VAERS 2021 Database www.vaers.hhs.gov

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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: 1561991
Sex: M
Age: 74
State: FL

Vax Date: 02/07/2021
Onset Date: 02/17/2021
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: Tsted positive for covid; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (Tsted positive for covid) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031L20A) for COVID-19 vaccination. No Medical History information was reported. On 07-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 COVID-19 (Tsted positive for covid). At the time of the report, COVID-19 (Tsted positive for covid) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 17-Feb-2021, COVID-19: (Positive) positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. No treatment information was provided. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1561992
Sex: U
Age:
State: NY

Vax Date: 03/02/2021
Onset Date: 03/02/2021
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: Tooth ache; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of TOOTHACHE (Tooth ache) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Mar-2021, the patient experienced TOOTHACHE (Tooth ache). At the time of the report, TOOTHACHE (Tooth ache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. Treatment details included consulting dentist. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1561993
Sex: U
Age: 34
State: PA

Vax Date: 03/02/2021
Onset Date: 03/02/2021
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: numb on nose and chin; numb on lip.; This spontaneous case was reported by a consumer and describes the occurrence of HYPOAESTHESIA (numb on nose and chin) and HYPOAESTHESIA ORAL (numb on lip.) in a 34-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013A21A) for COVID-19 vaccination. No Medical History information was reported. On 02-Mar-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Mar-2021, the patient experienced HYPOAESTHESIA (numb on nose and chin) and HYPOAESTHESIA ORAL (numb on lip.). At the time of the report, HYPOAESTHESIA (numb on nose and chin) and HYPOAESTHESIA ORAL (numb on lip.) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication was reported. No treatment was reported.

Other Meds:

Current Illness:

ID: 1561994
Sex: M
Age: 69
State: NY

Vax Date: 03/03/2021
Onset Date: 03/03/2021
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: lethargic; doesn't feel good/malaise; neck sore; arm sore; body aches; fever; Pain during injection; This spontaneous case was reported by an other health care professional and describes the occurrence of LETHARGY (lethargic), MALAISE (doesn't feel good/malaise), NECK PAIN (neck sore), PAIN IN EXTREMITY (arm sore) and MYALGIA (body aches) in a 69-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COVID-19 on 01-Apr-2020. On 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Mar-2021, the patient experienced VACCINATION SITE PAIN (Pain during injection). On 04-Mar-2021, the patient experienced LETHARGY (lethargic), MALAISE (doesn't feel good/malaise), NECK PAIN (neck sore), PAIN IN EXTREMITY (arm sore), MYALGIA (body aches) and PYREXIA (fever). The patient was treated with IBUPROFEN at an unspecified dose and frequency. At the time of the report, LETHARGY (lethargic), MALAISE (doesn't feel good/malaise), NECK PAIN (neck sore), PAIN IN EXTREMITY (arm sore), MYALGIA (body aches), PYREXIA (fever) and VACCINATION SITE PAIN (Pain during injection) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported.

Other Meds:

Current Illness:

ID: 1561995
Sex: F
Age: 40
State: FL

Vax Date: 03/01/2021
Onset Date: 03/02/2021
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: had a mild rash on her forehead and her chest; This spontaneous case was reported by a consumer and describes the occurrence of RASH (had a mild rash on her forehead and her chest) in a 40-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 024M20A) for COVID-19 vaccination. No Medical History information was reported. On 01-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) at an unspecified dose. On 02-Mar-2021, the patient experienced RASH (had a mild rash on her forehead and her chest). At the time of the report, RASH (had a mild rash on her forehead and her chest) 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.

Other Meds:

Current Illness:

ID: 1561996
Sex: F
Age: 68
State: PA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
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: vaccination site pain; muscle pain; tachycardia; felt strange; light headed; muscle tremors; muscle spasm; heavy breathing; Pressure in the chest and neck; Dizziness; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of TACHYCARDIA (tachycardia), FEELING ABNORMAL (felt strange), DIZZINESS (light headed), TREMOR (muscle tremors) and MUSCLE SPASMS (muscle spasm) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 01-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Mar-2021, the patient experienced TACHYCARDIA (tachycardia), FEELING ABNORMAL (felt strange), DIZZINESS (light headed), TREMOR (muscle tremors), MUSCLE SPASMS (muscle spasm), DYSPNOEA (heavy breathing), CHEST DISCOMFORT (Pressure in the chest and neck) and DIZZINESS (Dizziness). On 02-Mar-2021, the patient experienced VACCINATION SITE PAIN (vaccination site pain) and MYALGIA (muscle pain). On 01-Mar-2021, TACHYCARDIA (tachycardia), FEELING ABNORMAL (felt strange), DIZZINESS (light headed), TREMOR (muscle tremors), MUSCLE SPASMS (muscle spasm), DYSPNOEA (heavy breathing), CHEST DISCOMFORT (Pressure in the chest and neck) and DIZZINESS (Dizziness) had resolved. At the time of the report, VACCINATION SITE PAIN (vaccination site pain) and MYALGIA (muscle pain) 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: 1561997
Sex: F
Age:
State: NY

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: swelling on knee; hard to walk; tired; headache; achiness; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (headache), PAIN (achiness), FATIGUE (tired), JOINT SWELLING (swelling on knee) and GAIT DISTURBANCE (hard to walk) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 06-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-Feb-2021, the patient experienced HEADACHE (headache) and PAIN (achiness). On 08-Feb-2021, the patient experienced FATIGUE (tired). On 10-Feb-2021, the patient experienced JOINT SWELLING (swelling on knee) and GAIT DISTURBANCE (hard to walk). At the time of the report, HEADACHE (headache), PAIN (achiness), FATIGUE (tired), JOINT SWELLING (swelling on knee) and GAIT DISTURBANCE (hard to walk) 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: 1561998
Sex: M
Age: 72
State: FL

Vax Date: 03/03/2021
Onset Date: 03/03/2021
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: was cold; had chills; joint pain; had a little headache; just slept a lot; This spontaneous case was reported by a consumer and describes the occurrence of NASOPHARYNGITIS (was cold), FATIGUE (just slept a lot), CHILLS (had chills), ARTHRALGIA (joint pain) and HEADACHE (had a little headache) in a 72-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Hypertension. Concomitant products included LOSARTAN for Hypertension, VITAMINS NOS for an unknown indication. On 03-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) at an unspecified dose. On 03-Mar-2021, the patient experienced FATIGUE (just slept a lot). On 04-Mar-2021, the patient experienced NASOPHARYNGITIS (was cold), CHILLS (had chills), ARTHRALGIA (joint pain) and HEADACHE (had a little headache). At the time of the report, NASOPHARYNGITIS (was cold), FATIGUE (just slept a lot), CHILLS (had chills), ARTHRALGIA (joint pain) and HEADACHE (had a little headache) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 04-Mar-2021, Body temperature: 98.3 (normal) normal and 95 (Low) decreased. No treatment medications were provided. Action taken with mRNA-123 is not applicable.

Other Meds: LOSARTAN; VITAMINS NOS

Current Illness: Hypertension

ID: 1561999
Sex: M
Age: 65
State: SD

Vax Date: 01/27/2021
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: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: sore arm; felt tired; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (sore arm) and FATIGUE (felt tired) in a 65-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) 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) (unknown route) 1 dosage form. On 24-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE PAIN (sore arm) and FATIGUE (felt tired). At the time of the report, VACCINATION SITE PAIN (sore arm) and FATIGUE (felt tired) had resolved. No relevant concomitant medications were reported. No treatment information after the first dose was provided Action taken with mRNA-1273 in response to the events is not applicable. This case was linked to US-MODERNATX, INC.-MOD-2021-033662, US-MODERNATX, INC.-MOD-2021-033783 (E2B Linked Report). This case was linked to MOD-2021-033602 (Patient Link).; Sender's Comments: US-MODERNATX, INC.-MOD-2021-033662:crosslink US-MODERNATX, INC.-MOD-2021-033783:crosslink

Other Meds:

Current Illness:

ID: 1562000
Sex: F
Age:
State:

Vax Date: 01/23/2021
Onset Date: 01/24/2021
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: Low grade fever; Extreme nausea; Weakness; Fatigue that would not quit; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PYREXIA (Low grade fever), NAUSEA (Extreme nausea), ASTHENIA (Weakness) and FATIGUE (Fatigue that would not quit) 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 23-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 24-Jan-2021, the patient experienced PYREXIA (Low grade fever), NAUSEA (Extreme nausea), ASTHENIA (Weakness) and FATIGUE (Fatigue that would not quit). On 04-Feb-2021, PYREXIA (Low grade fever), NAUSEA (Extreme nausea), ASTHENIA (Weakness) and FATIGUE (Fatigue that would not quit) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood test: (abnormal) Very low folic acid, Very low vitamin D and K One liver enzyme was low. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product use was not reported. Treatment details for events was not provided

Other Meds:

Current Illness:

ID: 1562001
Sex: M
Age:
State: NC

Vax Date: 02/04/2021
Onset Date: 02/25/2021
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: Shingles; Red spots like rashes on left cheek and on butt; This spontaneous case was reported by a consumer and describes the occurrence of RASH (Red spots like rashes on left cheek and on butt) and HERPES ZOSTER (Shingles) in a 75-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011M20A) for COVID-19 vaccination. The patient's past medical history included Shingles. Concomitant products included CYANOCOBALAMIN (VITAMIN B-12) and ESZOPICLONE (LUNESTA) for an unknown indication. On 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) .5 ml. On 25-Feb-2021, the patient experienced RASH (Red spots like rashes on left cheek and on butt). On 02-Mar-2021, the patient experienced HERPES ZOSTER (Shingles). At the time of the report, RASH (Red spots like rashes on left cheek and on butt) and HERPES ZOSTER (Shingles) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Treatment includes Acyclovir 400mg (but has not started taking it).

Other Meds: VITAMIN B-12; LUNESTA

Current Illness:

ID: 1562002
Sex: F
Age: 54
State: MI

Vax Date: 12/30/2020
Onset Date: 12/30/2020
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: Diagnosed with shingle; Dizziness; Nausea; tired; Swollen breast; Upset stomach; Brain fog; Sore arm; This spontaneous case was reported by a nurse and describes the occurrence of PAIN IN EXTREMITY (Sore arm), BREAST SWELLING (Swollen breast), ABDOMINAL DISCOMFORT (Upset stomach), CONFUSIONAL STATE (Brain fog) and HERPES ZOSTER (Diagnosed with shingle) in a 54-year-old female patient 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. Concomitant products included CORTISONE for an unknown indication. On 30-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 30-Dec-2020, the patient experienced PAIN IN EXTREMITY (Sore arm). On 26-Jan-2021, the patient experienced BREAST SWELLING (Swollen breast), ABDOMINAL DISCOMFORT (Upset stomach), CONFUSIONAL STATE (Brain fog), NAUSEA (Nausea) and FATIGUE (tired). On 09-Feb-2021, the patient experienced HERPES ZOSTER (Diagnosed with shingle) and DIZZINESS (Dizziness). The patient was treated with GABAPENTIN (NEURONTIN) ongoing since an unknown date for Shingles, at an unspecified dose and frequency; TRAMADOL HYDROCHLORIDE (TRAMACET [TRAMADOL HYDROCHLORIDE]) ongoing since an unknown date for Discomfort, at an unspecified dose and frequency; IBUPROFEN (MOTRIN [IBUPROFEN]) at an unspecified dose and frequency and PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (Sore arm), BREAST SWELLING (Swollen breast), ABDOMINAL DISCOMFORT (Upset stomach), CONFUSIONAL STATE (Brain fog), HERPES ZOSTER (Diagnosed with shingle), DIZZINESS (Dizziness), NAUSEA (Nausea) and FATIGUE (tired) 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. Treatment details include antacid. This case was linked to MOD-2021-264331 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 22-Jul-2021: Updated reporter information, addition of event

Other Meds: CORTISONE

Current Illness:

ID: 1562003
Sex: M
Age: 75
State: CA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
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: Cloudy Thinking; Tight chest; light headed from vaccine; stomach ache; This spontaneous case was reported by a consumer and describes the occurrence of ABDOMINAL PAIN UPPER (stomach ache), FEELING ABNORMAL (Cloudy Thinking), CHEST DISCOMFORT (Tight chest) and DIZZINESS (light headed from vaccine) in a 75-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 042L20A and 042L20A) for COVID-19 vaccination. No Medical History information was reported. On 10-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 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 11-Feb-2021, the patient experienced ABDOMINAL PAIN UPPER (stomach ache). On an unknown date, the patient experienced FEELING ABNORMAL (Cloudy Thinking), CHEST DISCOMFORT (Tight chest) and DIZZINESS (light headed from vaccine). At the time of the report, ABDOMINAL PAIN UPPER (stomach ache), FEELING ABNORMAL (Cloudy Thinking), CHEST DISCOMFORT (Tight chest) and DIZZINESS (light headed from vaccine) outcome was unknown. Not Provided No relevant concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1562004
Sex: U
Age:
State:

Vax Date: 02/11/2021
Onset Date: 02/11/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Stomach trouble; Aches; This spontaneous case was reported by a consumer and describes the occurrence of ABDOMINAL DISCOMFORT (Stomach trouble) and PAIN (Aches) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 11-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 11-Feb-2021, the patient experienced ABDOMINAL DISCOMFORT (Stomach trouble) and PAIN (Aches). At the time of the report, ABDOMINAL DISCOMFORT (Stomach trouble) and PAIN (Aches) outcome was unknown. Concomitant product use was not provided by the reporter. Treatment information was not provided. Action taken with mRNA-1273 in response to the events was not applicable.

Other Meds:

Current Illness:

ID: 1562005
Sex: F
Age: 81
State: MO

Vax Date: 03/02/2021
Onset Date: 03/03/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: she feels her mind is leaving for a few seconds; This spontaneous case was reported by a consumer and describes the occurrence of DISORIENTATION (she feels her mind is leaving for a few seconds) in an 81-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013A21A) for COVID-19 vaccination. Co-suspect product included non-company product AMLODIPINE for an unknown indication. No medical history was reported by the reporter. On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient started AMLODIPINE (unknown route) at an unspecified dose. On 03-Mar-2021, the patient experienced DISORIENTATION (she feels her mind is leaving for a few seconds). At the time of the report, DISORIENTATION (she feels her mind is leaving for a few seconds) 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:

Current Illness:

ID: 1562006
Sex: F
Age: 84
State: CA

Vax Date: 02/27/2021
Onset Date: 02/24/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Terrible muscle; Joint pain; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (Terrible muscle) and ARTHRALGIA (Joint pain) in an 84-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025A21A) for COVID-19 vaccination. No Medical History information was reported. On 27-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 24-Feb-2021, the patient experienced MYALGIA (Terrible muscle) and ARTHRALGIA (Joint pain). At the time of the report, MYALGIA (Terrible muscle) and ARTHRALGIA (Joint pain) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant concomitant medications were reported.

Other Meds:

Current Illness:

ID: 1562007
Sex: F
Age: 61
State: OH

Vax Date: 02/08/2021
Onset Date: 02/08/2021
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: Sore red knot at the site of the injection; Warm to the touch at the site of injection; Itchy knot at the site of injection; Sore red knot at the site of the injection; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Sore red knot at the site of the injection), VACCINATION SITE RASH (Sore red knot at the site of the injection), VACCINATION SITE PRURITUS (Itchy knot at the site of injection) and VACCINATION SITE WARMTH (Warm to the touch at the site of injection) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013M20A) for COVID-19 vaccination. No Medical History information was reported. On 08-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 08-Feb-2021, the patient experienced VACCINATION SITE PAIN (Sore red knot at the site of the injection), VACCINATION SITE PRURITUS (Itchy knot at the site of injection) and VACCINATION SITE WARMTH (Warm to the touch at the site of injection). On an unknown date, the patient experienced VACCINATION SITE RASH (Sore red knot at the site of the injection). At the time of the report, VACCINATION SITE PAIN (Sore red knot at the site of the injection), VACCINATION SITE RASH (Sore red knot at the site of the injection), VACCINATION SITE PRURITUS (Itchy knot at the site of injection) and VACCINATION SITE WARMTH (Warm to the touch at the site of injection) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medications details were not reported by the reporter. Treatment details was not reported by the reporter.

Other Meds:

Current Illness:

ID: 1562008
Sex: F
Age:
State: MO

Vax Date:
Onset Date: 02/11/2021
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: This spontaneous case was reported by a consumer and describes the occurrence of NASAL CONGESTION (stuffy nose), PYREXIA (fever), MYALGIA (body aches) and CHILLS (chills) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event. Concomitant products included DIHYDRALAZINE SULFATE, HYDROCHLOROTHIAZIDE, RESERPINE, TRIAMTERENE (NO 0) for an unknown indication. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-Feb-2021, the patient experienced NASAL CONGESTION (stuffy nose), PYREXIA (fever), MYALGIA (body aches) and CHILLS (chills). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, NASAL CONGESTION (stuffy nose), PYREXIA (fever), MYALGIA (body aches) and CHILLS (chills) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. This case was linked to MOD-2021-031082 (Patient Link).

Other Meds: NO 0

Current Illness:

ID: 1562009
Sex: F
Age: 57
State: NV

Vax Date: 02/27/2021
Onset Date: 02/27/2021
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: Body ache; Messed up taste; Cough; Nausea; Chills; Vomiting; Tiredness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Body ache), TASTE DISORDER (Messed up taste), COUGH (Cough), NAUSEA (Nausea) and CHILLS (Chills) in a 57-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001A21A) 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 LEVOTHYROXINE, ASCORBIC ACID, ROSA CANINA FRUIT (VITAMIN C & ROSEHIP), VITAMIN D NOS and CYANOCOBALAMIN (VITAMIN B 12 [CYANOCOBALAMIN]) for an unknown indication. On 27-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Feb-2021, the patient experienced PAIN (Body ache), TASTE DISORDER (Messed up taste), COUGH (Cough), NAUSEA (Nausea), CHILLS (Chills), VOMITING (Vomiting) and FATIGUE (Tiredness). The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date at an unspecified dose and frequency; IBUPROFEN at an unspecified dose and frequency and BISMUTH SUBSALICYLATE (PEPTO-BISMOL) ongoing since an unknown date at an unspecified dose and frequency. On 03-Mar-2021, PAIN (Body ache), NAUSEA (Nausea), CHILLS (Chills) and VOMITING (Vomiting) had resolved. At the time of the report, TASTE DISORDER (Messed up taste), COUGH (Cough) and FATIGUE (Tiredness) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: LEVOTHYROXINE; VITAMIN C & ROSEHIP; VITAMIN D NOS; VITAMIN B 12 [CYANOCOBALAMIN]

Current Illness:

ID: 1562010
Sex: M
Age: 70
State: GA

Vax Date: 03/24/2021
Onset Date: 04/15/2021
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: chills presure in head and ears. Headaches, nausea, dizziness. It's been going on for4 months without any relief

Other Meds: Alprazolam, celecoxib, latanopost lisinpril

Current Illness:

ID: 1562011
Sex: F
Age: 54
State: NJ

Vax Date: 02/23/2021
Onset Date: 02/24/2021
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: Hives; Short of breath; This spontaneous case was reported by a health care professional and describes the occurrence of DYSPNOEA (Short of breath) and URTICARIA (Hives) in a 54-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022M20A) for COVID-19 vaccination. No Medical History information was reported. On 23-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-Feb-2021, the patient experienced DYSPNOEA (Short of breath). On 27-Feb-2021, the patient experienced URTICARIA (Hives). The patient was treated with PREDNISONE at an unspecified dose and frequency; FEXOFENADINE HYDROCHLORIDE (ALLEGRA) at an unspecified dose and frequency and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. At the time of the report, DYSPNOEA (Short of breath) outcome was unknown and URTICARIA (Hives) had not resolved. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was withdrawn on an unknown date. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Patient was prescribed with steroids and advised not to get the second dose. No concomitant medications were reported. Most recent FOLLOW-UP information incorporated above includes: On 30-Apr-2021: Follow up information received on 30-APR-2021 contains no significant information. On 21-Jun-2021: Followup information included additional treatment medications and action taken was updated.

Other Meds:

Current Illness:

ID: 1562012
Sex: M
Age: 46
State: FL

Vax Date: 08/14/2021
Onset Date: 08/14/2021
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: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-

Other Meds:

Current Illness:

ID: 1562013
Sex: M
Age: 46
State: NJ

Vax Date: 08/14/2021
Onset Date: 08/14/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-

Other Meds:

Current Illness:

ID: 1562014
Sex: M
Age: 16
State: TX

Vax Date: 04/02/2021
Onset Date: 04/02/2021
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: Error: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1562015
Sex: F
Age: 35
State: FL

Vax Date: 08/12/2021
Onset Date: 08/12/2021
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: Site: Pain at Injection Site-Severe, Systemic: lump under the arm after 2 days-Severe

Other Meds:

Current Illness:

ID: 1562016
Sex: M
Age: 74
State:

Vax Date: 03/02/2021
Onset Date: 03/02/2021
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: non stop diarrhea; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (non stop diarrhea) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011A21A) for COVID-19 vaccination. The patient's past medical history included Diarrhea (the patient said that he had same diarrhea a few months ago and asked about loperamide 2mg.). On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Mar-2021, the patient experienced DIARRHOEA (non stop diarrhea). On 03-Mar-2021, DIARRHOEA (non stop diarrhea) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. Treatment details was not reported by the reporter.

Other Meds:

Current Illness:

ID: 1562017
Sex: F
Age: 77
State: AZ

Vax Date: 02/15/2021
Onset Date: 02/16/2021
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: Itching all over; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (Itching all over) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030M20A) for COVID-19 vaccination. No Medical History information was reported. On 15-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Feb-2021, the patient experienced PRURITUS (Itching all over). At the time of the report, PRURITUS (Itching all over) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment included lotions and anti allergy medicines. No concomitant medications provided.

Other Meds:

Current Illness:

ID: 1562018
Sex: F
Age:
State: MA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
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: This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (fever) and TREMOR (shakes) in a 48-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030M20A) for COVID-19 vaccination. The patient's past medical history included COVID-19 (Tested + (positive) for COVID19 on 25thJAN2021.) on 25-Jan-2021. On 11-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Feb-2021, the patient experienced PYREXIA (fever) and TREMOR (shakes). At the time of the report, PYREXIA (fever) and TREMOR (shakes) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medications were not reported. No treatment details was reported. This case was linked to MOD-2021-031753 (Linked Report).; Sender's Comments: MOD-2021-031753:Husband case

Other Meds:

Current Illness:

ID: 1562019
Sex: M
Age: 69
State: NY

Vax Date: 03/02/2021
Onset Date: 03/02/2021
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: Dry mouth; taste isn't the same after first dose; still feeling dizzy; PAIN IN NECK, SHOULDER AND LOWER PACK; VERY EXHAUSTED AND FELT VERY FATIGUE AND HAD TO TAKE A NAP; LOCAL PAIN IN THE INJECTION SITE; very DIZZY; FELL IN THE MIDDLE OF THE STREET AND ALMOST GOT HIT BY A CAR; SENSITIVE TO ANY SORT OF SUNLIGHT, LIGHT VERY HARSH ON HIS EYES; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (very DIZZY), FALL (FELL IN THE MIDDLE OF THE STREET AND ALMOST GOT HIT BY A CAR), PHOTOPHOBIA (SENSITIVE TO ANY SORT OF SUNLIGHT, LIGHT VERY HARSH ON HIS EYES), DRY MOUTH (Dry mouth) and TASTE DISORDER (taste isn't the same after first dose) in a 69-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 Radiation therapy. Concurrent medical conditions included Penicillin allergy and Allergy to chemicals. Concomitant products included HYOSCYAMINE SULFATE (NULEV [HYOSCYAMINE SULFATE]) for Spasms, GLUCOSAMINE, CHONDROITIN, NAPROXEN SODIUM (ALEVE), CETIRIZINE HYDROCHLORIDE (ZYRTEC ALLERGY) and TAMSULOSIN HYDROCHLORIDE (FLOMAX RELIEF) for an unknown indication. On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Mar-2021, the patient experienced DIZZINESS (very DIZZY), FALL (FELL IN THE MIDDLE OF THE STREET AND ALMOST GOT HIT BY A CAR), PHOTOPHOBIA (SENSITIVE TO ANY SORT OF SUNLIGHT, LIGHT VERY HARSH ON HIS EYES), PAIN (PAIN IN NECK, SHOULDER AND LOWER PACK), FATIGUE (VERY EXHAUSTED AND FELT VERY FATIGUE AND HAD TO TAKE A NAP) and INJECTION SITE PAIN (LOCAL PAIN IN THE INJECTION SITE). On an unknown date, the patient experienced DRY MOUTH (Dry mouth), TASTE DISORDER (taste isn't the same after first dose) and DIZZINESS (still feeling dizzy). At the time of the report, DIZZINESS (very DIZZY), FALL (FELL IN THE MIDDLE OF THE STREET AND ALMOST GOT HIT BY A CAR), PHOTOPHOBIA (SENSITIVE TO ANY SORT OF SUNLIGHT, LIGHT VERY HARSH ON HIS EYES), DRY MOUTH (Dry mouth), TASTE DISORDER (taste isn't the same after first dose), DIZZINESS (still feeling dizzy), PAIN (PAIN IN NECK, SHOULDER AND LOWER PACK), FATIGUE (VERY EXHAUSTED AND FELT VERY FATIGUE AND HAD TO TAKE A NAP) and INJECTION SITE PAIN (LOCAL PAIN IN THE INJECTION SITE) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment medication was reported. Most recent FOLLOW-UP information incorporated above includes: On 03-Mar-2021: No specific follow-up information recorded. On 30-Mar-2021: No specific follow-up information recorded.

Other Meds: GLUCOSAMINE; CHONDROITIN; ALEVE; ZYRTEC ALLERGY; FLOMAX RELIEF; NULEV [HYOSCYAMINE SULFATE]

Current Illness:

ID: 1562020
Sex: F
Age: 71
State: CO

Vax Date: 01/11/2021
Onset Date: 01/11/2021
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: Nausea

Symptoms: Slight headache; Sweats; Still a little tender; Low grade fever; Chills; Exhaustion/ completely knocked down; Arm was more sore than after the first dose; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm was more sore than after the first dose), HYPERHIDROSIS (Sweats), TENDERNESS (Still a little tender), PYREXIA (Low grade fever) and CHILLS (Chills) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 012M20A and 041L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event (No recorded medical history). Concomitant products included METOPROLOL 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 08-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 11-Jan-2021, the patient experienced PAIN IN EXTREMITY (Arm was more sore than after the first dose). On 08-Feb-2021, the patient experienced HYPERHIDROSIS (Sweats), TENDERNESS (Still a little tender), PYREXIA (Low grade fever), CHILLS (Chills) and FATIGUE (Exhaustion/ completely knocked down). On 11-Feb-2021, the patient experienced HEADACHE (Slight headache). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. On 09-Feb-2021, HYPERHIDROSIS (Sweats) outcome was unknown, PYREXIA (Low grade fever) and CHILLS (Chills) had resolved. At the time of the report, PAIN IN EXTREMITY (Arm was more sore than after the first dose), TENDERNESS (Still a little tender), FATIGUE (Exhaustion/ completely knocked down) and HEADACHE (Slight headache) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 08-Feb-2021, Pyrexia: 101.1 (Inconclusive) 101.1 F. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medications reported included ellequist and metoprolol. This case was linked to MOD-2021-043867 (Patient Link).

Other Meds: METOPROLOL

Current Illness:

ID: 1562021
Sex: M
Age:
State: NY

Vax Date: 03/02/2021
Onset Date: 03/07/2021
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: feeling thirsty; This spontaneous case was reported by a consumer and describes the occurrence of THIRST (feeling thirsty) in a 76-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Diabetic. On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Mar-2021, the patient experienced THIRST (feeling thirsty). At the time of the report, THIRST (feeling thirsty) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment medications was not provided. No concomitant medications were provided.

Other Meds:

Current Illness: Diabetic

ID: 1562022
Sex: F
Age: 77
State: NE

Vax Date: 03/02/2021
Onset Date: 03/02/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: temperature of 100.4; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (temperature of 100.4) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025A21A) for COVID-19 vaccination. No Medical History information was reported. On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 02-Mar-2021, the patient experienced PYREXIA (temperature of 100.4). At the time of the report, PYREXIA (temperature of 100.4) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 02-Mar-2021, Body temperature: 100.4 (High) temperature of 100.4. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications reported. No treatment medications provided by the reporter.

Other Meds:

Current Illness:

ID: 1562023
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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: the next two days I was very very pale and very very fatigued; After taking the first covid shot I developed a rash, not hives but a rash on my arms, some of my; I was completely wiped out/the next two days I was very very pale and very very fatigued; This spontaneous case was reported by a nurse and describes the occurrence of PALLOR (the next two days I was very very pale and very very fatigued), RASH (After taking the first covid shot I developed a rash, not hives but a rash on my arms, some of my) and FATIGUE (I was completely wiped out/the next two days I was very very pale and very very fatigued) 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) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PALLOR (the next two days I was very very pale and very very fatigued), RASH (After taking the first covid shot I developed a rash, not hives but a rash on my arms, some of my) and FATIGUE (I was completely wiped out/the next two days I was very very pale and very very fatigued). At the time of the report, PALLOR (the next two days I was very very pale and very very fatigued), RASH (After taking the first covid shot I developed a rash, not hives but a rash on my arms, some of my) and FATIGUE (I was completely wiped out/the next two days I was very very pale and very very fatigued) 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.; 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: 1562024
Sex: F
Age: 57
State: MA

Vax Date: 01/15/2021
Onset Date: 02/11/2021
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: super itchy almost to the touch in all her body; Headache; felt like she had fever; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (super itchy almost to the touch in all her body), HEADACHE (Headache) and PYREXIA (felt like she had fever) in a 57-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012L20A) for COVID-19 vaccination. Concomitant products included ZINC SULFATE MONOHYDRATE (YES 2 ZINC) for an unknown indication. On 15-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 11-Feb-2021, the patient experienced PRURITUS (super itchy almost to the touch in all her body), HEADACHE (Headache) and PYREXIA (felt like she had fever). At the time of the report, PRURITUS (super itchy almost to the touch in all her body), HEADACHE (Headache) and PYREXIA (felt like she had fever) outcome was unknown. No treatment information was provided.

Other Meds: YES 2 ZINC

Current Illness:

ID: 1562025
Sex: F
Age:
State: NY

Vax Date: 02/11/2021
Onset Date: 02/11/2021
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: This spontaneous case was reported by a patient and describes the occurrence of DYSPEPSIA (Indigestion), FLATULENCE (gas), PYREXIA (fever 100.4), CHILLS (cold chills) and MYALGIA (arm is very sore) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 13M2DA and Unknown) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concomitant products included HCTZ and AMLODIPINE for an unknown indication. On 11-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. On 11-Feb-2021, the patient experienced DYSPEPSIA (Indigestion), FLATULENCE (gas), PYREXIA (fever 100.4), CHILLS (cold chills) and MYALGIA (arm is very sore). On an unknown date, the patient experienced HEADACHE (headache). The patient was treated with PARACETAMOL (TYLENOL) at a dose of 500 mg and IBUPROFEN (MOTRIN [IBUPROFEN]) at an unspecified dose and frequency. At the time of the report, DYSPEPSIA (Indigestion), FLATULENCE (gas), PYREXIA (fever 100.4), CHILLS (cold chills), MYALGIA (arm is very sore) and HEADACHE (headache) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 11-Feb-2021, Body temperature: 100.4 (High) had to go to ER last night due to fever 100.4. On 12-Feb-2021, Body temperature: 99.4 (High) Temperature is 99.4, took just before calling to customer care.. Most recent FOLLOW-UP information incorporated above includes: On 06-Jul-2021: Significant follow up Event Headache was Received

Other Meds: HCTZ; AMLODIPINE

Current Illness:

ID: 1562026
Sex: F
Age: 70
State: FL

Vax Date: 03/02/2021
Onset Date: 03/02/2021
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: Can only eat a little; Pain in hand; She cant lift up her left arm; Vomiting; Pain in wrist; Arm started hurting; Shoulder felt like it was on fire to rib cage through collarbone down to hand; Temperature of 102; Shivers; Diarrhoea; Urinating a lot; Injection more in shoulderthan arm; A spontaneous report was received from consumer concerning a 70 year female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced injection was administered in shoulder more than arm (product administered at inappropriate site), arm started hurting (pain in arm) , shoulder felt like it was on fire to rib cage through collarbone down to hand (burning sensation), had temperature of 102 (pyrexia), shivers (chills), vomiting (vomiting), urinating a lot (urine output increased), diarrhea (diarrhea), pain in wrist (arthralgia) and hand (pain in hand), she cannot lift up her left arm (vaccination site movement impairment), and can only eat a little (decreased appetite),. The patient's medical history included allergies. Concomitant product use was not reported. On 02 Mar 2021, the patient received their first of two planned doses of mRNA-1273 (Lot number: not provided) intramuscularly for prophylaxis of COVID-19 infection in shoulder more than her arm. On 02 Mar 2021, same day of receiving vaccine, the patient experienced arm started hurting (pain in arm), shoulder felt like it was on fire to rib cage through collarbone down to hand, had temperature of 102, shivers, vomiting, urinating a lot, and diarrhea. On 03 Mar 2021, next day of receiving vaccine, the patient experienced pain in wrist, hand pain, unable to lift up her left arm, and she was only able to eat a little. Treatment information was not provided. Action taken with mRNA-1273 with respect to the events was not reported. The outcome of the event, vaccine administered at inappropriate site was considered resolved and for the remaining events, it was not reported. The reporter did not provide the causality 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 events, a causal relationship cannot be excluded. This report also refers to a case of product administered at inappropriate site for mRNA-1273 (lot # unknown), with no associated AEs. Further information has been requested.

Other Meds:

Current Illness: Allergy (allergies)

ID: 1562027
Sex: M
Age: 81
State: TX

Vax Date: 02/02/2021
Onset Date: 03/03/2021
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: Site of injection is sore; fever(100.9F); This spontaneous case was reported by an other caregiver and describes the occurrence of VACCINATION SITE PAIN (Site of injection is sore) and PYREXIA (fever(100.9F)) in an 81-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 013A21A and 012M20A) 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-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 03-Mar-2021, the patient experienced VACCINATION SITE PAIN (Site of injection is sore) and PYREXIA (fever(100.9F)). At the time of the report, VACCINATION SITE PAIN (Site of injection is sore) and PYREXIA (fever(100.9F)) outcome was unknown. No relevant concomitant medications were reported. No treatment information was reported by the reporter Most recent FOLLOW-UP information incorporated above includes: On 30-Apr-2021: patients Contact info Email added

Other Meds:

Current Illness:

ID: 1562028
Sex: F
Age:
State: PR

Vax Date: 03/02/2021
Onset Date: 03/03/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Blood sugar level higher than normal (340); This spontaneous case was reported by a consumer and describes the occurrence of BLOOD GLUCOSE INCREASED (Blood sugar level higher than normal (340)) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011A21A) for COVID-19 vaccination. Concurrent medical conditions included Diabetes. On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-Mar-2021, the patient experienced BLOOD GLUCOSE INCREASED (Blood sugar level higher than normal (340)). At the time of the report, BLOOD GLUCOSE INCREASED (Blood sugar level higher than normal (340)) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Patient's insulin bomb is not enough for keeping the blood sugar level normalized. Patient is using extra injected insulin. Concomitant medications details were not reported by the reporter. Treatment Details was not reported by the reporter.

Other Meds:

Current Illness: Diabetes

ID: 1562029
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: 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: Generally feeling unwell; Rash; Chills; This spontaneous case was reported by a patient family member or friend and describes the occurrence of MALAISE (Generally feeling unwell), RASH (Rash) and CHILLS (Chills) in an elderly 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) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced MALAISE (Generally feeling unwell), RASH (Rash) and CHILLS (Chills). At the time of the report, MALAISE (Generally feeling unwell), RASH (Rash) and CHILLS (Chills) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were provided. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1562030
Sex: F
Age: 97
State: AZ

Vax Date: 02/14/2021
Onset Date: 02/26/2021
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: blocky spots; terrible itch; hives; This spontaneous case was reported by a non-health professional and describes the occurrence of SKIN DISCOLOURATION (blocky spots), PRURITUS (terrible itch) and URTICARIA (hives) in a 97-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 61620A) for COVID-19 vaccination. No Medical History information was reported. On 14-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 26-Feb-2021, the patient experienced SKIN DISCOLOURATION (blocky spots), PRURITUS (terrible itch) and URTICARIA (hives). At the time of the report, SKIN DISCOLOURATION (blocky spots), PRURITUS (terrible itch) and URTICARIA (hives) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. There is no concomitant details provided.

Other Meds:

Current Illness:

ID: 1562031
Sex: F
Age: 78
State: OH

Vax Date: 02/27/2021
Onset Date: 02/28/2021
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: Pain in extremity

Symptoms: balancing; like all around moving; little tired; chills; fever; headache; This spontaneous case was reported by a consumer and describes the occurrence of BALANCE DISORDER (balancing), VERTIGO (like all around moving), CHILLS (chills), PYREXIA (fever) and HEADACHE (headache) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 27-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 28-Feb-2021, the patient experienced CHILLS (chills), PYREXIA (fever) and HEADACHE (headache). On 03-Mar-2021, the patient experienced BALANCE DISORDER (balancing), VERTIGO (like all around moving) and FATIGUE (little tired). The patient was treated with PARACETAMOL (TYLENOL) for Fever chills and Headache, at an unspecified dose and frequency. At the time of the report, BALANCE DISORDER (balancing), VERTIGO (like all around moving), CHILLS (chills), PYREXIA (fever), HEADACHE (headache) and FATIGUE (little tired) outcome was unknown. Concomitant medications details were not reported by the reporter.

Other Meds:

Current Illness:

ID: 1562032
Sex: F
Age: 69
State: FL

Vax Date: 02/24/2021
Onset Date: 02/24/2021
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: Panic Attack with heart rate 117-122; Tachycardia; Flank pain; getting pacemaker put in; tongue tingling and burning; muscle pain around chest and breast; Slight rash on chin; Burning sensation on throat; neck muscle pain; welts on side of nose; itchy eyes; rash under armpit; left eye burning; right leg muscle pain; pain to left side of rib cage; My heart rate go up and down and not sure if Benadryl is doing it; I had tingling on tongue off and on; I had diarrhea twice; I don't sleep; I am anxious; burning throughout the body, feet burning, vas burning, mouth burning; pain in arms and legs; chills; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PARAESTHESIA ORAL (I had tingling on tongue off and on), DIARRHOEA (I had diarrhea twice), THROAT IRRITATION (Burning sensation on throat), HEART RATE ABNORMAL (My heart rate go up and down and not sure if Benadryl is doing it) and RASH (Slight rash on chin) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001A21A) for COVID-19 immunization. The occurrence of additional non-serious events is detailed below. Concomitant products included ALPRAZOLAM for Anxiety, FAMOTIDINE (PEPCID AC), OMEGA-3-ACID ETHYL ESTER (LOVAZA), MAGNESIUM, ACETYLSALICYLIC ACID (BABY ASPIRIN), AMLODIPINE, PITAVASTATIN CALCIUM (LIVALO), EZETIMIBE (ZETIA), GLYCERYL TRINITRATE (NITROGLYCERIN LINGUAL), DENOSUMAB (PROLIA), VITAMIN B COMPLEX, FOLIC ACID, CALCIUM, VITAMIN D3, DOCUSATE SODIUM (COLACE), PROBIOTICS NOS, SODIUM CHLORIDE (AYR SALINE) and MACROGOL 400, PROPYLENE GLYCOL (SYSTANE) for an unknown indication. On 24-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-Feb-2021, the patient experienced PARAESTHESIA ORAL (I had tingling on tongue off and on), DIARRHOEA (I had diarrhea twice), HEART RATE ABNORMAL (My heart rate go up and down and not sure if Benadryl is doing it), EYE PRURITUS (itchy eyes), RASH (rash under armpit), INSOMNIA (I don't sleep), ANXIETY (I am anxious), BURNING SENSATION (burning throughout the body, feet burning, vas burning, mouth burning), PAIN IN EXTREMITY (pain in arms and legs), CHILLS (chills), URTICARIA (welts on side of nose), EYE IRRITATION (left eye burning), PAIN IN EXTREMITY (right leg muscle pain) and MUSCULOSKELETAL CHEST PAIN (pain to left side of rib cage). On 25-Feb-2021, the patient experienced NECK PAIN (neck muscle pain). On 26-Feb-2021, the patient experienced THROAT IRRITATION (Burning sensation on throat). On 27-Feb-2021, the patient experienced RASH (Slight rash on chin). On 02-Mar-2021, the patient experienced MYALGIA (muscle pain around chest and breast). On 03-Mar-2021, the patient experienced TONGUE DISCOMFORT (tongue tingling and burning). In April 2021, the patient experienced CARDIAC PACEMAKER INSERTION (getting pacemaker put in). On an unknown date, the patient experienced PANIC ATTACK (Panic Attack with heart rate 117-122), TACHYCARDIA (Tachycardia) and FLANK PAIN (Flank pain). The patient was treated with FEXOFENADINE HYDROCHLORIDE (ALLEGRA) ongoing since an unknown date for Symptomatic treatment, at a dose of 60 mg. At the time of the report, PARAESTHESIA ORAL (I had tingling on tongue off and on), DIARRHOEA (I had diarrhea twice), THROAT IRRITATION (Burning sensation on throat), HEART RATE ABNORMAL (My heart rate go up and down and not sure if Benadryl is doing it), RASH (Slight rash on chin), EYE PRURITUS (itchy eyes), RASH (rash under armpit), MYALGIA (muscle pain around chest and breast), INSOMNIA (I don't sleep), ANXIETY (I am anxious), BURNING SENSATION (burning throughout the body, feet burning, vas burning, mouth burning), PAIN IN EXTREMITY (pain in arms and legs), CHILLS (chills), NECK PAIN (neck muscle pain), URTICARIA (welts on side of nose), TONGUE DISCOMFORT (tongue tingling and burning), EYE IRRITATION (left eye burning), PAIN IN EXTREMITY (right leg muscle pain) and MUSCULOSKELETAL CHEST PAIN (pain to left side of rib cage) had not resolved and CARDIAC PACEMAKER INSERTION (getting pacemaker put in), PANIC ATTACK (Panic Attack with heart rate 117-122), TACHYCARDIA (Tachycardia) and FLANK PAIN (Flank pain) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient was treated with Benadryl oral, Benadryl IV, IV Pepcid and Allegra. Patient informed that none of the events had subsided and waiting for safety to call-back. . Most recent FOLLOW-UP information incorporated above includes: On 17-Mar-2021: No specific follow-up information recorded. On 15-Apr-2021: Significant follow up appended. On 20-May-2021: Additional information, AE Added

Other Meds: PEPCID AC; LOVAZA; MAGNESIUM; BABY ASPIRIN; AMLODIPINE; LIVALO; ZETIA; NITROGLYCERIN LINGUAL; ALPRAZOLAM; PROLIA; VITAMIN B COMPLEX; FOLIC ACID; CALCIUM; VITAMIN D3; COLACE; PROBIOTICS NOS; AYR SALINE; SYSTANE

Current Illness:

ID: 1562033
Sex: F
Age: 66
State: NY

Vax Date: 02/25/2021
Onset Date: 03/03/2021
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: waves of dizziness; loss of appetite; Nausea; is very tired; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (waves of dizziness), DECREASED APPETITE (loss of appetite), NAUSEA (Nausea) and FATIGUE (is very tired) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010A21A) for COVID-19 vaccination. No Medical History information was reported. On 25-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Mar-2021, the patient experienced DIZZINESS (waves of dizziness), DECREASED APPETITE (loss of appetite), NAUSEA (Nausea) and FATIGUE (is very tired). On 05-Mar-2021, DIZZINESS (waves of dizziness), DECREASED APPETITE (loss of appetite), NAUSEA (Nausea) and FATIGUE (is very tired) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications were not reported. Treatment information was not provided. Most recent FOLLOW-UP information incorporated above includes: On 30-Jun-2021: Updated outcome of events from Unknown to Recovered/Resolved

Other Meds:

Current Illness:

ID: 1562034
Sex: F
Age: 51
State: NC

Vax Date: 02/10/2021
Onset Date: 02/11/2021
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: arm is killing patient; fever of 100.6 degrees; achiness; joint pain; fatigue; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (arm is killing patient), PYREXIA (fever of 100.6 degrees), MYALGIA (achiness), ARTHRALGIA (joint pain) and FATIGUE (fatigue) in a 51-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 028L20A) for COVID-19 vaccination. No Medical History information was reported. On 10-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Feb-2021, the patient experienced PAIN IN EXTREMITY (arm is killing patient), PYREXIA (fever of 100.6 degrees), MYALGIA (achiness), ARTHRALGIA (joint pain) and FATIGUE (fatigue). At the time of the report, PAIN IN EXTREMITY (arm is killing patient), PYREXIA (fever of 100.6 degrees), MYALGIA (achiness), ARTHRALGIA (joint pain) and FATIGUE (fatigue) outcome was unknown. The action taken with mRNA -1273 in response to the event was not applicable. No concomitant medication information was provided. The patients treatment product information included tylenol.

Other Meds:

Current Illness:

ID: 1562035
Sex: F
Age: 69
State:

Vax Date: 03/01/2021
Onset Date: 03/03/2021
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: Diarrhea; This spontaneous case was reported by a physician and describes the occurrence of DIARRHOEA (Diarrhea) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011A21A) for COVID-19 vaccination. Concurrent medical conditions included Blood pressure, Diabetes and Acid reflux (oesophageal). Concomitant products included GABAPENTIN and AMITRIPTYLINE HYDROCHLORIDE (ELAVIL [AMITRIPTYLINE HYDROCHLORIDE]) for an unknown indication. On 01-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Mar-2021, the patient experienced DIARRHOEA (Diarrhea). At the time of the report, DIARRHOEA (Diarrhea) was resolving. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Patient take Pepto Bismol for Treatment medication. Most recent FOLLOW-UP information incorporated above includes: On 30-Apr-2021: NNI

Other Meds: GABAPENTIN; ELAVIL [AMITRIPTYLINE HYDROCHLORIDE]

Current Illness: Acid reflux (oesophageal); Blood pressure; Diabetes

ID: 1562036
Sex: M
Age: 78
State: PA

Vax Date: 02/03/2021
Onset Date:
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: redness; hives; rash on back and clavicle; (rash) very itchy; Rash at the injection site in the left arm; This spontaneous case was reported by an other health care professional (subsequently medically confirmed) and describes the occurrence of ERYTHEMA (redness), URTICARIA (hives), RASH (rash on back and clavicle), RASH PRURITIC ((rash) very itchy) and VACCINATION SITE RASH (Rash at the injection site in the left arm) in a 78-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 038K20A and 025A21A) for COVID-19 vaccination. Concurrent medical conditions included Hypertension and Benign prostatic hyperplasia. Concomitant products included AMLODIPINE for Blood pressure management, TADALAFIL for Enlarged prostate. On 03-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced ERYTHEMA (redness), URTICARIA (hives), RASH (rash on back and clavicle), RASH PRURITIC ((rash) very itchy) and VACCINATION SITE RASH (Rash at the injection site in the left arm). At the time of the report, ERYTHEMA (redness) and VACCINATION SITE RASH (Rash at the injection site in the left arm) outcome was unknown and URTICARIA (hives), RASH (rash on back and clavicle) and RASH PRURITIC ((rash) very itchy) had not resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Treatment medication includes Benadryl, Steroid Ointment and Body Wash. This case was linked to MOD-2021-037010 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 03-May-2021: Follow up information was received: Added Patient Demographics, Reporter Information, Medical History Information, Concomitant and Treatment Medications, Events associated with vaccine.

Other Meds: AMLODIPINE; TADALAFIL

Current Illness: Benign prostatic hyperplasia; Hypertension

ID: 1562037
Sex: U
Age:
State: SC

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: dizziness; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (dizziness) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 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 DIZZINESS (dizziness). At the time of the report, DIZZINESS (dizziness) outcome was unknown. 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: 1562038
Sex: M
Age: 70
State: NC

Vax Date: 02/04/2021
Onset Date: 02/04/2021
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: numbness in mouth; tingling in fingers/toes; pain in feet; loss of taste; muscle pain; joint pain; fatigue; headache; chills; This spontaneous case was reported by a consumer and describes the occurrence of HYPOAESTHESIA ORAL (numbness in mouth), PARAESTHESIA (tingling in fingers/toes), PAIN IN EXTREMITY (pain in feet), AGEUSIA (loss of taste) and MYALGIA (muscle pain) in a 70-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COVID-19 on 21-Dec-2020. Concurrent medical conditions included Food allergy, Drug allergy (Hydrocodone allergy, Inderal allergy), High cholesterol, Diabetes, Blood pressure high, Atrial fibrillation and Prostate examination abnormal (prostate issues unspecified). Concomitant products included METFORMIN, PRAVASTATIN, LISINOPRIL, SOTALOL, RIVAROXABAN (XARELTO) and FINASTERIDE for an unknown indication. On 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Feb-2021, the patient experienced MYALGIA (muscle pain), ARTHRALGIA (joint pain), FATIGUE (fatigue), HEADACHE (headache) and CHILLS (chills). On 12-Feb-2021, the patient experienced HYPOAESTHESIA ORAL (numbness in mouth), PARAESTHESIA (tingling in fingers/toes), PAIN IN EXTREMITY (pain in feet) and AGEUSIA (loss of taste). At the time of the report, HYPOAESTHESIA ORAL (numbness in mouth), PARAESTHESIA (tingling in fingers/toes), PAIN IN EXTREMITY (pain in feet), AGEUSIA (loss of taste), MYALGIA (muscle pain), ARTHRALGIA (joint pain), FATIGUE (fatigue), HEADACHE (headache) and CHILLS (chills) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 21-Dec-2020, SARS-CoV-2 test: positive (Positive) positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Treatment medication not reported.

Other Meds: METFORMIN; PRAVASTATIN; LISINOPRIL; SOTALOL; XARELTO; FINASTERIDE

Current Illness: Atrial fibrillation; Blood pressure high; Diabetes; Drug allergy (Hydrocodone allergy, Inderal allergy); Food allergy; High cholesterol; Prostate examination abnormal (prostate issues unspecified)

ID: 1562039
Sex: F
Age:
State:

Vax Date: 03/01/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: side effects; This spontaneous case was reported by a consumer and describes the occurrence of ADVERSE DRUG REACTION (side effects) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 01-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ADVERSE DRUG REACTION (side effects). At the time of the report, ADVERSE DRUG REACTION (side effects) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medications details were not reported by the reporter. Treatment details was not reported by the reporter. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1562040
Sex: F
Age: 53
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/31/2021
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: This spontaneous case was reported by a nurse (subsequently medically confirmed) and describes the occurrence of OROPHARYNGEAL PAIN (Sore throat), NASAL CONGESTION (Congestion), RHINORRHOEA (Runny nose), PYREXIA (Fever 99.4F) and HEADACHE (Headache) in a 54-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 06-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 31-Jan-2021, the patient experienced NASAL CONGESTION (Congestion) and RHINORRHOEA (Runny nose). On 02-Feb-2021, the patient experienced OROPHARYNGEAL PAIN (Sore throat) and HEADACHE (Headache). On an unknown date, the patient experienced PYREXIA (Fever 99.4F). At the time of the report, OROPHARYNGEAL PAIN (Sore throat), NASAL CONGESTION (Congestion), RHINORRHOEA (Runny nose), PYREXIA (Fever 99.4F) and HEADACHE (Headache) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 02-Feb-2021, COVID-19: positive Positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medication was taken. No treatment medication was taken.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm