VAERS 2021 Database www.vaers.hhs.gov

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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: 1672567
Sex: F
Age:
State: NJ

Vax Date: 01/18/2021
Onset Date: 07/04/2021
Rec V Date: 09/04/2021
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: An infection to right lower eyelid area; This spontaneous case was reported by a Health care professional and describes the occurrence of EYELID INFECTION (An infection to right lower eyelid area) in a forty-five-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 18-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 04-Jul-2021, the patient experienced EYELID INFECTION (An infection to right lower eyelid area). The patient was treated with VORHYALURONIDASE ALFA (HYLENEX) on 13-Jul-2021 for Adverse event, at an unspecified dose and frequency; CLARITHROMYCIN (BIAXIN) on 13-Jul-2021 for Adverse event, at an unspecified dose and frequency; MINOCYCLINE on 13-Jul-2021 for Adverse event, at an unspecified dose and frequency; CELECOXIB (CELEBREX) on 13-Jul-2021 for Adverse event, at an unspecified dose and frequency and COLCHICINE on 13-Jul-2021 for Adverse event, at an unspecified dose and frequency. On 17-Aug-2021, EYELID INFECTION (An infection to right lower eyelid area) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication was reported. It was reported that the injector did the treatment of 1 mL of Restylane-L lot code 18885 off label to lower eyelids areas on 22 Apr 2021. The patient returned with an infection to right lower eyelid area. Patient had an unspecified vaccine in September 2020 and a routine dental cleaning on 08 Jul 2021.

Other Meds:

Current Illness:

ID: 1672568
Sex: M
Age: 79
State: CT

Vax Date: 07/12/2021
Onset Date: 08/16/2021
Rec V Date: 09/04/2021
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: Feels warm; Could not sleep straight because every 2-3 hours he will wake up with his leg pain; flushed; pain on his legs but mostly on his right leg; Legs jerks and it will cause pain again; Pain round the ankle going up to the legs; right arm is very itchy; Right arm is painful; veins on his both legs looks swollen; Veins on his both legs very painful to touch,; Limping/can hardly stand on his feet at the time of the call; This spontaneous case was reported by a non-health professional and describes the occurrence of PRURITUS (right arm is very itchy), VACCINATION SITE PAIN (Right arm is painful), VASODILATATION (veins on his both legs looks swollen), VASCULAR PAIN (Veins on his both legs very painful to touch,) and GAIT DISTURBANCE (Limping/can hardly stand on his feet at the time of the call) in a 79-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Food allergy. Concomitant products included ATORVASTATIN CALCIUM (LIPITOR) for an unknown indication. On 12-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Aug-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 16-Aug-2021, the patient experienced PRURITUS (right arm is very itchy), VACCINATION SITE PAIN (Right arm is painful), VASODILATATION (veins on his both legs looks swollen), VASCULAR PAIN (Veins on his both legs very painful to touch,), GAIT DISTURBANCE (Limping/can hardly stand on his feet at the time of the call), DYSKINESIA (Legs jerks and it will cause pain again) and ARTHRALGIA (Pain round the ankle going up to the legs). On 17-Aug-2021, the patient experienced FEELING HOT (Feels warm), INSOMNIA (Could not sleep straight because every 2-3 hours he will wake up with his leg pain), FLUSHING (flushed) and PAIN IN EXTREMITY (pain on his legs but mostly on his right leg). At the time of the report, PRURITUS (right arm is very itchy), VACCINATION SITE PAIN (Right arm is painful), VASODILATATION (veins on his both legs looks swollen), VASCULAR PAIN (Veins on his both legs very painful to touch,), GAIT DISTURBANCE (Limping/can hardly stand on his feet at the time of the call), FEELING HOT (Feels warm), INSOMNIA (Could not sleep straight because every 2-3 hours he will wake up with his leg pain), FLUSHING (flushed), PAIN IN EXTREMITY (pain on his legs but mostly on his right leg), DYSKINESIA (Legs jerks and it will cause pain again) and ARTHRALGIA (Pain round the ankle going up to the legs) outcome was unknown. patient took vitamin C as concomitant medication and also mentioned that took his first dose on 12-JUL-2021 and experienced some events. No treatment medications are provided by reporter. This case was linked to MOD-2021-291444 (Patient Link).

Other Meds: LIPITOR

Current Illness: Food allergy

ID: 1672569
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: sick; tachycardia; pain; dizziness; chills; fever; 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 ILLNESS (sick), TACHYCARDIA (tachycardia), PAIN (pain), DIZZINESS (dizziness) and CHILLS (chills) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 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 ILLNESS (sick), TACHYCARDIA (tachycardia), PAIN (pain), DIZZINESS (dizziness), CHILLS (chills) and PYREXIA (fever). At the time of the report, ILLNESS (sick), TACHYCARDIA (tachycardia), PAIN (pain), DIZZINESS (dizziness), CHILLS (chills) and PYREXIA (fever) outcome 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 Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1672570
Sex: F
Age: 56
State:

Vax Date: 06/08/2021
Onset Date: 06/08/2021
Rec V Date: 09/04/2021
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: itching on my left arm and left hand/My right side arm also itched/The right side of my body also itched in the palm of my hand/breast also itched; bruising on both sides of my body; welts on both sides of my body; when she scratched the breast sores developed; sore right arm shoulder deltoid muscle; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (itching on my left arm and left hand/My right side arm also itched/The right side of my body also itched in the palm of my hand/breast also itched), CONTUSION (bruising on both sides of my body), URTICARIA (welts on both sides of my body), BREAST PAIN (when she scratched the breast sores developed) and MYALGIA (sore right arm shoulder deltoid muscle) in a 56-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026C21A) for COVID-19 vaccination. No reported medical history. Concomitant products included DIPHENHYDRAMINE and DIPHENHYDRAMINE HYDROCHLORIDE (ANTI ITCH CREAM [DIPHENHYDRAMINE HYDROCHLORIDE]) for an unknown indication. On 08-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Jun-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced MYALGIA (sore right arm shoulder deltoid muscle). On an unknown date, the patient experienced PRURITUS (itching on my left arm and left hand/My right side arm also itched/The right side of my body also itched in the palm of my hand/breast also itched), CONTUSION (bruising on both sides of my body), URTICARIA (welts on both sides of my body) and BREAST PAIN (when she scratched the breast sores developed). At the time of the report, PRURITUS (itching on my left arm and left hand/My right side arm also itched/The right side of my body also itched in the palm of my hand/breast also itched), CONTUSION (bruising on both sides of my body), URTICARIA (welts on both sides of my body), BREAST PAIN (when she scratched the breast sores developed) and MYALGIA (sore right arm shoulder deltoid muscle) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment information was provided by the reporter. This case was linked to MOD-2021-291452 (Patient Link).

Other Meds: DIPHENHYDRAMINE; ANTI ITCH CREAM [DIPHENHYDRAMINE HYDROCHLORIDE]

Current Illness:

ID: 1672571
Sex: F
Age:
State:

Vax Date: 08/04/2021
Onset Date: 08/18/2021
Rec V Date: 09/04/2021
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: woke Up this morning with a tenderness behind my ear; morning with a tenderness behind my ear that radiates down my neck; lymph node that's a little swollen/I pressed behind my ear and it seems like it's a lymph node; This spontaneous case was reported by a consumer and describes the occurrence of TENDERNESS (woke Up this morning with a tenderness behind my ear), PAIN (morning with a tenderness behind my ear that radiates down my neck) and LYMPHADENOPATHY (lymph node that's a little swollen/I pressed behind my ear and it seems like it's a lymph node) 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 04-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 18-Aug-2021, the patient experienced TENDERNESS (woke Up this morning with a tenderness behind my ear), PAIN (morning with a tenderness behind my ear that radiates down my neck) and LYMPHADENOPATHY (lymph node that's a little swollen/I pressed behind my ear and it seems like it's a lymph node). At the time of the report, TENDERNESS (woke Up this morning with a tenderness behind my ear), PAIN (morning with a tenderness behind my ear that radiates down my neck) and LYMPHADENOPATHY (lymph node that's a little swollen/I pressed behind my ear and it seems like it's a lymph node) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No Concomitant medications were reported. No Treatment information was reported.

Other Meds:

Current Illness:

ID: 1672572
Sex: M
Age: 79
State: CT

Vax Date: 07/12/2021
Onset Date: 07/12/2021
Rec V Date: 09/04/2021
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: terrible and bad pain from his foot up to his legs; Blood vessels on his neck were also swollen and protruding; His right arm is very itchy and also painful; Injection arm felt very sore as if someone punch him in the arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (terrible and bad pain from his foot up to his legs), VASODILATATION (Blood vessels on his neck were also swollen and protruding), VACCINATION SITE PRURITUS (His right arm is very itchy and also painful) and VACCINATION SITE PAIN (Injection arm felt very sore as if someone punch him in the arm) in a 79-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Fruit allergy. Concomitant products included VITAMIN C [ASCORBIC ACID] and ATORVASTATIN CALCIUM (LIPITOR) for an unknown indication. On 12-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Jul-2021, the patient experienced PAIN IN EXTREMITY (terrible and bad pain from his foot up to his legs), VASODILATATION (Blood vessels on his neck were also swollen and protruding), VACCINATION SITE PRURITUS (His right arm is very itchy and also painful) and VACCINATION SITE PAIN (Injection arm felt very sore as if someone punch him in the arm). At the time of the report, PAIN IN EXTREMITY (terrible and bad pain from his foot up to his legs), VASODILATATION (Blood vessels on his neck were also swollen and protruding), VACCINATION SITE PRURITUS (His right arm is very itchy and also painful) and VACCINATION SITE PAIN (Injection arm felt very sore as if someone punch him in the arm) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Treatment medications were reported. This case was linked to MOD-2021-291361 (Patient Link).

Other Meds: VITAMIN C [ASCORBIC ACID]; LIPITOR

Current Illness: Fruit allergy

ID: 1672573
Sex: F
Age: 56
State:

Vax Date: 06/08/2021
Onset Date: 07/01/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: itching on my left thigh; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (itching on my left thigh) in a 56-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 078C21A and 026C21A) for COVID-19 vaccination. Concomitant products included DIPHENHYDRAMINE for an unknown indication. On 08-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Jul-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. In July 2021, the patient experienced PRURITUS (itching on my left thigh). At the time of the report, PRURITUS (itching on my left thigh) outcome was unknown. Concomitant medications includes Anti Itch Cream . Treatment medications were not reported. This case was linked to MOD-2021-291378 (Patient Link).

Other Meds: DIPHENHYDRAMINE

Current Illness:

ID: 1672574
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: Hubbie had breathing issues for a month on the first shot along with the normal side effects; Hubbie had breathing issues for a month on the first shot along with the normal side effects; hubbie was bad/breathing for a month; but then he does have asthma which did help; This spontaneous case was reported by a consumer and describes the occurrence of DYSPNOEA (Hubbie had breathing issues for a month on the first shot along with the normal side effects), VACCINATION COMPLICATION (Hubbie had breathing issues for a month on the first shot along with the normal side effects), FEELING ABNORMAL (hubbie was bad/breathing for a month) and ASTHMA (but then he does have asthma which did help) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Heart disorder. 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 DYSPNOEA (Hubbie had breathing issues for a month on the first shot along with the normal side effects), VACCINATION COMPLICATION (Hubbie had breathing issues for a month on the first shot along with the normal side effects), FEELING ABNORMAL (hubbie was bad/breathing for a month) and ASTHMA (but then he does have asthma which did help). At the time of the report, DYSPNOEA (Hubbie had breathing issues for a month on the first shot along with the normal side effects), VACCINATION COMPLICATION (Hubbie had breathing issues for a month on the first shot along with the normal side effects), FEELING ABNORMAL (hubbie was bad/breathing for a month) and ASTHMA (but then he does have asthma which did help) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No Concomitant Medications were provided. No Treatment Medications were provided. Most recent FOLLOW-UP information incorporated above includes: On 17-Aug-2021: Follow-up received on 19 AUG 2021 included updated current condition On 18-Aug-2021: Follow-up received on 19 AUG 2021 included updated event Asthma.

Other Meds:

Current Illness: Heart disorder

ID: 1672575
Sex: F
Age:
State: KS

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 09/04/2021
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: very small dose; This spontaneous case was reported by a patient and describes the occurrence of UNDERDOSE (very small 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 29-Mar-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 29-Mar-2021, the patient experienced UNDERDOSE (very small dose). At the time of the report, UNDERDOSE (very small dose) had resolved. Concomitant product use was not provided by the reporter. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1672576
Sex: F
Age: 48
State: NM

Vax Date: 03/07/2021
Onset Date: 08/18/2021
Rec V Date: 09/04/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Test Date: 20210818; Test Name: heart rate; Result Unstructured Data: my heart is skipping/ it stops beating for a second/ tried to palpate the pulse it skips every 10 beats

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: First dose was given on 07-Mar-2021 and second dose was given on 17-Aug-2021; fever; my heart is skipping/ it stops beating for a second/ tried to palpate the pulse it skips every 10 beats; This spontaneous case was reported by a consumer and describes the occurrence of HEART RATE ABNORMAL (my heart is skipping/ it stops beating for a second/ tried to palpate the pulse it skips every 10 beats), INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (First dose was given on 07-Mar-2021 and second dose was given on 17-Aug-2021) and PYREXIA (fever) in a 48-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 026A21A and 003A21A) for COVID-19 vaccination. No Medical history was provided by the reporter. Concomitant products included FLUTICASONE for an unknown indication. On 07-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Aug-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 18-Aug-2021, the patient experienced HEART RATE ABNORMAL (my heart is skipping/ it stops beating for a second/ tried to palpate the pulse it skips every 10 beats) and PYREXIA (fever). On an unknown date, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (First dose was given on 07-Mar-2021 and second dose was given on 17-Aug-2021). At the time of the report, HEART RATE ABNORMAL (my heart is skipping/ it stops beating for a second/ tried to palpate the pulse it skips every 10 beats) and PYREXIA (fever) outcome was unknown and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (First dose was given on 07-Mar-2021 and second dose was given on 17-Aug-2021) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 18-Aug-2021, Heart rate: my heart is skipping/ it stops beating for a secon (abnormal) my heart is skipping/ it stops beating for a second/ tried to palpate the pulse it skips every 10 beats. Treatment product information was not provided. This case was linked to MOD-2021-291325 (Patient Link).

Other Meds: FLUTICASONE

Current Illness:

ID: 1672577
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: Stromg muscle aches in legs and somewhat in back after one fose, pain in upper thigh; Strong muscle aches in legs.upper thigh area and somewhat in back; Some shortness of breath,slight shortness of breath; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Stromg muscle aches in legs and somewhat in back after one fose, pain in upper thigh), BACK PAIN (Strong muscle aches in legs.upper thigh area and somewhat in back) and DYSPNOEA (Some shortness of breath,slight shortness of 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 dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (Stromg muscle aches in legs and somewhat in back after one fose, pain in upper thigh), BACK PAIN (Strong muscle aches in legs.upper thigh area and somewhat in back) and DYSPNOEA (Some shortness of breath,slight shortness of breath). At the time of the report, PAIN IN EXTREMITY (Stromg muscle aches in legs and somewhat in back after one fose, pain in upper thigh), BACK PAIN (Strong muscle aches in legs.upper thigh area and somewhat in back) and DYSPNOEA (Some shortness of breath,slight shortness of breath) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medications were not provided. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1672578
Sex: F
Age: 60
State: NY

Vax Date: 01/07/2021
Onset Date:
Rec V Date: 09/04/2021
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: After receiving 1st dose, she felt weak; She had flu like symptoms; She was out of breath; She couldn't walk upstairs; She couldn't eat much; She felt even more fatigued after receiving 2nd dose, She felt fatigued; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (After receiving 1st dose, she felt weak), INFLUENZA LIKE ILLNESS (She had flu like symptoms), DYSPNOEA (She was out of breath), GAIT DISTURBANCE (She couldn't walk upstairs) and FEEDING DISORDER (She couldn't eat much) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030L20A and 01L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concomitant products included LOSARTAN for Blood pressure high. On 07-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Feb-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 ASTHENIA (After receiving 1st dose, she felt weak), INFLUENZA LIKE ILLNESS (She had flu like symptoms), DYSPNOEA (She was out of breath), GAIT DISTURBANCE (She couldn't walk upstairs), FEEDING DISORDER (She couldn't eat much) and FATIGUE (She felt even more fatigued after receiving 2nd dose, She felt fatigued). The patient was treated with DOXYCYCLINE for Bacterial infection, at a dose of 1 dosage form and PREDNISONE at a dose of 1 dosage form. At the time of the report, ASTHENIA (After receiving 1st dose, she felt weak), INFLUENZA LIKE ILLNESS (She had flu like symptoms), DYSPNOEA (She was out of breath), GAIT DISTURBANCE (She couldn't walk upstairs), FEEDING DISORDER (She couldn't eat much) and FATIGUE (She felt even more fatigued after receiving 2nd dose, She felt fatigued) outcome was unknown. Patient took Cholesterol Medicine as concomitant (Did not provided the name of the medicine). This case was linked to MOD-2021-291661 (Patient Link).

Other Meds: LOSARTAN

Current Illness:

ID: 1672579
Sex: F
Age: 74
State: FL

Vax Date: 02/14/2021
Onset Date: 06/02/2021
Rec V Date: 09/04/2021
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: Dental work; appointment for a third dose; Knee surgery; This spontaneous case was reported by a consumer and describes the occurrence of JOINT INJURY (Knee surgery), DENTAL DISCOMFORT (Dental work) and INTENTIONAL PRODUCT USE ISSUE (appointment for a third dose) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030A21A and 015M20A) for COVID-19 vaccination. The patient's past medical history included Knee surgery NOS on 02-Jun-2021 and Dental treatment NOS. On 14-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 02-Jun-2021, the patient experienced JOINT INJURY (Knee surgery). On an unknown date, the patient experienced DENTAL DISCOMFORT (Dental work) and INTENTIONAL PRODUCT USE ISSUE (appointment for a third dose). At the time of the report, JOINT INJURY (Knee surgery), DENTAL DISCOMFORT (Dental work) and INTENTIONAL PRODUCT USE ISSUE (appointment for a third dose) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. The concomitant medications were not reported. The treatment information was not provided.

Other Meds:

Current Illness:

ID: 1672580
Sex: F
Age: 70
State: FL

Vax Date: 01/28/2021
Onset Date: 02/01/2021
Rec V Date: 09/04/2021
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: swollen muscle inside of the arm; felt like she had flu; rapid heartbeat 122-125 bpm; large rash (clarified as a red area, no bumps, no itching) at the site of injection; fever of 101 degrees F; Headache; This spontaneous case was reported by a consumer and describes the occurrence of MUSCLE SWELLING (swollen muscle inside of the arm), INFLUENZA LIKE ILLNESS (felt like she had flu), HEART RATE INCREASED (rapid heartbeat 122-125 bpm), VACCINATION SITE ERYTHEMA (large rash (clarified as a red area, no bumps, no itching) at the site of injection) and PYREXIA (fever of 101 degrees F) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 023M20A and 030L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 25-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In February 2021, the patient experienced MUSCLE SWELLING (swollen muscle inside of the arm), INFLUENZA LIKE ILLNESS (felt like she had flu), HEART RATE INCREASED (rapid heartbeat 122-125 bpm), VACCINATION SITE ERYTHEMA (large rash (clarified as a red area, no bumps, no itching) at the site of injection), PYREXIA (fever of 101 degrees F) and HEADACHE (Headache). The patient was treated with PARACETAMOL (TYLENOL) for Fever, at an unspecified dose and frequency. In February 2021, INFLUENZA LIKE ILLNESS (felt like she had flu), HEART RATE INCREASED (rapid heartbeat 122-125 bpm), PYREXIA (fever of 101 degrees F) and HEADACHE (Headache) outcome was unknown. In March 2021, MUSCLE SWELLING (swollen muscle inside of the arm) and VACCINATION SITE ERYTHEMA (large rash (clarified as a red area, no bumps, no itching) at the site of injection) outcome was unknown. No Concomitant medications were provided

Other Meds:

Current Illness:

ID: 1672581
Sex: F
Age: 67
State:

Vax Date: 03/12/2021
Onset Date:
Rec V Date: 09/04/2021
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: Ferritin levels; Result Unstructured Data: Elevated Ferritin levels; Test Name: Elevated Saturated Iron levels; Result Unstructured Data: Elevated Saturated Iron levels

Allergies:

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

Symptoms: Painful; Nightmares; Elevated Saturated Iron levels; Tired; Low grade fever; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Painful), NIGHTMARE (Nightmares), HAEMOCHROMATOSIS (Elevated Saturated Iron levels), FATIGUE (Tired) and PYREXIA (Low grade fever) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 015M20A) for COVID-19 vaccination. Concomitant products included LEVOTHYROXINE SODIUM (SYNTHROID), METOPROLOL, RALOXIFENE and SPIRONOLACTONE for an unknown indication. On 12-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PAIN (Painful), NIGHTMARE (Nightmares), HAEMOCHROMATOSIS (Elevated Saturated Iron levels), FATIGUE (Tired) and PYREXIA (Low grade fever). At the time of the report, PAIN (Painful), NIGHTMARE (Nightmares), FATIGUE (Tired) and PYREXIA (Low grade fever) outcome was unknown and HAEMOCHROMATOSIS (Elevated Saturated Iron levels) was resolving. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Serum ferritin: high (High) Elevated Ferritin levels. On an unknown date, Transferrin saturation: high (High) Elevated Saturated Iron levels. Treatment information was not provided The patient stated that, after receiving both the doses, her ferritin and saturated iron levels have been elevated. They are still elevated, but they have come down This case was linked to MOD-2021-292460 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 19-Aug-2021: Significant Follow up received on 19-AUG-2021 includes :Patient details,Concomitant Medication,Dosage date and events were updated.

Other Meds: SYNTHROID; METOPROLOL; RALOXIFENE; SPIRONOLACTONE

Current Illness:

ID: 1672582
Sex: F
Age: 44
State: FL

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 09/04/2021
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: Nosebleed started around a week later; Has not had second shot >36 days between doses; fiery prickles over my body/all over my skin, similar to niacin flush; Dizzy; Heart rate, it was through the roof; Short of breath/couldn't catch my breadth; This spontaneous case was reported by a consumer and describes the occurrence of PARAESTHESIA (fiery prickles over my body/all over my skin, similar to niacin flush), DIZZINESS (Dizzy), HEART RATE INCREASED (Heart rate, it was through the roof), DYSPNOEA (Short of breath/couldn't catch my breadth) and EPISTAXIS (Nosebleed started around a week later) in a 45-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Asthma. On 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-Mar-2021, the patient experienced PARAESTHESIA (fiery prickles over my body/all over my skin, similar to niacin flush), DIZZINESS (Dizzy), HEART RATE INCREASED (Heart rate, it was through the roof), DYSPNOEA (Short of breath/couldn't catch my breadth) and PRODUCT DOSE OMISSION ISSUE (Has not had second shot >36 days between doses). On an unknown date, the patient experienced EPISTAXIS (Nosebleed started around a week later). At the time of the report, PARAESTHESIA (fiery prickles over my body/all over my skin, similar to niacin flush), DIZZINESS (Dizzy), HEART RATE INCREASED (Heart rate, it was through the roof), DYSPNOEA (Short of breath/couldn't catch my breadth) and EPISTAXIS (Nosebleed started around a week later) outcome was unknown and PRODUCT DOSE OMISSION ISSUE (Has not had second shot >36 days between doses) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medication was not provided Treatment information was not reported

Other Meds:

Current Illness: Asthma

ID: 1672583
Sex: F
Age: 60
State: NY

Vax Date: 01/07/2021
Onset Date:
Rec V Date: 09/04/2021
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: She was out of breath; She couldn't walk upstairs.; She couldn't eat much.; She felt even more fatigued after receiving 2nd dose.; This spontaneous case was reported by a consumer and describes the occurrence of DYSPNOEA (She was out of breath), GAIT DISTURBANCE (She couldn't walk upstairs.), FEEDING DISORDER (She couldn't eat much.) and FATIGUE (She felt even more fatigued after receiving 2nd dose.) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030L20A and 01L20A) for COVID-19 vaccination. Concomitant products included LOSARTAN for an unknown indication. On 07-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Feb-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 DYSPNOEA (She was out of breath), GAIT DISTURBANCE (She couldn't walk upstairs.), FEEDING DISORDER (She couldn't eat much.) and FATIGUE (She felt even more fatigued after receiving 2nd dose.). The patient was treated with PREDNISONE ongoing since an unknown date at an unspecified dose and frequency and DOXYCYCLINE ongoing since an unknown date at an unspecified dose and frequency. At the time of the report, DYSPNOEA (She was out of breath), GAIT DISTURBANCE (She couldn't walk upstairs.), FEEDING DISORDER (She couldn't eat much.) and FATIGUE (She felt even more fatigued after receiving 2nd dose.) outcome was unknown. Concomitant medication include cholesterol medication. Safety team can follow-up by email or phone call. This case was linked to MOD-2021-291562 (Patient Link).

Other Meds: LOSARTAN

Current Illness:

ID: 1672584
Sex: M
Age: 56
State: TN

Vax Date: 03/25/2021
Onset Date: 04/01/2021
Rec V Date: 09/04/2021
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: Blurred vision; 1st dose 25Mar2021, no 2nd dose; Extreme Anxiety; This spontaneous case was reported by a consumer and describes the occurrence of ANXIETY (Extreme Anxiety), VISION BLURRED (Blurred vision) and OFF LABEL USE (1st dose 25Mar2021, no 2nd dose) in a 56-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045A21A) 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) (unknown route) 1 dosage form. In April 2021, the patient experienced ANXIETY (Extreme Anxiety) and OFF LABEL USE (1st dose 25Mar2021, no 2nd dose). On an unknown date, the patient experienced VISION BLURRED (Blurred vision). In 2021, ANXIETY (Extreme Anxiety), VISION BLURRED (Blurred vision) and OFF LABEL USE (1st dose 25Mar2021, no 2nd dose) outcome was unknown. mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) dosing was delayed on an unknown date. 2 weeks after the vaccination, after having a 10 hour dental work, patient experienced extreme anxiety for 3-4 weeks and gradually faded. So he was advised not to take the 2nd dose to figure out what was going on. They were thinking it may have been the anesthesia that brought him to the anxiety state since he also had accompanying blurred vision. Concomitant product use was not provided. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1672585
Sex: M
Age: 48
State: FL

Vax Date: 07/25/2021
Onset Date: 08/07/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data: Test Name: pulse ox; Result Unstructured Data: 95; Test Date: 20210810; Test Name: COVID-19; Test Result: Positive ; Result Unstructured Data: Patient tested positive for COVID

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: he still has a pretty good cough; fatigued; he tested positive on August 10th; chest congestion; we thought it was a sinus infection; This spontaneous case was reported by a consumer and describes the occurrence of SINUSITIS (we thought it was a sinus infection), COVID-19 (he tested positive on August 10th), CHEST DISCOMFORT (chest congestion), COUGH (he still has a pretty good cough) and FATIGUE (fatigued) in a 48-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006D21A) for COVID-19 vaccination. Concurrent medical conditions included Type 2 diabetes mellitus. Concomitant products included METFORMIN for Type 2 diabetes mellitus, DULAGLUTIDE (TRULICITY) for an unknown indication. On 25-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Aug-2021, the patient experienced SINUSITIS (we thought it was a sinus infection) and CHEST DISCOMFORT (chest congestion). On 10-Aug-2021, the patient experienced COVID-19 (he tested positive on August 10th). On 19-Aug-2021, the patient experienced COUGH (he still has a pretty good cough) and FATIGUE (fatigued). At the time of the report, SINUSITIS (we thought it was a sinus infection), COVID-19 (he tested positive on August 10th), CHEST DISCOMFORT (chest congestion), COUGH (he still has a pretty good cough) and FATIGUE (fatigued) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 10-Aug-2021, SARS-CoV-2 test: positive (Positive) Patient tested positive for COVID. On an unknown date, Oxygen saturation: 95 (normal) 95. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment information was provided.

Other Meds: METFORMIN; TRULICITY

Current Illness: Type 2 diabetes mellitus

ID: 1672586
Sex: F
Age:
State: WA

Vax Date: 08/18/2021
Onset Date: 07/18/2021
Rec V Date: 09/04/2021
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: Pink spotting; This spontaneous case was reported by a consumer and describes the occurrence of VAGINAL HAEMORRHAGE (Pink spotting) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included Intrauterine contraception (The patient said that has an IUD and that never had any vaginal bleeding. ) in 2017. On 18-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 18-Jul-2021, the patient experienced VAGINAL HAEMORRHAGE (Pink spotting). At the time of the report, VAGINAL HAEMORRHAGE (Pink spotting) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant concomitant medications were reported by reporter. Treatment information was not reported.

Other Meds:

Current Illness:

ID: 1672587
Sex: M
Age: 58
State: PA

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 09/04/2021
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 Name: MRI; Result Unstructured Data: found no tumor, brain bleed, stroke, neurological, or cardiac disorder.

Allergies:

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

Symptoms: sweaty; clammy; blurred vision; His left eye had no peripheral vision; it was like he had spider webs in both eyes; headache; left chest muscle was sore and kind of hurt; This spontaneous case was reported by a consumer and describes the occurrence of HYPERHIDROSIS (sweaty), COLD SWEAT (clammy), VISION BLURRED (blurred vision), VISUAL FIELD DEFECT (His left eye had no peripheral vision) and EYE DISORDER (it was like he had spider webs in both eyes) in a 58-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 091D21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No relevant medical history was reported. Concomitant products included DOXYCYCLINE and MULTIVITAMINS [VITAMINS NOS] for an unknown indication. On 10-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 10-Aug-2021, the patient experienced HEADACHE (headache) and MYALGIA (left chest muscle was sore and kind of hurt). On 11-Aug-2021, the patient experienced HYPERHIDROSIS (sweaty), COLD SWEAT (clammy), VISION BLURRED (blurred vision), VISUAL FIELD DEFECT (His left eye had no peripheral vision) and EYE DISORDER (it was like he had spider webs in both eyes). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at a dose of 1 dosage form. At the time of the report, HYPERHIDROSIS (sweaty), COLD SWEAT (clammy), HEADACHE (headache) and MYALGIA (left chest muscle was sore and kind of hurt) outcome was unknown and VISION BLURRED (blurred vision), VISUAL FIELD DEFECT (His left eye had no peripheral vision) and EYE DISORDER (it was like he had spider webs in both eyes) was resolving. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Magnetic resonance imaging: normal (normal) found no tumor, brain bleed, stroke, neurological, or cardiac disorder.. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Patient also had an ekg and blood draw and spent about 7 hours in the ER. The emergency room doctor did say that when multiple sclerosis affects vision it lasts for days or weeks.

Other Meds: MULTIVITAMINS [VITAMINS NOS]

Current Illness:

ID: 1672588
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: 2021; Test Name: Heart rate; Result Unstructured Data: The patient's heart rate was 90-140's.

Allergies:

Symptom List: Unevaluable event

Symptoms: Extremely dizzy; Heart rate has been in the 90's-140's for the last hour; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (Extremely dizzy) and HEART RATE INCREASED (Heart rate has been in the 90's-140's for the last hour) 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 DIZZINESS (Extremely dizzy) and HEART RATE INCREASED (Heart rate has been in the 90's-140's for the last hour). At the time of the report, DIZZINESS (Extremely dizzy) and HEART RATE INCREASED (Heart rate has been in the 90's-140's for the last hour) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Heart rate: high (High) The patient's heart rate was 90-140's.. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant product use was provided by the reporter. No treatment medications were reported.

Other Meds:

Current Illness:

ID: 1672589
Sex: F
Age: 55
State: NV

Vax Date: 12/23/2020
Onset Date:
Rec V Date: 09/04/2021
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: really really sick; more than 36 passed since the first dose and she did not get the second; This spontaneous case was reported by an other health care professional and describes the occurrence of ILLNESS (really really sick) and PRODUCT DOSE OMISSION ISSUE (more than 36 passed since the first dose and she did not get the second) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included COVID-19 in August 2020. On 23-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ILLNESS (really really sick) and PRODUCT DOSE OMISSION ISSUE (more than 36 passed since the first dose and she did not get the second). At the time of the report, ILLNESS (really really sick) outcome was unknown and PRODUCT DOSE OMISSION ISSUE (more than 36 passed since the first dose and she did not get the second) 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. Relevant concomitant medications were not provided. Treatment information was not provided. This case was linked to MOD-2021-291699 (Patient Link).

Other Meds:

Current Illness:

ID: 1672590
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: Fever; Nauseousness; Headache; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (Fever), NAUSEA (Nauseousness) 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) (unknown route) 1 dosage form. On an unknown date, the patient experienced PYREXIA (Fever), NAUSEA (Nauseousness) and HEADACHE (Headache). At the time of the report, PYREXIA (Fever), NAUSEA (Nauseousness) and HEADACHE (Headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication was reported. No treatment history was reported. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1672591
Sex: F
Age: 70
State: VA

Vax Date: 08/19/2021
Onset Date: 08/18/2021
Rec V Date: 09/04/2021
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: has been feeling anxious/very very anxious; has some discomfort in the chest; t's more like a strain, like when you lift something heavy and it strains you in the chest, in the muscle; has some discomfort in the throat; acid reflux; headaches; This spontaneous case was reported by a consumer and describes the occurrence of ANXIETY (has been feeling anxious/very very anxious), CHEST DISCOMFORT (has some discomfort in the chest), MUSCLE STRAIN (t's more like a strain, like when you lift something heavy and it strains you in the chest, in the muscle), OROPHARYNGEAL DISCOMFORT (has some discomfort in the throat) and GASTROOESOPHAGEAL REFLUX DISEASE (acid reflux) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 939676) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Medical history was not provided. Concomitant products included NEBIVOLOL HYDROCHLORIDE (BYSTOLIC), DULAGLUTIDE (TRULICITY), DULOXETINE HYDROCHLORIDE (CYMBALTA), LEVOTHYROXINE, LOSARTAN, TRAMADOL and TRAZODONE for an unknown indication. On 19-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 18-Aug-2021, the patient experienced ANXIETY (has been feeling anxious/very very anxious), CHEST DISCOMFORT (has some discomfort in the chest), MUSCLE STRAIN (t's more like a strain, like when you lift something heavy and it strains you in the chest, in the muscle), OROPHARYNGEAL DISCOMFORT (has some discomfort in the throat), GASTROOESOPHAGEAL REFLUX DISEASE (acid reflux) and HEADACHE (headaches). At the time of the report, ANXIETY (has been feeling anxious/very very anxious), CHEST DISCOMFORT (has some discomfort in the chest), MUSCLE STRAIN (t's more like a strain, like when you lift something heavy and it strains you in the chest, in the muscle), OROPHARYNGEAL DISCOMFORT (has some discomfort in the throat), GASTROOESOPHAGEAL REFLUX DISEASE (acid reflux) and HEADACHE (headaches) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No treatment details were provided by reporter.

Other Meds: BYSTOLIC; TRULICITY; CYMBALTA; LEVOTHYROXINE; LOSARTAN; TRAMADOL; TRAZODONE

Current Illness:

ID: 1672592
Sex: F
Age:
State: AL

Vax Date: 08/18/2021
Onset Date: 08/18/2021
Rec V Date: 09/04/2021
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: Received 3rd dose on an Unknown reason; This spontaneous case was reported by an other health care professional and describes the occurrence of OFF LABEL USE (Received 3rd dose on an Unknown reason) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Osteoporosis. On 18-Aug-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 18-Aug-2021, the patient experienced OFF LABEL USE (Received 3rd dose on an Unknown reason). On 18-Aug-2021, OFF LABEL USE (Received 3rd dose on an Unknown reason) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Patient prescribed to take PROLEA shots as she took vaccine changed appointment for a PROLEA shot for osteoporosis. No treatment medications were provided by reporter. No concomitant medications were provided by reporter. Reporter did not allow further contact

Other Meds:

Current Illness: Osteoporosis

ID: 1672593
Sex: F
Age:
State:

Vax Date: 01/12/2021
Onset Date:
Rec V Date: 09/04/2021
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: COVID arm; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (COVID arm) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 012L20A and 010M20A) for COVID-19 vaccination. No Medical History information was reported. On 12-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Feb-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 VACCINATION COMPLICATION (COVID arm). At the time of the report, VACCINATION COMPLICATION (COVID arm) outcome was unknown. mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) dosing remained unchanged. Concomitant medications included: daily vitamin, anti-histamine and low dose hormone . Patient has taken Benadryl capsules a few days before second dose. Treatment medications was not provided. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1672594
Sex: F
Age: 41
State: FL

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 09/04/2021
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: temperature is 99.9 Fahrenheit today; moderate left shoulder joint pain; has swelling; bump just a size of a quarter/bump has now grown to 3-4 inches in diameter; slight reddish round bump on the left arm injection site; This spontaneous case was reported by a consumer and describes the occurrence of SKIN MASS (bump just a size of a quarter/bump has now grown to 3-4 inches in diameter), PYREXIA (temperature is 99.9 Fahrenheit today), VACCINATION SITE ERYTHEMA (slight reddish round bump on the left arm injection site), ARTHRALGIA (moderate left shoulder joint pain) and VACCINATION SITE SWELLING (has swelling) in a 41-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. unknown) for COVID-19 vaccination. Concurrent medical conditions included Factor V Leiden mutation. On 10-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Aug-2021, the patient experienced VACCINATION SITE ERYTHEMA (slight reddish round bump on the left arm injection site). On 17-Aug-2021, the patient experienced SKIN MASS (bump just a size of a quarter/bump has now grown to 3-4 inches in diameter), ARTHRALGIA (moderate left shoulder joint pain) and VACCINATION SITE SWELLING (has swelling). On 19-Aug-2021, the patient experienced PYREXIA (temperature is 99.9 Fahrenheit today). At the time of the report, SKIN MASS (bump just a size of a quarter/bump has now grown to 3-4 inches in diameter), PYREXIA (temperature is 99.9 Fahrenheit today), VACCINATION SITE ERYTHEMA (slight reddish round bump on the left arm injection site), ARTHRALGIA (moderate left shoulder joint pain) and VACCINATION SITE SWELLING (has swelling) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient taken her last dose of antibiotics for UTI on her vaccination day . Patient takes an anti-coagulant whenever she travels for she had a blood clot on her leg 3 years ago. No treatment details were provided by reporter.

Other Meds:

Current Illness: Factor V Leiden mutation

ID: 1672595
Sex: M
Age: 49
State:

Vax Date: 03/04/2021
Onset Date:
Rec V Date: 09/04/2021
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: sluggish; 3rd dose without doctor recommendation; This spontaneous case was reported by a consumer and describes the occurrence of SLUGGISHNESS (sluggish) and EXTRA DOSE ADMINISTERED (3rd dose without doctor recommendation) in a 49-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 04-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 18-Aug-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced SLUGGISHNESS (sluggish) and EXTRA DOSE ADMINISTERED (3rd dose without doctor recommendation). At the time of the report, SLUGGISHNESS (sluggish) had not resolved and EXTRA DOSE ADMINISTERED (3rd dose without doctor recommendation) outcome was unknown. No concomitant medication was reported. No treatment medication was reported. This case was linked to MOD-2021-291730 (Patient Link).

Other Meds:

Current Illness:

ID: 1672596
Sex: M
Age: 34
State: FL

Vax Date: 07/23/2021
Onset Date: 08/06/2021
Rec V Date: 09/04/2021
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: 20210813; Test Name: COVID test; Test Result: Positive ; Result Unstructured Data: Positive

Allergies:

Symptom List: Nausea

Symptoms: tested positive for covid; Little cough; Body aches; Sore throat; Congestion; This spontaneous case was reported by a consumer and describes the occurrence of OROPHARYNGEAL PAIN (Sore throat), NASAL CONGESTION (Congestion), COVID-19 (tested positive for covid), COUGH (Little cough) and MYALGIA (Body aches) in a 34-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006D21A) for COVID-19 vaccination. Concurrent medical conditions included Depression and Mood disorder. Concomitant products included BUPROPION for Antidepressant therapy, LAMOTRIGINE for Mood disorder. On 23-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Aug-2021, the patient experienced OROPHARYNGEAL PAIN (Sore throat), NASAL CONGESTION (Congestion), COUGH (Little cough) and MYALGIA (Body aches). On 13-Aug-2021, the patient experienced COVID-19 (tested positive for covid). The patient was treated with DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE, EPHEDRINE SULFATE, ETHANOL, PARACETAMOL (NYQUIL) for Adverse event, at an unspecified dose and frequency. At the time of the report, OROPHARYNGEAL PAIN (Sore throat), NASAL CONGESTION (Congestion), COVID-19 (tested positive for covid), COUGH (Little cough) and MYALGIA (Body aches) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 13-Aug-2021, SARS-CoV-2 test: positive (Positive) Positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.; Sender's Comments: Based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded but is unlikely as the events are more likely related to the event of COVID-19.

Other Meds: BUPROPION; LAMOTRIGINE

Current Illness: Depression; Mood disorder

ID: 1672597
Sex: M
Age: 49
State:

Vax Date: 03/04/2021
Onset Date:
Rec V Date: 09/04/2021
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: tired; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (tired) in a 49-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 022M20A and 044A21A) for COVID-19 vaccination. No Medical History information was reported. On 04-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced FATIGUE (tired). At the time of the report, FATIGUE (tired) outcome was unknown. No concomitant medication were provided by the reporter. No treatment medication were provided by the reporter. This case was linked to MOD-2021-291719 (Patient Link).

Other Meds:

Current Illness:

ID: 1672598
Sex: M
Age: 42
State: NC

Vax Date: 05/15/2021
Onset Date: 06/12/2021
Rec V Date: 09/04/2021
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: felt something strange in the teeth,like it was loose; felt some malaise in the mouth,felt a lot the food in his mouth; he regained the sensitivity there; pain in arm; This spontaneous case was reported by a consumer and describes the occurrence of DENTAL DISCOMFORT (felt something strange in the teeth,like it was loose), ORAL DISCOMFORT (felt some malaise in the mouth,felt a lot the food in his mouth), HYPERAESTHESIA TEETH (he regained the sensitivity there) and PAIN IN EXTREMITY (pain in arm) in a 43-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 027C21A and 027C21A) for COVID-19 vaccination. The patient's past medical history included Tumor excision (About 10 years ago he had an operation where he lost part of the face and has metal instead because of a tumor he had; so he had no sensibility in that part). On 15-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Jun-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 12-Jun-2021, the patient experienced DENTAL DISCOMFORT (felt something strange in the teeth,like it was loose), ORAL DISCOMFORT (felt some malaise in the mouth,felt a lot the food in his mouth), HYPERAESTHESIA TEETH (he regained the sensitivity there) and PAIN IN EXTREMITY (pain in arm). On 17-Jun-2021, DENTAL DISCOMFORT (felt something strange in the teeth,like it was loose) and ORAL DISCOMFORT (felt some malaise in the mouth,felt a lot the food in his mouth) had resolved. At the time of the report, HYPERAESTHESIA TEETH (he regained the sensitivity there) and PAIN IN EXTREMITY (pain in arm) outcome was unknown. No concomitant medications were reported No treatment information was reported

Other Meds:

Current Illness:

ID: 1672599
Sex: U
Age:
State:

Vax Date: 08/18/2021
Onset Date: 08/19/2021
Rec V Date: 09/04/2021
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: Chills; Low fever; Vomiting; This spontaneous case was reported by a consumer and describes the occurrence of CHILLS (Chills), PYREXIA (Low fever) and VOMITING (Vomiting) 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 18-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 19-Aug-2021, the patient experienced CHILLS (Chills), PYREXIA (Low fever) and VOMITING (Vomiting). At the time of the report, CHILLS (Chills), PYREXIA (Low fever) and VOMITING (Vomiting) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medication were not reported. Treatment medication were not reported.

Other Meds:

Current Illness:

Date Died: 03/14/2021

ID: 1672600
Sex: M
Age: 72
State: SD

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 09/04/2021
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: Heart attack; This spontaneous case was reported by a consumer and describes the occurrence of MYOCARDIAL INFARCTION (Heart attack) in a 72-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concomitant products included ATORVASTATIN CALCIUM (STATIN [ATORVASTATIN CALCIUM]) for an unknown indication. On 12-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Mar-2021, the patient experienced MYOCARDIAL INFARCTION (Heart attack) (seriousness criteria death and medically significant). The patient died on 14-Mar-2021. The reported cause of death was Heart attack. An autopsy was not performed. Treatment information was not provided. Company comment Very limited information regarding this event/s has been provided at this time. Further information has been requested Most recent FOLLOW-UP information incorporated above includes: On 20-Aug-2021: Follow-up received and contains reporter contact information.; Sender's Comments: Very limited information regarding this event/s has been provided at this time. Further information has been requested; Reported Cause(s) of Death: Heart attack

Other Meds: STATIN [ATORVASTATIN CALCIUM]

Current Illness:

ID: 1672601
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
Hospital:

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

Lab Data: Test Name: Fever; Result Unstructured Data: 40 degrees C

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: I have a fever of 40 degrees C after second dose of Moderna; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (I have a fever of 40 degrees C after second dose of Moderna) 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 PYREXIA (I have a fever of 40 degrees C after second dose of Moderna). At the time of the report, PYREXIA (I have a fever of 40 degrees C after second dose of Moderna) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 40 (High) 40 degrees C. Concomitant medications were not provided by the reporter. Treatment medications were not provided by reporter.

Other Meds:

Current Illness:

ID: 1672602
Sex: F
Age:
State: MO

Vax Date: 01/26/2021
Onset Date:
Rec V Date: 09/04/2021
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: She can hold a magnet to her arm and the magnet does not fall off the injection site/Magnet will not move unless she takes does not take it off.; Hurts when she takes magnet off the injection site/Pain stays there for about a half hour; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE REACTION (She can hold a magnet to her arm and the magnet does not fall off the injection site/Magnet will not move unless she takes does not take it off.) and VACCINATION SITE PAIN (Hurts when she takes magnet off the injection site/Pain stays there for about a half hour) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 010M20A and 027L20A) for COVID-19 vaccination. No Medical History information was reported. Concomitant products included ANASTROZOLE (ANASTROL) for an unknown indication. On 26-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 23-Feb-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 VACCINATION SITE REACTION (She can hold a magnet to her arm and the magnet does not fall off the injection site/Magnet will not move unless she takes does not take it off.) and VACCINATION SITE PAIN (Hurts when she takes magnet off the injection site/Pain stays there for about a half hour). At the time of the report, VACCINATION SITE REACTION (She can hold a magnet to her arm and the magnet does not fall off the injection site/Magnet will not move unless she takes does not take it off.) and VACCINATION SITE PAIN (Hurts when she takes magnet off the injection site/Pain stays there for about a half hour) outcome was unknown. Treatment information was not provided.

Other Meds: ANASTROL

Current Illness:

ID: 1672603
Sex: F
Age: 47
State: MD

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 09/04/2021
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: Still feels tired; Felt "in and out of it"; Felt like she feels when she has a sulfa allergy/she does have multiple allergies including Sulfa, latex, apples, watermelon, carrots, and other food allergies; Light headed; Couldn't focus; Couldn't keep her eyelids open; Slept for two days straight; This spontaneous case was reported by a consumer and describes the occurrence of ALLERGY TO VACCINE (Felt like she feels when she has a sulfa allergy/she does have multiple allergies including Sulfa, latex, apples, watermelon, carrots, and other food allergies), DIZZINESS (Light headed), DISTURBANCE IN ATTENTION (Couldn't focus), EYELID IRRITATION (Couldn't keep her eyelids open) and HYPERSOMNIA (Slept for two days straight) in a 47-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Drug hypersensitivity (Sulfa), Fruit allergy (Apple), Fruit allergy (watermelon), Vegetable allergy (Carrots), Latex allergy and Food allergy (patient had other food allergies). On 16-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Aug-2021, the patient experienced ALLERGY TO VACCINE (Felt like she feels when she has a sulfa allergy/she does have multiple allergies including Sulfa, latex, apples, watermelon, carrots, and other food allergies), DIZZINESS (Light headed), DISTURBANCE IN ATTENTION (Couldn't focus), EYELID IRRITATION (Couldn't keep her eyelids open) and HYPERSOMNIA (Slept for two days straight). On 17-Aug-2021, the patient experienced VACCINATION COMPLICATION (Felt "in and out of it"). On 19-Aug-2021, the patient experienced FATIGUE (Still feels tired). On 17-Aug-2021, EYELID IRRITATION (Couldn't keep her eyelids open) and HYPERSOMNIA (Slept for two days straight) had resolved. On 19-Aug-2021, DIZZINESS (Light headed) and DISTURBANCE IN ATTENTION (Couldn't focus) had resolved. At the time of the report, ALLERGY TO VACCINE (Felt like she feels when she has a sulfa allergy/she does have multiple allergies including Sulfa, latex, apples, watermelon, carrots, and other food allergies), VACCINATION COMPLICATION (Felt "in and out of it") and FATIGUE (Still feels tired) outcome was unknown. 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: Drug hypersensitivity (Sulfa); Food allergy (patient had other food allergies); Fruit allergy (watermelon); Fruit allergy (Apple); Latex allergy; Vegetable allergy (Carrots)

ID: 1672604
Sex: F
Age:
State: FL

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: Saw online lots of people have had COVID arm; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (Saw online lots of people have had COVID arm) in a female 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 dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced VACCINATION COMPLICATION (Saw online lots of people have had COVID arm). At the time of the report, VACCINATION COMPLICATION (Saw online lots of people have had COVID arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. The treatment medication was not reported. The concomitant medication was not reported. This case was linked to MOD-2021-291127, MOD-2021-290851 (Patient Link).

Other Meds:

Current Illness:

ID: 1672605
Sex: F
Age: 47
State: FL

Vax Date: 07/24/2021
Onset Date: 08/14/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data: Test Name: Body temperature; Result Unstructured Data: 99.6 degrees Fahrenheit; Test Date: 20210810; Test Name: COVID test; Test Result: Negative ; Result Unstructured Data: Negative; Test Date: 20210815; Test Name: COVID test; Test Result: Positive ; Result Unstructured Data: Positive

Allergies:

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Cough; want to take a nap; runny nose; headache; COVID-19; Fatigue; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (COVID-19), COUGH (Cough), SOMNOLENCE (want to take a nap), RHINORRHOEA (runny nose) and HEADACHE (headache) in a 47-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 040C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Cough (Had cough for year and half and didn't think much of it.). Concomitant products included ESCITALOPRAM OXALATE (LEXAPRO) and ROSUVASTATIN for an unknown indication. On 24-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Aug-2021, the patient experienced FATIGUE (Fatigue). On 15-Aug-2021, the patient experienced COVID-19 (COVID-19). On an unknown date, the patient experienced COUGH (Cough), SOMNOLENCE (want to take a nap), RHINORRHOEA (runny nose) and HEADACHE (headache). At the time of the report, COVID-19 (COVID-19), COUGH (Cough), SOMNOLENCE (want to take a nap), RHINORRHOEA (runny nose), HEADACHE (headache) and FATIGUE (Fatigue) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 10-Aug-2021, SARS-CoV-1 test: negative (Negative) Negative. On 15-Aug-2021, SARS-CoV-1 test: positive (Positive) Positive. On an unknown date, Body temperature: normal (normal) 99.6 degrees Fahrenheit. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient mentioned that her pulse ox was 97 at the lowest and also states that her symptoms are mild. No treatment medications were provided. This case was linked to MOD-2021-132775 (Patient Link).

Other Meds: LEXAPRO; ROSUVASTATIN

Current Illness:

ID: 1672606
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: severe reaction; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (severe 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 COMPLICATION (severe reaction). At the time of the report, VACCINATION COMPLICATION (severe reaction) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication was reported. no treatment medication was provided. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1672607
Sex: F
Age: 45
State: TX

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 09/04/2021
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: real big red hard ball in the injection site; decided not to get second dose; Redness in the injection site; Soreness and muscle ache; headache; rash; This spontaneous case was reported by a non-health professional and describes the occurrence of VACCINATION SITE MASS (real big red hard ball in the injection site), PRODUCT DOSE OMISSION ISSUE (decided not to get second dose), VACCINATION SITE ERYTHEMA (Redness in the injection site), MYALGIA (Soreness and muscle ache) and HEADACHE (headache) in a 46-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was reported. Concomitant products included VITAMINS NOS and PROBIOTICS NOS for an unknown indication. In April 2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In April 2021, the patient experienced VACCINATION SITE MASS (real big red hard ball in the injection site), PRODUCT DOSE OMISSION ISSUE (decided not to get second dose), VACCINATION SITE ERYTHEMA (Redness in the injection site), MYALGIA (Soreness and muscle ache), HEADACHE (headache) and RASH (rash). At the time of the report, VACCINATION SITE MASS (real big red hard ball in the injection site), PRODUCT DOSE OMISSION ISSUE (decided not to get second dose), VACCINATION SITE ERYTHEMA (Redness in the injection site), MYALGIA (Soreness and muscle ache), HEADACHE (headache) and RASH (rash) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No treatment medications are provided.

Other Meds: VITAMINS NOS; PROBIOTICS NOS

Current Illness:

ID: 1672608
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: sore and swollen again; welts around the injection site; Initial soreness wore off; This spontaneous case was reported by a consumer and describes the occurrence of SWELLING (sore and swollen again), VACCINATION SITE BRUISING (welts around the injection site) and MYALGIA (Initial soreness wore off) 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 SWELLING (sore and swollen again), VACCINATION SITE BRUISING (welts around the injection site) and MYALGIA (Initial soreness wore off). At the time of the report, SWELLING (sore and swollen again), VACCINATION SITE BRUISING (welts around the injection site) and MYALGIA (Initial soreness wore off) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medications was not provided by the reporter. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1672609
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: sore; chills; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (sore) and CHILLS (chills) 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 (sore) and CHILLS (chills). At the time of the report, MYALGIA (sore) and CHILLS (chills) 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: 1672610
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: Numb arm; This spontaneous case was reported by a consumer and describes the occurrence of HYPOAESTHESIA (Numb arm) 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 HYPOAESTHESIA (Numb arm). At the time of the report, HYPOAESTHESIA (Numb arm) 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: 1672611
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: Is a sore throat one of the side effects of the 2nd dose; This spontaneous case was reported by a consumer and describes the occurrence of OROPHARYNGEAL PAIN (Is a sore throat one of the side effects of the 2nd dose) 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 OROPHARYNGEAL PAIN (Is a sore throat one of the side effects of the 2nd dose). At the time of the report, OROPHARYNGEAL PAIN (Is a sore throat one of the side effects of the 2nd dose) outcome was unknown. No Concomitant medications were reported. No Treatment information was reported.

Other Meds:

Current Illness:

ID: 1672612
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: Getting COVID After the Vaccine; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (Getting COVID 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 dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced COVID-19 (Getting COVID After the Vaccine). At the time of the report, COVID-19 (Getting COVID After the Vaccine) 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 unknown.

Other Meds:

Current Illness:

ID: 1672613
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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 Name: body temperature; Result Unstructured Data: fever

Allergies:

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

Symptoms: terrible aches/everything on me aches; fever of 101; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (terrible aches/everything on me aches) and PYREXIA (fever of 101) 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 third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PAIN (terrible aches/everything on me aches) and PYREXIA (fever of 101). At the time of the report, PAIN (terrible aches/everything on me aches) and PYREXIA (fever of 101) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 101 (High) fever. The concomitant medication was not reported.The treatment history was not reported.

Other Meds:

Current Illness:

ID: 1672614
Sex: F
Age: 25
State: NY

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 09/04/2021
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: Swollen lymph nodes on my neck it is sweeling up/lymph nodes in the left side of her neck are swollen; The lymph nodes in the left side of her neck are swollen and it is very painful; Bad dizziness/she felt dizzy/dizzy for 3 about days; Weakness/ weak for 3 about days; One hour after the shot both arms and legs very numb and rigid; One hour after the shot both arms and legs very numb and rigid, this lasted for about 2 days; This spontaneous case was reported by a nurse and describes the occurrence of DIZZINESS (Bad dizziness/she felt dizzy/dizzy for 3 about days), ASTHENIA (Weakness/ weak for 3 about days), HYPOAESTHESIA (One hour after the shot both arms and legs very numb and rigid), MUSCLE RIGIDITY (One hour after the shot both arms and legs very numb and rigid, this lasted for about 2 days) and LYMPHADENOPATHY (Swollen lymph nodes on my neck it is sweeling up/lymph nodes in the left side of her neck are swollen) in a 25-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. No Medical History information was reported. On 10-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 10-Aug-2021, the patient experienced DIZZINESS (Bad dizziness/she felt dizzy/dizzy for 3 about days), ASTHENIA (Weakness/ weak for 3 about days), HYPOAESTHESIA (One hour after the shot both arms and legs very numb and rigid) and MUSCLE RIGIDITY (One hour after the shot both arms and legs very numb and rigid, this lasted for about 2 days). On 19-Aug-2021, the patient experienced LYMPHADENOPATHY (Swollen lymph nodes on my neck it is sweeling up/lymph nodes in the left side of her neck are swollen) and LYMPH NODE PAIN (The lymph nodes in the left side of her neck are swollen and it is very painful). At the time of the report, DIZZINESS (Bad dizziness/she felt dizzy/dizzy for 3 about days), ASTHENIA (Weakness/ weak for 3 about days), HYPOAESTHESIA (One hour after the shot both arms and legs very numb and rigid) and MUSCLE RIGIDITY (One hour after the shot both arms and legs very numb and rigid, this lasted for about 2 days) had resolved and LYMPHADENOPATHY (Swollen lymph nodes on my neck it is sweeling up/lymph nodes in the left side of her neck are swollen) and LYMPH NODE PAIN (The lymph nodes in the left side of her neck are swollen and it is very painful) 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. No concomitant medications were reported. Treatment information was not provided. Most recent FOLLOW-UP information incorporated above includes: On 19-Aug-2021: Follow up document received on 19 Aug 2021 included reporter address, patient details and new events were added. Dose details and events onset date were updated.

Other Meds:

Current Illness:

ID: 1672615
Sex: U
Age:
State:

Vax Date: 02/01/2021
Onset Date:
Rec V Date: 09/04/2021
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: 2 or 3 days after the vaccine, my left foot became inflamed in a gout like condition; Swollen from toe to bottom of calf; Missed 3 nights sleep; Had to walk with a cane for two weeks.; Swollen from toe to bottom of calf. Very painful; This spontaneous case was reported by a consumer and describes the occurrence of INFLAMMATION (2 or 3 days after the vaccine, my left foot became inflamed in a gout like condition), PERIPHERAL SWELLING (Swollen from toe to bottom of calf), INSOMNIA (Missed 3 nights sleep), GAIT DISTURBANCE (Had to walk with a cane for two weeks.) and PAIN IN EXTREMITY (Swollen from toe to bottom of calf. Very painful) 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. In February 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 INFLAMMATION (2 or 3 days after the vaccine, my left foot became inflamed in a gout like condition), PERIPHERAL SWELLING (Swollen from toe to bottom of calf), INSOMNIA (Missed 3 nights sleep), GAIT DISTURBANCE (Had to walk with a cane for two weeks.) and PAIN IN EXTREMITY (Swollen from toe to bottom of calf. Very painful). At the time of the report, INFLAMMATION (2 or 3 days after the vaccine, my left foot became inflamed in a gout like condition), PERIPHERAL SWELLING (Swollen from toe to bottom of calf), INSOMNIA (Missed 3 nights sleep), GAIT DISTURBANCE (Had to walk with a cane for two weeks.) and PAIN IN EXTREMITY (Swollen from toe to bottom of calf. Very painful) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications provided. No treatment medications provided.

Other Meds:

Current Illness:

ID: 1672616
Sex: F
Age: 77
State: OK

Vax Date: 08/09/2021
Onset Date: 08/10/2021
Rec V Date: 09/04/2021
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: Pretty bad looking rash on both of my legs; This spontaneous case was reported by a consumer and describes the occurrence of RASH (Pretty bad looking rash on both of my legs) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039C21A) for COVID-19 vaccination. The patient's past medical history included Angioedema (angioedema/anaphylaxis when patient took a sulfa medication.). On 09-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 10-Aug-2021, the patient experienced RASH (Pretty bad looking rash on both of my legs). In August 2021, RASH (Pretty bad looking rash on both of my legs) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medications were not reported. Treatment medications were not reported. It was stated that the patient experienced the same rash when patient took INH in the 70s for a positive PPD.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am