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: 1555133
Sex: M
Age: 52
State: PA

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Weakness; Fatigue; Chills; Bones and muscles hurting to the point he couldn't get out of bed; Fever; Body aches; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Body aches), ASTHENIA (Weakness), FATIGUE (Fatigue), PYREXIA (Fever) and CHILLS (Chills) in a 52-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. Concomitant products included INSULIN, RABEPRAZOLE SODIUM (ACIPHEX) and ATORVASTATIN CALCIUM (LIPITOR) 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 21-Jan-2021, the patient experienced PAIN (Body aches) and PYREXIA (Fever). On 24-Jan-2021, the patient experienced ASTHENIA (Weakness), FATIGUE (Fatigue), CHILLS (Chills) and MYALGIA (Bones and muscles hurting to the point he couldn't get out of bed). The patient was treated with PARACETAMOL (TYLENOL) at a dose of Every 3 hours and IBUPROFEN (MOTRIN [IBUPROFEN]) at a dose of UNK, Every 3 hours. On 31-Jan-2021, PAIN (Body aches), ASTHENIA (Weakness), FATIGUE (Fatigue), PYREXIA (Fever), CHILLS (Chills) and MYALGIA (Bones and muscles hurting to the point he couldn't get out of bed) had resolved. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In April 2020, SARS-CoV-2 test: positive (Positive) took 3-4 months to recover. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Most recent FOLLOW-UP information incorporated above includes: On 24-Jun-2021: Follow-up information received on 24 Jun 2021 contains non-significant information. Patient demographic was updated.

Other Meds: INSULIN; ACIPHEX; LIPITOR

Current Illness:

ID: 1555134
Sex: F
Age:
State: MS

Vax Date: 01/28/2021
Onset Date: 01/29/2021
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: lymph gland painful on the arm pit; My body was frozen; Muscular pain injection site - right arm; starting to be sleepier than usual; This spontaneous case was reported by a consumer and describes the occurrence of HYPERSOMNIA (starting to be sleepier than usual), FEELING COLD (My body was frozen), INJECTION SITE PAIN (Muscular pain injection site - right arm) and AXILLARY PAIN (lymph gland painful on the arm pit) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 062G20A) for COVID-19 vaccination. The patient's past medical history included Surgery (left hand two fingures). On 28-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 HYPERSOMNIA (starting to be sleepier than usual) and INJECTION SITE PAIN (Muscular pain injection site - right arm). On 30-Jan-2021, the patient experienced FEELING COLD (My body was frozen). On 03-Feb-2021, the patient experienced AXILLARY PAIN (lymph gland painful on the arm pit). On 31-Jan-2021, INJECTION SITE PAIN (Muscular pain injection site - right arm) had resolved. On 04-Feb-2021, AXILLARY PAIN (lymph gland painful on the arm pit) had resolved. On 06-Feb-2021, HYPERSOMNIA (starting to be sleepier than usual) and FEELING COLD (My body was frozen) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 30-Jan-2021, Heart rate: 126 beats/min (High) 126 beats/min. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. On 30-Jan-2021, the patient's body temperature was 98.4 and she was wearing a watch vivo fit 4, it shows extreme heart beat of 126 beats/min. On 06-Feb-2021, all the symptoms were gone except for the heart beat still monitoring it. On 12-Jan-2021, the patient was given antibiotics after surgery for 7 days. Concomitant medications were not provided. Treatment information was not reported. Most recent FOLLOW-UP information incorporated above includes: On 18-Jul-2021: Follow up received included no new significant information

Other Meds:

Current Illness:

ID: 1555135
Sex: F
Age: 41
State: TX

Vax Date: 02/05/2021
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: arm is feeling a little sore; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (arm is feeling a little sore) in a 41-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 015M20A) for COVID-19 vaccination. No Medical History information was reported. On 05-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE PAIN (arm is feeling a little sore). At the time of the report, VACCINATION SITE PAIN (arm is feeling a little sore) outcome was unknown. Concomitant medications were not provided by reporter. Treatment information was not provided by reporter.

Other Meds:

Current Illness:

ID: 1555136
Sex: F
Age: 35
State: FL

Vax Date: 02/15/2021
Onset Date: 02/15/2021
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: arm soreness; fever; groggy overall; not feeling too well; lethargy; 25 weeks pregnant and got her 2nd dose; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of MATERNAL EXPOSURE DURING PREGNANCY (25 weeks pregnant and got her 2nd dose), SOMNOLENCE (groggy overall), MALAISE (not feeling too well), LETHARGY (lethargy) and PAIN IN EXTREMITY (arm soreness) in a 35-year-old female patient (gravida 1) 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 was provided by the reporter. Concomitant products included PRENATAL VITAMINS [ASCORBIC ACID;BETACAROTENE;CALCIUM SULFATE;COLECALCIFEROL;CYANOCOBALAMIN;FERROUS FUMARATE;FOLIC ACID;NICOTINAMIDE;PYRIDOXINE HYDROCHLORIDE;RETINOL ACETATE;RIBOFLAVIN;THIAMINE MONONITRATE;TOCOPHERYL ACETATE;ZINC OXIDE] for an unknown indication. On 15-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. Last menstrual period and estimated date of delivery were not provided. On 15-Feb-2021, the patient experienced MATERNAL EXPOSURE DURING PREGNANCY (25 weeks pregnant and got her 2nd dose). On 24-Feb-2021, the patient experienced SOMNOLENCE (groggy overall), MALAISE (not feeling too well) and LETHARGY (lethargy). On an unknown date, the patient experienced PAIN IN EXTREMITY (arm soreness) and PYREXIA (fever). The delivery occurred on an unknown date, which was reported as Unknown. For neonate 1, The outcome was reported as Unknown. The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date for Fever and Pain in arm, at a dose of UNK dosage form. On 15-Feb-2021, MATERNAL EXPOSURE DURING PREGNANCY (25 weeks pregnant and got her 2nd dose) had resolved. At the time of the report, SOMNOLENCE (groggy overall), MALAISE (not feeling too well), LETHARGY (lethargy) and PYREXIA (fever) outcome was unknown and PAIN IN EXTREMITY (arm soreness) had resolved.

Other Meds: PRENATAL VITAMINS [ASCORBIC ACID;BETACAROTENE;CALCIUM SULFATE;COLECALCIFEROL;CYANOCOBALAMIN;FERROUS

Current Illness:

ID: 1555137
Sex: F
Age: 67
State: IN

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:
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: The next day laid in bed until 2pm, was exhausted; sore arm; itchy arm, it was a big circle around injection site; got up from the couch and thought that was going to pass out; so weak; did not sleep that night; went to bed with a terrible headache; chills; A spontaneous report was received from a 67 year old female consumer, who received Moderna's COVID-19 Vaccine (mRNA-1273) and experienced got up from the couch and thought that was going to pass out, so weak, went to bed with a terrible headache, chills, did not sleep that night, The next day laid in bed until 2pm was exhausted, sore arm, itchy arm and it was a big circle around injection site. The consumer's medical history included Covid infection in Nov 2020. Relevant concomitant medications included atorvastatin, bupropion, donepezil, vitamins and prilosec (stomach). The consumer received the first of the two planned doses of mRNA-1273 on 13-FEB-2021 intramuscularly for prophylaxis of COVID-19 infection. On the same night, she thought she was going to pass out as she got up from the couch; felt weak. She went to bed with a terrible headache and chills; did not sleep that night. On 14-FEB-2021, she laid in bed until 2pm, exhausted chilling and with a headache. However, she felt better by the same evening. She also experienced an itchy arm which resolved in a week. There was a big circle around injection site and still has a bit of a sore arm. Tylenol was given as a treatment. Action taken with mRNA-1273 in response to the events was unknown. The outcome of the events got up from the couch and thought that was going to pass out, so weak, went to bed with a terrible headache, chills, did not sleep that night, the next day laid in bed until 2pm, was exhausted sore arm was unknown and for, itchy arm and it was a big circle around injection site was resolved. The consumer did not provide an assessment for the events.; 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: ATORVASTATIN; BUPROPION; DONEPEZIL; VITAMINS A & D

Current Illness:

ID: 1555138
Sex: M
Age: 73
State: NC

Vax Date: 02/23/2021
Onset Date: 02/23/2021
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: Cold; Neck pain; Headaches; Muscle pain; Fever of 100 degrees; This spontaneous case was reported by a consumer and describes the occurrence of NASOPHARYNGITIS (Cold), NECK PAIN (Neck pain), HEADACHE (Headaches), MYALGIA (Muscle pain) and PYREXIA (Fever of 100 degrees) in a 73-year-old male patient 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 dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Feb-2021, the patient experienced NASOPHARYNGITIS (Cold), NECK PAIN (Neck pain), HEADACHE (Headaches), MYALGIA (Muscle pain) and PYREXIA (Fever of 100 degrees). At the time of the report, NASOPHARYNGITIS (Cold), NECK PAIN (Neck pain), HEADACHE (Headaches), MYALGIA (Muscle pain) and PYREXIA (Fever of 100 degrees) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 23-Feb-2021, Body temperature: 100 degrees (High) High. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications were not provided. Treatment information was not reported. Most recent FOLLOW-UP information incorporated above includes: On 15-Jul-2021: Follow up received on 15 JULY 2021 and contains Non significant information.

Other Meds:

Current Illness:

ID: 1555139
Sex: F
Age: 69
State: KY

Vax Date: 01/08/2021
Onset Date: 01/01/2021
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: Pyrexia, White blood cell count decreased

Symptoms: didn't want to eat anything; aching feeling; 1st dose - I had fever; feel tired, laid around in bed for 2 days (for 3-4 days); chills (cold chills); This spontaneous case was reported by a consumer and describes the occurrence of DECREASED APPETITE (didn't want to eat anything), PAIN (aching feeling), PYREXIA (1st dose - I had fever), CHILLS (chills (cold chills)) and FATIGUE (feel tired, laid around in bed for 2 days (for 3-4 days)) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 immunization. No Medical History information was reported. 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 DECREASED APPETITE (didn't want to eat anything), PAIN (aching feeling), PYREXIA (1st dose - I had fever) and FATIGUE (feel tired, laid around in bed for 2 days (for 3-4 days)). In January 2021, the patient experienced CHILLS (chills (cold chills)). At the time of the report, DECREASED APPETITE (didn't want to eat anything), PAIN (aching feeling), PYREXIA (1st dose - I had fever), CHILLS (chills (cold chills)) and FATIGUE (feel tired, laid around in bed for 2 days (for 3-4 days)) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medication detail were not reported by the reporter. Treatment details was not reported by the reporter. This case was linked to MOD-2021-036083 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 04-Mar-2021: Reporter's contact details updated, patient demographic updated.

Other Meds:

Current Illness:

ID: 1555140
Sex: F
Age: 72
State: NJ

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: arm soreness; pounding heart beat; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (arm soreness) and PALPITATIONS (pounding heart beat) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. Concurrent medical conditions included Allergy (ALLERGIC TO TAMOXIFEN AND LIDOCAINE.). Concomitant products included ROSUVASTATIN for Cholesterol, ASCORBIC ACID (VITAMIN C ACID), VITAMIN D NOS and CALCIUM for Supplementation therapy. 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 soreness) and PALPITATIONS (pounding heart beat). At the time of the report, PAIN IN EXTREMITY (arm soreness) and PALPITATIONS (pounding heart beat) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment details were not reported by the reporter.

Other Meds: ROSUVASTATIN; VITAMIN C ACID; VITAMIN D NOS; CALCIUM

Current Illness: Allergy (ALLERGIC TO TAMOXIFEN AND LIDOCAINE.)

ID: 1555141
Sex: F
Age: 31
State: CA

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: Abdominal pain, Chills, Sleep disorder

Symptoms: Vaccination exposure during pregnancy; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of MATERNAL EXPOSURE DURING PREGNANCY (Vaccination exposure during pregnancy) in a 31-year-old female patient (gravida 4, para 3) who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 025L20A and 042L20A) for COVID-19 vaccination. Concomitant products included PRENATAL VITAMINS [ASCORBIC ACID;BETACAROTENE;CALCIUM SULFATE;COLECALCIFEROL;CYANOCOBALAMIN;FERROUS FUMARATE;FOLIC ACID;NICOTINAMIDE;PYRIDOXINE HYDROCHLORIDE;RETINOL ACETATE;RIBOFLAVIN;THIAMINE MONONITRATE;TOCOPHERYL ACETATE;ZINC OXIDE] for Pregnancy. On 26-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. The patient's last menstrual period was on 22-Jun-2020 and the estimated date of delivery was 29-Mar-2021. On 26-Jan-2021, the patient experienced MATERNAL EXPOSURE DURING PREGNANCY (Vaccination exposure during pregnancy). The patient received mRNA-1273 (Moderna COVID-19 Vaccine) beginning around the thirty-first week of the pregnancy. On 26-Jan-2021, MATERNAL EXPOSURE DURING PREGNANCY (Vaccination exposure during pregnancy) had resolved. Concomitant and treatment medications were not reported. Patient delivered 3 live, full-term birth babies. Lab data includes ultrasound 2020 normal, blood screen 2020 normal and glucose tolerance nove 2020 normal. 20 Jul 2020, the pregnancy test was positive.; Sender's Comments: This is a case of product exposure during pregnancy with no associated AEs for this 31-year-old female. Patient will continue to be contacted for further monitoring of AEs during the pregnancy.

Other Meds: PRENATAL VITAMINS [ASCORBIC ACID;BETACAROTENE;CALCIUM SULFATE;COLECALCIFEROL;CYANOCOBALAMIN;FERROUS

Current Illness:

ID: 1555142
Sex: F
Age: 71
State: IL

Vax Date: 01/26/2021
Onset Date: 02/03/2021
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: hurt a little bit; big red slash; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE STREAKING (big red slash) and PAIN (hurt a little bit) in a 71-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 26-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Feb-2021, the patient experienced VACCINATION SITE STREAKING (big red slash). On an unknown date, the patient experienced PAIN (hurt a little bit). The patient was treated with CLINDAMYCIN at a dose of 150 milligram. At the time of the report, VACCINATION SITE STREAKING (big red slash) and PAIN (hurt a little bit) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medications included regular medications.

Other Meds:

Current Illness:

ID: 1555143
Sex: F
Age:
State:

Vax Date:
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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: felt very tired; sick; could not sleep; Arm hurt; felt aweful; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (felt very tired), ILLNESS (sick), INSOMNIA (could not sleep), PAIN IN EXTREMITY (Arm hurt) and FEELING ABNORMAL (felt aweful) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Previously administered products included for an unreported indication: DECADRON A. 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 FATIGUE (felt very tired), ILLNESS (sick), INSOMNIA (could not sleep), PAIN IN EXTREMITY (Arm hurt) and FEELING ABNORMAL (felt aweful). On 04-Feb-2021, FATIGUE (felt very tired), ILLNESS (sick), INSOMNIA (could not sleep), PAIN IN EXTREMITY (Arm hurt) and FEELING ABNORMAL (felt aweful) had resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product use was not provided by the reporter. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1555144
Sex: F
Age: 72
State: NJ

Vax Date: 01/28/2021
Onset Date: 01/30/2021
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: Diarrhea; stomach cramps; low-grade fever; Headache; Felt minor aches and pains; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (Diarrhea), ABDOMINAL PAIN UPPER (stomach cramps), PYREXIA (low-grade fever), PAIN (Felt minor aches and pains) and HEADACHE (Headache) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 28-Jan-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 30-Jan-2021, the patient experienced HEADACHE (Headache). On an unknown date, the patient experienced DIARRHOEA (Diarrhea), ABDOMINAL PAIN UPPER (stomach cramps), PYREXIA (low-grade fever) and PAIN (Felt minor aches and pains). At the time of the report, DIARRHOEA (Diarrhea), ABDOMINAL PAIN UPPER (stomach cramps) and PYREXIA (low-grade fever) outcome was unknown and PAIN (Felt minor aches and pains) and HEADACHE (Headache) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medication 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: 1555145
Sex: F
Age:
State: NJ

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: experienced severe abdominal pain; severe back pain after receiving the Moderna COVID-19 vaccin; toenail fell off as well; This spontaneous case was reported by a physician and describes the occurrence of ABDOMINAL PAIN (experienced severe abdominal pain), BACK PAIN (severe back pain after receiving the Moderna COVID-19 vaccin) and ONYCHOMADESIS (toenail fell off as well) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 immunisation. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced ABDOMINAL PAIN (experienced severe abdominal pain), BACK PAIN (severe back pain after receiving the Moderna COVID-19 vaccin) and ONYCHOMADESIS (toenail fell off as well). At the time of the report, ABDOMINAL PAIN (experienced severe abdominal pain), BACK PAIN (severe back pain after receiving the Moderna COVID-19 vaccin) and ONYCHOMADESIS (toenail fell off as well) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were provided. Treatment medications were unknown.; 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: 1555146
Sex: F
Age:
State: PA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
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: Erythema; Erythema around IS, that spread al the arm, until today; This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (Erythema) and INJECTION SITE ERYTHEMA (Erythema around IS, that spread al the arm, until today) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 22-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 23-Jan-2021, the patient experienced ERYTHEMA (Erythema) and INJECTION SITE ERYTHEMA (Erythema around IS, that spread al the arm, until today). At the time of the report, ERYTHEMA (Erythema) and INJECTION SITE ERYTHEMA (Erythema around IS, that spread al the arm, until today) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medication 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: 1555147
Sex: F
Age:
State:

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: 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: Numbness of her foot fingers; Soreness of injection site; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of HYPOAESTHESIA (Numbness of her foot fingers) and VACCINATION SITE PAIN (Soreness of injection site) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013M20A) for COVID-19 vaccination. Concomitant products included LOSARTAN, SIMVASTATIN and LORATADINE for an unknown indication. On 05-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Feb-2021, the patient experienced HYPOAESTHESIA (Numbness of her foot fingers) and VACCINATION SITE PAIN (Soreness of injection site). At the time of the report, HYPOAESTHESIA (Numbness of her foot fingers) and VACCINATION SITE PAIN (Soreness of injection site) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Treatment information was provided as cold clean cloth for soreness in the injection site as advised by CDC.

Other Meds: LOSARTAN; SIMVASTATIN; LORATADINE

Current Illness:

ID: 1555148
Sex: F
Age:
State: FL

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Felt like Fainting; Headache; Pain on the Injection Site; A spontaneous report (United states) was received from other health care professional concerning a 65-year-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced headache, pain on the injection site and felt like fainting. The patient's medical history was not provided by the reporter. Concomitant medications not reported. On 05-Feb-2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (batch number: unknown) intramuscularly in left arm for prophylaxis of COVID-19 infection. On the same day, patient experienced events, headache, pain on the injection site and felt like fainting. The treatment information was not reported. Action taken with mRNA-1273 in response to the events were unknown. The outcome of the events, headache, pain on the injection site and felt like fainting were resolved on 06-Feb-2021.; 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: 1555149
Sex: F
Age: 76
State: GA

Vax Date: 01/21/2021
Onset Date: 02/01/2021
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: spinning while lying on right side; This spontaneous case was reported by a consumer and describes the occurrence of VERTIGO (spinning while lying on right side) in a 76-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Vertigo (in her mid 20s which she takes medication for) and Dizziness. On 21-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Feb-2021, the patient experienced VERTIGO (spinning while lying on right side). At the time of the report, VERTIGO (spinning while lying on right side) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The patient was on treatment for dizziness. Based on current available information and the temporal association between product use and the start date of the event a causal relationship cannot be excluded.; Sender's Comments: Based on current available information and the temporal association between product use and the start date of the event a causal relationship cannot be excluded.

Other Meds:

Current Illness: Dizziness; Vertigo (in her mid 20s which she takes medication for)

ID: 1555150
Sex: M
Age:
State: FL

Vax Date: 02/04/2021
Onset Date:
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: Aching muscle; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (Aching muscle) 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 04-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 an unknown date, the patient experienced MYALGIA (Aching muscle). At the time of the report, MYALGIA (Aching muscle) outcome was unknown. Concomitant product information was not reported. Treatment information was not reported. Patient wanted to know to take Acetaminophen, Ibuprofen or Naproxen for the aching pain. Most recent FOLLOW-UP information incorporated above includes: On 05-May-2021: Follow up received on 05-MAY-2021 and it contains updated AE contact information.

Other Meds:

Current Illness:

ID: 1555151
Sex: F
Age: 42
State: FL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
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: Little nausea; Arm sore; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm sore) and NAUSEA (Little nausea) in a 42-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 02-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Feb-2021, the patient experienced PAIN IN EXTREMITY (Arm sore). On 03-Feb-2021, the patient experienced NAUSEA (Little nausea). At the time of the report, PAIN IN EXTREMITY (Arm sore) and NAUSEA (Little nausea) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication details were not provided by the reporter. Treatment details was not reported by the reporter.

Other Meds:

Current Illness:

ID: 1555152
Sex: F
Age:
State: KY

Vax Date: 02/03/2021
Onset Date: 02/05/2021
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: m arm at about 2-3 inches below the injection site is swelling; arm at about 2-3 inches below the injection site is warm to touch; arm at about 2-3 inches below the injection site is painful; This spontaneous case was reported by an other health care professional and describes the occurrence of INJECTION SITE SWELLING (m arm at about 2-3 inches below the injection site is swelling), INJECTION SITE WARMTH (arm at about 2-3 inches below the injection site is warm to touch) and INJECTION SITE PAIN (arm at about 2-3 inches below the injection site is painful) in a 27-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010M20A) for COVID-19 vaccination. No Medical History information was reported. On 03-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Feb-2021, the patient experienced INJECTION SITE SWELLING (m arm at about 2-3 inches below the injection site is swelling), INJECTION SITE WARMTH (arm at about 2-3 inches below the injection site is warm to touch) and INJECTION SITE PAIN (arm at about 2-3 inches below the injection site is painful). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, INJECTION SITE SWELLING (m arm at about 2-3 inches below the injection site is swelling), INJECTION SITE WARMTH (arm at about 2-3 inches below the injection site is warm to touch) and INJECTION SITE PAIN (arm at about 2-3 inches below the injection site is painful) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route), the reporter did not provide any causality assessments. Concomitant medications were not provided.

Other Meds:

Current Illness:

ID: 1555153
Sex: F
Age: 88
State: NJ

Vax Date: 01/27/2021
Onset Date: 01/29/2021
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: Pains in both legs; Both legs are cold; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Pains in both legs) and PERIPHERAL COLDNESS (Both legs are cold) in an 88-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029L2DA) for COVID-19 vaccination. Concurrent medical conditions included Blood pressure high since 01-Jan-2001, High cholesterol since 01-Jan-2009, Dry eyes since 01-Jan-2013 and Drug allergy (patient is allergic to codeine). Concomitant products included SIMVASTATIN from 01-Jan-2009 to an unknown date for Blood cholesterol, AMLODIPINE BESYLATE from 01-Jan-2001 to an unknown date, ATENOLOL from 01-Jan-2001 to an unknown date, HYDROCHLOROTHIAZIDE from 01-Jan-2002 to an unknown date and LOSARTAN from 01-Jan-2002 to an unknown date for Blood pressure high, CICLOSPORIN (RESTASIS) for Dry eyes, CALCIUM CARBONATE, COLECALCIFEROL (CALTRATE 600+D3), VITAMIN D3 and CENTRUM SILVER +50 for an unknown indication. On 27-Jan-2021 at 1:00 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 29-Jan-2021 at 10:00 AM, the patient experienced PAIN IN EXTREMITY (Pains in both legs) and PERIPHERAL COLDNESS (Both legs are cold). The patient was treated with IBUPROFEN at a dose of 1 dosage form and IBUPROFEN (ADVIL [IBUPROFEN]) at a dose of 1 dosage form. At the time of the report, PAIN IN EXTREMITY (Pains in both legs) and PERIPHERAL COLDNESS (Both legs are cold) had not resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. This case was linked to MOD-2021-255678 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 12-Jul-2021: follow up received and it contains information about patient demographics, and allergies, medical history and dose 2 information added and concomitant and treatment mediations were updated and events outcome were added.

Other Meds: AMLODIPINE BESYLATE; ATENOLOL; HYDROCHLOROTHIAZIDE; LOSARTAN; SIMVASTATIN; CALTRATE 600+D3; RESTASIS; VITAMIN D3; CENTRUM SILVER +50

Current Illness: Blood pressure high; Drug allergy (patient is allergic to codeine); Dry eyes; High cholesterol

ID: 1555154
Sex: F
Age:
State:

Vax Date: 02/05/2021
Onset Date: 02/06/2021
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: she started feeling light headed aer a 1 h walk; general fatigue; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (she started feeling light headed aer a 1 h walk) and FATIGUE (general fatigue) in a 34-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011J20A) for COVID-19 vaccination. No Medical History information was reported. On 05-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 2 dosage form. On 06-Feb-2021, the patient experienced FATIGUE (general fatigue). On 06-Feb-2021 at 12:50 PM, the patient experienced DIZZINESS (she started feeling light headed aer a 1 h walk). At the time of the report, DIZZINESS (she started feeling light headed aer a 1 h walk) and FATIGUE (general fatigue) outcome was unknown. Concomitant medications were not provided. treatment medications was not reported.

Other Meds:

Current Illness:

ID: 1555155
Sex: F
Age: 28
State: FL

Vax Date: 02/04/2021
Onset Date: 02/06/2021
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: Rash on left arm about the size of 3 x 5 at injection site; redness; Itchiness; soreness; feels warmer than other body areas; hardness; This spontaneous case was reported by a physician (subsequently medically confirmed) and describes the occurrence of ERYTHEMA (redness), PRURITUS (Itchiness), PAIN (soreness), VACCINATION SITE WARMTH (feels warmer than other body areas) and VACCINATION SITE INDURATION (hardness) in a 28-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 04-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 06-Feb-2021, the patient experienced ERYTHEMA (redness), PRURITUS (Itchiness), PAIN (soreness), VACCINATION SITE WARMTH (feels warmer than other body areas) and VACCINATION SITE INDURATION (hardness). On an unknown date, the patient experienced VACCINATION SITE RASH (Rash on left arm about the size of 3 x 5 at injection site). The patient was treated with BENADRYL COMPLEX ongoing since an unknown date at an unspecified dose and frequency and TRIAMCINOLONE ongoing since an unknown date at an unspecified dose and frequency. At the time of the report, ERYTHEMA (redness), PRURITUS (Itchiness), PAIN (soreness), VACCINATION SITE WARMTH (feels warmer than other body areas), VACCINATION SITE INDURATION (hardness) and VACCINATION SITE RASH (Rash on left arm about the size of 3 x 5 at injection site) outcome was unknown. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medication details were not reported by the reporter. Treatment included Benadryl triamcinolone cream topically.

Other Meds:

Current Illness:

ID: 1555156
Sex: F
Age: 88
State: AL

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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: rapid heart beat; shortness of breath; chills; headache; This spontaneous case was reported by a consumer and describes the occurrence of HEART RATE INCREASED (rapid heart beat), DYSPNOEA (shortness of breath), CHILLS (chills) and HEADACHE (headache) in an 88-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010M20A) for COVID-19 vaccination. No medical history was reported. Concomitant products included ENALAPRIL MALEATE (VASOPRIL [ENALAPRIL MALEATE]), AMLODIPINE BESILATE (NORVASC), ISOSORBIDE MONONITRATE, EICOSAPENTAENOIC ACID ETHYL ESTER (VASCEPA), LEVOTHYROXINE and LORAZEPAM for an unknown indication. On 01-Feb-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 HEART RATE INCREASED (rapid heart beat), DYSPNOEA (shortness of breath), CHILLS (chills) and HEADACHE (headache). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency and FOSINOPRIL SODIUM (VASOPRIL [FOSINOPRIL SODIUM]) at an unspecified dose and frequency. At the time of the report, HEART RATE INCREASED (rapid heart beat), DYSPNOEA (shortness of breath), CHILLS (chills) and HEADACHE (headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Other concomitant medication reported was eye drops. Company Comment: 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.; 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: VASOPRIL [ENALAPRIL MALEATE]; NORVASC; ISOSORBIDE MONONITRATE; VASCEPA; LEVOTHYROXINE; LORAZEPAM

Current Illness:

ID: 1555157
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: Injection site pain, Menorrhagia

Symptoms: flu like symptom's; This spontaneous case was reported by a consumer and describes the occurrence of INFLUENZA LIKE ILLNESS (flu like symptom's) in a 56-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 INFLUENZA LIKE ILLNESS (flu like symptom's). At the time of the report, INFLUENZA LIKE ILLNESS (flu like symptom's) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product use was not provided by the reporter. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1555158
Sex: F
Age: 50
State: NY

Vax Date: 01/07/2021
Onset Date: 02/04/2021
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: Arm Pain - Near Injection Site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Arm Pain - Near Injection Site) in a 50-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 004M20A and 011L20A) 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 04-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 04-Feb-2021, the patient experienced VACCINATION SITE PAIN (Arm Pain - Near Injection Site). The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date for Pain, at an unspecified dose and frequency. At the time of the report, VACCINATION SITE PAIN (Arm Pain - Near Injection Site) outcome was unknown. Not Provided Action taken with mRNA-1273 related to the event was not applicable. Concomitant medication details was not reported by the reporter.

Other Meds:

Current Illness:

ID: 1555159
Sex: M
Age:
State: MI

Vax Date: 02/03/2021
Onset Date: 02/03/2021
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: shortness of breath; little bit of fast heartbeat; feels strange, like feels warm; This spontaneous case was reported by a consumer and describes the occurrence of DYSPNOEA (shortness of breath), TACHYCARDIA (little bit of fast heartbeat) and FEELING HOT (feels strange, like feels warm) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007M20A) for COVID-19 vaccination. The patient's past medical history included Kidney disorder since an unknown date and Heart disease, unspecified since an unknown date. 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 DYSPNOEA (shortness of breath), TACHYCARDIA (little bit of fast heartbeat) and FEELING HOT (feels strange, like feels warm). At the time of the report, DYSPNOEA (shortness of breath), TACHYCARDIA (little bit of fast heartbeat) and FEELING HOT (feels strange, like feels warm) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No treatment information was provided , no concomitant medication were reported.; 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: Heart disease, unspecified; Kidney disorder

ID: 1555160
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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Patient expressed to MS a higher intensity of adverse events during her second dose; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (Patient expressed to MS a higher intensity of adverse events during her second dose) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced VACCINATION COMPLICATION (Patient expressed to MS a higher intensity of adverse events during her second dose). At the time of the report, VACCINATION COMPLICATION (Patient expressed to MS a higher intensity of adverse events during her second dose) outcome was unknown. Most recent FOLLOW-UP information incorporated above includes: On 07-Feb-2021: Followup received on 22-APR-2021 and contains NNI.

Other Meds:

Current Illness:

ID: 1555161
Sex: F
Age: 69
State: NC

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:
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: felt like she was going to faint; Taste in the back of throat; eyes were so red; A spontaneous report was received from 69-year-old female patient who experienced events such as ?felt like she was going to faint'/ near syncope, taste in the back of throat/taste abnormality and eyes were so red/ ocular hyperaemia after receiving Moderna's COVID-19 vaccine (mRNA-1273). The patient's medical history was not provided. No concomitant product use was reported. On 02 Feb 2021, the patient received first of the two planned dose of m-RNA-1273 (lot number: unknown) intramuscularly on an unknown arm for prophylaxis of COVID-19 infection. Five minutes following vaccination, she experienced a taste in the back of her throat, her eyes were so red, She also felt like she was going to faint. She felt like her throat was sticking to itself. She did not receive any treatment for the same. Action taken with mRNA-1273 in the response to the events ?felt like she was going to faint', taste in the back of throat and eyes were so red was not known. The outcome of the events ?felt like she was going to faint', taste in the back of throat and eyes were so red were considered as resolved in about 2 hours from the time it started.; 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: 1555162
Sex: F
Age:
State: ID

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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: sore arm; Quite sick; dizzy/woozy but doesn't fall down; diarrhea; complaint of general weakness; nauseated; feeling tired the night of vaccination; This spontaneous case was reported by a physician and describes the occurrence of PAIN IN EXTREMITY (sore arm), MALAISE (Quite sick), DIZZINESS (dizzy/woozy but doesn't fall down), DIARRHOEA (diarrhea) and ASTHENIA (complaint of general weakness) in a 75-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 15-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Jan-2021, the patient experienced PAIN IN EXTREMITY (sore arm), MALAISE (Quite sick), DIZZINESS (dizzy/woozy but doesn't fall down), DIARRHOEA (diarrhea), ASTHENIA (complaint of general weakness), NAUSEA (nauseated) and FATIGUE (feeling tired the night of vaccination). The patient was treated with IBUPROFEN at a dose of 1 dosage form. At the time of the report, PAIN IN EXTREMITY (sore arm), MALAISE (Quite sick), DIZZINESS (dizzy/woozy but doesn't fall down), DIARRHOEA (diarrhea), ASTHENIA (complaint of general weakness), NAUSEA (nauseated) and FATIGUE (feeling tired the night of vaccination) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No relevant concomitant medication were reported. Reporter did not allow further contact Most recent FOLLOW-UP information incorporated above includes: On 24-Jun-2021: Follow up received on 25-JUN-2021, added patient details.

Other Meds:

Current Illness:

ID: 1555163
Sex: F
Age: 49
State:

Vax Date: 01/24/2021
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: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: her entire under arm is swollen; breast is swollen; swelling of lymph node; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (her entire under arm is swollen), BREAST SWELLING (breast is swollen) and LYMPHADENOPATHY (swelling of lymph node) in a 49-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L20A.) for COVID-19 vaccination. No Medical History information was reported. On 24-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 PERIPHERAL SWELLING (her entire under arm is swollen), BREAST SWELLING (breast is swollen) and LYMPHADENOPATHY (swelling of lymph node). At the time of the report, PERIPHERAL SWELLING (her entire under arm is swollen), BREAST SWELLING (breast is swollen) and LYMPHADENOPATHY (swelling of lymph node) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medication details were not reported by the reporter. Treatment details was not reported by the reporter.

Other Meds:

Current Illness:

ID: 1555164
Sex: F
Age: 67
State:

Vax Date: 02/04/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Fever; Arm soreness; vomiting; Chills; Fatigue; Nausea; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (Fever), VACCINATION SITE PAIN (Arm soreness), VOMITING (vomiting), CHILLS (Chills) and FATIGUE (Fatigue) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COVID-19 in May 2020. Concomitant products included OMEPRAZOLE MAGNESIUM (PRILOSEC [OMEPRAZOLE MAGNESIUM]), Symbistatin and RALOXIFENE HYDROCHLORIDE (EVISTA) 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 an unknown date, the patient experienced PYREXIA (Fever), VACCINATION SITE PAIN (Arm soreness), VOMITING (vomiting), CHILLS (Chills), FATIGUE (Fatigue) and NAUSEA (Nausea). The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date at an unspecified dose and frequency. At the time of the report, PYREXIA (Fever), VACCINATION SITE PAIN (Arm soreness), VOMITING (vomiting), CHILLS (Chills), FATIGUE (Fatigue) and NAUSEA (Nausea) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication included blood pressure medicine. This case was linked to US-MODERNATX, INC.-MOD-2021-068391 (E2B Linked Report).; Sender's Comments: US-MODERNATX, INC.-MOD-2021-068391:Patient's wife (First dose case)

Other Meds: PRILOSEC [OMEPRAZOLE MAGNESIUM]; Symbistatin; EVISTA

Current Illness:

ID: 1555165
Sex: F
Age: 78
State: IN

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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: bubbly rash; itchy rash; red rash; delayed large pink rash at injection site (COVID Arm); injection site bleeding; injection site bruise; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE HAEMORRHAGE (injection site bleeding), ADMINISTRATION SITE BRUISE (injection site bruise), RASH MACULAR (bubbly rash), RASH PRURITIC (itchy rash) and RASH ERYTHEMATOUS (red rash) in a 79-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was reported by the reporter. Concomitant products included ACETYLSALICYLIC ACID (ASPIRIN (E.C.)) for an unknown indication. 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 VACCINATION SITE HAEMORRHAGE (injection site bleeding) and ADMINISTRATION SITE BRUISE (injection site bruise). On 20-Feb-2021, the patient experienced VACCINATION SITE RASH (delayed large pink rash at injection site (COVID Arm)). On an unknown date, the patient experienced RASH MACULAR (bubbly rash), RASH PRURITIC (itchy rash) and RASH ERYTHEMATOUS (red rash). At the time of the report, VACCINATION SITE HAEMORRHAGE (injection site bleeding), ADMINISTRATION SITE BRUISE (injection site bruise), RASH MACULAR (bubbly rash), RASH PRURITIC (itchy rash), RASH ERYTHEMATOUS (red rash) and VACCINATION SITE RASH (delayed large pink rash at injection site (COVID Arm)) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment details was not reported by the reporter.

Other Meds: ASPIRIN (E.C.)

Current Illness:

ID: 1555166
Sex: F
Age: 87
State: WA

Vax Date: 02/20/2021
Onset Date: 02/20/2021
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: redness in her arm that went down to her elbows and her arm felt "fevered."; fever, chills, and her arm was sore; fever, chills, and her arm was sore; fever, chills, and her arm was sore; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (fever, chills, and her arm was sore), ERYTHEMA (redness in her arm that went down to her elbows and her arm felt "fevered."), PYREXIA (fever, chills, and her arm was sore) and CHILLS (fever, chills, and her arm was sore) 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 20-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 20-Feb-2021, the patient experienced PAIN (fever, chills, and her arm was sore), PYREXIA (fever, chills, and her arm was sore) and CHILLS (fever, chills, and her arm was sore). On 24-Feb-2021, the patient experienced ERYTHEMA (redness in her arm that went down to her elbows and her arm felt "fevered."). The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date at an unspecified dose and frequency. At the time of the report, PAIN (fever, chills, and her arm was sore), ERYTHEMA (redness in her arm that went down to her elbows and her arm felt "fevered."), PYREXIA (fever, chills, and her arm was sore) and CHILLS (fever, chills, and her arm was sore) outcome was unknown. Action taken with mRNA-1273 was not applicable. Concomitant medication were not reported by the reported.

Other Meds:

Current Illness:

ID: 1555167
Sex: M
Age:
State: NJ

Vax Date: 12/30/2020
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: Felt crummy; Shaking; Felt like he had COVID-19 all over again; Chills; Headache; Fever of 101.4F; Myalgia; Fatigue; This spontaneous case was reported by a physician and describes the occurrence of FEELING ABNORMAL (Felt crummy), TREMOR (Shaking), SUSPECTED COVID-19 (Felt like he had COVID-19 all over again), CHILLS (Chills) and HEADACHE (Headache) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026L20A) 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 30-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 29-Jan-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced FEELING ABNORMAL (Felt crummy), TREMOR (Shaking), SUSPECTED COVID-19 (Felt like he had COVID-19 all over again), CHILLS (Chills), HEADACHE (Headache), PYREXIA (Fever of 101.4F), MYALGIA (Myalgia) and FATIGUE (Fatigue). 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. At the time of the report, FEELING ABNORMAL (Felt crummy), TREMOR (Shaking), SUSPECTED COVID-19 (Felt like he had COVID-19 all over again), CHILLS (Chills), HEADACHE (Headache), PYREXIA (Fever of 101.4F), MYALGIA (Myalgia) and FATIGUE (Fatigue) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature increased: 101.4 (High) Body temperature increased-101.4. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medication details were not reported by the reporter.

Other Meds:

Current Illness:

ID: 1555168
Sex: F
Age: 78
State:

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: fluctuation in blood pressure it was 165/86 bpm; headache; sore arm,; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (sore arm,), BLOOD PRESSURE FLUCTUATION (fluctuation in blood pressure it was 165/86 bpm) and HEADACHE (headache) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031L20A) for COVID-19 vaccination. No Medical History information was reported. On 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Feb-2021, the patient experienced PAIN IN EXTREMITY (sore arm,) and HEADACHE (headache). On 06-Feb-2021, the patient experienced BLOOD PRESSURE FLUCTUATION (fluctuation in blood pressure it was 165/86 bpm). At the time of the report, PAIN IN EXTREMITY (sore arm,), BLOOD PRESSURE FLUCTUATION (fluctuation in blood pressure it was 165/86 bpm) and HEADACHE (headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. no concomitant medications are provided by the reporter. Most recent FOLLOW-UP information incorporated above includes: On 21-Apr-2021: Followup information received on 22-APR-2021 added patient doesn't want to do any follow-up as she doesn't have any reactions to the vaccine.

Other Meds:

Current Illness:

ID: 1555169
Sex: F
Age: 43
State: FL

Vax Date: 02/04/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Pain/soreness/arm hurts really bad; Diarrhea; Neck ache; Back ache; Headache; Feel so tired/Extreme fatigue/Exhausted; Fever; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Pain/soreness/arm hurts really bad), DIARRHOEA (Diarrhea), NECK PAIN (Neck ache), BACK PAIN (Back ache) and HEADACHE (Headache) in a 43-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 04-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 PAIN IN EXTREMITY (Pain/soreness/arm hurts really bad), DIARRHOEA (Diarrhea), NECK PAIN (Neck ache), BACK PAIN (Back ache), HEADACHE (Headache), FATIGUE (Feel so tired/Extreme fatigue/Exhausted) and PYREXIA (Fever). At the time of the report, PAIN IN EXTREMITY (Pain/soreness/arm hurts really bad), DIARRHOEA (Diarrhea), NECK PAIN (Neck ache), BACK PAIN (Back ache), HEADACHE (Headache), FATIGUE (Feel so tired/Extreme fatigue/Exhausted) and PYREXIA (Fever) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication details were not reported by the reporter. Treatment details was not reported by the reporter. This case was linked to US-MODERNATX, INC.-MOD-2021-022431 (E2B Linked Report).; Sender's Comments: US-MODERNATX, INC.-MOD-2021-022431:Crosslinked (MOD21-022232)

Other Meds:

Current Illness:

ID: 1555170
Sex: F
Age: 58
State: NY

Vax Date: 01/08/2021
Onset Date: 01/06/2021
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: shortness of breath; Chills; Body Ache; fatigue; Headache; Pain at injection; This spontaneous case was reported by an other health care professional and describes the occurrence of DYSPNOEA (shortness of breath), MYALGIA (Body Ache), CHILLS (Chills), VACCINATION SITE PAIN (Pain at injection) and FATIGUE (fatigue) in a 59-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 11J20A and 064M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 08-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 06-Jan-2021, the patient experienced VACCINATION SITE PAIN (Pain at injection) and HEADACHE (Headache). On 08-Jan-2021, the patient experienced FATIGUE (fatigue). On 09-Jan-2021, the patient experienced MYALGIA (Body Ache). On 06-Feb-2021, the patient experienced DYSPNOEA (shortness of breath) and CHILLS (Chills). The patient was treated with IBUPROFEN (MOTRIN [IBUPROFEN]) ongoing since an unknown date at a dose of 1 dosage form twice a day and PARACETAMOL (TYLENOL) ongoing since an unknown date at a dose of 1 dosage form twice a day. On 07-Jan-2021, HEADACHE (Headache) had resolved. On 09-Jan-2021, VACCINATION SITE PAIN (Pain at injection) and FATIGUE (fatigue) had resolved. On 10-Jan-2021, MYALGIA (Body Ache) had resolved. On 07-Feb-2021, DYSPNOEA (shortness of breath) and CHILLS (Chills) had resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medication were not reported by the reporter.

Other Meds:

Current Illness:

ID: 1555171
Sex: F
Age:
State: NJ

Vax Date: 02/14/2021
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: Sore arm; Worsening Sinus Infection; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Sore arm) and SINUSITIS (Worsening Sinus Infection) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 023MZ0A) for COVID-19 vaccination. The patient's past medical history included Sinus infection. Concomitant products included MIRTAZAPINE (REMERON), ALPRAZOLAM (XANAX), THYROID (ARMOUR THYROID), NADOLOL, APREMILAST (OTEZLA), GENTAMICIN and LINACLOTIDE (LINZESS) for an unknown indication. On 14-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 PAIN IN EXTREMITY (Sore arm) and SINUSITIS (Worsening Sinus Infection). At the time of the report, PAIN IN EXTREMITY (Sore arm) and SINUSITIS (Worsening Sinus Infection) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medications also included supplements along with above mentioned medications. Patient was prescribed with cipro an antibiotic by the doctor.

Other Meds: REMERON; XANAX; ARMOUR THYROID; NADOLOL; OTEZLA; GENTAMICIN; LINZESS

Current Illness:

ID: 1555172
Sex: F
Age: 74
State: WV

Vax Date: 01/21/2021
Onset Date: 01/29/2021
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: Warmth about the size of the palm; Itching at injection site; Injection site with redness; A spontaneous report was received from a consumer concerning a 74-year-old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced itching at injection site/ vaccination site pruritus, with redness/ vaccination site erythema and warmth/ vaccination site warmth. The patient's medical history was not provided. No relevant concomitant medications were reported. On 21 Jan 2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (lot/batch: 029K20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 29 Jan 2021, the patient experienced itching at injection site with redness and warmth about the size of the palm of the hand. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The outcome of events, itching at injection site with redness and warmth 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: 1555173
Sex: F
Age: 78
State: IN

Vax Date: 01/16/2021
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: Pain in extremity

Symptoms: warm and sore where I got the Moderna COVID-19 vaccine.; warm and sore where I got the Moderna COVID-19 vaccine.; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (warm and sore where I got the Moderna COVID-19 vaccine.) and VACCINATION SITE PAIN (warm and sore where I got the Moderna COVID-19 vaccine.) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029K20A) for COVID-19 vaccination. Concomitant products included ACETYLSALICYLIC ACID (ASPIRIN (E.C.)) 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 an unknown date, the patient experienced VACCINATION SITE WARMTH (warm and sore where I got the Moderna COVID-19 vaccine.) and VACCINATION SITE PAIN (warm and sore where I got the Moderna COVID-19 vaccine.). At the time of the report, VACCINATION SITE WARMTH (warm and sore where I got the Moderna COVID-19 vaccine.) and VACCINATION SITE PAIN (warm and sore where I got the Moderna COVID-19 vaccine.) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment medications were not reported

Other Meds: ASPIRIN (E.C.)

Current Illness:

ID: 1555174
Sex: F
Age: 65
State: MI

Vax Date: 02/06/2021
Onset Date: 02/06/2021
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: Could not get up from bed; Fell down to the floor when trying to go to the bathtub; Dizzy; Chills; Arm was sore; Arm was hot and sore; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (Could not get up from bed), FALL (Fell down to the floor when trying to go to the bathtub), FEELING HOT (Arm was hot and sore), DIZZINESS (Dizzy) and PAIN IN EXTREMITY (Arm was sore) in a 65-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 06-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Feb-2021, the patient experienced FEELING HOT (Arm was hot and sore) and PAIN IN EXTREMITY (Arm was sore). On 07-Feb-2021, the patient experienced ASTHENIA (Could not get up from bed), FALL (Fell down to the floor when trying to go to the bathtub), DIZZINESS (Dizzy) and CHILLS (Chills). At the time of the report, ASTHENIA (Could not get up from bed), FALL (Fell down to the floor when trying to go to the bathtub), FEELING HOT (Arm was hot and sore), DIZZINESS (Dizzy), PAIN IN EXTREMITY (Arm was sore) and CHILLS (Chills) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. No treatment information was provided.; 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: 1555175
Sex: F
Age:
State:

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

Lab Data:

Allergies:

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

Symptoms: Dizziness; tired; slightly nauseous; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (Dizziness), FATIGUE (tired) and NAUSEA (slightly nauseous) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 038K20A) 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) (unknown route) 1 dosage form. On 03-Feb-2021, the patient experienced DIZZINESS (Dizziness), FATIGUE (tired) and NAUSEA (slightly nauseous). At the time of the report, DIZZINESS (Dizziness), FATIGUE (tired) and NAUSEA (slightly nauseous) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medication details were not reported by the reporter. Treatment details was not reported by the reporter.

Other Meds:

Current Illness:

ID: 1555176
Sex: M
Age: 84
State: WI

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: similar symptoms to COVID; unstable in walking; headache; chills; low grade temperature; very tired; This spontaneous case was reported by a consumer and describes the occurrence of SUSPECTED COVID-19 (similar symptoms to COVID), GAIT DISTURBANCE (unstable in walking), HEADACHE (headache), CHILLS (chills) and PYREXIA (low grade temperature) in an 84-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COVID-19 in October 2020. Concurrent medical conditions included Parkinson's disease. On 02-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-Feb-2021, the patient experienced SUSPECTED COVID-19 (similar symptoms to COVID), GAIT DISTURBANCE (unstable in walking), HEADACHE (headache), CHILLS (chills), PYREXIA (low grade temperature) and FATIGUE (very tired). The patient was treated with NAPROXEN SODIUM (ALEVE) ongoing since an unknown date for Headache, at an unspecified dose and frequency. On 04-Feb-2021, SUSPECTED COVID-19 (similar symptoms to COVID), GAIT DISTURBANCE (unstable in walking), HEADACHE (headache), CHILLS (chills), PYREXIA (low grade temperature) and FATIGUE (very tired) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medication were not reported by the reporter. Most recent FOLLOW-UP information incorporated above includes: On 13-Jul-2021: Non-Significant follow up received: contact information updated

Other Meds:

Current Illness: Parkinson's disease

ID: 1555177
Sex: F
Age: 66
State: MI

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: swollen with little bumps; swollen with little bumps; Injection site hot to touch,; injection site red; Injection site itchy and patchy; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE SWELLING (swollen with little bumps), VACCINATION SITE INDURATION (swollen with little bumps), VACCINATION SITE WARMTH (Injection site hot to touch,), INJECTION SITE ERYTHEMA (injection site red) and VACCINATION SITE PRURITUS (Injection site itchy and patchy) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007M20A,) for COVID-19 vaccination. No Medical History information was reported. On 27-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 SWELLING (swollen with little bumps), VACCINATION SITE INDURATION (swollen with little bumps), VACCINATION SITE WARMTH (Injection site hot to touch,), INJECTION SITE ERYTHEMA (injection site red) and VACCINATION SITE PRURITUS (Injection site itchy and patchy). At the time of the report, VACCINATION SITE SWELLING (swollen with little bumps), VACCINATION SITE INDURATION (swollen with little bumps), VACCINATION SITE WARMTH (Injection site hot to touch,), INJECTION SITE ERYTHEMA (injection site red) and VACCINATION SITE PRURITUS (Injection site itchy and patchy) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1555178
Sex: F
Age:
State: PA

Vax Date: 01/22/2021
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: headache that come and go/bad headache; sore arms; itchy arms; cough; vomiting; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (headache that come and go/bad headache), PAIN IN EXTREMITY (sore arms), PRURITUS (itchy arms), COUGH (cough) and VOMITING (vomiting) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concomitant products included SIMVASTATIN, LEVOTHYROXINE, ACETYLSALICYLIC ACID (ASPIRIN 81), FISH OIL, ASCORBIC ACID (VITAMIN C ACID), MAGNESIUM, MELATONIN, MILK THISTLE [SILYBUM MARIANUM] and LACTOBACILLUS ACIDOPHILUS (ACIDOPHILUS [LACTOBACILLUS ACIDOPHILUS]) for an unknown indication, VACCINIUM MACROCARPON (CRANBERRY EXTRACT [VACCINIUM MACROCARPON]). On 22-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 HEADACHE (headache that come and go/bad headache), PAIN IN EXTREMITY (sore arms), PRURITUS (itchy arms), COUGH (cough) and VOMITING (vomiting). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Itchy, at an unspecified dose and frequency; IBUPROFEN for Headache, at an unspecified dose and frequency and ACETYLSALICYLIC ACID (ASPIRIN (E.C.)) at an unspecified dose and frequency. At the time of the report, HEADACHE (headache that come and go/bad headache), PAIN IN EXTREMITY (sore arms), PRURITUS (itchy arms), COUGH (cough) and VOMITING (vomiting) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.

Other Meds: SIMVASTATIN; LEVOTHYROXINE; ASPIRIN 81; FISH OIL; VITAMIN C ACID; MAGNESIUM; MELATONIN; MILK THISTLE [SILYBUM MARIANUM]; CRANBERRY EXTRACT [VACCINIUM MACROCARPON]; ACIDOPHILUS [LACTOBACILLUS ACIDOPHILUS]

Current Illness:

ID: 1555179
Sex: F
Age: 62
State: MN

Vax Date: 01/22/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: throbbing sensation in back tricept of the vaccination arm; arm was hurting a bit on Sat/Sun; dots around the edges; rash has expanded; hard, red, slightly itchy; arm at the injection site was swollen; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of VACCINATION SITE DYSAESTHESIA (throbbing sensation in back tricept of the vaccination arm), PAIN IN EXTREMITY (arm was hurting a bit on Sat/Sun), RASH (dots around the edges), RASH (rash has expanded) and VACCINATION SITE ERYTHEMA (hard, red, slightly itchy) in a 62-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 22-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE DYSAESTHESIA (throbbing sensation in back tricept of the vaccination arm), PAIN IN EXTREMITY (arm was hurting a bit on Sat/Sun), RASH (dots around the edges), RASH (rash has expanded), VACCINATION SITE ERYTHEMA (hard, red, slightly itchy) and VACCINATION SITE SWELLING (arm at the injection site was swollen). At the time of the report, VACCINATION SITE DYSAESTHESIA (throbbing sensation in back tricept of the vaccination arm), PAIN IN EXTREMITY (arm was hurting a bit on Sat/Sun), RASH (dots around the edges), RASH (rash has expanded), VACCINATION SITE ERYTHEMA (hard, red, slightly itchy) and VACCINATION SITE SWELLING (arm at the injection site was 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. No Concomitant medications were reported. No treatment medications were reported.

Other Meds:

Current Illness:

ID: 1555180
Sex: F
Age: 58
State: MD

Vax Date: 01/30/2021
Onset Date: 02/07/2021
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: Arm at injection site is red; Injection site rash; Injection site itching; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE ERYTHEMA (Arm at injection site is red), VACCINATION SITE RASH (Injection site rash) and VACCINATION SITE PRURITUS (Injection site itching) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026J20A) 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 07-Feb-2021, the patient experienced VACCINATION SITE ERYTHEMA (Arm at injection site is red), VACCINATION SITE RASH (Injection site rash) and VACCINATION SITE PRURITUS (Injection site itching). At the time of the report, VACCINATION SITE ERYTHEMA (Arm at injection site is red), VACCINATION SITE RASH (Injection site rash) and VACCINATION SITE PRURITUS (Injection site itching) 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 was provided

Other Meds:

Current Illness:

ID: 1555181
Sex: F
Age:
State: FL

Vax Date: 01/07/2021
Onset Date: 02/04/2021
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: Rash all over my torso and my face/dots on my face; Achy body; Fever/goes up and down; Chills; This spontaneous case was reported by a consumer and describes the occurrence of RASH (Rash all over my torso and my face/dots on my face), MYALGIA (Achy body), PYREXIA (Fever/goes up and down) and CHILLS (Chills) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 028L20A and 026L20A) for COVID-19 vaccination. Concomitant products included SIMVASTATIN for High cholesterol, VITAMINS NOS, FISH OIL, OENOTHERA BIENNIS OIL, TOCOPHERYL ACETATE (OMEGA 3 & 6) and UBIDECARENONE (COQ 10) for an unknown indication. On 07-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 04-Feb-2021, the patient experienced RASH (Rash all over my torso and my face/dots on my face), MYALGIA (Achy body), PYREXIA (Fever/goes up and down) and CHILLS (Chills). On 07-Feb-2021, RASH (Rash all over my torso and my face/dots on my face), MYALGIA (Achy body), PYREXIA (Fever/goes up and down) and CHILLS (Chills) had resolved. .Treatment information include Tylenol 500 mg. The reporter enquired whether this rash is normal and how long it will last. Also asked whether want to make an appointment with doctor. Most recent FOLLOW-UP information incorporated above includes: On 22-Apr-2021: Follow up received on 23-APR-2021 and included information of Patient demography, Both doses information, Concomitant medication

Other Meds: SIMVASTATIN; VITAMINS NOS; OMEGA 3 & 6; COQ 10

Current Illness:

ID: 1555182
Sex: F
Age:
State: NV

Vax Date: 01/22/2021
Onset Date: 02/23/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: symptoms are not going away; arm turning red, still it is red; itching; feeling generally awful; This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (arm turning red, still it is red), PRURITUS (itching), DISCOMFORT (feeling generally awful) and GENERAL PHYSICAL CONDITION ABNORMAL (symptoms are not going away) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 028L20A and 028L20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 22-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Feb-2021, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 23-Feb-2021, the patient experienced ERYTHEMA (arm turning red, still it is red), PRURITUS (itching) and DISCOMFORT (feeling generally awful). On an unknown date, the patient experienced GENERAL PHYSICAL CONDITION ABNORMAL (symptoms are not going away). At the time of the report, ERYTHEMA (arm turning red, still it is red), PRURITUS (itching), DISCOMFORT (feeling generally awful) and GENERAL PHYSICAL CONDITION ABNORMAL (symptoms are not going away) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Concomitant information provided. Treatment included Benadryl

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm