VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 1565542
Sex: F
Age:
State: NY

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: woke up with a rash; had a bad reaction initially; felt queasy but did not vomit; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE RASH (woke up with a rash), INJECTION SITE REACTION (had a bad reaction initially) and NAUSEA (felt queasy but did not vomit) 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 04-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Mar-2021, the patient experienced INJECTION SITE REACTION (had a bad reaction initially) and NAUSEA (felt queasy but did not vomit). On 12-Mar-2021, the patient experienced INJECTION SITE RASH (woke up with a rash). At the time of the report, INJECTION SITE RASH (woke up with a rash), INJECTION SITE REACTION (had a bad reaction initially) and NAUSEA (felt queasy but did not vomit) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Most recent FOLLOW-UP information incorporated above includes: On 15-Jun-2021: Non significant follow up received on 15-JUN-2021, no new information

Other Meds:

Current Illness:

ID: 1565543
Sex: M
Age: 83
State: WI

Vax Date: 03/02/2021
Onset Date: 03/01/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: He could almost sleep 24 hours a day; Does not have any energy; Loss of appetite; Joint pain, right wrist is so painful that he can hardly move it; A lot of fatigue; Had an episode where his arms felt so heavy that he could not move it,his arms felt 3 times the size they are; This spontaneous case was reported by a consumer and describes the occurrence of HYPERSOMNIA (He could almost sleep 24 hours a day), ASTHENIA (Does not have any energy), DECREASED APPETITE (Loss of appetite), LIMB DISCOMFORT (Had an episode where his arms felt so heavy that he could not move it,his arms felt 3 times the size they are) and ARTHRALGIA (Joint pain, right wrist is so painful that he can hardly move it) in an 83-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concomitant products included ACETYLSALICYLIC ACID (BABY ASPIRIN), METOPROLOL, LISINOPRIL, GLUCOSAMINE and ASCORBIC ACID, BETACAROTENE, CUPRIC OXIDE, TOCOPHERYL ACETATE, ZINC OXIDE (PRESERVISION) for an unknown indication. On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Mar-2021, the patient experienced HYPERSOMNIA (He could almost sleep 24 hours a day), ASTHENIA (Does not have any energy), DECREASED APPETITE (Loss of appetite) and ARTHRALGIA (Joint pain, right wrist is so painful that he can hardly move it). 04-Mar-2021, the patient experienced FATIGUE (A lot of fatigue). In March 2021, the patient experienced LIMB DISCOMFORT (Had an episode where his arms felt so heavy that he could not move it,his arms felt 3 times the size they are). The patient was treated with IBUPROFEN at a dose of 1 dosage form and PARACETAMOL (TYLENOL) at a dose of 1 dosage form. At the time of the report, HYPERSOMNIA (He could almost sleep 24 hours a day), LIMB DISCOMFORT (Had an episode where his arms felt so heavy that he could not move it,his arms felt 3 times the size they are) and FATIGUE (A lot of fatigue) outcome was unknown and ASTHENIA (Does not have any energy), DECREASED APPETITE (Loss of appetite) and ARTHRALGIA (Joint pain, right wrist is so painful that he can hardly move it) had not resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Most recent FOLLOW-UP information incorporated above includes: On 04-May-2021: Follow-up received on 04-MAY-2021 included no new information.

Other Meds: BABY ASPIRIN; METOPROLOL; LISINOPRIL; GLUCOSAMINE; PRESERVISION

Current Illness:

ID: 1565544
Sex: M
Age:
State: NY

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: kidney pain; Lower back pain; Dry heaves; Sick for 4 hours during the night; Vomiting; This spontaneous case was reported by a consumer and describes the occurrence of RENAL PAIN (kidney pain), BACK PAIN (Lower back pain), RETCHING (Dry heaves), ILLNESS (Sick for 4 hours during the night) and VOMITING (Vomiting) in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 014M20A) for COVID-19 vaccination. Concurrent medical conditions included Hypertension and Diabetes mellitus. Concomitant products included AMLODIPINE, TAMSULOSIN, METFORMIN and ATORVASTATIN 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 RENAL PAIN (kidney pain), BACK PAIN (Lower back pain), RETCHING (Dry heaves), ILLNESS (Sick for 4 hours during the night) and VOMITING (Vomiting). At the time of the report, RENAL PAIN (kidney pain), BACK PAIN (Lower back pain), RETCHING (Dry heaves), ILLNESS (Sick for 4 hours during the night) and VOMITING (Vomiting) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment details was not reported by the reporter. Most recent FOLLOW-UP information incorporated above includes: On 22-Jun-2021: Follow up received on 22-06-2021 contains no significant information.

Other Meds: AMLODIPINE; TAMSULOSIN; METFORMIN; ATORVASTATIN

Current Illness: Diabetes mellitus; Hypertension

ID: 1565545
Sex: F
Age: 73
State: MI

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: shakes; cold; chills; This spontaneous case was reported by a consumer and describes the occurrence of TREMOR (shakes), FEELING COLD (cold) and CHILLS (chills) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002B21A) for COVID-19 vaccination. No Medical History information was reported. On 12-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Mar-2021, the patient experienced TREMOR (shakes), FEELING COLD (cold) and CHILLS (chills). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency and GABAPENTIN (NEURONTIN) at an unspecified dose and frequency. At the time of the report, TREMOR (shakes), FEELING COLD (cold) and CHILLS (chills) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications reported.

Other Meds:

Current Illness:

ID: 1565546
Sex: F
Age: 64
State: AK

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Aches; Fever; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Aches) and PYREXIA (Fever) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031M20A) for COVID-19 vaccination. The patient's past medical history included COVID-19 (On 25 or 26 Jan don't have clarity) and Knee surgery NOS on 04-Mar-2021. On 11-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Mar-2021, the patient experienced PAIN (Aches) and PYREXIA (Fever). The patient was treated with ACETYLSALICYLIC ACID (BABY ASPIRIN) for Adverse event, at an unspecified dose and frequency. At the time of the report, PAIN (Aches) and PYREXIA (Fever) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 12-Mar-2021, Body temperature: 101-101.2 (High) 101-101.2 degree F. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications includes painkillers and antibiotics. Most recent FOLLOW-UP information incorporated above includes: On 22-Jul-2021: Follow-up received on 23-Jul-2021 and does not contain any new information.

Other Meds:

Current Illness:

ID: 1565547
Sex: M
Age: 70
State:

Vax Date: 03/05/2021
Onset Date: 03/07/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: extremely tired and worst fatigue; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (extremely tired and worst fatigue) in a 70-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 05-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Mar-2021, the patient experienced FATIGUE (extremely tired and worst fatigue). On 12-Mar-2021, FATIGUE (extremely tired and worst fatigue) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Concomitant medications were provided No Treatment information provided

Other Meds:

Current Illness:

ID: 1565548
Sex: F
Age: 59
State: NC

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Syringe and needle not properly connected, Vaccination was leaking down the arm of the patient; Amount of vaccine that the patient actually received is less than half dose; This spontaneous case was reported by a pharmacist and describes the occurrence of DEVICE CONNECTION ISSUE (Syringe and needle not properly connected, Vaccination was leaking down the arm of the patient) and ACCIDENTAL UNDERDOSE (Amount of vaccine that the patient actually received is less than half dose) in a 59-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 038A21A and 032B21A) for COVID-19 vaccination. The patient's past medical history included COVID-19 (Diagnosed by Rapid test) on 25-Dec-2020. Concurrent medical conditions included Blood pressure high. On 12-Mar-2021 at 6:28 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Apr-2021 at 6:30 PM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 12-Mar-2021, the patient experienced DEVICE CONNECTION ISSUE (Syringe and needle not properly connected, Vaccination was leaking down the arm of the patient) and ACCIDENTAL UNDERDOSE (Amount of vaccine that the patient actually received is less than half dose). On 12-Mar-2021, DEVICE CONNECTION ISSUE (Syringe and needle not properly connected, Vaccination was leaking down the arm of the patient) and ACCIDENTAL UNDERDOSE (Amount of vaccine that the patient actually received is less than half dose) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 25-Dec-2021, SARS-CoV-2 test: positive (Positive) Positive. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Patient was revaccinated. No Concomitant medications were provided. No Treatment information provided. Most recent FOLLOW-UP information incorporated above includes: On 25-Jun-2021: Follow-up was received on 25-Jun-2021 and patient demographics were updated, new medical history was added, New dosing regimen was added for Suspect vaccine.

Other Meds:

Current Illness: Blood pressure high

ID: 1565549
Sex: M
Age: 63
State: PA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: arm was sore for 2-3 days; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (arm was sore for 2-3 days) in a 63-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 23-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 23-Feb-2021, the patient experienced PAIN IN EXTREMITY (arm was sore for 2-3 days). At the time of the report, PAIN IN EXTREMITY (arm was sore for 2-3 days) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.

Other Meds:

Current Illness:

ID: 1565550
Sex: F
Age: 48
State: CA

Vax Date: 03/04/2021
Onset Date: 03/06/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: felt hot and big; red and itchy / itchy like a mosquito bite; swelling like a tumor on my arm / it was swollen, red and itchy and a little bit sore; red; little bit sore; coupe little bumps / swelling like a tumor on her arm; got bruised; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE MASS (coupe little bumps / swelling like a tumor on her arm), VACCINATION SITE BRUISING (got bruised), VACCINATION SITE PRURITUS (red and itchy / itchy like a mosquito bite), VACCINATION SITE WARMTH (felt hot and big) and VACCINATION SITE SWELLING (swelling like a tumor on my arm / it was swollen, red and itchy and a little bit sore) in a 48-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 04-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Mar-2021, the patient experienced VACCINATION SITE MASS (coupe little bumps / swelling like a tumor on her arm), VACCINATION SITE BRUISING (got bruised), VACCINATION SITE PRURITUS (red and itchy / itchy like a mosquito bite), VACCINATION SITE SWELLING (swelling like a tumor on my arm / it was swollen, red and itchy and a little bit sore), VACCINATION SITE ERYTHEMA (red) and VACCINATION SITE PAIN (little bit sore). On 13-Mar-2021, the patient experienced VACCINATION SITE WARMTH (felt hot and big). At the time of the report, VACCINATION SITE MASS (coupe little bumps / swelling like a tumor on her arm), VACCINATION SITE BRUISING (got bruised), VACCINATION SITE PRURITUS (red and itchy / itchy like a mosquito bite), VACCINATION SITE WARMTH (felt hot and big), VACCINATION SITE SWELLING (swelling like a tumor on my arm / it was swollen, red and itchy and a little bit sore), VACCINATION SITE ERYTHEMA (red) and VACCINATION SITE PAIN (little bit sore) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided. No treatment was reported for the events.

Other Meds:

Current Illness:

ID: 1565551
Sex: M
Age:
State: FL

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Sore arm; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Sore arm) 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. Concomitant products included IBUPROFEN (ADVIL [IBUPROFEN]) and FEXOFENADINE HYDROCHLORIDE, PSEUDOEPHEDRINE HYDROCHLORIDE (ALLEGRA D) for an unknown indication. 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, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE PAIN (Sore arm). At the time of the report, VACCINATION SITE PAIN (Sore arm) had resolved. Treatment information was not provided. This case was linked to MOD-2021-042832, MOD-2021-042866 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 23-Jun-2021: Follow up has outcome information.

Other Meds: ADVIL [IBUPROFEN]; ALLEGRA D

Current Illness:

ID: 1565552
Sex: F
Age: 82
State: FL

Vax Date: 03/12/2021
Onset Date:
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Uncontrolled shaking/shakes; pain in chest; stiffness everywhere; weak and tired; Pain an left arm, pain in neck; chills; muscle pain; fatigue; This spontaneous case was reported by a consumer and describes the occurrence of TREMOR (Uncontrolled shaking/shakes), CHEST PAIN (pain in chest), MUSCULOSKELETAL STIFFNESS (stiffness everywhere), ASTHENIA (weak and tired) and PAIN (Pain an left arm, pain in neck) in an 82-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 No adverse event. On 12-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 TREMOR (Uncontrolled shaking/shakes), CHEST PAIN (pain in chest), MUSCULOSKELETAL STIFFNESS (stiffness everywhere), ASTHENIA (weak and tired), PAIN (Pain an left arm, pain in neck), CHILLS (chills), MYALGIA (muscle pain) and FATIGUE (fatigue). At the time of the report, TREMOR (Uncontrolled shaking/shakes), CHEST PAIN (pain in chest), MUSCULOSKELETAL STIFFNESS (stiffness everywhere), ASTHENIA (weak and tired), PAIN (Pain an left arm, pain in neck), CHILLS (chills), MYALGIA (muscle pain) and FATIGUE (fatigue) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided. No treatment was reported for the events.

Other Meds:

Current Illness:

ID: 1565553
Sex: F
Age: 69
State: NC

Vax Date: 03/05/2021
Onset Date: 03/11/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Sensitivity on left side of face and eyeball; herpes simplex breakout between lip and nose; This spontaneous case was reported by a consumer and describes the occurrence of HYPOAESTHESIA (Sensitivity on left side of face and eyeball) and HERPES SIMPLEX (herpes simplex breakout between lip and nose) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026A21A) for COVID-19 vaccination. The patient's past medical history included Herpes simplex since an unknown date. On 05-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Mar-2021, the patient experienced HYPOAESTHESIA (Sensitivity on left side of face and eyeball) and HERPES SIMPLEX (herpes simplex breakout between lip and nose). At the time of the report, HYPOAESTHESIA (Sensitivity on left side of face and eyeball) and HERPES SIMPLEX (herpes simplex breakout between lip and nose) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication reported. No treatment information was provided.

Other Meds:

Current Illness: Herpes simplex

ID: 1565554
Sex: F
Age: 34
State: TX

Vax Date: 02/28/2021
Onset Date: 03/01/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: A red spot appeared at the injection site, it is swollen and it itches like hell; Red spot at injection site; A red spot appeared at the injection site, it is swollen and it itches like hell; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of VACCINATION SITE PRURITUS (A red spot appeared at the injection site, it is swollen and it itches like hell), VACCINATION SITE ERYTHEMA (Red spot at injection site) and VACCINATION SITE SWELLING (A red spot appeared at the injection site, it is swollen and it itches like hell) in a 34-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012A21A) for COVID-19 vaccination. No medical history was provided by the reporter. . Concomitant products included METOPROLOL for an unknown indication. On 28-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Mar-2021, the patient experienced VACCINATION SITE PRURITUS (A red spot appeared at the injection site, it is swollen and it itches like hell), VACCINATION SITE ERYTHEMA (Red spot at injection site) and VACCINATION SITE SWELLING (A red spot appeared at the injection site, it is swollen and it itches like hell). At the time of the report, VACCINATION SITE PRURITUS (A red spot appeared at the injection site, it is swollen and it itches like hell), VACCINATION SITE ERYTHEMA (Red spot at injection site) and VACCINATION SITE SWELLING (A red spot appeared at the injection site, it is swollen and it itches like hell) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment for events included antibiotics.

Other Meds: METOPROLOL

Current Illness:

ID: 1565555
Sex: F
Age:
State:

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: significant sore arm that protruded to her shoulder; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (significant sore arm that protruded to her shoulder) 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 04-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (significant sore arm that protruded to her shoulder). The patient was treated with NAPROXEN SODIUM (ALEVE) at an unspecified dose and frequency and PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (significant sore arm that protruded to her shoulder) outcome was unknown.

Other Meds:

Current Illness:

ID: 1565556
Sex: F
Age: 60
State: NE

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: vomiting; fever; This spontaneous case was reported by a consumer and describes the occurrence of VOMITING (vomiting) and PYREXIA (fever) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032M20A) for COVID-19 vaccination. No Medical History information 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 VOMITING (vomiting) and PYREXIA (fever). On 12-Mar-2021, VOMITING (vomiting) and PYREXIA (fever) had resolved. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In November 2020, SARS-CoV-2 test: positive (Positive) positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Concomitant medications were provided No Treatment information provided

Other Meds:

Current Illness:

ID: 1565557
Sex: F
Age:
State: PA

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: her other arm hurts as well / pain in her arms; Has a black and blue mark; Fatigue; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (her other arm hurts as well / pain in her arms), VACCINATION SITE BRUISING (Has a black and blue mark) and FATIGUE (Fatigue) in a 120-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 036A21A) 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) (unknown route) 1 dosage form. On 09-Mar-2021, the patient experienced PAIN IN EXTREMITY (her other arm hurts as well / pain in her arms), VACCINATION SITE BRUISING (Has a black and blue mark) and FATIGUE (Fatigue). At the time of the report, PAIN IN EXTREMITY (her other arm hurts as well / pain in her arms), VACCINATION SITE BRUISING (Has a black and blue mark) and FATIGUE (Fatigue) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications were reported. Treatment information was unknown.

Other Meds:

Current Illness:

ID: 1565558
Sex: M
Age: 57
State: OR

Vax Date: 02/22/2021
Onset Date: 03/12/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: Received 2nd dose in less than 21 days period/18 days later after receiving the 1st dose; A spontaneous report was received from a nurse, concerning a 57-years old male patient, who received first dose of Moderna's COVID-19 vaccine (mRNA-1273) and received 2nd dose in less than 21 days period/18 days later after receiving the 1st dose/inappropriate schedule of product administration. The patient's medical history was not provided. The patient had no concomitant medications. On 22 Feb 2021, the patient received their first of two planned doses of mRNA-1273 (Batch number: 031M20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 12 Mar 2021, the patient received their second of two planned doses of mRNA-1273 (Batch number:002A21A) intramuscularly in the right arm for prophylaxis of COVID-19 infection. On 12 Mar 2021, 18 days after receiving the 1st dose of vaccine, the patient received second dose of vaccine in less than 21 days period that was 18 days after receiving the 1st dose. Patient had no other symptoms after receiving both the doses. The patient received both scheduled doses of mRNA-1273 prior to the event; therefore, action taken with the drug in response to the event was not applicable. The outcome of the event 2nd dose in less than 21 days period/18 days later after receiving the 1st dose was resolved on 12 Mar 2021.; Reporter's Comments: This report refers to a case of inappropriate schedule of vaccine administered for mRNA-1273 (lot #002121A for second dose) with no associated AEs reported.

Other Meds:

Current Illness:

ID: 1565559
Sex: F
Age: 61
State: TX

Vax Date: 02/13/2021
Onset Date:
Rec V Date: 08/15/2021
Hospital:

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Asthma flared up; Sneezing; Congestion; Shortness of Breath; headache; This spontaneous case was reported by a patient and describes the occurrence of ASTHMA (Asthma flared up), SNEEZING (Sneezing), NASAL CONGESTION (Congestion), DYSPNOEA (Shortness of Breath) and HEADACHE (headache) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007M20A) for COVID-19 vaccination. Concurrent medical conditions included Allergy (allergic to oak) and Pollen allergy. On 13-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 ASTHMA (Asthma flared up), SNEEZING (Sneezing), NASAL CONGESTION (Congestion), DYSPNOEA (Shortness of Breath) and HEADACHE (headache). At the time of the report, ASTHMA (Asthma flared up), SNEEZING (Sneezing), NASAL CONGESTION (Congestion), DYSPNOEA (Shortness of Breath) and HEADACHE (headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Most recent FOLLOW-UP information incorporated above includes: On 04-May-2021: Non significant follow up received on 04-MAY-2021, no new information

Other Meds:

Current Illness: Allergy (allergic to oak); Pollen allergy

ID: 1565560
Sex: M
Age: 65
State: TX

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: PNC13
Manufacturer: PFIZER\WYETH
Vax Name: PNEUMO (PREVNAR13)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: weird dreams; fever of 100.6; arm sore; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (arm sore), ABNORMAL DREAMS (weird dreams) and PYREXIA (fever of 100.6) in a 65-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 040A21A) for COVID-19 vaccination. No Medical History information was reported. On 12-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Mar-2021, the patient experienced PAIN IN EXTREMITY (arm sore). On 13-Mar-2021, the patient experienced ABNORMAL DREAMS (weird dreams) and PYREXIA (fever of 100.6). The patient was treated with PARACETAMOL (TYLENOL) on 12-Mar-2021 at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (arm sore), ABNORMAL DREAMS (weird dreams) and PYREXIA (fever of 100.6) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications reported.

Other Meds:

Current Illness:

ID: 1565561
Sex: F
Age: 61
State: NJ

Vax Date: 02/28/2021
Onset Date: 03/03/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: RV1
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: ROTAVIRUS (ROTARIX)
Lot:
Dose Series: 1
Vax Route: PO
Vax Site: MO

Lab Data:

Allergies:

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Dizziness; Vertigo; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (Dizziness) and VERTIGO (Vertigo) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002A21A) for COVID-19 vaccination. Concomitant products included IBUPROFEN, DENOSUMAB (PROLIA), Prednisone, ALPRAZOLAM (XANAX) and TRAMADOL for an unknown indication. On 28-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Mar-2021, the patient experienced DIZZINESS (Dizziness) and VERTIGO (Vertigo). The patient was treated with MECLIZINE [MECLOZINE] at an unspecified dose and frequency. On 08-Mar-2021, DIZZINESS (Dizziness) and VERTIGO (Vertigo) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: IBUPROFEN; PROLIA; Prednisone; XANAX; TRAMADOL

Current Illness:

ID: 1565562
Sex: F
Age: 58
State: FL

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: burning in her eyes/the feeling you get when you get soap in your eyes; Experiencing itchiness here and there/itchiness around the body; This spontaneous case was reported by a consumer and describes the occurrence of EYE IRRITATION (burning in her eyes/the feeling you get when you get soap in your eyes) and PRURITUS (Experiencing itchiness here and there/itchiness around the body) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010A21A) for COVID-19 vaccination. No Medical History information was reported. On 11-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Mar-2021, the patient experienced PRURITUS (Experiencing itchiness here and there/itchiness around the body). On an unknown date, the patient experienced EYE IRRITATION (burning in her eyes/the feeling you get when you get soap in your eyes). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Itching, at an unspecified dose and frequency. At the time of the report, EYE IRRITATION (burning in her eyes/the feeling you get when you get soap in your eyes) outcome was unknown and PRURITUS (Experiencing itchiness here and there/itchiness around the body) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. Most recent FOLLOW-UP information incorporated above includes: On 19-Mar-2021: Follow-up information received on 19-Mar-2021, contains significant information. Added new event. and treatment medication updated.

Other Meds:

Current Illness:

ID: 1565563
Sex: F
Age: 60
State:

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: left arm is swollen; Left arm red; Left arm tender; left arm sore arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (left arm sore arm), PERIPHERAL SWELLING (left arm is swollen), ERYTHEMA (Left arm red) and TENDERNESS (Left arm tender) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 027A21A) for COVID-19 vaccination. No Medical History information was reported. On 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Mar-2021, the patient experienced PAIN IN EXTREMITY (left arm sore arm). On 12-Mar-2021, the patient experienced PERIPHERAL SWELLING (left arm is swollen), ERYTHEMA (Left arm red) and TENDERNESS (Left arm tender). At the time of the report, PAIN IN EXTREMITY (left arm sore arm), PERIPHERAL SWELLING (left arm is swollen), ERYTHEMA (Left arm red) and TENDERNESS (Left arm tender) outcome was unknown. Unknown The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1565564
Sex: F
Age: 47
State: FL

Vax Date: 03/11/2021
Onset Date: 03/01/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Sore arm; fever; chills; headache; Nauseous; This spontaneous case was reported by a patient and describes the occurrence of PAIN IN EXTREMITY (Sore arm), PYREXIA (fever), CHILLS (chills), HEADACHE (headache) and NAUSEA (Nauseous) in a 47-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 11-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In March 2021, the patient experienced PAIN IN EXTREMITY (Sore arm), PYREXIA (fever), CHILLS (chills), HEADACHE (headache) and NAUSEA (Nauseous). At the time of the report, PAIN IN EXTREMITY (Sore arm), PYREXIA (fever), CHILLS (chills), HEADACHE (headache) and NAUSEA (Nauseous) had not resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant and treatment medications were reported. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was not applicable.

Other Meds:

Current Illness:

ID: 1565565
Sex: F
Age: 61
State: NC

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Chills; Fever; soreness at the site of injection; This spontaneous case was reported by a consumer and describes the occurrence of CHILLS (Chills), PYREXIA (Fever) and VACCINATION SITE PAIN (soreness at the site of injection) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 immunisation. No Medical History information was reported. On 11-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Mar-2021, the patient experienced CHILLS (Chills), PYREXIA (Fever) and VACCINATION SITE PAIN (soreness at the site of injection). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, CHILLS (Chills), PYREXIA (Fever) and VACCINATION SITE PAIN (soreness at the site of injection) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported.

Other Meds:

Current Illness:

ID: 1565566
Sex: F
Age: 66
State: NY

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Horrible metallic taste in the mouth; Tingling sensation of the tongue; Dryness of mouth; Slightly tired; Soreness at the site if injection; This spontaneous case was reported by a consumer and describes the occurrence of DYSGEUSIA (Horrible metallic taste in the mouth), PARAESTHESIA ORAL (Tingling sensation of the tongue), DRY MOUTH (Dryness of mouth), FATIGUE (Slightly tired) and VACCINATION SITE PAIN (Soreness at the site if injection) 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 information 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 DYSGEUSIA (Horrible metallic taste in the mouth), PARAESTHESIA ORAL (Tingling sensation of the tongue), DRY MOUTH (Dryness of mouth), FATIGUE (Slightly tired) and VACCINATION SITE PAIN (Soreness at the site if injection). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. On 11-Mar-2021, FATIGUE (Slightly tired) and VACCINATION SITE PAIN (Soreness at the site if injection) had resolved. At the time of the report, DYSGEUSIA (Horrible metallic taste in the mouth), PARAESTHESIA ORAL (Tingling sensation of the tongue) and DRY MOUTH (Dryness of mouth) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Concomitant medications were provided

Other Meds:

Current Illness:

ID: 1565567
Sex: F
Age: 81
State: CT

Vax Date: 01/23/2021
Onset Date:
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: Shingles; This spontaneous case was reported by a pharmacist and describes the occurrence of HERPES ZOSTER (Shingles) in a 91-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029L20A) for COVID-19 vaccination. No Medical History information was reported. On 23-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced HERPES ZOSTER (Shingles). At the time of the report, HERPES ZOSTER (Shingles) 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 medication reported. Patient was given steroids as treatment for shingles. This case was linked to MOD-2021-209942 (Patient Link).

Other Meds:

Current Illness:

ID: 1565568
Sex: F
Age: 52
State: NJ

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Second dose outside of 42 day window; Red, bruised like a deep purple rash; Itchy; Hive near the injection site; Red at injection site; Swollen at injection site; Arm has some soreness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm has some soreness), VACCINATION SITE PRURITUS (Itchy), VACCINATION SITE URTICARIA (Hive near the injection site), VACCINATION SITE RASH (Red, bruised like a deep purple rash) and VACCINATION SITE ERYTHEMA (Red at injection site) in a 52-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001a21a) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concomitant products included VITAMINS NOS for an unknown indication. On 25-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Feb-2021, the patient experienced PAIN IN EXTREMITY (Arm has some soreness), VACCINATION SITE URTICARIA (Hive near the injection site), VACCINATION SITE ERYTHEMA (Red at injection site) and VACCINATION SITE SWELLING (Swollen at injection site). On 05-Mar-2021, the patient experienced VACCINATION SITE PRURITUS (Itchy). On 12-Mar-2021, the patient experienced VACCINATION SITE RASH (Red, bruised like a deep purple rash). On an unknown date, the patient experienced PRODUCT DOSE OMISSION ISSUE (Second dose outside of 42 day window). The patient was treated with CORTISONE at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (Arm has some soreness), VACCINATION SITE PRURITUS (Itchy), VACCINATION SITE URTICARIA (Hive near the injection site), VACCINATION SITE RASH (Red, bruised like a deep purple rash), VACCINATION SITE ERYTHEMA (Red at injection site), VACCINATION SITE SWELLING (Swollen at injection site) and PRODUCT DOSE OMISSION ISSUE (Second dose outside of 42 day window) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Other relevant concomitant medications included blood pressure medications were reported. Most recent FOLLOW-UP information incorporated above includes: On 12-Mar-2021: Follow-up information received contains non-significant information. On 22-Jun-2021: Follow up received on 22-JUN-2021: Event was added.

Other Meds: VITAMINS NOS

Current Illness:

ID: 1565569
Sex: M
Age:
State:

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Chills; Fever of 104 degrees F; Muscle pain; This spontaneous case was reported by a patient family member or friend and describes the occurrence of PYREXIA (Fever of 104 degrees F), MYALGIA (Muscle pain) and CHILLS (Chills) in a 75-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026A21A) for COVID-19 vaccination. The patient's past medical history included COVID-19 on 19-Nov-2020. Concomitant products included METFORMIN, METOPROLOL, CYANOCOBALAMIN (VITAMIN B-12), LISINOPRIL, HYDROCHLOROTHIAZIDE, TIOTROPIUM, METHOCARBAMOL, SIMVASTATIN, PREGABALIN, MELATONIN, PANTOPRAZOLE, DULOXETINE, FERROUS GLUCONATE, MAGNESIUM OXIDE, VITAMIN D [VITAMIN D NOS] and TIOTROPIUM BROMIDE (SPIRIVA) for an unknown indication. On 05-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Mar-2021, the patient experienced PYREXIA (Fever of 104 degrees F) and MYALGIA (Muscle pain). On 06-Mar-2021, the patient experienced CHILLS (Chills). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency. On 07-Mar-2021, MYALGIA (Muscle pain) and CHILLS (Chills) had resolved. On 08-Mar-2021, PYREXIA (Fever of 104 degrees F) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 05-Mar-2021, Body temperature: 104 (High) Fever. 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: METFORMIN; METOPROLOL; VITAMIN B-12; LISINOPRIL; HYDROCHLOROTHIAZIDE; TIOTROPIUM; METHOCARBAMOL; SIMVASTATIN; PREGABALIN; MELATONIN; PANTOPRAZOLE; DULOXETINE; FERROUS GLUCONATE; MAGNESIUM OXIDE; VITAMIN D [VITAMIN D NOS]; SPIRIVA

Current Illness:

ID: 1565570
Sex: F
Age: 52
State: NC

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Swollen mouth; Swollen tongue; Rapid pulse; This spontaneous case was reported by a consumer and describes the occurrence of MOUTH SWELLING (Swollen mouth), SWOLLEN TONGUE (Swollen tongue) and HEART RATE INCREASED (Rapid pulse) in a 52-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 036A21A) for COVID-19 vaccination. No medical history reported by the reporter. Concomitant products included LORATADINE (CLARITINE) for an unknown indication. On 09-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Mar-2021, the patient experienced MOUTH SWELLING (Swollen mouth), SWOLLEN TONGUE (Swollen tongue) and HEART RATE INCREASED (Rapid pulse). The patient was treated with DIPHENHYDRAMINE ongoing since an unknown date at a dose of 1 dosage form. On 09-Mar-2021, HEART RATE INCREASED (Rapid pulse) had resolved. On 11-Mar-2021, MOUTH SWELLING (Swollen mouth) and SWOLLEN TONGUE (Swollen tongue) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.

Other Meds: CLARITINE

Current Illness:

ID: 1565571
Sex: M
Age: 40
State: NJ

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Tested positive for Corona virus; Headache; fever; Chills; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (Tested positive for Corona virus), HEADACHE (Headache), PYREXIA (fever) and CHILLS (Chills) in a 40-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030A21A) for COVID-19 vaccination. No Medical History information was reported. On 08-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 HEADACHE (Headache), PYREXIA (fever) and CHILLS (Chills). On 11-Mar-2021, the patient experienced COVID-19 (Tested positive for Corona virus). 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, COVID-19 (Tested positive for Corona virus), HEADACHE (Headache), PYREXIA (fever) and CHILLS (Chills) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 09-Mar-2021, Body temperature: 102f (Inconclusive) fever with 102 Fahrenheits. On 11-Mar-2021, SARS-CoV-2 test: positive (Positive) Tested positive for Corona virus. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Concomitant medications were provided

Other Meds:

Current Illness:

ID: 1565572
Sex: M
Age:
State: OH

Vax Date: 02/05/2021
Onset Date:
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: redness; Soreness in arm; hot to touch; extremely itchy; This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (redness), PAIN IN EXTREMITY (Soreness in arm), FEELING HOT (hot to touch) and PRURITUS (extremely itchy) 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 05-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced ERYTHEMA (redness), PAIN IN EXTREMITY (Soreness in arm), FEELING HOT (hot to touch) and PRURITUS (extremely itchy). At the time of the report, ERYTHEMA (redness), PAIN IN EXTREMITY (Soreness in arm), FEELING HOT (hot to touch) and PRURITUS (extremely itchy) outcome was unknown.

Other Meds:

Current Illness:

ID: 1565573
Sex: M
Age:
State: IA

Vax Date: 02/12/2021
Onset Date:
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Patient got covid-19 after the first dose of the vaccine.; This spontaneous case was reported by an other health care professional and describes the occurrence of COVID-19 (Patient got covid-19 after the first dose of the vaccine.) 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 12-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 COVID-19 (Patient got covid-19 after the first dose of the vaccine.). At the time of the report, COVID-19 (Patient got covid-19 after the first dose of the vaccine.) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No Concomitant medications were provided No Treatment information provided

Other Meds:

Current Illness:

ID: 1565574
Sex: F
Age: 59
State: NY

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Rash is red and looks pimple-like; Slight running nose; Chicken pox type rash all over her entire body (arms, chest, stomach, back, legs); Patient feels tired; This spontaneous case was reported by an other health care professional and describes the occurrence of DERMATITIS ACNEIFORM (Rash is red and looks pimple-like), RHINORRHOEA (Slight running nose), RASH (Chicken pox type rash all over her entire body (arms, chest, stomach, back, legs)) and FATIGUE (Patient feels tired) in a 59-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 044A21A) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 12-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Mar-2021, the patient experienced DERMATITIS ACNEIFORM (Rash is red and looks pimple-like), RHINORRHOEA (Slight running nose), RASH (Chicken pox type rash all over her entire body (arms, chest, stomach, back, legs)) and FATIGUE (Patient feels tired). At the time of the report, DERMATITIS ACNEIFORM (Rash is red and looks pimple-like), RHINORRHOEA (Slight running nose), RASH (Chicken pox type rash all over her entire body (arms, chest, stomach, back, legs)) and FATIGUE (Patient feels 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. No concomitant medications were provided. At the time of the report the patient had not administered any treatment however, the pharmacist recommended the patient administer Benadryl as treatment for the events.

Other Meds:

Current Illness:

ID: 1565575
Sex: F
Age:
State: MS

Vax Date: 02/26/2021
Onset Date:
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Sore arm; Red spot on arm; Warm; Itching; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Sore arm), ERYTHEMA (Red spot on arm), FEELING HOT (Warm) and PRURITUS (Itching) 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 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (Sore arm), ERYTHEMA (Red spot on arm), FEELING HOT (Warm) and PRURITUS (Itching). At the time of the report, PAIN IN EXTREMITY (Sore arm), ERYTHEMA (Red spot on arm), FEELING HOT (Warm) and PRURITUS (Itching) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1565576
Sex: F
Age:
State: NC

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Pregnant and received the Moderna COVID 19 vaccine; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of MATERNAL EXPOSURE DURING PREGNANCY (Pregnant and received the Moderna COVID 19 vaccine) in a 30-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 036A21A) for COVID-19 vaccination. No Medical History information was reported. On 05-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. The patient's last menstrual period was on 31-Dec-2020 and the estimated date of delivery was 07-Oct-2021. On 05-Mar-2021, the patient experienced MATERNAL EXPOSURE DURING PREGNANCY (Pregnant and received the Moderna COVID 19 vaccine). The patient received mRNA-1273 (Moderna COVID-19 Vaccine) beginning around the ninth week of the pregnancy. On 05-Mar-2021, MATERNAL EXPOSURE DURING PREGNANCY (Pregnant and received the Moderna COVID 19 vaccine) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1565577
Sex: M
Age: 62
State: WI

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: pain; Violently throwing up; Shortness of breath; very lethargic; very achy; temperature of 102.5/fever; This spontaneous case was reported by a patient and describes the occurrence of DYSPNOEA (Shortness of breath), PAIN (pain), LETHARGY (very lethargic), MYALGIA (very achy) and PYREXIA (temperature of 102.5/fever) in a 62-year-old male 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 information was reported. Concomitant products included APIXABAN (ELIQUIS), METHOTREXATE and PARACETAMOL (TYLENOL) for an unknown indication. On 11-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Mar-2021, the patient experienced DYSPNOEA (Shortness of breath), LETHARGY (very lethargic), MYALGIA (very achy) and PYREXIA (temperature of 102.5/fever). On 12-Mar-2021, the patient experienced PAIN (pain) and VOMITING (Violently throwing up). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency. At the time of the report, DYSPNOEA (Shortness of breath), LETHARGY (very lethargic) and MYALGIA (very achy) outcome was unknown and PAIN (pain), PYREXIA (temperature of 102.5/fever) and VOMITING (Violently throwing up) had not 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.

Other Meds: ELIQUIS; METHOTREXATE; TYLENOL

Current Illness:

ID: 1565578
Sex: M
Age: 88
State: WI

Vax Date: 02/10/2021
Onset Date: 03/10/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: weakness in the legs; flushiness in the face; incontinence of urine; Low grade fever; extreme fatigue; This spontaneous case was reported by a patient family member or friend and describes the occurrence of MUSCULAR WEAKNESS (weakness in the legs), FLUSHING (flushiness in the face), URINARY INCONTINENCE (incontinence of urine), PYREXIA (Low grade fever) and FATIGUE (extreme fatigue) in an 89-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Bedridden and Walker user. On 10-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 10-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 10-Mar-2021, the patient experienced MUSCULAR WEAKNESS (weakness in the legs), FLUSHING (flushiness in the face), URINARY INCONTINENCE (incontinence of urine), PYREXIA (Low grade fever) and FATIGUE (extreme fatigue). At the time of the report, MUSCULAR WEAKNESS (weakness in the legs), FLUSHING (flushiness in the face), URINARY INCONTINENCE (incontinence of urine), PYREXIA (Low grade fever) and FATIGUE (extreme fatigue) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant and treatment medications were reported. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was not applicable. Most recent FOLLOW-UP information incorporated above includes: On 04-May-2021: Follow up was received on 04-MAY-2021. All reported events' outcome were updated to recovered/resolved.

Other Meds:

Current Illness: Bedridden; Walker user

ID: 1565579
Sex: M
Age: 87
State: MT

Vax Date: 03/09/2021
Onset Date: 03/12/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: throat swelling; mouth swelling; running nose; coughs; vomiting; chills; This spontaneous case was reported by a consumer and describes the occurrence of PHARYNGEAL SWELLING (throat swelling), MOUTH SWELLING (mouth swelling), RHINORRHOEA (running nose), COUGH (coughs) and VOMITING (vomiting) in an 87-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 09-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Mar-2021, the patient experienced PHARYNGEAL SWELLING (throat swelling), MOUTH SWELLING (mouth swelling), RHINORRHOEA (running nose), COUGH (coughs), VOMITING (vomiting) and CHILLS (chills). At the time of the report, PHARYNGEAL SWELLING (throat swelling), MOUTH SWELLING (mouth swelling), RHINORRHOEA (running nose), COUGH (coughs), VOMITING (vomiting) and CHILLS (chills) outcome was unknown.

Other Meds:

Current Illness:

ID: 1565580
Sex: U
Age:
State: CA

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Administered with 2 doses of the vaccine 5 minutes apart; A spontaneous report was received from a physician concerning a (patient age and gender: unknown)patient who received Moderna's COVID-19 vaccine (mRNA-1273) and was administered with 2 doses of the vaccine 5 minutes apart/Inappropriate schedule of vaccine administered The patient's medical history was not reported. Concomitant medications taken by the patient were not provided. On an unknown date, prior to the onset of the event, the patient received their planned doses of mRNA-1273 (Lot number: unknown) through unknown route at unspecified site for prophylaxis of COVID-19 infection. On an unknown date, the reporter reported that patient was administered with 2 doses of the Moderna Covid-19 vaccine 5 minutes apart on the same arm. Treatment activities for event was unknown. Action taken with mRNA-1273 in response to the events was unknown. The outcome of event administered with 2 doses of the Moderna Covid-19 vaccine 5 minutes apart was resolved on an unknown date.; Reporter's Comments: This report refers to a case of inappropriate schedule of vaccine administered for mRNA-1273, lot # unknown with no associated AEs.

Other Meds:

Current Illness:

ID: 1565581
Sex: M
Age:
State: NE

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: feeling tired; Arm soreness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm soreness) and FATIGUE (feeling tired) 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 11-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Mar-2021, the patient experienced PAIN IN EXTREMITY (Arm soreness). On 12-Mar-2021, the patient experienced FATIGUE (feeling tired). On 11-Mar-2021, PAIN IN EXTREMITY (Arm soreness) had resolved. At the time of the report, FATIGUE (feeling tired) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Concomitant medications were provided No Treatment information provided

Other Meds:

Current Illness:

ID: 1565582
Sex: M
Age: 71
State: CA

Vax Date: 02/03/2021
Onset Date: 03/05/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Longer itching; fever 99.1 or 99.2; This spontaneous case was reported by a physician and describes the occurrence of PRURITUS (Longer itching) and PYREXIA (fever 99.1 or 99.2) in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 013a21a and 004m20a) for COVID-19 vaccination. Concomitant products included METFORMIN, SITAGLIPTIN (JANUVIA [SITAGLIPTIN]), ALLOPURINOL, LEVOTHYROXINE, LISINOPRIL, ATORVASTATIN and ESOMEPRAZOLE for an unknown indication. On 03-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 05-Mar-2021, the patient experienced PRURITUS (Longer itching) and PYREXIA (fever 99.1 or 99.2). At the time of the report, PRURITUS (Longer itching) and PYREXIA (fever 99.1 or 99.2) had not resolved. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 05-Mar-2021, Body temperature: (High) 99.1 or 99.2. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No treatment medication was reported

Other Meds: METFORMIN; JANUVIA [SITAGLIPTIN]; ALLOPURINOL; LEVOTHYROXINE; LISINOPRIL; ATORVASTATIN; ESOMEPRAZOLE

Current Illness:

ID: 1565583
Sex: M
Age:
State:

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: No Medical History information was reported. On 11-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Mar-2021, the patient experienced CHILLS (chills) and HEADACHE (headaches). At the time of the report, CHILLS (chills) and HEADACHE (headaches) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Concomitant medications were provided No Treatment information provided

Other Meds:

Current Illness:

ID: 1565584
Sex: M
Age:
State:

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Tightness in the chest; Sinus congestion; Headache; tongue felt tender; Metal taste; felt disoriented; This spontaneous case was reported by a consumer and describes the occurrence of DISORIENTATION (felt disoriented), GLOSSODYNIA (tongue felt tender), DYSGEUSIA (Metal taste), CHEST DISCOMFORT (Tightness in the chest) and SINUS CONGESTION (Sinus congestion) in a 49-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. Concurrent medical conditions included Allergy to antibiotic (Allergic to amoxicillin). 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 DISORIENTATION (felt disoriented). On 10-Mar-2021, the patient experienced GLOSSODYNIA (tongue felt tender), DYSGEUSIA (Metal taste) and HEADACHE (Headache). 10-Mar-2021, the patient experienced SINUS CONGESTION (Sinus congestion). On 12-Mar-2021, the patient experienced CHEST DISCOMFORT (Tightness in the chest). At the time of the report, DISORIENTATION (felt disoriented), GLOSSODYNIA (tongue felt tender), DYSGEUSIA (Metal taste), CHEST DISCOMFORT (Tightness in the chest), SINUS CONGESTION (Sinus congestion) and HEADACHE (Headache) 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. It was reported that no medical attention was pursued and did not self medicate with any over-the-counter medications. No concomitant medications were reported. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was not applicable.

Other Meds:

Current Illness: Allergy to antibiotic (Allergic to amoxicillin)

ID: 1565585
Sex: M
Age: 66
State: CA

Vax Date: 02/28/2021
Onset Date: 03/08/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Dizziness after vaccine and is getting worse; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (Dizziness after vaccine and is getting worse) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 623M20A and 623M20A) for COVID-19 vaccination. No Medical History information was reported. On 28-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 08-Mar-2021, the patient experienced DIZZINESS (Dizziness after vaccine and is getting worse). At the time of the report, DIZZINESS (Dizziness after vaccine and is getting worse) had not resolved. No concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1565586
Sex: F
Age: 33
State: UT

Vax Date: 02/11/2021
Onset Date: 03/11/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Body aches; Dizziness; Throbbing in joints; Headaches; This spontaneous retrospective pregnancy case was reported by a consumer and describes the occurrence of PAIN (Body aches), DIZZINESS (Dizziness), ARTHRALGIA (Throbbing in joints) and HEADACHE (Headaches) in a 33-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025a21a) for COVID-19 vaccination. No Medical History information was reported. On 11-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. Last menstrual period and estimated date of delivery were not provided. On 11-Mar-2021, the patient experienced PAIN (Body aches), DIZZINESS (Dizziness), ARTHRALGIA (Throbbing in joints) and HEADACHE (Headaches). The delivery occurred on 28-Feb-2021. For neonate 1, The outcome was reported as Delivered NOS. At the time of the report, PAIN (Body aches), DIZZINESS (Dizziness), ARTHRALGIA (Throbbing in joints) and HEADACHE (Headaches) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Streptobacillus test positive: unknown (Positive) tested positive for strep B. Action taken with mRNA-1273 in response to the event was not applicable.

Other Meds:

Current Illness:

ID: 1565587
Sex: F
Age:
State: GA

Vax Date: 02/17/2021
Onset Date:
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Dizziness; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of DIZZINESS (Dizziness) in an 81-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007M20A) for COVID-19 vaccination. The patient's past medical history included Glaucoma. Concomitant products included CARBAMAZEPINE (TEGRETOL), ASCORBIC ACID (VITAMIIN C), TIMOLOL, BRIMONIDINE TARTRATE (ALPHAGAN), PILOCARPINE, ALBUTEROL SULFATE, AMLODIPINE and LISINOPRIL for an unknown indication. On 17-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced DIZZINESS (Dizziness). At the time of the report, DIZZINESS (Dizziness) had not resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Patient was reported to have dizziness before first dose of vaccine after which it got worse. Patient was advised to take meclizine by her HCP but she did not as she investigated it may worsen her glaucoma.

Other Meds: TEGRETOL; VITAMIIN C; TIMOLOL; ALPHAGAN; PILOCARPINE; ALBUTEROL SULFATE; AMLODIPINE; LISINOPRIL

Current Illness:

ID: 1565588
Sex: F
Age: 30
State: VA

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Bad Body Aches; Legs Hurting/Leg pain ful to touch; Leg cramps; Leg tingling; hard time sleeping; Bad Muscle Aches; Fever; headaches; Fatigue; chills; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Bad Body Aches), PAIN IN EXTREMITY (Legs Hurting/Leg pain ful to touch), MUSCLE SPASMS (Leg cramps), PARAESTHESIA (Leg tingling) and INSOMNIA (hard time sleeping) in a 30-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 10-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Mar-2021, the patient experienced PAIN (Bad Body Aches), PAIN IN EXTREMITY (Legs Hurting/Leg pain ful to touch), MUSCLE SPASMS (Leg cramps), PARAESTHESIA (Leg tingling), INSOMNIA (hard time sleeping), MYALGIA (Bad Muscle Aches), PYREXIA (Fever), HEADACHE (headaches), FATIGUE (Fatigue) and CHILLS (chills). At the time of the report, PAIN (Bad Body Aches), PAIN IN EXTREMITY (Legs Hurting/Leg pain ful to touch), MUSCLE SPASMS (Leg cramps), PARAESTHESIA (Leg tingling), INSOMNIA (hard time sleeping), MYALGIA (Bad Muscle Aches), PYREXIA (Fever), HEADACHE (headaches), FATIGUE (Fatigue) and CHILLS (chills) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product used was not provided Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1565589
Sex: M
Age:
State: FL

Vax Date: 03/02/2021
Onset Date:
Rec V Date: 08/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: cannot walk without a severe limb; still has pain in the left hip and cant walk without a limp or cane; pain in both knees especially the left knee and both sides of hip; This spontaneous case was reported by a consumer and describes the occurrence of GAIT DISTURBANCE (cannot walk without a severe limb), WALKING AID USER (still has pain in the left hip and cant walk without a limp or cane) and ARTHRALGIA (pain in both knees especially the left knee and both sides of hip) in an 88-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 031M20A or 038K20A and 031M20A or 038K20A) for COVID-19 vaccination. The patient's past medical history included Arthritis, Diabetes and Surgery. Concurrent medical conditions included Limping. On 02-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced GAIT DISTURBANCE (cannot walk without a severe limb), WALKING AID USER (still has pain in the left hip and cant walk without a limp or cane) and ARTHRALGIA (pain in both knees especially the left knee and both sides of hip). On 12-Mar-2021, ARTHRALGIA (pain in both knees especially the left knee and both sides of hip) had not resolved. At the time of the report, GAIT DISTURBANCE (cannot walk without a severe limb) and WALKING AID USER (still has pain in the left hip and cant walk without a limp or cane) outcome was unknown. No Concomitant medications were provided Reporter provided two lot numbers but was not sure which one is for dose one and dose two. Lot#:031M20A or 038K20A No Treatment information provided

Other Meds:

Current Illness: Limping

ID: 1565590
Sex: F
Age: 64
State: PA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Vaccination Site Erythema; Vaccination Site Rash; Vaccination site pain; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Vaccination site pain), VACCINATION SITE ERYTHEMA (Vaccination Site Erythema) and VACCINATION SITE RASH (Vaccination Site Rash) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031M20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. Concomitant products included VALACYCLOVIR [VALACICLOVIR], ROSUVASTATIN and ACETYLSALICYLIC ACID (BABY ASPIRIN) for an unknown indication. On 01-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Mar-2021, the patient experienced VACCINATION SITE PAIN (Vaccination site pain). On an unknown date, the patient experienced VACCINATION SITE ERYTHEMA (Vaccination Site Erythema) and VACCINATION SITE RASH (Vaccination Site Rash). At the time of the report, VACCINATION SITE PAIN (Vaccination site pain), VACCINATION SITE ERYTHEMA (Vaccination Site Erythema) and VACCINATION SITE RASH (Vaccination Site Rash) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.

Other Meds: VALACYCLOVIR [VALACICLOVIR]; ROSUVASTATIN; BABY ASPIRIN

Current Illness:

ID: 1565591
Sex: F
Age:
State: CA

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Lymph node hurts.; felt tingling at the injection site; Arm hurting; Slept longer than she normal; Tingling in her left fingers, face and cheek on the left side; Felt very exhausted; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PARAESTHESIA (felt tingling at the injection site), PAIN IN EXTREMITY (Arm hurting), HYPERSOMNIA (Slept longer than she normal), PARAESTHESIA (Tingling in her left fingers, face and cheek on the left side) and FATIGUE (Felt very exhausted) in a 43-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 027A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Optic neuritis. On 04-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Mar-2021, the patient experienced VACCINATION SITE PARAESTHESIA (felt tingling at the injection site), PAIN IN EXTREMITY (Arm hurting), HYPERSOMNIA (Slept longer than she normal), PARAESTHESIA (Tingling in her left fingers, face and cheek on the left side) and FATIGUE (Felt very exhausted). On 12-Mar-2021, the patient experienced LYMPH NODE PAIN (Lymph node hurts.). At the time of the report, VACCINATION SITE PARAESTHESIA (felt tingling at the injection site), PAIN IN EXTREMITY (Arm hurting), HYPERSOMNIA (Slept longer than she normal), PARAESTHESIA (Tingling in her left fingers, face and cheek on the left side), FATIGUE (Felt very exhausted) and LYMPH NODE PAIN (Lymph node hurts.) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. As a corrective patient was laid down with feet up and was given water. Concomitant medication use was unknown Treatment information was unknown

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm