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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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: 1572903
Sex: M
Age: 86
State: SC

Vax Date: 01/20/2021
Onset Date: 01/26/2021
Rec V Date: 08/16/2021
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: Measles looking like rash on torso; Rash on arm; Feeling tired; This spontaneous case was reported by a pharmacist and describes the occurrence of RASH MORBILLIFORM (Measles looking like rash on torso), RASH (Rash on arm) and FATIGUE (Feeling tired) in an 87-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 26-Jan-2021, the patient experienced RASH MORBILLIFORM (Measles looking like rash on torso), RASH (Rash on arm) and FATIGUE (Feeling tired). At the time of the report, RASH MORBILLIFORM (Measles looking like rash on torso), RASH (Rash on arm) and FATIGUE (Feeling 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.

Other Meds:

Current Illness:

ID: 1572904
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/16/2021
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: calling to register in the pregnancy registry after receiving the Moderna vaccine; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of MATERNAL EXPOSURE DURING PREGNANCY (calling to register in the pregnancy registry after receiving 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 was provided by the reporter. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. Last menstrual period and estimated date of delivery were not provided. On an unknown date, the patient experienced MATERNAL EXPOSURE DURING PREGNANCY (calling to register in the pregnancy registry after receiving the Moderna vaccine). At the time of the report, MATERNAL EXPOSURE DURING PREGNANCY (calling to register in the pregnancy registry after receiving the Moderna vaccine) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications were not provided. Treatment details were not provided.

Other Meds:

Current Illness:

ID: 1572905
Sex: F
Age:
State: NJ

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 08/16/2021
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: Red rash; hives; Very bad arm pain; Left armpit had pain; Could not lift arm; lef shoulder pain; Skin rash; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Very bad arm pain), AXILLARY PAIN (Left armpit had pain), VACCINATION SITE MOVEMENT IMPAIRMENT (Could not lift arm), RASH ERYTHEMATOUS (Red rash) and URTICARIA (hives) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. 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 20-Jan-2021, the patient experienced RASH (Skin rash). On 21-Jan-2021, the patient experienced PAIN IN EXTREMITY (Very bad arm pain), AXILLARY PAIN (Left armpit had pain), VACCINATION SITE MOVEMENT IMPAIRMENT (Could not lift arm) and ARTHRALGIA (lef shoulder pain). On 23-Jan-2021, the patient experienced RASH ERYTHEMATOUS (Red rash) and URTICARIA (hives). On 22-Jan-2021, RASH (Skin rash) had resolved. At the time of the report, PAIN IN EXTREMITY (Very bad arm pain), AXILLARY PAIN (Left armpit had pain), VACCINATION SITE MOVEMENT IMPAIRMENT (Could not lift arm), RASH ERYTHEMATOUS (Red rash), URTICARIA (hives) and ARTHRALGIA (lef shoulder pain) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1572906
Sex: F
Age: 45
State: CA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 08/16/2021
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: This spontaneous case reported by a consumer, describes the occurrence of vaccination site rash (red rash in the injection site that spread all over her upper arm), vaccination site pruritus (arm is very itchy) and vaccination site discharge (arm looks splashy) in a 45-year-old female patient who received mRNA-1273 (Moderna COVID-19 vaccine, batch# 011J20A) for COVID-19 immunization. No medical history provided. On Jan 15, 2021, patient received the first dose of mRNA-1273 (Moderna COVID-19 vaccine), intramuscular; 1 dosage form. On Jan 11, 2021, patient experienced vaccination site rash (red rash in the injection site that spread all over her upper arm), vaccination site pruritus (arm is very itchy) and vaccination site discharge (arm looks splashy). At the time of the report, vaccination site rash (red rash in the injection site that spread all over her upper arm), vaccination site pruritus (arm is very itchy) and vaccination site discharge (arm looks splashy) outcome: unknown. The action taken with mRNA-1273 (Moderna COVID-19 vaccine), intramuscular: unknown.

Other Meds:

Current Illness:

ID: 1572907
Sex: F
Age: 73
State: NJ

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 08/16/2021
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: Injection area is rough; Injection area is red; Injection area is warm; Injection area is itchy; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE URTICARIA (Injection area is rough), VACCINATION SITE ERYTHEMA (Injection area is red), VACCINATION SITE WARMTH (Injection area is warm) and VACCINATION SITE PRURITUS (Injection area is itchy) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026L20A) for COVID-19 vaccination. No medical history was provided by the reporter. On 16-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Jan-2021, the patient experienced VACCINATION SITE URTICARIA (Injection area is rough), VACCINATION SITE ERYTHEMA (Injection area is red), VACCINATION SITE WARMTH (Injection area is warm) and VACCINATION SITE PRURITUS (Injection area is itchy). At the time of the report, VACCINATION SITE URTICARIA (Injection area is rough), VACCINATION SITE ERYTHEMA (Injection area is red), VACCINATION SITE WARMTH (Injection area is warm) and VACCINATION SITE PRURITUS (Injection area is itchy) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1572908
Sex: F
Age: 37
State: TX

Vax Date: 01/18/2021
Onset Date: 01/20/2021
Rec V Date: 08/16/2021
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: Swelling at the injection site; Pain under the injection arm; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE SWELLING (Swelling at the injection site) and INJECTION SITE PAIN (Pain under the injection arm) in a 37-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history was provided by the reporter. On 18-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 INJECTION SITE SWELLING (Swelling at the injection site) and INJECTION SITE PAIN (Pain under the injection arm). At the time of the report, INJECTION SITE SWELLING (Swelling at the injection site) and INJECTION SITE PAIN (Pain under the injection arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1572909
Sex: F
Age: 59
State: TX

Vax Date: 01/16/2021
Onset Date: 01/22/2021
Rec V Date: 08/16/2021
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: arm was hurting up to shoulder and neck area.; Area is feverish.; itches real bad; Huge welts; really swollen; bunch of knots at the injection site; This spontaneous case was reported by a patient and describes the occurrence of VACCINATION SITE MASS (bunch of knots at the injection site), PAIN IN EXTREMITY (arm was hurting up to shoulder and neck area.), VACCINATION SITE WARMTH (Area is feverish.), VACCINATION SITE PRURITUS (itches real bad) and VACCINATION SITE URTICARIA (Huge welts) in a 59-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. No medical history was provided by the reporter. On 16-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Jan-2021, the patient experienced VACCINATION SITE MASS (bunch of knots at the injection site). On 23-Jan-2021, the patient experienced PAIN IN EXTREMITY (arm was hurting up to shoulder and neck area.), VACCINATION SITE WARMTH (Area is feverish.), VACCINATION SITE PRURITUS (itches real bad), VACCINATION SITE URTICARIA (Huge welts) and VACCINATION SITE SWELLING (really swollen). On 25-Jan-2021, VACCINATION SITE PRURITUS (itches real bad) had resolved. At the time of the report, VACCINATION SITE MASS (bunch of knots at the injection site), PAIN IN EXTREMITY (arm was hurting up to shoulder and neck area.), VACCINATION SITE WARMTH (Area is feverish.), VACCINATION SITE URTICARIA (Huge welts) and VACCINATION SITE SWELLING (really swollen) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: AZATHIOPRINE

Current Illness:

ID: 1572910
Sex: F
Age: 41
State: ND

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 08/16/2021
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: Breaking out with hives; Super itchy; sore arm; This spontaneous case was reported by a health care professional (subsequently medically confirmed) and describes the occurrence of URTICARIA (Breaking out with hives), PRURITUS (Super itchy) and ARTHRALGIA (sore arm) in a 41-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history was provided by the reporter. On 13-Jan-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Jan-2021, the patient experienced ARTHRALGIA (sore arm). On 21-Jan-2021, the patient experienced URTICARIA (Breaking out with hives) and PRURITUS (Super itchy). At the time of the report, URTICARIA (Breaking out with hives), PRURITUS (Super itchy) and ARTHRALGIA (sore arm) 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: 1572911
Sex: F
Age: 62
State: WA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 08/16/2021
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: mild flu-like symptoms; diarrhea; loss of appetite; vomiting; nausea; fatigue; This spontaneous case was reported by a consumer and describes the occurrence of INFLUENZA LIKE ILLNESS (mild flu-like symptoms), DIARRHOEA (diarrhea), DECREASED APPETITE (loss of appetite), VOMITING (vomiting) and NAUSEA (nausea) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 037H201A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter. On 19-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 INFLUENZA LIKE ILLNESS (mild flu-like symptoms), DIARRHOEA (diarrhea), DECREASED APPETITE (loss of appetite), VOMITING (vomiting), NAUSEA (nausea) and FATIGUE (fatigue). On 20-Jan-2021, INFLUENZA LIKE ILLNESS (mild flu-like symptoms), DIARRHOEA (diarrhea), DECREASED APPETITE (loss of appetite), VOMITING (vomiting), NAUSEA (nausea) and FATIGUE (fatigue) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1572912
Sex: F
Age: 65
State: OH

Vax Date: 12/31/2020
Onset Date: 01/09/2021
Rec V Date: 08/16/2021
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: edema at injection site; Erythema at injection site; This spontaneous case was reported by a physician and describes the occurrence of VACCINATION SITE OEDEMA (edema at injection site) and VACCINATION SITE ERYTHEMA (Erythema at injection site) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. No Medical History information was reported. On 31-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Jan-2021, the patient experienced VACCINATION SITE OEDEMA (edema at injection site) and VACCINATION SITE ERYTHEMA (Erythema at injection site). On 12-Jan-2021, VACCINATION SITE OEDEMA (edema at injection site) and VACCINATION SITE ERYTHEMA (Erythema at injection site) 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 provided. No treatment information provided.

Other Meds:

Current Illness:

ID: 1572913
Sex: F
Age: 73
State: TX

Vax Date: 01/16/2021
Onset Date: 01/25/2021
Rec V Date: 08/16/2021
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: itching; Rash that goes from the top that extends down little below the injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PRURITUS (itching) and VACCINATION SITE RASH (Rash that goes from the top that extends down little below the injection site) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 041L20A) for COVID-19 vaccination. No medical history was provided by the reporter. On 16-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Jan-2021, the patient experienced VACCINATION SITE PRURITUS (itching) and VACCINATION SITE RASH (Rash that goes from the top that extends down little below the injection site). At the time of the report, VACCINATION SITE PRURITUS (itching) and VACCINATION SITE RASH (Rash that goes from the top that extends down little below the injection site) had not resolved. Possible The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1572914
Sex: F
Age: 89
State: TN

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 08/16/2021
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: Flu like symptoms; This spontaneous case was reported by an other caregiver and describes the occurrence of INFLUENZA LIKE ILLNESS (Flu like symptoms) in a 79-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 02-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-Jan-2021, the patient experienced INFLUENZA LIKE ILLNESS (Flu like symptoms). At the time of the report, INFLUENZA LIKE ILLNESS (Flu like symptoms) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown.

Other Meds:

Current Illness:

ID: 1572915
Sex: F
Age: 36
State: NY

Vax Date: 01/17/2021
Onset Date: 01/25/2021
Rec V Date: 08/16/2021
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: swollen arm; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (swollen arm) in a 36-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history was provided by the reporter. On 17-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Jan-2021, the patient experienced PERIPHERAL SWELLING (swollen arm). At the time of the report, PERIPHERAL SWELLING (swollen arm) 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: 1572916
Sex: F
Age: 42
State: CA

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 08/16/2021
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 feel nauseous today; Itchy; Warm to touch; The bump is about 4 inches long and 3 inches wide; Red Raised area at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PRURITUS (Itchy), VACCINATION SITE WARMTH (Warm to touch), VACCINATION SITE SWELLING (The bump is about 4 inches long and 3 inches wide), VACCINATION SITE ERYTHEMA (Red Raised area at the injection site) and NAUSEA (I feel nauseous today) in a 42-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 042L20A) for COVID-19 vaccination. No medical history was provided by the reporter. On 16-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 24-Jan-2021, the patient experienced VACCINATION SITE PRURITUS (Itchy), VACCINATION SITE WARMTH (Warm to touch), VACCINATION SITE SWELLING (The bump is about 4 inches long and 3 inches wide) and VACCINATION SITE ERYTHEMA (Red Raised area at the injection site). On 25-Jan-2021, the patient experienced NAUSEA (I feel nauseous today). At the time of the report, VACCINATION SITE PRURITUS (Itchy), VACCINATION SITE WARMTH (Warm to touch), VACCINATION SITE SWELLING (The bump is about 4 inches long and 3 inches wide), VACCINATION SITE ERYTHEMA (Red Raised area at the injection site) and NAUSEA (I feel nauseous today) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.

Other Meds:

Current Illness:

ID: 1572917
Sex: F
Age:
State:

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 08/16/2021
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: dizziness; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (dizziness) 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 21-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 DIZZINESS (dizziness). At the time of the report, DIZZINESS (dizziness) 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: 1572918
Sex: F
Age: 33
State: MA

Vax Date: 12/30/2020
Onset Date: 01/14/2021
Rec V Date: 08/16/2021
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: Itchy rash that extended to both lower legs and tops of feet & both lower arms & backs of hand & both ears; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of RASH PRURITIC (Itchy rash that extended to both lower legs and tops of feet & both lower arms & backs of hand & both ears) in a 33-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 reported medical history.). On 30-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Jan-2021, the patient experienced RASH PRURITIC (Itchy rash that extended to both lower legs and tops of feet & both lower arms & backs of hand & both ears). At the time of the report, RASH PRURITIC (Itchy rash that extended to both lower legs and tops of feet & both lower arms & backs of hand & both ears) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided Treatment Benadryl, hydrocortisone cream, Medrol Dose Pack

Other Meds:

Current Illness:

ID: 1572919
Sex: F
Age: 71
State:

Vax Date: 01/15/2021
Onset Date:
Rec V Date: 08/16/2021
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: Tingly; Weakness; Joint Pain; Muscle Pain; This spontaneous case was reported by a consumer and describes the occurrence of PARAESTHESIA (Tingly), ASTHENIA (Weakness), ARTHRALGIA (Joint Pain) and MYALGIA (Muscle Pain) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L209) for COVID-19 vaccination. The patient's past medical history included No adverse event (No reported medical history). On 15-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 PARAESTHESIA (Tingly), ASTHENIA (Weakness), ARTHRALGIA (Joint Pain) and MYALGIA (Muscle Pain). At the time of the report, PARAESTHESIA (Tingly), ASTHENIA (Weakness), ARTHRALGIA (Joint Pain) and MYALGIA (Muscle Pain) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided Treatment Tylenol, Motrin

Other Meds:

Current Illness:

ID: 1572920
Sex: F
Age:
State: GA

Vax Date: 02/11/2021
Onset Date: 01/11/2021
Rec V Date: 08/16/2021
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: redness of the injection site still getting bigger; Injection site was warm to touch; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE WARMTH (Injection site was warm to touch) and INJECTION SITE ERYTHEMA (redness of the injection site still getting bigger) 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 reported medical history). On 11-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Jan-2021, the patient experienced INJECTION SITE WARMTH (Injection site was warm to touch). On 17-Jan-2021, the patient experienced INJECTION SITE ERYTHEMA (redness of the injection site still getting bigger). At the time of the report, INJECTION SITE WARMTH (Injection site was warm to touch) and INJECTION SITE ERYTHEMA (redness of the injection site still getting bigger) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided. Treatment The patient has took Tylenol, Benadryl, and Keflex for a week. Nothing seems to be helping.

Other Meds:

Current Illness:

ID: 1572921
Sex: F
Age:
State:

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 08/16/2021
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: Felt hot; Burning feeling; Rash on arms, on both legs; This spontaneous case was reported by a consumer and describes the occurrence of FEELING HOT (Felt hot), BURNING SENSATION (Burning feeling) and RASH (Rash on arms, on both legs) 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, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Jan-2021, the patient experienced FEELING HOT (Felt hot), BURNING SENSATION (Burning feeling) and RASH (Rash on arms, on both legs). At the time of the report, FEELING HOT (Felt hot) and BURNING SENSATION (Burning feeling) outcome was unknown and RASH (Rash on arms, on both legs) had not resolved. 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: 1572922
Sex: F
Age:
State: TX

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 08/16/2021
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: Knots at injection site; Fever in spot of injection; Welts; Itching; Swollen arms; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE MASS (Knots at injection site), INJECTION SITE JOINT WARMTH (Fever in spot of injection), URTICARIA (Welts), PRURITUS (Itching) and PERIPHERAL SWELLING (Swollen arms) 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 16-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Jan-2021, the patient experienced INJECTION SITE MASS (Knots at injection site), INJECTION SITE JOINT WARMTH (Fever in spot of injection), URTICARIA (Welts), PRURITUS (Itching) and PERIPHERAL SWELLING (Swollen arms). At the time of the report, INJECTION SITE MASS (Knots at injection site), INJECTION SITE JOINT WARMTH (Fever in spot of injection), URTICARIA (Welts), PRURITUS (Itching) and PERIPHERAL SWELLING (Swollen arms) 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: 1572923
Sex: M
Age: 65
State: FL

Vax Date: 01/01/2021
Onset Date: 01/02/2021
Rec V Date: 08/16/2021
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: Pain; Redness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Pain) and ERYTHEMA (Redness) in a 65-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011L20A) for COVID-19 vaccination. The patient's past medical history included No adverse event (No reported medical history). On 01-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Jan-2021, the patient experienced PAIN (Pain) and ERYTHEMA (Redness). At the time of the report, PAIN (Pain) and ERYTHEMA (Redness) 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: 1572924
Sex: F
Age: 62
State:

Vax Date: 01/23/2021
Onset Date:
Rec V Date: 08/16/2021
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: little arm pain; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (little arm pain) in a 62-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 reported medical history.). On 23-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (little arm pain). At the time of the report, PAIN IN EXTREMITY (little arm pain) 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: 1572925
Sex: M
Age:
State:

Vax Date: 01/18/2021
Onset Date:
Rec V Date: 08/16/2021
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: temperature of 101.94 ?F; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (temperature of 101.94 ?F) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 18-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 PYREXIA (temperature of 101.94 ?F). At the time of the report, PYREXIA (temperature of 101.94 ?F) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Body temperature: 101.94 ?f (Inconclusive) 101.94 ?F. In 2021, Oxygen saturation: 92 (Inconclusive) 92. 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 22-Jan-2021: No specific follow-up information recorded.

Other Meds:

Current Illness:

ID: 1572926
Sex: M
Age:
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 08/16/2021
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: Sore arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Sore arm) 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 (no medical history 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 PAIN IN EXTREMITY (Sore arm). At the time of the report, PAIN IN EXTREMITY (Sore arm) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided No treatment information provided This case was linked to MOD-2021-012462 (Linked Report).; Sender's Comments: MOD-2021-012462:same reporter, different patient

Other Meds:

Current Illness:

ID: 1572927
Sex: F
Age: 63
State: PA

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 08/16/2021
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: area was slightly warm; area was tender, achiness in the right deltoid; area was pink; area was swollen; small swollen lymph nodes; This spontaneous case was reported by a physician (subsequently medically confirmed) and describes the occurrence of VACCINATION SITE WARMTH (area was slightly warm), VACCINATION SITE PAIN (area was tender, achiness in the right deltoid), VACCINATION SITE ERYTHEMA (area was pink), VACCINATION SITE SWELLING (area was swollen) and VACCINATION SITE LYMPHADENOPATHY (small swollen lymph nodes) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) 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 20-Jan-2021, the patient experienced VACCINATION SITE WARMTH (area was slightly warm), VACCINATION SITE PAIN (area was tender, achiness in the right deltoid), VACCINATION SITE ERYTHEMA (area was pink), VACCINATION SITE SWELLING (area was swollen) and VACCINATION SITE LYMPHADENOPATHY (small swollen lymph nodes). At the time of the report, VACCINATION SITE WARMTH (area was slightly warm), VACCINATION SITE PAIN (area was tender, achiness in the right deltoid), VACCINATION SITE ERYTHEMA (area was pink), VACCINATION SITE SWELLING (area was swollen) and VACCINATION SITE LYMPHADENOPATHY (small swollen lymph nodes) 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 relevant concomitant medications were reported. Treatment information reported was antibiotic and two topical ointments.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1572928
Sex: F
Age: 33
State: MO

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 08/16/2021
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: No appetite; Fatigue; Nauseous; A spontaneous report was received from a 33-year-old female consumer with unknown race and ethnicity who received Moderna Covid-19 vaccine and experienced fatigue, nausea, and loss of appetite. The patient's medical history was not provided. No concomitant medications were reported. No information on allergies. On 08-JAN-2021, prior to the onset of events, patient received her first of two planned doses of Moderna Covid-19 vaccine. She started feeling nauseous, fatigue and loss of appetite since then. It is not known whether the patient received the treatment for the symptoms. Action taken with 2nd dose of vaccine is not reported. The outcome of the events fatigue, nausea, and loss of appetite is unknown at the time of report.; Reporter's Comments: This case concerns a 33-year-old female who experienced a NS unexpected event of Decreased appetite and NS expected events of Fatigue and Nausea. The events occurred the same day as the first dose of mRNA-1273. Treatment not reported. Event outcomes unknown. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1572929
Sex: F
Age: 77
State: MI

Vax Date: 01/16/2021
Onset Date:
Rec V Date: 08/16/2021
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: She had very similar symptoms as me; This spontaneous case was reported by an other health care professional and describes the occurrence of in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included Lung cancer and COVID-19. On 16-Jan-2021, 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:

Current Illness:

ID: 1572930
Sex: F
Age: 68
State: MI

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 08/16/2021
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: lost appetite; severe body aches; slept like in a coma; chills; sore arm; This spontaneous case was reported by an other health care professional (subsequently medically confirmed) and describes the occurrence of PAIN IN EXTREMITY (sore arm), DECREASED APPETITE (lost appetite), PAIN (severe body aches), HYPERSOMNIA (slept like in a coma) and CHILLS (chills) 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 COVID-19 (Hospitalized for 6 days) in November 2020. On 13-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 PAIN IN EXTREMITY (sore arm). On 14-Jan-2021, the patient experienced DECREASED APPETITE (lost appetite), PAIN (severe body aches), HYPERSOMNIA (slept like in a coma) and CHILLS (chills). On 15-Jan-2021, DECREASED APPETITE (lost appetite) had resolved. On 16-Jan-2021, PAIN IN EXTREMITY (sore arm), PAIN (severe body aches), HYPERSOMNIA (slept like in a coma) and CHILLS (chills) 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 provided Treatment Motrin 600

Other Meds:

Current Illness:

ID: 1572931
Sex: F
Age: 83
State: FL

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 08/16/2021
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: diarrhea; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (diarrhea) in an 84-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for covid-19 vaccination. No Medical History information was reported. On 06-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Feb-2021, the patient experienced DIARRHOEA (diarrhea). At the time of the report, DIARRHOEA (diarrhea) 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

Other Meds:

Current Illness:

ID: 1572932
Sex: F
Age: 80
State: OH

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 08/16/2021
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: Arm Soreness; This spontaneous case was reported by a consumer and describes the occurrence of LIMB DISCOMFORT (Arm Soreness) in an 80-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007M20A) for Covid-19 Vaccination. No Medical History information was reported. On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Jan-2021, the patient experienced LIMB DISCOMFORT (Arm Soreness). On 30-Jan-2021, LIMB DISCOMFORT (Arm Soreness) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided No treatment information provided

Other Meds:

Current Illness:

ID: 1572933
Sex: F
Age:
State: IL

Vax Date: 01/12/2021
Onset Date: 01/18/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Redness; warm; injection site was uncomfortable; red spot; This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (Redness), INJECTION SITE WARMTH (warm), INJECTION SITE DISCOMFORT (injection site was uncomfortable) and INJECTION SITE ERYTHEMA (red spot) in an 84-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included Breast cancer. On 12-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 ERYTHEMA (Redness), INJECTION SITE WARMTH (warm), INJECTION SITE DISCOMFORT (injection site was uncomfortable) and INJECTION SITE ERYTHEMA (red spot). At the time of the report, ERYTHEMA (Redness), INJECTION SITE WARMTH (warm), INJECTION SITE DISCOMFORT (injection site was uncomfortable) and INJECTION SITE ERYTHEMA (red spot) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided Treatment Cortisone and 2 Benadryl. Also ice pack in the injection site.

Other Meds:

Current Illness:

ID: 1572934
Sex: F
Age: 71
State: OK

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 08/16/2021
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: red spot; positive for COVID (swab); fever 100?F; This spontaneous case was reported by a non-health professional and describes the occurrence of RASH MACULAR (red spot), COVID-19 (positive for COVID (swab)) and PYREXIA (fever 100?F) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011L20A) for COVID-19 vaccination. Concomitant products included CALCIUM, FISH OIL (OMEGA 3 SELECT) and Vitamin. On 14-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 1. On 22-Jan-2021, the patient experienced COVID-19 (positive for COVID (swab)) and PYREXIA (fever 100?F). On 25-Jan-2021, the patient experienced RASH MACULAR (red spot). At the time of the report, RASH MACULAR (red spot), COVID-19 (positive for COVID (swab)) and PYREXIA (fever 100?F) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment tylenol or aspirin

Other Meds: CALCIUM; OMEGA 3 SELECT; Vitamin

Current Illness:

ID: 1572935
Sex: F
Age: 75
State: CA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 08/16/2021
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: Redness; itching; Poor sleep; Pain at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (Redness), PRURITUS (itching), POOR QUALITY SLEEP (Poor sleep) and INJECTION SITE PAIN (Pain at the injection site) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025L20A) for COVID-19 vaccination. The patient's past medical history included No adverse event (No prior medical history reported.). On 15-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 INJECTION SITE PAIN (Pain at the injection site). On 24-Jan-2021, the patient experienced ERYTHEMA (Redness), PRURITUS (itching) and POOR QUALITY SLEEP (Poor sleep). On 19-Jan-2021, INJECTION SITE PAIN (Pain at the injection site) had resolved. At the time of the report, ERYTHEMA (Redness), PRURITUS (itching) and POOR QUALITY SLEEP (Poor sleep) 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:

ID: 1572936
Sex: F
Age: 80
State: TX

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 08/16/2021
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: dont want to do anything; Have not been hungry; I just don't feel good; Diarrhea; migraine headache; This spontaneous case was reported by a consumer and describes the occurrence of LETHARGY (dont want to do anything), DIARRHOEA (Diarrhea), DECREASED APPETITE (Have not been hungry), MALAISE (I just don't feel good) and MIGRAINE (migraine headache) in an 81-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included Bunion operation (Surgery to remove bunion.) on 06-Jan-2021. On 08-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Jan-2021, the patient experienced MIGRAINE (migraine headache). On 24-Jan-2021, the patient experienced DIARRHOEA (Diarrhea). On an unknown date, the patient experienced LETHARGY (dont want to do anything), DECREASED APPETITE (Have not been hungry) and MALAISE (I just don't feel good). On 24-Jan-2021, DIARRHOEA (Diarrhea) outcome was unknown. At the time of the report, LETHARGY (dont want to do anything), DECREASED APPETITE (Have not been hungry), MALAISE (I just don't feel good) and MIGRAINE (migraine headache) 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 Most recent FOLLOW-UP information incorporated above includes: On 26-Jan-2021: Additional information received

Other Meds:

Current Illness:

ID: 1572937
Sex: F
Age:
State: OK

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 08/16/2021
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: Throwing up; Fever of 99 deg F; severe back pain; feet were swollen up to the knees; feet were swollen up to the knees; arm was sore but not too bad; A spontaneous report was received from a caregiver concerning a female patient of 82 years of age ,who was administered with Moderna's covid-19 vaccine and experienced Throwing up,fever of 99 degree F,severe back pain,feet were swollen upto the knees,arm was sore but not too bad. Patient's medical was not mentioned.Concomitant medications include Methotrexate for arthritis. On 29-JAN-2021,prior to the onset of events,patient received the second of two planned doses of mRNA-1273(Lot number:unknown) for prophylaxis of covid-19 infection. On 30-JAN-2021,the patient's son called to report what there mother was experiencing after receiving her second dose of moderna covid-19 vaccine yesterday 29-JAN-2021.He said that they went to check on their mother and they saw her throwing up and have a fever of 99 degree F.She also had severe back pain and feet were swollen up to the knees and arm of the injection site was sore but not too bad. The outcome of the events were unknown.

Other Meds: METHOTREXATE SODIUM

Current Illness:

ID: 1572938
Sex: M
Age:
State: FL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 08/16/2021
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: Back and blue marks on injection site; 3 inch swelling of injection site; Sore arms; This spontaneous case was reported by a patient and describes the occurrence of INJECTION SITE BRUISING (Back and blue marks on injection site), PAIN IN EXTREMITY (Sore arms) and INJECTION SITE SWELLING (3 inch swelling of injection site) in a 72-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012L20A) for COVID-19 immunization. No Medical History information was reported. On 21-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 PAIN IN EXTREMITY (Sore arms). On 30-Jan-2021, the patient experienced INJECTION SITE BRUISING (Back and blue marks on injection site) and INJECTION SITE SWELLING (3 inch swelling of injection site). At the time of the report, INJECTION SITE BRUISING (Back and blue marks on injection site), PAIN IN EXTREMITY (Sore arms) and INJECTION SITE SWELLING (3 inch swelling of injection site) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient wanted to know if these were usual events seen after vaccination. Treatment information was not provided. Concomitant medications were not reported. Follow-up was performed on 19-Apr-2021. Patient stated his events were resolved. He also withdrew consent to contact him for follow-up. Most recent FOLLOW-UP information incorporated above includes: On 19-Apr-2021: Outcome resolved

Other Meds:

Current Illness:

ID: 1572939
Sex: F
Age: 71
State: FL

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 08/16/2021
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: headache; not feeling well; arm started to swell; itch; warm; adverse reaction; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (adverse reaction), VACCINATION SITE SWELLING (arm started to swell), INJECTION SITE PRURITUS (itch), VACCINATION SITE WARMTH (warm) and MALAISE (not feeling well) in a 71-year-old female 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 13-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 VACCINATION COMPLICATION (adverse reaction), INJECTION SITE PRURITUS (itch) and VACCINATION SITE WARMTH (warm). On 22-Jan-2021, the patient experienced VACCINATION SITE SWELLING (arm started to swell). On 23-Jan-2021, the patient experienced MALAISE (not feeling well). On an unknown date, the patient experienced HEADACHE (headache). The patient was treated with ANTIBIOTICS ongoing from 22-Jan-2021 at an unspecified dose and frequency; STEROIDS ongoing from 23-Jan-2021 at an unspecified dose and frequency and ANTIHISTAMINES ongoing from 23-Jan-2021 at an unspecified dose and frequency. At the time of the report, VACCINATION COMPLICATION (adverse reaction), VACCINATION SITE SWELLING (arm started to swell), INJECTION SITE PRURITUS (itch), VACCINATION SITE WARMTH (warm), MALAISE (not feeling well) and HEADACHE (headache) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1572940
Sex: F
Age:
State:

Vax Date: 01/18/2021
Onset Date:
Rec V Date: 08/16/2021
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: has a big bump on the arm; redness on their arm; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE INDURATION (has a big bump on the arm) and VACCINATION SITE ERYTHEMA (redness on their arm) 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 18-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE INDURATION (has a big bump on the arm) and VACCINATION SITE ERYTHEMA (redness on their arm). At the time of the report, VACCINATION SITE INDURATION (has a big bump on the arm) and VACCINATION SITE ERYTHEMA (redness on their arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown.

Other Meds:

Current Illness:

ID: 1572941
Sex: F
Age: 51
State: NY

Vax Date: 01/06/2021
Onset Date: 01/12/2021
Rec V Date: 08/16/2021
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: extreme fatigue; blisters on my hands, nose, feet, elbows, between my fingers, underneath and between my toes; This spontaneous case was reported by a dental hygienist (subsequently medically confirmed) and describes the occurrence of RASH VESICULAR (blisters on my hands, nose, feet, elbows, between my fingers, underneath and between my toes) and FATIGUE (extreme fatigue) in a 51-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011J20A) for COVID-19 vaccination. The patient's past medical history included IgA decreased. On 06-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 RASH VESICULAR (blisters on my hands, nose, feet, elbows, between my fingers, underneath and between my toes). On an unknown date, the patient experienced FATIGUE (extreme fatigue). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Allergic rash, at a dose of unknown; CETIRIZINE HYDROCHLORIDE (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) for Allergy, at a dose of unknown; DOXYCYCLINE for Antibacterial prophylaxis, at a dose of unknown; VALACICLOVIR HYDROCHLORIDE (VALACYCLOVIR HCL) for Antiviral prophylaxis, at a dose of unknown and PREDNISONE ACETATE for Antiinflammatory therapy, at an unspecified dose and frequency. At the time of the report, RASH VESICULAR (blisters on my hands, nose, feet, elbows, between my fingers, underneath and between my toes) had not resolved. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, COVID-19: negative 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.

Other Meds:

Current Illness:

ID: 1572942
Sex: F
Age: 72
State: FL

Vax Date: 01/15/2021
Onset Date: 01/25/2021
Rec V Date: 08/16/2021
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: Huge rash over the upper part of the arm; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE RASH (Huge rash over the upper part of the arm) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029K20A) for COVID-19 vaccination. No medical history is provided and concomitant drugs are provided. Concomitant products included ATORVASTATIN, LORATADINE and TENOXICAM (SORAL). On 15-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 25-Jan-2021, the patient experienced VACCINATION SITE RASH (Huge rash over the upper part of the arm). At the time of the report, VACCINATION SITE RASH (Huge rash over the upper part of the arm) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. having a reaction is a event is not resolved

Other Meds: ATORVASTATIN; LORATADINE; SORAL

Current Illness:

ID: 1572943
Sex: F
Age:
State:

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 08/16/2021
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: 1st dose of Moderna Covid 19 vaccine; nausea; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (1st dose of Moderna COVID 19 vaccine) and NAUSEA (nausea) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 12-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Feb-2021, the patient experienced MYALGIA (1st dose of Moderna Covid 19 vaccine) and NAUSEA (nausea). At the time of the report, MYALGIA (1st dose of Moderna Covid 19 vaccine) outcome was unknown and NAUSEA (nausea) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. No treatment information was reported. 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. Reporter did not allow further contact; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1572944
Sex: F
Age: 56
State: WV

Vax Date: 01/04/2021
Onset Date:
Rec V Date: 08/16/2021
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: low grade fever; arm soreness; swelling at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (low grade fever), PAIN IN EXTREMITY (arm soreness) and INJECTION SITE SWELLING (swelling at the injection site) in a 56-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. No Medical History information was reported. On 04-Jan-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) at an unspecified dose. On an unknown date, the patient experienced PYREXIA (low grade fever), PAIN IN EXTREMITY (arm soreness) and INJECTION SITE SWELLING (swelling at the injection site). At the time of the report, PYREXIA (low grade fever), PAIN IN EXTREMITY (arm soreness) and INJECTION SITE SWELLING (swelling at the injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route), the reporter did not provide any causality assessments.

Other Meds:

Current Illness:

ID: 1572945
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/16/2021
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: side effects; This spontaneous case was reported by a consumer and describes the occurrence of ADVERSE EVENT FOLLOWING IMMUNIZATION (side effects) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 041L20A) 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 ADVERSE EVENT FOLLOWING IMMUNISATION (side effects). At the time of the report, ADVERSE EVENT FOLLOWING IMMUNISATION (side effects) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1572946
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/16/2021
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: swelling; red rash; hot; localized reaction; This spontaneous case was reported by a physician and describes the occurrence of SWELLING (swelling), RASH ERYTHEMATOUS (red rash), FEELING HOT (hot) and UNEVALUABLE EVENT (localized reaction) 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 reported medical history). 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 SWELLING (swelling), RASH ERYTHEMATOUS (red rash), FEELING HOT (hot) and UNEVALUABLE EVENT (localized reaction). At the time of the report, SWELLING (swelling), RASH ERYTHEMATOUS (red rash), FEELING HOT (hot) and UNEVALUABLE EVENT (localized reaction) 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: 1572947
Sex: F
Age:
State:

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 08/16/2021
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: macular, papular area; injection site is still bruised; injection site itchy; injection site is red; injection site is swollen; This spontaneous case was reported by a physician and describes the occurrence of RASH MACULO-PAPULAR (macular, papular area), VACCINATION SITE BRUISING (injection site is still bruised), VACCINATION SITE PRURITUS (injection site itchy), VACCINATION SITE ERYTHEMA (injection site is red) and VACCINATION SITE SWELLING (injection site is swollen) 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 14-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Jan-2021, the patient experienced RASH MACULO-PAPULAR (macular, papular area), VACCINATION SITE BRUISING (injection site is still bruised), VACCINATION SITE PRURITUS (injection site itchy), VACCINATION SITE ERYTHEMA (injection site is red) and VACCINATION SITE SWELLING (injection site is swollen). At the time of the report, RASH MACULO-PAPULAR (macular, papular area), VACCINATION SITE BRUISING (injection site is still bruised), VACCINATION SITE PRURITUS (injection site itchy), VACCINATION SITE ERYTHEMA (injection site is red) and VACCINATION SITE SWELLING (injection site is swollen) 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 use was not provided by the reporter. No treatment information was provided. Reporter did not allow further contact.

Other Meds:

Current Illness:

ID: 1572948
Sex: F
Age:
State:

Vax Date: 01/22/2021
Onset Date:
Rec V Date: 08/16/2021
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: redness (vaccination site); Arm pain; Swollen arm; Swollen neck; Dry Mouth; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE ERYTHEMA (redness (vaccination site)), PAIN IN EXTREMITY (Arm pain), PERIPHERAL SWELLING (Swollen arm), SWELLING (Swollen neck) and DRY MOUTH (Dry Mouth) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032L2U9) for COVID-19 vaccination. The patient's past medical history included No adverse event. Concomitant products included AMLODIPINE for Blood pressure abnormal. On 22-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 VACCINATION SITE ERYTHEMA (redness (vaccination site)), PAIN IN EXTREMITY (Arm pain), PERIPHERAL SWELLING (Swollen arm), SWELLING (Swollen neck) and DRY MOUTH (Dry Mouth). The patient was treated with ACETAMINOPHEN for Pain, at an unspecified dose and frequency. At the time of the report, VACCINATION SITE ERYTHEMA (redness (vaccination site)), PAIN IN EXTREMITY (Arm pain), PERIPHERAL SWELLING (Swollen arm), SWELLING (Swollen neck) and DRY MOUTH (Dry Mouth) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (COVID 19 Vaccine Moderna) administered intramuscularly, the reporter did not provide any causality assessments.

Other Meds: Amlodipine

Current Illness:

ID: 1572949
Sex: F
Age: 50
State: IN

Vax Date: 01/23/2021
Onset Date:
Rec V Date: 08/16/2021
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: Right arm was swollen; Tingling Sensation down to finger; Severe headache very intense; Nausea; Vomiting; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (Right arm was swollen), PARAESTHESIA (Tingling Sensation down to finger), HEADACHE (Severe headache very intense), NAUSEA (Nausea) and VOMITING (Vomiting) in a 50-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013620A) for COVID-19 vaccination. The patient's past medical history included No adverse event (No medical history was reported). Concomitant products included ACETAMINOPHEN and IBUPROFEN (ADVIL 12 HOUR) for an unknown indication. On 23-Jan-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PERIPHERAL SWELLING (Right arm was swollen), PARAESTHESIA (Tingling Sensation down to finger), HEADACHE (Severe headache very intense), NAUSEA (Nausea) and VOMITING (Vomiting). At the time of the report, PERIPHERAL SWELLING (Right arm was swollen), PARAESTHESIA (Tingling Sensation down to finger), HEADACHE (Severe headache very intense), NAUSEA (Nausea) and VOMITING (Vomiting) had not resolved. No treatment information was provided.

Other Meds: ACETAMINOPHEN; ADVIL 12 HOUR

Current Illness:

ID: 1572950
Sex: F
Age: 26
State: CA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 08/16/2021
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: lump on left arm at the injection site; Redness on left arm at the injection site; swelling on left arm at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE MASS (lump on left arm at the injection site), VACCINATION SITE ERYTHEMA (Redness on left arm at the injection site) and VACCINATION SITE SWELLING (swelling on left arm at the injection site) in a 26-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 042L20A) for COVID-19 vaccination. The patient's past medical history included No adverse event (No reported medical history.). On 15-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 VACCINATION SITE MASS (lump on left arm at the injection site), VACCINATION SITE ERYTHEMA (Redness on left arm at the injection site) and VACCINATION SITE SWELLING (swelling on left arm at the injection site). At the time of the report, VACCINATION SITE MASS (lump on left arm at the injection site), VACCINATION SITE ERYTHEMA (Redness on left arm at the injection site) and VACCINATION SITE SWELLING (swelling on left arm at the injection site) 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.

Other Meds:

Current Illness:

ID: 1572951
Sex: F
Age:
State:

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 08/16/2021
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: chest was killing me, from the upper half to my neck; chest was killing me, from the upper half to my neck; A spontaneous report was received from a (Reporter Consumer) concerning a female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events (PT term) list is 1.chest discomfort 2.Myalgia The patient's medical history was not provided. No relevant concomitant medications were reported. On Date of 23-jan-2021, the patient received first of two planned doses of mRNA-1273 (lot/batch: is unknown) intramuscularly in the Anatomical location for prophylaxis of COVID-19 infection. On date of 24-jan-2021 The patient experienced the events list (verbatims) Her chest discomfort whole day from upper half of neck. and myalgia. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The events, chest discomfort from upper half of neck and Myalgia were considered NOT RESLOVED on 24-jan-2021; Sender's Comments: Very limited information regarding this events has been provided at this time. Further information has been requested. Company assessed the events to be unlikely related to company product.

Other Meds:

Current Illness:

ID: 1572952
Sex: M
Age:
State: CA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 08/16/2021
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: Heavy diarrhea; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (Heavy diarrhea) in a 95-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 042L20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. Concomitant products included OMEPRAZOLE, ATORVASTATIN CALCIUM (LIPITOR), APIXABAN and LOPERAMIDE HYDROCHLORIDE (IMODIUM) for an unknown indication. On 25-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Jan-2021, the patient experienced DIARRHOEA (Heavy diarrhea). At the time of the report, DIARRHOEA (Heavy diarrhea) was resolving. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment information was provided.

Other Meds: OMEPRAZOLE; LIPITOR; APIXABAN; IMODIUM

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm