VAERS 2021 Database www.vaers.hhs.gov

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

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 1551035
Sex: F
Age: 78
State: TX

Vax Date: 01/14/2021
Onset Date: 01/23/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: sever shooting pain throughout the arm that recieved the vaccination; Hardly able to sleep; Inflammation from the vaccine; swelling in the injection arm; Soreness in the injection arm; Excruciating pain in left shoulder/ the pain went from left shoulder blade area, encompasses left shoulder and down the left arm; Excruciating pain in upper back; pinched nerve; She was still miserable; Thumb and forefinger are still numb, pain ended up giving partially numb index finger; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of NERVE COMPRESSION (pinched nerve), FEELING ABNORMAL (She was still miserable), HYPOAESTHESIA (Thumb and forefinger are still numb, pain ended up giving partially numb index finger), PAIN (sever shooting pain throughout the arm that recieved the vaccination) and BACK PAIN (Excruciating pain in upper back) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Neck pain (A couple of years ago and went through a Physical therapy for posture.). Concurrent medical conditions included Blood pressure and Thyroiditis. Concomitant products included LOSARTAN, AMLODIPINE and HYDROCHLOROTHIAZIDE for Blood pressure, LEVOTHYROXINE SODIUM (SYNTHROID) for Thyroiditis, ZINC and COLECALCIFEROL (VIT D3) for an unknown indication. On 14-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Jan-2021, the patient experienced NERVE COMPRESSION (pinched nerve), FEELING ABNORMAL (She was still miserable), HYPOAESTHESIA (Thumb and forefinger are still numb, pain ended up giving partially numb index finger), BACK PAIN (Excruciating pain in upper back) and ARTHRALGIA (Excruciating pain in left shoulder/ the pain went from left shoulder blade area, encompasses left shoulder and down the left arm). On an unknown date, the patient experienced PAIN (sever shooting pain throughout the arm that recieved the vaccination), INSOMNIA (Hardly able to sleep), INFLAMMATION (Inflammation from the vaccine), VACCINATION SITE SWELLING (swelling in the injection arm) and VACCINATION SITE PAIN (Soreness in the injection arm). The patient was treated with TRAMADOL on 25-Jan-2021 at a dose of UNK dosage form and GABAPENTIN at a dose of UNK dosage form. On 01-Mar-2021, NERVE COMPRESSION (pinched nerve), FEELING ABNORMAL (She was still miserable) and HYPOAESTHESIA (Thumb and forefinger are still numb, pain ended up giving partially numb index finger) had resolved. At the time of the report, PAIN (sever shooting pain throughout the arm that recieved the vaccination), INSOMNIA (Hardly able to sleep), INFLAMMATION (Inflammation from the vaccine), VACCINATION SITE SWELLING (swelling in the injection arm) and VACCINATION SITE PAIN (Soreness in the injection arm) outcome was unknown and BACK PAIN (Excruciating pain in upper back) and ARTHRALGIA (Excruciating pain in left shoulder/ the pain went from left shoulder blade area, encompasses left shoulder and down the left arm) had resolved with sequelae. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Magnetic resonance imaging: abnormal (abnormal) Protrusion in between C6 and C7 which was pressing on the nerve. Additional treatment information for the event included steroid shot, steroid pack, ice and neck traction. This case was linked. Most recent FOLLOW-UP information incorporated above includes: On 26-Jul-2021: Updated Patient demographics, Added Medical History, Added Lab test, Added Facility information, Added Concomitant Drugs, Updated Event start date and outcome.

Other Meds: LOSARTAN; AMLODIPINE; HYDROCHLOROTHIAZIDE; SYNTHROID; ZINC; VIT D3.

Current Illness: Blood pressure; Thyroiditis.

ID: 1551036
Sex: F
Age: 66
State: PA

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Rush on the body; This spontaneous case was reported by a consumer and describes the occurrence of RASH (Rush on the body) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 028L20A) for COVID-19 vaccination. No Medical History information was reported. On 26-Jan-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 28-Jan-2021, the patient experienced RASH (Rush on the body). At the time of the report, RASH (Rush on the body) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication details was reported. No treatment medication details was reported.; Reporter's Comments: .; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1551037
Sex: M
Age: 60
State: TX

Vax Date: 01/05/2021
Onset Date: 01/14/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Positive for covid between the first and the second dose; A spontaneous report was received from a consumer concerning a 60-year old male patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced positive for COVID between first and second. The patient's medical history was not provided. Concomitant medications were listed as meloxicam, allopurinol, rosuvastatin calcium, acetylsalicylic acid and vitamins nos. On 05 Jan 2021, approximately 10 days prior to the onset of the events, the patient received their first of the two planned doses of mRNA-1273 (Batch number: 027L20A) for prophylaxis of COVID-19 infection. On 14 Jan 2021, patient tested positive for COVID-19. Treatment information was not provided. Lab tests mention a positive COVID-19 test. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events, tested positive between the first and second, was considered resolved on 14 Jan 2021.

Other Meds: MELOXICAM; ALLOPURINOL; CRESTOR; ASPIRIN; VITAMINS NOS

Current Illness:

ID: 1551038
Sex: F
Age:
State: NJ

Vax Date: 12/30/2020
Onset Date: 01/27/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: hematuria; rash on both upper arms; headache; body aches; chills; fever; This spontaneous case was reported by a consumer and describes the occurrence of HAEMATURIA (hematuria), RASH (rash on both upper arms), PYREXIA (fever), HEADACHE (headache) and CHILLS (chills) in a 53-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 032L20A and 011L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Hypothyroidism since an unknown date. Concurrent medical conditions included Shellfish allergy. Concomitant products included LEVOTHYROXINE SODIUM (SYNTHROID) from 02-Jan-2010 to an unknown date for Hypothyroidism. On 30-Dec-2020 at 9:30 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Jan-2021 at 9:30 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 27-Jan-2021, the patient experienced PYREXIA (fever) and CHILLS (chills). On 28-Jan-2021, the patient experienced HEADACHE (headache). 28-Jan-2021, the patient experienced MYALGIA (body aches). On 29-Jan-2021, the patient experienced HAEMATURIA (hematuria). 29-Jan-2021, the patient experienced RASH (rash on both upper arms). On 29-Jan-2021, PYREXIA (fever) had resolved. On 30-Jan-2021, HAEMATURIA (hematuria) had resolved. On 12-Feb-2021, RASH (rash on both upper arms) had resolved. At the time of the report, HEADACHE (headache) and CHILLS (chills) outcome was unknown and MYALGIA (body aches) had resolved. No treatment medications were reported. Most recent FOLLOW-UP information incorporated above includes: On 21-Apr-2021: Events added, event outcome updated, Product, reporter and patient info updated.

Other Meds: SYNTHROID

Current Illness: Hypothyroidism; Shellfish allergy

ID: 1551039
Sex: F
Age: 65
State: NY

Vax Date: 02/12/2021
Onset Date:
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: swelling at the site of injection; redness which is 6 inches long and 3 inches wide; A spontaneous report was received from a consumer concerning a 65 year old female patients who received Moderna's Covid 19 vaccine(mRNA1273) experienced swelling and redness at injection site. The patient's medical history was not provided. Concomitant product use was not provided/unknown by the reporter. On 12-FEB-2021,approximately 1 week prior to the onset of symptoms the patient received first of two planned dose of mRNA-1273 (Batch Number 024M20A) for prophylaxis of Covid 19 infection. Patients felt swelling at the site of injection after 1 week of vaccine administration. Patient had redness at the site of injection which is 6 inches long and 3 inches wide .The treatment information was not provided. Action taken with mRNA-1273 in response to the event(s) was not provided/unknown. The outcome of the events, swelling and redness at the site of injection were unknown.

Other Meds:

Current Illness:

ID: 1551040
Sex: U
Age:
State: GA

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

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: little soreness in shoulder and arm; little soreness in shoulder and arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (little soreness in shoulder and arm) and ARTHRALGIA (little soreness in shoulder and arm) 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 (No medical history was reported.). On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (little soreness in shoulder and arm) and ARTHRALGIA (little soreness in shoulder and arm). At the time of the report, PAIN IN EXTREMITY (little soreness in shoulder and arm) and ARTHRALGIA (little soreness in shoulder and arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment medication provided No concomitant medication provided

Other Meds:

Current Illness:

ID: 1551041
Sex: F
Age: 75
State: NY

Vax Date: 01/12/2021
Onset Date: 01/21/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: tested positive for COVID-19; chills; fever; lost of appetite; tiredness; feel bad; This spontaneous case was reported by a consumer and describes the occurrence of CHILLS (chills), PYREXIA (fever), DECREASED APPETITE (lost of appetite), FATIGUE (tiredness) and FEELING ABNORMAL (feel bad) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012620A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 12-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Jan-2021, the patient experienced CHILLS (chills), PYREXIA (fever), DECREASED APPETITE (lost of appetite), FATIGUE (tiredness) and FEELING ABNORMAL (feel bad). On 23-Jan-2021, the patient experienced COVID-19 (tested positive for COVID-19). The patient was treated with PARACETAMOL (TYLENOL) at a dose of 1 dosage form and ACETYLSALICYLIC ACID (ALKA SELTZER [ACETYLSALICYLIC ACID]) at a dose of 1 dosage form. At the time of the report, CHILLS (chills), PYREXIA (fever), DECREASED APPETITE (lost of appetite), FATIGUE (tiredness), FEELING ABNORMAL (feel bad) and COVID-19 (tested positive for COVID-19) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 23-Jan-2021, SARS-CoV-2 test: (Positive) positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications were not provided by reporter.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1551042
Sex: F
Age: 63
State: MT

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Disoriented feeling; Pretty hot at injection site; Red rash at injection site; Red rash at injection site; Very itchy at injection site; Arm was swollen; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (Arm was swollen), INJECTION SITE ERYTHEMA (Red rash at injection site), INJECTION SITE RASH (Red rash at injection site), INJECTION SITE PRURITUS (Very itchy at injection site) and INJECTION SITE WARMTH (Pretty hot at injection site) in a 63-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 No adverse event (No medical reported history). Concomitant products included METOPROLOL TARTRATE for an unknown indication. On 15-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Jan-2021, the patient experienced PERIPHERAL SWELLING (Arm was swollen). On 28-Jan-2021, the patient experienced INJECTION SITE ERYTHEMA (Red rash at injection site), INJECTION SITE RASH (Red rash at injection site), INJECTION SITE PRURITUS (Very itchy at injection site), INJECTION SITE WARMTH (Pretty hot at injection site) and DISORIENTATION (Disoriented feeling). The patient was treated with LORATADINE (CLARITINE) ongoing since an unknown date at a dose of 1 dosage form; IBUPROFEN ongoing since an unknown date at a dose of 1 dosage form and BACITRACIN ongoing since an unknown date at a dose of 1 dosage form. At the time of the report, PERIPHERAL SWELLING (Arm was swollen) had resolved and INJECTION SITE ERYTHEMA (Red rash at injection site), INJECTION SITE RASH (Red rash at injection site), INJECTION SITE PRURITUS (Very itchy at injection site), INJECTION SITE WARMTH (Pretty hot at injection site) and DISORIENTATION (Disoriented feeling) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.; Sender's Comments: This case concerns a female of unknown age with NS unexpected injection site warmth, peripheral swelling, disorientation, and NS expected injection site rash, injection site pruritus, injection site erythema. Event onset the same day as first dose mRNA-1273, with rash on Day 14. Treated with Claritin, ibuprofen, bacitracin. Based on the current available information and temporal association between use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds: METOPROLOL TARTRATE

Current Illness:

ID: 1551043
Sex: U
Age:
State: FL

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: had a circle appear even after 14 days later; had a similar reaction to what they have; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (had a circle appear even after 14 days later) and VACCINATION COMPLICATION (had a similar reaction to what they have) 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 (No medical history reported.). On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced ERYTHEMA (had a circle appear even after 14 days later) and VACCINATION COMPLICATION (had a similar reaction to what they have). At the time of the report, ERYTHEMA (had a circle appear even after 14 days later) and VACCINATION COMPLICATION (had a similar reaction to what they have) outcome was unknown. Not Provided 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: 1551044
Sex: F
Age: 46
State: OK

Vax Date: 01/28/2021
Onset Date:
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: fever; body aches; nausea; diarrhea; fatigue; canker sores in mouth; canker sores on roof of mouth; eft side of face puffy; This spontaneous case was reported by a health care professional and describes the occurrence of PYREXIA (fever), PAIN (body aches), NAUSEA (nausea), DIARRHOEA (diarrhea) and FATIGUE (fatigue) in a 45-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event. On 28-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 PYREXIA (fever), PAIN (body aches), NAUSEA (nausea), DIARRHOEA (diarrhea), FATIGUE (fatigue), ORAL PAIN (canker sores in mouth), STOMATITIS (canker sores on roof of mouth) and SWELLING FACE (eft side of face puffy). At the time of the report, PYREXIA (fever), PAIN (body aches), NAUSEA (nausea), DIARRHOEA (diarrhea), FATIGUE (fatigue), ORAL PAIN (canker sores in mouth), STOMATITIS (canker sores on roof of mouth) and SWELLING FACE (eft side of face puffy) outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 102.2 ?f 102.2 ?F and 101. On an unknown date, COVID-19: (Negative) Negative. 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 reported. Treatment included steroid and magic mouthwash

Other Meds:

Current Illness:

ID: 1551045
Sex: F
Age: 71
State: GA

Vax Date: 01/14/2021
Onset Date: 01/28/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: tching in her arm; d spot 6 inches and long 4 inches wide at the injection site; large spot 6 inches and long 4 inches wide at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (tching in her arm), VACCINATION SITE ERYTHEMA (d spot 6 inches and long 4 inches wide at the injection site) and ERYTHEMA (large spot 6 inches and long 4 inches wide at the injection site) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012L20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. Concomitant products included LEVOTHYROXINE SODIUM (SYNTHROID), METOPROLOL, HYDROCHLOROTHIAZIDE and statin for an unknown indication. On 14-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Jan-2021, the patient experienced PRURITUS (tching in her arm), VACCINATION SITE ERYTHEMA (d spot 6 inches and long 4 inches wide at the injection site) and ERYTHEMA (large spot 6 inches and long 4 inches wide at the injection site). At the time of the report, PRURITUS (tching in her arm), VACCINATION SITE ERYTHEMA (d spot 6 inches and long 4 inches wide at the injection site) and ERYTHEMA (large spot 6 inches and long 4 inches wide at the injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment details included 1 2 Benadryl. Cortisone cream.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds: SYNTHROID; METOPROLOL; HYDROCHLOROTHIAZIDE; statin

Current Illness:

ID: 1551046
Sex: F
Age:
State: IL

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: a little redness; a little hard induration; a little eruption; itchy; a little pain; it burned a little bit; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (it burned a little bit), VACCINATION SITE ERYTHEMA (a little redness), VACCINATION SITE INDURATION (a little hard induration), INJECTION SITE RASH (a little eruption) and VACCINATION SITE PRURITUS (itchy) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Unknown) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event (No medical reported history). On 29-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 29-Jan-2021, the patient experienced VACCINATION SITE PAIN (it burned a little bit). On 31-Jan-2021, the patient experienced VACCINATION SITE ERYTHEMA (a little redness), VACCINATION SITE INDURATION (a little hard induration), INJECTION SITE RASH (a little eruption), VACCINATION SITE PRURITUS (itchy) and VACCINATION SITE PAIN (a little pain). On 29-Jan-2021, VACCINATION SITE PAIN (it burned a little bit) had resolved. At the time of the report, VACCINATION SITE ERYTHEMA (a little redness), VACCINATION SITE INDURATION (a little hard induration), INJECTION SITE RASH (a little eruption), VACCINATION SITE PRURITUS (itchy) and VACCINATION SITE PAIN (a little pain) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications reported. No treatment information provided.

Other Meds:

Current Illness:

ID: 1551047
Sex: M
Age: 80
State: VA

Vax Date: 01/23/2021
Onset Date:
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Sore arm; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Sore arm) in an 81-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Unknown) for COVID-19 vaccination. The patient's past medical history included No adverse event (No medical reported history). On 23-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 VACCINATION SITE PAIN (Sore arm). At the time of the report, VACCINATION SITE PAIN (Sore arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications reported. No treatment information provided.

Other Meds:

Current Illness:

ID: 1551048
Sex: F
Age:
State: GA

Vax Date: 01/11/2021
Onset Date: 01/15/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Tired; Inflammation in her joint particularly in her hand; Swollen arm; Joints were really painful; Arm was a tad sore; A spontaneous report was received from a Consumer concerning a 72-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events tired, inflammation in her joint particularly in her hand, swollen arm, joints were really painful and arm was a tad sore. The patient's medical history was not provided. Concomitant medications reported were B12, rosuvastatin and omeprazole, drug used for unknown indication. On 11 Jan 2021, prior to the onset of the events the patient received their first of two planned doses of mRNA-1273 (lot/batch: 00053740) in the left arm for prophylaxis of COVID-19 infection. On 15 Jan 2021, the patient experienced the events tired, inflammation in her joint particularly in her hand, swollen arm, joints were really painful and arm was a tad sore. Treatment details were not provided. Action taken with mRNA-1273 in response to the events was not reported. The outcome of events, tired, inflammation in her joint particularly in her hand, swollen arm, joints were really painful and arm was a tad sore was considered unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds: VITAMIN B12 NOS; ROSUVASTATIN; OMEPRAZOLE

Current Illness:

ID: 1551049
Sex: M
Age:
State:

Vax Date: 01/14/2021
Onset Date: 02/01/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Pain in the left testicle; Nodule in the left testicle; This spontaneous case was reported by a consumer and describes the occurrence of in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Unknown) for COVID-19 vaccination. The patient's past medical history included Prostate cancer and Testicular disorder (testicular nodules). On 14-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient started on Antibiotics as treatment. No relevant concomitant medications were reported. Reporter did not allow further contact; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1551050
Sex: F
Age: 78
State: DE

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Itchiness; Rash; Swelling; redness 3-6inches; was warm to touch; Tenderiness; Small pink redness; This spontaneous case was reported by a consumer and describes the occurrence of in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012L20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 23-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment included Cortisone and Advil

Other Meds:

Current Illness:

ID: 1551051
Sex: M
Age:
State: AL

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: left side of his face and jaw swollen; does not feel really well; arm sore; This spontaneous case was reported by a consumer and describes the occurrence of SWELLING FACE (left side of his face and jaw swollen), MALAISE (does not feel really well) and PAIN IN EXTREMITY (arm sore) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 037K20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. Concomitant products included AMLODIPINE and BENAZEPRIL. On 31-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 31-Jan-2021, the patient experienced SWELLING FACE (left side of his face and jaw swollen), MALAISE (does not feel really well) and PAIN IN EXTREMITY (arm sore). On 31-Jan-2021, PAIN IN EXTREMITY (arm sore) had resolved. At the time of the report, SWELLING FACE (left side of his face and jaw swollen) and MALAISE (does not feel really well) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment for the event included diphenhydramine (Benadryl).

Other Meds: AMLODIPINE; BENAZEPRIL

Current Illness:

ID: 1551052
Sex: F
Age: 49
State: OH

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Left arm is numb; Muscle spasm; Can't use her left arm and she's left handed; Can barely take a shower/When she washes dishes, dish will fall off on her hand; Weakness in her left arm; This spontaneous case was reported by a nurse and describes the occurrence of HYPOAESTHESIA (Left arm is numb), MUSCLE SPASMS (Muscle spasm), HYPOKINESIA (Can't use her left arm and she's left handed), IMPAIRED WORK ABILITY (Can barely take a shower/When she washes dishes, dish will fall off on her hand) and MUSCULAR WEAKNESS (Weakness in her left arm) in a 49-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012L20A) for COVID-19 vaccination. The patient's past medical history included No adverse reaction. On 15-Jan-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Jan-2021, the patient experienced HYPOAESTHESIA (Left arm is numb), MUSCLE SPASMS (Muscle spasm), HYPOKINESIA (Can't use her left arm and she's left handed), IMPAIRED WORK ABILITY (Can barely take a shower/When she washes dishes, dish will fall off on her hand) and MUSCULAR WEAKNESS (Weakness in her left arm). At the time of the report, HYPOAESTHESIA (Left arm is numb), MUSCLE SPASMS (Muscle spasm) and HYPOKINESIA (Can't use her left arm and she's left handed) was resolving and IMPAIRED WORK ABILITY (Can barely take a shower/When she washes dishes, dish will fall off on her hand) and MUSCULAR WEAKNESS (Weakness in her left arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No relevant concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1551053
Sex: F
Age:
State: ME

Vax Date: 01/27/2021
Onset Date:
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Experiencing some side effects; A spontaneous report was received from a Consumer concerning a female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events experiencing some side effects. The patient's medical history was not provided. No relevant concomitant medications were reported. No relevant lab data was reported by the reporter. On 27 Jan 2021, prior to the onset of the events the patient received their first of two planned doses of mRNA-1273 (lot/batch: Detail Batch Number) intramuscularly for prophylaxis of COVID-19 infection. On an unknown date, the patient experiencing some side effects. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. On an unknown date the outcome of events, experiencing some side effects was not reported.; Reporter's Comments: Very limited information regarding this event has been provided at this time. Further information has been requested.

Other Meds:

Current Illness: Autoimmune disorder; Factor X deficiency

ID: 1551054
Sex: M
Age: 75
State: CA

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Soreness when touching site of injection; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Soreness when touching site of injection) in a 75-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 23-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Jan-2021, the patient experienced VACCINATION SITE PAIN (Soreness when touching site of injection). The patient was treated with IBUPROFEN for Vaccination site pain, at an unspecified dose and frequency. On 25-Jan-2021, VACCINATION SITE PAIN (Soreness when touching site of injection) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product use was not provided.

Other Meds:

Current Illness:

ID: 1551055
Sex: F
Age: 71
State: MI

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: couldn't move her arm; tried to move and it?s hurt; really bad hurt inside the injection site, in lthe eft arm; little soreness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (little soreness), MOBILITY DECREASED (couldn't move her arm), PAIN IN EXTREMITY (tried to move and it?s hurt) and VACCINATION SITE PAIN (really bad hurt inside the injection site, in lthe eft arm) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032H20A) for COVID-19 vaccination. Concurrent medical conditions included Acid reflux (esophageal), Thyroid disorder, Cholesterol and Blood pressure abnormal. Concomitant products included POTASSIUM for an unknown indication. On 27-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Jan-2021, the patient experienced PAIN (little soreness). On 01-Feb-2021, the patient experienced MOBILITY DECREASED (couldn't move her arm), PAIN IN EXTREMITY (tried to move and it?s hurt) and VACCINATION SITE PAIN (really bad hurt inside the injection site, in lthe eft arm). At the time of the report, PAIN (little soreness), MOBILITY DECREASED (couldn't move her arm), PAIN IN EXTREMITY (tried to move and it?s hurt) and VACCINATION SITE PAIN (really bad hurt inside the injection site, in lthe eft arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications taken were thyroids pills, cholesterol pills, blood pressure meds, medications for for acid reflux. Treatment medications taken was Ibuprofen.

Other Meds: POTASSIUM

Current Illness: Acid reflux (esophageal); Blood pressure abnormal; Cholesterol; Thyroid disorder

ID: 1551056
Sex: F
Age:
State: FL

Vax Date: 01/05/2021
Onset Date:
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: on and off low grade fever; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (on and off low grade fever) 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-Jan-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 PYREXIA (on and off low grade fever). At the time of the report, PYREXIA (on and off low grade fever) had not resolved. 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 assessment. Patient has been experiencing fever for a month now. No concomitant medications were reported. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1551057
Sex: F
Age: 71
State: TX

Vax Date: 01/20/2021
Onset Date: 01/26/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Soreness at the injection site; Rash at the injection Site; A spontaneous report was received from a consumer concerning a 71-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced soreness at the injection site, rash at the injection site. The patient's medical history was not provided. No relevant concomitant medications were reported. On 20 Jan 2021, prior to the onset of the events the patient received their first of two planned doses of mRNA-1273 (lot/batch: unkown) intramuscularly for prophylaxis of COVID-19 infection. On 26 Jan 2021, the patient experienced the events soreness at the injection site. rash at the injection site. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The outcome of event, soreness at the injection site, was considered unknown. The outcome of the event, rash at the injection site, was Recovering/resolving at the time of the report.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1551058
Sex: F
Age: 60
State: MI

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Headache today; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (Headache today) in a 60-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 03-Feb-2021, the patient experienced HEADACHE (Headache today). At the time of the report, HEADACHE (Headache today) outcome was unknown. Not Provided 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: 1551059
Sex: F
Age: 70
State: WA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Elevated WBC; Elevated Platelets; Elevated Absolute Lymphocytes; Felt sleepy all day; Felt bad; No hunger; hives the size of a dollar bill; felt lump on the left arm; Redness; Itchiness; Little soreness injection arm; This spontaneous case was reported by a consumer and describes the occurrence of WHITE BLOOD CELL COUNT INCREASED (Elevated WBC), PLATELET COUNT INCREASED (Elevated Platelets), LYMPHOCYTE COUNT INCREASED (Elevated Absolute Lymphocytes), SOMNOLENCE (Felt sleepy all day) and FEELING ABNORMAL (Felt bad) in a 70-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. Family history included Acute myeloid leukemia (brother, sister and niece died due to Acute myeloid leukemia (AML) blast). Concomitant products included LEVOTHYROXINE for an unknown indication. On 29-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 29-Jan-2021, the patient experienced INJECTION SITE PAIN (Little soreness injection arm). On an unknown date, the patient experienced WHITE BLOOD CELL COUNT INCREASED (Elevated WBC), PLATELET COUNT INCREASED (Elevated Platelets), LYMPHOCYTE COUNT INCREASED (Elevated Absolute Lymphocytes), SOMNOLENCE (Felt sleepy all day), FEELING ABNORMAL (Felt bad), APPETITE DISORDER (No hunger), URTICARIA (hives the size of a dollar bill), VACCINATION SITE MASS (felt lump on the left arm), ERYTHEMA (Redness) and PRURITUS (Itchiness). At the time of the report, WHITE BLOOD CELL COUNT INCREASED (Elevated WBC), PLATELET COUNT INCREASED (Elevated Platelets), LYMPHOCYTE COUNT INCREASED (Elevated Absolute Lymphocytes), SOMNOLENCE (Felt sleepy all day), FEELING ABNORMAL (Felt bad), APPETITE DISORDER (No hunger), URTICARIA (hives the size of a dollar bill), VACCINATION SITE MASS (felt lump on the left arm) and INJECTION SITE PAIN (Little soreness injection arm) outcome was unknown and ERYTHEMA (Redness) and PRURITUS (Itchiness) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Lymphocyte count: high (High) High. In 2021, Platelet count: high (High) High. In 2021, White blood cell count: high (High) High. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication was not provided. Treatment medication included Benadryl (diphenhydramine) and Prednisone. Most recent FOLLOW-UP information incorporated above includes: On 30-Mar-2021: Followup information was received on 30-Mar-2021 reporter details, medical history, laboratory data concomitant medication and events were captured.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. Further information has been requested

Other Meds: LEVOTHYROXINE

Current Illness:

ID: 1551060
Sex: F
Age: 78
State: CA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Muscle tightness at injection site; Warm injection site; Redness injection site; Itchy injection site; Swollen injection site; mild pain at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of MUSCLE TIGHTNESS (Muscle tightness at injection site), VACCINATION SITE WARMTH (Warm injection site), VACCINATION SITE PAIN (mild pain at the injection site), VACCINATION SITE ERYTHEMA (Redness injection site) and VACCINATION SITE PRURITUS (Itchy injection site) in a 78-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 22-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Jan-2021, the patient experienced VACCINATION SITE PAIN (mild pain at the injection site). On 30-Jan-2021, the patient experienced MUSCLE TIGHTNESS (Muscle tightness at injection site), VACCINATION SITE WARMTH (Warm injection site), VACCINATION SITE ERYTHEMA (Redness injection site), VACCINATION SITE PRURITUS (Itchy injection site) and VACCINATION SITE SWELLING (Swollen injection site). At the time of the report, MUSCLE TIGHTNESS (Muscle tightness at injection site), VACCINATION SITE WARMTH (Warm injection site), VACCINATION SITE PAIN (mild pain at the injection site), VACCINATION SITE ERYTHEMA (Redness injection site), VACCINATION SITE PRURITUS (Itchy injection site) and VACCINATION SITE SWELLING (Swollen injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment and concomitant medications were not provided by reporter.

Other Meds:

Current Illness:

ID: 1551061
Sex: F
Age:
State:

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: large red spot; itches a little bit; a little bit tender; This spontaneous case was reported by a consumer and describes the occurrence of RASH MACULAR (large red spot), PRURITUS (itches a little bit) and TENDERNESS (a little bit tender) 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 first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced RASH MACULAR (large red spot), PRURITUS (itches a little bit) and TENDERNESS (a little bit tender). At the time of the report, RASH MACULAR (large red spot), PRURITUS (itches a little bit) and TENDERNESS (a little bit tender) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Upon in internal review on 21 May 2021, the age was corrected to unknown age. This case was linked to MOD21-017590, MOD21-017606 (E2B Linked Report). This case was linked to MOD-2021-019286 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 19-Apr-2021: Non-significant follow-up received on 19-Apr-2021, appended in the case on 27-Apr-2021.; Sender's Comments: MOD21-017590: MOD21-017606:

Other Meds:

Current Illness:

ID: 1551062
Sex: F
Age: 53
State: PA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Drooping eyelids; swelling in neck on both sides; swelling of both eyelids; Skin on neck appears pink; Light headedness; SKIN ON NECK APPEARS PINK; Headache; Fatigue; face swollen on right side; This spontaneous case was reported by a consumer and describes the occurrence of EYELID THICKENING (Drooping eyelids), SWELLING (swelling in neck on both sides), SWELLING OF EYELID (swelling of both eyelids), SKIN DISCOLOURATION (Skin on neck appears pink) and DIZZINESS (Light headedness) in a 53-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Unknown) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 29-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Jan-2021, the patient experienced SWELLING FACE (face swollen on right side), HEADACHE (Headache) and FATIGUE (Fatigue). On 31-Jan-2021, the patient experienced EYELID THICKENING (Drooping eyelids), SWELLING (swelling in neck on both sides), SWELLING OF EYELID (swelling of both eyelids), SKIN DISCOLOURATION (Skin on neck appears pink), DIZZINESS (Light headedness) and RASH (SKIN ON NECK APPEARS PINK). The patient was treated with PREDNISONE at a dose of 1 dosage form. On 31-Jan-2021, HEADACHE (Headache) and FATIGUE (Fatigue) had resolved. At the time of the report, EYELID THICKENING (Drooping eyelids), SWELLING (swelling in neck on both sides), SWELLING OF EYELID (swelling of both eyelids), SKIN DISCOLOURATION (Skin on neck appears pink), DIZZINESS (Light headedness), SWELLING FACE (face swollen on right side) and RASH (SKIN ON NECK APPEARS PINK) 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. Patient had a teladoc appointment with their HCP. The HCP prescribed prednisone for three days. According to the patient, the HCP could not make a determination whether the reaction was related to the vaccine or something else Most recent FOLLOW-UP information incorporated above includes: On 28-May-2021: Non significant follow up received

Other Meds:

Current Illness:

ID: 1551063
Sex: F
Age: 75
State: FL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Tremor (L) and (R) hand, arm; fever, chills; Pain at injection site; Headache; joint pain; This spontaneous case was reported by a consumer and describes the occurrence of TREMOR (Tremor (L) and (R) hand, arm), VACCINATION SITE PAIN (Pain at injection site), HEADACHE (Headache), ARTHRALGIA (joint pain) and PYREXIA (fever, chills) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011L20A) for COVID-19 vaccination. No Medical History information was reported. On 13-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Jan-2021, the patient experienced VACCINATION SITE PAIN (Pain at injection site), HEADACHE (Headache) and ARTHRALGIA (joint pain). On 16-Jan-2021, the patient experienced PYREXIA (fever, chills). On 20-Jan-2021, the patient experienced TREMOR (Tremor (L) and (R) hand, arm). The patient was treated with IBUPROFEN at a dose of 1 dosage form; ACETYLSALICYLIC ACID (ASPIRIN (E.C.)) at a dose of 1 dosage form and PARACETAMOL (TYLENOL) at a dose of 1 dosage form. On 16-Jan-2021, PYREXIA (fever, chills) had resolved. On 19-Jan-2021, VACCINATION SITE PAIN (Pain at injection site), HEADACHE (Headache) and ARTHRALGIA (joint pain) had resolved. At the time of the report, TREMOR (Tremor (L) and (R) hand, arm) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications were not provided by reporter. The patient was under a doctor care for past 6 months for tremors. Most recent FOLLOW-UP information incorporated above includes: On 07-Jul-2021: Additional information included outcome of the event tremor.

Other Meds:

Current Illness:

ID: 1551064
Sex: M
Age:
State: FL

Vax Date: 01/13/2021
Onset Date: 01/19/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Red eyes; Watery eyes; A spontaneous report was received from a consumer concerning a 70-years-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced red eyes and watery eyes. The patient's medical history was not provided. No relevant concomitant medications were reported. On 13 Jan 2021, approximately seven days prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (lot/batch: Unknown) intramuscularly in the right arm for prophylaxis of COVID-19 infection. On 19 Jan 2021, the patient experienced red eyes and watery eyes. The patient checked to ER (emergency room). Treatment for the event included olopatadine. Action taken with mRNA-1273 in response to the events was not reported. The outcome of events red eyes and watery eyes was not reported.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1551065
Sex: M
Age: 71
State: WI

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: headache, in a pain scale from 1 to 10 it's a 2, mostly in the front of his head, sometimes it goes to the sides; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (headache, in a pain scale from 1 to 10 it's a 2, mostly in the front of his head, sometimes it goes to the sides) in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007M20A) for COVID-19 vaccination. Concomitant products included METFORMIN, PIOGLITAZONE, EMPAGLIFLOZIN, SIMVASTATIN and LISINOPRIL for an unknown indication. On 30-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Jan-2021, the patient experienced HEADACHE (headache, in a pain scale from 1 to 10 it's a 2, mostly in the front of his head, sometimes it goes to the sides). At the time of the report, HEADACHE (headache, in a pain scale from 1 to 10 it's a 2, mostly in the front of his head, sometimes it goes to the sides) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The treatment medications include Acetaminophen and Ibuprofen.

Other Meds: METFORMIN; PIOGLITAZONE; EMPAGLIFLOZIN; SIMVASTATIN; LISINOPRIL

Current Illness:

ID: 1551066
Sex: F
Age: 63
State: CA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Her Skin was itchy; Her Skin was prickly; A little Fatigue; Tingling her left arm and fingers; Face was red and hot; Redness went down her neck; Her hands were cold; This spontaneous case was reported by a consumer and describes the occurrence of PARAESTHESIA (Tingling her left arm and fingers), FEELING HOT (Face was red and hot), ERYTHEMA (Redness went down her neck), PERIPHERAL COLDNESS (Her hands were cold) and PRURITUS (Her Skin was itchy) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 041120A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Acid reflux (oesophageal). Concurrent medical conditions included Hypertension and Cholesterol. On 29-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 29-Jan-2021, the patient experienced PARAESTHESIA (Tingling her left arm and fingers), FEELING HOT (Face was red and hot), ERYTHEMA (Redness went down her neck) and PERIPHERAL COLDNESS (Her hands were cold). On 30-Jan-2021, the patient experienced PRURITUS (Her Skin was itchy), PARAESTHESIA (Her Skin was prickly) and FATIGUE (A little Fatigue). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) on 30-Jan-2021 at a dose of 1 dosage form. On 29-Jan-2021, FEELING HOT (Face was red and hot), ERYTHEMA (Redness went down her neck) and PERIPHERAL COLDNESS (Her hands were cold) had resolved. On 30-Jan-2021, PARAESTHESIA (Tingling her left arm and fingers), PRURITUS (Her Skin was itchy), PARAESTHESIA (Her Skin was prickly) and FATIGUE (A little Fatigue) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications included unspecified high blood pressure, cholesterol and gastric reflux medications. Most recent FOLLOW-UP information incorporated above includes: On 21-Apr-2021: Follow up received and contains Reporter contact details updated.

Other Meds:

Current Illness: Cholesterol; Hypertension

ID: 1551067
Sex: M
Age: 73
State: PA

Vax Date: 01/09/2021
Onset Date:
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Got shingles; Injection site reactions; This spontaneous case was reported by a consumer and describes the occurrence of HERPES ZOSTER (Got shingles) and VACCINATION SITE REACTION (Injection site reactions) in a 73-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012L20A) for COVID-19 vaccination. No Medical History information was reported. On 09-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 HERPES ZOSTER (Got shingles) and VACCINATION SITE REACTION (Injection site reactions). The patient was treated with ANTIVIRALS ongoing since an unknown date at an unspecified dose and frequency. At the time of the report, HERPES ZOSTER (Got shingles) and VACCINATION SITE REACTION (Injection site reactions) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported.; Sender's Comments: Very limited information regarding this event/s has been provided at this time. description of injection site reaction was not provided. Patient's medical history including any past history of shingles is lacking . Further information has been requested.

Other Meds:

Current Illness:

ID: 1551068
Sex: F
Age: 79
State:

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Fever; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (Fever) in an 80-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. Unknown and Unknown) for COVID-19 vaccination. No Medical History information was reported. On 30-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 30-Jan-2021, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 31-Jan-2021, the patient experienced PYREXIA (Fever). On 01-Feb-2021, PYREXIA (Fever) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) and mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant concomitant medications were reported. Treatment details were not provided.

Other Meds:

Current Illness:

ID: 1551069
Sex: F
Age: 74
State: FL

Vax Date: 01/05/2021
Onset Date: 02/03/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Tired; sore arm; A spontaneous report was received from a consumer concerning a 74 years old, female patient who experienced Sore arm/vaccination site pain and tiredness/Fatigue. The patient's medical history included Osteopenia. Products known to have been used by the patient, included Muscle relaxant, medicine for reflux and osteopenia. On 05 JAN 2021 the patient received the first of two planned doses of mRNA-1273 (Batch number: 011L20A) intramuscular in left arm for prophylaxis of COVID-19 infection. On 03 FEB 2021, prior to the onset of the symptoms, the patient received their second of two planned doses of mRNA-1273 (Batch number: 030L20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. After the first dose of vaccination on 05-JAN-21, patient experienced side effects from 06 Jan 2021 to 07 Jan 2021 like sore arm. She stated that she did not feel the needle when administered. After the second dose on 03 Feb 2021, she experienced sore arm and tiredness. This time she felt the needle during administration. Treatment information was not reported. Action taken with the drug in response to the event(s) was not applicable. The event(s), Sore arm and fatigue was unknown and product administration error was recovered.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds:

Current Illness: Osteopenia (Osteopenia)

ID: 1551070
Sex: F
Age:
State: IL

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

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies:

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

Symptoms: headache; fever; This spontaneous case was reported by a non-health professional and describes the occurrence of HEADACHE (headache) and PYREXIA (fever) 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) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced HEADACHE (headache) and PYREXIA (fever). At the time of the report, HEADACHE (headache) and PYREXIA (fever) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant and treatment medications were provided by reporter.

Other Meds:

Current Illness:

ID: 1551071
Sex: F
Age: 87
State: NJ

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: arm pain; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (arm pain) in an 87-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029L20A) 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 01-Feb-2021, the patient experienced PAIN IN EXTREMITY (arm pain). At the time of the report, PAIN IN EXTREMITY (arm pain) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Most recent FOLLOW-UP information incorporated above includes: On 19-May-2021: Initial additional: first dose date, event onset date and reporter (consumer) causality updated.

Other Meds:

Current Illness:

ID: 1551072
Sex: F
Age: 55
State: NJ

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: head pressure; dizziness/similar to vertigo; swelling at the injection site; leg fatigue; This case was initially received via an unknown source (no reference has been entered for a health authority or license partner) on 03-Feb-2021. The most recent information was received on 06-Jul-2021 and was forwarded to Moderna on 06-Jul-2021. This spontaneous case was reported by a consumer and describes the occurrence of HEAD DISCOMFORT (head pressure), DIZZINESS (dizziness/similar to vertigo), INJECTION SITE SWELLING (swelling at the injection site) and FATIGUE (leg fatigue) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026l20a) for COVID-19 vaccination. No Medical History information was reported. On 07-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Jan-2021, the patient experienced HEAD DISCOMFORT (head pressure), DIZZINESS (dizziness/similar to vertigo), INJECTION SITE SWELLING (swelling at the injection site) and FATIGUE (leg fatigue). The patient was treated with PREDNISONE at a dose of 1 dosage form. At the time of the report, HEAD DISCOMFORT (head pressure) had not resolved and DIZZINESS (dizziness/similar to vertigo), INJECTION SITE SWELLING (swelling at the injection site) and FATIGUE (leg fatigue) was resolving. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. Patient has had multiple reactions, some occurred 7 hours after initial dose and some developed later and are still ongoing. After 6 hours, she experienced head pressure and severe leg fatigue (described as similar to post workout) She also experienced dizziness similar to vertigo. Patient was scheduled to receive 2nd dose of vaccine on Feb 4th and still had swelling at the injection site and was asking for an opinion on if she should receive the next dose. Hence, it is not yet confirmed if second dose of vaccine was received. Reporter did not allow further contact Most recent FOLLOW-UP information incorporated above includes: On 06-Jul-2021: Non Significant FU: TCR : AE outcome, treatment medications update and follow up is declined

Other Meds:

Current Illness:

ID: 1551073
Sex: F
Age:
State: NY

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Severe teeth pain; Nerve inflammation; Severe headache; This spontaneous case was reported by a consumer and describes the occurrence of TOOTHACHE (Severe teeth pain), INFLAMMATION (Nerve inflammation) and HEADACHE (Severe headache) in a 29-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029L20A) for COVID-19 vaccination. No Medical History information was reported. On 29-Jan-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Jan-2021, the patient experienced TOOTHACHE (Severe teeth pain), INFLAMMATION (Nerve inflammation) and HEADACHE (Severe headache). The patient was treated with ASPIRIN [ACETYLSALICYLIC ACID] at a dose of UNK dosage form and PARACETAMOL (TYLENOL) at a dose of UNK dosage form. At the time of the report, TOOTHACHE (Severe teeth pain), INFLAMMATION (Nerve inflammation) and HEADACHE (Severe headache) outcome was unknown. Concomitant medications were not provided by the reporter.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1551074
Sex: F
Age:
State:

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: lost taste; rather the taste of things is different; severe effects chills; fever; nausea; headache; body ache; This spontaneous case was reported by a patient family member or friend and describes the occurrence of PAIN (body ache), AGEUSIA (lost taste), TASTE DISORDER (rather the taste of things is different), CHILLS (severe effects chills) and PYREXIA (fever) in a 70-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 01-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 01-Feb-2021, the patient experienced PAIN (body ache), CHILLS (severe effects chills), PYREXIA (fever), NAUSEA (nausea) and HEADACHE (headache). On 02-Feb-2021, the patient experienced AGEUSIA (lost taste) and TASTE DISORDER (rather the taste of things is different). At the time of the report, PAIN (body ache), AGEUSIA (lost taste), TASTE DISORDER (rather the taste of things is different), CHILLS (severe effects chills), PYREXIA (fever), NAUSEA (nausea) and HEADACHE (headache) outcome was unknown. Concomitant medications details were not reported by the reporter. Treatment details was not reported by the reporter. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1551075
Sex: F
Age: 69
State: FL

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: had diarrhea; has a bump in her left arm; felt tired; Had some cold; sore left arm that went all the way to the neck; This spontaneous case was reported by an other health professional and describes the occurrence of PAIN IN EXTREMITY (sore left arm that went all the way to the neck), NASOPHARYNGITIS (Had some cold), DIARRHOEA (had diarrhea), FATIGUE (felt tired) and INJECTION SITE SWELLING (has a bump in her left arm) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030L20A) for COVID-19 vaccination. Concurrent medical conditions included Diabetes and Cholesterol. On 26-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Jan-2021, the patient experienced PAIN IN EXTREMITY (sore left arm that went all the way to the neck). On 28-Jan-2021, the patient experienced NASOPHARYNGITIS (Had some cold) and FATIGUE (felt tired). On 01-Feb-2021, the patient experienced DIARRHOEA (had diarrhea) and INJECTION SITE SWELLING (has a bump in her left arm). The patient was treated with PARACETAMOL (TYLENOL) on 25-Jan-2021 for Back pain, at an unspecified dose and frequency. On 28-Jan-2021, PAIN IN EXTREMITY (sore left arm that went all the way to the neck), NASOPHARYNGITIS (Had some cold) and FATIGUE (felt tired) had resolved. At the time of the report, DIARRHOEA (had diarrhea) outcome was unknown and INJECTION SITE SWELLING (has a bump in her left arm) had not 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. Concomitant medications also included a diabetes medication and a cholesterol medication.

Other Meds:

Current Illness: Cholesterol; Diabetes

ID: 1551076
Sex: F
Age: 34
State:

Vax Date: 01/16/2021
Onset Date: 01/25/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: inflamed; secondary rash like a thin line from the arm to her wrist; very itchy; The actual injection site was red; threw up 3 times; large round rash,almost 3 quarters of the left arm; wasn't really itchy; hot to touch; whole left arm was swollen down to the left hand; This spontaneous case was reported by a consumer and describes the occurrence of RASH PRURITIC (wasn't really itchy), FEELING HOT (hot to touch), PERIPHERAL SWELLING (whole left arm was swollen down to the left hand), INJECTION SITE INFLAMMATION (inflamed) and RASH (large round rash,almost 3 quarters of the left arm) in a 34-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Depression, Anxiety, Allergy and Heartburn. Concomitant products included CETIRIZINE HYDROCHLORIDE (ZIRTEK) for Allergy, BUPROPION HYDROCHLORIDE (WELLBUTRIN) for Depression and Anxiety, OMEPRAZOLE for Heartburn, LISINOPRIL for an unknown indication. On 16-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Jan-2021, the patient experienced RASH PRURITIC (wasn't really itchy), FEELING HOT (hot to touch), PERIPHERAL SWELLING (whole left arm was swollen down to the left hand), RASH (large round rash,almost 3 quarters of the left arm) and VOMITING (threw up 3 times). On 30-Jan-2021, the patient experienced INJECTION SITE INFLAMMATION (inflamed), VACCINATION SITE PRURITUS (very itchy), VACCINATION SITE ERYTHEMA (The actual injection site was red) and RASH (secondary rash like a thin line from the arm to her wrist). The patient was treated with PARACETAMOL (TYLENOL) at a dose of 500 mg once a day. At the time of the report, RASH PRURITIC (wasn't really itchy), FEELING HOT (hot to touch), PERIPHERAL SWELLING (whole left arm was swollen down to the left hand), INJECTION SITE INFLAMMATION (inflamed), RASH (large round rash,almost 3 quarters of the left arm), VACCINATION SITE PRURITUS (very itchy), VACCINATION SITE ERYTHEMA (The actual injection site was red), VOMITING (threw up 3 times) and RASH (secondary rash like a thin line from the arm to her wrist) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.

Other Meds: OMEPRAZOLE; LISINOPRIL; ZIRTEK; WELLBUTRIN

Current Illness:

ID: 1551077
Sex: F
Age: 45
State: CT

Vax Date: 01/13/2021
Onset Date: 02/01/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: swelling of 1 lymph node above the collar bone; This spontaneous case was reported by a consumer and describes the occurrence of LYMPHADENOPATHY (swelling of 1 lymph node above the collar bone) in a 45-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025J20A) for COVID-19 vaccination. No Medical History information was reported. On 13-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 01-Feb-2021, the patient experienced LYMPHADENOPATHY (swelling of 1 lymph node above the collar bone). At the time of the report, LYMPHADENOPATHY (swelling of 1 lymph node above the collar bone) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medications details were not reported by the reporter. Treatment information not provided by the reporter.

Other Meds:

Current Illness:

ID: 1551078
Sex: F
Age: 79
State: IL

Vax Date: 01/26/2021
Onset Date: 02/01/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: chest pain; vomiting; This spontaneous case was reported by a consumer and describes the occurrence of CHEST PAIN (chest pain) and VOMITING (vomiting) in a 79-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. unknown) for COVID-19 vaccination. No medical history was reported by the reporter. Concomitant products included ACETYLSALICYLIC ACID (ASPIRIN 81), VERAPAMIL, LOSARTAN, SERTRALINE, HYDROCHLOROTHIAZIDE, CETIRIZINE HYDROCHLORIDE, FLUTICASONE PROPIONATE, VITAMIN E NOS and VITAMIN D3 for an unknown indication. On 26-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 01-Feb-2021, the patient experienced CHEST PAIN (chest pain) and VOMITING (vomiting). At the time of the report, CHEST PAIN (chest pain) and VOMITING (vomiting) 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 also included silver centrum. Treatment details was not reported by the reporter.

Other Meds: ASPIRIN 81; VERAPAMIL; LOSARTAN; SERTRALINE; HYDROCHLOROTHIAZIDE; CETIRIZINE HYDROCHLORIDE; FLUTICASONE PROPIONATE; VITAMIN E NOS; VITAMIN D3

Current Illness:

ID: 1551079
Sex: F
Age: 72
State: MI

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Weakness (particularly after eating a cake today),; Had a lack of appetite; Going to the bathroom frequently; Tenderness at the site where she received her vaccine; Unusually fatigue/feeling very tired; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (Weakness (particularly after eating a cake today)), DECREASED APPETITE (Had a lack of appetite), POLLAKIURIA (Going to the bathroom frequently), VACCINATION SITE PAIN (Tenderness at the site where she received her vaccine) and FATIGUE (Unusually fatigue/feeling very tired) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013M20A) for COVID-19 vaccination. Concurrent medical conditions included Hypertension. On 03-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Feb-2021, the patient experienced ASTHENIA (Weakness (particularly after eating a cake today)), DECREASED APPETITE (Had a lack of appetite), POLLAKIURIA (Going to the bathroom frequently), VACCINATION SITE PAIN (Tenderness at the site where she received her vaccine) and FATIGUE (Unusually fatigue/feeling very tired). At the time of the report, ASTHENIA (Weakness (particularly after eating a cake today)), DECREASED APPETITE (Had a lack of appetite), POLLAKIURIA (Going to the bathroom frequently), VACCINATION SITE PAIN (Tenderness at the site where she received her vaccine) and FATIGUE (Unusually fatigue/feeling very tired) 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.

Other Meds:

Current Illness: Hypertension

ID: 1551080
Sex: M
Age: 60
State: CA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: bruise at the injection site, like blue and different colors; hemorrhoids and tended to bleed; bled at the site of the injection; A spontaneous report was received from a healthcare professional concerning a 60-years-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced bled at the site of the injection, bruise at the injection site, like blue and different colors and hemorrhoids. The patient's medical history was not reported. Products known to have been use by patient, with in last two week included vitamin C and vitamin D3. On 22-Jan-2021, the patient received their first of two planned doses of mRNA-1273 (Lot number: 062G20A) intramuscularly in left arm for prophylaxis of COVID-19 infection. On 22-Jan- 2021, same day of receiving vaccine, the patient experienced bled at the site of the injection. On an unknown date, the patient experienced bruise at the injection site, like blue and different colors and had hemorrhoids. Treatment information was not provided. Action taken with mrna-1273 in response to the events was not reported. The outcome of events experienced bled at the site of the injection , bruise at the injection site, like blue and different colors and hemorrhoids were considered unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event,s a causal relationship cannot be excluded.

Other Meds: VITAMIN C [ASCORBIC ACID]; VITAMIN D3

Current Illness:

ID: 1551081
Sex: F
Age:
State: CA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Fever of 102F; headache; arm soreness; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (Fever of 102F), HEADACHE (headache) and INJECTION SITE PAIN (arm soreness) in an 83-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 042L20A) for COVID-19 vaccination. The patient's past medical history included COVID-19 in December 2020. On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Jan-2021, the patient experienced PYREXIA (Fever of 102F), HEADACHE (headache) and INJECTION SITE PAIN (arm soreness). On 29-Jan-2021, PYREXIA (Fever of 102F), HEADACHE (headache) and INJECTION SITE PAIN (arm soreness) had resolved. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 28-Jan-2021, Body temperature: increased (High) 102 F. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment and concomitant medications were not provided by reporter.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the onset date of the reported events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1551082
Sex: F
Age:
State:

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Had an allergy; Is hurting; This spontaneous case was reported by a consumer and describes the occurrence of HYPERSENSITIVITY (Had an allergy) and PAIN (Is hurting) in an 87-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced HYPERSENSITIVITY (Had an allergy) and PAIN (Is hurting). At the time of the report, HYPERSENSITIVITY (Had an allergy) and PAIN (Is hurting) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications were provided. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1551083
Sex: M
Age: 81
State: VA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: lower back pain in muscle; This spontaneous case was reported by a consumer and describes the occurrence of BACK PAIN (lower back pain in muscle) in an 81-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) 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 27-Jan-2021, the patient experienced BACK PAIN (lower back pain in muscle). The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date at an unspecified dose and frequency. At the time of the report, BACK PAIN (lower back pain in muscle) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported.

Other Meds:

Current Illness:

ID: 1551084
Sex: F
Age: 35
State: CT

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: fever; fatigue; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (fatigue) and PYREXIA (fever) in a 35-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L20A) for COVID-19 vaccination. Concurrent medical conditions included Anxiety. On 27-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Jan-2021, the patient experienced FATIGUE (fatigue). On 29-Jan-2021, the patient experienced PYREXIA (fever). The patient was treated with IBUPROFEN (ADVIL 12 HOUR) ongoing since an unknown date at an unspecified dose and frequency and PARACETAMOL (TYLENOL) ongoing since an unknown date at an unspecified dose and frequency. On 28-Jan-2021, FATIGUE (fatigue) had resolved. At the time of the report, PYREXIA (fever) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications reported were Mood stabilizers, Anti-anxiety.

Other Meds:

Current Illness: Anxiety

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm