VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

Total Manufacturer
199,106MODERNA
36,710JANSSEN
5,381PFIZER\BIONTECH
2,555GLAXOSMITHKLINE BIOLOGICALS
1,469UNKNOWN MANUFACTURER
897MERCK & CO. INC.
627SEQIRUS, INC.
112DYNAVAX TECHNOLOGIES CORPORATION
91SANOFI PASTEUR
75NOVARTIS VACCINES AND DIAGNOSTICS
40EMERGENT BIOSOLUTIONS
14PAXVAX
12TEVA PHARMACEUTICALS
12PROTEIN SCIENCES CORPORATION
9PFIZER\WYETH
4BERNA BIOTECH, LTD.
4SMITHKLINE BEECHAM
3INTERCELL AG
1MEDIMMUNE VACCINES, INC.
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL7,949
7,473
2,547
1,506
1,187
1,051
1,049
s0294561,043
866
IMM209861
816
UT7065MA766
657
579
U62828AA563
557
538
U6737AA516
515
S034636506
4F472471
458
P100253275449
444
276563436
429
418
4BH32414
MENVEO404
PP9L5362
UJ446AA337
319
306
290
271
49TM3270
R1B252M253
4F472179
933622147
C5763AA144
CW3116134
3Y7NL126
UNK114
113
ARBA141A105
104
103
96
300057A90
79
1F4EB73
R1B743M62
56
UJ090AA55
51
UH894AB46
45
UNK44
UNK42
42
EJ168638
Unknown36
35
34
32
32
26
el128424
24
A115A22
22
EN620222
21
UNK20
20
19
Z127A19
19
17
JEV18K95E15
12
111798PI12
10
A739088
No batch number8
3333324181078
6
6
TAR356
5
5
U6935AA5
UNK5
4
unknown4
3
2
55RB72
2
2
2
2
2
U7124AA2
JEV18A68E2
2
ABYB05BA1
1
1
1
1
AMVA436A1
1
1
TJ3521
A130A; VIS give1
1
U7140BB1
1
1
SP UP016AA1
1
1808P08802/ESV01
037K20A300,947
EL1284288,578
57,766
1,432

Incidents per State

State Total
82,750
CA62,821
FL38,209
TX36,512
NY34,921
PA23,646
IN23,622
IL20,597
MI19,590
OH19,426
NJ18,413
NC16,769
GA15,932
WA15,351
VA15,234
MA14,876
AZ14,206
MN12,940
MD12,656
CO11,908
WI11,425
MO10,240
TN9,685
OR8,768
KY8,437
CT8,300
SC6,700
OK6,293
AL5,692
LA5,025
IA4,825
KS4,821
UT4,637
NV4,374
NM3,967
AR3,807
ME3,161
NH3,096
NE2,918
MS2,859
ID2,785
WV2,469
HI2,459
PR2,417
MT2,414
RI2,076
DE1,868
AK1,830
VT1,734
DC1,715
ND1,388
SD1,269
WY866
GU118
VI69
AS47
MP29
MH8
XB6
FM4
QM3
XV2
XL1

ID: 1631467
Sex: F
Age:
State: IL

Vax Date: 02/24/2021
Onset Date: 03/04/2021
Rec V Date: 08/25/2021
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: arm was very very sore - left arm; rash at the vaccination site - left arm; middle of it is hard kind of like a mosquito bite - at the vaccination site - left arm; COVID arm; warm to the touch - at the vaccination site - left arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (arm was very very sore - left arm), INJECTION SITE RASH (rash at the vaccination site - left arm), INJECTION SITE INDURATION (middle of it is hard kind of like a mosquito bite - at the vaccination site - left arm), VACCINATION SITE HYPERSENSITIVITY (COVID arm) and VACCINATION SITE WARMTH (warm to the touch - at the vaccination site - left arm) in a 66-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 24-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Mar-2021, the patient experienced INJECTION SITE RASH (rash at the vaccination site - left arm), INJECTION SITE INDURATION (middle of it is hard kind of like a mosquito bite - at the vaccination site - left arm), VACCINATION SITE HYPERSENSITIVITY (COVID arm) and VACCINATION SITE WARMTH (warm to the touch - at the vaccination site - left arm). On an unknown date, the patient experienced PAIN (arm was very very sore - left arm). At the time of the report, PAIN (arm was very very sore - left arm), INJECTION SITE RASH (rash at the vaccination site - left arm), INJECTION SITE INDURATION (middle of it is hard kind of like a mosquito bite - at the vaccination site - left arm), VACCINATION SITE HYPERSENSITIVITY (COVID arm) and VACCINATION SITE WARMTH (warm to the touch - at the vaccination site - left 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.

Other Meds:

Current Illness:

ID: 1631468
Sex: M
Age: 81
State: CA

Vax Date: 02/06/2021
Onset Date: 02/15/2021
Rec V Date: 08/25/2021
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: Fatigue; Chills; Nausea; Vomiting; Headache; Muscle pain; Joint pain; Felt a little under the weather; A spontaneous report was received from a consumer concerning a 81-years-old patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events felt a little under the weather/malaise, fatigue, headache, muscle pain/ myalgia, joint pain/ arthralgia, chills, nausea, vomiting. The patient's medical history was not provided. Concomitant medications reported were lisinopril, Vitamin D, Vitamin B for used for unknown indication. On 6 Feb 2021, prior to the onset of the events the patient received their first of two planned doses of mRNA-1273 (lot/batch: 042L20A) intramuscularly in the left deltoid for prophylaxis of COVID-19 infection. On 15 Feb 2021, the patient experienced the event(s) felt a little under the weather . On 16 Feb 2021, the patient experienced the event(s) fatigue. chills, nausea, vomiting, headache, muscle pain, joint pain. Treatment details included None. Action taken with mRNA-1273 in response to the events was not reported. The outcome of event(s) headache was considered resolved on 17 Feb 2021.The outcome of event(s) muscle pain was considered resolved on 17 Feb 2021.The outcome of event(s) joint pain was considered resolved on 17 Feb 2021. The outcome of event(s), felt a little under the weather, fatigue,chills,nausea,vomiting was unknown.

Other Meds: LISINOPRIL; VITAMIN D 2000; VITAMIN B 1-6-12

Current Illness:

ID: 1631469
Sex: M
Age: 69
State:

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 08/25/2021
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: their arm hurt; it was more sore than ever had with any vaccine; Itching was behind their ears,Itching was in the chest,it was not extensive it was just a little line across their chest; slight allergic reaction; small itchy patch hot of hives; small itchy patch hot of hives; This spontaneous case was reported by a physician and describes the occurrence of HYPERSENSITIVITY (slight allergic reaction), PRURITUS (small itchy patch hot of hives), URTICARIA (small itchy patch hot of hives), PAIN IN EXTREMITY (their arm hurt) and PRURITUS (Itching was behind their ears,Itching was in the chest,it was not extensive it was just a little line across their chest) in a 69-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event. Concomitant products included ATORVASTATIN for an unknown indication. On 15-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Jan-2021, the patient experienced HYPERSENSITIVITY (slight allergic reaction), PRURITUS (small itchy patch hot of hives), URTICARIA (small itchy patch hot of hives) and PRURITUS (Itching was behind their ears,Itching was in the chest,it was not extensive it was just a little line across their chest). On 16-Jan-2021, the patient experienced PAIN IN EXTREMITY (their arm hurt) and VACCINATION SITE PAIN (it was more sore than ever had with any vaccine). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL A) at an unspecified dose and frequency. On 17-Jan-2021, PAIN IN EXTREMITY (their arm hurt) and VACCINATION SITE PAIN (it was more sore than ever had with any vaccine) had resolved. On 18-Jan-2021, HYPERSENSITIVITY (slight allergic reaction), PRURITUS (small itchy patch hot of hives), URTICARIA (small itchy patch hot of hives) and PRURITUS (Itching was behind their ears,Itching was in the chest,it was not extensive it was just a little line across their chest) had resolved. 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.

Other Meds: ATORVASTATIN

Current Illness:

ID: 1631470
Sex: F
Age:
State:

Vax Date: 02/02/2021
Onset Date: 02/06/2021
Rec V Date: 08/25/2021
Hospital:

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

Lab Data: Test Date: 20210206; Test Name: pyrexia; Test Result: Inconclusive ; Result Unstructured Data: 107

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: runny nose; fever of 107; This spontaneous case was reported by a consumer and describes the occurrence of RHINORRHOEA (runny nose) and PYREXIA (fever of 107) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 02-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-Feb-2021, the patient experienced PYREXIA (fever of 107). On an unknown date, the patient experienced RHINORRHOEA (runny nose). At the time of the report, RHINORRHOEA (runny nose) and PYREXIA (fever of 107) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 06-Feb-2021, Pyrexia: 107 Inconclusive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1631471
Sex: M
Age:
State:

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 08/25/2021
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: diarrhea; blood sugar went up to 340 when it is usually in the 100's; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (diarrhea) and BLOOD GLUCOSE INCREASED (blood sugar went up to 340 when it is usually in the 100's) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Blood sugar increased. Concomitant products included METFORMIN for Blood sugar increased. On 05-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Feb-2021, the patient experienced BLOOD GLUCOSE INCREASED (blood sugar went up to 340 when it is usually in the 100's). On an unknown date, the patient experienced DIARRHOEA (diarrhea). At the time of the report, DIARRHOEA (diarrhea) and BLOOD GLUCOSE INCREASED (blood sugar went up to 340 when it is usually in the 100's) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Metformin was doubled in dosage to treat the event of Elevated blood pressure.

Other Meds: METFORMIN

Current Illness: Blood sugar increased

ID: 1631472
Sex: M
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 08/25/2021
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: discomfort in his arm; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE DYSAESTHESIA (discomfort in his arm) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history reported. Concomitant products included LEVOTHYROXINE SODIUM (SYNTHROID), AMLODIPINE and ROSUVASTATIN for an unknown indication. 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 VACCINATION SITE DYSAESTHESIA (discomfort in his arm). At the time of the report, VACCINATION SITE DYSAESTHESIA (discomfort in his 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 treatment information was provided. This case was linked to MOD21-032046 (Patient Link).

Other Meds: SYNTHROID; AMLODIPINE; ROSUVASTATIN

Current Illness:

ID: 1631473
Sex: F
Age: 72
State: WA

Vax Date: 01/30/2021
Onset Date: 02/07/2021
Rec V Date: 08/25/2021
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: Rash on her arm; Felt a little itchy; Felt like an insect bit her at the injection site; This spontaneous case was reported by an other health care professional and describes the occurrence of INJECTION SITE DISCOMFORT (Felt like an insect bit her at the injection site), RASH (Rash on her arm) and INJECTION SITE PRURITUS (Felt a little itchy) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 042L20A) for COVID-19 vaccination. No Medical History information was reported. On 30-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Feb-2021, the patient experienced INJECTION SITE DISCOMFORT (Felt like an insect bit her at the injection site) and INJECTION SITE PRURITUS (Felt a little itchy). On an unknown date, the patient experienced RASH (Rash on her arm). At the time of the report, INJECTION SITE DISCOMFORT (Felt like an insect bit her at the injection site), RASH (Rash on her arm) and INJECTION SITE PRURITUS (Felt a little itchy) 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. Treatment information was not provided.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1631474
Sex: F
Age: 57
State: FL

Vax Date: 02/11/2021
Onset Date: 02/17/2021
Rec V Date: 08/25/2021
Hospital:

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

Lab Data: Test Name: WBC; Result Unstructured Data: Low

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Pain at the injection site; A kind of "ball" at the injection site; The vaccine "did not enter at all" into the muscle; A spontaneous report was received from a consumer concerning a 57 year old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced injection site pain, injection site induration and incorrect route of product administration. The patient's medical history, was not provided by the reporter.No concomitant medications were reported. On 11 Jan 2021, about 7 days prior to the onset of the events, the patient received her first of two planned doses of mRNA-1273 (Lot #:unknown) through an unknown route in the right arm for prophylaxis of COVID-19 infection. On 17 Jan 2021, patient experienced pain at the injection site, a kind of ball at the injection site and said that it felt like the vaccine"did not enter at all" into the muscle. No treatment information was included. Patient had low blood cell count. Action taken with mRNA-1273 in response to the events was not applicable The events, pain at the injection site, a kind of ball at the injection site and the vaccine did not enter in to the muscle were considered as unknown.; Reporter's Comments: This report refers to a case of incorrect route of product administration for mRNA-1273 (lot # unknown) with associated injection site pain and injection site induration

Other Meds:

Current Illness:

ID: 1631475
Sex: F
Age:
State: WV

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 08/25/2021
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: chest pain; tired; dizzy weak; short pain on head; sick; difficulty breathing; ARM HURT; feverish; A spontaneous report was received from a consumer concerning an 78 -year old, male patient who received Moderna's COVID-19 Vaccine (mRNA-1273) and experienced arm hurt, fever, fatigue, illness, chest pain, dizziness, shortness of breath, headache. The patient's medical history, was not provided by the reporter, included no known allergies, Concomitant medications reported were blood pressure medicine and diabetes medicine. On 09 Feb 2021 prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number Unknown) for prophylaxis of COVID-19 infection On 09 Feb 2021 patient experienced the events arm hurt, feverish, headache, and next day he woke up and felt really bad, sick, tired, dizzy, weak, difficulty in breathing, short pain on head. Treatment information was not provided. Action taken with mRNA-1273 in response to the event(s) was not provided. The patient received both scheduled doses of mRNA-1273 prior to the events,therefore, action taken with the drug in response to the events is not applicable. The outcome of the events arm hurt, fever, fatigue, illness, chest pain, dizziness, shortness of breath, headache were unknown

Other Meds:

Current Illness:

ID: 1631476
Sex: F
Age: 56
State: AZ

Vax Date: 01/27/2021
Onset Date: 02/08/2021
Rec V Date: 08/25/2021
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: tender; itchy; red rash; This spontaneous case was reported by a consumer and describes the occurrence of RASH ERYTHEMATOUS (red rash), PRURITUS (itchy) and TENDERNESS (tender) in a 56-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 041L20A) for COVID-19 immunisation. Concomitant products included LEVOTHYROXINE and IBUPROFEN for an unknown indication. On 27-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Feb-2021, the patient experienced RASH ERYTHEMATOUS (red rash). On 09-Feb-2021, the patient experienced PRURITUS (itchy). On 10-Feb-2021, the patient experienced TENDERNESS (tender). At the time of the report, RASH ERYTHEMATOUS (red rash), PRURITUS (itchy) and TENDERNESS (tender) 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 None.

Other Meds: LEVOTHYROXINE; IBUPROFEN

Current Illness:

ID: 1631477
Sex: F
Age: 72
State: MI

Vax Date: 02/03/2021
Onset Date: 02/10/2021
Rec V Date: 08/25/2021
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: itchiness; rash; redness; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (itchiness), RASH (rash) and ERYTHEMA (redness) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 038K20A) for COVID-19 vaccination. No medical history was provided by the reporter. . Concomitant products included ACETYLSALICYLIC ACID (BABY ASPIRIN), METOPROLOL and CALCIUM CARBONATE, COLECALCIFEROL (VITAMIN D 2000) for an unknown indication. On 03-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Feb-2021, the patient experienced PRURITUS (itchiness), RASH (rash) and ERYTHEMA (redness). On 11-Feb-2021, PRURITUS (itchiness) and ERYTHEMA (redness) had resolved. At the time of the report, RASH (rash) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.

Other Meds: BABY ASPIRIN; METOPROLOL; VITAMIN D 2000

Current Illness:

ID: 1631478
Sex: F
Age: 37
State: AZ

Vax Date: 01/19/2021
Onset Date: 01/31/2021
Rec V Date: 08/25/2021
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: red rash; This spontaneous case was reported by a consumer and describes the occurrence of RASH ERYTHEMATOUS (red rash) in a 37-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 19-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 31-Jan-2021, the patient experienced RASH ERYTHEMATOUS (red rash). At the time of the report, RASH ERYTHEMATOUS (red rash) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications reported by investigator o No treatment medications provided by the reporter.

Other Meds:

Current Illness:

ID: 1631479
Sex: F
Age:
State: WV

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 08/25/2021
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: Chest pain; difficulty in breathing; Dizzy weak; Tired; short pain on head; Blur vision; Extreme pain on arm; Headache; This spontaneous case was reported by a consumer and describes the occurrence of VISION BLURRED (Blur vision), PAIN IN EXTREMITY (Extreme pain on arm), CHEST PAIN (Chest pain), DYSPNOEA (difficulty in breathing) and DIZZINESS (Dizzy weak) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. unk) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event (No medical history Provided.). Concurrent medical conditions included Drug allergy (Sulfur Allergy.). On 09-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Feb-2021, the patient experienced VISION BLURRED (Blur vision), PAIN IN EXTREMITY (Extreme pain on arm) and HEADACHE (Headache). On 11-Feb-2021, the patient experienced CHEST PAIN (Chest pain), DYSPNOEA (difficulty in breathing), DIZZINESS (Dizzy weak), FATIGUE (Tired) and HEADACHE (short pain on head). At the time of the report, VISION BLURRED (Blur vision), PAIN IN EXTREMITY (Extreme pain on arm), CHEST PAIN (Chest pain), DYSPNOEA (difficulty in breathing), DIZZINESS (Dizzy weak), FATIGUE (Tired), HEADACHE (Headache) and HEADACHE (short pain on head) 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. Concomitant included Blood pressure medicine and Diabetes Medicine Treatment information not provided

Other Meds:

Current Illness:

ID: 1631480
Sex: F
Age: 72
State: IN

Vax Date: 01/27/2021
Onset Date: 01/31/2021
Rec V Date: 08/25/2021
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: felt like bee sting or sunburn; red, not like a fire red but reddened; warmer to touch than rest of skin; itching; reaction on skin around injection site,small at that time and is slowly getting bigger,4 inches by 2.5 inches; This spontaneous case was reported by a consumer and describes the occurrence of RASH ERYTHEMATOUS (felt like bee sting or sunburn), ERYTHEMA (red, not like a fire red but reddened), FEELING HOT (warmer to touch than rest of skin), PRURITUS (itching) and INJECTION SITE REACTION (reaction on skin around injection site,small at that time and is slowly getting bigger,4 inches by 2.5 inches) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029K20A) for COVID-19 vaccination. The patient's past medical history included Thyroid disorder, Swelling of legs, Depression, Metabolic syndrome, Acid reflux (oesophageal) and Spinal stenosis. Concurrent medical conditions included Hypertension, Cholesterol and Bee sting hypersensitivity. Concomitant products included PANTOPRAZOLE for Acid reflux (oesophageal), ATORVASTATIN for Cholesterol, SERTRALINE for Depression, METOPROLOL SUCCINATE (TOPROL XL) for Hypertension, METFORMIN for Metabolic syndrome, GABAPENTIN for Pain, IBUPROFEN for Spinal stenosis, BUMETANIDE (BUMEX) for Swelling of legs, LEVOTHYROXINE for Thyroid disorder, HYDROCHLOROTHIAZIDE (THIAZIDE), ACETYLSALICYLIC ACID (BABY ASPIRIN), CALCIUM CARBONATE, ERGOCALCIFEROL (CALCIUM AND VITAMIN D), GLUCOSAMINE and COLECALCIFEROL, UBIDECARENONE (CO-Q10+VITAMIN D3) for an unknown indication. On 27-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 31-Jan-2021, the patient experienced RASH ERYTHEMATOUS (felt like bee sting or sunburn), ERYTHEMA (red, not like a fire red but reddened), FEELING HOT (warmer to touch than rest of skin), PRURITUS (itching) and INJECTION SITE REACTION (reaction on skin around injection site,small at that time and is slowly getting bigger,4 inches by 2.5 inches). At the time of the report, RASH ERYTHEMATOUS (felt like bee sting or sunburn), ERYTHEMA (red, not like a fire red but reddened), FEELING HOT (warmer to touch than rest of skin), PRURITUS (itching) and INJECTION SITE REACTION (reaction on skin around injection site,small at that time and is slowly getting bigger,4 inches by 2.5 inches) 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 information not provided

Other Meds: LEVOTHYROXINE; TOPROL XL; ATORVASTATIN; GABAPENTIN; BUMEX; SERTRALINE; METFORMIN; THIAZIDE; PANTOPRAZOLE; IBUPROFEN; BABY ASPIRIN; CALCIUM AND VITAMIN D; GLUCOSAMINE; CO-Q10+VITAMIN D3

Current Illness: Bee sting hypersensitivity; Cholesterol; Hypertension

ID: 1631481
Sex: F
Age: 30
State:

Vax Date: 02/02/2021
Onset Date: 02/02/2011
Rec V Date: 08/25/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Test Date: 20210210; Test Name: X-ray of chest; Test Result: Inconclusive ; Result Unstructured Data: inconclusive

Allergies:

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Fever of 103degF for 8 hours; migraine for 4 days; experiences chills; muscle ache; still have difficulty breathing for 8 days; extreme fatigue for 8 days; blurred vision; joint pain; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PYREXIA (Fever of 103degF for 8 hours), MIGRAINE (migraine for 4 days), CHILLS (experiences chills), MYALGIA (muscle ache) and ARTHRALGIA (joint pain) in a 30-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Lot# 007M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 02-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Feb-2011, the patient experienced ARTHRALGIA (joint pain). On 02-Jan-2021, the patient experienced VISION BLURRED (blurred vision) and FATIGUE (extreme fatigue for 8 days). On 02-Feb-2021, the patient experienced PYREXIA (Fever of 103degF for 8 hours), MIGRAINE (migraine for 4 days), CHILLS (experiences chills), MYALGIA (muscle ache) and DYSPNOEA (still have difficulty breathing for 8 days). At the time of the report, PYREXIA (Fever of 103degF for 8 hours), MIGRAINE (migraine for 4 days), CHILLS (experiences chills), MYALGIA (muscle ache), ARTHRALGIA (joint pain), VISION BLURRED (blurred vision), DYSPNOEA (still have difficulty breathing for 8 days) and FATIGUE (extreme fatigue for 8 days) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 10-Feb-2021, Chest X-ray:. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product use was liquid steroid Treatment medication was Tylenol, Benadryl, and albuterol inhaler reported. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1631482
Sex: M
Age: 72
State: GA

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 08/25/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Test Name: Covid test; Result Unstructured Data: Positive

Allergies:

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: positive for COVID; sore arm; loss appetite; achy body; trouble breathing; fever; chills; flu like symptoms; This spontaneous case was reported by a consumer and describes the occurrence of INFLUENZA LIKE ILLNESS (flu like symptoms), SARS-COV-2 TEST POSITIVE (positive for COVID), PAIN IN EXTREMITY (sore arm), DECREASED APPETITE (loss appetite) and PAIN (achy body) in a 72-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 20-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Jan-2021, the patient experienced INFLUENZA LIKE ILLNESS (flu like symptoms), PAIN IN EXTREMITY (sore arm), DECREASED APPETITE (loss appetite), PAIN (achy body), DYSPNOEA (trouble breathing), PYREXIA (fever) and CHILLS (chills). On 02-Feb-2021, the patient experienced SARS-COV-2 TEST POSITIVE (positive for COVID). On 11-Feb-2021, INFLUENZA LIKE ILLNESS (flu like symptoms), PAIN IN EXTREMITY (sore arm), DECREASED APPETITE (loss appetite), PAIN (achy body), DYSPNOEA (trouble breathing), PYREXIA (fever) and CHILLS (chills) had resolved. At the time of the report, SARS-COV-2 TEST POSITIVE (positive for COVID) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test positive: Positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. relevant concomitant medications were vitamins or herbal supplements Treatment details included, Acetaminophen, Dextromethorphan, Doxylamine, and Pseudoephedrine, naproxen and paracetamol. This case was linked to MOD21-028110 (E2B Linked Report).; Sender's Comments: MOD21-028110:Wife case

Other Meds:

Current Illness:

ID: 1631483
Sex: F
Age: 58
State: TX

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 08/25/2021
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: Redness; itchiness; rash not at sight of injection but on chest, whole trunk, and arms; This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (Redness), PRURITUS (itchiness) and RASH (rash not at sight of injection but on chest, whole trunk, and arms) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012M20A) for COVID-19 vaccination. Previously administered products included for an unreported indication: SHINGRIX (Had large hive reaction.) in November 2020. Concurrent medical conditions included Osteopenia since 22-May-2008, Cholesterol high since 2017, Hypothyroidism since 22-May-2006, Hair dye sensitivity and Allergy to chemicals (Had a sudden reacton of very red inflames eyes to preservative in contact lens solution confirmed by opthomological specialist in 1988.). Concomitant products included IBANDRONATE SODIUM for Bone loss, ROSUVASTATIN for Cholesterol blood increased, LEVOTHYROXINE SODIUM (SYNTHROID) for Hypothyroidism, CALCIUM, MAGNESIUM (CALCIUM + MAGNESIUM) for an unknown indication. On 04-Feb-2021 at 12:30 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Feb-2021 at 12:30 PM, the patient experienced ERYTHEMA (Redness), PRURITUS (itchiness) and RASH (rash not at sight of injection but on chest, whole trunk, and arms). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. At the time of the report, ERYTHEMA (Redness), PRURITUS (itchiness) and RASH (rash not at sight of injection but on chest, whole trunk, and arms) had resolved. mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was withdrawn on an unknown date. Most recent FOLLOW-UP information incorporated above includes: On 22-Apr-2021: Added reporter alternate contact, updated medical history and concomitant medications. Action taken updated from unknown to withdrawn and dechallenge positive, updated event outcome as recovered from unknown.

Other Meds: SYNTHROID; ROSUVASTATIN; IBANDRONATE SODIUM; CALCIUM + MAGNESIUM

Current Illness: Allergy to chemicals (Had a sudden reacton of very red inflames eyes to preservative in contact lens solution confirmed by opthomological specialist in 1988.); Cholesterol high; Hair dye sensitivity; Hypothyroidism; Osteopenia

ID: 1631484
Sex: F
Age: 74
State: GA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 08/25/2021
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: sore arm; achy; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (sore arm) and PAIN (achy) in a 74-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. Concomitant products included DORZOLAMIDE and VITAMIN D [VITAMIN D NOS] for an unknown indication. On 20-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Jan-2021, the patient experienced PAIN IN EXTREMITY (sore arm) and PAIN (achy). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. On 22-Jan-2021, PAIN IN EXTREMITY (sore arm) and PAIN (achy) 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. This case was linked to MOD21-028013 (E2B Linked Report).; Sender's Comments: MOD21-028013:Husband case

Other Meds: DORZOLAMIDE; VITAMIN D [VITAMIN D NOS]

Current Illness:

ID: 1631485
Sex: M
Age: 72
State: NY

Vax Date: 01/13/2021
Onset Date:
Rec V Date: 08/25/2021
Hospital:

Vax Type: PNC13
Manufacturer: PFIZER\WYETH
Vax Name: PNEUMO (PREVNAR13)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data: Test Name: SARS-CoV-2 test; Test Result: Positive ; Result Unstructured Data: Positive

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: COVID-19; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (COVID-19) in a 72-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011J20A) for COVID-19 vaccination. No Medical History information was reported. On 13-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced COVID-19 (COVID-19). At the time of the report, COVID-19 (COVID-19) outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test: Positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment and concomitant medications were not provided by reporter.

Other Meds:

Current Illness:

ID: 1631486
Sex: F
Age:
State: LA

Vax Date: 01/27/2021
Onset Date: 02/06/2021
Rec V Date: 08/25/2021
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: Red circle on same side of injection; Arm started itching every now and then; A spontaneous report was received from a consumer concerning a 58-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events arm started itching every nowand then (vaccination site pruritus) and red circle on same side of injection (vaccination site erythema). The patient's medical history was not provided. No relevant concomitant medications were reported. On 27 Jan 2021, the patient received their first of the two planned doses of mRNA-1273 (Batch number: 004M20A) in the left arm for the prophylaxis of COVID-19 infection. On 06 Feb 2021, reporter stated their arm started itching, and that there's a red circle on same side of injection. Describes symptoms as itching every now and then, not uncontrollably. Noticed round area around the site but it does not hurt, just itching. Treatment information not provided. Lab tests not provided. Action taken with response to mRNA-1273 was not reported. The outcome of the event, arm started itching every now and then and red circle on same side of injection was considered unknown.

Other Meds:

Current Illness:

ID: 1631487
Sex: F
Age: 60
State: WA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 08/25/2021
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: headache; muscle aches; weakness; A spontaneous report was received from a type concerning a 60-years-old patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced muscle aches/myalgia, weakness/asthenia, headache. The patient's medical history was not provided. No relevant concomitant medications were reported. On 12 Jan 2021, prior to the onset of the events the patient received first of two planned doses of mRNA-1273 (lot/batch: 025L20A) via unknown route in the left arm for prophylaxis of COVID-19 infection. On 12 Jan 2021, the patient experienced muscle aches/myalgia, weakness/asthenia, headache. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. On 16 Jan 2021 the outcome of muscle aches/myalgia, weakness/asthenia, headache was resolved.

Other Meds:

Current Illness:

ID: 1631488
Sex: F
Age: 64
State: MA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 08/25/2021
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: red lump; Vaccination site erythema; A spontaneous report was received from a healthcare professional concerning a 64-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events red lump. The patient's medical history was not provided. No relevant concomitant medications were reported. On 25 Jan 2021, prior to the onset of the events the patient received first of two planned doses of mRNA-1273 (lot/batch: Unknown) via unknown route in the right arm for prophylaxis of COVID-19 infection. On 26 Jan 2021, the patient experienced the eventred lump. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. . The outcome of event, red lump was unknown.

Other Meds:

Current Illness:

ID: 1631489
Sex: F
Age: 64
State: OR

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 08/25/2021
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: she is always cold; Finger tips are very cold; she can?t get warm; Finger tips are whiteish; A spontaneous report was received from a consumer concerning a 64-years-old patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced feeling cold, peripheral coldness, skin discoloration. The patient's medical history was not provided. No relevant concomitant medications were reported.. On 5 Feb 2021, prior to the onset of the events the patient received first of two planned doses of mRNA-1273 (lot/batch: unknown) intramuscularly for prophylaxis of COVID-19 infection. On 5 Feb 2021, the patient experienced feeling cold, peripheral coldness, skin discoloration. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. on an unknown date the outcome of feeling cold, peripheral coldness, skin discoloration was unknown.

Other Meds:

Current Illness:

ID: 1631490
Sex: F
Age: 40
State: PA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 08/25/2021
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: Tongue started to feel funny; Ears started to feel funny; Burning sensation in the ears; Arm was weak; Grip finger was weak; Felt a little dizzy; Rapid heart race; Warm sensation in the heart; Lips felt smuggling tingly; This spontaneous case was reported by a consumer and describes the occurrence of TONGUE DISCOMFORT (Tongue started to feel funny), EAR DISCOMFORT (Ears started to feel funny), BURNING SENSATION (Burning sensation in the ears), MUSCULAR WEAKNESS (Arm was weak) and ASTHENIA (Grip finger was weak) in a 40-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 028L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 24-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-Feb-2021, the patient experienced TONGUE DISCOMFORT (Tongue started to feel funny), EAR DISCOMFORT (Ears started to feel funny), BURNING SENSATION (Burning sensation in the ears), MUSCULAR WEAKNESS (Arm was weak), ASTHENIA (Grip finger was weak), DIZZINESS (Felt a little dizzy), TACHYCARDIA (Rapid heart race), BURNING SENSATION (Warm sensation in the heart) and PARAESTHESIA ORAL (Lips felt smuggling tingly). On 24-Feb-2021, TONGUE DISCOMFORT (Tongue started to feel funny), EAR DISCOMFORT (Ears started to feel funny), BURNING SENSATION (Burning sensation in the ears), MUSCULAR WEAKNESS (Arm was weak), ASTHENIA (Grip finger was weak), DIZZINESS (Felt a little dizzy), TACHYCARDIA (Rapid heart race), BURNING SENSATION (Warm sensation in the heart) and PARAESTHESIA ORAL (Lips felt smuggling tingly) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Caller received the first dose of the Moderna vaccine 24Feb2021 on the right arm. Three minutes after receiving the vaccine, her tongue and ears started to feel funny and had a burning sensation in her ears. The arm of the injection started to feel weak and her grip finger was weak too. Caller felt a little dizzy, had a rapid heart race and had a warm feeling on her heart for two hours. Also, her lips felt smuggling tingly.

Other Meds:

Current Illness:

ID: 1631491
Sex: F
Age: 63
State: SC

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 08/25/2021
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: Made sleep worse; Soreness; This spontaneous case was reported by a consumer and describes the occurrence of INSOMNIA (Made sleep worse) and MYALGIA (Soreness) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010A21A) for COVID-19 vaccination. Concomitant products included MONTELUKAST SODIUM (SINGULAIR) and CETIRIZINE HYDROCHLORIDE (ZYRTEC ALLERGY) for an unknown indication. On 28-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Feb-2021, the patient experienced INSOMNIA (Made sleep worse) and MYALGIA (Soreness). On 01-Mar-2021, INSOMNIA (Made sleep worse) had resolved. At the time of the report, MYALGIA (Soreness) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. This case was linked to MOD-2021-120833-second dose (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 12-May-2021: Additional Dose 1 information and dose 2 (new case created) No treatment related information has been reported.

Other Meds: SINGULAIR; ZYRTEC ALLERGY

Current Illness:

ID: 1631492
Sex: F
Age: 75
State: VA

Vax Date: 01/30/2021
Onset Date: 02/27/2021
Rec V Date: 08/25/2021
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: stomach ache; trouble sleeping; severe fatigue; headache; This spontaneous case was reported by a consumer and describes the occurrence of ABDOMINAL PAIN UPPER (stomach ache), INSOMNIA (trouble sleeping), FATIGUE (severe fatigue) and HEADACHE (headache) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concomitant products included CITALOPRAM, COLECALCIFEROL (VIT D [COLECALCIFEROL]), FAMOTIDINE, LISINOPRIL, RISEDRONATE SODIUM (RISEDRONATE) and SIMVASTATIN for an unknown indication. On 30-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 27-Feb-2021, the patient experienced ABDOMINAL PAIN UPPER (stomach ache), INSOMNIA (trouble sleeping), FATIGUE (severe fatigue) and HEADACHE (headache). The patient was treated with CALCIUM CARBONATE, FAMOTIDINE, MAGNESIUM HYDROXIDE (PEPCID COMPLETE) for Stomach ache, at an unspecified dose and frequency and PARACETAMOL (TYLENOL) for Headache, at an unspecified dose and frequency. At the time of the report, ABDOMINAL PAIN UPPER (stomach ache) had resolved and INSOMNIA (trouble sleeping), FATIGUE (severe fatigue) and HEADACHE (headache) outcome was unknown.

Other Meds: CITALOPRAM; VIT D [COLECALCIFEROL]; FAMOTIDINE; LISINOPRIL; RISEDRONATE; SIMVASTATIN

Current Illness:

ID: 1631493
Sex: F
Age:
State: AL

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 08/25/2021
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: Felt fainty; Felt hot; Nauseous; Vomited; Red swollen circle at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (Felt fainty), FEELING HOT (Felt hot), NAUSEA (Nauseous), VOMITING (Vomited) and INJECTION SITE ERYTHEMA (Red swollen circle at the injection site) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003A21A) for COVID-19 vaccination. No Medical History information was reported. On 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Mar-2021, the patient experienced DIZZINESS (Felt fainty), FEELING HOT (Felt hot), NAUSEA (Nauseous), VOMITING (Vomited) and INJECTION SITE ERYTHEMA (Red swollen circle at the injection site). At the time of the report, DIZZINESS (Felt fainty), FEELING HOT (Felt hot), NAUSEA (Nauseous), VOMITING (Vomited) and INJECTION SITE ERYTHEMA (Red swollen circle at the injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No relevant concomitant medications were reported. Treatment details were not provided.

Other Meds:

Current Illness:

ID: 1631494
Sex: F
Age: 78
State: VA

Vax Date: 01/30/2021
Onset Date:
Rec V Date: 08/25/2021
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: Tested for IGG levels test for antibodies, and they came back negative; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of DRUG SPECIFIC ANTIBODY ABSENT (Tested for IGG levels test for antibodies, and they came back negative) in a 79-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 039K20A and 24M20A) for COVID-19 vaccination. No Medical History information was reported. On 30-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 2 dosage form. On an unknown date, the patient experienced DRUG SPECIFIC ANTIBODY ABSENT (Tested for IGG levels test for antibodies, and they came back negative). At the time of the report, DRUG SPECIFIC ANTIBODY ABSENT (Tested for IGG levels test for antibodies, and they came back negative) outcome was unknown.

Other Meds:

Current Illness:

ID: 1631495
Sex: U
Age:
State:

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 08/25/2021
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: "huge red mark" at the injection site; sore arm; This spontaneous case was reported by a physician and describes the occurrence of PAIN IN EXTREMITY (sore arm) and INJECTION SITE ERYTHEMA ("huge red mark" at the injection site) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 015M20A) for COVID-19 vaccination. No Medical History information was reported. On 16-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Feb-2021, the patient experienced PAIN IN EXTREMITY (sore arm). On 25-Feb-2021, the patient experienced INJECTION SITE ERYTHEMA ("huge red mark" at the injection site). At the time of the report, PAIN IN EXTREMITY (sore arm) and INJECTION SITE ERYTHEMA ("huge red mark" at the injection site) 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.

Other Meds: LEVOTHYROXINE; MELATONIN; CARBAMAZEPINE; LOSARTAN POTASSIUM; VITAMIN D3; CITALOPRAM; MULTIVITAMIN & MINERAL; OMEPRAZOLE; STOOL SOFTENER

Current Illness:

ID: 1631496
Sex: M
Age: 83
State: VA

Vax Date: 02/03/2021
Onset Date:
Rec V Date: 08/25/2021
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: side effect from the first shot; Had a Covid arm; little sore; 10 days later, I had itching; small rash; feels like little bumps is reaction to immune system; became a large rash on my arm; A spontaneous report was received from a consumer concerning a 84-years-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events adverse reaction, injection site rash, pain, pruritus, rash, injection site reaction. The patient's medical history was not provided. No relevant concomitant medications were reported. On 3 Feb 2021, prior to the onset of the events the patient received their first of two planned doses of mRNA-1273 (lot/batch: 011M20A) intramuscularly in the right arm for prophylaxis of COVID-19 infection. On an unknown date, the patient experienced events, side effect from the first shot, Had a Covid arm, rash on the arm where I got the injection, little sore, 10 days later, I had itching, small rash, feels like little bumps is reaction to immune system, became a large rash on my arm. Treatment details included Hydrocortisone cream. Action taken with mRNA-1273 in response to the events was not reported. At the time of this report, the outcome of events, side effect from the first shot, had a covid arm,rash on the arm where i got the injection,little sore,10 days later,i had itching,small rash,feels like little bumps is reaction to immune system,became a large rash on my arm was unknown.

Other Meds:

Current Illness:

ID: 1631497
Sex: F
Age: 84
State: MI

Vax Date: 02/11/2021
Onset Date: 02/19/2021
Rec V Date: 08/25/2021
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: Total agony; Could not put weight on her left foot; Could not lift her head off the pillow; Could not move without extreme pain; Felt every muscle in her body hurt,could not move without extreme pain; Severe reaction post first dose; This spontaneous case was reported by a consumer and describes the occurrence of ADVERSE REACTION (Severe reaction post first dose), PAIN (Total agony), LIMB DISCOMFORT (Could not put weight on her left foot), HEAD DISCOMFORT (Could not lift her head off the pillow) and PAIN (Could not move without extreme pain) in an 84-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 015M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concomitant products included LEVOTHYROXINE and ACETYLSALICYLIC ACID (BABY ASPIRIN) for an unknown indication. On 11-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 ADVERSE REACTION (Severe reaction post first dose). On 21-Feb-2021, the patient experienced PAIN (Total agony), LIMB DISCOMFORT (Could not put weight on her left foot), HEAD DISCOMFORT (Could not lift her head off the pillow), PAIN (Could not move without extreme pain) and MYALGIA (Felt every muscle in her body hurt,could not move without extreme pain). At the time of the report, ADVERSE REACTION (Severe reaction post first dose), PAIN (Total agony), LIMB DISCOMFORT (Could not put weight on her left foot), HEAD DISCOMFORT (Could not lift her head off the pillow), PAIN (Could not move without extreme pain) and MYALGIA (Felt every muscle in her body hurt,could not move without extreme pain) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Most recent FOLLOW-UP information incorporated above includes: On 30-Apr-2021: Additional-Contact info updated.

Other Meds: LEVOTHYROXINE; BABY ASPIRIN

Current Illness:

ID: 1631498
Sex: U
Age: 88
State: NJ

Vax Date: 02/27/2021
Onset Date:
Rec V Date: 08/25/2021
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: tired; stool was black night of after cramping; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (tired) and FAECES DISCOLOURED (stool was black night of after cramping) in an 88-year-old patient of an unknown gender 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 an unknown date, the patient experienced FATIGUE (tired) and FAECES DISCOLOURED (stool was black night of after cramping). At the time of the report, FATIGUE (tired) and FAECES DISCOLOURED (stool was black night of after cramping) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1631499
Sex: F
Age: 42
State:

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 08/25/2021
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: got a very large, painful red itching lump on their right; got a very large, painful red itching lump on their right; got a very large, painful red itching lump on their right; got a very large, painful red itching lump on their right; This spontaneous case was reported by a physician (subsequently medically confirmed) and describes the occurrence of VACCINATION SITE ERYTHEMA (got a very large, painful red itching lump on their right), VACCINATION SITE PAIN (got a very large, painful red itching lump on their right), VACCINATION SITE PRURITUS (got a very large, painful red itching lump on their right) and VACCINATION SITE SWELLING (got a very large, painful red itching lump on their right) in a 42-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 028L20A) for COVID-19 vaccination. NO Medical History Information was reported. Concomitant products included CYANOCOBALAMIN (VITAMIN B-12), TOPIRAMATE, PROPRANOLOL (PROPANOLOL [PROPRANOLOL]), VITAMIN D [VITAMIN D NOS] and ACICLOVIR for an unknown indication. On 08-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 08-Feb-2021, the patient experienced VACCINATION SITE PRURITUS (got a very large, painful red itching lump on their right). On 09-Feb-2021, the patient experienced VACCINATION SITE ERYTHEMA (got a very large, painful red itching lump on their right), VACCINATION SITE PAIN (got a very large, painful red itching lump on their right) and VACCINATION SITE SWELLING (got a very large, painful red itching lump on their right). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Adverse event, at an unspecified dose and frequency. At the time of the report, VACCINATION SITE ERYTHEMA (got a very large, painful red itching lump on their right), VACCINATION SITE PAIN (got a very large, painful red itching lump on their right), VACCINATION SITE PRURITUS (got a very large, painful red itching lump on their right) and VACCINATION SITE SWELLING (got a very large, painful red itching lump on their right) outcome was unknown. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 10-Feb-2021 and was forwarded to Moderna on 10-Feb-2021. This spontaneous case was reported by a physician (subsequently medically confirmed) and describes the occurrence of VACCINATION SITE ERYTHEMA (got a very large, painful red itching lump on their right), VACCINATION SITE PAIN (got a very large, painful red itching lump on their right), VACCINATION SITE PRURITUS (got a very large, painful red itching lump on their right) and VACCINATION SITE SWELLING (got a very large, painful red itching lump on their right) in a 42-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 028L20A) for COVID-19 vaccination. NO Medical History Information was reported. Concomitant products included CYANOCOBALAMIN (VITAMIN B-12), TOPIRAMATE, PROPRANOLOL (PROPANOLOL [PROPRANOLOL]), VITAMIN D [VITAMIN D NOS] and ACICLOVIR for an unknown indication. On 08-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 08-Feb-2021, the patient experienced VACCINATION SITE PRURITUS (got a very large, painful red itching lump on their right). On 09-Feb-2021, the patient experienced VACCINATION SITE ERYTHEMA (got a very large, painful red itching lump on their right), VACCINATION SITE PAIN (got a very large, painful red itching lump on their right) and VACCINATION SITE SWELLING (got a very large, painful red itching lump on their right). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Adverse event, at an unspecified dose and frequency. At the time of the report, VACCINATION SITE ERYTHEMA (got a very large, painful red itching lump on their right), VACCINATION SITE PAIN (got a very large, painful red itching lump on their right), VACCINATION SITE PRURITUS (got a very large, painful red itching lump on their right) and VACCINATION SITE SWELLING (got a very large, painful red itching lump on their right) outcome was unknown. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.

Other Meds: VITAMIN B-12; TOPIRAMATE; PROPANOLOL [PROPRANOLOL]; VITAMIN D [VITAMIN D NOS]; ACICLOVIR

Current Illness:

ID: 1631500
Sex: M
Age:
State: OK

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 08/25/2021
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: body hurt; felt like he had COVID again; couldn't eat; real bad headache; fever; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (body hurt), COVID-19 (felt like he had COVID again), DECREASED APPETITE (couldn't eat), HEADACHE (real bad headache) and PYREXIA (fever) in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001A21A) for COVID-19 vaccination. The patient's past medical history included COVID-19 (COVID on 31 DEC 2021). On 27-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 27-Feb-2021, the patient experienced PAIN (body hurt), COVID-19 (felt like he had COVID again), DECREASED APPETITE (couldn't eat), HEADACHE (real bad headache) and PYREXIA (fever). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. On 28-Feb-2021, PAIN (body hurt), COVID-19 (felt like he had COVID again), DECREASED APPETITE (couldn't eat) and PYREXIA (fever) had resolved. At the time of the report, HEADACHE (real bad headache) 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 relevant concomitant medications were reported.

Other Meds:

Current Illness:

ID: 1631501
Sex: M
Age: 51
State: GA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 08/25/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Test Name: Blood pressure; Test Name: Blood pressure

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: stinging sensation in middle of chest; bp 144/88 5 minutes late 137/85; This spontaneous case was reported by a health care professional and describes the occurrence of CHEST PAIN (stinging sensation in middle of chest) and HYPERTENSION (bp 144/88 5 minutes late 137/85) in a 51-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002A21A) for COVID-19 vaccination. No Medical History information was reported. On 01-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 01-Mar-2021, the patient experienced CHEST PAIN (stinging sensation in middle of chest) and HYPERTENSION (bp 144/88 5 minutes late 137/85). At the time of the report, CHEST PAIN (stinging sensation in middle of chest) and HYPERTENSION (bp 144/88 5 minutes late 137/85) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure measurement: 144/88 mmHg High and 137/85 mmHg High. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No relevant concomitant medications were reported. No treatment information was provided. Action taken with mRNA-1273 in response to the event was not applicable.

Other Meds:

Current Illness:

ID: 1631502
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/25/2021
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: aggravated arm at the site of the shot; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE REACTION (aggravated arm at the site of the shot) 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 first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE REACTION (aggravated arm at the site of the shot). At the time of the report, VACCINATION SITE REACTION (aggravated arm at the site of the shot) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Patient states her husband that is 20 years her senior received his first shot and had no reaction except an aggravated arm at the site of the shot This case was linked to MOD-2021-032203, MOD-2021-032170 (Patient Link).

Other Meds:

Current Illness:

ID: 1631503
Sex: M
Age: 76
State: OH

Vax Date: 01/26/2021
Onset Date:
Rec V Date: 08/25/2021
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: Mayor constipation; hernia; This spontaneous case was reported by a consumer and describes the occurrence of CONSTIPATION (Mayor constipation) and HERNIA (hernia) in a 76-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 26-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced CONSTIPATION (Mayor constipation) and HERNIA (hernia). At the time of the report, CONSTIPATION (Mayor constipation) and HERNIA (hernia) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient underwent surgical repair and have catheter. This case was linked to MOD-2021-032096 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 30-Apr-2021: Follow up received on 30 Apr 2021 reported event hernia, surgical repair and having catheter. Added patient email.

Other Meds:

Current Illness:

ID: 1631504
Sex: F
Age: 70
State: NV

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 08/25/2021
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: small fever; severe headache; it was like a migraine; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (severe headache), MIGRAINE (it was like a migraine) and PYREXIA (small fever) in a 70-year-old female patient 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 second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 25-Feb-2021, the patient experienced HEADACHE (severe headache) and MIGRAINE (it was like a migraine). On an unknown date, the patient experienced PYREXIA (small fever). The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date at an unspecified dose and frequency. At the time of the report, HEADACHE (severe headache), MIGRAINE (it was like a migraine) and PYREXIA (small fever) outcome was unknown. Patient reported that he received Second shot on 25Feb2021. Lot number is not available. She got a severe headache after the second dose. It started right away. It was almost like a migraine. Lasted for one day and a half (the worst part) It took three days to go away completely. She also had a small fever but that didn't bother her as much. This case was linked to US-MODERNATX, INC.-MOD-2021-031764 (E2B Linked Report). This case was linked to MOD21-042855 (Patient Link).; Sender's Comments: US-MODERNATX, INC.-MOD-2021-031764:CROSSLINKED CASE TO WIFE: MOD21-042859

Other Meds:

Current Illness:

ID: 1631505
Sex: F
Age: 71
State: TX

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 08/25/2021
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: big rash all over body; This spontaneous case was reported by a consumer and describes the occurrence of RASH (big rash all over body) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 0BM20A) for COVID-19 vaccination. No Medical History information was reported. On 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Feb-2021, the patient experienced RASH (big rash all over body). At the time of the report, RASH (big rash all over body) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.

Other Meds:

Current Illness:

ID: 1631506
Sex: F
Age:
State: FL

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 08/25/2021
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: it is aching; her feet and hands are aching; she doesn't feel good; she is tired; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (it is aching), PAIN IN EXTREMITY (her feet and hands are aching), FEELING ABNORMAL (she doesn't feel good) and FATIGUE (she is tired) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 01-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 PAIN (it is aching), PAIN IN EXTREMITY (her feet and hands are aching), FEELING ABNORMAL (she doesn't feel good) and FATIGUE (she is tired). The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date at an unspecified dose and frequency. At the time of the report, PAIN (it is aching), PAIN IN EXTREMITY (her feet and hands are aching), FEELING ABNORMAL (she doesn't feel good) and FATIGUE (she is tired) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient received the vaccine on 01Mar2021 and today 02Mar2021 it is aching, she was tired, her feet and hands were aching, she doesn't feel good, she took 4 Tylenol. No more information was provided

Other Meds:

Current Illness:

ID: 1631507
Sex: F
Age: 76
State: IL

Vax Date: 02/05/2021
Onset Date: 02/17/2021
Rec V Date: 08/25/2021
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: exposure during pregnancy; Shingles; This spontaneous prospective pregnancy case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of HERPES ZOSTER (Shingles) in a 76-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event (No recorded medical history). On 05-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. Last menstrual period and estimated date of delivery were not provided. On 17-Feb-2021, the patient experienced HERPES ZOSTER (Shingles). At the time of the report, HERPES ZOSTER (Shingles) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment for the event included valacyclovir pills.

Other Meds:

Current Illness:

ID: 1631508
Sex: F
Age: 68
State: CT

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 08/25/2021
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: weakness; diarrhea; no appetite; achiness; high fever; chills; I was tired; sore at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (weakness), DIARRHOEA (diarrhea), DECREASED APPETITE (no appetite), PAIN (achiness) and INJECTION SITE PAIN (sore at the injection site) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 016M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No concomitant medications reported. The patient's past medical history included COVID-19. Concurrent medical conditions included Asthma. On 14-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Feb-2021, the patient experienced INJECTION SITE PAIN (sore at the injection site). On 15-Feb-2021, the patient experienced ASTHENIA (weakness), DIARRHOEA (diarrhea), DECREASED APPETITE (no appetite), PAIN (achiness), PYREXIA (high fever), CHILLS (chills) and FATIGUE (I was tired). The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date at an unspecified dose and frequency. At the time of the report, ASTHENIA (weakness), DIARRHOEA (diarrhea), DECREASED APPETITE (no appetite), PAIN (achiness), INJECTION SITE PAIN (sore at the injection site), PYREXIA (high fever), CHILLS (chills) and FATIGUE (I was tired) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Caller received the 1st shot of the Moderna vaccine on 14Feb2021. Reports soreness at the injection site. Says she got really sick for 3 days with a high fever, chills, achiness, weakness, diarrhea, no appetite, & fatigue. Admits to being hospitalized with Covid-19 in Oct2020. Reports the symptoms after the shot were just like ones she suffered through when she had Covid-19. I took Tylenol. Admits that she's a severe asthmatic.

Other Meds:

Current Illness: Asthma

ID: 1631509
Sex: M
Age: 78
State: FL

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 08/25/2021
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: last two days, he has been light headed; couldn't eat, tired, headache, fever, vomiting, and dizziness; couldn't eat, tired, headache, fever, vomiting, and dizziness; couldn't eat, tired, headache, fever, vomiting, and dizziness; couldn't eat, tired, headache, fever, vomiting, and dizziness; couldn't eat, tired, headache, fever, vomiting, and dizziness; couldn't eat, tired, headache, fever, vomiting, and dizziness; all of the side effects; This spontaneous case was reported by a consumer and describes the occurrence of DECREASED APPETITE (couldn't eat, tired, headache, fever, vomiting, and dizziness), VACCINATION COMPLICATION (all of the side effects), DIZZINESS (last two days, he has been light headed), DIZZINESS (couldn't eat, tired, headache, fever, vomiting, and dizziness) and FATIGUE (couldn't eat, tired, headache, fever, vomiting, and dizziness) in a 78-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) 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 DECREASED APPETITE (couldn't eat, tired, headache, fever, vomiting, and dizziness), VACCINATION COMPLICATION (all of the side effects), DIZZINESS (couldn't eat, tired, headache, fever, vomiting, and dizziness), FATIGUE (couldn't eat, tired, headache, fever, vomiting, and dizziness), HEADACHE (couldn't eat, tired, headache, fever, vomiting, and dizziness), PYREXIA (couldn't eat, tired, headache, fever, vomiting, and dizziness) and VOMITING (couldn't eat, tired, headache, fever, vomiting, and dizziness). On 28-Feb-2021, the patient experienced DIZZINESS (last two days, he has been light headed). At the time of the report, DECREASED APPETITE (couldn't eat, tired, headache, fever, vomiting, and dizziness), VACCINATION COMPLICATION (all of the side effects), DIZZINESS (last two days, he has been light headed), DIZZINESS (couldn't eat, tired, headache, fever, vomiting, and dizziness), FATIGUE (couldn't eat, tired, headache, fever, vomiting, and dizziness), HEADACHE (couldn't eat, tired, headache, fever, vomiting, and dizziness), PYREXIA (couldn't eat, tired, headache, fever, vomiting, and dizziness) and VOMITING (couldn't eat, tired, headache, fever, vomiting, and dizziness) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient received the first dose of the vaccine on 26Feb2021 and did not experience any side effects until 27Feb2021. He said he got all of the side effects. He described these as couldn't eat, tired, headache, fever, vomiting, and dizziness. He also said that for the last two days, he has been light headed. Patient also stated that he had the virus in December. Treatment

Other Meds:

Current Illness:

ID: 1631510
Sex: F
Age:
State: CA

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 08/25/2021
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: I'm having pain at the injection site; I'm having redness at the injection site; I'm having itching at the injection site; I had a rash; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (I'm having pain at the injection site), VACCINATION SITE ERYTHEMA (I'm having redness at the injection site), VACCINATION SITE PRURITUS (I'm having itching at the injection site) and VACCINATION SITE RASH (I had a rash) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001A01A) 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) (unknown route) 1 dosage form. On 27-Feb-2021, the patient experienced VACCINATION SITE RASH (I had a rash). On 02-Mar-2021, the patient experienced VACCINATION SITE PAIN (I'm having pain at the injection site), VACCINATION SITE ERYTHEMA (I'm having redness at the injection site) and VACCINATION SITE PRURITUS (I'm having itching at the injection site). At the time of the report, VACCINATION SITE PAIN (I'm having pain at the injection site), VACCINATION SITE ERYTHEMA (I'm having redness at the injection site), VACCINATION SITE PRURITUS (I'm having itching at the injection site) and VACCINATION SITE RASH (I had a rash) outcome was unknown. Caller received the 2nd dose of the Moderna vaccine on 26Feb2021. She reports having pain, redness, & itching at the injection site. The itching is worse today. She also reports having had a rash at the injection site, but it has subsided.

Other Meds:

Current Illness:

ID: 1631511
Sex: M
Age: 78
State: WI

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 08/25/2021
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: fever of 100.4?C; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (fever of 100.4?C) in a 78-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 01-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Mar-2021, the patient experienced PYREXIA (fever of 100.4?C). The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date at an unspecified dose and frequency. At the time of the report, PYREXIA (fever of 100.4?C) outcome was unknown. Patient called to report his adverse events of fever of 100.4?C, mid noon, yesterday, 01MAR2021, following his second shot of MODERNA COVID 19 Vaccine yesterday intramuscularly, on the left arm 01MAR2021. Consumer confirmed taking Tylenol, but would like to know if he should be concerned about his symptoms.

Other Meds:

Current Illness:

ID: 1631512
Sex: F
Age: 69
State: NJ

Vax Date: 02/27/2021
Onset Date:
Rec V Date: 08/25/2021
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: After first shot - soreness in upper arm at injection site and a headache for a couple days; Headache; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (After first shot - soreness in upper arm at injection site and a headache for a couple days) and HEADACHE (Headache) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029L20A and 024M20A) for COVID-19 vaccination. No concomitant medications reported. Concurrent medical conditions included Drug allergy (sulfa drug allergy). On 27-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE PAIN (After first shot - soreness in upper arm at injection site and a headache for a couple days) and HEADACHE (Headache). At the time of the report, VACCINATION SITE PAIN (After first shot - soreness in upper arm at injection site and a headache for a couple days) and HEADACHE (Headache) 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 added that she experienced soreness in her upper arm at the injection site and a headache for a couple of days after the first dose of the vaccine. She has not used any treatments for either adverse events. She does not take any other medications. This case was linked to MOD-2021-032084 (Patient Link).

Other Meds:

Current Illness:

ID: 1631513
Sex: F
Age: 88
State: MI

Vax Date: 02/27/2021
Onset Date:
Rec V Date: 08/25/2021
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: Pain in extremity; sleep; Chills; Fever; Myalgia; Fatigue; This spontaneous case was reported by a patient and describes the occurrence of PAIN IN EXTREMITY (Pain in extremity), HYPERSOMNIA (sleep), CHILLS (Chills), PYREXIA (Fever) and MYALGIA (Myalgia) in an 88-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 27-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 PAIN IN EXTREMITY (Pain in extremity), HYPERSOMNIA (sleep), CHILLS (Chills), PYREXIA (Fever), MYALGIA (Myalgia) and FATIGUE (Fatigue). At the time of the report, PAIN IN EXTREMITY (Pain in extremity), HYPERSOMNIA (sleep), CHILLS (Chills), PYREXIA (Fever), MYALGIA (Myalgia) and FATIGUE (Fatigue) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. Treatment information was not provided. Patient arm was sore and almost unable to lift it, chills, fever, body aches, and tired- slept a lot. Most recent FOLLOW-UP information incorporated above includes: On 05-Mar-2021: Reporter does not give consent for further followup

Other Meds:

Current Illness:

ID: 1631514
Sex: F
Age: 68
State: CA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 08/25/2021
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: Tiredness, fatigue; Sweaty; Rash on torso/upper thighs and chest; Body aches; Headaches; Freezing to death; Sore Arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Sore Arm), FATIGUE (Tiredness, fatigue), HYPERHIDROSIS (Sweaty), RASH (Rash on torso/upper thighs and chest) and MYALGIA (Body aches) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided. Concomitant products included LOSARTAN, BISOPROLOL and MEXILETINE for an unknown indication. On 01-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Feb-2021, the patient experienced PAIN IN EXTREMITY (Sore Arm). On 08-Feb-2021, the patient experienced FATIGUE (Tiredness, fatigue), HYPERHIDROSIS (Sweaty), RASH (Rash on torso/upper thighs and chest), MYALGIA (Body aches), HEADACHE (Headaches) and FEELING COLD (Freezing to death). The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (Sore Arm), FATIGUE (Tiredness, fatigue), HYPERHIDROSIS (Sweaty), RASH (Rash on torso/upper thighs and chest), MYALGIA (Body aches), HEADACHE (Headaches) and FEELING COLD (Freezing to death) had resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient called in stating that she received the first dose of the Moderna COVID-19 vaccine on 01Feb2021. Following the administration the patient experienced a sore arm. On 08Feb2021 the patient woke up and experienced tiredness, fatigue, sweaty, rash on torso/upper thighs and chest, body aches headaches and was "freezing to death". These side effects lasted for 7-10 days and are no longer present at this time.

Other Meds: LOSARTAN; BISOPROLOL; MEXILETINE

Current Illness:

ID: 1631515
Sex: F
Age:
State: NY

Vax Date: 02/27/2021
Onset Date: 03/02/2021
Rec V Date: 08/25/2021
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: Experiencing reaction on her face and arms; Felt like she had a really bad sunburn; Throat froze; Redness; Very sore; This spontaneous case was reported by a consumer and describes the occurrence of HYPERSENSITIVITY (Experiencing reaction on her face and arms), RASH ERYTHEMATOUS (Felt like she had a really bad sunburn), OROPHARYNGEAL DISCOMFORT (Throat froze), ERYTHEMA (Redness) and MYALGIA (Very sore) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010A21A) for COVID-19 vaccination. No medical history was reported. Concomitant products included LOSARTAN POTASSIUM for an unknown indication. On 27-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 02-Mar-2021, the patient experienced HYPERSENSITIVITY (Experiencing reaction on her face and arms), RASH ERYTHEMATOUS (Felt like she had a really bad sunburn), OROPHARYNGEAL DISCOMFORT (Throat froze), ERYTHEMA (Redness) and MYALGIA (Very sore). At the time of the report, HYPERSENSITIVITY (Experiencing reaction on her face and arms), RASH ERYTHEMATOUS (Felt like she had a really bad sunburn), OROPHARYNGEAL DISCOMFORT (Throat froze), ERYTHEMA (Redness) and MYALGIA (Very sore) 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. Caller calls on behalf of his wife; I ended up speaking to the wife. She received the Moderna Covid-19 vaccine on Saturday 27FEB2021, today she is experiencing a reaction on her face and arms. Felt like she had a really bad sunburn, she could feel it coming on, then it went down the face and arms and body. Really red, still very sore, throat froze. Patient is a 75 year old female who received the vaccine in her left arm at County Community College.

Other Meds: LOSARTAN POTASSIUM

Current Illness:

ID: 1631516
Sex: F
Age: 89
State: NV

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 08/25/2021
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: Itching; She never got the second; Rash in upper left arm; This spontaneous case was reported by a consumer and describes the occurrence of PRODUCT DOSE OMISSION ISSUE (She never got the second), PRURITUS (Itching) and RASH (Rash in upper left arm) in an 89-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025L20A) for COVID-19 vaccination. No medical history was reported. No concomitant medication was reported. On 16-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Jan-2021, the patient experienced RASH (Rash in upper left arm). On 13-Feb-2021, the patient experienced PRODUCT DOSE OMISSION ISSUE (She never got the second). On an unknown date, the patient experienced PRURITUS (Itching). The patient was treated with FEXOFENADINE HYDROCHLORIDE (ALLEGRA) for Rash, at an unspecified dose and frequency. On 17-Jan-2021, RASH (Rash in upper left arm) had resolved. At the time of the report, PRODUCT DOSE OMISSION ISSUE (She never got the second) had resolved and PRURITUS (Itching) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Most recent FOLLOW-UP information incorporated above includes: On 04-May-2021: Significant follow up

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am