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

Incidents per State

State Total
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1610840
Sex: M
Age:
State:

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

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Symptom List:

Symptoms: does not feel well; has had rash on body for 2 days; been throwing up for 2 days; This spontaneous case was reported by a consumer and describes the occurrence of MALAISE (does not feel well), RASH (has had rash on body for 2 days) and VOMITING (been throwing up for 2 days) 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 first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced MALAISE (does not feel well), RASH (has had rash on body for 2 days) and VOMITING (been throwing up for 2 days). At the time of the report, MALAISE (does not feel well), RASH (has had rash on body for 2 days) and VOMITING (been throwing up for 2 days) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. No corrective treatment was provided. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1610841
Sex: F
Age: 59
State: OH

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 08/22/2021
Hospital:

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Symptom List:

Symptoms: area of the shot feels hot; left upper arm is sore; area of the shot has red blotchiness; area of the shot is swollen; chills; felt really hot; This spontaneous case was reported by a consumer and describes the occurrence of FEELING HOT (felt really hot), VACCINATION SITE WARMTH (area of the shot feels hot), VACCINATION SITE PAIN (left upper arm is sore), VACCINATION SITE ERYTHEMA (area of the shot has red blotchiness) and VACCINATION SITE SWELLING (area of the shot is swollen) in a 59-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 044B21A,) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Multiple sclerosis. On 20-Apr-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 20-Apr-2021, the patient experienced FEELING HOT (felt really hot) and CHILLS (chills). On 23-Apr-2021, the patient experienced VACCINATION SITE WARMTH (area of the shot feels hot), VACCINATION SITE PAIN (left upper arm is sore), VACCINATION SITE ERYTHEMA (area of the shot has red blotchiness) and VACCINATION SITE SWELLING (area of the shot is swollen). On 21-Apr-2021, CHILLS (chills) outcome was unknown. At the time of the report, FEELING HOT (felt really hot), VACCINATION SITE WARMTH (area of the shot feels hot), VACCINATION SITE PAIN (left upper arm is sore), VACCINATION SITE ERYTHEMA (area of the shot has red blotchiness) and VACCINATION SITE SWELLING (area of the shot is swollen) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Patient reported taking acetaminophen 500mg (Tylenol ES) every four hours since she received the vaccine on April 20th, 2021 and putting warm and cold compresses on April 23rd, 2020 on her left upper arm to treat the events.

Other Meds:

Current Illness: Multiple sclerosis

ID: 1610842
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/22/2021
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Symptoms: a women that she does yoga with was very tired after moderna vaccine; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (a women that she does yoga with was very tired after moderna vaccine) 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 FATIGUE (a women that she does yoga with was very tired after moderna vaccine). At the time of the report, FATIGUE (a women that she does yoga with was very tired after moderna vaccine) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medication was not provided. Treatment information was not provided This case was linked to US-MODERNATX, INC.-MOD-2021-089114, US-MODERNATX, INC.-MOD-2021-089130 (E2B Linked Report). Reporter did not allow further contact; Sender's Comments: US-MODERNATX, INC.-MOD-2021-089114: US-MODERNATX, INC.-MOD-2021-089130:

Other Meds:

Current Illness:

ID: 1610843
Sex: F
Age: 69
State: NV

Vax Date: 02/25/2021
Onset Date: 03/27/2021
Rec V Date: 08/22/2021
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Symptoms: Swollen legs, thighs, knees, ankles, toes, elbows.; Swollen legs, thighs, knees, ankles, toes, elbows/Swelling joints/finger joints are swollen; Bra got tight; Painful joints/achyness around the kneecap; Low grade fever; Injection site still hurts; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (Swollen legs, thighs, knees, ankles, toes, elbows.), JOINT SWELLING (Swollen legs, thighs, knees, ankles, toes, elbows/Swelling joints/finger joints are swollen), BREAST TENDERNESS (Bra got tight), ARTHRALGIA (Painful joints/achyness around the kneecap) and PYREXIA (Low grade fever) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 002A21A and 001B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Meniere's disease, Pain (Pain syndrome), Hypothyroidism, Sleep problem and Migraine. Concomitant products included LEVOTHYROXINE for Hypothyroidism, TRIAMTERENE for Meniere's disease, SUMATRIPTAN for Migraine, TIZANIDINE for Muscle relaxant, HYDROCODONE for Pain, DIAZEPAM for Sleep problem. On 25-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 27-Mar-2021, the patient experienced PERIPHERAL SWELLING (Swollen legs, thighs, knees, ankles, toes, elbows.), BREAST TENDERNESS (Bra got tight), ARTHRALGIA (Painful joints/achyness around the kneecap), PYREXIA (Low grade fever) and VACCINATION SITE PAIN (Injection site still hurts). 27-Mar-2021, the patient experienced JOINT SWELLING (Swollen legs, thighs, knees, ankles, toes, elbows/Swelling joints/finger joints are swollen). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. At the time of the report, PERIPHERAL SWELLING (Swollen legs, thighs, knees, ankles, toes, elbows.), JOINT SWELLING (Swollen legs, thighs, knees, ankles, toes, elbows/Swelling joints/finger joints are swollen), BREAST TENDERNESS (Bra got tight), ARTHRALGIA (Painful joints/achyness around the kneecap), PYREXIA (Low grade fever) and VACCINATION SITE PAIN (Injection site still hurts) outcome was unknown. Most recent FOLLOW-UP information incorporated above includes: On 26-Jul-2021: Follow-up received and contains no new information On 27-Jul-2021: Follow-up information received on 27-JUL-2021 contains significant information Events swelling of legs and joint swelling added.

Other Meds: TRIAMTERENE; HYDROCODONE; LEVOTHYROXINE; DIAZEPAM; TIZANIDINE; SUMATRIPTAN

Current Illness: Hypothyroidism; Meniere's disease; Migraine; Pain (Pain syndrome); Sleep problem

ID: 1610844
Sex: M
Age: 59
State: CA

Vax Date: 03/21/2021
Onset Date:
Rec V Date: 08/22/2021
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Symptoms: This spontaneous case was reported by a consumer and describes the occurrence of MEDICAL DEVICE SITE JOINT PAIN (Joint pain in artifical joint) in a 59-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045A21A) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 21-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced MEDICAL DEVICE SITE JOINT PAIN (Joint pain in artifical joint). At the time of the report, MEDICAL DEVICE SITE JOINT PAIN (Joint pain in artifical joint) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided. No treatment details were provided.

Other Meds:

Current Illness:

ID: 1610845
Sex: F
Age: 51
State: FL

Vax Date: 03/25/2021
Onset Date: 04/23/2021
Rec V Date: 08/22/2021
Hospital:

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Symptoms: fever of 101.8; muscle aches throughout the whole body; injection site pain; joint pain; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (fever of 101.8), MYALGIA (muscle aches throughout the whole body), INJECTION SITE PAIN (injection site pain) and ARTHRALGIA (joint pain) in a 51-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 048A21A and 048A21A) for COVID-19 vaccination. No Medical History information was reported. On 25-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 23-Apr-2021, the patient experienced PYREXIA (fever of 101.8), MYALGIA (muscle aches throughout the whole body), INJECTION SITE PAIN (injection site pain) and ARTHRALGIA (joint pain). The patient was treated with PARACETAMOL (TYLENOL) on 23-Apr-2021 at an unspecified dose and frequency and PARACETAMOL (TYLENOL) on 23-Apr-2021 at an unspecified dose and frequency. At the time of the report, PYREXIA (fever of 101.8) had not resolved and MYALGIA (muscle aches throughout the whole body), INJECTION SITE PAIN (injection site pain) and ARTHRALGIA (joint pain) outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 23-Apr-2021, Body temperature: 101.8 (High) fever. Concomitant medications were not reported. The patient took 2 extra strength Tylenol at 8:00, and 2 more at 13:30 on 23APR2021.

Other Meds:

Current Illness:

ID: 1610846
Sex: F
Age:
State:

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

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Symptom List:

Symptoms: Upset Stomach; This spontaneous case was reported by a consumer and describes the occurrence of ABDOMINAL DISCOMFORT (Upset Stomach) 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 ABDOMINAL DISCOMFORT (Upset Stomach). At the time of the report, ABDOMINAL DISCOMFORT (Upset Stomach) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications were not reported Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1610847
Sex: F
Age:
State: VA

Vax Date: 04/21/2021
Onset Date:
Rec V Date: 08/22/2021
Hospital:

Vax Type:
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Vax Name:
Lot:
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Lab Data:

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Symptom List:

Symptoms: She got a sore arm; Headache; nausea; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (She got a sore arm), HEADACHE (Headache) and NAUSEA (nausea) 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-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (She got a sore arm), HEADACHE (Headache) and NAUSEA (nausea). At the time of the report, PAIN IN EXTREMITY (She got a sore arm), HEADACHE (Headache) and NAUSEA (nausea) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications were not reported Treatment received in response to the event was not reported.

Other Meds:

Current Illness:

ID: 1610848
Sex: F
Age:
State: MD

Vax Date: 03/24/2021
Onset Date: 04/21/2021
Rec V Date: 08/22/2021
Hospital:

Vax Type:
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Symptom List:

Symptoms: Arm hurts; Fever in her arm; Sore arm at the injection site; Redness; Swollen; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm hurts), VACCINATION SITE WARMTH (Fever in her arm), VACCINATION SITE PAIN (Sore arm at the injection site), VACCINATION SITE ERYTHEMA (Redness) and VACCINATION SITE SWELLING (Swollen) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 048B21A and 046A21A) for COVID-19 vaccination. No Medical History information was reported. On 24-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 21-Apr-2021, the patient experienced VACCINATION SITE WARMTH (Fever in her arm), VACCINATION SITE PAIN (Sore arm at the injection site), VACCINATION SITE ERYTHEMA (Redness) and VACCINATION SITE SWELLING (Swollen). On an unknown date, the patient experienced PAIN IN EXTREMITY (Arm hurts). The patient was treated with PARACETAMOL (TYLENOL) at a dose of 1 dosage form and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL ALLERGY [DIPHENHYDRAMINE HYDROCHLORIDE]) at a dose of 1 dosage form. At the time of the report, PAIN IN EXTREMITY (Arm hurts), VACCINATION SITE WARMTH (Fever in her arm), VACCINATION SITE PAIN (Sore arm at the injection site), VACCINATION SITE ERYTHEMA (Redness) and VACCINATION SITE SWELLING (Swollen) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant product information, if any, was not provided by the reporter. The patient stated that she had no side effects with first dose of vaccine. Most recent FOLLOW-UP information incorporated above includes: On 18-Jun-2021: Additional information included treatment medication and outcome of events changed from unknown to recovered.

Other Meds:

Current Illness:

ID: 1610849
Sex: F
Age: 45
State: NJ

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 08/22/2021
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Symptoms: numbness on left side of the face; This spontaneous case was reported by a consumer and describes the occurrence of HYPOAESTHESIA (numbness on left side of the face) in a 45-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009C21A) for COVID-19 vaccination. No Medical History information was reported. On 22-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Apr-2021, the patient experienced HYPOAESTHESIA (numbness on left side of the face). At the time of the report, HYPOAESTHESIA (numbness on left side of the face) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications provided. No treatment was reported for this event.

Other Meds:

Current Illness:

ID: 1610850
Sex: F
Age: 39
State: FL

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 08/22/2021
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Symptoms: smell of blood on and off; sore arm; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (sore arm) and PAROSMIA (smell of blood on and off) in a 39-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 046B21A) for COVID-19 vaccination. Concurrent medical conditions included Drug allergy (Allergy to Aspirin). On 22-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Apr-2021, the patient experienced VACCINATION SITE PAIN (sore arm). On 23-Apr-2021, the patient experienced PAROSMIA (smell of blood on and off). At the time of the report, VACCINATION SITE PAIN (sore arm) and PAROSMIA (smell of blood on and off) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were provided. No treatment drugs were reported. She has an allergy to aspirin where she vomits blood.

Other Meds:

Current Illness: Drug allergy (Allergy to Aspirin)

ID: 1610851
Sex: F
Age: 40
State: WA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 08/22/2021
Hospital:

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Symptoms: Vomited; This spontaneous case was reported by a consumer and describes the occurrence of VOMITING (Vomited) and DIARRHOEA in a 39-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 009C21A) for COVID-19 vaccination. No Medical History information was reported. On 22-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Apr-2021, the patient experienced VOMITING (Vomited) and DIARRHOEA. At the time of the report, VOMITING (Vomited) and DIARRHOEA outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product use was not provided. No treatment was reported.

Other Meds:

Current Illness:

ID: 1610852
Sex: F
Age: 54
State: IL

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 08/22/2021
Hospital:

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Symptoms: Dizziness; Nausea; Chills; Fever of 102.3; Shakes all night; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (Dizziness), NAUSEA (Nausea), CHILLS (Chills), PYREXIA (Fever of 102.3) and TREMOR (Shakes all night) in a 54-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 018-B21A) for COVID-19 vaccination. The patient's past medical history included COVID-19 in January 2021. Concomitant products included MULTIVITAMIN [VITAMINS NOS] for an unknown indication. On 22-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Apr-2021, the patient experienced DIZZINESS (Dizziness), NAUSEA (Nausea), CHILLS (Chills), PYREXIA (Fever of 102.3) and TREMOR (Shakes all night). At the time of the report, DIZZINESS (Dizziness), NAUSEA (Nausea), CHILLS (Chills), PYREXIA (Fever of 102.3) and TREMOR (Shakes all night) outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 22-Apr-2021, Body temperature: 102.3 (High) High. 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. The concomitant medications were not reported The treatment information was not provided. Most recent FOLLOW-UP information incorporated above includes: On 23-Apr-2021: Follow-up was received on 26-MAY-2021 and has no new information.

Other Meds: MULTIVITAMIN [VITAMINS NOS]

Current Illness:

ID: 1610853
Sex: M
Age:
State: GA

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

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Symptoms: Sore arm after 1st dose; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (Sore arm after 1st dose) 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 first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced MYALGIA (Sore arm after 1st dose). At the time of the report, MYALGIA (Sore arm after 1st dose) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1610854
Sex: F
Age: 59
State: MA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 08/22/2021
Hospital:

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Symptom List:

Symptoms: sore arm for four days; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (sore arm for four days) in a 59-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007B21A) for COVID-19 vaccination. No Medical History information was reported. On 23-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Mar-2021, the patient experienced PAIN IN EXTREMITY (sore arm for four days). On 27-Mar-2021, PAIN IN EXTREMITY (sore arm for four days) had resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Concomitant medication were reported. Treatment medication was not provided. This case was linked to MOD-2021-089169 (Patient Link).

Other Meds:

Current Illness:

ID: 1610855
Sex: F
Age:
State:

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 08/22/2021
Hospital:

Vax Type:
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Vax Site:

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Allergies:

Symptom List:

Symptoms: not received second dose; Lad trouble raising her hand,; Arm is hard to stretch; Feeling dizzy; ringing in ear; Left arm is heavy; Headache; Knees are aching; Left arm is aching \ Left hand is aching; was very very tired; feel lump on left arm; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE MASS (feel lump on left arm), PRODUCT DOSE OMISSION ISSUE (not received second dose), MOVEMENT DISORDER (Lad trouble raising her hand,), MUSCULOSKELETAL STIFFNESS (Arm is hard to stretch) and DIZZINESS (Feeling dizzy) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032D21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 24-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-Apr-2021, the patient experienced VACCINATION SITE MASS (feel lump on left arm), MOVEMENT DISORDER (Lad trouble raising her hand,), MUSCULOSKELETAL STIFFNESS (Arm is hard to stretch), DIZZINESS (Feeling dizzy), TINNITUS (ringing in ear), LIMB DISCOMFORT (Left arm is heavy), HEADACHE (Headache), ARTHRALGIA (Knees are aching), MYALGIA (Left arm is aching \ Left hand is aching) and FATIGUE (was very very tired). On an unknown date, the patient experienced PRODUCT DOSE OMISSION ISSUE (not received second dose). At the time of the report, VACCINATION SITE MASS (feel lump on left arm), PRODUCT DOSE OMISSION ISSUE (not received second dose), MOVEMENT DISORDER (Lad trouble raising her hand,), MUSCULOSKELETAL STIFFNESS (Arm is hard to stretch), DIZZINESS (Feeling dizzy), TINNITUS (ringing in ear), LIMB DISCOMFORT (Left arm is heavy), HEADACHE (Headache), ARTHRALGIA (Knees are aching), MYALGIA (Left arm is aching \ Left hand is aching) and FATIGUE (was very very tired) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Concomitant Medications were provided by the reporter No Treatment information were provided by the reporter Most recent FOLLOW-UP information incorporated above includes: On 02-Aug-2021: Significant followup received and contains Reporters address & added events like ringing in ear,feel lump on left arm,was very very tired,lad trouble raising her hand.

Other Meds:

Current Illness:

ID: 1610856
Sex: F
Age: 27
State: OH

Vax Date: 04/17/2021
Onset Date: 04/19/2021
Rec V Date: 08/22/2021
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Symptoms: Diarrhea; Severe stomach pain; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (Diarrhea) and ABDOMINAL PAIN UPPER (Severe stomach pain) in a 27-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031B21A) for COVID-19 vaccination. No Medical History information was reported. On 17-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Apr-2021, the patient experienced DIARRHOEA (Diarrhea) and ABDOMINAL PAIN UPPER (Severe stomach pain). On 19-Apr-2021, ABDOMINAL PAIN UPPER (Severe stomach pain) had resolved. At the time of the report, DIARRHOEA (Diarrhea) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient reported watery stool multiple times a day following severe abdominal pain that patient describes as "worse than cramping". Patient reports Pepto-Bismol relieved the abdominal pains and they have not returned; however, the diarrhea has continued for an entire week. No Concomitant medication were reported. Treatment medication was not provided.

Other Meds:

Current Illness:

ID: 1610857
Sex: F
Age:
State:

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 08/22/2021
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Symptoms: Arthrisitis symptoms flared up; Muscle aches; Joint pains; Chills; Headache; This spontaneous case was reported by a consumer and describes the occurrence of ARTHRITIS (Arthrisitis symptoms flared up), MYALGIA (Muscle aches), ARTHRALGIA (Joint pains), CHILLS (Chills) and HEADACHE (Headache) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Arthritis (controlled arthritis). On 22-Apr-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 22-Apr-2021, the patient experienced ARTHRITIS (Arthrisitis symptoms flared up), MYALGIA (Muscle aches), ARTHRALGIA (Joint pains), CHILLS (Chills) and HEADACHE (Headache). At the time of the report, ARTHRITIS (Arthrisitis symptoms flared up), MYALGIA (Muscle aches), ARTHRALGIA (Joint pains), CHILLS (Chills) and HEADACHE (Headache) outcome was unknown. No Relevant concomitant medications was reported. Treatment information was not provided.

Other Meds:

Current Illness: Arthritis (controlled arthritis)

ID: 1610858
Sex: F
Age: 85
State: SC

Vax Date: 04/23/2021
Onset Date:
Rec V Date: 08/22/2021
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Symptoms: Neck pain; back pain; pain in the glands behind the ear; chills; pounding on top of the head; This spontaneous case was reported by a consumer and describes the occurrence of NECK PAIN (Neck pain), BACK PAIN (back pain), PAIN (pain in the glands behind the ear), CHILLS (chills) and HEADACHE (pounding on top of the head) in an 85-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 036B21A) for COVID-19 vaccination. No Medical History information was reported. On 23-Apr-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 NECK PAIN (Neck pain), BACK PAIN (back pain), PAIN (pain in the glands behind the ear), CHILLS (chills) and HEADACHE (pounding on top of the head). At the time of the report, NECK PAIN (Neck pain), BACK PAIN (back pain), PAIN (pain in the glands behind the ear), CHILLS (chills) and HEADACHE (pounding on top of the head) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Relevant concomitant medications were not reported. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1610859
Sex: F
Age: 38
State: VA

Vax Date: 04/14/2021
Onset Date: 04/23/2021
Rec V Date: 08/22/2021
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Symptoms: Back pain; Lump at injection site; Dry mouth; Not much of an appetite; Chills; Feels tired; Fever 101-103 F; Body ache; This spontaneous case was reported by a consumer and describes the occurrence of BACK PAIN (Back pain), VACCINATION SITE MASS (Lump at injection site), DRY MOUTH (Dry mouth), DECREASED APPETITE (Not much of an appetite) and CHILLS (Chills) in a 38-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 14-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 23-Apr-2021, the patient experienced BACK PAIN (Back pain), VACCINATION SITE MASS (Lump at injection site), DRY MOUTH (Dry mouth), DECREASED APPETITE (Not much of an appetite), CHILLS (Chills), FATIGUE (Feels tired), PYREXIA (Fever 101-103 F) and MYALGIA (Body ache). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency and IBUPROFEN (ADVIL [IBUPROFEN]) at an unspecified dose and frequency. At the time of the report, BACK PAIN (Back pain), VACCINATION SITE MASS (Lump at injection site), DRY MOUTH (Dry mouth), DECREASED APPETITE (Not much of an appetite), CHILLS (Chills), FATIGUE (Feels tired), PYREXIA (Fever 101-103 F) and MYALGIA (Body ache) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 23-Apr-2021, Body temperature: 101-103 (High) Fever of 101-103 F. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant concomitant medications were reported.

Other Meds:

Current Illness:

ID: 1610860
Sex: F
Age: 65
State: NJ

Vax Date: 04/19/2021
Onset Date:
Rec V Date: 08/22/2021
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Symptoms: arm pain; neck pain/neck ache; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (arm pain) and NECK PAIN (neck pain/neck ache) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 19-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (arm pain) and NECK PAIN (neck pain/neck ache). At the time of the report, PAIN IN EXTREMITY (arm pain) and NECK PAIN (neck pain/neck ache) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications or treatment therapy was reported

Other Meds:

Current Illness:

ID: 1610861
Sex: F
Age: 62
State: KS

Vax Date: 03/24/2021
Onset Date: 04/22/2021
Rec V Date: 08/22/2021
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Symptoms: Fever; chills; headache; neck pain; pain at injection site; nausea; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 23-Apr-2021 and was forwarded to Moderna on 23-Apr-2021. This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (Fever), CHILLS (chills), HEADACHE (headache), NECK PAIN (neck pain) and VACCINATION SITE PAIN (pain at injection site) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 003B21A and 003B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Breast cancer. Concomitant products included ANASTROZOLE for Breast cancer. On 24-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 22-Apr-2021, the patient experienced PYREXIA (Fever), CHILLS (chills), HEADACHE (headache), NECK PAIN (neck pain), VACCINATION SITE PAIN (pain at injection site) and NAUSEA (nausea). At the time of the report, PYREXIA (Fever), CHILLS (chills), HEADACHE (headache), NECK PAIN (neck pain), VACCINATION SITE PAIN (pain at injection site) and NAUSEA (nausea) outcome was unknown. Not Provided Treatment included Tylenol and Aleve. Action taken with mRNA-1273 in response to events was not applicable.

Other Meds: ANASTROZOLE

Current Illness: Breast cancer

ID: 1610862
Sex: F
Age:
State: CA

Vax Date: 04/03/2021
Onset Date: 04/06/2021
Rec V Date: 08/22/2021
Hospital:

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Symptoms: Joint pain, pain behind knee and muscle of tights & pain in the shoulder and hips; leg crumps; This spontaneous case was reported by a consumer and describes the occurrence of ARTHRALGIA (Joint pain, pain behind knee and muscle of tights & pain in the shoulder and hips) and LIMB DISCOMFORT (leg crumps) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 028A21A) for COVID-19 vaccination. No Medical History information was reported. On 03-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-Apr-2021, the patient experienced ARTHRALGIA (Joint pain, pain behind knee and muscle of tights & pain in the shoulder and hips) and LIMB DISCOMFORT (leg crumps). At the time of the report, ARTHRALGIA (Joint pain, pain behind knee and muscle of tights & pain in the shoulder and hips) and LIMB DISCOMFORT (leg crumps) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication provided. Treatment included Tylenol and Ibuprofen

Other Meds:

Current Illness:

ID: 1610863
Sex: F
Age:
State:

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 08/22/2021
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Symptoms: can't breathe as easily as before receiving the vaccine; This spontaneous case was reported by a consumer and describes the occurrence of DYSPNOEA (can't breathe as easily as before receiving the vaccine) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 15-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Apr-2021, the patient experienced DYSPNOEA (can't breathe as easily as before receiving the vaccine). At the time of the report, DYSPNOEA (can't breathe as easily as before receiving the vaccine) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication provided. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1610864
Sex: F
Age: 57
State: MI

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 08/22/2021
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Symptom List:

Symptoms: I had a mild metallic taste in my mouth / I had a mild soapy taste; generally felt sick; vertigo; quarter size welt/welt became angry looking; Left Shoulder joint lymph nodes became swollen; left shoulder joint hurt; Covid Arm; Left Arm hurt; tired; lethargic; body aches; sore back; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (body aches), BACK PAIN (sore back), DYSGEUSIA (I had a mild metallic taste in my mouth / I had a mild soapy taste), LETHARGY (lethargic) and MALAISE (generally felt sick) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 040A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter. 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 PAIN (body aches), BACK PAIN (sore back), LETHARGY (lethargic) and FATIGUE (tired). On 10-Mar-2021, the patient experienced VACCINATION SITE PAIN (Left Arm hurt) and VACCINATION SITE PAIN (Covid Arm). On 11-Mar-2021, the patient experienced URTICARIA (quarter size welt/welt became angry looking), LYMPHADENOPATHY (Left Shoulder joint lymph nodes became swollen) and ARTHRALGIA (left shoulder joint hurt). On 21-Mar-2021, the patient experienced MALAISE (generally felt sick) and VERTIGO (vertigo). On an unknown date, the patient experienced DYSGEUSIA (I had a mild metallic taste in my mouth / I had a mild soapy taste). On 17-Mar-2021, URTICARIA (quarter size welt/welt became angry looking), VACCINATION SITE PAIN (Left Arm hurt) and VACCINATION SITE PAIN (Covid Arm) had resolved. At the time of the report, PAIN (body aches), BACK PAIN (sore back), DYSGEUSIA (I had a mild metallic taste in my mouth / I had a mild soapy taste), LETHARGY (lethargic), MALAISE (generally felt sick), VERTIGO (vertigo), LYMPHADENOPATHY (Left Shoulder joint lymph nodes became swollen), FATIGUE (tired) and ARTHRALGIA (left shoulder joint hurt) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant products were not provided/unknown. Treatment medication were not reported/unknown. This case was linked to US-MODERNATX, INC.-MOD-2021-089204 (E2B Linked Report). Most recent FOLLOW-UP information incorporated above includes: On 25-Apr-2021: Follow-up contains Image evidence of adverse event and additional adverse event.; Sender's Comments: US-MODERNATX, INC.-MOD-2021-089204:second dose

Other Meds:

Current Illness:

ID: 1610865
Sex: F
Age:
State: ME

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 08/22/2021
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Symptom List:

Symptoms: severe body aches; headache; fatigue; chills; nausea; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (severe body aches), HEADACHE (headache), FATIGUE (fatigue), CHILLS (chills) and NAUSEA (nausea) in a 54-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 043B21A) for COVID-19 immunisation. No medical history was provided by the reporter. Concomitant products included APREMILAST (OTEZLA) for an unknown indication. On 20-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Apr-2021, the patient experienced MYALGIA (severe body aches), HEADACHE (headache), FATIGUE (fatigue), CHILLS (chills) and NAUSEA (nausea). The patient was treated with IBUPROFEN ongoing since an unknown date for Myalgia, Headache and Fatigue, at an unspecified dose and frequency and PARACETAMOL (TYLENOL 8 HOUR) for Myalgia, Headache, Fatigue and Chills, at an unspecified dose and frequency. At the time of the report, HEADACHE (headache), FATIGUE (fatigue) and NAUSEA (nausea) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: OTEZLA

Current Illness:

ID: 1610866
Sex: F
Age: 59
State: MA

Vax Date: 03/23/2021
Onset Date: 04/22/2021
Rec V Date: 08/22/2021
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Symptoms: hot injection site; tight injection site; bright red 3 inches area on injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (hot injection site), VACCINATION SITE INDURATION (tight injection site) and VACCINATION SITE ERYTHEMA (bright red 3 inches area on injection site) in a 59-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 040B21A and 007B21A) for COVID-19 vaccination. No Medical History information was reported. On 23-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 22-Apr-2021, the patient experienced VACCINATION SITE WARMTH (hot injection site), VACCINATION SITE INDURATION (tight injection site) and VACCINATION SITE ERYTHEMA (bright red 3 inches area on injection site). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Injection site reaction, at an unspecified dose and frequency. At the time of the report, VACCINATION SITE WARMTH (hot injection site), VACCINATION SITE INDURATION (tight injection site) and VACCINATION SITE ERYTHEMA (bright red 3 inches area on injection site) outcome was unknown. No relevant concomitant medications were reported. Patient treated reaction also by ice pack. This case was linked to MOD-2021-089152 (Patient Link).

Other Meds:

Current Illness:

ID: 1610867
Sex: M
Age:
State:

Vax Date: 04/22/2021
Onset Date:
Rec V Date: 08/22/2021
Hospital:

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Symptom List:

Symptoms: unbearable pain in his arm; he doesn't feel good; tenderness; swelling and his arm; when he breaths it feels like something is stabbing him; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (unbearable pain in his arm), FEELING ABNORMAL (he doesn't feel good), TENDERNESS (tenderness), PERIPHERAL SWELLING (swelling and his arm) and DYSPNOEA (when he breaths it feels like something is stabbing him) 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 22-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (unbearable pain in his arm), FEELING ABNORMAL (he doesn't feel good), TENDERNESS (tenderness), PERIPHERAL SWELLING (swelling and his arm) and DYSPNOEA (when he breaths it feels like something is stabbing him). At the time of the report, PAIN IN EXTREMITY (unbearable pain in his arm), FEELING ABNORMAL (he doesn't feel good), TENDERNESS (tenderness), PERIPHERAL SWELLING (swelling and his arm) and DYSPNOEA (when he breaths it feels like something is stabbing him) outcome was unknown. Not Provided 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: 1610868
Sex: F
Age:
State: AZ

Vax Date: 04/21/1900
Onset Date:
Rec V Date: 08/22/2021
Hospital:

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Allergies:

Symptom List:

Symptoms: Adverse reaction to vaccine; Sore arm; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (Adverse reaction to vaccine) and PAIN IN EXTREMITY (Sore arm) 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-Apr-1900, 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 (Adverse reaction to vaccine) and PAIN IN EXTREMITY (Sore arm). At the time of the report, VACCINATION COMPLICATION (Adverse reaction to vaccine) and PAIN IN EXTREMITY (Sore arm) outcome was unknown. No concomitant medications were reported. No treatment information was provided. Reporter did not allow further contact Most recent FOLLOW-UP information incorporated above includes: On 03-Aug-2021: Follow-up received on 03-Aug-2021: Patient initials, gender, New event (sore arm) was updated.

Other Meds:

Current Illness:

ID: 1610869
Sex: F
Age: 71
State: NE

Vax Date: 03/22/2021
Onset Date: 04/22/2021
Rec V Date: 08/22/2021
Hospital:

Vax Type:
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Symptom List:

Symptoms: Itchy; Mass under the skin; Lump the size of a golfball on arm; Redness around injection site; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (Itchy), VACCINATION SITE MASS (Mass under the skin), VACCINATION SITE MASS (Lump the size of a golfball on arm) and VACCINATION SITE ERYTHEMA (Redness around injection site) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 044B21A and 040A21A) for COVID-19 vaccination. No Medical History information was reported. On 22-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 22-Apr-2021, the patient experienced PRURITUS (Itchy), VACCINATION SITE MASS (Mass under the skin), VACCINATION SITE MASS (Lump the size of a golfball on arm) and VACCINATION SITE ERYTHEMA (Redness around injection site). At the time of the report, PRURITUS (Itchy), VACCINATION SITE MASS (Mass under the skin), VACCINATION SITE MASS (Lump the size of a golfball on arm) and VACCINATION SITE ERYTHEMA (Redness around injection site) outcome was unknown. No concomitant medications were reported. Treatment information was not provided by the reporter.

Other Meds:

Current Illness:

ID: 1610870
Sex: F
Age:
State:

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

Vax Type:
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Symptom List:

Symptoms: nausea; headache; vomiting; This spontaneous case was reported by a consumer and describes the occurrence of NAUSEA (nausea), HEADACHE (headache) and VOMITING (vomiting) 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 NAUSEA (nausea), HEADACHE (headache) and VOMITING (vomiting). At the time of the report, NAUSEA (nausea), HEADACHE (headache) and VOMITING (vomiting) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant concomitant medications were reported. Treatment information was unknown. Patient stated it's been 2 weeks since she was experiencing the events.

Other Meds:

Current Illness:

ID: 1610871
Sex: F
Age: 55
State: CA

Vax Date: 03/29/2021
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Rec V Date: 08/22/2021
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Symptoms: upset stomach; Fever; headache; This spontaneous case was reported by a consumer and describes the occurrence of ABDOMINAL DISCOMFORT (upset stomach), PYREXIA (Fever) and HEADACHE (headache) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 019B21A) for COVID-19 vaccination. No Medical History information was reported. On 29-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 ABDOMINAL DISCOMFORT (upset stomach), PYREXIA (Fever) and HEADACHE (headache). At the time of the report, ABDOMINAL DISCOMFORT (upset stomach), PYREXIA (Fever) and HEADACHE (headache) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 21-Apr-2021, SARS-CoV-2 test negative: (Negative) 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. Concomitant medication was not provided. Treatment information was not provided.

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Current Illness:

ID: 1610872
Sex: F
Age:
State: CA

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Rec V Date: 08/22/2021
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Symptoms: Bodyache; Tiredness; Headache; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Bodyache), FATIGUE (Tiredness) and HEADACHE (Headache) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) at an unspecified dose. On an unknown date, the patient experienced PAIN (Bodyache), FATIGUE (Tiredness) and HEADACHE (Headache). At the time of the report, PAIN (Bodyache), FATIGUE (Tiredness) and HEADACHE (Headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitants was reported. No treatments was reported. Reporter did not allow further contact Most recent FOLLOW-UP information incorporated above includes: On 28-May-2021: TCR received on 28-05-2021 contains no new information.

Other Meds:

Current Illness:

ID: 1610873
Sex: F
Age:
State: FL

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 08/22/2021
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Symptoms: hives underneath her neck; swollen underneath her neck; 3 days after rash she had hives underneath her neck and swollen; Soon after the shot, her arm started going numb, it went to fingers initially to third, fourth and fifth respectively; Sore arm; Fast heart beat; excruciating pain everywhere in her body; Sleeping by 6:30 every evening; This spontaneous case was reported by a consumer and describes the occurrence of HYPOAESTHESIA (Soon after the shot, her arm started going numb, it went to fingers initially to third, fourth and fifth respectively), PAIN IN EXTREMITY (Sore arm), HEART RATE INCREASED (Fast heart beat), URTICARIA (hives underneath her neck) and SWELLING (swollen underneath her neck) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 017B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 01-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Apr-2021, the patient experienced HYPOAESTHESIA (Soon after the shot, her arm started going numb, it went to fingers initially to third, fourth and fifth respectively), PAIN IN EXTREMITY (Sore arm) and HEART RATE INCREASED (Fast heart beat). On 04-Apr-2021, the patient experienced URTICARIA (hives underneath her neck), SWELLING (swollen underneath her neck) and RASH (3 days after rash she had hives underneath her neck and swollen). In April 2021, the patient experienced PAIN (excruciating pain everywhere in her body) and HYPERSOMNIA (Sleeping by 6:30 every evening). The patient was treated with Bed rest for Hypoaesthesia; Bed rest for Pain in extremity and Bed rest for Heart rate increased. On 01-Apr-2021, HYPOAESTHESIA (Soon after the shot, her arm started going numb, it went to fingers initially to third, fourth and fifth respectively) had resolved. In April 2021, PAIN (excruciating pain everywhere in her body) outcome was unknown. At the time of the report, PAIN IN EXTREMITY (Sore arm), HEART RATE INCREASED (Fast heart beat), URTICARIA (hives underneath her neck), SWELLING (swollen underneath her neck), HYPERSOMNIA (Sleeping by 6:30 every evening) and RASH (3 days after rash she had hives underneath her neck and swollen) outcome was unknown. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was withdrawn on an unknown date. Concomitant product use was not provided. Aside from bed rest, there was no other treatment reported. The reporter consented for Safety follow up.

Other Meds:

Current Illness:

ID: 1610874
Sex: F
Age: 42
State: FL

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 08/22/2021
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Symptoms: Vaccine leaked out of patients arm; This spontaneous case was reported by a physician and describes the occurrence of INCORRECT DOSE ADMINISTERED (Vaccine leaked out of patients arm) in a 42-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032B21A) for COVID-19 vaccination. No Medical History information was reported. On 23-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Apr-2021, the patient experienced INCORRECT DOSE ADMINISTERED (Vaccine leaked out of patients arm). On 23-Apr-2021, INCORRECT DOSE ADMINISTERED (Vaccine leaked out of patients arm) had resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No Concomitant medication were reported. No treatment medication were reported.

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Current Illness:

ID: 1610875
Sex: F
Age:
State: SC

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 08/22/2021
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Symptoms: headache; sore arm; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (headache) and MYALGIA (sore arm) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 039a21a and 036b21a) for COVID-19 vaccination. No Medical History information was reported. On 25-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 25-Mar-2021, the patient experienced HEADACHE (headache) and MYALGIA (sore arm). On 28-Mar-2021, MYALGIA (sore arm) had resolved. On 29-Mar-2021, HEADACHE (headache) had resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) and mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications were provided. Treatment with ADVIL was provided. This case was linked to MOD-2021-089200 (Patient Link).

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ID: 1610876
Sex: F
Age: 67
State: CT

Vax Date: 01/09/2021
Onset Date:
Rec V Date: 08/22/2021
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Symptoms: Shingles on right breast; Trouble focusing eyes; Headache; This spontaneous case was reported by a nurse and describes the occurrence of HERPES ZOSTER (Shingles on right breast), VISION BLURRED (Trouble focusing eyes) and HEADACHE (Headache) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 012L20A and 010M20A) for COVID-19 vaccination. No medical history was provided by the reporter. The patient's past medical history included No Adverse Event. On 09-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-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 HERPES ZOSTER (Shingles on right breast), VISION BLURRED (Trouble focusing eyes) and HEADACHE (Headache). The patient was treated with VALACICLOVIR HYDROCHLORIDE (VALACYCLOVIR HCL) at a dose of 1 g three times a day. At the time of the report, HERPES ZOSTER (Shingles on right breast), VISION BLURRED (Trouble focusing eyes) and HEADACHE (Headache) outcome was unknown. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medications were not provided. This case was linked to MOD-2021-089205 (Patient Link).

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ID: 1610877
Sex: M
Age: 39
State: FL

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 08/22/2021
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Symptoms: Constant pressure at the back of his knee/putting pressure on right knee/hearing creaking and cracking from left knee; pain in his knee; Leg discomfort; This spontaneous case was reported by a consumer and describes the occurrence of MUSCULOSKELETAL DISCOMFORT (Constant pressure at the back of his knee/putting pressure on right knee/hearing creaking and cracking from left knee), LIMB DISCOMFORT (Leg discomfort) and ARTHRALGIA (pain in his knee) in a 39-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 021B21A) for COVID-19 vaccination. No Medical History information was reported. On 08-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Apr-2021, the patient experienced LIMB DISCOMFORT (Leg discomfort). On 18-Apr-2021, the patient experienced MUSCULOSKELETAL DISCOMFORT (Constant pressure at the back of his knee/putting pressure on right knee/hearing creaking and cracking from left knee) and ARTHRALGIA (pain in his knee). At the time of the report, MUSCULOSKELETAL DISCOMFORT (Constant pressure at the back of his knee/putting pressure on right knee/hearing creaking and cracking from left knee), LIMB DISCOMFORT (Leg discomfort) and ARTHRALGIA (pain in his knee) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product use was not provided. Treatment information was not provided.

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Current Illness:

ID: 1610878
Sex: U
Age:
State: FL

Vax Date: 02/01/2021
Onset Date:
Rec V Date: 08/22/2021
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Symptoms: Second dose schedualed >36 after the first dose; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a pharmacist and describes the occurrence of INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Second dose schedualed >36 after the first dose) 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. In February 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 INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Second dose schedualed >36 after the first dose). At the time of the report, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Second dose schedualed >36 after the first dose) had 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 not provided by the reporter. Treatment information was not provided. Most recent FOLLOW-UP information incorporated above includes: On 27-May-2021: Follow up was received on 27 May 2021 included no new information.

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Current Illness:

ID: 1610879
Sex: F
Age:
State: MA

Vax Date:
Onset Date: 04/10/2021
Rec V Date: 08/22/2021
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Symptoms: pain radiating down to the index finger; Tachycardia; pain at the injection site; This spontaneous case was reported by a health care professional and describes the occurrence of PAIN (pain radiating down to the index finger), TACHYCARDIA (Tachycardia) and INJECTION SITE PAIN (pain at the injection site) in a 51-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Psoriasis. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 10-Apr-2021, the patient experienced PAIN (pain radiating down to the index finger), TACHYCARDIA (Tachycardia) and INJECTION SITE PAIN (pain at the injection site). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, PAIN (pain radiating down to the index finger), TACHYCARDIA (Tachycardia) and INJECTION SITE PAIN (pain at the injection site) 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. Patient takes an injection once in every 8 weeks for Psoriasis. Patient body temperature also increased.

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Current Illness: Psoriasis

ID: 1610880
Sex: F
Age: 62
State: NY

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 08/22/2021
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Symptoms: Blood from nose on each side; Nauseous; This spontaneous case was reported by a consumer and describes the occurrence of EPISTAXIS (Blood from nose on each side) and NAUSEA (Nauseous) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039A21A) for COVID-19 vaccination. No Medical History information was reported. On 17-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Apr-2021, the patient experienced EPISTAXIS (Blood from nose on each side) and NAUSEA (Nauseous). At the time of the report, EPISTAXIS (Blood from nose on each side) and NAUSEA (Nauseous) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. No treatment information was reported

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Current Illness:

ID: 1610881
Sex: M
Age:
State: FL

Vax Date: 04/21/2021
Onset Date:
Rec V Date: 08/22/2021
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Symptoms: difficulty breathing; shortness of breath; can't hold breath for longer than 6 seconds; This spontaneous case was reported by a consumer and describes the occurrence of DYSPNOEA (difficulty breathing), DYSPNOEA (shortness of breath) and DYSPNOEA (can't hold breath for longer than 6 seconds) 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 21-Apr-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 DYSPNOEA (difficulty breathing), DYSPNOEA (shortness of breath) and DYSPNOEA (can't hold breath for longer than 6 seconds). At the time of the report, DYSPNOEA (difficulty breathing), DYSPNOEA (shortness of breath) and DYSPNOEA (can't hold breath for longer than 6 seconds) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication were reported. No treatment information was reported. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1610882
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/22/2021
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Symptoms: tiredness; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (tiredness) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Unknown) for COVID-19 vaccination. No Medical History 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 FATIGUE (tiredness). At the time of the report, FATIGUE (tiredness) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. There was no treatment reported.

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Current Illness:

ID: 1610883
Sex: F
Age: 99
State: NY

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 08/22/2021
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Symptoms: Sore arm; Nausea; Fever; Chills; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Sore arm), NAUSEA (Nausea), PYREXIA (Fever) and CHILLS (Chills) in a 99-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concomitant products included METOPROLOL for an unknown indication. On 22-Apr-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 23-Apr-2021, the patient experienced PAIN IN EXTREMITY (Sore arm), NAUSEA (Nausea), PYREXIA (Fever) and CHILLS (Chills). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (Sore arm), NAUSEA (Nausea), PYREXIA (Fever) and CHILLS (Chills) outcome was unknown. This case was linked to MOD-2021-089324 (Patient Link).

Other Meds: METOPROLOL

Current Illness:

ID: 1610884
Sex: F
Age: 44
State: TX

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 08/22/2021
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Symptoms: have a tired face; can not sleep, because her head is very active, can not sleep at night; Very dizzy, she can not move her head because of the dizziness; some discomfort on the ?crown of the head as if it squeezed me?; pain in the arm of the injection ( Left arm) for 3 days; severe headache , like migraine; could not see the light ? for the 1st 2 days after the vaccination; This spontaneous case was reported by a consumer and describes the occurrence of MIGRAINE (severe headache , like migraine), PHOTOPHOBIA (could not see the light ? for the 1st 2 days after the vaccination), INSOMNIA (can not sleep, because her head is very active, can not sleep at night), DIZZINESS (Very dizzy, she can not move her head because of the dizziness) and HEAD DISCOMFORT (some discomfort on the ?crown of the head as if it squeezed me?) in a 44-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 044B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Thyroid disorder. Concomitant products included LEVOTHYROXINE for Thyroid disorder, BUPROPION HYDROCHLORIDE, NALTREXONE HYDROCHLORIDE (CONTRAVE) and METFORMIN for an unknown indication. On 13-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Apr-2021, the patient experienced MIGRAINE (severe headache , like migraine), PHOTOPHOBIA (could not see the light ? for the 1st 2 days after the vaccination) and INJECTION SITE PAIN (pain in the arm of the injection ( Left arm) for 3 days). On 19-Apr-2021, the patient experienced INSOMNIA (can not sleep, because her head is very active, can not sleep at night), DIZZINESS (Very dizzy, she can not move her head because of the dizziness) and HEAD DISCOMFORT (some discomfort on the ?crown of the head as if it squeezed me?). On 23-Apr-2021, the patient experienced FATIGUE (have a tired face). The patient was treated with PARACETAMOL (TYLENOL) at a dose of 650 mg a day ? since 4 or 5 days ago. On 16-Apr-2021, MIGRAINE (severe headache , like migraine) and PHOTOPHOBIA (could not see the light ? for the 1st 2 days after the vaccination) had resolved. On 17-Apr-2021, INJECTION SITE PAIN (pain in the arm of the injection ( Left arm) for 3 days) had resolved. At the time of the report, INSOMNIA (can not sleep, because her head is very active, can not sleep at night), DIZZINESS (Very dizzy, she can not move her head because of the dizziness), HEAD DISCOMFORT (some discomfort on the ?crown of the head as if it squeezed me?) and FATIGUE (have a tired face) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. The blood pressure levels are normal : 124-80 mmHg. Patient stated that she is not able to drive the car due to the dizziness she is experiencing, and also has some discomfort on the ?crown of the head as if it squeezed her?.

Other Meds: LEVOTHYROXINE; CONTRAVE; METFORMIN

Current Illness: Thyroid disorder

ID: 1610885
Sex: F
Age: 69
State:

Vax Date: 04/22/2021
Onset Date: 04/24/2021
Rec V Date: 08/22/2021
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Symptoms: This spontaneous case reported by a consumer, describes the occurrence of pain in extremity (pain in arm, unbearable, excruciating pain) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 vaccine, batch# 017B21A and 02A21A) for COVID-19 immunization. No medical history reported. On Apr 22, 2021, patient received the second dose of mRNA-1273 (Moderna COVID-19 vaccine), unknown route; 1 dosage form. On an unknown date, patient received first dose of mRNA-1273 (Moderna COVID-19 vaccine), unknown route; 1 dosage form. On Apr 24, 2021, patient experienced pain in extremity (pain in arm, unbearable, excruciating pain). At the time of the report, pain in extremity (pain in arm, unbearable, excruciating pain) outcome: unknown/not provided. Treatment: Tylenol and heating pad.

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Current Illness:

ID: 1610886
Sex: F
Age: 66
State: MA

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 08/22/2021
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Symptoms: Anxiety; lost 20 punds; Severe distress; Depression; Tinnitus; This spontaneous case was reported by a consumer and describes the occurrence of TINNITUS (Tinnitus), ANXIETY (Anxiety), WEIGHT DECREASED (lost 20 punds), STRESS (Severe distress) and DEPRESSION (Depression) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003A21A) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included LORAZEPAM (ATIVAN) for an unknown indication. On 11-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Mar-2021, the patient experienced TINNITUS (Tinnitus). On an unknown date, the patient experienced ANXIETY (Anxiety), WEIGHT DECREASED (lost 20 punds), STRESS (Severe distress) and DEPRESSION (Depression). At the time of the report, TINNITUS (Tinnitus), ANXIETY (Anxiety), WEIGHT DECREASED (lost 20 punds), STRESS (Severe distress) and DEPRESSION (Depression) outcome was unknown. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No treatment information provided. Most recent FOLLOW-UP information incorporated above includes: On 21-Jul-2021: fallow up received and concomitant medication added. new events were added.

Other Meds: ATIVAN

Current Illness:

ID: 1610887
Sex: F
Age:
State: SC

Vax Date: 03/25/2021
Onset Date: 04/23/2021
Rec V Date: 08/22/2021
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Symptoms: sore arm; Achy; Fever 99.4-101.4; chills; joint pain; headache; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (sore arm), PAIN (Achy), PYREXIA (Fever 99.4-101.4), CHILLS (chills) and ARTHRALGIA (joint pain) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 036B21A and 039A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 25-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 23-Apr-2021, the patient experienced PAIN IN EXTREMITY (sore arm), PAIN (Achy), PYREXIA (Fever 99.4-101.4), CHILLS (chills), ARTHRALGIA (joint pain) and HEADACHE (headache). The patient was treated with IBUPROFEN (ADVIL [IBUPROFEN]) at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (sore arm), PAIN (Achy), PYREXIA (Fever 99.4-101.4), CHILLS (chills), ARTHRALGIA (joint pain) and HEADACHE (headache) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 23-Apr-2021, Body temperature: 99.4-101.4 (abnormal) 99.4-101.4. No concomitant medications provided. This case was linked to MOD-2021-089180 (Patient Link).

Other Meds:

Current Illness:

ID: 1610888
Sex: M
Age: 62
State: FL

Vax Date: 03/21/2021
Onset Date: 03/31/2021
Rec V Date: 08/22/2021
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Symptoms: Cancelled 2nd vaccine shot; electric shock pain shooting in right arm which has moved to right side of abdomen; joint pain in lower extremities where he at times is unable to walk; extremely fatigued; Fever (up to 100.5); chills; Pain in shoulders intensified; shortness of breath; brain fog; non itching red rash from his neck down to his lower extremities/ rash on torso and extrmities continued; bleeding gums; rash on torso and extremities.; This spontaneous case was reported by a consumer and describes the occurrence of RASH ERYTHEMATOUS (non itching red rash from his neck down to his lower extremities/ rash on torso and extrmities continued), GINGIVAL BLEEDING (bleeding gums), DYSPNOEA (shortness of breath), DISTURBANCE IN ATTENTION (brain fog) and PAIN (electric shock pain shooting in right arm which has moved to right side of abdomen) in a 62-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 040A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Hypertension since 2007 and Urticaria (OCASSIONAL FACIAL SWELLING AND HIVES). Concomitant products included ATORVASTATIN from 30-Nov-2020 to an unknown date for Cholesterol, IRBESARTAN for Hypertension. On 21-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 31-Mar-2021, the patient experienced GINGIVAL BLEEDING (bleeding gums) and RASH (rash on torso and extremities.). On 01-Apr-2021, the patient experienced RASH ERYTHEMATOUS (non itching red rash from his neck down to his lower extremities/ rash on torso and extrmities continued). On 20-Apr-2021, the patient experienced DYSPNOEA (shortness of breath), DISTURBANCE IN ATTENTION (brain fog), FATIGUE (extremely fatigued), PYREXIA (Fever (up to 100.5)), CHILLS (chills) and ARTHRALGIA (Pain in shoulders intensified). On 21-Apr-2021, the patient experienced ARTHRALGIA (joint pain in lower extremities where he at times is unable to walk). On 25-Apr-2021, the patient experienced PAIN (electric shock pain shooting in right arm which has moved to right side of abdomen). On an unknown date, the patient experienced PRODUCT DOSE OMISSION ISSUE (Cancelled 2nd vaccine shot). The patient was treated with HYDROXYZINE (oral) ongoing from 27-Apr-2021 at an unspecified dose and frequency; METHYLPREDNISOLONE (oral) on 31-Mar-2021 for Rash, at a dose of 6 days; GABAPENTIN (oral) ongoing from 27-Apr-2021 for and , at a dose of UNK, tid; GABAPENTIN (oral) ongoing from 27-Apr-2021 for and , at a dose of UNK, tid; NAPROXEN (NAPROXIN [NAPROXEN]) (oral) ongoing from 27-Apr-2021 at a dose of 250 milligram three times a day; ACETAMINOPHEN (oral) on 27-Apr-2021 at a dose of 500 milligram three times a day; AMBROXOL HYDROCHLORIDE, LEVOCETIRIZINE DIHYDROCHLORIDE (XYZAL ) (oral) on 27-Apr-2021 at a dose of UNK, qd; CETIRIZINE HYDROCHLORIDE (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) (oral) ongoing from 27-Apr-2021 at a dose of UNK, qd; OXYCODONE (oral) on 27-Apr-2021 at a dose of UNK, bid and PREDNISONE ongoing from 27-Apr-2021 at a dose of 20 mg three times a day. On 03-Apr-2021, GINGIVAL BLEEDING (bleeding gums) had resolved. At the time of the report, RASH ERYTHEMATOUS (non itching red rash from his neck down to his lower extremities/ rash on torso and extrmities continued), DISTURBANCE IN ATTENTION (brain fog), PAIN (electric shock pain shooting in right arm which has moved to right side of abdomen), PYREXIA (Fever (up to 100.5)), CHILLS (chills) and ARTHRALGIA (Pain in shoulders intensified) outcome was unknown, DYSPNOEA (shortness of breath), RASH (rash on torso and extremities.), ARTHRALGIA (joint pain in lower extremities where he at times is unable to walk) and FATIGUE (extremely fatigued) had not resolved and PRODUCT DOSE OMISSION ISSUE (Cancelled 2nd vaccine shot) had resolved. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 31-Mar-2021, Blood test: unknown (normal) normal. On 20-Apr-2021, Blood test: unknown (Inconclusive) Unknown. On 20-Apr-2021, Body temperature: upto 100.5 (Inconclusive) upto 100.5. On 20-Apr-2021, Computerised tomogram: unknown (Inconclusive) unknown. On 23-Apr-2021, Antiphospholipid antibodies negative: unknown (Negative) negative. On 23-Apr-2021, SARS-CoV-2 antibody test: >20 (Inconclusive) >20. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was withdrawn on an unknown date. Most recent FOLLOW-UP information incorporated above includes: On 26-May-2021: Follow up received on 26MAY2021, updated patient demographics, past medical history (Hypertension , asthma, urticaria), lab data, concomitant medications indication for use, treatment medications and additional events. On 23-Jul-2021: Follow up received added Newreporter detail and added new event hypersentivity

Other Meds: IRBESARTAN; ATORVASTATIN

Current Illness: Hypertension; Urticaria (OCASSIONAL FACIAL SWELLING AND HIVES)

ID: 1610889
Sex: F
Age:
State: KS

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Rec V Date: 08/22/2021
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Symptoms: Dizziness; Sweaty; Ringing in ears; Head pressure; Shaky; Headache; Tired; right arm hurting; pain has shifted to the elbow; felt nauseas; This spontaneous case was reported by a patient and describes the occurrence of DIZZINESS (Dizziness), HYPERHIDROSIS (Sweaty), TINNITUS (Ringing in ears), HEAD DISCOMFORT (Head pressure) and TREMOR (Shaky) in a 33-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 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 DIZZINESS (Dizziness), HYPERHIDROSIS (Sweaty), TINNITUS (Ringing in ears), HEAD DISCOMFORT (Head pressure), TREMOR (Shaky), HEADACHE (Headache), FATIGUE (Tired), MYALGIA (right arm hurting), ARTHRALGIA (pain has shifted to the elbow) and NAUSEA (felt nauseas). At the time of the report, DIZZINESS (Dizziness), HYPERHIDROSIS (Sweaty), TINNITUS (Ringing in ears), HEAD DISCOMFORT (Head pressure), TREMOR (Shaky), HEADACHE (Headache), FATIGUE (Tired), MYALGIA (right arm hurting), ARTHRALGIA (pain has shifted to the elbow) and NAUSEA (felt nauseas) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication was not provided. Treatment information was not provided Action taken with mRNA-1273 in response to the event was unknown. Most recent FOLLOW-UP information incorporated above includes: On 27-May-2021: Non significant follow up accepted on 28-05-21

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Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm