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: 1596589
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/21/2021
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: Severe tooth infection; Sick; Fever; This spontaneous case was reported by a consumer and describes the occurrence of TOOTH INFECTION (Severe tooth infection), ILLNESS (Sick) and PYREXIA (Fever) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Not provided) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced TOOTH INFECTION (Severe tooth infection), ILLNESS (Sick) and PYREXIA (Fever). At the time of the report, TOOTH INFECTION (Severe tooth infection), ILLNESS (Sick) and PYREXIA (Fever) 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 Antibiotics.

Other Meds:

Current Illness:

ID: 1596590
Sex: M
Age: 46
State: GA

Vax Date: 03/02/2021
Onset Date: 03/05/2021
Rec V Date: 08/21/2021
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: Body aches; Diarrhea; Headache; Chills; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Body aches), DIARRHOEA (Diarrhea), HEADACHE (Headache) and CHILLS (Chills) in a 46-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concomitant products included LISINOPRIL, WARFARIN, EZETIMIBE and WARFARIN SODIUM (JANTOVEN) for an unknown indication. On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Mar-2021, the patient experienced PAIN (Body aches), DIARRHOEA (Diarrhea), HEADACHE (Headache) and CHILLS (Chills). The patient was treated with NAPROXEN SODIUM (ALEVE) for Pain, at an unspecified dose and frequency. At the time of the report, PAIN (Body aches), DIARRHOEA (Diarrhea), HEADACHE (Headache) and CHILLS (Chills) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: LISINOPRIL; WARFARIN; EZETIMIBE; JANTOVEN

Current Illness:

ID: 1596591
Sex: F
Age: 67
State: WI

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 08/21/2021
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: odd reaction; hives in her upper body; hives in her back; hives in her neck; body aches; feeling kind headache; upper left arm started swollen; lump; very itching; all body itching; chest rash; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (all body itching), NONSPECIFIC REACTION (odd reaction), PERIPHERAL SWELLING (upper left arm started swollen), MASS (lump) and PRURITUS (very itching) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 023M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was reported. On 17-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Feb-2021, the patient experienced RASH (chest rash). On 20-Feb-2021, the patient experienced PRURITUS (all body itching). On 25-Feb-2021, the patient experienced PERIPHERAL SWELLING (upper left arm started swollen), MASS (lump) and PRURITUS (very itching). On 26-Feb-2021, the patient experienced URTICARIA (hives in her upper body), URTICARIA (hives in her back), URTICARIA (hives in her neck), MYALGIA (body aches) and HEADACHE (feeling kind headache). On an unknown date, the patient experienced NONSPECIFIC REACTION (odd reaction). 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 (all body itching), NONSPECIFIC REACTION (odd reaction), PERIPHERAL SWELLING (upper left arm started swollen), MASS (lump), PRURITUS (very itching), URTICARIA (hives in her upper body), URTICARIA (hives in her back), URTICARIA (hives in her neck), RASH (chest rash), MYALGIA (body aches) and HEADACHE (feeling kind headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications reported were supplements, blood pressure medications: Hydrochlorothiazide 25 mg and diuretic for blood pressure.

Other Meds:

Current Illness:

ID: 1596592
Sex: F
Age: 75
State: NC

Vax Date: 02/08/2021
Onset Date: 02/26/2021
Rec V Date: 08/21/2021
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: diagnosed with shingles; This spontaneous case was reported by a consumer and describes the occurrence of HERPES ZOSTER (diagnosed with shingles) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Alzheimer's disease. On 08-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Feb-2021, the patient experienced HERPES ZOSTER (diagnosed with shingles). The patient was treated with CALAMINE, GLYCEROL, ZINC OXIDE (CALAMINE LOTION) at an unspecified dose and frequency and ACICLOVIR (ZOVIRAX [ACICLOVIR]) at an unspecified dose and frequency. At the time of the report, HERPES ZOSTER (diagnosed with shingles) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment medication included pain medicine. No concomitant medication was provided.

Other Meds:

Current Illness: Alzheimer's disease

ID: 1596593
Sex: F
Age:
State: MA

Vax Date: 02/25/2021
Onset Date:
Rec V Date: 08/21/2021
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: Trouble in her ear; This spontaneous case was reported by a consumer and describes the occurrence of EAR DISCOMFORT (Trouble in her ear) 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 25-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 EAR DISCOMFORT (Trouble in her ear). The patient was treated with AMOXICILLIN for Ear injury, at an unspecified dose and frequency. At the time of the report, EAR DISCOMFORT (Trouble in her ear) 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: 1596594
Sex: F
Age: 70
State: CA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 08/21/2021
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: Tooth pain gone; soreness; tenderness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (soreness), TENDERNESS (tenderness) and TOOTHACHE (Tooth pain gone) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001A21A) for COVID-19 vaccination. The patient's past medical history included Dental treatment NOS. On 27-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Feb-2021, the patient experienced PAIN (soreness) and TENDERNESS (tenderness). On an unknown date, the patient experienced TOOTHACHE (Tooth pain gone). The patient was treated with CLINDAMYCIN at an unspecified dose and frequency and PARACETAMOL (TYLENOL EXTRA STRENGTH) at an unspecified dose and frequency. On 28-Feb-2021, PAIN (soreness) and TENDERNESS (tenderness) had resolved. At the time of the report, TOOTHACHE (Tooth pain gone) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. Other treatment details include Topical Creams.

Other Meds:

Current Illness:

ID: 1596595
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/21/2021
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: This spontaneous case reported by a consumer, describes the occurrence of vaccination site induration (hard on left arm) and vaccination site erythema (wells that are red) in a female patient, of an unknown age, who received mRNA-1273 (Moderna COVID-19 vaccine) for COVID-19 immunization. No medical history reported. On an unknown date, patient received the first dose of mRNA-1273 (Moderna COVID-19 vaccine), unknown route; 1 dosage form. On an unknown date, patient experienced vaccination site induration (hard on left arm) and vaccination site erythema (wells that are red). At the time of the report, vaccination site induration (hard on left arm) and vaccination site erythema (wells that are red) outcome: unknown. The action taken with mRNA-1273 (Moderna COVID-19 vaccine): unknown. Concomitant medication and treatment information not reported.

Other Meds:

Current Illness:

ID: 1596596
Sex: M
Age: 67
State: FL

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 08/21/2021
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: arm hurt; tired; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (tired) and PAIN IN EXTREMITY (arm hurt) in a 67-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031M20A) for COVID-19 vaccination. No Medical History information was reported. On 26-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. On 27-Feb-2021, the patient experienced FATIGUE (tired) and PAIN IN EXTREMITY (arm hurt). On 28-Feb-2021, FATIGUE (tired) had resolved. On 01-Mar-2021, PAIN IN EXTREMITY (arm hurt) had resolved. Not Provided Concomitant medication information was not reported. Treatment information as not reported. Action taken with mRNA-1273 (Moderna COVID-19 Vaccine) is considered as not applicable. This case was linked to US-MODERNATX, INC.-MOD-2021-036914 (E2B Linked Report). Reporter did not allow further contact Most recent FOLLOW-UP information incorporated above includes: On 05-May-2021: Non-significant follow up appended.Reporter Contact info added; Sender's Comments: US-MODERNATX, INC.-MOD-2021-036914:Wife case

Other Meds:

Current Illness:

ID: 1596597
Sex: F
Age: 61
State: CT

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 08/21/2021
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: Pain on arm; Very itchy rash on both armpits, around her neck and below her breasts; Very itchy rash; This spontaneous case was reported by a consumer and describes the occurrence of RASH (Very itchy rash on both armpits, around her neck and below her breasts), PAIN IN EXTREMITY (Pain on arm) and PRURITUS (Very itchy rash) 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 05-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 RASH (Very itchy rash on both armpits, around her neck and below her breasts) and PRURITUS (Very itchy rash). On an unknown date, the patient experienced PAIN IN EXTREMITY (Pain on arm). The patient was treated with LORATADINE (CLARITIN [LORATADINE]) at a dose of 1 dosage form. At the time of the report, RASH (Very itchy rash on both armpits, around her neck and below her breasts) had not resolved, PAIN IN EXTREMITY (Pain on arm) outcome was unknown and PRURITUS (Very itchy rash) 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. No concomitant medications were reported Most recent FOLLOW-UP information incorporated above includes: On 08-Mar-2021: No specific follow-up information recorded.

Other Meds:

Current Illness:

ID: 1596598
Sex: M
Age: 79
State: VA

Vax Date: 02/26/2021
Onset Date: 03/05/2021
Rec V Date: 08/21/2021
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: lymph node on his left side was swollen; This spontaneous case was reported by a consumer and describes the occurrence of LYMPHADENOPATHY (lymph node on his left side was swollen) in a 79-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003A21A) 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) (unknown route) 1 dosage form. On 05-Mar-2021, the patient experienced LYMPHADENOPATHY (lymph node on his left side was swollen). At the time of the report, LYMPHADENOPATHY (lymph node on his left side was swollen) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown. No relevant concomitant medications were reported. No treatment details were reported.

Other Meds:

Current Illness:

ID: 1596599
Sex: M
Age: 80
State: ID

Vax Date: 02/23/2021
Onset Date: 03/03/2021
Rec V Date: 08/21/2021
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: red-dark to purplish lesion on injection site, pt has progressively increased in size and extends from the injection site in the upper arm to elbow and even beyond; This spontaneous case was reported by a consumer and describes the occurrence of SKIN LESION (red-dark to purplish lesion on injection site, pt has progressively increased in size and extends from the injection site in the upper arm to elbow and even beyond) in an 80-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030L20A) for COVID-19 vaccination. No Medical History information was reported. On 23-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Mar-2021, the patient experienced SKIN LESION (red-dark to purplish lesion on injection site, pt has progressively increased in size and extends from the injection site in the upper arm to elbow and even beyond). At the time of the report, SKIN LESION (red-dark to purplish lesion on injection site, pt has progressively increased in size and extends from the injection site in the upper arm to elbow and even beyond) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product information was not provided. Patient stated that not taking any medications for the symptom

Other Meds:

Current Illness:

ID: 1596600
Sex: M
Age: 21
State: CA

Vax Date: 02/05/2021
Onset Date: 03/05/2021
Rec V Date: 08/21/2021
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: left upper eyelid twitching uncontrollably and involuntarily; This spontaneous case was reported by a consumer and describes the occurrence of BLEPHAROSPASM (left upper eyelid twitching uncontrollably and involuntarily) in a 21-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 004M20A and 029A21A) for COVID-19 vaccination. No Medical History information was reported. On 05-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 05-Mar-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced BLEPHAROSPASM (left upper eyelid twitching uncontrollably and involuntarily). At the time of the report, BLEPHAROSPASM (left upper eyelid twitching uncontrollably and involuntarily) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) and mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown. No relevant concomitant medications were reported. Treatment details were not provided.

Other Meds:

Current Illness:

ID: 1596601
Sex: M
Age:
State: CA

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 08/21/2021
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: Very weak; Felt like a fever; Shaking; Cold; This spontaneous case was reported by a consumer and describes the occurrence of NASOPHARYNGITIS (Cold), ASTHENIA (Very weak), PYREXIA (Felt like a fever) and CHILLS (Shaking) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003a21a) for COVID-19 vaccination. No Medical History information was reported. On 07-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 07-Mar-2021, the patient experienced NASOPHARYNGITIS (Cold), PYREXIA (Felt like a fever) and CHILLS (Shaking). On 08-Mar-2021, the patient experienced ASTHENIA (Very weak). The patient was treated with PARACETAMOL (TYLENOL) at a dose of UNK, q6h. At the time of the report, NASOPHARYNGITIS (Cold), ASTHENIA (Very weak), PYREXIA (Felt like a fever) and CHILLS (Shaking) outcome was unknown. No relevant concomitant medications were reported. Action taken with mRNA-1273 in response to the events was not applicable.

Other Meds:

Current Illness:

ID: 1596602
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/21/2021
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: Blood sugar levels of 178 after receiving the second dose of the vaccine; This spontaneous case was reported by a consumer and describes the occurrence of HYPERGLYCAEMIA (Blood sugar levels of 178 after receiving the second dose of the vaccine) 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 second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced HYPERGLYCAEMIA (Blood sugar levels of 178 after receiving the second dose of the vaccine). At the time of the report, HYPERGLYCAEMIA (Blood sugar levels of 178 after receiving the second dose of the vaccine) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood glucose fluctuation: 178 (Inconclusive) After the second shot it was 178.. Concomitant medication information was not reported. Treatment information as not reported. Action taken with mRNA-1273 (Moderna COVID-19 Vaccine) is considered as not applicable.

Other Meds:

Current Illness:

ID: 1596603
Sex: F
Age: 68
State: NJ

Vax Date: 03/04/2021
Onset Date: 03/08/2021
Rec V Date: 08/21/2021
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: Blood in the eye; Fever; This spontaneous case was reported by a consumer and describes the occurrence of OCULAR HYPERAEMIA (Blood in the eye) and PYREXIA (Fever) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001A21A) for COVID-19 vaccination. No Medical History information was reported. On 04-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 08-Mar-2021, the patient experienced OCULAR HYPERAEMIA (Blood in the eye) and PYREXIA (Fever). At the time of the report, OCULAR HYPERAEMIA (Blood in the eye) and PYREXIA (Fever) outcome was unknown. No concomitant medications were reported. No treatment information was reported. Action taken with mRNA-1273 in response to the events was not Applicable

Other Meds:

Current Illness:

ID: 1596604
Sex: F
Age:
State: CA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 08/21/2021
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: This spontaneous case reported by a consumer, describes the occurrence of pain in extremity (sore arm), diarrhea and muscle spasms (cramps) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 vaccine) for COVID-19 immunization. The patient's past medical history included diverticulitis and irritable bowel syndrome. On Feb 8, 2021, patient received the first dose of mRNA-1273 (Moderna COVID-19 vaccine), intramuscular; 1 dosage form. On Feb 8, 2021, patient experienced pain in extremity (sore arm). On an unknown date, patient experienced diarrhea and muscle spasms (cramps). At the time of the report, pain in extremity (sore arm), diarrhea and muscle spasms (cramps) outcome: unknown. The action taken with mRNA-1273 (Moderna COVID-19 vaccine), intramuscular: unknown. No concomitant medication or treatment information reported.

Other Meds:

Current Illness:

ID: 1596605
Sex: F
Age:
State: OH

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 08/21/2021
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: Really sore arm; Cold chills; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Really sore arm) and CHILLS (Cold chills) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 00A21A) for COVID-19 vaccination. The patient's past medical history was not reported . Concomitant products included RIVAROXABAN (XARELTO), IRON, VITAMIN D3, MONTELUKAST SODIUM (SINGULAIR), DULOXETINE HYDROCHLORIDE (CYMBALTA), TOPIRAMATE (TOPAMAX), BACLOFEN, TRAZODONE, PREGABALIN (LYRICA), CEFALEXIN (CEPHALEXINE), OMEPRAZOLE, DICLOFENAC (VOLTAREN [DICLOFENAC]) and FEXOFENADINE HYDROCHLORIDE (ALLEGRA) for an unknown indication. 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 PAIN IN EXTREMITY (Really sore arm) and CHILLS (Cold chills). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (Really sore arm) and CHILLS (Cold chills) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: XARELTO; IRON; VITAMIN D3; SINGULAIR; CYMBALTA; TOPAMAX; BACLOFEN; TRAZODONE; LYRICA; CEPHALEXINE; OMEPRAZOLE; VOLTAREN [DICLOFENAC]; ALLEGRA

Current Illness:

ID: 1596606
Sex: M
Age: 65
State: NY

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 08/21/2021
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: Started to see something was wrong with my eyes; In the afternoon it got really bad; Headaches; Chills; This spontaneous case was reported by a consumer and describes the occurrence of EYE DISORDER (Started to see something was wrong with my eyes), CONDITION AGGRAVATED (In the afternoon it got really bad), HEADACHE (Headaches) and CHILLS (Chills) in a 65-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025A21A) for COVID-19 vaccination. No medical history was provided by the reporter. . Concomitant products included SERTRALINE HYDROCHLORIDE (SERTRALINE A) for an unknown indication. On 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-Mar-2021, the patient experienced HEADACHE (Headaches) and CHILLS (Chills). On 05-Mar-2021, the patient experienced EYE DISORDER (Started to see something was wrong with my eyes) and CONDITION AGGRAVATED (In the afternoon it got really bad). On 03-Mar-2021, CHILLS (Chills) had resolved. On 04-Mar-2021, HEADACHE (Headaches) had resolved. On 06-Mar-2021, EYE DISORDER (Started to see something was wrong with my eyes) and CONDITION AGGRAVATED (In the afternoon it got really bad) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Treatment information was not provided.

Other Meds: SERTRALINE A

Current Illness:

ID: 1596607
Sex: M
Age: 68
State: NC

Vax Date: 02/03/2021
Onset Date: 03/05/2021
Rec V Date: 08/21/2021
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: Achy; Feels terrible; Chills; Fever; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Achy), FEELING ABNORMAL (Feels terrible), CHILLS (Chills) and PYREXIA (Fever) in a 68-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 03-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Mar-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 PAIN (Achy), FEELING ABNORMAL (Feels terrible), CHILLS (Chills) and PYREXIA (Fever). At the time of the report, PAIN (Achy), FEELING ABNORMAL (Feels terrible), CHILLS (Chills) and PYREXIA (Fever) outcome was unknown. No concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1596608
Sex: F
Age: 105
State: CA

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 08/21/2021
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: neck pain; high fever; chills; This spontaneous case was reported by a consumer and describes the occurrence of NECK PAIN (neck pain), CHILLS (chills) and PYREXIA (high fever) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concomitant products included LEVOTHYROXINE, LOSARTAN, METFORMIN and VITAMIN D3 for an unknown indication. On 21-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Feb-2021, the patient experienced CHILLS (chills). On 01-Mar-2021, the patient experienced NECK PAIN (neck pain) and PYREXIA (high fever). The patient was treated with HYDROCODONE BITARTRATE, PARACETAMOL (VICODIN) at a dose of UNK dosage form; IBUPROFEN (ADVIL [IBUPROFEN]) at a dose of UNK dosage form and PARACETAMOL (TYLENOL) at a dose of UNK dosage form. On 23-Feb-2021, CHILLS (chills) had resolved. On 07-Mar-2021, NECK PAIN (neck pain) had resolved. At the time of the report, PYREXIA (high fever) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 07-Mar-2021, SARS-CoV-2 antibody test: negative (Negative) Negative. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: LEVOTHYROXINE; LOSARTAN; METFORMIN; VITAMIN D3

Current Illness:

ID: 1596609
Sex: F
Age: 37
State: TX

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 08/21/2021
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: skin at the bottom is wrinkly; next day hurt even worse; red; puffy; right eye hurting; This spontaneous case was reported by a consumer and describes the occurrence of EYE PAIN (right eye hurting), FEELING ABNORMAL (next day hurt even worse), ERYTHEMA (red), SKIN SWELLING (puffy) and SKIN WRINKLING (skin at the bottom is wrinkly) in a 37-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 023M20A) for COVID-19 vaccination. No medical history was provided by the reporter. On 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Mar-2021, the patient experienced EYE PAIN (right eye hurting). On 05-Mar-2021, the patient experienced FEELING ABNORMAL (next day hurt even worse), ERYTHEMA (red) and SKIN SWELLING (puffy). On an unknown date, the patient experienced SKIN WRINKLING (skin at the bottom is wrinkly). The patient was treated with IBUPROFEN at an unspecified dose and frequency. At the time of the report, EYE PAIN (right eye hurting), FEELING ABNORMAL (next day hurt even worse), ERYTHEMA (red), SKIN SWELLING (puffy) and SKIN WRINKLING (skin at the bottom is wrinkly) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant drugs are progesterone birth control. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1596610
Sex: F
Age:
State: MA

Vax Date: 02/14/2021
Onset Date: 02/23/2021
Rec V Date: 08/21/2021
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: Scab at the injection site; Itchinh/wanted to "tear her arm apart" from the itching; Swelling; Redness; Burning; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE SCAB (Scab at the injection site), VACCINATION SITE PRURITUS (Itchinh/wanted to "tear her arm apart" from the itching), VACCINATION SITE SWELLING (Swelling), VACCINATION SITE ERYTHEMA (Redness) and VACCINATION SITE PAIN (Burning) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011M20A) for COVID-19 vaccination. Concurrent medical conditions included Penicillin allergy (50 years ago), Drug hypersensitivity (Lidocaine), Dry skin, Asthma since 1988, Arthritis (Osteoarthritis) since 1982, Gastrointestinal disorder NOS (IBS) since 2015, Anxiety since 1960 and Heart disease, unspecified since 2004. Concomitant products included ISOSORBIDE, MACROGOL 3350 (PURELAX), ACETYLSALICYLIC ACID (BABY ASPIRIN) and ALPRAZOLAM for an unknown indication. On 14-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On 23-Feb-2021, the patient experienced VACCINATION SITE SCAB (Scab at the injection site), VACCINATION SITE PRURITUS (Itchinh/wanted to "tear her arm apart" from the itching), VACCINATION SITE SWELLING (Swelling), VACCINATION SITE ERYTHEMA (Redness) and VACCINATION SITE PAIN (Burning). On 24-Feb-2021, VACCINATION SITE SCAB (Scab at the injection site), VACCINATION SITE PRURITUS (Itchinh/wanted to "tear her arm apart" from the itching), VACCINATION SITE SWELLING (Swelling), VACCINATION SITE ERYTHEMA (Redness) and VACCINATION SITE PAIN (Burning) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment information was provided. Most recent FOLLOW-UP information incorporated above includes: On 05-Aug-2021: Follow up received information about ethnicity and Previous allergy history, Vaccine facility information and Concomitant medications details were updated.

Other Meds: ISOSORBIDE; PURELAX; BABY ASPIRIN; ALPRAZOLAM

Current Illness: Anxiety; Arthritis (Osteoarthritis); Asthma; Drug hypersensitivity (Lidocaine); Dry skin; Gastrointestinal disorder NOS (IBS); Heart disease, unspecified; Penicillin allergy (50 years ago)

ID: 1596611
Sex: F
Age: 65
State: TX

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 08/21/2021
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: Warmness near the injection site; Redness near the injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (Warmness near the injection site) and VACCINATION SITE ERYTHEMA (Redness near the injection site) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 027l20a) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included CIPROFLOXACIN and LOSARTAN for an unknown indication. On 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Mar-2021, the patient experienced VACCINATION SITE WARMTH (Warmness near the injection site) and VACCINATION SITE ERYTHEMA (Redness near the injection site). At the time of the report, VACCINATION SITE WARMTH (Warmness near the injection site) and VACCINATION SITE ERYTHEMA (Redness near the injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment information was provided.

Other Meds: Ciprofloxacin; Losartan

Current Illness:

ID: 1596612
Sex: F
Age:
State: FL

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 08/21/2021
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: COULD NOT STAND; VERTIGO; no balance; ADVERSE REACTION; EXTREMLY DIZZY; This spontaneous case was reported by a consumer and describes the occurrence of ADVERSE REACTION (ADVERSE REACTION), DIZZINESS (EXTREMLY DIZZY), DIZZINESS POSTURAL (COULD NOT STAND), VERTIGO (VERTIGO) and BALANCE DISORDER (no balance) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001A21A) for COVID-19 vaccination. No Medical History information was reported. On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Mar-2021, the patient experienced ADVERSE REACTION (ADVERSE REACTION) and DIZZINESS (EXTREMLY DIZZY). On 03-Mar-2021, the patient experienced DIZZINESS POSTURAL (COULD NOT STAND), VERTIGO (VERTIGO) and BALANCE DISORDER (no balance). At the time of the report, ADVERSE REACTION (ADVERSE REACTION), DIZZINESS (EXTREMLY DIZZY), DIZZINESS POSTURAL (COULD NOT STAND), VERTIGO (VERTIGO) and BALANCE DISORDER (no balance) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications was not reported. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1596613
Sex: F
Age:
State: VA

Vax Date:
Onset Date:
Rec V Date: 08/21/2021
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: She got real sick; Felt hot all over; Felt sick like she had the flu; Throat was dry; Did not want to eat anything; This spontaneous case was reported by a consumer and describes the occurrence of ILLNESS (She got real sick), BODY TEMPERATURE INCREASED (Felt hot all over), ILLNESS (Felt sick like she had the flu), DRY THROAT (Throat was dry) and DECREASED APPETITE (Did not want to eat anything) 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) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced ILLNESS (She got real sick), BODY TEMPERATURE INCREASED (Felt hot all over), ILLNESS (Felt sick like she had the flu), DRY THROAT (Throat was dry) and DECREASED APPETITE (Did not want to eat anything). At the time of the report, ILLNESS (She got real sick), BODY TEMPERATURE INCREASED (Felt hot all over), ILLNESS (Felt sick like she had the flu), DRY THROAT (Throat was dry) and DECREASED APPETITE (Did not want to eat anything) outcome was unknown. Treatment details included Cold towel. No relevant concomitant medications were reported.

Other Meds:

Current Illness:

ID: 1596614
Sex: F
Age: 57
State: IL

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 08/21/2021
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: her face started itching; her face started swelling; her whole neck was all red; her whole neck was swollen; her face is hot; her lymph nodes in both arm swollen; headache; fever; fatigue; chills; pain in the arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (pain in the arm), FATIGUE (fatigue), CHILLS (chills), LYMPHADENOPATHY (her lymph nodes in both arm swollen) and HEADACHE (headache) in a 57-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Allergy and Sinus operation. Concomitant products included LORATADINE, PREGABALIN and MONTELUKAST for an unknown indication. On 14-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Feb-2021, the patient experienced PAIN IN EXTREMITY (pain in the arm). On 15-Feb-2021, the patient experienced FATIGUE (fatigue) and CHILLS (chills). On 16-Feb-2021, the patient experienced LYMPHADENOPATHY (her lymph nodes in both arm swollen), HEADACHE (headache) and PYREXIA (fever). On 20-Feb-2021, the patient experienced PRURITUS (her face started itching), SWELLING FACE (her face started swelling), RASH (her whole neck was all red), SWELLING (her whole neck was swollen) and FEELING HOT (her face is hot). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL ALLERGY [DIPHENHYDRAMINE HYDROCHLORIDE]) for Adverse event, at an unspecified dose and frequency. On 14-Feb-2021, PAIN IN EXTREMITY (pain in the arm) had resolved. On 16-Feb-2021, CHILLS (chills) and PYREXIA (fever) had resolved. At the time of the report, FATIGUE (fatigue), LYMPHADENOPATHY (her lymph nodes in both arm swollen), HEADACHE (headache), PRURITUS (her face started itching), SWELLING FACE (her face started swelling), RASH (her whole neck was all red), SWELLING (her whole neck was swollen) and FEELING HOT (her face is hot) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: LORATADINE; PREGABALIN; MONTELUKAST

Current Illness:

ID: 1596615
Sex: F
Age: 66
State: FL

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 08/21/2021
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: Sore arm/ leg aches; Headache; Fever; Tiredness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Sore arm/ leg aches), HEADACHE (Headache), PYREXIA (Fever) and FATIGUE (Tiredness) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031M20A) for COVID-19 vaccination. No Medical History information was reported. On 26-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Feb-2021, the patient experienced PAIN IN EXTREMITY (Sore arm/ leg aches), HEADACHE (Headache), PYREXIA (Fever) and FATIGUE (Tiredness). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency. On 27-Feb-2021, HEADACHE (Headache) and FATIGUE (Tiredness) had resolved. On 07-Mar-2021, PAIN IN EXTREMITY (Sore arm/ leg aches) had resolved. At the time of the report, PYREXIA (Fever) outcome was unknown. No concomitant medications were provided. This case was linked to MOD-2021-036877 (E2B Linked Report). Most recent FOLLOW-UP information incorporated above includes: On 05-May-2021: Non-significant follow up appended.; Sender's Comments: MOD-2021-036877:Husband case

Other Meds:

Current Illness:

ID: 1596616
Sex: F
Age:
State: GA

Vax Date: 01/27/2021
Onset Date: 03/05/2021
Rec V Date: 08/21/2021
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: feet are swollen just a little; red rash on lower legs and feet; extreme fatigue; nausea; chills; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (feet are swollen just a little), RASH ERYTHEMATOUS (red rash on lower legs and feet), FATIGUE (extreme fatigue), NAUSEA (nausea) and CHILLS (chills) in a 78-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) (Intramuscular) 1 dosage form. On 24-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 05-Mar-2021, the patient experienced PERIPHERAL SWELLING (feet are swollen just a little), RASH ERYTHEMATOUS (red rash on lower legs and feet), FATIGUE (extreme fatigue), NAUSEA (nausea) and CHILLS (chills). At the time of the report, PERIPHERAL SWELLING (feet are swollen just a little), RASH ERYTHEMATOUS (red rash on lower legs and feet), FATIGUE (extreme fatigue), NAUSEA (nausea) and CHILLS (chills) outcome was unknown. No treatment information was provided. No concomitant medication was provided. Most recent FOLLOW-UP information incorporated above includes: On 05-May-2021: Added TCR: Spoke to the patient's sister, the patient still has swelling of the feet, but the rest ofthe events were resolved. Does not have email

Other Meds:

Current Illness:

ID: 1596617
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/21/2021
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: Reaction in her arm, Moderna arm; This spontaneous case was reported by a consumer and describes the occurrence of LIMB DISCOMFORT (Reaction in her arm, Moderna arm) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced LIMB DISCOMFORT (Reaction in her arm, Moderna arm). At the time of the report, LIMB DISCOMFORT (Reaction in her arm, Moderna arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment information was provided. No concomitant medication was provided.

Other Meds:

Current Illness:

ID: 1596618
Sex: F
Age: 55
State: NY

Vax Date: 03/02/2021
Onset Date: 02/04/2021
Rec V Date: 08/21/2021
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: Shallow breathing; my pulse was very fast; Tenderness at the injection site; Pain at the injection area; Had expected symptoms; Had diarrhea lasted for full day and the following day; Fatigue; Nausea; Fever; Experienced rapid pulse; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (Had expected symptoms), DIARRHOEA (Had diarrhea lasted for full day and the following day), HEART RATE INCREASED (Experienced rapid pulse), HYPOPNOEA (Shallow breathing) and HEART RATE INCREASED (my pulse was very fast) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concomitant products included METOPROLOL for an unknown indication. On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Feb-2021, the patient experienced HEART RATE INCREASED (Experienced rapid pulse). On 02-Mar-2021, the patient experienced VACCINATION COMPLICATION (Had expected symptoms), DIARRHOEA (Had diarrhea lasted for full day and the following day), FATIGUE (Fatigue), NAUSEA (Nausea) and PYREXIA (Fever). On 04-Mar-2021, the patient experienced HYPOPNOEA (Shallow breathing), HEART RATE INCREASED (my pulse was very fast), VACCINATION SITE PAIN (Tenderness at the injection site) and VACCINATION SITE PAIN (Pain at the injection area). The patient was treated with PARACETAMOL (TYLENOL) for Fever, at an unspecified dose and frequency. At the time of the report, VACCINATION COMPLICATION (Had expected symptoms), DIARRHOEA (Had diarrhea lasted for full day and the following day), HEART RATE INCREASED (Experienced rapid pulse), HYPOPNOEA (Shallow breathing), HEART RATE INCREASED (my pulse was very fast), FATIGUE (Fatigue), NAUSEA (Nausea), PYREXIA (Fever), VACCINATION SITE PAIN (Tenderness at the injection site) and VACCINATION SITE PAIN (Pain at the injection area) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: METOPROLOL

Current Illness:

ID: 1596619
Sex: F
Age: 65
State: AK

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 08/21/2021
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: her lymph nodes are very swollen and painful on her right side; nausea; itchiness; swelling; extreme pain on her right arm and back; migraine; fever -100?f; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (itchiness), SWELLING (swelling), PAIN (extreme pain on her right arm and back), MIGRAINE (migraine) and PYREXIA (fever -100?f) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 027a21a) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Blood pressure high, Cholesterol and Fibromyalgia. On 05-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 PRURITUS (itchiness), SWELLING (swelling), PAIN (extreme pain on her right arm and back), MIGRAINE (migraine) and PYREXIA (fever -100?f). On 08-Mar-2021, the patient experienced NAUSEA (nausea). On an unknown date, the patient experienced LYMPH NODE PAIN (her lymph nodes are very swollen and painful on her right side). The patient was treated with LORAZEPAM (ATIVAN) for Adverse event, at a dose of 1.25 milligram. At the time of the report, PRURITUS (itchiness), SWELLING (swelling), PAIN (extreme pain on her right arm and back), MIGRAINE (migraine), PYREXIA (fever -100?f), NAUSEA (nausea) and LYMPH NODE PAIN (her lymph nodes are very swollen and painful on her right side) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant products included High blood pressure medication and Cholesterol medication for an unknown indication.

Other Meds:

Current Illness: Blood pressure high; Cholesterol; Fibromyalgia

ID: 1596620
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/21/2021
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: High fever; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (High fever) in an 85-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included COVID-19 (Had Covid 2 months before vaccination and completely recovered from it.). On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PYREXIA (High fever). At the time of the report, PYREXIA (High fever) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications were reported. No treatment information was reported.

Other Meds:

Current Illness:

ID: 1596621
Sex: M
Age: 50
State: GA

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 08/21/2021
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: tingling on his fingers of his left arm only; His pinky is a little bit shaky when he has his arm stretched; fever; This spontaneous case was reported by a consumer and describes the occurrence of PARAESTHESIA (tingling on his fingers of his left arm only), NERVOUSNESS (His pinky is a little bit shaky when he has his arm stretched) and PYREXIA (fever) in a 50-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 04-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 05-Mar-2021, the patient experienced PYREXIA (fever). On 06-Mar-2021, the patient experienced PARAESTHESIA (tingling on his fingers of his left arm only) and NERVOUSNESS (His pinky is a little bit shaky when he has his arm stretched). At the time of the report, PARAESTHESIA (tingling on his fingers of his left arm only), NERVOUSNESS (His pinky is a little bit shaky when he has his arm stretched) and PYREXIA (fever) outcome was unknown. Concomitant medication information was not reported. Treatment information as not reported. Action taken with mRNA-1273 (Moderna COVID-19 Vaccine) is considered as not applicable.

Other Meds:

Current Illness:

ID: 1596622
Sex: F
Age: 88
State: NJ

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 08/21/2021
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: Feeling Very Weak; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (Feeling Very Weak) in an 89-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022M20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 08-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Mar-2021, the patient experienced ASTHENIA (Feeling Very Weak). At the time of the report, ASTHENIA (Feeling Very Weak) outcome was unknown. Not Provided Concomitant medications were not provided by the reporter Treatment information includes Fluids and Tylenol Most recent FOLLOW-UP information incorporated above includes: On 03-May-2021: No specific follow-up information recorded.

Other Meds:

Current Illness:

ID: 1596623
Sex: F
Age: 71
State: OH

Vax Date: 02/09/2021
Onset Date:
Rec V Date: 08/21/2021
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: Induration; Redness/erythema; Heat; Swelling; This spontaneous case was reported by a health care professional and describes the occurrence of INDURATION (Induration), ERYTHEMA (Redness/erythema), INJECTION SITE WARMTH (Heat) and SWELLING (Swelling) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 09-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced INDURATION (Induration), ERYTHEMA (Redness/erythema), INJECTION SITE WARMTH (Heat) and SWELLING (Swelling). At the time of the report, INDURATION (Induration), ERYTHEMA (Redness/erythema), INJECTION SITE WARMTH (Heat) and SWELLING (Swelling) had resolved. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: unknown (Low) low grade temperature. 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. Treatment information was not provided. Concomitant product was unknown by the reporter. Patient gave consent to safety for follow-up.

Other Meds:

Current Illness:

ID: 1596624
Sex: U
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 08/21/2021
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: Body ache; had a fever; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a patient and describes the occurrence of MYALGIA (Body ache) and PYREXIA (had a fever) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced MYALGIA (Body ache) and PYREXIA (had a fever). At the time of the report, MYALGIA (Body ache) and PYREXIA (had a fever) outcome was unknown. Concomitant medication was not provided. Treatment information was not provided. The patient received both scheduled doses of mRNA-1273 prior to the event; therefore, action taken with the drug in response to the event was not applicable.

Other Meds:

Current Illness:

ID: 1596625
Sex: U
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 08/21/2021
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: COVID arm; Rash; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE REACTION (COVID arm) and RASH (Rash) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE REACTION (COVID arm) and RASH (Rash). At the time of the report, VACCINATION SITE REACTION (COVID arm) and RASH (Rash) 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 Provided.

Other Meds:

Current Illness:

ID: 1596626
Sex: M
Age: 74
State: CA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 08/21/2021
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: Sore Throat; This spontaneous case was reported by a consumer and describes the occurrence of OROPHARYNGEAL PAIN (Sore Throat) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 27-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Feb-2021, the patient experienced OROPHARYNGEAL PAIN (Sore Throat). At the time of the report, OROPHARYNGEAL PAIN (Sore Throat) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications are not provided. Treatment information does not provided.

Other Meds:

Current Illness:

ID: 1596627
Sex: M
Age: 80
State: NC

Vax Date: 02/20/2021
Onset Date: 03/08/2021
Rec V Date: 08/21/2021
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: 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. 011M20A) for COVID-19 vaccination. No Medical History information was reported. On 20-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Mar-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 Concomitant medication were reported. Treatment medication was not provided.

Other Meds:

Current Illness:

ID: 1596628
Sex: M
Age: 75
State: CA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 08/21/2021
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: itchy rash; pain; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (pain) and RASH PRURITIC (itchy rash) in a 65-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 023M20A) for COVID-19 vaccination. The patient's past medical history included No adverse event (no reported medical history). Concomitant products included PROBIOTICS NOS, IBUPROFEN, FISH OIL, TADALAFIL (CIALIS), VITAMIN D3, MULTIVITAMINS [VITAMINS NOS] and CYANOCOBALAMIN (VIT B12) for an unknown indication. On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Feb-2021, the patient experienced PAIN (pain). On 03-Mar-2021, the patient experienced RASH PRURITIC (itchy rash). On 27-Feb-2021, PAIN (pain) had resolved. At the time of the report, RASH PRURITIC (itchy rash) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information for the event included Steroid cream that didn't work and Benadryl lotion that seemed to helped.

Other Meds: PROBIOTICS NOS; IBUPROFEN; FISH OIL; CIALIS; VITAMIN D3; MULTIVITAMINS [VITAMINS NOS]; VIT B12

Current Illness:

ID: 1596629
Sex: F
Age: 80
State: IL

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 08/21/2021
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: This spontaneous case reported by a consumer, describes the occurrence of malaise (feeling off), nervousness (legs felt shaky), influenza-like illness (mild case of the flu), fatigue (exhaustion) and headache in an 80-year-old female patient who received mRNA-1273 (Moderna COVID-19 vaccine, batch# 024M20A) for COVID-19 immunization. The occurrence of additional events detailed below. No medical history reported. On Feb 18, 2021, patient received the first dose of mRNA-1273 (Moderna COVID-19 vaccine), intramuscular; 1 dosage form. On Feb 18, 2021, patient experienced malaise (feeling off), nervousness (legs felt shaky), influenza-like illness (mild case of the flu), fatigue (exhaustion), headache and fatigue (extreme fatigue). On Feb 25, 2021, malaise (feeling off), nervousness (legs felt shaky), influenza-like illness (mild case of the flu), fatigue (exhaustion), headache and fatigue (extreme fatigue) resolved. The action taken with mRNA-1273 (Moderna COVID-19 vaccine), intramuscular: unknown. The reporter did not provide any causality assessments. The consumer is later scheduled to receive the second dose of the Moderna COVID-19 vaccine on Mar 18, 2021. Concomitant medications not provided. Treatment information included Tylenol and Motrin (self medicating). Most recent follow-up information incorporated above included: On May 4, 2021: Non-significant follow-up (contact information updated).

Other Meds:

Current Illness:

ID: 1596630
Sex: F
Age: 73
State: NY

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 08/21/2021
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: problem breathing; problem swallowing; upward pressure on the base of throat and under sternum "like a fist"; laryngitis-type state; severe hoarseness; throat real sensitive; couldn't lay down; sickness "generalized feeling of not being myself for the last two weeks"; This spontaneous case was reported by a consumer and describes the occurrence of DYSPNOEA (problem breathing), DYSPHAGIA (problem swallowing), OROPHARYNGEAL DISCOMFORT (upward pressure on the base of throat and under sternum "like a fist"), LARYNGITIS (laryngitis-type state) and DYSPHONIA (severe hoarseness) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COPD since an unknown date, Emphysema since an unknown date, Fibrosis since an unknown date, Bronchiectasis since an unknown date and Nodule (nodule on lung.) since an unknown date. Concurrent medical conditions included Allergy (allergies to multiple prescription medications). On 22-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Feb-2021, the patient experienced DYSPNOEA (problem breathing), DYSPHAGIA (problem swallowing), OROPHARYNGEAL DISCOMFORT (upward pressure on the base of throat and under sternum "like a fist"), LARYNGITIS (laryngitis-type state), DYSPHONIA (severe hoarseness), THROAT IRRITATION (throat real sensitive), ORTHOPNOEA (couldn't lay down) and ILLNESS (sickness "generalized feeling of not being myself for the last two weeks"). At the time of the report, DYSPNOEA (problem breathing), DYSPHAGIA (problem swallowing), OROPHARYNGEAL DISCOMFORT (upward pressure on the base of throat and under sternum "like a fist"), LARYNGITIS (laryngitis-type state), DYSPHONIA (severe hoarseness), THROAT IRRITATION (throat real sensitive), ORTHOPNOEA (couldn't lay down) and ILLNESS (sickness "generalized feeling of not being myself for the last two weeks") outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No Concomitant medications were provided

Other Meds:

Current Illness: Allergy (allergies to multiple prescription medications); Bronchiectasis; COPD; Emphysema; Fibrosis; Nodule (nodule on lung).

ID: 1596631
Sex: F
Age:
State: MI

Vax Date: 02/27/2021
Onset Date:
Rec V Date: 08/21/2021
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: tiredness; achiness; doesn't feel good; uncomfortable; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (tiredness), PAIN (achiness), MALAISE (doesn't feel good) and ANXIETY (uncomfortable) in a 90-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. unk) for COVID-19 vaccination. No medical history was provided by the reporter. Concurrent medical conditions included Arthritis. Concomitant products included CELECOXIB (CELEBREX) for Arthritis. On 27-Feb-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 FATIGUE (tiredness), PAIN (achiness), MALAISE (doesn't feel good) and ANXIETY (uncomfortable). At the time of the report, FATIGUE (tiredness), PAIN (achiness), MALAISE (doesn't feel good) and ANXIETY (uncomfortable) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No Treatment information provided patient said feeling better and all her events resolved 4 weeks back Most recent FOLLOW-UP information incorporated above includes: On 03-May-2021: Follow up received on 03-May-2021. Events outcome was updated.

Other Meds: CELEBREX

Current Illness: Arthritis

ID: 1596632
Sex: M
Age: 77
State: FL

Vax Date: 03/04/2021
Onset Date: 03/08/2021
Rec V Date: 08/21/2021
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: my nose is sore; Both of my forearms now itch; This spontaneous case was reported by a consumer and describes the occurrence of NASAL DISCOMFORT (my nose is sore) and PRURITUS (Both of my forearms now itch) in a 77-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030A21A) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 04-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 08-Mar-2021, the patient experienced NASAL DISCOMFORT (my nose is sore) and PRURITUS (Both of my forearms now itch). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE, ZINC ACETATE (BENADRYL ITCH STOPPING CREAM) for Itching, at an unspecified dose and frequency. At the time of the report, NASAL DISCOMFORT (my nose is sore) and PRURITUS (Both of my forearms now itch) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Treatment details included diphenhydramine cream. No Concomitant medications were provided

Other Meds:

Current Illness:

ID: 1596633
Sex: F
Age: 70
State: TX

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 08/21/2021
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: hives-looking rash,little larger than it was initially; Scratches during sleep; rash around the injection site; injection site was sore; headache; chills like crazy; This spontaneous case was reported by a consumer and describes the occurrence of URTICARIA (hives-looking rash,little larger than it was initially), SCRATCH (Scratches during sleep), INJECTION SITE RASH (rash around the injection site), INJECTION SITE PAIN (injection site was sore) and HEADACHE (headache) in a 70-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. The patient's past medical history included No adverse event. Concomitant products included OMEPRAZOLE for Acid reflux (esophageal), FEXOFENADINE HYDROCHLORIDE (ALLEGRA) and MONTELUKAST SODIUM (SINGULAIR) for Allergy NOS, AMLODIPINE and OLMESARTAN for Blood pressure high, ATORVASTATIN CALCIUM (LIPITOR) for Cholesterol, LEVOTHYROXINE for Thyroid activity decreased. On 22-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Feb-2021, the patient experienced INJECTION SITE PAIN (injection site was sore), HEADACHE (headache) and CHILLS (chills like crazy). On 01-Mar-2021, the patient experienced URTICARIA (hives-looking rash,little larger than it was initially), SCRATCH (Scratches during sleep) and INJECTION SITE RASH (rash around the injection site). The patient was treated with CORTISONE for Prophylaxis, at an unspecified dose and frequency and DIMETICONE, MENTHOL, PRAMOCAINE HYDROCHLORIDE (GOLD BOND ANTI-ITCH) for Prophylaxis, at an unspecified dose and frequency. At the time of the report, URTICARIA (hives-looking rash,little larger than it was initially), SCRATCH (Scratches during sleep), INJECTION SITE RASH (rash around the injection site), INJECTION SITE PAIN (injection site was sore), HEADACHE (headache) and CHILLS (chills like crazy) 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. Treatment details included CORTISONE and GOLD BOND ANTI-ITCH

Other Meds: LIPITOR; AMLODIPINE; OLMESARTAN; OMEPRAZOLE; LEVOTHYROXINE; ALLEGRA; SINGULAIR

Current Illness:

ID: 1596634
Sex: F
Age:
State:

Vax Date: 02/25/2021
Onset Date: 03/05/2021
Rec V Date: 08/21/2021
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: red rash on her arm that is hot to the touch and itchy; red rash on her arm that is hot to the touch and itchy; red rash on her arm that is hot to the touch and itchy; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (red rash on her arm that is hot to the touch and itchy), VACCINATION SITE ERYTHEMA (red rash on her arm that is hot to the touch and itchy) and VACCINATION SITE PRURITUS (red rash on her arm that is hot to the touch and itchy) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event. Concurrent medical conditions included No adverse event and No adverse event. On 25-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Mar-2021, the patient experienced VACCINATION SITE WARMTH (red rash on her arm that is hot to the touch and itchy), VACCINATION SITE ERYTHEMA (red rash on her arm that is hot to the touch and itchy) and VACCINATION SITE PRURITUS (red rash on her arm that is hot to the touch and itchy). At the time of the report, VACCINATION SITE WARMTH (red rash on her arm that is hot to the touch and itchy), VACCINATION SITE ERYTHEMA (red rash on her arm that is hot to the touch and itchy) and VACCINATION SITE PRURITUS (red rash on her arm that is hot to the touch and itchy) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Concomitant medications were provided No Treatment information provided Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1596635
Sex: M
Age: 31
State:

Vax Date: 02/05/2021
Onset Date: 02/19/2021
Rec V Date: 08/21/2021
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: high fever 103.9 C; terrible headache; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (high fever 103.9 C) and HEADACHE (terrible headache) in a 31-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 05-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 19-Feb-2021, the patient experienced PYREXIA (high fever 103.9 C) and HEADACHE (terrible headache). At the time of the report, PYREXIA (high fever 103.9 C) and HEADACHE (terrible headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Patient reported that he had fever of 103.9. No concomitant medications were reported. No treatment information was reported.

Other Meds:

Current Illness:

ID: 1596636
Sex: F
Age: 72
State: PA

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 08/21/2021
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: Sore; Puffy; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Sore) and SKIN SWELLING (Puffy) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 06-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Mar-2021, the patient experienced PAIN (Sore) and SKIN SWELLING (Puffy). At the time of the report, PAIN (Sore) and SKIN SWELLING (Puffy) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Concomitant medications were provided No Treatment information provided

Other Meds:

Current Illness:

ID: 1596637
Sex: F
Age: 73
State: IL

Vax Date: 01/27/2021
Onset Date: 02/24/2021
Rec V Date: 08/21/2021
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: breathing difficult; Erythema; pyrexia; Chills; Bronchitis; Sweating; Redness on the arm and chest; Coughing,Cough Up Mucus; This spontaneous case was reported by a consumer and describes the occurrence of COUGH (Coughing,Cough Up Mucus), BRONCHITIS (Bronchitis), HYPERHIDROSIS (Sweating), ERYTHEMA (Redness on the arm and chest) and DYSPNOEA (breathing difficult) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 002A21A and 029L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Previously administered products included for Product used for unknown indication: Flu shot. Past adverse reactions to the above products included Bronchitis with Flu shot. Concurrent medical conditions included Chronic bronchitis, Asthma, Drug intolerance, Drug intolerance, Food allergy (Allergic to chocolate) and Egg allergy. Concomitant products included TRAMADOL for Back ache, VITAMIN D3 for Fatigue, NEBIVOLOL HYDROCHLORIDE (BYSTOLIC) and EPLERENONE for Hypertension, OMEPRAZOLE for Ulcer and GERD. On 27-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 24-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 24-Feb-2021, the patient experienced COUGH (Coughing,Cough Up Mucus). On 25-Feb-2021, the patient experienced BRONCHITIS (Bronchitis), HYPERHIDROSIS (Sweating), ERYTHEMA (Redness on the arm and chest) and CHILLS (Chills). 25-Feb-2021, the patient experienced PYREXIA (pyrexia) and HYPERHIDROSIS (sweat). On an unknown date, the patient experienced DYSPNOEA (breathing difficult). At the time of the report, COUGH (Coughing,Cough Up Mucus), BRONCHITIS (Bronchitis), HYPERHIDROSIS (Sweating), ERYTHEMA (Redness on the arm and chest), DYSPNOEA (breathing difficult), PYREXIA (pyrexia), HYPERHIDROSIS (sweat) and CHILLS (Chills) outcome was unknown. concomitant medication including Iron supplement 65mg for 2 to 3 week for anaemia and benadryl 50 mg at night for itching is being taken by patient Treatment information was not provided. This case was linked to MOD-2021-036981 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 08-Mar-2021: Patient medical history includes Intolerant of NSAIDS and ACE inhibitors, Flu shot were added On 05-May-2021: Initial additional included non-significant patient information . On 22-Jul-2021: TCR included no new significant information. On 05-Aug-2021: Added batch number for dose 1 , and added chocolate and food allergies, added concomitant medications, added few events

Other Meds: BYSTOLIC; EPLERENONE; TRAMADOL; VITAMIN D3; OMEPRAZOLE

Current Illness: Asthma; Chronic bronchitis; Drug intolerance; Egg allergy; Food allergy (Allergic to chocolate)

ID: 1596638
Sex: F
Age: 73
State: IL

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 08/21/2021
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: feeling sick; Eczema; This spontaneous case was reported by a consumer and describes the occurrence of ECZEMA (Eczema) and MALAISE (feeling sick) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029L20A and 001A21A) for COVID-19 vaccination. The patient's past medical history included Bronchitis (she always has Bronchitis after Flu shot) since an unknown date. Previously administered products included for an unreported indication: RSV VACCINE. Concurrent medical conditions included Chronic bronchitis, Asthma, Drug allergy (Intolerant of NSAIDS), Drug allergy (Intolerant of ACE Inhibitors) and Food allergy (Chocolates and eggs). Concomitant products included IRON DEXTRAN (IRON [IRON DEXTRAN]) for Anemia, TRAMADOL for Back pain, VITAMIN D3 for Fatigue, OMEPRAZOLE for GERD, NEBIVOLOL HYDROCHLORIDE (BYSTOLIC) and EPLERENONE for Hypertension, DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Itching. On 27-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 27-Jan-2021, the patient experienced ECZEMA (Eczema). On an unknown date, the patient experienced MALAISE (feeling sick). At the time of the report, ECZEMA (Eczema) had not resolved and MALAISE (feeling sick) outcome was unknown. Treatment information was not provided. This case was linked to MOD-2021-036980 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 05-Aug-2021: Follow-up information received on 05-AUG-2021 contains significant information including concomitants were captured, other relevant history captured, new event was captured and patient demographic details were captured.

Other Meds: BYSTOLIC; EPLERENONE; TRAMADOL; VITAMIN D3; IRON [IRON DEXTRAN]; OMEPRAZOLE; BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]

Current Illness: Asthma; Chronic bronchitis; Drug allergy (Intolerant of NSAIDS); Drug allergy (Intolerant of ACE Inhibitors); Food allergy (Chocolates and eggs)

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm