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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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: 1553286
Sex: F
Age: 72
State: TN

Vax Date: 02/13/2021
Onset Date: 02/17/2021
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: patient could not move her leg even; patient can not even get out of bed; Joint pain; This spontaneous case was reported by a consumer and describes the occurrence of LIMB DISCOMFORT (patient could not move her leg even), BEDRIDDEN (patient can not even get out of bed) and ARTHRALGIA (Joint pain) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history was provided by the reporter. On 13-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Feb-2021, the patient experienced LIMB DISCOMFORT (patient could not move her leg even), BEDRIDDEN (patient can not even get out of bed) and ARTHRALGIA (Joint pain). At the time of the report, LIMB DISCOMFORT (patient could not move her leg even), BEDRIDDEN (patient can not even get out of bed) and ARTHRALGIA (Joint pain) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1553287
Sex: F
Age: 77
State: HI

Vax Date: 01/31/2021
Onset Date: 02/28/2021
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: itchy rash on arm; rash on back, stomach and waistline; This spontaneous case was reported by a consumer and describes the occurrence of RASH PRURITIC (itchy rash on arm) and RASH (rash on back, stomach and waistline) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030L20A and 025A21A) for COVID-19 vaccination. No Medical History information was reported. On 31-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-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 RASH PRURITIC (itchy rash on arm) and RASH (rash on back, stomach and waistline). The patient was treated with TRIAMCINOLONE for Rash and Itchy rash, at a dose of 1 % twice a day. At the time of the report, RASH PRURITIC (itchy rash on arm) and RASH (rash on back, stomach and waistline) outcome was unknown. No relevant concomitant medications were reported. Action taken with mRNA-1273 in response to the events was not applicable. This case was linked to MOD-2021-219895, MOD-2021-219895 (Patient Link).

Other Meds:

Current Illness:

ID: 1553288
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Pregnant; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of MATERNAL EXPOSURE DURING PREGNANCY (Pregnant) 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. Last menstrual period and estimated date of delivery were not provided. On an unknown date, the patient experienced MATERNAL EXPOSURE DURING PREGNANCY (Pregnant). At the time of the report, MATERNAL EXPOSURE DURING PREGNANCY (Pregnant) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.

Other Meds:

Current Illness:

ID: 1553289
Sex: M
Age: 70
State: SC

Vax Date: 01/27/2021
Onset Date:
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: sick; body aches; fever; This spontaneous case was reported by a consumer and describes the occurrence of ILLNESS (sick), PAIN (body aches) and PYREXIA (fever) in a 70-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029K20A and 031M20A) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included LISINOPRIL, TAMSULOSIN HYDROCHLORIDE (FLOMAX RELIEF) and BUPROPION 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 23-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced ILLNESS (sick), PAIN (body aches) and PYREXIA (fever). At the time of the report, ILLNESS (sick), PAIN (body aches) and PYREXIA (fever) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.

Other Meds: LISINOPRIL; FLOMAX RELIEF; BUPROPION

Current Illness:

ID: 1553290
Sex: F
Age: 78
State: GA

Vax Date: 01/15/2021
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: bacteria in the urine; This spontaneous case was reported by a consumer and describes the occurrence of BACTERIAL TEST POSITIVE (bacteria in the urine) in a 79-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012L20A) for COVID-19 vaccination. No Medical History was provided by the reporter. Concurrent medical conditions included Blood pressure and High cholesterol. On 15-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 BACTERIAL TEST POSITIVE (bacteria in the urine). At the time of the report, BACTERIAL TEST POSITIVE (bacteria in the urine) outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Urine analysis: abnormal (abnormal) Patient's lab results found bacteria in the urine.. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information was not provided.

Other Meds: CALCIUM; VITAMIN D 3

Current Illness: Blood pressure; High cholesterol

ID: 1553291
Sex: F
Age:
State: NY

Vax Date: 02/14/2021
Onset Date: 02/18/2021
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: weakness; dizziness; Fever of 101; fever (100.6); did not feel well; discomfort in her vaginal area, tense in muscles; discomfort in her vaginal area, tense in muscles; This spontaneous case was reported by a consumer and describes the occurrence of MALAISE (did not feel well), VULVOVAGINAL DISCOMFORT (discomfort in her vaginal area, tense in muscles), MUSCLE TIGHTNESS (discomfort in her vaginal area, tense in muscles), ASTHENIA (weakness) and DIZZINESS (dizziness) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013M20P or 013M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter. On 14-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 18-Feb-2021, the patient experienced MALAISE (did not feel well), VULVOVAGINAL DISCOMFORT (discomfort in her vaginal area, tense in muscles) and MUSCLE TIGHTNESS (discomfort in her vaginal area, tense in muscles). On 23-Feb-2021, the patient experienced PYREXIA (fever (100.6)). On 24-Feb-2021, the patient experienced PYREXIA (Fever of 101). On an unknown date, the patient experienced ASTHENIA (weakness) and DIZZINESS (dizziness). At the time of the report, MALAISE (did not feel well), VULVOVAGINAL DISCOMFORT (discomfort in her vaginal area, tense in muscles), MUSCLE TIGHTNESS (discomfort in her vaginal area, tense in muscles), ASTHENIA (weakness), DIZZINESS (dizziness), PYREXIA (fever (100.6)) and PYREXIA (Fever of 101) outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 23-Feb-2021, Body temperature: 100.6f 100.6F. On 24-Feb-2021, Body temperature: 101f 101F. 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:

Current Illness:

ID: 1553292
Sex: M
Age:
State: OH

Vax Date: 02/23/2021
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: LA

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: shoulder and neck pain; discomfort; shoulder and neck pain; This spontaneous case was reported by a consumer and describes the occurrence of NECK PAIN (shoulder and neck pain), DISCOMFORT (discomfort) and ARTHRALGIA (shoulder and neck pain) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 23-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 NECK PAIN (shoulder and neck pain), DISCOMFORT (discomfort) and ARTHRALGIA (shoulder and neck pain). At the time of the report, NECK PAIN (shoulder and neck pain), DISCOMFORT (discomfort) and ARTHRALGIA (shoulder and neck pain) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1553293
Sex: F
Age: 71
State: GA

Vax Date: 01/21/2021
Onset Date: 02/17/2021
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: Felt really bad for a few days; Chills; Fatigue; Severe pain; Back pain; Couldn't get out the bed; This spontaneous case was reported by a consumer and describes the occurrence of BACK PAIN (Back pain), BEDRIDDEN (Couldn't get out the bed), FEELING ABNORMAL (Felt really bad for a few days), PAIN (Severe pain) and CHILLS (Chills) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 028L20A and 024M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Osteoarthritis. Concomitant products included TRAMADOL for an unknown indication. On 21-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) (unknown route) dosage was changed to 1 dosage form. On 17-Feb-2021, the patient experienced BACK PAIN (Back pain), BEDRIDDEN (Couldn't get out the bed) and PAIN (Severe pain). On 18-Feb-2021, the patient experienced FEELING ABNORMAL (Felt really bad for a few days), CHILLS (Chills) and FATIGUE (Fatigue). At the time of the report, BACK PAIN (Back pain), BEDRIDDEN (Couldn't get out the bed) and PAIN (Severe pain) had not resolved and FEELING ABNORMAL (Felt really bad for a few days), CHILLS (Chills) and FATIGUE (Fatigue) had resolved. Reporter did not allow further contact

Other Meds: TRAMADOL

Current Illness:

ID: 1553294
Sex: M
Age:
State: TX

Vax Date: 02/23/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: really sick; face is swollen; Under the eye is swollen; This spontaneous case was reported by a consumer and describes the occurrence of ILLNESS (really sick), SWELLING FACE (face is swollen) and SWELLING (Under the eye is swollen) in a 77-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022M20A) for COVID-19 vaccination. No medical history was provided by the reporter. On 23-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 ILLNESS (really sick), SWELLING FACE (face is swollen) and SWELLING (Under the eye is swollen). At the time of the report, ILLNESS (really sick), SWELLING FACE (face is swollen) and SWELLING (Under the eye is swollen) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Treatment details included antihistamine.

Other Meds:

Current Illness:

ID: 1553295
Sex: M
Age:
State: NJ

Vax Date: 02/23/2021
Onset Date: 02/24/2021
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: Myalgia; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (Myalgia) in a 62-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 016M20A) for COVID-19 vaccination. No medical history was provided by the reporter. On 23-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-Feb-2021, the patient experienced MYALGIA (Myalgia). At the time of the report, MYALGIA (Myalgia) outcome was unknown. No concomitant medications were provided. No treatment information provided.

Other Meds:

Current Illness:

ID: 1553296
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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Red Arm Rash; This spontaneous case was reported by a consumer and describes the occurrence of RASH ERYTHEMATOUS (Red Arm Rash) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Bee sting hypersensitivity. 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 RASH ERYTHEMATOUS (Red Arm Rash). At the time of the report, RASH ERYTHEMATOUS (Red Arm Rash) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness: Bee sting hypersensitivity

ID: 1553297
Sex: F
Age: 67
State: NJ

Vax Date: 02/13/2021
Onset Date: 02/13/2021
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: Redness at injection site getting bigger; Redness at injection site lasting longer; Redness at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of CONDITION AGGRAVATED (Redness at injection site getting bigger), CONDITION AGGRAVATED (Redness at injection site lasting longer) and INJECTION SITE ERYTHEMA (Redness at the injection site) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011m20a) for COVID-19 vaccination. The patient's past medical history included No adverse event (No reported medical history). On 13-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Feb-2021, the patient experienced INJECTION SITE ERYTHEMA (Redness at the injection site). On 24-Feb-2021, the patient experienced CONDITION AGGRAVATED (Redness at injection site getting bigger) and CONDITION AGGRAVATED (Redness at injection site lasting longer). At the time of the report, CONDITION AGGRAVATED (Redness at injection site getting bigger), CONDITION AGGRAVATED (Redness at injection site lasting longer) and INJECTION SITE ERYTHEMA (Redness at the injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. NO CONCOMITANT AND TREATMENT MEDICATIONS WERE NOT USED Most recent FOLLOW-UP information incorporated above includes: On 05-May-2021: Non significant follow up appended

Other Meds:

Current Illness:

ID: 1553298
Sex: F
Age:
State: MI

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

Symptoms: Cold; Upset stomach; Shaking; Chills; Muscle ache; This spontaneous case was reported by a consumer and describes the occurrence of NASOPHARYNGITIS (Cold), ABDOMINAL DISCOMFORT (Upset stomach), TREMOR (Shaking), CHILLS (Chills) and MYALGIA (Muscle ache) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History was provided by the reporter. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced NASOPHARYNGITIS (Cold), ABDOMINAL DISCOMFORT (Upset stomach), TREMOR (Shaking), CHILLS (Chills) and MYALGIA (Muscle ache). At the time of the report, NASOPHARYNGITIS (Cold), ABDOMINAL DISCOMFORT (Upset stomach), TREMOR (Shaking), CHILLS (Chills) and MYALGIA (Muscle ache) outcome was unknown. Concomitant product use was not provided by the reporter. No treatment information was provided. Reporter did not allow further contact Most recent FOLLOW-UP information incorporated above includes: On 20-Apr-2021: NNI

Other Meds:

Current Illness:

ID: 1553299
Sex: F
Age:
State:

Vax Date: 01/10/2021
Onset Date: 02/05/2021
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: Broke out with genital herpes; This spontaneous case was reported by a consumer and describes the occurrence of GENITAL HERPES (Broke out with genital herpes) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history was provided by the reporter. On 10-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Feb-2021, the patient experienced GENITAL HERPES (Broke out with genital herpes). The patient was treated with VALACICLOVIR HYDROCHLORIDE (VALTREX) at an unspecified dose and frequency. At the time of the report, GENITAL HERPES (Broke out with genital herpes) had not resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1553300
Sex: M
Age: 75
State: MD

Vax Date: 02/23/2021
Onset Date: 02/23/2021
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: dizzy; got down; chills; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (dizzy), ASTHENIA (got down) and CHILLS (chills) in a 75-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030M2DA) for COVID-19 vaccination. No Medical History information was reported. On 23-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Feb-2021, the patient experienced CHILLS (chills). On 24-Feb-2021, the patient experienced DIZZINESS (dizzy) and ASTHENIA (got down). At the time of the report, DIZZINESS (dizzy), ASTHENIA (got down) and CHILLS (chills) outcome was unknown. No concomitant medications were provided. No treatment information provided.

Other Meds:

Current Illness:

ID: 1553301
Sex: M
Age: 48
State: NJ

Vax Date: 02/23/2021
Onset Date: 02/23/2021
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: Discomfort; Neck Pain; Arm Pain; This spontaneous case was reported by a consumer and describes the occurrence of DISCOMFORT (Discomfort), NECK PAIN (Neck Pain) and VACCINATION SITE PAIN (Arm Pain) in a 48-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. Concomitant products included SITAGLIPTIN PHOSPHATE (JANUVIA [SITAGLIPTIN PHOSPHATE]), GLIMEPIRIDE, EMPAGLIFLOZIN (JARDIANCE), VALSARTAN, AMLODIPINE and SERTRALINE HYDROCHLORIDE (ZOLOFT) for an unknown indication. On 23-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Feb-2021, the patient experienced DISCOMFORT (Discomfort), NECK PAIN (Neck Pain) and VACCINATION SITE PAIN (Arm Pain). At the time of the report, DISCOMFORT (Discomfort), NECK PAIN (Neck Pain) and VACCINATION SITE PAIN (Arm Pain) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were provided. No treatment information provided.

Other Meds: JANUVIA [SITAGLIPTIN PHOSPHATE]; GLIMEPIRIDE; JARDIANCE; VALSARTAN; AMLODIPINE; ZOLOFT

Current Illness:

ID: 1553302
Sex: F
Age:
State:

Vax Date: 02/04/2021
Onset Date:
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: Side effects; This spontaneous case was reported by a consumer and describes the occurrence of ADVERSE EVENT (Side effects) 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 04-Feb-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ADVERSE EVENT (Side effects). At the time of the report, ADVERSE EVENT (Side effects) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant Concomitant medications were reported. No Treatment information for the event was provided. This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 05-Feb-2021 and was forwarded to Moderna on 07-Feb-2021. This spontaneous case was reported by a consumer and describes the occurrence of ADVERSE EVENT (Side effects) 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 04-Feb-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ADVERSE EVENT (Side effects). At the time of the report, ADVERSE EVENT (Side effects) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant Concomitant medications were reported. No Treatment information for the event was provided.; Sender's Comments: Very limited information regarding this event has been provided at this time.

Other Meds:

Current Illness:

ID: 1553303
Sex: F
Age: 62
State: KY

Vax Date: 01/08/2021
Onset Date: 01/08/2021
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: Chills; shakes; loss of apetite; middle back hurt; sore arm; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 05-Feb-2021 and was forwarded to Moderna on 06-Feb-2021. This spontaneous case was reported by a consumer and describes the occurrence of CHILLS (Chills), TREMOR (shakes), DECREASED APPETITE (loss of apetite), BACK PAIN (middle back hurt) and PAIN IN EXTREMITY (sore arm) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Hypertension. Concomitant products included PARACETAMOL (TYLENOL), CAFFEINE, PARACETAMOL (EXCEDRIN ASPIRIN FREE), LOSARTAN and LEVOTHYROXINE for an unknown indication. On 08-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 08-Jan-2021, the patient experienced BACK PAIN (middle back hurt) and PAIN IN EXTREMITY (sore arm). On 03-Feb-2021, the patient experienced CHILLS (Chills), TREMOR (shakes) and DECREASED APPETITE (loss of apetite). At the time of the report, CHILLS (Chills), TREMOR (shakes), DECREASED APPETITE (loss of apetite), BACK PAIN (middle back hurt) and PAIN IN EXTREMITY (sore arm) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown. Patient took Tylenol and Excedrin

Other Meds: TYLENOL; EXCEDRIN ASPIRIN FREE; LOSARTAN; LEVOTHYROXINE

Current Illness:

ID: 1553304
Sex: F
Age: 73
State: TN

Vax Date: 02/15/2021
Onset Date: 02/23/2021
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: swollen arm; Red; warm arm; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 24-Feb-2021 and was forwarded to Moderna on 25-Feb-2021. This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (swollen arm), ERYTHEMA (Red) and VACCINATION SITE WARMTH (warm arm) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007M20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 15-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Feb-2021, the patient experienced PERIPHERAL SWELLING (swollen arm), ERYTHEMA (Red) and VACCINATION SITE WARMTH (warm arm). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL ALLERGY [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. At the time of the report, PERIPHERAL SWELLING (swollen arm), ERYTHEMA (Red) and VACCINATION SITE WARMTH (warm arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. concomitant medication was not provided.

Other Meds:

Current Illness:

ID: 1553305
Sex: F
Age:
State: CA

Vax Date: 01/23/2021
Onset Date: 01/01/2021
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: sinus infection; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 24-Feb-2021 and was forwarded to Moderna on 24-Feb-2021. This spontaneous case was reported by a consumer and describes the occurrence of SINUSITIS (sinus infection) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 23-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In January 2021, the patient experienced SINUSITIS (sinus infection). The patient was treated with AMOXICILLIN at an unspecified dose and frequency. At the time of the report, SINUSITIS (sinus infection) outcome was unknown. PCP put her on Amoxicillin. Bacterial Sinusitis? if so then it's in medical event list The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medication information was not provided.

Other Meds:

Current Illness:

ID: 1553306
Sex: F
Age: 70
State:

Vax Date: 02/02/2021
Onset Date: 02/02/2021
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: body ache; Fever; headache; fatigue; chills; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 05-Feb-2021 and was forwarded to Moderna on 06-Feb-2021. This spontaneous case was reported by a consumer and describes the occurrence of PAIN (body ache), PYREXIA (Fever), CHILLS (chills), HEADACHE (headache) and FATIGUE (fatigue) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011M201A) for COVID-19 vaccination. The patient's past medical history included No adverse event (No reported medical history). 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 CHILLS (chills) and FATIGUE (fatigue). On 03-Feb-2021, the patient experienced PAIN (body ache), PYREXIA (Fever) and HEADACHE (headache). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. On 03-Feb-2021, CHILLS (chills) had resolved. At the time of the report, PAIN (body ache), PYREXIA (Fever), HEADACHE (headache) and FATIGUE (fatigue) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant information was not provided. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1553307
Sex: M
Age: 88
State: CT

Vax Date: 01/22/2021
Onset Date: 01/24/2021
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: Unevaluable event

Symptoms: swollen left ankle; red hot spot which 2 inch high and 2 inch wide at injection site; Unexpected return of red left arm much larger then before and much larger area; Feeling sick all day; Vaccination site hot spot; Little painful; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (Vaccination site hot spot), VACCINATION SITE PAIN (Little painful), VACCINATION SITE ERYTHEMA (red hot spot which 2 inch high and 2 inch wide at injection site), ERYTHEMA (Unexpected return of red left arm much larger then before and much larger area) and JOINT SWELLING (swollen left ankle) in an 88-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 028L20A) 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 LOSARTAN POTASSIUM (LOSARTAN) for an unknown indication. On 22-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-Jan-2021, the patient experienced VACCINATION SITE PAIN (Little painful). On 05-Feb-2021, the patient experienced VACCINATION SITE WARMTH (Vaccination site hot spot). On 21-Feb-2021, the patient experienced MALAISE (Feeling sick all day). On 24-Feb-2021, the patient experienced ERYTHEMA (Unexpected return of red left arm much larger then before and much larger area). On 07-Mar-2021, the patient experienced VACCINATION SITE ERYTHEMA (red hot spot which 2 inch high and 2 inch wide at injection site). On an unknown date, the patient experienced JOINT SWELLING (swollen left ankle). On 25-Jan-2021, VACCINATION SITE PAIN (Little painful) had resolved. On 23-Feb-2021, MALAISE (Feeling sick all day) had resolved. On 25-Feb-2021, ERYTHEMA (Unexpected return of red left arm much larger then before and much larger area) had resolved. On 12-Mar-2021, VACCINATION SITE ERYTHEMA (red hot spot which 2 inch high and 2 inch wide at injection site) had resolved. At the time of the report, VACCINATION SITE WARMTH (Vaccination site hot spot) and JOINT SWELLING (swollen left ankle) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information was not provided. Most recent FOLLOW-UP information incorporated above includes: On 08-Jul-2021: ADR form received: Additional 2 events added, outcome of 3 events updated, concomitant medication added and patient address updated

Other Meds: LOSARTAN

Current Illness:

ID: 1553308
Sex: M
Age: 58
State: PA

Vax Date: 02/17/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Hurt his back; This spontaneous case was reported by a consumer and describes the occurrence of BACK PAIN (Hurt his back) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006M20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 17-Feb-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In February 2021, the patient experienced BACK PAIN (Hurt his back). The patient was treated with PREDNISONE at an unspecified dose and frequency. At the time of the report, BACK PAIN (Hurt his back) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information was not provided. Concomitant medication was not provided.

Other Meds:

Current Illness:

ID: 1553309
Sex: F
Age:
State: WI

Vax Date:
Onset Date: 01/24/2021
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: swollen eye; sore arm; not a common rash, it was the same type of rash observe in Covid-19 patients; This spontaneous case was reported by a health care professional and describes the occurrence of EYE SWELLING (swollen eye), VACCINATION SITE PAIN (sore arm) and RASH (not a common rash, it was the same type of rash observe in Covid-19 patients) in a 41-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 041L20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 14-Jan-2021, the patient 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 received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) at an unspecified dose. On 24-Jan-2021, the patient experienced EYE SWELLING (swollen eye), VACCINATION SITE PAIN (sore arm) and RASH (not a common rash, it was the same type of rash observe in Covid-19 patients). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. At the time of the report, EYE SWELLING (swollen eye), VACCINATION SITE PAIN (sore arm) and RASH (not a common rash, it was the same type of rash observe in Covid-19 patients) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test: negative negative. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) and mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Patient treatment includes steroids and Benadryl. Concomitant medication was not provided. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1553310
Sex: F
Age: 61
State: FL

Vax Date: 01/06/2021
Onset Date: 02/01/2021
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: painful to raise her arm; pain at site of the injection; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (painful to raise her arm) and INJECTION SITE PAIN (pain at site of the injection) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 028L20A) for COVID-19 vaccination. The patient's past medical history included Atrial fibrillation. Concomitant products included ATORVASTATIN, METOPROLOL, DILTIAZEM HYDROCHLORIDE (CARDIZEM CD), BRIMONIDINE TARTRATE (ALPHAGAN), BIMATOPROST (LUMIGAN), NETARSUDIL MESILATE (RHOPRESSA), DORZOLAMIDE HYDROCHLORIDE, TIMOLOL MALEATE (DORZOLAMIDE HCL + TIMOLOL MALEATE) and DABIGATRAN ETEXILATE MESILATE (PRADAXA) for an unknown indication. On 06-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 01-Feb-2021, the patient experienced PAIN IN EXTREMITY (painful to raise her arm) and INJECTION SITE PAIN (pain at site of the injection). The patient was treated with PARACETAMOL (TYLENOL) for Pain, at a dose of 500 mg three times a day. On 04-Feb-2021, PAIN IN EXTREMITY (painful to raise her arm) and INJECTION SITE PAIN (pain at site of the injection) had resolved. Action taken with mRNA-1273 in response to the drug was not applicable. Most recent FOLLOW-UP information incorporated above includes: On 20-Apr-2021: Follow-up received. Added the Fax number of the reporter.

Other Meds: ATORVASTATIN; METOPROLOL; CARDIZEM CD; ALPHAGAN; LUMIGAN; RHOPRESSA; DORZOLAMIDE HCL + TIMOLOL MALEATE; PRADAXA

Current Illness:

ID: 1553311
Sex: F
Age: 53
State: IA

Vax Date: 02/03/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: having trouble breathing; temperature; nausea; lots of pain; This spontaneous case was reported by a consumer and describes the occurrence of DYSPNOEA (having trouble breathing), PAIN (lots of pain), TEMPERATURE DIFFERENCE OF EXTREMITIES (temperature) and NAUSEA (nausea) in a 53-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 03-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Feb-2021, the patient experienced PAIN (lots of pain). On 04-Feb-2021, the patient experienced DYSPNOEA (having trouble breathing), TEMPERATURE DIFFERENCE OF EXTREMITIES (temperature) and NAUSEA (nausea). At the time of the report, DYSPNOEA (having trouble breathing), PAIN (lots of pain), TEMPERATURE DIFFERENCE OF EXTREMITIES (temperature) and NAUSEA (nausea) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medication information was provided. No treatment medication information was provided.

Other Meds:

Current Illness:

ID: 1553312
Sex: F
Age:
State: OH

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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Had a sore shoulder for a few days; This spontaneous case was reported by a consumer and describes the occurrence of ARTHRALGIA (shoulder soreness) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 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 ARTHRALGIA (shoulder soreness). At the time of the report, ARTHRALGIA (shoulder soreness) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication was not provided. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1553313
Sex: F
Age:
State: WI

Vax Date: 02/12/2021
Onset Date: 02/01/2021
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: Warm to the touch; Itchy IS; Huge red spot in the arm; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (Warm to the touch), VACCINATION SITE PRURITUS (Itchy IS) and VACCINATION SITE ERYTHEMA (Huge red spot in the arm) in a 68-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 12-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In February 2021, the patient experienced VACCINATION SITE WARMTH (Warm to the touch), VACCINATION SITE PRURITUS (Itchy IS) and VACCINATION SITE ERYTHEMA (Huge red spot in the arm). At the time of the report, VACCINATION SITE WARMTH (Warm to the touch), VACCINATION SITE PRURITUS (Itchy IS) and VACCINATION SITE ERYTHEMA (Huge red spot in the arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Treatment information was not provided. concomitant medication was not provided

Other Meds:

Current Illness:

ID: 1553314
Sex: M
Age:
State: IL

Vax Date: 02/23/2021
Onset Date: 02/23/2021
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: Headache; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (Headache) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 23-Feb-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Feb-2021, the patient experienced HEADACHE (Headache). At the time of the report, HEADACHE (Headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information was not provided. Concomitant medication was not provided.

Other Meds:

Current Illness:

ID: 1553315
Sex: M
Age: 77
State: TN

Vax Date: 02/01/2021
Onset Date: 02/03/2021
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: Weird red spot 2-3 inches in diameter below the injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE ERYTHEMA (Weird red spot 2-3 inches in diameter below the injection site) in a 77-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030L20A) for COVID-19 vaccination. No Medical History information was reported. On 01-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-Feb-2021, the patient experienced VACCINATION SITE ERYTHEMA (Weird red spot 2-3 inches in diameter below the injection site). At the time of the report, VACCINATION SITE ERYTHEMA (Weird red spot 2-3 inches in diameter below the injection site) outcome was unknown. No concomitant and treatment medication were reported. Action taken with mRNA-1273 in response to the event was not applicable

Other Meds:

Current Illness:

ID: 1553316
Sex: F
Age: 71
State:

Vax Date: 02/03/2021
Onset Date:
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: sleeping a lot; feeling very tired; Very cold, freezing; chills; feverish with temperature of 100 F; This spontaneous case was reported by a health care professional (subsequently medically confirmed) and describes the occurrence of SOMNOLENCE (sleeping a lot), FATIGUE (feeling very tired), FEELING COLD (Very cold, freezing), CHILLS (chills) and PYREXIA (feverish with temperature of 100 F) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007M20A) for COVID-19 vaccination. The patient's past medical history included No adverse event (No medical history provided). Concomitant products included GLICLAZIDE (MICROZIDE [GLICLAZIDE]), METFORMIN, ATENOLOL (TENORMIN), ATORVASTATIN CALCIUM (LIPITOR), AMLODIPINE (NORVASK [AMLODIPINE]) and WARFARIN for an unknown indication, VITAMINS NOS. On 03-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 SOMNOLENCE (sleeping a lot), FATIGUE (feeling very tired), FEELING COLD (Very cold, freezing), CHILLS (chills) and PYREXIA (feverish with temperature of 100 F). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, SOMNOLENCE (sleeping a lot), FATIGUE (feeling very tired), FEELING COLD (Very cold, freezing), CHILLS (chills) and PYREXIA (feverish with temperature of 100 F) outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Pyrexia: 100 f 100 F. 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.

Other Meds: MICROZIDE [GLICLAZIDE]; METFORMIN; TENORMIN; LIPITOR; NORVASK [AMLODIPINE]; WARFARIN; VITAMINS NOS

Current Illness:

ID: 1553317
Sex: M
Age: 51
State: MI

Vax Date: 02/23/2021
Onset Date: 02/23/2021
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: Sore shoulder; This spontaneous case was reported by a consumer and describes the occurrence of ARTHRALGIA (Sore shoulder) in a 51-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 023M20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. Concomitant products included VITAMIN C [ASCORBIC ACID], TOCOPHEROL (VITAMIN E [TOCOPHEROL]), TURMERIC [CURCUMA LONGA RHIZOME], ASCORBIC ACID, BETACAROTENE, CUPRIC OXIDE, TOCOPHERYL ACETATE, ZINC OXIDE (PRESERVISION), MULTI VITAMIN & MINERAL, ATORVASTATIN, LISINOPRIL and METOPROLOL for an unknown indication. On 23-Feb-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Feb-2021, the patient experienced ARTHRALGIA (Sore shoulder). At the time of the report, ARTHRALGIA (Sore shoulder) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information was not provided.

Other Meds: VITAMIN C [ASCORBIC ACID]; VITAMIN E [TOCOPHEROL]; TURMERIC [CURCUMA LONGA RHIZOME]; PRESERVISION; MULTI VITAMIN & MINERAL; ATORVASTATIN; LISINOPRIL; METOPROLOL

Current Illness:

ID: 1553318
Sex: F
Age:
State: MA

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: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Red patch and it was itchy; Tender to touch injection site; Pain in my arm, sore - (left arm) vaccination site.; Redness - (left arm) vaccination site.; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Pain in my arm, sore - (left arm) vaccination site.), VACCINATION SITE ERYTHEMA (Redness - (left arm) vaccination site.), RASH PRURITIC (Red patch and it was itchy) and TENDERNESS (Tender to touch injection site) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012M20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. 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 VACCINATION SITE PAIN (Pain in my arm, sore - (left arm) vaccination site.), VACCINATION SITE ERYTHEMA (Redness - (left arm) vaccination site.) and TENDERNESS (Tender to touch injection site). On an unknown date, the patient experienced RASH PRURITIC (Red patch and it was itchy). At the time of the report, VACCINATION SITE PAIN (Pain in my arm, sore - (left arm) vaccination site.), VACCINATION SITE ERYTHEMA (Redness - (left arm) vaccination site.), RASH PRURITIC (Red patch and it was itchy) and TENDERNESS (Tender to touch injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information was not provided. concomitant medication was not provided.

Other Meds:

Current Illness:

ID: 1553319
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: soreness in my arm; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (soreness in my arm) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event (No medical history 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 MYALGIA (soreness in my arm). At the time of the report, MYALGIA (soreness in my arm) outcome was unknown. mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) dosing remained unchanged. Treatment information was not provided. Concomitant information was not provided.

Other Meds:

Current Illness:

ID: 1553320
Sex: F
Age:
State:

Vax Date: 02/05/2021
Onset Date:
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: Adverse Event NOS; A spontaneous report was received from a consumer concerning a female patient of unknown age received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events possible side effect. The patient's medical history was not provided. No relevant concomitant medications were reported. On 5 Feb 2021, prior to the onset of the events the patient received their first of two planned doses of mRNA-1273 (lot/batch: Unknown) intramuscularly for prophylaxis of COVID-19 infection. On an unknown date, the patient experienced the event(s) possible side effect. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The outcome of event(s), possible side effect was unknown.; Sender's Comments: Very limited information regarding this event has been provided at this time. Further information has been requested.

Other Meds:

Current Illness:

ID: 1553321
Sex: F
Age:
State: IL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
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: Heart was racing; fever of 101.4; nausea; Body aches; headache; This spontaneous case was reported by a consumer and describes the occurrence of TACHYCARDIA (Heart was racing), PYREXIA (fever of 101.4), NAUSEA (nausea), MYALGIA (Body aches) and HEADACHE (headache) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010MZ0A) for COVID-19 vaccination. The patient's past medical history included COVID-19 in September 2020. Concomitant products included ANASTROZOLE and ACETYLSALICYLIC ACID (BABY ASPIRIN) for an unknown indication. On 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Feb-2021, the patient experienced TACHYCARDIA (Heart was racing), PYREXIA (fever of 101.4), NAUSEA (nausea), MYALGIA (Body aches) and HEADACHE (headache). The patient was treated with IBUPROFEN (ADVIL [IBUPROFEN]) at an unspecified dose and frequency. At the time of the report, TACHYCARDIA (Heart was racing), PYREXIA (fever of 101.4), NAUSEA (nausea), MYALGIA (Body aches) and HEADACHE (headache) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 05-Feb-2021, Body temperature: 101.4 (High) high. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Most recent FOLLOW-UP information incorporated above includes: On 05-Feb-2021: No specific follow-up information recorded.

Other Meds: ANASTROZOLE; BABY ASPIRIN

Current Illness:

ID: 1553322
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: 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: pain at the injection site; This spontaneous case was reported by a patient and describes the occurrence of VACCINATION SITE PAIN (pain at the injection site) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Unknown) for COVID-19 vaccination. No Medical History was provided by the reporter. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE PAIN (pain at the injection site). At the time of the report, VACCINATION SITE PAIN (pain at the injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product use was not provided by the reporter. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1553323
Sex: U
Age:
State: IL

Vax Date:
Onset Date:
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: Redness at the site at the injection site; 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 VACCINATION SITE ERYTHEMA (Redness at the site at the injection site) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History was provided by the reporter. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE ERYTHEMA (Redness at the site at the injection site). At the time of the report, VACCINATION SITE ERYTHEMA (Redness at the site at the injection site) 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. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1553324
Sex: U
Age:
State:

Vax Date: 01/25/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: VERY dizzy/faint and it's getting worse; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (VERY dizzy/faint and it's getting worse) 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 25-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 DIZZINESS (VERY dizzy/faint and it's getting worse). At the time of the report, DIZZINESS (VERY dizzy/faint and it's getting worse) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. The patient reported that the event they experienced was too bad to drive. No relevant concomitant medications were reported. Treatment information was not provided. Company comment: Based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded. Most recent FOLLOW-UP information incorporated above includes: On 29-Jan-2021: No new information was provided.; Sender's Comments: Based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1553325
Sex: M
Age: 72
State:

Vax Date: 02/02/2021
Onset Date: 02/02/2021
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: poor sleep; fatigue; pain at injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (pain at injection site), FATIGUE (fatigue) and POOR QUALITY SLEEP (poor sleep) in a 72-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011M201A) for COVID-19 vaccination. No Medical History was provided by the reporter. 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 VACCINATION SITE PAIN (pain at injection site). On 03-Feb-2021, the patient experienced FATIGUE (fatigue). On 04-Feb-2021, the patient experienced POOR QUALITY SLEEP (poor sleep). The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date for Adverse event, at a dose of UNK UNK, bid. On 03-Feb-2021, FATIGUE (fatigue) had resolved. At the time of the report, VACCINATION SITE PAIN (pain at injection site) and POOR QUALITY SLEEP (poor sleep) had not resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product use was not provided by the reporter. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1553326
Sex: M
Age: 33
State: TX

Vax Date: 01/21/2021
Onset Date: 01/21/2021
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: Heart started to beat really fast; Tightness in his chest; Numbness; Pain like a pulled muscle under his left arm; I was a little tired than normal; This spontaneous case was reported by a consumer and describes the occurrence of HEART RATE INCREASED (Heart started to beat really fast), CHEST DISCOMFORT (Tightness in his chest), HYPOAESTHESIA (Numbness), PAIN IN EXTREMITY (Pain like a pulled muscle under his left arm) and FATIGUE (I was a little tired than normal) in a 33-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 043L20A) for COVID-19 vaccination. The patient's past medical history included No adverse event (No reported medical history.). On 21-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 HEART RATE INCREASED (Heart started to beat really fast), CHEST DISCOMFORT (Tightness in his chest), HYPOAESTHESIA (Numbness), PAIN IN EXTREMITY (Pain like a pulled muscle under his left arm) and FATIGUE (I was a little tired than normal). On 22-Jan-2021, HYPOAESTHESIA (Numbness) and FATIGUE (I was a little tired than normal) had resolved. At the time of the report, HEART RATE INCREASED (Heart started to beat really fast) and PAIN IN EXTREMITY (Pain like a pulled muscle under his left arm) outcome was unknown and CHEST DISCOMFORT (Tightness in his chest) was resolving. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. 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 Most recent FOLLOW-UP information incorporated above includes: On 27-Jan-2021: Additional information; 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:

Current Illness:

ID: 1553327
Sex: F
Age: 55
State: MS

Vax Date: 02/04/2021
Onset Date: 02/04/2021
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: Rashes on the upper abdomen. chest and wide spread at the back.; This spontaneous case was reported by a physician (subsequently medically confirmed) and describes the occurrence of RASH (Rashes on the upper abdomen. chest and wide spread at the back.) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 041L20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. Concomitant products included Methimazole for Grave's Dse for Graves' disease, Atenolol for hypertension for Hypertension. On 04-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Feb-2021, the patient experienced RASH (Rashes on the upper abdomen. chest and wide spread at the back.). At the time of the report, RASH (Rashes on the upper abdomen. chest and wide spread at the back.) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Treatment information was not provided. Reporter did not allow further contact

Other Meds: Atenolol for hypertension; Methimazole for Grave's Dse

Current Illness:

ID: 1553328
Sex: F
Age: 40
State: NC

Vax Date: 01/19/2021
Onset Date: 01/22/2021
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: severe tremor shakes; Neurological symptoms; throat & mouth began to swell; This spontaneous case was reported by a nurse (subsequently medically confirmed) and describes the occurrence of PHARYNGEAL SWELLING (throat & mouth began to swell), TREMOR (severe tremor shakes) and NEUROLOGICAL SYMPTOM (Neurological symptoms) in a 40-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 19-Jan-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) at an unspecified dose. On 22-Jan-2021, the patient experienced PHARYNGEAL SWELLING (throat & mouth began to swell). On 28-Jan-2021, the patient experienced TREMOR (severe tremor shakes) and NEUROLOGICAL SYMPTOM (Neurological symptoms). The patient was treated with CLONAZEPAM for Tremor, at an unspecified dose and frequency; VALPROATE SEMISODIUM (DEPAKOTE) at an unspecified dose and frequency; VITAMIN C [ASCORBIC ACID] at an unspecified dose and frequency; ZINC at an unspecified dose and frequency; PREDNISONE at an unspecified dose and frequency; VITAMIN D NOS at an unspecified dose and frequency; CALCIUM at an unspecified dose and frequency; OMEGA-3 NOS at an unspecified dose and frequency; MAGNESIUM at an unspecified dose and frequency and VITAMIN E NOS at an unspecified dose and frequency. At the time of the report, PHARYNGEAL SWELLING (throat & mouth began to swell), TREMOR (severe tremor shakes) and NEUROLOGICAL SYMPTOM (Neurological symptoms) 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 medication was not provided.

Other Meds:

Current Illness:

ID: 1553329
Sex: F
Age:
State: NY

Vax Date:
Onset Date:
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: Flu-like; Hot; Sore arm; Low level fever of 100.3 degrees; Muscle ache; Joint aches; Headache; Chills; This spontaneous case was reported by a consumer and describes the occurrence of INFLUENZA LIKE ILLNESS (Flu-like), FEELING HOT (Hot), PAIN IN EXTREMITY (Sore arm), PYREXIA (Low level fever of 100.3 degrees) and MYALGIA (Muscle ache) in a female patient of an unknown age 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 adverse event history). On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced INFLUENZA LIKE ILLNESS (Flu-like), FEELING HOT (Hot), PAIN IN EXTREMITY (Sore arm), PYREXIA (Low level fever of 100.3 degrees), MYALGIA (Muscle ache), ARTHRALGIA (Joint aches), HEADACHE (Headache) and CHILLS (Chills). At the time of the report, INFLUENZA LIKE ILLNESS (Flu-like), FEELING HOT (Hot), PAIN IN EXTREMITY (Sore arm), PYREXIA (Low level fever of 100.3 degrees), MYALGIA (Muscle ache), ARTHRALGIA (Joint aches), HEADACHE (Headache) and CHILLS (Chills) outcome was unknown. Treatment information was not provided. Concomitant medication was not provided. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1553330
Sex: F
Age: 30
State: CA

Vax Date: 01/30/2021
Onset Date: 02/02/2021
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: lymph nodes are swelling (colar bone area); lymph nodes are sore (colar bone area); sore in her collar bone area that brings pain; discomfort; arm soreness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (arm soreness), LYMPHADENOPATHY (lymph nodes are swelling (colar bone area)), LYMPH NODE PAIN (lymph nodes are sore (colar bone area)), PAIN (sore in her collar bone area that brings pain) and DISCOMFORT (discomfort) in a 30-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 043L20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. Concomitant products included VITAMIN B COMPLEX for B12, VITAMIN D [VITAMIN D NOS]. On 30-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage form. On 02-Feb-2021, the patient experienced PAIN IN EXTREMITY (arm soreness). On 05-Feb-2021, the patient experienced LYMPHADENOPATHY (lymph nodes are swelling (colar bone area)), LYMPH NODE PAIN (lymph nodes are sore (colar bone area)), PAIN (sore in her collar bone area that brings pain) and DISCOMFORT (discomfort). The patient was treated with PHENIRAMINE MALEATE (AVIL [PHENIRAMINE MALEATE]) at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (arm soreness), LYMPHADENOPATHY (lymph nodes are swelling (colar bone area)), LYMPH NODE PAIN (lymph nodes are sore (colar bone area)), PAIN (sore in her collar bone area that brings pain) and DISCOMFORT (discomfort) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication Vitamin B complex , Vitamin D used for B12, bine health and skin.

Other Meds: VITAMIN B COMPLEX; VITAMIN D [VITAMIN D NOS]

Current Illness:

ID: 1553331
Sex: F
Age:
State:

Vax Date: 02/03/2021
Onset Date:
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: feel really sick; diarrhea; dizziness; nausea; chills; This spontaneous case was reported by a nurse and describes the occurrence of ILLNESS (feel really sick), DIARRHOEA (diarrhea), DIZZINESS (dizziness), NAUSEA (nausea) and CHILLS (chills) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 03-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced ILLNESS (feel really sick), DIARRHOEA (diarrhea), DIZZINESS (dizziness), NAUSEA (nausea) and CHILLS (chills). At the time of the report, ILLNESS (feel really sick), DIARRHOEA (diarrhea), DIZZINESS (dizziness), NAUSEA (nausea) and CHILLS (chills) 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. concominant medication was not provided. Treatment medication was not provided.

Other Meds:

Current Illness:

ID: 1553332
Sex: F
Age:
State: MA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
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: arm hurt; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (arm hurt) 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-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Feb-2021, the patient experienced PAIN IN EXTREMITY (arm hurt). At the time of the report, PAIN IN EXTREMITY (arm hurt) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications and treatment information were not provided.

Other Meds:

Current Illness:

ID: 1553333
Sex: M
Age:
State: GA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
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: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Bumps at site of injection; Soreness of arm; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE SWELLING (Bumps at site of injection) and VACCINATION SITE PAIN (Soreness of arm) in a 72-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. 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 VACCINATION SITE SWELLING (Bumps at site of injection) and VACCINATION SITE PAIN (Soreness of arm). At the time of the report, VACCINATION SITE SWELLING (Bumps at site of injection) and VACCINATION SITE PAIN (Soreness of arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information was not provided. Concomitant information was not provided. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1553334
Sex: M
Age:
State: OH

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: RA

Lab Data:

Allergies:

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

Symptoms: Felt more energetic like never before; This spontaneous case was reported by a consumer and describes the occurrence of ENERGY INCREASED (Felt more energetic like never before) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 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 ENERGY INCREASED (Felt more energetic like never before). At the time of the report, ENERGY INCREASED (Felt more energetic like never before) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Treatment information was not provided. Concomitant medication was not provided.

Other Meds:

Current Illness:

ID: 1553335
Sex: U
Age: 64
State: AR

Vax Date: 02/05/2021
Onset Date: 02/05/2021
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: pain in arm; trouble urinating; fever 101F; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (pain in arm), URINE ANALYSIS ABNORMAL (trouble urinating) and PYREXIA (fever 101F) in a 64-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011M20A) for COVID-19 vaccination. Concomitant products included ACETYLSALICYLIC ACID (BABY ASPIRIN) for Heart disease, unspecified, FINASTERIDE for Prostate cancer, MULTIVITAMINS [VITAMINS NOS], FISH OIL, VITAMIN C [ASCORBIC ACID] and MAGNESIUM for an unknown indication. On 05-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Feb-2021, the patient experienced PAIN IN EXTREMITY (pain in arm), URINE ANALYSIS ABNORMAL (trouble urinating) and PYREXIA (fever 101F). At the time of the report, PAIN IN EXTREMITY (pain in arm), URINE ANALYSIS ABNORMAL (trouble urinating) and PYREXIA (fever 101F) outcome was unknown. Not Provided

Other Meds: MULTIVITAMINS [VITAMINS NOS]; FINASTERIDE; FISH OIL; VITAMIN C [ASCORBIC ACID]; MAGNESIUM; BABY ASPIRIN

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm