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: 1672767
Sex: F
Age: 40
State: PA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 09/04/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: she is pregnant; She states that she was given the vaccine right from the refrigerator, it wasn't thawed at all to room temperature, Caller states it had been 3 minutes since they left to get the vaccine, until she received the dose/not thawed at room temperature; Caller stated the second dose was delayed because she got pregnant and wanted to wait until after the first trimester; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of EXPOSURE DURING PREGNANCY (she is pregnant), PRODUCT STORAGE ERROR (She states that she was given the vaccine right from the refrigerator, it wasn't thawed at all to room temperature, Caller states it had been 3 minutes since they left to get the vaccine, until she received the dose/not thawed at room temperature) and INTENTIONAL PRODUCT USE ISSUE (Caller stated the second dose was delayed because she got pregnant and wanted to wait until after the first trimester) in a 31-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 014M20A and 014M20A) for COVID-19 vaccination. No Medical History information was reported. On 25-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-Aug-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. The patient's last menstrual period was on 15-Feb-2021 and the estimated date of delivery was 25-Nov-2021. On 25-Feb-2021, the patient experienced INTENTIONAL PRODUCT USE ISSUE (Caller stated the second dose was delayed because she got pregnant and wanted to wait until after the first trimester). On 06-Aug-2021, the patient experienced EXPOSURE DURING PREGNANCY (she is pregnant) and PRODUCT STORAGE ERROR (She states that she was given the vaccine right from the refrigerator, it wasn't thawed at all to room temperature, Caller states it had been 3 minutes since they left to get the vaccine, until she received the dose/not thawed at room temperature). The patient received mRNA-1273 (Moderna COVID-19 Vaccine) beginning around the twenty-fourth week of the pregnancy. At the time of the report, EXPOSURE DURING PREGNANCY (she is pregnant), PRODUCT STORAGE ERROR (She states that she was given the vaccine right from the refrigerator, it wasn't thawed at all to room temperature, Caller states it had been 3 minutes since they left to get the vaccine, until she received the dose/not thawed at room temperature) and INTENTIONAL PRODUCT USE ISSUE (Caller stated the second dose was delayed because she got pregnant and wanted to wait until after the first trimester) had resolved. Concomitant medication was not provided Treatment information was not reported Caller did not want to enroll to the pregnancy registry at the moment. Most recent FOLLOW-UP information incorporated above includes: On 20-Aug-2021: Follow up received on 20-AUG-2021 contains No new information.

Other Meds:

Current Illness:

ID: 1672768
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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: I still have chest inflammation; I still have lung inflammation; I still feel very sick; Have some odd side effects/Inability to sneeze; Painful sensation in abdomen; 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 CHEST DISCOMFORT (I still have chest inflammation), PNEUMONITIS (I still have lung inflammation), MALAISE (I still feel very sick), VACCINATION COMPLICATION (Have some odd side effects/Inability to sneeze) and ABDOMINAL PAIN (Painful sensation in abdomen) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced CHEST DISCOMFORT (I still have chest inflammation), PNEUMONITIS (I still have lung inflammation), MALAISE (I still feel very sick), VACCINATION COMPLICATION (Have some odd side effects/Inability to sneeze) and ABDOMINAL PAIN (Painful sensation in abdomen). The patient was treated with IBUPROFEN for Adverse event, at a dose of 600 mg, every 8 hours. At the time of the report, CHEST DISCOMFORT (I still have chest inflammation), PNEUMONITIS (I still have lung inflammation), VACCINATION COMPLICATION (Have some odd side effects/Inability to sneeze) and ABDOMINAL PAIN (Painful sensation in abdomen) outcome was unknown and MALAISE (I still feel very sick) had not resolved. No relevant concomitant medications were reported.

Other Meds:

Current Illness:

ID: 1672769
Sex: U
Age:
State: MO

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: some liquid spills out; some liquid spills out; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by an other health care professional and describes the occurrence of UNDERDOSE (some liquid spills out) and DEVICE CONNECTION ISSUE (some liquid spills out) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced UNDERDOSE (some liquid spills out) and DEVICE CONNECTION ISSUE (some liquid spills out). At the time of the report, UNDERDOSE (some liquid spills out) and DEVICE CONNECTION ISSUE (some liquid spills out) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No relevant concomitant medications were reported by reporter Treatment information was not provided

Other Meds:

Current Illness:

ID: 1672770
Sex: U
Age:
State: FL

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Cough; This spontaneous case was reported by a consumer and describes the occurrence of COUGH (Cough) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced COUGH (Cough). At the time of the report, COUGH (Cough) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant products were reported. No treatment information provided. The reporter did not mention any adverse events but did cough a few times during the call.

Other Meds:

Current Illness:

ID: 1672771
Sex: F
Age:
State: CA

Vax Date: 08/03/2021
Onset Date: 08/17/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Swollen Lips; Numb Lips; Diarrhea; This spontaneous case was reported by a consumer and describes the occurrence of LIP SWELLING (Swollen Lips), HYPOAESTHESIA ORAL (Numb Lips) and DIARRHOEA (Diarrhea) in a 51-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 03-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 LIP SWELLING (Swollen Lips), HYPOAESTHESIA ORAL (Numb Lips) and DIARRHOEA (Diarrhea). At the time of the report, LIP SWELLING (Swollen Lips), HYPOAESTHESIA ORAL (Numb Lips) and DIARRHOEA (Diarrhea) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medications was not reported. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1672772
Sex: U
Age:
State:

Vax Date:
Onset Date:
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: I got vaccine and I'm feeling iller; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (I got vaccine and I'm feeling iller) 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 VACCINATION COMPLICATION (I got vaccine and I'm feeling iller). At the time of the report, VACCINATION COMPLICATION (I got vaccine and I'm feeling iller) 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: 1672773
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: Chest pain; This spontaneous case was reported by a consumer and describes the occurrence of CHEST PAIN (Chest pain) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced CHEST PAIN (Chest pain). At the time of the report, CHEST PAIN (Chest pain) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant products were reported. No treatment information provided.

Other Meds:

Current Illness:

ID: 1672774
Sex: F
Age: 34
State: FL

Vax Date: 04/08/2021
Onset Date: 05/06/2021
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: Chronic migraines since she received second dose/Has several episodes every week; This spontaneous case was reported by a consumer and describes the occurrence of MIGRAINE (Chronic migraines since she received second dose/Has several episodes every week) in a 34-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 045B21A and 018B21A) for COVID-19 vaccination. No Medical History information was reported. On 08-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 06-May-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced MIGRAINE (Chronic migraines since she received second dose/Has several episodes every week). The patient was treated with VITAMIN B2 [RIBOFLAVIN] for Adverse event, at an unspecified dose and frequency. At the time of the report, MIGRAINE (Chronic migraines since she received last dose/Has several episodes every week) had not resolved. Concomitant product use was not provided by the reporter. Treatment medications also included medication for pain relief.

Other Meds:

Current Illness:

ID: 1672775
Sex: M
Age: 25
State: TX

Vax Date: 04/19/2021
Onset Date: 04/20/2021
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: Ringing in ears constantly causing vertigo; Ringing in ears constantly causing vertigo; This spontaneous case was reported by a consumer and describes the occurrence of TINNITUS (Ringing in ears constantly causing vertigo) and VERTIGO (Ringing in ears constantly causing vertigo) in a 25-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 immunisation. Concurrent medical conditions included Penicillin allergy and Allergy to antibiotic (Amoxicillin). On 19-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On 17-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .5 milliliter. On 20-Apr-2021, the patient experienced TINNITUS (Ringing in ears constantly causing vertigo) and VERTIGO (Ringing in ears constantly causing vertigo). On 18-May-2021, TINNITUS (Ringing in ears constantly causing vertigo) and VERTIGO (Ringing in ears constantly causing vertigo) had resolved. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged. Concomitant product use was not provided by the reporter. Treatment information was not provided. Most recent FOLLOW-UP information incorporated above includes: On 21-Aug-2021: Follow up received contains no new information.

Other Meds:

Current Illness: Allergy to antibiotic (Amoxicillin); Penicillin allergy

ID: 1672776
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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: weak/tired Covid-19 feeling; weak/tired Covid-19 feeling; very nauseated; This spontaneous case was reported by a non-health professional and describes the occurrence of ASTHENIA (weak/tired Covid-19 feeling), FATIGUE (weak/tired Covid-19 feeling) and NAUSEA (very nauseated) 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 ASTHENIA (weak/tired Covid-19 feeling), FATIGUE (weak/tired Covid-19 feeling) and NAUSEA (very nauseated). At the time of the report, ASTHENIA (weak/tired Covid-19 feeling), FATIGUE (weak/tired Covid-19 feeling) and NAUSEA (very nauseated) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product was not provided by the reporter. Treatment information was not provided. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1672777
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: Two red area; This spontaneous case was reported by a non-health professional and describes the occurrence of ERYTHEMA (Two red area) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ERYTHEMA (Two red area). At the time of the report, ERYTHEMA (Two red area) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications were reported. Treatment information was not provided. The patient had redness, disappeared after 7 days. This case was linked to MOD-2021-293079 (Patient Link).

Other Meds:

Current Illness:

ID: 1672778
Sex: F
Age:
State: FL

Vax Date: 08/19/2021
Onset Date: 08/01/2021
Rec V Date: 09/04/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: sweating a lot/she was sock and wet; her walking gait was affected; her legs feel very weak; feels hot; she doesn't feel and it was horrible last night; muscle pain; This spontaneous case was reported by a non-health professional and describes the occurrence of HYPERHIDROSIS (sweating a lot/she was sock and wet), GAIT DISTURBANCE (her walking gait was affected), MUSCULAR WEAKNESS (her legs feel very weak), FEELING HOT (feels hot) and FEELING ABNORMAL (she doesn't feel and it was horrible last night) in a female patient of an unknown age 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 19-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In August 2021, the patient experienced HYPERHIDROSIS (sweating a lot/she was sock and wet), GAIT DISTURBANCE (her walking gait was affected), MUSCULAR WEAKNESS (her legs feel very weak), FEELING HOT (feels hot), FEELING ABNORMAL (she doesn't feel and it was horrible last night) and MYALGIA (muscle pain). The patient was treated with IBUPROFEN for Adverse event, at an unspecified dose and frequency and PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency. At the time of the report, HYPERHIDROSIS (sweating a lot/she was sock and wet), GAIT DISTURBANCE (her walking gait was affected), MUSCULAR WEAKNESS (her legs feel very weak), FEELING HOT (feels hot), FEELING ABNORMAL (she doesn't feel and it was horrible last night) and MYALGIA (muscle pain) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications were not reported by reporter.

Other Meds:

Current Illness:

ID: 1672779
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: one other arm used has large swollen area; This spontaneous case was reported by a non-health professional and describes the occurrence of PERIPHERAL SWELLING (one other arm used has large swollen area) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received 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 PERIPHERAL SWELLING (one other arm used has large swollen area). At the time of the report, PERIPHERAL SWELLING (one other arm used has large swollen area) outcome was unknown. The concomitant history was not reported. The treatment information was not provided. This case was linked to MOD-2021-293060 (Patient Link).

Other Meds:

Current Illness:

ID: 1672780
Sex: F
Age: 58
State: NC

Vax Date: 02/26/2021
Onset Date:
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: She has had 2 outbreaks after the Moderna vaccines; This spontaneous case was reported by a non-health professional and describes the occurrence of HERPES SIMPLEX (She has had 2 outbreaks after the Moderna vaccines) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 008B21A and 062G20A) for COVID-19 vaccination. No Medical History information was reported. On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 26-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced HERPES SIMPLEX (She has had 2 outbreaks after the Moderna vaccines). At the time of the report, HERPES SIMPLEX (She has had 2 outbreaks after the Moderna vaccines) outcome was unknown. Concomitant medications were not reported. Treatment medications were not reported. This case was linked to MOD-2021-293061 (Patient Link).

Other Meds:

Current Illness:

ID: 1672781
Sex: F
Age: 30
State: MO

Vax Date: 07/21/2021
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: This spontaneous case was reported by an other health care professional and describes the occurrence of EXPOSURE VIA SKIN CONTACT (a big portion of the liquid came out of her arm), UNDERDOSE (patient received less than the recommended dose of the Moderna COVID-19 vaccine: a big portion of the liquid came out of her arm if not the entire dose) and DEVICE CONNECTION ISSUE (patient received less than the recommended dose of the Moderna COVID-19 vaccine: a big portion of the liquid came out of her arm if not the entire dose) in a 31-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 017E21A and 091D21A) for COVID-19 vaccination. No Medical History information was reported. On 21-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 19-Aug-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 19-Aug-2021, the patient experienced EXPOSURE VIA SKIN CONTACT (a big portion of the liquid came out of her arm) and UNDERDOSE (patient received less than the recommended dose of the Moderna COVID-19 vaccine: a big portion of the liquid came out of her arm if not the entire dose). On an unknown date, the patient experienced DEVICE CONNECTION ISSUE (patient received less than the recommended dose of the Moderna COVID-19 vaccine: a big portion of the liquid came out of her arm if not the entire dose). At the time of the report, EXPOSURE VIA SKIN CONTACT (a big portion of the liquid came out of her arm) outcome was unknown and UNDERDOSE (patient received less than the recommended dose of the Moderna COVID-19 vaccine: a big portion of the liquid came out of her arm if not the entire dose) and DEVICE CONNECTION ISSUE (patient received less than the recommended dose of the Moderna COVID-19 vaccine: a big portion of the liquid came out of her arm if not the entire dose) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant product was not provided by the reporter. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1672782
Sex: U
Age:
State:

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: cold like symptoms.; Around 11a or noon, I had severe chills; Fever; Headache; severe headache woke me up Friday morning; received my 3rd injection; This spontaneous case was reported by a consumer and describes the occurrence of NASOPHARYNGITIS (cold like symptoms.), OFF LABEL USE (received my 3rd injection), HEADACHE (severe headache woke me up Friday morning), CHILLS (Around 11a or noon, I had severe chills) and PYREXIA (Fever) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 19-Aug-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 19-Aug-2021, the patient experienced OFF LABEL USE (received my 3rd injection). On 20-Aug-2021, the patient experienced HEADACHE (severe headache woke me up Friday morning). On an unknown date, the patient experienced NASOPHARYNGITIS (cold like symptoms.), CHILLS (Around 11a or noon, I had severe chills), PYREXIA (Fever) and HEADACHE (Headache). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency. At the time of the report, NASOPHARYNGITIS (cold like symptoms.), HEADACHE (severe headache woke me up Friday morning), CHILLS (Around 11a or noon, I had severe chills), PYREXIA (Fever) and HEADACHE (Headache) outcome was unknown and OFF LABEL USE (received my 3rd injection) had resolved. No Concomitant medication information was reported. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1672783
Sex: U
Age:
State:

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

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: (side effect); This spontaneous case was reported by a non-health professional and describes the occurrence of VACCINATION COMPLICATION (side effect) 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 VACCINATION COMPLICATION (side effect). At the time of the report, VACCINATION COMPLICATION (side effect) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product was not provided by the reporter Treatment information was not provided

Other Meds:

Current Illness:

ID: 1672784
Sex: U
Age:
State:

Vax Date:
Onset Date:
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: Anxiety 24 hours after my vaccine; This spontaneous case was reported by a consumer and describes the occurrence of ANXIETY (Anxiety 24 hours after my vaccine) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ANXIETY (Anxiety 24 hours after my vaccine). At the time of the report, ANXIETY (Anxiety 24 hours after my vaccine) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medications were not reported. Treatment medications were not reported. It was stated that the patient Can I take 0.25 Xanax for anxiety 24 hours after my vaccine. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1672785
Sex: F
Age: 57
State:

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data: Test Date: 20210301; Test Name: Body temperature; Result Unstructured Data: 103-104 degrees Fahrenheit

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Consumer never got the 2nd dose of the vaccine due to reactions she had after 1st dose; Covid rash on her face and cheek; She had low grade fever; Throbbing achy right arm; Felt lethargic; Headaches; fever, The fever would spike up midday close to 103-104 degrees Fahrenheit. fever spikes went on for total of 41 days; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Throbbing achy right arm), LETHARGY (Felt lethargic), PRODUCT DOSE OMISSION ISSUE (Consumer never got the 2nd dose of the vaccine due to reactions she had after 1st dose), RASH (Covid rash on her face and cheek) and HEADACHE (Headaches) in a 57-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Flu (Wild flu) in February 2020. On 28-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 28-Feb-2021, the patient experienced PAIN (Throbbing achy right arm), LETHARGY (Felt lethargic), HEADACHE (Headaches) and PYREXIA (fever, The fever would spike up midday close to 103-104 degrees Fahrenheit. fever spikes went on for total of 41 days). On 01-Mar-2021, the patient experienced PYREXIA (She had low grade fever). On an unknown date, the patient experienced PRODUCT DOSE OMISSION ISSUE (Consumer never got the 2nd dose of the vaccine due to reactions she had after 1st dose) and RASH (Covid rash on her face and cheek). The patient was treated with IBUPROFEN on 28-Feb-2021 for Fever, at a dose of 1 dosage form. On 01-Mar-2021, LETHARGY (Felt lethargic) had resolved. At the time of the report, PAIN (Throbbing achy right arm), PRODUCT DOSE OMISSION ISSUE (Consumer never got the 2nd dose of the vaccine due to reactions she had after 1st dose), RASH (Covid rash on her face and cheek) and HEADACHE (Headaches) had resolved and PYREXIA (fever, The fever would spike up midday close to 103-104 degrees Fahrenheit. fever spikes went on for total of 41 days) and PYREXIA (She had low grade fever) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 01-Mar-2021, Body temperature: 103-104 (High) 103-104 degrees Fahrenheit. mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was withdrawn on an unknown date. Concomitant medications was not provided by the reporter. Patient stated that she got the 2nd dose of the vaccine due to reactions she had after 1st dose. Patient reported that her adverse events started 3 to 4 hours after getting the vaccine. Patient reported having covid rash on her face and cheek (onset and duration unknown). Patient was concerned about fever she was experiencing after the vaccination. Patient stated that when she woke up next morning, she had low grade fever. The fever would spike up midday close to 103-104 degrees Fahrenheit and fever spiked went on for total of 41 days while other adverse events subsided. Patient stated that she has a wild flu in Feb2020, and it could have been covid.

Other Meds:

Current Illness:

ID: 1672786
Sex: F
Age: 82
State: MO

Vax Date: 03/21/2021
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: received the first dose of Pfizer's COVID-19 vaccine and 5 months later (today) took the Moderna COVID-19 Vaccine; This spontaneous case was reported by a consumer and describes the occurrence of INTERCHANGE OF VACCINE PRODUCTS (received the first dose of Pfizer's COVID-19 vaccine and 5 months later (today) took the Moderna COVID-19 Vaccine) in an 82-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 017C21A) for COVID-19 vaccination. Co-suspect product included non-company product TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) injection for COVID-19 vaccination. No Medical History information was reported. On 21-Mar-2021, the patient started TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) (unknown route) at an unspecified dose. On 20-Aug-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced INTERCHANGE OF VACCINE PRODUCTS (received the first dose of Pfizer's COVID-19 vaccine and 5 months later (today) took the Moderna COVID-19 Vaccine). At the time of the report, INTERCHANGE OF VACCINE PRODUCTS (received the first dose of Pfizer's COVID-19 vaccine and 5 months later (today) took the Moderna COVID-19 Vaccine) had resolved. Patient received the first dose of Pfizer's COVID-19 vaccine and 5 months later (today) took the Moderna COVID-19 Vaccine. Patient received the first dose of the Pfizer on march 22nd. No concomitant medications was provided. No treatment medications was provided.

Other Meds:

Current Illness:

ID: 1672787
Sex: F
Age: 64
State: IL

Vax Date: 07/07/2021
Onset Date:
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: gave second vaccine dose from the expired vial; first dose of the Moderna COVID-19 vaccine on 07Jul2021 and the second on 20Aug2021; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (gave second vaccine dose from the expired vial) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (first dose of the Moderna COVID-19 vaccine on 07Jul2021 and the second on 20Aug2021) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 052E211A. and 051C21A) for COVID-19 vaccination. No Medical History information was reported. On 07-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Aug-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 EXPIRED PRODUCT ADMINISTERED (gave second vaccine dose from the expired vial) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (first dose of the Moderna COVID-19 vaccine on 07Jul2021 and the second on 20Aug2021). At the time of the report, EXPIRED PRODUCT ADMINISTERED (gave second vaccine dose from the expired vial) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (first dose of the Moderna COVID-19 vaccine on 07Jul2021 and the second on 20Aug2021) 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. This case was linked to MOD-2021-133589 (Patient Link).

Other Meds:

Current Illness:

ID: 1672788
Sex: F
Age: 68
State: GA

Vax Date: 08/07/2021
Onset Date: 08/08/2021
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: Unevaluable event

Symptoms: Gastrointestinal upset; Redness left arm; Puffiness left arm; Rash left arm; Tiredness; soreness in left arm at injection site; This spontaneous case was reported by a consumer and describes the occurrence of ABDOMINAL DISCOMFORT (Gastrointestinal upset), FATIGUE (Tiredness), VACCINATION SITE PAIN (soreness in left arm at injection site), VACCINATION SITE ERYTHEMA (Redness left arm) and VACCINATION SITE SWELLING (Puffiness left arm) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 088D21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Irritable bowel syndrome, Crohn's disease and COPD. On 07-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Aug-2021, the patient experienced FATIGUE (Tiredness) and VACCINATION SITE PAIN (soreness in left arm at injection site). On 17-Aug-2021, the patient experienced VACCINATION SITE ERYTHEMA (Redness left arm), VACCINATION SITE SWELLING (Puffiness left arm) and VACCINATION SITE RASH (Rash left arm). On an unknown date, the patient experienced ABDOMINAL DISCOMFORT (Gastrointestinal upset). The patient was treated with HYDROCORTISONE ACETATE (CORTIZONE [HYDROCORTISONE ACETATE]) for Vaccination site rash, at an unspecified dose and frequency. At the time of the report, ABDOMINAL DISCOMFORT (Gastrointestinal upset), VACCINATION SITE ERYTHEMA (Redness left arm), VACCINATION SITE SWELLING (Puffiness left arm) and VACCINATION SITE RASH (Rash left arm) outcome was unknown and FATIGUE (Tiredness) and VACCINATION SITE PAIN (soreness in left arm at injection site) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided by reporter. Treatment medication includes essential oils.

Other Meds:

Current Illness: COPD; Crohn's disease; Irritable bowel syndrome

ID: 1672789
Sex: F
Age:
State: SC

Vax Date: 08/20/2021
Onset Date: 08/20/2021
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: Greater than 12 hours at room temperature; product administration error; This spontaneous case was reported by a pharmacist and describes the occurrence of PRODUCT TEMPERATURE EXCURSION ISSUE (Greater than 12 hours at room temperature) and PRODUCT ADMINISTRATION ERROR (product administration error) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 017E21A) for COVID-19 vaccination. No Medical History information was reported. On 20-Aug-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Aug-2021, the patient experienced PRODUCT TEMPERATURE EXCURSION ISSUE (Greater than 12 hours at room temperature) and PRODUCT ADMINISTRATION ERROR (product administration error). On 20-Aug-2021, PRODUCT TEMPERATURE EXCURSION ISSUE (Greater than 12 hours at room temperature) and PRODUCT ADMINISTRATION ERROR (product administration error) 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. Concomitant medication of the patient was not reported. No treatment information was provided by the reporter. The pharmacist stated that they administered Moderna COVID-19 vaccine that had undergone a temperature excursion to 3 patients. The punctured vial was placed at room temperature on previous day at 3:58 pm and was administered next day at 10:09 am 11:17 am and 11:22 am.

Other Meds:

Current Illness:

ID: 1672790
Sex: F
Age: 56
State: TX

Vax Date: 08/13/2021
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: within 30 minutes of receiving the first dose her left leg was hurting with muscle pains and says she could not walk without assistance for 3 days; says she could not walk without assistance; within 30 minutes of receiving the first dose her left leg was hurting with muscle pains and says she could not walk without assistance for 3 days; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (within 30 minutes of receiving the first dose her left leg was hurting with muscle pains and says she could not walk without assistance for 3 days), MOBILITY DECREASED (says she could not walk without assistance) and MYALGIA (within 30 minutes of receiving the first dose her left leg was hurting with muscle pains and says she could not walk without assistance for 3 days) in a 56-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 017E21A) for COVID-19 vaccination. The patient's past medical history included Polio. On 13-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (within 30 minutes of receiving the first dose her left leg was hurting with muscle pains and says she could not walk without assistance for 3 days), MOBILITY DECREASED (says she could not walk without assistance) and MYALGIA (within 30 minutes of receiving the first dose her left leg was hurting with muscle pains and says she could not walk without assistance for 3 days). The patient was treated with TRAMADOL for Adverse event, at a dose of 1 dosage form and IBUPROFEN for Adverse event, at a dose of 1 dosage form. At the time of the report, PAIN IN EXTREMITY (within 30 minutes of receiving the first dose her left leg was hurting with muscle pains and says she could not walk without assistance for 3 days), MOBILITY DECREASED (says she could not walk without assistance) and MYALGIA (within 30 minutes of receiving the first dose her left leg was hurting with muscle pains and says she could not walk without assistance for 3 days) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication information was provided by the reporter. The patient also reported treatment of "ibuprofen with something else in it".

Other Meds:

Current Illness:

ID: 1672791
Sex: M
Age: 65
State: WA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: discomfort in her eyes; Take naps/slept 10 hours last night; Gained 10 lbs after the 2nd dose in this 6 months.; Brain fog; Cannot handle stress anymore; Real bad side effects ever since the 2nd dose; Fatigue which is still ongoing after 6 months/severe fatigue; stabbing pain in both her eyes/feels like strain in eyes all the time/wears reading glasses a lot now/eye pain; developed photophobia; This spontaneous case was reported by a consumer and describes the occurrence of EYE PAIN (stabbing pain in both her eyes/feels like strain in eyes all the time/wears reading glasses a lot now/eye pain), PHOTOPHOBIA (developed photophobia), OCULAR DISCOMFORT (discomfort in her eyes), SOMNOLENCE (Take naps/slept 10 hours last night) and WEIGHT INCREASED (Gained 10 lbs after the 2nd dose in this 6 months.) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 12-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Mar-2021, the patient experienced EYE PAIN (stabbing pain in both her eyes/feels like strain in eyes all the time/wears reading glasses a lot now/eye pain) and PHOTOPHOBIA (developed photophobia). On an unknown date, the patient experienced OCULAR DISCOMFORT (discomfort in her eyes), SOMNOLENCE (Take naps/slept 10 hours last night), WEIGHT INCREASED (Gained 10 lbs after the 2nd dose in this 6 months.), FEELING ABNORMAL (Brain fog), STRESS (Cannot handle stress anymore), VACCINATION COMPLICATION (Real bad side effects ever since the 2nd dose) and FATIGUE (Fatigue which is still ongoing after 6 months/severe fatigue). The patient was treated with PREDNISOLONE at an unspecified dose and frequency. At the time of the report, EYE PAIN (stabbing pain in both her eyes/feels like strain in eyes all the time/wears reading glasses a lot now/eye pain), PHOTOPHOBIA (developed photophobia), OCULAR DISCOMFORT (discomfort in her eyes), SOMNOLENCE (Take naps/slept 10 hours last night), WEIGHT INCREASED (Gained 10 lbs after the 2nd dose in this 6 months.), FEELING ABNORMAL (Brain fog), STRESS (Cannot handle stress anymore), VACCINATION COMPLICATION (Real bad side effects ever since the 2nd dose) and FATIGUE (Fatigue which is still ongoing after 6 months/severe fatigue) outcome was unknown. The concomitant medications were not reported This case was linked to MOD-2021-293207 (Patient Link).

Other Meds:

Current Illness:

ID: 1672792
Sex: U
Age:
State: GA

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: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: Hurt chest; Wheezing; 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 CHEST PAIN (Hurt chest) and WHEEZING (Wheezing) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concomitant products included ALBUTEROL [SALBUTAMOL] for an unknown indication. 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 CHEST PAIN (Hurt chest) and WHEEZING (Wheezing). At the time of the report, CHEST PAIN (Hurt chest) and WHEEZING (Wheezing) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Treatment information were not provided by the reporter.

Other Meds: ALBUTEROL [SALBUTAMOL]

Current Illness:

ID: 1672793
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:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

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

Other Meds:

Current Illness:

ID: 1672794
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: very very itchy all over my body after the vaccine today; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (very very itchy all over my body after the vaccine today) 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 PRURITUS (very very itchy all over my body after the vaccine today). At the time of the report, PRURITUS (very very itchy all over my body after the vaccine today) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication were provided by the reporter No treatment medication were provided by the reporter Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1672795
Sex: U
Age:
State:

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: I am aching; Headache; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (I am aching) and HEADACHE (Headache) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Unknown) for COVID-19 vaccination. Concurrent medical conditions included Multiple sclerosis. On an unknown date, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced MYALGIA (I am aching) and HEADACHE (Headache). At the time of the report, MYALGIA (I am aching) and HEADACHE (Headache) outcome was unknown. The concomitant medications were not reported. The treatment information was not provided.

Other Meds:

Current Illness: Multiple sclerosis

ID: 1672796
Sex: M
Age:
State: PA

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: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: administered Higher dose ( 1 ml ) -than-authorized dose ( 0.5 Ml ); This spontaneous case was reported by an other health care professional and describes the occurrence of ACCIDENTAL OVERDOSE (administered Higher dose ( 1 ml ) -than-authorized dose ( 0.5 Ml )) in a 45-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ACCIDENTAL OVERDOSE (administered Higher dose ( 1 ml ) -than-authorized dose ( 0.5 Ml )). At the time of the report, ACCIDENTAL OVERDOSE (administered Higher dose ( 1 ml ) -than-authorized dose ( 0.5 Ml )) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant product was not provided. Treatment information was not provided. This case was linked to MOD-2021-293520, MOD-2021-292849, MOD-2021-292850, MOD-2021-293335 (Patient Link).

Other Meds:

Current Illness:

ID: 1672797
Sex: F
Age:
State: SC

Vax Date: 08/20/2021
Onset Date: 08/20/2021
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: Injection site pain

Symptoms: Leg muscle cramps or spasms; experiencing a thingness in her left leg; This spontaneous case was reported by a consumer and describes the occurrence of MUSCLE TIGHTNESS (experiencing a thingness in her left leg) and MUSCLE SPASMS (Leg muscle cramps or spasms) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 051E21A) for COVID-19 vaccination. No Medical History information was reported. On 20-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Aug-2021, the patient experienced MUSCLE TIGHTNESS (experiencing a thingness in her left leg). On 21-Aug-2021, the patient experienced MUSCLE SPASMS (Leg muscle cramps or spasms). On 21-Aug-2021, MUSCLE TIGHTNESS (experiencing a thingness in her left leg) had resolved. At the time of the report, MUSCLE SPASMS (Leg muscle cramps or spasms) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication details were provided. No treatment information was mentioned.

Other Meds:

Current Illness:

ID: 1672798
Sex: M
Age: 66
State: MI

Vax Date: 12/24/2020
Onset Date: 08/20/2021
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: Administered expired vaccine; 12 hour punctured vial expiration time 8:00 PM, 19/Aug/2021) to the immunocompromised patient at 11:00 AM on 20/Aug/2021; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Administered expired vaccine) and PRODUCT STORAGE ERROR (12 hour punctured vial expiration time 8:00 PM, 19/Aug/2021) to the immunocompromised patient at 11:00 AM on 20/Aug/2021) in a 67-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 026L20A, 026L20A and 025B21A) for COVID-19 vaccination. Concurrent medical conditions included Immunocompromised. On 24-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 18-Jan-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 20-Aug-2021 at 11:00 AM, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 20-Aug-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Administered expired vaccine) and PRODUCT STORAGE ERROR (12 hour punctured vial expiration time 8:00 PM, 19/Aug/2021) to the immunocompromised patient at 11:00 AM on 20/Aug/2021). On 20-Aug-2021, EXPIRED PRODUCT ADMINISTERED (Administered expired vaccine) and PRODUCT STORAGE ERROR (12 hour punctured vial expiration time 8:00 PM, 19/Aug/2021) to the immunocompromised patient at 11:00 AM on 20/Aug/2021) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were reported. No treatment information was reported.

Other Meds:

Current Illness: Immunocompromised

ID: 1672799
Sex: U
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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: inflammation of the sternum; Chest pain; This spontaneous case was reported by a consumer and describes the occurrence of INFLAMMATION (inflammation of the sternum) and CHEST PAIN (Chest pain) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced INFLAMMATION (inflammation of the sternum) and CHEST PAIN (Chest pain). At the time of the report, INFLAMMATION (inflammation of the sternum) outcome was unknown and CHEST PAIN (Chest pain) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication was reported. No treatment details were provided. Reportedly, patient's doctor revealed the event of chest pain was unrelated to vaccination and was due to inflammation of the sternum.

Other Meds:

Current Illness:

ID: 1672800
Sex: M
Age: 65
State: WA

Vax Date: 02/12/2021
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: Tremor

Symptoms: Sore arm (1st dose); This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Sore arm (1st dose)) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 024M20A) for COVID-19 vaccination. No Medical History information was reported. On 12-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (Sore arm (1st dose)). At the time of the report, PAIN IN EXTREMITY (Sore arm (1st dose)) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. Treatment information was not provided by the reporter. This case was linked to MOD-2021-293176 (Patient Link).

Other Meds:

Current Illness:

ID: 1672801
Sex: F
Age:
State: CA

Vax Date: 08/01/2021
Onset Date: 08/20/2021
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: Erythema, Pruritus

Symptoms: a little bit of increased fever for a few hours; Painful arm; Allergic reaction; constant sneezing; nose is just running; This spontaneous case was reported by an other health care professional and describes the occurrence of HYPERSENSITIVITY (Allergic reaction), SNEEZING (constant sneezing), RHINORRHOEA (nose is just running), PYREXIA (a little bit of increased fever for a few hours) and PAIN IN EXTREMITY (Painful arm) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. In August 2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Aug-2021, the patient experienced HYPERSENSITIVITY (Allergic reaction), SNEEZING (constant sneezing) and RHINORRHOEA (nose is just running). On an unknown date, the patient experienced PYREXIA (a little bit of increased fever for a few hours) and PAIN IN EXTREMITY (Painful arm). At the time of the report, HYPERSENSITIVITY (Allergic reaction), SNEEZING (constant sneezing), RHINORRHOEA (nose is just running), PYREXIA (a little bit of increased fever for a few hours) and PAIN IN EXTREMITY (Painful arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter. Treatment information was not provided. Patient received her first dose of Moderna COVID19 Vaccine two weeks ago (exact date unknown). Nothing had been different for her. Patient was like she had hay fever allergies. It happened when she ate something the same morning. She never experienced before. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1672802
Sex: U
Age:
State: TN

Vax Date:
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: Sore arm; Other stuff; 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 (Sore arm) and VACCINATION COMPLICATION (Other stuff) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (Sore arm) and VACCINATION COMPLICATION (Other stuff). At the time of the report, PAIN IN EXTREMITY (Sore arm) and VACCINATION COMPLICATION (Other stuff) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant product information was provided. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1672803
Sex: M
Age: 54
State: MI

Vax Date: 07/20/2021
Onset Date:
Rec V Date: 09/04/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: His stomach was a little uneasy; It was huge, burning hot to the touch for a few days; The injection site on the arm turned really red.; woke up with a breaking fever, which lasted about 7 hours; Little bit of a headache; He did not take his own temperature, but it was so bad he was shaking uncontrollably; This spontaneous case was reported by a consumer and describes the occurrence of ABDOMINAL DISCOMFORT (His stomach was a little uneasy), VACCINATION SITE WARMTH (It was huge, burning hot to the touch for a few days), VACCINATION SITE ERYTHEMA (The injection site on the arm turned really red.), PYREXIA (woke up with a breaking fever, which lasted about 7 hours) and HEADACHE (Little bit of a headache) in a 54-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 051C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Hypertension. On 20-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 17-Aug-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced ABDOMINAL DISCOMFORT (His stomach was a little uneasy), VACCINATION SITE WARMTH (It was huge, burning hot to the touch for a few days), VACCINATION SITE ERYTHEMA (The injection site on the arm turned really red.), PYREXIA (woke up with a breaking fever, which lasted about 7 hours), HEADACHE (Little bit of a headache) and CHILLS (He did not take his own temperature, but it was so bad he was shaking uncontrollably). At the time of the report, ABDOMINAL DISCOMFORT (His stomach was a little uneasy), VACCINATION SITE WARMTH (It was huge, burning hot to the touch for a few days), VACCINATION SITE ERYTHEMA (The injection site on the arm turned really red.), PYREXIA (woke up with a breaking fever, which lasted about 7 hours), HEADACHE (Little bit of a headache) and CHILLS (He did not take his own temperature, but it was so bad he was shaking uncontrollably) outcome was unknown. Concomitant medication include: Blood pressure medication Treatment information was not reported

Other Meds:

Current Illness: Hypertension

ID: 1672804
Sex: M
Age:
State:

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: on the third day of the application he felt pain in his torax on the left side,; oppressive and a sensation of shortness of breath; oppressive; This spontaneous case was reported by a consumer and describes the occurrence of CHEST PAIN (on the third day of the application he felt pain in his torax on the left side,), DYSPNOEA (oppressive and a sensation of shortness of breath) and SENSE OF OPPRESSION (oppressive) in a 23-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced CHEST PAIN (on the third day of the application he felt pain in his torax on the left side,), DYSPNOEA (oppressive and a sensation of shortness of breath) and SENSE OF OPPRESSION (oppressive). At the time of the report, CHEST PAIN (on the third day of the application he felt pain in his torax on the left side,), DYSPNOEA (oppressive and a sensation of shortness of breath) and SENSE OF OPPRESSION (oppressive) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication was reported. No treatment details were provided.

Other Meds:

Current Illness:

ID: 1672805
Sex: M
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: no smell; no appetite; This spontaneous case was reported by a consumer and describes the occurrence of ANOSMIA (no smell) and DECREASED APPETITE (no appetite) 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. In August 2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In August 2021, the patient experienced ANOSMIA (no smell) and DECREASED APPETITE (no appetite). At the time of the report, ANOSMIA (no smell) and DECREASED APPETITE (no appetite) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No Concomitant medications was provided. No treatment medications was provided. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1672806
Sex: F
Age: 48
State: NY

Vax Date: 03/20/2021
Onset Date: 03/01/2021
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: Soreness in her arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Soreness in her arm) in a 48-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 046A21A) for COVID-19 vaccination. No Medical History information was reported. On 20-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In March 2021, the patient experienced PAIN IN EXTREMITY (Soreness in her arm). At the time of the report, PAIN IN EXTREMITY (Soreness in her arm) outcome was unknown. mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) dosing remained unchanged. Concomitant product use was not provided. Treatment information was not provided. This case was linked to MOD-2021-293312 (Patient Link).

Other Meds:

Current Illness:

ID: 1672807
Sex: F
Age:
State: NC

Vax Date: 04/09/2021
Onset Date: 04/09/2021
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: Pain in extremity

Symptoms: Experienced some side effects after second shot; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (Experienced some side effects after second shot) 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 09-Apr-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 09-Apr-2021, the patient experienced VACCINATION COMPLICATION (Experienced some side effects after second shot). At the time of the report, VACCINATION COMPLICATION (Experienced some side effects after second shot) outcome was unknown. No concomitant product use was provided by the reporter. No treatment medications were reported.

Other Meds:

Current Illness:

ID: 1672808
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: had the worse period after first shot and still spotting now; still spotting; This spontaneous case was reported by a consumer and describes the occurrence of HEAVY MENSTRUAL BLEEDING (had the worse period after first shot and still spotting now) and INTERMENSTRUAL BLEEDING (still spotting) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced HEAVY MENSTRUAL BLEEDING (had the worse period after first shot and still spotting now) and INTERMENSTRUAL BLEEDING (still spotting). At the time of the report, HEAVY MENSTRUAL BLEEDING (had the worse period after first shot and still spotting now) and INTERMENSTRUAL BLEEDING (still spotting) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Relevant concomitant medications were not provided. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1672809
Sex: F
Age: 30
State: MD

Vax Date: 06/20/2021
Onset Date: 08/20/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Patient received her second dose of Moderna from an expired vial; Patient received her second dose of Moderna on 20/Aug/2021 (day 61); This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient received her second dose of Moderna from an expired vial) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Patient received her second dose of Moderna on 20/Aug/2021 (day 61)) in a 31-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 041C21A and 011D21A) for COVID-19 vaccination. No Medical History information was reported. On 20-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Aug-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 20-Aug-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Patient received her second dose of Moderna from an expired vial) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Patient received her second dose of Moderna on 20/Aug/2021 (day 61)). On 20-Aug-2021, EXPIRED PRODUCT ADMINISTERED (Patient received her second dose of Moderna from an expired vial) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Patient received her second dose of Moderna on 20/Aug/2021 (day 61)) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medication was provided. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1672810
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Is it normal that I feel mild dizziness after getting the Moderna vaccine; 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 DIZZINESS (Is it normal that I feel mild dizziness after getting the Moderna vaccine) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced DIZZINESS (Is it normal that I feel mild dizziness after getting the Moderna vaccine). At the time of the report, DIZZINESS (Is it normal that I feel mild dizziness after getting the Moderna vaccine) outcome was unknown. 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: 1672811
Sex: F
Age:
State: FL

Vax Date: 03/20/2021
Onset Date: 03/25/2021
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: Test Date: 20210325; Test Name: SARS-CoV-2 test; Test Result: Positive ; Result Unstructured Data: Positive; Test Date: 202104; Test Name: SARS-CoV-2 test; Test Result: Negative ; Result Unstructured Data: Negative

Allergies:

Symptom List: Vomiting

Symptoms: Patient got Covid 5 days after receiving the 1st dose; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (Patient got Covid 5 days after receiving the 1st dose) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002B21A) for COVID-19 vaccination. Concurrent medical conditions included Diabetic and Hypertensive. On 20-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Mar-2021, the patient experienced COVID-19 (Patient got Covid 5 days after receiving the 1st dose). At the time of the report, COVID-19 (Patient got Covid 5 days after receiving the 1st dose) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 25-Mar-2021, SARS-CoV-2 test: positive (Positive) Positive. In April 2021, SARS-CoV-2 test: negative (Negative) Negative. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications were not provided by reporter. Treatment medications were not provided by reporter. This case was linked to MOD-2021-294004 (Patient Link).

Other Meds:

Current Illness: Diabetic; Hypertensive

ID: 1672812
Sex: F
Age: 90
State: MA

Vax Date: 02/10/2021
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:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: glands underneath ears seem to be bothering me; head feels full/ seems to be all in my head; not feeling like myself; This spontaneous case was reported by a consumer and describes the occurrence of EAR DISCOMFORT (glands underneath ears seem to be bothering me), HEAD DISCOMFORT (head feels full/ seems to be all in my head) and FEELING ABNORMAL (not feeling like myself) in a 90-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 028220A and 026A21A) for COVID-19 vaccination. No Medical History information was reported. On 10-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced EAR DISCOMFORT (glands underneath ears seem to be bothering me), HEAD DISCOMFORT (head feels full/ seems to be all in my head) and FEELING ABNORMAL (not feeling like myself). At the time of the report, EAR DISCOMFORT (glands underneath ears seem to be bothering me), HEAD DISCOMFORT (head feels full/ seems to be all in my head) and FEELING ABNORMAL (not feeling like myself) outcome was unknown. No relevant concomitant medications were reported by reporter It was reported that the patient wanted to get tested for COVID and was not sure if she had contracted COVID Treatment information was not provided by reporter

Other Meds:

Current Illness:

ID: 1672813
Sex: F
Age: 69
State: FL

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Felt like she was hit by a truck; Fever; Weird fatigue; Pain in lymph nodes under arms; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (Felt like she was hit by a truck), PYREXIA (Fever), FATIGUE (Weird fatigue) and LYMPH NODE PAIN (Pain in lymph nodes under arms) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 012L20A and 010M20A) for COVID-19 vaccination. Concurrent medical conditions included Cancer. On 04-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 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 FEELING ABNORMAL (Felt like she was hit by a truck), PYREXIA (Fever), FATIGUE (Weird fatigue) and LYMPH NODE PAIN (Pain in lymph nodes under arms). At the time of the report, FEELING ABNORMAL (Felt like she was hit by a truck), PYREXIA (Fever), FATIGUE (Weird fatigue) and LYMPH NODE PAIN (Pain in lymph nodes under arms) outcome was unknown. 3rd dose on 16-AUG-2021 with lot number 002F21A. As she was cancer patient doctor advised to take 3rd dose. No concomitant medications reported. No treatment information was reported by reporter. This case was linked to MOD-2021-293269 (Patient Link).

Other Meds:

Current Illness: Cancer

ID: 1672814
Sex: M
Age:
State:

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Chills; Headache; This spontaneous case was reported by a consumer and describes the occurrence of CHILLS (Chills) and HEADACHE (Headache) 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. In August 2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In August 2021, the patient experienced CHILLS (Chills) and HEADACHE (Headache). At the time of the report, CHILLS (Chills) and HEADACHE (Headache) outcome was unknown. No concomitant medications were provided. Treatment information was not provided. The reporter wanted to know if the patient could take Ibuprofen.

Other Meds:

Current Illness:

ID: 1672815
Sex: M
Age:
State: SC

Vax Date: 08/20/2021
Onset Date: 08/20/2021
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:

Allergies:

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

Symptoms: really dizzy; pale; sweaty; weak; lightheaded; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (really dizzy), PALLOR (pale), HYPERHIDROSIS (sweaty), ASTHENIA (weak) and DIZZINESS (lightheaded) 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 20-Aug-2021 at 4:00 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Aug-2021, the patient experienced DIZZINESS (really dizzy), PALLOR (pale), HYPERHIDROSIS (sweaty), ASTHENIA (weak) and DIZZINESS (lightheaded). At the time of the report, DIZZINESS (really dizzy), PALLOR (pale), HYPERHIDROSIS (sweaty), ASTHENIA (weak) and DIZZINESS (lightheaded) 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. Patient laid down and feels a little better now.

Other Meds:

Current Illness:

ID: 1672816
Sex: F
Age: 31
State: OH

Vax Date: 07/24/2021
Onset Date: 08/21/2021
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: Gave a second dose from vials that were expired past the 12 hours mark this morning; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Gave a second dose from vials that were expired past the 12 hours mark this morning) in a 31-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 24-Jul-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 21-Aug-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Gave a second dose from vials that were expired past the 12 hours mark this morning). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Gave a second dose from vials that were expired past the 12 hours mark this morning) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No Concomitant product use was provided. No Treatment information was provided. Pharmacist stated that one of her interns accidentally gave 2 patients a second dose from vials that were expired past the 12 hours mark this morning 21Aug2021 at 8:25am (vial was open since yesterday 20Aug2021, punctured at 1:35pm). She wanted to know if they need to be revaccinated right away or not? Both shots (first and second) were given in the left deltoid muscle for both patients.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am