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: 1567860
Sex: M
Age: 67
State: FL

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 08/15/2021
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Symptoms: sore arm; Back aches; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (sore arm) and BACK PAIN (Back aches) in a 67-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included High cholesterol. Concomitant products included SIMVASTATIN for High cholesterol. On 03-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Feb-2021, the patient experienced PAIN IN EXTREMITY (sore arm) and BACK PAIN (Back aches). At the time of the report, PAIN IN EXTREMITY (sore arm) and BACK PAIN (Back aches) outcome was unknown. Action taken with mRNA-1273 in response to the events was not applicable. No concomitant medications information was reported. No treatment medications were provided. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. This case was linked to MOD-2021-224924 (Patient Link).

Other Meds: SIMVASTATIN

Current Illness: High cholesterol

ID: 1567861
Sex: F
Age:
State: SC

Vax Date:
Onset Date:
Rec V Date: 08/15/2021
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Symptoms: 1st dose Pfizer, 2nd dose Moderna; "every joint in her aunt's body was hurting"; This spontaneous case was reported by a nurse and describes the occurrence of INTERCHANGE OF VACCINE PRODUCTS (1st dose Pfizer, 2nd dose Moderna) and ARTHRALGIA ("every joint in her aunt's body was hurting") in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Co-suspect product included non-company product TOZINAMERAN (PFIZER BIONTECH 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) (unknown route) 1 dosage form and TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) (unknown route) at an unspecified dose. On an unknown date, the patient experienced INTERCHANGE OF VACCINE PRODUCTS (1st dose Pfizer, 2nd dose Moderna) and ARTHRALGIA ("every joint in her aunt's body was hurting"). At the time of the report, INTERCHANGE OF VACCINE PRODUCTS (1st dose Pfizer, 2nd dose Moderna) and ARTHRALGIA ("every joint in her aunt's body was hurting") had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter. Reportedly, the patient was in her 70's. Treatment information was not provided. This case was linked to US-MODERNATX, INC.-MOD-2021-048805 (E2B Linked Report).; Sender's Comments: US-MODERNATX, INC.-MOD-2021-048805:Crosslinked case

Other Meds:

Current Illness:

ID: 1567862
Sex: F
Age:
State: TX

Vax Date: 02/13/2021
Onset Date: 03/13/2021
Rec V Date: 08/15/2021
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Symptoms: red area at the site of injection; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE ERYTHEMA (red area at the site of injection) 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-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 2 dosage form. On 13-Mar-2021, the patient experienced VACCINATION SITE ERYTHEMA (red area at the site of injection). At the time of the report, VACCINATION SITE ERYTHEMA (red area at the site of injection) had not resolved. Concomitant medications were not reported. Treatment information was not reported. This case was linked to MOD-2021-048244 (Patient Link).

Other Meds:

Current Illness:

ID: 1567863
Sex: F
Age:
State: MD

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 08/15/2021
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Symptoms: skin reaction on her face that is red and inflamed; skin reaction on her face that is red and inflamed; This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (skin reaction on her face that is red and inflamed) and DERMATITIS (skin reaction on her face that is red and inflamed) in a 21-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003A21A) for COVID-19 vaccination. No Medical History information was reported. On 17-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Mar-2021, the patient experienced ERYTHEMA (skin reaction on her face that is red and inflamed) and DERMATITIS (skin reaction on her face that is red and inflamed). At the time of the report, ERYTHEMA (skin reaction on her face that is red and inflamed) and DERMATITIS (skin reaction on her face that is red and inflamed) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medication was reported. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1567864
Sex: F
Age: 57
State: TX

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 08/15/2021
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Symptoms: pain in my neck; neck there was a swollen, reddish lump near the chest bone on the right side; neck there was a swollen, reddish lump near the chest bone on the right side; neck there was a swollen, reddish lump near the chest bone on the right side; fever; sleepy; pain in arm; This spontaneous case was reported by a consumer and describes the occurrence of SOMNOLENCE (sleepy), PAIN IN EXTREMITY (pain in arm), NECK PAIN (pain in my neck), SWELLING (neck there was a swollen, reddish lump near the chest bone on the right side) and ERYTHEMA (neck there was a swollen, reddish lump near the chest bone on the right side) in a 52-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 024M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Blood pressure high. On 15-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Mar-2021, the patient experienced SOMNOLENCE (sleepy), PAIN IN EXTREMITY (pain in arm) and PYREXIA (fever). On 16-Mar-2021, the patient experienced NECK PAIN (pain in my neck), SWELLING (neck there was a swollen, reddish lump near the chest bone on the right side), ERYTHEMA (neck there was a swollen, reddish lump near the chest bone on the right side) and MASS (neck there was a swollen, reddish lump near the chest bone on the right side). The patient was treated with ACETYLSALICYLIC ACID (ASPIRIN (E.C.)) at an unspecified dose and frequency. On 15-Mar-2021, PYREXIA (fever) had resolved. At the time of the report, SOMNOLENCE (sleepy), PAIN IN EXTREMITY (pain in arm), NECK PAIN (pain in my neck), SWELLING (neck there was a swollen, reddish lump near the chest bone on the right side), ERYTHEMA (neck there was a swollen, reddish lump near the chest bone on the right side) and MASS (neck there was a swollen, reddish lump near the chest bone on the right side) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product use included unspecified high blood pressure medication. Reportedly, next to the patient's lump, she has a ball that upon touching moves inside. The patient stated that she is not going for the second dose.

Other Meds:

Current Illness: Blood pressure high

ID: 1567865
Sex: M
Age: 77
State: TX

Vax Date: 02/13/2021
Onset Date: 03/13/2021
Rec V Date: 08/15/2021
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Symptoms: COVID ARM; Itchiness; Red Area; Swelling; Fever of 102 degrees; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE REACTION (COVID ARM), VACCINATION SITE PRURITUS (Itchiness), VACCINATION SITE ERYTHEMA (Red Area), VACCINATION SITE SWELLING (Swelling) and PYREXIA (Fever of 102 degrees) in a 77-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 13-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 13-Mar-2021, the patient experienced VACCINATION SITE REACTION (COVID ARM), VACCINATION SITE PRURITUS (Itchiness), VACCINATION SITE ERYTHEMA (Red Area), VACCINATION SITE SWELLING (Swelling) and PYREXIA (Fever of 102 degrees). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency and NAPROXEN at an unspecified dose and frequency. On 14-Mar-2021, PYREXIA (Fever of 102 degrees) had resolved. At the time of the report, VACCINATION SITE REACTION (COVID ARM), VACCINATION SITE PRURITUS (Itchiness), VACCINATION SITE ERYTHEMA (Red Area) and VACCINATION SITE SWELLING (Swelling) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 13-Mar-2021, Body temperature: 102 ?F (High) 102. No concomitant medications were reported.

Other Meds:

Current Illness:

ID: 1567866
Sex: M
Age: 73
State: AZ

Vax Date: 02/12/2021
Onset Date: 03/13/2021
Rec V Date: 08/15/2021
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Symptoms: Sensitive to touch; Couple spots were tender; Rash on right arm; Very red; This spontaneous case was reported by a consumer and describes the occurrence of SENSITIVE SKIN (Sensitive to touch), VACCINATION SITE INDURATION (Couple spots were tender), VACCINATION SITE RASH (Rash on right arm) and VACCINATION SITE ERYTHEMA (Very red) in a 73-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 001B21A and 031L20A) for COVID-19 vaccination. Concomitant products included PRIMIDONE, BACLOFEN, PROPRANOLOL and TRAZODONE for an unknown indication. On 12-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 13-Mar-2021, the patient experienced SENSITIVE SKIN (Sensitive to touch), VACCINATION SITE INDURATION (Couple spots were tender) and VACCINATION SITE ERYTHEMA (Very red). 13-Mar-2021, the patient experienced VACCINATION SITE RASH (Rash on right arm). The patient was treated with CORTISONE (topical) at an unspecified dose and frequency. At the time of the report, SENSITIVE SKIN (Sensitive to touch), VACCINATION SITE INDURATION (Couple spots were tender), VACCINATION SITE RASH (Rash on right arm) and VACCINATION SITE ERYTHEMA (Very red) outcome was unknown. Treatment details included use of ice pack and antihistamines. This case was linked to US-MODERNATX, INC.-MOD-2021-048253 (E2B Linked Report). Most recent FOLLOW-UP information incorporated above includes: On 07-May-2021: Follow-up - Email id updated; Sender's Comments: US-MODERNATX, INC.-MOD-2021-048253:Crosslinked with dose 1

Other Meds: PRIMIDONE; BACLOFEN; PROPRANOLOL; TRAZODONE

Current Illness:

ID: 1567867
Sex: F
Age:
State:

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

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Symptoms: headache, left side of head bothering me; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (headache, left side of head bothering me) 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 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Mar-2021, the patient experienced HEADACHE (headache, left side of head bothering me). The patient was treated with NAPROXEN SODIUM (ALEVE) in March 2021 for Headache, at a dose of 1 dosage form. At the time of the report, HEADACHE (headache, left side of head bothering me) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were provided. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1567868
Sex: F
Age:
State: OH

Vax Date: 03/10/2021
Onset Date:
Rec V Date: 08/15/2021
Hospital:

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Symptoms: loss of appetite; severe headache; soreness; fever of 102; joint pain; This spontaneous case was reported by a consumer and describes the occurrence of DECREASED APPETITE (loss of appetite), HEADACHE (severe headache), MYALGIA (soreness), PYREXIA (fever of 102) and ARTHRALGIA (joint pain) 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 10-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced DECREASED APPETITE (loss of appetite), HEADACHE (severe headache), MYALGIA (soreness), PYREXIA (fever of 102) and ARTHRALGIA (joint pain). At the time of the report, DECREASED APPETITE (loss of appetite), HEADACHE (severe headache), MYALGIA (soreness), PYREXIA (fever of 102) and ARTHRALGIA (joint pain) outcome was unknown. No relevant concomitant medications were reported. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1567869
Sex: F
Age: 65
State: WV

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 08/15/2021
Hospital:

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Symptoms: Arm soreness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm soreness) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006B21A) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included LEVOTHYROXINE SODIUM (SYNTHROID), AMLODIPINE and ATORVASTATIN for an unknown indication. On 17-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Mar-2021, the patient experienced PAIN IN EXTREMITY (Arm soreness). At the time of the report, PAIN IN EXTREMITY (Arm soreness) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment medication information was provided.

Other Meds: SYNTHROID; AMLODIPINE; ATORVASTATIN

Current Illness:

ID: 1567870
Sex: M
Age:
State: NV

Vax Date: 01/17/2021
Onset Date: 02/22/2021
Rec V Date: 08/15/2021
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Symptoms: Diarrhea; Horrible stomach problems; This spontaneous case was reported by an other caregiver and describes the occurrence of DIARRHOEA (Diarrhea) and ABDOMINAL DISCOMFORT (Horrible stomach problems) in a 73-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 031M20A and 025G20-2A) for COVID-19 vaccination. No Medical History information was reported. On 17-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 22-Feb-2021, the patient experienced DIARRHOEA (Diarrhea) and ABDOMINAL DISCOMFORT (Horrible stomach problems). At the time of the report, DIARRHOEA (Diarrhea) and ABDOMINAL DISCOMFORT (Horrible stomach problems) outcome was unknown. Reportedly, the dentist wanted to make a canal in the tooth, it was not possible, so they pulled the tooth. The doctor put him on antibiotic and then the diarrhea started. The reporter stated that they filled the cadaver bone with plastic. No relevant concomitant medications were reported. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1567871
Sex: F
Age:
State: CO

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

Vax Type:
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Symptoms: Body aches; headache; tender around the injection site; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (Body aches), HEADACHE (headache) and VACCINATION SITE PAIN (tender around the injection site) in a 34-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029A21A) for COVID-19 vaccination. No Medical History information was reported. On 16-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Mar-2021, the patient experienced MYALGIA (Body aches), HEADACHE (headache) and VACCINATION SITE PAIN (tender around the injection site). The patient was treated with PARACETAMOL (TYLENOL) in March 2021 for Headache, Myalgia and Vaccination site tenderness, at a dose of 1000 mg once a day. On 19-Mar-2021, MYALGIA (Body aches), HEADACHE (headache) and VACCINATION SITE PAIN (tender around the injection site) had resolved. Not Provided No relevant concomitant medication was reported. Reporter did not allow further contact Most recent FOLLOW-UP information incorporated above includes: On 06-May-2021: Event outcome was updated.

Other Meds:

Current Illness:

ID: 1567872
Sex: F
Age: 47
State: HI

Vax Date: 03/12/2021
Onset Date: 03/17/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type:
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Symptoms: Hives all over his body except the lower limbs; Itching; Feeling body is hot; This spontaneous case was reported by a consumer and describes the occurrence of URTICARIA (Hives all over his body except the lower limbs), PRURITUS (Itching) and FEELING HOT (Feeling body is hot) in a 47-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001B21A) for COVID-19 vaccination. No Medical History information was reported. On 12-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Mar-2021, the patient experienced URTICARIA (Hives all over his body except the lower limbs), PRURITUS (Itching) and FEELING HOT (Feeling body is hot). At the time of the report, URTICARIA (Hives all over his body except the lower limbs), PRURITUS (Itching) and FEELING HOT (Feeling body is hot) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication was reported. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1567873
Sex: F
Age:
State: VA

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

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Symptoms: Turned away for second dose due to being on a steroid regimen; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of INCOMPLETE COURSE OF VACCINATION (Turned away for second dose due to being on a steroid regimen) in a 91-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 adverse event history). On 17-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced INCOMPLETE COURSE OF VACCINATION (Turned away for second dose due to being on a steroid regimen). At the time of the report, INCOMPLETE COURSE OF VACCINATION (Turned away for second dose due to being on a steroid regimen) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant products known to have been used by the patient, within two weeks prior to the event, included steroids. Treatment of the event not reported. This report refers to a case of incomplete course of vaccination for mRNA-1273, lot # unknown with no associated AEs.; Sender's Comments: This report refers to a case of incomplete course of vaccination for mRNA-1273, lot # unknown with no associated AEs.

Other Meds:

Current Illness:

ID: 1567874
Sex: F
Age: 27
State: CA

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

Vax Type:
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Symptom List:

Symptoms: Injection site red; Puffy rash around the injection site bigger than a quater; Swollen around the injection site; Itchy around the injection site; This spontaneous case was reported by a patient and describes the occurrence of VACCINATION SITE ERYTHEMA (Injection site red), VACCINATION SITE RASH (Puffy rash around the injection site bigger than a quater), VACCINATION SITE SWELLING (Swollen around the injection site) and VACCINATION SITE PRURITUS (Itchy around the injection site) in a 27-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011A21A) for COVID-19 vaccination. No medical history was reported. Concomitant products included VITAMINS NOS for an unknown indication. On 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Mar-2021, the patient experienced VACCINATION SITE ERYTHEMA (Injection site red), VACCINATION SITE RASH (Puffy rash around the injection site bigger than a quater), VACCINATION SITE SWELLING (Swollen around the injection site) and VACCINATION SITE PRURITUS (Itchy around the injection site). The patient was treated with HYDROCORTISONE (topical) in March 2021 for Vaccination site erythema, Vaccination site rash, Vaccination site swelling and Vaccination site pruritus, at an unspecified dose and frequency and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) (topical) in March 2021 for Vaccination site pruritus, at an unspecified dose and frequency. At the time of the report, VACCINATION SITE ERYTHEMA (Injection site red), VACCINATION SITE RASH (Puffy rash around the injection site bigger than a quater), VACCINATION SITE SWELLING (Swollen around the injection site) and VACCINATION SITE PRURITUS (Itchy around the injection site) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Additional treatment information included breast milk, on the injection site to treat adverse event.

Other Meds: VITAMINS NOS

Current Illness:

ID: 1567875
Sex: F
Age: 69
State: VA

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type:
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Vax Name:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: sore arm/Arm pain; slight headache; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (sore arm/Arm pain) and HEADACHE (slight headache) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 027A21A) for COVID-19 vaccination. No Medical History information was reported. On 06-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Mar-2021, the patient experienced PAIN IN EXTREMITY (sore arm/Arm pain) and HEADACHE (slight headache). At the time of the report, PAIN IN EXTREMITY (sore arm/Arm pain) and HEADACHE (slight headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications reported. Treatment medications was not provided by the reporter

Other Meds:

Current Illness:

ID: 1567876
Sex: M
Age:
State: NJ

Vax Date: 03/01/2021
Onset Date:
Rec V Date: 08/15/2021
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Symptoms: headache; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (headache) 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. In March 2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced HEADACHE (headache). At the time of the report, HEADACHE (headache) outcome was unknown. Not Provided No concomitant medication were reported. No Treatment information was reported.

Other Meds:

Current Illness:

ID: 1567877
Sex: F
Age:
State: FL

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 08/15/2021
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Symptoms: Sore arm around the injection site; Rash around the injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Sore arm around the injection site) and VACCINATION SITE RASH (Rash around the injection site) in an elderly female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 01020A) for COVID-19 vaccination. No Medical History information was reported. On 15-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Mar-2021, the patient experienced VACCINATION SITE PAIN (Sore arm around the injection site) and VACCINATION SITE RASH (Rash around the injection site). The patient was treated with HYDROCORTISONE at an unspecified dose and frequency. At the time of the report, VACCINATION SITE PAIN (Sore arm around the injection site) and VACCINATION SITE RASH (Rash around the injection site) had resolved. Not Provided No relevant concomitant medications were reported. Reporter did not allow further contact Most recent FOLLOW-UP information incorporated above includes: On 06-May-2021: Outcome of the event was provided.

Other Meds:

Current Illness:

ID: 1567878
Sex: F
Age:
State: MD

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 08/15/2021
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Symptoms: pain in shoulder iridin to back; had sore arm that 3 or 4 days more chronic pain in left arm (injection); This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of VACCINATION SITE PAIN (had sore arm that 3 or 4 days more chronic pain in left arm (injection)) and ARTHRALGIA (pain in shoulder iridin to back) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010M20A) for COVID-19 vaccination. The patient's medical history was not reported. Concomitant products included LEVETIRACETAM (KEPPRA), AMLODIPINE, PRAVASTATIN, PARACETAMOL (TYLENOL REGULAR) and IBUPROFEN for an unknown indication. On 22-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 VACCINATION SITE PAIN (had sore arm that 3 or 4 days more chronic pain in left arm (injection)). On an unknown date, the patient experienced ARTHRALGIA (pain in shoulder iridin to back). The patient was treated with PREDNISONE at an unspecified dose and frequency; IBUPROFEN at an unspecified dose and frequency and LIDOCAINE, PRILOCAINE (COMPOUND LIDOCAINE) for Pain, at a dose of UNK, bid. At the time of the report, VACCINATION SITE PAIN (had sore arm that 3 or 4 days more chronic pain in left arm (injection)) and ARTHRALGIA (pain in shoulder iridin to back) outcome was unknown. Additional treatment medication included unspecified muscle relaxing. This case was linked to US-MODERNATX, INC.-MOD-2021-048391 (Patient Link).

Other Meds: KEPPRA; AMLODIPINE; PRAVASTATIN; TYLENOL REGULAR; IBUPROFEN

Current Illness:

ID: 1567879
Sex: F
Age:
State: HI

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 08/15/2021
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Symptoms: Her arm is very painful; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Her arm is very painful) 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-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Mar-2021, the patient experienced PAIN IN EXTREMITY (Her arm is very painful). At the time of the report, PAIN IN EXTREMITY (Her arm is very painful) outcome was unknown. No relevant concomitant medications were reported. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1567880
Sex: F
Age:
State: TN

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 08/15/2021
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Symptoms: This spontaneous case reported by a consumer, describes the occurrence of vaccination site pain (little bit of arm soreness) in a female patient, of an unknown age, who received mRNA-1273 (Moderna COVID-19 vaccine) for COVID-19 immunization. No medical history information reported. On Mar 5, 2021, patient received the first dose of mRNA-1273 (Moderna COVID-19 vaccine), intramuscular; 1 dosage form. On Mar 5, 2021, patient experienced vaccination site pain (little bit of arm soreness). On Mar 7, 2021, vaccination site pain (little bit of arm soreness) resolved. The action taken with mRNA-1273 (Moderna COVID-19 vaccine), intramuscular: unknown. Concomitant product use and treatment information not provided by the reporter. The patient had the second dose and had no issues. Reporter did not allow further contact. Most recent follow-up information incorporated above includes: On May 7, 2021: Action taken and consent updated.

Other Meds:

Current Illness:

ID: 1567881
Sex: F
Age:
State: TX

Vax Date:
Onset Date:
Rec V Date: 08/15/2021
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Symptoms: Vaccine was being administered but it spilled out, so they ended up administering an other dose.; Vaccine was being administered but it spilled out, so they ended up administering an other dose.; WARNING: THE STUDY CONFIGURATION IS MISSING THE STUDY PHASE. PLEASE UPDATE THE STUDY PHASE AND RE-GENERATE THE NARRATIVE AGAIN. This The subject received mRNA-1273 (Moderna COVID-19 Vaccine). The report describes a case of DEVICE CONNECTION ISSUE (Vaccine was being administered but it spilled out, so they ended up administering an other dose.) and ACCIDENTAL OVERDOSE (Vaccine was being administered but it spilled out, so they ended up administering an other dose.). The patient's past medical history included No adverse event (No adverse event history). On an unknown date, the patient experienced DEVICE CONNECTION ISSUE (Vaccine was being administered but it spilled out, so they ended up administering an other dose.) and ACCIDENTAL OVERDOSE (Vaccine was being administered but it spilled out, so they ended up administering an other dose.). At the time of the report, DEVICE CONNECTION ISSUE (Vaccine was being administered but it spilled out, so they ended up administering an other dose.) and ACCIDENTAL OVERDOSE (Vaccine was being administered but it spilled out, so they ended up administering an other dose.) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications reported by investigator. Treatment of this event was not provided. Company comment: This report refers to a case of syringe connection issue and accidental overdose for mRNA-1273, lot # unknown with no associated AEs Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1567882
Sex: F
Age: 84
State: MI

Vax Date: 02/11/2021
Onset Date:
Rec V Date: 08/15/2021
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Symptoms: Eyes were very red; her shoulder to elbow on arm was red and very itchy; her shoulder to elbow on arm was red and very itchy; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PRURITUS (her shoulder to elbow on arm was red and very itchy), ERYTHEMA (her shoulder to elbow on arm was red and very itchy) and OCULAR HYPERAEMIA (Eyes were very red) in an 85-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 015M20A) for COVID-19 vaccination. No Medical History information was reported. On 11-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PRURITUS (her shoulder to elbow on arm was red and very itchy), ERYTHEMA (her shoulder to elbow on arm was red and very itchy) and OCULAR HYPERAEMIA (Eyes were very red). At the time of the report, PRURITUS (her shoulder to elbow on arm was red and very itchy) and ERYTHEMA (her shoulder to elbow on arm was red and very itchy) had resolved and OCULAR HYPERAEMIA (Eyes were very red) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications were not provided. Treatment medication were over-the-counter (OTC) anti itching cream and eye drops. Most recent FOLLOW-UP information incorporated above includes: On 17-Mar-2021: No new information reported.

Other Meds:

Current Illness:

ID: 1567883
Sex: F
Age:
State: NJ

Vax Date: 01/18/2021
Onset Date:
Rec V Date: 08/15/2021
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Symptoms: fever; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (fever) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 18-Jan-2021, the patient 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 received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PYREXIA (fever). At the time of the report, PYREXIA (fever) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) and mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Treatment details not provided. concomitant details not provided. This case was linked to MOD-2021-009003 (Patient Link).

Other Meds:

Current Illness:

ID: 1567884
Sex: F
Age: 31
State: TX

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 08/15/2021
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Symptoms: Fever ( 101 ? F-102 ? F); This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (Fever ( 101 ? F-102 ? F)) in a 31-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031A21A) for COVID-19 vaccination. No Medical History information was reported. On 10-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Mar-2021, the patient experienced PYREXIA (Fever ( 101 ? F-102 ? F)). The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date at an unspecified dose and frequency. At the time of the report, PYREXIA (Fever ( 101 ? F-102 ? F)) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 101 ? f to 102 ? f 101 ? F to 102 ? F sometimes goes down to 98 ? F. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications included 3 unspecified medicines for the convulsion and to treat reflux acid. Treatment medications included paracetamol (Tylenol).

Other Meds:

Current Illness:

ID: 1567885
Sex: F
Age: 63
State: TX

Vax Date: 03/03/2021
Onset Date: 03/12/2021
Rec V Date: 08/15/2021
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Symptoms: This spontaneous case reported by a consumer, describes the occurrence of herpes zoster (shingles) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 vaccine), batch# 012A21A) for COVID-19 immunization. The patient's past medical history included bone fracture bone in 2020. Concomitant products included levothyroxine for an unknown indication. On Mar 3, 2021, patient received the first dose of mRNA-1273 (Moderna COVID-19 vaccine), intramuscular; 1 dosage form. On Mar 12, 2021, patient experienced herpes zoster (shingles). At the time of the report, herpes zoster (shingles): resolving. The action taken with mRNA-1273 (Moderna COVID-19 vaccine), intramuscular: unknown. The reporter did not provide any causality assessments. The treatment for the shingles event included antiviral medication and Advil.

Other Meds: Levothyroxine

Current Illness:

ID: 1567886
Sex: F
Age:
State: FL

Vax Date:
Onset Date: 03/17/2021
Rec V Date: 08/15/2021
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Symptoms: Problems in her back / pain in the back; rash on her arm, like hives; Rash on her arm; This spontaneous case was reported by a consumer and describes the occurrence of MUSCULOSKELETAL DISCOMFORT (Problems in her back / pain in the back), URTICARIA (rash on her arm, like hives) and RASH (Rash on her arm) in an 83-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Mar-2021, the patient experienced URTICARIA (rash on her arm, like hives) and RASH (Rash on her arm). On an unknown date, the patient experienced MUSCULOSKELETAL DISCOMFORT (Problems in her back / pain in the back). At the time of the report, MUSCULOSKELETAL DISCOMFORT (Problems in her back / pain in the back) was resolving and URTICARIA (rash on her arm, like hives) and RASH (Rash on her arm) outcome was unknown. Concomitant medications were not provided. Treatment information was not reported. Most recent FOLLOW-UP information incorporated above includes: On 28-Jun-2021: Reporter contact information and patient initials updated

Other Meds:

Current Illness:

ID: 1567887
Sex: F
Age:
State: FL

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 08/15/2021
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Symptoms: Pain in arm/injection arm was sore; headache; Fatigue; welt at injection site; Lack of appetite; This spontaneous case was reported by a consumer and describes the occurrence of DECREASED APPETITE (Lack of appetite), PAIN IN EXTREMITY (Pain in arm/injection arm was sore), VACCINATION SITE URTICARIA (welt at injection site), HEADACHE (headache) and FATIGUE (Fatigue) in a 57-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 007M20A and 032M204) for COVID-19 vaccination. No Medical History information was reported. On 13-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to at an unspecified dose. On 13-Feb-2021, the patient experienced DECREASED APPETITE (Lack of appetite) and VACCINATION SITE URTICARIA (welt at injection site). On 14-Feb-2021, the patient experienced PAIN IN EXTREMITY (Pain in arm/injection arm was sore), HEADACHE (headache) and FATIGUE (Fatigue). At the time of the report, DECREASED APPETITE (Lack of appetite), PAIN IN EXTREMITY (Pain in arm/injection arm was sore), VACCINATION SITE URTICARIA (welt at injection site), HEADACHE (headache) and FATIGUE (Fatigue) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) and mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications was given. No treatment information was given. This case was linked to MOD-2021-101624 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 03-May-2021: Email Updated and 2nd dose of vaccine information provided

Other Meds:

Current Illness:

ID: 1567888
Sex: M
Age: 66
State: NY

Vax Date: 02/21/2021
Onset Date: 02/23/2021
Rec V Date: 08/15/2021
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Symptoms: joints would start hurting; tingling on the back sides in the rear of his tongue; recurring and metallic taste in his mouth; terrible headach; going to come down with the flu for several hours; mental agitation with anger, or not feeling well; erratic performance, described as breathing sometimes like having run three miles after climbing; walking; extraordinarily high level of anxiety; This spontaneous case was reported by a consumer and describes the occurrence of DYSGEUSIA (recurring and metallic taste in his mouth), PARAESTHESIA (tingling on the back sides in the rear of his tongue), HEADACHE (terrible headach), ARTHRALGIA (joints would start hurting) and ANXIETY (extraordinarily high level of anxiety) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 016M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Deep vein thrombosis in 2017, Atrial fibrillation (With cardioversion), Sleep apnea and Knee replacement (Double knee replacement.). Concomitant products included ROSUVASTATIN, RIVAROXABAN (XARELTO), LISINOPRIL, HCTZ, CURCUMIN (TURMERIC MERIVA), ACETAMINOPHEN and METOPROLOL SUCCINATE for an unknown indication. On 21-Feb-2021 at 5:10 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Feb-2021, the patient experienced ANXIETY (extraordinarily high level of anxiety). On 26-Feb-2021, the patient experienced GAIT DISTURBANCE (walking). On 01-Mar-2021, the patient experienced AGITATION (mental agitation with anger, or not feeling well) and HYPERVENTILATION (erratic performance, described as breathing sometimes like having run three miles after climbing). On an unknown date, the patient experienced DYSGEUSIA (recurring and metallic taste in his mouth), PARAESTHESIA (tingling on the back sides in the rear of his tongue), HEADACHE (terrible headach), ARTHRALGIA (joints would start hurting) and INFLUENZA (going to come down with the flu for several hours). On 04-Mar-2021, ANXIETY (extraordinarily high level of anxiety), GAIT DISTURBANCE (walking), AGITATION (mental agitation with anger, or not feeling well) and HYPERVENTILATION (erratic performance, described as breathing sometimes like having run three miles after climbing) outcome was unknown. At the time of the report, DYSGEUSIA (recurring and metallic taste in his mouth), PARAESTHESIA (tingling on the back sides in the rear of his tongue), HEADACHE (terrible headach), ARTHRALGIA (joints would start hurting) and INFLUENZA (going to come down with the flu for several hours) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.

Other Meds: ROSUVASTATIN; XARELTO; LISINOPRIL; HCTZ; TURMERIC MERIVA; ACETAMINOPHEN; METOPROLOL SUCCINATE

Current Illness:

ID: 1567889
Sex: F
Age: 72
State: VA

Vax Date: 03/06/2021
Onset Date:
Rec V Date: 08/15/2021
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Symptoms: The injection site is itchy.; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PRURITUS (The injection site is itchy.) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022M209) for COVID-19 vaccination. Concurrent medical conditions included Diabetes. On 06-Mar-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 PRURITUS (The injection site is itchy.). At the time of the report, VACCINATION SITE PRURITUS (The injection site is itchy.) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown. Concomitant medications include Diabetes medications Patient used alcohol as treatment to get some relief.

Other Meds:

Current Illness: Diabetes

ID: 1567890
Sex: M
Age: 82
State: OH

Vax Date: 02/16/2021
Onset Date: 02/01/2021
Rec V Date: 08/15/2021
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Symptoms: Foul taste; Foul smell; Feeling horrible; This spontaneous case was reported by a consumer and describes the occurrence of TASTE DISORDER (Foul taste), PAROSMIA (Foul smell) and MALAISE (Feeling horrible) in an 82-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006M20A) for COVID-19 vaccination. Concomitant products included LEVOTHYROXINE and DULAGLUTIDE (TRULICITY) for an unknown indication. On 16-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In February 2021, the patient experienced TASTE DISORDER (Foul taste), PAROSMIA (Foul smell) and MALAISE (Feeling horrible). At the time of the report, TASTE DISORDER (Foul taste), PAROSMIA (Foul smell) and MALAISE (Feeling horrible) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Treatment information was not provided.

Other Meds: LEVOTHYROXINE; TRULICITY

Current Illness:

ID: 1567891
Sex: F
Age: 37
State: IN

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 08/15/2021
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Symptoms: Coughing; 103.2 degree fever; This spontaneous case was reported by a consumer and describes the occurrence of COUGH (Coughing) and PYREXIA (103.2 degree fever) in a 37-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003A21A) for COVID-19 vaccination. Concurrent medical conditions included Adrenal insufficiency. Concomitant products included HYDROCORTISONE for Adrenal insufficiency, ESTRADIOL for an unknown indication. On 16-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Mar-2021, the patient experienced COUGH (Coughing) and PYREXIA (103.2 degree fever). The patient was treated with PARACETAMOL (TYLENOL) for Fever and Coughing, at an unspecified dose and frequency. At the time of the report, COUGH (Coughing) and PYREXIA (103.2 degree fever) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 17-Mar-2021, Body temperature: 103.2 degree (High) 103.2 degree. Other concomitant medication included gastrointestinal medication. This case was linked to MOD-2021-048503 (Patient Link).

Other Meds: ESTRADIOL; HYDROCORTISONE

Current Illness: Adrenal insufficiency

ID: 1567892
Sex: F
Age: 36
State: IN

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 08/15/2021
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Symptoms: Arm is sore/pain in arm; Numbness in the arm; Lost feeling in the arm, difficulty moving arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm is sore/pain in arm), HYPOAESTHESIA (Numbness in the arm) and MOVEMENT DISORDER (Lost feeling in the arm, difficulty moving arm) in a 36-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006M20A) for COVID-19 immunisation. Concurrent medical conditions included Adrenal insufficiency. Concomitant products included HYDROCORTISONE for Adrenal insufficiency, ESTRADIOL for an unknown indication. On 17-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Feb-2021, the patient experienced PAIN IN EXTREMITY (Arm is sore/pain in arm), HYPOAESTHESIA (Numbness in the arm) and MOVEMENT DISORDER (Lost feeling in the arm, difficulty moving arm). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (Arm is sore/pain in arm), HYPOAESTHESIA (Numbness in the arm) and MOVEMENT DISORDER (Lost feeling in the arm, difficulty moving arm) outcome was unknown. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged. Other concomitant medication included gastrointestinal medication. This case was linked to MOD-2021-048486 (Patient Link).

Other Meds: HYDROCORTISONE; ESTRADIOL

Current Illness: Adrenal insufficiency

ID: 1567893
Sex: F
Age:
State: PA

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 08/15/2021
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Symptoms: Sore arm; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Sore 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 14-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 18-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 14-Mar-2021, the patient experienced VACCINATION SITE PAIN (Sore arm). At the time of the report, VACCINATION SITE PAIN (Sore arm) had resolved. Not Provided mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged. Concomitant medications were not provided. Treatment information was not reported. Most recent FOLLOW-UP information incorporated above includes: On 09-May-2021: No new information reported

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Current Illness:

ID: 1567894
Sex: M
Age:
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Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 08/15/2021
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Symptoms: Sluggish; pain on the left arm, feels as if some one punched; This spontaneous case was reported by a consumer and describes the occurrence of SLUGGISHNESS (Sluggish) and VACCINATION SITE PAIN (pain on the left arm, feels as if some one punched) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 038A21A) for COVID-19 vaccination. Concurrent medical conditions included Heart disorder. On 16-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Mar-2021, the patient experienced SLUGGISHNESS (Sluggish) and VACCINATION SITE PAIN (pain on the left arm, feels as if some one punched). At the time of the report, SLUGGISHNESS (Sluggish) and VACCINATION SITE PAIN (pain on the left arm, feels as if some one punched) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication included unspecified medicines for heart conditions. Treatment information was not reported. Reporter did not allow further contact

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Current Illness: Heart disorder

ID: 1567895
Sex: F
Age: 80
State: FL

Vax Date: 01/15/2021
Onset Date: 02/13/2021
Rec V Date: 08/15/2021
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Symptoms: Burning; Unusual taste; Light red; Swollen; The side where shoulder replaced was on fire/pain in shoulder/Pain in shoulders; rash on the right side of face and down my neck/It was almost like the size of a hand; Inflamed a vulnerable area; Severe pain in my back, my lower back/painful back; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 17-Mar-2021 and was forwarded to Moderna on 17-Mar-2021. This spontaneous case was reported by a consumer and describes the occurrence of BACK PAIN (Severe pain in my back, my lower back/painful back), RASH ERYTHEMATOUS (Light red), SWELLING (Swollen), INFLAMMATION (Inflamed a vulnerable area) and BURNING SENSATION (Burning) in an 81-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 013L0-20A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Shoulder replacement (Shoulder replacement a year and half ago.), Facet joint injection (Facet joint injection at lower back .) and Epidural injection (Epidural injection for neck and back pain.) Concurrent medical conditions included Arthritis, Penicillin allergy, Allergy to antibiotic (Allergy to Macrodantin) and Fruit allergy (Allergy to Cantaloupe). Concomitant products included CALCIUM, COLECALCIFEROL (CALCIUM WITH D3) for Calcium deficiency, ATORVASTATIN for Hypercholesterolemia, LEVOTHYROXINE SODIUM (SYNTHROID) for Hypothyroidism, METOPROLOL for Tachycardia. On 15-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 13-Feb-2021, the patient experienced BACK PAIN (Severe pain in my back, my lower back/painful back) and INFLAMMATION (Inflamed a vulnerable area). On 02-Mar-2021, the patient experienced ARTHRALGIA (The side where shoulder replaced was on fire/pain in shoulder/Pain in shoulders). 02-Mar-2021, the patient experienced RASH (rash on the right side of face and down my neck/It was almost like the size of a hand). On 16-Mar-2021, the patient experienced RASH ERYTHEMATOUS (Light red) and SWELLING (Swollen). On an unknown date, the patient experienced BURNING SENSATION (Burning) and TASTE DISORDER (Unusual taste). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, BACK PAIN (Severe pain in my back, my lower back/painful back), RASH ERYTHEMATOUS (Light red), SWELLING (Swollen), INFLAMMATION (Inflamed a vulnerable area), BURNING SENSATION (Burning), TASTE DISORDER (Unusual taste) and RASH (rash on the right side of face and down my neck/It was almost like the size of a hand) outcome was unknown and ARTHRALGIA (The side where shoulder replaced was on fire/pain in shoulder/Pain in shoulders) was resolving. It was reported that patient experienced Arthritis got worse after vaccination and received 3 Epidural shots for pain. Most recent FOLLOW-UP information incorporated above includes: On 10-May-2021: Updated Reporter address details, medical history details, Event details. On 28-Jun-2021: Updated events like pain in back, pain in shoulders, still has pain, Arthritis get worse after vaccine, Inflammation, burning, Concomitant medication was added. On 28-Jun-2021: Contain No new information.

Other Meds: SYNTHROID; ATORVASTATIN; METOPROLOL; CALCIUM WITH D3

Current Illness: Allergy to antibiotic (Allergy to Macrodantin); Arthritis; Fruit allergy (Allergy to Cantaloupe); Penicillin allergy

ID: 1567896
Sex: F
Age: 66
State: PA

Vax Date: 03/07/2021
Onset Date: 03/10/2021
Rec V Date: 08/15/2021
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Symptoms: nausea; fatigue; fever/high fever; This spontaneous case was reported by a patient and describes the occurrence of NAUSEA (nausea), FATIGUE (fatigue) and PYREXIA (fever, high fever) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Drug allergy (Allergic to medicines). On 07-Mar-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) at an unspecified dose. On 10-Mar-2021, the patient experienced NAUSEA (nausea) and FATIGUE (fatigue). On an unknown date, the patient experienced PYREXIA (fever, high fever). At the time of the report, NAUSEA (nausea), FATIGUE (fatigue) and PYREXIA (fever, high fever) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medication information reported. Treatment information were not provided. Most recent FOLLOW-UP information incorporated above includes: On 17-May-2021: Non-Significant follow up appended to MOD-2021-048530

Other Meds:

Current Illness: Drug allergy (Allergic to medicines)

ID: 1567897
Sex: F
Age: 56
State: FL

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 08/15/2021
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Symptoms: fatigue; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (fatigue) in a 56-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 048A21A) for COVID-19 vaccination. Concurrent medical conditions included Allergy. Concomitant products included PREDNISONE for an unknown indication. On 11-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Mar-2021, the patient experienced FATIGUE (fatigue). At the time of the report, FATIGUE (fatigue) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information was not reported.

Other Meds: PREDNISONE

Current Illness: Allergy

ID: 1567898
Sex: F
Age:
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Vax Date: 03/02/2021
Onset Date: 03/17/2021
Rec V Date: 08/15/2021
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Symptoms: irritation all over the body; redness on the arm; rash on the arm; This spontaneous case was reported by a consumer and describes the occurrence of SKIN IRRITATION (irritation all over the body), ERYTHEMA (redness on the arm) and RASH (rash on the 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 02-Mar-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Mar-2021, the patient experienced SKIN IRRITATION (irritation all over the body), ERYTHEMA (redness on the arm) and RASH (rash on the arm). At the time of the report, SKIN IRRITATION (irritation all over the body), ERYTHEMA (redness on the arm) and RASH (rash on the arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications were not provided. Treatment information was not reported.

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ID: 1567899
Sex: F
Age:
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Symptoms: Clumps of hair loss; This spontaneous case was reported by a consumer and describes the occurrence of ALOPECIA (Clumps of hair loss) in a 40-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced ALOPECIA (Clumps of hair loss). At the time of the report, ALOPECIA (Clumps of hair loss) outcome was unknown. Concomitant medications were not provided. Treatment information was not reported.

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ID: 1567900
Sex: F
Age:
State: ID

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 08/15/2021
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Symptoms: sore arm; felt fatigue/little tired; This spontaneous case was reported by a consumer and describes the occurrence of AXILLARY PAIN (sore arm) and FATIGUE (felt fatigue/little tired) 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 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 AXILLARY PAIN (sore arm) and FATIGUE (felt fatigue/little tired). At the time of the report, AXILLARY PAIN (sore arm) and FATIGUE (felt fatigue/little tired) 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. Most recent FOLLOW-UP information incorporated above includes: On 11-May-2021: Event information details.

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ID: 1567901
Sex: F
Age: 44
State:

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 08/15/2021
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Symptoms: big bump similar to that when you get a bite and the area gets hard; area gets hard; feels irritated; the injection site started to itch; feels extremely tired; injection site swelled up; arm soreness the day of which went away the next day; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (arm soreness the day of which went away the next day), MASS (big bump similar to that when you get a bite and the area gets hard), INDURATION (area gets hard), IRRITABILITY (feels irritated) and VACCINATION SITE PRURITUS (the injection site started to itch) in a 44-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. Concurrent medical conditions included Leg pain. Concomitant products included IBUPROFEN from 16-Mar-2021 to an unknown date for Leg pain, HYDROCHLOROTHIAZIDE for an unknown indication. On 08-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Mar-2021, the patient experienced PAIN IN EXTREMITY (arm soreness the day of which went away the next day). On 16-Mar-2021, the patient experienced MASS (big bump similar to that when you get a bite and the area gets hard), INDURATION (area gets hard), IRRITABILITY (feels irritated), VACCINATION SITE PRURITUS (the injection site started to itch), FATIGUE (feels extremely tired) and VACCINATION SITE SWELLING (injection site swelled up). On 09-Mar-2021, PAIN IN EXTREMITY (arm soreness the day of which went away the next day) had resolved. At the time of the report, MASS (big bump similar to that when you get a bite and the area gets hard), INDURATION (area gets hard), IRRITABILITY (feels irritated), VACCINATION SITE PRURITUS (the injection site started to itch), FATIGUE (feels extremely tired) and VACCINATION SITE SWELLING (injection site swelled up) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The patient tried putting something cold against injection site area for a few minutes but trying not to touch the area.

Other Meds: HYDROCHLOROTHIAZIDE; IBUPROFEN

Current Illness: Leg pain

ID: 1567902
Sex: F
Age: 79
State: NY

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 08/15/2021
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Symptoms: Bright red at injection site /redness; Joint pain in the left arm; Headache; Arm still swollen; Hot to touch at injection site; Brain frog; Pain all over upper arm/ Left arm pain; Redness; Pain at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (Hot to touch at injection site), PAIN IN EXTREMITY (Pain all over upper arm/ Left arm pain), ERYTHEMA (Redness), FEELING ABNORMAL (Brain frog) and VACCINATION SITE PAIN (Pain at the injection site) in a 79-year-old female 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. The patient's past medical history included Pneumonia, Shingles, Colonic polyp (Colon polyps), Rotator cuff repair (Left shoulder) on 26-Feb-1998, Tonsillectomy, Cystoscopy, Colonoscopy in 2012, Skin cancer excision (Removal of pre skin cancer on arm.), Appendectomy (Ruptured), Uterine dilation and curettage and Laparoscopic colectomy (Laparoscopic cholecystectomy (LAP CHOLE)). Concurrent medical conditions included Allergy to antibiotic (Tetracycline cause swelling.) since 30-Sep-2015, Sulfonamide allergy (Sulfa cause swelling.) since 30-Sep-2015, Allergy to antibiotic (Ciprofloxacin cause red rash.) since 09-Mar-2021, Allergy to antibiotic (Clindamycin from CLEOCIN HCL) since 30-Sep-2015, Grass allergy since 30-Sep-2015, Dust allergy since 30-Sep-2015, Diverticulosis, Hypothyroidism, GERD, Nephrosis (Nephrosis Right kidney), Congenital abnormalities of GU system (Right kidney Congenital deformity), Head injury (with concussion X 3), Migraine, Vertigo, Migraine (Optical migraine), Sinusitis, Arthritis, Shoulder pain (Bilateral), Heart murmur, Neuropathy, Hypertension, Skin cancer (Pre skin cancer on arms.), Allergy to antibiotic (Clindamycin (from Cleocin HCL)) since 30-Sep-2015, Allergy to antibiotic (Nitrofurantoin (from Macrobid)) since 30-Sep-2015 and Allergy to antibiotic (Ofloxacin f(rom Floxacin)) since 30-Sep-2015. Concomitant products included FLUTICASONE PROPIONATE (FLONASE ALLERGY RELIEF) for Allergy, ASCORBIC ACID, CALCIUM, MINERALS NOS, RETINOL, TOCOPHERYL ACETATE, VITAMIN B NOS, VITAMINS NOS, ZINC (CENTRUM SILVER [ASCORBIC ACID;CALCIUM;MINERALS NOS;RETINOL;TOCOPHERYL ACETATE;VITAMIN B NOS;VITAMINS NOS;ZINC]), RALOXIFENE HCL, LEVOTHYROXINE, CHOLECALCIFEROL, IPRATROPIUM BROMIDE, SALBUTAMOL SULFATE (COMBIVENT RESPIMAT), CHONDROITIN SULFATE, GLUCOSAMINE (GLUCOSAMINE CHONDROITIN [CHONDROITIN SULFATE;GLUCOSAMINE]), OMEGA-3 FATTY ACIDS, VITAMIN C [ASCORBIC ACID], RANITIDINE HYDROCHLORIDE (ZANTAC), ACETYLSALICYLIC ACID (ASPIRIN (E.C.)), CALCIUM CARBONATE, CALCIUM CITRATE, MAGNESIUM CITRATE (CALCIUM MAGNESIUM CITRATE) and LACTOBACILLUS [LACTOBACILLUS NOS] 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 VACCINATION SITE PAIN (Pain at the injection site). On 05-Mar-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced PAIN IN EXTREMITY (Pain all over upper arm/ Left arm pain) and ERYTHEMA (Redness). On 06-Mar-2021, the patient experienced VACCINATION SITE WARMTH (Hot to touch at injection site), FEELING ABNORMAL (Brain frog), VACCINATION SITE SWELLING (Arm still swollen) and HEADACHE (Headache). On an unknown date, the patient experienced VACCINATION SITE ERYTHEMA (Bright red at injection site /redness) and ARTHRALGIA (Joint pain in the left arm). The patient was treated with LORATADINE (CLARITINE) ongoing from 10-Mar-2021 at a dose of UNK UNK, qd and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) (topical) for Itching, at a dose of UNK UNK, as necessary. On 26-Feb-2021, VACCINATION SITE PAIN (Pain at the injection site) had resolved. At the time of the report, VACCINATION SITE WARMTH (Hot to touch at injection site), PAIN IN EXTREMITY (Pain all over upper arm/ Left arm pain), ERYTHEMA (Redness), FEELING ABNORMAL (Brain frog), VACCINATION SITE ERYTHEMA (Bright red at injection site /redness), ARTHRALGIA (Joint pain in the left arm) and HEADACHE (Headache) outcome was unknown and VACCINATION SITE SWELLING (Arm still swollen) had not 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. Most recent FOLLOW-UP information incorporated above includes: On 18-Mar-2021: Follow up received on 18 Mar 2021 and updated patient medical history, concomitant medications and treatment medicines. On 15-Jul-2021: Significant follow-up include patient details including race, medical / surgery/ allergy history, concomitant and treatment medication, and one newevent has been updated.

Other Meds: CENTRUM SILVER [ASCORBIC ACID;CALCIUM;MINERALS NOS;RETINOL;TOCOPHERYL ACETATE;VITAMIN B NOS;VITAMINS; RALOXIFENE HCL; LEVOTHYROXINE; CHOLECALCIFEROL; COMBIVENT RESPIMAT; FLONASE ALLERGY RELIEF; GLUCOSAMINE CHONDROITIN [CHONDROITIN SULFATE;G

Current Illness: Allergy to antibiotic (Tetracycline cause swelling.); Allergy to antibiotic (Ofloxacin f(rom Floxacin)); Allergy to antibiotic (Nitrofurantoin (from Macrobid)); Allergy to antibiotic (Clindamycin from CLEOCIN HCL); Allergy to antibiotic (Clindamycin (from Cleocin HCL)); Allergy to antibiotic (Ciprofloxacin cause red rash.); Arthritis; Congenital abnormalities of GU system (Right kidney Congenital deformity); Diverticulosis; Dust allergy; GERD; Grass allergy; Head injury (with concussion X 3); Heart murmur; Hypertension; Hypothyroidism; Migraine (Optical migraine); Migraine; Nephrosis (Nephrosis Right kidney); Neuropathy; Shoulder pain (Bilateral); Sinusitis; Skin cancer (Pre skin cancer on arms.); Sulfonamide allergy (Sulfa cause swelling.); Vertigo

ID: 1567903
Sex: F
Age:
State: MI

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 08/15/2021
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Symptoms: shaking; felt drunk; scared; vestibular issues; dizzy; spinning; stumble; slur words; brain fog; confused; forget what I'm talking about; This spontaneous case was reported by a consumer and describes the occurrence of VESTIBULAR DISORDER (vestibular issues), DIZZINESS (dizzy), VERTIGO (spinning), GAIT DISTURBANCE (stumble) and DYSARTHRIA (slur words) in a 54-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Post concussion syndrome, Ear ringing, Immunocompromised and Psoriatic arthritis. Concomitant products included APREMILAST (OTEZLA) for Psoriatic arthritis. On 12-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Mar-2021, the patient experienced VESTIBULAR DISORDER (vestibular issues), DIZZINESS (dizzy), VERTIGO (spinning), GAIT DISTURBANCE (stumble), DYSARTHRIA (slur words), FEELING ABNORMAL (brain fog), CONFUSIONAL STATE (confused), MEMORY IMPAIRMENT (forget what I'm talking about), FEELING DRUNK (felt drunk) and FEAR (scared). On 17-Mar-2021, the patient experienced TREMOR (shaking). At the time of the report, VESTIBULAR DISORDER (vestibular issues), VERTIGO (spinning), DYSARTHRIA (slur words), MEMORY IMPAIRMENT (forget what I'm talking about) and TREMOR (shaking) outcome was unknown and DIZZINESS (dizzy), GAIT DISTURBANCE (stumble), FEELING ABNORMAL (brain fog), CONFUSIONAL STATE (confused), FEELING DRUNK (felt drunk) and FEAR (scared) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient reported doctor was called. Doctor wanted the patient to wait an extra 4 weeks to receive the second dose. Treatment information not provided. Most recent FOLLOW-UP information incorporated above includes: On 18-Mar-2021: Follow up received on 18-MAR-2021, Additional events reported include, stumble, brain fog.

Other Meds: OTEZLA

Current Illness: Ear ringing; Immunocompromised; Post concussion syndrome; Psoriatic arthritis

ID: 1567904
Sex: F
Age: 42
State: TX

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 08/15/2021
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Symptoms: She feels like she was working all night when she exerts herself; body pain; very thirsty; headache; arm pain; cold; weakness/very week; fever; ver tired; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (arm pain), NASOPHARYNGITIS (cold), ASTHENIA (weakness/very week), THIRST (very thirsty) and FEELING ABNORMAL (She feels like she was working all night when she exerts herself) in a 42-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 040A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter. Concomitant products included MULTIVITAMINS [VITAMINS NOS] for an unknown indication. On 16-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Mar-2021, the patient experienced PAIN IN EXTREMITY (arm pain), NASOPHARYNGITIS (cold), ASTHENIA (weakness/very week), PYREXIA (fever) and FATIGUE (ver tired). On 17-Mar-2021, the patient experienced THIRST (very thirsty), MYALGIA (body pain) and HEADACHE (headache). On an unknown date, the patient experienced FEELING ABNORMAL (She feels like she was working all night when she exerts herself). The patient was treated with IBUPROFEN (ADVIL [IBUPROFEN]) for Adverse event, at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (arm pain), NASOPHARYNGITIS (cold), ASTHENIA (weakness/very week), THIRST (very thirsty), MYALGIA (body pain), PYREXIA (fever) and HEADACHE (headache) was resolving and FEELING ABNORMAL (She feels like she was working all night when she exerts herself) and FATIGUE (ver tired) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information was not reported. Most recent FOLLOW-UP information incorporated above includes: On 19-Mar-2021: Event information updated

Other Meds: MULTIVITAMINS [VITAMINS NOS]

Current Illness:

ID: 1567905
Sex: F
Age:
State: TX

Vax Date: 02/08/2021
Onset Date: 03/17/2021
Rec V Date: 08/15/2021
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Symptoms: Not received second dose after 36 days; This spontaneous case was reported by a consumer and describes the occurrence of INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Not received second dose after 36 days) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 024M20A) for COVID-19 vaccination. No Medical History information was reported. On 08-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Mar-2021, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Not received second dose after 36 days). On 17-Mar-2021, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Not received second dose after 36 days) had resolved. Concomitant medications were not provided. Treatment information was not reported.

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Current Illness:

ID: 1567906
Sex: M
Age:
State: FL

Vax Date: 03/11/2021
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Rec V Date: 08/15/2021
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Symptoms: extreme cold and hot; no appetite; sleeping a lot; still feeling ill; in bed for roughly 7 days; pain; sweating; extreme fatigue; severe fever of 100.4 / fever that produces sweat; shivers; pain in the knees; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of SWEATING FEVER (fever that produce sweat), FEELING OF BODY TEMPERATURE CHANGE (extreme cold and hot), DECREASED APPETITE (no appetite), HYPERSOMNIA (sleeping a lot) and MALAISE (still feeling ill) in a 54-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 024M20A) 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 11-Mar-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 SWEATING FEVER (fever that produce sweat), FEELING OF BODY TEMPERATURE CHANGE (extreme cold and hot), DECREASED APPETITE (no appetite), HYPERSOMNIA (sleeping a lot), MALAISE (still feeling ill), BEDRIDDEN (in bed for roughly 7 days), HYPERHIDROSIS (sweating), FATIGUE (extreme fatigue), PYREXIA (still not able to get the fever under control it is between 100.2 to 100.4), PAIN (pain), CHILLS (shivers) and ARTHRALGIA (pain in the knees). At the time of the report, SWEATING FEVER (fever that produce sweat), FEELING OF BODY TEMPERATURE CHANGE (extreme cold and hot), DECREASED APPETITE (no appetite), HYPERSOMNIA (sleeping a lot), MALAISE (still feeling ill), BEDRIDDEN (in bed for roughly 7 days), HYPERHIDROSIS (sweating), FATIGUE (extreme fatigue), PYREXIA (still not able to get the fever under control it is between 100.2 to 100.4), PAIN (pain), CHILLS (shivers) and ARTHRALGIA (pain in the knees) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. the patient takes thyroid medication; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start dates of the events, a causal relationship cannot be excluded.

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Current Illness:

ID: 1567907
Sex: F
Age: 17
State: KS

Vax Date: 01/14/2021
Onset Date: 02/11/2021
Rec V Date: 08/15/2021
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Symptoms: Vaccine given to a 17 year old patient; A spontaneous report was received from a pharmacist concerning a 17-year-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273)/Inappropriate schedule of product administration. Medical history or concomitant product use was not reported. On 14 Jan 2021, the patient received her first of the two planned doses of mRNA-1273 (batch number: 025J20-2A) intramuscularly in the left deltoid for prophylaxis of COVID-19 infection. On 11 Feb 2021, the patient received her second of the two planned doses of mRNA-1273 (batch number: 042L20A) intramuscularly in the left deltoid. It was reported that patient was only 17-year-old while vaccination. The action taken with mRNA-1273 in response to the event was not applicable since the patient received both the doses. The outcome of the event was considered as resolved on 11 Feb 2021.; Sender's Comments: This report refers to a case of product administered to patient of inappropriate age (17 year old female) for mRNA-1273 (lot number 025J2--2A) with no associated AEs reported.

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Current Illness:

ID: 1567908
Sex: F
Age: 66
State: WA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 08/15/2021
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Symptoms: Still has a nerve on right side of shoulder that is still bothering her; itches; hurts...around the shoulder area; shingles,few bumps left, still very itchy; m broke out in a rash on the right side; started on breast bone and went all the way across right; arm felt like it was going to fall of; Fatigued; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of HERPES ZOSTER (shingles,few bumps left, still very itchy), NEURALGIA (Still has a nerve on right side of shoulder that is still bothering her), PRURITUS (itches), FATIGUE (Fatigued) and RASH (m broke out in a rash on the right side; started on breast bone and went all the way across right) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Coma in 2011. Concurrent medical conditions included Immunocompromised, Crohn's, Pulmonary disorder, Drug allergy (epileptic-like symptoms) and Contrast media allergy. Concomitant products included OXYGEN for an unknown indication. On 16-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Feb-2021, the patient experienced FATIGUE (Fatigued) and MYALGIA (arm felt like it was going to fall of). On 18-Feb-2021, the patient experienced RASH (m broke out in a rash on the right side; started on breast bone and went all the way across right). On 23-Feb-2021, the patient experienced HERPES ZOSTER (shingles,few bumps left, still very itchy). On an unknown date, the patient experienced NEURALGIA (Still has a nerve on right side of shoulder that is still bothering her), PRURITUS (itches) and ARTHRALGIA (hurts...around the shoulder area). The patient was treated with VALACYCLOVIR [VALACICLOVIR] on 23-Feb-2021 for Shingles, at a dose of 1 gram three times a day and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at a dose of 1 dosage form. At the time of the report, HERPES ZOSTER (shingles,few bumps left, still very itchy), NEURALGIA (Still has a nerve on right side of shoulder that is still bothering her), PRURITUS (itches), FATIGUE (Fatigued), RASH (m broke out in a rash on the right side; started on breast bone and went all the way across right), MYALGIA (arm felt like it was going to fall of) and ARTHRALGIA (hurts..around the shoulder area) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Patient state that her Prescriber recommended to her that not to take the second dose Patient states that she took the first dose of COVID-19 vaccine around 35 days before Most recent FOLLOW-UP information incorporated above includes: On 10-May-2021: Follow up information was received on 10 May 2021 had new event, outcome of few event were added contact information of patient was updated and information of patient's physician and vaccine facility was added. On 10-Jun-2021: Follow-up added: correspondence contact added, Treatment medication, allergy added

Other Meds: OXYGEN

Current Illness: Contrast media allergy; Crohn's; Drug allergy (epileptic-like symptoms); Pulmonary disorder

ID: 1567909
Sex: F
Age: 65
State: NV

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 08/15/2021
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Symptoms: feeling like a truck hit; Extreme fatigue; Joint Pain; Muscle pain; injection site itchiness; injection site pain/tenderness; injection site swelling. It is pretty expansive almost the size of a small child fist; Injection site redness; Headache/ bad headache/ horrible headache; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (feeling like a truck hit), VACCINATION SITE PRURITUS (injection site itchiness), VACCINATION SITE PAIN (injection site pain/tenderness), VACCINATION SITE SWELLING (injection site swelling. It is pretty expansive almost the size of a small child fist) and VACCINATION SITE ERYTHEMA (Injection site redness) in a 65-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 Hair loss. On 25-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Feb-2021, the patient experienced VACCINATION SITE PRURITUS (injection site itchiness), VACCINATION SITE PAIN (injection site pain/tenderness), VACCINATION SITE SWELLING (injection site swelling. It is pretty expansive almost the size of a small child fist), VACCINATION SITE ERYTHEMA (Injection site redness) and HEADACHE (Headache/ bad headache/ horrible headache). On 09-Mar-2021, the patient experienced FATIGUE (Extreme fatigue), ARTHRALGIA (Joint Pain) and MYALGIA (Muscle pain). On an unknown date, the patient experienced FEELING ABNORMAL (feeling like a truck hit). In March 2021, VACCINATION SITE PRURITUS (injection site itchiness), VACCINATION SITE PAIN (injection site pain/tenderness), VACCINATION SITE SWELLING (injection site swelling. It is pretty expansive almost the size of a small child fist), HEADACHE (Headache/ bad headache/ horrible headache), FATIGUE (Extreme fatigue), ARTHRALGIA (Joint Pain) and MYALGIA (Muscle pain) had resolved. At the time of the report, FEELING ABNORMAL (feeling like a truck hit) had resolved and VACCINATION SITE ERYTHEMA (Injection site redness) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication included a medication for her hair loss three times a week. No treatment information was provided. This case was linked to MOD-2021-162218 (Patient Link). Reporter did not allow further contact

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Current Illness: Hair loss

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm