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: 1569922
Sex: F
Age: 30
State: CA

Vax Date: 07/24/2021
Onset Date: 07/24/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None reported by client.

Symptom List:

Symptoms: Patient presented to Vaccination sit at her scheduled appointment time to receive her 2nd dose of the COVID Pfizer vaccine. While being processed for 2nd dose vaccination, the client reported that approximately 25-30 minutes after receiving her first Pfizer dose, she experienced tingling in her lips, bilateral cheeks, and left arm from her elbow to her hand. Client she drove home and called DR, and was told to go to urgent care. The client states she decided to wait approximately 4 hours from onset of symptoms before going to urgent care. Client states during that time the tingling in her arm resolved within an hour and the tingling in her lips and cheeks resolved approximately 2 hours after onset. Client states at urgent care they advised her to go home and take claritin. Client reports she drove home and took claritin of unknown strength. She reports she has been feeling well since then and denies following up with her PCP.

Other Meds: Birth Control, unknown name per client.

Current Illness: None reported by client.

ID: 1569923
Sex: F
Age: 56
State: MS

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Back ache; Chills; Fever; Headache; Joint pain; This spontaneous case was reported by a nurse and describes the occurrence of BACK PAIN (Back ache), CHILLS (Chills), PYREXIA (Fever), HEADACHE (Headache) and ARTHRALGIA (Joint pain) in a 57-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029L20A) for COVID-19 vaccination. No Medical History information was reported. On 03-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-Feb-2021, the patient experienced BACK PAIN (Back ache), CHILLS (Chills), PYREXIA (Fever), HEADACHE (Headache) and ARTHRALGIA (Joint pain). In February 2021, BACK PAIN (Back ache), CHILLS (Chills), HEADACHE (Headache) and ARTHRALGIA (Joint pain) had resolved. At the time of the report, PYREXIA (Fever) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. The action taken with mRNA-1273 in response to the event was not applicable. The concomitant medications and treatment details were not provided.

Other Meds:

Current Illness:

ID: 1569924
Sex: F
Age: 71
State: AZ

Vax Date: 02/20/2021
Onset Date: 08/13/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type:
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Lab Data:

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Symptom List:

Symptoms: Patient was fully vaccinated with Pfizer covid 19 vaccine. She received doses on 01/28/2021 and 02/20/2021. She subsequently was infected with Covid 19. Her symptoms started on 8/13/2021. She visited MinuteClinic and tested positive for Covid 19 on 8/15/2021. Health outcome is unknown.

Other Meds:

Current Illness:

ID: 1569925
Sex: F
Age: 43
State: MA

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chest pain Shortness of pain Fluttering in chest

Other Meds: None

Current Illness: None

ID: 1569926
Sex: F
Age: 47
State: TX

Vax Date: 08/06/2021
Onset Date: 08/10/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient woke up Tuesday 8/10/21 with rash on face, neck, shoulder, legs, hands and had itching and hives. Patient went to the Dr on Wednesday 8/11/21 and the Dr prescribed patient cream for itching. Then Thursday 8/12/21 the patient had swelling in face and eyes. The patient self treated with calamine lotion and Aveeno wash. The patient started taking Allegra over the counter on Sunday 8/15/21. The patient says their symptoms have gotten better since taking Allegra. The patient has follow up appointment with Dr on Wednesday 8/18/21.

Other Meds: unknown

Current Illness: unknown

ID: 1569927
Sex: F
Age: 52
State:

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

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Vomiting, nausea, fever, body aches, chills,

Other Meds:

Current Illness:

ID: 1569928
Sex: F
Age: 57
State: VA

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Same night of vaccine (3/5/21) - Intense throbbing in left eye socket escalating around 2am followed by blurred vision and a migraine that lasted for at least 3 days. Intermittent pain for the next several months. June 4th - Severe pain behind both eyes as a result of blood clots followed by swollen & very red eyes and eye lids. Today (8/15/21) - Continued throbbing pain and swelling in left eye. Will follow up with ophthalmologist this week.

Other Meds: None

Current Illness: No illnesses

ID: 1569929
Sex: F
Age: 47
State: FL

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

Vax Type:
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Lab Data:

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Symptom List:

Symptoms: Frequent heart palpitations one month after vaccine. Lasted about a month off and on.

Other Meds:

Current Illness:

ID: 1569930
Sex: F
Age: 41
State: DE

Vax Date: 08/04/2021
Onset Date: 08/11/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: no

Symptom List:

Symptoms: I have had a really bad rash that comes and goes over various parts of the body, legs, arms, stomach, back hands, feet etc. started day 7 after vaccine and is still here day 10. Seems to be the worst these last two days.

Other Meds: none

Current Illness: no

ID: 1569931
Sex: F
Age: 60
State: MS

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Dizziness/Lightheadedness; Headache; Sore Arm/Body Aches; Chills; Nausea; This spontaneous case was reported by a nurse and describes the occurrence of DIZZINESS (Dizziness/Lightheadedness), HEADACHE (Headache), MYALGIA (Sore Arm/Body Aches), CHILLS (Chills) and NAUSEA (Nausea) in a 60-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 10-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 10-Feb-2021, the patient experienced DIZZINESS (Dizziness/Lightheadedness), HEADACHE (Headache), MYALGIA (Sore Arm/Body Aches), CHILLS (Chills) and NAUSEA (Nausea). At the time of the report, DIZZINESS (Dizziness/Lightheadedness), HEADACHE (Headache), MYALGIA (Sore Arm/Body Aches), CHILLS (Chills) and NAUSEA (Nausea) outcome 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 not provided. Action taken with mRNA-1273 in response to the event was not applicable.

Other Meds:

Current Illness:

ID: 1569932
Sex: F
Age: 39
State: NC

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: pregnancy; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of MATERNAL EXPOSURE DURING PREGNANCY (pregnancy) in a 39-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 037A21B) for COVID-19 vaccination. No Medical History information was reported. On 19-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. The patient's last menstrual period was on 18-Sep-2020 and the estimated date of delivery was 27-Jun-2021. On 19-Mar-2021, the patient experienced MATERNAL EXPOSURE DURING PREGNANCY (pregnancy). The patient received mRNA-1273 (Moderna COVID-19 Vaccine) beginning around the twenty-sixth week of the pregnancy. On 19-Mar-2021, MATERNAL EXPOSURE DURING PREGNANCY (pregnancy) had resolved. 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. No concomitant medications reported. No treatment medications reported.

Other Meds:

Current Illness:

ID: 1569933
Sex: F
Age: 57
State: TN

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Injection site was swollen; Injection site was itchy; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE SWELLING (Injection site was swollen) and VACCINATION SITE PRURITUS (Injection site was itchy) in a 57-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010A21A) for COVID-19 vaccination. No Medical History information was reported. On 26-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 VACCINATION SITE SWELLING (Injection site was swollen) and VACCINATION SITE PRURITUS (Injection site was itchy). At the time of the report, VACCINATION SITE SWELLING (Injection site was swollen) and VACCINATION SITE PRURITUS (Injection site was itchy) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. No laboratory details were provided. No treatment medications were reported.

Other Meds:

Current Illness:

ID: 1569934
Sex: F
Age: 73
State: MI

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: This spontaneous case was reported by a consumer and describes the occurrence of BLOOD PRESSURE INCREASED (elevated blood pressure), MOOD DISORDER DUE TO A GENERAL MEDICAL CONDITION (mood behaviors/Had discussion with sister and it's unusual to hung up the phone), ANGER (short tempered) and AGGRESSION (turned into argumentive/Went into argument to a stranger guy in a store) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030A21A) for COVID-19 vaccination. The patient's past medical history included COPD. Concurrent medical conditions included Blood pressure high. Concomitant products included GUANFACINE HYDROCHLORIDE (TENEX) for Blood pressure, POTASSIUM, FUROSEMIDE (LASIX [FUROSEMIDE]), HYDROCHLOROTHIAZIDE, VITAMIN B COMPLEX and VITAMIN D 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 an unknown date, the patient experienced BLOOD PRESSURE INCREASED (elevated blood pressure), MOOD DISORDER DUE TO A GENERAL MEDICAL CONDITION (mood behaviors/Had discussion with sister and it's unusual to hung up the phone), ANGER (short tempered) and AGGRESSION (turned into argumentive/Went into argument to a stranger guy in a store). At the time of the report, BLOOD PRESSURE INCREASED (elevated blood pressure), MOOD DISORDER DUE TO A GENERAL MEDICAL CONDITION (mood behaviors/Had discussion with sister and it's unusual to hung up the phone), ANGER (short tempered) and AGGRESSION (turned into argumentive/Went into argument to a stranger guy in a store) outcome was unknown. 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. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.

Other Meds: TENEX; POTASSIUM; LASIX [FUROSEMIDE]; HYDROCHLOROTHIAZIDE; VITAMIN B COMPLEX; VITAMIN D NOS

Current Illness: Blood pressure high

ID: 1569935
Sex: F
Age: 30
State: NY

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Upper lip itch; Drug exposure during breast feeding; 25% reduction in breast milk/60% reduction in breast milk/50% reduction in breast milk; Injection arm became sore; Lips tingling; Upper lip became numb; This spontaneous case was reported by a health care professional and describes the occurrence of PARAESTHESIA ORAL (Lips tingling), HYPOAESTHESIA ORAL (Upper lip became numb), LIP PRURITUS (Upper lip itch), VACCINATION SITE PAIN (Injection arm became sore) and SUPPRESSED LACTATION (25% reduction in breast milk/60% reduction in breast milk/50% reduction in breast milk) in a 30-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. Concomitant products included PRENATAL VITAMINS [ASCORBIC ACID;BIOTIN;MINERALS NOS;NICOTINIC ACID;RETINOL;TOCOPHEROL;VITAMIN B NOS;VITAMIN D NOS] for an unknown indication. On 15-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 PARAESTHESIA ORAL (Lips tingling), HYPOAESTHESIA ORAL (Upper lip became numb) and VACCINATION SITE PAIN (Injection arm became sore). On 16-Mar-2021, the patient experienced SUPPRESSED LACTATION (25% reduction in breast milk/60% reduction in breast milk/50% reduction in breast milk). On an unknown date, the patient experienced LIP PRURITUS (Upper lip itch) and EXPOSURE VIA BREAST MILK (Drug exposure during breast feeding). On 15-Mar-2021, PARAESTHESIA ORAL (Lips tingling), HYPOAESTHESIA ORAL (Upper lip became numb) and LIP PRURITUS (Upper lip itch) had resolved. At the time of the report, VACCINATION SITE PAIN (Injection arm became sore), SUPPRESSED LACTATION (25% reduction in breast milk/60% reduction in breast milk/50% reduction in breast milk) and EXPOSURE VIA BREAST MILK (Drug exposure during breast feeding) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Patient was breastfeeding. Patient treatment medication included Power pumping, Lactation cookies.

Other Meds: PRENATAL VITAMINS [ASCORBIC ACID;BIOTIN;MINERALS NOS;NICOTINIC ACID;RETINOL;TOCOPHEROL;VITAMIN B NOS

Current Illness:

ID: 1569936
Sex: F
Age:
State: CO

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Adverse Event due to Special Population (Pregnancy); This spontaneous prospective pregnancy case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of EXPOSURE DURING PREGNANCY (Adverse Event due to Special Population (Pregnancy)) in a 34-year-old female patient (gravida 0, para 1) who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 036A21A) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 18-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) at an unspecified dose. The patient's last menstrual period was on 11-Oct-2020 and the estimated date of delivery was 31-Aug-2021. On 19-Mar-2021, the patient experienced EXPOSURE DURING PREGNANCY (Adverse Event due to Special Population (Pregnancy)). The patient received mRNA-1273 (Moderna COVID-19 Vaccine) beginning around the twenty-second week of the pregnancy. The delivery occurred on 31-Aug-2021. On 19-Mar-2021, EXPOSURE DURING PREGNANCY (Adverse Event due to Special Population (Pregnancy)) had resolved. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 23-Dec-2020, Pregnancy test: Positive Action taken with mRNA-1273 in response to the event was not applicable. No concomitant and treatment drug information was provided.

Other Meds:

Current Illness:

ID: 1569937
Sex: F
Age:
State: WA

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: hives; upper arm near the injection site was red; fatigued; lymph nodes swelling in her arm pit and the neck; experienced pain; fever; chills; severe headache for more than 24 hours; full body ache; unable to eat; This spontaneous case was reported by a consumer and describes the occurrence of FEEDING DISORDER (unable to eat), URTICARIA (hives), PYREXIA (fever), CHILLS (chills) and HEADACHE (severe headache for more than 24 hours) in a 67-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 information was reported. On 10-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Mar-2021, the patient experienced FEEDING DISORDER (unable to eat), PYREXIA (fever), CHILLS (chills), HEADACHE (severe headache for more than 24 hours), MYALGIA ( full body ache) and PAIN (experienced pain). On 11-Mar-2021, the patient experienced VACCINATION SITE ERYTHEMA (upper arm near the injection site was red), FATIGUE (fatigued) and LYMPHADENOPATHY (lymph nodes swelling in her arm pit and the neck). On 12-Mar-2021, the patient experienced URTICARIA (hives). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, FEEDING DISORDER (unable to eat), URTICARIA (hives), PYREXIA (fever), CHILLS (chills), HEADACHE (severe headache for more than 24 hours), MYALGIA ( full body ache), VACCINATION SITE ERYTHEMA (upper arm near the injection site was red), FATIGUE (fatigued), LYMPHADENOPATHY (lymph nodes swelling in her arm pit and the neck) and PAIN (experienced pain) outcome was unknown. no concomitant medications are provided. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Action taken with mRNA-1273 in response to the event was not applicable

Other Meds:

Current Illness:

ID: 1569938
Sex: M
Age: 81
State: OR

Vax Date: 02/18/2021
Onset Date:
Rec V Date: 08/15/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: weakness from neck down to knees upon movement; no appetite; numbness in right hand; swelling in hand; no energy; unable to grip anything with right hand; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (weakness from neck down to knees upon movement), DECREASED APPETITE (no appetite), HYPOAESTHESIA (numbness in right hand), PERIPHERAL SWELLING (swelling in hand) and ASTHENIA (no energy) in an 81-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. No Medical History information was reported. On 18-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ASTHENIA (weakness from neck down to knees upon movement), DECREASED APPETITE (no appetite), HYPOAESTHESIA (numbness in right hand), PERIPHERAL SWELLING (swelling in hand), ASTHENIA (no energy) and MONOPARESIS (unable to grip anything with right hand). At the time of the report, ASTHENIA (weakness from neck down to knees upon movement), DECREASED APPETITE (no appetite), HYPOAESTHESIA (numbness in right hand), PERIPHERAL SWELLING (swelling in hand), ASTHENIA (no energy) and MONOPARESIS (unable to grip anything with right hand) outcome was unknown. No relevant concomitant medications provided. No relevant treatment information provided.

Other Meds:

Current Illness:

ID: 1569939
Sex: F
Age: 61
State: NY

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: minor pain in the arm; little tired; bloating; diarrhea 3 times last night; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (minor pain in the arm), FATIGUE (little tired), ABDOMINAL DISTENSION (bloating) and DIARRHOEA (diarrhea 3 times last night) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) 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) (unknown route) 1 dosage form. On 10-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (minor pain in the arm), FATIGUE (little tired), ABDOMINAL DISTENSION (bloating) and DIARRHOEA (diarrhea 3 times last night). At the time of the report, PAIN IN EXTREMITY (minor pain in the arm), FATIGUE (little tired), ABDOMINAL DISTENSION (bloating) and DIARRHOEA (diarrhea 3 times last night) outcome was unknown. Not Provided No relevant concomitant medication was reported. Treatment details include, loperamide. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1569940
Sex: F
Age: 75
State:

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: extreme fatigue; nausea; headache; chills on and off; headache; nausea; fever; extreme fatigue; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 19-Mar-2021 and was forwarded to Moderna on 19-Mar-2021. This spontaneous case was reported by a consumer and describes the occurrence of the first episode of HEADACHE (headache), the first episode of NAUSEA (nausea), PYREXIA (fever), the first episode of FATIGUE (extreme fatigue) and the second episode of FATIGUE (extreme fatigue) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 014M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Feb-2021, the patient experienced the first episode of HEADACHE (headache), the first episode of NAUSEA (nausea), PYREXIA (fever) and the first episode of FATIGUE (extreme fatigue). On 12-Mar-2021, the patient experienced the second episode of FATIGUE (extreme fatigue), the second episode of NAUSEA (nausea), the second episode of HEADACHE (headache) and CHILLS (chills on and off). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency. On 02-Mar-2021, PYREXIA (fever) outcome was unknown. At the time of the report, last episode of FATIGUE (extreme fatigue), the last episode of NAUSEA (nausea), the last episode of HEADACHE (headache) and CHILLS (chills on and off) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported.

Other Meds:

Current Illness:

ID: 1569941
Sex: F
Age:
State:

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 08/15/2021
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Symptoms: This spontaneous case was reported by a consumer and describes the occurrence of FEELING HOT (warmth down her arm and chest), DIZZINESS (dizziness) 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 17-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 17-Mar-2021, the patient experienced FEELING HOT (warmth down her arm and chest). On 18-Mar-2021, the patient experienced DIZZINESS (dizziness) and NAUSEA (Nausea). At the time of the report, FEELING HOT (warmth down her arm and chest), DIZZINESS (dizziness) and NAUSEA (Nausea) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown. No relevant concomitant medications reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1569942
Sex: F
Age:
State: NY

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 08/15/2021
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Symptoms: Arm was painful; Slept all day; chills; Tiredness; Tiredness; headaches; fever; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm was painful), SOMNOLENCE (Slept all day), CHILLS (chills), the first episode of FATIGUE (Tiredness) and the second episode of FATIGUE (Tiredness) in a female patient of an unknown age 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. No Medical History information was reported. On 16-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 was painful), SOMNOLENCE (Slept all day), CHILLS (chills), the first episode of FATIGUE (Tiredness), the second episode of FATIGUE (Tiredness), HEADACHE (headaches) and PYREXIA (fever). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. On 19-Mar-2021, PAIN IN EXTREMITY (Arm was painful), SOMNOLENCE (Slept all day), CHILLS (chills), the last episode of FATIGUE (Tiredness), HEADACHE (headaches) and PYREXIA (fever) had resolved. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 17-Mar-2021, Body temperature: 99.3 (Inconclusive) 99.3. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications reported.

Other Meds:

Current Illness:

ID: 1569943
Sex: F
Age: 88
State: IN

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 08/15/2021
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Symptoms: Her arm has been red; Swollen; Itchy; Rash 5x7 cm; This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (Her arm has been red), SWELLING (Swollen), PRURITUS (Itchy) and RASH (Rash 5x7 cm) in an 88-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011L20A) for COVID-19 vaccination. Concomitant products included SERTRALINE, HYDRALAZINE, INSULIN and ACETYLSALICYLIC ACID (ASPIRIN (E.C.)) for an unknown indication. On 23-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Feb-2021, the patient experienced ERYTHEMA (Her arm has been red), SWELLING (Swollen), PRURITUS (Itchy) and RASH (Rash 5x7 cm). At the time of the report, ERYTHEMA (Her arm has been red), SWELLING (Swollen), PRURITUS (Itchy) and RASH (Rash 5x7 cm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The concomitant medication included: Compound Thyroid

Other Meds: SERTRALINE; HYDRALAZINE; INSULIN; ASPIRIN (E.C.)

Current Illness:

ID: 1569944
Sex: M
Age: 73
State:

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 08/15/2021
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Symptoms: Persistent headache; A spontaneous report was received from a consumer and concerning a 73 years old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced a persistent headache and worried about a blood clot/thrombosis. The patient's medical history was not reported. No relevant concomitant medications were reported. On 03 Mar 2021, prior to onset of the events, the patient received their first of two planned doses of mRNA-1273 (batch number: 027A21A) intramuscularly for prophylaxis of COVID-19 infection. Since 03 Mar 2021, the patient had persistent headache for maybe 12-14 days which were not getting better and was worried about a blood clot. No treatment information was provided. The event worried about blood clot was medically significant. Action taken with mRNA-1273 in response to events was not reported. The outcome of the event persistent headache was not resolved.; Reporter's Comments: Based on the current available information which shows a temporal association between the use of the mRNA-1273 and the reported events, a causal relationship with the events cannot be excluded. Headache is consistent with the safety profile of the product.

Other Meds:

Current Illness:

ID: 1569945
Sex: F
Age: 55
State: MS

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 08/15/2021
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Symptoms: This spontaneous case was reported by a nurse and describes the occurrence of VACCINATION SITE BRUISING (Bruising at the Injection Site) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029L20A) for COVID-19 vaccination. No Medical History information was reported. On 03-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-Feb-2021, the patient experienced VACCINATION SITE BRUISING (Bruising at the Injection Site). On 12-Feb-2021, VACCINATION SITE BRUISING (Bruising at the Injection Site) outcome was unknown. Not Provided. For mRNA-1273 (Moderna COVID-19 Vaccine (Intramuscular), the reporter did not provide any causality assessments. No relevant concomitant medications reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1569946
Sex: F
Age:
State:

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Rec V Date: 08/15/2021
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Symptoms: Swelling; Itching; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE SWELLING (Swelling) and VACCINATION SITE PRURITUS (Itching) 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 second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE SWELLING (Swelling) and VACCINATION SITE PRURITUS (Itching). At the time of the report, VACCINATION SITE SWELLING (Swelling) and VACCINATION SITE PRURITUS (Itching) outcome was unknown. Not Provided No concomitant medications provided. No treatment drugs were reported. Most recent FOLLOW-UP information incorporated above includes: On 27-Apr-2021: Follow up received on 27 Apr 2021

Other Meds:

Current Illness:

ID: 1569947
Sex: F
Age: 62
State: VA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 08/15/2021
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Symptoms: This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (sore arm) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history was reported. On 09-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Jan-2021, the patient experienced PAIN IN EXTREMITY (sore arm). At the time of the report, PAIN IN EXTREMITY (sore arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No relevant concomitant medications reported. No treatment information was provided. This case was linked to MOD-2021-052065.

Other Meds:

Current Illness:

ID: 1569948
Sex: U
Age:
State: NY

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 08/15/2021
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Symptoms: invalid dose administered to two patients; This spontaneous case was reported by a nurse and describes the occurrence of WRONG TECHNIQUE IN DEVICE USAGE PROCESS (invalid dose administered to two patients) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001A21A) 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) (unknown route) 1 dosage form. On 17-Mar-2021, the patient experienced WRONG TECHNIQUE IN DEVICE USAGE PROCESS (invalid dose administered to two patients). On 17-Mar-2021, WRONG TECHNIQUE IN DEVICE USAGE PROCESS (invalid dose administered to two patients) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication details was reported. No treatment medication details was reported. The syringes were drawn in the afternoon on 16Mar2021. The syringes were kept in the refrigerator. On the morning of 17Mar2021, the nurse administered vaccines to patient from the syringes that were drawn on 16Mar2021. This case was linked to US-MODERNATX, INC.-MOD-2021-051994 (E2B Linked Report).; Sender's Comments: US-MODERNATX, INC.-MOD-2021-051994:MOD21-058166 Crosslinked no with Patient

Other Meds:

Current Illness:

ID: 1569949
Sex: F
Age:
State:

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 08/15/2021
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Symptoms: looks like little welts on arms and neck; Eyes are itchy; inside of mouth and lips feels like thrush; lips feel a little swollen; rash on her arms; didn't feel great for a couple days; This spontaneous case was reported by a non-health professional and describes the occurrence of MALAISE (didn't feel great for a couple days), URTICARIA (looks like little welts on arms and neck), EYE PRURITUS (Eyes are itchy), ORAL CANDIDIASIS (inside of mouth and lips feels like thrush) and LIP SWELLING (lips feel a little swollen) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 014M20A and 013M20A) for an unknown indication. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included COPD. Concomitant products included SALBUTAMOL SULFATE (INHALERIN) for COPD, METOPROLOL and PARACETAMOL (TYLENOL) for an unknown indication. On 10-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 13-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 10-Feb-2021, the patient experienced MALAISE (didn't feel great for a couple days). On an unknown date, the patient experienced URTICARIA (looks like little welts on arms and neck), EYE PRURITUS (Eyes are itchy), ORAL CANDIDIASIS (inside of mouth and lips feels like thrush), LIP SWELLING (lips feel a little swollen) and RASH (rash on her arms). The patient was treated with CALAMINE, GLYCEROL, ZINC OXIDE (CALAMINE LOTION) for Itching, at an unspecified dose and frequency. On 12-Feb-2021, MALAISE (didn't feel great for a couple days) had resolved. At the time of the report, URTICARIA (looks like little welts on arms and neck), EYE PRURITUS (Eyes are itchy), ORAL CANDIDIASIS (inside of mouth and lips feels like thrush), LIP SWELLING (lips feel a little swollen) and RASH (rash on her arms) outcome was unknown. Patient tried Calamine lotion to stop itching on her skin as treatment medication. This case was linked to US-MODERNATX, INC.-MOD-2021-052047 (E2B Linked Report).; Sender's Comments: US-MODERNATX, INC.-MOD-2021-052047:1st dose

Other Meds: INHALERIN; METOPROLOL; TYLENOL

Current Illness:

ID: 1569950
Sex: F
Age: 70
State: TN

Vax Date: 02/14/2021
Onset Date: 03/14/2021
Rec V Date: 08/15/2021
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Symptoms: Ringing in ears; Heat; Itching at injection site; Tenderness; Redness grew from size of dime to size of a cup opening; Swelling; This spontaneous case was reported by a consumer and describes the occurrence of TINNITUS (Ringing in ears), VACCINATION SITE WARMTH (Heat), VACCINATION SITE PRURITUS (Itching at injection site), VACCINATION SITE PAIN (Tenderness) and VACCINATION SITE ERYTHEMA (Redness grew from size of dime to size of a cup opening) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029A21A and 031L204) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 14-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 14-Mar-2021, the patient experienced TINNITUS (Ringing in ears), VACCINATION SITE WARMTH (Heat), VACCINATION SITE PRURITUS (Itching at injection site), VACCINATION SITE PAIN (Tenderness), VACCINATION SITE ERYTHEMA (Redness grew from size of dime to size of a cup opening) and VACCINATION SITE SWELLING (Swelling). At the time of the report, TINNITUS (Ringing in ears), VACCINATION SITE WARMTH (Heat), VACCINATION SITE PRURITUS (Itching at injection site), VACCINATION SITE PAIN (Tenderness), VACCINATION SITE ERYTHEMA (Redness grew from size of dime to size of a cup opening) and VACCINATION SITE SWELLING (Swelling) outcome was unknown. The patient called MD, prescribed Benadryl but she didn't take it. Wanted to know if she could take the Benadryl. No concomitant medication details were provided. This case was linked to MOD21-057881, MOD-2021-051948 (Patient Link).

Other Meds:

Current Illness:

ID: 1569951
Sex: F
Age: 71
State: IN

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 08/15/2021
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Symptoms: Feeling abnormal; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (Feeling abnormal ) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 013M20A and 014M20A) for COVID-19 vaccination. The patient's past medical history included COPD since an unknown date. Concomitant products included PARACETAMOL (TYLENOL) and METOPROLOL for an unknown indication. On 10-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 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 10-Feb-2021, the patient experienced FEELING ABNORMAL (Feeling abnormal ). On 12-Feb-2021, FEELING ABNORMAL (Feeling abnormal ) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) and mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medication included unknown inhaler for COPD. This case was linked to US-MODERNATX, INC.-MOD-2021-052033 (E2B Linked Report). Most recent FOLLOW-UP information incorporated above includes: On 26-Apr-2021: Follow up received on 26-APR-2021. included new events which are after experienced second dose.; Sender's Comments: US-MODERNATX, INC.-MOD-2021-052033:2nd dose

Other Meds: TYLENOL; METOPROLOL

Current Illness: COPD

ID: 1569952
Sex: F
Age: 74
State: TX

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 08/15/2021
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Symptoms: difficulty sleeping; Arm tender; Arm hurt/Arm painful; Great deal of discomfort; could not elevate arm; This spontaneous case was reported by a consumer and describes the occurrence of LIMB DISCOMFORT (Great deal of discomfort), MOBILITY DECREASED (could not elevate arm), TENDERNESS (Arm tender), INSOMNIA (difficulty sleeping) and PAIN IN EXTREMITY (Arm hurt/Arm painful) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012a21a) for COVID-19 vaccination. Concurrent medical conditions included Scoliosis. Concomitant products included FISH OIL, ASPIRIN [ACETYLSALICYLIC ACID] and CALCIUM 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 LIMB DISCOMFORT (Great deal of discomfort), MOBILITY DECREASED (could not elevate arm) and PAIN IN EXTREMITY (Arm hurt/Arm painful). On 11-Mar-2021, the patient experienced TENDERNESS (Arm tender). On an unknown date, the patient experienced INSOMNIA (difficulty sleeping). At the time of the report, LIMB DISCOMFORT (Great deal of discomfort), MOBILITY DECREASED (could not elevate arm), TENDERNESS (Arm tender), INSOMNIA (difficulty sleeping) and PAIN IN EXTREMITY (Arm hurt/Arm painful) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment information was reported.

Other Meds: FISH OIL; ASPIRIN [ACETYLSALICYLIC ACID]; CALCIUM

Current Illness: Scoliosis

ID: 1569953
Sex: F
Age:
State: IA

Vax Date:
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Rec V Date: 08/15/2021
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Symptoms: FLU LIKE SYMPTOMS; FEVER; This spontaneous case was reported by a consumer and describes the occurrence of INFLUENZA LIKE ILLNESS (FLU LIKE SYMPTOMS) and PYREXIA (FEVER) in an 80-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 INFLUENZA LIKE ILLNESS (FLU LIKE SYMPTOMS) and PYREXIA (FEVER). At the time of the report, INFLUENZA LIKE ILLNESS (FLU LIKE SYMPTOMS) and PYREXIA (FEVER) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Concomitant medication provided. No treatment drugs were provided. Patient received COVID Vaccine about three weeks ago.

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Current Illness:

ID: 1569954
Sex: M
Age:
State: CA

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 08/15/2021
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Symptoms: high temperature; short of breath; hotness; pain in the bones; HEADACHE; pain in the arm; swelling in the arm; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (high temperature), DYSPNOEA (short of breath), FEELING HOT (hotness), BONE PAIN (pain in the bones) and HEADACHE (HEADACHE) in a male patient of an unknown age 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 No adverse event. On 18-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Mar-2021, the patient experienced PYREXIA (high temperature), DYSPNOEA (short of breath), FEELING HOT (hotness), BONE PAIN (pain in the bones), HEADACHE (HEADACHE), MYALGIA (pain in the arm) and PERIPHERAL SWELLING (swelling in the arm). At the time of the report, PYREXIA (high temperature), DYSPNOEA (short of breath), FEELING HOT (hotness), BONE PAIN (pain in the bones), HEADACHE (HEADACHE), MYALGIA (pain in the arm) and PERIPHERAL SWELLING (swelling in the arm) outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 19-Mar-2021, Body temperature: high (High) high temperature. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product use was not provided by the reporter. Treatment information was not provided. Lab details were not provided.

Other Meds:

Current Illness:

ID: 1569955
Sex: F
Age: 62
State: VA

Vax Date: 01/09/2021
Onset Date: 02/06/2021
Rec V Date: 08/15/2021
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Symptoms: This spontaneous case was reported by a consumer and describes the occurrence of PAIN (body aches), LETHARGY (lethargy), DEPRESSION (depression), DEPRESSED MOOD (feeling sad and heavy) and HEAD DISCOMFORT (heavy feeling in my head) in a 62-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 09-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 06-Feb-2021, the patient experienced CHILLS (chills and got worse and worse). On 07-Feb-2021, the patient experienced PAIN (body aches), FATIGUE (tired) and HEADACHE (crushing headache). On an unknown date, the patient experienced LETHARGY (lethargy), DEPRESSION (depression), DEPRESSED MOOD (feeling sad and heavy), HEAD DISCOMFORT (heavy feeling in my head), CHEST DISCOMFORT (heavy feeling in my chest) and NAUSEA (mild nausea). On 08-Feb-2021, HEADACHE (crushing headache) had resolved. At the time of the report, PAIN (body aches), LETHARGY (lethargy), DEPRESSION (depression), DEPRESSED MOOD (feeling sad and heavy), HEAD DISCOMFORT (heavy feeling in my head), CHEST DISCOMFORT (heavy feeling in my chest), NAUSEA (mild nausea), FATIGUE (tired) and CHILLS (chills and got worse and worse) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 06-Feb-2021, Body temperature: 101 (High) 101. Action taken with mRNA-1273 was not applicable No concomitant medications reported by reporter. Treatment medication not reported. This case was linked to MOD-2021-052028 (E2B Linked Report).; Sender's Comments: MOD-2021-052028:first dose

Other Meds:

Current Illness:

ID: 1569956
Sex: M
Age: 83
State: NV

Vax Date: 02/19/2021
Onset Date: 02/27/2021
Rec V Date: 08/15/2021
Hospital:

Vax Type:
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Symptoms: flare up of COPD; cough; This spontaneous case was reported by a consumer and describes the occurrence of CHRONIC OBSTRUCTIVE PULMONARY DISEASE (flare up of COPD) and COUGH (cough) in an 83-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031M20A) for COVID-19 vaccination. Concurrent medical conditions included COPD. On 19-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Feb-2021, the patient experienced CHRONIC OBSTRUCTIVE PULMONARY DISEASE (flare up of COPD) and COUGH (cough). The patient was treated with AZITHROMYCIN (Z-PAK) for COPD exacerbation, at an unspecified dose and frequency; PARACETAMOL, PSEUDOEPHEDRINE HYDROCHLORIDE (SUDAFED COLD & SINUS) for COPD exacerbation, at an unspecified dose and frequency and BROMAZEPAM (NIQUIL) for Cough, at an unspecified dose and frequency. At the time of the report, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (flare up of COPD) and COUGH (cough) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 27-Feb-2021, Oxygen saturation: 81 (Low) oxygen went down to 81.. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. On 19-Mar-2021, the patient went to get the second dose but was refused due to the treatment medication she had taken for flare up of COPD. Her doctor did physical on 11-Mar-2021 and said he was okay with her getting the shot. Concomitant medications were not provided.

Other Meds:

Current Illness: COPD

ID: 1569957
Sex: F
Age: 74
State: MA

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 08/15/2021
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Symptoms: This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (Dizziness / light headedness / woozy), BALANCE DISORDER (Felt like falling over), VACCINATION SITE BRUISING (Black and blue at injection site), VACCINATION SITE PALLOR (Pale pink oval at injection site) and ERYTHEMA (Red dots) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Allergy to antibiotic (Cipro), Allergy to antibiotic (Bactrim), Penicillin allergy, Drug allergy (Sudafed) and Drug allergy (Opioids). Concomitant products included CALCIUM, COLECALCIFEROL (VITAMIN D [COLECALCIFEROL]) and LORAZEPAM for an unknown indication. 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 DIZZINESS (Dizziness / light headedness / woozy), BALANCE DISORDER (Felt like falling over), PALPITATIONS (Heart was thumping), FATIGUE (Fatigue), HEADACHE (Headache) and VACCINATION SITE PAIN (Stinging and burning at injection site). On 07-Mar-2021, the patient experienced VACCINATION SITE BRUISING (Black and blue at injection site) and VACCINATION SITE PAIN (Injection arm soreness). On 16-Mar-2021, the patient experienced VACCINATION SITE PALLOR (Pale pink oval at injection site), VACCINATION SITE PRURITUS (Itchy at injection site/had an itchy) and VACCINATION SITE SWELLING (Swelling at injection site). On an unknown date, the patient experienced ERYTHEMA (Red dots) and RASH (Swollen rash). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at a dose of UNK dosage form and HYDROCORTISONE (CORTISONE [HYDROCORTISONE]) for Adverse event, at an unspecified dose and frequency. At the time of the report, DIZZINESS (Dizziness / light headedness / woozy), BALANCE DISORDER (Felt like falling over), VACCINATION SITE BRUISING (Black and blue at injection site), VACCINATION SITE PALLOR (Pale pink oval at injection site), PALPITATIONS (Heart was thumping), RASH (Swollen rash), VACCINATION SITE PRURITUS (Itchy at injection site/had an itchy), VACCINATION SITE SWELLING (Swelling at injection site), VACCINATION SITE PAIN (Injection arm soreness), FATIGUE (Fatigue), HEADACHE (Headache) and VACCINATION SITE PAIN (Stinging and burning at injection site) outcome was unknown and ERYTHEMA (Red dots) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 06-Mar-2021, Heart rate: high (High) heart was beating very fast. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment was given with Petroleum Jelly. This case was linked to MOD-2021-051047, MOD-2021-269406 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 27-Jul-2021: Follow up received contains updated events, outcome, treatment and dose 2 information

Other Meds: CALCIUM; VITAMIN D [COLECALCIFEROL]; LORAZEPAM

Current Illness: Allergy to antibiotic (Cipro); Allergy to antibiotic (Bactrim); Drug allergy (Sudafed); Drug allergy (Opioids); Penicillin allergy

ID: 1569958
Sex: M
Age: 64
State: TX

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 08/15/2021
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Symptoms: Headache; Muscle pain; Joint pain; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (Headache), MYALGIA (Muscle pain) and ARTHRALGIA (Joint pain) in a 64-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 021A21A) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included VITAMINS NOS for an unknown indication. On 18-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 18-Mar-2021, the patient experienced HEADACHE (Headache), MYALGIA (Muscle pain) and ARTHRALGIA (Joint pain). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, HEADACHE (Headache), MYALGIA (Muscle pain) and ARTHRALGIA (Joint pain) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. The patient took paracetamol but it only gave minimal relief.

Other Meds: VITAMINS NOS

Current Illness:

ID: 1569959
Sex: F
Age: 83
State: FL

Vax Date: 02/18/2021
Onset Date: 03/20/2021
Rec V Date: 08/15/2021
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Symptoms: Dizziness; Diarrhea; Stomach pain; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (Dizziness), DIARRHOEA (Diarrhea) and ABDOMINAL PAIN UPPER (Stomach pain) in an 83-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030A21A and 029K20A) for COVID-19 vaccination. No Medical History information was reported. On 18-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 20-Mar-2021, the patient experienced DIZZINESS (Dizziness), DIARRHOEA (Diarrhea) and ABDOMINAL PAIN UPPER (Stomach pain). At the time of the report, DIZZINESS (Dizziness), DIARRHOEA (Diarrhea) and ABDOMINAL PAIN UPPER (Stomach pain) outcome was unknown. No concomitant medications were reported. No laboratory details were provided. No treatment medications were reported. Action taken with mRNA-1273 in response to the events was not applicable.

Other Meds:

Current Illness:

ID: 1569960
Sex: F
Age: 60
State: AL

Vax Date: 03/06/2021
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Rec V Date: 08/15/2021
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Symptoms: jaw was sore; patient went to touch their jaw it made a popping noise.; fatigue; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN JAW (jaw was sore), JOINT NOISE (patient went to touch their jaw it made a popping noise.) and FATIGUE (fatigue) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) 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 an unknown date, the patient experienced PAIN IN JAW (jaw was sore), JOINT NOISE (patient went to touch their jaw it made a popping noise.) and FATIGUE (fatigue). At the time of the report, PAIN IN JAW (jaw was sore), JOINT NOISE (patient went to touch their jaw it made a popping noise.) and FATIGUE (fatigue) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication was not reported. No treatment medication was not reported

Other Meds:

Current Illness:

ID: 1569961
Sex: M
Age: 64
State: CO

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 08/15/2021
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Symptoms: SEVERE CHILLS; This spontaneous case was reported by a consumer and describes the occurrence of CHILLS (SEVERE CHILLS) in a 64-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. unknown) for COVID-19 vaccination. The patient's past medical history included COVID-19 (Three weeks prior to getting the vaccine, the patient had Covid) in February 2021. On 18-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 18-Mar-2021, the patient experienced CHILLS (SEVERE CHILLS). At the time of the report, CHILLS (SEVERE CHILLS) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. concomitant medication and treatment were unknown

Other Meds:

Current Illness:

ID: 1569962
Sex: F
Age: 24
State: MA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 08/15/2021
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Symptoms: weird pulsating in my legs and a little bit in my right arm,It felt like her blood or cells were clumping; thought i dislocated my arm,barely use my left arm yesterday; arm went into excruciating pain; nauseous; very light headed; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 19-Mar-2021 and was forwarded to Moderna on 19-Mar-2021. This spontaneous case was reported by a consumer and describes the occurrence of MUSCLE TWITCHING (weird pulsating in my legs and a little bit in my right arm,It felt like her blood or cells were clumping), JOINT DISLOCATION (thought i dislocated my arm,barely use my left arm yesterday), DIZZINESS (very light headed), PAIN IN EXTREMITY (arm went into excruciating pain) and NAUSEA (nauseous) in a 24-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 038AZiA) for COVID-19 vaccination. No Medical History information was reported. 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 DIZZINESS (very light headed) and NAUSEA (nauseous). On 17-Mar-2021, the patient experienced JOINT DISLOCATION (thought i dislocated my arm,barely use my left arm yesterday) and PAIN IN EXTREMITY (arm went into excruciating pain). On 18-Mar-2021, the patient experienced MUSCLE TWITCHING (weird pulsating in my legs and a little bit in my right arm,It felt like her blood or cells were clumping). The patient was treated with PARACETAMOL (TYLENOL) at a dose of 1 dosage form; CALCIUM CARBONATE (TUMS 500 CALCIUM) at a dose of 1 dosage form and IBUPROFEN (ADVIL 12 HOUR) at a dose of 1 dosage form. At the time of the report, MUSCLE TWITCHING (weird pulsating in my legs and a little bit in my right arm,It felt like her blood or cells were clumping), JOINT DISLOCATION (thought i dislocated my arm,barely use my left arm yesterday), DIZZINESS (very light headed), PAIN IN EXTREMITY (arm went into excruciating pain) and NAUSEA (nauseous) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were reported. 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 01-Jul-2021: Follow up received on 1-07-2021 contains no newinformation.

Other Meds:

Current Illness:

ID: 1569963
Sex: F
Age: 71
State: ME

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 08/15/2021
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Symptoms: Was very tired and had no energy all day; Migraine headache; Rapid heartbeat lasting an hour; Pain in the eyes; Throat was very dry; Prolonged fever 103; This spontaneous case was reported by a consumer and describes the occurrence of MIGRAINE (Migraine headache), HEART RATE INCREASED (Rapid heartbeat lasting an hour), EYE PAIN (Pain in the eyes), DRY THROAT (Throat was very dry) and PYREXIA (Prolonged fever 103) in a 71-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. Concurrent medical conditions included Shortness of breath, Allergy to antibiotic (allergic to amoxicillin.), Allergy to antibiotic (allergic to clindamycin), Drug allergy (allergic to cephalexin), Drug allergy (allergic to sulfa), Drug allergy (allergic to iodine) and Food allergy (allergic to shelfish). Concomitant products included ATORVASTATIN from 2015 to an unknown date for Cholesterol, LEVOTHYROXINE from 2005 to an unknown date for Hypothyroidism. On 11-Mar-2021 at 10:00 AM, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-Mar-2021, the patient experienced MIGRAINE (Migraine headache), HEART RATE INCREASED (Rapid heartbeat lasting an hour), EYE PAIN (Pain in the eyes), DRY THROAT (Throat was very dry) and PYREXIA (Prolonged fever 103). On 14-Mar-2021, the patient experienced FATIGUE (Was very tired and had no energy all day). The patient was treated with IBUPROFEN at an unspecified dose and frequency. On 15-Mar-2021, MIGRAINE (Migraine headache), HEART RATE INCREASED (Rapid heartbeat lasting an hour), EYE PAIN (Pain in the eyes), DRY THROAT (Throat was very dry), PYREXIA (Prolonged fever 103) and FATIGUE (Was very tired and had no energy all day) had resolved. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 103 (High) 103. shortness of breath started in 11-000-2020 and it got resolved in 30-mar-2021. start date of concomitant medication atorvastatin is 6-000-2015 for levothyroxine is 6-000-2005. Action taken with mRNA-1273 in response to the event was not applicable. This case was linked to MOD-2021-129818. Most recent FOLLOW-UP information incorporated above includes: On 11-May-2021: Patient demographic details, historic diseases, allergies to the patients , new events , outcome of event from unknown to recovered, treatment medications are updated.

Other Meds: ATORVASTATIN; LEVOTHYROXINE

Current Illness: Allergy to antibiotic (allergic to clindamycin); Allergy to antibiotic (allergic to amoxicillin.); Drug allergy (allergic to sulfa); Drug allergy (allergic to iodine); Drug allergy (allergic to cephalexin); Food allergy (allergic to shelfish); Shortness of breath

ID: 1569964
Sex: F
Age: 23
State: CA

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 08/15/2021
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Symptoms: When I scratch the itch, the pain and soreness is back; Irritation in the injection arm; Itching at injection site; Redness at injection arm; Soreness at injection shoulder; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (When I scratch the itch, the pain and soreness is back), VACCINATION SITE IRRITATION (Irritation in the injection arm), ARTHRALGIA (Soreness at injection shoulder), VACCINATION SITE PRURITUS (Itching at injection site) and VACCINATION SITE ERYTHEMA (Redness at injection arm) in a 23-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 027A21A) for COVID-19 vaccination. No medical reported history provided by the reporter. Concomitant products included VITAMINS NOS for an unknown indication. On 10-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-Mar-2021, the patient experienced ARTHRALGIA (Soreness at injection shoulder). On 18-Mar-2021, the patient experienced PAIN IN EXTREMITY (When I scratch the itch, the pain and soreness is back), VACCINATION SITE IRRITATION (Irritation in the injection arm), VACCINATION SITE PRURITUS (Itching at injection site) and VACCINATION SITE ERYTHEMA (Redness at injection arm). On 13-Mar-2021, ARTHRALGIA (Soreness at injection shoulder) had resolved. At the time of the report, PAIN IN EXTREMITY (When I scratch the itch, the pain and soreness is back), VACCINATION SITE IRRITATION (Irritation in the injection arm), VACCINATION SITE PRURITUS (Itching at injection site) and VACCINATION SITE ERYTHEMA (Redness at injection arm) 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. treatment to the events not provided.

Other Meds: VITAMINS NOS

Current Illness:

ID: 1569965
Sex: F
Age: 52
State: MS

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 08/15/2021
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Symptoms: Back Ache; Nodule on Injection Site (Egg Size); Chills; fever; This spontaneous case was reported by a nurse and describes the occurrence of BACK PAIN (Back Ache), VACCINATION SITE NODULE (Nodule on Injection Site (Egg Size)), CHILLS (Chills) and PYREXIA (fever) in a 52-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029L20A) for COVID-19 vaccination. No Medical History information was reported. On 03-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Feb-2021, the patient experienced BACK PAIN (Back Ache), VACCINATION SITE NODULE (Nodule on Injection Site (Egg Size)), CHILLS (Chills) and PYREXIA (fever). In February 2021, BACK PAIN (Back Ache), VACCINATION SITE NODULE (Nodule on Injection Site (Egg Size)), CHILLS (Chills) and PYREXIA (fever) had resolved. 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 action taken with mRNA-1273 (Moderna COVID-19 Vaccine) was not applicable

Other Meds:

Current Illness:

ID: 1569966
Sex: F
Age:
State: CO

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 08/15/2021
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Symptoms: sick; couldn't go to work; fever and chills; fever and chills; This spontaneous case was reported by an other health care professional and describes the occurrence of ASTHENIA (couldn't go to work), ILLNESS (sick), CHILLS (fever and chills) and PYREXIA (fever and chills) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included COVID-19 in March 2020. Concurrent medical conditions included Hot flashes and Asthma. On 04-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Mar-2021, the patient experienced CHILLS (fever and chills) and PYREXIA (fever and chills). On 05-Mar-2021, the patient experienced ASTHENIA (couldn't go to work). On 07-Mar-2021, the patient experienced ILLNESS (sick). On 08-Mar-2021, ASTHENIA (couldn't go to work), ILLNESS (sick), CHILLS (fever and chills) and PYREXIA (fever and chills) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medications include medication for hot flashes. Treatment details included Anti-nausea medication.

Other Meds:

Current Illness: Asthma; Hot flashes

ID: 1569967
Sex: F
Age: 63
State: NJ

Vax Date: 02/14/2021
Onset Date:
Rec V Date: 08/15/2021
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Symptoms: tinge of a headache; aching all over body; fever of 101.1; cough; weakness; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (tinge of a headache), PAIN (aching all over body), PYREXIA (fever of 101.1), COUGH (cough) and ASTHENIA (weakness) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 002B21A and 11M20A) for COVID-19 vaccination. No Medical History information was reported. On 14-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced HEADACHE (tinge of a headache), PAIN (aching all over body), PYREXIA (fever of 101.1), COUGH (cough) and ASTHENIA (weakness). At the time of the report, HEADACHE (tinge of a headache), PAIN (aching all over body), PYREXIA (fever of 101.1), COUGH (cough) and ASTHENIA (weakness) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 101.1 (High) 101.1. Concomitant product use was not provided by the reporter. Treatment information was not provided. Action taken with mRNA-1273 in response to the events was not Applicable.

Other Meds:

Current Illness:

ID: 1569968
Sex: F
Age: 63
State: MD

Vax Date: 03/09/2021
Onset Date: 03/14/2021
Rec V Date: 08/15/2021
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Symptoms: Not feeling well, general malaise; Swelling on right Scapula; Uncomfortable feeling on right groin, felt blah; Left side clavicle area has large swollen glands; Left side glands are tender to touch; This spontaneous case was reported by a consumer and describes the occurrence of MALAISE (Not feeling well, general malaise), TENDERNESS (Left side glands are tender to touch), BONE SWELLING (Swelling on right Scapula), FEELING ABNORMAL (Uncomfortable feeling on right groin, felt blah) and LYMPHADENOPATHY (Left side clavicle area has large swollen glands) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 048A21A) for COVID-19 vaccination. Concurrent medical conditions included Allergy to metals (Allergic to nickel). Concomitant products included MISOPROSTOL, OMEPRAZOLE, VALPROATE SEMISODIUM (DEPAKOTE), MELATONIN, DIPHENHYDRAMINE and SUMATRIPTAN SUCCINATE (IMITREX DF) for an unknown indication. On 09-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Mar-2021, the patient experienced TENDERNESS (Left side glands are tender to touch) and LYMPHADENOPATHY (Left side clavicle area has large swollen glands). On 17-Mar-2021, the patient experienced MALAISE (Not feeling well, general malaise), BONE SWELLING (Swelling on right Scapula) and FEELING ABNORMAL (Uncomfortable feeling on right groin, felt blah). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, MALAISE (Not feeling well, general malaise), TENDERNESS (Left side glands are tender to touch), BONE SWELLING (Swelling on right Scapula), FEELING ABNORMAL (Uncomfortable feeling on right groin, felt blah) and LYMPHADENOPATHY (Left side clavicle area has large swollen glands) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: MISOPROSTOL; OMEPRAZOLE; DEPAKOTE; MELATONIN; DIPHENHYDRAMINE; IMITREX DF

Current Illness: Allergy to metals (Allergic to nickel)

ID: 1569969
Sex: F
Age: 62
State: LA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 08/15/2021
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Symptoms: weakness; fever/chills; fever; headaches; fatigue, tiredness; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (weakness), CHILLS (fever/chills), PYREXIA (fever), HEADACHE (headaches) and FATIGUE (fatigue, tiredness) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 014M02A) for COVID-19 vaccination. The patient's past medical history included COVID-19 (last year). Concurrent medical conditions included Hypercholesteremia and Hypertension. 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 ASTHENIA (weakness), CHILLS (fever/chills), PYREXIA (fever), HEADACHE (headaches) and FATIGUE (fatigue, tiredness). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, ASTHENIA (weakness), CHILLS (fever/chills), PYREXIA (fever), HEADACHE (headaches) and FATIGUE (fatigue, tiredness) was resolving. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test: positive (Positive) 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. patient says that she feels like "she got Covid-19." Reports history of Covid-19 last year. She wants to know how long are these symptoms going to last.

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Current Illness: Hypercholesteremia; Hypertension

ID: 1569970
Sex: F
Age: 66
State: MI

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 08/15/2021
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Symptoms: Dizzy spells; Cold chills; Muscle aches; Fever; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (Dizzy spells), CHILLS (Cold chills), MYALGIA (Muscle aches) and PYREXIA (Fever) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 040A21A and 026B21A) for COVID-19 vaccination. The patient's past medical history included Muscle ache (muscle ache due to past accident). On 05-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 05-Mar-2021, the patient experienced DIZZINESS (Dizzy spells), CHILLS (Cold chills), MYALGIA (Muscle aches) and PYREXIA (Fever). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency; CETIRIZINE HYDROCHLORIDE (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) at an unspecified dose and frequency; GUAIFENESIN (MUCINEX) at an unspecified dose and frequency and IBUPROFEN at an unspecified dose and frequency. On 08-Mar-2021, CHILLS (Cold chills), MYALGIA (Muscle aches) and PYREXIA (Fever) had resolved. On 15-Mar-2021, DIZZINESS (Dizzy spells) had resolved. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 28-Mar-2021, SARS-CoV-2 test: negative (Negative) tested negative for covid-19. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) and mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown. No concomitant medications provided ice pack was used for treatment. This case was linked to MOD-2021-116387. Most recent FOLLOW-UP information incorporated above includes: On 10-May-2021: Added demographic details(DOB), Added event(pyrexia), treatment drug and updated event stop date

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Current Illness:

ID: 1569971
Sex: M
Age: 67
State: NY

Vax Date: 03/18/2021
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Rec V Date: 08/15/2021
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Symptoms: Shaking; Chills; Temperature spike to 103.7 fever; This spontaneous case was reported by a consumer and describes the occurrence of TREMOR (Shaking), CHILLS (Chills) and PYREXIA (Temperature spike to 103.7 fever) in a 67-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026A21A) for COVID-19 vaccination. No Medical History information was reported. On 18-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced TREMOR (Shaking), CHILLS (Chills) and PYREXIA (Temperature spike to 103.7 fever). The patient was treated with PARACETAMOL ( acetaminophen) (TYLENOL) at an unspecified dose and frequency. At the time of the report, TREMOR (Shaking), CHILLS (Chills) and PYREXIA (Temperature spike to 103.7 fever) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 103.7 (High) 103.7. No concomitant medication were provided. Most recent FOLLOW-UP information incorporated above includes: On 27-Jul-2021: Telephone contact report received on 28-JUL-2021 in which lab data added. Events outcome were updated.

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Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm