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**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1552523
Sex: F
Age:
State: TX

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 08/13/2021
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Symptoms: m injection site was a little tender; charlie horse in upper right thigh/charlie horse in part of inner leg; chest started tightening up a little bit; chest pain; could hardly walk; nagging headache; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE PAIN (m injection site was a little tender), MUSCLE SPASMS (charlie horse in upper right thigh/charlie horse in part of inner leg), CHEST DISCOMFORT (chest started tightening up a little bit), CHEST PAIN (chest pain) and GAIT INABILITY (could hardly walk) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter. . Concomitant products included HYDRALAZINE, AMLODIPINE, ASCORBIC ACID, ROSA CANINA FRUIT (VITAMIN C & ROSEHIP) and UBIDECARENONE (COQ) for an unknown indication. On 06-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Feb-2021, the patient experienced MUSCLE SPASMS (charlie horse in upper right thigh/charlie horse in part of inner leg), CHEST DISCOMFORT (chest started tightening up a little bit), CHEST PAIN (chest pain), GAIT INABILITY (could hardly walk) and HEADACHE (nagging headache). On an unknown date, the patient experienced INJECTION SITE PAIN (m injection site was a little tender). On 07-Feb-2021, MUSCLE SPASMS (charlie horse in upper right thigh/charlie horse in part of inner leg), CHEST DISCOMFORT (chest started tightening up a little bit), CHEST PAIN (chest pain), GAIT INABILITY (could hardly walk) and HEADACHE (nagging headache) had resolved. At the time of the report, INJECTION SITE PAIN (m injection site was a little tender) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment information was provided.

Other Meds: HYDRALAZINE; AMLODIPINE; VITAMIN C & ROSEHIP; COQ

Current Illness:

ID: 1552524
Sex: F
Age: 70
State: TX

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 08/13/2021
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Symptoms: woke up feeling hot; had a fever of 99.8 F; A spontaneous report was received from a consumer concerning, a 70-year-old female patient, who received Moderna (mRNA-1273) vaccine and woke up feeling hot and had a fever of 99.8 F. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. On 27 Jan 2021, prior to the onset of the symptoms, the patient received their second of two planned doses of mRNA-1273 (Batch number: 043L20A) in the left arm for prophylaxis of COVID-19 infection. On 27 Jan 2021 at 10:30 PM, the patient went to bed and slept until 3 AM and woke up feeling hot. The patient had a fever of 99.8 F. The patient went back to sleep and when woke up the fever was gone. The patient stayed up for 2 hours and then slept until 2 PM. The reporter stated that the patient had the best sleep they had in a long time. Treatment information was not provided by the reporter. Action taken with mRNA-1273 in response to the event(s) was Not Applicable. On 28 Jan 2021, the outcome of the events, woke up feeling hot and had a fever of 99.8 F were considered resolved.

Other Meds:

Current Illness:

ID: 1552525
Sex: U
Age:
State: TN

Vax Date:
Onset Date:
Rec V Date: 08/13/2021
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Symptoms: Had a 20 inches red induration; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a health care professional (subsequently medically confirmed) and describes the occurrence of VACCINATION SITE INDURATION (Had a 20 inches red induration) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE INDURATION (Had a 20 inches red induration). At the time of the report, VACCINATION SITE INDURATION (Had a 20 inches red induration) outcome was unknown. 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. No treatment information was provided. This case was linked to MOD-2021-021564, MOD-2021-010050 (Patient Link).

Other Meds:

Current Illness:

ID: 1552526
Sex: F
Age: 85
State: MI

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 08/13/2021
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Symptoms: Heart Racing at Night; Body Aches; Fever - Temperature of 101.0F; Fatigue; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PALPITATIONS (Heart Racing at Night), PAIN (Body Aches), PYREXIA (Fever - Temperature of 101.0F) and FATIGUE (Fatigue) in an 85-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013M20A) for COVID-19 vaccination. No Medical History information was reported. On 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Feb-2021, the patient experienced PALPITATIONS (Heart Racing at Night), PAIN (Body Aches), PYREXIA (Fever - Temperature of 101.0F) and FATIGUE (Fatigue). At the time of the report, PALPITATIONS (Heart Racing at Night), PAIN (Body Aches), PYREXIA (Fever - Temperature of 101.0F) and FATIGUE (Fatigue) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Body temperature: 101.0f (Inconclusive) 101.0F. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were provided No treatment information provided; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1552527
Sex: M
Age:
State: CT

Vax Date: 12/12/2020
Onset Date: 01/15/2021
Rec V Date: 08/13/2021
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Symptoms: jaw pain; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN JAW (jaw pain) in a 68-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 028L20A) for COVID-19 vaccination. Concomitant products included COLECALCIFEROL (VIT D [COLECALCIFEROL]) and CYANOCOBALAMIN (VIT B 12) for an unknown indication. On 12-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Jan-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 15-Jan-2021, the patient experienced PAIN IN JAW (jaw pain). At the time of the report, PAIN IN JAW (jaw pain) had not resolved.

Other Meds: VIT D [COLECALCIFEROL]; VIT B 12

Current Illness:

ID: 1552528
Sex: F
Age: 72
State: MI

Vax Date: 02/08/2021
Onset Date: 02/17/2021
Rec V Date: 08/13/2021
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Symptoms: Chest congestion; Coughing; Runny nose; Sore ribs; Stopped up nose; head congestion; This spontaneous case was reported by a consumer and describes the occurrence of HEAD DISCOMFORT (head congestion), CHEST DISCOMFORT (Chest congestion), COUGH (Coughing), RHINORRHOEA (Runny nose) and MUSCULOSKELETAL CHEST PAIN (Sore ribs) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 08-Feb-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Feb-2021, the patient experienced HEAD DISCOMFORT (head congestion). On an unknown date, the patient experienced CHEST DISCOMFORT (Chest congestion), COUGH (Coughing), RHINORRHOEA (Runny nose), MUSCULOSKELETAL CHEST PAIN (Sore ribs) and NASAL CONGESTION (Stopped up nose). At the time of the report, HEAD DISCOMFORT (head congestion) had resolved and CHEST DISCOMFORT (Chest congestion), COUGH (Coughing), RHINORRHOEA (Runny nose), MUSCULOSKELETAL CHEST PAIN (Sore ribs) and NASAL CONGESTION (Stopped up nose) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided No treatment information provided; Sender's Comments: Very limited information regarding this events has been provided at this time. Further information has been requested. Company assessed the events to be unlikely related to company product.

Other Meds:

Current Illness:

ID: 1552529
Sex: F
Age: 72
State: MI

Vax Date: 02/08/2021
Onset Date: 02/17/2021
Rec V Date: 08/13/2021
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Symptoms: Coughing; Runny nose; Stopped up nose; Sore ribs; Chest congestion; Head congestion; A spontaneous report was received from a consumer concerning a 72-years-old, female patient who experienced chest congestion, head congestion/stopped up nose , coughing, runny nose, and sore ribs. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. On 08 Feb 2021, prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (lot number: 013M20A) intramuscularly for prophylaxis of COVID-19 infection. On 17 Feb 2021, the patient reported head congestion that resolved on unknown date. She also reported chest congestion, coughing, runny nose, stopped up nose and sore ribs. Treatment information was not provided. Action taken with mRNA-1273 in response to the events was not provided. The outcome of the events, chest congestion, head congestion/stopped up nose, coughing, runny nose, and sore ribs, was not reported.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1552530
Sex: U
Age:
State:

Vax Date:
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Rec V Date: 08/13/2021
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Symptoms: Adverse reactions; A spontaneous report was received from a pharmacist concerning unspecified patients, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced adverse reactions. The patient's medical history, was not provided by the reporter. Concomitant medications were not reported. On an unknown date, prior to the onset of the events, the patient received their planned dose of mRNA-1273 (Lot number: unknown) via an unknown route for prophylaxis of COVID-19 infection. On an unknown date the patients experienced adverse reactions. Treatment for the events were not reported. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events, adverse reactions were unknown

Other Meds:

Current Illness:

ID: 1552531
Sex: F
Age:
State: IL

Vax Date: 02/15/2021
Onset Date: 02/23/2021
Rec V Date: 08/13/2021
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Symptoms: warm to touch at the injection site, it is not painful.; has a little rash around the injection site; little red; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (warm to touch at the injection site, it is not painful.), VACCINATION SITE RASH (has a little rash around the injection site) and VACCINATION SITE ERYTHEMA (little red) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011M20A) for COVID-19 vaccination. No Medical History information was reported. On 15-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Feb-2021, the patient experienced VACCINATION SITE WARMTH (warm to touch at the injection site, it is not painful.), VACCINATION SITE RASH (has a little rash around the injection site) and VACCINATION SITE ERYTHEMA (little red). At the time of the report, VACCINATION SITE WARMTH (warm to touch at the injection site, it is not painful.), VACCINATION SITE RASH (has a little rash around the injection site) and VACCINATION SITE ERYTHEMA (little red) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided No treatment information provided; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1552532
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/13/2021
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Symptoms: Shingles due to the vaccination; A spontaneous report was received from a consumer concerning a patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced shingles due to the vaccination/herpes zoster. 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 second of two planned doses of mRNA-1273 (lot/batch: UNKNOWN) via unknown route for prophylaxis of COVID-19 infection.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 shingles due to the vaccination/herpes zoster.. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. on an unknown date the outcome of shingles due to the vaccination/herpes zoster. due to the vaccination was unknown.

Other Meds:

Current Illness:

ID: 1552533
Sex: F
Age: 83
State: NY

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 08/13/2021
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Symptoms: tested positive for covid; cough; muscle pain; Fever; very week; This spontaneous report was reported by an other health care professional and describes the occurrence of MYALGIA (muscle pain), ASTHENIA (very weak), COVID-19 (tested positive for covid), COUGH (cough) and PYREXIA (Fever) in an 83-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient had no medical history On 16-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Jan-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced MYALGIA (muscle pain), ASTHENIA (very weak), COUGH (cough) and PYREXIA (Fever). On 19-Jan-2021, the patient experienced COVID-19 (tested positive for COVID). At the time of the report, MYALGIA (muscle pain), ASTHENIA (very weak), COVID-19 (tested positive for COVID) and COUGH (cough) outcome was unknown. The outcome for the patient being tested with COVID-19 is unlikely because of the vaccine. 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. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1552534
Sex: F
Age: 54
State: MA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 08/13/2021
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Symptoms: Diarrhea; Headache; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (Diarrhea) and HEADACHE (Headache) in a 54-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 024M20A) for COVID-19 vaccination. No Medical History information was reported. On 19-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 DIARRHOEA (Diarrhea) and HEADACHE (Headache). At the time of the report, DIARRHOEA (Diarrhea) and HEADACHE (Headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided No treatment information provided; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1552535
Sex: F
Age: 68
State: PA

Vax Date: 01/23/2021
Onset Date: 01/01/2021
Rec V Date: 08/13/2021
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Symptoms: Metalic taste in mouth; paresthesia both legs; shooting pain down my back; felt like legs were shrink wrapped; under skin numbness; left arm sore; tired all over; pins and needles down both legs; A spontaneous report was received from a 68-years-old female patient concerning herself who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events left arm sore, tired all over, legs felt frozen, under skin numbness, felt like legs were shrink wrapped, shooting pain down back, pins and needles down both legs, paresthesia both legs and metallic taste in mouth. The patient's medical history was provided as auto immune connective tissue disease. No relevant concomitant medications were reported. On 23 Jan 2021, prior to the onset of the events the patient received first of two planned doses of mRNA-1273 (lot/batch: 012L20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 25 J an 2021, the patient experienced events legs were (felt like they were) frozen, feeling numbness under the skin. On 26 Jan 2021 and it felt like they were shrink wrapped. On 27 Jan 2021 felt shooting pain down back, it lasted about five hours. On an unknown date, the patient had pins and needles down both legs, that have continued since it started. On 19 Feb 2021 the patient had metallic taste in my mouth. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. On 27 Jan 2021, the event shooting pain down back was considered recovered. The outcome of events, left arm sore, tired all over, legs felt frozen, under skin numbness, felt like legs were shrink wrapped, pins and needles down both legs, paresthesia both legs and metallic taste in mouth was unknown.

Other Meds:

Current Illness:

ID: 1552536
Sex: F
Age: 59
State: NJ

Vax Date: 01/22/2021
Onset Date: 02/20/2021
Rec V Date: 08/13/2021
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Symptoms: felt icky; headache and feverish; headache and feverish; shingles; A spontaneous report was received from a consumer concerning a 59-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events shingles/herpes zoster, headache and feverish, felt icky/sticky skin. The patient's medical history was not provided. Concomitant medications reported were aspirin, vitamin D 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: 029L20A) intramuscularly in the right arm 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: 024M20A) intramuscularly in the right arm for prophylaxis of COVID-19 infection. On 20 Feb 2021, the patient experienced the event, shingles. On 21 Feb 2021, the patient experienced the events, headache and feverish, felt icky. Treatment details included Valacyclovir.. The patient received both scheduled doses of mRNA 1273 before the events, therefore Action taken with mRNA-1273 in response to the events was not applicable. The outcome of events, shingles, headache and feverish, felt icky was unknown.

Other Meds: ASPIRIN (E.C.); VITAMIN D 2000

Current Illness:

ID: 1552537
Sex: F
Age:
State:

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 08/13/2021
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Symptoms: body aches; Rigors; A spontaneous report (United States) was received from a physician concerning a female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced Body aches and rigors. The patient's medical history, was not provided by the reporter. Concomitant medications reported included Ibuprofen. On 13 Jan 2021, the patient received their planned dose of mRNA-1273 for prophylaxis of COVID-19 infection. Since 21 Jan 2021she was taking ibuprofen at that time. When she stopped the ibuprofen she's had been experiencing body aches and rigors..The physician worked it up and there's no infection Treatment for the events not reported. Action taken with mRNA-1273 in response to the events was not reported. Outcome of the events was also not reported.

Other Meds: IBUPROFEN

Current Illness:

ID: 1552538
Sex: F
Age: 84
State: NC

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 08/13/2021
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Symptoms: redness and swelling at the injection site; redness and swelling at the injection site; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 28-Jan-2021 and was forwarded to Moderna on 29-Jan-2021. This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE ERYTHEMA (redness and swelling at the injection site) and VACCINATION SITE SWELLING (redness and swelling at the injection site) in an 84-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L20A) 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 22-Jan-2021, the patient experienced VACCINATION SITE ERYTHEMA (redness and swelling at the injection site) and VACCINATION SITE SWELLING (redness and swelling at the injection site). The patient was treated with IBUPROFEN at an unspecified dose and frequency. At the time of the report, VACCINATION SITE ERYTHEMA (redness and swelling at the injection site) and VACCINATION SITE SWELLING (redness and swelling at the injection site) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. She has treated with cold compress and Ibuprofen.No concomitant medications are provided.The outcome of the patient is recovered. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1552539
Sex: M
Age:
State: IN

Vax Date: 02/07/2021
Onset Date: 02/18/2021
Rec V Date: 08/13/2021
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Symptoms: COVID-19; Catching cold; This spontaneous case was reported by a consumer and describes the occurrence of SUSPECTED COVID-19 (COVID-19) and NASOPHARYNGITIS (Catching cold) in a 65-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 07-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 18-Feb-2021, the patient experienced SUSPECTED COVID-19 (COVID-19) and NASOPHARYNGITIS (Catching cold). At the time of the report, SUSPECTED COVID-19 (COVID-19) and NASOPHARYNGITIS (Catching cold) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 22-Feb-2021, SARS-CoV-2 antibody test: positive (Positive) positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Treatment: got infusion in hospital.before he left, he was told he tested negative for COVID-19 Most recent FOLLOW-UP information incorporated above includes: On 15-Jun-2021: Follow-up received on 15-06-2021: Lab data was added,

Other Meds:

Current Illness:

ID: 1552540
Sex: F
Age: 74
State: VA

Vax Date: 02/16/2021
Onset Date: 02/19/2021
Rec V Date: 08/13/2021
Hospital:

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Symptoms: Burning sensation around the waist area on the lower left side; Weird sensation like its sun burn to touch; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 22-Feb-2021 and was forwarded to Moderna on 22-Feb-2021. This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 22-Feb-2021 and was forwarded to Moderna on 22-Feb-2021. This spontaneous case was reported by a consumer and describes the occurrence of BURNING SENSATION (Burning sensation around the waist area on the lower left side) and RASH ERYTHEMATOUS (Weird sensation like its sun burn to touch) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 015M20A) for COVID-19 vaccination. The patient's past medical history included No adverse event (No prior medical history was reported.). On 16-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 19-Feb-2021, the patient experienced BURNING SENSATION (Burning sensation around the waist area on the lower left side) and RASH ERYTHEMATOUS (Weird sensation like its sun burn to touch). At the time of the report, BURNING SENSATION (Burning sensation around the waist area on the lower left side) and RASH ERYTHEMATOUS (Weird sensation like its sun burn to touch) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.50% of body covered in a rash - His arms, thighs, back and going up his neck

Other Meds:

Current Illness:

ID: 1552541
Sex: M
Age:
State: MD

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 08/13/2021
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Symptoms: swollen at injection site; very uncomfortable; inflamed at injection site; 50% of body covered in a rash - His arms, thighs, back and going up his neck; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 23-Feb-2021 and was forwarded to Moderna on 24-Feb-2021. This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE SWELLING (swollen at injection site), DISCOMFORT (very uncomfortable), VACCINATION SITE ERYTHEMA (inflamed at injection site) and RASH (50% of body covered in a rash - His arms, thighs, back and going up his neck) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 13-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 21-Feb-2021, the patient experienced VACCINATION SITE SWELLING (swollen at injection site), DISCOMFORT (very uncomfortable), VACCINATION SITE ERYTHEMA (inflamed at injection site) and RASH (50% of body covered in a rash - His arms, thighs, back and going up his neck). At the time of the report, VACCINATION SITE SWELLING (swollen at injection site), DISCOMFORT (very uncomfortable), VACCINATION SITE ERYTHEMA (inflamed at injection site) and RASH (50% of body covered in a rash - His arms, thighs, back and going up his neck) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.

Other Meds:

Current Illness:

ID: 1552542
Sex: F
Age: 68
State: FL

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 08/13/2021
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Symptoms: local redness; hard knot/plum size lump; vertigo; right arm tremor/shaking right hand; right side CV stiffening; headache; This spontaneous case was reported by a consumer and describes the occurrence of in a 68-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 Asthma, Aortic Valve Replacement, Cancer, Congenital heart disease NOS, Ventricular tachycardia and Pacemaker Insertion. On 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. 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. Further testing (nuclear test)

Other Meds:

Current Illness:

ID: 1552543
Sex: M
Age:
State: MA

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 08/13/2021
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Symptoms: Positive COVID Test after vaccination; This spontaneous case was reported by a physician and describes the occurrence of COVID-19 (Positive COVID Test after vaccination) 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 12-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Jan-2021, the patient experienced COVID-19 (Positive COVID Test after vaccination). At the time of the report, COVID-19 (Positive COVID Test after vaccination) 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. Cross Linked with Case MOD21-032138 and MOD21-036065. Patient received antibody treatment for the infection and have since recovered. No relevant concomitant medications were reported.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship Unlikely.

Other Meds:

Current Illness:

ID: 1552544
Sex: F
Age: 57
State: PA

Vax Date: 01/04/2021
Onset Date:
Rec V Date: 08/13/2021
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Symptoms: arm pain; headaches; joint pains; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (arm pain), HEADACHE (headaches) and ARTHRALGIA (joint pains) in a 57-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 011J20A and 029L20A) for COVID-19 vaccination. No Medical History information was reported. On 04-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (arm pain), HEADACHE (headaches) and ARTHRALGIA (joint pains). At the time of the report, PAIN IN EXTREMITY (arm pain), HEADACHE (headaches) and ARTHRALGIA (joint pains) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. No treatment information for the events was reported. This case was linked to MOD21-035030, MOD-2021-021841 (Patient Link). Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1552545
Sex: F
Age:
State:

Vax Date: 02/15/2021
Onset Date:
Rec V Date: 08/13/2021
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Symptoms: This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (warmth at the injection site), VACCINATION SITE PRURITUS (itchiness at the injection site) and VACCINATION SITE ERYTHEMA (redness at the injection site) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 15-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced VACCINATION SITE WARMTH (warmth at the injection site), VACCINATION SITE PRURITUS (itchiness at the injection site) and VACCINATION SITE ERYTHEMA (redness at the injection site). At the time of the report, VACCINATION SITE WARMTH (warmth at the injection site), VACCINATION SITE PRURITUS (itchiness at the injection site) and VACCINATION SITE ERYTHEMA (redness at the injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications were reported. No treatment information for the events was reported. Most recent FOLLOW-UP information incorporated above includes: On 15-Jul-2021: Follow up received on 15 Jul 2021 contains non significant information

Other Meds:

Current Illness:

ID: 1552546
Sex: F
Age:
State: NJ

Vax Date: 01/22/2021
Onset Date: 02/20/2021
Rec V Date: 08/13/2021
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Symptoms: COVID arm; More irritated; More red; More painful; More warm to touch; Swollen arm; Itchy; This spontaneous case was reported by a physician and describes the occurrence of VACCINATION SITE REACTION (COVID arm), SKIN IRRITATION (More irritated), ERYTHEMA (More red), PAIN (More painful) and VACCINATION SITE WARMTH (More warm to touch) in a 79-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 016M20A and 016M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter. Concomitant products included LOSARTAN and ATORVASTATIN for an unknown indication. On 22-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 20-Feb-2021, the patient experienced VACCINATION SITE REACTION (COVID arm), SKIN IRRITATION (More irritated), ERYTHEMA (More red), PAIN (More painful), VACCINATION SITE WARMTH (More warm to touch), PERIPHERAL SWELLING (Swollen arm) and PRURITUS (Itchy). At the time of the report, VACCINATION SITE REACTION (COVID arm), SKIN IRRITATION (More irritated), ERYTHEMA (More red), PAIN (More painful), VACCINATION SITE WARMTH (More warm to touch), PERIPHERAL SWELLING (Swollen arm) and PRURITUS (Itchy) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Action taken with mRNA-1273 in response to the event was not applicable. Treatment information was not provided by the reporter. This case was linked to MOD-2021-022335.

Other Meds: LOSARTAN; ATORVASTATIN

Current Illness:

ID: 1552547
Sex: M
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 08/13/2021
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Symptoms: Pain; Chills; Body Aches; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Pain), CHILLS (Chills) and MYALGIA (Body Aches) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (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 an unknown date, the patient experienced PAIN (Pain), CHILLS (Chills) and MYALGIA (Body Aches). At the time of the report, PAIN (Pain), CHILLS (Chills) and MYALGIA (Body Aches) outcome was unknown. Action taken with mRNA-1273 in response to the event was not applicable. Concomitant Medication not provided by the reporter. Treatment information was not provided by the reporter.

Other Meds:

Current Illness:

ID: 1552548
Sex: F
Age:
State:

Vax Date: 02/17/2021
Onset Date: 02/15/2021
Rec V Date: 08/13/2021
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Symptoms: worse headache; headache; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (headache) and HEADACHE (worse headache) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 17-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Feb-2021, the patient experienced HEADACHE (headache). On 20-Feb-2021, the patient experienced HEADACHE (worse headache). On 16-Feb-2021, HEADACHE (headache) had resolved. On 22-Feb-2021, HEADACHE (worse headache) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1552549
Sex: F
Age:
State:

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 08/13/2021
Hospital:

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Symptoms: Positive COVID Test after vaccination; This spontaneous case was reported by a physician and describes the occurrence of SARS-COV-2 TEST POSITIVE (Positive COVID Test after vaccination) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 12-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Jan-2021, the patient experienced SARS-COV-2 TEST POSITIVE (Positive COVID Test after vaccination). At the time of the report, SARS-COV-2 TEST POSITIVE (Positive COVID Test after vaccination) 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. Reporter did not allow further contact Most recent FOLLOW-UP information incorporated above includes: On 27-Apr-2021: NNI

Other Meds:

Current Illness:

ID: 1552550
Sex: M
Age:
State: MI

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 08/13/2021
Hospital:

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Symptoms: Hair falling (hair loss); Fever; Strong Headache; Nausea; Chills; This spontaneous case was reported by a consumer and describes the occurrence of ALOPECIA (Hair falling (hair loss)), PYREXIA (Fever), HEADACHE (Strong Headache), NAUSEA (Nausea) and CHILLS (Chills) in a 65-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 0371C20A) for COVID-19 vaccination. Concomitant products included ACETYLSALICYLIC ACID (ASPIRINE), VITAMINS NOS and BIOTIN for an unknown indication. On 25-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Jan-2021, the patient experienced ALOPECIA (Hair falling (hair loss)), PYREXIA (Fever), HEADACHE (Strong Headache), NAUSEA (Nausea) and CHILLS (Chills). At the time of the report, ALOPECIA (Hair falling (hair loss)), PYREXIA (Fever), HEADACHE (Strong Headache), NAUSEA (Nausea) and CHILLS (Chills) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. he has acupuncture therapy coming up. Reporter did not allow further contact

Other Meds: ASPIRINE; VITAMINS NOS; BIOTIN

Current Illness:

ID: 1552551
Sex: F
Age:
State: PA

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

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Symptoms: a severe headache; close to a migraine for almost 10 days; she is in tears; pain has been from a 1-10 scale from 10 to 6; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (a severe headache), MIGRAINE (close to a migraine for almost 10 days), CRYING (she is in tears) and PAIN (pain has been from a 1-10 scale from 10 to 6) 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) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced HEADACHE (a severe headache), MIGRAINE (close to a migraine for almost 10 days), CRYING (she is in tears) and PAIN (pain has been from a 1-10 scale from 10 to 6). At the time of the report, HEADACHE (a severe headache), MIGRAINE (close to a migraine for almost 10 days), CRYING (she is in tears) and PAIN (pain has been from a 1-10 scale from 10 to 6) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1552552
Sex: F
Age:
State: NY

Vax Date: 02/07/2021
Onset Date: 02/15/2021
Rec V Date: 08/13/2021
Hospital:

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Symptom List:

Symptoms: delayed injection site reaction that continue for a week still; injection site redness; injection site warmth; vaccination site pain; vaccination site pruritus; This spontaneous case was reported by a consumer and describes the occurrence of 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 07-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.

Other Meds:

Current Illness:

ID: 1552553
Sex: F
Age:
State: NM

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

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Symptom List:

Symptoms: sore at injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (sore at injection site) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included Lymph nodes enlarged. On 26-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 26-Jan-2021, the patient experienced VACCINATION SITE PAIN (sore at injection site). At the time of the report, VACCINATION SITE PAIN (sore at injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Based on the current available information and temporal association between the use of the product and the start date of this event, a causal relationship cannot be excluded. Most recent FOLLOW-UP information incorporated above includes: On 21-May-2021: TCR was Added; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of this event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1552554
Sex: U
Age:
State:

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

Vax Type:
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Lab Data:

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Symptom List:

Symptoms: redness; swollen; warm; itchy; painful; COVID ARM; This spontaneous case was reported by a physician and describes the occurrence of ERYTHEMA (redness), SWELLING (swollen), VACCINATION SITE WARMTH (warm), PRURITUS (itchy) and PAIN (painful) in a 79-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 016M20A and 013L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter. Concomitant products included LOSARTAN and ATORVASTATIN for an unknown indication. On 22-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced ERYTHEMA (redness), SWELLING (swollen), VACCINATION SITE WARMTH (warm), PRURITUS (itchy), PAIN (painful) and VACCINATION SITE RASH (COVID ARM). The patient was treated with CORTISONE at an unspecified dose and frequency; Aloe cream at an unspecified dose and frequency and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. At the time of the report, ERYTHEMA (redness), SWELLING (swollen), VACCINATION SITE WARMTH (warm), PRURITUS (itchy), PAIN (painful) and VACCINATION SITE RASH (COVID ARM) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) and 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. Treatment details also included ice. This case was linked to MOD-2021-022327, MOD-2021-022327 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 23-Feb-2021: No specific follow-up information recorded.

Other Meds: LOSARTAN; ATORVASTATIN

Current Illness:

ID: 1552555
Sex: F
Age: 69
State: CA

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: burning in chest; felt very hot; heart racing; high blood pressure; This spontaneous case was reported by a consumer and describes the occurrence of CHEST PAIN (burning in chest), FEELING HOT (felt very hot), PALPITATIONS (heart racing) and HYPERTENSION (high blood pressure) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event (No medical history reported. ). Concomitant products included TELMISARTAN, LEVOTHYROXINE SODIUM (SYNTHROID), SIMVASTATIN and ACETYLSALICYLIC ACID (BABY ASPIRIN) 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 CHEST PAIN (burning in chest), FEELING HOT (felt very hot), PALPITATIONS (heart racing) and HYPERTENSION (high blood pressure). On 20-Feb-2021, CHEST PAIN (burning in chest), FEELING HOT (felt very hot), PALPITATIONS (heart racing) and HYPERTENSION (high blood pressure) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Very limited information regarding this events has been provided at this time. Further information has been requested. Company assessed the events to be unlikely related to company product.; Sender's Comments: Very limited information regarding this events has been provided at this time. Further information has been requested. Company assessed the events to be unlikely related to company product.

Other Meds: TELMISARTAN; SYNTHROID; SIMVASTATIN; BABY ASPIRIN

Current Illness:

ID: 1552556
Sex: U
Age: 69
State: NJ

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

Vax Type:
Manufacturer:
Vax Name:
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Vax Route:
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Lab Data:

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Symptom List:

Symptoms: Nausea; Fever of 104 Degrees; Chills; headache; This spontaneous case was reported by a consumer and describes the occurrence of NAUSEA (Nausea), PYREXIA (Fever of 104 Degrees), CHILLS (Chills) and HEADACHE (headache) in a 69-year-old patient of an unknown gender 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 . Concomitant products included ACETYLSALICYLIC ACID (BABY ASPIRIN) for an unknown indication. On 21-Feb-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) (Intramuscular) 1 dosage form. On 21-Feb-2021, the patient experienced NAUSEA (Nausea), PYREXIA (Fever of 104 Degrees), CHILLS (Chills) and HEADACHE (headache). At the time of the report, NAUSEA (Nausea), PYREXIA (Fever of 104 Degrees), CHILLS (Chills) and HEADACHE (headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided No treatment information provided; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.

Other Meds: BABY ASPIRIN

Current Illness:

ID: 1552557
Sex: M
Age: 63
State: TN

Vax Date: 01/03/2021
Onset Date: 01/30/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: warm feeling around neck; Rash to upper body/rash has developed on upper body; This spontaneous case was reported by a consumer and describes the occurrence of FEELING HOT (warm feeling around neck) and RASH (Rash to upper body/rash has developed on upper body) in a 64-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030L20A and 025L20A) for COVID-19 vaccination. No medical history information was reported. Concomitant products included IRBESARTAN for Blood pressure, ATORVASTATIN for Cholesterol. On 03-Jan-2021 at 11:00 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Jan-2021 at 1:00 PM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 30-Jan-2021, the patient experienced FEELING HOT (warm feeling around neck) and RASH (Rash to upper body/rash has developed on upper body). At the time of the report, FEELING HOT (warm feeling around neck) and RASH (Rash to upper body/rash has developed on upper body) had not resolved. Treatment information was not provided. Most recent FOLLOW-UP information incorporated above includes: On 17-May-2021: Follow up contain Non significant info, patient name change and email address added. On 06-Jul-2021: Significant follow-up information received.

Other Meds: IRBESARTAN; ATORVASTATIN

Current Illness:

ID: 1552558
Sex: F
Age:
State:

Vax Date:
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Rec V Date: 08/13/2021
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Symptoms: Sore Throat and fatigue; Sore Throat and fatigue; This spontaneous case was reported by a consumer and describes the occurrence of OROPHARYNGEAL PAIN (Sore Throat and fatigue) and FATIGUE (Sore Throat and fatigue) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history was provided by the reporter. 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 OROPHARYNGEAL PAIN (Sore Throat and fatigue) and FATIGUE (Sore Throat and fatigue). At the time of the report, OROPHARYNGEAL PAIN (Sore Throat and fatigue) and FATIGUE (Sore Throat and fatigue) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided. No treatment information provided.

Other Meds:

Current Illness:

ID: 1552559
Sex: F
Age:
State: IL

Vax Date:
Onset Date: 02/21/2021
Rec V Date: 08/13/2021
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Symptoms: Swelling on the face left; COVID Arm with red patches on her left arm; This spontaneous case was reported by a consumer and describes the occurrence of SWELLING FACE (Swelling on the face left) and VACCINATION SITE RASH (COVID Arm with red patches on her left arm) in a 56-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 21-Feb-2021, the patient experienced VACCINATION SITE RASH (COVID Arm with red patches on her left arm). On 22-Feb-2021, the patient experienced SWELLING FACE (Swelling on the face left). At the time of the report, SWELLING FACE (Swelling on the face left) and VACCINATION SITE RASH (COVID Arm with red patches on her left arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications were provided. No treatment information provided.

Other Meds:

Current Illness:

ID: 1552560
Sex: F
Age: 92
State: NM

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 08/13/2021
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Symptoms: Tender arm; pink to red area below injection site; slightly swollen; This spontaneous case was reported by a consumer and describes the occurrence of TENDERNESS (Tender arm), VACCINATION SITE ERYTHEMA (pink to red area below injection site) and VACCINATION SITE SWELLING (slightly swollen) in a 92-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006M20A) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included LEVOTHYROXINE, HYDROCHLOROTHIAZIDE, TRIAMTERENE (MAXZIDE) and ACETYLSALICYLIC ACID (ASPIRIN (E.C.)) 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 15-Feb-2021, the patient experienced TENDERNESS (Tender arm), VACCINATION SITE ERYTHEMA (pink to red area below injection site) and VACCINATION SITE SWELLING (slightly swollen). At the time of the report, TENDERNESS (Tender arm), VACCINATION SITE ERYTHEMA (pink to red area below injection site) and VACCINATION SITE SWELLING (slightly swollen) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment included heating pad. The patient did not experience fever. Most recent FOLLOW-UP information incorporated above includes: On 26-Apr-2021: Updated patient's email address.

Other Meds: LEVOTHYROXINE; MAXZIDE; ASPIRIN (E.C.)

Current Illness:

ID: 1552561
Sex: M
Age:
State: MD

Vax Date: 01/27/2021
Onset Date: 01/01/2021
Rec V Date: 08/13/2021
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Symptoms: joint pain in the shoulders and knees; This spontaneous case was reported by a consumer and describes the occurrence of ARTHRALGIA (joint pain in the shoulders and knees) in an 88-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032L20A) for COVID-19 vaccination. Concurrent medical conditions included Hypertension and Cholesterol. Concomitant products included Cholesterol medication and High blood pressure medication for an unknown indication. On 27-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In January 2021, the patient experienced ARTHRALGIA (joint pain in the shoulders and knees). At the time of the report, ARTHRALGIA (joint pain in the shoulders and knees) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: Cholesterol medication; High blood pressure medication

Current Illness: Cholesterol; Hypertension

ID: 1552562
Sex: M
Age:
State: AL

Vax Date:
Onset Date: 02/23/2021
Rec V Date: 08/13/2021
Hospital:

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Symptoms: soreness and body aches; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (soreness and body aches) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 23-Feb-2021, the patient experienced PAIN (soreness and body aches). At the time of the report, PAIN (soreness and body aches) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications was provided. No treatment information was provided. Reporter did not allow further contact Most recent FOLLOW-UP information incorporated above includes: On 03-Jun-2021: Vaccine information updated and event onset date was added. Patient declined for follow-up was given.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of this event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1552563
Sex: F
Age:
State: OH

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 08/13/2021
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Symptoms: feels like she's getting a fever now; she felt like somebody hit her with a bat, her whole body was aching pretty bad; headache; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (she felt like somebody hit her with a bat, her whole body was aching pretty bad), HEADACHE (headache) and PYREXIA (feels like she's getting a fever now) in an 81-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 23-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 23-Feb-2021, the patient experienced PAIN (she felt like somebody hit her with a bat, her whole body was aching pretty bad) and HEADACHE (headache). On 24-Feb-2021, the patient experienced PYREXIA (feels like she's getting a fever now). At the time of the report, PAIN (she felt like somebody hit her with a bat, her whole body was aching pretty bad), HEADACHE (headache) and PYREXIA (feels like she's getting a fever now) had resolved. Concomitant product use was not reported by reporter Treatment information was not provided Most recent FOLLOW-UP information incorporated above includes: On 03-Jun-2021: fallow up received on 3-jun-202 out come of the events was updated from unknown to recovered /resolved; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1552564
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/13/2021
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Symptoms: arm was hurting bad; chills; fever; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (arm was hurting bad), CHILLS (chills) and PYREXIA (fever) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (arm was hurting bad), CHILLS (chills) and PYREXIA (fever). At the time of the report, PAIN IN EXTREMITY (arm was hurting bad), CHILLS (chills) and PYREXIA (fever) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant and treatment medication information was reported. This case was linked to MOD-2021-022360.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1552565
Sex: F
Age: 58
State: MN

Vax Date: 02/19/2021
Onset Date:
Rec V Date: 08/13/2021
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Symptoms: started experiencing diarrhea/gets diarrhea every time she eats; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (started experiencing diarrhea/gets diarrhea every time she eats) in a 58-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 Kidney transplant (patient had a kidney transplant 7 months ago.). On 19-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 DIARRHOEA (started experiencing diarrhea/gets diarrhea every time she eats). The patient was treated with LOPERAMIDE HYDROCHLORIDE (IMODIUM) at an unspecified dose and frequency. At the time of the report, DIARRHOEA (started experiencing diarrhea/gets diarrhea every time she eats) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. concomitant drugs were not provided Most recent FOLLOW-UP information incorporated above includes: On 14-Jul-2021: follow up received on 14-07-2021 contain non significant follow up

Other Meds:

Current Illness:

ID: 1552566
Sex: F
Age: 79
State:

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 08/13/2021
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Symptoms: Diagnosed them with Shingles; States they cannot sleep; pain, not just on the arm, but also on their shoulder, neck, back and down the arm. The pain isonly getting worse and worse, so much that it makes them jump and make sounds; This spontaneous case was reported by a physician (subsequently medically confirmed) and describes the occurrence of PAIN (pain, not just on the arm, but also on their shoulder, neck, back and down the arm. The pain isonly getting worse and worse, so much that it makes them jump and make sounds), HERPES ZOSTER (Diagnosed them with Shingles) and INSOMNIA (States they cannot sleep) in a 79-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012M20A) for COVID-19 vaccination. No medical history was provided by the reporter. On 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Feb-2021, the patient experienced PAIN (pain, not just on the arm, but also on their shoulder, neck, back and down the arm. The pain isonly getting worse and worse, so much that it makes them jump and make sounds). On an unknown date, the patient experienced HERPES ZOSTER (Diagnosed them with Shingles) and INSOMNIA (States they cannot sleep). The patient was treated with VALACICLOVIR HYDROCHLORIDE (VALTREX) at an unspecified dose and frequency. At the time of the report, PAIN (pain, not just on the arm, but also on their shoulder, neck, back and down the arm. The pain isonly getting worse and worse, so much that it makes them jump and make sounds), HERPES ZOSTER (Diagnosed them with Shingles) and INSOMNIA (States they cannot sleep) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were provided. No treatment information provided.

Other Meds:

Current Illness:

ID: 1552567
Sex: F
Age: 78
State: OH

Vax Date: 02/15/2021
Onset Date: 02/22/2021
Rec V Date: 08/13/2021
Hospital:

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Symptoms: lower body pains; knee pain; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (lower body pains) and ARTHRALGIA (knee pain) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031M20A) for COVID-19 vaccination. The patient's past medical history included Rheumatoid arthritis. Concomitant products included Methotrexate for Rheumatoid arthritis. On 15-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Feb-2021, the patient experienced PAIN (lower body pains) and ARTHRALGIA (knee pain). The patient was treated with IBUPROFEN at an unspecified dose and frequency. At the time of the report, PAIN (lower body pains) and ARTHRALGIA (knee pain) outcome was unknown. 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.

Other Meds: Methotrexate

Current Illness:

ID: 1552568
Sex: F
Age: 59
State: MI

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 08/13/2021
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Symptoms: This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of ILLNESS (Sick, feeling sick, sick every day), VISUAL IMPAIRMENT (Vision problems, eye changes), FEELING ABNORMAL (Had several bad days off and on), DIZZINESS (Dizziness) and BURNING SENSATION (Felt like burning from inside out) in a 59-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Brain tumor operation (Brain Tumor removed) in January 2021. Concurrent medical conditions included Drug allergy (Lipitor (atorvastatin)), Drug allergy (Morphine), Penicillin allergy, Bee sting hypersensitivity, Hypothyroidism since 1990, Chronic kidney disease stage 3 since 12-Feb-2019, Hyperlipidemia since 31-May-2014, Heart disorder (Heart muscle disorder) since 24-Aug-2018 and Diabetes (Pre-diabetes) since 06-Nov-2018. Concomitant products included PRAVASTATIN from 2005 to an unknown date for Cholesterol high, LEVOTHYROXINE SODIUM (SYNTHROID) from 1990 to an unknown date for Hypothyroidism, ESTROGENS CONJUGATED (PREMARIN) for Hysterectomy, METHOCARBAMOL (ROBAXIN) from 04-Jan-2021 to an unknown date for Muscle spasm, GABAPENTIN (NEURONTIN) from 2019 to an unknown date for Nerve pain. On 02-Feb-2021 at 1:30 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 02-Feb-2021, the patient experienced ILLNESS (Sick, feeling sick, sick every day), VISUAL IMPAIRMENT (Vision problems, eye changes), FEELING ABNORMAL (Had several bad days off and on), DIZZINESS (Dizziness), MYALGIA (Horrible body aches), PYREXIA (Fever) and CHILLS (Chills). On 05-Feb-2021, the patient experienced BURNING SENSATION (Felt like burning from inside out), FEELING COLD (Freezing cold), DECREASED APPETITE (No appetite), NAUSEA (Nausea, Terrible Nausea) and FATIGUE (Extreme fatigue). The patient was treated with ONDANSETRON (ZOFRAN [ONDANSETRON]) for Nausea, at an unspecified dose and frequency; HYDROMORPHONE HYDROCHLORIDE (DILAUDID) at an unspecified dose and frequency; PARACETAMOL (TYLENOL) at an unspecified dose and frequency and IBUPROFEN at an unspecified dose and frequency. At the time of the report, ILLNESS (Sick, feeling sick, sick every day), VISUAL IMPAIRMENT (Vision problems, eye changes), DIZZINESS (Dizziness), NAUSEA (Nausea, Terrible Nausea) and FATIGUE (Extreme fatigue) had not resolved, FEELING ABNORMAL (Had several bad days off and on), BURNING SENSATION (Felt like burning from inside out), FEELING COLD (Freezing cold), DECREASED APPETITE (No appetite), MYALGIA (Horrible body aches) and PYREXIA (Fever) outcome was unknown and CHILLS (Chills) had resolved. Action taken with mRNA-1273 in response to the event was not applicable. Most recent FOLLOW-UP information incorporated above includes: On 27-Apr-2021: Contact details added, patient demographics added, product details added, updated concomitant medications, two new events updated , treatment medications added. On 29-May-2021: New events; vision problems/eye changes and dizziness were added. The event outcome changed from unknown to not resolved. On 30-May-2021: Patient demographic details were updated, relevant medical history was updated, vaccine facility details were added, concomitant medication list was updated. On 01-Jun-2021: Event outcome for chills updated from unknown to recovered/resolved.

Other Meds: SYNTHROID; PREMARIN; PRAVASTATIN; NEURONTIN; ROBAXIN

Current Illness: Bee sting hypersensitivity; Chronic kidney disease stage 3; Diabetes (Pre-diabetes); Drug allergy (Morphine); Drug allergy (Lipitor (atorvastatin)); Heart disorder (Heart muscle disorder); Hyperlipidemia; Hypothyroidism; Penicillin allergy

ID: 1552569
Sex: F
Age: 66
State: IA

Vax Date: 01/07/2021
Onset Date: 02/06/2021
Rec V Date: 08/13/2021
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Symptoms: kept on on going to the bathroom to urinate; fever (T-104.6F); joint pains; body aches; real bad headache; chills; This spontaneous case was reported by a health care professional and describes the occurrence of POLLAKIURIA (kept on on going to the bathroom to urinate), PYREXIA (fever (T-104.6F)), ARTHRALGIA (joint pains), MYALGIA (body aches) and HEADACHE (real bad headache) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 024M20A and 025L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 07-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 06-Feb-2021, the patient experienced POLLAKIURIA (kept on on going to the bathroom to urinate), PYREXIA (fever (T-104.6F)), ARTHRALGIA (joint pains), MYALGIA (body aches), HEADACHE (real bad headache) and CHILLS (chills). The patient was treated with IBUPROFEN at a dose of 1 dosage form. On 09-Feb-2021, POLLAKIURIA (kept on on going to the bathroom to urinate), PYREXIA (fever (T-104.6F)), ARTHRALGIA (joint pains), MYALGIA (body aches), HEADACHE (real bad headache) and CHILLS (chills) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. This case was linked to MOD-2021-022363 (Patient Link).

Other Meds:

Current Illness:

ID: 1552570
Sex: F
Age: 51
State: DE

Vax Date: 12/28/2020
Onset Date: 01/25/2021
Rec V Date: 08/13/2021
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Symptoms: Soft tissue pain in arches of feet and calves; fatigue; Hand and arm soreness; Leg shaking; Swollen glands; Chills; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Hand and arm soreness), TREMOR (Leg shaking), SOFT TISSUE DISORDER (Soft tissue pain in arches of feet and calves), LYMPHADENOPATHY (Swollen glands) and FATIGUE (fatigue) in a 51-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 026L20A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concomitant products included MIRTAZAPINE (REMERON) and ALPRAZOLAM (XANAX) for an unknown indication. On 28-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Jan-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 25-Jan-2021, the patient experienced LYMPHADENOPATHY (Swollen glands) and CHILLS (Chills). On 30-Jan-2021, the patient experienced PAIN IN EXTREMITY (Hand and arm soreness) and TREMOR (Leg shaking). On 01-Feb-2021, the patient experienced FATIGUE (fatigue). On an unknown date, the patient experienced SOFT TISSUE DISORDER (Soft tissue pain in arches of feet and calves). The patient was treated with PARACETAMOL (TYLENOL) for Chills, at an unspecified dose and frequency and IBUPROFEN (ADVIL 12 HOUR) for Soreness of joint, at an unspecified dose and frequency. On 27-Jan-2021, LYMPHADENOPATHY (Swollen glands) and CHILLS (Chills) had resolved. At the time of the report, PAIN IN EXTREMITY (Hand and arm soreness), TREMOR (Leg shaking), SOFT TISSUE DISORDER (Soft tissue pain in arches of feet and calves) and FATIGUE (fatigue) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 22-Dec-2020, SARS-CoV-2 test: negative (Negative) Negative and results pending (Inconclusive) results pending. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No treatment information was provided. The patient received both scheduled doses of mRNA-1273 prior to the events; therefore, action taken with the mRNA-1273 in response to the events was not applicable. This case was linked to MOD-2021-021419 (Patient Link).

Other Meds: REMERON; XANAX

Current Illness:

ID: 1552571
Sex: F
Age: 73
State: KS

Vax Date: 02/12/2021
Onset Date: 02/21/2021
Rec V Date: 08/13/2021
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Symptom List:

Symptoms: lots of heat coming out; it also itched; big fat swollen arm; red; pretty hard; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE WARMTH (lots of heat coming out), PRURITUS (it also itched), SWELLING (big fat swollen arm), INJECTION SITE ERYTHEMA (red) and VACCINATION SITE SWELLING (pretty hard) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030M20A) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included blood pressure med for Blood pressure, cholesterol med for Cholesterol, ERGOCALCIFEROL, RETINOL PALMITATE (VITAMINS A & D) 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 21-Feb-2021, the patient experienced INJECTION SITE WARMTH (lots of heat coming out), PRURITUS (it also itched), SWELLING (big fat swollen arm), INJECTION SITE ERYTHEMA (red) and VACCINATION SITE SWELLING (pretty hard). The patient was treated with NAPROXEN at an unspecified dose and frequency. At the time of the report, INJECTION SITE WARMTH (lots of heat coming out), PRURITUS (it also itched), SWELLING (big fat swollen arm), INJECTION SITE ERYTHEMA (red) and VACCINATION SITE SWELLING (pretty hard) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment details also included anti itch cream.

Other Meds: cholesterol med; blood pressure med; VITAMINS A & D

Current Illness:

ID: 1552572
Sex: F
Age: 49
State: CA

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

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Symptom List:

Symptoms: This spontaneous case was reported by a consumer and describes the occurrence of BODY TEMPERATURE INCREASED (Elevated temperature), NAUSEA (nausea), VOMITING (vomiting), CHILLS (chills) and MYALGIA (body aches) in a 49-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 024M20A and 024M20A) for COVID-19 vaccination. No medical history was provided by the reporter. On 22-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced BODY TEMPERATURE INCREASED (Elevated temperature), NAUSEA (nausea), VOMITING (vomiting), CHILLS (chills) and MYALGIA (body aches). At the time of the report, BODY TEMPERATURE INCREASED (Elevated temperature), NAUSEA (nausea), VOMITING (vomiting), CHILLS (chills) and MYALGIA (body aches) outcome was unknown. No concomitant medications were provided. No treatment information provided.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm