VAERS 2021 Database www.vaers.hhs.gov

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

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

COVID19 Lot Number

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

Incidents per State

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

ID: 1672617
Sex: F
Age: 59
State: CA

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: falling in the bathroom and hurt herself as a result of the fall; Hurt herself as a result of fall; Headache; This spontaneous case was reported by a consumer and describes the occurrence of FALL (falling in the bathroom and hurt herself as a result of the fall), INJURY (Hurt herself as a result of fall) and HEADACHE (Headache) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Type 1 diabetes mellitus and Primary progressive multiple sclerosis. Concomitant products included OCRELIZUMAB (OCREVUS) for an unknown indication. 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 FALL (falling in the bathroom and hurt herself as a result of the fall), INJURY (Hurt herself as a result of fall) and HEADACHE (Headache). At the time of the report, FALL (falling in the bathroom and hurt herself as a result of the fall), INJURY (Hurt herself as a result of fall) and HEADACHE (Headache) outcome was unknown. mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) dosing remained unchanged. Treatment information was not provided. This case was linked to MOD-2021-291913 (Patient Link).

Other Meds: OCREVUS

Current Illness: Primary progressive multiple sclerosis; Type 1 diabetes mellitus

ID: 1672618
Sex: F
Age:
State:

Vax Date: 03/30/2021
Onset Date:
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: This spontaneous case was reported by a pharmacist and describes the occurrence of PRODUCT DOSE OMISSION ISSUE (had her 1st dose on 3/30/21 and never went back for the 2nd) 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 30-Mar-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 PRODUCT DOSE OMISSION ISSUE (had her 1st dose on 3/30/21 and never went back for the 2nd). At the time of the report, PRODUCT DOSE OMISSION ISSUE (had her 1st dose on 3/30/21 and never went back for the 2nd) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were provided. No treatment Medications were provided. Pharmacist wanted to know What happens when they wait more than 42 days to get their 2nd dose.

Other Meds:

Current Illness:

ID: 1672619
Sex: M
Age: 16
State: TX

Vax Date: 04/13/2021
Onset Date: 04/13/2021
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: sore arm; under 18 years old; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (sore arm) and PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (under 18 years old) in a 16-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 017B21A) for COVID-19 vaccination. No Medical History information was reported. On 13-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 13-Apr-2021, the patient experienced PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (under 18 years old). On an unknown date, the patient experienced PAIN IN EXTREMITY (sore arm). At the time of the report, PAIN IN EXTREMITY (sore arm) outcome was unknown and PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (under 18 years old) had resolved. 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.

Other Meds:

Current Illness:

ID: 1672620
Sex: M
Age:
State: CA

Vax Date: 05/04/2021
Onset Date: 05/06/2021
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: Right arm pain, turned red & hot to touch; my right arm around my injection site was painful; right arm around my injection site was painful, bright red and warm to the touch.; I also noticed a painful numb stinging spot in my left cheek under my eye.,Numbness spread to entire left side of face from temple to jaw line; stinging spot in my left cheek under my eye; Right arm pain; The pain slowly spread from just my cheek to the entire left side of my face: from the top of my temple down to my jaw line and from my left ear to the middle of my lips.; very irritating/distracting; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE ERYTHEMA (Right arm pain, turned red & hot to touch), VACCINATION SITE PAIN (my right arm around my injection site was painful), VACCINATION SITE WARMTH (right arm around my injection site was painful, bright red and warm to the touch.), HYPOAESTHESIA (I also noticed a painful numb stinging spot in my left cheek under my eye.,Numbness spread to entire left side of face from temple to jaw line) and PAIN (stinging spot in my left cheek under my eye) in a 48-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Hypertension (High Blood Pressure) on 01-Nov-2019. Concomitant products included LOSARTAN from 01-Nov-2019 to an unknown date for Hypertension. On 04-May-2021 at 1:30 AM, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-May-2021, the patient experienced VACCINATION SITE ERYTHEMA (Right arm pain, turned red & hot to touch), VACCINATION SITE PAIN (my right arm around my injection site was painful), VACCINATION SITE WARMTH (right arm around my injection site was painful, bright red and warm to the touch.), HYPOAESTHESIA (I also noticed a painful numb stinging spot in my left cheek under my eye.,Numbness spread to entire left side of face from temple to jaw line), PAIN (stinging spot in my left cheek under my eye), PAIN IN EXTREMITY (Right arm pain), FACIAL PAIN (The pain slowly spread from just my cheek to the entire left side of my face: from the top of my temple down to my jaw line and from my left ear to the middle of my lips.) and IRRITABILITY (very irritating/distracting). At the time of the report, VACCINATION SITE ERYTHEMA (Right arm pain, turned red & hot to touch), VACCINATION SITE PAIN (my right arm around my injection site was painful) and VACCINATION SITE WARMTH (right arm around my injection site was painful, bright red and warm to the touch.) had resolved and HYPOAESTHESIA (I also noticed a painful numb stinging spot in my left cheek under my eye.,Numbness spread to entire left side of face from temple to jaw line), PAIN (stinging spot in my left cheek under my eye), PAIN IN EXTREMITY (Right arm pain), FACIAL PAIN (The pain slowly spread from just my cheek to the entire left side of my face: from the top of my temple down to my jaw line and from my left ear to the middle of my lips.) and IRRITABILITY (very irritating/distracting) had not resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route), the reporter did not provide any causality assessments. Treatment information was not provided. Patient experienced 2 days after 2nd dose that right arm around injection site was painful and red, also noticed painful numb and stinging spot in my left cheek under eye. after a week pain was subsided but cheek, stinging, numbness still there. later pain slowly spread from cheek to entire left side of face, jawline, ear and lips. Patient visited doctor and find nothing, also visited dentist and had mouth scanned but found nothing. Pain was still present it is very irritating/distracting. This case was linked to MOD-2021-215893 (Patient Link).

Other Meds: LOSARTAN

Current Illness:

ID: 1672621
Sex: M
Age: 15
State: TX

Vax Date: 04/13/2021
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: LA

Lab Data:

Allergies:

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

Symptoms: arm soreness; under 18 years old; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (arm soreness) and PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (under 18 years old) in an adolescent male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 017B21A) for COVID-19 vaccination. No Medical History information was reported. On 13-Apr-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 PAIN IN EXTREMITY (arm soreness) and PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (under 18 years old). At the time of the report, PAIN IN EXTREMITY (arm soreness) outcome was unknown and PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (under 18 years old) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications provided. No treatment medications provided. After receiving the vaccine patient experienced arm soreness, but had no other symptoms. Exercised to make the arm pain go away.

Other Meds:

Current Illness:

ID: 1672622
Sex: F
Age:
State: OH

Vax Date: 03/16/2021
Onset Date: 04/01/2021
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: arm swell; arm was hot; Moderna rash / rash on her arm; did not feel good; This spontaneous case was reported by a consumer and describes the occurrence of MALAISE (did not feel good), PERIPHERAL SWELLING (arm swell), FEELING HOT (arm was hot) and RASH (Moderna rash / rash on her arm) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 037C11A and 038A21A) for COVID-19 vaccination. No Medical History information was reported. On 16-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In April 2021, the patient experienced MALAISE (did not feel good). On an unknown date, the patient experienced PERIPHERAL SWELLING (arm swell), FEELING HOT (arm was hot) and RASH (Moderna rash / rash on her arm). At the time of the report, MALAISE (did not feel good) was resolving and PERIPHERAL SWELLING (arm swell), FEELING HOT (arm was hot) and RASH (Moderna rash / rash on her arm) outcome was unknown. No concomitant medications provided. No treatment medications provided. After the second shot patient did not feel good for 3 days, then started to feel better. This case was linked to MOD-2021-073004 (Patient Link).

Other Meds:

Current Illness:

ID: 1672623
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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: felt bad; had bad chills; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (felt bad) and CHILLS (had bad 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 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 FEELING ABNORMAL (felt bad) and CHILLS (had bad chills). At the time of the report, FEELING ABNORMAL (felt bad) and CHILLS (had bad chills) had resolved. No concomitant medications was provided. No treatment medications was provided. The patient have not yet had the booster but qualified and the patient was considering it. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1672624
Sex: M
Age: 39
State: LA

Vax Date: 08/13/2021
Onset Date: 07/03/2021
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: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Patient received Pfizer vaccine (1st dose)/ Patient received Moderna vaccine (2nd dose); This spontaneous case was reported by an other health care professional and describes the occurrence of INTERCHANGE OF VACCINE PRODUCTS (Patient received Pfizer vaccine (1st dose)/ Patient received Moderna vaccine (2nd dose)) in a 39-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 041B21A) for COVID-19 vaccination. No Medical History information was reported. On 13-Aug-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Jul-2021, the patient experienced INTERCHANGE OF VACCINE PRODUCTS (Patient received Pfizer vaccine (1st dose)/ Patient received Moderna vaccine (2nd dose)). On 03-Jul-2021, INTERCHANGE OF VACCINE PRODUCTS (Patient received Pfizer vaccine (1st dose)/ Patient received Moderna vaccine (2nd dose)) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No Concomitant Medications were provided. No Treatment Medications were provided. Patient received Pfizer vaccine on 03JUL2021.

Other Meds:

Current Illness:

ID: 1672625
Sex: F
Age:
State:

Vax Date: 08/17/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Vomiting nonstop, can't keep anything down, not even water; Nauseousness; Headache; Fever all day; This spontaneous case was reported by a consumer and describes the occurrence of VOMITING (Vomiting nonstop, can't keep anything down, not even water), NAUSEA (Nauseousness), HEADACHE (Headache) and PYREXIA (Fever all day) 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 17-Aug-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 18-Aug-2021, the patient experienced VOMITING (Vomiting nonstop, can't keep anything down, not even water), NAUSEA (Nauseousness), HEADACHE (Headache) and PYREXIA (Fever all day). On 19-Aug-2021, PYREXIA (Fever all day) had resolved. At the time of the report, VOMITING (Vomiting nonstop, can't keep anything down, not even water), NAUSEA (Nauseousness) and HEADACHE (Headache) outcome was unknown. Concomitant medication was not provided by the reporter. Treatment information were not reported. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1672626
Sex: F
Age:
State: IL

Vax Date: 02/04/2021
Onset Date: 08/19/2021
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:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Got her third dose; Fever after second dose; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (Fever after second dose) and EXTRA DOSE ADMINISTERED (Got her third dose) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 026A21A, 012M20A and 017E21A) for COVID-19 vaccination. Concurrent medical conditions included Immunocompromised. On 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 19-Aug-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In 2021, the patient experienced PYREXIA (Fever after second dose). On 19-Aug-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced EXTRA DOSE ADMINISTERED (Got her third dose). On 19-Aug-2021, EXTRA DOSE ADMINISTERED (Got her third dose) had resolved. At the time of the report, PYREXIA (Fever after second dose) outcome was unknown. No concomitant medications were provided. Treatment medication was not provided. Reporter did not allow further contact

Other Meds:

Current Illness: Immunocompromised

ID: 1672627
Sex: F
Age: 64
State: NH

Vax Date: 05/05/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: forehead and cheeks are itchy; Eyes itchy; rash on her face that came and went/ rash on forehead and cheeks; injection site was hard; injection site had a rash; This spontaneous case was reported by a consumer and describes the occurrence of RASH PRURITIC (forehead and cheeks are itchy), EYE PRURITUS (Eyes itchy), RASH (rash on her face that came and went/ rash on forehead and cheeks), VACCINATION SITE INDURATION (injection site was hard) and VACCINATION SITE RASH (injection site had a rash) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022C21A) for COVID-19 vaccination. No Medical History information was reported. On 05-May-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In 2021, the patient experienced RASH PRURITIC (forehead and cheeks are itchy), EYE PRURITUS (Eyes itchy), RASH (rash on her face that came and went/ rash on forehead and cheeks), VACCINATION SITE INDURATION (injection site was hard) and VACCINATION SITE RASH (injection site had a rash). At the time of the report, RASH PRURITIC (forehead and cheeks are itchy), EYE PRURITUS (Eyes itchy) and RASH (rash on her face that came and went/ rash on forehead and cheeks) outcome was unknown and VACCINATION SITE INDURATION (injection site was hard) and VACCINATION SITE RASH (injection site had a rash) had resolved. Relevant concomitant medications were not provided by the reporter. The patient's rash came and went. Sometimes it lasted a few days and sometimes just part of the day. Mostly the rash was on her forehead, cheeks and eyes were itchy. The injection site was hard and a rash lasted for 3-4 days before it went away. Treatment medication was not reported. This case was linked to (Patient Link).

Other Meds:

Current Illness:

ID: 1672628
Sex: F
Age: 20
State: NC

Vax Date: 08/02/2021
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: Test Name: Laboratory test; Result Unstructured Data: normal

Allergies:

Symptom List: Rash, Urticaria

Symptoms: This spontaneous case was reported by a physician and describes the occurrence of PYREXIA (Fevers) in a 20-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. unknown) for COVID-19 vaccination. No Medical History information was reported. On 02-Aug-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 PYREXIA (Fevers). The patient was treated with PARACETAMOL (TYLENOL) for Fever, at an unspecified dose and frequency and IBUPROFEN for Fever, at an unspecified dose and frequency. At the time of the report, PYREXIA (Fevers) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Laboratory test: normal (normal) normal. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter. Within 24 hours of receiving the vaccine, the patient started to have daily fevers. This situation was ongoing for more than 2 weeks currently. The healthcare professional (HCP) ran laboratory and conducted studies, but everything looked normal. Patient took Tylenol and Ibuprofen to treat this, but not regularly. Patient had an 'IDU'.

Other Meds:

Current Illness:

ID: 1672629
Sex: F
Age: 64
State: NH

Vax Date: 04/07/2021
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: LA

Lab Data:

Allergies:

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Vaccination site pain; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Vaccination site pain) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032B21A) for COVID-19 vaccination. No Medical History information was reported. On 07-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In 2021, the patient experienced VACCINATION SITE PAIN (Vaccination site pain). At the time of the report, VACCINATION SITE PAIN (Vaccination site pain) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No treatment medication was provided. No concomitant medication was reported. This case was linked to MOD-2021-292013 (Patient Link).

Other Meds:

Current Illness:

ID: 1672630
Sex: F
Age: 30
State: AL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
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: Pregnant when vaccinated; This spontaneous retrospective pregnancy case was reported by a consumer and describes the occurrence of EXPOSURE DURING PREGNANCY (Pregnant when vaccinated) in a 31-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 041L20A and 025L20A) for COVID-19 vaccination. Concurrent medical conditions included Breast feeding (nursing baby). On 08-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. Last menstrual period and estimated date of delivery were not provided. On 08-Jan-2021, the patient experienced EXPOSURE DURING PREGNANCY (Pregnant when vaccinated). The delivery occurred and was reported as Unknown. For neonate 1, The outcome was reported as Delivered NOS. On 05-Feb-2021, EXPOSURE DURING PREGNANCY (Pregnant when vaccinated) had resolved. Relevant concomitant medications were not reported. It was reported that patient was pregnant when she had both of her Moderna vaccine and at the time of reporting she was a nursing mom. The treatment information was not provided.

Other Meds:

Current Illness: Breast feeding (nursing baby)

ID: 1672631
Sex: U
Age:
State: OR

Vax Date: 08/19/2021
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: LA

Lab Data:

Allergies:

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

Symptoms: received a Moderna vaccine from a vial that should have been discarded; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (received a Moderna vaccine from a vial that should have been discarded) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 035C21A) for COVID-19 vaccination. No Medical History information was reported. On 19-Aug-2021 at 11:17 AM, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 19-Aug-2021 at 11:17 AM, the patient experienced EXPIRED PRODUCT ADMINISTERED (received a Moderna vaccine from a vial that should have been discarded). At the time of the report, EXPIRED PRODUCT ADMINISTERED (received a Moderna vaccine from a vial that should have been discarded) had resolved. The patient received a Moderna vaccine from the vial that should have been discarded at 2:00 AM. She had received the vaccine 9 hours after the expiration date. No concomitant product information was provided. Treatment information was not provided. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1672632
Sex: F
Age: 45
State: NJ

Vax Date: 03/19/2021
Onset Date: 03/19/2021
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: This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (Dizziness), INTENTIONAL DOSE OMISSION (Second dose to be given more than 36 days/She did not get the second dose due to the fear of experiencing side effects), INSOMNIA (Unable to sleep), ARTHRALGIA (Extreme joint pain) and HEADACHE (Headache) in a 45-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 047A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 19-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Mar-2021, the patient experienced DIZZINESS (Dizziness), INSOMNIA (Unable to sleep), ARTHRALGIA (Extreme joint pain), HEADACHE (Headache), VACCINATION SITE PAIN (Excruciating pain on left arm), FATIGUE (Exhaustion) and NAUSEA (Nausea). On an unknown date, the patient experienced INTENTIONAL DOSE OMISSION (Second dose to be given more than 36 days/She did not get the second dose due to the fear of experiencing side effects). On 23-Mar-2021, DIZZINESS (Dizziness), INSOMNIA (Unable to sleep), ARTHRALGIA (Extreme joint pain), HEADACHE (Headache), VACCINATION SITE PAIN (Excruciating pain on left arm), FATIGUE (Exhaustion) and NAUSEA (Nausea) had resolved. At the time of the report, INTENTIONAL DOSE OMISSION (Second dose to be given more than 36 days/She did not get the second dose due to the fear of experiencing side effects) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concurrent ad treatment medication was reported by patient. All the event lasted for 5 days. She was planning to get the second dose anytime as it was required by her office to do so.

Other Meds:

Current Illness:

ID: 1672633
Sex: F
Age: 49
State: FL

Vax Date: 08/18/2021
Onset Date: 08/19/2021
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: Pain on arm of injection; Fever; Nausea; Slight headache; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Pain on arm of injection), PYREXIA (Fever), NAUSEA (Nausea) and HEADACHE (Slight headache) in a 48-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 053E21A) for COVID-19 vaccination. Concurrent medical conditions included Diabetes. Concomitant products included INSULIN for Diabetes, MULTIVITAMIN [VITAMINS NOS] for Vitamin supplementation. On 18-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Aug-2021, the patient experienced PAIN IN EXTREMITY (Pain on arm of injection), PYREXIA (Fever), NAUSEA (Nausea) and HEADACHE (Slight headache). At the time of the report, PAIN IN EXTREMITY (Pain on arm of injection), PYREXIA (Fever), NAUSEA (Nausea) and HEADACHE (Slight headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication also included Diabetes Medications. Treatment information was not reported.

Other Meds: INSULIN; MULTIVITAMIN [VITAMINS NOS]

Current Illness: Diabetes

ID: 1672634
Sex: F
Age:
State: NY

Vax Date: 08/10/2021
Onset Date: 08/17/2021
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: She is referring it as a covid arm.; A week later, her left arm was very itchy; It was red; It was hot to touch; It was swollen; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (A week later, her left arm was very itchy), ERYTHEMA (It was red), HOT FLUSH (It was hot to touch), PERIPHERAL SWELLING (It was swollen) and POST-ACUTE COVID-19 SYNDROME (She is referring it as a covid arm.) in a 23-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 078C21A) for COVID-19 vaccination. 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 17-Aug-2021, the patient experienced PRURITUS (A week later, her left arm was very itchy), ERYTHEMA (It was red), HOT FLUSH (It was hot to touch) and PERIPHERAL SWELLING (It was swollen). On an unknown date, the patient experienced POST-ACUTE COVID-19 SYNDROME (She is referring it as a covid arm.). At the time of the report, PRURITUS (A week later, her left arm was very itchy), ERYTHEMA (It was red), HOT FLUSH (It was hot to touch), PERIPHERAL SWELLING (It was swollen) and POST-ACUTE COVID-19 SYNDROME (She is referring it as a covid arm.) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product use was not provided. Anti-histamine was used for treatment. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1672635
Sex: M
Age:
State: FL

Vax Date:
Onset Date:
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:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Was in bed for one and half days; he has received 1 dose of the vaccine and never got the 2nd dose as advised by his HCP; Had slight fever; This spontaneous case was reported by a consumer and describes the occurrence of BEDRIDDEN (Was in bed for one and half days), PRODUCT DOSE OMISSION ISSUE (he has received 1 dose of the vaccine and never got the 2nd dose as advised by his HCP) and PYREXIA (Had slight fever) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced BEDRIDDEN (Was in bed for one and half days), PRODUCT DOSE OMISSION ISSUE (he has received 1 dose of the vaccine and never got the 2nd dose as advised by his HCP) and PYREXIA (Had slight fever). At the time of the report, BEDRIDDEN (Was in bed for one and half days), PRODUCT DOSE OMISSION ISSUE (he has received 1 dose of the vaccine and never got the 2nd dose as advised by his HCP) and PYREXIA (Had slight fever) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1672636
Sex: M
Age:
State:

Vax Date: 08/14/2021
Onset Date:
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: sleepiness; was in bed for about 2 days; loss of appetite, no appetite; no urge to eat; chills; fever; This spontaneous case was reported by a consumer and describes the occurrence of SOMNOLENCE (sleepiness), MOBILITY DECREASED (was in bed for about 2 days), DECREASED APPETITE (loss of appetite, no appetite; no urge to eat), CHILLS (chills) and PYREXIA (fever) in a 20-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 14-Aug-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 SOMNOLENCE (sleepiness), MOBILITY DECREASED (was in bed for about 2 days), DECREASED APPETITE (loss of appetite, no appetite; no urge to eat), CHILLS (chills) and PYREXIA (fever). At the time of the report, SOMNOLENCE (sleepiness), MOBILITY DECREASED (was in bed for about 2 days), DECREASED APPETITE (loss of appetite, no appetite; no urge to eat), CHILLS (chills) and PYREXIA (fever) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medication was not provided. No treatment information was reported.

Other Meds:

Current Illness:

ID: 1672637
Sex: F
Age:
State:

Vax Date: 08/19/2021
Onset Date: 08/19/2021
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:

Allergies:

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

Symptoms: Slight chest pain she has never had on her right side; This spontaneous case was reported by a consumer and describes the occurrence of CHEST PAIN (Slight chest pain she has never had on her right side) 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 19-Aug-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 19-Aug-2021, the patient experienced CHEST PAIN (Slight chest pain she has never had on her right side). At the time of the report, CHEST PAIN (Slight chest pain she has never had on her right side) outcome was unknown. 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: 1672638
Sex: F
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:

Allergies:

Symptom List: Unevaluable event

Symptoms: Having pain in the lower back; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of BACK PAIN (Having pain in the lower back) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced BACK PAIN (Having pain in the lower back). At the time of the report, BACK PAIN (Having pain in the lower back) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant products were reported. No treatment information provided.

Other Meds:

Current Illness:

ID: 1672639
Sex: F
Age: 72
State: MD

Vax Date: 02/01/2021
Onset Date: 06/04/2021
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: This spontaneous case was reported by a consumer and describes the occurrence of INFLUENZA LIKE ILLNESS (flu-like symptoms), LIP SWELLING (Lip swelling), SWELLING (Swelling around eyes) and HEADACHE (Headache) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 01-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 01-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 04-Jun-2021, the patient experienced LIP SWELLING (Lip swelling). On an unknown date, the patient experienced INFLUENZA LIKE ILLNESS (flu-like symptoms), SWELLING (Swelling around eyes) and HEADACHE (Headache). At the time of the report, INFLUENZA LIKE ILLNESS (flu-like symptoms), SWELLING (Swelling around eyes) and HEADACHE (Headache) outcome was unknown and LIP SWELLING (Lip swelling) had resolved. No concomitant medications were reported. No treatment information was reported. This case was linked to MOD-2021-29218.

Other Meds:

Current Illness:

ID: 1672640
Sex: F
Age: 44
State: GA

Vax Date: 08/18/2021
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: Felt achy; Back was achy; Left arm was achy like when you get a flu shot; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Felt achy), BACK PAIN (Back was achy) and PAIN IN EXTREMITY (Left arm was achy like when you get a flu shot) in a 44-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006B21N) 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 an unknown date, the patient experienced PAIN (Felt achy), BACK PAIN (Back was achy) and PAIN IN EXTREMITY (Left arm was achy like when you get a flu shot). At the time of the report, PAIN (Felt achy), BACK PAIN (Back was achy) and PAIN IN EXTREMITY (Left arm was achy like when you get a flu shot) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications were provided. Treatment information was not provided. Patient stated that she did not feel sick or bad just achy.

Other Meds:

Current Illness:

ID: 1672641
Sex: F
Age: 63
State: NC

Vax Date: 03/14/2021
Onset Date: 03/14/2021
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: arm swelled up/almost like a baseball/It was humongous; arm was red; arm was inflamed; arm was hot; couldn't get up and walk; when she got up, she got dizzy; had sores on her face; her eye was almost shut because of the swelling; shingles in the left side of her face and left eye and it hurt; whole body started aching; More than 35 days after the first dose without receiving the second dose; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (arm swelled up/almost like a baseball/It was humongous), ERYTHEMA (arm was red), INFLAMMATION (arm was inflamed), SKIN WARM (arm was hot) and GAIT DISTURBANCE (couldn't get up and walk) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 038A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Smoker. Concomitant products included IBUPROFEN and FEXOFENADINE HYDROCHLORIDE (CHILDREN'S ALLEGRA ALLERGY) for an unknown indication. On 14-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Mar-2021, the patient experienced PERIPHERAL SWELLING (arm swelled up/almost like a baseball/It was humongous), ERYTHEMA (arm was red), INFLAMMATION (arm was inflamed), SKIN WARM (arm was hot), GAIT DISTURBANCE (couldn't get up and walk), DIZZINESS (when she got up, she got dizzy), FACIAL PAIN (had sores on her face), SWELLING OF EYELID (her eye was almost shut because of the swelling), HERPES ZOSTER (shingles in the left side of her face and left eye and it hurt), MYALGIA (whole body started aching) and PRODUCT DOSE OMISSION ISSUE (More than 35 days after the first dose without receiving the second dose). At the time of the report, PERIPHERAL SWELLING (arm swelled up/almost like a baseball/It was humongous), ERYTHEMA (arm was red), INFLAMMATION (arm was inflamed), SKIN WARM (arm was hot), GAIT DISTURBANCE (couldn't get up and walk), DIZZINESS (when she got up, she got dizzy), FACIAL PAIN (had sores on her face), SWELLING OF EYELID (her eye was almost shut because of the swelling) and MYALGIA (whole body started aching) outcome was unknown and HERPES ZOSTER (shingles in the left side of her face and left eye and it hurt) and PRODUCT DOSE OMISSION ISSUE (More than 35 days after the first dose without receiving the second dose) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment medications included Inhaler..

Other Meds: IBUPROFEN; CHILDREN'S ALLEGRA ALLERGY

Current Illness: Smoker

ID: 1672642
Sex: F
Age: 47
State: TN

Vax Date: 08/11/2021
Onset Date: 08/11/2021
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: Raised rash; red rash at injection site; tired; This spontaneous case was reported by a consumer and describes the occurrence of RASH PAPULAR (Raised rash), VACCINATION SITE ERYTHEMA (red rash at injection site) and FATIGUE (tired) in a 47-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 088D21A) for COVID-19 vaccination. No Medical History information was reported. On 11-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Aug-2021, the patient experienced FATIGUE (tired). On 19-Aug-2021, the patient experienced RASH PAPULAR (Raised rash) and VACCINATION SITE ERYTHEMA (red rash at injection site). On 11-Aug-2021, FATIGUE (tired) had resolved. At the time of the report, RASH PAPULAR (Raised rash) and VACCINATION SITE ERYTHEMA (red rash at injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment medications were provided by reporter. No concomitant medications were provided by reporter.

Other Meds:

Current Illness:

ID: 1672643
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: LA

Lab Data: Test Name: Heart rate; Result Unstructured Data: Heart rate did not go lower than a 100

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 28 hours straight of tachycardia/Heart rate did not go lower than a 100; cannot move; This spontaneous case was reported by a consumer and describes the occurrence of TACHYCARDIA (28 hours straight of tachycardia/Heart rate did not go lower than a 100) and HYPOKINESIA (cannot move) 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 TACHYCARDIA (28 hours straight of tachycardia/Heart rate did not go lower than a 100) and HYPOKINESIA (cannot move). At the time of the report, TACHYCARDIA (28 hours straight of tachycardia/Heart rate did not go lower than a 100) and HYPOKINESIA (cannot move) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Heart rate: abnormal (High) Heart rate did not go lower than a 100. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Patient had auto-inflammatory condition prior to vaccination. No concomitant medications were provided by reporter. No treatment details were provided by reporter.

Other Meds:

Current Illness:

ID: 1672644
Sex: F
Age:
State: IL

Vax Date:
Onset Date: 07/01/2021
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: flu/cold symptoms; on and off sharp pain behind the sternum; lots of fatigue; This spontaneous case was reported by a consumer and describes the occurrence of INFLUENZA (flu/cold symptoms), PAIN (on and off sharp pain behind the sternum) and FATIGUE (lots of fatigue) 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. In July 2021, the patient experienced INFLUENZA (flu/cold symptoms), PAIN (on and off sharp pain behind the sternum) and FATIGUE (lots of fatigue). The patient was treated with ASPIRIN [ACETYLSALICYLIC ACID] ongoing since an unknown date for Adverse event, at an unspecified dose and frequency. At the time of the report, INFLUENZA (flu/cold symptoms), PAIN (on and off sharp pain behind the sternum) and FATIGUE (lots of fatigue) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant drugs were not provided. Patient was due for her 2nd dose on 19Aug2021 but the vaccine provider told her to call Moderna before they are able to give her the vaccine.

Other Meds:

Current Illness:

ID: 1672645
Sex: M
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:

Allergies:

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: My second Moderna Covid-19 vaccination made me very sleepy.; This spontaneous case was reported by a consumer and describes the occurrence of SOMNOLENCE (My second Moderna Covid-19 vaccination made me very sleepy.) in an 87-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 10-Mar-1021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced SOMNOLENCE (My second Moderna Covid-19 vaccination made me very sleepy.). At the time of the report, SOMNOLENCE (My second Moderna Covid-19 vaccination made me very sleepy.) outcome was unknown. No concomitant medication were provided by the reporter No treatment medication were provided by the reporter

Other Meds:

Current Illness:

ID: 1672646
Sex: F
Age: 64
State: WI

Vax Date: 03/09/2021
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: Nausea

Symptoms: her left arm hurt for a while; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (her left arm hurt for a while) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 036A21A) for COVID-19 vaccination. No Medical History information was reported. On 09-Mar-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 PAIN IN EXTREMITY (her left arm hurt for a while). At the time of the report, PAIN IN EXTREMITY (her left arm hurt for a while) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication details were provided. No treatment information was mentioned. This case was linked to MOD-2021-292149 (Patient Link).

Other Meds:

Current Illness:

ID: 1672647
Sex: F
Age:
State: CA

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: Injection site pain

Symptoms: eczema got worse; This spontaneous case was reported by an other health care professional and describes the occurrence of ECZEMA (eczema got worse) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ECZEMA (eczema got worse). At the time of the report, ECZEMA (eczema got worse) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.

Other Meds:

Current Illness:

ID: 1672648
Sex: F
Age: 48
State: MN

Vax Date: 01/12/2021
Onset Date: 02/09/2021
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 Weak after second shot; Could not drive after second shot; Fever after second shot; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (Felt Weak after second shot), IMPAIRED DRIVING ABILITY (Could not drive after second shot) and PYREXIA (Fever after second shot) in a 49-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 043L20A and 041L20A) 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 09-Feb-2021, the patient experienced ASTHENIA (Felt Weak after second shot), IMPAIRED DRIVING ABILITY (Could not drive after second shot) and PYREXIA (Fever after second shot). On 12-Feb-2021, ASTHENIA (Felt Weak after second shot), IMPAIRED DRIVING ABILITY (Could not drive after second shot) and PYREXIA (Fever after second shot) had resolved. concomitant product was not provided treatment information was not provided This case was linked to MOD-2021-292321 (Patient Link).

Other Meds:

Current Illness:

ID: 1672649
Sex: M
Age:
State:

Vax Date: 01/01/2021
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: RA

Lab Data:

Allergies:

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: 2 days later developed severe deactivation of my gout/polyarticular attack every 3-4 weeks; 2 days later developed severe deactivation of my gout with significant knee effusion; Did not receive second shot; This spontaneous case was reported by a physician and describes the occurrence of GOUT (2 days later developed severe deactivation of my gout/polyarticular attack every 3-4 weeks), JOINT EFFUSION (2 days later developed severe deactivation of my gout with significant knee effusion) and PRODUCT DOSE OMISSION ISSUE (Did not receive second shot) in a 55-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. In January 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 GOUT (2 days later developed severe deactivation of my gout/polyarticular attack every 3-4 weeks), JOINT EFFUSION (2 days later developed severe deactivation of my gout with significant knee effusion) and PRODUCT DOSE OMISSION ISSUE (Did not receive second shot). At the time of the report, GOUT (2 days later developed severe deactivation of my gout/polyarticular attack every 3-4 weeks) and JOINT EFFUSION (2 days later developed severe deactivation of my gout with significant knee effusion) outcome was unknown and PRODUCT DOSE OMISSION ISSUE (Did not receive second shot) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No relevant concomitant medications were reported by reporter 2 days later developed severe deactivation of my gout with significant knee effusion that required needle aspiration twice along with polyarticular attack every 3-4 weeks that was still ongoing despite traditional gout treatments. Treatment information was not provided by reporter. Most recent FOLLOW-UP information incorporated above includes: On 19-Aug-2021: Follow up done and does not contain any significant information

Other Meds:

Current Illness:

ID: 1672650
Sex: F
Age:
State: GA

Vax Date: 08/02/2021
Onset Date: 08/02/2021
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: makes you hurt your arm; Strange sore in my mouth; Not like a blister, just a peculiar little white bump; This spontaneous case was reported by an other health care professional and describes the occurrence of ORAL PAIN (Strange sore in my mouth), ORAL DISORDER (Not like a blister, just a peculiar little white bump) and VACCINATION SITE PAIN (makes you hurt your arm) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 040C21A) for COVID-19 vaccination. No Medical History information was reported. On 02-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Aug-2021, the patient experienced ORAL PAIN (Strange sore in my mouth) and ORAL DISORDER (Not like a blister, just a peculiar little white bump). On 03-Aug-2021, the patient experienced VACCINATION SITE PAIN (makes you hurt your arm). On 05-Aug-2021, VACCINATION SITE PAIN (makes you hurt your arm) was resolving. At the time of the report, ORAL PAIN (Strange sore in my mouth) and ORAL DISORDER (Not like a blister, just a peculiar little white bump) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medications was not provided by the reporter. No treatment medication was reported. Second dose scheduled for 30Aug2021.

Other Meds:

Current Illness:

ID: 1672651
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: Erythema, Pruritus

Symptoms: stomach ache; diarrhea; nausea; feel extremly tired; headache; This spontaneous case was reported by a consumer and describes the occurrence of ABDOMINAL PAIN UPPER (stomach ache), DIARRHOEA (diarrhea), NAUSEA (nausea), FATIGUE (feel extremly tired) 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 first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ABDOMINAL PAIN UPPER (stomach ache), DIARRHOEA (diarrhea), NAUSEA (nausea), FATIGUE (feel extremly tired) and HEADACHE (headache). At the time of the report, ABDOMINAL PAIN UPPER (stomach ache), DIARRHOEA (diarrhea), NAUSEA (nausea), FATIGUE (feel extremly tired) and HEADACHE (headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product was not provided. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1672652
Sex: M
Age: 65
State: OK

Vax Date: 11/01/2020
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: Started having tingling up and down his left arm; Feels like something is crawling up and down his left arm; This spontaneous case was reported by a consumer and describes the occurrence of PARAESTHESIA (Started having tingling up and down his left arm) and FORMICATION (Feels like something is crawling up and down his left arm) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. In November 2020, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In 2020, the patient experienced PARAESTHESIA (Started having tingling up and down his left arm) and FORMICATION (Feels like something is crawling up and down his left arm). At the time of the report, PARAESTHESIA (Started having tingling up and down his left arm) and FORMICATION (Feels like something is crawling up and down his left arm) had not resolved. No concomitant medications were reported. Treatment information was not provided. The patient had events after 2 weeks of his second shot of COVID-19 vaccine. Patient had seen his doctor and they don't know what's wrong.

Other Meds:

Current Illness:

ID: 1672653
Sex: M
Age: 55
State: CT

Vax Date: 08/05/2021
Onset Date: 08/05/2021
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: Test Date: 20210812; Test Name: SARS-CoV-2 test; Test Result: Positive ; Result Unstructured Data: Positive

Allergies:

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Covid-19; chills; fever; weakness; heat of the day that evening did not make him feel well; do not want anything to eat; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (weakness), MALAISE (heat of the day that evening did not make him feel well), DECREASED APPETITE (do not want anything to eat), COVID-19 (Covid-19) and CHILLS (chills) in a 55-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007021A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 05-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Aug-2021, the patient experienced ASTHENIA (weakness), MALAISE (heat of the day that evening did not make him feel well), DECREASED APPETITE (do not want anything to eat), CHILLS (chills) and PYREXIA (fever). On 12-Aug-2021, the patient experienced COVID-19 (Covid-19). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency. At the time of the report, ASTHENIA (weakness), MALAISE (heat of the day that evening did not make him feel well), DECREASED APPETITE (do not want anything to eat), COVID-19 (Covid-19), CHILLS (chills) and PYREXIA (fever) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 12-Aug-2021, SARS-CoV-2 test: positive (Positive) Positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Patient reported that the heat of the day that evening did not make him feel well Concomitant product was not provided by the reporter Treatment information was not provided

Other Meds:

Current Illness:

ID: 1672654
Sex: U
Age:
State: MS

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: had a sore arm; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (had a sore 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 first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (had a sore arm). At the time of the report, PAIN IN EXTREMITY (had a sore arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The treatment history was not reported. The concomitant medication was not reported. This case was linked to MOD-2021-292156 (Patient Link).

Other Meds:

Current Illness:

ID: 1672655
Sex: F
Age: 43
State: CA

Vax Date: 01/19/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: sometimes it itches, sometimes it does not; allergic reaction; has some psoriasis on the back and the sides of the ribs; like a rash all over the body, mostly in the lower legs, it's like circle light spots, they are like little round spots, the middle section is like dry. They spreaded in her arms also, but the ones on her legs can really be seen, they're pretty big; This spontaneous case was reported by a nurse and describes the occurrence of RASH PRURITIC (sometimes it itches, sometimes it does not), HYPERSENSITIVITY (allergic reaction), PSORIASIS (has some psoriasis on the back and the sides of the ribs) and RASH (like a rash all over the body, mostly in the lower legs, it's like circle light spots, they are like little round spots, the middle section is like dry. They spreaded in her arms also, but the ones on her legs can really be seen, they're pretty big,) in a 43-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029L20A and 016M20A) for COVID-19 vaccination. Concurrent medical conditions included Psoriasis (psoriasis since before this but only on the head, never in her body). Concomitant products included METFORMIN, ATORVASTATIN and ATENOLOL for an unknown indication. On 19-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 19-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 RASH PRURITIC (sometimes it itches, sometimes it does not), HYPERSENSITIVITY (allergic reaction), PSORIASIS (has some psoriasis on the back and the sides of the ribs) and RASH (like a rash all over the body, mostly in the lower legs, it's like circle light spots, they are like little round spots, the middle section is like dry. They spreaded in her arms also, but the ones on her legs can really be seen, they're pretty big,). At the time of the report, RASH PRURITIC (sometimes it itches, sometimes it does not), HYPERSENSITIVITY (allergic reaction), PSORIASIS (has some psoriasis on the back and the sides of the ribs) and RASH (like a rash all over the body, mostly in the lower legs, it's like circle light spots, they are like little round spots, the middle section is like dry. They spreaded in her arms also, but the ones on her legs can really be seen, they're pretty big,) 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. Treatment information was not provided. Patient noticed after dose started having rash all over body,mostly in the lower legs, circle light spots, On April patient went to the doctor and confirmed it was an allergic reaction and gave some treatment for it.

Other Meds: METFORMIN; ATORVASTATIN; ATENOLOL

Current Illness: Psoriasis (psoriasis since before this but only on the head, never in her body)

ID: 1672656
Sex: U
Age:
State:

Vax Date: 07/17/2021
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: This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (My arm swelled up), LIMB MASS (I had a golf ball size knot), PRURITUS (My arm was itching for about 9 days), PAPULE (I got water pumps on the arm that I received the shot in / Water pumps on the arm) and VACCINATION SITE ERYTHEMA (My arm was red for about 9 days) 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 17-Jul-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 PERIPHERAL SWELLING (My arm swelled up), LIMB MASS (I had a golf ball size knot), PRURITUS (My arm was itching for about 9 days), PAPULE (I got water pumps on the arm that I received the shot in / Water pumps on the arm) and VACCINATION SITE ERYTHEMA (My arm was red for about 9 days). At the time of the report, PERIPHERAL SWELLING (My arm swelled up), LIMB MASS (I had a golf ball size knot), PRURITUS (My arm was itching for about 9 days), PAPULE (I got water pumps on the arm that I received the shot in / Water pumps on the arm) and VACCINATION SITE ERYTHEMA (My arm was red for about 9 days) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Patient stated that - Patient got water pumps on the arm that I received the shot in No concomitant medications provided. No treatment medications provided.

Other Meds:

Current Illness:

ID: 1672657
Sex: M
Age: 36
State: CT

Vax Date: 07/29/2021
Onset Date: 07/29/2021
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: Pain in extremity

Symptoms: Patient received both doses of the moderna vaccine 14 days apart; This spontaneous case was reported by a pharmacist and describes the occurrence of INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Patient received both doses of the moderna vaccine 14 days apart) in a 36-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 027D21A and 054C21A) for COVID-19 vaccination. No Medical History information was reported. On 29-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Aug-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 29-Jul-2021, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Patient received both doses of the moderna vaccine 14 days apart). On 12-Aug-2021, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Patient received both doses of the moderna vaccine 14 days apart) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter. No treatment information was provided. Most recent FOLLOW-UP information incorporated above includes: On 19-Aug-2021: Follow up received included phone number and fax number of reporter was added.

Other Meds:

Current Illness:

ID: 1672658
Sex: F
Age: 62
State: NC

Vax Date: 08/02/2021
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:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Red spot in left arm (the arm where she received the injection) was hot; Swelling and red spot grew to size of a softball / it was a 5 inch area; Red spot in left arm (the arm where she received the injection) was itchy; Red spot in left arm (the arm where she received the injection) / that was about a 50 cent size piece; Red spot in left arm (the arm where she received the injection) that was swelling; Red spot in left arm (the arm where she received the injection was burning / it was extremely painful / still it is a little sore; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (Red spot in left arm (the arm where she received the injection) was hot), VACCINATION SITE MASS (Swelling and red spot grew to size of a softball / it was a 5 inch area), VACCINATION SITE PRURITUS (Red spot in left arm (the arm where she received the injection) was itchy), VACCINATION SITE ERYTHEMA (Red spot in left arm (the arm where she received the injection) / that was about a 50 cent size piece) and VACCINATION SITE SWELLING (Red spot in left arm (the arm where she received the injection) that was swelling) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 088D (2 or Z) 1A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History was provided. Concomitant products included OMEPRAZOLE, LISINOPRIL, ROSUVASTATIN, METOPROLOL, BLACK COHOSH [CIMICIFUGA RACEMOSA], VITAMIN E NOS and ASPIRIN [ACETYLSALICYLIC ACID] for an unknown indication. On 02-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 VACCINATION SITE PRURITUS (Red spot in left arm (the arm where she received the injection) was itchy), VACCINATION SITE ERYTHEMA (Red spot in left arm (the arm where she received the injection) / that was about a 50 cent size piece), VACCINATION SITE SWELLING (Red spot in left arm (the arm where she received the injection) that was swelling) and VACCINATION SITE PAIN (Red spot in left arm (the arm where she received the injection was burning / it was extremely painful / still it is a little sore). On 11-Aug-2021, the patient experienced VACCINATION SITE WARMTH (Red spot in left arm (the arm where she received the injection) was hot) and VACCINATION SITE MASS (Swelling and red spot grew to size of a softball / it was a 5 inch area). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency. On 12-Aug-2021, VACCINATION SITE WARMTH (Red spot in left arm (the arm where she received the injection) was hot) and VACCINATION SITE SWELLING (Red spot in left arm (the arm where she received the injection) that was swelling) had resolved. At the time of the report, VACCINATION SITE MASS (Swelling and red spot grew to size of a softball / it was a 5 inch area), VACCINATION SITE PRURITUS (Red spot in left arm (the arm where she received the injection) was itchy), VACCINATION SITE ERYTHEMA (Red spot in left arm (the arm where she received the injection) / that was about a 50 cent size piece) and VACCINATION SITE PAIN (Red spot in left arm (the arm where she received the injection was burning / it was extremely painful / still it is a little sore) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. On 12 August 2021, it started easing up and eventually it has gone away, there was no pain, no redness, no swelling, but still it was a little sore.

Other Meds: OMEPRAZOLE; LISINOPRIL; ROSUVASTATIN; METOPROLOL; BLACK COHOSH [CIMICIFUGA RACEMOSA]; VITAMIN E NOS; ASPIRIN [ACETYLSALICYLIC ACID]

Current Illness:

ID: 1672659
Sex: M
Age: 84
State: NC

Vax Date: 01/11/2021
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: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Has been having problems with his sense of smell; Diarrhea is very very common/diarrhea just seems to be getting worse; Can't taste anything; Has a runny nose; Has slight chills; This spontaneous case was reported by a consumer and describes the occurrence of PAROSMIA (Has been having problems with his sense of smell), DIARRHOEA (Diarrhea is very very common/diarrhea just seems to be getting worse), AGEUSIA (Can't taste anything), RHINORRHOEA (Has a runny nose) and CHILLS (Has slight chills) in an 85-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 028L2CA) for COVID-19 vaccination. Concurrent medical conditions included Spinal cord disorder (Cannot walk without a walker). On 11-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 08-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced PAROSMIA (Has been having problems with his sense of smell), DIARRHOEA (Diarrhea is very very common/diarrhea just seems to be getting worse), AGEUSIA (Can't taste anything), RHINORRHOEA (Has a runny nose) and CHILLS (Has slight chills). At the time of the report, PAROSMIA (Has been having problems with his sense of smell), DIARRHOEA (Diarrhea is very very common/diarrhea just seems to be getting worse), AGEUSIA (Can't taste anything), RHINORRHOEA (Has a runny nose) and CHILLS (Has slight chills) outcome was unknown. Concomitant medications were not reported. Treatment information was not provided by the reporter. The week before reporting patient started to experience the adverse events. Normally Patient is a warm body person and experience loss of taste and worsening of diarrhea and running nose in the last over 6 weeks.

Other Meds:

Current Illness: Spinal cord disorder (Cannot walk without a walker)

ID: 1672660
Sex: F
Age: 16
State: TX

Vax Date: 04/02/2021
Onset Date: 04/02/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: More than 42 days for administration of the second dose; Daughter received Moderna shot at 16 years of age; This spontaneous case was reported by a consumer and describes the occurrence of PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (Daughter received Moderna shot at 16 years of age) and PRODUCT DOSE OMISSION ISSUE (More than 42 days for administration of the second dose) in a 16-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 008B21A) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included CETIRIZINE HYDROCHLORIDE (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) for an unknown indication. On 02-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 02-Apr-2021, the patient experienced PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (Daughter received Moderna shot at 16 years of age). On an unknown date, the patient experienced PRODUCT DOSE OMISSION ISSUE (More than 42 days for administration of the second dose). On 02-Apr-2021, PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (Daughter received Moderna shot at 16 years of age) had resolved. At the time of the report, PRODUCT DOSE OMISSION ISSUE (More than 42 days for administration of the second dose) had resolved. No treatment information was provided.

Other Meds: ZYRTEC [CETIRIZINE HYDROCHLORIDE]

Current Illness:

ID: 1672661
Sex: U
Age:
State: MS

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: Sluggishness; fever; Chills; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a consumer and describes the occurrence of SLUGGISHNESS (Sluggishness), PYREXIA (fever) 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 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 SLUGGISHNESS (Sluggishness), PYREXIA (fever) and CHILLS (Chills). At the time of the report, SLUGGISHNESS (Sluggishness), PYREXIA (fever) and CHILLS (Chills) outcome was unknown. Concomitant medications were not reported. Treatment information was not provided. This case was linked to MOD-2021-292140 (Patient Link).

Other Meds:

Current Illness:

ID: 1672662
Sex: M
Age: 25
State: FL

Vax Date: 04/21/2021
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: Test Name: COVID-19 virus test; Test Result: Positive ; Result Unstructured Data: Tested positive for Covid

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Got wicked anxiety; Felt kind of sick; Freaked him out enough not to get the 2nd one; Tested positive for Covid Jun or Jul 13 2021; More than 35 days and hasn't received 2nd shot; Really tired; This spontaneous case was reported by a consumer and describes the occurrence of ANXIETY (Got wicked anxiety), MALAISE (Felt kind of sick), VACCINATION COMPLICATION (Freaked him out enough not to get the 2nd one), COVID-19 (Tested positive for Covid Jun or Jul 13 2021) and PRODUCT DOSE OMISSION ISSUE (More than 35 days and hasn't received 2nd shot) in a 25-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. No Medical History information was reported. On 21-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced ANXIETY (Got wicked anxiety), MALAISE (Felt kind of sick), VACCINATION COMPLICATION (Freaked him out enough not to get the 2nd one), COVID-19 (Tested positive for Covid Jun or Jul 13 2021), PRODUCT DOSE OMISSION ISSUE (More than 35 days and hasn't received 2nd shot) and FATIGUE (Really tired). At the time of the report, ANXIETY (Got wicked anxiety), MALAISE (Felt kind of sick), VACCINATION COMPLICATION (Freaked him out enough not to get the 2nd one), COVID-19 (Tested positive for Covid Jun or Jul 13 2021) and FATIGUE (Really tired) outcome was unknown and PRODUCT DOSE OMISSION ISSUE (More than 35 days and hasn't received 2nd shot) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test: positive (Positive) Tested positive for Covid. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was temporarily withheld on an unknown date. No concomitant product information was provided. Treatment information was not provided. Patient tested positive for COVID-19 on 13-JUN-2021 or 13-JUL-2021 and not remember the exact date.

Other Meds:

Current Illness:

ID: 1672663
Sex: F
Age: 59
State: ID

Vax Date: 01/01/2021
Onset Date: 07/01/2021
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: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: shingles (no rash, painful, burning, numbness tingling, aching, itching on right side above her breast); shingles (no rash, painful, burning, numbness tingling, aching, itching on right side above her breast); shingles (no rash, painful, burning, numbness tingling, aching, itching on right side above her breast); shingles (no rash, painful, burning, numbness tingling, aching, itching on right side above her breast); shingles (no rash, painful, burning, numbness tingling, aching, itching on right side above her breast); shingles (no rash, painful, burning, numbness tingling, aching, itching on right side above her breast); doctor told her it was a pulled muscle; This spontaneous case was reported by a nurse and describes the occurrence of HERPES ZOSTER (shingles (no rash, painful, burning, numbness tingling, aching, itching on right side above her breast)), MUSCLE STRAIN (doctor told her it was a pulled muscle), PAIN (shingles (no rash, painful, burning, numbness tingling, aching, itching on right side above her breast)), BURNING SENSATION (shingles (no rash, painful, burning, numbness tingling, aching, itching on right side above her breast)) and HYPOAESTHESIA (shingles (no rash, painful, burning, numbness tingling, aching, itching on right side above her breast)) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. In January 2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In February 2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In July 2021, the patient experienced MUSCLE STRAIN (doctor told her it was a pulled muscle). On 19-Jul-2021, the patient experienced HERPES ZOSTER (shingles (no rash, painful, burning, numbness tingling, aching, itching on right side above her breast)). On an unknown date, the patient experienced PAIN (shingles (no rash, painful, burning, numbness tingling, aching, itching on right side above her breast)), BURNING SENSATION (shingles (no rash, painful, burning, numbness tingling, aching, itching on right side above her breast)), HYPOAESTHESIA (shingles (no rash, painful, burning, numbness tingling, aching, itching on right side above her breast)), PARAESTHESIA (shingles (no rash, painful, burning, numbness tingling, aching, itching on right side above her breast)) and PRURITUS (shingles (no rash, painful, burning, numbness tingling, aching, itching on right side above her breast)). The patient was treated with IBUPROFEN SODIUM (IBUPROFEN [IBUPROFEN SODIUM]) at a dose of 1 dosage form. At the time of the report, HERPES ZOSTER (shingles (no rash, painful, burning, numbness tingling, aching, itching on right side above her breast)), MUSCLE STRAIN (doctor told her it was a pulled muscle), PAIN (shingles (no rash, painful, burning, numbness tingling, aching, itching on right side above her breast)), BURNING SENSATION (shingles (no rash, painful, burning, numbness tingling, aching, itching on right side above her breast)), HYPOAESTHESIA (shingles (no rash, painful, burning, numbness tingling, aching, itching on right side above her breast)), PARAESTHESIA (shingles (no rash, painful, burning, numbness tingling, aching, itching on right side above her breast)) and PRURITUS (shingles (no rash, painful, burning, numbness tingling, aching, itching on right side above her breast)) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant and treatment medication was reported by patient.

Other Meds:

Current Illness:

ID: 1672664
Sex: F
Age: 72
State: MD

Vax Date: 02/01/2021
Onset Date: 06/04/2021
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: Swelling around eyes; Lip swelling; This spontaneous case was reported by a consumer and describes the occurrence of LIP SWELLING (Lip swelling) and EYE SWELLING (Swelling around eyes) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011J20A) for COVID-19 vaccination. No Medical History information was reported. On 01-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 01-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 04-Jun-2021, the patient experienced LIP SWELLING (Lip swelling). On an unknown date, the patient experienced EYE SWELLING (Swelling around eyes). At the time of the report, LIP SWELLING (Lip swelling) and EYE SWELLING (Swelling around eyes) outcome was unknown. Concomitant product use was not provided. Treatment information was not provided. Patient's wife received first dose on 1Feb2021. Developed a severe headache and flu-like symptoms. Around June 4th she developed lip swelling and ended up in the emergency department. She developed lip swelling a second time and around her eyes. Wants to know about facial swelling This case was linked to MOD-2021-292078 (Patient Link).

Other Meds:

Current Illness:

ID: 1672665
Sex: M
Age: 58
State: MS

Vax Date: 07/28/2021
Onset Date: 07/29/2021
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: RA

Lab Data: Test Date: 20210729; Test Name: Body temperature; Result Unstructured Data: fever of 104 degrees Fahrenheit.

Allergies:

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

Symptoms: had the shakes real bad; I had a fever of 104F; achy joints; This spontaneous case was reported by a consumer and describes the occurrence of TREMOR (had the shakes real bad), PYREXIA (I had a fever of 104F) and ARTHRALGIA (achy joints) in a 58-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included COVID-19 in January 2021. Concomitant products included METFORMIN, DILTIAZEM (CARDIZEM [DILTIAZEM]), FLECAINIDE and ACETYLSALICYLIC ACID (ASPIRIN (E.C.)) for an unknown indication. On 28-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 29-Jul-2021, the patient experienced TREMOR (had the shakes real bad), PYREXIA (I had a fever of 104F) and ARTHRALGIA (achy joints). On 31-Jul-2021, TREMOR (had the shakes real bad), PYREXIA (I had a fever of 104F) and ARTHRALGIA (achy joints) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 29-Jul-2021, Body temperature: 104 (High) fever of 104 degrees Fahrenheit.. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient scheduled for his 2nd dose on 23AUG2021. No relevant concomitant medications were reported. No treatment information was provided.

Other Meds: METFORMIN; CARDIZEM [DILTIAZEM]; FLECAINIDE; ASPIRIN (E.C.)

Current Illness:

ID: 1672666
Sex: F
Age: 19
State: FL

Vax Date: 07/17/2021
Onset Date: 07/18/2021
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: bad cough / it progressively got worse / coughs more than before; This spontaneous case was reported by a consumer and describes the occurrence of COUGH (bad cough / it progressively got worse / coughs more than before) in a 19-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 040C21A) for COVID-19 vaccination. No Medical History information was reported. On 17-Jul-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 COUGH (bad cough / it progressively got worse / coughs more than before). At the time of the report, COUGH (bad cough / it progressively got worse / coughs more than before) had not resolved. 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 provided

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am