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: 1557809
Sex: M
Age:
State: CA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 08/14/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Foggy; No appetite; Still feels so exhausted; Fever; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (Foggy), DECREASED APPETITE (No appetite), PYREXIA (Fever) and FATIGUE (Still feels so exhausted) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Autoimmune arthritis. On 05-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 06-Feb-2021, the patient experienced PYREXIA (Fever). On 09-Feb-2021, the patient experienced FEELING ABNORMAL (Foggy), DECREASED APPETITE (No appetite) and FATIGUE (Still feels so exhausted). On 06-Feb-2021, PYREXIA (Fever) had resolved. At the time of the report, FEELING ABNORMAL (Foggy), DECREASED APPETITE (No appetite) and FATIGUE (Still feels so exhausted) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 06-Feb-2021, Oxygen saturation: 97% (normal) normal. No concomitant medication was reported. No treatment details were provided. Most recent FOLLOW-UP information incorporated above includes: On 09-Jun-2021: Follow-up received on: Additional initial document added: Telephone contact report, outcome of events and medical history was added.

Other Meds:

Current Illness: Autoimmune arthritis

ID: 1557810
Sex: F
Age: 61
State: PA

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

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List:

Symptoms: arm was a little bit sore; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (arm was a little bit sore) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 012L20A and 030M20A) for COVID-19 vaccination. No Medical History information was reported. On 08-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 08-Jan-2021, the patient experienced PAIN IN EXTREMITY (arm was a little bit sore). At the time of the report, PAIN IN EXTREMITY (arm was a little bit sore) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) and mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were provided. No treatment medications were provided.

Other Meds:

Current Illness:

ID: 1557811
Sex: F
Age: 67
State: DE

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 08/14/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Increase in patients RNR levels; This spontaneous case was reported by a nurse (subsequently medically confirmed) and describes the occurrence of ENZYME LEVEL INCREASED (Increase in patients RNR levels) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031L20A) for COVID-19 vaccination. No Medical History information was reported. On 02-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Feb-2021, the patient experienced ENZYME LEVEL INCREASED (Increase in patients RNR levels). At the time of the report, ENZYME LEVEL INCREASED (Increase in patients RNR levels) 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 lab data regarding RNR levels were provided. Treatment medications were not provided.

Other Meds:

Current Illness:

ID: 1557812
Sex: F
Age:
State: TX

Vax Date: 02/25/2021
Onset Date:
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: flu-like symptoms such as feeling tired, hot, and has a fever; flu-like symptoms such as feeling tired, hot, and has a fever; flu-like symptoms such as feeling tired, hot, and has a fever; This spontaneous case was reported by a consumer and describes the occurrence of INFLUENZA LIKE ILLNESS (flu-like symptoms such as feeling tired, hot, and has a fever), FATIGUE (flu-like symptoms such as feeling tired, hot, and has a fever) and PYREXIA (flu-like symptoms such as feeling tired, hot, and has a fever) 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 25-Feb-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) UNK dosage form. On an unknown date, the patient experienced INFLUENZA LIKE ILLNESS (flu-like symptoms such as feeling tired, hot, and has a fever), FATIGUE (flu-like symptoms such as feeling tired, hot, and has a fever) and PYREXIA (flu-like symptoms such as feeling tired, hot, and has a fever). At the time of the report, INFLUENZA LIKE ILLNESS (flu-like symptoms such as feeling tired, hot, and has a fever), FATIGUE (flu-like symptoms such as feeling tired, hot, and has a fever) and PYREXIA (flu-like symptoms such as feeling tired, hot, and has a fever) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication information was not reported. Treatment information as not reported.

Other Meds:

Current Illness:

ID: 1557813
Sex: F
Age: 69
State: GA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 08/14/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: worsening of cough and sore; SORE THROAT; This spontaneous case was reported by a consumer and describes the occurrence of COUGH (worsening of cough and sore) and OROPHARYNGEAL PAIN (SORE THROAT) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026L20A) for COVID-19 vaccination. Concurrent medical conditions included Asthma. On 21-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 21-Jan-2021, the patient experienced COUGH (worsening of cough and sore) and OROPHARYNGEAL PAIN (SORE THROAT). At the time of the report, COUGH (worsening of cough and sore) and OROPHARYNGEAL PAIN (SORE THROAT) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. concomitants- "Regular meds" Treatment- Antifungal, steroids and antibiotics.

Other Meds:

Current Illness: Asthma

ID: 1557814
Sex: M
Age: 76
State: GA

Vax Date: 01/24/2021
Onset Date:
Rec V Date: 08/14/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List:

Symptoms: what looked like a case of the measles; This spontaneous case was reported by a consumer and describes the occurrence of RASH MORBILLIFORM (what looked like a case of the measles) in a 76-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030L20A) for COVID-19 vaccination. No Medical History information was reported. On 24-Jan-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced RASH MORBILLIFORM (what looked like a case of the measles). At the time of the report, RASH MORBILLIFORM (what looked like a case of the measles) was resolving. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. Treatment information was not provided.; Reporter'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 cannot be excluded.

Other Meds:

Current Illness:

ID: 1557815
Sex: M
Age: 65
State: GA

Vax Date: 02/23/2021
Onset Date:
Rec V Date: 08/14/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Weakness; Headache; Chills; Fever; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (Weakness), HEADACHE (Headache), CHILLS (Chills) and PYREXIA (Fever) in a 65-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 004M20A) for COVID-19 vaccination. No Medical History information was reported. On 23-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 ASTHENIA (Weakness), HEADACHE (Headache), CHILLS (Chills) and PYREXIA (Fever). At the time of the report, ASTHENIA (Weakness), HEADACHE (Headache), CHILLS (Chills) and PYREXIA (Fever) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. No corrective treatment was provided.

Other Meds:

Current Illness:

ID: 1557816
Sex: M
Age: 93
State: NY

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 08/14/2021
Hospital:

Vax Type:
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Lab Data:

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Symptom List:

Symptoms: Redness at injection site; Mild pain at injection site; Injection site pain; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE ERYTHEMA (Redness at injection site), VACCINATION SITE PAIN (Injection site pain) and VACCINATION SITE PAIN (Mild pain at injection site) in a 93-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029L20A) for COVID-19 vaccination. No Medical History information was reported. On 20-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 PAIN (Injection site pain). On 02-Feb-2021, the patient experienced VACCINATION SITE ERYTHEMA (Redness at injection site) and VACCINATION SITE PAIN (Mild pain at injection site). In January 2021, VACCINATION SITE PAIN (Injection site pain) had resolved. At the time of the report, VACCINATION SITE ERYTHEMA (Redness at injection site) and VACCINATION SITE PAIN (Mild pain at injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided. Treatment medications include Aspercreme Spay. The event of vaccination site pain occurred on January 22, 2021 and resolved in January 2021. It reoccurred on February 2, 2021 along with vaccination site erythema and outcome was unknown.

Other Meds:

Current Illness:

ID: 1557817
Sex: M
Age: 71
State: NY

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 08/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: General weakness; Pain at the site of injection; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (General weakness) and VACCINATION SITE PAIN (Pain at the site of injection) in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 0141M20A) for COVID-19 vaccination. The patient's past medical history included No adverse event (No medical history reported.). Concomitant products included ALLOPURINOL, METOPROLOL, FINASTERIDE, ZOLPIDEM, LORAZEPAM and VENLAFAXINE for an unknown indication. On 25-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) (unknown route) 1 dosage form. On 26-Feb-2021, the patient experienced VACCINATION SITE PAIN (Pain at the site of injection). On an unknown date, the patient experienced ASTHENIA (General weakness). At the time of the report, ASTHENIA (General weakness) and VACCINATION SITE PAIN (Pain at the site of injection) outcome was unknown. No treatment information were reported.

Other Meds: ALLOPURINOL; METOPROLOL; FINASTERIDE; ZOLPIDEM; LORAZEPAM; VENLAFAXINE

Current Illness:

ID: 1557818
Sex: F
Age:
State: HI

Vax Date: 01/28/2021
Onset Date: 02/25/2021
Rec V Date: 08/14/2021
Hospital:

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

Allergies:

Symptom List:

Symptoms: Feeling warm; Diarrhea; Chills; Fatigue; Nausea; This spontaneous case was reported by a consumer and describes the occurrence of FEELING HOT (Feeling warm), DIARRHOEA (Diarrhea), CHILLS (Chills), FATIGUE (Fatigue) and NAUSEA (Nausea) in a 26-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025L20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Feb-2021, the patient experienced FEELING HOT (Feeling warm), DIARRHOEA (Diarrhea), CHILLS (Chills), FATIGUE (Fatigue) and NAUSEA (Nausea). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, FEELING HOT (Feeling warm), DIARRHOEA (Diarrhea), CHILLS (Chills), FATIGUE (Fatigue) and NAUSEA (Nausea) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication information was not reported.

Other Meds:

Current Illness:

ID: 1557819
Sex: F
Age: 31
State: MI

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 08/14/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

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Symptom List:

Symptoms: Arm was hot and swollen and looks like she had a pink sunburn; This spontaneous case was reported by a consumer and describes the occurrence of INFLAMMATION (Arm was hot and swollen and looks like she had a pink sunburn) in a 32-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 023M20A) 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 17-Feb-2021, the patient experienced INFLAMMATION (Arm was hot and swollen and looks like she had a pink sunburn). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency and ACETYLSALICYLIC ACID (ASPIRIN (E.C.)) at an unspecified dose and frequency. At the time of the report, INFLAMMATION (Arm was hot and swollen and looks like she had a pink sunburn) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitants- Generic allergy medication

Other Meds:

Current Illness:

ID: 1557820
Sex: F
Age: 73
State: MI

Vax Date: 01/28/2021
Onset Date: 02/25/2021
Rec V Date: 08/14/2021
Hospital:

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

Allergies:

Symptom List:

Symptoms: Headache; Feels weak; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (Headache) and FATIGUE (Feels weak) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 010A20A and 007M20A) for COVID-19 vaccination. No Medical History information was reported. On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 25-Feb-2021, the patient experienced HEADACHE (Headache) and FATIGUE (Feels weak). At the time of the report, HEADACHE (Headache) and FATIGUE (Feels weak) outcome was unknown. Concomitant medication information was not reported. Treatment information as not reported. Action taken with mRNA-1273 (Moderna COVID-19 Vaccine) is considered as not applicable. This case was linked to US-MODERNATX, INC.-MOD-2021-027742 (E2B Linked Report).; Sender's Comments: US-MODERNATX, INC.-MOD-2021-027742:

Other Meds:

Current Illness:

ID: 1557821
Sex: F
Age:
State: MD

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Arm soreness; Headache; Achy muscle; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm soreness), HEADACHE (Headache) and MYALGIA (Achy muscle) 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 26-Feb-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage form. On 26-Feb-2021, the patient experienced PAIN IN EXTREMITY (Arm soreness), HEADACHE (Headache) and MYALGIA (Achy muscle). At the time of the report, PAIN IN EXTREMITY (Arm soreness), HEADACHE (Headache) and MYALGIA (Achy muscle) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication information was not reported. Treatment information as not reported. Most recent FOLLOW-UP information incorporated above includes: On 29-Apr-2021: follow up on 29-apr-2021 includes no significant information (only reporter email is updated)

Other Meds:

Current Illness:

ID: 1557822
Sex: M
Age: 73
State: TX

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Rash all over his body; This spontaneous case was reported by a consumer and describes the occurrence of RASH (Rash all over his body) in a 73-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Allergy (Had a rash started on both of his arms.) since 18-Feb-2021. 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 (Rash all over his body). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, RASH (Rash all over his body) had resolved. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged. No concomitant medication was reported. Patient reported that the rash took one year to disappear. Patient took the second dose without any issues. Most recent FOLLOW-UP information incorporated above includes: On 26-Feb-2021: Additional information received on 27-Feb-2021 contain no significant information. On 09-Jul-2021: Follow up document received on 09-Jul-2021 contain significant information, outcome of the event updated and information regarding the second dose.

Other Meds:

Current Illness: Allergy (Had a rash started on both of his arms.)

ID: 1557823
Sex: F
Age:
State: IA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Body ache; Chills; Fatigue; Headaches; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Body ache), CHILLS (Chills), FATIGUE (Fatigue) and HEADACHE (Headaches) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. D11M20A) for COVID-19 vaccination. No Medical History information was reported. On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Feb-2021, the patient experienced PAIN (Body ache), CHILLS (Chills), FATIGUE (Fatigue) and HEADACHE (Headaches). At the time of the report, PAIN (Body ache), CHILLS (Chills), FATIGUE (Fatigue) and HEADACHE (Headaches) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. No corrective treatment was provided.

Other Meds:

Current Illness:

ID: 1557824
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: significant back pain; body aches; chills; injection site pain; This spontaneous case was reported by a consumer and describes the occurrence of BACK PAIN (significant back pain), MYALGIA (body aches), CHILLS (chills) and VACCINATION SITE PAIN (injection site pain) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced BACK PAIN (significant back pain), MYALGIA (body aches), CHILLS (chills) and VACCINATION SITE PAIN (injection site pain). At the time of the report, BACK PAIN (significant back pain), MYALGIA (body aches), CHILLS (chills) and VACCINATION SITE PAIN (injection site pain) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product information, if any, was not provided by the reporter. Treatment information, if any, was not provided by the reporter Most recent FOLLOW-UP information incorporated above includes: On 09-Jul-2021: Follow up received on 9-Jul-2021 doesn't contain any new information.; 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: 1557825
Sex: F
Age: 87
State: TX

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: knot on the arm - right arm; nauseous; fever - 102; headache; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (knot on the arm - right arm), NAUSEA (nauseous), PYREXIA (fever - 102) and HEADACHE (headache) in an 87-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 024M20A) for COVID-19 vaccination. Concomitant products included VITAMIN for an unknown indication. On 08-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Feb-2021, the patient experienced PAIN IN EXTREMITY (knot on the arm - right arm), NAUSEA (nauseous), PYREXIA (fever - 102) and HEADACHE (headache). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency and DIPHENHYDRAMINE, PARACETAMOL, PHENYLPROPANOLAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE;PARACETAMOL;PHENYLPROPANOLAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. On 10-Feb-2021, PAIN IN EXTREMITY (knot on the arm - right arm), NAUSEA (nauseous), PYREXIA (fever - 102) and HEADACHE (headache) 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. Other concomitant medication include a low dose hypertension medication.

Other Meds: VITAMIN

Current Illness:

ID: 1557826
Sex: F
Age: 75
State: CO

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 08/14/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: (Intramuscular) 1 dosage form. On 04-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 07-Jan-2021, the patient experienced FATIGUE (Tired), MYALGIA (Body aches) and HEADACHE (Headache). On 08-Jan-2021, FATIGUE (Tired), MYALGIA (Body aches) and HEADACHE (Headache) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided. Treatment medications were unknown. This case was linked to MOD-2021-043575 (Patient Link).

Other Meds:

Current Illness:

ID: 1557827
Sex: F
Age: 35
State: NY

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 08/14/2021
Hospital:

Vax Type:
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Symptom List:

Symptoms: I got a metallic taste in mouth; tingly tongue; a burning sensation in my throat; a tingly sensation in my throat; a burning sensation in my chest; a tingling sensation in my chest; so short of breath; This spontaneous case was reported by a consumer and describes the occurrence of DYSGEUSIA (I got a metallic taste in mouth), PARAESTHESIA ORAL (tingly tongue), BURNING SENSATION (a burning sensation in my throat), PHARYNGEAL PARAESTHESIA (a tingly sensation in my throat) and CHEST PAIN (a burning sensation in my chest) in a 35-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 014M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 25-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 25-Feb-2021, the patient experienced DYSGEUSIA (I got a metallic taste in mouth), PARAESTHESIA ORAL (tingly tongue), BURNING SENSATION (a burning sensation in my throat), PHARYNGEAL PARAESTHESIA (a tingly sensation in my throat), CHEST PAIN (a burning sensation in my chest), PARAESTHESIA (a tingling sensation in my chest) and DYSPNOEA (so short of breath). The patient was treated with PREDNISONE at an unspecified dose and frequency. At the time of the report, DYSGEUSIA (I got a metallic taste in mouth), PARAESTHESIA ORAL (tingly tongue), BURNING SENSATION (a burning sensation in my throat), PHARYNGEAL PARAESTHESIA (a tingly sensation in my throat), CHEST PAIN (a burning sensation in my chest), PARAESTHESIA (a tingling sensation in my chest) and DYSPNOEA (so short of breath) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medication information was not reported.

Other Meds:

Current Illness:

ID: 1557828
Sex: F
Age:
State:

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

Vax Type:
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Symptom List:

Symptoms: This spontaneous case was reported by an other health care professional and describes the occurrence of INFLUENZA LIKE ILLNESS (Flu-like symptoms), MUSCULOSKELETAL STIFFNESS (Stiffness of neck), VOMITING (Vomiting), NAUSEA (Nausea) and MYALGIA (Body aches) 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 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 INFLUENZA LIKE ILLNESS (Flu-like symptoms), MUSCULOSKELETAL STIFFNESS (Stiffness of neck), VOMITING (Vomiting), NAUSEA (Nausea), MYALGIA (Body aches) and PYREXIA (fever). At the time of the report, INFLUENZA LIKE ILLNESS (Flu-like symptoms), MUSCULOSKELETAL STIFFNESS (Stiffness of neck), NAUSEA (Nausea), MYALGIA (Body aches) and PYREXIA (fever) had resolved and VOMITING (Vomiting) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication were provided. No treatment information were provided; This case was linked to MOD-2021-096180 (E2B Linked Report).; Sender's Comments: MOD-2021-096180:Same Reporter

Other Meds:

Current Illness:

ID: 1557829
Sex: F
Age:
State: MA

Vax Date: 01/16/2021
Onset Date: 02/14/2021
Rec V Date: 08/14/2021
Hospital:

Vax Type:
Manufacturer:
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Symptom List:

Symptoms: Arm Pain; Fatigue; Pyrexia; Head Ache; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm Pain), FATIGUE (Fatigue), PYREXIA (Pyrexia) and HEADACHE (Head Ache) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 016M20A) for COVID-19 vaccination. No Medical History information was reported. On 16-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 14-Feb-2021, the patient experienced PAIN IN EXTREMITY (Arm Pain), FATIGUE (Fatigue), PYREXIA (Pyrexia) and HEADACHE (Head Ache). The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date at an unspecified dose and frequency. On 18-Feb-2021, PAIN IN EXTREMITY (Arm Pain), FATIGUE (Fatigue), PYREXIA (Pyrexia) and HEADACHE (Head Ache) had resolved. Concomitant information were not provided by the reporter. The patient was self medicated to treat her symptoms. Action taken with mRNA-1273 (Moderna COVID-19 Vaccine) was not applicable.

Other Meds:

Current Illness:

ID: 1557830
Sex: F
Age: 60
State: NY

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 08/14/2021
Hospital:

Vax Type:
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Lab Data:

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Symptom List:

Symptoms: Feels so bad had to miss work; Chills in warm house; pounding headache; Achiness; Queasy; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (Feels so bad had to miss work), CHILLS (Chills in warm house), HEADACHE (pounding headache), MYALGIA (Achiness) and NAUSEA (Queasy) in a 60-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. 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 CHILLS (Chills in warm house), HEADACHE (pounding headache), MYALGIA (Achiness) and NAUSEA (Queasy). On 05-Feb-2021, the patient experienced FEELING ABNORMAL (Feels so bad had to miss work). The patient was treated with IBUPROFEN (ADVIL [IBUPROFEN]) on 04-Feb-2021 for Headache, at an unspecified dose and frequency. At the time of the report, FEELING ABNORMAL (Feels so bad had to miss work), CHILLS (Chills in warm house), HEADACHE (pounding headache), MYALGIA (Achiness) and NAUSEA (Queasy) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1557831
Sex: F
Age: 67
State: PA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 08/14/2021
Hospital:

Vax Type:
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Symptom List:

Symptoms: Coughing; Very Sick; Very Bad Body Aches; Fever of 103.6F; Severe Chills; This spontaneous case was reported by a consumer and describes the occurrence of COUGH (Coughing), ILLNESS (Very Sick), PAIN (Very Bad Body Aches), CHILLS (Severe Chills) and PYREXIA (Fever of 103.6F) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L20A) for COVID-19 vaccination. The patient's past medical history included COVID-19 in December 2020. On 03-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 CHILLS (Severe Chills). On 05-Feb-2021, the patient experienced COUGH (Coughing), ILLNESS (Very Sick), PAIN (Very Bad Body Aches) and PYREXIA (Fever of 103.6F). At the time of the report, COUGH (Coughing), ILLNESS (Very Sick), PAIN (Very Bad Body Aches), CHILLS (Severe Chills) and PYREXIA (Fever of 103.6F) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1557832
Sex: F
Age: 61
State: PA

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: This spontaneous case was reported by a consumer and describes the occurrence of PAIN (pain in her right shoulder), URTICARIA (broke out in hives), SCRATCH (scratching all over), DYSPNOEA (difficulty breathing) and TACHYCARDIA (a fast heartbeat) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030M20A and 012L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event. On 08-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 2 dosage form. On 08-Jan-2021, the patient experienced INJECTION SITE PAIN (her arm was a little bit sore). On 05-Feb-2021, the patient experienced PAIN (pain in her right shoulder). On 06-Feb-2021, the patient experienced URTICARIA (broke out in hives), SCRATCH (scratching all over), DYSPNOEA (difficulty breathing), TACHYCARDIA (a fast heartbeat), DIARRHOEA (diarrhea) and RASH (a full body rash/her skin broke out). The patient was treated with HYDROCORTISONE for Itching, at an unspecified dose and frequency and CORTISONE for Itching, at an unspecified dose and frequency. At the time of the report, PAIN (pain in her right shoulder), URTICARIA (broke out in hives), SCRATCH (scratching all over), DYSPNOEA (difficulty breathing), TACHYCARDIA (a fast heartbeat), DIARRHOEA (diarrhea), RASH (a full body rash/her skin broke out) and INJECTION SITE PAIN (her arm was a little bit sore) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medication use was not provided by the reporter, The treatment medication were heating pad, and bath. Most recent FOLLOW-UP information incorporated above includes: On 29-Apr-2021

Other Meds:

Current Illness:

ID: 1557833
Sex: F
Age: 67
State: CA

Vax Date: 02/04/2021
Onset Date: 02/09/2021
Rec V Date: 08/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Couldn't get warm; Aching; Headache; This spontaneous case was reported by a consumer and describes the occurrence of FEELING COLD (Couldn't get warm), PAIN (Aching) and HEADACHE (Headache) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029L20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Feb-2021, the patient experienced FEELING COLD (Couldn't get warm), PAIN (Aching) and HEADACHE (Headache). The patient was treated with PARACETAMOL (TYLENOL) on 10-Feb-2021 for Headache, at an unspecified dose and frequency. At the time of the report, FEELING COLD (Couldn't get warm), PAIN (Aching) and HEADACHE (Headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1557834
Sex: F
Age: 78
State: TX

Vax Date: 01/27/2021
Onset Date: 02/25/2021
Rec V Date: 08/14/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Feeling sick; Fever; Really bad headache; Arm hurts a lot; Aching all over; Woke up with up with sweat; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm hurts a lot), MALAISE (Feeling sick), PAIN (Aching all over), NIGHT SWEATS (Woke up with up with sweat) and HEADACHE (Really bad headache) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 27-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 25-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 25-Feb-2021, the patient experienced PAIN IN EXTREMITY (Arm hurts a lot), PAIN (Aching all over) and NIGHT SWEATS (Woke up with up with sweat). On 26-Feb-2021, the patient experienced HEADACHE (Really bad headache). On an unknown date, the patient experienced MALAISE (Feeling sick) and PYREXIA (Fever). The patient was treated with ACETYLSALICYLIC ACID (ASPIRIN (E.C.)) at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (Arm hurts a lot), MALAISE (Feeling sick), PAIN (Aching all over), NIGHT SWEATS (Woke up with up with sweat), HEADACHE (Really bad headache) and PYREXIA (Fever) outcome was unknown. Concomitant medication information was not reported. Action taken with mRNA-1273 (Moderna COVID-19 Vaccine) is considered as not applicable.

Other Meds:

Current Illness:

ID: 1557835
Sex: F
Age: 62
State:

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

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Arm pain; Swollen lymph nodes; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm pain) and LYMPHADENOPATHY (Swollen lymph nodes) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011J20A) for COVID-19 vaccination. No medical history reported. Concomitant products included IBUPROFEN for an unknown indication. On 13-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Jan-2021, the patient experienced PAIN IN EXTREMITY (Arm pain) and LYMPHADENOPATHY (Swollen lymph nodes). The patient was treated with IBUPROFEN for Pain in arm, at an unspecified dose and frequency. On 15-Jan-2021, PAIN IN EXTREMITY (Arm pain) had resolved. At the time of the report, LYMPHADENOPATHY (Swollen lymph nodes) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: IBUPROFEN

Current Illness:

ID: 1557836
Sex: M
Age: 75
State: FL

Vax Date: 02/15/2021
Onset Date: 02/25/2021
Rec V Date: 08/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Delayed injection site pain; Swollen arm; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE PAIN (Delayed injection site pain) and PERIPHERAL SWELLING (Swollen arm) in a 75-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 015M20A) for COVID-19 vaccination. No medical history reported. On 15-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Feb-2021, the patient experienced INJECTION SITE PAIN (Delayed injection site pain) and PERIPHERAL SWELLING (Swollen arm). At the time of the report, INJECTION SITE PAIN (Delayed injection site pain) and PERIPHERAL SWELLING (Swollen arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1557837
Sex: F
Age:
State: MI

Vax Date: 02/17/2021
Onset Date: 02/24/2021
Rec V Date: 08/14/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
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Lab Data:

Allergies:

Symptom List:

Symptoms: red spot; Itchy rash; Patient started itching and got a big red spot in front of the arm(not on injection site) 5 days after receiving 1st dose of vaccine; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (Patient started itching and got a big red spot in front of the arm(not on injection site) 5 days after receiving 1st dose of vaccine), RASH ERYTHEMATOUS (red spot) and RASH PRURITIC (Itchy rash) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006M204) for COVID-19 vaccination. The patient's past medical history included Ulcerative colitis in 1984. Concurrent medical conditions included Drug allergy (Sulfa drugs), Allergy (Adhesives), Diabetes (Diabetes Type 1) since 12-Feb-1978, Hashimoto's disease in 1995, Hypertension in 2010 and Osteoporosis in 2019. Concomitant products included MESALAZINE (ASACOL) for Colitis ulcerative, INSULIN LISPRO (HUMALOG) for Diabetes, LEVOTHYROXINE SODIUM (SYNTHROID) for Hashimoto's disease, LISINOPRIL for Hypertension, ALENDRONATE SODIUM (FOSAMAX) for Osteoporosis, ATORVASTATIN CALCIUM (LIPITOR), CALCIUM CARBONATE, COLECALCIFEROL (VITAMIN D3), CALCIUM and MULTIVITAMIN [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 24-Feb-2021, the patient experienced PRURITUS (Patient started itching and got a big red spot in front of the arm(not on injection site) 5 days after receiving 1st dose of vaccine). On an unknown date, the patient experienced RASH ERYTHEMATOUS (red spot) and RASH PRURITIC (Itchy rash). At the time of the report, PRURITUS (Patient started itching and got a big red spot in front of the arm(not on injection site) 5 days after receiving 1st dose of vaccine), RASH ERYTHEMATOUS (red spot) and RASH PRURITIC (Itchy rash) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment medicine Most recent FOLLOW-UP information incorporated above includes: On 29-Apr-2021: Patient demographics is updated.Patient medical history is updated.Concomitant product information is updated. Outcome of the event is updated.

Other Meds: HUMALOG; ASACOL; SYNTHROID; LIPITOR; LISINOPRIL; FOSAMAX; VITAMIN D3; CALCIUM; MULTIVITAMIN [VITAMINS NOS]

Current Illness: Diabetes (Diabetes Type 1)

ID: 1557838
Sex: M
Age: 60
State: KY

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: injection site hardness/sore; Aches and pain; Nausea; Headache; Feels like has a temperature; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (Aches and pain), NAUSEA (Nausea), HEADACHE (Headache), PYREXIA (Feels like has a temperature) and VACCINATION SITE PAIN (injection site hardness/sore) in a 60-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 022M20A) for COVID-19 vaccination. The patient's past medical history included COVID-19 virus test positive (Late October/early November). On 25-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 25-Feb-2021, the patient experienced MYALGIA (Aches and pain), NAUSEA (Nausea), HEADACHE (Headache) and PYREXIA (Feels like has a temperature). On 26-Feb-2021, the patient experienced VACCINATION SITE PAIN (injection site hardness/sore). At the time of the report, MYALGIA (Aches and pain), NAUSEA (Nausea), HEADACHE (Headache), PYREXIA (Feels like has a temperature) and VACCINATION SITE PAIN (injection site hardness/sore) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medication information was not reported. Treatment information as not reported.

Other Meds:

Current Illness:

ID: 1557839
Sex: M
Age: 72
State: VA

Vax Date: 01/30/2021
Onset Date: 02/01/2021
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: muscle ache; severe joint pain; severe fatigue; joint ache; rash; fatigue; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (fatigue), MYALGIA (muscle ache), ARTHRALGIA (joint ache), RASH (rash) and ARTHRALGIA (severe joint pain) in a 73-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 027L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Drug allergy (Demoral allergy was reported). Concomitant products included TESTOSTERONE (FORTESTA) and COLESEVELAM HCL for an unknown indication. On 30-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Feb-2021, the patient experienced FATIGUE (fatigue). On 02-Feb-2021, the patient experienced ARTHRALGIA (joint ache) and RASH (rash). On 09-Feb-2021, the patient experienced MYALGIA (muscle ache), ARTHRALGIA (severe joint pain) and FATIGUE (severe fatigue). At the time of the report, FATIGUE (fatigue), MYALGIA (muscle ache) and RASH (rash) had not resolved and ARTHRALGIA (joint ache), ARTHRALGIA (severe joint pain) and FATIGUE (severe fatigue) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 09-Feb-2021, Blood glucose: (High) High and high (High) high. On 09-Feb-2021, Glycosylated haemoglobin increased (6.3-7.8): increased (High) increased. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. traeatment medication Triamcinlone Cream for Rash.,rednisone were reported. This case was linked to US-MODERNATX, INC.-MOD-2021-026992 (E2B Linked Report). Most recent FOLLOW-UP information incorporated above includes: On 10-May-2021: added concomitant medication, patient demographic. event, historical condition ,lab data, treatement medication; Sender's Comments: US-MODERNATX, INC.-MOD-2021-026992:cross link

Other Meds: FORTESTA; COLESEVELAM HCL

Current Illness: Drug allergy (Demoral allergy was reported)

ID: 1557840
Sex: M
Age: 87
State: CA

Vax Date: 02/23/2021
Onset Date:
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: No sleep for two days; severe cold; chills; coughing; cant eat; having trouble swallowing; fever; A spontaneous report was received from a consumer concerning a 86 years old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events no sleep for 2 days/insomnia, severe cold/nasopharyngitis, chills, coughing, cant eat/decreased appetite, having trouble swallowing/dysphagia, fever/pyrexia. The patient's medical history was not provided. No relevant concomitant medications were reported. On 23 Feb 2021, prior to the onset of the events the patient received first of two planned doses of mRNA-1273 (lot/batch: unknown) intramuscularly for prophylaxis of COVID-19 infection. On an unknown date, the patient experienced the event(s) No sleep for 2 days, Severe cold, Chills, Coughing, Cant eat, Having trouble swallowing, Fever. Treatment details included Patient have been taking Zical since reactions started. Action taken with mRNA-1273 in response to the events was not reported. The outcome of event(s), no sleep for 2 days/insomnia, severe cold/nasopharyngitis, chills, coughing, cant eat/decreased appetite, having trouble swallowing/dysphagia, fever/pyrexia was unknown.

Other Meds:

Current Illness:

ID: 1557841
Sex: F
Age:
State: FL

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 08/14/2021
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Symptom List:

Symptoms: Headache (congested heavy)/migraine; Itchy left arm; Chills; Joint left side pain; Muscle left side pain; Very very tired; Swollen left arm; A spontaneous report was received from a 64 year-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and developed headache (congested, heavy)/migraine, chills, joint left side pain, muscle left side pain, very very tired, swollen left arm, and itchy left arm. The patient's medical history was not provided. Concomitant medications, known to have been used by the patient within two weeks prior to the event, included vitamins. On 18-FEB-2021, prior to the onset of the events, the patient received her first of two planned doses of mRNA-1273 (lot number: 007M20A) intramuscularly for prophylaxis of COVID-19 infection. On 19-FEB-2021, the patient developed headache (congested, heavy)/migraine, chills, joint left side pain, muscle left side pain, very very tired, swollen left arm, and itchy left arm. Treatment included ibuprofen. Action taken with mRNA-1273 in response to the events was not reported. Outcome of headache (congested, heavy)/migraine was not resolved and outcomes of chills, joint left side pain, muscle left side pain, very very tired, swollen left arm, and Itchy left arm were resolved.; 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: MULTIVITAMINS [VITAMINS NOS]

Current Illness:

ID: 1557842
Sex: F
Age:
State: GA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 08/14/2021
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Symptom List:

Symptoms: itching on different parts of her body; short of breath; wheezing; right arm had swelling; congested; nose started running; eye turned red; like coming up with a cold; eye itched; warm sensation; dizzy; This spontaneous case was reported by a consumer and describes the occurrence of FEELING HOT (warm sensation), DIZZINESS (dizzy), EYE PRURITUS (eye itched), PRURITUS (itching on different parts of her body) and DYSPNOEA (short of breath) 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. Concomitant products included CETIRIZINE HCL for an unknown indication. On 01-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Feb-2021, the patient experienced FEELING HOT (warm sensation) and DIZZINESS (dizzy). On 02-Feb-2021, the patient experienced EYE PRURITUS (eye itched), NASOPHARYNGITIS (like coming up with a cold) and OCULAR HYPERAEMIA (eye turned red). On an unknown date, the patient experienced PRURITUS (itching on different parts of her body), DYSPNOEA (short of breath), WHEEZING (wheezing), PERIPHERAL SWELLING (right arm had swelling), NASAL CONGESTION (congested) and RHINORRHOEA (nose started running). At the time of the report, FEELING HOT (warm sensation), DIZZINESS (dizzy), EYE PRURITUS (eye itched), PRURITUS (itching on different parts of her body), DYSPNOEA (short of breath), WHEEZING (wheezing), PERIPHERAL SWELLING (right arm had swelling), NASAL CONGESTION (congested), NASOPHARYNGITIS (like coming up with a cold), RHINORRHOEA (nose started running) and OCULAR HYPERAEMIA (eye turned red) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds: CETIRIZINE HCL

Current Illness:

ID: 1557843
Sex: F
Age: 63
State: TX

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 08/14/2021
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Symptom List:

Symptoms: Every muscle started aching; Fever; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (Every muscle started aching) and PYREXIA (Fever) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Allergy to allopathic drugs (Allergic to Lisinopril). On 25-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Feb-2021, the patient experienced MYALGIA (Every muscle started aching) and PYREXIA (Fever). At the time of the report, MYALGIA (Every muscle started aching) and PYREXIA (Fever) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. No corrective treatment was provided.

Other Meds:

Current Illness: Allergy to allopathic drugs (Allergic to Lisinopril)

ID: 1557844
Sex: F
Age: 57
State: NJ

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 08/14/2021
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Symptom List:

Symptoms: Severe flu symptoms; Bed rest for 4 days and could not go to work; Weak; Dizziness; Chills; Nausea; Vomiting; headache; Lowgrade fever; Body aches; Sore arm; This spontaneous case was reported by a nurse and describes the occurrence of INFLUENZA (Severe flu symptoms), BED REST (Bed rest for 4 days and could not go to work), PAIN IN EXTREMITY (Sore arm), ASTHENIA (Weak) and DIZZINESS (Dizziness) in a 57-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concomitant products included VITAMIN D [VITAMIN D NOS], CURCUMIN and UBIDECARENONE (COQ 10) for an unknown indication. On 20-Jan-2021 at 8:30 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Jan-2021, the patient experienced PAIN IN EXTREMITY (Sore arm). On 26-Jan-2021, the patient experienced MYALGIA (Body aches). On 27-Jan-2021, the patient experienced INFLUENZA (Severe flu symptoms), BED REST (Bed rest for 4 days and could not go to work), ASTHENIA (Weak), DIZZINESS (Dizziness), CHILLS (Chills), NAUSEA (Nausea), VOMITING (Vomiting), HEADACHE (headache) and PYREXIA (Lowgrade fever). The patient was treated with IBUPROFEN (ADVIL [IBUPROFEN]) at a dose of 1 dosage form. On 21-Jan-2021, PAIN IN EXTREMITY (Sore arm) had resolved. On 01-Feb-2021, INFLUENZA (Severe flu symptoms), BED REST (Bed rest for 4 days and could not go to work), MYALGIA (Body aches), CHILLS (Chills), NAUSEA (Nausea), VOMITING (Vomiting), HEADACHE (headache) and PYREXIA (Lowgrade fever) had resolved. On 02-Feb-2021, DIZZINESS (Dizziness) had resolved. On 04-Feb-2021, ASTHENIA (Weak) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 27-Jan-2021, Body temperature: 100.7 (Inconclusive) 100.7 F. On 28-Jan-2021, SARS-CoV-2 test: negative (Negative) Negative. On 31-Jan-2021, SARS-CoV-2 test: negative (Negative) Negative. On an unknown date, SARS-CoV-2 antibody test: negative (Negative) Negative. 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. This case was linked to MOD-2021-101354 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 28-Apr-2021: Patient demographic details updated. Lab data added. 2 nd dose details added. Concomitant medications added.New events added. The outcome of the event (s) changed from unknown to recovered.

Other Meds: VITAMIN D [VITAMIN D NOS]; CURCUMIN; COQ 10

Current Illness:

ID: 1557845
Sex: F
Age: 70
State: FL

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 08/14/2021
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Symptoms: Patient noticed a rash similar to hives on her arms, legs, and one on her hand the next day, and; Patient had itchiness all over her body in the late afternoon few hours after the vaccination; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (Patient had itchiness all over her body in the late afternoon few hours after the vaccination) and RASH PRURITIC (Patient noticed a rash similar to hives on her arms, legs, and one on her hand the next day, and) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 015M20A) 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 17-Feb-2021, the patient experienced PRURITUS (Patient had itchiness all over her body in the late afternoon few hours after the vaccination). On 18-Feb-2021, the patient experienced RASH PRURITIC (Patient noticed a rash similar to hives on her arms, legs, and one on her hand the next day, and). At the time of the report, PRURITUS (Patient had itchiness all over her body in the late afternoon few hours after the vaccination) and RASH PRURITIC (Patient noticed a rash similar to hives on her arms, legs, and one on her hand the next day, and) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication details was reported. No treatment medication details was reported.

Other Meds:

Current Illness:

ID: 1557846
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/14/2021
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Symptoms: HIves at injection site; Headache; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE URTICARIA (HIves at injection site) and HEADACHE (Headache) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history 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 INJECTION SITE URTICARIA (HIves at injection site) and HEADACHE (Headache). At the time of the report, INJECTION SITE URTICARIA (HIves at injection site) and HEADACHE (Headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The age range of the patient was provided as 28-35 years. No treatment information was provided. No concomitant medications was provided.

Other Meds:

Current Illness:

ID: 1557847
Sex: F
Age: 88
State: MI

Vax Date: 02/17/2021
Onset Date: 02/26/2021
Rec V Date: 08/14/2021
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Symptoms: Injection site was itchy; Injection site was swollen; Round red rash around the injection site; Injection site was red; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PRURITUS (Injection site was itchy), VACCINATION SITE RASH (Round red rash around the injection site), VACCINATION SITE ERYTHEMA (Injection site was red) and VACCINATION SITE SWELLING (Injection site was swollen) in an 88-year-old female patient 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 26-Feb-2021, the patient experienced VACCINATION SITE RASH (Round red rash around the injection site) and VACCINATION SITE ERYTHEMA (Injection site was red). On an unknown date, the patient experienced VACCINATION SITE PRURITUS (Injection site was itchy) and VACCINATION SITE SWELLING (Injection site was swollen). At the time of the report, VACCINATION SITE PRURITUS (Injection site was itchy), VACCINATION SITE RASH (Round red rash around the injection site), VACCINATION SITE ERYTHEMA (Injection site was red) and VACCINATION SITE SWELLING (Injection site was swollen) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product use was not provided by the reporter. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1557848
Sex: F
Age:
State:

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

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Symptoms: fever; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (fever) 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 PYREXIA (fever). At the time of the report, PYREXIA (fever) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1557849
Sex: F
Age: 90
State: FL

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 08/14/2021
Hospital:

Vax Type:
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Symptom List:

Symptoms: has lost pounds , which is something difficult for her; can?t get herself around /feel she drag herself; feeling some fatigue that went worst /usually have some fatigue but not like the one she has been experiencing after the shot /still have the fatigue; could not sleep or eat for 2 days; This spontaneous case was reported by a consumer and describes the occurrence of INSOMNIA (could not sleep or eat for 2 days), WEIGHT DECREASED (has lost pounds , which is something difficult for her), FEELING ABNORMAL (can?t get herself around /feel she drag herself) and FATIGUE (feeling some fatigue that went worst /usually have some fatigue but not like the one she has been experiencing after the shot /still have the fatigue) in a 90-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included Stroke (Had a stroke 3 years ago). On 02-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Feb-2021, the patient experienced INSOMNIA (could not sleep or eat for 2 days) and FATIGUE (feeling some fatigue that went worst /usually have some fatigue but not like the one she has been experiencing after the shot /still have the fatigue). On 09-Feb-2021, the patient experienced WEIGHT DECREASED (has lost pounds , which is something difficult for her) and FEELING ABNORMAL (can?t get herself around /feel she drag herself). On 06-Feb-2021, INSOMNIA (could not sleep or eat for 2 days) had resolved. At the time of the report, WEIGHT DECREASED (has lost pounds , which is something difficult for her), FEELING ABNORMAL (can?t get herself around /feel she drag herself) and FATIGUE (feeling some fatigue that went worst /usually have some fatigue but not like the one she has been experiencing after the shot /still have the fatigue) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant product include pill for blood thinner. Treatment information was not provided. Most recent FOLLOW-UP information incorporated above includes: On 22-Apr-2021: Follow up was received on 22 Apr 2021 included no new information and patient denied further follow up.

Other Meds:

Current Illness:

ID: 1557850
Sex: M
Age: 75
State: TX

Vax Date: 02/04/2021
Onset Date: 02/08/2021
Rec V Date: 08/14/2021
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Symptom List:

Symptoms: Lost taste; Lost smell; Back aches/Achy; 99.8 fever; Joint pain; This spontaneous case was reported by a consumer and describes the occurrence of AGEUSIA (Lost taste), ANOSMIA (Lost smell), PAIN (Back aches/Achy), PYREXIA (99.8 fever) and ARTHRALGIA (Joint pain) in a 75-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. no medical history is provided and concomitant are provided. On 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Feb-2021, the patient experienced AGEUSIA (Lost taste), ANOSMIA (Lost smell), PAIN (Back aches/Achy), PYREXIA (99.8 fever) and ARTHRALGIA (Joint pain). On 09-Feb-2021, AGEUSIA (Lost taste), ANOSMIA (Lost smell), PAIN (Back aches/Achy), PYREXIA (99.8 fever) and ARTHRALGIA (Joint pain) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 08-Feb-2021, Body temperature: 99.8 f High. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant drugs included diabetes medicines and blood pressure medicine. No treatment medication information was provided.

Other Meds:

Current Illness:

ID: 1557851
Sex: F
Age: 35
State: NY

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 08/14/2021
Hospital:

Vax Type:
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Symptom List:

Symptoms: A red raised circle the size of a quarter, it was warm to touch; A red raised circle the size of a quarter; A red raised circle the size of a quarter; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (A red raised circle the size of a quarter, it was warm to touch), VACCINATION SITE ERYTHEMA (A red raised circle the size of a quarter) and VACCINATION SITE RASH (A red raised circle the size of a quarter) in a 35-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030M20A) for COVID-19 vaccination. Concurrent medical conditions included Allergy (Allergic reaction to Dupixent injection). On 08-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 08-Feb-2021, the patient experienced VACCINATION SITE WARMTH (A red raised circle the size of a quarter, it was warm to touch), VACCINATION SITE ERYTHEMA (A red raised circle the size of a quarter) and VACCINATION SITE RASH (A red raised circle the size of a quarter). At the time of the report, VACCINATION SITE WARMTH (A red raised circle the size of a quarter, it was warm to touch), VACCINATION SITE ERYTHEMA (A red raised circle the size of a quarter) and VACCINATION SITE RASH (A red raised circle the size of a quarter) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness: Allergy (Allergic reaction to Dupixent injection)

ID: 1557852
Sex: M
Age:
State: VA

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

Vax Type:
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Symptom List:

Symptoms: Got a cold; Throat is kind of hoarse right now; This spontaneous case was reported by a consumer and describes the occurrence of NASOPHARYNGITIS (Got a cold) and THROAT IRRITATION (Throat is kind of hoarse right now) 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) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced NASOPHARYNGITIS (Got a cold) and THROAT IRRITATION (Throat is kind of hoarse right now). At the time of the report, NASOPHARYNGITIS (Got a cold) and THROAT IRRITATION (Throat is kind of hoarse right now) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product use was not provided by the reporter. No treatment information was 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: 1557853
Sex: F
Age: 51
State: KS

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 08/14/2021
Hospital:

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Symptom List:

Symptoms: This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Pain on her right upper limb), FATIGUE (Tired), HEADACHE (Headache) and ARTHRALGIA (Pain on right shoulder blade) in a 51-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031L20A) 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) (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 23-Feb-2021, the patient experienced VACCINATION SITE PAIN (Pain on her right upper limb), FATIGUE (Tired) and HEADACHE (Headache). 23-Feb-2021, the patient experienced ARTHRALGIA (Pain on right shoulder blade). At the time of the report, VACCINATION SITE PAIN (Pain on her right upper limb), FATIGUE (Tired), HEADACHE (Headache) and ARTHRALGIA (Pain on right shoulder blade) outcome was unknown. Concomitant product use was not provided by the reporter. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1557854
Sex: F
Age: 43
State: OH

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 08/14/2021
Hospital:

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Lab Data:

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Symptom List:

Symptoms: 2nd dose administered from a punctured vial that was put back in fridge for a month/had been opened 30 days prior to administration, but kept refrigerated; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (2nd dose administered from a punctured vial that was put back in fridge for a month/had been opened 30 days prior to administration, but kept refrigerated) in a 43-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 17-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) (unknown route) at an unspecified dose. On 17-Feb-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (2nd dose administered from a punctured vial that was put back in fridge for a month/had been opened 30 days prior to administration, but kept refrigerated). At the time of the report, EXPIRED PRODUCT ADMINISTERED (2nd dose administered from a punctured vial that was put back in fridge for a month/had been opened 30 days prior to administration, but kept refrigerated) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medication information not provided by the reporter. This case was linked to MOD-2021-027809, MOD-2021-027810 (E2B Linked Report). Most recent FOLLOW-UP information incorporated above includes: On 29-Mar-2021: Patient information was updated. Start date and batch number for mRNA-1273 was provided. Reporter stated no problems after vaccine administration. The client is still not having any problems as of 26-Mar-2021.; Sender's Comments: This report refers to a case of Expired Product Administered for mRNA-1273 (Lot #: 013L20A) with no associated adverse events. MOD-2021-027809:same reporter, same event, different patient MOD-2021-027810:same reporter, same event, different patient

Other Meds:

Current Illness:

ID: 1557855
Sex: F
Age: 85
State: PA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 08/14/2021
Hospital:

Vax Type:
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Symptoms: Feeling weak; Shakiness/ shaky after going up the stairs; Lightheadedness / dizziness; This spontaneous case was reported by a consumer and describes the occurrence of TREMOR (Shakiness/ shaky after going up the stairs), DIZZINESS (Lightheadedness / dizziness) and ASTHENIA (Feeling weak) in an 85-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010M20A) for COVID-19 vaccination. The patient's past medical history included Anxiety. Concurrent medical conditions included Drug allergy (experienced a very bad reaction to Prilosec). On 03-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Feb-2021, the patient experienced TREMOR (Shakiness/ shaky after going up the stairs) and DIZZINESS (Lightheadedness / dizziness). On an unknown date, the patient experienced ASTHENIA (Feeling weak). The patient was treated with LORATADINE (CLARITIN [LORATADINE]) for Sinusitis, at an unspecified dose and frequency. At the time of the report, TREMOR (Shakiness/ shaky after going up the stairs), DIZZINESS (Lightheadedness / dizziness) and ASTHENIA (Feeling weak) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant Concomitant medications were reported.

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Current Illness: Drug allergy (experienced a very bad reaction to Prilosec)

ID: 1557856
Sex: M
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Rec V Date: 08/14/2021
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Symptoms: A spontaneous report was received from a other healthcare professional concerning a patient of unknown age, male who received Moderna's COVID-19 Vaccine (mRNA-1273) and who experienced: an administration error were (where) a few drops of the vaccine came out of the syringe as the hub was not in all the way. The patient's relevant medical history was not provided. Concomitant treatments not provided. On unknown date the patient received the first of two planned doses of mRNA-1273 (Batch Number unknown) via unknown route for prophylaxis of COVID-19 infection. On 26 Feb 2021, a voicemail was received from a pharmacy student regarding a vaccine administration error while administering the vaccine to a patient. The patient was not identified. The pharmacy student was administering a dose of Moderna's COVID-19 Vaccine (mRNA-1273, lot number: unknown) to a patient. It was reported that a few drops of the vaccine came out of the syringe as the hub was not in all the way. Further information regarding the administration of the vaccine and further action were not provided by the reporter. A call-back attempt to gather more information was attempted. The caller at that time who was not identified stated they, "already had the answer to the clinical issue and did not provide any patient identifiers." Follow up: On 25 Mar 2021 Outgoing call was placed to verify the identity of the patient reported on case. Original reporter was not present at the time and I was referred to a another Pharmacist whom the Other Healthcare Professional had instructed to be her proxy in follow-ups regarding this case. The Pharmacist confirmed the reported event and stated that the reported case involved a Male patient. She could not provide anymore information regarding the case. Treatment was not provided. Action taken with mRNA-1272 in response to the events was Unknown. The outcome of events, administration error were a few drops of the vaccine came out of the syringe as the hub was not in all the way was Recovered / Resolved; Reporter's Comments: This report refers to a case of vaccine underdose and syringe connection issue for mRNA-1273, lot # unknown with no associated AEs

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ID: 1557857
Sex: F
Age: 36
State: NY

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 08/14/2021
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Symptoms: Vacine exposure during pregnancy; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of EXPOSURE DURING PREGNANCY (Vacine exposure during pregnancy) in a 36-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 026L20A and 029L20A) for COVID-19 immunisation. 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 09-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. The patient's last menstrual period was on an unknown date and the estimated date of delivery was 28-Aug-2021. On 12-Jan-2021, the patient experienced EXPOSURE DURING PREGNANCY (Vacine exposure during pregnancy). On 09-Feb-2021, EXPOSURE DURING PREGNANCY (Vacine exposure during pregnancy) had resolved. Concomitant medication was not reported. Treatment medication was not reported.

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ID: 1557858
Sex: U
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Symptoms: Syringe leaking; Not knowing if the full dose was given; A spontaneous report was received from a consumer concerning a patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and there is an issue with the syringe like leakage and not knowing if the full dose was given. The patient's medical history was not provided by the reporter. No Concomitant medications were reported. On an unknown date, the patient received their one of two planned doses of mRNA-1273 (Lot number: unknown) for prophylaxis of COVID-19 infection. The reporter reports the incident that there is an issue like leakage and not knowing if the full dose was given. They are also unspecified that it is Moderna COVID vaccine or a Pfizer product. The reporter works at a medical distributor for Moderna vaccine. They have also contracts for convenient kits that go out with the customer for use with the Moderna and the Pfizer vaccines. The convenient kits are disposable to administer the vaccines. The complaints are coming that the syringe bent or one of the retractable syringes malfunctioned or there was leakage. She doesn't have any specifics. Action taken with mRNA-1273 in response to the events was unknown. The outcome of the events, syringe like leakage and not knowing if the full dose was given was resolved on an unknown date.; Reporter's Comments: This report refers to a case of accidental underdose and device connection issue for mRNA-1273 (lot # unknown) with no associated AEs reported.

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Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm