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: 1635655
Sex: F
Age: 17
State: NY

Vax Date: 05/17/2021
Onset Date:
Rec V Date: 08/26/2021
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: Got 1st shot at 17yrs; This spontaneous case was reported by a pharmacist and describes the occurrence of PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (Got 1st shot at 17yrs) in a 17-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022C21A) for COVID-19 vaccination. No Medical History information was reported. On 17-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (Got 1st shot at 17yrs). At the time of the report, PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (Got 1st shot at 17yrs) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications reported. Patient was due for 2nd shot 14-Jun-2021. Treatment information not reported.

Other Meds:

Current Illness:

ID: 1635656
Sex: M
Age:
State:

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 08/26/2021
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: first dose administered 41 days ago 4May2021; This spontaneous case was reported by a consumer and describes the occurrence of PRODUCT DOSE OMISSION ISSUE (first dose administered 41 days ago 4May2021) 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 04-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-May-2021, the patient experienced PRODUCT DOSE OMISSION ISSUE (first dose administered 41 days ago 4May2021). On 04-May-2021, PRODUCT DOSE OMISSION ISSUE (first dose administered 41 days ago 4May2021) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications reported. Treatment information not reported. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1635657
Sex: M
Age: 37
State: GA

Vax Date: 04/18/2021
Onset Date: 04/18/2021
Rec V Date: 08/26/2021
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: whole body weakness; felt like having a flu; migraine; head felt like it is going to explode; arms felt like inflamed; feeling he is going to die; thirsty all the time; felt body was messed up; whole body hurts; headache; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (whole body weakness), INFLUENZA LIKE ILLNESS (felt like having a flu), MIGRAINE (migraine), HEAD DISCOMFORT (head felt like it is going to explode) and PERIPHERAL SWELLING (arms felt like inflamed) in a 37-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032621A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Penicillin allergy. On 18-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 18-Apr-2021, the patient experienced ASTHENIA (whole body weakness), INFLUENZA LIKE ILLNESS (felt like having a flu), MIGRAINE (migraine), HEAD DISCOMFORT (head felt like it is going to explode), PERIPHERAL SWELLING (arms felt like inflamed), FEELING ABNORMAL (feeling he is going to die), THIRST (thirsty all the time), DISCOMFORT (felt body was messed up), MYALGIA (whole body hurts) and HEADACHE (headache). On 25-Apr-2021, ASTHENIA (whole body weakness), INFLUENZA LIKE ILLNESS (felt like having a flu), MIGRAINE (migraine), HEAD DISCOMFORT (head felt like it is going to explode), PERIPHERAL SWELLING (arms felt like inflamed), FEELING ABNORMAL (feeling he is going to die), THIRST (thirsty all the time), DISCOMFORT (felt body was messed up), MYALGIA (whole body hurts) and HEADACHE (headache) had resolved. Patient used to take his mental health medications but has stopped 2-3 months from the time reporting. No concomitant medications reported. Patient did not take any medication for the symptoms. This case was linked to MOD-2021-221087 (Patient Link).

Other Meds:

Current Illness: Penicillin allergy

ID: 1635658
Sex: M
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: severe diarrhea 3 days after his second vaccine; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (severe diarrhea 3 days after his second vaccine) in a 44-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced DIARRHOEA (severe diarrhea 3 days after his second vaccine). At the time of the report, DIARRHOEA (severe diarrhea 3 days after his second vaccine) outcome was unknown. No concomitant medications were reported by the reporter. Treatment medication was not provided by the reporter. Most recent FOLLOW-UP information incorporated above includes: On 15-Jun-2021: Follow up report received included no new information. On 15-Jun-2021: Reporter's Email address was updated.

Other Meds:

Current Illness:

ID: 1635659
Sex: M
Age:
State: MN

Vax Date: 04/03/2021
Onset Date: 06/14/2021
Rec V Date: 08/26/2021
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: Patient missed second dose on 01MAY2021; This spontaneous case was reported by a pharmacist and describes the occurrence of PRODUCT DOSE OMISSION ISSUE (Patient missed second dose on 01MAY2021) 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 03-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Jun-2021, the patient experienced PRODUCT DOSE OMISSION ISSUE (Patient missed second dose on 01MAY2021). On 14-Jun-2021, PRODUCT DOSE OMISSION ISSUE (Patient missed second dose on 01MAY2021) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were reported. Treatment information was not reported.

Other Meds:

Current Illness:

ID: 1635660
Sex: M
Age: 19
State: MD

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 08/26/2021
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: Test Date: 20210509; Test Name: Blood test; Result Unstructured Data: Patient was informed that the results were fine; Test Date: 20210509; Test Name: thorax X-ray; Result Unstructured Data: Patient was informed that the results were fine.; Test Date: 20210509; Test Name: CT scan; Result Unstructured Data: Patient was informed that the results were fine.; Test Date: 20210509; Test Name: CT Scan; Result Unstructured Data: Patient was informed that the results were fine; Test Date: 20210509; Test Name: Electrocardiogram; Result Unstructured Data: Patient was informed that the results were fine.

Allergies:

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: Dizziness / very dizzy; Vertigo; Bad breathing like shortness of breath; he was not stable; Shaky; Feeling like going to pass out; Felling weak / weekness; Cold; Fainted after receiving the vaccine; This spontaneous case was reported by a consumer and describes the occurrence of SYNCOPE (Feeling like going to pass out), SYNCOPE (Fainted after receiving the vaccine), ASTHENIA (Felling weak / weekness), FEELING COLD (Cold) and DIZZINESS (Dizziness / very dizzy) in a 19-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 004C21A.) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 07-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 07-May-2021, the patient experienced SYNCOPE (Fainted after receiving the vaccine). On 09-May-2021, the patient experienced SYNCOPE (Feeling like going to pass out), ASTHENIA (Felling weak / weekness), FEELING COLD (Cold), TREMOR (Shaky) and BALANCE DISORDER (he was not stable). On 14-May-2021, the patient experienced DIZZINESS (Dizziness / very dizzy), VERTIGO (Vertigo) and DYSPNOEA (Bad breathing like shortness of breath). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. On 07-May-2021, SYNCOPE (Fainted after receiving the vaccine) had resolved. At the time of the report, SYNCOPE (Feeling like going to pass out), ASTHENIA (Felling weak / weekness), FEELING COLD (Cold), DIZZINESS (Dizziness / very dizzy), TREMOR (Shaky), VERTIGO (Vertigo), DYSPNOEA (Bad breathing like shortness of breath) and BALANCE DISORDER (he was not stable) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 09-May-2021, Blood test: normal (normal) Patient was informed that the results were fine. On 09-May-2021, Chest X-ray: normal (normal) Patient was informed that the results were fine.. On 09-May-2021, Computerised tomogram: normal (normal) Patient was informed that the results were fine. and normal (normal) Patient was informed that the results were fine. On 09-May-2021, Electrocardiogram: normal (normal) Patient was informed that the results were fine.. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Patient fainted after taking 1st shot & recovered after 3 minutes.o concomitant medications were reported. After 09May2021, on a unknown date patient went to the emergency doctor again and went through another round of tests, thorax x-ray, blood work, electrocardiogram, and CT Scan and result's were normal. As of 14Jun2021 patient is still experiencing the symptoms. Emergency doctor suggested to take Tylenol for 3 days if needed & to drink abundant water. No concomitant medication information was provided. 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. Very limited information regarding these events has been provided at this time. No further information is expected at this time; 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. Very limited information regarding these events has been provided at this time. No further information is expected at this time

Other Meds:

Current Illness:

ID: 1635661
Sex: F
Age: 64
State: KY

Vax Date: 05/27/2021
Onset Date:
Rec V Date: 08/26/2021
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: 20210503; Test Name: Blood pressure; Result Unstructured Data: Decreased

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Palpitations; Shortness of Breath; Loss of memory; This spontaneous case was reported by a consumer and describes the occurrence of PALPITATIONS (Palpitations), DYSPNOEA (Shortness of Breath) and AMNESIA (Loss of memory) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 27-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PALPITATIONS (Palpitations), DYSPNOEA (Shortness of Breath) and AMNESIA (Loss of memory). At the time of the report, PALPITATIONS (Palpitations), DYSPNOEA (Shortness of Breath) and AMNESIA (Loss of memory) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 03-May-2021, Blood pressure measurement: dropped (Low) Decreased. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1635662
Sex: F
Age:
State: NY

Vax Date: 02/12/2021
Onset Date:
Rec V Date: 08/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: aches for a short period of time; Chills/ body chills; soreness in the arm from the needle; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (aches for a short period of time), CHILLS (Chills/ body chills) and VACCINATION SITE PAIN (soreness in the arm from the needle) in a 56-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included MULTIVITAMINS [VITAMINS NOS] for an unknown indication. On 12-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 MYALGIA (aches for a short period of time), CHILLS (Chills/ body chills) and VACCINATION SITE PAIN (soreness in the arm from the needle). At the time of the report, MYALGIA (aches for a short period of time), CHILLS (Chills/ body chills) and VACCINATION SITE PAIN (soreness in the arm from the needle) 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 medication was not provided by the reporter. This case was linked to MOD-2021-221084 (Patient Link).

Other Meds: MULTIVITAMINS [VITAMINS NOS]

Current Illness:

ID: 1635663
Sex: U
Age:
State:

Vax Date: 02/13/2021
Onset Date: 03/08/2021
Rec V Date: 08/26/2021
Hospital:

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

Lab Data: Test Date: 20210308; Test Name: Covid-19 test; Test Result: Positive ; Result Unstructured Data: Positive

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: can i get the second vaccine now; COVID; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 14-Jun-2021 and was forwarded to Moderna on 14-Jun-2021. This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (COVID) and PRODUCT DOSE OMISSION ISSUE (can i get the second vaccine now) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 13-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 08-Mar-2021, the patient experienced COVID-19 (COVID). On an unknown date, the patient experienced PRODUCT DOSE OMISSION ISSUE (can i get the second vaccine now). The patient was treated with MONOCLONAL ANTIBODIES (intravenous) ongoing from 13-Mar-2021 for COVID-19, at a dose of 1 dosage form. At the time of the report, COVID-19 (COVID) and PRODUCT DOSE OMISSION ISSUE (can i get the second vaccine now) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 08-Mar-2021, SARS-CoV-2 test: positive (Positive) Positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant concomitant medications were provided. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1635664
Sex: F
Age:
State: VA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 08/26/2021
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: temperature of 100.2 deg. F; Nauseas; arm is in horrible pain on the injection site.; right after the vaccination she felt dizzy; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (temperature of 100.2 deg. F), DIZZINESS (right after the vaccination she felt dizzy), NAUSEA (Nauseas) and VACCINATION SITE PAIN (arm is in horrible pain on the injection site.) in a 43-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030M20A) for COVID-19 vaccination. Concurrent medical conditions included Diabetes. On 06-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 DIZZINESS (right after the vaccination she felt dizzy). On 07-Feb-2021, the patient experienced PYREXIA (temperature of 100.2 deg. F), NAUSEA (Nauseas) and VACCINATION SITE PAIN (arm is in horrible pain on the injection site.). The patient was treated with IBUPROFEN (ADVIL [IBUPROFEN]) at a dose of 3 dosage form. At the time of the report, PYREXIA (temperature of 100.2 deg. F), DIZZINESS (right after the vaccination she felt dizzy), NAUSEA (Nauseas) and VACCINATION SITE PAIN (arm is in horrible pain on the injection site.) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication reported. Patient took Advil as a treatment drug. Action taken with mRNA-1273 (Moderna COVID-19 Vaccine) in response to the event was not applicable.

Other Meds:

Current Illness: Diabetes

ID: 1635665
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/26/2021
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: should my chest be hurting; This spontaneous case was reported by a patient and describes the occurrence of CHEST PAIN (should my chest be hurting) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced CHEST PAIN (should my chest be hurting). At the time of the report, CHEST PAIN (should my chest be hurting) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications were reported by the reporter. No treatment medications were reported by the reporter.

Other Meds:

Current Illness:

ID: 1635666
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/26/2021
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: severe allergic reaction; started out on my top tip swelling up an the bottom of my feet an the palm of my hand swelling; This spontaneous case was reported by a consumer and describes the occurrence of HYPERSENSITIVITY (severe allergic reaction) and PERIPHERAL SWELLING (started out on my top tip swelling up an the bottom of my feet an the palm of my hand swelling) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced HYPERSENSITIVITY (severe allergic reaction) and PERIPHERAL SWELLING (started out on my top tip swelling up an the bottom of my feet an the palm of my hand swelling). At the time of the report, HYPERSENSITIVITY (severe allergic reaction) and PERIPHERAL SWELLING (started out on my top tip swelling up an the bottom of my feet an the palm of my hand swelling) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1635667
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/26/2021
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: CHILLS; Headache; This spontaneous case was reported by a consumer and describes the occurrence of CHILLS (CHILLS) and HEADACHE (Headache) in an elderly female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced CHILLS (CHILLS) and HEADACHE (Headache). At the time of the report, CHILLS (CHILLS) and HEADACHE (Headache) had resolved. Unknown No concomitant medications were reported. No treatment medications were provided. This case was linked to MOD-2021-016944 (Patient Link).

Other Meds:

Current Illness:

ID: 1635668
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/26/2021
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: serious issues after second shot; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (serious issues after second shot) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced VACCINATION COMPLICATION (serious issues after second shot). At the time of the report, VACCINATION COMPLICATION (serious issues after second shot) outcome was unknown. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1635669
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: Delayed reaction (After 6 weeks of Vaccine); Blotchy skin; High fever (6 weeks after shot)/fever; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (Delayed reaction (After 6 weeks of Vaccine)), RASH MACULAR (Blotchy skin) and PYREXIA (High fever (6 weeks after shot)/fever) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced VACCINATION COMPLICATION (Delayed reaction (After 6 weeks of Vaccine)), RASH MACULAR (Blotchy skin) and PYREXIA (High fever (6 weeks after shot)/fever). At the time of the report, VACCINATION COMPLICATION (Delayed reaction (After 6 weeks of Vaccine)), RASH MACULAR (Blotchy skin) and PYREXIA (High fever (6 weeks after shot)/fever) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reporterd by the reporter. No treatment medications were reported by the reporter.

Other Meds:

Current Illness:

ID: 1635670
Sex: F
Age:
State: NY

Vax Date: 02/12/2021
Onset Date:
Rec V Date: 08/26/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Nausea; Fatigue; It was heavy because she had to drink water otherwise, she would have thrown up; It was heavy because she had to drink water otherwise, she would have thrown up; This spontaneous case was reported by a consumer and describes the occurrence of NAUSEA (Nausea), FATIGUE (Fatigue), VOMITING (It was heavy because she had to drink water otherwise, she would have thrown up) and DISCOMFORT (It was heavy because she had to drink water otherwise, she would have thrown up) in a 56-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 036A21A and 039K20A) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included MULTIVITAMIN [VITAMINS NOS] for an unknown indication. On 12-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 18-Mar-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 NAUSEA (Nausea), FATIGUE (Fatigue), VOMITING (It was heavy because she had to drink water otherwise, she would have thrown up) and DISCOMFORT (It was heavy because she had to drink water otherwise, she would have thrown up). At the time of the report, NAUSEA (Nausea), FATIGUE (Fatigue), VOMITING (It was heavy because she had to drink water otherwise, she would have thrown up) and DISCOMFORT (It was heavy because she had to drink water otherwise, she would have thrown up) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Patient reported that she did not take any medication as she was scared about interaction of medication with the vaccine. This case was linked to MOD-2021-221084 (Patient Link).

Other Meds: MULTIVITAMIN [VITAMINS NOS]

Current Illness:

ID: 1635671
Sex: M
Age: 37
State: GA

Vax Date: 04/18/2021
Onset Date: 05/20/2021
Rec V Date: 08/26/2021
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: bad fatigue for 2-3 days; right arm hurts all the time for 1 week; able to stick magnets unto his arm for 4 times; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (bad fatigue for 2-3 days), PAIN IN EXTREMITY (right arm hurts all the time for 1 week) and ADVERSE EVENT FOLLOWING IMMUNISATION (able to stick magnets unto his arm for 4 times) in a 37-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 041C214 and 032621A) for COVID-19 vaccination. The patient's past medical history included Mental disorder NOS (Patient stated that he used to take his mental health medications but has stopped 2-3 months now.). Concurrent medical conditions included Penicillin allergy. On 18-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 20-May-2021, the patient experienced FATIGUE (bad fatigue for 2-3 days), PAIN IN EXTREMITY (right arm hurts all the time for 1 week) and ADVERSE EVENT FOLLOWING IMMUNISATION (able to stick magnets unto his arm for 4 times). At the time of the report, FATIGUE (bad fatigue for 2-3 days) and PAIN IN EXTREMITY (right arm hurts all the time for 1 week) had resolved and ADVERSE EVENT FOLLOWING IMMUNISATION (able to stick magnets unto his arm for 4 times) outcome was unknown. Concomitant medications were not reported. Treatment medications were not reported. This case was linked to MOD-2021-221052 (Patient Link).

Other Meds:

Current Illness: Penicillin allergy

ID: 1635672
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/26/2021
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: Lingered Swollen lymph glands/Throat glands have been swollen; This spontaneous case was reported by a consumer and describes the occurrence of LYMPHADENOPATHY (Lingered Swollen lymph glands/Throat glands have been swollen) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Unknown) 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 LYMPHADENOPATHY (Lingered Swollen lymph glands/Throat glands have been swollen). At the time of the report, LYMPHADENOPATHY (Lingered Swollen lymph glands/Throat glands have been swollen) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Patient has stated the patient has experienced swollen throat glands, it was lingering but it was not severe. Patient has asked that patient should take the next dose or not. No Concomitant and treatment medication was provided by the Reporter. Most recent FOLLOW-UP information incorporated above includes: On 15-Jun-2021: Non Significant follow up appended to AER

Other Meds:

Current Illness:

ID: 1635673
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Headaches after the vaccine; Muscle pain after the vaccine; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (Headaches after the vaccine) and MYALGIA (Muscle pain after the vaccine) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced HEADACHE (Headaches after the vaccine) and MYALGIA (Muscle pain after the vaccine). At the time of the report, HEADACHE (Headaches after the vaccine) and MYALGIA (Muscle pain after the vaccine) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication was not provided. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1635674
Sex: F
Age:
State:

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 08/26/2021
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: Cough; This spontaneous case was reported by a consumer and describes the occurrence of COUGH (Cough) 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 15-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Jun-2021, the patient experienced COUGH (Cough). At the time of the report, COUGH (Cough) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication information provided. No treatment information given.

Other Meds:

Current Illness:

ID: 1635675
Sex: F
Age: 69
State: PA

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 08/26/2021
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: stomach began hurting; not feeling like herself; This spontaneous case was reported by a consumer and describes the occurrence of ABDOMINAL PAIN UPPER (stomach began hurting) and FEELING ABNORMAL (not feeling like herself) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030M20A) for COVID-19 vaccination. no medical history was reported. Concomitant products included CYCLOSPORINE, MYCOPHENOLATE MOFETIL (MYCOPHENOLATE), ALBUTEROL [SALBUTAMOL], ACETYLSALICYLIC ACID (ASPIRIN (E.C.)), ATORVASTATIN, BENZONATATE, CELECOXIB, DULOXETINE, GABAPENTIN and HYDRALAZINE for an unknown indication. On 06-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 08-Feb-2021, the patient experienced ABDOMINAL PAIN UPPER (stomach began hurting) and FEELING ABNORMAL (not feeling like herself). At the time of the report, ABDOMINAL PAIN UPPER (stomach began hurting) and FEELING ABNORMAL (not feeling like herself) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Treatment drug information was not given. Most recent FOLLOW-UP information incorporated above includes: On 13-Jul-2021: NNI FU- No new information

Other Meds: CYCLOSPORINE; MYCOPHENOLATE; ALBUTEROL [SALBUTAMOL]; ASPIRIN (E.C.); ATORVASTATIN; BENZONATATE; CELECOXIB; DULOXETINE; GABAPENTIN; HYDRALAZINE

Current Illness:

ID: 1635676
Sex: M
Age:
State:

Vax Date:
Onset Date: 06/14/2021
Rec V Date: 08/26/2021
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: After my 2nd shot Im having burning eyes.; This spontaneous case was reported by a consumer and describes the occurrence of EYE IRRITATION (After my 2nd shot Im having burning eyes.) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 14-Jun-2021, the patient experienced EYE IRRITATION (After my 2nd shot Im having burning eyes.). At the time of the report, EYE IRRITATION (After my 2nd shot Im having burning eyes.) outcome was unknown. No concomitant medication listed. No treatment information reported.

Other Meds:

Current Illness:

ID: 1635677
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/26/2021
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: Vaccine reaction; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE REACTION (Vaccine reaction) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE REACTION (Vaccine reaction). At the time of the report, VACCINATION SITE REACTION (Vaccine reaction) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication were reported. No treatment medication were reported.

Other Meds:

Current Illness:

ID: 1635678
Sex: F
Age: 81
State: OK

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 08/26/2021
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: still shaky this morning; weak; drenching in sweat; shaky; feels tired; severe chills; lymph node under left arm pit is swollen; lymph node under left arm pit is painful; headache for 48 hours; joints in her left arm were really painful; vomiting; nauseous; very severe reaction at the injection site; very severe reaction at the injection site. it turned red; very severe reaction at the injection site. throbbing pain; very severe reaction at the injection site.felt hard; This spontaneous case was reported by a patient and describes the occurrence of VACCINATION SITE REACTION (very severe reaction at the injection site), ASTHENIA (weak), HYPERHIDROSIS (drenching in sweat), NERVOUSNESS (shaky) and NERVOUSNESS (still shaky this morning) in an 81-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Diabetes, Blood pressure high and Food allergy (Allergy to green beans). Concomitant products included METFORMIN for an unknown indication. On 05-Feb-2021 at 1:00 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Feb-2021, the patient experienced VACCINATION SITE REACTION (very severe reaction at the injection site), VACCINATION SITE INDURATION (very severe reaction at the injection site.felt hard) and VACCINATION SITE ERYTHEMA (very severe reaction at the injection site. it turned red). 05-Feb-2021, the patient experienced VACCINATION SITE PAIN (very severe reaction at the injection site. throbbing pain). On 06-Feb-2021, the patient experienced ASTHENIA (weak), HYPERHIDROSIS (drenching in sweat), FATIGUE (feels tired), CHILLS (severe chills) and NAUSEA (nauseous). 06-Feb-2021, the patient experienced NERVOUSNESS (shaky), LYMPHADENOPATHY (lymph node under left arm pit is swollen), LYMPH NODE PAIN (lymph node under left arm pit is painful), HEADACHE (headache for 48 hours), ARTHRALGIA (joints in her left arm were really painful) and VOMITING (vomiting). On 08-Feb-2021, the patient experienced NERVOUSNESS (still shaky this morning). The patient was treated with PARACETAMOL (TYLENOL) at a dose of 1 UNK and Manual therapy (put a heat pad) for Vaccination site reaction. At the time of the report, VACCINATION SITE REACTION (very severe reaction at the injection site), ASTHENIA (weak), HYPERHIDROSIS (drenching in sweat), NERVOUSNESS (shaky), NERVOUSNESS (still shaky this morning), VACCINATION SITE INDURATION (very severe reaction at the injection site.felt hard), FATIGUE (feels tired), CHILLS (severe chills), VACCINATION SITE ERYTHEMA (very severe reaction at the injection site. it turned red), VACCINATION SITE PAIN (very severe reaction at the injection site. throbbing pain), LYMPHADENOPATHY (lymph node under left arm pit is swollen), LYMPH NODE PAIN (lymph node under left arm pit is painful), ARTHRALGIA (joints in her left arm were really painful), VOMITING (vomiting) and NAUSEA (nauseous) outcome was unknown and HEADACHE (headache for 48 hours) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.

Other Meds: METFORMIN

Current Illness: Blood pressure high; Diabetes; Food allergy (Allergy to green beans)

ID: 1635679
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/26/2021
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: eye swelling 10 days after 1st Moderna shot; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of EYE SWELLING (eye swelling 10 days after 1st Moderna shot) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced EYE SWELLING (eye swelling 10 days after 1st Moderna shot). At the time of the report, EYE SWELLING (eye swelling 10 days after 1st Moderna shot) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medication was not provided. Treatment information was not provided. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1635680
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/26/2021
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: Arm hurt after 3 weeks/arm hurts to lift it up after 3 weeks; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (Arm hurt after 3 weeks/arm hurts to lift it up after 3 weeks) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced MYALGIA (Arm hurt after 3 weeks/arm hurts to lift it up after 3 weeks). At the time of the report, MYALGIA (Arm hurt after 3 weeks/arm hurts to lift it up after 3 weeks) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication details were provided. No treatment medication details were provided.

Other Meds:

Current Illness:

ID: 1635681
Sex: F
Age:
State: TX

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 08/26/2021
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: soreness of arm of injection; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (soreness of arm of injection) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030M20A) for COVID-19 vaccination. No medical history was reported. Concomitant products included HYDROCHLOROTHIAZIDE, CARVEDILOL, SIMVASTATIN and ESCITALOPRAM for an unknown indication. On 11-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-Feb-2021, the patient experienced VACCINATION SITE PAIN (soreness of arm of injection). The patient was treated with PARACETAMOL (TYLENOL) at a dose of 1 dosage form three times a day. At the time of the report, VACCINATION SITE PAIN (soreness of arm of injection) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. This case was linked to MOD-2021-042638 (Patient Link).

Other Meds: HYDROCHLOROTHIAZIDE; CARVEDILOL; SIMVASTATIN; ESCITALOPRAM

Current Illness:

ID: 1635682
Sex: F
Age: 66
State: GA

Vax Date: 01/11/2021
Onset Date: 02/08/2021
Rec V Date: 08/26/2021
Hospital:

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

Lab Data: Test Name: Body temperature; Test Result: Inconclusive ; Result Unstructured Data: 101.8 ?F

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fever of 101.8 ?F,Still running fever, but not as hig; Still running fever, but not as high; chills,Light chills at first, but got really bad as day goes by; This spontaneous case was reported by a patient and describes the occurrence of CHILLS (chills,Light chills at first, but got really bad as day goes by), PYREXIA (Fever of 101.8 ?F,Still running fever, but not as hig) and PYREXIA (Still running fever, but not as high) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 011L20A and 016M20A) for COVID-19 vaccination. The patient's past medical history included Asthma. Concurrent medical conditions included Sulfonamide allergy and Penicillin allergy. Concomitant products included PARACETAMOL (TYLENOL) for an unknown indication. On 11-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 08-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 08-Feb-2021, the patient experienced CHILLS (chills,Light chills at first, but got really bad as day goes by). On 10-Feb-2021, the patient experienced PYREXIA (Fever of 101.8 ?F,Still running fever, but not as hig) and PYREXIA (Still running fever, but not as high). At the time of the report, CHILLS (chills,Light chills at first, but got really bad as day goes by), PYREXIA (Fever of 101.8 ?F,Still running fever, but not as hig) and PYREXIA (Still running fever, but not as high) outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 101.8 ?f (Inconclusive) 101.8 ?F.

Other Meds: TYLENOL

Current Illness: Penicillin allergy; Sulfonamide allergy

ID: 1635683
Sex: U
Age:
State: TN

Vax Date:
Onset Date:
Rec V Date: 08/26/2021
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: Red,raised, warm spot on my arm ,at where i got the shot; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a non-health professional and describes the occurrence of VACCINATION SITE ERYTHEMA (Red,raised, warm spot on my arm ,at where i got the shot) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE ERYTHEMA (Red,raised, warm spot on my arm ,at where i got the shot). At the time of the report, VACCINATION SITE ERYTHEMA (Red,raised, warm spot on my arm ,at where i got the shot) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No Concomitant information provided. No Treatment information provided; Reporter'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: 1635684
Sex: U
Age:
State: CA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 08/26/2021
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: administered from vials which had been more than 6 hours post initial puncture; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a physician and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (administered from vials which had been more than 6 hours post initial puncture) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 11-Feb-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 4 dosage form. On 11-Feb-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (administered from vials which had been more than 6 hours post initial puncture). At the time of the report, EXPIRED PRODUCT ADMINISTERED (administered from vials which had been more than 6 hours post initial puncture) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Reportedly, 4 Moderna COVID-19 vaccine doses were administered from vials which had been more than 6 hours post initial puncture. Concomitant medications were not provided by reporter. Treatment information was not provided by reporter. This case was linked to MOD21-028125 (E2B Linked Report).; Sender's Comments: MOD21-028125:4 expired vaccines administered, no patient identifiers.

Other Meds:

Current Illness:

ID: 1635685
Sex: M
Age: 73
State: NY

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 08/26/2021
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: Sore arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Sore arm) in a 73-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012620A) for COVID-19 vaccination. No Medical History information was reported. On 17-Jan-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 18-Jan-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced PAIN IN EXTREMITY (Sore arm). At the time of the report, PAIN IN EXTREMITY (Sore arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication was reported. The treatment information was not given. This case was linked to MOD-2021-008744 (Patient Link).

Other Meds:

Current Illness:

ID: 1635686
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/26/2021
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: Temperature Excursion; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT TEMPERATURE EXCURSION ISSUE (Temperature Excursion) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PRODUCT TEMPERATURE EXCURSION ISSUE (Temperature Excursion). At the time of the report, PRODUCT TEMPERATURE EXCURSION ISSUE (Temperature Excursion) 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 product use was not provided by the reporter. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1635687
Sex: F
Age: 47
State: MD

Vax Date: 02/04/2021
Onset Date:
Rec V Date: 08/26/2021
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: swollen; itchy; Huge rash on right hip almost down to the knee and spreading to the other leg; This spontaneous case was reported by a consumer and describes the occurrence of SWELLING (swollen), PRURITUS (itchy) and RASH (Huge rash on right hip almost down to the knee and spreading to the other leg) in a 47-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 04-Feb-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced SWELLING (swollen), PRURITUS (itchy) and RASH (Huge rash on right hip almost down to the knee and spreading to the other leg). At the time of the report, SWELLING (swollen), PRURITUS (itchy) and RASH (Huge rash on right hip almost down to the knee and spreading to the other leg) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment was reported. No concomitant medication was reported.

Other Meds:

Current Illness:

ID: 1635688
Sex: F
Age: 21
State: CA

Vax Date: 06/09/2021
Onset Date: 06/11/2021
Rec V Date: 08/26/2021
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: This spontaneous case reported by a consumer, describes the occurrence of dizziness (feels lightheaded when she gets up) and headache in a 21-year-old female patient who received mRNA-1273 (Moderna COVID-19 vaccine) for COVID-19 immunization. No medical history reported. On Jun 9, 2021, patient received the second dose of mRNA-1273 (Moderna COVID-19 vaccine) for COVID-19 immunization. On an unknown date, patient received the first dose of mRNA-1273 (Moderna COVID-19 vaccine), unknown route; 1 dosage form. On Jun 11, 2021, patient experienced dizziness (feels lightheaded when she gets up) and headache. Patient treated with ibuprofen on Jun 13, 2021 for adverse event, at a dose of 1 tablet. At the time of the report, dizziness (feels lightheaded when she gets up) and headache outcome: unknown. Birth control pills taken as concomitant medication.

Other Meds:

Current Illness:

ID: 1635689
Sex: F
Age: 81
State: CA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 08/26/2021
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 Date: 20210208; Test Name: blood pressure; Result Unstructured Data: blood pressure went up

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Blood pressure went up; This spontaneous case was reported by a consumer and describes the occurrence of BLOOD PRESSURE INCREASED (Blood pressure went up) in an 81-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007M20A) for COVID-19 vaccination. Concurrent medical conditions included Blood pressure, Rheumatoid arthritis and Tingling (tingling pain in the leg). Concomitant products included HYDRALAZINE (HYDRALAZINE APS), LOSARTAN POTASSIUM (LOSARTAN "AGP"), FUROSEMIDE, METOPROLOL SUCCINATE (METOPROLOL SUCC CT) and POTASSIUM CHLORIDE (K TAB) for Blood pressure, METHOTREXATE for Rheumatoid arthritis, GABAPENTIN for Tingling, FOLIC ACID for an unknown indication. On 08-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Feb-2021, the patient experienced BLOOD PRESSURE INCREASED (Blood pressure went up). At the time of the report, BLOOD PRESSURE INCREASED (Blood pressure went up) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 08-Feb-2021, Blood pressure measurement: increased (High) blood pressure went up. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Treatments were reported. This case was linked to MOD-2021-221122 (Patient Link).

Other Meds: HYDRALAZINE APS; LOSARTAN "AGP"; FUROSEMIDE; FOLIC ACID; METHOTREXATE; METOPROLOL SUCC CT; GABAPENTIN; K TAB

Current Illness: Blood pressure; Rheumatoid arthritis; Tingling (tingling pain in the leg)

ID: 1635690
Sex: F
Age: 77
State:

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 08/26/2021
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: itchy red spot on arm; itchy rash spot on arm; This spontaneous case was reported by a consumer and describes the occurrence of RASH PRURITIC (itchy red spot on arm) and RASH PRURITIC (itchy rash spot on arm) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. not provided and not provided) 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 03-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 02-Feb-2021, the patient experienced RASH PRURITIC (itchy rash spot on arm). On 03-Mar-2021, the patient experienced RASH PRURITIC (itchy red spot on arm). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) ongoing since an unknown date at an unspecified dose and frequency. At the time of the report, RASH PRURITIC (itchy red spot on arm) and RASH PRURITIC (itchy rash spot on arm) outcome was unknown. No concomitant medications provided Treatment medicine include Benadryl Action taken with mRNA-1273 in response to the event was not applicable.

Other Meds:

Current Illness:

ID: 1635691
Sex: F
Age:
State: CA

Vax Date:
Onset Date: 02/02/2021
Rec V Date: 08/26/2021
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: sore throat; little bit of a cold; This spontaneous case was reported by a health care professional and describes the occurrence of OROPHARYNGEAL PAIN (sore throat) and NASOPHARYNGITIS (little bit of a cold) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025J20-20A) 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 02-Feb-2021, the patient experienced OROPHARYNGEAL PAIN (sore throat) and NASOPHARYNGITIS (little bit of a cold). At the time of the report, OROPHARYNGEAL PAIN (sore throat) and NASOPHARYNGITIS (little bit of a cold) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Patient also experienced events don't feel sick and symptoms started 2 days ago. No relevant concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1635692
Sex: F
Age:
State: NC

Vax Date:
Onset Date:
Rec V Date: 08/26/2021
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: Patient went off period at 53 years of age and period has returned now she is 58 years old; This spontaneous case was reported by a consumer and describes the occurrence of MENSTRUAL DISORDER (Patient went off period at 53 years of age and period has returned now she is 58 years old) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced MENSTRUAL DISORDER (Patient went off period at 53 years of age and period has returned now she is 58 years old). At the time of the report, MENSTRUAL DISORDER (Patient went off period at 53 years of age and period has returned now she is 58 years old) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication was reported. Treatment medication was not provided. Patient states her period went off when she was 53 years old and after receiving injection it has returned.

Other Meds:

Current Illness:

ID: 1635693
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/26/2021
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: Dry lips worsened; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of LIP DRY (Dry lips worsened) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Sjogren's syndrome. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced LIP DRY (Dry lips worsened). At the time of the report, LIP DRY (Dry lips worsened) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No treatment and concomitant medications were reported. This case was linked to MOD-2021-221124 (Patient Link).

Other Meds:

Current Illness: Sjogren's syndrome

ID: 1635694
Sex: F
Age: 57
State: GA

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 08/26/2021
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: right eye jumps; Iris turned blue; Swelling at injection site; Soreness at injection site; This spontaneous case was reported by a consumer and describes the occurrence of IRIS DISCOLOURATION (Iris turned blue), EYE MOVEMENT DISORDER (right eye jumps), VACCINATION SITE SWELLING (Swelling at injection site) and VACCINATION SITE PAIN (Soreness at injection site) in a 57-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 19-May-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 19-May-2021, the patient experienced VACCINATION SITE SWELLING (Swelling at injection site) and VACCINATION SITE PAIN (Soreness at injection site). On 14-Jun-2021, the patient experienced IRIS DISCOLOURATION (Iris turned blue). On an unknown date, the patient experienced EYE MOVEMENT DISORDER (right eye jumps). On 22-May-2021, VACCINATION SITE SWELLING (Swelling at injection site) and VACCINATION SITE PAIN (Soreness at injection site) had resolved. At the time of the report, IRIS DISCOLOURATION (Iris turned blue) had not resolved and EYE MOVEMENT DISORDER (right eye jumps) outcome was unknown. Concomitant product information was not provided. Treatment information was not provided. Most recent FOLLOW-UP information incorporated above includes: On 08-Jul-2021: Additional information included Reporter information, Patient information and significant event information.

Other Meds:

Current Illness:

ID: 1635695
Sex: F
Age: 77
State: NH

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 08/26/2021
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: Injection site hard; Rash around the injection site; Injection site red; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE INDURATION (Injection site hard), VACCINATION SITE RASH (Rash around the injection site) and VACCINATION SITE ERYTHEMA (Injection site red) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 028L20A) for COVID-19 vaccination. Concurrent medical conditions included Penicillin allergy, Food allergy (Crab allergy) and Hypertension. Concomitant products included VITAMINS NOS for an unknown indication. On 28-Jan-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Jan-2021, the patient experienced VACCINATION SITE INDURATION (Injection site hard), VACCINATION SITE RASH (Rash around the injection site) and VACCINATION SITE ERYTHEMA (Injection site red). At the time of the report, VACCINATION SITE INDURATION (Injection site hard), VACCINATION SITE RASH (Rash around the injection site) and VACCINATION SITE ERYTHEMA (Injection site red) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications also include blood pressure pills. Treatment information was not provided.

Other Meds: VITAMINS NOS

Current Illness: Food allergy (Crab allergy); Hypertension; Penicillin allergy

ID: 1635696
Sex: F
Age: 81
State: CA

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 08/26/2021
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: Reduced the blood pressure; Blood pressure gradually reduced/Reduced the blood pressure; Blood pressure were fluctuated; Edema in the leg which got worst; Arm sored; Tired; This spontaneous case was reported by a patient (subsequently medically confirmed) and describes the occurrence of OEDEMA PERIPHERAL (Edema in the leg which got worst), BLOOD PRESSURE FLUCTUATION (Blood pressure were fluctuated), BLOOD PRESSURE DECREASED (Blood pressure gradually reduced/Reduced the blood pressure), HYPOTENSION (Reduced the blood pressure) and MYALGIA (Arm sored) in an 81-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Blood pressure fluctuation, Rheumatoid arthritis and Tingling (Pain in the leg). Concomitant products included HYDRALAZINE, LOSARTAN, FUROSEMIDE, METOPROLOL SUCCINATE and POTASSIUM CHLORIDE (K-TAB) for Blood pressure management, METHOTREXATE for Rheumatoid arthritis, GABAPENTIN for Tingling, FOLIC ACID for an unknown indication. On 10-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Mar-2021, the patient experienced OEDEMA PERIPHERAL (Edema in the leg which got worst). 10-Mar-2021, the patient experienced MYALGIA (Arm sored) and FATIGUE (Tired). On 01-Apr-2021, the patient experienced BLOOD PRESSURE FLUCTUATION (Blood pressure were fluctuated). On 01-May-2021, the patient experienced BLOOD PRESSURE DECREASED (Blood pressure gradually reduced/Reduced the blood pressure). On 01-Jun-2021, the patient experienced HYPOTENSION (Reduced the blood pressure). At the time of the report, OEDEMA PERIPHERAL (Edema in the leg which got worst), HYPOTENSION (Reduced the blood pressure), MYALGIA (Arm sored) and FATIGUE (Tired) outcome was unknown and BLOOD PRESSURE FLUCTUATION (Blood pressure were fluctuated) and BLOOD PRESSURE DECREASED (Blood pressure gradually reduced/Reduced the blood pressure) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Patient reported in the month of June physician give medication which help her to reduce blood pressure to140/66 and 123/58. Action taken with mRNA-1273 in response to the events was not Applicable. This case was linked to MOD-2021-221114 (Patient Link).

Other Meds: HYDRALAZINE; LOSARTAN; FUROSEMIDE; FOLIC ACID; METHOTREXATE; METOPROLOL SUCCINATE; K-TAB; GABAPENTIN

Current Illness: Blood pressure fluctuation; Rheumatoid arthritis; Tingling (Pain in the leg)

ID: 1635697
Sex: F
Age:
State: OH

Vax Date:
Onset Date:
Rec V Date: 08/26/2021
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: Missed the second dose; This spontaneous case was reported by a consumer and describes the occurrence of PRODUCT DOSE OMISSION ISSUE (Missed the second dose) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PRODUCT DOSE OMISSION ISSUE (Missed the second dose). At the time of the report, PRODUCT DOSE OMISSION ISSUE (Missed the second dose) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product use was not provided by the reporter. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1635698
Sex: F
Age:
State: CA

Vax Date: 02/16/2021
Onset Date:
Rec V Date: 08/26/2021
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: more tired; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (more tired) in a 92-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Hashimoto's disease. On 16-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 2 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced FATIGUE (more tired). At the time of the report, FATIGUE (more tired) outcome was unknown. No concomitant medications were reported. No treatment medications were reported This case was linked to MOD-2021-035175, MOD-2021-221118 (Patient Link).

Other Meds:

Current Illness: Hashimoto's disease

ID: 1635699
Sex: F
Age:
State: NV

Vax Date:
Onset Date:
Rec V Date: 08/26/2021
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: Rash reaction; This spontaneous case was reported by a physician and describes the occurrence of RASH (2 or 3 other people, women, patients of their doctor had this rash reaction) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced RASH (2 or 3 other people, women, patients of their doctor had this rash reaction). At the time of the report, RASH (2 or 3 other people, women, patients of their doctor had this rash reaction) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were reported. It was not reported if any treatment was administered in response to the events. This case was linked to MOD-2021-030985 (Patient Link).

Other Meds:

Current Illness:

ID: 1635700
Sex: F
Age: 55
State: NY

Vax Date: 02/06/2021
Onset Date:
Rec V Date: 08/26/2021
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: hives and rash throughout the body: back, shoulders, and breast; but the itchiness is throughout the body; but the itchiness is throughout the body/shingles feel; nerve damage on her right arm; hives and rash throughout the body: back, shoulders, and breast; This spontaneous case was reported by a patient and describes the occurrence of URTICARIA (hives and rash throughout the body: back, shoulders, and breast), PRURITUS (but the itchiness is throughout the body), HERPES ZOSTER (but the itchiness is throughout the body/shingles feel), NERVE INJURY (nerve damage on her right arm) and RASH (hives and rash throughout the body: back, shoulders, and breast) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011J20A) for COVID-19 vaccination. No Medical History information was reported. On 06-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced URTICARIA (hives and rash throughout the body: back, shoulders, and breast), PRURITUS (but the itchiness is throughout the body), HERPES ZOSTER (but the itchiness is throughout the body/shingles feel), NERVE INJURY (nerve damage on her right arm) and RASH (hives and rash throughout the body: back, shoulders, and breast). At the time of the report, URTICARIA (hives and rash throughout the body: back, shoulders, and breast), PRURITUS (but the itchiness is throughout the body), HERPES ZOSTER (but the itchiness is throughout the body/shingles feel), NERVE INJURY (nerve damage on her right arm) and RASH (hives and rash throughout the body: back, shoulders, and breast) outcome was unknown. Not Provided No concomitant medical provided by the reporter. No treatment medication provided by the reporter. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) was Not applicable.

Other Meds:

Current Illness:

ID: 1635701
Sex: F
Age:
State: CT

Vax Date:
Onset Date: 12/30/2020
Rec V Date: 08/26/2021
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: Adverse events between 8 to 12 days after receiving the first dose; This spontaneous case was reported by a health care professional and describes the occurrence of ADVERSE EVENT (Adverse events between 8 to 12 days after receiving the first dose) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Dec-2020, the patient experienced ADVERSE EVENT (Adverse events between 8 to 12 days after receiving the first dose). At the time of the report, ADVERSE EVENT (Adverse events between 8 to 12 days after receiving the first dose) 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. No treatment medications were reported.

Other Meds:

Current Illness:

ID: 1635702
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/26/2021
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: Felt terrible; Very little sleep; Dizziness; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (Felt terrible), SLEEP DEFICIT (Very little sleep) and DIZZINESS (Dizziness) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced FEELING ABNORMAL (Felt terrible), SLEEP DEFICIT (Very little sleep) and DIZZINESS (Dizziness). At the time of the report, FEELING ABNORMAL (Felt terrible), SLEEP DEFICIT (Very little sleep) and DIZZINESS (Dizziness) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product use was not provided by the reporter. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1635703
Sex: F
Age:
State: WA

Vax Date: 04/07/2021
Onset Date: 06/03/2021
Rec V Date: 08/26/2021
Hospital:

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

Lab Data: Test Date: 20210614; Test Name: Nerve conduction; Result Unstructured Data: Normal, no carpel tunnel noted

Allergies:

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Nerve damage; Lhemitte's sign symptom/Nerve zingers down trunk and into leg and arm,tilt my head forward, left side but occassionally down both legs; This spontaneous case was reported by a consumer and describes the occurrence of NERVE INJURY (Nerve damage) and LHERMITTE'S SIGN (Lhemitte's sign symptom/Nerve zingers down trunk and into leg and arm,tilt my head forward, left side but occassionally down both legs) in a 43-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 002C21A and 016B21A) for COVID-19 vaccination. Concurrent medical conditions included Carpal tunnel syndrome since 27-Apr-2021. On 07-Apr-2021 at 1:30 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-May-2021 at 4:15 PM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 03-Jun-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced LHERMITTE'S SIGN (Lhemitte's sign symptom/Nerve zingers down trunk and into leg and arm,tilt my head forward, left side but occassionally down both legs). On an unknown date, the patient experienced NERVE INJURY (Nerve damage). The patient was treated with PREDNISONE from 28-Jun-2021 to 08-Jul-2021 for Adverse event, at a dose of 1 dosage form; IBUPROFEN (IBUPAR [IBUPROFEN]) for Adverse event, at a dose of 1 dosage form; PARACETAMOL (ACETAMINOFEN) for Adverse event, at a dose of 1 dosage form; MULTIVITAMINS [VITAMINS NOS] for Adverse event, at a dose of 1 dosage form; VITAMIN B12 NOS for Adverse event, at an unspecified dose and frequency; BIOTIN for Adverse event, at an unspecified dose and frequency; Manual therapy (therapeutic massage, hot and cold compresses, acupuncture) for Nerve injury and Manual therapy (Accupunture, hot and cold compresses, therapeutic massage) for Lhermitte's sign. At the time of the report, NERVE INJURY (Nerve damage) outcome was unknown and LHERMITTE'S SIGN (Lhemitte's sign symptom/Nerve zingers down trunk and into leg and arm,tilt my head forward, left side but occassionally down both legs) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 14-Jun-2021, Nerve conduction studies: normal (normal) Normal, no carpel tunnel noted. No concomitant medications were provided. An MRI was conducted on 7-jul-2021, but the results were not reported. The patient reported receiving therapeutic massage on 13-may-2021 and 01-jul-2021 with no improvement. The patient received acupuncture on 20-may-2021 and 17-jun-2021 with no improvement. The patient also had chiropractor visits on 05-may-2021, 07-may-2021, 10-may-2021, 13-may-2021, 17-may-2021, 20-may-2021, 24-may-2021, 28-may-2021, 03-jun-2021, 07-jun-2021, and 10-jun-2021. This case was linked to MOD-2021-251617 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 08-Jul-2021: Completed ADR Form appended; Patient demographic details, race and ethnicity were updated. Lab test and treatment medication were added, new events were added.

Other Meds:

Current Illness: Carpal tunnel syndrome

ID: 1635704
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/26/2021
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: Pain; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Pain) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PAIN (Pain). At the time of the report, PAIN (Pain) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant concomitant medications reported. No treatment information was provided.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am