VAERS 2021 Database www.vaers.hhs.gov

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

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

Incidents per State

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

ID: 1580279
Sex: M
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 08/18/2021
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: This spontaneous case was reported by a consumer and describes the occurrence of SARS-COV-2 TEST POSITIVE (Diagnosed positive of COVID-19 after receiving the first dose of the Moderna COVID-19 Vaccine) in a 32-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included COVID-19 (diagnosed after receiving first dose of vaccine) since 22-Jan-2021. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced SARS-COV-2 TEST POSITIVE (Diagnosed positive of COVID-19 after receiving the first dose of the Moderna COVID-19 Vaccine). At the time of the report, SARS-COV-2 TEST POSITIVE (Diagnosed positive of COVID-19 after receiving the first dose of the Moderna COVID-19 Vaccine) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 22-Jan-2021, SARS-CoV-2 test positive: positive. No concomitant medications reported by investigator No treatment medications provided by the reporter.

Other Meds:

Current Illness: COVID-19 (diagnosed after receiving first dose of vaccine)

ID: 1580280
Sex: F
Age: 62
State: NC

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 08/18/2021
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: Positive Covid Test; This spontaneous case was reported by a nurse (subsequently medically confirmed) and describes the occurrence of SARS-COV-2 TEST POSITIVE (Positive Covid Test) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012M20A) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included RAMIPRIL (ALTACE), ACETYLSALICYLIC ACID (BABY ASPIRIN), HYDROCHLOROTHIAZIDE, ROSUVASTATIN CALCIUM (CRESTOR), ZOLPIDEM TARTRATE (AMBIEN CR), PARACETAMOL (TYLENOL 8 HOUR), IBUPROFEN, ASCORBIC ACID (VITAMIN C ACID), BIOTIN and VITAMIN D [VITAMIN D NOS] for an unknown indication. On 27-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Jan-2021, the patient experienced SARS-COV-2 TEST POSITIVE (Positive Covid Test). At the time of the report, SARS-COV-2 TEST POSITIVE (Positive Covid Test) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 30-Jan-2021, SARS-CoV-2 test: (Positive) Positive Covid Test. 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 treatment medications provided by the reporter.

Other Meds: ALTACE; BABY ASPIRIN; HYDROCHLOROTHIAZIDE; CRESTOR; AMBIEN CR; TYLENOL 8 HOUR; IBUPROFEN; VITAMIN C ACID; BIOTIN; VITAMIN D [VITAMIN D NOS]

Current Illness:

ID: 1580281
Sex: F
Age:
State:

Vax Date: 01/22/2021
Onset Date: 01/01/2021
Rec V Date: 08/18/2021
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: Adverse reaction/Many Symptoms; Diarrhea; Nausea; Vomiting; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (Adverse reaction/Many Symptoms), DIARRHOEA (Diarrhea), NAUSEA (Nausea) and VOMITING (Vomiting) 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 22-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In January 2021, the patient experienced DIARRHOEA (Diarrhea), NAUSEA (Nausea) and VOMITING (Vomiting). On an unknown date, the patient experienced VACCINATION COMPLICATION (Adverse reaction/Many Symptoms). At the time of the report, VACCINATION COMPLICATION (Adverse reaction/Many Symptoms), DIARRHOEA (Diarrhea), NAUSEA (Nausea) and VOMITING (Vomiting) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test: Negative. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications reported by investigator No treatment medications provided by the reporter. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1580282
Sex: F
Age: 77
State: TN

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 08/18/2021
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: swelling; rash at 3 inch of diameter; red at site of injection; her ram was sore; This spontaneous case was reported by a consumer and describes the occurrence of SWELLING (swelling), RASH (rash at 3 inch of diameter), VACCINATION SITE ERYTHEMA (red at site of injection) and VACCINATION SITE PAIN (her ram was sore) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 004M20A) for COVID-19 vaccination. The patient's past medical history included COVID-19 in September 2020. On 30-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Jan-2021, the patient experienced SWELLING (swelling), RASH (rash at 3 inch of diameter), VACCINATION SITE ERYTHEMA (red at site of injection) and VACCINATION SITE PAIN (her ram was sore). At the time of the report, SWELLING (swelling), RASH (rash at 3 inch of diameter), VACCINATION SITE ERYTHEMA (red at site of injection) and VACCINATION SITE PAIN (her ram was sore) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications reported by investigator No treatment medications provided by the reporter.

Other Meds:

Current Illness:

ID: 1580283
Sex: F
Age: 41
State:

Vax Date: 01/27/2021
Onset Date: 01/31/2021
Rec V Date: 08/18/2021
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: Delayed flu like symptoms; This spontaneous case was reported by a consumer and describes the occurrence of INFLUENZA LIKE ILLNESS (Delayed flu like symptoms) in a 41-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 27-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 31-Jan-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced INFLUENZA LIKE ILLNESS (Delayed flu like symptoms). At the time of the report, INFLUENZA LIKE ILLNESS (Delayed flu like symptoms) had not resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications reported by investigator No treatment medications provided by the reporter.

Other Meds:

Current Illness:

ID: 1580284
Sex: M
Age: 63
State: MA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 08/18/2021
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: mouth so dry; pain on his lungs; sore arm; loss of sense of taste; loss of sense of smell; This spontaneous case was reported by an other health care professional and describes the occurrence of PAIN IN EXTREMITY (sore arm), AGEUSIA (loss of sense of taste), ANOSMIA (loss of sense of smell), DRY MOUTH (mouth so dry) and PLEURISY (pain on his lungs) in a 63-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012L20A) for an unknown indication. No Medical History information was reported. On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 29-Jan-2021, the patient experienced PAIN IN EXTREMITY (sore arm), AGEUSIA (loss of sense of taste) and ANOSMIA (loss of sense of smell). On 30-Jan-2021, the patient experienced DRY MOUTH (mouth so dry) and PLEURISY (pain on his lungs). At the time of the report, PAIN IN EXTREMITY (sore arm), AGEUSIA (loss of sense of taste), ANOSMIA (loss of sense of smell) and DRY MOUTH (mouth so dry) outcome was unknown and PLEURISY (pain on his lungs) was resolving. 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. concomitant medication was not provided by reporter. treatment information was not provided.

Other Meds:

Current Illness:

ID: 1580285
Sex: F
Age: 52
State: OK

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 08/18/2021
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 itchy; Arm was swollen; hit ulnar nerve; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (Arm was itchy), SWELLING (Arm was swollen) and PERIPHERAL NERVE DECOMPRESSION (hit ulnar nerve) in a 52-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 041L20A) for COVID-19 vaccination. The patient's past medical history included Graves' disease, Hypoglycaemia and Malabsorption. Concurrent medical conditions included Penicillin allergy, Drug allergy (patient is allergic to Imitrex,sulfa drug, codeine, digitalis, vitamin c tablet.), Food allergy (Patient is allergic to shell fish, honey.), Fruit allergy (everything with same Amino Acid as pineapple, tomato, orange, kiwi, avocado.), Allergy to chemicals and Allergy to insect sting (patient is allergic to bees, wasp.). On 18-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 18-Jan-2021, the patient experienced PRURITUS (Arm was itchy), SWELLING (Arm was swollen) and PERIPHERAL NERVE DECOMPRESSION (hit ulnar nerve). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency and CORTISONE at an unspecified dose and frequency. At the time of the report, PRURITUS (Arm was itchy), SWELLING (Arm was swollen) and PERIPHERAL NERVE DECOMPRESSION (hit ulnar nerve) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications were reported. Treatment included Bendryl and cortisone ointment.

Other Meds:

Current Illness: Allergy to chemicals; Allergy to insect sting (patient is allergic to bees, wasp.); Drug allergy (patient is allergic to Imitrex,sulfa drug, codeine, digitalis, vitamin c tablet.); Food allergy (Patient is allergic to shell fish, honey.); Fruit allergy (everything with same Amino Acid as pineapple, tomato, orange, kiwi, avocado.); Penicillin allergy

ID: 1580286
Sex: F
Age: 74
State: PA

Vax Date: 01/26/2021
Onset Date: 02/02/2021
Rec V Date: 08/18/2021
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: Warm; Swollen arm; rash on her arm/the size of the rash was about the size of a tennis ball; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (Warm), VACCINATION SITE SWELLING (Swollen arm) and VACCINATION SITE RASH (rash on her arm/the size of the rash was about the size of a tennis ball) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 038K20A) for COVID-19 vaccination. No medical history was provided by the reporter. On 26-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 02-Feb-2021, the patient experienced VACCINATION SITE WARMTH (Warm), VACCINATION SITE SWELLING (Swollen arm) and VACCINATION SITE RASH (rash on her arm/the size of the rash was about the size of a tennis ball). The patient was treated with ASPIRIN [ACETYLSALICYLIC ACID] (oral) at an unspecified dose and frequency. At the time of the report, VACCINATION SITE WARMTH (Warm), VACCINATION SITE SWELLING (Swollen arm) and VACCINATION SITE RASH (rash on her arm/the size of the rash was about the size of a tennis ball) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medication was not provided. Treatment includes ice on and off. Most recent FOLLOW-UP information incorporated above includes: On 11-Jun-2021: follow up received from 11-JUN-2021 :Patient said she is doing fine and declined for further follow-up

Other Meds:

Current Illness:

ID: 1580287
Sex: F
Age: 76
State: OH

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 08/18/2021
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: Felt all shaky; Discomfort in my armpit; Discomfort in my chest; Discomfort in my back; Nervous; Discomfort in my shoulder blade; Yawning more than usual; Tired; Little nauseous; little discomfort on her shoulder blade; Tingling in my left arm; Numbness in my left arm; This spontaneous case was reported by a consumer and describes the occurrence of PARAESTHESIA (Tingling in my left arm), HYPOAESTHESIA (Numbness in my left arm), TREMOR (Felt all shaky), LIMB DISCOMFORT (Discomfort in my armpit) and CHEST DISCOMFORT (Discomfort in my chest) in a 76-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 28-Jan-2021 at 12:00 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In January 2021, the patient experienced TREMOR (Felt all shaky), LIMB DISCOMFORT (Discomfort in my armpit), CHEST DISCOMFORT (Discomfort in my chest), MUSCULOSKELETAL DISCOMFORT (Discomfort in my back ), NERVOUSNESS (Nervous) and NAUSEA (Little nauseous). On 28-Jan-2021, the patient experienced PARAESTHESIA (Tingling in my left arm) and HYPOAESTHESIA (Numbness in my left arm). On an unknown date, the patient experienced MUSCULOSKELETAL DISCOMFORT (Discomfort in my shoulder blade), YAWNING (Yawning more than usual), FATIGUE (Tired) and MUSCULOSKELETAL DISCOMFORT (little discomfort on her shoulder blade). At the time of the report, PARAESTHESIA (Tingling in my left arm) and HYPOAESTHESIA (Numbness in my left arm) was resolving, TREMOR (Felt all shaky), LIMB DISCOMFORT (Discomfort in my armpit), NERVOUSNESS (Nervous), MUSCULOSKELETAL DISCOMFORT (Discomfort in my shoulder blade), YAWNING (Yawning more than usual), FATIGUE (Tired), NAUSEA (Little nauseous) and MUSCULOSKELETAL DISCOMFORT (little discomfort on her shoulder blade) outcome was unknown, CHEST DISCOMFORT (Discomfort in my chest) had not resolved and MUSCULOSKELETAL DISCOMFORT (Discomfort in my back ) had resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. The pharmacist told her to take a Tylenol. No concomitant medication reported. Most recent FOLLOW-UP information incorporated above includes: On 28-Jan-2021: No specific follow-up information recorded.

Other Meds:

Current Illness:

ID: 1580288
Sex: F
Age: 70
State: IL

Vax Date: 01/24/2021
Onset Date: 01/31/2021
Rec V Date: 08/18/2021
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: rash at the site of injection; This spontaneous case was reported by a pharmacist (subsequently medically confirmed) and describes the occurrence of VACCINATION SITE RASH (rash at the site of injection) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032H20A) for COVID-19 vaccination. No Medical History information was reported. On 24-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 31-Jan-2021, the patient experienced VACCINATION SITE RASH (rash at the site of injection). At the time of the report, VACCINATION SITE RASH (rash at the site of injection) 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 medication was not reported. Treatment medication was not reported.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1580289
Sex: M
Age: 80
State: AL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 08/18/2021
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: chills; This spontaneous case was reported by a consumer and describes the occurrence of CHILLS (chills) in an 80-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 041LZ019) 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 CHILLS (chills). At the time of the report, CHILLS (chills) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment information was provided. No relevant concomitant medications were reported. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1580290
Sex: F
Age:
State: FL

Vax Date: 01/01/2021
Onset Date:
Rec V Date: 08/18/2021
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: Got tested positive for COVID and was asymptomatic; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (Got tested positive for COVID and was asymptomatic) 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. In January 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 COVID-19 (Got tested positive for COVID and was asymptomatic). At the time of the report, COVID-19 (Got tested positive for COVID and was asymptomatic) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test: positive POSITIVE. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications were given No treatment information was provided

Other Meds:

Current Illness:

ID: 1580291
Sex: F
Age: 66
State: NH

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 08/18/2021
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: Felt funny; fast heartbeat; flushing; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030L20A) for COVID-19 vaccination. Concurrent medical conditions included Blood pressure abnormal and Blood cholesterol abnormal. On 03-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1580292
Sex: F
Age:
State: MS

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 08/18/2021
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: Body aches; dizziness; ear ache; sore throat; experiencing fever; chills; headache; This spontaneous case was reported by an other health care professional and describes the occurrence of PAIN (Body aches), DIZZINESS (dizziness), EAR PAIN (ear ache), OROPHARYNGEAL PAIN (sore throat) and PYREXIA (experiencing fever) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 09L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 27-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 28-Jan-2021, the patient experienced PAIN (Body aches), DIZZINESS (dizziness), EAR PAIN (ear ache), OROPHARYNGEAL PAIN (sore throat), PYREXIA (experiencing fever), CHILLS (chills) and HEADACHE (headache). At the time of the report, PAIN (Body aches), DIZZINESS (dizziness), EAR PAIN (ear ache), OROPHARYNGEAL PAIN (sore throat), PYREXIA (experiencing fever), CHILLS (chills) and HEADACHE (headache) had not resolved. 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. No relevant concomitant medications were reported. No treatment information was provided. This case was linked to US-MODERNATX, INC.-MOD-2021-022474, US-MODERNATX, INC.-MOD-2021-047944 (E2B Linked Report).; Sender's Comments: US-MODERNATX, INC.-MOD-2021-047944:Crosslinked (MOD21-018034) US-MODERNATX, INC.-MOD-2021-022474:Crosslinked (MOD21-018034)

Other Meds:

Current Illness:

ID: 1580293
Sex: U
Age:
State: MD

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 08/18/2021
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: decreased appetite; GI symptoms starting 30-40 minutes after the injection; patient had to pull-over his car to the side of the road to vomit/proceeded to vomit multiple times that day; diarrhea; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a physician (subsequently medically confirmed) and describes the occurrence of DIARRHOEA (diarrhea), DECREASED APPETITE (decreased appetite), GASTROINTESTINAL DISORDER (GI symptoms starting 30-40 minutes after the injection) and VOMITING (patient had to pull-over his car to the side of the road to vomit/proceeded to vomit multiple times that day) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 01-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 01-Feb-2021, the patient experienced DIARRHOEA (diarrhea), GASTROINTESTINAL DISORDER (GI symptoms starting 30-40 minutes after the injection) and VOMITING (patient had to pull-over his car to the side of the road to vomit/proceeded to vomit multiple times that day). On 02-Feb-2021, the patient experienced DECREASED APPETITE (decreased appetite). At the time of the report, DIARRHOEA (diarrhea), DECREASED APPETITE (decreased appetite), GASTROINTESTINAL DISORDER (GI symptoms starting 30-40 minutes after the injection) and VOMITING (patient had to pull-over his car to the side of the road to vomit/proceeded to vomit multiple times that day) 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. No relevant concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1580294
Sex: F
Age:
State: GA

Vax Date:
Onset Date:
Rec V Date: 08/18/2021
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: Diarrhea; Chills; Fatigue; Headache; Nausea; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (Diarrhea), CHILLS (Chills), FATIGUE (Fatigue), HEADACHE (Headache) and NAUSEA (Nausea) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced DIARRHOEA (Diarrhea), CHILLS (Chills), FATIGUE (Fatigue), HEADACHE (Headache) and NAUSEA (Nausea). At the time of the report, DIARRHOEA (Diarrhea), CHILLS (Chills), FATIGUE (Fatigue), HEADACHE (Headache) and NAUSEA (Nausea) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown. No relevant concomitant medications were reported. No treatment information was provided. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1580295
Sex: M
Age: 70
State: PA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 08/18/2021
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: experienced dizziness like he was going to fall/the dizziness "felt like a stroke"; nausea; vomiting; diarrhea; soreness; didn't want to eat; This spontaneous case was reported by a physician (subsequently medically confirmed) and describes the occurrence of NAUSEA (nausea), VOMITING (vomiting), DIARRHOEA (diarrhea), PAIN (soreness) and DECREASED APPETITE (didn't want to eat) in a 70-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COVID-19 (in November 2020. He stated that he was sick from COVID-19 for 2.5 weeks.) in November 2020. Concurrent medical conditions included Renal disease (Moderate renal disease), Drug allergy (Sulfa) and Drug allergy (Flexeril). Concomitant products included POTASSIUM CITRATE, SODIUM BICARBONATE, CALCIUM and VITAMIN D NOS for an unknown indication. On 29-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Jan-2021, the patient experienced NAUSEA (nausea), VOMITING (vomiting), DIARRHOEA (diarrhea), PAIN (soreness) and DECREASED APPETITE (didn't want to eat). On 02-Feb-2021, the patient experienced DIZZINESS (experienced dizziness like he was going to fall/the dizziness "felt like a stroke"). The patient was treated with ONDANSETRON (ZOFRAN [ONDANSETRON]) at an unspecified dose and frequency. At the time of the report, NAUSEA (nausea) had not resolved and VOMITING (vomiting), DIARRHOEA (diarrhea), PAIN (soreness), DECREASED APPETITE (didn't want to eat) and DIZZINESS (experienced dizziness like he was going to fall/the dizziness "felt like a stroke") was resolving. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. On 2 Feb 2021, the patient reported that he feels better but still feels queasy and is not working today. Reporter did not allow further contact

Other Meds: POTASSIUM CITRATE; SODIUM BICARBONATE; CALCIUM; VITAMIN D NOS

Current Illness:

ID: 1580296
Sex: F
Age: 25
State: PA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 08/18/2021
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: pain down left side; SWOLLEN LYMPH NODE IN ARM, SWOLLEN LYMPH NODE IN JAW; feeling run down; ARM SORENESS; FATIGUE; This spontaneous case was reported by a health care professional and describes the occurrence of VACCINATION SITE PAIN (ARM SORENESS), FATIGUE (FATIGUE), LYMPHADENOPATHY (SWOLLEN LYMPH NODE IN ARM, SWOLLEN LYMPH NODE IN JAW), FATIGUE (feeling run down) and PAIN (pain down left side) in a 25-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026L201A) 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) (unknown route) at an unspecified dose. On 21-Jan-2021, the patient experienced VACCINATION SITE PAIN (ARM SORENESS) and FATIGUE (FATIGUE). On 27-Jan-2021, the patient experienced LYMPHADENOPATHY (SWOLLEN LYMPH NODE IN ARM, SWOLLEN LYMPH NODE IN JAW) and FATIGUE (feeling run down). On 28-Jan-2021, the patient experienced PAIN (pain down left side). At the time of the report, VACCINATION SITE PAIN (ARM SORENESS), FATIGUE (FATIGUE), LYMPHADENOPATHY (SWOLLEN LYMPH NODE IN ARM, SWOLLEN LYMPH NODE IN JAW), FATIGUE (feeling run down) and PAIN (pain down left side) 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. Patient is on birth control, diuretic for acne. Treatment details are not provided.

Other Meds:

Current Illness:

ID: 1580297
Sex: F
Age: 74
State: GA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 08/18/2021
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: had a rapid heartbeat; blood pressure got high; my heart was skipping beats; sore arm; This spontaneous case was reported by a consumer and describes the occurrence of HEART RATE INCREASED (had a rapid heartbeat), HYPERTENSION (blood pressure got high), PAIN IN EXTREMITY (sore arm) and EXTRASYSTOLES (my heart was skipping beats) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 028L20A) for an unknown indication. No Medical History information was reported. On 25-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 PAIN IN EXTREMITY (sore arm). On 26-Jan-2021, the patient experienced HEART RATE INCREASED (had a rapid heartbeat), HYPERTENSION (blood pressure got high) and EXTRASYSTOLES (my heart was skipping beats). At the time of the report, HEART RATE INCREASED (had a rapid heartbeat), HYPERTENSION (blood pressure got high), PAIN IN EXTREMITY (sore arm) and EXTRASYSTOLES (my heart was skipping beats) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 25-Jan-2021, Blood pressure measurement (120-70): 160/80 (High) Elevated Blood pressure. On 28-Jan-2021, Blood pressure measurement (120-70): 138/80 A little high. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant concomitant medications were reported. Patient reports she takes blood pressure medicine.

Other Meds:

Current Illness:

ID: 1580298
Sex: M
Age:
State: LA

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 08/18/2021
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: Little weak; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (Little weak) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 31-Jan-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 01-Feb-2021, the patient experienced ASTHENIA (Little weak). At the time of the report, ASTHENIA (Little weak) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant concomitant medications were reported. No treatment information was provided. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1580299
Sex: F
Age: 75
State: AZ

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 08/18/2021
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: Arm had a knot; Hot to the touch at injection site; Arm swollen at injection site; Arm was bright red; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE MASS (Arm had a knot), VACCINATION SITE WARMTH (Hot to the touch at injection site), VACCINATION SITE SWELLING (Arm swollen at injection site) and VACCINATION SITE ERYTHEMA (Arm was bright red) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 26-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Jan-2021, the patient experienced VACCINATION SITE MASS (Arm had a knot), VACCINATION SITE WARMTH (Hot to the touch at injection site), VACCINATION SITE SWELLING (Arm swollen at injection site) and VACCINATION SITE ERYTHEMA (Arm was bright red). The patient was treated with IBUPROFEN at an unspecified dose and frequency and PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, VACCINATION SITE MASS (Arm had a knot), VACCINATION SITE WARMTH (Hot to the touch at injection site), VACCINATION SITE SWELLING (Arm swollen at injection site) and VACCINATION SITE ERYTHEMA (Arm was bright red) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported.

Other Meds:

Current Illness:

ID: 1580300
Sex: F
Age:
State:

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 08/18/2021
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: injection site was Itching; injection site was swollen; sore arm; This spontaneous case was reported by a patient and describes the occurrence of PAIN IN EXTREMITY (sore arm), VACCINATION SITE PRURITUS (injection site was Itching) and VACCINATION SITE SWELLING (injection site was 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 21-Jan-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Jan-2021, the patient experienced PAIN IN EXTREMITY (sore arm). On 31-Jan-2021, the patient experienced VACCINATION SITE PRURITUS (injection site was Itching) and VACCINATION SITE SWELLING (injection site was swollen ). At the time of the report, PAIN IN EXTREMITY (sore arm), VACCINATION SITE PRURITUS (injection site was Itching) and VACCINATION SITE SWELLING (injection site was swollen ) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1580301
Sex: M
Age: 41
State: TN

Vax Date: 01/22/2021
Onset Date: 01/31/2021
Rec V Date: 08/18/2021
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: Itchy; Burns; RASH; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (Itchy), THERMAL BURN (Burns) and RASH (RASH) in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 043L20A) for COVID-19 vaccination. No Medical History information was reported. On 22-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 31-Jan-2021, the patient experienced PRURITUS (Itchy), THERMAL BURN (Burns) and RASH (RASH). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. At the time of the report, PRURITUS (Itchy), THERMAL BURN (Burns) and RASH (RASH) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported.

Other Meds:

Current Illness:

ID: 1580302
Sex: F
Age: 76
State: NJ

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 08/18/2021
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: VERTIGO; This spontaneous case was reported by a consumer and describes the occurrence of VERTIGO (VERTIGO) in a 76-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 26-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Jan-2021, the patient experienced VERTIGO (VERTIGO). At the time of the report, VERTIGO (VERTIGO) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1580303
Sex: F
Age: 83
State: AZ

Vax Date: 01/13/2021
Onset Date:
Rec V Date: 08/18/2021
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: Severe dizziness; Headache; Soreness/ body ache; Fatigue; Nausea throwing up; Pain; Confusion; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (Severe dizziness), HEADACHE (Headache), MYALGIA (Soreness/ body ache), FATIGUE (Fatigue) and NAUSEA (Nausea throwing up) in an 83-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. 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 an unknown date, the patient experienced DIZZINESS (Severe dizziness), HEADACHE (Headache), MYALGIA (Soreness/ body ache), FATIGUE (Fatigue), NAUSEA (Nausea throwing up), PAIN (Pain) and CONFUSIONAL STATE (Confusion). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, DIZZINESS (Severe dizziness), HEADACHE (Headache), MYALGIA (Soreness/ body ache), FATIGUE (Fatigue), NAUSEA (Nausea throwing up), PAIN (Pain) and CONFUSIONAL STATE (Confusion) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported.

Other Meds:

Current Illness:

ID: 1580304
Sex: F
Age:
State: WA

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 08/18/2021
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: Area below the injection site is swollen; Area below the injection site is hot; Area below the injection site is itchy; Area below the injection site is stings; Area below the injection site is red; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE SWELLING (Area below the injection site is swollen), INJECTION SITE WARMTH (Area below the injection site is hot), INJECTION SITE PRURITUS (Area below the injection site is itchy), INJECTION SITE PAIN (Area below the injection site is stings) and INJECTION SITE ERYTHEMA (Area below the injection site is red) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 037K20A) for COVID-19 vaccination. No Medical History information was reported. On 22-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 29-Jan-2021, the patient experienced INJECTION SITE SWELLING (Area below the injection site is swollen), INJECTION SITE WARMTH (Area below the injection site is hot), INJECTION SITE PRURITUS (Area below the injection site is itchy), INJECTION SITE PAIN (Area below the injection site is stings) and INJECTION SITE ERYTHEMA (Area below the injection site is red). At the time of the report, INJECTION SITE SWELLING (Area below the injection site is swollen), INJECTION SITE WARMTH (Area below the injection site is hot), INJECTION SITE PRURITUS (Area below the injection site is itchy), INJECTION SITE PAIN (Area below the injection site is stings) and INJECTION SITE ERYTHEMA (Area below the injection site is red) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1580305
Sex: M
Age:
State: FL

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 08/18/2021
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: HEADACHE; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (HEADACHE) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012L20A) for an unknown indication. No Medical History information was reported. On 27-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) at an unspecified dose. On 27-Jan-2021, the patient experienced HEADACHE (HEADACHE). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. On 28-Jan-2021, HEADACHE (HEADACHE) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant products were not provided.

Other Meds:

Current Illness:

ID: 1580306
Sex: F
Age: 75
State: AZ

Vax Date: 01/22/2021
Onset Date:
Rec V Date: 08/18/2021
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: soreness; little brown bumps; painful; itchy; inflamed; This spontaneous case was reported by a consumer and describes the occurrence of TENDERNESS (soreness), NODULE (little brown bumps), PAIN (painful), PRURITUS (itchy) and INJECTION SITE SWELLING (inflamed) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 043L20A) for COVID-19 vaccination. No Medical History information was reported. 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 TENDERNESS (soreness), NODULE (little brown bumps), PAIN (painful), PRURITUS (itchy) and INJECTION SITE SWELLING (inflamed). At the time of the report, TENDERNESS (soreness), NODULE (little brown bumps), PAIN (painful), PRURITUS (itchy) and INJECTION SITE SWELLING (inflamed) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1580307
Sex: F
Age:
State: MD

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 08/18/2021
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: Both of her big toes went numb; This spontaneous case was reported by a consumer and describes the occurrence of HYPOAESTHESIA (Both of her big toes went numb) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Unknown) for COVID-19 vaccination. No Medical History information was reported. On 06-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Jan-2021, the patient experienced HYPOAESTHESIA (Both of her big toes went numb). At the time of the report, HYPOAESTHESIA (Both of her big toes went numb) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. Treatment details included Anti-inflammatories

Other Meds:

Current Illness:

ID: 1580308
Sex: M
Age: 86
State: NY

Vax Date: 01/22/2021
Onset Date:
Rec V Date: 08/18/2021
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: Muscle fatigue; Chills; This spontaneous case was reported by a consumer and describes the occurrence of MUSCLE FATIGUE (Muscle fatigue) and CHILLS (Chills) in an 86-year-old male patient who received mRNA-1273 for COVID-19 vaccination. The patient's past medical history included Heart disorder and Defibrillator/pacemaker insertion since an unknown date. On 22-Jan-2021, the patient received first dose of mRNA-1273 (Intramuscular) 1 dosage form. On an unknown date, the patient experienced MUSCLE FATIGUE (Muscle fatigue) and CHILLS (Chills). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, MUSCLE FATIGUE (Muscle fatigue) and CHILLS (Chills) outcome was unknown. The action taken with mRNA-1273 (Intramuscular) was unknown. No concomitant medications were reported.; 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: Defibrillator/pacemaker insertion

ID: 1580309
Sex: F
Age: 65
State: WA

Vax Date: 01/25/2021
Onset Date: 01/31/2021
Rec V Date: 08/18/2021
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: warm to the touch; Itchy arm; hard lump on arm; red 4-5 inches in diameter; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (warm to the touch), VACCINATION SITE PRURITUS (Itchy arm), VACCINATION SITE SWELLING (hard lump on arm) and VACCINATION SITE ERYTHEMA (red 4-5 inches in diameter) in a 65-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 medical history reported). Concomitant products included LISINOPRIL, AMLODIPINE and ALENDRONATE SODIUM (ALENDRONATE). On 25-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 31-Jan-2021, the patient experienced VACCINATION SITE WARMTH (warm to the touch), VACCINATION SITE PRURITUS (Itchy arm), VACCINATION SITE SWELLING (hard lump on arm) and VACCINATION SITE ERYTHEMA (red 4-5 inches in diameter). At the time of the report, VACCINATION SITE WARMTH (warm to the touch), VACCINATION SITE PRURITUS (Itchy arm) and VACCINATION SITE ERYTHEMA (red 4-5 inches in diameter) outcome was unknown and VACCINATION SITE SWELLING (hard lump on arm) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Consumer states the discomfort wasn't unbearable but she did take a Zyrtec and iced it to relieve the feeling.

Other Meds: LISINOPRIL; AMLODIPINE; ALENDRONATE

Current Illness:

ID: 1580310
Sex: M
Age:
State:

Vax Date: 01/20/2021
Onset Date:
Rec V Date: 08/18/2021
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: Tested positive for COVID-19; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (Tested positive for COVID-19) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 20-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 COVID-19 (Tested positive for COVID-19). At the time of the report, COVID-19 (Tested positive for COVID-19) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, SARS-CoV-2 test: positive (Positive) Tested positive for COVID-19. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported No treatment information was provided.; Sender's Comments: Based on the natural history of COVID-19, and the established information about the mRNA-1273 vaccine, a causal association between the event of tested positive for COVID and the product use is assessed as unlikely,

Other Meds:

Current Illness:

ID: 1580311
Sex: F
Age: 74
State: FL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 08/18/2021
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: Hot 2 inches area; Dizzy; Nausea; Headache; Itchy 2 inches area; big red 2 inches area; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (Hot 2 inches area), DIZZINESS (Dizzy), VACCINATION SITE ERYTHEMA (big red 2 inches area), NAUSEA (Nausea) and HEADACHE (Headache) in a 74-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 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 VACCINATION SITE ERYTHEMA (big red 2 inches area). On an unknown date, the patient experienced VACCINATION SITE WARMTH (Hot 2 inches area), DIZZINESS (Dizzy), NAUSEA (Nausea), HEADACHE (Headache) and VACCINATION SITE PRURITUS (Itchy 2 inches area). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, VACCINATION SITE WARMTH (Hot 2 inches area), DIZZINESS (Dizzy), VACCINATION SITE ERYTHEMA (big red 2 inches area), NAUSEA (Nausea), HEADACHE (Headache) and VACCINATION SITE PRURITUS (Itchy 2 inches area) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. Treatment details included ice pack for symptoms. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1580312
Sex: F
Age:
State: CA

Vax Date: 02/01/2021
Onset Date:
Rec V Date: 08/18/2021
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: fever; body aches; headaches; This spontaneous case was reported by a nurse (subsequently medically confirmed) and describes the occurrence of PYREXIA (fever), MYALGIA (body aches) and HEADACHE (headaches) 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 01-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PYREXIA (fever), MYALGIA (body aches) and HEADACHE (headaches). At the time of the report, PYREXIA (fever), MYALGIA (body aches) and HEADACHE (headaches) outcome was unknown. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medications were not provided. Treatment information was not reported.

Other Meds:

Current Illness:

ID: 1580313
Sex: F
Age: 49
State: WA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 08/18/2021
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: Body ache; Fever; Chills; Joint aches; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Body ache), PYREXIA (Fever), CHILLS (Chills) and ARTHRALGIA (Joint aches) in a 49-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 028L20A) for COVID-19 vaccination. No Medical History information was reported. On 01-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Feb-2021, the patient experienced PAIN (Body ache), PYREXIA (Fever), CHILLS (Chills) and ARTHRALGIA (Joint aches). At the time of the report, PAIN (Body ache), PYREXIA (Fever), CHILLS (Chills) and ARTHRALGIA (Joint aches) outcome was unknown. Concomitant medication included Vitamins and Natural supplements. Treatment included Advil and Tylenol. Most recent FOLLOW-UP information incorporated above includes: On 20-Apr-2021: reporter's email address and last name correction

Other Meds:

Current Illness:

ID: 1580314
Sex: F
Age: 70
State: TX

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 08/18/2021
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: High Fever 100 degrees; Sore arm (injection site); Headache; Chills; This spontaneous case was reported by a consumer and describes the occurrence of in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012M20A) for COVID-19 vaccination. No Medical History information was reported. On 02-Feb-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 03-Feb-2021, Body temperature: 100 (High) 100 degree. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. On 03-Feb-2021, the patient experienced high fever of 100 degrees, sore arm at injection site, headache and chills. Concomitant medications were not provided. Treatment information was not reported.

Other Meds:

Current Illness:

ID: 1580315
Sex: M
Age: 39
State:

Vax Date: 01/14/2021
Onset Date: 01/24/2021
Rec V Date: 08/18/2021
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: contracted covid on 1-24-2021; This spontaneous case was reported by a consumer and describes the occurrence of SARS-COV-2 TEST POSITIVE (contracted covid on 1-24-2021) in a 39-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011L20a) for COVID-19 immunisation. No medical history was provided by the reporter. Concomitant products included VITAMINS NOS for an unknown indication. On 14-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-Jan-2021, the patient experienced SARS-COV-2 TEST POSITIVE (contracted covid on 1-24-2021). At the time of the report, SARS-COV-2 TEST POSITIVE (contracted covid on 1-24-2021) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 24-Jan-2021, SARS-CoV-2 test positive: positive (abnormal) POSITIVE. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information was not reported.

Other Meds: VITAMINS NOS

Current Illness:

ID: 1580316
Sex: M
Age:
State: NJ

Vax Date:
Onset Date:
Rec V Date: 08/18/2021
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: Received the vaccine and got a hot temperature; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (Received the vaccine and got a hot temperature) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PYREXIA (Received the vaccine and got a hot temperature). At the time of the report, PYREXIA (Received the vaccine and got a hot temperature) 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.

Other Meds:

Current Illness:

ID: 1580317
Sex: F
Age: 73
State: FL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 08/18/2021
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: Tiny bruise; almost like an allergic reaction; nurse squeezed her arm when she was getting the vaccine; red spot belowher vaccination that was about 5 inches long and 3 inches wide. It was itchy; red patch on arm, red spot below her vaccination that was about 5 inches long and 3 inches wide; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CONTUSION (Tiny bruise), HYPERSENSITIVITY (almost like an allergic reaction), WRONG TECHNIQUE IN PRODUCT USAGE PROCESS (nurse squeezed her arm when she was getting the vaccine), VACCINATION SITE PRURITUS (red spot belowher vaccination that was about 5 inches long and 3 inches wide. It was itchy) and VACCINATION SITE ERYTHEMA (red patch on arm, red spot below her vaccination that was about 5 inches long and 3 inches wide) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012L20A) for COVID-19 vaccination. No Medical History information was reported. On 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 CONTUSION (Tiny bruise), HYPERSENSITIVITY (almost like an allergic reaction), WRONG TECHNIQUE IN PRODUCT USAGE PROCESS (nurse squeezed her arm when she was getting the vaccine), VACCINATION SITE PRURITUS (red spot belowher vaccination that was about 5 inches long and 3 inches wide. It was itchy) and VACCINATION SITE ERYTHEMA (red patch on arm, red spot below her vaccination that was about 5 inches long and 3 inches wide). The patient was treated with HYDROCORTISONE for Vaccination site erythema, at an unspecified dose and frequency. On 21-Jan-2021, WRONG TECHNIQUE IN PRODUCT USAGE PROCESS (nurse squeezed her arm when she was getting the vaccine) had resolved. At the time of the report, CONTUSION (Tiny bruise) and HYPERSENSITIVITY (almost like an allergic reaction) outcome was unknown and VACCINATION SITE PRURITUS (red spot belowher vaccination that was about 5 inches long and 3 inches wide. It was itchy) and VACCINATION SITE ERYTHEMA (red patch on arm, red spot below her vaccination that was about 5 inches long and 3 inches wide) was resolving. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. On 31-jan-2021, the patient reported that red spot below her vaccination seemed to be worse, a little bit redder. It was still the same size. On 01-Feb-2021, it itches a little. It seems to be a little bit smaller area. She was surprised that it did not occur until the following Friday, which was 8 days. She called her daughter, who was a nurse. The nurse squeezed her arm when she was getting the vaccine. Her daughter said they really should not be squeezing her arm. It was almost like if you get an allergic reaction, and it itches, a little bit bumpy and it was red.

Other Meds:

Current Illness:

ID: 1580318
Sex: M
Age:
State: NM

Vax Date: 01/01/2021
Onset Date: 01/26/2021
Rec V Date: 08/18/2021
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: tested positive for COVID; This spontaneous case was reported by a physician (subsequently medically confirmed) and describes the occurrence of SARS-COV-2 TEST POSITIVE (tested positive for COVID) 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 January 2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Jan-2021, the patient experienced SARS-COV-2 TEST POSITIVE (tested positive for COVID). At the time of the report, SARS-COV-2 TEST POSITIVE (tested positive for COVID) outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 26-Jan-2021, SARS-CoV-2 test: positive (abnormal) positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter. No treatment information was provided. The patient was asymptomatic as reported by the health care professional. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1580319
Sex: F
Age: 20
State: MD

Vax Date: 01/16/2021
Onset Date: 01/20/2021
Rec V Date: 08/18/2021
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: armpit pain; This spontaneous case was reported by a consumer and describes the occurrence of AXILLARY PAIN (armpit pain) in a 21-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011J20A) for COVID-19 vaccination. No Medical History information was reported. On 16-Jan-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Jan-2021, the patient experienced AXILLARY PAIN (armpit pain). At the time of the report, AXILLARY PAIN (armpit pain) 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.

Other Meds:

Current Illness:

ID: 1580320
Sex: M
Age: 59
State: TX

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 08/18/2021
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: After the shot, the nausea increased; Has throwed up 3 times by the day; This spontaneous case was reported by a consumer and describes the occurrence of NAUSEA (After the shot, the nausea increased) and VOMITING (Has throwed up 3 times by the day) in a 59-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012M20A) for COVID-19 vaccination. Concurrent medical conditions included Kidney stone and Nausea. Concomitant products included METFORMIN, LOVASTATIN, ATORVASTATIN CALCIUM (LIPITOR), POTASSIUM CHLORIDE (POTASSIUM [POTASSIUM CHLORIDE]), LISINOPRIL, MULTIVITAMINS [VITAMINS NOS], VITAMIN B12 [VITAMIN B12 NOS] and DULAGLUTIDE (TRULICITY) for an unknown indication. On 02-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Feb-2021, the patient experienced NAUSEA (After the shot, the nausea increased) and VOMITING (Has throwed up 3 times by the day). At the time of the report, NAUSEA (After the shot, the nausea increased) had not resolved and VOMITING (Has throwed up 3 times by the day) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The patient received unspecified treatment medication for nausea.

Other Meds: METFORMIN; LOVASTATIN; LIPITOR; POTASSIUM [POTASSIUM CHLORIDE]; LISINOPRIL; MULTIVITAMINS [VITAMINS NOS]; VITAMIN B12 [VITAMIN B12 NOS]; TRULICITY

Current Illness: Kidney stone; Nausea

ID: 1580321
Sex: F
Age: 80
State: PA

Vax Date: 01/19/2021
Onset Date: 02/01/2021
Rec V Date: 08/18/2021
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: Itching at injection site on and off; Rash in area of injection/ Pinkish in color rash; Some heat coming out when I touch it at injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PRURITUS (Itching at injection site on and off), VACCINATION SITE RASH (Rash in area of injection/ Pinkish in color rash) and VACCINATION SITE PAIN (Some heat coming out when I touch it at injection site) in an 80-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. O29620A) for COVID-19 vaccination. No Medical History information was reported. On 19-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Feb-2021, the patient experienced VACCINATION SITE PRURITUS (Itching at injection site on and off), VACCINATION SITE RASH (Rash in area of injection/ Pinkish in color rash) and VACCINATION SITE PAIN (Some heat coming out when I touch it at injection site). At the time of the report, VACCINATION SITE PRURITUS (Itching at injection site on and off) was resolving and VACCINATION SITE RASH (Rash in area of injection/ Pinkish in color rash) and VACCINATION SITE PAIN (Some heat coming out when I touch it at injection site) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications were not provided. The patient put cold compressor to relieve the symptoms.

Other Meds:

Current Illness:

ID: 1580322
Sex: F
Age: 74
State: CA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 08/18/2021
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: Soreness; Facial flushing; She could not get her rings off on her left hand; Rash that has spread; Arm irritation to the touch; Itching; Hotness at the injection site; Redness at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (Hotness at the injection site), PRURITUS (Itching), SKIN IRRITATION (Arm irritation to the touch), PAIN (Soreness) and FLUSHING (Facial flushing) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011J209) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 22-Jan-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Jan-2021, the patient experienced VACCINATION SITE WARMTH (Hotness at the injection site) and VACCINATION SITE ERYTHEMA (Redness at the injection site). On 28-Jan-2021, the patient experienced PRURITUS (Itching). On 29-Jan-2021, the patient experienced SKIN IRRITATION (Arm irritation to the touch) and RASH (Rash that has spread). On 30-Jan-2021, the patient experienced PAIN (Soreness), FLUSHING (Facial flushing) and PERIPHERAL SWELLING (She could not get her rings off on her left hand). At the time of the report, VACCINATION SITE WARMTH (Hotness at the injection site), PRURITUS (Itching), SKIN IRRITATION (Arm irritation to the touch), PAIN (Soreness), FLUSHING (Facial flushing), PERIPHERAL SWELLING (She could not get her rings off on her left hand) and RASH (Rash that has spread) had not resolved and VACCINATION SITE ERYTHEMA (Redness at the injection site) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications were not provided. Treatment information was not reported.

Other Meds:

Current Illness:

ID: 1580323
Sex: F
Age: 84
State: CA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 08/18/2021
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: Fatigue; Tightness in the left jawand left neck; Chills; Pain at injection site; This spontaneous case was reported by a consumer and describes the occurrence of MUSCLE TIGHTNESS (Tightness in the left jawand left neck), CHILLS (Chills), VACCINATION SITE PAIN (Pain at injection site) and FATIGUE (Fatigue) in an 84-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 004M20A) for COVID-19 vaccination. No Medical History information was reported. On 29-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 29-Jan-2021, the patient experienced MUSCLE TIGHTNESS (Tightness in the left jawand left neck), CHILLS (Chills) and VACCINATION SITE PAIN (Pain at injection site). On 30-Jan-2021, the patient experienced FATIGUE (Fatigue). At the time of the report, MUSCLE TIGHTNESS (Tightness in the left jawand left neck), CHILLS (Chills), VACCINATION SITE PAIN (Pain at injection site) and FATIGUE (Fatigue) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications were not provided. The patient did not receive any treatment medications. Most recent FOLLOW-UP information incorporated above includes: On 24-Jun-2021: Follow-up received on 24-06-2021: No new information

Other Meds:

Current Illness:

ID: 1580324
Sex: F
Age: 73
State: TX

Vax Date: 01/18/2021
Onset Date: 01/25/2021
Rec V Date: 08/18/2021
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: Pain in the injection site; a 6*3 inch red spot in the injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Pain in the injection site) and VACCINATION SITE ERYTHEMA (a 6*3 inch red spot in 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. Concomitant products included LEVOTHYROXINE SODIUM (SYNTHROID) for an unknown indication. On 18-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 PAIN (Pain in the injection site) and VACCINATION SITE ERYTHEMA (a 6*3 inch red spot in the injection site). The patient was treated with PARACETAMOL (TYLENOL) for Vaccination site pain and Vaccination site erythema, at an unspecified dose and frequency; IBUPROFEN (ADVIL [IBUPROFEN]) for Vaccination site erythema and Vaccination site pain, at an unspecified dose and frequency and CORTISONE for Vaccination site pain and Vaccination site erythema, at an unspecified dose and frequency. At the time of the report, VACCINATION SITE PAIN (Pain in the injection site) and VACCINATION SITE ERYTHEMA (a 6*3 inch red spot in the injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: SYNTHROID

Current Illness:

ID: 1580325
Sex: M
Age: 75
State: CA

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 08/18/2021
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: Shoulder is extremely sore; This spontaneous case was reported by a consumer and describes the occurrence of ARTHRALGIA (Shoulder is extremely sore) in a 75-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included Rotator cuff injury. On 18-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Jan-2021, the patient experienced ARTHRALGIA (Shoulder is extremely sore). The patient was treated with IBUPROFEN for Shoulder soreness, at an unspecified dose and frequency. At the time of the report, ARTHRALGIA (Shoulder is extremely sore) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications were not provided.

Other Meds:

Current Illness:

ID: 1580326
Sex: F
Age:
State:

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 08/18/2021
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: injection site hot; injection site discoloured; injection site red; injection site sore; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE WARMTH (injection site hot), VACCINATION SITE DISCOLOURATION (injection site discoloured), INJECTION SITE ERYTHEMA (injection site red) and VACCINATION SITE PAIN (injection site sore) 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) (unknown route) 1 dosage form. On 23-Jan-2021, the patient experienced INJECTION SITE WARMTH (injection site hot), VACCINATION SITE DISCOLOURATION (injection site discoloured), INJECTION SITE ERYTHEMA (injection site red) and VACCINATION SITE PAIN (injection site sore). At the time of the report, INJECTION SITE WARMTH (injection site hot), VACCINATION SITE DISCOLOURATION (injection site discoloured), INJECTION SITE ERYTHEMA (injection site red) and VACCINATION SITE PAIN (injection site sore) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product information was not provided. Treatment information was not reported. Reporter did not allow further contact Most recent FOLLOW-UP information incorporated above includes: On 10-Jul-2021: Follow-up received on 10-JUL-2021 and contains non significant information

Other Meds:

Current Illness:

ID: 1580327
Sex: F
Age: 73
State: AZ

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 08/18/2021
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: arm became sore; muscle pain; joint pain; fatigue; This spontaneous case was reported by a patient and describes the occurrence of PAIN IN EXTREMITY (arm became sore), MYALGIA (muscle pain), ARTHRALGIA (joint pain) and FATIGUE (fatigue) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010M20A) for COVID-19 vaccination. No Medical History information was reported. On 02-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Feb-2021, the patient experienced PAIN IN EXTREMITY (arm became sore), MYALGIA (muscle pain), ARTHRALGIA (joint pain) and FATIGUE (fatigue). At the time of the report, PAIN IN EXTREMITY (arm became sore), MYALGIA (muscle pain), ARTHRALGIA (joint pain) and FATIGUE (fatigue) had not resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment medications were not provided. No concomitant medications were not provided.

Other Meds:

Current Illness:

ID: 1580328
Sex: F
Age: 59
State: AZ

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 08/18/2021
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: tested positive for Covid; Fever 102; Chills; Her arm also felt sore at the injection site; Headache; Strange Sensation; Light Headed; inside of her nose was really dry; This spontaneous case was reported by a consumer and describes the occurrence of DISCOMFORT (Strange Sensation), DIZZINESS (Light Headed), NASAL DRYNESS (inside of her nose was really dry), SARS-COV-2 TEST POSITIVE (tested positive for Covid) and HEADACHE (Headache) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 07-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Jan-2021, the patient experienced DISCOMFORT (Strange Sensation), DIZZINESS (Light Headed), NASAL DRYNESS (inside of her nose was really dry), HEADACHE (Headache) and VACCINATION SITE PAIN (Her arm also felt sore at the injection site). On 12-Jan-2021, the patient experienced SARS-COV-2 TEST POSITIVE (tested positive for Covid), PYREXIA (Fever 102) and CHILLS (Chills). At the time of the report, DISCOMFORT (Strange Sensation), DIZZINESS (Light Headed), NASAL DRYNESS (inside of her nose was really dry), SARS-COV-2 TEST POSITIVE (tested positive for Covid), HEADACHE (Headache), PYREXIA (Fever 102), CHILLS (Chills) and VACCINATION SITE PAIN (Her arm also felt sore at the injection site) outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 12-Jan-2021, Body temperature: 102 (High) fever. On 12-Jan-2021, SARS-CoV-2 test: positive (abnormal) positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications were not provided. Treatment information was not reported.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm