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: 1639373
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
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: Sore arm; Breastfeeding; Headache; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Sore arm), EXPOSURE VIA BREAST MILK (Breastfeeding) and HEADACHE (Headache) 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 PAIN IN EXTREMITY (Sore arm), EXPOSURE VIA BREAST MILK (Breastfeeding) and HEADACHE (Headache). At the time of the report, PAIN IN EXTREMITY (Sore arm) and HEADACHE (Headache) outcome was unknown and EXPOSURE VIA BREAST MILK (Breastfeeding) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1639374
Sex: M
Age: 58
State: SC

Vax Date: 03/25/2021
Onset Date:
Rec V Date: 08/27/2021
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: Loss of appetite; Weight loss; This spontaneous case was reported by a consumer and describes the occurrence of DECREASED APPETITE (Loss of appetite) and WEIGHT DECREASED (Weight loss) in a 58-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 008E21A and 045B21A) for COVID-19 vaccination. No Medical History information was reported. On 25-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Apr-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 DECREASED APPETITE (Loss of appetite) and WEIGHT DECREASED (Weight loss). At the time of the report, DECREASED APPETITE (Loss of appetite) and WEIGHT DECREASED (Weight loss) had resolved. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged. Relevant concomitant medications were not reported. Treatment medication information was not reported. The patient had a rough month in may and was ok now. Most recent FOLLOW-UP information incorporated above includes: On 05-Aug-2021: Significant follow up : outcome of both the events Loss of appetite and weight loss were updated

Other Meds:

Current Illness:

ID: 1639375
Sex: U
Age:
State: VA

Vax Date:
Onset Date: 06/16/2021
Rec V Date: 08/27/2021
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: Second dose of the vaccine after 3 weeks from the first shot; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a pharmacist and describes the occurrence of INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Second dose of the vaccine after 3 weeks from the first 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, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form(s). On 16-Jun-2021, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Second dose of the vaccine after 3 weeks from the first shot). On 16-Jun-2021, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Second dose of the vaccine after 3 weeks from the first shot) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) and mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. No laboratory details were provided. No treatment medications were reported. Action taken with mRNA-1273 in response to the events was not applicable.

Other Meds:

Current Illness:

ID: 1639376
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
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: It has been 50 days after my first Maderna COVID 19 Vaccine Should I get my second shot?; This spontaneous case was reported by a consumer and describes the occurrence of PRODUCT DOSE OMISSION ISSUE (It has been 50 days after my first Maderna COVID 19 Vaccine Should I get my 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 first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form(s). On an unknown date, the patient experienced PRODUCT DOSE OMISSION ISSUE (It has been 50 days after my first Maderna COVID 19 Vaccine Should I get my second shot?). At the time of the report, PRODUCT DOSE OMISSION ISSUE (It has been 50 days after my first Maderna COVID 19 Vaccine Should I get my second shot?) had resolved. No concomitant medications were reported. No laboratory details were provided. No treatment medications were reported. Action taken with mRNA-1273 in response to the events was not applicable.

Other Meds:

Current Illness:

ID: 1639377
Sex: M
Age: 27
State: CO

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 08/27/2021
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: Bruise at the injection site; Fever; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE BRUISING (Bruise at the injection site) and PYREXIA (Fever) in a 27-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 008C21A) for COVID-19 vaccination. No Medical History information was reported. On 15-Jun-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 15-Jun-2021, the patient experienced PYREXIA (Fever). On 16-Jun-2021, the patient experienced VACCINATION SITE BRUISING (Bruise at the injection site). At the time of the report, VACCINATION SITE BRUISING (Bruise at the injection site) and PYREXIA (Fever) had resolved. No concomitant medications were provided. Patient was noticed a bruise at injection site and stated it was like a spider web pattern, webbing out into the blood vessels. The patient reported that he had recovered from his symptoms after a couple of days. No treatment was reported. This case was linked to MOD-2021-224104 (Patient Link). Reporter did not allow further contact Most recent FOLLOW-UP information incorporated above includes: On 30-Jul-2021: Follow up information received and contains significant information .outcome of the events updated from unknown to recovered/Resolved.

Other Meds:

Current Illness:

ID: 1639378
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
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: Is it normal to feel sleepy one hour after the vaccination; This spontaneous case was reported by a consumer and describes the occurrence of SOMNOLENCE (Is it normal to feel sleepy one hour after the vaccination?) 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 SOMNOLENCE (Is it normal to feel sleepy one hour after the vaccination?). At the time of the report, SOMNOLENCE (Is it normal to feel sleepy one hour after the vaccination?) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant and treatment medications was provided.

Other Meds:

Current Illness:

ID: 1639379
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
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 Name: Body temperature; Result Unstructured Data: 101

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 101 fever; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (101 fever) 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 PYREXIA (101 fever). At the time of the report, PYREXIA (101 fever) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 101 (High) 101. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No treatment drug information provided. No concomitant drug information provided.

Other Meds:

Current Illness:

ID: 1639380
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
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: Sleep a great deal extra for four weeks; This spontaneous case was reported by a consumer and describes the occurrence of HYPERSOMNIA (Sleep a great deal extra for four 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 first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced HYPERSOMNIA (Sleep a great deal extra for four weeks). At the time of the report, HYPERSOMNIA (Sleep a great deal extra for four weeks) 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.

Other Meds:

Current Illness:

ID: 1639381
Sex: U
Age:
State:

Vax Date:
Onset Date: 06/15/2021
Rec V Date: 08/27/2021
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: Nervousness; myalgia; This spontaneous case was reported by a consumer and describes the occurrence of NERVOUSNESS (Nervousness) and MYALGIA (myalgia) 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) (Intramuscular) 1 dosage form. On 15-Jun-2021, the patient experienced NERVOUSNESS (Nervousness) and MYALGIA (myalgia). At the time of the report, NERVOUSNESS (Nervousness) and MYALGIA (myalgia) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment information provided by the reporter and no concomitant medication reported.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1639382
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
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: Extremely tired; This spontaneous case was reported by a patient and describes the occurrence of FATIGUE (Extremely tired) 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 FATIGUE (Extremely tired). At the time of the report, FATIGUE (Extremely tired) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1639383
Sex: M
Age: 69
State: NC

Vax Date: 03/12/2021
Onset Date: 03/15/2021
Rec V Date: 08/27/2021
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: He can barely lift anything with left arm; Patient reports that he had a sore left arm after receiving 1st dose on 3rd day; He could barely lift his arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Patient reports that he had a sore left arm after receiving 1st dose on 3rd day), MOVEMENT DISORDER (He could barely lift his arm) and MOBILITY DECREASED (He can barely lift anything with left arm) in a 69-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 032B21A and 044A21A) for COVID-19 vaccination. No medical history was provided by the reporter. On 12-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 15-Mar-2021, the patient experienced PAIN IN EXTREMITY (Patient reports that he had a sore left arm after receiving 1st dose on 3rd day) and MOVEMENT DISORDER (He could barely lift his arm). On an unknown date, the patient experienced MOBILITY DECREASED (He can barely lift anything with left arm). At the time of the report, PAIN IN EXTREMITY (Patient reports that he had a sore left arm after receiving 1st dose on 3rd day), MOVEMENT DISORDER (He could barely lift his arm) and MOBILITY DECREASED (He can barely lift anything with left arm) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant products included Blood pressure medication, Anti-depressants and ANTIBIOTICS for an unknown indication. Treatment reported such as Ice, heating pad, muscle rub. No treatment medications were reported. Action taken with mRNA-1273 in response to the events was not applicable This case was linked to MOD-2021-224267 (Patient Link).

Other Meds:

Current Illness:

ID: 1639384
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
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: Skin rash; This spontaneous case was reported by a consumer and describes the occurrence of RASH (skin rash) 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 RASH (skin rash). At the time of the report, RASH (skin rash) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.

Other Meds:

Current Illness:

ID: 1639385
Sex: F
Age: 71
State: AR

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 08/27/2021
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: The muscle from hip to inside of knee(right leg) - decided it did not want to work any more,; Keeps from me from lifting my right leg over my left leg/unable to move my right leg across the foot pedals when driving; Sense of taste is off/nothing taste good; Gained 17 pounds since the first vaccine; Ankles are so swollen; Ankles are stiff; Ankles are sore; Headache; This spontaneous case was reported by a consumer and describes the occurrence of MUSCLE DISCOMFORT (The muscle from hip to inside of knee(right leg) - decided it did not want to work any more,), MOBILITY DECREASED (Keeps from me from lifting my right leg over my left leg/unable to move my right leg across the foot pedals when driving), AGEUSIA (Sense of taste is off/nothing taste good), WEIGHT INCREASED (Gained 17 pounds since the first vaccine) and JOINT SWELLING (Ankles are so swollen) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 010M20A and 002C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Back surgery in August 2020. Concomitant products included GABAPENTIN, ATENOLOL, HYDROCHLOROTHIAZIDE, TRIAMTERENE (MAXZIDE), ENALAPRIL, ALLOPURINOL, DULAGLUTIDE (TRULICITY), PROMAZINE, VACCINIUM MACROCARPON (CRANBERRY EXTRACT [VACCINIUM MACROCARPON]), MULTIVITAMIN [VITAMINS NOS], BLACK COHOSH [CIMICIFUGA RACEMOSA], GLUCOSAMINE, CHONDROITIN, ASTAXANTHIN, ACETYLSALICYLIC ACID (ASPIRIN (E.C.)), PROBIOTICS NOS, COLECALCIFEROL (VITAMIN D3), MAGNESIUM, FEXOFENADINE HYDROCHLORIDE (FEXOFENADINE HCL) and INSULIN ASPART (NOVOLOG) for an unknown indication. On 31-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 06-Apr-2021, the patient experienced MUSCLE DISCOMFORT (The muscle from hip to inside of knee(right leg) - decided it did not want to work any more,) and MOBILITY DECREASED (Keeps from me from lifting my right leg over my left leg/unable to move my right leg across the foot pedals when driving). In April 2021, the patient experienced AGEUSIA (Sense of taste is off/nothing taste good), WEIGHT INCREASED (Gained 17 pounds since the first vaccine), JOINT SWELLING (Ankles are so swollen), JOINT STIFFNESS (Ankles are stiff), ARTHRALGIA (Ankles are sore) and HEADACHE (Headache). At the time of the report, MUSCLE DISCOMFORT (The muscle from hip to inside of knee(right leg) - decided it did not want to work any more,), MOBILITY DECREASED (Keeps from me from lifting my right leg over my left leg/unable to move my right leg across the foot pedals when driving), AGEUSIA (Sense of taste is off/nothing taste good), WEIGHT INCREASED (Gained 17 pounds since the first vaccine), JOINT SWELLING (Ankles are so swollen), JOINT STIFFNESS (Ankles are stiff), ARTHRALGIA (Ankles are sore) and HEADACHE (Headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) and mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.

Other Meds: GABAPENTIN; ATENOLOL; MAXZIDE; ENALAPRIL; ALLOPURINOL; TRULICITY; PROMAZINE; CRANBERRY EXTRACT [VACCINIUM MACROCARPON]; MULTIVITAMIN [VITAMINS NOS]; BLACK COHOSH [CIMICIFUGA RACEMOSA]; GLUCOSAMINE; CHONDROITIN; ASTAXANTHIN; ASPIRIN (E.C.);

Current Illness:

ID: 1639386
Sex: F
Age: 64
State: TX

Vax Date: 05/12/2021
Onset Date: 06/15/2021
Rec V Date: 08/27/2021
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: nausea; Throwing up; headache; tiredness; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (tiredness), NAUSEA (nausea), VOMITING (Throwing up) and HEADACHE (headache) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 033b21A and 025621a) for COVID-19 vaccination. No medical history was provided by the reporter. On 12-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Jun-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 15-Jun-2021, the patient experienced FATIGUE (tiredness). On 16-Jun-2021, the patient experienced NAUSEA (nausea), VOMITING (Throwing up) and HEADACHE (headache). At the time of the report, FATIGUE (tiredness), NAUSEA (nausea), VOMITING (Throwing up) and HEADACHE (headache) outcome was unknown. No concomitant information was provided. No treatment medication was provided. Patient asked if it was alright to take an antacid. Most recent FOLLOW-UP information incorporated above includes: On 15-Jul-2021: Follow-up information received on 15 Jul 2021 contains non significant information.

Other Meds:

Current Illness:

ID: 1639387
Sex: U
Age:
State: NE

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 08/27/2021
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: 4 expired doses administered to four patients; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (4 expired doses administered to four patients) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002C21A) for COVID-19 vaccination. No Medical History information was reported. On 15-Jun-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Jun-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (4 expired doses administered to four patients). On 15-Jun-2021, EXPIRED PRODUCT ADMINISTERED (4 expired doses administered to four patients) 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 medication was reported.

Other Meds:

Current Illness:

ID: 1639388
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
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: Got first dose of the vaccine 2 months ago; This spontaneous case was reported by a consumer and describes the occurrence of PRODUCT DOSE OMISSION ISSUE (Got first dose of the vaccine 2 months ago) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Unknown) for COVID-19 vaccination. No Medical History information was reported. On 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 (Got first dose of the vaccine 2 months ago). At the time of the report, PRODUCT DOSE OMISSION ISSUE (Got first dose of the vaccine 2 months ago) had resolved. No concomitant medications were reported. No laboratory details were provided. No treatment medications were reported. Action taken with mRNA-1273 in response to the events was not applicable.

Other Meds:

Current Illness:

ID: 1639389
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
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: Feel like getting a cold; Have a bad taste in throat; Felt bad the following day; This spontaneous case was reported by a consumer and describes the occurrence of NASOPHARYNGITIS (Feel like getting a cold), TASTE DISORDER (Have a bad taste in throat) and FEELING ABNORMAL (Felt bad the following day) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 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 NASOPHARYNGITIS (Feel like getting a cold), TASTE DISORDER (Have a bad taste in throat) and FEELING ABNORMAL (Felt bad the following day). At the time of the report, NASOPHARYNGITIS (Feel like getting a cold), TASTE DISORDER (Have a bad taste in throat) and FEELING ABNORMAL (Felt bad the following day) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication were reported. No treatment information was reported

Other Meds:

Current Illness:

ID: 1639390
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
Hospital:

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Pain in arms; Movement difficulty; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Pain in arms) and MOVEMENT DISORDER (Movement difficulty) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (Pain in arms) and MOVEMENT DISORDER (Movement difficulty). At the time of the report, PAIN IN EXTREMITY (Pain in arms) and MOVEMENT DISORDER (Movement difficulty) had not resolved.

Other Meds:

Current Illness:

ID: 1639391
Sex: F
Age: 71
State: AR

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data: Test Date: 202104; Test Name: Blood glucose; Result Unstructured Data: blood sugar level is all out of the place/blood sugar was 149 and fell down to 88 within 2-hours after eating (Blood glucose fluctuation).; Test Date: 20210616; Test Name: Blood glucose; Result Unstructured Data: blood sugar was 149 and fell down to 88 within 2-hours after eating today; Test Date: 202104; Test Name: Blood pressure; Result Unstructured Data: +20 point change in blood pressure level, which has risen to 145/90.

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Ankles and knees swollen; Knees are stiff; I can't walk, well just a little bit (Needs to use a wheelchair now); Things don't register; I don't know if you call it brain fog because I don't know what that is; Developed a new trigger point in the upper right shoulder blade; Sense of taste is off; Nothing taste good; Gained 17 pounds since the first vaccine; Headache; This spontaneous case was reported by a patient and describes the occurrence of JOINT SWELLING (Ankles and knees swollen), JOINT STIFFNESS (Knees are stiff), GAIT DISTURBANCE (I can't walk, well just a little bit (Needs to use a wheelchair now)), MEMORY IMPAIRMENT (Things don't register) and FEELING ABNORMAL (I don't know if you call it brain fog because I don't know what that is) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 002C21A and 010M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Back surgery in August 2020. Concurrent medical conditions included Blood pressure abnormal and Diabetic. Concomitant products included INSULIN ASPART (NOVOLOG), GABAPENTIN, ATENOLOL, HYDROCHLOROTHIAZIDE, TRIAMTERENE (MAXZIDE), ENALAPRIL, ALLOPURINOL, DULAGLUTIDE (TRULICITY), PROMAZINE, VACCINIUM MACROCARPON (CRANBERRY EXTRACT [VACCINIUM MACROCARPON]), MULTIVITAMINS [VITAMINS NOS], GLUCOSAMINE, CHONDROITIN, ASTAXANTHIN, ACETYLSALICYLIC ACID (ASPIRIN LOW), PROBIOTICS NOS, COLECALCIFEROL (VITAMIN D3), MAGNESIUM and FEXOFENADINE HYDROCHLORIDE (FEXOFENADINE HCL) for an unknown indication. On 31-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 06-Apr-2021, the patient experienced JOINT SWELLING (Ankles and knees swollen). In April 2021, the patient experienced JOINT STIFFNESS (Knees are stiff), GAIT DISTURBANCE (I can't walk, well just a little bit (Needs to use a wheelchair now)), MEMORY IMPAIRMENT (Things don't register), FEELING ABNORMAL (I don't know if you call it brain fog because I don't know what that is), PAIN (Developed a new trigger point in the upper right shoulder blade), AGEUSIA (Sense of taste is off), TASTE DISORDER (Nothing taste good), WEIGHT INCREASED (Gained 17 pounds since the first vaccine) and HEADACHE (Headache). The patient was treated with Manual therapy for Memory impairment; Manual therapy for Feeling abnormal; Manual therapy for Pain; Manual therapy for Ageusia; Manual therapy for Taste disorder; Manual therapy for Weight increased and Manual therapy for Headache. At the time of the report, JOINT SWELLING (Ankles and knees swollen), JOINT STIFFNESS (Knees are stiff), GAIT DISTURBANCE (I can't walk, well just a little bit (Needs to use a wheelchair now)), MEMORY IMPAIRMENT (Things don't register), FEELING ABNORMAL (I don't know if you call it brain fog because I don't know what that is), PAIN (Developed a new trigger point in the upper right shoulder blade), AGEUSIA (Sense of taste is off), TASTE DISORDER (Nothing taste good), WEIGHT INCREASED (Gained 17 pounds since the first vaccine) and HEADACHE (Headache) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In April 2021, Blood glucose: abnormal (abnormal) blood sugar level is all out of the place/blood sugar was 149 and fell down to 88 within 2-hours after eating (Blood glucose fluctuation).. In April 2021, Blood pressure measurement: 145/90 (High) +20 point change in blood pressure level, which has risen to 145/90.. On 16-Jun-2021, Blood glucose: abnormal (abnormal) blood sugar was 149 and fell down to 88 within 2-hours after eating today. Patient stated that she went to an Acupuncturist/Message therapist for the right shoulder trigger point, she experienced relief for one day; she continues therapy for this. This case was linked to MOD-2021-224276 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 16-Jun-2021: Additional information received: Updated Lab data

Other Meds: NOVOLOG; GABAPENTIN; ATENOLOL; MAXZIDE; ENALAPRIL; ALLOPURINOL; TRULICITY; PROMAZINE; CRANBERRY EXTRACT [VACCINIUM MACROCARPON]; MULTIVITAMINS [VITAMINS NOS]; GLUCOSAMINE; CHONDROITIN; ASTAXANTHIN; ASPIRIN LOW; PROBIOTICS NOS; VITAMIN D3; M

Current Illness: Blood pressure abnormal; Diabetic

ID: 1639392
Sex: M
Age: 72
State: FL

Vax Date: 04/07/2021
Onset Date: 04/15/2021
Rec V Date: 08/27/2021
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: Alot of pain; Swollen arm; Swollen lymph nodes; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Alot of pain), PERIPHERAL SWELLING (Swollen arm) and LYMPHADENOPATHY (Swollen lymph nodes) in a 73-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 021B21A and 027C21A) for COVID-19 vaccination. Concomitant products included LISINOPRIL and ATORVASTATIN for an unknown indication. On 07-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 15-Apr-2021, the patient experienced PAIN (Alot of pain), PERIPHERAL SWELLING (Swollen arm) and LYMPHADENOPATHY (Swollen lymph nodes). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. On 20-Apr-2021, PERIPHERAL SWELLING (Swollen arm) and LYMPHADENOPATHY (Swollen lymph nodes) had resolved. At the time of the report, PAIN (Alot of pain) had not resolved. Pain is still ongoing and getting worse.

Other Meds: LISINOPRIL; ATORVASTATIN

Current Illness:

ID: 1639393
Sex: F
Age: 46
State: IN

Vax Date: 05/15/2021
Onset Date: 06/13/2021
Rec V Date: 08/27/2021
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: Test Date: 20210616; Test Name: body temperature; Result Unstructured Data: 100 degree farenheit

Allergies:

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: some bruising on her left wrist/ bruise as a red blotchy patch, like a hive mark, but not raised "heading down" from her forearm to her hand; forearm and hand are a little warm to the touch; forearm and hand are a little warm to the touch; headache; nauseous; possible having a fever around 100 degrees Fahrenheit; tingling in her left hand; her fingers became tight/fingers so tight they can barely bend; numbnes in left hand/ hand was numb/ numbness in her left hand wore off; left hand began to swell and continued to swell throughout the day/ her hand was swollen again/her left hand is twice the size it was/left hand three times the size of right hand; This spontaneous case was reported by a consumer and describes the occurrence of HYPOAESTHESIA (numbnes in left hand/ hand was numb/ numbness in her left hand wore off), PARAESTHESIA (tingling in her left hand), PERIPHERAL SWELLING (left hand began to swell and continued to swell throughout the day/ her hand was swollen again/her left hand is twice the size it was/left hand three times the size of right hand), MUSCULOSKELETAL STIFFNESS (her fingers became tight/fingers so tight they can barely bend) and CONTUSION (some bruising on her left wrist/ bruise as a red blotchy patch, like a hive mark, but not raised "heading down" from her forearm to her hand) in a 46-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 024C21A and 017C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Penicillin allergy. Concomitant products included BUPRENORPHINE HYDROCHLORIDE, NALOXONE HYDROCHLORIDE (BUPRENORPHINE/NALOXONE) for an unknown indication. On 15-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Jun-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 13-Jun-2021, the patient experienced HYPOAESTHESIA (numbnes in left hand/ hand was numb/ numbness in her left hand wore off) and PERIPHERAL SWELLING (left hand began to swell and continued to swell throughout the day/ her hand was swollen again/her left hand is twice the size it was/left hand three times the size of right hand). On 14-Jun-2021, the patient experienced PARAESTHESIA (tingling in her left hand) and MUSCULOSKELETAL STIFFNESS (her fingers became tight/fingers so tight they can barely bend). On 16-Jun-2021, the patient experienced CONTUSION (some bruising on her left wrist/ bruise as a red blotchy patch, like a hive mark, but not raised "heading down" from her forearm to her hand), FEELING HOT (forearm and hand are a little warm to the touch), HEADACHE (headache), NAUSEA (nauseous) and PYREXIA (possible having a fever around 100 degrees Fahrenheit). 16-Jun-2021, the patient experienced SKIN WARM (forearm and hand are a little warm to the touch). The patient was treated with IBUPROFEN at an unspecified dose and frequency. At the time of the report, HYPOAESTHESIA (numbnes in left hand/ hand was numb/ numbness in her left hand wore off), PARAESTHESIA (tingling in her left hand), PERIPHERAL SWELLING (left hand began to swell and continued to swell throughout the day/ her hand was swollen again/her left hand is twice the size it was/left hand three times the size of right hand), MUSCULOSKELETAL STIFFNESS (her fingers became tight/fingers so tight they can barely bend), CONTUSION (some bruising on her left wrist/ bruise as a red blotchy patch, like a hive mark, but not raised "heading down" from her forearm to her hand), SKIN WARM (forearm and hand are a little warm to the touch), FEELING HOT (forearm and hand are a little warm to the touch), HEADACHE (headache), NAUSEA (nauseous) and PYREXIA (possible having a fever around 100 degrees Fahrenheit) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 16-Jun-2021, Body temperature: 100 (High) 100 degree farenheit. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Treatment given included ACE bandage.

Other Meds: BUPRENORPHINE/NALOXONE

Current Illness: Penicillin allergy

ID: 1639394
Sex: F
Age:
State: TN

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 08/27/2021
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: the same shooting pain all over her chest; her teeth hurts; Didn't receive second dose; feels like she was going to faint; 'sharp shooting pain in her brain/ it hit her like a bolt of lightning/ like laser beams going zip all over her brain; Mini strokes; Moderna's vaccine did some damage in her brain; head is so light she feels woozy; tends to be forgetting short term things; Headaches everyday/ Currently across the front of her face; Migraine; This spontaneous case was reported by a consumer and describes the occurrence of TRANSIENT ISCHAEMIC ATTACK (Mini strokes) and BRAIN INJURY (Moderna's vaccine did some damage in her brain) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 048C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Ankle sprain and Ligament sprain. Concurrent medical conditions included Hypothyroidism and Cataracts (She is not able to read due to Cataracts). Concomitant products included LEVOTHYROXINE SODIUM (EUTHYROX) for Thyroid disorder. On 26-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-May-2021, the patient experienced MIGRAINE (Migraine), AMNESIA (tends to be forgetting short term things) and HEADACHE (Headaches everyday/ Currently across the front of her face). On 15-Jul-2021, the patient experienced DIZZINESS (head is so light she feels woozy). On an unknown date, the patient experienced TRANSIENT ISCHAEMIC ATTACK (Mini strokes) (seriousness criterion medically significant), BRAIN INJURY (Moderna's vaccine did some damage in her brain) (seriousness criterion medically significant), CHEST PAIN (the same shooting pain all over her chest), TOOTHACHE (her teeth hurts), PRODUCT DOSE OMISSION ISSUE (Didn't receive second dose), PRESYNCOPE (feels like she was going to faint) and PAIN ('sharp shooting pain in her brain/ it hit her like a bolt of lightning/ like laser beams going zip all over her brain). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, TRANSIENT ISCHAEMIC ATTACK (Mini strokes), BRAIN INJURY (Moderna's vaccine did some damage in her brain), CHEST PAIN (the same shooting pain all over her chest), TOOTHACHE (her teeth hurts), DIZZINESS (head is so light she feels woozy), PRODUCT DOSE OMISSION ISSUE (Didn't receive second dose), PRESYNCOPE (feels like she was going to faint) and PAIN ('sharp shooting pain in her brain/ it hit her like a bolt of lightning/ like laser beams going zip all over her brain) outcome was unknown and MIGRAINE (Migraine), AMNESIA (tends to be forgetting short term things) and HEADACHE (Headaches everyday/ Currently across the front of her face) had not resolved. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was withdrawn on an unknown date. EKG, Echocardiogram, MRI brain, MRA and blood work (ten vials of blood) are the lab test done and the results were unknown. Patient thought that the historical vaccine was Prevnar. Patient stated that Moderna's vaccine did some damage in brain and caused mini strokes and the neurologist told the patient not to get the second dose. Patient was still having migraines all the time since 26-May. Sometimes gets a shooting pain. Needs to have another MIR and MRA done, also some blood work. Neurologist was very concerned about this. Despite everything experienced, patient was very satisfied with Moderna's attention and very grateful for the way everyone treated the patient. 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 and thus, causality is assessed as possibly related. Further information has been requested Most recent FOLLOW-UP information incorporated above includes: On 06-Aug-2021: Follow up received, updated additional events like mini strokes, brain damage, migraine were added, case upgraded to serious; 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 and thus, causality is assessed as possibly related. Further information has been requested

Other Meds: EUTHYROX

Current Illness: Cataracts (She is not able to read due to Cataracts); Hypothyroidism

ID: 1639395
Sex: F
Age: 57
State: MA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 08/27/2021
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: Felt very sick with fever and chills; Felt very sick with fever and chills; felt very sick with fever and chills; This spontaneous case was reported by a consumer and describes the occurrence of MALAISE (Felt very sick with fever and chills), PYREXIA (Felt very sick with fever and chills) and CHILLS (felt very sick with fever and chills) in a 57-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011J20A) for COVID-19 vaccination. The patient's past medical history included COVID-19 in November 2020. On 15-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 MALAISE (Felt very sick with fever and chills), PYREXIA (Felt very sick with fever and chills) and CHILLS (felt very sick with fever and chills). On 19-Jan-2021, MALAISE (Felt very sick with fever and chills), PYREXIA (Felt very sick with fever and chills) and CHILLS (felt very sick with fever and chills) had resolved. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter. ?No treatment information was provided.

Other Meds:

Current Illness:

ID: 1639396
Sex: F
Age: 57
State: MA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 08/27/2021
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: Hand and feet aching; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Hand and feet aching) in a 57-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 028L20A) for COVID-19 vaccination. The patient's past medical history included COVID-19 in November 2020. On 12-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Feb-2021, the patient experienced PAIN IN EXTREMITY (Hand and feet aching). At the time of the report, PAIN IN EXTREMITY (Hand and feet aching) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter. ? No treatment information was provided. ? The patient received both scheduled doses of mRNA-1273 prior to the events; therefore, action taken with the mRNA-1273 in response to the events was not applicable. ? Action taken with mRNA-1273 in response to the event was not applicable. This case was linked to MOD-2021-224554 (Patient Link).

Other Meds:

Current Illness:

ID: 1639397
Sex: F
Age: 61
State: FL

Vax Date: 05/18/2021
Onset Date: 06/15/2021
Rec V Date: 08/27/2021
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: This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (Headache) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 027C21A and 003C21A) for COVID-19 vaccination. No Medical History information was reported. On 18-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Jun-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 15-Jun-2021, the patient experienced HEADACHE (Headache). At the time of the report, HEADACHE (Headache) outcome was unknown. Concomitant product use was not provided by the reporter. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1639398
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
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: Side effects; This spontaneous case was reported by a consumer and describes the occurrence of ADVERSE EVENT (Side effects) 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 ADVERSE EVENT (Side effects). At the time of the report, ADVERSE EVENT (Side effects) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. no concomitant medications reported. no treatment details reported.

Other Meds:

Current Illness:

ID: 1639399
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
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: discomfort in my back; muscle pain; This spontaneous case was reported by a consumer and describes the occurrence of MUSCULOSKELETAL DISCOMFORT (discomfort in my back) and MYALGIA (muscle 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 second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced MUSCULOSKELETAL DISCOMFORT (discomfort in my back) and MYALGIA (muscle pain). At the time of the report, MUSCULOSKELETAL DISCOMFORT (discomfort in my back) and MYALGIA (muscle pain) outcome was unknown. No concomitant medications were reported. No laboratory details were provided. No treatment medications were reported. Action taken with mRNA-1273 in response to the events was not applicable.

Other Meds:

Current Illness:

ID: 1639400
Sex: U
Age:
State: IL

Vax Date: 06/16/2021
Onset Date: 06/16/2021
Rec V Date: 08/27/2021
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: Medical assistant administered expired dose to 1 patient; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Medical assistant administered expired dose to 1 patient) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 047C21A) for COVID-19 vaccination. No Medical History information was reported. On 16-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Jun-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Medical assistant administered expired dose to 1 patient). On 16-Jun-2021, EXPIRED PRODUCT ADMINISTERED (Medical assistant administered expired dose to 1 patient) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. No treatment medications were reported.

Other Meds:

Current Illness:

ID: 1639401
Sex: F
Age: 89
State: NY

Vax Date: 02/27/2021
Onset Date:
Rec V Date: 08/27/2021
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: Brain fogginess; Difficulty in breathing; Patient is very sleepy all the time; Has no energy at all; Tiredness; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (Brain fogginess), DYSPNOEA (Difficulty in breathing), SOMNOLENCE (Patient is very sleepy all the time), ASTHENIA (Has no energy at all) and FATIGUE (Tiredness) in an 89-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 028A21A. and 032L20A) for COVID-19 vaccination. The patient's past medical history included Breast cancer female (Breast Cancer left side) and Heparin-induced thrombosis (H/o Heparin Induced Thrombosis and was hospitalized before receiving the vaccination both the doses). Concurrent medical conditions included Thrombosis NOS (Patient developed clot in one kidney and half of the spleen was affected as well because of the clot) and Single functional kidney (Now patient presently surviving with one functioning kidney.). Concomitant products included LOSARTAN and SERTRALINE (SERTA [SERTRALINE]) for an unknown indication. On 27-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 29-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced FEELING ABNORMAL (Brain fogginess), DYSPNOEA (Difficulty in breathing), SOMNOLENCE (Patient is very sleepy all the time), ASTHENIA (Has no energy at all) and FATIGUE (Tiredness). At the time of the report, FEELING ABNORMAL (Brain fogginess), SOMNOLENCE (Patient is very sleepy all the time), ASTHENIA (Has no energy at all) and FATIGUE (Tiredness) had not resolved and DYSPNOEA (Difficulty in breathing) outcome was unknown. The patient post receiving the second dose developed the symptoms of tiredness and still had the problem of brain fogginess and difficulty in breathing. The patient reported that the tiredness and the brain fogginess was still persisting following the 1st shot. At the time of report the patient was very sleepy all the time and had no energy at all. The patient also reported that they would be visiting the Neurologist in July. The patient didn't take any treatment for the side effects. This case was linked to MOD-2021-042756 (Patient Link).

Other Meds: LOSARTAN; SERTA [SERTRALINE]

Current Illness: Single functional kidney (Now patient presently surviving with one functioning kidney.); Thrombosis NOS (Patient developed clot in one kidney and half of the spleen was affected as well because of the clot)

ID: 1639402
Sex: F
Age: 54
State: NJ

Vax Date: 05/09/2021
Onset Date: 06/13/2021
Rec V Date: 08/27/2021
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: bruising on her left arm in 2 places and more "blurish-blue bruising" on right arm; some tenderness; soreness around injection side; This spontaneous case was reported by a consumer and describes the occurrence of CONTUSION (bruising on her left arm in 2 places and more "blurish-blue bruising" on right arm), TENDERNESS (some tenderness) and VACCINATION SITE PAIN (soreness around injection side) in a 54-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 038C21A and 024C21A) for COVID-19 vaccination. No Medical History information was reported. On 09-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Jun-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form(s). On 13-Jun-2021, the patient experienced CONTUSION (bruising on her left arm in 2 places and more "blurish-blue bruising" on right arm), TENDERNESS (some tenderness) and VACCINATION SITE PAIN (soreness around injection side). At the time of the report, CONTUSION (bruising on her left arm in 2 places and more "blurish-blue bruising" on right arm), TENDERNESS (some tenderness) and VACCINATION SITE PAIN (soreness around injection side) outcome was unknown. No relevant concomitant medications reported. No treatment information was provided. Action taken with mRNA-1273 (Moderna COVID-19 Vaccine) in response to the event was not applicable.

Other Meds:

Current Illness:

ID: 1639403
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
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: Long term fatigue; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (Long term fatigue) 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 FATIGUE (Long term fatigue). At the time of the report, FATIGUE (Long term fatigue) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications were provided. Treatment medications were unknown.

Other Meds:

Current Illness:

ID: 1639404
Sex: F
Age: 85
State: FL

Vax Date: 03/23/2021
Onset Date: 04/04/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data: Test Name: Covid test; Test Result: Positive ; Result Unstructured Data: Covid test positive (She tested negative 20 days later)

Allergies:

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Not received the 2nd dose of the Moderna COVID-19 vaccine yet; temperature of 100.6 F for 3 days; very sick starting April 4th or 5th; shortness of breath; couldn't eat; lost all taste; very, very weak; couldn't eat; This spontaneous case was reported by a consumer and describes the occurrence of ILLNESS (very sick starting April 4th or 5th), DYSPNOEA (shortness of breath), DECREASED APPETITE (couldn't eat), AGEUSIA (lost all taste) and ASTHENIA (very, very weak) in an 85-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COVID-19. Concurrent medical conditions included Cholesterol blood increased. Concomitant products included ESCITALOPRAM OXALATE (LEXAPRO), METOPROLOL and LOSARTAN for an unknown indication. On 23-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Apr-2021, the patient experienced ILLNESS (very sick starting April 4th or 5th), DYSPNOEA (shortness of breath), DECREASED APPETITE (couldn't eat), AGEUSIA (lost all taste), ASTHENIA (very, very weak), EATING DISORDER (couldn't eat) and PYREXIA (temperature of 100.6 F for 3 days). On an unknown date, the patient experienced PRODUCT DOSE OMISSION ISSUE (Not received the 2nd dose of the Moderna COVID-19 vaccine yet). At the time of the report, ILLNESS (very sick starting April 4th or 5th), DYSPNOEA (shortness of breath), DECREASED APPETITE (couldn't eat), AGEUSIA (lost all taste), ASTHENIA (very, very weak), EATING DISORDER (couldn't eat) and PYREXIA (temperature of 100.6 F for 3 days) outcome was unknown and PRODUCT DOSE OMISSION ISSUE (Not received the 2nd dose of the Moderna COVID-19 vaccine yet) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test: unknown (Positive) Covid test positive (She tested negative 20 days later). The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications included an unknown cholesterol medication. No treatment information was provided.

Other Meds: LEXAPRO; METOPROLOL; LOSARTAN

Current Illness: Cholesterol blood increased

ID: 1639405
Sex: M
Age: 56
State: NC

Vax Date: 04/12/2021
Onset Date: 05/10/2021
Rec V Date: 08/27/2021
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: Rash on legs; Bruising easily; Fatty liver; This spontaneous case was reported by a consumer and describes the occurrence of RASH (Rash on legs), CONTUSION (Bruising easily) and HEPATIC STEATOSIS (Fatty liver) in a 56-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 024C21A and 03621A) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included LEVOTHYROXINE SODIUM (SYNTHROID) for an unknown indication. On 12-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 10-May-2021, the patient experienced RASH (Rash on legs), CONTUSION (Bruising easily) and HEPATIC STEATOSIS (Fatty liver). At the time of the report, RASH (Rash on legs), CONTUSION (Bruising easily) and HEPATIC STEATOSIS (Fatty liver) outcome was unknown. Concomitant medication information not provided. Treatment information not provided. Action taken with mRNA-1273 in response to the event/s was not applicable.

Other Meds: SYNTHROID

Current Illness:

ID: 1639406
Sex: F
Age:
State: TX

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
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: Is it too late to get a second shot after three months; This spontaneous case was reported by a consumer and describes the occurrence of INTENTIONAL PRODUCT USE ISSUE (Is it too late to get a second shot after three months) in a 59-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 INTENTIONAL PRODUCT USE ISSUE (Is it too late to get a second shot after three months). At the time of the report, INTENTIONAL PRODUCT USE ISSUE (Is it too late to get a second shot after three months) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Patient received the first dose of vaccine three months ago and has been out of country since then. Concomitant medications were not reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1639407
Sex: F
Age: 77
State: OH

Vax Date: 01/27/2021
Onset Date: 02/24/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: feel like workout/arm hurt; feeling achy in their entire body; Therapeutic response unexpected; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (feel like workout/arm hurt), PAIN (feeling achy in their entire body) and THERAPEUTIC RESPONSE UNEXPECTED (Therapeutic response unexpected) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 002A21A and 007M20N) for COVID-19 vaccination. Concurrent medical conditions included Hiatal hernia. Concomitant products included LANSOPRAZOLE for Hiatal hernia, HYDROCHLOROTHIAZIDE for Hypertension. On 27-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 24-Feb-2021, the patient experienced PAIN IN EXTREMITY (feel like workout/arm hurt) and PAIN (feeling achy in their entire body). 24-Feb-2021, the patient experienced THERAPEUTIC RESPONSE UNEXPECTED (Therapeutic response unexpected). On 25-Feb-2021, PAIN IN EXTREMITY (feel like workout/arm hurt) and PAIN (feeling achy in their entire body) had resolved. At the time of the report, THERAPEUTIC RESPONSE UNEXPECTED (Therapeutic response unexpected) had resolved. Action taken with mRNA-1273 in response to the events was not applicable. No treatment medication details was reported. This case was linked to MOD-2021-017758 (Patient Link).

Other Meds: HYDROCHLOROTHIAZIDE; LANSOPRAZOLE

Current Illness: Hiatal hernia

ID: 1639408
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
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: chills in my body; a fever; a short breath; This spontaneous case was reported by a consumer and describes the occurrence of CHILLS (chills in my body), PYREXIA (a fever) and DYSPNOEA (a short breath) 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 CHILLS (chills in my body), PYREXIA (a fever) and DYSPNOEA (a short breath). At the time of the report, CHILLS (chills in my body), PYREXIA (a fever) and DYSPNOEA (a short breath) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.

Other Meds:

Current Illness:

ID: 1639409
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
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: underneath my underarm on the side in which I was injected with this vaccine it has been swollen an has a not underneath my skin; swollen in my goin area; This spontaneous case was reported by a consumer and describes the occurrence of LYMPHADENOPATHY (underneath my underarm on the side in which I was injected with this vaccine it has been swollen an has a not underneath my skin) and SWELLING (swollen in my goin area) 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 LYMPHADENOPATHY (underneath my underarm on the side in which I was injected with this vaccine it has been swollen an has a not underneath my skin) and SWELLING (swollen in my goin area). At the time of the report, LYMPHADENOPATHY (underneath my underarm on the side in which I was injected with this vaccine it has been swollen an has a not underneath my skin) and SWELLING (swollen in my goin area) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. The concomitant medications were not provided. The Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1639410
Sex: F
Age:
State: NC

Vax Date: 03/02/2021
Onset Date: 04/01/2021
Rec V Date: 08/27/2021
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: bitter taste; dry mouth; lost my sense of taste; This spontaneous case was reported by a consumer and describes the occurrence of AGEUSIA (lost my sense of taste), DYSGEUSIA (bitter taste) and DRY MOUTH (dry mouth) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 028W2W and 025A21A) for COVID-19 vaccination. Concurrent medical conditions included Drug allergy (allergic to benedryl), Penicillin allergy, Hypertension since 2004, Depression (mild) since 1996, Macular degeneration since 2018, Restless leg syndrome since 2002, Arthritis since 2017, Insomnia since 2008, Prediabetes since 2004 and Allergic reaction to analgesics (Allergic to codeine). Concomitant products included ASCORBIC ACID, BETACAROTENE, CUPRIC OXIDE, TOCOPHERYL ACETATE, ZINC OXIDE (PRESERVISION) from 2019 to an unknown date for Age-related macular degeneration, CELECOXIB (CELEBREX) from 2020 to an unknown date for Arthritis, SERTRALINE HYDROCHLORIDE (ZOLOFT) from 2004 to an unknown date for Depression, BENAZEPRIL from 2004 to an unknown date for Hypertension, ROPINIROLE HYDROCHLORIDE (ROPINOL) from 2019 to an unknown date for Restless leg syndrome. On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 30-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 01-Apr-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced AGEUSIA (lost my sense of taste). On an unknown date, the patient experienced DYSGEUSIA (bitter taste) and DRY MOUTH (dry mouth). At the time of the report, AGEUSIA (lost my sense of taste), DYSGEUSIA (bitter taste) and DRY MOUTH (dry mouth) had not resolved. No treatment information was reported. Patient started chewing a lot of gum and keeping mints. Most recent FOLLOW-UP information incorporated above includes: On 05-Aug-2021: significant follow-up. Medical history added and start dates updated.Start dates of concomitant medications updated. Ageusis, event start date and causality were updated. Dry mouth was added as an event.

Other Meds: BENAZEPRIL; PRESERVISION; ZOLOFT; ROPINOL; CELEBREX

Current Illness: Allergic reaction to analgesics (Allergic to codeine); Arthritis; Depression (mild); Drug allergy (allergic to benedryl); Hypertension; Insomnia; Macular degeneration; Penicillin allergy; Prediabetes; Restless leg syndrome

ID: 1639411
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
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: This spontaneous case was reported by an other and describes the occurrence of ADVERSE REACTION (Patient said yes when asked if had experienced a side effect but did not provide further information.) 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 ADVERSE REACTION (Patient said yes when asked if had experienced a side effect but did not provide further information.). At the time of the report, ADVERSE REACTION (Patient said yes when asked if had experienced a side effect but did not provide further information.) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.

Other Meds:

Current Illness:

ID: 1639412
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
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: bad symptoms 6 days after 2nd vaccine; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (bad symptoms 6 days after 2nd 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 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 (bad symptoms 6 days after 2nd vaccine). At the time of the report, VACCINATION COMPLICATION (bad symptoms 6 days after 2nd vaccine) outcome was unknown. Action taken with vaccine was not applicable. No concomitant medication was reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1639413
Sex: M
Age: 59
State: NC

Vax Date: 03/24/2021
Onset Date:
Rec V Date: 08/27/2021
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: ringing of the ears/tinnitus/he would give it a 12 (on a scale of 1 to 10)/It's gotten really really loud and raging/it's gotten worse; This spontaneous case was reported by a consumer and describes the occurrence of TINNITUS (ringing of the ears/tinnitus/he would give it a 12 (on a scale of 1 to 10)/It's gotten really really loud and raging/it's gotten worse) in a 59-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 008B21-2A and 046B21A) for COVID-19 vaccination. No Medical History information was reported. On 24-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Apr-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 TINNITUS (ringing of the ears/tinnitus/he would give it a 12 (on a scale of 1 to 10)/It's gotten really really loud and raging/it's gotten worse). At the time of the report, TINNITUS (ringing of the ears/tinnitus/he would give it a 12 (on a scale of 1 to 10)/It's gotten really really loud and raging/it's gotten worse) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter. ? No treatment information was provided. Most recent FOLLOW-UP information incorporated above includes: On 28-Jul-2021: Follow up received containing Non significant information

Other Meds:

Current Illness:

ID: 1639414
Sex: M
Age: 33
State: GA

Vax Date: 04/23/2021
Onset Date: 05/20/2021
Rec V Date: 08/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data: Test Name: Blood test; Result Unstructured Data: Everything was fine and stable.

Allergies:

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Neck pain.; I felt a heartbeat in my head & neck; Have recurring migraines; Confusion/ My mind itself, it's moving/ I feel like my brain is moving.; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (I felt a heartbeat in my head & neck), MIGRAINE (Have recurring migraines), CONFUSIONAL STATE (Confusion/ My mind itself, it's moving/ I feel like my brain is moving.) and NECK PAIN (Neck pain.) in a 33-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included Neck pain (Patient had neck problems back in 2020.). Concurrent medical conditions included Deaf. On 23-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 FEELING ABNORMAL (I felt a heartbeat in my head & neck), MIGRAINE (Have recurring migraines) and CONFUSIONAL STATE (Confusion/ My mind itself, it's moving/ I feel like my brain is moving.). On an unknown date, the patient experienced NECK PAIN (Neck pain.). The patient was treated with IBUPROFEN (ADVIL [IBUPROFEN]) for Neck pain, at an unspecified dose and frequency. At the time of the report, FEELING ABNORMAL (I felt a heartbeat in my head & neck), MIGRAINE (Have recurring migraines) and CONFUSIONAL STATE (Confusion/ My mind itself, it's moving/ I feel like my brain is moving.) outcome was unknown and NECK PAIN (Neck pain.) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood test: normal (normal) Everything was fine and stable.. Concomitant product use was not provided by the reporter. Most recent FOLLOW-UP information incorporated above includes: On 05-Aug-2021: It was reported that she misreported her adverse events, and it was a misunderstanding. She has not been sick since those events previously. Hence "I felt kinda sick" event was deleted.

Other Meds:

Current Illness: Deaf

ID: 1639415
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
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: Vomiting; This spontaneous case was reported by a consumer and describes the occurrence of VOMITING (Vomiting) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history 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 VOMITING (Vomiting). At the time of the report, VOMITING (Vomiting) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medications were not reported No laboratory data was provided. No treatment information was provided.; Sender's Comments: Based on the current available information a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1639416
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
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: Don't feel good at all; 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 MALAISE (Don't feel good at all) 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 MALAISE (Don't feel good at all). At the time of the report, MALAISE (Don't feel good at all) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medications were not reported No treatment information was provided.

Other Meds:

Current Illness:

ID: 1639417
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
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: This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (It's red) and VACCINATION SITE WARMTH (Arm is warm where I got the shot,warm touch) 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 ERYTHEMA (It's red) and VACCINATION SITE WARMTH (Arm is warm where I got the shot,warm touch). At the time of the report, ERYTHEMA (It's red) and VACCINATION SITE WARMTH (Arm is warm where I got the shot,warm touch) outcome was unknown. No concomitant medication was reported. No treatment information was reported.

Other Meds:

Current Illness:

ID: 1639418
Sex: U
Age:
State:

Vax Date: 06/15/2021
Onset Date:
Rec V Date: 08/27/2021
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: still have pain at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (still have pain at the injection site) 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 15-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE PAIN (still have pain at the injection site). At the time of the report, VACCINATION SITE PAIN (still have pain at the injection site) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1639419
Sex: M
Age:
State: WI

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 08/27/2021
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: Test Date: 20210319; Test Name: Body temperature; Result Unstructured Data: High; Test Date: 20211124; Test Name: SARS-CoV-2 test; Test Result: Positive ; Result Unstructured Data: Positive

Allergies:

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Fever; Chills and Shivering; Nausea; This spontaneous case was reported by a health care professional and describes the occurrence of PYREXIA (Fever), CHILLS (Chills and Shivering) and NAUSEA (Nausea) in a 50-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 046A21A) for COVID-19 vaccination. The patient's past medical history included COVID-19 on 24-Nov-2020. On 18-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Mar-2021, the patient experienced PYREXIA (Fever), CHILLS (Chills and Shivering) and NAUSEA (Nausea). On 26-Mar-2021, PYREXIA (Fever), CHILLS (Chills and Shivering) and NAUSEA (Nausea) had resolved. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 19-Mar-2021, Body temperature: 102 (High) High. On 24-Nov-2021, SARS-CoV-2 test: positive (Positive) Positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter. ?No treatment information was provided.

Other Meds:

Current Illness:

ID: 1639420
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
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: This spontaneous case reported by a consumer, describes the occurrence of neck pain (pain in left-side of neck), pain in extremity (pain in arm), headache (sharp pain on the left-side of head) and arthralgia (pain in shoulder) in a patient, of an unknown age and gender, who received mRNA-1273 (Moderna COVID-19 vaccine) for COVID-19 immunization. No medical history reported. On an unknown date, patient received the first dose of mRNA-1273 (Moderna COVID-19 vaccine), unknown route; 1 dosage form. On an unknown date, patient experienced neck pain (pain in left-side of neck), pain in extremity (pain in arm), headache (sharp pain on the left-side of head) and arthralgia (pain in shoulder). At the time of the report, neck pain (pain in left-side of neck), pain in extremity (pain in arm), headache (sharp pain on the left-side of head) and arthralgia (pain in shoulder) outcome: unknown. The action taken with mRNA-1273 (Moderna COVID-19 vaccine): unknown. Concomitant product use and treatment information not provided.

Other Meds:

Current Illness:

ID: 1639421
Sex: M
Age:
State: AR

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 08/27/2021
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: This spontaneous case reported by a consumer, describes the occurrence of vaccination site pain (pain around the injection site), nausea and myalgia (soreness) in a 42-year-old male patient who received mRNA-1273 (Moderna COVID-19 vaccine, batch# 037B21A) for COVID-19 immunization. No medical history reported. On Jun 14, 2021, patient received the first dose of mRNA-1273 (Moderna COVID-19 vaccine), unknown route; 1 dosage form. On Jun 14, 2021, patient experienced vaccination site pain (pain around the injection site), nausea and myalgia (soreness). At the time of the report, vaccination site pain (pain around the injection site), nausea and myalgia (soreness) resolved. The action taken with mRNA-1273 (Moderna COVID-19 vaccine): unknown. Concomitant product use and treatment information not provided.

Other Meds:

Current Illness:

ID: 1639422
Sex: M
Age:
State: NJ

Vax Date:
Onset Date:
Rec V Date: 08/27/2021
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 throat; This spontaneous case was reported by a consumer and describes the occurrence of THROAT IRRITATION (Itching throat) in a 26-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Allergy to molds. 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 THROAT IRRITATION (Itching throat). At the time of the report, THROAT IRRITATION (Itching throat) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications were provided. No treatment details were provided.

Other Meds:

Current Illness: Allergy to molds

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am