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: 1612040
Sex: M
Age:
State: NJ

Vax Date: 03/18/2021
Onset Date:
Rec V Date: 08/22/2021
Hospital:

Vax Type:
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Symptom List:

Symptoms: other side effects; Chills; fever; rash on legs,arm; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (other side effects), CHILLS (Chills), PYREXIA (fever) and RASH (rash on legs,arm) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. unknown and unknown) for COVID-19 vaccination. Concurrent medical conditions included Multiple sclerosis. On 18-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Apr-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 COMPLICATION (other side effects), CHILLS (Chills), PYREXIA (fever) and RASH (rash on legs,arm). At the time of the report, VACCINATION COMPLICATION (other side effects), CHILLS (Chills), PYREXIA (fever) and RASH (rash on legs,arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) and mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Most recent FOLLOW-UP information incorporated above includes: On 27-Apr-2021: follow-up was received on 27-APR-2021, contain no significant information.

Other Meds:

Current Illness: Multiple sclerosis

ID: 1612041
Sex: F
Age:
State: FL

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

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Symptom List:

Symptoms: itching like I have lice; Sore arm; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (itching like I have lice) and MYALGIA (Sore arm) in a 44-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) 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 MYALGIA (Sore arm). On 26-Apr-2021, the patient experienced PRURITUS (itching like I have lice). On 25-Apr-2021, MYALGIA (Sore arm) had resolved. At the time of the report, PRURITUS (itching like I have lice) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication was reported. No treatment medication was reported.

Other Meds:

Current Illness:

ID: 1612042
Sex: F
Age: 55
State: TX

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 08/22/2021
Hospital:

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Symptom List:

Symptoms: No strength; Shakes; Shortness of breath; Hair loss; Where she is in space feels screwed up; Joint pain; chills; Muscle pain; Absolutely debilitating fatigue; Tired; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (No strength), TREMOR (Shakes), DYSPNOEA (Shortness of breath), ALOPECIA (Hair loss) and FEELING ABNORMAL (Where she is in space feels screwed up) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 020B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concomitant products included LEVOTHYROXINE SODIUM (SYNTHROID) for Hashimoto's disease. 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 ASTHENIA (No strength), TREMOR (Shakes), DYSPNOEA (Shortness of breath), ALOPECIA (Hair loss), FEELING ABNORMAL (Where she is in space feels screwed up), ARTHRALGIA (Joint pain), CHILLS (chills), MYALGIA (Muscle pain), FATIGUE (Absolutely debilitating fatigue) and FATIGUE (Tired). At the time of the report, ASTHENIA (No strength), TREMOR (Shakes), DYSPNOEA (Shortness of breath), ALOPECIA (Hair loss), FEELING ABNORMAL (Where she is in space feels screwed up), ARTHRALGIA (Joint pain), CHILLS (chills), MYALGIA (Muscle pain), FATIGUE (Absolutely debilitating fatigue) and FATIGUE (Tired) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Treatment The consumer is taking Tylenol for these symptoms.

Other Meds: SYNTHROID.

Current Illness:

ID: 1612043
Sex: F
Age: 66
State: OH

Vax Date: 03/13/2021
Onset Date: 03/16/2021
Rec V Date: 08/22/2021
Hospital:

Vax Type:
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Symptom List:

Symptoms: Missed her second shot; headache; her left shoulder started hurting whenever she would use it, she could not move her arm; diarrhea; felt really bad; arm hurt so bad that it woke her up every night.; low sodium; temperature of 99.8F which went up to 101F; left shoulder started hurting; felt cold; bad chills; This spontaneous case was reported by a consumer and describes the occurrence of FEELING COLD (felt cold), DIARRHOEA (diarrhea), FEELING ABNORMAL (felt really bad), PAIN IN EXTREMITY (arm hurt so bad that it woke her up every night.) and HYPONATRAEMIA (low sodium) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Arthritis (Patient had arthritis in her left arm/shoulder at baseline.) and Colonoscopy on 16-Mar-2021. Family history included Colon cancer. Concomitant products included LEVOTHYROXINE SODIUM (SYNTHROID), CALCIUM CARBONATE, COLECALCIFEROL (VITAMIN D 2000), TOCOPHERYL ACETATE (VITAMIN E [TOCOPHERYL ACETATE]), ROSUVASTATIN CALCIUM (CRESTOR), MONTELUKAST SODIUM (SINGULAIR), OXYBUTYNIN and UBIDECARENONE (COQ-10) for an unknown indication. On 13-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Mar-2021, the patient experienced FEELING COLD (felt cold) and CHILLS (bad chills). On 22-Mar-2021, the patient experienced DIARRHOEA (diarrhea), FEELING ABNORMAL (felt really bad), PAIN IN EXTREMITY (arm hurt so bad that it woke her up every night.), HYPONATRAEMIA (low sodium), HEADACHE (headache), ARTHRALGIA (her left shoulder started hurting whenever she would use it, she could not move her arm), PYREXIA (temperature of 99.8F which went up to 101F) and ARTHRALGIA (left shoulder started hurting). On 03-Apr-2021, the patient experienced PRODUCT DOSE OMISSION ISSUE (Missed her second shot). The patient was treated with CORTISONE at an unspecified dose and frequency. At the time of the report, FEELING COLD (felt cold), DIARRHOEA (diarrhea), FEELING ABNORMAL (felt really bad), PAIN IN EXTREMITY (arm hurt so bad that it woke her up every night.), HYPONATRAEMIA (low sodium), PRODUCT DOSE OMISSION ISSUE (Missed her second shot), HEADACHE (headache), ARTHRALGIA (her left shoulder started hurting whenever she would use it, she could not move her arm), CHILLS (bad chills), PYREXIA (temperature of 99.8F which went up to 101F) and ARTHRALGIA (left shoulder started hurting) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Treatment medication included Cortisone shot.

Other Meds: SYNTHROID; VITAMIN D 2000; VITAMIN E [TOCOPHERYL ACETATE]; CRESTOR; SINGULAIR; OXYBUTYNIN; COQ-10

Current Illness:

ID: 1612044
Sex: M
Age:
State: MA

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 08/22/2021
Hospital:

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Symptom List:

Symptoms: pain in the face on left side lower jaw; This spontaneous case was reported by a consumer and describes the occurrence of FACIAL PAIN (pain in the face on left side lower jaw) in a 36-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History was reported. On 27-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Apr-2021, the patient experienced FACIAL PAIN (pain in the face on left side lower jaw). At the time of the report, FACIAL PAIN (pain in the face on left side lower jaw) outcome was unknown. Not Provided. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications provided. No treatment information provided.

Other Meds:

Current Illness:

ID: 1612045
Sex: F
Age:
State: TX

Vax Date: 02/04/2021
Onset Date: 04/23/2021
Rec V Date: 08/22/2021
Hospital:

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Symptoms: eosinophilia; diarrhea; extreme fatigue; This spontaneous case was reported by a pharmacist and describes the occurrence of EOSINOPHILIA, DIARRHOEA, and FATIGUE in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 012A21A and 013M20A) for COVID-19 vaccination. Concurrent medical conditions included Blood pressure high. On 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 02-Mar-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 DIARRHOEA and FATIGUE. On 26-Apr-2021, the patient experienced EOSINOPHILIA. At the time of the report, EOSINOPHILIA, DIARRHOEA, and FATIGUE outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 26-Apr-2021, Eosinophil count: 18.5 (High). For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter considered EOSINOPHILIA to be related. No further causality assessments were provided for DIARRHOEA and FATIGUE. Concomitant medication included ACE Inhibitors. No treatment information provided. Action taken with mRNA-1273 in response to the events was not Applicable.

Other Meds:

Current Illness: Blood pressure high

ID: 1612046
Sex: F
Age: 56
State: IL

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

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Symptom List:

Symptoms: red itchy clusters on the left arm on the opposite side of elbow around 2 weeks; Itchy; clusters developed as little bumps; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of ERYTHEMA (red itchy clusters on the left arm on the opposite side of elbow around 2 weeks), PRURITUS (Itchy) and SWELLING (clusters developed as little bumps) in a 57-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 002A21A and 025B21A) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included HYDROCHLOROTHIAZIDE and METOPROLOL for an unknown indication. On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 31-Mar-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 ERYTHEMA (red itchy clusters on the left arm on the opposite side of elbow around 2 weeks) and SWELLING (clusters developed as little bumps). an unknown date, the patient experienced PRURITUS (Itchy). The patient was treated with MOMETASONE FUROATE at an unspecified dose and frequency. At the time of the report, ERYTHEMA (red itchy clusters on the left arm on the opposite side of elbow around 2 weeks), PRURITUS (Itchy) and SWELLING (clusters developed as little bumps) outcome was unknown. Not Provided

Other Meds: HYDROCHLOROTHIAZIDE; METOPROLOL

Current Illness:

ID: 1612047
Sex: F
Age: 66
State: NC

Vax Date: 02/13/2021
Onset Date: 03/13/2021
Rec V Date: 08/22/2021
Hospital:

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Symptom List:

Symptoms: "Felt sick for a day or two after dose #2; chills; Slight fever; Headache; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION ("Felt sick for a day or two after dose #2), CHILLS (chills), PYREXIA (Slight fever) and HEADACHE (Headache) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 001B21A and 042L20A) for COVID-19 vaccination. Concurrent medical conditions included Osteoporosis in 2020. Concomitant products included RISEDRONATE SODIUM (ACTONEL), ECHINACEA PURPUREA, FISH OIL, MULTIVITAMINS [VITAMINS NOS], CALCIUM, COLECALCIFEROL (CALCIUM WITH D3) and CYANOCOBALAMIN (B12-VITAMIIN) for an unknown indication. On 13-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 13-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 13-Mar-2021, the patient experienced CHILLS (chills), PYREXIA (Slight fever) and HEADACHE (Headache). On an unknown date, the patient experienced VACCINATION COMPLICATION ("Felt sick for a day or two after dose #2). The patient was treated with PARACETAMOL (TYLENOL EXTRA-STRENGTH) (oral) for Headache and Slight fever, at an unspecified dose and frequency. On 14-Mar-2021, CHILLS (chills), PYREXIA (Slight fever) and HEADACHE (Headache) had resolved. At the time of the report, VACCINATION COMPLICATION ("Felt sick for a day or two after dose #2) outcome was unknown. Not Provided This case was linked to MOD-2021-020677 (E2B Linked Report). Most recent FOLLOW-UP information incorporated above includes: On 28-May-2021: added patient medical history , added concomitant and treatment medications, updated events outcome; Sender's Comments: MOD-2021-020677:1st dose case

Other Meds: ACTONEL; ECHINACEA PURPUREA; FISH OIL; MULTIVITAMINS [VITAMINS NOS]; CALCIUM WITH D3; B12-VITAMIIN

Current Illness:

ID: 1612048
Sex: F
Age:
State: MS

Vax Date: 03/18/2021
Onset Date:
Rec V Date: 08/22/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: one week later, swelling of lymph node under the armpit of the injection site; This spontaneous case was reported by a consumer and describes the occurrence of LYMPHADENOPATHY (one week later, swelling of lymph node under the armpit of the injection site) in a 36-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001B21A) for COVID-19 vaccination. No Medical History information was reported. On 18-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 LYMPHADENOPATHY (one week later, swelling of lymph node under the armpit of the injection site). At the time of the report, LYMPHADENOPATHY (one week later, swelling of lymph node under the armpit of the injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medications included birth control pills. No treatment information provided.

Other Meds:

Current Illness:

ID: 1612049
Sex: F
Age: 69
State: GA

Vax Date: 01/16/2021
Onset Date: 02/13/2021
Rec V Date: 08/22/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Its painful when she moves; Burning pain in that area; sharp pain on the injection site arm./not very close to injection site/repeatedly was progressing worse/it has significant burning pain; If she turns her head, there is pain in her shoulder; This spontaneous case was reported by a health care professional and describes the occurrence of VACCINATION SITE MOVEMENT IMPAIRMENT (Its painful when she moves), BURNING SENSATION (Burning pain in that area), VACCINATION SITE PAIN (sharp pain on the injection site arm./not very close to injection site/repeatedly was progressing worse/it has significant burning pain) and ARTHRALGIA (If she turns her head, there is pain in her shoulder) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 028L20A and 031L20A) for COVID-19 vaccination. No Medical History information was reported. On 16-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 13-Feb-2021, the patient experienced VACCINATION SITE MOVEMENT IMPAIRMENT (Its painful when she moves), BURNING SENSATION (Burning pain in that area), VACCINATION SITE PAIN (sharp pain on the injection site arm./not very close to injection site/repeatedly was progressing worse/it has significant burning pain) and ARTHRALGIA (If she turns her head, there is pain in her shoulder). At the time of the report, VACCINATION SITE MOVEMENT IMPAIRMENT (Its painful when she moves), BURNING SENSATION (Burning pain in that area), VACCINATION SITE PAIN (sharp pain on the injection site arm./not very close to injection site/repeatedly was progressing worse/it has significant burning pain) and ARTHRALGIA (If she turns her head, there is pain in her shoulder) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medication was not provided. Treatment information was not provided. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) was not applicable.

Other Meds:

Current Illness:

ID: 1612050
Sex: F
Age: 53
State: WA

Vax Date: 02/26/2021
Onset Date: 04/27/2021
Rec V Date: 08/22/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: missed dose; This spontaneous case was reported by a pharmacist and describes the occurrence of PRODUCT DOSE OMISSION ISSUE (missed dose) in a 53-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026A21A) for COVID-19 vaccination. No Medical History information was reported. On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Apr-2021, the patient experienced PRODUCT DOSE OMISSION ISSUE (missed dose). At the time of the report, PRODUCT DOSE OMISSION ISSUE (missed dose) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were reported. Treatment information was unknown.

Other Meds:

Current Illness:

ID: 1612051
Sex: U
Age:
State: CA

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 08/22/2021
Hospital:

Vax Type:
Manufacturer:
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Dose Series:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: nurse inadvertently administered 1ml instead of 0.5ml; 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 ACCIDENTAL OVERDOSE (nurse inadvertently administered 1ml instead of 0.5ml) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026B21A) for COVID-19 vaccination. No Medical History information was reported. On 27-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Apr-2021, the patient experienced ACCIDENTAL OVERDOSE (nurse inadvertently administered 1ml instead of 0.5ml). On 27-Apr-2021, ACCIDENTAL OVERDOSE (nurse inadvertently administered 1ml instead of 0.5ml) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No relevant concomitant medications were reported. No treatment information was provided. This case was linked to MODERNATX, INC.-MOD-2021-092190, MOD21-083125 (E2B Linked Report).; Sender's Comments: MODERNATX, INC.-MOD-2021-092190: MOD21-083125:

Other Meds:

Current Illness:

ID: 1612052
Sex: F
Age: 93
State: NY

Vax Date: 02/09/2021
Onset Date:
Rec V Date: 08/22/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient wasn't able to receive second dose within recommended interval; Patient was in and out of hospital due to certain conditions after receiving first dose; This spontaneous case was reported by a pharmacist and describes the occurrence of PRODUCT DOSE OMISSION ISSUE (Patient wasn't able to receive second dose within recommended interval) and VACCINATION COMPLICATION (Patient was in and out of hospital due to certain conditions after receiving first dose) in a 94-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026L20A) for COVID-19 vaccination. No Medical History information was reported. On 09-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PRODUCT DOSE OMISSION ISSUE (Patient wasn't able to receive second dose within recommended interval) and VACCINATION COMPLICATION (Patient was in and out of hospital due to certain conditions after receiving first dose). At the time of the report, PRODUCT DOSE OMISSION ISSUE (Patient wasn't able to receive second dose within recommended interval) and VACCINATION COMPLICATION (Patient was in and out of hospital due to certain conditions after receiving first dose) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medication was not provided. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1612053
Sex: F
Age:
State: MS

Vax Date: 03/18/2021
Onset Date: 04/15/2021
Rec V Date: 08/22/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: started to develop rash around the knee and the back of the knee, elbow / spread up the leg and hands; small red itchy bumps, not in clusters but close together; itchy bumps; rash spread up the leg and hands; swelling of lymph node; got really sick the whole day; wasn't well; This spontaneous case was reported by a consumer and describes the occurrence of ILLNESS (got really sick the whole day), MALAISE (wasn't well), RASH (started to develop rash around the knee and the back of the knee, elbow / spread up the leg and hands), RASH ERYTHEMATOUS (small red itchy bumps, not in clusters but close together) and PRURITUS (itchy bumps) in a 36-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter. On 18-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Apr-2021, the patient experienced MALAISE (wasn't well). On an unknown date, the patient experienced ILLNESS (got really sick the whole day), RASH (started to develop rash around the knee and the back of the knee, elbow / spread up the leg and hands), RASH ERYTHEMATOUS (small red itchy bumps, not in clusters but close together), PRURITUS (itchy bumps), RASH (rash spread up the leg and hands) and SWELLING (swelling of lymph node). At the time of the report, ILLNESS (got really sick the whole day), MALAISE (wasn't well), RASH (started to develop rash around the knee and the back of the knee, elbow / spread up the leg and hands), RASH ERYTHEMATOUS (small red itchy bumps, not in clusters but close together), PRURITUS (itchy bumps) and SWELLING (swelling of lymph node) outcome was unknown and RASH (rash spread up the leg and hands) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. This case was linked to MOD-2021-092541 (Patient Link).

Other Meds:

Current Illness:

ID: 1612054
Sex: M
Age: 61
State: FL

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 08/22/2021
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Symptoms: stomach cramps; gas all in the upper abdomen; bloated; nausea; chills; shaking; This spontaneous case was reported by a consumer and describes the occurrence of TREMOR, ABDOMINAL PAIN UPPER (stomach cramps), FLATULENCE (gas), ABDOMINAL DISTENSION (bloated), and NAUSEA in a 61-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. No Medical History information was reported. On 07-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 2 dosage form. On 08-Apr-2021, the patient experienced TREMOR and CHILLS. On 09-Apr-2021, the patient experienced NAUSEA. On 10-Apr-2021, the patient experienced ABDOMINAL PAIN UPPER (stomach cramps), FLATULENCE (gas) and ABDOMINAL DISTENSION (bloated). On 08-Apr-2021, TREMOR and CHILLS had resolved. On 10-Apr-2021, NAUSEA had resolved. At the time of the report, ABDOMINAL PAIN UPPER (stomach cramps), FLATULENCE (gas) and ABDOMINAL DISTENSION (bloated) 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 information.

Other Meds:

Current Illness:

ID: 1612055
Sex: M
Age: 59
State: NJ

Vax Date: 04/03/2021
Onset Date: 04/11/2021
Rec V Date: 08/22/2021
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Symptoms: Tested positive for covid 19; This spontaneous case was reported by a consumer and describes the occurrence of SARS-COV-2 TEST POSITIVE (Tested positive for covid 19) in a 59-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032b21a) 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) (Intramuscular) 1 dosage form. On 11-Apr-2021, the patient experienced SARS-COV-2 TEST POSITIVE (Tested positive for covid 19). At the time of the report, SARS-COV-2 TEST POSITIVE (Tested positive for covid 19) outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 11-Apr-2021, COVID-19: positive (Positive) Positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication was reported Treatment medication was not provided

Other Meds:

Current Illness:

ID: 1612056
Sex: M
Age:
State: FL

Vax Date: 03/26/2021
Onset Date: 04/27/2021
Rec V Date: 08/22/2021
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Symptoms: 8 by 8 rash on the top of the buttocks area in lower back; This spontaneous case was reported by a consumer and describes the occurrence of RASH (8 by 8 rash on the top of the buttocks area in lower back) in a 51-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 018B21A and 046B21A) for COVID-19 vaccination. Concurrent medical conditions included HIV positive and Bradycardia. Concomitant products included BICTEGRAVIR SODIUM, EMTRICITABINE, TENOFOVIR ALAFENAMIDE FUMARATE (BIKTARVY), ROPINIROLE, ALPRAZOLAM, GABAPENTIN, NAPROXEN, CITALOPRAM and OXCARBAZEPINE for an unknown indication. On 26-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 27-Apr-2021, the patient experienced RASH (8 by 8 rash on the top of the buttocks area in lower back). The patient was treated with BETAMETHASONE DIPROPIONATE, CLOTRIMAZOLE (CLOTRIMAZOLE/BETAMETHASONE DIPROPIONATE) for Rash, at an unspecified dose and frequency. At the time of the report, RASH (8 by 8 rash on the top of the buttocks area in lower back) outcome was unknown. Not Provided

Other Meds: BIKTARVY; ROPINIROLE; ALPRAZOLAM; GABAPENTIN; NAPROXEN; CITALOPRAM; OXCARBAZEPINE

Current Illness: Bradycardia; HIV positive

ID: 1612057
Sex: F
Age: 66
State: CO

Vax Date: 02/16/2021
Onset Date: 03/26/2021
Rec V Date: 08/22/2021
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Symptoms: Unable to do many activities including camping; nausea; fatigue; Sudden onset of bilateral tinnitus/ Humming and buzzing; Fullness in both ears/bilateral tinnitus, fullness and ear pressure; pressure in both ears/bilateral tinnitus, fullness and ear pressure; This spontaneous case was reported by a consumer and describes the occurrence of TINNITUS (Sudden onset of bilateral tinnitus/ Humming and buzzing), EAR CONGESTION (Fullness in both ears/bilateral tinnitus, fullness and ear pressure), EAR PAIN (pressure in both ears/bilateral tinnitus, fullness and ear pressure), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (Unable to do many activities including camping) and NAUSEA (nausea) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 036A21A and 031L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history provided by the reporter. Concomitant products included FISH OIL from 11-Jan-2018 to an unknown date for Dry eye, ESTRADIOL (ESTRACE VAGINAL) from 03-Jan-2015 to an unknown date for Dryness vaginal, VIT D [VITAMIN D NOS] from 11-Jan-2018 to an unknown date for Immune disorder (NOS), ZOLPIDEM TARTRATE (AMBIEN) from 01-Jan-2018 to an unknown date for Sleep disorder NOS. On 16-Feb-2021 at 11:30 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Mar-2021 at 11:30 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 26-Mar-2021 at 8:30 PM, the patient experienced TINNITUS (Sudden onset of bilateral tinnitus/ Humming and buzzing), EAR CONGESTION (Fullness in both ears/bilateral tinnitus, fullness and ear pressure) and EAR PAIN (pressure in both ears/bilateral tinnitus, fullness and ear pressure). On an unknown date, the patient experienced LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (Unable to do many activities including camping), NAUSEA (nausea) and FATIGUE (fatigue). The patient was treated with FEXOFENADINE HYDROCHLORIDE (ALLEGRA) at a dose of 1 dosage form and MOMETASONE FUROATE (FLONASE [MOMETASONE FUROATE]) at a dose of 1 dosage form. At the time of the report, TINNITUS (Sudden onset of bilateral tinnitus/ Humming and buzzing), EAR CONGESTION (Fullness in both ears/bilateral tinnitus, fullness and ear pressure) and EAR PAIN (pressure in both ears/bilateral tinnitus, fullness and ear pressure) had not resolved and LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (Unable to do many activities including camping), NAUSEA (nausea) and FATIGUE (fatigue) outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 09-Apr-2021, Acoustic stimulation tests: normal (normal) Normal. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Patient asked PCP for a round of steroids around week 11 of SX as pretty disparate at that point. Did 10 day 60-40-20-10 mg taper. Fullness and pressure improved but still with side effects from steroids to include nausea and fatigue. Most recent FOLLOW-UP information incorporated above includes: On 02-Jul-2021: Added concomitant medications, events added

Other Meds: AMBIEN; FISH OIL; VIT D [VITAMIN D NOS]; ESTRACE VAGINAL

Current Illness:

ID: 1612058
Sex: F
Age: 55
State: OH

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 08/22/2021
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Symptoms: Extraordinarily lethargy; loss of appetite; warm temperature with no fever; body aches,"felt like someone hit me with a baseball bat in the art; This spontaneous case was reported by a consumer and describes the occurrence of LETHARGY (Extraordinarily lethargy), DECREASED APPETITE (loss of appetite), FEELING HOT (warm temperature with no fever) and MYALGIA (body aches,"felt like someone hit me with a baseball bat in the art) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 037B21A) for COVID-19 vaccination. The patient's past medical history included COVID-19 in February 2020. Concurrent medical conditions included CYP450 2D6 ultrarapid metaboliser status. On 07-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Apr-2021, the patient experienced LETHARGY (Extraordinarily lethargy), DECREASED APPETITE (loss of appetite), FEELING HOT (warm temperature with no fever) and MYALGIA (body aches,"felt like someone hit me with a baseball bat in the art). On 12-Apr-2021, LETHARGY (Extraordinarily lethargy), DECREASED APPETITE (loss of appetite), FEELING HOT (warm temperature with no fever) and MYALGIA (body aches,"felt like someone hit me with a baseball bat in the art) had resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication included blood thinner. Treatment medication included Tylenol 1000 mg.

Other Meds:

Current Illness: CYP450 2D6 ultrarapid metaboliser status.

ID: 1612059
Sex: F
Age: 56
State: CA

Vax Date: 03/28/2021
Onset Date: 04/05/2021
Rec V Date: 08/22/2021
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Symptoms: more asthma than before; body ache; Symptoms of COVID-19; cough; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (Symptoms of COVID-19), COUGH (cough), ASTHMA (more asthma than before) and MYALGIA (body ache) in a 56-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039A21A) for COVID-19 vaccination. Concurrent medical conditions included Asthma, Gastritis and Drug allergy (Patient is allergic to Aspirin). Concomitant products included PROBIOTICS NOS for Gastritis, VITAMINS NOS for an unknown indication. On 28-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Apr-2021, the patient experienced COVID-19 (Symptoms of COVID-19) and COUGH (cough). On an unknown date, the patient experienced ASTHMA (more asthma than before) and MYALGIA (body ache). At the time of the report, COVID-19 (Symptoms of COVID-19), COUGH (cough), ASTHMA (more asthma than before) and MYALGIA (body ache) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. This case was linked to MOD-2021-092618 (Patient Link).

Other Meds: PROBIOTICS NOS; VITAMINS NOS

Current Illness: Asthma; Drug allergy (Patient is allergic to Aspirin); Gastritis

ID: 1612060
Sex: F
Age: 20
State: CT

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 08/22/2021
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Symptoms: cough; sore throat; Postnasal drip; nausea,; Chills; did not feel good for 24 hours; arm hurt (8/10 pain scale); This spontaneous case was reported by a nurse and describes the occurrence of PAIN IN EXTREMITY (arm hurt (8/10 pain scale)), COUGH (cough), OROPHARYNGEAL PAIN (sore throat), FEELING ABNORMAL (did not feel good for 24 hours) and UPPER-AIRWAY COUGH SYNDROME (Postnasal drip) in a 20-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 was provided by the reporter. On 05-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Apr-2021, the patient experienced PAIN IN EXTREMITY (arm hurt (8/10 pain scale)), FEELING ABNORMAL (did not feel good for 24 hours), NAUSEA (nausea,) and CHILLS (Chills). On 17-Apr-2021, the patient experienced COUGH (cough), OROPHARYNGEAL PAIN (sore throat) and UPPER-AIRWAY COUGH SYNDROME (Postnasal drip). At the time of the report, PAIN IN EXTREMITY (arm hurt (8/10 pain scale)), COUGH (cough), OROPHARYNGEAL PAIN (sore throat), FEELING ABNORMAL (did not feel good for 24 hours), UPPER-AIRWAY COUGH SYNDROME (Postnasal drip), NAUSEA (nausea,) and CHILLS (Chills) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.

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Current Illness:

ID: 1612061
Sex: F
Age: 60
State: NY

Vax Date: 04/19/2021
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Rec V Date: 08/22/2021
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Symptoms: Hot to touch at injection site; Facial swelling; Rapid heart beat; arm swollen and hot to touch at injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (Hot to touch at injection site), SWELLING FACE (Facial swelling), HEART RATE INCREASED (Rapid heart beat) and VACCINATION SITE SWELLING (arm swollen and hot to touch at injection site) in a 60-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 dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE WARMTH (Hot to touch at injection site), SWELLING FACE (Facial swelling), HEART RATE INCREASED (Rapid heart beat) and VACCINATION SITE SWELLING (arm swollen and hot to touch at injection site). At the time of the report, VACCINATION SITE WARMTH (Hot to touch at injection site), SWELLING FACE (Facial swelling), HEART RATE INCREASED (Rapid heart beat) and VACCINATION SITE SWELLING (arm swollen and hot to touch at injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medication not provided. Treatment information not provided.

Other Meds:

Current Illness:

ID: 1612062
Sex: F
Age:
State: LA

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 08/22/2021
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Symptoms: patient out of recommended dosing window more than 48 days; This spontaneous case was reported by a pharmacist and describes the occurrence of INTENTIONAL PRODUCT USE ISSUE (patient out of recommended dosing window more than 48 days) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history was reported. On 10-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Mar-2021, the patient experienced INTENTIONAL PRODUCT USE ISSUE (patient out of recommended dosing window more than 48 days). At the time of the report, INTENTIONAL PRODUCT USE ISSUE (patient out of recommended dosing window more than 48 days) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Most recent FOLLOW-UP information incorporated above includes: On 28-May-2021: F/U Received, Contact information was provided.

Other Meds:

Current Illness:

ID: 1612063
Sex: F
Age: 68
State: FL

Vax Date: 04/02/2021
Onset Date:
Rec V Date: 08/22/2021
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Symptoms: aggravated flare up of shingles; mild shock in back, intense nerve activity in the back; burning and stinging in the back; burning and stinging in the back; Felt tired; This spontaneous case was reported by a consumer and describes the occurrence of HERPES ZOSTER (aggravated flare up of shingles), PAIN (mild shock in back, intense nerve activity in the back), BURNING SENSATION (burning and stinging in the back), PAIN (burning and stinging in the back) and FATIGUE (Felt tired) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 048A21A) for COVID-19 vaccination. No Medical History information was reported. On 02-Apr-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) at an unspecified dose. On an unknown date, the patient experienced HERPES ZOSTER (aggravated flare up of shingles), PAIN (mild shock in back, intense nerve activity in the back), BURNING SENSATION (burning and stinging in the back), PAIN (burning and stinging in the back) and FATIGUE (Felt tired). At the time of the report, HERPES ZOSTER (aggravated flare up of shingles), PAIN (mild shock in back, intense nerve activity in the back), BURNING SENSATION (burning and stinging in the back), PAIN (burning and stinging in the back) and FATIGUE (Felt tired) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1612064
Sex: M
Age: 56
State: MN

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 08/22/2021
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Symptoms: Felt run down & tired; soreness in arm from the shot; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (Felt run down & tired) and PAIN IN EXTREMITY (soreness in arm from the shot) in a 56-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 047B21A) for COVID-19 vaccination. The patient's past medical history included Neck surgery (neck fusion). On 18-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 18-Mar-2021, the patient experienced FATIGUE (Felt run down & tired) and PAIN IN EXTREMITY (soreness in arm from the shot). At the time of the report, FATIGUE (Felt run down & tired) and PAIN IN EXTREMITY (soreness in arm from the shot) outcome was unknown. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. This case was linked to MOD-2021-092640 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 06-May-2021: Updated additional contact information to previous case.

Other Meds:

Current Illness:

ID: 1612065
Sex: F
Age: 85
State: WA

Vax Date: 03/17/2021
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Rec V Date: 08/22/2021
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Symptoms: rash has more than 6 episodes; This spontaneous case was reported by a physician and describes the occurrence of RASH (rash has more than 6 episodes) in an 85-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 044A21A) for COVID-19 vaccination. No Medical History information was reported. On 17-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 RASH (rash has more than 6 episodes). At the time of the report, RASH (rash has more than 6 episodes) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.

Other Meds:

Current Illness:

ID: 1612066
Sex: F
Age:
State: AL

Vax Date: 03/09/2021
Onset Date:
Rec V Date: 08/22/2021
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Symptoms: Itchy at injection site; Tiny rash at injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PRURITUS (Itchy at injection site) and VACCINATION SITE RASH (Tiny rash at injection site) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 09-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 VACCINATION SITE PRURITUS (Itchy at injection site) and VACCINATION SITE RASH (Tiny rash at injection site). At the time of the report, VACCINATION SITE PRURITUS (Itchy at injection site) and VACCINATION SITE RASH (Tiny rash at injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Relevant concomitant medications was reported. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1612067
Sex: F
Age: 56
State: CA

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 08/22/2021
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Symptoms: brain is not clear; Asthma; headache; body ache; Tired; Fever; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (brain is not clear), ASTHMA (Asthma), HEADACHE (headache), MYALGIA (body ache) and FATIGUE (Tired) in a 56-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. Concurrent medical conditions included Asthma, Gastritis and Drug allergy (Aspirin). Concomitant products included PROBIOTICS NOS for Gastritis. On 25-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 25-Apr-2021, the patient experienced FATIGUE (Tired) and PYREXIA (Fever). On an unknown date, the patient experienced FEELING ABNORMAL (brain is not clear), ASTHMA (Asthma), HEADACHE (headache) and MYALGIA (body ache). At the time of the report, FEELING ABNORMAL (brain is not clear), ASTHMA (Asthma), HEADACHE (headache), MYALGIA (body ache), FATIGUE (Tired) and PYREXIA (Fever) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. This case was linked to MOD-2021-092588 (Patient Link).

Other Meds: PROBIOTICS NOS

Current Illness: Asthma; Drug allergy (Aspirin); Gastritis

ID: 1612068
Sex: F
Age:
State: MD

Vax Date: 04/16/2021
Onset Date: 04/27/2021
Rec V Date: 08/22/2021
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Symptoms: Burning sensation; This spontaneous case was reported by a consumer and describes the occurrence of BURNING SENSATION (Burning sensation) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 041821A) for COVID-19 vaccination. No Medical History information was reported. On 16-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Apr-2021, the patient experienced BURNING SENSATION (Burning sensation). At the time of the report, BURNING SENSATION (Burning sensation) 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: 1612069
Sex: F
Age: 77
State: TX

Vax Date: 04/23/2021
Onset Date: 04/01/2021
Rec V Date: 08/22/2021
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Symptoms: swelling in her feet; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (swelling in her feet) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 23-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. In April 2021, the patient experienced PERIPHERAL SWELLING (swelling in her feet). At the time of the report, PERIPHERAL SWELLING (swelling in her feet) outcome was unknown. Concomitant product use was not provided. No treatment was reported. Action taken in response to mRNA-1273 was not applicable. Most recent FOLLOW-UP information incorporated above includes: On 27-Apr-2021: Updated patient demographics, added vaccine information(second dose) and added a new event.

Other Meds:

Current Illness:

ID: 1612070
Sex: M
Age: 56
State: MN

Vax Date: 04/15/2021
Onset Date: 04/27/2021
Rec V Date: 08/22/2021
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Symptoms: Lymphedema on his right arm; Neck muscle pain.It is a constant lingering pain; Couldnt turn or raise his head up and down; Back of his neck got really sore; Arm was sore at injection site; Had a fever; Chills; Right arm became badly infected "It was a major infection"; Arm was swollen; Arm was red; Dizziness; Couldnt breathe; This spontaneous case was reported by a consumer and describes the occurrence of LYMPHOEDEMA (Lymphedema on his right arm), LOCALISED INFECTION (Right arm became badly infected "It was a major infection"), PERIPHERAL SWELLING (Arm was swollen), ERYTHEMA (Arm was red) and DIZZINESS (Dizziness) in a 56-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 047B21A and 040A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included ACDF (Neck fusion Surgery). On 15-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 27-Apr-2021, the patient experienced LOCALISED INFECTION (Right arm became badly infected "It was a major infection"), PERIPHERAL SWELLING (Arm was swollen), ERYTHEMA (Arm was red), DIZZINESS (Dizziness), DYSPNOEA (Couldnt breathe), NECK PAIN (Back of his neck got really sore), VACCINATION SITE PAIN (Arm was sore at injection site), PYREXIA (Had a fever) and CHILLS (Chills). On an unknown date, the patient experienced LYMPHOEDEMA (Lymphedema on his right arm), MOBILITY DECREASED (Couldnt turn or raise his head up and down) and MYALGIA (Neck muscle pain.It is a constant lingering pain). The patient was treated with DEXTROMETHORPHAN (THERAFLU DX [DEXTROMETHORPHAN]) for Localised infection, at an unspecified dose and frequency; PARACETAMOL (TYLENOL) at an unspecified dose and frequency; NAPROXEN SODIUM (ALEVE) for Neck pain, at an unspecified dose and frequency and Physical therapy (ice packs) for Localised infection. At the time of the report, LYMPHOEDEMA (Lymphedema on his right arm), LOCALISED INFECTION (Right arm became badly infected "It was a major infection"), PERIPHERAL SWELLING (Arm was swollen), ERYTHEMA (Arm was red), DIZZINESS (Dizziness), DYSPNOEA (Couldnt breathe), MOBILITY DECREASED (Couldnt turn or raise his head up and down), NECK PAIN (Back of his neck got really sore), MYALGIA (Neck muscle pain.It is a constant lingering pain), VACCINATION SITE PAIN (Arm was sore at injection site), PYREXIA (Had a fever) and CHILLS (Chills) outcome was unknown. Concomitant product information was not provided. Treatment information include ice packs. Action taken with mRNA-1273 in response to events was not applicable. This case was linked to MOD-2021-092604 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 06-May-2021: No new information.

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Current Illness:

ID: 1612071
Sex: M
Age: 66
State: NJ

Vax Date: 03/04/2021
Onset Date: 03/01/2021
Rec V Date: 08/22/2021
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Symptoms: Patient can not move his left arm; pain in the left arm at the injection site; vaccination experienced headache; Left shoulder joint pain; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of VACCINATION SITE MOVEMENT IMPAIRMENT (Patient can not move his left arm), VACCINATION SITE PAIN (pain in the left arm at the injection site), HEADACHE (vaccination experienced headache) and ARTHRALGIA (Left shoulder joint pain) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 022M20A and 030L20A) for COVID-19 vaccination. No Medical History information was reported. On 04-Mar-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) (Intramuscular) 1 dosage form. In March 2021, the patient experienced VACCINATION SITE MOVEMENT IMPAIRMENT (Patient can not move his left arm), VACCINATION SITE PAIN (pain in the left arm at the injection site), HEADACHE (vaccination experienced headache) and ARTHRALGIA (Left shoulder joint pain). At the time of the report, VACCINATION SITE MOVEMENT IMPAIRMENT (Patient can not move his left arm), VACCINATION SITE PAIN (pain in the left arm at the injection site) and ARTHRALGIA (Left shoulder joint pain) outcome was unknown and HEADACHE (vaccination experienced headache) had resolved. No concomitant medications reported. No treatment medications provided by the reporter. Action taken with mRNA-1273 in response to events was not applicable.

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Current Illness:

ID: 1612072
Sex: M
Age: 49
State: CA

Vax Date: 02/17/2021
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Rec V Date: 08/22/2021
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Symptoms: Discomfort level of 7 on a scale of 1-10; pretty intense ear ringing; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of DISCOMFORT (Discomfort level of 7 on a scale of 1-10) and TINNITUS (pretty intense ear ringing) in a 49-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029A21A and 006M20A) for COVID-19 vaccination. The patient's past medical history included Ear ringing. On 17-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Mar-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 DISCOMFORT (Discomfort level of 7 on a scale of 1-10) and TINNITUS (pretty intense ear ringing). The patient was treated with PREDNISONE for Adverse event, at an unspecified dose and frequency. At the time of the report, DISCOMFORT (Discomfort level of 7 on a scale of 1-10) outcome was unknown and TINNITUS (pretty intense ear ringing) had not resolved. No concomitant product use was reported. Action taken with mRNA-1273 in response to events was not applicable. This case was linked to MOD-2021-092422 (E2B Linked Report).; Sender's Comments: MOD-2021-092422:Same reporter

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Current Illness:

ID: 1612073
Sex: F
Age:
State: GA

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Symptoms: diarrhea; just weak; Still deathly sick; throwing up; running a fever; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (diarrhea), ASTHENIA (just weak), MALAISE (Still deathly sick), VOMITING (throwing up) and PYREXIA (running a fever) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced DIARRHOEA (diarrhea), ASTHENIA (just weak), MALAISE (Still deathly sick), VOMITING (throwing up) and PYREXIA (running a fever). At the time of the report, DIARRHOEA (diarrhea), ASTHENIA (just weak), MALAISE (Still deathly sick), VOMITING (throwing up) and PYREXIA (running a fever) outcome was unknown. Not Provided Reporter reports that both parents received the second dose of Moderna vaccine a month ago. Still deathly sick. On Friday, both experienced throwing up, had diarrhea, and running a fever. Just weak. This case was linked to MOD-2021-092667 (Patient Link).

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Current Illness:

ID: 1612074
Sex: F
Age:
State: PA

Vax Date: 03/23/2021
Onset Date: 04/27/2021
Rec V Date: 08/22/2021
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Symptoms: feel tired; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (feel tired) 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-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 27-Apr-2021, the patient experienced FATIGUE (feel tired). At the time of the report, FATIGUE (feel tired) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. patient called to reschedule the second dose moderna COVID-19 vaccine. Patient said, " I called the wrong department." I took my first shot on 23MAR2021, and my second shot is due today(27APR2021) and want to reschedule it, because I don't feel well today."

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Current Illness:

ID: 1612075
Sex: M
Age: 60
State: CT

Vax Date: 03/15/2021
Onset Date: 04/13/2021
Rec V Date: 08/22/2021
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Symptoms: severe diarrhea; could not eat and that lasted 2 days; dizziness; stomach issues; second dose was nasty; temperature of 101.6; queasy; vomiting; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (severe diarrhea), EATING DISORDER (could not eat and that lasted 2 days), DIZZINESS (dizziness), ABDOMINAL DISCOMFORT (stomach issues) and FEELING ABNORMAL (second dose was nasty) in a 61-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 025B21A and 040A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was not provided by reporter. Concomitant products included ACETYLSALICYLIC ACID (ASPIRIN (E.C.)), CALCIUM CARBONATE, COLECALCIFEROL (VITAMIN D 2000), CYANOCOBALAMIN, PYRIDOXINE HYDROCHLORIDE, THIAMINE HYDROCHLORIDE (VITAMIN B 1-6-12), cetrizine hydrochloride, BUSPIRONE HYDROCHLORIDE (BUSPAR), VALPROATE SEMISODIUM (DEPAKOTE ER), ESCITALOPRAM, EZETIMIBE, IRON, ISOSORBIDE, METFORMIN, Montelukest sodium, NALTREXONE, ROSUVASTATIN, TRAZODONE, TOPIRAMATE (TOPAMAX), PANTOPRAZOLE, ALUMINIUM HYDROXIDE, BISMUTH HYDROXIDE, MAGNESIUM HYDROXIDE, SILICA GEL, SODIUM HYDROXIDE (TRISIBAM), INSULIN LISPRO (HUMALOG) and ALIROCUMAB (PRALUENT) for an unknown indication, MULTIVITAMIN & MINERAL. On 15-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 13-Apr-2021, the patient experienced DIARRHOEA (severe diarrhea), EATING DISORDER (could not eat and that lasted 2 days), DIZZINESS (dizziness), ABDOMINAL DISCOMFORT (stomach issues), FEELING ABNORMAL (second dose was nasty), PYREXIA (temperature of 101.6), NAUSEA (queasy) and VOMITING (vomiting). At the time of the report, DIARRHOEA (severe diarrhea), PYREXIA (temperature of 101.6) and VOMITING (vomiting) had resolved, EATING DISORDER (could not eat and that lasted 2 days), FEELING ABNORMAL (second dose was nasty) and NAUSEA (queasy) outcome was unknown and DIZZINESS (dizziness) and ABDOMINAL DISCOMFORT (stomach issues) had not resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Treatment medication include Zofran and Tylenol. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) was not applicable.

Other Meds: ASPIRIN (E.C.); VITAMIN D 2000; VITAMIN B 1-6-12; cetrizine hydrochloride; MULTIVITAMIN & MINERAL; BUSPAR; DEPAKOTE ER; ESCITALOPRAM; EZETIMIBE; IRON; ISOSORBIDE; METFORMIN; Montelukest sodium; NALTREXONE; ROSUVASTATIN; TRAZODONE; TOPAMAX;

Current Illness:

ID: 1612076
Sex: F
Age: 66
State: PA

Vax Date: 03/12/2021
Onset Date: 04/25/2021
Rec V Date: 08/22/2021
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Symptoms: Her foot is tingling and numb; Her foot is tingling and numb; Can barely walk; Getting pain in her right leg from the knee down into her foot; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Getting pain in her right leg from the knee down into her foot), HYPOAESTHESIA (Her foot is tingling and numb), PARAESTHESIA (Her foot is tingling and numb) and GAIT DISTURBANCE (Can barely walk) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 12-Mar-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 25-Apr-2021, the patient experienced PAIN IN EXTREMITY (Getting pain in her right leg from the knee down into her foot). On an unknown date, the patient experienced HYPOAESTHESIA (Her foot is tingling and numb), PARAESTHESIA (Her foot is tingling and numb) and GAIT DISTURBANCE (Can barely walk). At the time of the report, PAIN IN EXTREMITY (Getting pain in her right leg from the knee down into her foot), HYPOAESTHESIA (Her foot is tingling and numb), PARAESTHESIA (Her foot is tingling and numb) and GAIT DISTURBANCE (Can barely walk) had resolved. No relevant concomitant medications were reported. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not applicable. Most recent FOLLOW-UP information incorporated above includes: On 28-May-2021: Follow-up received on 28-MAY-2021 and not patient feel fine now. Outcome of the event updated.

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Current Illness:

ID: 1612077
Sex: M
Age:
State: FL

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 08/22/2021
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Symptoms: sore arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 048A21A and 046B21A) for COVID-19 vaccination. No Medical History information was reported. On 26-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 26-Mar-2021, the patient experienced PAIN IN EXTREMITY. At the time of the report, PAIN IN EXTREMITY outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) and mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication were reported. No treatment information was provided. This case was linked to US-MODERNATX, INC-MOD-2021-092706; Sender's Comments: US-MODERNATX, INC-MOD-2021-092706: Dose 2.

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ID: 1612078
Sex: U
Age:
State: CA

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Rec V Date: 08/22/2021
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Symptoms: a sore throat; runny nose; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of OROPHARYNGEAL PAIN (a sore throat) and RHINORRHOEA (runny nose) 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 OROPHARYNGEAL PAIN (a sore throat) and RHINORRHOEA (runny nose). At the time of the report, OROPHARYNGEAL PAIN (a sore throat) and RHINORRHOEA (runny nose) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product use was not provided by the reporter. No treatment information was provided.

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Current Illness:

ID: 1612079
Sex: M
Age: 35
State: GA

Vax Date: 04/03/2021
Onset Date: 04/09/2021
Rec V Date: 08/22/2021
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Symptoms: Tested positive for Covid 19 after 7 days; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (Tested positive for Covid 19 after 7 days) in a 35-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) 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 09-Apr-2021, the patient experienced COVID-19 (Tested positive for Covid 19 after 7 days). At the time of the report, COVID-19 (Tested positive for Covid 19 after 7 days) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.

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Current Illness:

ID: 1612080
Sex: M
Age:
State: FL

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 08/22/2021
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Symptoms: Couldn't move; No appetite; Diarrhea; Shakes; Sweats; Fatigue; Headache; Threw up 4 times; Stomach was queezy; This spontaneous case was reported by a consumer and describes the occurrence of MOBILITY DECREASED (Couldn't move), DECREASED APPETITE (No appetite), DIARRHOEA (Diarrhea), TREMOR (Shakes) and HYPERHIDROSIS (Sweats) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 046B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 23-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Apr-2021, the patient experienced MOBILITY DECREASED (Couldn't move), DECREASED APPETITE (No appetite), DIARRHOEA (Diarrhea), TREMOR (Shakes), HYPERHIDROSIS (Sweats), FATIGUE (Fatigue), HEADACHE (Headache), VOMITING (Threw up 4 times) and NAUSEA (Stomach was queezy). At the time of the report, MOBILITY DECREASED (Couldn't move), DECREASED APPETITE (No appetite), DIARRHOEA (Diarrhea), TREMOR (Shakes), HYPERHIDROSIS (Sweats), FATIGUE (Fatigue), HEADACHE (Headache), VOMITING (Threw up 4 times) and NAUSEA (Stomach was queezy) outcome was unknown. This case was linked to US-MODERNATX, INC.-MOD-2021-092695 (E2B Linked Report).; Sender's Comments: US-MODERNATX, INC.-MOD-2021-092695:Dose 1

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Current Illness:

ID: 1612081
Sex: F
Age: 66
State: TX

Vax Date: 04/18/2021
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Rec V Date: 08/22/2021
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Symptoms: Cold; This spontaneous case was reported by a consumer and describes the occurrence of NASOPHARYNGITIS in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included VITAMINS A & D for an unknown indication. On 18-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced NASOPHARYNGITIS. At the time of the report, NASOPHARYNGITIS outcome was unknown. Not Provided. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. This case was linked to MOD21-082724, MOD21-082725, MOD21-082726. This case was linked to US-MODERNATX, INCMOD-2021-092653. Sender's Comments: MOD21-082724, MOD21-082725, MOD21-082726.

Other Meds: VITAMINS A & D

Current Illness:

ID: 1612082
Sex: F
Age: 72
State: NJ

Vax Date: 04/20/2021
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Rec V Date: 08/22/2021
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Symptoms: she had swollen arm black and blue; chest pain on climbing stairs; shortness of breath; diarrhea; congestion/nose feels running but nothing comes out; dry mouth; fever; chills; terrible headache; terrible nausea; tired very much; This spontaneous case was reported by a consumer and describes the occurrence of CONTUSION (she had swollen arm black and blue), CHEST PAIN (chest pain on climbing stairs), DYSPNOEA (shortness of breath), DIARRHOEA (diarrhea) and NASAL CONGESTION (congestion/nose feels running but nothing comes out) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Lyme's disease. On 20-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 CONTUSION (she had swollen arm black and blue), CHEST PAIN (chest pain on climbing stairs), DYSPNOEA (shortness of breath), DIARRHOEA (diarrhea), NASAL CONGESTION (congestion/nose feels running but nothing comes out), DRY MOUTH (dry mouth), PYREXIA (fever), CHILLS (chills), HEADACHE (terrible headache), NAUSEA (terrible nausea) and FATIGUE (tired very much). At the time of the report, CONTUSION (she had swollen arm black and blue), CHEST PAIN (chest pain on climbing stairs), DYSPNOEA (shortness of breath), NASAL CONGESTION (congestion/nose feels running but nothing comes out), DRY MOUTH (dry mouth), PYREXIA (fever), CHILLS (chills), HEADACHE (terrible headache), NAUSEA (terrible nausea) and FATIGUE (tired very much) had not resolved and DIARRHOEA (diarrhea) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant details were provided No treatment details were provided

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Current Illness:

ID: 1612083
Sex: F
Age: 68
State: TX

Vax Date: 01/21/2021
Onset Date: 03/09/2021
Rec V Date: 08/22/2021
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Symptoms: Pounding on the ear; body pains in the leg and back; headache; This spontaneous case was reported by a consumer and describes the occurrence of TINNITUS (Pounding on the ear), MYALGIA (body pains in the leg and back) and HEADACHE (headache) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032L20A) for COVID-19 vaccination. No medical history reported. Concomitant products included GLIMEPIRIDE, METFORMIN, ROSUVASTATIN, VITAMIN B12 NOS and MULTIVITAMINS [VITAMINS NOS] for an unknown indication. On 21-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 09-Mar-2021, the patient experienced TINNITUS (Pounding on the ear), MYALGIA (body pains in the leg and back) and HEADACHE (headache). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency and IBUPROFEN at an unspecified dose and frequency. On 23-Mar-2021, TINNITUS (Pounding on the ear) and HEADACHE (headache) had resolved. At the time of the report, MYALGIA (body pains in the leg and back) had not resolved. Not Provided Treatment medications included Tylenol in the beginning, then switched to taking Ibuprofen. The patient received both scheduled doses of mRNA-1273 prior to the events; therefore, action taken with the mRNA-1273 in response to the events was not applicable.

Other Meds: GLIMEPIRIDE; METFORMIN; ROSUVASTATIN; VITAMIN B12 NOS; MULTIVITAMINS [VITAMINS NOS]

Current Illness:

ID: 1612084
Sex: F
Age:
State: OR

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 08/22/2021
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Symptoms: didn't want to eat; fever (101.9 F); tired; This spontaneous case was reported by a consumer and describes the occurrence of DECREASED APPETITE (didn't want to eat), PYREXIA (fever (101.9 F)) and FATIGUE (tired) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029A21A) for COVID-19 vaccination. Concurrent medical conditions included Allergy (Sulfa allergy), Drug allergy (Macrobid allergy) and Diabetes since 2006. Concomitant products included METFORMIN from 06-Jan-2006 to an unknown date for Diabetes, OMEPRAZOLE for an unknown indication. On 03-Mar-2021 at 4:30 PM, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Mar-2021, the patient experienced DECREASED APPETITE (didn't want to eat), PYREXIA (fever (101.9 F)) and FATIGUE (tired). At the time of the report, DECREASED APPETITE (didn't want to eat), PYREXIA (fever (101.9 F)) and FATIGUE (tired) outcome was unknown. No treatment information was provided

Other Meds: METFORMIN; OMEPRAZOLE

Current Illness: Allergy (Sulfa allergy); Diabetes; Drug allergy (Macrobid allergy)

ID: 1612085
Sex: F
Age: 48
State:

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 08/22/2021
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Symptoms: flu symptoms; a longer menstrual period, more than seven days and still ongoing; tired for 48 hours; immediately tasted metal " like licking a 9 bolt battery without the shock"; smelled weird things intermittently like electric burning for about 20 hours; sore arm (left); This spontaneous case was reported by a consumer and describes the occurrence of DYSGEUSIA (immediately tasted metal " like licking a 9 bolt battery without the shock"), PAROSMIA (smelled weird things intermittently like electric burning for about 20 hours), PAIN IN EXTREMITY (sore arm (left)), INFLUENZA (flu symptoms) and MENSTRUAL DISORDER (a longer menstrual period, more than seven days and still ongoing) in a 48-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 012A21A and 017B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Cystitis (interstitial cystitis). Concomitant products included HYDROXYZINE for Cystitis, MELATONIN, VITAMIN K [VITAMIN K NOS], FISH OIL, CHONDROITIN SULFATE SODIUM, GLUCOSAMINE (GLUCOSAMINE CHONDROITIN [CHONDROITIN SULFATE SODIUM;GLUCOSAMINE]), VITAMIN D [VITAMIN D NOS] and DIAZEPAM (VALIUM) for an unknown indication. On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 26-Feb-2021, the patient experienced DYSGEUSIA (immediately tasted metal " like licking a 9 bolt battery without the shock"), PAROSMIA (smelled weird things intermittently like electric burning for about 20 hours), PAIN IN EXTREMITY (sore arm (left)) and FATIGUE (tired for 48 hours). On 22-Mar-2021, the patient experienced INFLUENZA (flu symptoms) and MENSTRUAL DISORDER (a longer menstrual period, more than seven days and still ongoing). On 28-Feb-2021, DYSGEUSIA (immediately tasted metal " like licking a 9 bolt battery without the shock"), PAROSMIA (smelled weird things intermittently like electric burning for about 20 hours), PAIN IN EXTREMITY (sore arm (left)) and FATIGUE (tired for 48 hours) had resolved. At the time of the report, INFLUENZA (flu symptoms) and MENSTRUAL DISORDER (a longer menstrual period, more than seven days and still ongoing) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment medications were provided. This case was linked to US-MODERNATX, INC.-MOD-2021-098194 (E2B Linked Report). Most recent FOLLOW-UP information incorporated above includes: On 29-Apr-2021: Follow up was received on 29 April 2021.Newevents ( influenza and menstrual disorder) were added.; Sender's Comments: US-MODERNATX, INC.-MOD-2021-098194:Second case

Other Meds: MELATONIN; VITAMIN K [VITAMIN K NOS]; FISH OIL; GLUCOSAMINE CHONDROITIN [CHONDROITIN SULFATE SODIUM;GLUCOSAMINE]; HYDROXYZINE; VITAMIN D [VITAMIN D NOS]; VALIUM

Current Illness: Cystitis (interstitial cystitis)

ID: 1612086
Sex: F
Age: 62
State: TX

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 08/22/2021
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Symptoms: Very Bad Sore Arm; Severe Headache; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Very Bad Sore Arm) and HEADACHE (Severe Headache) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010A21A) for COVID-19 vaccination. No medical history was provided by the reporter. The patient's past medical history included Cancer (Stage 3 colon Cancer). Concomitant products included LOSARTAN, METOPROLOL and AMLODIPINE for an unknown indication. On 09-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Mar-2021, the patient experienced PAIN IN EXTREMITY (Very Bad Sore Arm) and HEADACHE (Severe Headache). On 13-Mar-2021, PAIN IN EXTREMITY (Very Bad Sore Arm) had resolved. At the time of the report, HEADACHE (Severe Headache) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information was not provided. This case was linked to US-MODERNATX, INC.-MOD-2021-092757 (E2B Linked Report).; Sender's Comments: US-MODERNATX, INC.-MOD-2021-092757:Case for secnd dose

Other Meds: LOSARTAN; METOPROLOL; AMLODIPINE

Current Illness:

ID: 1612087
Sex: F
Age: 58
State: CA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 08/22/2021
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Symptoms: high blood pressure; light headache; redness at the injection site; Knees hurt badly; This spontaneous case was reported by a consumer and describes the occurrence of HYPERTENSION (high blood pressure), HEADACHE (light headache), VACCINATION SITE ERYTHEMA (redness at the injection site) and ARTHRALGIA (Knees hurt badly) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045A21A) for COVID-19 vaccination. Concurrent medical conditions included Arthritis (Very bad arthritis), Fibromyalgia, Sulfonamide allergy, Iodine allergy, Latex allergy and Shellfish allergy. Concomitant products included LORATADINE (CLARITIN [LORATADINE]) for an unknown indication. On 26-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 26-Mar-2021, the patient experienced HYPERTENSION (high blood pressure), HEADACHE (light headache), VACCINATION SITE ERYTHEMA (redness at the injection site) and ARTHRALGIA (Knees hurt badly). At the time of the report, HYPERTENSION (high blood pressure), HEADACHE (light headache), VACCINATION SITE ERYTHEMA (redness at the injection site) and ARTHRALGIA (Knees hurt badly) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Patient also experienced "positive " side effects. 1 to 2 days after the first and second doses, patient noticed that her arthritis got better. Her hands were 25-35% less swollen, less crampy and less painful. She said that her hands are usually twisted up and she can barely use them. Her nose is less stuffy as well. No treatment medications were reported This case was linked to MOD21-072837 (E2B Linked Report). This case was linked to MOD-2021-092797 (Patient Link).; Sender's Comments: MOD21-072837:Crosse linked

Other Meds: CLARITIN [LORATADINE]

Current Illness: Arthritis (Very bad arthritis); Fibromyalgia; Iodine allergy; Latex allergy; Shellfish allergy; Sulfonamide allergy

ID: 1612088
Sex: U
Age:
State: TX

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Rec V Date: 08/22/2021
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Symptoms: Joint pains; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of ARTHRALGIA (Joint pains) 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 ARTHRALGIA (Joint pains). At the time of the report, ARTHRALGIA (Joint pains) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. This case was linked to MOD21-082687, MOD21-082724, MOD21-082726 (E2B Linked Report).; Sender's Comments: MOD21-082687:cross linked id MOD21-082724:cross linked id MOD21-082726:cross linked id

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ID: 1612089
Sex: F
Age:
State: MI

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 08/22/2021
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Symptoms: Swollen throat; Strep throat; Headache behind the eyes; she was given another dose due to breakage of needle; she was given another dose due to breakage of needle; This spontaneous case was reported by a consumer and describes the occurrence of PHARYNGEAL SWELLING (Swollen throat), PHARYNGITIS STREPTOCOCCAL (Strep throat), OVERDOSE (she was given another dose due to breakage of needle), DEVICE CONNECTION ISSUE (she was given another dose due to breakage of needle) and HEADACHE (Headache behind the eyes) in a 57-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history was provided by the reporter. On 20-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Apr-2021, the patient experienced OVERDOSE (she was given another dose due to breakage of needle) and DEVICE CONNECTION ISSUE (she was given another dose due to breakage of needle). On 22-Apr-2021, the patient experienced PHARYNGEAL SWELLING (Swollen throat), PHARYNGITIS STREPTOCOCCAL (Strep throat) and HEADACHE (Headache behind the eyes). At the time of the report, PHARYNGEAL SWELLING (Swollen throat), PHARYNGITIS STREPTOCOCCAL (Strep throat) and HEADACHE (Headache behind the eyes) outcome was unknown and OVERDOSE (she was given another dose due to breakage of needle) and DEVICE CONNECTION ISSUE (she was given another dose due to breakage of needle) had resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medications included Medications for heart disease and bone disease.

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Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm