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: 1559491
Sex: F
Age: 66
State: FL

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 08/15/2021
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: Headache; Injection site pain; Red rash under arm; Injection site swelling; Fatigue; Muscle pain; Joint pain; Chills; Nausea; Fever; A spontaneous report was received from a consumer concerning a 66-year old female patient who developed headache, injection site pain, red rash under arm, injection site swelling, fatigue, muscle pain, joint pain, chills, nausea and fever. The patient's medical history was not provided. Concomitant product use was not provided/unknown by the reporter. The patient received their first of the two planned doses of mRNA-1273 (Batch number: 010M20A) on 16 Feb 2021 for prophylaxis of COVID-19 infection. Reporter got the vaccine on 16 Feb 2021 and that afternoon headaches started. She mentions she has all the listed side effects and the injection site swelling, pain, redness and inside the arm is the rash. Treatment information was not provided. Action taken with mRNA-1273 in response to the event was not provided. The outcome of the event(s) headache, injection site pain, red rash under arm, injection site swelling, fatigue, muscle pain, joint pain, chills, nausea and fever, was unknown.

Other Meds:

Current Illness:

ID: 1559492
Sex: F
Age:
State: TX

Vax Date: 02/08/2021
Onset Date:
Rec V Date: 08/15/2021
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: Soreness; Weakness; A spontaneous report (United States) was received from a consumer concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events soreness, weakness. The patient's medical history was not provided. No relevant concomitant medications were reported. On 8 Feb 2021, prior to the onset of the events the patient received first of two planned doses of mRNA-1273 (lot/batch: unknown) via unknown route for prophylaxis of COVID-19 infection. On an unknown date, the patient experienced the event(s) soreness, weakness. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The outcome of event(s), soreness, weakness was unknown.

Other Meds:

Current Illness:

ID: 1559493
Sex: M
Age:
State: FL

Vax Date:
Onset Date:
Rec V Date: 08/15/2021
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: gum infection; Tooth infection; A spontaneous report was received from a consumer concerning a male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events tooth/gum infection. The patient's medical history was not provided. No relevant concomitant medications were reported. On 09 Feb 2021, prior to the onset of the events the patient received their second of two planned doses of mRNA-1273 (lot/batch: Unknown) intramuscularly for prophylaxis of COVID-19 infection. After this he had tooth/gum infection. Treatment included amoxicillin. Action taken with mRNA-1273 in response to the events was not reported. The outcome of event(s), tooth/gum infection was unknown..

Other Meds:

Current Illness:

ID: 1559494
Sex: F
Age:
State: CA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 08/15/2021
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: Rash, pink and red at injection site; Rash, pink and red at injection site; Swelling(3.5 inches in circumference) at injection site; A spontaneous report was received from a consumer concerning a 94-years-old patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events rash, pink and red at injection site, swelling(3.5 inches in circumference) at injection site. The patient's medical history was not provided. Concomitant medications reported were Heart Medications, HBP Medications, Vitamin D, Lutein Vitamin, Diuretic for drug use for unknown indication. On 25 Jan 2021, prior to the onset of the events the patient received their first of two planned doses of mRNA-1273 (lot/batch: Unknown) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 25 Jan 2021, the patient experienced the events, rash, pink and red at injection site, swelling(3.5 inches in circumference) at injection site. Treatment details mentioned as agent forgot to ask. Action taken with mRNA-1273 in response to the events were not reported. The outcome of events, rash, pink and red at injection site,swelling(3,5 inches in circumference) at injection site was unknown. Based on comment, events LLt coded to Vaccination site erythema, Vaccination site Rash and Vaccination site swelling

Other Meds: Heart Medications; HBP Medications; DIURETIC [HYDROCHLOROTHIAZIDE]; VITAMIN D 2000; Lutein Vitamin

Current Illness:

ID: 1559495
Sex: M
Age: 89
State: OH

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 08/15/2021
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: Sweating mainly from the waist up.; chills; fever; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of HYPERHIDROSIS (Sweating mainly from the waist up.), CHILLS (chills) and PYREXIA (fever) in an 88-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 004M20A) for COVID-19 vaccination. No Medical History information was reported. On 12-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 HYPERHIDROSIS (Sweating mainly from the waist up.), CHILLS (chills) and PYREXIA (fever). At the time of the report, HYPERHIDROSIS (Sweating mainly from the waist up.), CHILLS (chills) and PYREXIA (fever) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medication history not provided. Treatment included Tylenol. Most recent FOLLOW-UP information incorporated above includes: On 03-May-2021: initial additional On 04-May-2021: initial additional On 10-May-2021: initial additional

Other Meds:

Current Illness:

ID: 1559496
Sex: F
Age:
State: AL

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 08/15/2021
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: Felt Tired; Felt Achy; A spontaneous report was received from a Consumer concerning a 80-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced tiredness and felt achy The patient's medical history was not provided. No relevant concomitant medications were reported. On 15 Feb 2021, prior to the onset of the events the patient received their second of two planned doses of mRNA-1273 (lot/batch: Not provided) intramuscularly in the left arm for prophylaxis of COVID-19 infection.The patient has received her first dose of mRNA-1273 on 18 Jan 2021. On 15 Feb 2021, the patient felt tired and achy.No laboratory details was provided.Treatment details was not provided Action taken with mRNA-1273 in response to the events was not reported. The outcome of events, fatigue and pain was considered as resolved on 17 Feb 2021.

Other Meds:

Current Illness:

ID: 1559497
Sex: F
Age: 59
State: LA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 08/15/2021
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: soreness in the arm - left; potentially exposed to the virus; headache; A spontaneous report was received from a consumer, concerning a 59-years-old patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events soreness in the arm - left, headache, potentially exposed to the virus. The patient's medical history was not provided. No relevant concomitant medications were reported. On 9 Feb 2021, prior to the onset of the events the patient received first of two planned doses of mRNA-1273 (Batch number: 012M20A) via unknown route in the left arm for prophylaxis of COVID-19 infection. On 9 Feb 2021, the patient experienced the event(s) soreness in the arm - left, headache, potentially exposed to the virus. Treatment information was not provided. Action taken with mRNA-1273 in response to the events was unknown. The outcome of event(s), soreness in the arm - left, headache, potentially exposed to the virus was unknown.

Other Meds:

Current Illness:

ID: 1559498
Sex: M
Age:
State: NY

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 08/15/2021
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: neck problem; Ache; A spontaneous report was received from a consumer concerning a male patient of unknown age who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events neck problem, ache. The patient's medical history was not provided. No relevant concomitant medications were reported. On 2 Feb 2021, prior to the onset of the events the patient received first of two planned doses of mRNA-1273 (lot/batch: unknown) via unknown route for prophylaxis of COVID-19 infection. On 2 Feb 2021, the patient experienced the event(s) neck problem, ache. Treatment for the event,included Tylenol, Physical Therapy. Action taken with mRNA-1273 in response to the events was not reported. The outcome of event(s), neck problem, ache was unknown.

Other Meds:

Current Illness:

ID: 1559499
Sex: F
Age: 57
State: NY

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 08/15/2021
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: Chills; Nausea; Fever; Soreness in arm of injection; A spontaneous report was received from a Consumer concerning a 58-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events soreness in arm of injection, chills, nausea, fever. The patient's medical history was not provided. No relevant concomitant medications were reported. On 15 Feb 2021, prior to the onset of the events the patient received their first of two planned doses of mRNA-1273 (lot/batch: 024M20A) intramuscularly for prophylaxis of COVID-19 infection. On 15 Feb 2021, the patient experienced the events soreness in arm of injection . On 16 Feb 2021, the patient experienced the events chills. nausea, fever. Treatment details included Tylenol Action taken with mRNA-1273 in response to the events was not reported. On 16 Feb 2021 the outcome of events chills was resolved.On 16 Feb 2021 the outcome of events nausea was resolved. On an unknown date the outcome of events, soreness in arm of injection, On an unknown date the outcome of events, fever was not reported.

Other Meds:

Current Illness:

ID: 1559500
Sex: F
Age: 89
State:

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 08/15/2021
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: Hot at injection site; itchy at injection site; Redness at injection site; A spontaneous report was received from a Consumer concerning a 89-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events itchy at injection site, redness at injection site, hot at injection site. The patient's medical history was not provided. Concomitant medications reported were xanax for drug use for unknown indication. On 6 Feb 2021, prior to the onset of the events the patient received their first of two planned doses of mRNA-1273 (lot/batch: Unknown) intramuscularly for prophylaxis of COVID-19 infection. On 14 Feb 2021, the patient experienced the events itchy at injection site. redness at injection site, hot at injection site. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not applicable. On an unknown date the outcome of events, itchy at injection site,redness at injection site, hot at injection site were not reported. Based on comment Injection site Pain, Injection site erythema and Pruritus coded (Vaccination site warmth, Vaccination site erythema and Vaccination site Pruritus)

Other Meds: XANAX

Current Illness:

ID: 1559501
Sex: F
Age: 65
State: TX

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 08/15/2021
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: Arm started getting hot to the touch; Arm started getting a bit swollen; Arm started getting red; Arm started getting rashy; Arm started getting itchy; Arm was sore for two days afterwards; A spontaneous report was received from a consumer concerning a 65-year old female patient who developed a sore arm for 2 days and arm started getting itchy, red, rashy, hot to the touch, and a bit swollen. The patient's medical history was not provided. Concomitant product use was not provided/unknown by the reporter. The patient received their first of the two planned doses of mRNA-1273 (Batch number: 013M20A) intramuscularly in the left arm on 06 Feb 2021 for prophylaxis of COVID-19 infection. Reporter got the vaccine on 06 Feb 2021 and for the next 2 days her arm was sore. On 15 Feb 2021 she reports arm started getting itchy, red, rashy, hot to the touch and a bit swollen. Treatment information was not provided. Action taken with mRNA-1273 in response to the event was not provided. The outcome of the event(s) developed a sore arm for 2 days and arm started getting itchy, red, rashy, hot to the touch, and a bit swollen, was unknown. Based on comment, all event coded Vaccination Site Pain, Vaccination site warmth, Vaccination site Pruritus, Vaccination site swelling, Vaccination site rash, Vaccination site erythema.

Other Meds:

Current Illness:

ID: 1559502
Sex: U
Age:
State:

Vax Date: 02/01/2021
Onset Date:
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: A spontaneous report was received from a Consumer concerning a patient of unspecified age who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events broke out in hives and rashes all over. The patient's medical history was not provided. No relevant concomitant medications were reported. On 1 Feb 2021, prior to the onset of the events the patient received their dose of mRNA-1273 (lot/batch: unknown) through unknown route for prophylaxis of COVID-19 infection. No treatment information was provided. On an unspecified date, after dose of vaccine, the patient experienced broke out in hives and rashes all over. No treatment medication was reported. Action taken with mRNA-1273 in response to the event was not applicable. The outcome of the event, broke out in hives and rashes all over was considered to be unknown at the time of this report.

Other Meds:

Current Illness:

ID: 1559503
Sex: M
Age: 77
State: MA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 08/15/2021
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: Fatigue; A spontaneous report was received from a healthcare professional concerning a 77-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events fatigue. The patient's medical history was not provided. No relevant concomitant medications were reported. No relevant lab data was provided by the reporter. On 16 Feb 2021, prior to the onset of the events the patient received their first of two planned doses of mRNA-1273 (lot/batch: 010M20A) intramuscularly for prophylaxis of COVID-19 infection. On 16 Feb 2021, the patient experienced the event(s) fatigue. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The outcome of event, fatigue was unknown.

Other Meds:

Current Illness:

ID: 1559504
Sex: F
Age: 81
State: IL

Vax Date: 02/02/2021
Onset Date:
Rec V Date: 08/15/2021
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: Rash; itchiness; Radiating pain up and down leg; A spontaneous report was received from a Consumer concerning a 82-years-old patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events rash, itchiness, radiating pain up and down leg. The patient's medical history was not provided. Concomitant medications reported were Blood Pressure Medication for drug use for unknown indication. On 2 Feb 2021, prior to the onset of the events the patient received their first of two planned doses of mRNA-1273 (lot/batch: OO7M2OA) intramuscularly for prophylaxis of COVID-19 infection. Rash, Itchiness, Radiating pain up and down leg. Treatment details included Put cream on rash, Ibuprofen Action taken with mRNA-1273 in response to the events was not reported. On an unknown date the outcome of events, rash, On an unknown date the outcome of events, itchiness, On an unknown date the outcome of events, radiating pain up and down leg was not reported.

Other Meds: Blood Pressure Medication

Current Illness:

ID: 1559505
Sex: F
Age: 83
State: NY

Vax Date: 02/13/2021
Onset Date:
Rec V Date: 08/15/2021
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: leg ache; body ache; headache; fever; rash at the site of injection; inner part of arm was swollen like half a football; A spontaneous report was received from a Consumer concerning a 83 years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events leg ache, body ache, headache, fever, rash at the site of injection, her inner part of arm was swollen like half a football. The patient's medical history was not provided. No relevant concomitant medications were reported. On 13 Feb 2021, prior to the onset of the events the patient received their second of two planned doses of mRNA-1273 (lot/batch: 016M20A.)for prophylaxis of COVID-19 infection. On an unspecified date,patient experienced leg ache, body ache, headache, fever, rash at the site of injection, Her inner part of arm was swollen like half a football.No laboratory details was provided. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The outcome of events, leg ache, body ache, headache, fever, rash at the site of injection and peripheral swelling was considered as unknown at the time of the report. Based MSA comment, coded Rash as Vaccination site pain

Other Meds:

Current Illness:

ID: 1559506
Sex: F
Age: 66
State: NY

Vax Date: 02/04/2021
Onset Date:
Rec V Date: 08/15/2021
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: Red arm; Itchy arm; Looks like a bullseye at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE ERYTHEMA (Red arm), VACCINATION SITE PRURITUS (Itchy arm) and VACCINATION SITE SWELLING (Looks like a bullseye at the injection site) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 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 VACCINATION SITE ERYTHEMA (Red arm), VACCINATION SITE PRURITUS (Itchy arm) and VACCINATION SITE SWELLING (Looks like a bullseye at the injection site). At the time of the report, VACCINATION SITE ERYTHEMA (Red arm), VACCINATION SITE PRURITUS (Itchy arm) and VACCINATION SITE SWELLING (Looks like a bullseye at the injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications reported by investigator o No treatment medications provided by the reporter.

Other Meds:

Current Illness:

ID: 1559507
Sex: F
Age:
State: OH

Vax Date: 01/21/2021
Onset Date:
Rec V Date: 08/15/2021
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: red blotchy rash; itching; This spontaneous case was reported by a consumer and describes the occurrence of RASH ERYTHEMATOUS (red blotchy rash) and PRURITUS (itching) 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 21-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 RASH ERYTHEMATOUS (red blotchy rash) and PRURITUS (itching). At the time of the report, RASH ERYTHEMATOUS (red blotchy rash) and PRURITUS (itching) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications reported by investigator o No treatment medications provided by the reporter.

Other Meds:

Current Illness:

ID: 1559508
Sex: F
Age: 72
State: CA

Vax Date: 01/11/2021
Onset Date: 02/09/2021
Rec V Date: 08/15/2021
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: gurgling noises from her stomach; Diarrhea; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (Diarrhea) and GASTROINTESTINAL SOUNDS ABNORMAL (gurgling noises from her stomach) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029L20A) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included METFORMIN, LISINOPRIL, EZETIMIBE, OMEPRAZOLE, PROBIOTICS NOS and VITAMINS NOS for an unknown indication. On 11-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Feb-2021, the patient experienced DIARRHOEA (Diarrhea). On an unknown date, the patient experienced GASTROINTESTINAL SOUNDS ABNORMAL (gurgling noises from her stomach). At the time of the report, DIARRHOEA (Diarrhea) and GASTROINTESTINAL SOUNDS ABNORMAL (gurgling noises from her stomach) had not resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. o No treatment medications provided by the reporter

Other Meds: METFORMIN; LISINOPRIL; EZETIMIBE; OMEPRAZOLE; PROBIOTICS NOS; VITAMINS NOS

Current Illness:

ID: 1559509
Sex: F
Age: 73
State: NY

Vax Date: 01/08/2021
Onset Date: 02/05/2021
Rec V Date: 08/15/2021
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: Aches and pains; Felt very weak; Tiredness; Chills; Aches in her joints, specifically behind her knees; Felt sick; This spontaneous case was reported by a patient and describes the occurrence of ILLNESS (Felt sick), PAIN (Aches and pains), ASTHENIA (Felt very weak), FATIGUE (Tiredness) and CHILLS (Chills) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Joint pain (Patient experienced joint pain after taking levofloxacin.). Previously administered products included for an unreported indication: LEVAQUIN. Concurrent medical conditions included Hypertension and High cholesterol. 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 05-Feb-2021, the patient experienced ILLNESS (Felt sick). On 06-Feb-2021, the patient experienced PAIN (Aches and pains), ASTHENIA (Felt very weak), FATIGUE (Tiredness), CHILLS (Chills) and ARTHRALGIA (Aches in her joints, specifically behind her knees). The patient was treated with PARACETAMOL (TYLENOL) for Pain joint, at an unspecified dose and frequency. At the time of the report, ILLNESS (Felt sick), PAIN (Aches and pains), ASTHENIA (Felt very weak), FATIGUE (Tiredness), CHILLS (Chills) and ARTHRALGIA (Aches in her joints, specifically behind her knees) had not resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications reported by investigator

Other Meds:

Current Illness: High cholesterol; Hypertension

ID: 1559510
Sex: M
Age: 83
State: SC

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 08/15/2021
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: weak, weakness; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (weak, weakness) in an 83-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 038K204 or 038L204) for COVID-19 vaccination. No Medical History information was reported. On 09-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 10-Feb-2021, the patient experienced ASTHENIA (weak, weakness). At the time of the report, ASTHENIA (weak, weakness) had not resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications reported by investigator o No treatment medications provided by the reporter.

Other Meds:

Current Illness:

ID: 1559511
Sex: F
Age: 78
State: MN

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 08/15/2021
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: headache; This spontaneous case was reported by a patient and describes the occurrence of HEADACHE (headache) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007M20A) for COVID-19 vaccination. The patient's past medical history included Surgery. Concurrent medical conditions included Blood pressure. Concomitant products included CARVEDILOL and VITAMINS NOS for an unknown indication. On 29-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 26-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 29-Jan-2021, the patient experienced HEADACHE (headache). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, HEADACHE (headache) had not resolved. Treatment drug Tylenol when going to bed (did not specify the frequency)

Other Meds: CARVEDILOL; VITAMINS NOS

Current Illness: Blood pressure

ID: 1559512
Sex: F
Age: 65
State: IN

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 08/15/2021
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: Hard to get up; Numbness of lower extremities; Sneezing; Fever 99.9F; Fatigue; Pain and tenderness on the injection site; swelling (hardness) injection site; Redness on the injection site; swelling (hardness) injection site; A spontaneous report was received from a consumer concerning a 65-year-old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced hard to get up, numbness of lower extremities, sneezing, fatigue, pain and tenderness on injection site, vaccination site swelling, redness on the injection site and fever. The patient's medical history was not provided. No relevant concomitant medications were reported. On 16-Feb -2021, prior to the onset of the events, the patient received her first of two planned doses of mRNA-1273 (Lot number: unknown) intramuscularly in the right arm for prophylaxis of Covid-19 infection. The patient reported that she had pain, tenderness, swelling (hardness), redness on the injection site, severe fatigue, hard to get up, sneezing, fever 99.9F, and her lower extremities were numb. No further information was provided. Treatment information was unknown. Action taken with the second dose of mRNA-1273 in response to the event was not reported. The outcome of the events, hard to get up, numbness of lower extremities, sneezing, fatigue, pain and tenderness on injection site, swelling injection site, redness on the injection site, and pyrexia were considered not recovered.; 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: 1559513
Sex: F
Age: 73
State: IL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 08/15/2021
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: Felt dizzy; Increased Heart Rate; Felt dizzy; Increased Heart Rate; This spontaneous case was reported by a consumer and describes the occurrence of the first episode of DIZZINESS (Felt dizzy), the first episode of TACHYCARDIA (Increased Heart Rate), the second episode of DIZZINESS (Felt dizzy) and the second episode of TACHYCARDIA (Increased Heart Rate) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Blood pressure abnormal and Blood disorder NOS (Blood Thinner). On 12-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 the first episode of DIZZINESS (Felt dizzy) and the first episode of TACHYCARDIA (Increased Heart Rate). On 16-Feb-2021, the patient experienced the second episode of DIZZINESS (Felt dizzy) and the second episode of TACHYCARDIA (Increased Heart Rate). At the time of the report, last episode of DIZZINESS (Felt dizzy) and the last episode of TACHYCARDIA (Increased Heart Rate) had not resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications reported included unspecified blood pressure medication and blood thinners. No treatment medications provided by the reporter.

Other Meds:

Current Illness: Blood disorder NOS (Blood Thinner); Blood pressure abnormal

ID: 1559514
Sex: F
Age: 70
State: IL

Vax Date: 01/26/2021
Onset Date: 02/04/2021
Rec V Date: 08/15/2021
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: started getting headaches everyday; the injection site was hurting; Injection site swollen, about 3 inches long on the arm; Injection site red; Injection site warm; Injection site Itchy; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of VACCINATION SITE WARMTH (Injection site warm), VACCINATION SITE PRURITUS (Injection site Itchy), HEADACHE (started getting headaches everyday), VACCINATION SITE PAIN (the injection site was hurting) and VACCINATION SITE SWELLING (Injection site swollen, about 3 inches long on the arm) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. 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 04-Feb-2021, the patient experienced VACCINATION SITE WARMTH (Injection site warm), VACCINATION SITE PRURITUS (Injection site Itchy), VACCINATION SITE PAIN (the injection site was hurting), VACCINATION SITE SWELLING (Injection site swollen, about 3 inches long on the arm) and VACCINATION SITE ERYTHEMA (Injection site red). On an unknown date, the patient experienced HEADACHE (started getting headaches everyday). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, VACCINATION SITE WARMTH (Injection site warm), VACCINATION SITE PRURITUS (Injection site Itchy), VACCINATION SITE PAIN (the injection site was hurting) and VACCINATION SITE ERYTHEMA (Injection site red) had not resolved and HEADACHE (started getting headaches everyday) and VACCINATION SITE SWELLING (Injection site swollen, about 3 inches long on the arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Treatment medication included Tylenol about 3 times a day. The patient put ice and warm compress on the injection site. Most recent FOLLOW-UP information incorporated above includes: On 28-Apr-2021: follow up received on 28-Apr-2021 included No new information was received.

Other Meds:

Current Illness:

ID: 1559515
Sex: F
Age: 68
State: IL

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 08/15/2021
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: Headache; Pain at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (Headache) and INJECTION SITE PAIN (Pain at the injection site) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 16-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Feb-2021, the patient experienced HEADACHE (Headache) and INJECTION SITE PAIN (Pain at the injection site). At the time of the report, HEADACHE (Headache) and INJECTION SITE PAIN (Pain at the injection site) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications reported by investigator o No treatment medications provided by the reporter.

Other Meds:

Current Illness:

ID: 1559516
Sex: F
Age: 82
State: MA

Vax Date: 02/03/2021
Onset Date: 02/12/2021
Rec V Date: 08/15/2021
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: rash got worse; rash covering her arm to her elbow and part of her shoulder; still itchy; rash at the injection site; itchy; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE RASH (rash at the injection site), VACCINATION SITE PRURITUS (itchy), RASH (rash got worse), RASH (rash covering her arm to her elbow and part of her shoulder) and PRURITUS (still itchy) in an 82-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012M20A) for COVID-19 vaccination. No Medical History information was reported. On 03-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Feb-2021, the patient experienced VACCINATION SITE RASH (rash at the injection site) and VACCINATION SITE PRURITUS (itchy). On 13-Feb-2021, the patient experienced RASH (rash got worse), RASH (rash covering her arm to her elbow and part of her shoulder) and PRURITUS (still itchy). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, VACCINATION SITE RASH (rash at the injection site), VACCINATION SITE PRURITUS (itchy), RASH (rash got worse), RASH (rash covering her arm to her elbow and part of her shoulder) and PRURITUS (still itchy) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. concomitant medications included unspecified medications for blood pressure and cholesterol. On 12-Feb-2021 she experienced a rash at the injection site that was itchy and on 13-Feb-2021 got worse, covering her arm to her elbow and part of her shoulder. It had been getting better every day and now is just a little pink but still itchy.

Other Meds:

Current Illness:

ID: 1559517
Sex: F
Age: 53
State: NY

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 08/15/2021
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: looks like an apple under my skin / Redness of the arm; Hotness; Covid arm with swelling; Swelling of arm; Soreness at injection site; Chills; Tired; low grade fever; Muscle fatigue; This spontaneous case was reported by a consumer and describes the occurrence of MUSCLE FATIGUE (Muscle fatigue), ERYTHEMA (looks like an apple under my skin / Redness of the arm), VACCINATION SITE WARMTH (Hotness), PERIPHERAL SWELLING (Covid arm with swelling) and VACCINATION SITE SWELLING (Swelling of arm) in a 53-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 13-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Feb-2021, the patient experienced MUSCLE FATIGUE (Muscle fatigue), VACCINATION SITE PAIN (Soreness at injection site), CHILLS (Chills), FATIGUE (Tired) and PYREXIA (low grade fever). On 16-Feb-2021, the patient experienced ERYTHEMA (looks like an apple under my skin / Redness of the arm), VACCINATION SITE WARMTH (Hotness), PERIPHERAL SWELLING (Covid arm with swelling) and VACCINATION SITE SWELLING (Swelling of arm). The patient was treated with PARACETAMOL (TYLENOL) for Fever, at an unspecified dose and frequency and NAPROXEN SODIUM (ALEVE) for Pain, at an unspecified dose and frequency. On 14-Feb-2021, PYREXIA (low grade fever) had resolved. At the time of the report, MUSCLE FATIGUE (Muscle fatigue), VACCINATION SITE PAIN (Soreness at injection site), CHILLS (Chills) and FATIGUE (Tired) had resolved and ERYTHEMA (looks like an apple under my skin / Redness of the arm), VACCINATION SITE WARMTH (Hotness), PERIPHERAL SWELLING (Covid arm with swelling) and VACCINATION SITE SWELLING (Swelling of arm) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product use was not provided by the reporter. Reporter did not allow further contact Most recent FOLLOW-UP information incorporated above includes: On 17-Feb-2021: Follow-up information received on 17-Feb-2021 contains no new information.

Other Meds:

Current Illness:

ID: 1559518
Sex: F
Age: 45
State: OR

Vax Date: 01/18/2021
Onset Date: 01/25/2021
Rec V Date: 08/15/2021
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: A rash at the injection; Swelling at the injection site; Severe itching at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE RASH (A rash at the injection), VACCINATION SITE SWELLING (Swelling at the injection site) and VACCINATION SITE PRURITUS (Severe itching at the injection site) in a 45-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011L20A) for COVID-19 vaccination. Concomitant products included VITAMIN D NOS, CALCIUM and MAGNESIUM for an unknown indication. On 18-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Jan-2021, the patient experienced VACCINATION SITE RASH (A rash at the injection), VACCINATION SITE SWELLING (Swelling at the injection site) and VACCINATION SITE PRURITUS (Severe itching at the injection site). The patient was treated with FLUOCINONIDE at a dose of UNK dosage form. On 31-Jan-2021, VACCINATION SITE RASH (A rash at the injection), VACCINATION SITE SWELLING (Swelling at the injection site) and VACCINATION SITE PRURITUS (Severe itching at the injection site) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.

Other Meds: VITAMIN D NOS; CALCIUM; MAGNESIUM

Current Illness:

ID: 1559519
Sex: F
Age: 83
State:

Vax Date: 01/16/2021
Onset Date: 02/04/2021
Rec V Date: 08/15/2021
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: top of both her arms had little red blisters and they were rough and slightly itchy; top of both her arms had little red blisters and they were rough and slightly itchy; top of both her arms had little red blisters and they were rough and slightly itchy; This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (top of both her arms had little red blisters and they were rough and slightly itchy), PRURITUS (top of both her arms had little red blisters and they were rough and slightly itchy) and BLISTER (top of both her arms had little red blisters and they were rough and slightly itchy) in an 83-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 16-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Feb-2021, the patient experienced ERYTHEMA (top of both her arms had little red blisters and they were rough and slightly itchy), PRURITUS (top of both her arms had little red blisters and they were rough and slightly itchy) and BLISTER (top of both her arms had little red blisters and they were rough and slightly itchy). At the time of the report, ERYTHEMA (top of both her arms had little red blisters and they were rough and slightly itchy), PRURITUS (top of both her arms had little red blisters and they were rough and slightly itchy) and BLISTER (top of both her arms had little red blisters and they were rough and slightly itchy) had not resolved. Not Provided 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. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1559520
Sex: F
Age: 71
State: IN

Vax Date: 01/28/2021
Onset Date:
Rec V Date: 08/15/2021
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: Treatment for asthma before and after getting the vaccine; This spontaneous case was reported by a consumer and describes the occurrence of ASTHMA (Treatment for asthma before and after getting the vaccine) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 033L20A) for COVID-19 vaccination. Concurrent medical conditions included Asthma. On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced ASTHMA (Treatment for asthma before and after getting the vaccine). The patient was treated with PREDNISONE ongoing since an unknown date for Asthma, at an unspecified dose and frequency; CORTISONE ongoing since an unknown date for Asthma, at an unspecified dose and frequency and MEPOLIZUMAB (NUCALA) ongoing since an unknown date for Asthma, at an unspecified dose and frequency. At the time of the report, ASTHMA (Treatment for asthma before and after getting the vaccine) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medicines were reporter by the reporter.

Other Meds:

Current Illness: Asthma

ID: 1559521
Sex: M
Age:
State: AR

Vax Date: 01/26/2021
Onset Date: 02/02/2021
Rec V Date: 08/15/2021
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: Slight redness down his arm and most of his shoulder muscle; Still itches; This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (Slight redness down his arm and most of his shoulder muscle) and PRURITUS (Still itches) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 043L20A) 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 02-Feb-2021, the patient experienced ERYTHEMA (Slight redness down his arm and most of his shoulder muscle) and PRURITUS (Still itches). At the time of the report, ERYTHEMA (Slight redness down his arm and most of his shoulder muscle) and PRURITUS (Still itches) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided. No treatment information provided

Other Meds:

Current Illness:

ID: 1559522
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/15/2021
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: Lymph Node on Neck not on the side of the injection site; This spontaneous case was reported by a consumer and describes the occurrence of LYMPHADENOPATHY (Lymph Node on Neck not on the side of the injection site) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 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 LYMPHADENOPATHY (Lymph Node on Neck not on the side of the injection site). At the time of the report, LYMPHADENOPATHY (Lymph Node on Neck not on the side of the injection site) outcome was unknown. 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: 1559523
Sex: M
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 08/15/2021
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: chills; nausea; This spontaneous case was reported by a consumer and describes the occurrence of CHILLS (chills) and NAUSEA (nausea) 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 an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced CHILLS (chills) and NAUSEA (nausea). At the time of the report, CHILLS (chills) and NAUSEA (nausea) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Most recent FOLLOW-UP information incorporated above includes: On 25-May-2021: follow-up was received on 25-MAY-2021,Email was updated

Other Meds:

Current Illness:

ID: 1559524
Sex: F
Age: 77
State: WA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 08/15/2021
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: Felt achy; Runny nose; Sore throat; Slight fever; Joint pain; Fatigue; Sore arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Sore arm), PAIN (Felt achy), RHINORRHOEA (Runny nose), OROPHARYNGEAL PAIN (Sore throat) and PYREXIA (Slight fever) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 024M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Breast cancer stage II (Diagnosed 1 year) since 2020. Concomitant products included ANASTROZOLE for Hormone therapy. On 10-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Feb-2021, the patient experienced PAIN IN EXTREMITY (Sore arm). On 13-Feb-2021, the patient experienced PAIN (Felt achy), RHINORRHOEA (Runny nose), OROPHARYNGEAL PAIN (Sore throat), PYREXIA (Slight fever), ARTHRALGIA (Joint pain) and FATIGUE (Fatigue). The patient was treated with PARACETAMOL (TYLENOL) on 13-Feb-2021 for Adverse event, at an unspecified dose and frequency. On 14-Feb-2021, PAIN (Felt achy), RHINORRHOEA (Runny nose), OROPHARYNGEAL PAIN (Sore throat), PYREXIA (Slight fever), ARTHRALGIA (Joint pain) and FATIGUE (Fatigue) had resolved. At the time of the report, PAIN IN EXTREMITY (Sore arm) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 13-Feb-2021, Body temperature: 99.8 (High) Slight fever.. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 15-Feb-2021 and was forwarded to Moderna on 17-Feb-2021. This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Sore arm), PAIN (Felt achy), RHINORRHOEA (Runny nose), OROPHARYNGEAL PAIN (Sore throat) and PYREXIA (Slight fever) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 024M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Breast cancer stage II (Diagnosed 1 year) since 2020. Concomitant products included ANASTROZOLE for Hormone therapy. On 10-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Feb-2021, the patient experienced PAIN IN EXTREMITY (Sore arm). On 13-Feb-2021, the patient experienced PAIN (Felt achy), RHINORRHOEA (Runny nose), OROPHARYNGEAL PAIN (Sore throat), PYREXIA (Slight fever), ARTHRALGIA (Joint pain) and FATIGUE (Fatigue). The patient was treated with PARACETAMOL (TYLENOL) on 13-Feb-2021 for Adverse event, at an unspecified dose and frequency. On 14-Feb-2021, PAIN (Felt achy), RHINORRHOEA (Runny nose), OROPHARYNGEAL PAIN (Sore throat), PYREXIA (Slight fever), ARTHRALGIA (Joint pain) and FATIGUE (Fatigue) had resolved. At the time of the report, PAIN IN EXTREMITY (Sore arm) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 13-Feb-2021, Body temperature: 99.8 (High) Slight fever.. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: ANASTROZOLE

Current Illness: Breast cancer stage II (Diagnosed 1 year)

ID: 1559525
Sex: F
Age:
State: NY

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 08/15/2021
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: Patient tested positive covid-19 next day the vaccination; This spontaneous case was reported by a pharmacist and describes the occurrence of COVID-19 (Patient tested positive covid-19 next day the vaccination) in a 57-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 18-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Jan-2021, the patient experienced COVID-19 (Patient tested positive covid-19 next day the vaccination). At the time of the report, COVID-19 (Patient tested positive covid-19 next day the vaccination) 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 treatment information was provided. No concomitant medication was provided.

Other Meds:

Current Illness:

ID: 1559526
Sex: F
Age: 64
State: NJ

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 08/15/2021
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: Had to lay down because she feels like passing out; Very dizzy; Very weak; Every limb is like a 1000 pound each; Has a lump on the same arm of injection; Headache from the sinuses; Facial pain; Maybe she pulled a muscle by coughing; Maybe she aggravated a nerve by coughing; Tingling on upper lip/Tingling on upper gum; Right side under her breast had a buzzing sensation when she breathed out; Sinuses infection; headache; facial pain; Coughing; Dripping in the back of the throat; coughing; Throat started itching after vaccination; Diarrhea; Stomach cramps; This spontaneous case was reported by a consumer and describes the occurrence of PRESYNCOPE (Had to lay down because she feels like passing out), THROAT IRRITATION (Throat started itching after vaccination), DIARRHOEA (Diarrhea), ABDOMINAL PAIN UPPER (Stomach cramps) and SINUSITIS (Sinuses infection; headache; facial pain) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. 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 26-Jan-2021, the patient experienced THROAT IRRITATION (Throat started itching after vaccination), DIARRHOEA (Diarrhea) and ABDOMINAL PAIN UPPER (Stomach cramps). On 27-Jan-2021, the patient experienced SINUSITIS (Sinuses infection; headache; facial pain), COUGH (Coughing), UPPER-AIRWAY COUGH SYNDROME (Dripping in the back of the throat; coughing) and CHEST DISCOMFORT (Right side under her breast had a buzzing sensation when she breathed out). On 28-Jan-2021, the patient experienced PARAESTHESIA ORAL (Tingling on upper lip/Tingling on upper gum). On 30-Jan-2021, the patient experienced MUSCLE STRAIN (Maybe she pulled a muscle by coughing) and NERVE INJURY (Maybe she aggravated a nerve by coughing). On 31-Jan-2021, the patient experienced SINUS HEADACHE (Headache from the sinuses) and FACIAL PAIN (Facial pain). On 09-Feb-2021, the patient experienced PRESYNCOPE (Had to lay down because she feels like passing out), DIZZINESS (Very dizzy), ASTHENIA (Very weak), LIMB DISCOMFORT (Every limb is like a 1000 pound each) and VACCINATION SITE INDURATION (Has a lump on the same arm of injection). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) ongoing since an unknown date at an unspecified dose and frequency. At the time of the report, PRESYNCOPE (Had to lay down because she feels like passing out), THROAT IRRITATION (Throat started itching after vaccination), DIARRHOEA (Diarrhea), ABDOMINAL PAIN UPPER (Stomach cramps), SINUSITIS (Sinuses infection; headache; facial pain), COUGH (Coughing), UPPER-AIRWAY COUGH SYNDROME (Dripping in the back of the throat; coughing), PARAESTHESIA ORAL (Tingling on upper lip/Tingling on upper gum), CHEST DISCOMFORT (Right side under her breast had a buzzing sensation when she breathed out), MUSCLE STRAIN (Maybe she pulled a muscle by coughing), NERVE INJURY (Maybe she aggravated a nerve by coughing), SINUS HEADACHE (Headache from the sinuses), FACIAL PAIN (Facial pain), DIZZINESS (Very dizzy), ASTHENIA (Very weak), LIMB DISCOMFORT (Every limb is like a 1000 pound each) and VACCINATION SITE INDURATION (Has a lump on the same arm of injection) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications details were not reported by the reporter.

Other Meds:

Current Illness:

ID: 1559527
Sex: F
Age: 74
State: NY

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 08/15/2021
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: swollen area; redness; area of the injection was much lower than the first shot; arm sore; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (arm sore), INJECTION SITE SWELLING (swollen area), ERYTHEMA (redness) and INJECTION SITE REACTION (area of the injection was much lower than the first shot) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 032L20A and 032L20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. Concomitant products included LEVOTHYROXINE and METOPROLOL for blood pressure and thyroid. On 10-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 2 dosage form. On 10-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 10-Feb-2021, the patient experienced PAIN IN EXTREMITY (arm sore). On 11-Feb-2021, the patient experienced INJECTION SITE SWELLING (swollen area), ERYTHEMA (redness) and INJECTION SITE REACTION (area of the injection was much lower than the first shot). At the time of the report, PAIN IN EXTREMITY (arm sore), INJECTION SITE SWELLING (swollen area), ERYTHEMA (redness) and INJECTION SITE REACTION (area of the injection was much lower than the first shot) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: LEVOTHYROXINE; METOPROLOL

Current Illness:

ID: 1559528
Sex: F
Age:
State: MA

Vax Date: 02/12/2021
Onset Date:
Rec V Date: 08/15/2021
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: symptoms after second dose; This spontaneous case was reported by an other health care professional and describes the occurrence of VACCINATION COMPLICATION (symptoms after 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 12-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 an unknown date, the patient experienced VACCINATION COMPLICATION (symptoms after second dose). At the time of the report, VACCINATION COMPLICATION (symptoms after second dose) had not resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No relevant concomitant medications were reported. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1559529
Sex: F
Age: 72
State: CA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 08/15/2021
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: Can hardly raise right arm; Headache; Chills; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE MOVEMENT IMPAIRMENT (Can hardly raise right arm), HEADACHE (Headache) and CHILLS (Chills) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 015M20A) for COVID-19 vaccination. Concurrent medical conditions included Allergy to allopathic drugs (Allergic to Ibuprofen and Tylenol). On 09-Feb-2021 at 1:00 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Feb-2021 at 8:00 PM, the patient experienced HEADACHE (Headache) and CHILLS (Chills). On 10-Feb-2021, the patient experienced VACCINATION SITE MOVEMENT IMPAIRMENT (Can hardly raise right arm). At the time of the report, VACCINATION SITE MOVEMENT IMPAIRMENT (Can hardly raise right arm), HEADACHE (Headache) and CHILLS (Chills) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medication details were not reporter by the reporter. Treatment details was not reported by the reporter.

Other Meds:

Current Illness: Allergy to allopathic drugs (Allergic to Ibuprofen and Tylenol)

ID: 1559530
Sex: F
Age:
State: OH

Vax Date: 02/08/2021
Onset Date:
Rec V Date: 08/15/2021
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: soreness in left deltoid; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (soreness in left deltoid) 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 08-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. On an unknown date, the patient experienced MYALGIA (soreness in left deltoid). At the time of the report, MYALGIA (soreness in left deltoid) outcome 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-2021-029003 (E2B Linked Report).; Sender's Comments: US-MODERNATX, INC.-MOD-2021-029003:

Other Meds:

Current Illness:

ID: 1559531
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/15/2021
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: "Much illness" from the first dose; This spontaneous case was reported by a consumer and describes the occurrence of ILLNESS ("Much illness" from the first 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 first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ILLNESS ("Much illness" from the first dose). At the time of the report, ILLNESS ("Much illness" from the first dose) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication was reported. No treatment medication was reported.

Other Meds:

Current Illness:

ID: 1559532
Sex: F
Age: 50
State: PA

Vax Date: 01/24/2021
Onset Date:
Rec V Date: 08/15/2021
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: weakness in legs; sudden onset of shivering and chills; diffuse muscle aches and joint aches; This spontaneous case was reported by a physician and describes the occurrence of ASTHENIA (weakness in legs), CHILLS (sudden onset of shivering and chills) and MYALGIA (diffuse muscle aches and joint aches) in a 50-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012L20A) for COVID-19 vaccination. No medical history was reported by the reporter. Concomitant products included MONTELUKAST SODIUM (SINGULAIR) for an unknown indication. On 24-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 ASTHENIA (weakness in legs), CHILLS (sudden onset of shivering and chills) and MYALGIA (diffuse muscle aches and joint aches). The patient was treated with IBUPROFEN (MOTRIN [IBUPROFEN]) 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, ASTHENIA (weakness in legs), CHILLS (sudden onset of shivering and chills) and MYALGIA (diffuse muscle aches and joint aches) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 05-Feb-2021, Blood calcium decreased: (Inconclusive) Decreased. On 05-Feb-2021, Blood potassium decreased: (Inconclusive) Decreased. On 05-Feb-2021, Blood sodium decreased: (Inconclusive) Decreased. On an unknown date, C-reactive protein increased: 6.2 (Inconclusive) increased. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.

Other Meds: SINGULAIR

Current Illness:

ID: 1559533
Sex: F
Age: 72
State: MN

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 08/15/2021
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: itchiness; Redness; Swollen Lymph Node; pain in arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (pain in arm), VACCINATION SITE PRURITUS (itchiness), VACCINATION SITE ERYTHEMA (Redness) and LYMPHADENOPATHY (Swollen Lymph Node) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history was reported by the reporter. Concomitant products included AMITRIPTYLINE, PANTOPRAZOLE, OXYMETAZOLINE HYDROCHLORIDE (CLARITIN ALLERGIC), MONTELUKAST, CYCLOBENZAPRINE, VITAMINS NOS (DAILY VITAMINS), CENTRUM SILVER +50 and CALCIUM for an unknown indication. On 27-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Jan-2021, the patient experienced PAIN IN EXTREMITY (pain in arm). On 03-Feb-2021, the patient experienced VACCINATION SITE PRURITUS (itchiness), VACCINATION SITE ERYTHEMA (Redness) and LYMPHADENOPATHY (Swollen Lymph Node). At the time of the report, PAIN IN EXTREMITY (pain in arm), VACCINATION SITE PRURITUS (itchiness), VACCINATION SITE ERYTHEMA (Redness) and LYMPHADENOPATHY (Swollen Lymph Node) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment included ice.

Other Meds: AMITRIPTYLINE; PANTOPRAZOLE; CLARITIN ALLERGIC; MONTELUKAST; CYCLOBENZAPRINE; DAILY VITAMINS; CENTRUM SILVER +50; CALCIUM

Current Illness:

ID: 1559534
Sex: F
Age: 67
State: OK

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 08/15/2021
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: eczema on arms; arms are itchy; left arm was sore; it was like being punched in the arm; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (left arm was sore), PAIN IN EXTREMITY (it was like being punched in the arm), ECZEMA (eczema on arms) and PRURITUS (arms are itchy) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included Mitral valve prolapse and Osteoporosis. Concurrent medical conditions included Eczema (Eczema(since birth)) and Bronchitis asthmatic (since 2019). Concomitant products included IRON for Anemia, MONTELUKAST for Asthma, COLECALCIFEROL, MENAQUINONE (D3 +K2) for Calcium supplementation, CALCIUM for Osteoporosis, ERGOCALCIFEROL, RETINOL PALMITATE (VITAMINS A & D), LORATADINE, MAGNESIUM and ALLIUM SATIVUM for an unknown indication, MULTIVITAMIN [VITAMINS NOS]. On 06-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 ml. On 06-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 06-Feb-2021, the patient experienced MYALGIA (left arm was sore) and PAIN IN EXTREMITY (it was like being punched in the arm). On 10-Feb-2021, the patient experienced ECZEMA (eczema on arms) and PRURITUS (arms are itchy). At the time of the report, MYALGIA (left arm was sore), PAIN IN EXTREMITY (it was like being punched in the arm), ECZEMA (eczema on arms) and PRURITUS (arms are itchy) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) and mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Treatment details included hydrocortisone lotion. Most recent FOLLOW-UP information incorporated above includes: On 01-May-2021: Follow up received on 01-MAY-2021 included patient concomitant medicationswas added second dose events added

Other Meds: VITAMINS A & D; MONTELUKAST; LORATADINE; CALCIUM; D3 +K2; IRON; MAGNESIUM; GARLIC ARIZ; MULTIVITAMIN [VITAMINS NOS]

Current Illness: Eczema (Eczema(since birth))

ID: 1559535
Sex: F
Age:
State: AZ

Vax Date:
Onset Date: 02/05/2021
Rec V Date: 08/15/2021
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: Vaccination site erythema; This spontaneous case was reported by an other health care professional and describes the occurrence of VACCINATION SITE ERYTHEMA (Vaccination site erythema) in a 94-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 0U1L2014) 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) (Intramuscular) 1 dosage form. On 05-Feb-2021, the patient experienced VACCINATION SITE ERYTHEMA (Vaccination site erythema). At the time of the report, VACCINATION SITE ERYTHEMA (Vaccination site erythema) 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 was provided.

Other Meds:

Current Illness:

ID: 1559536
Sex: F
Age: 76
State: AL

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 08/15/2021
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: She ended up on the ER, where they stated that it must have been an allergic reaction to; Very painful hives that went from the back, up to her neck and head; This spontaneous case was reported by a consumer and describes the occurrence of URTICARIA (Very painful hives that went from the back, up to her neck and head) and HYPERSENSITIVITY (She ended up on the ER, where they stated that it must have been an allergic reaction to) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 042L20A) for COVID-19 vaccination. Concomitant products included VITAMINS NOS and PROBIOTICS NOS for an unknown indication. On 29-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Feb-2021, the patient experienced URTICARIA (Very painful hives that went from the back, up to her neck and head). On 07-Feb-2021, the patient experienced HYPERSENSITIVITY (She ended up on the ER, where they stated that it must have been an allergic reaction to). At the time of the report, URTICARIA (Very painful hives that went from the back, up to her neck and head) and HYPERSENSITIVITY (She ended up on the ER, where they stated that it must have been an allergic reaction to) outcome was unknown. Related The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Other concomitant medications include high blood pressure medication Patient was administered a steroid injection and an antihistamine. This case was linked to MOD-2021-248302 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 06-Jul-2021: Follow-up received on 06-JUL-2021 and contains significant information and deleted the events which were related to dose 2 and reporter contact details were updated.

Other Meds: VITAMINS NOS; PROBIOTICS NOS

Current Illness:

ID: 1559537
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/15/2021
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: Kind of allergic reaction; This spontaneous case was reported by a consumer and describes the occurrence of HYPERSENSITIVITY (Kind of allergic reaction) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Allergic reaction. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced HYPERSENSITIVITY (Kind of allergic reaction). At the time of the report, HYPERSENSITIVITY (Kind of allergic reaction) 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: 1559538
Sex: F
Age:
State: NV

Vax Date:
Onset Date: 01/15/2021
Rec V Date: 08/15/2021
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: light headache; Chills; Sore arm at the injection site; joints sore; Gout flared up/realized the gout was going to attack; This spontaneous case was reported by a consumer and describes the occurrence of GOUT (Gout flared up/realized the gout was going to attack), CHILLS (Chills), VACCINATION SITE PAIN (Sore arm at the injection site) and ARTHRALGIA (joints sore) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 041L20A) for COVID-19 vaccination. Concurrent medical conditions included Osteoarthritis. Concomitant products included METOPROLOL SUCCINATE (METOPROLOL SUCC CT), FUROSEMIDE (LASIX [FUROSEMIDE]), PRAVASTATIN, VITAMIN D [VITAMIN D NOS], ASCORBIC ACID, BETACAROTENE, CUPRIC OXIDE, TOCOPHERYL ACETATE, ZINC OXIDE (PRESERVISION) and FISH OIL for an unknown indication. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Jan-2021, the patient experienced GOUT (Gout flared up/realized the gout was going to attack). On 16-Jan-2021, the patient experienced CHILLS (Chills), VACCINATION SITE PAIN (Sore arm at the injection site) and ARTHRALGIA (joints sore). At the time of the report, GOUT (Gout flared up/realized the gout was going to attack), CHILLS (Chills), VACCINATION SITE PAIN (Sore arm at the injection site) and ARTHRALGIA (joints sore) outcome was unknown. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged. Patient reported, I do believe that a person, as myself, who has a history of high inflammation could possibly be susceptible to the problems I have experienced. No treatment information was provided. This case was linked to MOD-2021-084810 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 22-Apr-2021: The follow up was received- New event was added in the follow up. patient reported she never felt light headed, she felt light headache. patients assessment of causality was added.

Other Meds: METOPROLOL SUCC CT; LASIX [FUROSEMIDE]; PRAVASTATIN; VITAMIN D [VITAMIN D NOS]; PRESERVISION; FISH OIL

Current Illness: Osteoarthritis

ID: 1559539
Sex: F
Age: 0
State: NJ

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 08/15/2021
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: Arm sore; nausea; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm sore) and NAUSEA (nausea) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030NE0A) for COVID-19 vaccination. The patient's past medical history included Breast cancer and Shoulder prosthesis user. On 09-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Feb-2021, the patient experienced PAIN IN EXTREMITY (Arm sore) and NAUSEA (nausea). At the time of the report, PAIN IN EXTREMITY (Arm sore) and NAUSEA (nausea) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication was not reported. Treatment medication was not reported.

Other Meds:

Current Illness:

ID: 1559540
Sex: F
Age:
State:

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 08/15/2021
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: weakness; Loss of appetite; This spontaneous case was reported by a pharmacist and describes the occurrence of ASTHENIA (weakness) and DECREASED APPETITE (Loss of appetite) in an 85-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) (unknown route) 1 dosage form. On 02-Feb-2021, the patient experienced ASTHENIA (weakness) and DECREASED APPETITE (Loss of appetite). At the time of the report, ASTHENIA (weakness) and DECREASED APPETITE (Loss of appetite) had not resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant product use was unknown by the reporter. No treatment information provided.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm