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
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1561296
Sex: F
Age: 68
State:

Vax Date: 02/16/2021
Onset Date: 03/02/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: weakness; Itchy hives at the left arm, right arm , at the top to the shoulder , upper chest , neck , back , and; A fast heartbeat; swelling under the right eye; Pain at the injection site and headache; This spontaneous case was reported by a health care professional and describes the occurrence of ASTHENIA (weakness), PRURITUS (Itchy hives at the left arm, right arm , at the top to the shoulder , upper chest , neck , back , and) and INJECTION SITE PAIN (Pain at the injection site and headache) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006M20A) for COVID-19 vaccination. Concurrent medical conditions included Allergic reaction to drug (allergic to piroxicam.) on 02-Mar-2021, Allergic skin reaction (allergic to propylene glycol) on 02-Mar-2021 and Allergic reaction to drug (allergic to polysorbate.) on 02-Mar-2021. On 16-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Mar-2021, the patient experienced ASTHENIA (weakness), PRURITUS (Itchy hives at the left arm, right arm , at the top to the shoulder , upper chest , neck , back , and) and INJECTION SITE PAIN (Pain at the injection site and headache). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) ongoing since an unknown date at a dose of 1 dosage form and CETIRIZINE HYDROCHLORIDE (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) ongoing since an unknown date at a dose of 1 dosage form. At the time of the report, ASTHENIA (weakness), PRURITUS (Itchy hives at the left arm, right arm , at the top to the shoulder , upper chest , neck , back , and) and INJECTION SITE PAIN (Pain at the injection site and 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. Most recent FOLLOW-UP information incorporated above includes: On 02-Mar-2021: Non-Significant information Appended - NNI received

Other Meds:

Current Illness:

ID: 1561297
Sex: M
Age:
State: WI

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

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Fever; chills; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (Fever) and CHILLS (chills) 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 03-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Mar-2021, the patient experienced PYREXIA (Fever) and CHILLS (chills). At the time of the report, PYREXIA (Fever) and CHILLS (chills) outcome was unknown. Concomitant medications was not provided. Treatment information was not provided. This case was linked to MOD-2021-032346 (Patient Link).

Other Meds:

Current Illness:

ID: 1561298
Sex: M
Age: 52
State: AZ

Vax Date: 02/24/2021
Onset Date: 03/03/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Tingling feeling of lower extremities; Muscle spasm; Missed the 2nd dose of Moderna vaccine; Sweating; Burning chest and arms; Dizziness; Rash for 7 days; Body aches; Headaches; Nausea; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PARAESTHESIA (Tingling feeling of lower extremities), MUSCLE SPASMS (Muscle spasm), PRODUCT DOSE OMISSION ISSUE (Missed the 2nd dose of Moderna vaccine), HYPERHIDROSIS (Sweating) and BURNING SENSATION (Burning chest and arms) in a 52-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011L20A (or) 011L2019?) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 24-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-Mar-2021, the patient experienced HYPERHIDROSIS (Sweating), BURNING SENSATION (Burning chest and arms), DIZZINESS (Dizziness), RASH (Rash for 7 days), MYALGIA (Body aches), HEADACHE (Headaches) and NAUSEA (Nausea). On an unknown date, the patient experienced PARAESTHESIA (Tingling feeling of lower extremities), MUSCLE SPASMS (Muscle spasm) and PRODUCT DOSE OMISSION ISSUE (Missed the 2nd dose of Moderna vaccine). The patient was treated with DEXAMETHASONE for Adverse event, at a dose of UNK dosage form and TRIAMCINOLONE ACETONIDE (KENALOG [TRIAMCINOLONE ACETONIDE]) for Adverse event, at a dose of UNK dosage form. At the time of the report, PARAESTHESIA (Tingling feeling of lower extremities) and MUSCLE SPASMS (Muscle spasm) had not resolved and PRODUCT DOSE OMISSION ISSUE (Missed the 2nd dose of Moderna vaccine), HYPERHIDROSIS (Sweating), BURNING SENSATION (Burning chest and arms), DIZZINESS (Dizziness), RASH (Rash for 7 days), MYALGIA (Body aches), HEADACHE (Headaches) and NAUSEA (Nausea) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant concomitant medications were reported. Patient was advised by allergist not to take second dose. The patient did some blood work by the recommendation of allergist and report came normal.So the allergist referred the patient to contact the Neurologist for the symptoms persisting. Most recent FOLLOW-UP information incorporated above includes: On 30-Apr-2021: Anatomical location of vaccination, treatment details and contact details were updated. On 05-May-2021: Events and lab data updated.

Other Meds:

Current Illness:

ID: 1561299
Sex: F
Age: 80
State: GA

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: difficult to walk; left leg pain; pain going from her right shoulder and going down to her back; This spontaneous case was reported by a consumer and describes the occurrence of GAIT DISTURBANCE (difficult to walk), PAIN IN EXTREMITY (left leg pain) and ARTHRALGIA (pain going from her right shoulder and going down to her back) in an 80-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Blood pressure high. On 02-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 02-Mar-2021, the patient experienced GAIT DISTURBANCE (difficult to walk), PAIN IN EXTREMITY (left leg pain) and ARTHRALGIA (pain going from her right shoulder and going down to her back). At the time of the report, GAIT DISTURBANCE (difficult to walk), PAIN IN EXTREMITY (left leg pain) and ARTHRALGIA (pain going from her right shoulder and going down to her back) outcome was unknown. Patient's concomitant medications included unspecified medicines for high blood pressure. Patient did not use any treatment medicines for the symptoms. Most recent FOLLOW-UP information incorporated above includes: On 30-Apr-2021: Follow up report included no new information

Other Meds:

Current Illness: Blood pressure high

ID: 1561300
Sex: U
Age:
State: IL

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

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

Lab Data:

Allergies:

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

Symptoms: Vaccine dripping down the arm; Product administration error; A spontaneous report was received from a pharmacist for a patient (unknown age and gender) who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced vaccine dripping down the arm/ under dose and product administration error. The patient's medical history was not provided. No concomitant product use was reported. On 25-FEB-2021, the patient received their unknown dose of two planned doses of mRNA-1273 (Lot number: not provided) intramuscularly for prophylaxis of COVID-19 infection. While receiving vaccine patient noticed the vaccine dripped down the arm. The reporter wanted to know if the patient should get re-vaccinated or not. Action taken with mRNA-1273 was unknown. The outcome of the events, vaccine dripping down the arm and product administration error were considered resolved on 25 Feb 2021.; Reporter's Comments: This report refers to a case of product administration error and underdose for mRNA-1273 (lot # unknown) with no associated AEs reported.

Other Meds:

Current Illness:

ID: 1561301
Sex: F
Age: 72
State: UT

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Ear infection; Soreness at injection site; This spontaneous case was reported by a consumer and describes the occurrence of EAR INFECTION (Ear infection) and INJECTION SITE PAIN (Soreness at injection site) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013M20A) for COVID-19 vaccination. No Medical History information was reported. On 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Feb-2021, the patient experienced INJECTION SITE PAIN (Soreness at injection site). On 03-Mar-2021, the patient experienced EAR INFECTION (Ear infection). At the time of the report, EAR INFECTION (Ear infection) and INJECTION SITE PAIN (Soreness at injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications reported. Treatment medications was not provided by the reporter

Other Meds:

Current Illness:

ID: 1561302
Sex: M
Age: 70
State: LA

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

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Bursitis of elbow; Whole elbow to wrist turned black and blue/Elbow turned purple and red; Elbow is starting to swell like there is fluid with a size of an egg; Elbow hurting; This spontaneous case was reported by a consumer and describes the occurrence of BURSITIS (Bursitis of elbow), SKIN DISCOLOURATION (Whole elbow to wrist turned black and blue/Elbow turned purple and red), JOINT SWELLING (Elbow is starting to swell like there is fluid with a size of an egg) and ARTHRALGIA (Elbow hurting) in a 70-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029A21A) for COVID-19 vaccination. No Medical History information was reported. On 01-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 02-Mar-2021, the patient experienced SKIN DISCOLOURATION (Whole elbow to wrist turned black and blue/Elbow turned purple and red), JOINT SWELLING (Elbow is starting to swell like there is fluid with a size of an egg) and ARTHRALGIA (Elbow hurting). On 08-Mar-2021, the patient experienced BURSITIS (Bursitis of elbow). The patient was treated with LORATADINE, PSEUDOEPHEDRINE HYDROCHLORIDE (BENADRYL 24 D) in March 2021 for Adverse reaction, at a dose of 1 UNK and NAPROXEN SODIUM (ALEVE) in March 2021 for Adverse reaction, at an unspecified dose and frequency. On 08-Mar-2021, SKIN DISCOLOURATION (Whole elbow to wrist turned black and blue/Elbow turned purple and red) had resolved. At the time of the report, BURSITIS (Bursitis of elbow) had not resolved, JOINT SWELLING (Elbow is starting to swell like there is fluid with a size of an egg) was resolving and ARTHRALGIA (Elbow hurting) outcome was unknown. Patient does not take any medications on daily basis as concomitant medications. Patient's swelling came down within 24 hours of administering diphenhydramine. However, on 07-MAR-2021, the swelling from the same elbow with the size of the egg came back. The blue and black discoloration stayed on until 08-MAR-2021. Patient's physician diagnosed it as bursitis of elbow. At the time of report, on 02-MAR-2021, the swelling was greatly improved, and was slowly going away. Most recent FOLLOW-UP information incorporated above includes: On 02-May-2021: Follow up information was received on 02 May 2021, patient initials an DOB updated, new events with out come of the events updated, treatment information updated.

Other Meds:

Current Illness:

ID: 1561303
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: reactions, it wasn't good; This spontaneous case was reported by a consumer and describes the occurrence of ADVERSE EVENT (reactions, it wasn't good) 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 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 ADVERSE EVENT (reactions, it wasn't good). At the time of the report, ADVERSE EVENT (reactions, it wasn't good) outcome was unknown. Concomitant product use was not provided by the reporter. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1561304
Sex: F
Age:
State: TX

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: sore arm; Allergies; Headache; This spontaneous case was reported by a consumer and describes the occurrence of AXILLARY PAIN (sore arm), MULTIPLE ALLERGIES (Allergies) and HEADACHE (Headache) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Mar-2021, the patient experienced AXILLARY PAIN (sore arm), MULTIPLE ALLERGIES (Allergies) and HEADACHE (Headache). On 03-Mar-2021, AXILLARY PAIN (sore arm) and HEADACHE (Headache) had resolved. At the time of the report, MULTIPLE ALLERGIES (Allergies) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications reported. No treatment information provided.

Other Meds:

Current Illness:

ID: 1561305
Sex: F
Age: 71
State: WA

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

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: had nightmares; very weak; nauseated; fever; tired; left arm was sore; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of AXILLARY PAIN (left arm was sore), NIGHTMARE (had nightmares), ASTHENIA (very weak), NAUSEA (nauseated) and PYREXIA (fever) in a 71-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. The patient's past medical history included No adverse event. On 25-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Feb-2021, the patient experienced AXILLARY PAIN (left arm was sore). On 26-Feb-2021, the patient experienced NIGHTMARE (had nightmares), ASTHENIA (very weak), NAUSEA (nauseated), PYREXIA (fever) and FATIGUE (tired). The patient was treated with ONDANSETRON 26-Feb-2021 for Nauseated, at a dose of 1 dosage form. On 26-Feb-2021, AXILLARY PAIN (left arm was sore), NIGHTMARE (had nightmares), ASTHENIA (very weak), NAUSEA (nauseated) and PYREXIA (fever) had resolved. On 27-Feb-2021, FATIGUE (tired) had resolved. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 26-Feb-2021, Body temperature: 101.5 (High) 101.5 F. On 26-Feb-2021, Oxygen saturation: 98% (normal) 98%. On 26-Feb-2021, Respiratory rate: 16 (normal) 16. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product use was not provided by the reporter.

Other Meds:

Current Illness:

ID: 1561306
Sex: M
Age: 74
State: WI

Vax Date: 02/19/2021
Onset Date: 02/28/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Red big spot at site of injection, kind of hard in the center; no pain but Itches at the red spot at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE ERYTHEMA (Red big spot at site of injection, kind of hard in the center) and INJECTION SITE PRURITUS (no pain but Itches at the red spot at the injection site) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 023M20A) for COVID-19 vaccination. No Medical History information was reported. On 19-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Feb-2021, the patient experienced INJECTION SITE ERYTHEMA (Red big spot at site of injection, kind of hard in the center) and INJECTION SITE PRURITUS (no pain but Itches at the red spot at the injection site). At the time of the report, INJECTION SITE ERYTHEMA (Red big spot at site of injection, kind of hard in the center) and INJECTION SITE PRURITUS (no pain but Itches at the red spot at the injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications reported. Patient did not use any treatment medications for the symptoms.

Other Meds:

Current Illness:

ID: 1561307
Sex: M
Age:
State: MD

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

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Allergy issues; Eyes are swollen; This spontaneous case was reported by a consumer and describes the occurrence of HYPERSENSITIVITY (Allergy issues) and EYE SWELLING (Eyes are swollen) 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 26-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 HYPERSENSITIVITY (Allergy issues) and EYE SWELLING (Eyes are swollen). At the time of the report, HYPERSENSITIVITY (Allergy issues) and EYE SWELLING (Eyes are swollen) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1561308
Sex: F
Age:
State: AL

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

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

Lab Data:

Allergies:

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

Symptoms: FATIGUE; Chills; felt something running down her arm and it was the vaccine; This spontaneous case was reported by a consumer and describes the occurrence of UNDERDOSE (felt something running down her arm and it was the vaccine), FATIGUE (FATIGUE) and CHILLS (Chills) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013A21A) for COVID-19 vaccination. The patient's past medical history included No adverse event (No medical history was reported.). On 03-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Mar-2021, the patient experienced UNDERDOSE (felt something running down her arm and it was the vaccine). On 03-Mar-2021, the patient experienced FATIGUE (FATIGUE) and CHILLS (Chills). On 02-Mar-2021, UNDERDOSE (felt something running down her arm and it was the vaccine) had resolved. At the time of the report, FATIGUE (FATIGUE) and CHILLS (Chills) outcome was unknown. There was no concomitant medication provided Reporter did not allow further contact; Sender's Comments: This report refers to a case of accidental underdose for mRNA-1273, lot # 013A21A with associated AEs fatigue and chills.

Other Meds:

Current Illness:

ID: 1561309
Sex: F
Age: 67
State: WA

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

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

Lab Data:

Allergies:

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

Symptoms: Pain in ears; Headache; Both ears itching; Lightheaded; Both ears red; Crawling skin and scalp; Constricted throat; No energy; Tender arm; This spontaneous case was reported by a consumer and describes the occurrence of EAR PRURITUS (Both ears itching), EAR PAIN (Pain in ears), FORMICATION (Crawling skin and scalp), THROAT TIGHTNESS (Constricted throat) and ASTHENIA (No energy) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Shellfish allergy. On 23-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Jan-2021, the patient experienced TENDERNESS (Tender arm). On 10-Feb-2021, the patient experienced EAR PRURITUS (Both ears itching), FORMICATION (Crawling skin and scalp), THROAT TIGHTNESS (Constricted throat), ASTHENIA (No energy), DIZZINESS (Lightheaded) and ERYTHEMA (Both ears red). On 11-Feb-2021, the patient experienced EAR PAIN (Pain in ears) and HEADACHE (Headache). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at a dose of UNK UNK, bid and IBUPROFEN (ADVIL [IBUPROFEN]) at an unspecified dose and frequency. On 10-Feb-2021, DIZZINESS (Lightheaded) had resolved. On 12-Feb-2021, EAR PRURITUS (Both ears itching), EAR PAIN (Pain in ears) and HEADACHE (Headache) had resolved. At the time of the report, FORMICATION (Crawling skin and scalp), THROAT TIGHTNESS (Constricted throat) and ASTHENIA (No energy) had resolved and TENDERNESS (Tender arm) and ERYTHEMA (Both ears red) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient symptoms happened a while ago. They lasted 2 days and went away. She was okay now Most recent FOLLOW-UP information incorporated above includes: On 24-Jun-2021: Patient gender and events outcome was updated.

Other Meds:

Current Illness: Shellfish allergy

ID: 1561310
Sex: F
Age: 64
State: NY

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

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

Lab Data:

Allergies:

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

Symptoms: She got migraine 3 days after receiving 1st dose and continued on next day; Patient got blurred vision 2 days after receiving 1st dose and it got worst on day 5; Patient's right side of face (jaw, cheek and right ear)started hurting immediately after receiving 1st; Couldn't move right arm; This spontaneous case was reported by a consumer and describes the occurrence of FACIAL PAIN (Patient's right side of face (jaw, cheek and right ear)started hurting immediately after receiving 1st), VISION BLURRED (Patient got blurred vision 2 days after receiving 1st dose and it got worst on day 5), MIGRAINE (She got migraine 3 days after receiving 1st dose and continued on next day) and LIMB DISCOMFORT (Couldn't move right arm) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 014M204) for COVID-19 vaccination. The patient's past medical history included Migraine. Concomitant products included BOTULINUM TOXIN TYPE A (BOTOX) for Migraine, CYPROHEPTADINE, METFORMIN, MOMETASONE FUROATE (NASONEX), NARATRIPTAN HYDROCHLORIDE (AMERGE) and METOCLOPRAMIDE HYDROCHLORIDE (REGLAN [METOCLOPRAMIDE HYDROCHLORIDE]) for an unknown indication. On 25-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 ml. On 25-Feb-2021, the patient experienced FACIAL PAIN (Patient's right side of face (jaw, cheek and right ear)started hurting immediately after receiving 1st) and LIMB DISCOMFORT (Couldn't move right arm). On 27-Feb-2021, the patient experienced VISION BLURRED (Patient got blurred vision 2 days after receiving 1st dose and it got worst on day 5). On 28-Feb-2021, the patient experienced MIGRAINE (She got migraine 3 days after receiving 1st dose and continued on next day). The patient was treated with PARACETAMOL (TYLENOL) for Symptomatic treatment, at an unspecified dose and frequency. On 25-Feb-2021, FACIAL PAIN (Patient's right side of face (jaw, cheek and right ear)started hurting immediately after receiving 1st) had resolved. At the time of the report, VISION BLURRED (Patient got blurred vision 2 days after receiving 1st dose and it got worst on day 5), MIGRAINE (She got migraine 3 days after receiving 1st dose and continued on next day) and LIMB DISCOMFORT (Couldn't move right arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The right side of face of the patient started hurting immediately after the vaccine. It went away within few hours but couldn't move her right arm. By Saturday, the arm was much better. Patient got blurred vision on 27-Feb-2021 and on 28-Feb-2021, she got migraine. On Monday(1-Mar-2021) she got 2nd migraine and her vision was worst. She goes for Botox treatment every 12 weeks. She received 31 shots of Botox the day before vaccine. Her Cataracts were done in October (both). She also mentioned that she is going for 2nd shot on 22March2021 and she is legally blind.

Other Meds: CYPROHEPTADINE; METFORMIN; NASONEX; AMERGE; REGLAN [METOCLOPRAMIDE HYDROCHLORIDE]; BOTOX

Current Illness:

ID: 1561311
Sex: F
Age: 82
State: TX

Vax Date: 01/16/2021
Onset Date:
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Still not received the second dose and missed 42 day window; A spontaneous report was received on 02 MAR 2021 from a consumer, who was a 82-year old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and did not receive the second dose and missed the 42-days window (inappropriate schedule of vaccine administration ). The patient's medical history was not provided. No concomitant product use was reported. On 16 Jan 2021, the patient received the first of two planned doses of mRNA-1273 (Lot number: not provided) intramuscularly for prophylaxis of COVID-19 infection and did not receive the second dose and missed the 42-day window. No adverse events were reported, and no treatment medications were reported. Action taken with mRNA-1273 in response to the events was unknown. The outcome of the event, not receive the second dose and missed the 42-days window, was considered recovered.; Reporter's Comments: This report refers to a case of inappropriate schedule of vaccine administration for mRNA-1273, no vaccine administered, with no associated AEs.

Other Meds:

Current Illness:

ID: 1561312
Sex: F
Age:
State: NY

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

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

Lab Data:

Allergies:

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

Symptoms: having a ruff time with sore throat; fever of 101.9 deg F; This spontaneous case was reported by a consumer and describes the occurrence of OROPHARYNGEAL PAIN (having a ruff time with sore throat) and PYREXIA (fever of 101.9 deg F) 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 28-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 OROPHARYNGEAL PAIN (having a ruff time with sore throat) and PYREXIA (fever of 101.9 deg F). At the time of the report, OROPHARYNGEAL PAIN (having a ruff time with sore throat) and PYREXIA (fever of 101.9 deg F) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications reported. Treatment medications was not provided by the reporter

Other Meds:

Current Illness:

ID: 1561313
Sex: F
Age: 75
State: FL

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: chills; dizziness; runny stuffed nose; upper abdominal pain, right under the breast; very bad sleep problem; massive headache; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (dizziness), RHINORRHOEA (runny stuffed nose), ABDOMINAL PAIN UPPER (upper abdominal pain, right under the breast), SLEEP DISORDER (very bad sleep problem) and HEADACHE (massive headache) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 015M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Neuropathy, Shingles and Epstein Barr virus positive mucocutaneous ulcer. On 16-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Feb-2021, the patient experienced DIZZINESS (dizziness), RHINORRHOEA (runny stuffed nose), ABDOMINAL PAIN UPPER (upper abdominal pain, right under the breast), SLEEP DISORDER (very bad sleep problem) and HEADACHE (massive headache). On an unknown date, the patient experienced CHILLS (chills). At the time of the report, DIZZINESS (dizziness), RHINORRHOEA (runny stuffed nose), ABDOMINAL PAIN UPPER (upper abdominal pain, right under the breast), SLEEP DISORDER (very bad sleep problem), HEADACHE (massive headache) and CHILLS (chills) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. No treatment information was reported This case was linked to US-MODERNATX, INC.-MOD-2021-100878 (E2B Linked Report). Most recent FOLLOW-UP information incorporated above includes: On 20-Jul-2021: Follow up received on 20-JUL-2021.Updated events outcome .Added reporter causality.; Sender's Comments: US-MODERNATX, INC.-MOD-2021-100878:

Other Meds:

Current Illness:

ID: 1561314
Sex: F
Age: 72
State: LA

Vax Date: 02/10/2021
Onset Date: 02/17/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Continous headaches that come and go; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of HEADACHE (Continous headaches that come and go) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 31M20A) for COVID-19 vaccination. Concurrent medical conditions included Blood pressure high, High cholesterol and Weight above normal. Concomitant products included APIXABAN (ELIQUIS) and VITAMIN D3 for an unknown indication. On 10-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On 17-Feb-2021, the patient experienced HEADACHE (Continous headaches that come and go). The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date for Headache, at an unspecified dose and frequency. At the time of the report, HEADACHE (Continous headaches that come and go) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient's concomitant medications also included unspecified medicines for high blood pressure and high cholesterol.

Other Meds: ELIQUIS; VITAMIN D3

Current Illness: Blood pressure high; High cholesterol; Weight above normal

ID: 1561315
Sex: M
Age: 65
State: IN

Vax Date: 02/16/2021
Onset Date:
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Extremely minor or little pain at injection site; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE PAIN (Extremely minor or little pain at injection site) in a 65-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 015M20A) for COVID-19 vaccination. No Medical History information was reported. On 16-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced INJECTION SITE PAIN (Extremely minor or little pain at injection site). At the time of the report, INJECTION SITE PAIN (Extremely minor or little pain 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) (Intramuscular), the reporter did not provide any causality assessments.

Other Meds:

Current Illness:

ID: 1561316
Sex: F
Age:
State: AZ

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

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

Lab Data:

Allergies:

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

Symptoms: symptoms began within 30 minutes; eye burning; itchy throat; chest tightness; dizziness; This spontaneous case was reported by a pharmacist (subsequently medically confirmed) and describes the occurrence of VACCINATION COMPLICATION (symptoms began within 30 minutes), EYE IRRITATION (eye burning), THROAT IRRITATION (itchy throat), CHEST DISCOMFORT (chest tightness) and DIZZINESS (dizziness) in a 53-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011M20A) for COVID-19 vaccination. The patient's past medical history included Hypertension, Hashimoto's disease and Hyperlipidemia. 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 VACCINATION COMPLICATION (symptoms began within 30 minutes), EYE IRRITATION (eye burning), THROAT IRRITATION (itchy throat), CHEST DISCOMFORT (chest tightness) and DIZZINESS (dizziness). The patient was treated with EPINEPHRINE (intravenous) at a dose of 0.03 milligram; FEXOFENADINE HYDROCHLORIDE (ALLEGRA) at an unspecified dose and frequency and FAMOTIDINE at an unspecified dose and frequency. At the time of the report, VACCINATION COMPLICATION (symptoms began within 30 minutes), EYE IRRITATION (eye burning), THROAT IRRITATION (itchy throat), CHEST DISCOMFORT (chest tightness) and DIZZINESS (dizziness) 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. Concomitant product use was not provided by the reporter. This case was linked to MOD21-026901, MOD21-026902, MOD21-026903 (E2B Linked Report). This case was linked to MOD-2021-029012, MOD-2021-028961, MOD-2021-055838, MOD-2021-055838 (Patient Link).; Sender's Comments: MOD21-026901: MOD21-026902: MOD21-026903:

Other Meds:

Current Illness:

ID: 1561317
Sex: F
Age: 66
State: VA

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

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Icky; Fever; Headache; This spontaneous case was reported by a consumer and describes the occurrence of IRRITABILITY (Icky), PYREXIA (Fever) and HEADACHE (Headache) 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 01-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 01-Mar-2021, the patient experienced IRRITABILITY (Icky), PYREXIA (Fever) and HEADACHE (Headache). At the time of the report, IRRITABILITY (Icky), PYREXIA (Fever) and HEADACHE (Headache) outcome was unknown. No concomitant or treatment medications were reported.

Other Meds:

Current Illness:

ID: 1561318
Sex: F
Age: 78
State: KS

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Cold sore in mouth, bottom lip; A spontaneous report was received from a 79-year-old, female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced cold sore in mouth and cold sore on bottom of her lip/oral herpes. The patient's medical history was not provided. No concomitant product use was reported. On 25-Jan-2021, the patient received their first of two planned vaccine doses of mRNA-1273 (Lot number: 027L20A) intramuscularly on left upper arm for prophylaxis of COVID-19 infection. On 26JAN2021, the patient started experiencing cold sore in mouth and cold sore on bottom of her lip that lasted about a week. The patient reported gargling with salt water and used Abreva (docosanol) for her sore on the lip. Action taken with mRNA-1273 was not applicable. The outcome of the event oral herpes was unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1561319
Sex: F
Age: 74
State: MN

Vax Date: 02/27/2021
Onset Date: 03/01/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Concurrent medical conditions included Fibromyalgia and Thyroid disorder. Concomitant products included GABAPENTIN for Fibromyalgia. On 27-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 01-Mar-2021, the patient experienced DISORIENTATION ("out of it"), DECREASED APPETITE (loss of appetite), INSOMNIA (difficulty sleeping), FATIGUE (extremely tired), NAUSEA (nauseous) and MYALGIA (body aches). On 02-Mar-2021, the patient experienced DIARRHOEA (diarrhea). At the time of the report, DISORIENTATION ("out of it"), DECREASED APPETITE (loss of appetite), INSOMNIA (difficulty sleeping), DIARRHOEA (diarrhea), FATIGUE (extremely tired), NAUSEA (nauseous) and MYALGIA (body aches) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product use was provided as thyroid medication and gabapentin. Treatment information was provided as paracetamol.

Other Meds: GABAPENTIN

Current Illness: Fibromyalgia; Thyroid disorder

ID: 1561320
Sex: F
Age: 85
State: MI

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Hot, itchy sore red rash over injection site; Raised hot spot over injection site: 4"X4'; Mild tendon pain; Joint pain; This spontaneous case was reported by a consumer and describes the occurrence of TENDON PAIN (Mild tendon pain), INJECTION SITE WARMTH (Hot, itchy sore red rash over injection site), ARTHRALGIA (Joint pain) and INJECTION SITE SWELLING (Raised hot spot over injection site: 4"X4') in an 85-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010A21A) for COVID-19 vaccination. Concurrent medical conditions included Tendonitis and Arthritis. Concomitant products included APIXABAN (ELIQUIS), CARVEDILOL and HYDROCODONE;PARACETAMOL 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 26-Feb-2021, the patient experienced TENDON PAIN (Mild tendon pain) and ARTHRALGIA (Joint pain). On 05-Mar-2021, the patient experienced INJECTION SITE WARMTH (Hot, itchy sore red rash over injection site) and INJECTION SITE SWELLING (Raised hot spot over injection site: 4"X4'). The patient was treated with HYDROCODONE BITARTRATE, PARACETAMOL (VICODIN) for Adverse event NOS, at a dose of 500 mg and TRIAMCINOLONE (topical) for Itch and Ache, at a dose of UNK, tid. On 04-Mar-2021, TENDON PAIN (Mild tendon pain) and ARTHRALGIA (Joint pain) had resolved. At the time of the report, INJECTION SITE WARMTH (Hot, itchy sore red rash over injection site) and INJECTION SITE SWELLING (Raised hot spot over injection site: 4"X4') 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. Most recent FOLLOW-UP information incorporated above includes: On 08-Mar-2021: Additional information received on 08-Mar-2021 added new event and outcome On 07-Jul-2021: Follow up contains information about second dose events, new case created and action taken for dose 1 updated to no change

Other Meds: ELIQUIS; CARVEDILOL; HYDROCODONE;PARACETAMOL

Current Illness: Arthritis; Tendonitis

ID: 1561321
Sex: F
Age: 64
State: FL

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Didnt feel so good; Arm was hot; Swollen; Itchy; Arm was black and blue; Rash; Fatigue; Sweatiness; Pain in the arm; Fever 99.5-101.2; This spontaneous case was reported by a consumer and describes the occurrence of HYPERHIDROSIS (Sweatiness), PAIN IN EXTREMITY (Pain in the arm), MALAISE (Didnt feel so good), FEELING HOT (Arm was hot) and SWELLING (Swollen) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 18-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Feb-2021, the patient experienced HYPERHIDROSIS (Sweatiness), PAIN IN EXTREMITY (Pain in the arm) and PYREXIA (Fever 99.5-101.2). On an unknown date, the patient experienced MALAISE (Didnt feel so good), FEELING HOT (Arm was hot), SWELLING (Swollen), PRURITUS (Itchy), SKIN DISCOLOURATION (Arm was black and blue), RASH (Rash) and FATIGUE (Fatigue). The patient was treated with PARACETAMOL (TYLENOL) for Fever, at an unspecified dose and frequency. At the time of the report, HYPERHIDROSIS (Sweatiness), PAIN IN EXTREMITY (Pain in the arm), MALAISE (Didnt feel so good), FEELING HOT (Arm was hot), SWELLING (Swollen), PRURITUS (Itchy), SKIN DISCOLOURATION (Arm was black and blue), RASH (Rash), PYREXIA (Fever 99.5-101.2) and FATIGUE (Fatigue) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported.

Other Meds:

Current Illness:

ID: 1561322
Sex: F
Age: 38
State: NM

Vax Date: 01/27/2021
Onset Date: 02/28/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 1.5-2 inch wide circle around injection site; Warm if you touch it; Like a rash; Has a bump; Body aches; Chills; Low grade fever; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE DISCOLOURATION (1.5-2 inch wide circle around injection site), VACCINATION SITE WARMTH (Warm if you touch it), VACCINATION SITE RASH (Like a rash), VACCINATION SITE SWELLING (Has a bump) and MYALGIA (Body aches) in a 38-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 27-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 28-Feb-2021, the patient experienced MYALGIA (Body aches), CHILLS (Chills) and PYREXIA (Low grade fever). On 01-Mar-2021, the patient experienced VACCINATION SITE DISCOLOURATION (1.5-2 inch wide circle around injection site), VACCINATION SITE WARMTH (Warm if you touch it), VACCINATION SITE RASH (Like a rash) and VACCINATION SITE SWELLING (Has a bump). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event NOS, at an unspecified dose and frequency. On 28-Feb-2021, MYALGIA (Body aches), CHILLS (Chills) and PYREXIA (Low grade fever) had resolved. At the time of the report, VACCINATION SITE DISCOLOURATION (1.5-2 inch wide circle around injection site), VACCINATION SITE WARMTH (Warm if you touch it), VACCINATION SITE RASH (Like a rash) and VACCINATION SITE SWELLING (Has a bump) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No relevant concomitant medications were reported.

Other Meds:

Current Illness:

ID: 1561323
Sex: F
Age: 72
State: DC

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Diarrhea; Mild headache; Mild aches and pain; Arm soreness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Mild aches and pain), PAIN IN EXTREMITY (Arm soreness), DIARRHOEA (Diarrhea) and HEADACHE (Mild headache) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 24-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Feb-2021, the patient experienced PAIN (Mild aches and pain), PAIN IN EXTREMITY (Arm soreness) and HEADACHE (Mild headache). On 02-Mar-2021, the patient experienced DIARRHOEA (Diarrhea). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event NOS, at an unspecified dose and frequency. At the time of the report, PAIN (Mild aches and pain), PAIN IN EXTREMITY (Arm soreness), DIARRHOEA (Diarrhea) and HEADACHE (Mild headache) outcome was unknown. No relevant concomitant medications were reported. This case was linked to MOD-2021-064039 (Patient Link).

Other Meds:

Current Illness:

ID: 1561324
Sex: F
Age:
State: HI

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

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

Lab Data:

Allergies:

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

Symptoms: Sore arm at injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Sore arm at injection site) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007M20A) for COVID-19 vaccination. The patient's past medical history included Surgery (spinal). Concurrent medical conditions included Anxiety, Obsessive-compulsive disorder and Wheelchair user (semi-disabled). Concomitant products included PARACETAMOL (TYLENOL) for Pain. On 02-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Feb-2021, the patient experienced VACCINATION SITE PAIN (Sore arm at injection site). At the time of the report, VACCINATION SITE PAIN (Sore arm at injection site) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment medications was not provided by the reporter

Other Meds: TYLENOL

Current Illness: Anxiety; Obsessive-compulsive disorder

ID: 1561325
Sex: F
Age: 68
State:

Vax Date: 02/13/2021
Onset Date: 02/26/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Warm; Itchy; Rash around the injection site; It was a little swollen; Painful; The edges are red still but the center is more of a skin like tone; This spontaneous case was reported by a nurse and describes the occurrence of VACCINATION SITE WARMTH (Warm), VACCINATION SITE PRURITUS (Itchy), VACCINATION SITE RASH (Rash around the injection site), VACCINATION SITE SWELLING (It was a little swollen) and VACCINATION SITE PAIN (Painful) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No treatment information was provided. Concomitant products included BISOPROLOL FUMARATE (PROBIS) for Blood pressure abnormal, ATORVASTATIN CALCIUM (LIPITOR) for an unknown indication. On 13-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Feb-2021, the patient experienced VACCINATION SITE WARMTH (Warm), VACCINATION SITE PRURITUS (Itchy), VACCINATION SITE RASH (Rash around the injection site), VACCINATION SITE SWELLING (It was a little swollen), VACCINATION SITE PAIN (Painful) and VACCINATION SITE ERYTHEMA (The edges are red still but the center is more of a skin like tone). The patient was treated with PARACETAMOL (TYLENOL) for Pain, at an unspecified dose and frequency and IBUPROFEN for Itching, at an unspecified dose and frequency. At the time of the report, VACCINATION SITE WARMTH (Warm), VACCINATION SITE PRURITUS (Itchy), VACCINATION SITE RASH (Rash around the injection site), VACCINATION SITE SWELLING (It was a little swollen), VACCINATION SITE PAIN (Painful) and VACCINATION SITE ERYTHEMA (The edges are red still but the center is more of a skin like tone) 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. Other treatment information included: cold wash cloth.

Other Meds: PROBIS; LIPITOR

Current Illness:

ID: 1561326
Sex: F
Age: 70
State: TX

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Little bit of dizziness; Sleeping during the day; Extreme Fatigue / really tired; Nausea; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (Little bit of dizziness), HYPERSOMNIA (Sleeping during the day), FATIGUE (Extreme Fatigue / really tired) and NAUSEA (Nausea) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012M20A) for COVID-19 vaccination. No Medical History information was reported. On 01-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Feb-2021, the patient experienced DIZZINESS (Little bit of dizziness), HYPERSOMNIA (Sleeping during the day), FATIGUE (Extreme Fatigue / really tired) and NAUSEA (Nausea). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event NOS, at an unspecified dose and frequency. At the time of the report, DIZZINESS (Little bit of dizziness), HYPERSOMNIA (Sleeping during the day), FATIGUE (Extreme Fatigue / really tired) and NAUSEA (Nausea) outcome was unknown. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged. No relevant concomitant medications were reported. This case was linked to MOD-2021-032452 (Patient Link).

Other Meds:

Current Illness:

ID: 1561327
Sex: F
Age:
State: FL

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

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

Lab Data:

Allergies:

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

Symptoms: runny nose; This spontaneous case was reported by a consumer and describes the occurrence of RHINORRHOEA (runny nose) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-Mar-2021, the patient experienced RHINORRHOEA (runny nose). At the time of the report, RHINORRHOEA (runny nose) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications reported. Treatment medications was not provided by the reporter

Other Meds:

Current Illness:

ID: 1561328
Sex: F
Age:
State: NY

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Swollen legs; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PERIPHERAL SWELLING (Swollen legs) in an 84-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 03M20A) for COVID-19 vaccination. No reported medical history. Concomitant products included FAMOTIDINE and LEVOTHYROXINE SODIUM (SYNTHROID) for an unknown indication. On 30-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 31-Jan-2021, the patient experienced PERIPHERAL SWELLING (Swollen legs). At the time of the report, PERIPHERAL SWELLING (Swollen legs) had not resolved. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged. The patient's doctor prescribed a water pill that help a little with her edema. This case was linked to MOD-2021-032407 (Patient Link).

Other Meds: FAMOTIDINE; SYNTHROID

Current Illness:

ID: 1561329
Sex: F
Age: 45
State: CT

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

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Underdose; syringe was not secured enough; This spontaneous case was reported by a nurse and describes the occurrence of UNDERDOSE (Underdose) and DEVICE CONNECTION ISSUE (syringe was not secured enough) in a 45-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002A21A) for COVID-19 vaccination. The patient's past medical history included No adverse event (Medical history was not reported). On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Mar-2021, the patient experienced UNDERDOSE (Underdose) and DEVICE CONNECTION ISSUE (syringe was not secured enough). On 02-Mar-2021, UNDERDOSE (Underdose) and DEVICE CONNECTION ISSUE (syringe was not secured enough) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1561330
Sex: F
Age: 85
State: CA

Vax Date: 01/30/2021
Onset Date:
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Itch back, hip and arm (both); This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (Itch back, hip and arm (both)) in an 85-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 001A21A and 004M20A) for COVID-19 vaccination. Concurrent medical conditions included Arthritis. Concomitant products included MULTIVITAMIN [VITAMINS NOS] for an unknown indication. On 30-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Feb-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 PRURITUS (Itch back, hip and arm (both)). At the time of the report, PRURITUS (Itch back, hip and arm (both)) outcome was unknown. Treatment medications was not provided by the reporter

Other Meds: MULTIVITAMIN [VITAMINS NOS]

Current Illness: Arthritis

ID: 1561331
Sex: F
Age:
State: MD

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

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

Lab Data:

Allergies:

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

Symptoms: Muscle pain; Tenderness (injection site); This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (Muscle pain) and VACCINATION SITE PAIN (Tenderness (injection site)) in an 80-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 in November 2020. On 26-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 MYALGIA (Muscle pain) and VACCINATION SITE PAIN (Tenderness (injection site)). At the time of the report, MYALGIA (Muscle pain) and VACCINATION SITE PAIN (Tenderness (injection site)) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. No treatment information was provided. This case was linked to MOD-2021-031843.

Other Meds:

Current Illness:

ID: 1561332
Sex: M
Age: 62
State: NJ

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

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

Lab Data:

Allergies:

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

Symptoms: Blurry vision / Cannot focus completely; Back pain; Pain from wrist all the way up to his forearm; Nicked the nerve while taking the shot; Feels like his vision is not right; Little swollen arm; Arm is red; Sore arm; Carpel tunnel pain / joint soreness; Headache; This spontaneous case was reported by a consumer and describes the occurrence of VISION BLURRED (Blurry vision / Cannot focus completely), BACK PAIN (Back pain), PAIN IN EXTREMITY (Pain from wrist all the way up to his forearm), NEURALGIA (Nicked the nerve while taking the shot) and VISUAL IMPAIRMENT (Feels like his vision is not right) in a 62-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No reported medical history. Concomitant products included ROSUVASTATIN, FINASTERIDE and AZILSARTAN MEDOXOMIL, CHLORTALIDONE (EDARBYCLOR) 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 26-Feb-2021, the patient experienced VISION BLURRED (Blurry vision / Cannot focus completely), BACK PAIN (Back pain), PAIN IN EXTREMITY (Pain from wrist all the way up to his forearm), NEURALGIA (Nicked the nerve while taking the shot), VISUAL IMPAIRMENT (Feels like his vision is not right), VACCINATION SITE SWELLING (Little swollen arm), VACCINATION SITE ERYTHEMA (Arm is red), VACCINATION SITE PAIN (Sore arm), ARTHRALGIA (Carpel tunnel pain / joint soreness) and HEADACHE (Headache). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event NOS, at an unspecified dose and frequency. At the time of the report, VISION BLURRED (Blurry vision / Cannot focus completely), BACK PAIN (Back pain), PAIN IN EXTREMITY (Pain from wrist all the way up to his forearm), NEURALGIA (Nicked the nerve while taking the shot), VISUAL IMPAIRMENT (Feels like his vision is not right), VACCINATION SITE SWELLING (Little swollen arm), VACCINATION SITE ERYTHEMA (Arm is red), VACCINATION SITE PAIN (Sore arm), ARTHRALGIA (Carpel tunnel pain / joint soreness) 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.

Other Meds: ROSUVASTATIN; FINASTERIDE; EDARBYCLOR

Current Illness:

ID: 1561333
Sex: M
Age: 30
State: LA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Body aches; Chills; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (Body aches) and CHILLS (Chills) in a 30-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012M20A) for COVID-19 vaccination. Concurrent medical conditions included ADD. Concomitant products included BAMLANIVIMAB from 14-Jan-2021 to an unknown date for an unknown indication. On 24-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-Feb-2021, the patient experienced MYALGIA (Body aches) and CHILLS (Chills). The patient was treated with PARACETAMOL (TYLENOL) for Adverse reaction, at a dose of 1 dosage form. On 24-Feb-2021, CHILLS (Chills) had resolved. On 25-Feb-2021, MYALGIA (Body aches) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient's concomitant medications included unspecified medicine for ADD.

Other Meds: BAMLANIVIMAB

Current Illness: ADD

ID: 1561334
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: Developed COVID shortly after the vaccine; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (Developed COVID shortly after the vaccine) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) at an unspecified dose. On an unknown date, the patient experienced COVID-19 (Developed COVID shortly after the vaccine). At the time of the report, COVID-19 (Developed COVID shortly after the vaccine) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1561335
Sex: F
Age: 66
State: PA

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

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

Lab Data:

Allergies:

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

Symptoms: Pain in one of her teeth / Teeth pain; The root of the upper tooth on the right side of her mouth was very sensitive / the root of the teeth are sensitive/ sensitive to hot / bottom right was sensitive to hot and cold; Earache that comes and goes; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of TOOTHACHE (Pain in one of her teeth / Teeth pain), HYPERAESTHESIA TEETH (The root of the upper tooth on the right side of her mouth was very sensitive / the root of the teeth are sensitive/ sensitive to hot / bottom right was sensitive to hot and cold) and EAR PAIN (Earache that comes and goes) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 010MZ0A and 006MZ0A) for COVID-19 vaccination. Concomitant products included ATORVASTATIN CALCIUM (LIPITOR), LISINOPRIL, HCTZ, FLUTICASONE FUROATE, VILANTEROL TRIFENATATE (BREO ELLIPTA), AMLODIPINE, LEVOTHYROXINE, OMEPRAZOLE (PROTONIX [OMEPRAZOLE]) and VITAMIN D NOS for an unknown indication. On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Feb-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 TOOTHACHE (Pain in one of her teeth / Teeth pain), HYPERAESTHESIA TEETH (The root of the upper tooth on the right side of her mouth was very sensitive / the root of the teeth are sensitive/ sensitive to hot / bottom right was sensitive to hot and cold) and EAR PAIN (Earache that comes and goes). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event NOS, at an unspecified dose and frequency and IBUPROFEN for Adverse event NOS, at an unspecified dose and frequency. At the time of the report, TOOTHACHE (Pain in one of her teeth / Teeth pain), HYPERAESTHESIA TEETH (The root of the upper tooth on the right side of her mouth was very sensitive / the root of the teeth are sensitive/ sensitive to hot / bottom right was sensitive to hot and cold) and EAR PAIN (Earache that comes and goes) outcome was unknown. The patient did not experience any side effects with the first dose.

Other Meds: LIPITOR; LISINOPRIL; HCTZ; BREO ELLIPTA; AMLODIPINE; LEVOTHYROXINE; PROTONIX [OMEPRAZOLE]; VITAMIN D NOS

Current Illness:

ID: 1561336
Sex: M
Age: 33
State: WA

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

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: sore arm; tiny bump at injection site; dizziness; feels warm; fatigue; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (sore arm), VACCINATION SITE MASS (tiny bump at injection site), DIZZINESS (dizziness), FEELING HOT (feels warm) and FATIGUE (fatigue) in a 33-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 014M20A) for COVID-19 vaccination. No Medical History information was reported. On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (sore arm), VACCINATION SITE MASS (tiny bump at injection site), DIZZINESS (dizziness), FEELING HOT (feels warm) and FATIGUE (fatigue). At the time of the report, PAIN IN EXTREMITY (sore arm), VACCINATION SITE MASS (tiny bump at injection site), DIZZINESS (dizziness), FEELING HOT (feels warm) and FATIGUE (fatigue) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. Treatment medications were not provided by the reporter Most recent FOLLOW-UP information incorporated above includes: On 20-Jul-2021: Non significant follow up appended On 21-Jul-2021: NNI,Patient declined for follow up

Other Meds:

Current Illness:

ID: 1561337
Sex: F
Age: 69
State: WA

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

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

Lab Data:

Allergies:

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

Symptoms: Metallic taste in mouth; Numbness below ear; Right tongue went numb; Right cheek was tingling / Tingly sensation similar to shingles; This spontaneous case was reported by a consumer and describes the occurrence of DYSGEUSIA (Metallic taste in mouth), HYPOAESTHESIA (Numbness below ear), HYPOAESTHESIA ORAL (Right tongue went numb) and PARAESTHESIA (Right cheek was tingling / Tingly sensation similar to shingles) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025a21a) for COVID-19 vaccination. Previously administered products included for an unreported indication: VARICELLA ZOSTER VACCINE. Past adverse reactions to the above products included Tingling sensation with VARICELLA ZOSTER VACCINE. Concomitant products included ASPIRIN [ACETYLSALICYLIC ACID] 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 28-Feb-2021, the patient experienced DYSGEUSIA (Metallic taste in mouth), HYPOAESTHESIA (Numbness below ear), HYPOAESTHESIA ORAL (Right tongue went numb) and PARAESTHESIA (Right cheek was tingling / Tingly sensation similar to shingles). At the time of the report, DYSGEUSIA (Metallic taste in mouth), HYPOAESTHESIA (Numbness below ear), HYPOAESTHESIA ORAL (Right tongue went numb) and PARAESTHESIA (Right cheek was tingling / Tingly sensation similar to shingles) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment information was provided.

Other Meds: ASPIRIN [ACETYLSALICYLIC ACID]

Current Illness:

ID: 1561338
Sex: F
Age: 82
State: MN

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

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

Lab Data:

Allergies:

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

Symptoms: Warm to the touch; Big Red Spot on Injection Site (The Size of a Large Orange); This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (Warm to the touch) and VACCINATION SITE ERYTHEMA (Big Red Spot on Injection Site (The Size of a Large Orange)) in an 82-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 024M20A) for COVID-19 vaccination. No Medical History information was reported. On 15-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Feb-2021, the patient experienced VACCINATION SITE WARMTH (Warm to the touch) and VACCINATION SITE ERYTHEMA (Big Red Spot on Injection Site (The Size of a Large Orange)). At the time of the report, VACCINATION SITE WARMTH (Warm to the touch) and VACCINATION SITE ERYTHEMA (Big Red Spot on Injection Site (The Size of a Large Orange)) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1561339
Sex: F
Age: 64
State: TX

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

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

Lab Data:

Allergies:

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

Symptoms: Little dizziness; Headache; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (Little dizziness) and HEADACHE (Headache) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 014M20A) for COVID-19 vaccination. Concurrent medical conditions included Blood pressure abnormal. On 01-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In March 2021, the patient experienced DIZZINESS (Little dizziness) and HEADACHE (Headache). The patient was treated with PARACETAMOL (TYLENOL) ongoing from 01-Mar-2021 at a dose of unknown. At the time of the report, DIZZINESS (Little dizziness) and HEADACHE (Headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient's concomitant medications included unspecified medicine for blood pressure and other unspecified medications. Reporter did not allow further contact

Other Meds:

Current Illness: Blood pressure abnormal

ID: 1561340
Sex: F
Age:
State: NY

Vax Date: 01/30/2021
Onset Date: 02/28/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Chills; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CHILLS (Chills) in an 84-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 03M20A??) for COVID-19 vaccination. No reported medical history. . Concomitant products included FAMOTIDINE and LEVOTHYROXINE SODIUM (SYNTHROID) for an unknown indication. On 30-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 28-Feb-2021, the patient experienced CHILLS (Chills). At the time of the report, CHILLS (Chills) had not resolved. No treatment information was provided. This case was linked to MOD-2021-032389 (Patient Link).

Other Meds: FAMOTIDINE; SYNTHROID

Current Illness:

ID: 1561341
Sex: F
Age: 68
State: KY

Vax Date: 01/13/2021
Onset Date:
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient overdue for 2nd dose of vaccine; A spontaneous report was received from a consumer, who was a 69-year-old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced patient overdue for 2nd dose of vaccine. The patient's medical history was not provided. No concomitant product use was reported. On 13-Jan-2021, the patient received their first of two planned doses of mRNA-1273 (Lot number: not provided) intramuscularly on left arm for prophylaxis of COVID-19 infection. The patient reported that she was overdue to receive her second dose of the two planned doses and it had been past 42 days. Action taken with mRNA-1273 was unknown. The outcome of the event patient overdue for 2nd dose of vaccine was considered resolved.; Reporter's Comments: Based on reporter's causality and nothing refers to the product being administered due to a "missed dose" the event is assessed as unlikely related to mRNA-1273.

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Current Illness:

ID: 1561342
Sex: F
Age: 66
State: MD

Vax Date: 02/24/2021
Onset Date: 03/03/2021
Rec V Date: 08/15/2021
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Allergies:

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

Symptoms: Shingles; Rash on the lower abdomen that then extended to the back and itches; Sensitive pains; Rash on the lower abdomen that then extended to the back; This spontaneous case was reported by a consumer and describes the occurrence of HERPES ZOSTER (Shingles), PRURITUS (Rash on the lower abdomen that then extended to the back and itches), PAIN (Sensitive pains) and RASH (Rash on the lower abdomen that then extended to the back) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 014M20A) for COVID-19 vaccination. No Medical History information was reported. On 24-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-Mar-2021, the patient experienced HERPES ZOSTER (Shingles), PRURITUS (Rash on the lower abdomen that then extended to the back and itches), PAIN (Sensitive pains) and RASH (Rash on the lower abdomen that then extended to the back). At the time of the report, HERPES ZOSTER (Shingles), PRURITUS (Rash on the lower abdomen that then extended to the back and itches), PAIN (Sensitive pains) and RASH (Rash on the lower abdomen that then extended to the back) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product details was not provided by the reporter. Treatment information was not provided. This case was linked to MOD-2021-261735 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 20-Jul-2021: Added reporter's email id and address

Other Meds:

Current Illness:

ID: 1561343
Sex: F
Age: 80
State: MD

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

Symptom List: Injection site swelling, Limb discomfort

Symptoms: dizziness to a point where she had to lay down; muscle between her elbow and wrist started "pulsing or jumping up and down" for 2-3 minutes; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (dizziness to a point where she had to lay down) and MUSCLE TWITCHING (muscle between her elbow and wrist started "pulsing or jumping up and down" for 2-3 minutes) in an 80-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included Lyme disease (Patient had reaction like muscle twitches from Lyme disease) since an unknown date. On 01-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 01-Feb-2021, the patient experienced DIZZINESS (dizziness to a point where she had to lay down) and MUSCLE TWITCHING (muscle between her elbow and wrist started "pulsing or jumping up and down" for 2-3 minutes). At the time of the report, DIZZINESS (dizziness to a point where she had to lay down) and MUSCLE TWITCHING (muscle between her elbow and wrist started "pulsing or jumping up and down" for 2-3 minutes) outcome was unknown. Not Provided 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. Most recent FOLLOW-UP information incorporated above includes: On 24-Jun-2021: Follow-up received on 24-jun-2021 , contains no new information

Other Meds:

Current Illness: Lyme disease (Patient had reaction like muscle twitches from Lyme disease)

ID: 1561344
Sex: U
Age:
State: KY

Vax Date: 01/20/2021
Onset Date: 02/24/2021
Rec V Date: 08/15/2021
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Allergies:

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

Symptoms: Some itching; Second shot was more painful; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PRURITUS (Some itching) and VACCINATION SITE PAIN (Second shot was more painful) in a 75-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 022M20A and 013L20A) for COVID-19 vaccination. The patient's past medical history included Bypass surgery in May 2020. On 20-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 24-Feb-2021, the patient experienced VACCINATION SITE PRURITUS (Some itching) and VACCINATION SITE PAIN (Second shot was more painful). On 26-Feb-2021, VACCINATION SITE PAIN (Second shot was more painful) had resolved. On 27-Feb-2021, VACCINATION SITE PRURITUS (Some itching) had resolved. No relevant concomitant medications were reported. No treatment information was provided. This case was linked to MOD-2021-059885 (Patient Link).

Other Meds:

Current Illness:

ID: 1561345
Sex: F
Age: 71
State: TX

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

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

Symptoms: her legs were loose; feet tingling; Itching; leg pain; High blood pressure; like a chills wave from her feet upwards; body pain; injection site pain for 2 days; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (her legs were loose), PARAESTHESIA (feet tingling), PRURITUS (Itching), PAIN IN EXTREMITY (leg pain) and HYPERTENSION (High blood pressure) in a 71-year-old female 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. No reported medical history. Concomitant products included LEVOTHYROXINE, PRAVASTATIN, ALENDRONATE SODIUM (ALENDRONATE), TAMSULOSIN, METHENAMINE HIPPURATE, VITAMIN D3, VITAMIN B12 [VITAMIN B12 NOS], VITAMIN C [ASCORBIC ACID], MULTIVITAMIN [VITAMINS NOS] and PROBIOTICS 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 VACCINATION SITE PAIN (injection site pain for 2 days). On 27-Feb-2021, the patient experienced ASTHENIA (her legs were loose), PARAESTHESIA (feet tingling), PRURITUS (Itching), PAIN IN EXTREMITY (leg pain), HYPERTENSION (High blood pressure), CHILLS (like a chills wave from her feet upwards) and MYALGIA (body pain). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event NOS, at an unspecified dose and frequency and DESLORATADINE for Adverse event NOS, at an unspecified dose and frequency. On 27-Feb-2021, VACCINATION SITE PAIN (injection site pain for 2 days) had resolved. At the time of the report, ASTHENIA (her legs were loose), PARAESTHESIA (feet tingling), PRURITUS (Itching), PAIN IN EXTREMITY (leg pain), HYPERTENSION (High blood pressure), CHILLS (like a chills wave from her feet upwards) and MYALGIA (body pain) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: LEVOTHYROXINE; PRAVASTATIN; ALENDRONATE; TAMSULOSIN; METHENAMINE HIPPURATE; VITAMIN D3; VITAMIN B12 [VITAMIN B12 NOS]; VITAMIN C [ASCORBIC ACID]; MULTIVITAMIN [VITAMINS NOS]; PROBIOTICS NOS

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am