injection site) and VACCINATION SITE RASH (Rash at the injection site) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Concomitant medications was reported Treatment information also included the Benadryl Cream

Other Meds:

Current Illness:

ID: 1597636
Sex: F
Age: 64
State: NY

Vax Date: 03/10/2021
Onset Date: 03/13/2021
Rec V Date: 08/21/2021
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Symptoms: heart pounding; fatigue; fever; chills; This spontaneous case was reported by a consumer and describes the occurrence of PALPITATIONS (heart pounding), FATIGUE (fatigue), PYREXIA (fever) and CHILLS (chills) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010A21A) for COVID-19 vaccination. The patient's past medical history included No adverse event, Atrial fibrillation since 2016, High cholesterol since an unknown date, Acid reflux (esophageal) since an unknown date, Shoulder discomfort (Reported as Bad shoulder) since an unknown date and Cardiac ablation (Failed) in 2019. Concomitant products included RIVAROXABAN (XARELTO), ATORVASTATIN, DRONEDARONE HYDROCHLORIDE (MULTAQ), PANTOPRAZOLE and ERGOCALCIFEROL, RETINOL PALMITATE (VITAMINS A & D) for an unknown indication. On 10-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Mar-2021, the patient experienced FATIGUE (fatigue), PYREXIA (fever) and CHILLS (chills). On 15-Mar-2021, the patient experienced PALPITATIONS (heart pounding). On 15-Mar-2021, FATIGUE (fatigue), PYREXIA (fever) and CHILLS (chills) outcome was unknown. At the time of the report, PALPITATIONS (heart pounding) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: XARELTO; ATORVASTATIN; MULTAQ; PANTOPRAZOLE; VITAMINS A & D

Current Illness: Acid reflux (esophageal); Atrial fibrillation; High cholesterol; Shoulder discomfort (Reported as Bad shoulder)

ID: 1597637
Sex: F
Age: 66
State:

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 08/21/2021
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Symptoms: difficulty breathing that night but it cleared up the next day; sore arm but no rash; This spontaneous case was reported by a consumer and describes the occurrence of DYSPNOEA (difficulty breathing that night but it cleared up the next day) and PAIN IN EXTREMITY (sore arm but no rash) in a 66-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 01-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Mar-2021, the patient experienced DYSPNOEA (difficulty breathing that night but it cleared up the next day) and PAIN IN EXTREMITY (sore arm but no rash). On 02-Mar-2021, DYSPNOEA (difficulty breathing that night but it cleared up the next day) had resolved. At the time of the report, PAIN IN EXTREMITY (sore arm but no rash) 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: 1597638
Sex: M
Age: 54
State: CA

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 08/21/2021
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Symptoms: every time he stand up his heart going faste; dizzy; sweat; Doesn't sleep very much; really tired; he was not urinating so much; migraine headache; hurting all over his body; muscle aches; Nothings seems good; lost his appetite; high blood pressure; hurt behind his eyes; This spontaneous case was reported by an other health care professional and describes the occurrence of MIGRAINE (migraine headache), HEART RATE INCREASED (every time he stand up his heart going faste), MALAISE (Nothings seems good), DECREASED APPETITE (lost his appetite) and HYPERTENSION (high blood pressure) in a 54-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 11-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) at an unspecified dose. On 12-Mar-2021, the patient experienced MIGRAINE (migraine headache), MALAISE (Nothings seems good), DECREASED APPETITE (lost his appetite), HYPERTENSION (high blood pressure), EYE PAIN (hurt behind his eyes), PAIN (hurting all over his body) and MYALGIA (muscle aches). On 14-Mar-2021, the patient experienced URINE OUTPUT DECREASED (he was not urinating so much). On an unknown date, the patient experienced HEART RATE INCREASED (every time he stand up his heart going faste), DIZZINESS (dizzy), HYPERHIDROSIS (sweat), INSOMNIA (Doesn't sleep very much) and FATIGUE (really tired). At the time of the report, MIGRAINE (migraine headache), HEART RATE INCREASED (every time he stand up his heart going faste), MALAISE (Nothings seems good), DECREASED APPETITE (lost his appetite), HYPERTENSION (high blood pressure), EYE PAIN (hurt behind his eyes), URINE OUTPUT DECREASED (he was not urinating so much), DIZZINESS (dizzy), HYPERHIDROSIS (sweat), INSOMNIA (Doesn't sleep very much), PAIN (hurting all over his body), MYALGIA (muscle aches) and FATIGUE (really tired) outcome was unknown. 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 for the events included ibuprofen for pain

Other Meds:

Current Illness:

ID: 1597639
Sex: F
Age: 36
State: VA

Vax Date: 03/08/2021
Onset Date: 03/15/2021
Rec V Date: 08/21/2021
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Symptoms: swollen, firm, and there was a lump; red rash that was itchy on her injection arm just below the site of injection; red rash that was itchy on her injection arm just below the site of injection; red rash that was itchy on her injection arm just below the site of injection; swollen, firm, and there was a lump; This spontaneous case was reported by a patient and describes the occurrence of VACCINATION SITE NODULE (swollen, firm, and there was a lump), VACCINATION SITE PRURITUS (red rash that was itchy on her injection arm just below the site of injection), VACCINATION SITE ERYTHEMA (red rash that was itchy on her injection arm just below the site of injection), VACCINATION SITE RASH (red rash that was itchy on her injection arm just below the site of injection) and VACCINATION SITE SWELLING (swollen, firm, and there was a lump) in a 36-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 048A21A) for COVID-19 vaccination. Concomitant products included CETIRIZINE HYDROCHLORIDE (ZYRTEC ALLERGY) for Allergy. On 08-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Mar-2021, the patient experienced VACCINATION SITE NODULE (swollen, firm, and there was a lump), VACCINATION SITE ERYTHEMA (red rash that was itchy on her injection arm just below the site of injection) and VACCINATION SITE RASH (red rash that was itchy on her injection arm just below the site of injection). 15-Mar-2021, the patient experienced VACCINATION SITE PRURITUS (red rash that was itchy on her injection arm just below the site of injection) and VACCINATION SITE SWELLING (swollen, firm, and there was a lump). At the time of the report, VACCINATION SITE NODULE (swollen, firm, and there was a lump), VACCINATION SITE PRURITUS (red rash that was itchy on her injection arm just below the site of injection), VACCINATION SITE ERYTHEMA (red rash that was itchy on her injection arm just below the site of injection), VACCINATION SITE RASH (red rash that was itchy on her injection arm just below the site of injection) and VACCINATION SITE SWELLING (swollen, firm, and there was a lump) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant and treatment medications were provided.

Other Meds: ZYRTEC ALLERGY

Current Illness:

ID: 1597640
Sex: F
Age: 34
State: IL

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 08/21/2021
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Symptoms: Loss of appetite; Fever (low grade); Headache; Chills; Sore injection Site; This spontaneous case was reported by a consumer and describes the occurrence of DECREASED APPETITE (Loss of appetite), PYREXIA (Fever (low grade)), HEADACHE (Headache), CHILLS (Chills) and VACCINATION SITE PAIN (Sore injection Site) in a 34-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included COVID-19 in August 2020. 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 DECREASED APPETITE (Loss of appetite), PYREXIA (Fever (low grade)), HEADACHE (Headache), CHILLS (Chills) and VACCINATION SITE PAIN (Sore injection Site). On 13-Mar-2021, DECREASED APPETITE (Loss of appetite), PYREXIA (Fever (low grade)), HEADACHE (Headache), CHILLS (Chills) and VACCINATION SITE PAIN (Sore injection Site) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication and treatment information were not reported. Patient's father reported that the daughter had adverse events after Moderna vaccine.

Other Meds:

Current Illness:

ID: 1597641
Sex: F
Age: 61
State: FL

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 08/21/2021
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Symptoms: pushing up on her arm that her arm was hurting; headache around her ears and on her forehead; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (pushing up on her arm that her arm was hurting) and HEADACHE (headache around her ears and on her forehead) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011A21A) for COVID-19 vaccination. No Medical History information was reported. On 12-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Mar-2021, the patient experienced PAIN IN EXTREMITY (pushing up on her arm that her arm was hurting) and HEADACHE (headache around her ears and on her forehead). At the time of the report, PAIN IN EXTREMITY (pushing up on her arm that her arm was hurting) and HEADACHE (headache around her ears and on her forehead) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Concomitant medications was reported Treatment information was not provided

Other Meds:

Current Illness:

ID: 1597642
Sex: F
Age: 64
State: CA

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 08/21/2021
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Allergies:

Symptom List:

Symptoms: Arm soreness; Hives on her left arm and all over body; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of URTICARIA (Hives on her left arm and all over body) and MYALGIA (Arm soreness) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Unknown) for COVID-19 vaccination. Concurrent medical conditions included Cholesterol and Blood pressure. Concomitant products included VITAMINS NOS for an unknown indication. On 15-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Mar-2021, the patient experienced URTICARIA (Hives on her left arm and all over body). On an unknown date, the patient experienced MYALGIA (Arm soreness). The patient was treated with CALAMINE for Pain in arm, at an unspecified dose and frequency. At the time of the report, URTICARIA (Hives on her left arm and all over body) and MYALGIA (Arm soreness) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.

Other Meds: VITAMINS NOS

Current Illness: Blood pressure; Cholesterol

ID: 1597643
Sex: U
Age:
State: NJ

Vax Date:
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Rec V Date: 08/21/2021
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Symptoms: Itchiness on their arms; Redness on their arms; Bumpyness/bumpiness on their arms; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (Itchiness on their arms), ERYTHEMA (Redness on their arms) and SWELLING (Bumpyness/bumpiness on their arms) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event. 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 PRURITUS (Itchiness on their arms), ERYTHEMA (Redness on their arms) and SWELLING (Bumpyness/bumpiness on their arms). At the time of the report, PRURITUS (Itchiness on their arms), ERYTHEMA (Redness on their arms) and SWELLING (Bumpyness/bumpiness on their arms) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.

Other Meds:

Current Illness:

ID: 1597644
Sex: F
Age: 58
State: TX

Vax Date: 01/15/2021
Onset Date: 02/28/2021
Rec V Date: 08/21/2021
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Symptoms: Kidney pain; Dizziness; Headache; Nausea; This spontaneous case was reported by a consumer and describes the occurrence of RENAL PAIN (Kidney pain), DIZZINESS (Dizziness), HEADACHE (Headache) and NAUSEA (Nausea) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 032L20A and 027L20LA) for COVID-19 vaccination. No medical history was reported. Concomitant products included LITHIUM for an unknown indication. On 15-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 26-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 28-Feb-2021, the patient experienced RENAL PAIN (Kidney pain), DIZZINESS (Dizziness), HEADACHE (Headache) and NAUSEA (Nausea). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency. At the time of the report, RENAL PAIN (Kidney pain), DIZZINESS (Dizziness), HEADACHE (Headache) and NAUSEA (Nausea) outcome was unknown. Most recent FOLLOW-UP information incorporated above includes: On 28-Jun-2021: Follow-up information received updated reporter contact information and is considered non-significant.

Other Meds: LITHIUM

Current Illness:

ID: 1597645
Sex: F
Age: 73
State: FL

Vax Date: 03/09/2021
Onset Date: 03/11/2021
Rec V Date: 08/21/2021
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Symptoms: inappropriate schedule of vaccine administration; tested for Covid-19 on 20Mar2021, and the test was positive; Congestion in head; Ear canals blocked; Ear canals blocked and extremely painful; Feels like flu; No appetite; Body aches; Fever; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (tested for Covid-19 on 20Mar2021, and the test was positive), HEAD DISCOMFORT (Congestion in head), EAR DISCOMFORT (Ear canals blocked), EAR PAIN (Ear canals blocked and extremely painful) and INFLUENZA LIKE ILLNESS (Feels like flu) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030A21A and 03BB21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. 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 07-Jun-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 11-Mar-2021, the patient experienced HEAD DISCOMFORT (Congestion in head), EAR DISCOMFORT (Ear canals blocked), EAR PAIN (Ear canals blocked and extremely painful), INFLUENZA LIKE ILLNESS (Feels like flu), DECREASED APPETITE (No appetite), MYALGIA (Body aches) and PYREXIA (Fever). On 20-Mar-2021, the patient experienced COVID-19 (tested for Covid-19 on 20Mar2021, and the test was positive). On 07-Jun-2021, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (inappropriate schedule of vaccine administration). The patient was treated with IBUPROFEN for Swelling, at a dose of 800 mg once an hour. On 07-Jun-2021, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (inappropriate schedule of vaccine administration) had resolved. At the time of the report, COVID-19 (tested for Covid-19 on 20Mar2021, and the test was positive), HEAD DISCOMFORT (Congestion in head), EAR DISCOMFORT (Ear canals blocked), EAR PAIN (Ear canals blocked and extremely painful), INFLUENZA LIKE ILLNESS (Feels like flu), DECREASED APPETITE (No appetite) and MYALGIA (Body aches) outcome was unknown and PYREXIA (Fever) was resolving. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 20-Mar-2021, SARS-CoV-2 test: Positive. On 02-Apr-2021, SARS-CoV-2 test: Negative. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. The consumer stated that she believes she had Covid-19 before receiving her first dose. She stated that she was exposed to Covid-19 four days prior to her first dose. The consumer wanted to note that all the symptoms reported following her first dose were possibly due to her Covid-19 diagnosis rather than the Moderna Covid-19 vaccine.The consumer was advised not receive her second dose of the Moderna Covid-19 vaccine until the second week of June by a HCP at the Urgent Care facility where she received her Covid-19 test. Reportedly, the patient was going to see her ENT specialist for blocked ear canals. No concomitant medications were reported. Based on the current available information and the mechanism of action of mRNA-1237 vaccine, the event of COVID-19 is assessed as not applicable. The other events are in consistence with the COVID-19 infection. The other events are in consistence with the COVID-19 infection. The event of inappropriate schedule of product administration is assessed as not applicable. This case was linked to MOD-2021-046198, mod-2021-216620, MOD-2021-216620 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 11-Jun-2021: Upon internal review on 10Aug2021, an event of 'inappropriate schedule of vaccine administered', was added.; Sender's Comments: Based on the current available information and the mechanism of action of mRNA-1237 vaccine, the event of COVID-19 is assessed as not applicable. The other events are in consistence with the COVID-19 infection. The other events are in consistence with the COVID-19 infection. The event of inappropriate schedule of product administration is assessed as not applicable.

Other Meds:

Current Illness:

ID: 1597646
Sex: F
Age:
State: FL

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 08/21/2021
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Symptoms: Patient is currently breastfeeding; sore arm; swollen underarm in the lymphatic glad area; injection site is very tender and painful; injection site very warm; This spontaneous case was reported by a consumer and describes the occurrence of MATERNAL EXPOSURE DURING BREAST FEEDING (Patient is currently breastfeeding), VACCINATION SITE WARMTH (injection site is very warm), MYALGIA (sore arm), VACCINATION SITE PAIN (injection site is very tender and painful) and LYMPHADENOPATHY (swollen underarm in the lymphatic glad area) in a 35-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045A21A) for COVID-19 vaccination. No medical history was reported. Concomitant products included MINERALS NOS, VITAMINS NOS (PRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS]) and FISH OIL (OMEGA 3 [FISH OIL]) for an unknown indication. On 15-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Mar-2021, the patient experienced MATERNAL EXPOSURE DURING BREAST FEEDING (Patient is currently breastfeeding) and MYALGIA (sore arm). On 22-Mar-2021, the patient experienced VACCINATION SITE WARMTH (injection site is very warm), VACCINATION SITE PAIN (injection site is very tender and painful) and LYMPHADENOPATHY (swollen underarm in the lymphatic glad area). On 16-Mar-2021, MYALGIA (sore arm) had resolved. At the time of the report, MATERNAL EXPOSURE DURING BREAST FEEDING (Patient is currently breastfeeding), VACCINATION SITE WARMTH (injection site is very warm), VACCINATION SITE PAIN (injection site is very tender and painful) and LYMPHADENOPATHY (swollen underarm in the lymphatic glad area) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information was not reported. Most recent FOLLOW-UP information incorporated above includes: On 22-Mar-2021: Additional information was received from the initial reporter: New events Myalgia, vaccination site pain, vaccination site warmth and Lymphadenopathy were added

Other Meds: PRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS]; OMEGA 3 [FISH OIL]

Current Illness:

ID: 1597647
Sex: F
Age: 65
State: CA

Vax Date: 02/11/2021
Onset Date: 03/11/2021
Rec V Date: 08/21/2021
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Symptoms: Itchy; Hive-like; Developed a rash on her arm that has now spread to her arms, stomach, legs, and back; Fever; Aches and pain from the vaccine; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Aches and pain from the vaccine), PRURITUS (Itchy), URTICARIA (Hive-like), RASH (Developed a rash on her arm that has now spread to her arms, stomach, legs, and back) and PYREXIA (Fever) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 630A21A and 037K70A or 037K20A) 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) (unknown route) 1 dosage form. On 11-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 2 dosage form. On 11-Mar-2021, the patient experienced PAIN (Aches and pain from the vaccine) and PYREXIA (Fever). On 12-Mar-2021, the patient experienced PRURITUS (Itchy), URTICARIA (Hive-like) and RASH (Developed a rash on her arm that has now spread to her arms, stomach, legs, and back). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) ongoing since an unknown date at an unspecified dose and frequency. At the time of the report, PAIN (Aches and pain from the vaccine), PRURITUS (Itchy), URTICARIA (Hive-like), RASH (Developed a rash on her arm that has now spread to her arms, stomach, legs, and back) and PYREXIA (Fever) outcome was unknown. No concomitant medications reported by reporter. Action taken with mRNA-1273 was not applicable.

Other Meds:

Current Illness:

ID: 1597648
Sex: F
Age: 68
State: MA

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 08/21/2021
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Symptoms: Very fast heartbeat; Palpitations; This spontaneous case was reported by a consumer and describes the occurrence of TACHYCARDIA (Very fast heartbeat) and PALPITATIONS (Palpitations) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012A21A) for COVID-19 vaccination. The patient's past medical history included Open heart surgery (Open heart surgery when she was young). 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 TACHYCARDIA (Very fast heartbeat) and PALPITATIONS (Palpitations). At the time of the report, TACHYCARDIA (Very fast heartbeat) and PALPITATIONS (Palpitations) 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. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1597649
Sex: F
Age:
State: NC

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Rec V Date: 08/21/2021
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Symptoms: Rash all the way down to her elbow; This spontaneous case was reported by a consumer and describes the occurrence of RASH (Rash all the way down to her elbow) 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 dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced RASH (Rash all the way down to her elbow). At the time of the report, RASH (Rash all the way down to her elbow) 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. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1597650
Sex: M
Age: 75
State: KY

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 08/21/2021
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Symptoms: terrible sweating to the point where I almost wet a bed; Suspected COVID-19; fever of 101 F; This spontaneous case was reported by a consumer and describes the occurrence of HYPERHIDROSIS (terrible sweating to the point where I almost wet a bed), SUSPECTED COVID-19 (Suspected COVID-19) and PYREXIA (fever of 101 F) in a 75-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030M20A) for COVID-19 vaccination. The patient's past medical history included Leukemia since an unknown date and Coronavirus test positive in July 2020. Concomitant products included GABAPENTIN, TAMSULOSIN, IBRUTINIB (IMBRUVICA), ATORVASTATIN, METFORMIN HYDROCHLORIDE, SITAGLIPTIN PHOSPHATE MONOHYDRATE (JANUMET), GLIPIZIDE, ZINC and ASCORBIC ACID (VITAMIN C ACID). On 23-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) at an unspecified dose. On 24-Feb-2021, the patient experienced HYPERHIDROSIS (terrible sweating to the point where I almost wet a bed), SUSPECTED COVID-19 (Suspected COVID-19) and PYREXIA (fever of 101 F). On 25-Feb-2021, HYPERHIDROSIS (terrible sweating to the point where I almost wet a bed), SUSPECTED COVID-19 (Suspected COVID-19) and PYREXIA (fever of 101 F) had resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. This spontaneous case was reported by a consumer and describes the occurrence of HYPERHIDROSIS (terrible sweating to the point where I almost wet a bed), PYREXIA (fever of 101 F) and INFLUENZA LIKE ILLNESS (He felt like he had a Covid symptoms) in a 75-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030M20A) for COVID-19 vaccination. Concomitant products included GABAPENTIN, TAMSULOSIN, IBRUTINIB (IMBRUVICA), ATORVASTATIN, METFORMIN HYDROCHLORIDE, SITAGLIPTIN PHOSPHATE MONOHYDRATE (JANUMET), GLIPIZIDE, ZINC and ASCORBIC ACID (VITAMIN C ACID). On 23-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) at an unspecified dose. On 24-Feb-2021, the patient experienced HYPERHIDROSIS (terrible sweating to the point where I almost wet a bed), PYREXIA (fever of 101 F) and INFLUENZA LIKE ILLNESS (He felt like he had a Covid symptoms). On 25-Feb-2021, HYPERHIDROSIS (terrible sweating to the point where I almost wet a bed), PYREXIA (fever of 101 F) and INFLUENZA LIKE ILLNESS (He felt like he had a Covid symptoms) had resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: GABAPENTIN; TAMSULOSIN; IMBRUVICA; ATORVASTATIN; JANUMET; GLIPIZIDE; ZINC; VITAMIN C ACID.

Current Illness: Leukemia.

ID: 1597651
Sex: F
Age:
State: WV

Vax Date: 01/22/2021
Onset Date: 03/03/2021
Rec V Date: 08/21/2021
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Symptoms: AST elevated; ALT elevated; This spontaneous case was reported by a nurse and describes the occurrence of ASPARTATE AMINOTRANSFERASE INCREASED (AST elevated) and ALANINE AMINOTRANSFERASE INCREASED (ALT elevated) in a 53-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029L20A and 029L20A) for COVID-19 vaccination. Concurrent medical conditions included Allergy (Allergic to codeine.), Allergy (Allergic to antihistamine.), Hypertension and Hypercholesterolaemia. Concomitant products included ACETYLSALICYLIC ACID (ASPIRIN (E.C.)) for Cardiac disorder, LABETALOL and LOSARTAN for Hypertension, ATORVASTATIN CALCIUM (LIPITOR) for Lipids increased. On 22-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 03-Mar-2021, the patient experienced ASPARTATE AMINOTRANSFERASE INCREASED (AST elevated) and ALANINE AMINOTRANSFERASE INCREASED (ALT elevated). On 22-Apr-2021, ASPARTATE AMINOTRANSFERASE INCREASED (AST elevated) and ALANINE AMINOTRANSFERASE INCREASED (ALT elevated) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 20-Jan-2021, Alanine aminotransferase: normal (normal) ALT-18. On 20-Jan-2021, Aspartate aminotransferase: normal (normal) AST-19. On 20-Jan-2021, Haemoglobin: low (Low) A1C-5.9. On 03-Mar-2021, Alanine aminotransferase: elevated (High) ALT-58. On 03-Mar-2021, Aspartate aminotransferase: elevated (High) AST-37. On 03-Mar-2021, Haemoglobin: low (Low) A1C-6.2. On 20-Apr-2021, Alanine aminotransferase: normal (normal) ALT-18. On 20-Apr-2021, Aspartate aminotransferase: normal (normal) AST-19. On 20-Apr-2021, Haemoglobin: low (Low) A1C-5.6. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No treatment medications were reported. This case was linked to MOD-2021-215591, MOD-2021-046164. Most recent FOLLOW-UP information incorporated above includes: On 31-Jul-2021: Follow-up received contains Significant information- Updated reporter information. Updated event outcome: Recovered. Contains New medical history, New concomitant medications. New Lab test information, Contains updated product information-Route of administration, body site. Contains updated patient demographics- Height, weight, race, Ethnicity.

Other Meds: LIPITOR; LABETALOL; ASPIRIN (E.C.); LOSARTAN

Current Illness: Allergy (Allergic to codeine.); Allergy (Allergic to antihistamine.); Hypercholesterolaemia; Hypertension

ID: 1597652
Sex: F
Age: 70
State: WI

Vax Date: 03/11/2021
Onset Date: 03/15/2021
Rec V Date: 08/21/2021
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Symptoms: This spontaneous case was reported by a consumer and describes the occurrence of GASTROINTESTINAL PAIN (painful intestinal cramping ), DIARRHOEA (sort of diarrhoea/loose stool), CHILLS (chills) and FATIGUE (tiredness) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001E21A) 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 15-Mar-2021, the patient experienced GASTROINTESTINAL PAIN (painful intestinal cramping ), DIARRHOEA (sort of diarrhoea/loose stool), CHILLS (chills) and FATIGUE (tiredness). The patient was treated with LOPERAMIDE for Diarrhoea, at a dose of UNK dosage form. On 15-Mar-2021, GASTROINTESTINAL PAIN (painful intestinal cramping ), DIARRHEA (sort of diarrhoea/loose stool), CHILLS (chills) and FATIGUE (tiredness) had resolved. Not Provided. 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 reported.

Other Meds:

Current Illness:

ID: 1597653
Sex: F
Age:
State:

Vax Date: 03/06/2021
Onset Date:
Rec V Date: 08/21/2021
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Symptoms: itching at the injection; Hives at injection; redness at the injection; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE URTICARIA (Hives at injection), INJECTION SITE ERYTHEMA (redness at the injection) and INJECTION SITE PRURITUS (itching at the injection) 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 06-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 INJECTION SITE URTICARIA (Hives at injection), INJECTION SITE ERYTHEMA (redness at the injection) and INJECTION SITE PRURITUS (itching at the injection). At the time of the report, INJECTION SITE URTICARIA (Hives at injection), INJECTION SITE ERYTHEMA (redness at the injection) and INJECTION SITE PRURITUS (itching at the injection) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No Concomitant medications were reported. No Treatments were reported.

Other Meds:

Current Illness:

ID: 1597654
Sex: F
Age:
State: LA

Vax Date: 03/08/2021
Onset Date: 03/13/2021
Rec V Date: 08/21/2021
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Symptoms: Fatigue; Headache; Chills; Nausea; Low grade fever; This spontaneous case was reported by a nurse and describes the occurrence of FATIGUE (Fatigue), HEADACHE (Headache), CHILLS (Chills), NAUSEA (Nausea) and PYREXIA (Low grade fever) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 08-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) (unknown route) 1 dosage form. On 13-Mar-2021, the patient experienced FATIGUE (Fatigue), HEADACHE (Headache), CHILLS (Chills), NAUSEA (Nausea) and PYREXIA (Low grade fever). The patient was treated with ONDANSETRON (ZOFRAN [ONDANSETRON]) at an unspecified dose and frequency and PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, FATIGUE (Fatigue), HEADACHE (Headache), CHILLS (Chills), NAUSEA (Nausea) and PYREXIA (Low grade fever) had not resolved. No Concomitant medications were reported.

Other Meds:

Current Illness:

ID: 1597655
Sex: F
Age:
State: CA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 08/21/2021
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Symptoms: Very hard; Very itchy; Patient started with rash all over body (arms and legs) like small pimples; This spontaneous case was reported by a consumer and describes the occurrence of Very Hard, PRURITUS, and RASH (arms and legs) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 036A21A) for COVID-19 vaccination. Concomitant products included METFORMIN, NORVASC, PREDNISONE, and OXYBUTYNIN for an unknown indication. On 12-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .5 milliliter. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Mar-2021, the patient experienced Very hard, PRURITUS, and RASH (arms and legs). The patient was treated with BENADRYL at an unspecified dose and frequency. At the time of the report, Very hard and PRURITUS outcome was unknown and RASH (arms and legs) had not resolved. Concomitant medication included Cholesterol medication.

Other Meds: METFORMIN; NORVASC; PREDNISONE; OXYBUTYNIN

Current Illness:

ID: 1597656
Sex: F
Age: 77
State: NY

Vax Date: 03/01/2021
Onset Date: 03/08/2021
Rec V Date: 08/21/2021
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Symptoms: Tested positive for COVID19; This spontaneous case was reported by a health care professional and describes the occurrence of COVID-19 (Tested positive for COVID19) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Previously administered products included for an unreported indication: BAMLANIVIMAB (Reporter stated patient recently received an antibody infusion called bamlanivimab). On 01-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 COVID-19 (Tested positive for COVID19). At the time of the report, COVID-19 (Tested positive for COVID19) outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 08-Mar-2021, SARS-CoV-2 test: other (Positive) Tested positive for COVID-19.. 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. No treatment information was specified.

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Current Illness:

ID: 1597657
Sex: F
Age: 48
State: OH

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 08/21/2021
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Symptoms: Weakness; Dizziness; Body aches; Fever; Sharp pains in her left knee and ankle; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (Weakness), DIZZINESS (Dizziness), PAIN (Body aches), PYREXIA (Fever) and ARTHRALGIA (Sharp pains in her left knee and ankle) in a 48-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022M20A) 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. On 25-Feb-2021, the patient experienced ASTHENIA (Weakness), DIZZINESS (Dizziness), PAIN (Body aches), PYREXIA (Fever) and ARTHRALGIA (Sharp pains in her left knee and ankle). At the time of the report, ASTHENIA (Weakness), DIZZINESS (Dizziness), PAIN (Body aches), PYREXIA (Fever) and ARTHRALGIA (Sharp pains in her left knee and ankle) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 25-Feb-2021, Heart rate: 90-100 (High) Racing heart rate was 90s-100 while patient was just sitting. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. It was reported that patient had super sharp pains in her left knee and ankle, it felt like it was coming from the flesh near the patella. No Concomitant medications were reported. No Treatments were reported.

Other Meds:

Current Illness:

ID: 1597658
Sex: F
Age: 65
State: CT

Vax Date: 02/28/2021
Onset Date: 03/14/2021
Rec V Date: 08/21/2021
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Symptoms: Shingles after first shot; This spontaneous case was reported by a consumer and describes the occurrence of HERPES ZOSTER (Shingles after first shot) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) 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 14-Mar-2021, the patient experienced HERPES ZOSTER (Shingles after first shot). The patient was treated with VALGANCICLOVIR for Shingles, at a dose of 10 day treatment. At the time of the report, HERPES ZOSTER (Shingles after first shot) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided.

Other Meds:

Current Illness:

ID: 1597659
Sex: M
Age: 75
State: OR

Vax Date: 02/17/2021
Onset Date:
Rec V Date: 08/21/2021
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Symptoms: memory kind of brain fog type of thing; "so out of character"; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (memory kind of brain fog type of thing) and PERSONALITY CHANGE ("so out of character") in a 75-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006M20A) for COVID-19 vaccination. No Medical History information was reported. On 17-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 FEELING ABNORMAL (memory kind of brain fog type of thing) and PERSONALITY CHANGE ("so out of character"). At the time of the report, FEELING ABNORMAL (memory kind of brain fog type of thing) had not resolved and PERSONALITY CHANGE ("so out of character") 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 reported. No Treatments were reported.

Other Meds:

Current Illness:

ID: 1597660
Sex: F
Age: 67
State: AL

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 08/21/2021
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Symptoms: felt slight swelling in upper lip; prickly tingly feeling in my face that caused some itching; periodically, really bad itching on hand or foot like two mosquito bites/ Tingling caused face itching; This spontaneous case was reported by a consumer and describes the occurrence of LIP SWELLING (felt slight swelling in upper lip), PARAESTHESIA (prickly tingly feeling in my face that caused some itching) and PRURITUS (periodically, really bad itching on hand or foot like two mosquito bites/ Tingling caused face itching) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 027A21A) 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 LIP SWELLING (felt slight swelling in upper lip), PARAESTHESIA (prickly tingly feeling in my face that caused some itching) and PRURITUS (periodically, really bad itching on hand or foot like two mosquito bites/ Tingling caused face itching). On 12-Mar-2021, LIP SWELLING (felt slight swelling in upper lip), PARAESTHESIA (prickly tingly feeling in my face that caused some itching) and PRURITUS (periodically, really bad itching on hand or foot like two mosquito bites/ Tingling caused face itching) had resolved. 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 reported. No Treatments were reported.

Other Meds:

Current Illness:

ID: 1597661
Sex: F
Age:
State: GA

Vax Date: 03/10/2021
Onset Date: 03/13/2021
Rec V Date: 08/21/2021
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Symptoms: Left lower arm hurting; Hurting into her shoulder; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Left lower arm hurting) and ARTHRALGIA (Hurting into her shoulder) in a 91-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Arthritis. Concomitant products included PARACETAMOL (TYLENOL) for Arthritis. On 10-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 13-Mar-2021, the patient experienced PAIN IN EXTREMITY (Left lower arm hurting) and ARTHRALGIA (Hurting into her shoulder). At the time of the report, PAIN IN EXTREMITY (Left lower arm hurting) and ARTHRALGIA (Hurting into her shoulder) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Patient used rubbing alcohol and heating pad to treat the events.

Other Meds: TYLENOL

Current Illness: Arthritis

ID: 1597662
Sex: U
Age:
State: NY

Vax Date: 02/16/2021
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Rec V Date: 08/21/2021
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Symptoms: Has rash on the same arm of injection; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a pharmacist and describes the occurrence of RASH (Has rash on the same arm of injection) 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 16-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 RASH (Has rash on the same arm of injection). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Rash, at an unspecified dose and frequency. At the time of the report, RASH (Has rash on the same arm of injection) outcome was unknown. Not Provided 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 by the reporter. Most recent FOLLOW-UP information incorporated above includes: On 21-Jul-2021: Contains non significant information.

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Current Illness:

ID: 1597663
Sex: F
Age: 66
State: AZ

Vax Date: 02/08/2021
Onset Date:
Rec V Date: 08/21/2021
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Symptoms: Cant move right arm; Arm is still sore; This spontaneous case was reported by a consumer and describes the occurrence of MOVEMENT DISORDER (Cant move right arm) and PAIN IN EXTREMITY (Arm is still sore) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included Polio. Concurrent medical conditions included Atrophy (atrophy in limbs), Heart disorder, Weakness of arms (left arm is extremely weak.) and Diabetes mellitus. On 08-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 MOVEMENT DISORDER (Cant move right arm) and PAIN IN EXTREMITY (Arm is still sore). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, MOVEMENT DISORDER (Cant move right arm) and PAIN IN EXTREMITY (Arm is still sore) outcome was unknown. Not Provided 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. Concomitant medications were not reported.

Other Meds:

Current Illness: Weakness of arms (left arm is extremely weak.)

ID: 1597664
Sex: F
Age:
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Vax Date: 03/08/2021
Onset Date:
Rec V Date: 08/21/2021
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Symptoms: This spontaneous case was reported by a consumer and describes the occurrence of HYPOAESTHESIA ORAL (Numb lip) 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 08-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 HYPOAESTHESIA ORAL (Numb lip). At the time of the report, HYPOAESTHESIA ORAL (Numb lip) outcome was unknown. Not Provided. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Reporter did not allow further contact.

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Current Illness:

ID: 1597665
Sex: M
Age: 54
State: VA

Vax Date: 03/06/2021
Onset Date: 03/08/2021
Rec V Date: 08/21/2021
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Symptoms: Tinnitus; This spontaneous case was reported by a consumer and describes the occurrence of TINNITUS (Tinnitus) in a 54-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) 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 08-Mar-2021, the patient experienced TINNITUS (Tinnitus). At the time of the report, TINNITUS (Tinnitus) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. No treatment information was provided. Most recent FOLLOW-UP information incorporated above includes: On 03-Aug-2021: Follow-up received: Event outcome updated.

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Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm