VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
PLEASE CHECK BACK SOON
Download the files above while you wait.






Manufacturers

Total Manufacturer

Incidents per State

State Total
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1550814
Sex: M
Age: 68
State: SC

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: DISCOMFORT; soreness in the armpit, lymph node area; pain in the injection site started from the top to bottom shoulder / muscle pain at the injection site; A spontaneous report was received from a male patient, concerning himself 68 years of age, who received Moderna's COVID-19 vaccine and Pyrexia, Nausea, Headache The patient's medical history includes Hypertension, cholesterol, Acid Reflux, sleep pattern. Concomitant product use provided by the patient was Lisinopril, Simvastatin, Prilosec, Ambien. On 10-Feb-2021, prior to the onset of events, the patient received their first of two planned doses of mRNA-1273 (024M20A batch number) via intramuscular route for COVID-19 infection prophylaxis and experienced Injection site pain, Axillary pain, Discomfort. Action taken with mRNA-1273 in response to the event was not applicable. The outcome of the event was considered to be unknown at the time of this report.

Other Meds: LISINOPRIL; SIMVASTATIN; PRILOSEC [OMEPRAZOLE]; AMBIEN

Current Illness:

ID: 1550815
Sex: F
Age: 79
State: NJ

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Couldn't get out of bed; Chills; fever; headache; This spontaneous case was reported by a consumer and describes the occurrence of BEDRIDDEN (Couldn't get out of bed), CHILLS (Chills), PYREXIA (fever) and HEADACHE (headache) in a 79-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032L20A) for COVID-19 vaccination. No Medical History information was reported. On 17-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 18-Feb-2021, the patient experienced BEDRIDDEN (Couldn't get out of bed), CHILLS (Chills), PYREXIA (fever) and HEADACHE (headache). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. On 19-Feb-2021, CHILLS (Chills) and PYREXIA (fever) had resolved. On 20-Feb-2021, BEDRIDDEN (Couldn't get out of bed) and HEADACHE (headache) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1550816
Sex: M
Age:
State: CA

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: a rash on his arm near his wrist; arm is little bit sore; This spontaneous case was reported by a consumer and describes the occurrence of RASH (a rash on his arm near his wrist) and PAIN IN EXTREMITY (arm is little bit sore) in a 77-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 20-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Feb-2021, the patient experienced RASH (a rash on his arm near his wrist) and PAIN IN EXTREMITY (arm is little bit sore). At the time of the report, RASH (a rash on his arm near his wrist) and PAIN IN EXTREMITY (arm is little bit sore) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1550817
Sex: M
Age: 66
State: MO

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: real achy all over; felt bad; felt like when he had COVID back in December 2020; pain in his neck and back; pain in his neck and back; fever got up to 101 but most of the time it was between 100-101 degrees; chills all night long; A spontaneous report was received from a consumer concerning a 66-years-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events real achy all over, felt bad, felt like when he had covid back in December 2020, pain in his neck and back, fever got up to 101 but most of the time it was between 100-101 degrees, chills all night long. The patient's medical history was not provided. No relevant concomitant medications were reported. On 19 Feb 2021, prior to the onset of the events the patient received first of two planned doses of mRNA-1273 (lot/batch: 004M20A) via unknown route in the left arm for prophylaxis of COVID-19 infection. On 19 Feb 2021, the patient experienced the event(s) real achy all over, felt bad, felt like when he had covid back in December 2020, pain in his neck and back, fever got up to 101 but most of the time it was between 100-101 degrees, chills all night long. Treatment details included None. Action taken with mRNA-1273 in response to the events was not reported. On 20 Feb 2021 the outcome of event(s), chills all night long was resolved. The outcome of event(s), real achy all over, felt bad, felt like when he had covid back in December 2020, pain in his neck and back, fever got up to 101 but most of the time it was between 100-101 degrees was unknown.

Other Meds:

Current Illness:

ID: 1550818
Sex: F
Age:
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Rash below the injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE RASH (Rash below the injection site) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031L20A) for COVID-19 vaccination. The patient's past medical history included No adverse event (No medical history reported. ). Concomitant products included LEVOTHYROXINE for an unknown indication. On 13-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Feb-2021, the patient experienced VACCINATION SITE RASH (Rash below the injection site). At the time of the report, VACCINATION SITE RASH (Rash below the injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds: LEVOTHYROXINE

Current Illness:

ID: 1550819
Sex: F
Age: 53
State: PA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: walking on it was difficult; lower leg felt like it was cold; like a cramp was going to set in, but it didn't; leftover nerve pain..really bad; Chills; generally feels run down; Hives; Headache; Lower back pain; Thumb, pointer, and middle finger on the right hand went extremely numb and painful; felt a tight headband on my head; A spontaneous case report sent by a Other on 25-JAN-2021 from, which refers to a Female aged 53 Years. On an unknown date the patient received Moderna COVID-19 Vaccine for the prophylaxis of COVID-19 vaccination. Some later, the patient developed walking on it was difficult, the patient also developed Lower back pain,felt a tight headband on my head,Thumb, pointer, and middle finger on the right hand went extremely numb and painful,Headache,Chills,lower leg felt like it was cold,Hives,generally feels run down,like a Charlie horse was going to set in, but it didn't,leftover nerve pain that was really bad on that day. Relevant laboratory details were unknown. Relevant concomitant medications were none. The patient was treated for the event with IBUPROFEN,BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE],ZYRTEC ALLERGY for hives. The oncologist did not declare any relatedness between walking on it was difficult and Moderna COVID-19 Vaccine.. The clinical outcome of leftover nerve pain was Unknown,walking on it was difficult was Unknown,like a Charlie horse was going to set in, but it didn't was Unknown,generally feels run down was Unknown, Hives was Unknown,lower leg felt like it was cold was Unknown, Chills was Unknown, Headache was Unknown,Thumb, pointer, and middle finger on the right hand went extremely numb and painful , which lasted couple of hours was Recovered/Resolved,felt a tight headband on my head was Recovered/Resolved,Lower back painIt was there for about an hour and then it was gone and was Recovered/Resolved. Causality was not provided between the suspect drug and the events.

Other Meds:

Current Illness: Numbness (thumb, pointer, and middle finger on the right hand went extremely numb and painful)

ID: 1550820
Sex: F
Age: 90
State: MA

Vax Date: 02/10/2021
Onset Date: 02/17/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: arm soreness; redness; itchiness; This spontaneous case was reported by a patient and describes the occurrence of INJECTION SITE PAIN (arm soreness), INJECTION SITE ERYTHEMA (redness) and INJECTION SITE PRURITUS (itchiness) in a 90-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for an unknown indication. Concurrent medical conditions included Allergy. Concomitant products included LEVOTHYROXINE for Thyroid activity decreased. On 10-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Feb-2021, the patient experienced INJECTION SITE PAIN (arm soreness), INJECTION SITE ERYTHEMA (redness) and INJECTION SITE PRURITUS (itchiness). At the time of the report, INJECTION SITE PAIN (arm soreness), INJECTION SITE ERYTHEMA (redness) and INJECTION SITE PRURITUS (itchiness) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment medication included anti-itch cream.

Other Meds: LEVOTHYROXINE

Current Illness: Allergy

ID: 1550821
Sex: M
Age: 69
State: TX

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: confusion; absent minded; This spontaneous case was reported by a consumer and describes the occurrence of CONFUSIONAL STATE (confusion) and DAYDREAMING (absent minded) in a 69-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030M20A) for COVID-19 vaccination. Concurrent medical conditions included Insomnia, Hypertension and Acid reflux (esophageal). Concomitant products included PANTOPRAZOLE for Acid reflux (esophageal), LISINOPRIL for Hypertension, TEMAZEPAM and HYDROXYZINE PAMOATE for Insomnia. On 12-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Feb-2021, the patient experienced CONFUSIONAL STATE (confusion) and DAYDREAMING (absent minded). At the time of the report, CONFUSIONAL STATE (confusion) and DAYDREAMING (absent minded) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment medication was reported Most recent FOLLOW-UP information incorporated above includes: On 27-Apr-2021

Other Meds: TEMAZEPAM; HYDROXYZINE PAMOATE; LISINOPRIL; PANTOPRAZOLE

Current Illness: Acid reflux (esophageal); Hypertension; Insomnia

ID: 1550822
Sex: F
Age:
State: NJ

Vax Date: 02/10/2021
Onset Date: 02/20/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Excruciating pain in my feet; My left foot and right hand, around the ankle is swelling; I can't barely walk; Both my hands and feet are swollen; Both my hands and feet are swollen; This spontaneous case was reported by a consumer and describes the occurrence of the first episode of PERIPHERAL SWELLING (Both my hands and feet are swollen), the second episode of PERIPHERAL SWELLING (Both my hands and feet are swollen), GAIT DISTURBANCE (I can't barely walk), JOINT SWELLING (My left foot and right hand, around the ankle is swelling) and PAIN IN EXTREMITY (Excruciating pain in my feet) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. The patient's past medical history included Kidney disorder. Concurrent medical conditions included Blood pressure high (no medical history reported) and Type 2 diabetes mellitus. Concomitant products included AZILSARTAN MEDOXOMIL, CHLORTALIDONE (EDARBYCLOR), GLIMEPIRIDE, VITAMIN D3, ATORVASTATIN CALCIUM, NEPHRO-VITE [ASCORBIC ACID;BIOTIN;CYANOCOBALAMIN;FOLIC ACID;NICOTINAMIDE;PANTOTHENIC ACID;PYRIDOXINE HYDROCHLORIDE;RIBOFLAVIN;THIAMINE HYDROCHLORIDE] and FAMOTIDINE for an unknown indication. On 10-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Feb-2021, the patient experienced the first episode of PERIPHERAL SWELLING (Both my hands and feet are swollen) and the second episode of PERIPHERAL SWELLING (Both my hands and feet are swollen). On 21-Feb-2021, the patient experienced GAIT DISTURBANCE (I can't barely walk). On 22-Feb-2021, the patient experienced JOINT SWELLING (My left foot and right hand, around the ankle is swelling). On an unknown date, the patient experienced PAIN IN EXTREMITY (Excruciating pain in my feet). At the time of the report, last episode of PERIPHERAL SWELLING (Both my hands and feet are swollen), GAIT DISTURBANCE (I can't barely walk), JOINT SWELLING (My left foot and right hand, around the ankle is swelling) and PAIN IN EXTREMITY (Excruciating pain in my feet) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information included Epsom salt with warm water. Reporter did not allow further contact Most recent FOLLOW-UP information incorporated above includes: On 02-Jun-2021: follow up (TCR) was obtained on 02-JUN-2021,Reporter's email id was obtained

Other Meds: EDARBYCLOR; GLIMEPIRIDE; VITAMIN D3; ATORVASTATIN CALCIUM; NEPHRO-VITE [ASCORBIC ACID;BIOTIN;CYANOCOBALAMIN;FOLIC ACID;NICOTINAMIDE;PANTOTHENIC ACID;PYRIDOXINE; FAMOTIDINE

Current Illness: Type 2 diabetes mellitus

ID: 1550823
Sex: F
Age: 73
State: FL

Vax Date: 02/18/2021
Onset Date:
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: sore arm; redness at the injection site; Itchy at the injection site; Hot to the touch at the injection site; A spontaneous report was received from a consumer concerning a 73-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events sore arm, redness at the injection site, itchy at the injection site, hot to the touch at the injection site. The patient's medical history was not provided. No relevant concomitant medications were reported. On 18 Feb 2021, prior to the onset of the events the patient received first of two planned doses of mRNA-1273 (lot/batch: 013M20A) via unknown route in the left arm for prophylaxis of COVID-19 infection. On an unknown date, the patient experienced the event(s) sore arm, redness at the injection site, Itchy at the injection site, Hot to the touch at the injection site. Treatment details included ibuprofen. Action taken with mRNA-1273 in response to the events was not reported. The outcome of event(s), sore arm, redness at the injection site, itchy at the injection site, hot to the touch at the injection site was unknown.

Other Meds:

Current Illness:

ID: 1550824
Sex: F
Age: 66
State: NY

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Loss of taste; loss of smell; Body aches; Severe chill; headache; This case was initially received via an unknown source (no reference has been entered for a health authority or license partner) on 20-Feb-2021. The most recent information was received on 27-May-2021 and was forwarded to Moderna on 27-May-2021. This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Body aches), CHILLS (Severe chill), HEADACHE (headache), AGEUSIA (Loss of taste) and ANOSMIA (loss of smell) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 024M20A) for COVID-19 vaccination. The patient's past medical history included COVID-19 on 26-Mar-2020, COVID-19 on 11-May-2020 and Pneumonia in May 2020. Concurrent medical conditions included Sarcoidosis. Concomitant products included VITAMINS NOS for an unknown indication. On 17-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Feb-2021, the patient experienced PAIN (Body aches), CHILLS (Severe chill) and HEADACHE (headache). On an unknown date, the patient experienced AGEUSIA (Loss of taste) and ANOSMIA (loss of smell). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, PAIN (Body aches), CHILLS (Severe chill), HEADACHE (headache), AGEUSIA (Loss of taste) and ANOSMIA (loss of smell) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. This case was linked to MOD-2021-091740 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 27-May-2021: Events added; Reporter's Comments: female who

Other Meds: VITAMINS NOS

Current Illness: Sarcoidosis

ID: 1550825
Sex: F
Age:
State:

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Blistering at the injection site; Redness at injection site; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE VESICLES (Blistering at the injection site) and VACCINATION SITE ERYTHEMA (Redness at injection site) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 004mdoA) for COVID-19 vaccination. No Medical History information was reported. On 16-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Feb-2021, the patient experienced INJECTION SITE VESICLES (Blistering at the injection site) and VACCINATION SITE ERYTHEMA (Redness at injection site). At the time of the report, INJECTION SITE VESICLES (Blistering at the injection site) and VACCINATION SITE ERYTHEMA (Redness at injection site) outcome was unknown. Treatment medications were not provided by the reporter. No concomitant medications were reported by reporter.

Other Meds:

Current Illness:

ID: 1550826
Sex: F
Age: 55
State: IL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: felt nauseous and dizzy; sensitive to light; low grade fever about 99.9; no energy today; Her first dose injection site has turned red again; tingling in her neck, tingling went down to her hands; a taste in her mouth; SORE ARM FOR SEVERAL WEEKS WITH A BRUISE; very painful; a rash all over her arm; A spontaneous report was received from a consumer concerning a 55-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events a sore arm for several weeks with a bruise, a rash all over her arm, very painful, tingling in her neck, tingling went down to her hands, a taste in her mouth, felt nauseous and dizzy, she cannot move her arm as it hurts so bad, she is having a hard time concentrating, sensitive to light, low grade fever about 99.9, no energy today, her first dose injection site has turned red again and it looks like the rash is about to start. The patient's medical history was not provided. No relevant concomitant medications were reported. On 21 Jan 2021, prior to the onset of the events the patient received first of two planned doses of mRNA-1273 (lot/batch: 026L20A) via unknown route for prophylaxis of COVID-19 infection. On 19 Feb 2021, prior to the onset of the events the patient received their second of two planned doses of mRNA-1273 (lot/batch: 011M20A) via unknown route for prophylaxis of COVID-19 infection. On 31 Jan 2021, the patient experienced the event(s) a sore arm for several weeks with a bruise, a rash all over her arm, very painful. On 19 Feb 2021, the patient experienced the event(s) tingling in her neck, tingling went down to her hands, a taste in her mouth, felt nauseous and dizzy. On 20 Feb 2021, the patient experienced the event(s) she cannot move her arm as it hurts so bad, she is having a hard time concentrating, sensitive to light, low grade fever about 99.9, no energy today, her first dose injection site has turned red again and it looks like the rash is about to start. Treatment details included She did take some ibuprofen (for her back and knee pain) but has not taking any Ibuprofen for, the second dose. She has taken Benadryl post vaccination of both doses. Action taken with mRNA-1273 in response to the events was not reported. The outcome of event(s), a sore arm for several weeks with a bruise, a rash all over her arm, very painful, tingling in her neck, tingling went down to her hands, a taste in her mouth, felt nauseous and dizzy, she cannot move her arm as it hurts so bad, she is having a hard time concentrating, sensitive to light, low grade fever about 99, 9, no energy today, her first dose injection site has turned red again and it looks like the rash is about to start was unknown.

Other Meds:

Current Illness:

ID: 1550827
Sex: F
Age: 45
State: OH

Vax Date: 12/24/2020
Onset Date: 01/01/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Delayed injection site reaction; Injection site hard/Injection site induration; Injection site itchy; Injection site hivethe size of a miniature orange; Injection site swelled; Joint aches; Muscle aches/Myalgias; Injection site redness; A spontaneous report was received from a physician concerning a 45 years old, female patient who experienced delayed injection site reaction/delayed skin reaction, injection site hard, injection site induration/vaccination site induration, injection site itchy/vaccination site pruritus, injection site hive the size of a miniature orange/vaccination site urticaria, injection site swelled/vaccination site swelling, joint pain/arthralgia, muscle aches, myalgias/myalgia and injection site redness/vaccination site erythema. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. On 24 Dec 2020, prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number:39K20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 01 Jan 2021, the patient experienced delayed injection site reaction, injection site hard, injection site induration, injection site itchy, joint pain, muscle aches, myalgias. Treatment information was not provided. Action taken with mRNA-1273 in response to the events was not provided. The events, injection site hard, injection site induration, injection site itchy, injection site swelled, joint pain, muscle aches and myalgias were resolved o 03 Jan 2021. The outcome of the events delayed injection site reaction, injection site hives the size of a miniature orange, injection site swelled, and injection site redness were unknown.

Other Meds:

Current Illness:

ID: 1550828
Sex: F
Age: 83
State: NM

Vax Date: 01/23/2021
Onset Date: 01/26/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Nausea; Chills; A spontaneous report was received from a nurse concerning a 83-year-old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced nausea and chills. The patient's medical history was not provided. The Concomitant medications reported included atorvastatin, losartan, sertraline hydrochloride. On 23 Jan 2021, approximately three days prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Lot number: 011V201A) via intramuscularly in an unknown location for prophylaxis of COVID-19 infection.After three days on 26 Jan 2021, patient developed nausea and chills. No treatment medication was reported. Action taken with mRNA-1273 in response to the events was not applicable. The outcome of the events, nausea and chills were considered as unknown.

Other Meds: ATORVASTATIN; LOSARTAN; ZOLOFT

Current Illness:

ID: 1550829
Sex: F
Age: 62
State: NJ

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Rash; itchiness; Redness; pain; Tightness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (pain), INJECTION SITE INDURATION (Tightness), RASH (Rash), PRURITUS (itchiness) and ERYTHEMA (Redness) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. The patient's past medical history included No adverse event (No medically reported history). Concomitant products included BENAZEPRIL, AMLODIPINE and PEGINTERFERON BETA-1A (PLEGRIDY) for an unknown indication. On 19-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Feb-2021, the patient experienced PAIN (pain) and INJECTION SITE INDURATION (Tightness). On 21-Feb-2021, the patient experienced RASH (Rash), PRURITUS (itchiness) and ERYTHEMA (Redness). The patient was treated with Benadryl cream at an unspecified dose and frequency. At the time of the report, PAIN (pain), INJECTION SITE INDURATION (Tightness), RASH (Rash), PRURITUS (itchiness) and ERYTHEMA (Redness) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment details included Benadryl Cream.

Other Meds: BENAZEPRIL; AMLODIPINE; PLEGRIDY

Current Illness:

ID: 1550830
Sex: F
Age: 68
State: NC

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Arm soreness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm soreness) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012M20A) for COVID-19 vaccination. No Medical History information was reported. On 29-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Jan-2021, the patient experienced PAIN IN EXTREMITY (Arm soreness). On 01-Feb-2021, PAIN IN EXTREMITY (Arm soreness) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment information was provided. No concomitant medication was provided. Most recent FOLLOW-UP information incorporated above includes: On 21-Feb-2021: NNI added.

Other Meds:

Current Illness:

ID: 1550831
Sex: U
Age:
State:

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: headache; muscle and joint ache; nausea; chills; fever; fatigue; A spontaneous report was received from a consumer concerning a unknown patient, participating in the Moderna's COVID-19 vaccine (mRNA-1273) Emergency Use Program who experienced effects and till today fever, fatigue, headache, muscle and joint ache, nausea, chills. The patient's medical history,is not provided by the reporter. Concomitant medications were not reported. The patient received their first of two planned dose of mRNA-1273 on 24/Jan/2021. Prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 in(Lot number: unknown) for prophylaxis of COVID-19 infection. Experienced fever, fatigue, headache, muscle and joint ache, nausea, chills. No lab data I reported by the reporter. Action taken with mRNA-1273 in response to the events was not reported. The outcome of events, fever, fatigue, headache, muscle and joint ache, nausea, chills, were unknown. The reporter did not provide an assessment for the events, fever, fatigue, headache, muscle and joint ache, nausea, chills. Since no Seriousness criteria is reported , hence the case is considered to be Non-serious.

Other Meds:

Current Illness:

ID: 1550832
Sex: M
Age: 44
State: MD

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: shaking; unable to write; A tingling sensation in my fingers, in both hands, and my palms; swelling in hands and foot; Throbbing in hands and foot; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PARAESTHESIA (A tingling sensation in my fingers, in both hands, and my palms), PERIPHERAL SWELLING (swelling in hands and foot), PAIN (Throbbing in hands and foot) and TREMOR (shaking; unable to write) in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012L2DA) for COVID-19 vaccination. Concurrent medical conditions included Carpal tunnel syndrome. Concomitant products included VITAMIN A NOS for an unknown indication. On 11-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-Jan-2021, the patient experienced PARAESTHESIA (A tingling sensation in my fingers, in both hands, and my palms), PERIPHERAL SWELLING (swelling in hands and foot) and PAIN (Throbbing in hands and foot). On an unknown date, the patient experienced TREMOR (shaking; unable to write). At the time of the report, PARAESTHESIA (A tingling sensation in my fingers, in both hands, and my palms), PERIPHERAL SWELLING (swelling in hands and foot), PAIN (Throbbing in hands and foot) and TREMOR (shaking; unable to write) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No treatment information was provided. Patient mention the swelling/tingling in my hands and feet were unrelated to the vaccine. Patient was diagnosed with carpal tunnel syndrome in his hands and inflammation in the arches of my feet. Now Patient feel fine and have recovered. It was not side effects from the vaccine. he was mistaken Most recent FOLLOW-UP information incorporated above includes: On 24-Jan-2021: No specific follow-up information recorded. On 13-Jun-2021: Follow up received include Reporters Email, Patients DOB and included some event also like stronger throb in the arch of my left foot and subtle shake in both hands.

Other Meds: VITAMIN A NOS

Current Illness:

ID: 1550833
Sex: F
Age: 39
State: IL

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: hives on her arm that started 2cm below the vaccination site- hives on face and forehead; arm as burning hot; throat felt weird; right upper arm started itching like crazy; Chest was kind of red; Rash on her arm spread a little more; flushing; fever; chills; A spontaneous report was received from a consumer concerning a 39-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events of flushing, ears were hot, had fever, chills, typical reactions, right upper arm started itching like crazy, had hives on her arm that started 2cm below the vaccination site and her arm was burning hot, chest was kind of red, throat felt weird , had some hives on her face and forehead and the rash on her arm. The patient's medical history was not provided. No relevant concomitant medications were reported. On 09-JAN-2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (lot/batch no: unknown) in the right upper arm for prophylaxis of COVID-19 infection. On 09-JAN-2021, the patient experienced flushing, ears was hot, had fever, chills, typical reaction and these was completely fine by the next day. On 17-JAN-2021, the patient experienced her right arm itching like crazy, had hives on the arm started below the vaccination site, arm was burning hot, chest was kind of red, and her throat felt weird. Later at the night, the patient had hives on face and forehead, rash on the arm spread a little more. The patient was tested COVID-19 negative. The patient had taken Benadryl for the throat irritation. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events flushing, ears was hot, had fever, chills, typical reaction was recovered by the next day. The outcome of the events right arm itching like crazy, hives on the arm below the vaccination site, arm burning hot, chest kind of red, and throat felt weird, hives on face and forehead, rash on the arm was not recovered/resolved. Recoded events (Vaccination site warmth and Vaccination site pruritus)

Other Meds:

Current Illness: Allergy

ID: 1550834
Sex: M
Age:
State: SC

Vax Date: 01/03/2021
Onset Date:
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: sore throat; fatigue; This spontaneous case was reported by a consumer and describes the occurrence of OROPHARYNGEAL PAIN (sore throat) and FATIGUE (fatigue) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 03-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced OROPHARYNGEAL PAIN (sore throat) and FATIGUE (fatigue). At the time of the report, OROPHARYNGEAL PAIN (sore throat) and FATIGUE (fatigue) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 12-Jan-2021, SARS-CoV-2 test: positive positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant product was reported. No treatment information was provided. Most recent FOLLOW-UP information incorporated above includes: On 15-Apr-2021: the follow up were received on 15-apr-2021 and contains following updated information :Patientconfirmed he had sore throat and fatigue after the vaccine, but he feels fine now. He does not want to fill the AE follow-up format and denies further follow-up.

Other Meds:

Current Illness:

ID: 1550835
Sex: M
Age:
State: CA

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: aching; chills; headache; tiredness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (aching), CHILLS (chills), HEADACHE (headache) and FATIGUE (tiredness) 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 21-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Feb-2021, the patient experienced PAIN (aching), CHILLS (chills), HEADACHE (headache) and FATIGUE (tiredness). At the time of the report, PAIN (aching), CHILLS (chills), HEADACHE (headache) and FATIGUE (tiredness) outcome was unknown. No treatment information was provided

Other Meds:

Current Illness:

ID: 1550836
Sex: F
Age:
State: CA

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: pain in her pubic area; wobbly on her legs; body temperature of 100.4 deg. F; A spontaneous report was received from a consumer concerning a 89-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events pain on her pubic area, body temp. of 100.4 deg. f, wobbly on her legs. The patient's medical history was not provided. Concomitant medications reported were Pravastatin for drug use for unknown indication. On unknown date, prior to the onset of the events the patient received first of two planned doses of mRNA-1273 (lot/batch: unknown) via unknown route for prophylaxis of COVID-19 infection. On 20 Feb 2021, prior to the onset of the events the patient received their second of two planned doses of mRNA-1273 (lot/batch: 041L20A) via unknown route for prophylaxis of COVID-19 infection. On 20 Feb 2021, the patient experienced the event(s) pain on her pubic area, body temp. of 100.4 deg. f, wobbly on her legs. Treatment details included No taken, but patient plans to see HCP tomorrow. Action taken with mRNA-1273 in response to the events was not reported. The outcome of event(s), pain on her pubic area, body temp, of 100, 4 deg, f, wobbly on her legs was unknown.

Other Meds: PRAVASTATIN

Current Illness:

ID: 1550837
Sex: F
Age:
State: NY

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Sweating all night; tired; Fever of 103.2; Splitting headache; unstoppable chills; Muscles aches, muscle pain; Nausea; Exhausted; Shot hurt; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 19-Feb-2021 and was forwarded to Moderna on 20-Feb-2021. This spontaneous case was reported by a consumer and describes the occurrence of HYPERHIDROSIS (Sweating all night), FATIGUE (tired), PYREXIA (Fever of 103.2), HEADACHE (Splitting headache) and CHILLS (unstoppable chills) 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 16-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Feb-2021, the patient experienced VACCINATION SITE PAIN (Shot hurt). On 17-Feb-2021, the patient experienced HYPERHIDROSIS (Sweating all night), FATIGUE (tired), PYREXIA (Fever of 103.2), HEADACHE (Splitting headache), CHILLS (unstoppable chills), MYALGIA (Muscles aches, muscle pain), NAUSEA (Nausea) and FATIGUE (Exhausted). At the time of the report, HYPERHIDROSIS (Sweating all night), FATIGUE (tired), PYREXIA (Fever of 103.2), HEADACHE (Splitting headache), CHILLS (unstoppable chills), MYALGIA (Muscles aches, muscle pain), NAUSEA (Nausea), VACCINATION SITE PAIN (Shot hurt) and FATIGUE (Exhausted) outcome was unknown.

Other Meds:

Current Illness:

ID: 1550838
Sex: F
Age:
State: NY

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: might have had a low grade fever night 1; Soreness; A spontaneous report was received from a consumer concerning a female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events might have had a low grade fever night 1, soreness. The patient's medical history was not provided. No relevant concomitant medications were reported. On 20 Feb 2021, prior to the onset of the events the patient received first of two planned doses of mRNA-1273 (lot/batch: unknown) via unknown route for prophylaxis of COVID-19 infection. On 20 Feb 2021, the patient experienced the event(s) might have had a low grade fever night 1, soreness. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The outcome of event(s), might have had a low grade fever night 1, soreness was unknown.

Other Meds:

Current Illness:

ID: 1550839
Sex: F
Age: 35
State: NJ

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Cough up green phlegm; Chills for 10 hours; Fever of up to 101.7 F; Body aches; Uable to lift her head; A spontaneous report ( was received from a consumer concerning, herself a 35-years-old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events, chills, fever of up to 101.7 F, body aches, unable to lift her head and cough up green phlegm. The patient's medical history was not provided. No relevant concomitant medications were reported. On 19 Feb 2021, prior to the onset of the events, the patient received their second of two planned doses of mRNA-1273 (lot/batch: 004M20A) by unknown route, in the right arm for prophylaxis of COVID-19 infection. On 19 Feb 2021, approximately nine hours later, the patient experienced chills which lasted for ten hours, fever of up to 101.7 F, body aches, unable to lift her head, which lasted for twenty-four hours. On 21 Feb 2021, patient coughed up green phlegm. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not applicable. The event, chills was resolved on 19 Feb 2021. The events, fever of up to 101.7 F, body aches, unable to lift her head, were resolved on 20 Feb 2021. The event coughed up green phlegm, was resolved on 21 Feb 2021.

Other Meds:

Current Illness:

ID: 1550840
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: 99.7 fever; chills; diarrhea; A spontaneous report was received from a consumer concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events 99.7f fever, chills, diarrhea. The patient's medical history was not provided. No relevant concomitant medications were reported. On unknown date, prior to the onset of the events the patient received first of two planned doses of mRNA-1273 (lot/batch: UNKNOWN) via unknown route for prophylaxis of COVID-19 infection. On an unknown date, the patient experienced the event(s) 99.7F Fever, chills, diarrhea. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The outcome of event(s), 99, 7f fever, chills, diarrhea was unknown.

Other Meds:

Current Illness:

ID: 1550841
Sex: F
Age: 80
State: WA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Injection site arm tender; Bruised; Injection site arm is weak; A spontaneous report was received from a consumer concerning an 80-year-old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced injection site arm tender/vaccination site pain, bruised/contusion and injection site arm is weak/muscular weakness. The patient's medical history was not provided by the reporter. Concomitant product use was not provided by the reporter. On 10 Feb 2021, prior to the onset of the events, the patient received their unknown of two planned doses of mRNA-1273 (Lot number: 016M20A) intramuscularly in the left deltoid for prophylaxis of COVID-19 infection. On 10 Feb 2021, patient experienced injection site arm tender, bruised and injection site arm is weak. Lab details were not provided. Treatment information was not provided. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events, injection site arm tender, bruised and injection site arm is weak were unknown.

Other Meds:

Current Illness:

ID: 1550842
Sex: F
Age: 71
State: FL

Vax Date: 01/22/2021
Onset Date: 02/20/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: A spontaneous report was received from a consumer concerning a 71-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events chills, muscle pain / myalgia, fatigability, been lying on bed the whole afternoon / fatigue, lump / vaccination site mass and redness / vaccination site erythema. The patient's medical history was not provided. Concomitant medications reported were Levothyroxine sodium 0.112mg and Liothyronine sodium 5mcg for drug use for unknown indication. On 22 Jan 2021, prior to the onset of the events the patient received first of two planned doses of mRNA-1273 (lot/batch: 032L20A) intramuscularly in the left deltoid for prophylaxis of COVID-19 infection. On 19 Feb 2021, prior to the onset of the events the patient received their second of two planned doses of mRNA-1273 (lot/batch: 023M20A) intramuscularly in the right deltoid for prophylaxis of COVID-19 infection. On 20 Feb 2021, the patient had chills, muscle pain, fatiguability and had been lying on bed the whole afternoon. She also had a lump and redness on her right arm which was 2 inches long and 1 and a half inches wide. Treatment details included Tylenol 500mg 2 tabs. Action taken with mRNA-1273 in response to the events was not reported. The outcome of events, chills, muscle pain, fatiguability, been lying on bed the whole afternoon, lump and redness was unknown.

Other Meds: SYNTHROID; LIOTHYRONINE SODIUM

Current Illness:

ID: 1550843
Sex: F
Age: 75
State: NY

Vax Date: 01/13/2021
Onset Date: 01/26/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Rash (about 2 inches) on the injection site; Fatigue; Upper left arm was little sore; Little nausea; A spontaneous report was received from consumer, concerning herself, a 76-year-old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and noticed a rash (about 2 inches) on the injection site, she also felt fatigue, upper left arm was a little sore and had little nausea. The patient's medical history and concomitant medication were not reported. On 13-Jan-2021, prior to the onset of the event, the patient received their first of two planned doses of mRNA-1273 (Lot number: 013L20A) intramuscularly on the upper left arm for prophylaxis of COVID-19 infection. On 26-Jan-2021, 14 days after administration of vaccine, patient accidently noticed a rash (about 2 inches) at the injection site and she also felt fatigue. The upper left arm was a little sore and she had a little nausea. Action taken with the mRNA-1273 in response to the event was not provided. The outcome of event rash (about 2 inches) on the injection site, she also felt fatigue, upper left arm was a little sore and had little nausea was considered unknown at the time of this report.; Reporter's Comments: This case concerns a 76-year-old female who experienced nonserious expected events of vaccination site pain, vaccination site rash, fatigue, and nausea. The events occurred 14 days after the first dose of mRNA-1273. Treatment not reported. Event outcomes unknown. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1550844
Sex: F
Age: 28
State: KY

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Legs stiff; Difficult to walk; Face numb; Face tingly and legs tingling; Face started twitching; Arm weak; Legs weak; Fatigue; Leg cramping/ leg cramp; This spontaneous case was reported by a consumer and describes the occurrence of MUSCLE SPASMS (Leg cramping/ leg cramp), HYPOAESTHESIA (Face numb), PARAESTHESIA (Face tingly and legs tingling), MUSCLE TWITCHING (Face started twitching) and MUSCULAR WEAKNESS (Arm weak) in a 28-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Previously administered products included for Flu vaccination: Flu vaccine. Past adverse reactions to the above products included Guillain Barre syndrome with Flu vaccine. Concurrent medical conditions included Lupus syndrome. Concomitant products included TOPIRAMATE (TOPAMAX) for an unknown indication. On 12-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Feb-2021, the patient experienced MUSCLE SPASMS (Leg cramping/ leg cramp) and FATIGUE (Fatigue). On 20-Feb-2021, the patient experienced HYPOAESTHESIA (Face numb), PARAESTHESIA (Face tingly and legs tingling), MUSCLE TWITCHING (Face started twitching), MUSCULAR WEAKNESS (Arm weak), MUSCULAR WEAKNESS (Legs weak) and GAIT DISTURBANCE (Difficult to walk). On 21-Feb-2021, the patient experienced MUSCULOSKELETAL STIFFNESS (Legs stiff). On 20-Feb-2021, MUSCLE TWITCHING (Face started twitching) and FATIGUE (Fatigue) had resolved. On 21-Feb-2021, MUSCULAR WEAKNESS (Arm weak) had resolved. At the time of the report, MUSCLE SPASMS (Leg cramping/ leg cramp), HYPOAESTHESIA (Face numb), PARAESTHESIA (Face tingly and legs tingling), MUSCULOSKELETAL STIFFNESS (Legs stiff) and GAIT DISTURBANCE (Difficult to walk) had not resolved and MUSCULAR WEAKNESS (Legs weak) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment medications were provided. Most recent FOLLOW-UP information incorporated above includes: On 28-Apr-2021: Initial additional information received on 28-Apr-2021: Reporter email address added

Other Meds: TOPAMAX

Current Illness: Lupus syndrome

ID: 1550852
Sex: F
Age: 42
State:

Vax Date: 07/13/2021
Onset Date: 07/14/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none known

Symptom List:

Symptoms: Chills, fever 100.5 F, fatigued, pinching/shooting pain type headache, very sore left arm. All of these symptoms lasted about 24 hours. I took Tylenol for pain 2 times in this period. However, the pinching/shooting pain type headache persisted on and off for two weeks. I did not take anything for treatment of the headaches.

Other Meds:

Current Illness: none

ID: 1550853
Sex: M
Age: 45
State: HI

Vax Date: 04/25/2021
Onset Date: 08/10/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Received Moderna Covid vaccine at outside facility (walmart) 4/25/2021, 5/24/2021. tested COVID positive 8/11/2021. vaccine failure.

Other Meds:

Current Illness:

ID: 1550854
Sex: F
Age: 12
State: CA

Vax Date: 08/09/2021
Onset Date: 08/09/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: SYNCOPE FOR A COUPLE OF SECONDS

Other Meds:

Current Illness:

ID: 1550855
Sex: F
Age: 41
State: TX

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: injection site has itched every day; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE PRURITUS (injection site has itched every day) in a 41-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 041120A) for COVID-19 vaccination. No Medical History information was reported. On 14-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Jan-2021, the patient experienced INJECTION SITE PRURITUS (injection site has itched every day). At the time of the report, INJECTION SITE PRURITUS (injection site has itched every day) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1550856
Sex: F
Age: 51
State: CA

Vax Date: 08/03/2021
Onset Date: 08/10/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None noted in the patient's chart

Symptom List:

Symptoms: Patient got shingles vaccine on 8/3/2021 and appears the vaccine was injected into the subcutaneous tissu e, not the left deltoid muscle. The area below the deltoid is now hot and red and patient reports she feels feverish. In addition, the vaccine was stored in the freezer upon its arrival to our clinic site on 7/20/21 until 8/10/21 when we learned that the vaccine should have been stored in the refrigerator at temperatures between 36-46 degrees farenheit. Therefore, the vaccine has no efficacy.

Other Meds: hypromellose - glycerin (Dry Eye Relief) 1-0.2-0.2 % Drops, bisacodyl 5 mg, ketotifen (ZADITOR) 0.025 % (0.035 %) Drops

Current Illness: C

ID: 1550857
Sex: F
Age: 39
State: WI

Vax Date: 08/08/2021
Onset Date: 08/09/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Tinnitus/high-pitched ear ringing (both ears) intermittently several times per day (all hours, no pattern, not co-occurring with other symptoms), even waking me in the middle of the night. I've NEVER had this issue. It begun the following evening after initially getting vaccinated.

Other Meds: None

Current Illness: none

ID: 1550858
Sex: M
Age: 25
State: IA

Vax Date: 08/12/2021
Onset Date: 08/12/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: dizziness immediately following vaccination, followed by syncopal episode

Other Meds: Patient reports none.

Current Illness: No past medical history reported by patient

ID: 1550860
Sex: F
Age: 61
State: KY

Vax Date: 01/01/2021
Onset Date: 03/01/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Egg/PCN/Bioxin/?

Symptom List:

Symptoms: I hear loud ?Crickets ? all the time. My hearing seems deminished. Toes hurt. I have wheezing. I have dizziness.

Other Meds: Zoloft/Motrin/ambien

Current Illness: None

ID: 1550861
Sex: F
Age: 57
State: OR

Vax Date: 03/30/2021
Onset Date: 04/26/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: I'm not sure if my experience is a result of the 2nd Pfizer vaccine, but several women in my colon cancer support group (online) shared similar stories after their 2nd Pfizer vaccine, so I thought I would send this in in case it was important. I have Stage 4 colon cancer, with a small adnexal mass (3x2 cm) and 4 liver lesions which had remained stable for months. Because I was doing so well and my disease had remained stable, I was scheduled for surgery to remove the small mass, along with fallopian tubes and other ovary, as well as surgery to remove the liver lesions. However, within two weeks of the Pfizer vaccine, I started having major abdominal discomfort. A CT scan showed that the liver tumors had all increased in size, and the adnexal mass which had been 3x2 cm ballooned up to 8x8 cm, and two weeks later to 10x12 cm, by which time I was in excruciating pain. They had to move my surgery date up because the mass was starting to block other organs and was eroding the fat plane and the vaginal cuff. The only thing that had changed from my long period of stable disease status was the Pfizer vaccine. Again, I don't know if my experience is related, but several other women reported similar occurrences.... small adnexal masses that hyper-progressed within weeks of the Pfizer vaccine. I was surprised that anyone else had had the same experience, and my doctor doesn't think it could be related. But the stories from other women, including one who had been NED for a year, with a clear CT in March (before she got the vaccine), and by mid-April, she had DEVELOPED a huge adnexal mass which had not even been there.... with a clear CT just weeks before. Anyway, I don't know if this information is useful, but if it can help someone, I'm glad to share my story. I am very scared to get the booster that is being discussed currently because I am terrified it will cause another hyper-progression of my cancer (which now is just in my liver). I'm not sure what to do because I don't want to die of Covid, but I'm scared of the vaccine causing another incident like the one I experience in April after my 2nd Pfizer vaccine (March 30). Thank you.

Other Meds: Effexor XR Clonidine Mirtazapine Lorazepam Gabapentine

Current Illness: Cancer

ID: 1550863
Sex: F
Age: 29
State: IA

Vax Date: 08/09/2021
Onset Date: 08/09/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: 31weeks and 2 days pregnant at time of shot, expected due date 10/09/2021. Within 24 hours of shot had expected reaction to shot, fever/chills, muscle/joint pain, headache. 48 hours after, developed allergy like symptoms of cough, stuffy nose, mucus build up. 72 hours after, still cough, still stuffy nose.

Other Meds: Prenatal vitamins

Current Illness: None

ID: 1550864
Sex: F
Age: 31
State: PA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Penicillin, Haldol, Reglan, compozine, topicla iodine

Symptom List:

Symptoms: 1.5 days after vaccination I became irritated and on edge. I began to feel a squeezing pain in my ribs and upper abdomen then vomited 3 times over the course of a few hours. The pain in my ribs was increasing so I went to the emergency room. I had ultrasounds and fluid, I showed higher than normal levels that show potential blood clots and the ultrasound came back as having liver damage which I have had no inclination of in the past. The pain did not subside and I ended up back in the er the following day. Was given pain medication, nausea meds and more tests. Ultimately the ruling was unknown but with 25 years of having fibromyalgia I know my body very well and that was a very abnormal experience. As well, seeing the studies done regarding liver damage and vaccines I am extremely scared to attempt the second out of fear of liver failure. I then began my period over a week early, following a two week break. Another, and then a 6 week span. It was about 3 months before my cycle was normal.

Other Meds: Effector XR

Current Illness:

ID: 1550865
Sex: F
Age: 57
State: FL

Vax Date: 04/10/2021
Onset Date: 05/17/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Penicillin, Sulphur, flu shots

Symptom List:

Symptoms: Was fine initially, a few weeks later started to have more pain in my legs and back. Had to take more pain meds. Started to get tired more and legs swelled more. Now, 8/12/21 I have extreme back pain that I have to be on pain killer every 5 hrs to be able to move. My knees have swelling and have developed cysts on both knees now. My arthritis in my hands are worse to where I have shooting pain. I have trouble sleeping, restless leg has increases. Have had shortness of breath for past 3 mo.

Other Meds: Micartas, Lexapro, Claritin, Tylenol extra strength, multi vitamins

Current Illness: none

ID: 1550866
Sex: M
Age: 55
State: TX

Vax Date: 08/08/2021
Onset Date: 08/09/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Levoxacine . No other none allergies. Not even bee stings .

Symptom List:

Symptoms: Next day about same time of vaccination, runny nose for about three hours then gone. Feeling almost normal. Almost no pain on the harm. The day after at about ten PM feeling really tired, cold chills, Went to bed and couldn't sleep almost all night. Hot chicken veg soup helped. Couldn't never get rid of really bad headache, sore neck, extreme fatigue, foggy mind. A few scattered and small red spots on skin. Not getting bigger nor smaller. Occasional chills but no fever 36.2 C to 37.2 C max at one point. Tingling skin and occasional numbness on hands and fingers. At one point today the hands turned white and tingly then back to normal. About 15 minutes earlier I took to baby aspirins with plenty of water. It worked on the headache but it may have been responsible for the whyte cold and tingly hands. The skin on the forearms also turned almost violet and then back to normal within about ten minutes. How long are these side effects supposed to last? I haven't been able to work. We are on day four.

Other Meds: N/A

Current Illness: None

ID: 1550867
Sex: F
Age: 47
State: MN

Vax Date: 07/28/2021
Onset Date: 07/30/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Rash, itchiness, hives, redness around the jab location. Upper part, left shoulder. Consistent for 2 weeks after the shot. Size - oval or drop like shape, about 3x1.5 in. No treatment applied.

Other Meds: None

Current Illness: None

ID: 1550868
Sex: M
Age: 81
State: FL

Vax Date: 02/18/2021
Onset Date:
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Elevated albumin/SCR; Elevated albumin/SCR; Elevated Neutrophil count; A spontaneous report was received from a concerning a consumer concerning a 81-year-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events, elevated albumin/SCR / blood albumin increased / blood creatinine increased and elevated neutrophil count / neutrophil count increased. The patient's medical history was not provided. No relevant concomitant medications were reported. On 18 Feb 2021, prior to the onset of the events, the patient received first of two planned doses of mRNA-1273 (lot/batch: 015M20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 19 Feb 2021, the patient had a blood work done. On an unknown date, the patient had an elevated albumin, SCR and neutrophil. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events elevated albumin/SCR and elevated neutrophil count was unknown.

Other Meds:

Current Illness: Liver carcinoma

ID: 1550869
Sex: M
Age: 34
State: CA

Vax Date: 06/20/2021
Onset Date: 07/05/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None.

Symptom List:

Symptoms: Went to the ER several days after shot after experiencing chest pain and difficulty breathing... tests came out fine and started to feel better. Two weeks later, started experiencing tingling and pins/needles in feet. That sensation slowly shot up my entire body and had trouble walking and coordination was off in a major way. Started having major pain across body. When it felt like it was becoming too much and I needed to go to ER, it slowly started reversing over the course of 4-5 days. Now, I'm 90% recovered.

Other Meds: Valtrex.

Current Illness: Previous Covid.

ID: 1550870
Sex: F
Age: 50
State: NY

Vax Date: 08/05/2021
Onset Date: 08/12/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Latex, Ceclor

Symptom List:

Symptoms: Received rash, hard bump, redness, and itching at injection site on Day 7 following injection. Also experienced headache and dizziness minutes after receiving injection on site. Extreme fatigue lasting days, but seemed to improve by Day 6. Vestibular Condition - Meniere's Disease - Tinnitus started to occur and is still ongoing on Day 8.

Other Meds: None other than Daily vitamin.

Current Illness:

ID: 1550871
Sex: M
Age: 44
State: CA

Vax Date: 05/18/2021
Onset Date: 05/25/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: AFTER FIRST DOSE 20 APRIL 2021: After first dost, had pain in my left arm for 3 days and it got better in a week time. PROBLEM-1, my left ear started little ringing. PROBLEM-2, my right foot have problem in walking. Initially thought it is my old shoes but after changing to new shoes problem still persist. AFTER SECOND DOSE 18 MAY 2021: Heavy shivering, fever, body pain, pain in right arm 3 days then started getting better and got these conditions improved in 7-10 days. PROBLEM-1, Ear ringing, buzzing, hollow sound, unable to recognize surround sound problem and listening capabilities in left ear reduced heavily. PROBLEM-2: Right leg problem increased and feeling numbness and tickling on right foot. I could

Other Meds: METFORMIN 1000MG BID ATORVASTATIN 10MG QD RYLESUS 7MG QD

Current Illness: HEALTHY LIFE UNTIL COVID-19 VACCINE

ID: 1550872
Sex: F
Age: 38
State: MO

Vax Date: 08/12/2021
Onset Date: 08/12/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: By 8 hours post vax facial tingling. By 9 hours, some numbness to the nose and chin. Some pain or tightness to the lower jaw.

Other Meds: Women?s one a day, 75 synthroid, nerco birth control

Current Illness: N/A

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm