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: 1563196
Sex: F
Age: 75
State: NJ

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 08/15/2021
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Symptom List:

Symptoms: tested positive for Covid19; Loss of appetite; Aching in her neck which got to the other side; Couldn't smell anything; Couldn't taste anything; LIttle bit of headache; Fatigue; Fever; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (tested positive for Covid19), DECREASED APPETITE (Loss of appetite), NECK PAIN (Aching in her neck which got to the other side), ANOSMIA (Couldn't smell anything) and AGEUSIA (Couldn't taste anything) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Arthritis (In her right knee.) and Hypothyroidism. Concomitant products included THYROID (ARMOUR THYROID) for an unknown indication. On 27-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Feb-2021, the patient experienced DECREASED APPETITE (Loss of appetite), NECK PAIN (Aching in her neck which got to the other side), ANOSMIA (Couldn't smell anything), AGEUSIA (Couldn't taste anything), HEADACHE (LIttle bit of headache), FATIGUE (Fatigue) and PYREXIA (Fever). On 03-Mar-2021, the patient experienced COVID-19 (tested positive for Covid19). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, COVID-19 (tested positive for Covid19), DECREASED APPETITE (Loss of appetite), NECK PAIN (Aching in her neck which got to the other side), HEADACHE (LIttle bit of headache), FATIGUE (Fatigue) and PYREXIA (Fever) outcome was unknown and ANOSMIA (Couldn't smell anything) and AGEUSIA (Couldn't taste anything) was resolving. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 03-Mar-2021, SARS-CoV-2 test: positive (Positive) Positive. On an unknown date, Oxygen saturation: 95 % (Low) pulse oxygen went down to about 95% but didn't go any lower.. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient reports that after the first dose her pulse oxygen was 95%.. This case was linked to MOD-2021-244666 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 01-Jul-2021: Significant Follow-up received on 01-JUL-2021, Added other events and lab data. On 16-Jul-2021: Follow up received on 16-JUL-2021 contains No New Information. On 28-Jul-2021: Non-significant follow-up case booked in; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. This is also a case with an adverse event of COVID-19. Based on the mechanism of action of mRNA-1273 the event COVID-19 is unlikely related to the vaccine.

Other Meds: ARMOUR THYROID

Current Illness: Arthritis (In her right knee.); Hypothyroidism

ID: 1563197
Sex: F
Age: 70
State: PA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 08/15/2021
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Symptoms: left side of face tight; Bone pain around eye and cheek bone; headache; left eye watering; Face tightness; Ear ache; This spontaneous case was reported by a consumer and describes the occurrence of REDUCED FACIAL EXPRESSION (left side of face tight), BONE PAIN (Bone pain around eye and cheek bone), HEADACHE (headache), LACRIMATION INCREASED (left eye watering) and REDUCED FACIAL EXPRESSION (Face tightness) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event. On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Feb-2021, the patient experienced REDUCED FACIAL EXPRESSION (left side of face tight), BONE PAIN (Bone pain around eye and cheek bone), HEADACHE (headache), LACRIMATION INCREASED (left eye watering), REDUCED FACIAL EXPRESSION (Face tightness) and EAR PAIN (Ear ache). On 26-Feb-2021, HEADACHE (headache) had resolved. On 27-Feb-2021, LACRIMATION INCREASED (left eye watering) had resolved. On 03-Mar-2021, BONE PAIN (Bone pain around eye and cheek bone) had resolved. At the time of the report, REDUCED FACIAL EXPRESSION (left side of face tight), REDUCED FACIAL EXPRESSION (Face tightness) and EAR PAIN (Ear ache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication was provided. No treatment details were provided.

Other Meds:

Current Illness:

ID: 1563198
Sex: F
Age: 74
State: MS

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 08/15/2021
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Symptoms: Felt sick all day; Couldn't ate; This spontaneous case was reported by a consumer and describes the occurrence of ILLNESS (Felt sick all day) and DECREASED APPETITE (Couldn't ate) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. unk) for COVID-19 vaccination. The patient's past medical history included COPD since an unknown date. Concurrent medical conditions included Asthma and Hypertension. On 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Mar-2021, the patient experienced ILLNESS (Felt sick all day) and DECREASED APPETITE (Couldn't ate). At the time of the report, ILLNESS (Felt sick all day) and DECREASED APPETITE (Couldn't ate) was resolving. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication was provided. No treatment details were provided. Most recent FOLLOW-UP information incorporated above includes: On 01-May-2021: NNI

Other Meds:

Current Illness: Asthma; COPD; Hypertension

ID: 1563199
Sex: F
Age:
State: NC

Vax Date:
Onset Date:
Rec V Date: 08/15/2021
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Symptoms: my wife had a sore arm; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (my wife had a sore arm) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. unknown and unknown) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 2 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE PAIN (my wife had a sore arm). At the time of the report, VACCINATION SITE PAIN (my wife had a sore arm) outcome was unknown. Concomitant product use was not provided. Treatment information was not provided. This case was linked to MOD21-046688 (Linked Report).; Sender's Comments: MOD21-046688:Cross linked

Other Meds:

Current Illness:

ID: 1563200
Sex: M
Age: 12
State: NY

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 08/15/2021
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Symptoms: Administered vaccination to a patient that was 17 years old; A spontaneous report () was received from a healthcare professional concerning a 17-years-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) (Product administered to patient of inappropriate age) . The patient's medical history was not provided. No relevant concomitant medications were reported. On 5 Mar 2021, prior to the onset of the events the patient received their first of two planned doses of mRNA-1273 (lot/batch: 014M20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. The nurse was aware that the patient was recommended to be 18 years of age (Product administered to patient of inappropriate age). No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The outcome of event was recovered.; Reporter's Comments: This report refers to a case of product administered to patient of inappropriate age (17 year old male) for mRNA-1273 (lot number 014M20A) with no associated AEs reported.

Other Meds:

Current Illness:

ID: 1563201
Sex: F
Age: 58
State: CO

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 08/15/2021
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Symptoms: swollen glands/(swollen glands) hurt; it hurts to swallow/affecting her whole neck; headache/headache (on and off); tired/fatigue/tired(on and off)/fatigue (on and off); This spontaneous case was reported by a consumer and describes the occurrence of LYMPHADENOPATHY (swollen glands/(swollen glands) hurt), HEADACHE (headache/headache (on and off)), FATIGUE (tired/fatigue/tired(on and off)/fatigue (on and off)) and DYSPHAGIA (it hurts to swallow/affecting her whole neck) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011M209) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 16-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Feb-2021, the patient experienced HEADACHE (headache/headache (on and off)) and FATIGUE (tired/fatigue/tired(on and off)/fatigue (on and off)). On 03-Mar-2021, the patient experienced LYMPHADENOPATHY (swollen glands/(swollen glands) hurt) and DYSPHAGIA (it hurts to swallow/affecting her whole neck). On 19-Feb-2021, HEADACHE (headache/headache (on and off)) and FATIGUE (tired/fatigue/tired(on and off)/fatigue (on and off)) had resolved. At the time of the report, LYMPHADENOPATHY (swollen glands/(swollen glands) hurt) and DYSPHAGIA (it hurts to swallow/affecting her whole neck) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication was provided. No treatment details were provided.

Other Meds:

Current Illness:

ID: 1563202
Sex: F
Age:
State:

Vax Date: 02/17/2021
Onset Date:
Rec V Date: 08/15/2021
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Symptoms: woke up with night sweats only not as severe as before; still felt a bit sluggish; chills; body aches; This spontaneous case was reported by a and describes the occurrence of NIGHT SWEATS (woke up with night sweats only not as severe as before), SLUGGISHNESS (still felt a bit sluggish), CHILLS (chills) and MYALGIA (body aches) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029L20A) for COVID-19 vaccination. The patient's past medical history included Hypertension since an unknown date and Anxiety since an unknown date. Concomitant products included OLMESARTAN for Hypertension, SODIUM CITRATE ACID (ALBACIT), CLONAZEPAM and TRAZODONE HYDROCHLORIDE (TRAZODONE ACTAVIS). On 17-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 second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) at an unspecified dose. On an unknown date, the patient experienced NIGHT SWEATS (woke up with night sweats only not as severe as before), SLUGGISHNESS (still felt a bit sluggish), CHILLS (chills) and MYALGIA (body aches). The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date at an unspecified dose and frequency. At the time of the report, NIGHT SWEATS (woke up with night sweats only not as severe as before), SLUGGISHNESS (still felt a bit sluggish), CHILLS (chills) and MYALGIA (body aches) outcome was unknown. This case was linked to MOD-2021-035731, MOD-2021-035745 (Patient Link).

Other Meds: OLMESARTAN; ALBACIT; CLONAZEPAM; TRAZODONE ACTAVIS

Current Illness: Anxiety; Hypertension

ID: 1563203
Sex: M
Age:
State: MO

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 08/15/2021
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Symptoms: Shaking; Very Nauseated out of deep sleep; Feverish; A spontaneous report (United Sates) was received from a consumer, concerning an 77 years-old male, who received Moderna's COVID-19 vaccine (mRNA-1273), which patient received the second dose on 04 Mar 2021 an experienced being very nauseated, out of deep sleep shaking, and feverish. The patient's medical history was not reported. The concomitant medications were Metoprolol and Eliquis. 04 Mar 2021 The 2nd dose of the vaccine prior to the onset event the patient (batch- lot 003A21A), was given intramuscularly in the arm for the prophylaxis of COVID-19 infection. On 05 Mar 2021, the patient experienced being very nauseated out of deep sleep, shaking and feverish Action taken with second dose of mRNA-1273 was not applicable. The outcome of the all events was unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1563204
Sex: F
Age: 78
State: OH

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 08/15/2021
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Symptoms: chills; headaches; body aches; This spontaneous case was reported by a consumer and describes the occurrence of CHILLS (chills), HEADACHE (headaches) and MYALGIA (body aches) in a 78-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. On 04-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 2 dosage form. On 05-Mar-2021, the patient experienced CHILLS (chills), HEADACHE (headaches) and MYALGIA (body aches). At the time of the report, CHILLS (chills), HEADACHE (headaches) and MYALGIA (body aches) outcome was unknown. No concomitant medication was provided. No treatment details were provided.

Other Meds:

Current Illness:

ID: 1563205
Sex: U
Age:
State: MI

Vax Date:
Onset Date:
Rec V Date: 08/15/2021
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Symptoms: felt bad; side effects were worse after the second dose; fever; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (felt bad), VACCINATION COMPLICATION (side effects were worse after the second dose) and PYREXIA (fever) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced FEELING ABNORMAL (felt bad), VACCINATION COMPLICATION (side effects were worse after the second dose) and PYREXIA (fever). At the time of the report, FEELING ABNORMAL (felt bad), VACCINATION COMPLICATION (side effects were worse after the second dose) and PYREXIA (fever) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: inconclusive (Inconclusive) Inconclusive. No concomitant medications were reported. No treatment medications were reported. Most recent FOLLOW-UP information incorporated above includes: On 20-Jul-2021: Follow-up received updated event outcome to "Recovered" for all events.

Other Meds:

Current Illness:

ID: 1563206
Sex: U
Age:
State: PA

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 08/15/2021
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Symptoms: Vaccine leaked onto patient/syringe malfunctioned; Vaccine leaked onto patient; This spontaneous case was reported by a pharmacist (subsequently medically confirmed) and describes the occurrence of DEVICE MALFUNCTION (Vaccine leaked onto patient/syringe malfunctioned) and UNDERDOSE (Vaccine leaked onto patient) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 05-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 UNK. On 05-Mar-2021, the patient experienced DEVICE MALFUNCTION (Vaccine leaked onto patient/syringe malfunctioned) and UNDERDOSE (Vaccine leaked onto patient). On 05-Mar-2021, DEVICE MALFUNCTION (Vaccine leaked onto patient/syringe malfunctioned) and UNDERDOSE (Vaccine leaked onto patient) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were reported. Treatment information was not provided.; Sender's Comments: This case concerns a patient who received their first of two planned doses of mRNA-1273 (Lot # unknown), reporting (device malfunction and underdose) without any associated adverse events. The outcome of the events is reported as resolved.

Other Meds:

Current Illness:

ID: 1563207
Sex: F
Age: 74
State: FL

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 08/15/2021
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Symptoms: Muscle pain; Restlessness on the night; Flu like symptoms; Shoulder pain; This spontaneous case was reported by a consumer and describes the occurrence of RESTLESSNESS (Restlessness on the night), INFLUENZA LIKE ILLNESS (Flu like symptoms), ARTHRALGIA (Shoulder pain) and MYALGIA (Muscle pain) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031L20A) for COVID-19 vaccination. No medical history was provided by the reporter. 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 RESTLESSNESS (Restlessness on the night), INFLUENZA LIKE ILLNESS (Flu like symptoms) and ARTHRALGIA (Shoulder pain). On an unknown date, the patient experienced MYALGIA (Muscle pain). At the time of the report, RESTLESSNESS (Restlessness on the night), INFLUENZA LIKE ILLNESS (Flu like symptoms), ARTHRALGIA (Shoulder pain) and MYALGIA (Muscle pain) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Concomitant product use was reported. No treatment information was provided. This case was linked to MOD-2021-036335 (Patient Link).

Other Meds:

Current Illness:

ID: 1563208
Sex: F
Age:
State: OH

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

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Symptoms: Whole day in bed; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (Whole day in bed) 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 first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced FEELING ABNORMAL (Whole day in bed). At the time of the report, FEELING ABNORMAL (Whole day in bed) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant concomitant medications included. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1563209
Sex: F
Age: 86
State: FL

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 08/15/2021
Hospital:

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Symptoms: Diarrhea; Upset Stomach; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (Diarrhea) and ABDOMINAL DISCOMFORT (Upset Stomach) in an 86-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011A21A) for COVID-19 vaccination. Concurrent medical conditions included Hypertension. On 04-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Mar-2021, the patient experienced DIARRHOEA (Diarrhea) and ABDOMINAL DISCOMFORT (Upset Stomach). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, DIARRHOEA (Diarrhea) and ABDOMINAL DISCOMFORT (Upset Stomach) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication was reported as blood pressure medications.

Other Meds:

Current Illness: Hypertension

ID: 1563210
Sex: F
Age:
State:

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

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Symptoms: pregnant woman comes for the Moderna vaccine; This spontaneous prospective pregnancy case was reported by a pharmacist and describes the occurrence of EXPOSURE DURING PREGNANCY (pregnant woman comes for the Moderna vaccine) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. Last menstrual period and estimated date of delivery were not provided. On an unknown date, the patient experienced EXPOSURE DURING PREGNANCY (pregnant woman comes for the Moderna vaccine). At the time of the report, EXPOSURE DURING PREGNANCY (pregnant woman comes for the Moderna vaccine) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter considered EXPOSURE DURING PREGNANCY (pregnant woman comes for the Moderna vaccine) to be not applicable. No concomitant medications were reported. No laboratory details were provided. No treatment medications were reported.

Other Meds:

Current Illness:

ID: 1563211
Sex: F
Age: 78
State: NY

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

Vax Type:
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Lab Data:

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Symptom List:

Symptoms: Fuzzy-headed feeling; Fatigue; Body aches; Just below the injection site that was a large raised area that was intensely itchy.; Arm Soreness; Extreme Pain; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (Fuzzy-headed feeling), VACCINATION SITE PAIN (Arm Soreness), PAIN (Extreme Pain), FATIGUE (Fatigue) and MYALGIA (Body aches) in a 78-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 No adverse event. On 08-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 VACCINATION SITE PAIN (Arm Soreness) and PAIN (Extreme Pain). On 10-Feb-2021, the patient experienced FEELING ABNORMAL (Fuzzy-headed feeling), FATIGUE (Fatigue), MYALGIA (Body aches) and INJECTION SITE PRURITUS (Just below the injection site that was a large raised area that was intensely itchy.). At the time of the report, FEELING ABNORMAL (Fuzzy-headed feeling), VACCINATION SITE PAIN (Arm Soreness), PAIN (Extreme Pain), FATIGUE (Fatigue), MYALGIA (Body aches) and INJECTION SITE PRURITUS (Just below the injection site that was a large raised area that was intensely itchy.) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1563212
Sex: M
Age: 38
State: OH

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 08/15/2021
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Symptoms: administered 1ml of the vaccine instead of just 0.5ml; This spontaneous case was reported by a pharmacist (subsequently medically confirmed) and describes the occurrence of ACCIDENTAL OVERDOSE (administered 1ml of the vaccine instead of just 0.5ml) in a 38-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029A21A) for COVID-19 vaccination. No Medical History information was reported. On 06-Mar-2021 at 11:15 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 2 dosage form. On 06-Mar-2021 at 11:15 AM, the patient experienced ACCIDENTAL OVERDOSE (administered 1ml of the vaccine instead of just 0.5ml). On 06-Mar-2021 at 11:15 AM, ACCIDENTAL OVERDOSE (administered 1ml of the vaccine instead of just 0.5ml) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medication was reported. No treatment information was provided. This case was linked to US-MODERNATX, INC.-MOD-2021-035792, US-MODERNATX, INC.-MOD-2021-035848, US-MODERNATX, INC.-MOD-2021-035866 (Linked Report).; Sender's Comments: US-MODERNATX, INC.-MOD-2021-035792: US-MODERNATX, INC.-MOD-2021-035848: US-MODERNATX, INC.-MOD-2021-035866:

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Current Illness:

ID: 1563213
Sex: F
Age: 70
State: NJ

Vax Date: 01/19/2021
Onset Date: 01/28/2021
Rec V Date: 08/15/2021
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Symptoms: redness; covid arm; hypersensitivity reaction; itching all day; This spontaneous case was reported by a consumer and describes the occurrence of HYPERSENSITIVITY (hypersensitivity reaction), PRURITUS (itching all day), ERYTHEMA (redness) and VACCINATION SITE REACTION (covid arm) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 012l20A and 007M20A) for COVID-19 vaccination. The patient's past medical history included Hypersensitivity reaction (hypersensitivity reactions to vaccine - small pox ( 1976) it was itchy on the left arm for 12 months.) and Hypersensitivity reaction (hypersensitivity reactions to medications -penicillin ( rash after 10 days )). Concurrent medical conditions included Hypersensitivity reaction (codeine ( red cheeks )), Hives and Asthma. Concomitant products included ALBUTEROL [SALBUTAMOL], MONTELUKAST SODIUM (SINGULAIR), FLUTICASONE FUROATE, VILANTEROL TRIFENATATE (BREO ELLIPTA) and TIOTROPIUM BROMIDE (SPIRIVA) for Asthma, ATORVASTATIN CALCIUM (LIPITOR) for Blood cholesterol abnormal, DENOSUMAB (PROLIA) for an unknown indication. On 19-Jan-2021 at 6:00 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Feb-2021 at 6:00 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 28-Jan-2021, the patient experienced HYPERSENSITIVITY (hypersensitivity reaction). 28-Jan-2021, the patient experienced PRURITUS (itching all day) and VACCINATION SITE REACTION (covid arm). On an unknown date, the patient experienced ERYTHEMA (redness). The patient was treated with CETIRIZINE HYDROCHLORIDE (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) (oral) on 28-Jan-2021 for Hypersensitivity reaction, at a dose of 10 mg once a day and CLOBETASOL PROPIONATE (CLOBETASOL 0.05%) (topical) from 28-Jan-2021 to 05-Feb-2021 for Hypersensitivity reaction, at a dose of UNK dosage form. On 02-May-2021, HYPERSENSITIVITY (hypersensitivity reaction) had resolved. At the time of the report, PRURITUS (itching all day) and VACCINATION SITE REACTION (covid arm) had resolved and ERYTHEMA (redness) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. This case was linked to MOD-2021-041232 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 17-May-2021: Added vaccines' batch numbers, patient demographics, medical history, concomitant drug indications and dosage information and treatment drugs.

Other Meds: ALBUTEROL [SALBUTAMOL]; SINGULAIR; BREO ELLIPTA; SPIRIVA; LIPITOR; PROLIA

Current Illness: Asthma; Hives; Hypersensitivity reaction (codeine ( red cheeks ))

ID: 1563214
Sex: F
Age: 63
State: NV

Vax Date: 01/27/2021
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Rec V Date: 08/15/2021
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Symptoms: Pain in arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Pain in arm) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 037K20A) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included HCTZ, OMEPRAZOLE and LATANOPROST for an unknown indication. On 27-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 arm). At the time of the report, PAIN IN EXTREMITY (Pain in arm) outcome was unknown. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged. No treatment information was provided. This case was linked to MOD-2021-035804 (Patient Link).

Other Meds: HCTZ; OMEPRAZOLE; LATANOPROST

Current Illness:

ID: 1563215
Sex: F
Age: 68
State: GA

Vax Date: 02/09/2021
Onset Date:
Rec V Date: 08/15/2021
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Symptoms: raw throat; fever; chills; This spontaneous case was reported by a consumer and describes the occurrence of THROAT IRRITATION (raw throat), PYREXIA (fever) and CHILLS (chills) in a 68-year-old female 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) 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 an unknown date, the patient experienced THROAT IRRITATION (raw throat), PYREXIA (fever) and CHILLS (chills). At the time of the report, THROAT IRRITATION (raw throat), PYREXIA (fever) and CHILLS (chills) outcome was unknown. No concomitant medications were reported. Treatment medications were not provided by the reporter. Most recent FOLLOW-UP information incorporated above includes: On 01-May-2021: Follow up received on 01-MAY-2021: Contain No new information. patient to follow up through regular mail. On 09-Jul-2021: Follow Up was received on 09-JUL-2021 Contain no new information.

Other Meds:

Current Illness:

ID: 1563216
Sex: F
Age: 55
State: OH

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 08/15/2021
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Symptoms: I gave 1ml of the vaccine instead of just 0.5ml; This spontaneous case was reported by a pharmacist and describes the occurrence of ACCIDENTAL OVERDOSE (I gave 1ml of the vaccine instead of just 0.5ml) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029A21A) for COVID-19 immunization. No Medical History information was reported. On 06-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 ml. On 06-Mar-2021, the patient experienced ACCIDENTAL OVERDOSE (I gave 1ml of the vaccine instead of just 0.5ml). On 06-Mar-2021, ACCIDENTAL OVERDOSE (I gave 1ml of the vaccine instead of just 0.5ml) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No relevant concomitant medications were reported. No treatment information was provided. This case was linked to INC.-MOD-2021-035775 (E2B Linked Report).; Sender's Comments: INC.-MOD-2021-035775:

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Current Illness:

ID: 1563217
Sex: F
Age: 75
State: PA

Vax Date: 01/30/2021
Onset Date: 02/06/2021
Rec V Date: 08/15/2021
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Symptoms: itchy; swollen; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (itchy) and SWELLING (swollen) in a 75-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 30-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-Feb-2021, the patient experienced PRURITUS (itchy) and SWELLING (swollen). On 20-Feb-2021, PRURITUS (itchy) and SWELLING (swollen) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. This case was linked to MOD-2021-035817 (Patient Link).

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Current Illness:

ID: 1563218
Sex: F
Age: 74
State: FL

Vax Date: 02/22/2021
Onset Date: 02/24/2021
Rec V Date: 08/15/2021
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Symptoms: blisters where the rash was but they were "separate" and on top of the rash; painful; itchy; "COVID arm" along with rashes on her chest, midriff, both legs, and both arms; This spontaneous case was reported by a consumer and describes the occurrence of BLISTER (blisters where the rash was but they were "separate" and on top of the rash), PAIN (painful), PRURITUS (itchy) and RASH ("COVID arm" along with rashes on her chest, midriff, both legs, and both arms) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 015M20A) for COVID-19 vaccination. The patient's past medical history was not reported . On 22-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 24-Feb-2021, the patient experienced BLISTER (blisters where the rash was but they were "separate" and on top of the rash), PAIN (painful), PRURITUS (itchy) and RASH ("COVID arm" along with rashes on her chest, midriff, both legs, and both arms). The patient was treated with IBUPROFEN (ADVIL [IBUPROFEN]) at an unspecified dose and frequency and ALOE VERA at an unspecified dose and frequency. On 01-Mar-2021, BLISTER (blisters where the rash was but they were "separate" and on top of the rash), PRURITUS (itchy) and RASH ("COVID arm" along with rashes on her chest, midriff, both legs, and both arms) had resolved and PAIN (painful) outcome was unknown. No Concomitant medications were provided Treatment medication also includes Anti-itch medicines. This case was linked to PT-MODERNATX, INC.-MOD-2021-045860 (E2B Linked Report). Most recent FOLLOW-UP information incorporated above includes: On 04-May-2021: Non-significant information, Patient's email address, case linking added.; Sender's Comments: PT-MODERNATX, INC.-MOD-2021-045860:

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Current Illness:

ID: 1563219
Sex: M
Age: 59
State: NY

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 08/15/2021
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Symptoms: Redness; Swelling of the lymph nodes under the armpit and near the chest about 3 inches long and 1 and a half wide, raised; Fever 100F; Body aches; Headache; Soreness in the injection site; This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (Redness), LYMPHADENOPATHY (Swelling of the lymph nodes under the armpit and near the chest about 3 inches long and 1 and a half wide, raised), PYREXIA (Fever 100F), MYALGIA (Body aches) and HEADACHE (Headache) in a 59-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COVID-19 (Previously around one year ago, he was exposed to COVID.) in April 2020. On 04-Mar-2021 at 5:00 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Mar-2021, the patient experienced ERYTHEMA (Redness), LYMPHADENOPATHY (Swelling of the lymph nodes under the armpit and near the chest about 3 inches long and 1 and a half wide, raised), PYREXIA (Fever 100F), MYALGIA (Body aches), HEADACHE (Headache) and VACCINATION SITE PAIN (Soreness in the injection site). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, ERYTHEMA (Redness), PYREXIA (Fever 100F), MYALGIA (Body aches), HEADACHE (Headache) and VACCINATION SITE PAIN (Soreness in the injection site) outcome was unknown and LYMPHADENOPATHY (Swelling of the lymph nodes under the armpit and near the chest about 3 inches long and 1 and a half wide, raised) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 05-Mar-2021, Body temperature: (High) 100 F. On 17-Mar-2021, Inhibiting antibodies: (High) He did his test IGG antibody before first vaccine shot and result were under threshold. He did the second test 12 days after first shot and antibody tested at high level after it.. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. Most recent FOLLOW-UP information incorporated above includes: On 02-Apr-2021: Follow-up information received on 02 Apr 2021.Added laboratory details, medical history and updated outcome of event.

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Current Illness:

ID: 1563220
Sex: F
Age:
State:

Vax Date: 02/04/2021
Onset Date: 03/05/2021
Rec V Date: 08/15/2021
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Symptoms: Itchy rash on the arm; Rash is all over her front body; Spot of the injection is itchy; This spontaneous case was reported by a consumer and describes the occurrence of RASH PRURITIC (Itchy rash on the arm), RASH (Rash is all over her front body) and VACCINATION SITE PRURITUS (Spot of the injection is itchy) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013A21A) for COVID-19 vaccination. Concurrent medical conditions included Penicillin allergy and Drug allergy (allergic to aspirin,codeine and sulfa drugs.). On 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 05-Mar-2021, the patient experienced RASH PRURITIC (Itchy rash on the arm), RASH (Rash is all over her front body) and VACCINATION SITE PRURITUS (Spot of the injection is itchy). At the time of the report, RASH PRURITIC (Itchy rash on the arm), RASH (Rash is all over her front body) and VACCINATION SITE PRURITUS (Spot of the injection is itchy) outcome was unknown. No Treatment information provided

Other Meds:

Current Illness: Drug allergy (allergic to aspirin,codeine and sulfa drugs.); Penicillin allergy

ID: 1563221
Sex: M
Age: 76
State: NJ

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 08/15/2021
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Symptoms: left shoulder slightly sore; This spontaneous case was reported by a consumer and describes the occurrence of ARTHRALGIA (left shoulder slightly sore) in a 76-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030A21A) for COVID-19 vaccination. Concurrent medical conditions included Penicillin allergy, Allergy to antibiotic (sulfa - suspected), Cancer (SLL cancer, bladder cancer) since 2013, Arrhythmia (heart rhythm problems) since 2013, Hypertension (blood pressure hypertension) since 2013 and Arthritis (old age arthritis) since 2006. Concomitant products included DIGOXIN from 14-Dec-2016 to an unknown date, APIXABAN (ELIQUIS) from 02-Dec-2016 to an unknown date and METOPROLOL from 03-Dec-2016 to an unknown date for Arrhythmia, ATORVASTATIN from 20-Aug-2014 to an unknown date for Cholesterol, LATANOPROST from 09-Sep-2011 to an unknown date for Glaucoma, AMLODIPINE from 03-Jul-2013 to an unknown date, CHLORTHALIDONE from 24-Jun-2014 to an unknown date and LOSARTAN from 30-May-2013 to an unknown date for Hypertension, METHENAMINE from 10-Aug-2018 to an unknown date and TAMSULOSIN from 19-Aug-2018 to an unknown date for UTI, BPH and Urinary retention, MULTIVITAMINS;MINERALS for an unknown indication. On 04-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Mar-2021, the patient experienced ARTHRALGIA (left shoulder slightly sore). At the time of the report, ARTHRALGIA (left shoulder slightly sore) had resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment medication was not provided This case was linked to MOD-2021-101196, MOD-2021-101196 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 02-May-2021: The Significant follow up received in which patient demographic details were added. Medical history information is added. Concomitant drugs were added. On 13-Jul-2021: Follow up received does not contain any new information.

Other Meds: AMLODIPINE; CHLORTHALIDONE; LOSARTAN; DIGOXIN; ELIQUIS; METOPROLOL; ATORVASTATIN; METHENAMINE; TAMSULOSIN; LATANOPROST; MULTIVITAMINS;MINERALS

Current Illness: Allergy to antibiotic (sulfa - suspected); Arrhythmia (heart rhythm problems); Arthritis (old age arthritis); Cancer (SLL cancer, bladder cancer); Hypertension (blood pressure hypertension); Penicillin allergy

ID: 1563222
Sex: F
Age: 63
State: NV

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 08/15/2021
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Symptoms: Itchy rash all over neck, face, jaw, eyes, head - under neck and eyes were really itchy , under; Itchy rash all over neck, face, jaw, eyes, head - under neck and eyes were really itchy , under; Noticed arm is red and itchy and has a hard spot; Noticed arm is red and itchy and has a hard spot; Noticed arm is red and itchy and has a hard spot; Had chills, fever, and felt achy; Had chills, fever, and felt achy; Had chills, fever, and felt achy; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Had chills, fever, and felt achy), ERYTHEMA (Noticed arm is red and itchy and has a hard spot), PRURITUS (Noticed arm is red and itchy and has a hard spot), INDURATION (Noticed arm is red and itchy and has a hard spot) and RASH PRURITIC (Itchy rash all over neck, face, jaw, eyes, head - under neck and eyes were really itchy , under) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 23-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Feb-2021, the patient experienced PAIN (Had chills, fever, and felt achy), CHILLS (Had chills, fever, and felt achy) and PYREXIA (Had chills, fever, and felt achy). On 28-Feb-2021, the patient experienced ERYTHEMA (Noticed arm is red and itchy and has a hard spot), PRURITUS (Noticed arm is red and itchy and has a hard spot) and INDURATION (Noticed arm is red and itchy and has a hard spot). On 01-Mar-2021, the patient experienced RASH PRURITIC (Itchy rash all over neck, face, jaw, eyes, head - under neck and eyes were really itchy , under) and RASH (Itchy rash all over neck, face, jaw, eyes, head - under neck and eyes were really itchy , under). At the time of the report, PAIN (Had chills, fever, and felt achy), RASH PRURITIC (Itchy rash all over neck, face, jaw, eyes, head - under neck and eyes were really itchy , under), RASH (Itchy rash all over neck, face, jaw, eyes, head - under neck and eyes were really itchy , under), CHILLS (Had chills, fever, and felt achy) and PYREXIA (Had chills, fever, and felt achy) had not resolved and ERYTHEMA (Noticed arm is red and itchy and has a hard spot), PRURITUS (Noticed arm is red and itchy and has a hard spot) and INDURATION (Noticed arm is red and itchy and has a hard spot) outcome was unknown. No concomitant medications were reported. Treatment details included Aloe vera. She used some Aloe Vera cream to alleviate the discomfort This case was linked to MOD-2021-035780 (Patient Link).

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Current Illness:

ID: 1563223
Sex: M
Age:
State: NJ

Vax Date:
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Rec V Date: 08/15/2021
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Symptoms: low-grade fever; chills; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (low-grade fever) and CHILLS (chills) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 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 PYREXIA (low-grade fever) and CHILLS (chills). At the time of the report, PYREXIA (low-grade fever) and CHILLS (chills) 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: 1563224
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/15/2021
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Symptoms: Paraesthesia; This spontaneous case was reported by a consumer and describes the occurrence of PARAESTHESIA (Paraesthesia) in a male 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 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 PARAESTHESIA (Paraesthesia). At the time of the report, PARAESTHESIA (Paraesthesia) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant products are reported. No treatment information was reported. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1563225
Sex: F
Age: 50
State: TX

Vax Date: 03/03/2021
Onset Date: 03/06/2021
Rec V Date: 08/15/2021
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Symptoms: itchiness everywhere on her body; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (itchiness everywhere on her body) in a 50-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012A21A) for COVID-19 vaccination. No medical information was reported. Concomitant products included AMOXICILLIN TRIHYDRATE, CLARITHROMYCIN, ESOMEPRAZOLE MAGNESIUM (NEXIUM 1-2-3) for Acid reflux (esophageal), OMEPRAZOLE for GERD, LEVOTHYROXINE and AZATHIOPRINE for an unknown indication. On 03-Mar-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Mar-2021, the patient experienced PRURITUS (itchiness everywhere on her body). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at a dose of 1 dosage form. At the time of the report, PRURITUS (itchiness everywhere on her body) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: OMEPRAZOLE; LEVOTHYROXINE; NEXIUM 1-2-3; AZATHIOPRINE

Current Illness:

ID: 1563226
Sex: M
Age: 67
State: GA

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 08/15/2021
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Symptoms: stomach cramping; brain fog; headache; joint pain; chills; fever; This spontaneous case was reported by a consumer and describes the occurrence of ABDOMINAL PAIN UPPER (stomach cramping), FEELING ABNORMAL (brain fog), HEADACHE (headache), ARTHRALGIA (joint pain) and CHILLS (chills) in a 67-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Allergy and Hay fever. On 26-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 27-Feb-2021, the patient experienced ABDOMINAL PAIN UPPER (stomach cramping), FEELING ABNORMAL (brain fog), HEADACHE (headache), ARTHRALGIA (joint pain), CHILLS (chills) and PYREXIA (fever). At the time of the report, ABDOMINAL PAIN UPPER (stomach cramping), FEELING ABNORMAL (brain fog), HEADACHE (headache), ARTHRALGIA (joint pain), CHILLS (chills) and PYREXIA (fever) outcome was unknown. No concomitant medications were reported. No laboratory details were provided. No treatment medications were reported. This case was linked to MOD21-085094 (E2B Linked Report). Most recent FOLLOW-UP information incorporated above includes: On 02-May-2021: Contact Information Updated; Sender's Comments: MOD21-085094:follow up - contact information updated - name , email , address.

Other Meds:

Current Illness: Allergy; Hay fever

ID: 1563227
Sex: F
Age: 41
State: TX

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 08/15/2021
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Symptoms: It was injected into their fatty tissue instead of the muscle; This spontaneous case was reported by a consumer and describes the occurrence of INCORRECT ROUTE OF PRODUCT ADMINISTRATION (It was injected into their fatty tissue instead of the muscle) in a 41-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029A21A) for COVID-19 vaccination. Concurrent medical conditions included Seasonal allergy. On 04-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Subcutaneous) 1 dosage form. On 04-Mar-2021, the patient experienced INCORRECT ROUTE OF PRODUCT ADMINISTRATION (It was injected into their fatty tissue instead of the muscle). On 04-Mar-2021, INCORRECT ROUTE OF PRODUCT ADMINISTRATION (It was injected into their fatty tissue instead of the muscle) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Subcutaneous) was unknown. No concomitant medications were reported. No corrective treatment was provided. Most recent FOLLOW-UP information incorporated above includes: On 23-Mar-2021: No new information received.; Sender's Comments: This report refers to a case of incorrect route of product administration for mRNA-1273 (lot # 029A21A) with no associated AEs reported

Other Meds:

Current Illness: Seasonal allergy

ID: 1563228
Sex: F
Age: 41
State: TX

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 08/15/2021
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Symptoms: injection site warmth; Itch around the injection site; Injection site immediately turned red; Injection site immediately began to swell; vaccination site pain; Vaccine was given subcutaneously; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of INCORRECT ROUTE OF PRODUCT ADMINISTRATION (Vaccine was given subcutaneously) in a 41-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029A21A and 027B21A) for COVID-19 vaccination. Concurrent medical conditions included Seasonal allergy. Concomitant products included FLUTICASONE PROPIONATE (FLONASE ALLERGY RELIEF) from 01-Jan-2016 to an unknown date for Seasonal allergy. On 04-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Subcutaneous) 1 dosage form. On 02-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 04-Mar-2021, the patient experienced INCORRECT ROUTE OF PRODUCT ADMINISTRATION (Vaccine was given subcutaneously). On 04-Mar-2021, INCORRECT ROUTE OF PRODUCT ADMINISTRATION (Vaccine was given subcutaneously) had resolved. Treatment information in response to events was not provided. Most recent FOLLOW-UP information incorporated above includes: On 08-Apr-2021: updated new events , vaccination site erythema, vaccination site pruritus, vaccination site pain, vaccination site warmthReporter contact details updated In product tab, second dose details of mRNA 1273 was updated. concomitant drug was updated patient demographics was updated; Sender's Comments: This report refers to a case of Inappropriate route of vaccination for mRNA-1273, lot # 029A21A with no associated AEs.

Other Meds: FLONASE ALLERGY RELIEF

Current Illness: Seasonal allergy

ID: 1563229
Sex: F
Age: 73
State: CA

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 08/15/2021
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Symptoms: Invalid dosing, received less than half dose,needle pooped out during administration; A spontaneous report was received from a nurse concerning a Consumer, 74 years- old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) with accidental underdose, received less than half dose. The patient's medical history included Hypertension,Diabetes Mellitus, Cholesterol, Hypothyroidism, and Acid Reflux. The concomitant medications included Labetalol hydrochloride , Amlodipine 5mg, Metformin, Empagliflozin for Diabetes Mellitus, Losartan For Hypertension, Rosuvastatin for Cholesterol, Levothyroxine For Hypothyroidism, Omeprazole For Acid Reflux. On 06 Mar 2021, prior to the onset of the events, the patient received the unknown of the two planned doses of mRNA-1273 (lot/batch: 001A21A) intramuscularly at unknown anatomical location for prophylaxis of COVID-19 infection. On 06 Mar 2021, the patient received accidental underdose, received less than half dose. No Laboratory investigations were provided. No Treatment information was provided. Action taken with mRNA-1273 in response to the events was unknown. The event, accidental underdose, received less than half dose was considered resolved on 06 Mar 2021.; Reporter's Comments: This report refers to a case of accidental underdose for mRNA-1273, lot # 001A21A with no associated AEs.

Other Meds: LABETALOL HCL; AMLODIPINE; LOSARTAN; ROSUVASTATIN; LEVOTHYROXINE; OMEPRAZOLE; METFORMIN; JARDIANCE

Current Illness: Acid reflux (esophageal); Cholesterol; Diabetes mellitus; Hypertension; Hypothyroidism

ID: 1563230
Sex: F
Age: 73
State: PA

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 08/15/2021
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Symptoms: Fever; headache; Fatigue; Chills; Nausea; Vomiting; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (Fever), HEADACHE (headache), FATIGUE (Fatigue), CHILLS (Chills) and NAUSEA (Nausea) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 03-Mar-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-Mar-2021, the patient experienced PYREXIA (Fever), HEADACHE (headache), FATIGUE (Fatigue), CHILLS (Chills), NAUSEA (Nausea) and VOMITING (Vomiting). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, PYREXIA (Fever), HEADACHE (headache), FATIGUE (Fatigue), CHILLS (Chills), NAUSEA (Nausea) and VOMITING (Vomiting) had not resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product use was not provided by the reporter.

Other Meds:

Current Illness:

ID: 1563231
Sex: F
Age: 71
State: NY

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 08/15/2021
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Symptoms: Had mild shortness of breath; Annoying cough that sounded like bronchitis cough; This spontaneous case was reported by a consumer and describes the occurrence of DYSPNOEA (Had mild shortness of breath) and COUGH (Annoying cough that sounded like bronchitis cough) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013A21A) for COVID-19 vaccination. The patient's past medical history included Flu vaccination (Over 20 years ago she had mild reaction to a flu vaccine; mid tingling of lip and tongue and rapid heart beat). On 01-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Mar-2021, the patient experienced DYSPNOEA (Had mild shortness of breath) and COUGH (Annoying cough that sounded like bronchitis cough). The patient was treated with DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE, EPHEDRINE SULFATE, ETHANOL, PARACETAMOL (NYQUIL) ongoing since an unknown date at an unspecified dose and frequency and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) ongoing since an unknown date for and COVID-19 vaccination, at a dose of 25mg an hour before the vaccine. On 04-Mar-2021, DYSPNOEA (Had mild shortness of breath) and COUGH (Annoying cough that sounded like bronchitis cough) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 02-Mar-2021, Chest X-ray: normal (normal) normal. On 02-Mar-2021, SARS-CoV-2 test negative: negative (Negative) Negative. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Concomitant medication information was available. Patient was prescribed an Inhaler. Most recent FOLLOW-UP information incorporated above includes: On 05-May-2021: Contact details updated On 09-Jul-2021: Non-Significant follow up

Other Meds:

Current Illness:

ID: 1563232
Sex: F
Age: 75
State: PA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 08/15/2021
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Symptoms: Same reaction in arm; nausea; chills; fever; fatigue; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Same reaction in arm), NAUSEA (nausea), CHILLS (chills), PYREXIA (fever) and FATIGUE (fatigue) in a 76-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013A21A) for COVID-19 vaccination. No Medical History information was reported. On 27-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 27-Feb-2021, the patient experienced VACCINATION SITE PAIN (Same reaction in arm), NAUSEA (nausea), CHILLS (chills), PYREXIA (fever) and FATIGUE (fatigue). On 02-Mar-2021, NAUSEA (nausea), CHILLS (chills), PYREXIA (fever) and FATIGUE (fatigue) had resolved. On 05-Mar-2021, VACCINATION SITE PAIN (Same reaction in arm) had resolved. Treatment medication was not provided. Concomitant medication was not reported. This case was linked to MOD-2021-035798 (Patient Link).

Other Meds:

Current Illness:

ID: 1563233
Sex: M
Age:
State: NY

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 08/15/2021
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Symptoms: Slipped and hurt ankle, fractured mildly displace fibula; This spontaneous case was reported by a consumer and describes the occurrence of FIBULA FRACTURE (Slipped and hurt ankle, fractured mildly displace fibula) 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 27-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 27-Feb-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced FIBULA FRACTURE (Slipped and hurt ankle, fractured mildly displace fibula). At the time of the report, FIBULA FRACTURE (Slipped and hurt ankle, fractured mildly displace fibula) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, X-ray: abnormal (abnormal) fractured mildly displace fibula. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1563234
Sex: F
Age:
State: CA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 08/15/2021
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Symptoms: dizziness; nausea; left arm pain at the site of the injection; chills; fatigue; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (dizziness), NAUSEA (nausea), VACCINATION SITE PAIN (left arm pain at the site of the injection), CHILLS (chills) and FATIGUE (fatigue) 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 Surgery. Concomitant products included ATORVASTATIN CALCIUM (LIPITOR) and LEVOTHYROXINE for an unknown indication. On 24-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-Feb-2021, the patient experienced DIZZINESS (dizziness), NAUSEA (nausea), VACCINATION SITE PAIN (left arm pain at the site of the injection), CHILLS (chills) and FATIGUE (fatigue). The patient was treated with ONDANSETRON (ZOFRAN [ONDANSETRON]) for Nausea, at an unspecified dose and frequency. At the time of the report, DIZZINESS (dizziness) and NAUSEA (nausea) was resolving and VACCINATION SITE PAIN (left arm pain at the site of the injection), CHILLS (chills) and FATIGUE (fatigue) 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.

Other Meds: LIPITOR; LEVOTHYROXINE

Current Illness:

ID: 1563235
Sex: M
Age: 73
State: CA

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 08/15/2021
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Symptoms: Pain at the injection site, felt like someone hit it with a baseball bat; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Pain at the injection site, felt like someone hit it with a baseball bat) in a 73-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 023m20a) for COVID-19 vaccination. No Medical History information was reported. On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Mar-2021, the patient experienced VACCINATION SITE PAIN (Pain at the injection site, felt like someone hit it with a baseball bat). At the time of the report, VACCINATION SITE PAIN (Pain at the injection site, felt like someone hit it with a baseball bat) 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 reported.

Other Meds:

Current Illness:

ID: 1563236
Sex: U
Age:
State: WA

Vax Date:
Onset Date:
Rec V Date: 08/15/2021
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Symptoms: adverse reactions; quite ill for 3 to 4 days; in bed; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (adverse reactions), ILLNESS (quite ill for 3 to 4 days) and BED REST (in bed) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced VACCINATION COMPLICATION (adverse reactions), ILLNESS (quite ill for 3 to 4 days) and BED REST (in bed). At the time of the report, VACCINATION COMPLICATION (adverse reactions), ILLNESS (quite ill for 3 to 4 days) and BED REST (in bed) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1563237
Sex: F
Age: 72
State: WI

Vax Date: 02/15/2021
Onset Date: 02/25/2021
Rec V Date: 08/15/2021
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Symptoms: rash 4inch below the injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE RASH (rash 4inch below the injection site) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031M20A) for COVID-19 vaccination. No medical history was provided. Concurrent medical conditions included Blood pressure high. Concomitant products included AMLODIPINE, METOPROLOL, HYDROCHLOROTHIAZIDE, LOSARTAN and LEVOTHYROXINE for an unknown indication. On 15-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Feb-2021, the patient experienced VACCINATION SITE RASH (rash 4inch below the injection site). At the time of the report, VACCINATION SITE RASH (rash 4inch below the injection site) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Treatment information provided

Other Meds: AMLODIPINE; METOPROLOL; HYDROCHLOROTHIAZIDE; LOSARTAN; LEVOTHYROXINE

Current Illness: Blood pressure high

ID: 1563238
Sex: F
Age:
State:

Vax Date: 02/25/2021
Onset Date: 03/04/2021
Rec V Date: 08/15/2021
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Symptoms: Rash; This spontaneous case was reported by a consumer and describes the occurrence of RASH (Rash) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 014m20a) for COVID-19 vaccination. No Medical History information was reported. On 25-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Mar-2021, the patient experienced RASH (Rash). At the time of the report, RASH (Rash) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were provided. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1563239
Sex: F
Age: 66
State: AL

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 08/15/2021
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Symptoms: soreness and Pain in arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (soreness and Pain in arm) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 05-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Mar-2021, the patient experienced PAIN IN EXTREMITY (soreness and Pain in arm). At the time of the report, PAIN IN EXTREMITY (soreness and Pain in arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications reported. No treatment medications were provided

Other Meds:

Current Illness:

ID: 1563240
Sex: F
Age: 71
State: MN

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 08/15/2021
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Symptoms: Arm of the injection hurt as hell; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Arm of the injection hurt as hell) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013A21A) for COVID-19 vaccination. No Medical History information was reported. On 04-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Mar-2021, the patient experienced VACCINATION SITE PAIN (Arm of the injection hurt as hell). At the time of the report, VACCINATION SITE PAIN (Arm of the injection hurt as hell) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported The reporter stated that she would normally take a pain relief, but she heard that if you took pain relievers on the same 24 hours when the vaccine was administered, the pain relievers could interfere with the vaccine and the immune system. Most recent FOLLOW-UP information incorporated above includes: On 02-May-2021: Non significant information On 03-May-2021: Non-significant follow up (Contact information updated)

Other Meds:

Current Illness:

ID: 1563241
Sex: F
Age: 68
State: FL

Vax Date: 01/26/2021
Onset Date: 02/24/2021
Rec V Date: 08/15/2021
Hospital:

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Symptoms: Hives; Belching and gas; Gas; Woke up with no appetite; Chills; Fatigue; Felt like was going to black out; Felt dizzy; This spontaneous case was reported by a consumer and describes the occurrence of PRESYNCOPE (Felt like was going to black out), DIZZINESS (Felt dizzy), URTICARIA (Hives), ERUCTATION (Belching and gas) and FLATULENCE (Gas) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 001A21A and 028L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concomitant products included VITAMIN D3, BIOTIN and ACETYLSALICYLIC ACID (ST. JOSEPH ASPIRIN ADULT CHEWABLE) for an unknown indication. On 26-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 24-Feb-2021, the patient experienced PRESYNCOPE (Felt like was going to black out), DIZZINESS (Felt dizzy), ERUCTATION (Belching and gas), FLATULENCE (Gas), DECREASED APPETITE (Woke up with no appetite), CHILLS (Chills) and FATIGUE (Fatigue). On 28-Feb-2021, the patient experienced URTICARIA (Hives). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) on 28-Feb-2021 for Hives, at an unspecified dose and frequency. At the time of the report, PRESYNCOPE (Felt like was going to black out), DIZZINESS (Felt dizzy), URTICARIA (Hives), ERUCTATION (Belching and gas), FLATULENCE (Gas), DECREASED APPETITE (Woke up with no appetite), CHILLS (Chills) and FATIGUE (Fatigue) outcome was unknown. This case was linked to MOD-2021-029450 (Patient Link).

Other Meds: VITAMIN D3; BIOTIN; ST. JOSEPH ASPIRIN ADULT CHEWABLE

Current Illness:

ID: 1563242
Sex: M
Age: 32
State: IL

Vax Date: 01/27/2021
Onset Date: 02/24/2021
Rec V Date: 08/15/2021
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Symptoms: he keeps tripping with his right foot; sometimes things slip from his right hand; This spontaneous case was reported by a consumer and describes the occurrence of GAIT DISTURBANCE (he keeps tripping with his right foot) and MUSCULAR WEAKNESS (sometimes things slip from his right hand) in a 32-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 024M20A and 029K20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. Concomitant products included ACETYLSALICYLIC ACID (ASPIRIN (E.C.)) for an unknown indication. On 27-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 24-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 24-Feb-2021, the patient experienced GAIT DISTURBANCE (he keeps tripping with his right foot) and MUSCULAR WEAKNESS (sometimes things slip from his right hand). At the time of the report, GAIT DISTURBANCE (he keeps tripping with his right foot) and MUSCULAR WEAKNESS (sometimes things slip from his right hand) outcome was unknown. No treatment information was provided.

Other Meds: ASPIRIN (E.C.)

Current Illness:

ID: 1563243
Sex: M
Age:
State: IN

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

Vax Type:
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Symptoms: Feeling tired and constantly sleeping; Feeling tired and constantly sleeping; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of SOMNOLENCE (Feeling tired and constantly sleeping) and FATIGUE (Feeling tired and constantly sleeping) 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 23-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Feb-2021, the patient experienced SOMNOLENCE (Feeling tired and constantly sleeping) and FATIGUE (Feeling tired and constantly sleeping). At the time of the report, SOMNOLENCE (Feeling tired and constantly sleeping) and FATIGUE (Feeling tired and constantly sleeping) 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. No treatment information was provided.

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ID: 1563244
Sex: F
Age: 69
State: NV

Vax Date: 03/01/2021
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Rec V Date: 08/15/2021
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Symptoms: Injection site it's filling up and another spot that's hard; Underneath the injection site it's itching, 3 inches long; Arm is still swelled; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE INDURATION (Injection site it's filling up and another spot that's hard), VACCINATION SITE PRURITUS (Underneath the injection site it's itching, 3 inches long) and INJECTION SITE SWELLING (Arm is still swelled) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007M20A) for COVID-19 vaccination. Concurrent medical conditions included Diabetic. Concomitant products included VALPROATE SEMISODIUM (DIVALPROEX), LAMOTRIGINE, ATORVASTATIN, HYDROCHLOROTHIAZIDE, LISINOPRIL (LISINOPRIL HCTZ), LEVOTHYROXINE, PANTOPRAZOLE and TRAZODONE for an unknown indication. On 01-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE INDURATION (Injection site it's filling up and another spot that's hard), VACCINATION SITE PRURITUS (Underneath the injection site it's itching, 3 inches long) and INJECTION SITE SWELLING (Arm is still swelled). At the time of the report, VACCINATION SITE INDURATION (Injection site it's filling up and another spot that's hard), VACCINATION SITE PRURITUS (Underneath the injection site it's itching, 3 inches long) and INJECTION SITE SWELLING (Arm is still swelled) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment medications were reported. Most recent FOLLOW-UP information incorporated above includes: On 11-Jun-2021: TCR report

Other Meds: DIVALPROEX; LAMOTRIGINE; ATORVASTATIN; LISINOPRIL HCTZ; LEVOTHYROXINE; PANTOPRAZOLE; TRAZODONE

Current Illness: Diabetic

ID: 1563245
Sex: M
Age: 66
State: AZ

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 08/15/2021
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Symptoms: Red blotches; Itches like crazy; This spontaneous case was reported by a consumer and describes the occurrence of RASH MACULAR (Red blotches) and PRURITUS (Itches like crazy) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 02-Mar-2021, the patient received 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 02-Mar-2021, the patient experienced RASH MACULAR (Red blotches) and PRURITUS (Itches like crazy). At the time of the report, RASH MACULAR (Red blotches) and PRURITUS (Itches like crazy) outcome was unknown. No relevant concomitant medications were reported. No treatment information was provided.

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Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm