VAERS 2021 Database www.vaers.hhs.gov

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

Total Manufacturer

Incidents per State

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

ID: 1561596
Sex: F
Age:
State: OH

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Injection site warm to touch; Bright red rash close to injection site; Injection site aching; Soreness of arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Soreness of arm), INJECTION SITE WARMTH (Injection site warm to touch), INJECTION SITE RASH (Bright red rash close to injection site) and INJECTION SITE PAIN (Injection site aching) in a 71-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 PAIN IN EXTREMITY (Soreness of arm). On 14-Feb-2021, the patient experienced INJECTION SITE WARMTH (Injection site warm to touch), INJECTION SITE RASH (Bright red rash close to injection site) and INJECTION SITE PAIN (Injection site aching). At the time of the report, PAIN IN EXTREMITY (Soreness of arm) had resolved and INJECTION SITE WARMTH (Injection site warm to touch), INJECTION SITE RASH (Bright red rash close to injection site) and INJECTION SITE PAIN (Injection site aching) 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. Her doctor told her to take Prednisone 20 mg three times daily and Generic Bactrim 1 tablet twice per day. Her doctor also asked her to call Moderna regarding treatment recommendation regarding her side effects. She thought the 60 mg of Prednisone is too much for her to take. No concomitant medications reported by investigator

Other Meds:

Current Illness:

ID: 1561597
Sex: F
Age: 67
State: FL

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

Vax Type:
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Symptom List:

Symptoms: This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PARAESTHESIA (tingling in face / Tingling feet / Tingling hands) and MUSCLE TWITCHING (twinkling her left side of her face and also her breast) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L20A) for COVID-19 vaccination. Concomitant products included VITAMINS NOS and CALCIUM for an unknown indication. On 15-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Jan-2021, the patient experienced MUSCLE TWITCHING (twinkling her left side of her face and also her breast). On an unknown date, the patient experienced PARAESTHESIA (tingling in face / Tingling feet / Tingling hands). The patient was treated with Physical therapy for Paraesthesia. At the time of the report, PARAESTHESIA (tingling in face / Tingling feet / Tingling hands) had not resolved and MUSCLE TWITCHING (twinkling her left side of her face and also her breast) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment medications were not provided. Most recent FOLLOW-UP information incorporated above includes: On 13-Jul-2021: New AER tingling in face/hands/feet added

Other Meds: VITAMINS NOS; CALCIUM

Current Illness:

ID: 1561598
Sex: F
Age: 65
State:

Vax Date: 02/06/2021
Onset Date: 02/09/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type:
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Symptom List:

Symptoms: Severe Bruising at injection site and left leg; Severe Bruising at injection site and left leg; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE BRUISING (Severe Bruising at injection site and left leg) and CONTUSION (Severe Bruising at injection site and left leg) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Unknown) for COVID-19 vaccination. No Medical History information was reported. On 06-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Feb-2021, the patient experienced VACCINATION SITE BRUISING (Severe Bruising at injection site and left leg) and CONTUSION (Severe Bruising at injection site and left leg). At the time of the report, VACCINATION SITE BRUISING (Severe Bruising at injection site and left leg) and CONTUSION (Severe Bruising at injection site and left leg) outcome was unknown. Unknown DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood test: unknown (Inconclusive) Patient had her blood investigation done and they were awaiting for the result. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. No treatment medication was reported. Most recent FOLLOW-UP information incorporated above includes: On 22-Apr-2021: TCR added. Disconnected call without providing any information.

Other Meds:

Current Illness:

ID: 1561599
Sex: M
Age:
State: WA

Vax Date: 01/13/2021
Onset Date: 02/09/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type:
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Symptom List:

Symptoms: he didn't sleep well; pain in arm; This spontaneous case was reported by a consumer and describes the occurrence of INSOMNIA (he didn't sleep well) and PAIN IN EXTREMITY (pain in arm) in a 70-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 025L20A and 010M20A) for COVID-19 vaccination. No Medical History Information was reported. Concomitant products included HYDROCHLOROTHIAZIDE, CARVEDILOL, LISINOPRIL, ATORVASTATIN and METFORMIN for an unknown indication. On 13-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 09-Feb-2021, the patient experienced INSOMNIA (he didn't sleep well) and PAIN IN EXTREMITY (pain in arm). The patient was treated with IBUPROFEN at an unspecified dose and frequency. At the time of the report, INSOMNIA (he didn't sleep well) and PAIN IN EXTREMITY (pain in arm) outcome was unknown.

Other Meds: HYDROCHLOROTHIAZIDE; CARVEDILOL; LISINOPRIL; ATORVASTATIN; METFORMIN

Current Illness:

ID: 1561600
Sex: F
Age:
State: DE

Vax Date: 01/17/2021
Onset Date: 01/20/2021
Rec V Date: 08/15/2021
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Symptoms: Lymph node on cervical area; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of LYMPHADENOPATHY (Lymph node on cervical area) in a 21-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 028L20A) for COVID-19 vaccination. Concurrent medical conditions included Allergy. On 17-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Jan-2021, the patient experienced LYMPHADENOPATHY (Lymph node on cervical area). At the time of the report, LYMPHADENOPATHY (Lymph node on cervical area) 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. Concomitant medication included birth control injection and unknown allergy medication. No treatment information was provided.

Other Meds:

Current Illness: Allergy

ID: 1561601
Sex: F
Age:
State:

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

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Symptoms: loss of appetite; itching; dizziness; fatigue; headache; This spontaneous case was reported by a consumer and describes the occurrence of DECREASED APPETITE (loss of appetite), PRURITUS (itching), DIZZINESS (dizziness), FATIGUE (fatigue) and HEADACHE (headache) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 011L20A and 012M20A) for COVID-19 vaccination. No Medical History information was reported. On 11-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 08-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced DECREASED APPETITE (loss of appetite), PRURITUS (itching), DIZZINESS (dizziness), FATIGUE (fatigue) and HEADACHE (headache). At the time of the report, DECREASED APPETITE (loss of appetite), PRURITUS (itching), DIZZINESS (dizziness), FATIGUE (fatigue) and HEADACHE (headache) outcome was unknown. No concomitant was provided. Patient treatment information was not provided.; Sender's Comments: Very limited information regarding this events has been provided at this time. Further information has been requested. Company assessed the events to be unlikely related to company product.

Other Meds:

Current Illness:

ID: 1561602
Sex: F
Age: 72
State: CT

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 08/15/2021
Hospital:

Vax Type:
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Symptoms: rash at injection site; radiating towards elbow; raised; hot; itchy; injection site was sore; injection site was hard; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (radiating towards elbow), INJECTION SITE REACTION (injection site was hard), SWELLING (raised), VACCINATION SITE WARMTH (hot) and PRURITUS (itchy) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 025J20A and 028L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Hay fever. On 23-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Jan-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 23-Dec-2020, the patient experienced INJECTION SITE REACTION (injection site was hard) and INJECTION SITE PAIN (injection site was sore). On 04-Jan-2021, the patient experienced VACCINATION COMPLICATION (radiating towards elbow), SWELLING (raised), VACCINATION SITE WARMTH (hot) and PRURITUS (itchy). On 04-Feb-2021, the patient experienced RASH (rash at injection site). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency; IBUPROFEN (ADVIL [IBUPROFEN]) at an unspecified dose and frequency; MELOXICAM at an unspecified dose and frequency and METHYLPREDNISOLONE at an unspecified dose and frequency. At the time of the report, VACCINATION COMPLICATION (radiating towards elbow), INJECTION SITE REACTION (injection site was hard), SWELLING (raised), VACCINATION SITE WARMTH (hot), PRURITUS (itchy), INJECTION SITE PAIN (injection site was sore) and RASH (rash at injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant products information provided This case was linked to US-MODERNATX, INC.-MOD-2021-032970 (E2B Linked Report).; Sender's Comments: US-MODERNATX, INC.-MOD-2021-032970:2nd dose vaccine

Other Meds:

Current Illness:

ID: 1561603
Sex: F
Age: 70
State: CA

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

Vax Type:
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Symptom List:

Symptoms: Fast heart beat; Vivid dreams; Can't sleep; This spontaneous case was reported by a consumer and describes the occurrence of HEART RATE INCREASED (Fast heart beat), ABNORMAL DREAMS (Vivid dreams) and INSOMNIA (Can't sleep) in a 70-year-old female patient 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 HEART RATE INCREASED (Fast heart beat), ABNORMAL DREAMS (Vivid dreams) and INSOMNIA (Can't sleep). At the time of the report, HEART RATE INCREASED (Fast heart beat), ABNORMAL DREAMS (Vivid dreams) and INSOMNIA (Can't sleep) 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. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1561604
Sex: F
Age:
State: IN

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

Vax Type:
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Symptoms: Upset stomach; Very weak; Headache; Fever; Chills; Nausea; Fatigued; This spontaneous case was reported by a consumer and describes the occurrence of ABDOMINAL DISCOMFORT (Upset stomach), ASTHENIA (Very weak), HEADACHE (Headache), PYREXIA (Fever) and CHILLS (Chills) in an 83-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. Concurrent medical conditions included COPD and Blood pressure high. On 03-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 ABDOMINAL DISCOMFORT (Upset stomach), ASTHENIA (Very weak), HEADACHE (Headache), PYREXIA (Fever), CHILLS (Chills), NAUSEA (Nausea) and FATIGUE (Fatigued). At the time of the report, ABDOMINAL DISCOMFORT (Upset stomach), ASTHENIA (Very weak), HEADACHE (Headache), PYREXIA (Fever), CHILLS (Chills), NAUSEA (Nausea) and FATIGUE (Fatigued) had resolved. 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: Blood pressure high; COPD

ID: 1561605
Sex: U
Age:
State: WY

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

Vax Type:
Manufacturer:
Vax Name:
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Lab Data:

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Symptom List:

Symptoms: flue like symptoms; he got very severe diarrhea for 6 to 7 days; lost 12 pounds of weight.; fever; This spontaneous case was reported by a nurse and describes the occurrence of INFLUENZA LIKE ILLNESS (flue like symptoms), DIARRHOEA (he got very severe diarrhea for 6 to 7 days), WEIGHT DECREASED (lost 12 pounds of weight.) and PYREXIA (fever) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included Laparoscopy (laparoscopy for bowel obstruction.). On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced INFLUENZA LIKE ILLNESS (flue like symptoms), DIARRHOEA (he got very severe diarrhea for 6 to 7 days), WEIGHT DECREASED (lost 12 pounds of weight.) and PYREXIA (fever). At the time of the report, INFLUENZA LIKE ILLNESS (flue like symptoms), DIARRHOEA (he got very severe diarrhea for 6 to 7 days), WEIGHT DECREASED (lost 12 pounds of weight.) and PYREXIA (fever) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No treatment medication was reported. No concomitant medication was reported.

Other Meds:

Current Illness:

ID: 1561606
Sex: M
Age:
State: MD

Vax Date: 01/19/2021
Onset Date: 02/02/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type:
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Lab Data:

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Symptom List:

Symptoms: This spontaneous case was reported by a consumer and describes the occurrence of EAR PAIN (Ear pain), ODYNOPHAGIA (hurts when he swallows), LYMPHADENOPATHY (Swollen lymph nodes on his neck) and LYMPHADENOPATHY (Swollen lymph gland) in a 76-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. Concomitant products included LISINOPRIL, ASCORBIC ACID, ROSA CANINA FRUIT (VITAMIN C & ROSEHIP), CALCIUM CARBONATE, COLECALCIFEROL (VITAMIN D 2000) and ACETYLSALICYLIC ACID (BABY ASPIRIN) for an unknown indication. On 19-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Feb-2021, the patient experienced EAR PAIN (Ear pain), ODYNOPHAGIA (hurts when he swallows), LYMPHADENOPATHY (Swollen lymph nodes on his neck) and LYMPHADENOPATHY (Swollen lymph gland). The patient was treated with AZITHROMYCIN (Z-PAK) at an unspecified dose and frequency. At the time of the report, EAR PAIN (Ear pain), ODYNOPHAGIA (hurts when he swallows), LYMPHADENOPATHY (Swollen lymph nodes on his neck) and LYMPHADENOPATHY (Swollen lymph gland) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: LISINOPRIL; VITAMIN C & ROSEHIP; VITAMIN D 2000; BABY ASPIRIN

Current Illness:

ID: 1561607
Sex: F
Age: 66
State: PA

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

Vax Type:
Manufacturer:
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Lab Data:

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Symptom List:

Symptoms: sniffles; post-nasal drip; nausea; fever; This spontaneous case was reported by a consumer and describes the occurrence of RHINORRHOEA (sniffles), NASAL DISCOMFORT (post-nasal drip), NAUSEA (nausea) and PYREXIA (fever) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history was provided by the reporter. On 11-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced RHINORRHOEA (sniffles), NASAL DISCOMFORT (post-nasal drip), NAUSEA (nausea) and PYREXIA (fever). The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date at a dose of unk dosage form. At the time of the report, RHINORRHOEA (sniffles), NASAL DISCOMFORT (post-nasal drip), NAUSEA (nausea) and PYREXIA (fever) outcome was unknown. Action taken with mRNA-1273 in response to the events was not Applicable. Concomitant product use was not provided by the reporter. Most recent FOLLOW-UP information incorporated above includes: On 05-May-2021: Follow up was received on 05 may 2021 included no new information.

Other Meds:

Current Illness:

ID: 1561608
Sex: M
Age:
State: CA

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
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Lab Data:

Allergies:

Symptom List:

Symptoms: not in pain unless he pinch it or push; arm on the injection site is a little bit sore; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PAIN (not in pain unless he pinch it or push) and INJECTION SITE PAIN (arm on the injection site is a little bit sore) in an 80-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006M20A) for COVID-19 vaccination. No Medical History information was reported. On 14-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Feb-2021, the patient experienced PAIN (not in pain unless he pinch it or push) and INJECTION SITE PAIN (arm on the injection site is a little bit sore). At the time of the report, PAIN (not in pain unless he pinch it or push) and INJECTION SITE PAIN (arm on the injection site is a little bit sore) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.

Other Meds:

Current Illness:

ID: 1561609
Sex: F
Age:
State: CT

Vax Date: 01/14/2021
Onset Date:
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Severe backpain; bad reaction; Diarrhea; Headache; Nausea; This spontaneous case was reported by a consumer and describes the occurrence of BACK PAIN (Severe backpain), ADVERSE REACTION (bad reaction), DIARRHOEA (Diarrhea), HEADACHE (Headache) and NAUSEA (Nausea) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event (no medical history reported). On 14-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 BACK PAIN (Severe backpain), ADVERSE REACTION (bad reaction), DIARRHOEA (Diarrhea), HEADACHE (Headache) and NAUSEA (Nausea). At the time of the report, BACK PAIN (Severe backpain), ADVERSE REACTION (bad reaction), DIARRHOEA (Diarrhea), HEADACHE (Headache) and NAUSEA (Nausea) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1561610
Sex: F
Age: 67
State: IN

Vax Date: 02/06/2021
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:

Symptoms: Redness and itchiness at injection site; Soreness at injection site; Redness and itchiness at injection site; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (Redness and itchiness at injection site), VACCINATION SITE PAIN (Soreness at injection site) and VACCINATION SITE ERYTHEMA (Redness and itchiness at injection site) in a 67-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 06-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 PRURITUS (Redness and itchiness at injection site), VACCINATION SITE PAIN (Soreness at injection site) and VACCINATION SITE ERYTHEMA (Redness and itchiness at injection site). At the time of the report, PRURITUS (Redness and itchiness at injection site), VACCINATION SITE PAIN (Soreness at injection site) and VACCINATION SITE ERYTHEMA (Redness and itchiness at injection site) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. No treatment information was provided. After about 2-3 days, the patient experienced soreness, itchiness and redness that was 2-3 inches in diameter and was getting bigger.

Other Meds:

Current Illness:

ID: 1561611
Sex: F
Age:
State: OR

Vax Date: 01/26/2021
Onset Date: 02/03/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: hives all over her body; overwhelmingly itchy; This spontaneous case was reported by a consumer and describes the occurrence of URTICARIA (hives all over her body) and PRURITUS (overwhelmingly itchy) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007M20A) for COVID-19 vaccination. No medical history was provided by the reporter. On 26-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-Feb-2021, the patient experienced URTICARIA (hives all over her body) and PRURITUS (overwhelmingly itchy). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. At the time of the report, URTICARIA (hives all over her body) and PRURITUS (overwhelmingly itchy) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Patient use prescription cream as treatment as well.

Other Meds:

Current Illness:

ID: 1561612
Sex: F
Age:
State: AL

Vax Date: 01/12/2021
Onset Date:
Rec V Date: 08/15/2021
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Symptoms: Shingles; This spontaneous case was reported by a consumer and describes the occurrence of HERPES ZOSTER (Shingles) 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 12-Jan-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 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) (Unknown) was unknown.

Other Meds:

Current Illness:

ID: 1561613
Sex: F
Age: 77
State: CA

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 08/15/2021
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Symptoms: heat rash, tiny ones, on her stomach; 5 big hives on her chest; still feeling dizzy; extremely tired; left arm is still swelling around the injection site; upset stomach; voice is all scratchy; itchy on the same arm of the injection site, also inside of her elbow; big hives on the same arm of the injection site, also inside her elbow; arm is itchy; nauseous, but nothing severe; This spontaneous case was reported by a consumer and describes the occurrence of NAUSEA (nauseous, but nothing severe), PRURITUS (arm is itchy), VACCINATION SITE URTICARIA (big hives on the same arm of the injection site, also inside her elbow), RASH (heat rash, tiny ones, on her stomach) and URTICARIA (5 big hives on her chest) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 016M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter. On 07-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Feb-2021, the patient experienced NAUSEA (nauseous, but nothing severe). On 08-Feb-2021, the patient experienced PRURITUS (arm is itchy). On 09-Feb-2021, the patient experienced VACCINATION SITE URTICARIA (big hives on the same arm of the injection site, also inside her elbow) and PRURITUS (itchy on the same arm of the injection site, also inside of her elbow). On an unknown date, the patient experienced RASH (heat rash, tiny ones, on her stomach), URTICARIA (5 big hives on her chest), DIZZINESS (still feeling dizzy), FATIGUE (extremely tired), VACCINATION SITE SWELLING (left arm is still swelling around the injection site), ABDOMINAL DISCOMFORT (upset stomach) and DYSPHONIA (voice is all scratchy). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. At the time of the report, NAUSEA (nauseous, but nothing severe), PRURITUS (arm is itchy), VACCINATION SITE URTICARIA (big hives on the same arm of the injection site, also inside her elbow), RASH (heat rash, tiny ones, on her stomach), URTICARIA (5 big hives on her chest), DIZZINESS (still feeling dizzy), FATIGUE (extremely tired), VACCINATION SITE SWELLING (left arm is still swelling around the injection site), ABDOMINAL DISCOMFORT (upset stomach), DYSPHONIA (voice is all scratchy) and PRURITUS (itchy on the same arm of the injection site, also inside of her elbow) 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: 1561614
Sex: F
Age:
State: FL

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 08/15/2021
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Symptoms: aches in the lumbar area and legs; aches in the lumbar area and legs; she felt extremely tired; This spontaneous case was reported by a consumer and describes the occurrence of BACK PAIN (aches in the lumbar area and legs), PAIN IN EXTREMITY (aches in the lumbar area and legs) and FATIGUE (she felt extremely tired) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010M20A) for COVID-19 vaccination. No medical history was provided by the reporter. On 09-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Feb-2021, the patient experienced BACK PAIN (aches in the lumbar area and legs), PAIN IN EXTREMITY (aches in the lumbar area and legs) and FATIGUE (she felt extremely tired). On 11-Feb-2021, BACK PAIN (aches in the lumbar area and legs) and PAIN IN EXTREMITY (aches in the lumbar area and legs) had resolved. At the time of the report, FATIGUE (she felt extremely tired) outcome was unknown.

Other Meds:

Current Illness:

ID: 1561615
Sex: F
Age:
State: FL

Vax Date: 02/11/2021
Onset Date:
Rec V Date: 08/15/2021
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Symptoms: Couldn't lift arm about the shoulder; Arm felt warm; Thought she would pass out; Dizzy; Couldn't eat anything; Sweating like she was going to pass out; Barfing; Arm hurt a little bit; Headache; This spontaneous case was reported by a consumer and describes the occurrence of LIMB DISCOMFORT (Couldn't lift arm about the shoulder), VACCINATION SITE WARMTH (Arm felt warm), PRESYNCOPE (Thought she would pass out), DIZZINESS (Dizzy) and DECREASED APPETITE (Couldn't eat anything) in a 73-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. No medical history was provided by the reporter. Concomitant products included GLIPIZIDE and HYDROCHLOROTHIAZIDE, LOSARTAN POTASSIUM (LOSARTAN/HYDROCHLOROTHIAZIDE) for an unknown indication. On 11-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 LIMB DISCOMFORT (Couldn't lift arm about the shoulder), VACCINATION SITE WARMTH (Arm felt warm), PRESYNCOPE (Thought she would pass out), DIZZINESS (Dizzy), DECREASED APPETITE (Couldn't eat anything), HYPERHIDROSIS (Sweating like she was going to pass out), VOMITING (Barfing), VACCINATION SITE PAIN (Arm hurt a little bit) and HEADACHE (Headache). At the time of the report, LIMB DISCOMFORT (Couldn't lift arm about the shoulder), VACCINATION SITE WARMTH (Arm felt warm), PRESYNCOPE (Thought she would pass out), DIZZINESS (Dizzy), DECREASED APPETITE (Couldn't eat anything), HYPERHIDROSIS (Sweating like she was going to pass out), VOMITING (Barfing), VACCINATION SITE PAIN (Arm hurt a little bit) and HEADACHE (Headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No treatment information was reported.

Other Meds: GLIPIZIDE; LOSARTAN/HYDROCHLOROTHIAZIDE

Current Illness:

ID: 1561616
Sex: M
Age:
State: GA

Vax Date: 01/18/2021
Onset Date: 01/01/2021
Rec V Date: 08/15/2021
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Symptoms: electric shocks from the waist up and also down both his arm; Lips were swollen a little bit; lymph node was swollen on left side neck; headache; This spontaneous case was reported by a consumer and describes the occurrence of ELECTRIC SHOCK (electric shocks from the waist up and also down both his arm), LIP SWELLING (Lips were swollen a little bit), LYMPHADENOPATHY (lymph node was swollen on left side neck) and HEADACHE (headache) in a 73-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 18-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1. In January 2021, the patient experienced ELECTRIC SHOCK (electric shocks from the waist up and also down both his arm), LIP SWELLING (Lips were swollen a little bit), LYMPHADENOPATHY (lymph node was swollen on left side neck) and HEADACHE (headache). At the time of the report, ELECTRIC SHOCK (electric shocks from the waist up and also down both his arm) and LIP SWELLING (Lips were swollen a little bit) had resolved and LYMPHADENOPATHY (lymph node was swollen on left side neck) and HEADACHE (headache) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment medications were not provided by the reporter. No concomitant medications were provided by reporter. Most recent FOLLOW-UP information incorporated above includes: On 24-Apr-2021: Follow-up received on 24-04-2021:Additional information in TCR- Outcome for lymph node was provided.

Other Meds:

Current Illness:

ID: 1561617
Sex: M
Age: 73
State: NJ

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 08/15/2021
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Symptoms: arm soreness; arm swollen; red rash down half his arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (arm soreness), PERIPHERAL SWELLING (arm swollen) and RASH (red rash down half his arm) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 09-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Feb-2021, the patient experienced PAIN IN EXTREMITY (arm soreness), PERIPHERAL SWELLING (arm swollen) and RASH (red rash down half his arm). At the time of the report, PAIN IN EXTREMITY (arm soreness), PERIPHERAL SWELLING (arm swollen) and RASH (red rash down half his arm) outcome was unknown. Not Provided concomitant medication include blood thinner, antihypertensive and anticholesterol . no treatment medication reported. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1561618
Sex: F
Age: 71
State:

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 08/15/2021
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Symptoms: Fever 100.5-101.5; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (Fever 100.5-101.5) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010M20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 08-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 09-Feb-2021, the patient experienced PYREXIA (Fever 100.5-101.5). At the time of the report, PYREXIA (Fever 100.5-101.5) outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 09-Feb-2021, Body temperature: high (High) 100.5-101.5. 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.; Sender'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: 1561619
Sex: F
Age:
State: CA

Vax Date: 01/26/2021
Onset Date:
Rec V Date: 08/15/2021
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Symptoms: Back discomfort; This spontaneous case was reported by a consumer and describes the occurrence of MUSCULOSKELETAL DISCOMFORT (Back discomfort) in a 76-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029L20A) for COVID-19 vaccination. Concomitant products included VITAMINS NOS and PROGESTERONE for an unknown indication. On 26-Jan-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 MUSCULOSKELETAL DISCOMFORT (Back discomfort). The patient was treated with PARACETAMOL (TYLENOL) for Back discomfort, at an unspecified dose and frequency. At the time of the report, MUSCULOSKELETAL DISCOMFORT (Back discomfort) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Patient stated that she took half of Tylenol for a few days for her discomfort back,

Other Meds: VITAMINS NOS; PROGESTERONE

Current Illness:

ID: 1561620
Sex: M
Age: 81
State: PA

Vax Date: 01/06/2021
Onset Date: 02/12/2021
Rec V Date: 08/15/2021
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Symptoms: This spontaneous case was reported by a physician and describes the occurrence of PROSTATIC SPECIFIC ANTIGEN INCREASED (PSA increased) in an 82-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 011L20A and 012M20A) for COVID-19 vaccination. No Medical History information was reported. On 06-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 12-Feb-2021, the patient experienced PROSTATIC SPECIFIC ANTIGEN INCREASED (PSA increased). At the time of the report, PROSTATIC SPECIFIC ANTIGEN INCREASED (PSA increased) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 12-Feb-2021, Prostatic specific antigen: 299.99 (High) Prostate Specific Antigen (PSA) was very high. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. On 08-Feb-2021, the patient received their second dose of the Moderna vaccine. Few days later the patient reported that their prostate specific antigen (PSA) was done and it was very high. On 15-Feb-2021, the patient reported that PSA result from 12-Feb-2021 was 229.99 and the normal range was less than 4 as per the physician. No Concomitant product use was reported. No treatment information was provided. Action taken with mRNA-1273 in response to the event was not applicable. Most recent FOLLOW-UP information incorporated above includes: On 13-Feb-2021: Follow-up was received on 16-Feb-2021. Added and updated the PSA value in lab data.

Other Meds:

Current Illness:

ID: 1561621
Sex: F
Age: 78
State: OH

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 08/15/2021
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Symptoms: Pain in Legs; Pain in Arms; Soreness; Headache; Fatigue; Lightheadedness; Pain in Neck; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (Lightheadedness), NECK PAIN (Pain in Neck), PAIN IN EXTREMITY (Pain in Legs), PAIN IN EXTREMITY (Pain in Arms) and MYALGIA (Soreness) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter. Concomitant products included LEVOTHYROXINE SODIUM (SYNTHROID), CANDESARTAN, METOPROLOL, FAMOTIDINE (PEPCID AC), ACETYLSALICYLIC ACID (ASPIRIN (E.C.)) and ERGOCALCIFEROL, RETINOL PALMITATE (VITAMINS A & D) for an unknown indication. On 25-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Jan-2021, the patient experienced DIZZINESS (Lightheadedness), NECK PAIN (Pain in Neck), PAIN IN EXTREMITY (Pain in Arms), MYALGIA (Soreness), HEADACHE (Headache) and FATIGUE (Fatigue). On an unknown date, the patient experienced PAIN IN EXTREMITY (Pain in Legs). At the time of the report, DIZZINESS (Lightheadedness), NECK PAIN (Pain in Neck), PAIN IN EXTREMITY (Pain in Legs), PAIN IN EXTREMITY (Pain in Arms), MYALGIA (Soreness), HEADACHE (Headache) and FATIGUE (Fatigue) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: SYNTHROID; CANDESARTAN; METOPROLOL; PEPCID AC; ASPIRIN (E.C.); VITAMINS A & D

Current Illness:

ID: 1561622
Sex: F
Age: 75
State: LA

Vax Date: 02/01/2021
Onset Date: 02/08/2021
Rec V Date: 08/15/2021
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Vax Type:
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Symptom List:

Symptoms: bad reaction; injection arm felt weak/legs were wobbly; dizzy; dry mouth; trouble breathing; felt nauseated; This spontaneous case was reported by a consumer and describes the occurrence of ADVERSE REACTION (bad reaction), MUSCULAR WEAKNESS (injection arm felt weak/legs were wobbly), DIZZINESS (dizzy), DRY MOUTH (dry mouth) and DYSPNOEA (trouble breathing) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026Z20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Hypertension and Cholesterol. Concomitant products included METFORMIN for an unknown indication. On 01-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Feb-2021, the patient experienced ADVERSE REACTION (bad reaction), MUSCULAR WEAKNESS (injection arm felt weak/legs were wobbly), DIZZINESS (dizzy), DRY MOUTH (dry mouth), DYSPNOEA (trouble breathing) and NAUSEA (felt nauseated). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. On 08-Feb-2021, ADVERSE REACTION (bad reaction), MUSCULAR WEAKNESS (injection arm felt weak/legs were wobbly), DIZZINESS (dizzy), DRY MOUTH (dry mouth), DYSPNOEA (trouble breathing) and NAUSEA (felt nauseated) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. concomitant medication include vitamins, medication for blood pressure and cholesterol She mentioned that she's not planning to take the second dose of the vaccine.

Other Meds: METFORMIN

Current Illness: Cholesterol; Hypertension

ID: 1561623
Sex: F
Age:
State:

Vax Date: 02/06/2021
Onset Date:
Rec V Date: 08/15/2021
Hospital:

Vax Type:
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Symptoms: Pain in the same arm of the injection; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Pain in the same arm of the injection) 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 (No medical history reported. ). On 06-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 VACCINATION SITE PAIN (Pain in the same arm of the injection). At the time of the report, VACCINATION SITE PAIN (Pain in the same arm of the injection) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. 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.; Sender'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: 1561624
Sex: F
Age: 85
State: IN

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

Vax Type:
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Symptom List:

Symptoms: Feels better for a few days then it comes back; Really tired; Muscle pain; Joint pain; Chills; This spontaneous case was reported by a consumer and describes the occurrence of SYMPTOM RECURRENCE (Feels better for a few days then it comes back), FATIGUE (Really tired), MYALGIA (Muscle pain), ARTHRALGIA (Joint pain) and CHILLS (Chills) in an 85-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026L20A) for COVID-19 vaccination. Concurrent medical conditions included Asthma. On 15-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Jan-2021, the patient experienced FATIGUE (Really tired), MYALGIA (Muscle pain), ARTHRALGIA (Joint pain) and CHILLS (Chills). On 11-Feb-2021, the patient experienced SYMPTOM RECURRENCE (Feels better for a few days then it comes back). At the time of the report, SYMPTOM RECURRENCE (Feels better for a few days then it comes back), FATIGUE (Really tired), MYALGIA (Muscle pain), ARTHRALGIA (Joint pain) and CHILLS (Chills) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications reported were rescue inhaler for asthma.

Other Meds:

Current Illness: Asthma

ID: 1561625
Sex: F
Age:
State: FL

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type:
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Lab Data:

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Symptom List:

Symptoms: red arm; Dizziness; No energy all day; arm hard as a rock; itchy arm; Could barely get out of bed; Sore arm; Swollen arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Sore arm), PERIPHERAL SWELLING (Swollen arm), DIZZINESS (Dizziness), MALAISE (No energy all day) and VACCINATION SITE INDURATION (arm hard as a rock) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history provided by reporter. On 11-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Feb-2021, the patient experienced PAIN IN EXTREMITY (Sore arm), PERIPHERAL SWELLING (Swollen arm) and FATIGUE (Could barely get out of bed). On 13-Feb-2021, the patient experienced DIZZINESS (Dizziness), MALAISE (No energy all day), VACCINATION SITE INDURATION (arm hard as a rock) and VACCINATION SITE PRURITUS (itchy arm). On 15-Feb-2021, the patient experienced VACCINATION SITE ERYTHEMA (red arm). The patient was treated with PARACETAMOL (TYLENOL) ongoing from 12-Feb-2021 at a dose of UNK, q4h. At the time of the report, PAIN IN EXTREMITY (Sore arm), PERIPHERAL SWELLING (Swollen arm), DIZZINESS (Dizziness), MALAISE (No energy all day), VACCINATION SITE INDURATION (arm hard as a rock), VACCINATION SITE PRURITUS (itchy arm), FATIGUE (Could barely get out of bed) and VACCINATION SITE ERYTHEMA (red arm) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 12-Feb-2021, Body temperature: 98.7 (High) Body temperature increased. On 13-Feb-2021, Body temperature: 98.3 (Inconclusive) 98.3. On 14-Feb-2021, Body temperature: 97.3 (Inconclusive) 97.3. No concomitant medication were provided by the reporter. Action taken with mRNA-1273 in response to the events was not applicable. Most recent FOLLOW-UP information incorporated above includes: On 14-Jul-2021: Follow up received included no new significant information - contact information added

Other Meds:

Current Illness:

ID: 1561626
Sex: M
Age:
State: IL

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type:
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Allergies:

Symptom List:

Symptoms: vomiting; had a headache (ongoing); arm hurt; He also had fever; chills; A spontaneous report was received from a consumer concerning a 59 year old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events, vomiting, had a headache(headache), arm hurt(pain in extremity). fever(pyrexia) and chills. The patient's medical history was not provided. No relevant concomitant medications were reported. On , 14 Feb 2021, approximately 1 day prior to the onset of the events the patient received their first of two planned doses of mRNA-1273 (lot/batch: ) (route unknown) for prophylaxis of COVID-19 infection. On 14 Feb 2021, patient experienced vomiting, had a headache, arm hurt, fever and chills .No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the event, had headache is not recovered/resolved andnn the outcome of the events, vomiting, arm hurt, fever and chills is unknown

Other Meds:

Current Illness: Diabetes

ID: 1561627
Sex: U
Age: 62
State: OR

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 08/15/2021
Hospital:

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Symptom List:

Symptoms: Redness raised tender; Swelling; headache intermittent; Pain at injection site; This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (Redness raised tender), SWELLING (Swelling), HEADACHE (headache intermittent) and VACCINATION SITE PAIN (Pain at injection site) in a 62-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 041L20A) for COVID-19 vaccination. The patient's past medical history included Lyme disease. On 19-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Jan-2021, the patient experienced ERYTHEMA (Redness raised tender), SWELLING (Swelling), HEADACHE (headache intermittent) and VACCINATION SITE PAIN (Pain at injection site). On 27-Jan-2021, ERYTHEMA (Redness raised tender), SWELLING (Swelling) and VACCINATION SITE PAIN (Pain at injection site) had resolved. At the time of the report, HEADACHE (headache intermittent) 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: 1561628
Sex: F
Age: 50
State: TN

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

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Symptom List:

Symptoms: dizziness; arm got sore; persistent headaches; hardness; fatigue; where I got the injection is pinkish red; body aches; swollen; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (dizziness), PAIN IN EXTREMITY (arm got sore), HEADACHE (persistent headaches), INDURATION (hardness) and FATIGUE (fatigue) in a 50-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. 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-Feb-2021, the patient experienced DIZZINESS (dizziness), PAIN IN EXTREMITY (arm got sore), HEADACHE (persistent headaches), INDURATION (hardness), FATIGUE (fatigue), ERYTHEMA (where I got the injection is pinkish red), MYALGIA (body aches) and SWELLING (swollen). The patient was treated with IBUPROFEN ongoing since an unknown date for Headache, Myalgia and Fatigue, at an unspecified dose and frequency. At the time of the report, DIZZINESS (dizziness), PAIN IN EXTREMITY (arm got sore), HEADACHE (persistent headaches), INDURATION (hardness), FATIGUE (fatigue), ERYTHEMA (where I got the injection is pinkish red), MYALGIA (body aches) and SWELLING (swollen) 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. Concomitant medication use was unknown

Other Meds:

Current Illness:

ID: 1561629
Sex: M
Age: 38
State: PA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 08/15/2021
Hospital:

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Symptom List:

Symptoms: painful hypersensitivity skin reaction; redness / redness growing to about the size of a baseball; pain resembled a bad sunburn lasted one week; Pain in injection site; Itchy/itchiness resembled a bad sunburn; Rash moved (L) arm; Fatigue; Headache; Chills; Flu; This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (redness / redness growing to about the size of a baseball), INFLUENZA (Flu), PAIN (pain resembled a bad sunburn lasted one week), HYPERSENSITIVITY (painful hypersensitivity skin reaction) and PRURITUS (Itchy/itchiness resembled a bad sunburn) in a 38-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 028L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Paralysis (partial paralysis in both legs from traumatic injuries in 9/1995) in 1995. Concurrent medical conditions included Latex allergy (red extremely itchy rash). Concomitant products included FINASTERIDE from 11-May-2021 to an unknown date, PYRIDOXINE HYDROCHLORIDE (VITAMINE), VITAMIN D3 and BIFIDOBACTERIUM LACTIS (PROBIOTIC [BIFIDOBACTERIUM LACTIS]) for an unknown indication. On 29-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 29-Jan-2021, the patient experienced INFLUENZA (Flu), FATIGUE (Fatigue), HEADACHE (Headache) and CHILLS (Chills). On 05-Feb-2021, the patient experienced PAIN (pain resembled a bad sunburn lasted one week), PRURITUS (Itchy/itchiness resembled a bad sunburn), RASH (Rash moved (L) arm) and VACCINATION SITE PAIN (Pain in injection site). On 06-Feb-2021, the patient experienced ERYTHEMA (redness / redness growing to about the size of a baseball). On an unknown date, the patient experienced HYPERSENSITIVITY (painful hypersensitivity skin reaction). The patient was treated with MULTIVITAMIN [VITAMINS NOS] ongoing since an unknown date at a dose of UNK, qd. On 12-Feb-2021, PAIN (pain resembled a bad sunburn lasted one week), PRURITUS (Itchy/itchiness resembled a bad sunburn), RASH (Rash moved (L) arm) and VACCINATION SITE PAIN (Pain in injection site) had resolved. At the time of the report, ERYTHEMA (redness / redness growing to about the size of a baseball), INFLUENZA (Flu), HYPERSENSITIVITY (painful hypersensitivity skin reaction), FATIGUE (Fatigue), HEADACHE (Headache) and CHILLS (Chills) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The treatment information was reported as lotion. This case was linked to MOD-2021-265895. Most recent FOLLOW-UP information incorporated above includes: On 21-Apr-2021: Updated Reporter Details. On 25-Jul-2021: Added other relevant history, added concomitant medications and added new events.

Other Meds: FINASTERIDE; VITAMINE; VITAMIN D3; PROBIOTIC [BIFIDOBACTERIUM LACTIS]

Current Illness: Latex allergy (red extremely itchy rash)

ID: 1561630
Sex: F
Age: 70
State: MI

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 08/15/2021
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Symptom List:

Symptoms: pale; sweating; felt weak; chills; headache; felt like throwing up but she didn't; got vaccine on her right arm and started having a sore arm that same day; This spontaneous case was reported by a consumer and describes the occurrence of PALLOR (pale), HYPERHIDROSIS (sweating), ASTHENIA (felt weak), VACCINATION SITE PAIN (got vaccine on her right arm and started having a sore arm that same day) and CHILLS (chills) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concomitant products included TOCILIZUMAB (ACTEMRA) for an unknown indication. On 11-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Feb-2021, the patient experienced VACCINATION SITE PAIN (got vaccine on her right arm and started having a sore arm that same day). On 12-Feb-2021, the patient experienced PALLOR (pale), HYPERHIDROSIS (sweating), ASTHENIA (felt weak), CHILLS (chills), HEADACHE (headache) and NAUSEA (felt like throwing up but she didn't). On 13-Feb-2021, PALLOR (pale), HYPERHIDROSIS (sweating), ASTHENIA (felt weak), CHILLS (chills), HEADACHE (headache) and NAUSEA (felt like throwing up but she didn't) had resolved. At the time of the report, VACCINATION SITE PAIN (got vaccine on her right arm and started having a sore arm that same day) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information was not provided. Most recent FOLLOW-UP information incorporated above includes: On 20-May-2021: Non significant follow up

Other Meds: ACTEMRA

Current Illness:

ID: 1561631
Sex: M
Age:
State: CA

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type:
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Symptom List:

Symptoms: anxious; emotionally fragile; fearful but not suicidal; nightmares; vivid dreams that does not go away; also has short term memory black out; sore arm; headache; This spontaneous case was reported by a consumer and describes the occurrence of ANXIETY (anxious), AFFECT LABILITY (emotionally fragile), FEAR (fearful but not suicidal), NIGHTMARE (nightmares) and ABNORMAL DREAMS (vivid dreams that does not go away) in a 77-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. Concomitant products included METFORMIN HCL, Zolpidem titrate, Buproprion, AMLODIPINE BESYLATE, OXYBUTYNIN, HYDRALAZINE HCL, INSULIN GLARGINE, Earoxetine HCL, LISINOPRIL, DORZOLAMIDE, lantanoprost, GABAPENTIN, Novolin, Momethasone, Metoprolo titrate, Albuterol, DEXTROSE, DESONIDE, MULTIVITAMIN [VITAMINS NOS], Fishoil omega3, PARACETAMOL (TYLENOL), Metamusil, ACETYLSALICYLIC ACID (ASPIRINE), Tylenol simly sleep, Veequil and IBUPROFEN for an unknown indication. On 07-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Feb-2021, the patient experienced PAIN IN EXTREMITY (sore arm) and HEADACHE (headache). On 09-Feb-2021, the patient experienced ANXIETY (anxious), AFFECT LABILITY (emotionally fragile), FEAR (fearful but not suicidal), NIGHTMARE (nightmares), ABNORMAL DREAMS (vivid dreams that does not go away) and AMNESIA (also has short term memory black out). At the time of the report, ANXIETY (anxious), AFFECT LABILITY (emotionally fragile), FEAR (fearful but not suicidal), NIGHTMARE (nightmares), ABNORMAL DREAMS (vivid dreams that does not go away) and AMNESIA (also has short term memory black out) outcome was unknown and PAIN IN EXTREMITY (sore arm) and HEADACHE (headache) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Treatment information provided

Other Meds: METFORMIN HCL; Zolpidem titrate; Buproprion; AMLODIPINE BESYLATE; OXYBUTYNIN; HYDRALAZINE HCL; INSULIN GLARGINE; Earoxetine HCL; LISINOPRIL; DORZOLAMIDE; lantanoprost; GABAPENTIN; Novolin; Momethasone; Metoprolo titrate; Albuterol; DEXTROSE

Current Illness:

ID: 1561632
Sex: F
Age:
State: TX

Vax Date: 01/12/2021
Onset Date: 02/09/2021
Rec V Date: 08/15/2021
Hospital:

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Symptoms: This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (Rash was hot to touch at injection site), DIZZINESS (Dizziness), PAIN (Body aches), VACCINATION SITE PRURITUS (Itching at the site) and CHILLS (Chills) in a 51-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 024M20A and 041L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history was not reported . Concomitant products included IBUPROFEN (ADVIL 12 HOUR). On 12-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 09-Feb-2021, the patient experienced DIZZINESS (Dizziness) and HEADACHE (Had a headache). On 10-Feb-2021, the patient experienced PAIN (Body aches), CHILLS (Chills) and PYREXIA (high fever). On 11-Feb-2021, the patient experienced VACCINATION SITE WARMTH (Rash was hot to touch at injection site), VACCINATION SITE RASH (rash where the shot) and VACCINATION SITE ERYTHEMA (Rash was hot to touch and very red near the injection site). On 12-Feb-2021, the patient experienced VACCINATION SITE PRURITUS (Itching at the site). The patient was treated with LORATADINE, PSEUDOEPHEDRINE HYDROCHLORIDE (BENADRYL 24 D) at an unspecified dose and frequency; PARACETAMOL (TYLENOL) at an unspecified dose and frequency and CORTISONE at an unspecified dose and frequency. At the time of the report, VACCINATION SITE WARMTH (Rash was hot to touch at injection site), DIZZINESS (Dizziness), PAIN (Body aches), VACCINATION SITE PRURITUS (Itching at the site), CHILLS (Chills), PYREXIA (high fever), HEADACHE (Had a headache), VACCINATION SITE RASH (rash where the shot) and VACCINATION SITE ERYTHEMA (Rash was hot to touch and very red near the injection site) outcome was unknown. No Concomitant medications were provided

Other Meds: ADVIL 12 HOUR

Current Illness:

ID: 1561633
Sex: F
Age: 85
State: FL

Vax Date: 01/17/2021
Onset Date: 02/13/2021
Rec V Date: 08/15/2021
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Lab Data:

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Symptom List:

Symptoms: Fever fluctuations; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (Fever fluctuations) in an 85-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 028L20A and 011J20A) for COVID-19 vaccination. Concurrent medical conditions included Penicillin allergy and Drug allergy (Neosporin and Polysporin). Concomitant products included LACTOBACILLUS ACIDOPHILUS (ACIDOPHILUS [LACTOBACILLUS ACIDOPHILUS]), ATORVASTATIN, FISH OIL, LINUM USITATISSIMUM OIL (FLAXSEED OIL [LINUM USITATISSIMUM OIL]) and COLECALCIFEROL (D3) for an unknown indication. On 17-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 13-Feb-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced PYREXIA (Fever fluctuations). The patient was treated with PARACETAMOL (TYLENOL) for Symptomatic treatment, at an unspecified dose and frequency. At the time of the report, PYREXIA (Fever fluctuations) had resolved. Most recent FOLLOW-UP information incorporated above includes: On 24-Apr-2021: Followup received on 24-apr-2021. Past medical history was updated. 1st dose details were updated. Concomitant medications were updated.

Other Meds: ACIDOPHILUS [LACTOBACILLUS ACIDOPHILUS]; ATORVASTATIN; FISH OIL; FLAXSEED OIL [LINUM USITATISSIMUM OIL]; D3

Current Illness: Drug allergy (Neosporin and Polysporin); Penicillin allergy

ID: 1561634
Sex: F
Age: 66
State: CA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 08/15/2021
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Symptoms: sore shoulder; Left side of her throat felt funny/sore; Tired; Slight problem swallowing; Felt a little dizzy; Felt like the left side of her face was swelling but she couldn't see swelling/felt weird; Heart was racing, was between 109-115 bpm; Lymph nodes on the left side of her neck started swelling; This spontaneous case was reported by a consumer and describes the occurrence of DYSPHAGIA (Slight problem swallowing), OROPHARYNGEAL PAIN (Left side of her throat felt funny/sore), DIZZINESS (Felt a little dizzy), SWELLING FACE (Felt like the left side of her face was swelling but she couldn't see swelling/felt weird) and HEART RATE INCREASED (Heart was racing, was between 109-115 bpm) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Breast cancer and Lymph node excision. Concurrent medical conditions included Allergy to antibiotic (Allergy to food and antibiotics.). On 04-Feb-2021 at 3:22 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Feb-2021, the patient experienced DYSPHAGIA (Slight problem swallowing), DIZZINESS (Felt a little dizzy), SWELLING FACE (Felt like the left side of her face was swelling but she couldn't see swelling/felt weird), HEART RATE INCREASED (Heart was racing, was between 109-115 bpm) and LYMPHADENOPATHY (Lymph nodes on the left side of her neck started swelling). On 04-Feb-2021 at 5:00 PM, the patient experienced FATIGUE (Tired). On 05-Feb-2021, the patient experienced OROPHARYNGEAL PAIN (Left side of her throat felt funny/sore). On 06-Feb-2021, the patient experienced ARTHRALGIA (sore shoulder). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. On 04-Feb-2021, DYSPHAGIA (Slight problem swallowing) had resolved. On 05-Feb-2021, SWELLING FACE (Felt like the left side of her face was swelling but she couldn't see swelling/felt weird) and HEART RATE INCREASED (Heart was racing, was between 109-115 bpm) had resolved. On 06-Feb-2021, ARTHRALGIA (sore shoulder) had resolved. On 07-Feb-2021, LYMPHADENOPATHY (Lymph nodes on the left side of her neck started swelling) had resolved. At the time of the report, OROPHARYNGEAL PAIN (Left side of her throat felt funny/sore), DIZZINESS (Felt a little dizzy) and FATIGUE (Tired) was resolving. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 04-Feb-2021, Heart rate: 109-115 (High) 109-115 bpm. On 05-Feb-2021, Heart rate: 67 (Inconclusive) 67 bpm. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Concomitant medications were provided

Other Meds:

Current Illness: Allergy to antibiotic (Allergy to food and antibiotics.)

ID: 1561635
Sex: F
Age:
State: NC

Vax Date:
Onset Date:
Rec V Date: 08/15/2021
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Lab Data:

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Symptom List:

Symptoms: SWOLLEN ARM; FEVER; RASH; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (SWOLLEN ARM), PYREXIA (FEVER) and RASH (RASH) 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 (No adverse event 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 PERIPHERAL SWELLING (SWOLLEN ARM), PYREXIA (FEVER) and RASH (RASH). At the time of the report, PERIPHERAL SWELLING (SWOLLEN ARM), PYREXIA (FEVER) and RASH (RASH) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.

Other Meds:

Current Illness:

ID: 1561636
Sex: M
Age:
State: FL

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

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Got a severe rash from my arm and my groin and all on my left side 4 days now very itchy and painfull; Hot flushes; Got a severe rash from my arm and my groin and all on my left side 4 days now very itchy and painfull; Severe diarrhea; Got a severe rash from my arm and my groin and all on my left side 4 days now very itchy and painfull; Dull headache; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (Got a severe rash from my arm and my groin and all on my left side 4 days now very itchy and painfull), HOT FLUSH (Hot flushes), PAIN (Got a severe rash from my arm and my groin and all on my left side 4 days now very itchy and painfull), DIARRHOEA (Severe diarrhea) and RASH (Got a severe rash from my arm and my groin and all on my left side 4 days now very itchy and painfull) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 11-Feb-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Feb-2021, the patient experienced PRURITUS (Got a severe rash from my arm and my groin and all on my left side 4 days now very itchy and painfull), HOT FLUSH (Hot flushes), PAIN (Got a severe rash from my arm and my groin and all on my left side 4 days now very itchy and painfull), DIARRHOEA (Severe diarrhea), RASH (Got a severe rash from my arm and my groin and all on my left side 4 days now very itchy and painfull) and HEADACHE (Dull headache). At the time of the report, PRURITUS (Got a severe rash from my arm and my groin and all on my left side 4 days now very itchy and painfull), HOT FLUSH (Hot flushes), PAIN (Got a severe rash from my arm and my groin and all on my left side 4 days now very itchy and painfull), DIARRHOEA (Severe diarrhea), RASH (Got a severe rash from my arm and my groin and all on my left side 4 days now very itchy and painfull) and HEADACHE (Dull headache) 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. Reporter did not allow further contact Most recent FOLLOW-UP information incorporated above includes: On 24-Apr-2021: Follow up information was received on 24 Apr 2021: included no new information and declined further follow up.

Other Meds:

Current Illness:

ID: 1561637
Sex: F
Age: 61
State: CA

Vax Date: 02/09/2021
Onset Date: 02/12/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: chest tightness between breast and upper back; Left arm soreness; headache; This spontaneous case was reported by a consumer and describes the occurrence of CHEST DISCOMFORT (chest tightness between breast and upper back), PAIN IN EXTREMITY (Left arm soreness) and HEADACHE (headache) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029L20A) for COVID-19 vaccination. Concomitant products included LISINOPRIL for Hypertension. On 09-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Feb-2021, the patient experienced HEADACHE (headache). On 14-Feb-2021, the patient experienced CHEST DISCOMFORT (chest tightness between breast and upper back) and PAIN IN EXTREMITY (Left arm soreness). At the time of the report, CHEST DISCOMFORT (chest tightness between breast and upper back), PAIN IN EXTREMITY (Left arm soreness) and HEADACHE (headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: LISINOPRIL

Current Illness:

ID: 1561638
Sex: M
Age: 90
State: FL

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Chills; Feeling tired; This spontaneous case was reported by a consumer and describes the occurrence of CHILLS (Chills) and FATIGUE (Feeling tired) in a 90-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030M20A) 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 an unknown date, the patient experienced CHILLS (Chills) and FATIGUE (Feeling tired). At the time of the report, CHILLS (Chills) and FATIGUE (Feeling tired) was resolving. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitants were not reported. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1561639
Sex: F
Age: 78
State: IL

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:

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Symptom List:

Symptoms: pain at injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (pain at injection site) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032L20A) for COVID-19 vaccination. No Medical History information was reported. On 02-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Feb-2021, the patient experienced VACCINATION SITE PAIN (pain at injection site). The patient was treated with IBUPROFEN ongoing since an unknown date at a dose of 1 dosage form twice a day and NAPROXEN SODIUM (ALEVE) ongoing since an unknown date at a dose of 1 dosage form once a day. At the time of the report, VACCINATION SITE PAIN (pain at injection site) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications reported.

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Current Illness:

ID: 1561640
Sex: M
Age: 71
State: WI

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 08/15/2021
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Symptoms: body aches; fever of 100.9F; feels beat up; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (body aches), PYREXIA (fever of 100.9F) and FATIGUE (feels beat up) in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031M20A) for COVID-19 vaccination. Concomitant products included LOSARTAN POTASSIUM (LOSARTIN) and ALLOPURINOL (ALOPRINOL) for an unknown indication. On 10-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Feb-2021, the patient experienced PAIN (body aches), PYREXIA (fever of 100.9F) and FATIGUE (feels beat up). At the time of the report, PAIN (body aches), PYREXIA (fever of 100.9F) and FATIGUE (feels beat up) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 10-Feb-2021, Body temperature: 100.9f (Inconclusive) fever of 100.9F. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Treatment information provided

Other Meds: LOSARTIN; ALOPRINOL

Current Illness:

ID: 1561641
Sex: F
Age:
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Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 08/15/2021
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Symptoms: fever; headache; chills; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (headache), CHILLS (chills) and PYREXIA (fever) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 12-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Feb-2021, the patient experienced HEADACHE (headache) and CHILLS (chills). On an unknown date, the patient experienced PYREXIA (fever). At the time of the report, HEADACHE (headache), CHILLS (chills) and PYREXIA (fever) 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

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Current Illness:

ID: 1561642
Sex: F
Age: 67
State: FL

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 08/15/2021
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Symptoms: Ear pain; Sore arm; Rash; Woke up last night all wet; Had a lot of gas in chest; Fever; Runny nose; If burped, felt better; Asthma; a lot of coughing; This spontaneous case was reported by a consumer and describes the occurrence of RHINORRHOEA (Runny nose), ERUCTATION (If burped, felt better), ASTHMA (Asthma), COUGH (a lot of coughing) and HYPERHIDROSIS (Woke up last night all wet) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Asthma and Splenectomy. Concurrent medical conditions included Seasonal allergy, Allergy (Smoke), Drug allergy (Allergy to Bactrim), Drug allergy (ciprofloxacin) and Sleep apnea. Concomitant products included FLUTICASONE PROPIONATE, SALMETEROL XINAFOATE (ADVAIR) for Asthma. On 09-Feb-2021 at 11:15 AM, 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 09-Feb-2021, the patient experienced RHINORRHOEA (Runny nose), ERUCTATION (If burped, felt better), ASTHMA (Asthma), COUGH (a lot of coughing) and PYREXIA (Fever). On 10-Feb-2021, the patient experienced HYPERHIDROSIS (Woke up last night all wet) and FLATULENCE (Had a lot of gas in chest). On 11-Feb-2021, the patient experienced RASH (Rash). On an unknown date, the patient experienced EAR PAIN (Ear pain) and PAIN IN EXTREMITY (Sore arm). The patient was treated with AZATADINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE (CORICIDIN DM) at an unspecified dose and frequency; IBUPROFEN (ADVIL 12 HOUR) at an unspecified dose and frequency and FLUTICASONE PROPIONATE (FLONASE ALLERGY RELIEF) at an unspecified dose and frequency. At the time of the report, RHINORRHOEA (Runny nose), ERUCTATION (If burped, felt better), ASTHMA (Asthma), COUGH (a lot of coughing), HYPERHIDROSIS (Woke up last night all wet), FLATULENCE (Had a lot of gas in chest), EAR PAIN (Ear pain), RASH (Rash) and PYREXIA (Fever) outcome was unknown and PAIN IN EXTREMITY (Sore arm) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 10-Feb-2021, Oxygen saturation: 98 (normal) Normal. Most recent FOLLOW-UP information incorporated above includes: On 12-Feb-2021: Additional information received

Other Meds: ADVAIR

Current Illness: Allergy (Smoke); Drug allergy (ciprofloxacin); Drug allergy (Allergy to Bactrim); Seasonal allergy; Sleep apnea

ID: 1561643
Sex: F
Age:
State: AL

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Rec V Date: 08/15/2021
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Symptoms: fever; This spontaneous case was reported by a non-health professional and describes the occurrence of PYREXIA (fever) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PYREXIA (fever). At the time of the report, PYREXIA (fever) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Concomitant medications were provided No Treatment information provided

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Current Illness:

ID: 1561644
Sex: F
Age: 65
State: FL

Vax Date: 01/15/2021
Onset Date: 02/13/2021
Rec V Date: 08/15/2021
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Symptoms: chills and shaking; woke up at 3am; mind-blowing headache; chills; This spontaneous case was reported by a consumer and describes the occurrence of TREMOR (chills and shaking), INSOMNIA (woke up at 3am), HEADACHE (mind-blowing headache) and CHILLS (chills) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 027K20A and 013KL20A) for COVID-19 vaccination. The patient's past medical history included Heart attack. Concurrent medical conditions included Blood pressure high and Lung disorder NOS. Concomitant products included SODIUM CHLORIDE for an unknown indication. On 15-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 13-Feb-2021, the patient experienced TREMOR (chills and shaking), INSOMNIA (woke up at 3am), HEADACHE (mind-blowing headache) and CHILLS (chills). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, TREMOR (chills and shaking), INSOMNIA (woke up at 3am), HEADACHE (mind-blowing headache) and CHILLS (chills) had resolved. This case was linked to MOD-2021-014057 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 26-Apr-2021: Follow up received on 26-APR-2021. no new information On 12-Jul-2021: Follow-up information received on 12 Jul 2021 does not contain any new information

Other Meds: SODIUM CHLORIDE

Current Illness: Blood pressure high; Lung disorder NOS

ID: 1561645
Sex: M
Age: 98
State: NC

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 08/15/2021
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Symptoms: Face burning/ arm burning; Had to lay down; Sensitive to light; This spontaneous case was reported by a consumer and describes the occurrence of BURNING SENSATION (Face burning/ arm burning), MOVEMENT DISORDER (Had to lay down) and PHOTOPHOBIA (Sensitive to light) in a 98-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 10-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 10-Feb-2021, the patient experienced BURNING SENSATION (Face burning/ arm burning), MOVEMENT DISORDER (Had to lay down) and PHOTOPHOBIA (Sensitive to light). On 10-Feb-2021, BURNING SENSATION (Face burning/ arm burning), MOVEMENT DISORDER (Had to lay down) and PHOTOPHOBIA (Sensitive to light) had resolved. The patient received both scheduled doses of mRNA-1273 prior to the events, therefore action taken with the drug in response to the events was not applicable. Concomitant product use was not provided by the reporter. Treatment information was not provided. Patient said the events were resolved and also been free of events since three weeks. Most recent FOLLOW-UP information incorporated above includes: On 22-Apr-2021: No new information received.

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Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm