VAERS 2021 Database www.vaers.hhs.gov

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

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

Incidents per State

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

ID: 1568610
Sex: F
Age:
State: ND

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: sore arm; super itchy and breaking out with hives; This spontaneous case was reported by a health care professional (subsequently medically confirmed) and describes the occurrence of INJECTION SITE PAIN (sore arm) and URTICARIA (super itchy and breaking out with hives) 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 13-Jan-2021 at 6:20 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 21-Jan-2021, the patient experienced URTICARIA (super itchy and breaking out with hives). On an unknown date, the patient experienced INJECTION SITE PAIN (sore arm). At the time of the report, INJECTION SITE PAIN (sore arm) and URTICARIA (super itchy and breaking out with hives) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter considered INJECTION SITE PAIN (sore arm) and URTICARIA (super itchy and breaking out with hives) to be possibly related. Patient states she has not been exposed to any new food, soap, or solutions. Treatment information not provided.

Other Meds:

Current Illness:

ID: 1568611
Sex: F
Age: 59
State: NJ

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

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Pain in the right arm muscle that takes whole arm; Weakness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Pain in the right arm muscle that takes whole arm) and MUSCULAR WEAKNESS (Weakness) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L20A) 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) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (Pain in the right arm muscle that takes whole arm) and MUSCULAR WEAKNESS (Weakness). At the time of the report, PAIN IN EXTREMITY (Pain in the right arm muscle that takes whole arm) and MUSCULAR WEAKNESS (Weakness) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient received Tylenol, Bediatil, warm and hot compress for treatment. No concomitant medication reported.

Other Meds:

Current Illness:

ID: 1568612
Sex: F
Age:
State: CO

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

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

Lab Data:

Allergies:

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

Symptoms: Pain in Ribcage; Pain (Injection Site); This spontaneous case was reported by a consumer and describes the occurrence of MUSCULOSKELETAL CHEST PAIN (Pain in Ribcage) and VACCINATION SITE PAIN (Pain (Injection Site)) in an 88-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included Hypertension in December 2015, Flutter atrial in August 2017 and Subdural hematoma removal in September 2015. Concurrent medical conditions included Drug allergy (Norco (Tetracycline, Hydrocodone, Bitartrate, Acetaminophen)) and Drug allergy (Achromycin (Tetracycline HCL)). Concomitant products included CEFALEXIN MONOHYDRATE (LEXIPRON) for Depression, LOSARTAN for Hypertension, LATANOPROST for Prevent Glaucoma, APIXABAN (ELIQUIS) for blood thinner, ATORVASTATIN CALCIUM (LIPITOR) for stroke prevention. On 16-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Jan-2021, the patient experienced MUSCULOSKELETAL CHEST PAIN (Pain in Ribcage) and VACCINATION SITE PAIN (Pain (Injection Site)). At the time of the report, MUSCULOSKELETAL CHEST PAIN (Pain in Ribcage) and VACCINATION SITE PAIN (Pain (Injection Site)) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information not provided. Most recent FOLLOW-UP information incorporated above includes: On 12-Apr-2021: No specific follow-up information recorded. On 20-Apr-2021: No specific follow-up information recorded.

Other Meds: ELIQUIS; LEXIPRON; LOSARTAN; LIPITOR; LATANOPROST

Current Illness:

ID: 1568613
Sex: M
Age: 66
State: IL

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Serious arm pain; cramps; fatigue; fever spikes; chills; muscle pain; terrible Headache; neck glands swollen; nausea; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Serious arm pain), MUSCLE SPASMS (cramps), FATIGUE (fatigue), PYREXIA (fever spikes) and CHILLS (chills) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 19-Jan-2021 at 8:30 AM, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Jan-2021, the patient experienced PAIN IN EXTREMITY (Serious arm pain), MUSCLE SPASMS (cramps), FATIGUE (fatigue), PYREXIA (fever spikes), CHILLS (chills), MYALGIA (muscle pain), HEADACHE (terrible Headache), LYMPHADENOPATHY (neck glands swollen) and NAUSEA (nausea). On 21-Jan-2021, PAIN IN EXTREMITY (Serious arm pain), MUSCLE SPASMS (cramps), FATIGUE (fatigue), PYREXIA (fever spikes), CHILLS (chills), MYALGIA (muscle pain), LYMPHADENOPATHY (neck glands swollen) and NAUSEA (nausea) outcome was unknown. At the time of the report, HEADACHE (terrible Headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication reported. Treatment information not provided

Other Meds:

Current Illness:

ID: 1568614
Sex: M
Age: 67
State: CO

Vax Date: 07/22/2020
Onset Date: 07/22/2020
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Got very sick; cold not eat; loss sense of taste; legs really weak; Hard time walking; feeling misearable; situation was not fun; scared to death; Fever 103F; loss sense of smell; This spontaneous case was reported by a physician (subsequently medically confirmed) and describes the occurrence of ILLNESS (Got very sick), FEEDING DISORDER (cold not eat), AGEUSIA (loss sense of taste), ANOSMIA (loss sense of smell) and RESTLESS LEGS SYNDROME (legs really weak) in a 68-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 LISINOPRIL and ACETYLSALICYLIC ACID (ASPIRIN (E.C.)) for an unknown indication. On 22-Jul-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Jul-2020, the patient experienced ANOSMIA (loss sense of smell). On 25-Jul-2020, the patient experienced ILLNESS (Got very sick), FEEDING DISORDER (cold not eat), AGEUSIA (loss sense of taste), RESTLESS LEGS SYNDROME (legs really weak), GAIT DISTURBANCE (Hard time walking), FEELING ABNORMAL (feeling misearable), ANXIETY (situation was not fun; scared to death) and PYREXIA (Fever 103F). In August 2020, ILLNESS (Got very sick), FEEDING DISORDER (cold not eat), AGEUSIA (loss sense of taste), ANOSMIA (loss sense of smell), RESTLESS LEGS SYNDROME (legs really weak), GAIT DISTURBANCE (Hard time walking), FEELING ABNORMAL (feeling misearable), ANXIETY (situation was not fun; scared to death) and PYREXIA (Fever 103F) 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: LISINOPRIL; ASPIRIN (E.C.)

Current Illness:

ID: 1568615
Sex: F
Age: 56
State: PA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: weak; nauseaous; Red bumps even worse; burning on limbs got worse; red bumps; very confused; tremors; high blood pressure 140/100 mmHg; burning on face and scalp; itching on face and scalp; This spontaneous case was reported by an other health care professional and describes the occurrence of BURNING SENSATION (burning on face and scalp), PRURITUS (itching on face and scalp), ERYTHEMA (red bumps), CONFUSIONAL STATE (very confused) and TREMOR (tremors) in a 56-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. No Medical History information was reported. On 07-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Jan-2021, the patient experienced BURNING SENSATION (burning on face and scalp) and PRURITUS (itching on face and scalp). On 14-Jan-2021, the patient experienced ERYTHEMA (red bumps), CONFUSIONAL STATE (very confused), TREMOR (tremors), BLOOD PRESSURE INCREASED (high blood pressure 140/100 mmHg) and BURNING SENSATION (burning on limbs got worse). On 17-Jan-2021, the patient experienced ERYTHEMA (Red bumps even worse). On 21-Jan-2021, the patient experienced ASTHENIA (weak) and NAUSEA (nauseaous). On 17-Jan-2021, ERYTHEMA (red bumps), CONFUSIONAL STATE (very confused), TREMOR (tremors), BLOOD PRESSURE INCREASED (high blood pressure 140/100 mmHg) and BURNING SENSATION (burning on limbs got worse) outcome was unknown. On 20-Jan-2021, ERYTHEMA (Red bumps even worse) outcome was unknown. At the time of the report, BURNING SENSATION (burning on face and scalp), PRURITUS (itching on face and scalp), ASTHENIA (weak) and NAUSEA (nauseaous) 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. On 07-01-2021 date, prior to the onset of events, the patient received their first of two planned doses of mRNA-1273(Lot number:027L20A) intramuscularly on her right arm for prophylaxis of COVID-19 infection. patient experienced burning and itching on her face and scalp. Approximately 7 days after that (14Jan2021), it got worse; the burning and itching spread all through her body to her limbs, torso and back, also red bumps appeared (she was told that those are hives, but she's not convinced), so her doctor gave her prednisone, which she only took for 3 days because she felt like she was having a bad reaction to it; she felt very confused, had tremors and very high blood pressure (145/100 mmHg). She specified that while on prednisone the red bumps disappeared, but the burning on limbs got worse. When she stopped taking the prednisone, the red bumps came again, and they were even worse. To this day (21Jan2021), the red bums are better, but she claims that her skin is hyperreactive and if she presses, it really burns. Also states that this morning she started feeling nauseous and weak.that her skin is hyperreactive and if she presses, it really burns. Also states that this morning she started feeling nauseous and weak. Treatment given as prednisolone for erythema and bumps from 14-01-2021 to 17-01-2021and H2blocker given for Acid reflux on 21-01-2021.

Other Meds:

Current Illness:

ID: 1568616
Sex: M
Age:
State: TX

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Sore arm) in a 68-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 20-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 21-Jan-2021, the patient experienced VACCINATION SITE PAIN (Sore arm). At the time of the report, VACCINATION SITE PAIN (Sore arm) outcome was unknown. Not Provided. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Treatment information not provided. Patient wants to know if he can take Tylenol or ibuprofen 4 days after the shot.

Other Meds:

Current Illness:

ID: 1568617
Sex: M
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: some chills; shoulder is pretty darn painful/ if try to lift it up and do anything, it hurts; lethargic; no appetite; shoulder soreness; This spontaneous case was reported by a consumer and describes the occurrence of CHILLS (some chills), ARTHRALGIA (shoulder soreness), ARTHRALGIA (shoulder is pretty darn painful/ if try to lift it up and do anything, it hurts), LETHARGY (lethargic) and DECREASED APPETITE (no appetite) 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-Jan-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Jan-2021, the patient experienced ARTHRALGIA (shoulder soreness). On 27-Jan-2021, the patient experienced CHILLS (some chills), ARTHRALGIA (shoulder is pretty darn painful/ if try to lift it up and do anything, it hurts), LETHARGY (lethargic) and DECREASED APPETITE (no appetite). At the time of the report, CHILLS (some chills), ARTHRALGIA (shoulder soreness), ARTHRALGIA (shoulder is pretty darn painful/ if try to lift it up and do anything, it hurts), LETHARGY (lethargic) and DECREASED APPETITE (no appetite) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1568618
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

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 an unknown indication. No Medical History information was reported. On 11-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In January 2021, the patient experienced HERPES ZOSTER (shingles). At the time of the report, HERPES ZOSTER (shingles) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information not provided.

Other Meds:

Current Illness:

ID: 1568619
Sex: U
Age:
State: IN

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

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: received vaccine, breastfeeding the whole time; This spontaneous case was reported by a consumer and describes the occurrence of EXPOSURE VIA BREAST MILK (received vaccine, breastfeeding the whole time) in a 10-week-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. MEDICAL HISTORY (Parent): Concurrent medical conditions included Maternal exposure during breast feeding. 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 EXPOSURE VIA BREAST MILK (received vaccine, breastfeeding the whole time). At the time of the report, EXPOSURE VIA BREAST MILK (received vaccine, breastfeeding the whole time) outcome was unknown. Not Provided 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 is a case of product exposure during breastfeeding with no associated AEs. Patient will continue to be contacted for further monitoring of AEs.; Sender's Comments: This is a case of product exposure during breastfeeding with no associated AEs. Patient will continue to be contacted for further monitoring of AEs.

Other Meds:

Current Illness:

ID: 1568620
Sex: F
Age:
State: VA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of MATERNAL EXPOSURE DURING PREGNANCY (Got vaccine while Pregnant) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030L20A and 026L20A) for COVID-19 vaccination. No Medical History information was reported. On 05-Jan-2021 at 11:00 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. The patient's last menstrual period was on an unknown date and the estimated date of delivery was 11-Jun-2021. On 05-Jan-2021, the patient experienced MATERNAL EXPOSURE DURING PREGNANCY (Got vaccine while Pregnant). On 03-Feb-2021, MATERNAL EXPOSURE DURING PREGNANCY (Got vaccine while Pregnant) had resolved. No Concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1568621
Sex: F
Age: 33
State: TX

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

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: pain at injection site with first dose.; Maternal exposure during pregnancy; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of MATERNAL EXPOSURE DURING PREGNANCY (Maternal exposure during pregnancy) and VACCINATION SITE PAIN (pain at injection site with first dose.) in a 34-year-old female patient (gravida 3, para 1) who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 037K20A) for COVID-19 vaccination. The patient's past medical history included Alcohol use (2 drinks a week), Ehlers-Danlos syndrome, Postural orthostatic tachycardia syndrome and Spontaneous abortion. Concurrent medical conditions included Drug allergy (Forteo (teriparatide)), Fruit allergy (Pomegranate.), Fragrance sensitivity (Fragrance.), Polyneuropathy and Sleep apnea (Complex sleep apnea.). Concomitant products included LEVOTHYROXINE from 15-Jul-2021 to an unknown date for Hypothyroidism, ONDANSETRON and DOXYLAMINE SUCCINATE, PYRIDOXINE HYDROCHLORIDE (BONJESTA) for Nausea, ACETYLSALICYLIC ACID (ASPIRIN (E.C.)), MINERALS NOS, VITAMINS NOS (PRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS]), CALCIUM, DOXYLAMINE, DOCUSATE SODIUM (COLACE), FAMOTIDINE, SERTRALINE, VITAMIN D3, MINERALS NOS, VITAMINS NOS (PRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS]) and MAGNESIUM for an unknown indication. On 08-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. The patient's last menstrual period was on 21-May-2020 and the estimated date of delivery was 24-Feb-2021. On 08-Jan-2021, the patient experienced MATERNAL EXPOSURE DURING PREGNANCY (Maternal exposure during pregnancy). On an unknown date, the patient experienced VACCINATION SITE PAIN (pain at injection site with first dose.). The patient received mRNA-1273 (Moderna COVID-19 Vaccine) beginning around the thirty-third week of the pregnancy. The vaginal delivery occurred on 12-Feb-2021, which was reported as Full-term. For neonate 1, The outcome was reported as Delivered NOS. On 08-Jan-2021, MATERNAL EXPOSURE DURING PREGNANCY (Maternal exposure during pregnancy) had resolved. At the time of the report, VACCINATION SITE PAIN (pain at injection site with first dose.) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 07-Aug-2020, Ultrasound antenatal screen normal: normal (normal) normal( week u/s ) (MFM OB every 1-2 weeks). On 17-Jun-2021, Pregnancy test: positive (Positive) Positive. On an unknown date, Glucose tolerance test: normal (normal) normal. 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. Mother had history of sub fertility 2 cycles of Femara April and May 2020. Date of positive pregnancy test:17-Jun-2020. Estimated due date:24-Feb-2021. Patient had allergy to seminal plasma. No treatment medication were provided. Pregnancy history: Pregnancy date: Feb-2017, Outcome: Spontaneous abortion. Pregnancy date: Mar-2020, Outcome: Spontaneous abortion. This case was linked to MOD-2021-259303 (Parent-Child Link). This case was linked to MOD-2021-259284 (Patient Link). See case MOD-2021-259303 for details regarding the child case. Most recent FOLLOW-UP information incorporated above includes: On 18-Jul-2021: Patient demographics added, pregnancy details added, medical history added, lab data added, concomitant added.

Other Meds: ASPIRIN (E.C.); PRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS]; CALCIUM; LEVOTHYROXINE; DOXYLAMINE; COLACE; FAMOTIDINE; SERTRALINE; ONDANSETRON; VITAMIN D3; PRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS]; MAGNESIUM; BONJESTA

Current Illness: Drug allergy (Forteo (teriparatide)); Fragrance sensitivity (Fragrance.); Fruit allergy (Pomegranate.); Polyneuropathy; Sleep apnea (Complex sleep apnea.)

ID: 1568622
Sex: F
Age: 20
State: AL

Vax Date: 02/05/2021
Onset Date: 01/15/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: tested positive for COVID; This spontaneous case was reported by an other health care professional and describes the occurrence of COVID-19 (tested positive for COVID) in a 20-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 05-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1. On 15-Jan-2021, the patient experienced COVID-19 (tested positive for COVID). At the time of the report, COVID-19 (tested positive for COVID) 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: 1568623
Sex: F
Age: 68
State: FL

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: I have a little bit of a rash; This spontaneous case was reported by a consumer and describes the occurrence of RASH (I have a little bit of a rash) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032L20A) for COVID-19 vaccination. Concurrent medical conditions included Ragweed allergy and Bee sting. On 22-Jan-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Jan-2021, the patient experienced RASH (I have a little bit of a rash). At the time of the report, RASH (I have a little bit of a rash) 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.

Other Meds:

Current Illness: Ragweed allergy

ID: 1568624
Sex: F
Age: 32
State: CA

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

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

Lab Data:

Allergies:

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

Symptoms: pregnancy; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of MATERNAL EXPOSURE DURING PREGNANCY (pregnancy) in a 32-year-old female patient (gravida 1) who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 043L20A) for COVID-19 vaccination. Concomitant products included LEVOTHYROXINE for an unknown indication. On 21-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. The patient's last menstrual period was on 15-Jul-2020 and the estimated date of delivery was 20-Apr-2021. On an unknown date, the patient experienced MATERNAL EXPOSURE DURING PREGNANCY (pregnancy). The patient received mRNA-1273 (Moderna COVID-19 Vaccine) beginning around the twenty-seventh week of the pregnancy. The delivery occurred on an unknown date, which was reported as Unknown. For neonate 1, The outcome was reported as Unknown. At the time of the report, MATERNAL EXPOSURE DURING PREGNANCY (pregnancy) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment information provided. On 20 Aug 2020 patient was had positive pregnancy test. Patient had no previous pregnancies.

Other Meds: LEVOTHYROXINE

Current Illness:

ID: 1568625
Sex: F
Age: 62
State: FL

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

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

Lab Data:

Allergies:

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

Symptoms: Fever; Tiredness; Chills; Nausea; Flu like symptoms; Sore arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Sore arm), CHILLS (Chills), NAUSEA (Nausea), INFLUENZA LIKE ILLNESS (Flu like symptoms) and FATIGUE (Tiredness) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A or 039L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Breast cancer. On 03-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Jan-2021, the patient experienced PAIN IN EXTREMITY (Sore arm). On 03-Feb-2021, the patient experienced CHILLS (Chills), NAUSEA (Nausea) and INFLUENZA LIKE ILLNESS (Flu like symptoms). On 04-Feb-2021, the patient experienced FATIGUE (Tiredness). On 05-Feb-2021, the patient experienced PYREXIA (Fever). At the time of the report, PAIN IN EXTREMITY (Sore arm), CHILLS (Chills), NAUSEA (Nausea), INFLUENZA LIKE ILLNESS (Flu like symptoms), FATIGUE (Tiredness) and PYREXIA (Fever) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 05-Feb-2021, Body temperature: 99.9-99.3 ?f 99.9-99.3 ?F. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient took Alvin and Benadryl for treatment. This case was linked to MOD-2021-014794 (Linked Report).; Sender's Comments: MOD-2021-014794:Same patient, 2nd dose of Moderna Covid-19 vaccine

Other Meds:

Current Illness:

ID: 1568626
Sex: M
Age: 61
State: CO

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: i got the watering juice before you vomit; dry heave; I feel queasy for a few minutes every three hours; This spontaneous case was reported by a consumer and describes the occurrence of in a 61-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L20A) for COVID-19 vaccination. No medical history was provided by the reporter. On 20-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) at an unspecified dose. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications were provided. No treatment information provided.

Other Meds:

Current Illness:

ID: 1568627
Sex: M
Age: 74
State: GA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Very bad diarrhea; Belching with bad taste; Injection site pain to the touch; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (Very bad diarrhea), ERUCTATION (Belching with bad taste) and INJECTION SITE PAIN (Injection site pain to the touch) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history was provided by the reporter. On 20-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 DIARRHOEA (Very bad diarrhea), ERUCTATION (Belching with bad taste) and INJECTION SITE PAIN (Injection site pain to the touch). At the time of the report, DIARRHOEA (Very bad diarrhea), ERUCTATION (Belching with bad taste) and INJECTION SITE PAIN (Injection site pain to the touch) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided. Patient took Pepcid AC and tums as treatment. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1568628
Sex: F
Age:
State: NC

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Fever; Horrible Headache; Fatigue; Feeling dizzy; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (Fever), HEADACHE (Horrible Headache), FATIGUE (Fatigue) and DIZZINESS (Feeling dizzy) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011M20A) 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 02-Feb-2021, the patient experienced PYREXIA (Fever), HEADACHE (Horrible Headache), FATIGUE (Fatigue) and DIZZINESS (Feeling dizzy). At the time of the report, PYREXIA (Fever), HEADACHE (Horrible Headache), FATIGUE (Fatigue) and DIZZINESS (Feeling dizzy) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product use was not provided by the reporter. T reatment information was not provided. Lab details were not provided.

Other Meds:

Current Illness:

ID: 1568629
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: very sick; This spontaneous case was reported by a patient family member or friend and describes the occurrence of VACCINATION COMPLICATION (very sick) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history was provided by the reporter. On 31-Jan-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 31-Jan-2021, the patient experienced VACCINATION COMPLICATION (very sick). On 02-Feb-2021, VACCINATION COMPLICATION (very sick) had resolved. No concomitant medications were provided. No treatment information provided.

Other Meds:

Current Illness:

ID: 1568630
Sex: F
Age: 32
State: NV

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

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

Lab Data:

Allergies:

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

Symptoms: Pregnancy; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of EXPOSURE DURING PREGNANCY (Pregnancy) in a 32-year-old female patient (gravida 3, para 2) who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 042L20A) for COVID-19 vaccination. No medical history was provided by the reporter. Concurrent medical conditions included Latex allergy. Concomitant products included SERTRALINE HYDROCHLORIDE (ZOLOFT) from 12-Mar-2020 to an unknown date for Anxiety. On 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. The patient's last menstrual period was on 14-Jun-2020 and the estimated date of delivery was 20-Mar-2021. On 04-Feb-2021 at 3:30 PM, the patient experienced EXPOSURE DURING PREGNANCY (Pregnancy). The patient received mRNA-1273 (Moderna COVID-19 Vaccine) beginning around the thirty-third week of the pregnancy. The vaginal delivery occurred on 09-Mar-2021, which was reported as Full-term. For neonate 1, the birth weight was 3000 grams (6lbs 10oz) with an APGAR score of 9 and 9 at (1, 5 minutes). The outcome was reported as Term Birth w/o Complications. Fetus length is 51 with head circumference of 32.5 . On 04-Feb-2021, EXPOSURE DURING PREGNANCY (Pregnancy) had resolved. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 31-Aug-2020, Ultrasound scan: normal (normal) Nuchal scan -Normal. On 29-Oct-2020, Ultrasound scan: normal (normal) Anatomy scan -Normal. On 01-Jul-2021, Pregnancy test: positive (Positive) Positive. 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. Glucose screen was performed on 12-MAR-2021 result was normal . Patient reported that her first son who was 5 years old was diagnosed as ASD . No treatment information provided. The patient given birth of male baby. The baby's weight was 3 kg, length was 51 cm, head circumference was 32.5 cm. APGR score was 9. Most recent FOLLOW-UP information incorporated above includes: On 27-Apr-2021: Pregnancy Outcome Form (update reporter, concomitant medications and patient details)

Other Meds: ZOLOFT

Current Illness: Latex allergy

ID: 1568631
Sex: F
Age: 76
State: TN

Vax Date: 01/02/2021
Onset Date: 01/10/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Warm at injection site; Swelling at injection site; Red at injection site 4x6 inch area.; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE WARMTH (Warm at injection site), INJECTION SITE SWELLING (Swelling at injection site) and INJECTION SITE ERYTHEMA (Red at injection site 4x6 inch area.) in a 76-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Cholesterol and Asthma. Concomitant products included TYROSINE for an unknown indication. On 02-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Jan-2021, the patient experienced INJECTION SITE WARMTH (Warm at injection site), INJECTION SITE SWELLING (Swelling at injection site) and INJECTION SITE ERYTHEMA (Red at injection site 4x6 inch area.). On 13-Jan-2021, INJECTION SITE WARMTH (Warm at injection site), INJECTION SITE SWELLING (Swelling at injection site) and INJECTION SITE ERYTHEMA (Red at injection site 4x6 inch area.) 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. Treatment included Benadryl and Tylenol. Patient also takes medicine for cholesterol and inhaler for asthma twice a day.

Other Meds: TYROSINE

Current Illness:

ID: 1568632
Sex: F
Age: 85
State: PA

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

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

Lab Data:

Allergies:

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

Symptoms: Slept the entire day; fatigued; This spontaneous case was reported by a consumer and describes the occurrence of HYPERSOMNIA (Slept the entire day) and FATIGUE (fatigued) in an 85-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032L02A) 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 HYPERSOMNIA (Slept the entire day) and FATIGUE (fatigued). At the time of the report, HYPERSOMNIA (Slept the entire day) and FATIGUE (fatigued) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The concomitant medications were not reported. The treatment medications were not provided

Other Meds:

Current Illness:

ID: 1568633
Sex: F
Age: 33
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: rash and pain on left side of her chest that went from front to back; sore arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (sore arm) and RASH (rash and pain on left side of her chest that went from front to back) in a 33-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026L20A) for COVID-19 vaccination. The patient's past medical history included Diabetes. On 08-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Jan-2021, the patient experienced PAIN IN EXTREMITY (sore arm). On 10-Jan-2021, the patient experienced RASH (rash and pain on left side of her chest that went from front to back). At the time of the report, PAIN IN EXTREMITY (sore arm) outcome was unknown and RASH (rash and pain on left side of her chest that went from front to back) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient was treated with Tylenol. No concomitant medications were provided. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1568634
Sex: F
Age:
State: TX

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Got vaccine and is Pregnant; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of EXPOSURE DURING PREGNANCY (Got vaccine and is Pregnant) in a female patient of an unknown age (gravida 1) who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 043L20A) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included DOXYLAMINE SUCCINATE, PYRIDOXINE HYDROCHLORIDE (DICLEGIS) for Nausea, MINERALS NOS, VITAMINS NOS (PRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS]) for an unknown indication. On 22-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. The patient's last menstrual period was in July 2020 and the estimated date of delivery was 19-May-2021. On 22-Jan-2021, the patient experienced EXPOSURE DURING PREGNANCY (Got vaccine and is Pregnant). The patient received mRNA-1273 (Moderna COVID-19 Vaccine) during pregnancy. On 22-Jan-2021, EXPOSURE DURING PREGNANCY (Got vaccine and is Pregnant) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In September 2020, Prenatal screening test: normal (normal) normal. In January 2021, Blood glucose: normal (normal) normal. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment information provided.

Other Meds: PRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS]; DICLEGIS

Current Illness:

ID: 1568635
Sex: M
Age: 73
State: MS

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

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

Lab Data:

Allergies:

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

Symptoms: A bit tired; Headache; Arm hurt a few hours after vaccination; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE PAIN (Arm hurt a few hours after vaccination), HEADACHE (Headache) and FATIGUE (A bit tired) in a 73-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included RAMIPRIL for Blood pressure high, ATORVASTATIN, VITAMIN D3, ASCORBIC ACID, CALCIUM, MINERALS NOS, RETINOL, TOCOPHERYL ACETATE, VITAMIN B NOS, VITAMINS NOS, ZINC (CENTRUM SILVER [ASCORBIC ACID;CALCIUM;MINERALS NOS;RETINOL;TOCOPHERYL ACETATE;VITAMIN B NOS;VITAMINS NOS;ZINC]), FISH OIL and BRASSICA NAPUS, FISH OIL, GLYCINE MAX SEED, GOSSYPIUM HERBACEUM SEED, UBIDECARENONE, ZEA MAYS (OMEGA 3 & COQ10) 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 INJECTION SITE PAIN (Arm hurt a few hours after vaccination). On 16-Jan-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced HEADACHE (Headache). On an unknown date, the patient experienced FATIGUE (A bit tired). On 16-Jan-2021, INJECTION SITE PAIN (Arm hurt a few hours after vaccination) and HEADACHE (Headache) had resolved. At the time of the report, FATIGUE (A bit tired) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient took Tylenol as treatment.

Other Meds: ATORVASTATIN; RAMIPRIL; VITAMIN D3; CENTRUM SILVER [ASCORBIC ACID;CALCIUM;MINERALS NOS;RETINOL;TOCOPHERYL ACETATE;VITAMIN B NOS;VITAMINS; FISH OIL; OMEGA 3 & COQ10

Current Illness:

ID: 1568636
Sex: F
Age:
State:

Vax Date: 01/16/2021
Onset Date: 01/20/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: high fever or 101.4; body aches; headaches; arm swollen and red at injection site; arm swollen and red at injection site; hard; inflammed; This spontaneous case was reported by a consumer and describes the occurrence of in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. unknown) for COVID-19 vaccination. No medical history was provided by the reporter. On 16-Jan-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. 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: 1568637
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: pain in arm; injection site hot to the touch; injection site has a little welt; injection site arm is swollen; injection site red; arm soreness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (pain in arm) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history was provided by the reporter. On 15-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Jan-2021, the patient experienced PAIN IN EXTREMITY (pain in arm). At the time of the report, PAIN IN EXTREMITY (pain in arm) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided. No treatment information provided. Most recent FOLLOW-UP information incorporated above includes: On 21-Jan-2021: No additional information.

Other Meds:

Current Illness:

ID: 1568638
Sex: F
Age: 44
State: VA

Vax Date: 01/05/2021
Onset Date: 01/01/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (COVID-19), AGEUSIA (Loss of taste) and ANOSMIA (Loss of smell) in a 44-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. No medical history was provided by the reporter. On 05-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Jan-2021, the patient experienced COVID-19 (COVID-19). In January 2021, the patient experienced AGEUSIA (Loss of taste) and ANOSMIA (Loss of smell). At the time of the report, COVID-19 (COVID-19), AGEUSIA (Loss of taste) and ANOSMIA (Loss of smell) 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. Reporter did not allow further contact.

Other Meds:

Current Illness:

ID: 1568639
Sex: M
Age: 36
State: NY

Vax Date: 01/18/2021
Onset Date: 01/21/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Throat lymph nodes are swollen and hard (both sides), it's tender to touch; This spontaneous case was reported by a consumer and describes the occurrence of LYMPHADENOPATHY (Throat lymph nodes are swollen and hard (both sides), it's tender to touch) in a 36-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011L20A) for COVID-19 vaccination. No concomitant medications were provided. No treatment information provided. On 18-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 21-Jan-2021, the patient experienced LYMPHADENOPATHY (Throat lymph nodes are swollen and hard (both sides), it's tender to touch). At the time of the report, LYMPHADENOPATHY (Throat lymph nodes are swollen and hard (both sides), it's tender to touch) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown. No concomitant medications were provided. No treatment information provided. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1568640
Sex: F
Age: 69
State: IL

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: diarrhea; severe chills, could not get warm; hurt to walk; body aches; fever; headaches; hot burning sensation at the site of injection; was in bed all day; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (hot burning sensation at the site of injection), DIARRHOEA (diarrhea), CHILLS (severe chills, could not get warm), GAIT DISTURBANCE (hurt to walk) and PYREXIA (fever) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COVID-19 in October 2020. On 20-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 VACCINATION SITE WARMTH (hot burning sensation at the site of injection), CHILLS (severe chills, could not get warm), GAIT DISTURBANCE (hurt to walk), PYREXIA (fever) and HEADACHE (headaches). On 21-Jan-2021, the patient experienced DIARRHOEA (diarrhea). On 20-Jan-2021, VACCINATION SITE WARMTH (hot burning sensation at the site of injection) had resolved. On 21-Jan-2021, DIARRHOEA (diarrhea), GAIT DISTURBANCE (hurt to walk) and PYREXIA (fever) had resolved, CHILLS (severe chills, could not get warm) outcome was unknown. At the time of the report, HEADACHE (headaches) 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. Patient used Tylenol as treatment. Most recent FOLLOW-UP information incorporated above includes: On 21-Jan-2021: No specific follow-up information recorded.

Other Meds:

Current Illness:

ID: 1568641
Sex: F
Age: 64
State: CA

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

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

Lab Data:

Allergies:

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

Symptoms: Blood pressure of 185/125; This spontaneous case was reported by a consumer and describes the occurrence of BLOOD PRESSURE INCREASED (Blood pressure of 185/125) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029L20A) for COVID-19 vaccination. Concurrent medical conditions included Thyroid disorder. 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 BLOOD PRESSURE INCREASED (Blood pressure of 185/125). At the time of the report, BLOOD PRESSURE INCREASED (Blood pressure of 185/125) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure measurement: 185/125 185/125 no unit availble. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information included nurse at the facility gave the patient Benadryl 15 milligram to help. Reporter did not allow further contact

Other Meds:

Current Illness: Thyroid disorder

ID: 1568642
Sex: M
Age:
State: NC

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

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

Lab Data:

Allergies:

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

Symptoms: Arm is sore; Headache; Swollen at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm is sore), HEADACHE (Headache) and VACCINATION SITE SWELLING (Swollen at the injection site) in a 64-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included GABAPENTIN, ATENOLOL, CETIRIZINE HYDROCHLORIDE (ZYRTEC [CETIRIZINE HYDROCHLORIDE]), OMEPRAZOLE MAGNESIUM (PRILOSEC [OMEPRAZOLE MAGNESIUM]), METFORMIN HYDROCHLORIDE, SITAGLIPTIN PHOSPHATE MONOHYDRATE (JANUMET) and GLIMEPIRIDE for an unknown indication. 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 PAIN IN EXTREMITY (Arm is sore), HEADACHE (Headache) and VACCINATION SITE SWELLING (Swollen at the injection site). At the time of the report, PAIN IN EXTREMITY (Arm is sore), HEADACHE (Headache) and VACCINATION SITE SWELLING (Swollen at the injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Most recent FOLLOW-UP information incorporated above includes: On 21-Jan-2021: No specific follow-up information recorded.

Other Meds: GABAPENTIN; ATENOLOL; ZYRTEC [CETIRIZINE HYDROCHLORIDE]; PRILOSEC [OMEPRAZOLE MAGNESIUM]; JANUMET; GLIMEPIRIDE

Current Illness:

ID: 1568643
Sex: F
Age: 71
State: NY

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

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Left arm swollen; Bump at the injection site; It is tender; felt Tired; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (Left arm swollen), INJECTION SITE MASS (Bump at the injection site), INJECTION SITE PAIN (It is tender) and FATIGUE (felt Tired) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 015L20A) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included CHLORPHENAMINE MALEATE, IBUPROFEN, PSEUDOEPHEDRINE HYDROCHLORIDE (ADVIL ALLERGY SINUS) and MULTI VITAMINS & MINERALS for an unknown indication. On 19-Jan-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Jan-2021, the patient experienced PERIPHERAL SWELLING (Left arm swollen), INJECTION SITE MASS (Bump at the injection site), INJECTION SITE PAIN (It is tender) and FATIGUE (felt Tired). At the time of the report, PERIPHERAL SWELLING (Left arm swollen), INJECTION SITE MASS (Bump at the injection site), INJECTION SITE PAIN (It is tender) and FATIGUE (felt Tired) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant product reported was blood pressure medication, cholesterol medication. No treatment information provided.

Other Meds: ADVIL ALLERGY SINUS; MULTI VITAMINS & MINERALS

Current Illness:

ID: 1568644
Sex: F
Age: 77
State: MA

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

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: discoloration all over her body / shape is strawberry and color is white; This spontaneous case was reported by a consumer and describes the occurrence of SKIN DISCOLOURATION (discoloration all over her body / shape is strawberry and color is white) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Infection since 12-Jan-2021. Concomitant products included LEVOFLOXACIN (LEVAQUIN) from 12-Jan-2021 to an unknown date for an unknown indication. On 21-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 21-Jan-2021, the patient experienced SKIN DISCOLOURATION (discoloration all over her body / shape is strawberry and color is white). At the time of the report, SKIN DISCOLOURATION (discoloration all over her body / shape is strawberry and color is white) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown. No treatment information provided.

Other Meds: LEVAQUIN

Current Illness: Infection

ID: 1568645
Sex: F
Age: 22
State: NV

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

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

Lab Data:

Allergies:

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

Symptoms: itching at the injection site; the injection site is also inflamed; I tested positive for covid-19; This spontaneous case was reported by a nurse and describes the occurrence of COVID-19 (I tested positive for covid-19) in a 22-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025J20A) for COVID-19 vaccination. No Medical History information was reported. On 08-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Jan-2021, the patient experienced COVID-19 (I tested positive for covid-19). At the time of the report, COVID-19 (I tested positive for covid-19) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were provided. No treatment information provided.

Other Meds:

Current Illness:

ID: 1568646
Sex: F
Age: 65
State: FL

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

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

Lab Data:

Allergies:

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

Symptoms: covid-19; runny nose; congestion; loss of taste; loss of smell; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (covid-19) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011J20A) for COVID-19 vaccination. No medical history was provided by the reporter. On 08-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 18-Jan-2021, the patient experienced COVID-19 (covid-19). At the time of the report, COVID-19 (covid-19) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were provided. No treatment information provided.

Other Meds:

Current Illness:

ID: 1568647
Sex: F
Age: 73
State: NY

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

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: red circular welt welt which was about the size of a silver dollar; soreness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (soreness) and URTICARIA (red circular welt welt which was about the size of a silver dollar) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012L20A) for COVID-19 vaccination. No Medical History information was reported. On 12-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Jan-2021, the patient experienced PAIN (soreness). On 14-Feb-2021, the patient experienced URTICARIA (red circular welt welt which was about the size of a silver dollar). At the time of the report, PAIN (soreness) and URTICARIA (red circular welt welt which was about the size of a silver dollar) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided. Treatment Benadryl

Other Meds:

Current Illness:

ID: 1568648
Sex: M
Age: 47
State: PA

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Fever 99 F; Nausea; Chills again; Aches & Pain all over his body; vomiting; Fever 100 F; Chills; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Aches & Pain all over his body), VOMITING (vomiting), PYREXIA (Fever 100 F), CHILLS (Chills) and NAUSEA (Nausea) in a 47-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 No adverse event (No adverse event reported). On 15-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Jan-2021, the patient experienced PAIN (Aches & Pain all over his body), VOMITING (vomiting), PYREXIA (Fever 100 F) and CHILLS (Chills). On 21-Jan-2021, the patient experienced NAUSEA (Nausea) and CHILLS (Chills again). On an unknown date, the patient experienced PYREXIA (Fever 99 F). On 17-Jan-2021, PAIN (Aches & Pain all over his body), VOMITING (vomiting), PYREXIA (Fever 100 F) and CHILLS (Chills) had resolved. At the time of the report, NAUSEA (Nausea) and CHILLS (Chills again) had resolved and PYREXIA (Fever 99 F) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided. Treatment Advil

Other Meds:

Current Illness:

ID: 1568649
Sex: F
Age: 74
State: MS

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

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

Lab Data:

Allergies:

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

Symptoms: indigestion; SENSITIVE TUMMY AREA; Couldn't sleep well because all my body hurt; bone started hurting a lot from my neck down to my feet; really tired all weekend; didn't do anything; the day of the vaccine, arm started to hurt; muscle started hurting a lot from my neck down to my feet; This spontaneous case was reported by a consumer and describes the occurrence of ABDOMINAL DISCOMFORT (SENSITIVE TUMMY AREA), SLEEP DEFICIT (Couldn't sleep well because all my body hurt), DYSPEPSIA (indigestion), BONE PAIN (bone started hurting a lot from my neck down to my feet) and FATIGUE (really tired all weekend; didn't do anything) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 041L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Allergy. Concomitant products included PANTOPRAZOLE (Protonix), MULTIVITAMIN (Centrum silver vitamin), CALCIUM CARBONATE, COLECALCIFEROL (CALTRATE 600 + D), ACETYLSALICYLIC ACID (ASPIRIN) and ASCORBIC ACID (VITAMIN C). 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 SLEEP DEFICIT (Couldn't sleep well because all my body hurt), BONE PAIN (bone started hurting a lot from my neck down to my feet), FATIGUE (really tired all weekend; didn't do anything), INJECTION SITE PAIN (the day of the vaccine, arm started to hurt) and MYALGIA (muscle started hurting a lot from my neck down to my feet). On 18-Jan-2021, the patient experienced ABDOMINAL DISCOMFORT (SENSITIVE TUMMY AREA) and DYSPEPSIA (indigestion). On 18-Jan-2021, BONE PAIN (bone started hurting a lot from my neck down to my feet) and MYALGIA (muscle started hurting a lot from my neck down to my feet) had resolved. At the time of the report, ABDOMINAL DISCOMFORT (SENSITIVE TUMMY AREA), SLEEP DEFICIT (Couldn't sleep well because all my body hurt), DYSPEPSIA (indigestion) and FATIGUE (really tired all weekend; didn't do anything) outcome was unknown and INJECTION SITE PAIN (the day of the vaccine, arm started to hurt) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided No treatment information provided

Other Meds: Protonix; Centrum silver vitamin; CALTRATE 600 + D; ASPIRIN; VITAMIN C

Current Illness:

ID: 1568650
Sex: M
Age:
State: NY

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

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Shaky; Very weak; Tired; low grade fever (99 F); This spontaneous case was reported by a consumer and describes the occurrence of TREMOR (Shaky), ASTHENIA (Very weak), FATIGUE (Tired) and PYREXIA (low grade fever (99 F)) in a 95-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event (No reported medical history). On 14-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Jan-2021, the patient experienced TREMOR (Shaky), ASTHENIA (Very weak), FATIGUE (Tired) and PYREXIA (low grade fever (99 F)). At the time of the report, TREMOR (Shaky), ASTHENIA (Very weak), FATIGUE (Tired) and PYREXIA (low grade fever (99 F)) 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: 1568651
Sex: F
Age: 72
State: FL

Vax Date: 01/09/2021
Onset Date: 01/20/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: arm was sensitive; red arm; arm a little bit swollen; injection site is redder (4 inches long); arm warm to the touch; This spontaneous case was reported by a consumer and describes the occurrence of LIMB DISCOMFORT (arm was sensitive), ERYTHEMA (red arm), PERIPHERAL SWELLING (arm a little bit swollen), VACCINATION SITE WARMTH (arm warm to the touch) and INJECTION SITE ERYTHEMA (injection site is redder (4 inches long)) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Cholesterol (Medicine taking for cholesterol) and Stye (Taking eyedrops). Concomitant products included NEOMYCIN and POLYMYXIN for Stye. On 09-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Jan-2021, the patient experienced LIMB DISCOMFORT (arm was sensitive), ERYTHEMA (red arm), PERIPHERAL SWELLING (arm a little bit swollen) and INJECTION SITE ERYTHEMA (injection site is redder (4 inches long)). On an unknown date, the patient experienced VACCINATION SITE WARMTH (arm warm to the touch). At the time of the report, LIMB DISCOMFORT (arm was sensitive), ERYTHEMA (red arm), PERIPHERAL SWELLING (arm a little bit swollen), VACCINATION SITE WARMTH (arm warm to the touch) and INJECTION SITE ERYTHEMA (injection site is redder (4 inches long)) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medication, cholesterol and is taking some eyedrops for a stye (inflammation of the eyelid). Treatment medication included ice on the arm.

Other Meds: NEOMYCIN; POLYMYXIN

Current Illness: Cholesterol (Medicine taking for cholesterol); Stye (Taking eyedrops)

ID: 1568652
Sex: F
Age:
State: WA

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Redness; Hives; Itching; This spontaneous case was reported by a health care professional (subsequently medically confirmed) and describes the occurrence of in a 31-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event (No relevant medical history reported.). Concomitant products included CETIRIZINE HYDROCHLORIDE (ZYRTEC ALLERGY), VERAPAMIL and MEMANTINE HYDROCHLORIDE (NAMENDA). On 26-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were provided No treatment information provided

Other Meds: ZYRTEC ALLERGY; VERAPAMIL; NAMENDA

Current Illness:

ID: 1568653
Sex: F
Age: 70
State: TX

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

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

Lab Data:

Allergies:

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

Symptoms: a lot of inflammation on the left side: into my breast, into my knee, hip; inflammation on the left side: into my breast, into my knee, hip; inflammation on the left side: into my breast, into my knee, hip; teeth chattered for 4 hours; high fever; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of JOINT SWELLING (inflammation on the left side: into my breast, into my knee, hip) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 02SL20A) for COVID-19 vaccination. The patient's past medical history included No adverse event (No reported medical history.). On 08-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Jan-2021, the patient experienced JOINT SWELLING (inflammation on the left side: into my breast, into my knee, hip). At the time of the report, JOINT SWELLING (inflammation on the left side: into my breast, into my knee, hip) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were provided No treatment information provided

Other Meds:

Current Illness:

ID: 1568654
Sex: F
Age:
State: PA

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: headache; muscle ache; fatigue; This spontaneous case was reported by a physician and describes the occurrence of in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. unknown) for COVID-19 vaccination. The patient's past medical history included COVID-19 on 18-Jan-2021. On 09-Jan-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 18-Jan-2021, COVID-19 (positive-negative): positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were provided No treatment information provided

Other Meds:

Current Illness:

ID: 1568655
Sex: F
Age: 68
State: FL

Vax Date: 12/23/2020
Onset Date: 01/16/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: extreme facial swelling; extreme facial hives; This spontaneous case was reported by a nurse and describes the occurrence of SWELLING FACE (extreme facial swelling) and URTICARIA (extreme facial hives) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. The patient's past medical history included No adverse event (No reported medical history.). Concurrent medical conditions included Ulcer and Hypothyroidism. Concomitant products included LEVOTHYROXINE SODIUM (SYNTHROID) for Hypothyroidism, AMOXICILLIN for Tooth abscess, OMEPRAZOLE MAGNESIUM (PRILOSEC [OMEPRAZOLE MAGNESIUM]). On 23-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Jan-2021, the patient experienced SWELLING FACE (extreme facial swelling) and URTICARIA (extreme facial hives). At the time of the report, SWELLING FACE (extreme facial swelling) and URTICARIA (extreme facial hives) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Treatment medication included Benadryl

Other Meds: AMOXICILLIN; PRILOSEC [OMEPRAZOLE MAGNESIUM]; SYNTHROID

Current Illness: Hypothyroidism; Ulcer

ID: 1568656
Sex: F
Age: 77
State: MS

Vax Date: 01/11/2021
Onset Date: 01/17/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: breakout with itchy rash all over body; breakout with itchy rash all over body; This spontaneous case was reported by a consumer and describes the occurrence of RASH (breakout with itchy rash all over body) and PRURITUS (breakout with itchy rash all over body) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025L20A) for COVID-19 vaccination. Co-suspect product included non-company product zytec for an unknown indication. Concomitant products included SALBUTAMOL (ALBUTEROL HFA), ALPRAZOLAM (XANAX), APIXABAN (ELIQUIS), ACETYLSALICYLIC ACID (ASPIRIN (E.C.)), ATORVASTATIN (LIPTOR [ATORVASTATIN]), BUMETANIDE (BUMEX), MINERALS NOS, VITAMINS NOS (CENTRUM A TO ZINC), COLECALCIFEROL (VIT D3), GABAPENTIN, LANSOPRAZOLE, LACTOBACILLUS ACIDOPHILUS (LACTOBACILLUS) and PRIMIDONE. On 11-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient started zytec (unknown route) at an unspecified dose. On 17-Jan-2021, the patient experienced RASH (breakout with itchy rash all over body) and PRURITUS (breakout with itchy rash all over body). At the time of the report, RASH (breakout with itchy rash all over body) and PRURITUS (breakout with itchy rash all over body) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment Steroid shot and Zyrtec

Other Meds: ALBUTEROL HFA; XANAX; ELIQUIS; ASPIRIN (E.C.); LIPTOR [ATORVASTATIN]; BUMEX; CENTRUM A TO ZINC; VIT D3; GABAPENTIN; LANSOPRAZOLE; LACTOBACILLUS; PRIMIDONE; ZYRTEC

Current Illness:

ID: 1568657
Sex: F
Age:
State: TX

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Eight to nine days after the shot the arm got sore and it is sore still; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Eight to nine days after the shot the arm got sore and it is sore still) 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 07-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 VACCINATION SITE PAIN (Eight to nine days after the shot the arm got sore and it is sore still). At the time of the report, VACCINATION SITE PAIN (Eight to nine days after the shot the arm got sore and it is sore still) 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: 1568658
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: rash at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE RASH (rash at the injection site) 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 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 SITE RASH (rash at the injection site). At the time of the report, VACCINATION SITE RASH (rash at the injection site) 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: 1568659
Sex: F
Age:
State:

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 08/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Rash spreading to chest and arms; Rash in injection site; This spontaneous case was reported by a consumer and describes the occurrence of RASH (Rash spreading to chest and arms) and VACCINATION SITE RASH (Rash in injection site) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012L20A) 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 13-Jan-2021, the patient experienced RASH (Rash spreading to chest and arms) and VACCINATION SITE RASH (Rash in injection site). At the time of the report, RASH (Rash spreading to chest and arms) and VACCINATION SITE RASH (Rash in injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided. Treatment Antibiotics and cefadroxil

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm