VAERS 2021 Database www.vaers.hhs.gov

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

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

COVID19 Lot Number

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

Incidents per State

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

ID: 1552300
Sex: F
Age: 72
State: TX

Vax Date: 01/15/2021
Onset Date: 01/21/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Rash on arms, back and chest; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of RASH (Rash on arms, back and chest) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 042L20A) for COVID-19 vaccination. Concomitant products included LOSARTAN, ATORVASTATIN, LEVOTHYROXINE, VALACICLOVIR, ZOLPIDEM, ESTRADIOL (VIVELLE-DOT), HYDROCODONE, GABAPENTIN, OMEPRAZOLE, VITAMIN D NOS and ASCORBIC ACID, BETACAROTENE, CUPRIC OXIDE, TOCOPHERYL ACETATE, ZINC OXIDE (PRESERVISION) for an unknown indication. On 15-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Jan-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced RASH (Rash on arms, back and chest). At the time of the report, RASH (Rash on arms, back and chest) was resolving. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment medications included Benadryl pill, Benadryl cream, and triamcinolone acetonide cream.

Other Meds: LOSARTAN; ATORVASTATIN; LEVOTHYROXINE; VALACICLOVIR; ZOLPIDEM; VIVELLE-DOT; HYDROCODONE; GABAPENTIN; OMEPRAZOLE; VITAMIN D NOS; PRESERVISION

Current Illness:

ID: 1552301
Sex: M
Age:
State: FL

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Just abnormal symptoms for few days; Tiredness; Arm is really sore; Sore throat; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm is really sore), OROPHARYNGEAL PAIN (Sore throat), FEELING ABNORMAL (Just abnormal symptoms for few days) and FATIGUE (Tiredness) in a 73-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001A21A) for COVID-19 vaccination. No Medical History information was reported. On 21-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 PAIN IN EXTREMITY (Arm is really sore), OROPHARYNGEAL PAIN (Sore throat) and FATIGUE (Tiredness). On an unknown date, the patient experienced FEELING ABNORMAL (Just abnormal symptoms for few days). At the time of the report, PAIN IN EXTREMITY (Arm is really sore), OROPHARYNGEAL PAIN (Sore throat), FEELING ABNORMAL (Just abnormal symptoms for few days) and FATIGUE (Tiredness) 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. Most recent FOLLOW-UP information incorporated above includes: On 02-Jun-2021: follow up received on 2-jun-2021 :new event was added

Other Meds:

Current Illness:

ID: 1552302
Sex: F
Age: 79
State:

Vax Date: 02/08/2021
Onset Date: 02/11/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Heavy mucous production; Low grade fever; Felt achy; This spontaneous case was reported by a consumer and describes the occurrence of SECRETION DISCHARGE (Heavy mucous production), PYREXIA (Low grade fever) and MYALGIA (Felt achy) in a 79-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012M20A) for COVID-19 vaccination. Concurrent medical conditions included Seasonal allergy and Hypertension. On 08-Feb-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Feb-2021, the patient experienced MYALGIA (Felt achy). On 14-Feb-2021, the patient experienced SECRETION DISCHARGE (Heavy mucous production) and PYREXIA (Low grade fever). At the time of the report, SECRETION DISCHARGE (Heavy mucous production) and PYREXIA (Low grade fever) outcome was unknown and MYALGIA (Felt achy) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications reported were high blood pressure medicine, inhaler for seasonal allergies. Treatment details included paracetamol.

Other Meds:

Current Illness: Hypertension; Seasonal allergy.

ID: 1552303
Sex: F
Age:
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Urinary infection; This spontaneous case was reported by a consumer and describes the occurrence of URINARY TRACT INFECTION (Urinary infection) 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 URINARY TRACT INFECTION (Urinary infection). At the time of the report, URINARY TRACT INFECTION (Urinary infection) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant concomitant medications were reported. No treatment information was provided.

Other Meds:

Current Illness:

ID: 1552304
Sex: M
Age:
State: MO

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Hives all over the body; This spontaneous case was reported by a consumer and describes the occurrence of URTICARIA (Hives all over the body) in a 55-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 016M20A) 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 11-Feb-2021, the patient experienced URTICARIA (Hives all over the body). At the time of the report, URTICARIA (Hives all over the body) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. Treatment details included cortisone injection.

Other Meds:

Current Illness:

ID: 1552305
Sex: F
Age:
State: CA

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

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: horrible headaches;pain on the top left side of the head and Pressure in the head; pain in the arm; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (horrible headaches;pain on the top left side of the head and Pressure in the head) and LIMB DISCOMFORT (pain in the arm) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concomitant products included CRATAEGUS LAEVIGATA, MAGNESIUM CITRATE, PLECTRANTHUS HADIENSIS, THEANINE, THEOBROMA CACAO (HIGH BLOOD PRESSURURE) for Hypertension. On 12-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Feb-2021, the patient experienced HEADACHE (horrible headaches;pain on the top left side of the head and Pressure in the head) and LIMB DISCOMFORT (pain in the arm). On 14-Feb-2021, LIMB DISCOMFORT (pain in the arm) had resolved. At the time of the report, HEADACHE (horrible headaches;pain on the top left side of the head and Pressure in the head) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medications also included Reflux medication. Treatment details included Excedrin.

Other Meds: HIGH BLOOD PRESSURURE

Current Illness:

ID: 1552306
Sex: F
Age: 80
State: TX

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Achy across the shoulder; This spontaneous case was reported by a consumer and describes the occurrence of ARTHRALGIA (Achy across the shoulder) in an 80-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 027L20A) for COVID-19 vaccination. The patient's past medical history included No adverse event (No reported medical history). On 03-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(s). On 03-Feb-2021, the patient experienced ARTHRALGIA (Achy across the shoulder). At the time of the report, ARTHRALGIA (Achy across the shoulder) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were reported. No treatment medications were reported. Action taken with mRNA-1273 in response to the events was not applicable.

Other Meds:

Current Illness:

ID: 1552307
Sex: M
Age: 50
State: VA

Vax Date: 02/17/2021
Onset Date: 02/23/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Painful lymph node; Swollen lymph node same arm of injection; This spontaneous case was reported by a consumer and describes the occurrence of LYMPH NODE PAIN (Painful lymph node) and LYMPHADENOPATHY (Swollen lymph node same arm of injection) in a 50-year-old male 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 dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 23-Feb-2021, the patient experienced LYMPHADENOPATHY (Swollen lymph node same arm of injection). On an unknown date, the patient experienced LYMPH NODE PAIN (Painful lymph node). At the time of the report, LYMPH NODE PAIN (Painful lymph node) and LYMPHADENOPATHY (Swollen lymph node same arm of injection) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Treatment and concomitant medications were not provided by reporter.

Other Meds:

Current Illness:

ID: 1552308
Sex: F
Age: 30
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Red, painful, bump at injection site; Red, painful, bump at injection site; Red, painful, bump at injection site; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 05-Feb-2021 and was forwarded to Moderna on 05-Feb-2021. This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE ERYTHEMA (Red, painful, bump at injection site), VACCINATION SITE PAIN (Red, painful, bump at injection site) and VACCINATION SITE SWELLING (Red, painful, bump at injection site) in a 30-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) 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 20-Jan-2021, the patient experienced VACCINATION SITE ERYTHEMA (Red, painful, bump at injection site), VACCINATION SITE PAIN (Red, painful, bump at injection site) and VACCINATION SITE SWELLING (Red, painful, bump at injection site). At the time of the report, VACCINATION SITE ERYTHEMA (Red, painful, bump at injection site), VACCINATION SITE PAIN (Red, painful, bump at injection site) and VACCINATION SITE SWELLING (Red, painful, bump at injection site) 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. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1552309
Sex: M
Age: 74
State: FL

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: swollen at injection site; injection site red; injection site hot; headache; achiness on body; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE SWELLING (swollen at injection site), INJECTION SITE ERYTHEMA (injection site red), INJECTION SITE WARMTH (injection site hot), HEADACHE (headache) and MYALGIA (achiness on body) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 032L20A and 028L20A) for COVID-19 immunization. No Medical History information was reported. 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 an unknown date, the patient experienced INJECTION SITE SWELLING (swollen at injection site), INJECTION SITE ERYTHEMA (injection site red), INJECTION SITE WARMTH (injection site hot), HEADACHE (headache) and MYALGIA (achiness on body). At the time of the report, INJECTION SITE SWELLING (swollen at injection site), INJECTION SITE ERYTHEMA (injection site red), INJECTION SITE WARMTH (injection site hot), HEADACHE (headache) and MYALGIA (achiness on body) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment medications included took Advil and Tylenol. No relevant concomitant medications were reported. This case was linked to MOD-2021-020775 (Patient Link).

Other Meds:

Current Illness:

ID: 1552310
Sex: F
Age:
State: RI

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

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

Lab Data:

Allergies:

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

Symptoms: sore throat; Pain in the left upper arm at the injection site; Mild Headache; This spontaneous case was reported by a patient and describes the occurrence of OROPHARYNGEAL PAIN (sore throat), HEADACHE (Mild Headache) and INJECTION SITE PAIN (Pain in the left upper arm at the injection site) in a 70-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 first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Jan-2021, the patient experienced HEADACHE (Mild Headache). On 23-Feb-2021, the patient experienced OROPHARYNGEAL PAIN (sore throat) and INJECTION SITE PAIN (Pain in the left upper arm at the injection site). At the time of the report, OROPHARYNGEAL PAIN (sore throat), HEADACHE (Mild Headache) and INJECTION SITE PAIN (Pain in the left upper arm at the injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment and concomitant medications were not provided.

Other Meds:

Current Illness:

ID: 1552311
Sex: F
Age: 76
State: AL

Vax Date: 01/28/2021
Onset Date:
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: UTI; This spontaneous case was reported by a consumer and describes the occurrence of URINARY TRACT INFECTION (UTI) in a 76-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032L20A) for COVID-19 vaccination. No Medical History information was reported. On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced URINARY TRACT INFECTION (UTI). The patient was treated with CIPROFLOXACIN (CIPRO [CIPROFLOXACIN]) for UTI, at a dose of 1 dosage form. At the time of the report, URINARY TRACT INFECTION (UTI) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. Most recent FOLLOW-UP information incorporated above includes: On 14-Jul-2021: Follow-up received on 14-JUL-2021 contains significant information. The event outcome was updated from unknown to recovered/resolved.

Other Meds:

Current Illness:

ID: 1552312
Sex: M
Age:
State:

Vax Date: 02/03/2021
Onset Date:
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: fever of 102.; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (fever of 102.) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 03-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PYREXIA (fever of 102.). At the time of the report, PYREXIA (fever of 102.) outcome was unknown. No relevant concomitant medications were reported. No treatment information was provided. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1552313
Sex: F
Age: 59
State: NY

Vax Date: 12/29/2020
Onset Date: 01/26/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: 2 swollen lymph nodes in her neck; chills; stayed in bed all day; like the flu; This spontaneous case was reported by a consumer and describes the occurrence of BED REST (stayed in bed all day), INFLUENZA (like the flu), LYMPHADENOPATHY (2 swollen lymph nodes in her neck) and CHILLS (chills) in a 59-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030L20A and 026L20A) for COVID-19 vaccination. No medical history was provided by reporter. Concomitant products included LEVOTHYROXINE SODIUM (SYNTHROID) for an unknown indication. On 29-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 26-Jan-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 26-Jan-2021, the patient experienced BED REST (stayed in bed all day), INFLUENZA (like the flu) and CHILLS (chills). On 18-Feb-2021, the patient experienced LYMPHADENOPATHY (2 swollen lymph nodes in her neck). At the time of the report, BED REST (stayed in bed all day), INFLUENZA (like the flu), LYMPHADENOPATHY (2 swollen lymph nodes in her neck) and CHILLS (chills) outcome was unknown. Treatment details included Tylenol(paracetamol) and motrin (Ibuprofen).

Other Meds: SYNTHROID

Current Illness:

ID: 1552314
Sex: F
Age: 98
State: MO

Vax Date: 02/04/2021
Onset Date:
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: arm hurts; worried about second shot; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (arm hurts) and TENSION (worried about second shot) in a 98-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 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (arm hurts) and TENSION (worried about second shot). At the time of the report, PAIN IN EXTREMITY (arm hurts) and TENSION (worried about second shot) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment and concomitant medications were not provided by reporter.

Other Meds:

Current Illness:

ID: 1552315
Sex: F
Age: 70
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Post 1st vaccine Left Arm Hurt a little; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Post 1st vaccine Left Arm Hurt a little) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029L20A and 013M20A) for COVID-19 vaccination. The patient's past medical history included Fibromyalgia and Irritable bowel syndrome.On 05-Jan-2021, the patient received first 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 05-Jan-2021, the patient experienced PAIN IN EXTREMITY (Post 1st vaccine Left Arm Hurt a little). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. On 09-Jan-2021, PAIN IN EXTREMITY (Post 1st vaccine Left Arm Hurt a little) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.Treatment details also include Ice.

Other Meds:

Current Illness:

ID: 1552316
Sex: M
Age: 77
State: CA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: sore arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (sore arm) in a 77-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030M20A) for COVID-19 vaccination. No Medical History information was reported. On 09-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 PAIN IN EXTREMITY (sore arm). On 11-Feb-2021, PAIN IN EXTREMITY (sore arm) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment and concomitant medications were not provided by reporter.

Other Meds:

Current Illness:

ID: 1552317
Sex: M
Age:
State: CT

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

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data: Test Date: 20210113; Test Name: SARS-CoV-2 test; Test Result: Positive ; Result Unstructured Data: Positive

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Tested positive for COVID-19 after the first dose; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (Tested positive for COVID-19 after the first dose) in a 21-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039A20A) for COVID-19 vaccination. No Medical History information was reported. On 11-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 13-Jan-2021, the patient experienced COVID-19 (Tested positive for COVID-19 after the first dose). At the time of the report, COVID-19 (Tested positive for COVID-19 after the first dose) had resolved. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 13-Jan-2021, SARS-CoV-2 test: positive (Positive) Positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Treatment and concomitant medications were not provided by reporter.

Other Meds:

Current Illness:

ID: 1552318
Sex: F
Age: 42
State: NY

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: diagnosed with ear infection in both ears; both ears starting bothering her; This spontaneous case was reported by a consumer and describes the occurrence of EAR INFECTION (diagnosed with ear infection in both ears) and EAR DISCOMFORT (both ears starting bothering her) in a 43-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010M20A) for COVID-19 vaccination. Concurrent medical conditions included Penicillin allergy and Sulfonamide allergy (allergic to sulfa.). On 19-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .5 ml. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 21-Feb-2021, the patient experienced EAR DISCOMFORT (both ears starting bothering her). On 22-Feb-2021, the patient experienced EAR INFECTION (diagnosed with ear infection in both ears). At the time of the report, EAR INFECTION (diagnosed with ear infection in both ears) and EAR DISCOMFORT (both ears starting bothering her) outcome was unknown. Action taken with mRNA-1273 in response to the event was not applicable. No concomitant medications were reported. Treatment medications included unknown antibiotics.; Sender's Comments: Very limited information regarding this event has been provided at this time. Further information has been requested.

Other Meds:

Current Illness: Penicillin allergy; Sulfonamide allergy (allergic to sulfa.)

ID: 1552319
Sex: F
Age: 66
State: TX

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

Vax Type: RV1
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: ROTAVIRUS (ROTARIX)
Lot:
Dose Series: 1
Vax Route: PO
Vax Site: MO

Lab Data:

Allergies:

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Swollen Lymph Nodes; LYMPH NODE PAIN; This spontaneous case was reported by a consumer and describes the occurrence of LYMPH NODE PAIN (LYMPH NODE PAIN) and LYMPHADENOPATHY (Swollen Lymph Nodes) 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 19-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Feb-2021, the patient experienced LYMPH NODE PAIN (LYMPH NODE PAIN). On 20-Feb-2021, the patient experienced LYMPHADENOPATHY (Swollen Lymph Nodes). At the time of the report, LYMPH NODE PAIN (LYMPH NODE PAIN) and LYMPHADENOPATHY (Swollen Lymph Nodes) outcome was unknown. Treatment and concomitant medications were not provided by reporter.

Other Meds:

Current Illness:

ID: 1552320
Sex: F
Age: 62
State: MI

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Aches; Lingering headache; Have a fever which was up and down up to 100.3F / went away and came back; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Aches), PYREXIA (Have a fever which was up and down up to 100.3F / went away and came back) and HEADACHE (Lingering headache) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) 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 19-Feb-2021, the patient experienced PYREXIA (Have a fever which was up and down up to 100.3F / went away and came back). On an unknown date, the patient experienced PAIN (Aches) and HEADACHE (Lingering headache). The patient was treated with PARACETAMOL (TYLENOL) at a dose of 1 dosage form. At the time of the report, PAIN (Aches), PYREXIA (Have a fever which was up and down up to 100.3F / went away and came back) and HEADACHE (Lingering headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Most recent FOLLOW-UP information incorporated above includes: On 27-Apr-2021: Contains non-significant information.

Other Meds:

Current Illness:

ID: 1552321
Sex: M
Age: 63
State: TX

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Swelling arm; swelling and redness in his arm; headache; chills; joint and muscle pain; joint and muscle pain; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (Swelling arm), ERYTHEMA (swelling and redness in his arm), HEADACHE (headache), CHILLS (chills) and ARTHRALGIA (joint and muscle pain) in a 63-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event. On 26-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Jan-2021, the patient experienced PERIPHERAL SWELLING (Swelling arm), ERYTHEMA (swelling and redness in his arm), HEADACHE (headache), CHILLS (chills), ARTHRALGIA (joint and muscle pain) and MYALGIA (joint and muscle pain). At the time of the report, PERIPHERAL SWELLING (Swelling arm), ERYTHEMA (swelling and redness in his arm), HEADACHE (headache), CHILLS (chills), ARTHRALGIA (joint and muscle pain) and MYALGIA (joint and muscle pain) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Laboratory details were provided. No Treatment information reported. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1552322
Sex: F
Age: 78
State: CA

Vax Date: 02/15/2021
Onset Date: 02/18/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Neck felt stiff; Red, itchy rashes all the way across her neck, face, forehead and upper chest/Rash on arm, neck, and chest; This spontaneous case was reported by a consumer and describes the occurrence of MUSCULOSKELETAL STIFFNESS (Neck felt stiff) and RASH (Red, itchy rashes all the way across her neck, face, forehead and upper chest/Rash on arm, neck, and chest) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 024M20A and 001B21A) for COVID-19 vaccination. Previously administered products included for an unreported indication: SHINGRIX on 19-Jan-2021. On 15-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 18-Feb-2021, the patient experienced MUSCULOSKELETAL STIFFNESS (Neck felt stiff) and RASH (Red, itchy rashes all the way across her neck, face, forehead and upper chest/Rash on arm, neck, and chest). On 22-Feb-2021, MUSCULOSKELETAL STIFFNESS (Neck felt stiff) outcome was unknown. At the time of the report, RASH (Red, itchy rashes all the way across her neck, face, forehead and upper chest/Rash on arm, neck, and chest) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. This case was linked to MOD-2021-098966 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 28-Apr-2021: Lot number, Treatment meds

Other Meds:

Current Illness:

ID: 1552323
Sex: M
Age: 32
State: HI

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: delayed transient numbness in his face; delayed transient numbness in his hands; This spontaneous case was reported by a physician and describes the occurrence of HYPOAESTHESIA (delayed transient numbness in his face) and HYPOAESTHESIA (delayed transient numbness in his hands) in a 32-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 011J20A and 027L20A) for COVID-19 vaccination. No Medical History information was reported. On 24-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Jan-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 01-Jan-2021, the patient experienced HYPOAESTHESIA (delayed transient numbness in his face) and HYPOAESTHESIA (delayed transient numbness in his hands). At the time of the report, HYPOAESTHESIA (delayed transient numbness in his face) and HYPOAESTHESIA (delayed transient numbness in his hands) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Treatment and concomitant medications were not provided by reporter.

Other Meds:

Current Illness:

ID: 1552324
Sex: F
Age: 58
State: MD

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Extremely sick; Kept falling asleep; Vertigo; Swelling and redness spreading down arm; Swelling and redness spreading down arm; Fever; Head was pounding; Pain on the side like was hit by a bowling ball; Redness seems to be getting worse; This spontaneous case was reported by a consumer and describes the occurrence of ILLNESS (Extremely sick), HYPERSOMNIA (Kept falling asleep), VERTIGO (Vertigo), SWELLING (Swelling and redness spreading down arm) and ERYTHEMA (Swelling and redness spreading down arm) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025120A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. 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 an unknown date, the patient experienced ILLNESS (Extremely sick), HYPERSOMNIA (Kept falling asleep), VERTIGO (Vertigo), SWELLING (Swelling and redness spreading down arm), ERYTHEMA (Swelling and redness spreading down arm), PYREXIA (Fever), HEADACHE (Head was pounding), PAIN (Pain on the side like was hit by a bowling ball) and ERYTHEMA (Redness seems to be getting worse). At the time of the report, ILLNESS (Extremely sick), HYPERSOMNIA (Kept falling asleep), VERTIGO (Vertigo), SWELLING (Swelling and redness spreading down arm), ERYTHEMA (Swelling and redness spreading down arm), PYREXIA (Fever), HEADACHE (Head was pounding), PAIN (Pain on the side like was hit by a bowling ball) and ERYTHEMA (Redness seems to be getting worse) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1552325
Sex: F
Age:
State: MI

Vax Date: 02/09/2021
Onset Date:
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Soreness at arm of injetion; Itching at the site of injection; Headache; tired; Rash at the site of injection,rash moved down to arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Soreness at arm of injetion), VACCINATION SITE PRURITUS (Itching at the site of injection), HEADACHE (Headache), FATIGUE (tired) and VACCINATION SITE RASH (Rash at the site of injection,rash moved down to arm) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007M20A) for COVID-19 vaccination. No Medical History information was reported. On 09-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 PAIN IN EXTREMITY (Soreness at arm of injetion), VACCINATION SITE PRURITUS (Itching at the site of injection), HEADACHE (Headache), FATIGUE (tired) and VACCINATION SITE RASH (Rash at the site of injection,rash moved down to arm). The patient was treated with ACETYLSALICYLIC ACID (ASPIRIN (E.C.)) for Headache, at a dose of 1 UNK. At the time of the report, PAIN IN EXTREMITY (Soreness at arm of injetion), VACCINATION SITE PRURITUS (Itching at the site of injection), HEADACHE (Headache), FATIGUE (tired) and VACCINATION SITE RASH (Rash at the site of injection,rash moved down to arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.

Other Meds:

Current Illness:

ID: 1552326
Sex: M
Age: 65
State: NY

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Itching; Hands had become red; Hands became swollen to the point where couldn't make a fist; Swelling on face; Swelling on back; Swelling on legs; Swelling on chest; Swelling on mouth; Swelling on stomach; This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (Hands had become red), PERIPHERAL SWELLING (Hands became swollen to the point where couldn't make a fist), SWELLING FACE (Swelling on face), SWELLING (Swelling on back) and PERIPHERAL SWELLING (Swelling on legs) in a 65-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 024M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 28-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) (unknown route) dosage was changed to 1 dosage form. On 04-Feb-2021, the patient experienced ERYTHEMA (Hands had become red), PERIPHERAL SWELLING (Hands became swollen to the point where couldn't make a fist), SWELLING FACE (Swelling on face), SWELLING (Swelling on back), PERIPHERAL SWELLING (Swelling on legs), SWELLING (Swelling on chest), MOUTH SWELLING (Swelling on mouth) and ABDOMINAL DISTENSION (Swelling on stomach). On 06-Feb-2021, the patient experienced PRURITUS (Itching). At the time of the report, ERYTHEMA (Hands had become red), PERIPHERAL SWELLING (Hands became swollen to the point where couldn't make a fist), SWELLING FACE (Swelling on face), SWELLING (Swelling on back), PERIPHERAL SWELLING (Swelling on legs), SWELLING (Swelling on chest), MOUTH SWELLING (Swelling on mouth), ABDOMINAL DISTENSION (Swelling on stomach) and PRURITUS (Itching) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) and mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No treatment was provided. No concomitants were provided. Most recent FOLLOW-UP information incorporated above includes: On 14-Jul-2021: Follow up received on 14 JULY 2021 and added patient demography. added 2nd dose details. added new event.

Other Meds:

Current Illness:

ID: 1552327
Sex: F
Age: 64
State: TX

Vax Date: 02/05/2021
Onset Date: 02/04/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Headache; Body aches; Fever; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (Headache), MYALGIA (Body aches) and PYREXIA (Fever) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013M20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. On 05-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 HEADACHE (Headache), MYALGIA (Body aches) and PYREXIA (Fever). At the time of the report, HEADACHE (Headache), MYALGIA (Body aches) and PYREXIA (Fever) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Concomitant information 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 the events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1552328
Sex: F
Age: 32
State: OH

Vax Date: 02/03/2021
Onset Date:
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: small red bumps covering her body; headache; nausea; aches and pains; rash on legs; This spontaneous case was reported by a consumer and describes the occurrence of RASH ERYTHEMATOUS (small red bumps covering her body), HEADACHE (headache), NAUSEA (nausea), PAIN (aches and pains) and RASH (rash on legs) in a 32-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 03-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 RASH ERYTHEMATOUS (small red bumps covering her body), HEADACHE (headache), NAUSEA (nausea), PAIN (aches and pains) and RASH (rash on legs). At the time of the report, RASH ERYTHEMATOUS (small red bumps covering her body), HEADACHE (headache), NAUSEA (nausea), PAIN (aches and pains) and RASH (rash on legs) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment and concomitant medications were not provided by reporter.

Other Meds:

Current Illness:

ID: 1552329
Sex: F
Age: 68
State: CA

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: felt and looked like an itchy sunburn/Patient's rib cage on up, both in back and front were itchy and slightly red; felt and looked like an itchy sunburn; Patient's rib cage on up, both in back and front were slightly red; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (felt and looked like an itchy sunburn/Patient's rib cage on up, both in back and front were itchy and slightly red), SUNBURN (felt and looked like an itchy sunburn) and ERYTHEMA (Patient's rib cage on up, both in back and front were slightly red) in a 68-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 14-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Feb-2021, the patient experienced PRURITUS (felt and looked like an itchy sunburn/Patient's rib cage on up, both in back and front were itchy and slightly red), SUNBURN (felt and looked like an itchy sunburn) and ERYTHEMA (Patient's rib cage on up, both in back and front were slightly red). At the time of the report, PRURITUS (felt and looked like an itchy sunburn/Patient's rib cage on up, both in back and front were itchy and slightly red), SUNBURN (felt and looked like an itchy sunburn) and ERYTHEMA (Patient's rib cage on up, both in back and front were slightly red) was resolving. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment medication included Benadryl. No concomitant medications were provided by reporter.

Other Meds:

Current Illness:

ID: 1552330
Sex: M
Age:
State: PA

Vax Date: 01/28/2021
Onset Date: 12/28/2020
Rec V Date: 08/13/2021
Hospital:

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

Lab Data: Test Date: 20210221; Test Name: fever; Result Unstructured Data: 102.4

Allergies:

Symptom List: Injection site pain

Symptoms: Fever of 102.4; Started with Fever; Sore arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Sore arm), PYREXIA (Started with Fever) and PYREXIA (Fever of 102.4) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 028l20A) for COVID-19 vaccination. No medical history was provided by the reporter. On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Dec-2020, the patient experienced PAIN IN EXTREMITY (Sore arm). On 30-Jan-2021, the patient experienced PYREXIA (Started with Fever). On 21-Feb-2021, the patient experienced PYREXIA (Fever of 102.4). The patient was treated with PARACETAMOL (TYLENOL) at a dose of 3 dosage form. On 30-Jan-2021, PAIN IN EXTREMITY (Sore arm) had resolved. At the time of the report, PYREXIA (Started with Fever) and PYREXIA (Fever of 102.4) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 21-Feb-2021, Pyrexia: 102.4 (High) 102.4. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1552331
Sex: F
Age:
State: MN

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

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

Lab Data:

Allergies:

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

Symptoms: slightly swollen and itchy; slightly swollen and itchy; redness at the injection site of the size of a golf ball; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (slightly swollen and itchy), SWELLING (slightly swollen and itchy) and INJECTION SITE ERYTHEMA (redness at the injection site of the size of a golf ball) in a 50-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031L20A) for COVID-19 vaccination. Concomitant products included LEVOTHYROXINE and CITALOPRAM for an unknown indication. On 13-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 23-Feb-2021, the patient experienced PRURITUS (slightly swollen and itchy), SWELLING (slightly swollen and itchy) and INJECTION SITE ERYTHEMA (redness at the injection site of the size of a golf ball). At the time of the report, PRURITUS (slightly swollen and itchy), SWELLING (slightly swollen and itchy) and INJECTION SITE ERYTHEMA (redness at the injection site of the size of a golf ball) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.

Other Meds: LEVOTHYROXINE; CITALOPRAM

Current Illness:

ID: 1552332
Sex: F
Age: 61
State: PA

Vax Date: 01/06/2021
Onset Date: 02/03/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: Test Date: 20210203; Test Name: Temperature; Result Unstructured Data: 100.3f

Allergies:

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

Symptoms: Really bad body aches; Fever of 100.3; really bad headache; Chills; Vomiting; Nausea; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (Really bad body aches), PYREXIA (Fever of 100.3), HEADACHE (really bad headache), CHILLS (Chills) and VOMITING (Vomiting) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 026L20A and 010M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter. On 06-Jan-2021, the patient received second 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 03-Feb-2021, the patient experienced MYALGIA (Really bad body aches), PYREXIA (Fever of 100.3), HEADACHE (really bad headache), CHILLS (Chills), VOMITING (Vomiting) and NAUSEA (Nausea). At the time of the report, MYALGIA (Really bad body aches), PYREXIA (Fever of 100.3), HEADACHE (really bad headache), CHILLS (Chills), VOMITING (Vomiting) and NAUSEA (Nausea) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 03-Feb-2021, Body temperature increased: 100.3f (High) 100.3f.

Other Meds:

Current Illness:

ID: 1552333
Sex: F
Age: 79
State: TX

Vax Date: 01/15/2021
Onset Date: 01/25/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Hurting soreness on left side; Redness on the left side; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PAIN IN EXTREMITY (Hurting soreness on left side) and ERYTHEMA (Redness on the left side) in a 79-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 041L20A) for COVID-19 vaccination. No Medical History information was reported. On 15-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 25-Jan-2021, the patient experienced PAIN IN EXTREMITY (Hurting soreness on left side) and ERYTHEMA (Redness on the left side). At the time of the report, PAIN IN EXTREMITY (Hurting soreness on left side) and ERYTHEMA (Redness on the left side) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant concomitant medications were reported. Nurse recommended to take paracetamol and ibuprofen.; 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: 1552334
Sex: F
Age: 86
State: CA

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: soreness at injection site; Redness at injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (soreness at injection site) and VACCINATION SITE ERYTHEMA (Redness at injection site) in an 86-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 3218840) for COVID-19 vaccination. Concurrent medical conditions included Blood pressure fluctuation and Heartburn. Concomitant products included LEVOTHYROXINE for an unknown indication. On 13-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Feb-2021, the patient experienced VACCINATION SITE PAIN (soreness at injection site) and VACCINATION SITE ERYTHEMA (Redness at injection site). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency and PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, VACCINATION SITE PAIN (soreness at injection site) and VACCINATION SITE ERYTHEMA (Redness at injection site) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product include unspecified blood pressure medication and heartburn medication. On 14-FEB-2021, patient experienced injection site soreness and redness and it went away. On 23-FEB-2021, redness and injection site soreness came back.

Other Meds: LEVOTHYROXINE

Current Illness: Blood pressure fluctuation; Heartburn

ID: 1552335
Sex: F
Age: 66
State: WI

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Did not get the 2nd dose; Lost 7 pounds; Vibration sensation in the center of her body/different sensations all over her body; Hand are asleep every morning/ feet asleep every morning/ numbness in her toes; Bottom of skull is aching/Neck feel like it was going to cave in; Headache; Nausea; Chills; Diarrhea; Tingling in her toes and feet; Burning sensation on the backs of both legs/ kind of a burning feeling/ burning sensation in different part of her body (face, arms, hips,feet, and thighs); This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PARAESTHESIA (Tingling in her toes and feet), BURNING SENSATION (Burning sensation on the backs of both legs/ kind of a burning feeling/ burning sensation in different part of her body (face, arms, hips,feet, and thighs)), PRODUCT DOSE OMISSION ISSUE (Did not get the 2nd dose), WEIGHT DECREASED (Lost 7 pounds) and SENSORY DISTURBANCE (Vibration sensation in the center of her body/different sensations all over her body) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001B21A) for COVID-19 immunisation. The occurrence of additional non-serious events is detailed below. No relevant concomitant medications reported. No relevant medical history was reported. On 11-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Mar-2021, the patient experienced PARAESTHESIA (Tingling in her toes and feet), BURNING SENSATION (Burning sensation on the backs of both legs/ kind of a burning feeling/ burning sensation in different part of her body (face, arms, hips,feet, and thighs)) and DIARRHOEA (Diarrhea). On an unknown date, the patient experienced PRODUCT DOSE OMISSION ISSUE (Did not get the 2nd dose), WEIGHT DECREASED (Lost 7 pounds), SENSORY DISTURBANCE (Vibration sensation in the center of her body/different sensations all over her body), HYPOAESTHESIA (Hand are asleep every morning/ feet asleep every morning/ numbness in her toes), PAIN (Bottom of skull is aching/Neck feel like it was going to cave in), HEADACHE (Headache), NAUSEA (Nausea) and CHILLS (Chills). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. At the time of the report, PARAESTHESIA (Tingling in her toes and feet), BURNING SENSATION (Burning sensation on the backs of both legs/ kind of a burning feeling/ burning sensation in different part of her body (face, arms, hips,feet, and thighs)), PAIN (Bottom of skull is aching/Neck feel like it was going to cave in), HEADACHE (Headache), NAUSEA (Nausea) and CHILLS (Chills) had not resolved, PRODUCT DOSE OMISSION ISSUE (Did not get the 2nd dose), DIARRHOEA (Diarrhea) and HYPOAESTHESIA (Hand are asleep every morning/ feet asleep every morning/ numbness in her toes) had resolved and WEIGHT DECREASED (Lost 7 pounds) and SENSORY DISTURBANCE (Vibration sensation in the center of her body/different sensations all over her body) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The allergist recommended to not take the second dose of the vaccine.She had seen her primary physician, allergist/immune doctor and neurologist. On an unspecified date, a blood work-up was normal. Most recent FOLLOW-UP information incorporated above includes: On 30-Mar-2021: Updated lab data, events and treatment taken. On 07-May-2021: Updated vaccine route of administration, events and outcome of events.

Other Meds:

Current Illness:

ID: 1552336
Sex: F
Age: 83
State: AR

Vax Date: 02/03/2021
Onset Date:
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Stomach ache; Body ache; Severe Headache; Fatigue; This spontaneous case was reported by a consumer and describes the occurrence of ABDOMINAL PAIN UPPER (Stomach ache), PAIN (Body ache), HEADACHE (Severe Headache) and FATIGUE (Fatigue) in an 83-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history was provided by the reporter. On 03-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 ABDOMINAL PAIN UPPER (Stomach ache), PAIN (Body ache), HEADACHE (Severe Headache) and FATIGUE (Fatigue). At the time of the report, ABDOMINAL PAIN UPPER (Stomach ache), PAIN (Body ache), HEADACHE (Severe Headache) and FATIGUE (Fatigue) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1552337
Sex: F
Age: 75
State: PA

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Arm swelling; Arm hardness; felt sick to my stomach; nausea; injection site itchiness; injection site rash; injection site bumps; injection site red lesion(COVID Arm).; Body aches; FEVER; CHILLS; BACKACHE; SKIN ACHE; injection site pain; This spontaneous case was reported by a consumer and describes the occurrence of BACK PAIN (BACKACHE), PAIN OF SKIN (SKIN ACHE), PERIPHERAL SWELLING (Arm swelling), DISCOMFORT (Arm hardness) and ABDOMINAL DISCOMFORT (felt sick to my stomach) in a 75-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 13-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Feb-2021, the patient experienced BACK PAIN (BACKACHE), PAIN OF SKIN (SKIN ACHE), VACCINATION SITE PAIN (injection site pain), PYREXIA (FEVER) and CHILLS (CHILLS). On 15-Feb-2021, the patient experienced MYALGIA (Body aches). On 16-Feb-2021, the patient experienced VACCINATION SITE PRURITUS (injection site itchiness), VACCINATION SITE RASH (injection site rash), VACCINATION SITE SWELLING (injection site bumps) and VACCINATION SITE ERYTHEMA (injection site red lesion(COVID Arm).). On 21-Feb-2021, the patient experienced PERIPHERAL SWELLING (Arm swelling), DISCOMFORT (Arm hardness), ABDOMINAL DISCOMFORT (felt sick to my stomach) and NAUSEA (nausea). The patient was treated with IBUPROFEN ongoing since an unknown date at an unspecified dose and frequency and CORTISONE ongoing since an unknown date at an unspecified dose and frequency. At the time of the report, BACK PAIN (BACKACHE), PAIN OF SKIN (SKIN ACHE), VACCINATION SITE PRURITUS (injection site itchiness), VACCINATION SITE RASH (injection site rash), VACCINATION SITE SWELLING (injection site bumps), VACCINATION SITE ERYTHEMA (injection site red lesion(COVID Arm).), VACCINATION SITE PAIN (injection site pain), PYREXIA (FEVER) and CHILLS (CHILLS) was resolving and PERIPHERAL SWELLING (Arm swelling), DISCOMFORT (Arm hardness), ABDOMINAL DISCOMFORT (felt sick to my stomach), MYALGIA (Body aches) and NAUSEA (nausea) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No Concomitant products were provided. Ice pack is the other treatment medication reported by reporter. Most recent FOLLOW-UP information incorporated above includes: On 25-May-2021: followup information received on 25-may-2021, No new information

Other Meds:

Current Illness:

ID: 1552338
Sex: F
Age:
State: CA

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

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

Lab Data:

Allergies:

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

Symptoms: A big red patch on her left arm; Warm; Had a tiny bit of arm soreness / little sore; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Had a tiny bit of arm soreness / little sore), RASH ERYTHEMATOUS (A big red patch on her left arm) and FEELING HOT (Warm) 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 12-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Feb-2021, the patient experienced PAIN IN EXTREMITY (Had a tiny bit of arm soreness / little sore). On 22-Feb-2021, the patient experienced RASH ERYTHEMATOUS (A big red patch on her left arm) and FEELING HOT (Warm). On 14-Feb-2021, PAIN IN EXTREMITY (Had a tiny bit of arm soreness / little sore) had resolved. At the time of the report, RASH ERYTHEMATOUS (A big red patch on her left arm) and FEELING HOT (Warm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product use was not provided by the reporter. Treatment information was not provided. Most recent FOLLOW-UP information incorporated above includes: On 25-May-2021: Follow up was received on 25may2021, no new information.

Other Meds:

Current Illness:

ID: 1552339
Sex: F
Age: 81
State: CA

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: itching at injection site; warm at injection site; This spontaneous case was reported by a consumer and describes the occurrence of in an 81-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 015M20A) for COVID-19 vaccination. No medical history was provided by the reporter. On 05-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Other Meds:

Current Illness:

ID: 1552340
Sex: M
Age:
State: WA

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

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Extremely ILL; Fever; Chills; Body aches; Headache; Fatigue; This spontaneous case was reported by a nurse and describes the occurrence of ILLNESS (Extremely ILL), PYREXIA (Fever), CHILLS (Chills), PAIN (Body aches) and HEADACHE (Headache) in a 34-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COVID-19. In February 2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In February 2021, the patient experienced ILLNESS (Extremely ILL), PYREXIA (Fever), CHILLS (Chills), PAIN (Body aches), HEADACHE (Headache) and FATIGUE (Fatigue). At the time of the report, ILLNESS (Extremely ILL), PYREXIA (Fever), CHILLS (Chills), PAIN (Body aches), HEADACHE (Headache) and FATIGUE (Fatigue) 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:

Current Illness:

ID: 1552341
Sex: M
Age: 80
State: TX

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

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

Lab Data:

Allergies:

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

Symptoms: neck pain; light reaction (little pain) he had on his shoulder; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 29-Jan-2021 and was forwarded to Moderna on 29-Jan-2021. This spontaneous case was reported by a consumer and describes the occurrence of NECK PAIN (neck pain) and ARTHRALGIA (light reaction (little pain) he had on his shoulder) in an 80-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 027420A) for COVID-19 vaccination. No Medical History information was reported. 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 NECK PAIN (neck pain) and ARTHRALGIA (light reaction (little pain) he had on his shoulder). The patient was treated with IBUPROFEN (MOTRIN [IBUPROFEN]) at an unspecified dose and frequency and PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, NECK PAIN (neck pain) and ARTHRALGIA (light reaction (little pain) he had on his shoulder) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1552342
Sex: M
Age: 52
State: CA

Vax Date: 01/07/2021
Onset Date:
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Achiness; Fever; Fatigue; Nausea; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 05-Feb-2021 and was forwarded to Moderna on 06-Feb-2021. This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (Achiness), PYREXIA (Fever), FATIGUE (Fatigue) and NAUSEA (Nausea) in a 52-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. 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 28-Jan-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 MYALGIA (Achiness), PYREXIA (Fever), FATIGUE (Fatigue) and NAUSEA (Nausea). At the time of the report, MYALGIA (Achiness), PYREXIA (Fever), FATIGUE (Fatigue) and NAUSEA (Nausea) outcome was unknown. No concomitant medication information was mentioned No treatment medication information was mentioned The patient received both scheduled doses of mRNA-1273 prior to the events, therefore action taken with the drug in response to the event was not applicable Most recent FOLLOW-UP information incorporated above includes: On 29-Jun-2021: Follow up received including no new information

Other Meds:

Current Illness:

ID: 1552343
Sex: F
Age:
State: TX

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

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

Lab Data:

Allergies:

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

Symptoms: chills; bad fatigue; vomiting and nausea; vomiting and nausea; This spontaneous case was reported by a nurse and describes the occurrence of CHILLS (chills), FATIGUE (bad fatigue), VOMITING (vomiting and nausea) and NAUSEA (vomiting and nausea) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19. 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, 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 CHILLS (chills), FATIGUE (bad fatigue), VOMITING (vomiting and nausea) and NAUSEA (vomiting and nausea). At the time of the report, CHILLS (chills), FATIGUE (bad fatigue), VOMITING (vomiting and nausea) and NAUSEA (vomiting and nausea) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.; 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: 1552344
Sex: F
Age:
State: CA

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 08/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: uncomfortable feeling on her arm; itchy arm; like a long rectangle 3-4 inches and 2,5-3 inches wide; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE DISCOMFORT (uncomfortable feeling on her arm), VACCINATION SITE PRURITUS (itchy arm) and VACCINATION SITE SWELLING (like a long rectangle 3-4 inches and 2,5-3 inches wide) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 19-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) at an unspecified dose. On 21-Feb-2021, the patient experienced VACCINATION SITE DISCOMFORT (uncomfortable feeling on her arm), VACCINATION SITE PRURITUS (itchy arm) and VACCINATION SITE SWELLING (like a long rectangle 3-4 inches and 2,5-3 inches wide). At the time of the report, VACCINATION SITE DISCOMFORT (uncomfortable feeling on her arm), VACCINATION SITE PRURITUS (itchy arm) and VACCINATION SITE SWELLING (like a long rectangle 3-4 inches and 2,5-3 inches wide) had not resolved. Action taken with mRNA-1273 in response to the events was not Applicable. No concomitant medications reported by reporter No treatment medications provided by the reporter. Most recent FOLLOW-UP information incorporated above includes: On 02-Jul-2021: Follow-up received on 02 July 2021 ,Email address provided.

Other Meds:

Current Illness:

ID: 1552345
Sex: F
Age: 73
State: GA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Sore arm; Muscle pain; A spontaneous report was received from a consumer concerning a 73-year-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced a sore arm/vaccination site pain and muscle pain/myalgia. The patient's medical history was not provided. Concomitant product use was not provided/unknown by the reporter. On 19 Jan 2021, the same day as the onset of symptoms, the patient received the first of two planned doses of mRNA-1273 (Batch# not provided) intramuscularly in the left non-dominant arm for prophylaxis of COVID-19 infection. On 19 Jan 2021, the patient reported a sore arm and muscle pain after the injection. Treatment information was not provided. On 16 Feb 2021, the patient received the second dose of of mRNA-1273 (Batch# not provided) intramuscularly for prophylaxis of COVID-19 infection. The patient received both scheduled doses of mRNA-1273 prior to the event(s); therefore, action taken with the drug in response to the events is not applicable. The outcome of the events, sore arm and muscle pain, 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: 1552346
Sex: M
Age: 68
State: FL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: severe joint pains; sharp muscle pains; This spontaneous case was reported by a consumer and describes the occurrence of ARTHRALGIA (severe joint pains) and MYALGIA (sharp muscle pains) in a 68-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031L20A) for COVID-19 vaccination. No Medical History information was reported. On 05-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-Feb-2021, the patient experienced ARTHRALGIA (severe joint pains) and MYALGIA (sharp muscle pains). The patient was treated with HYDROCODONE at an unspecified dose and frequency; Bed rest (Bedridden for 3 days) for Arthralgia and Bed rest (Bedridden for 3 days) for Myalgia. On 09-Feb-2021, ARTHRALGIA (severe joint pains) and MYALGIA (sharp muscle pains) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications reported by investigator

Other Meds:

Current Illness:

ID: 1552347
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: she could not move her arm; whole upper shoulder is swollen and red; whole upper shoulder is swollen and red; severe pain on the shoulder of the injection arm; This spontaneous case was reported by a consumer and describes the occurrence of HYPOKINESIA (she could not move her arm), SWELLING (whole upper shoulder is swollen and red), ERYTHEMA (whole upper shoulder is swollen and red) and INJECTION SITE PAIN (severe pain on the shoulder of the injection arm) 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 18-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 HYPOKINESIA (she could not move her arm), SWELLING (whole upper shoulder is swollen and red), ERYTHEMA (whole upper shoulder is swollen and red) and INJECTION SITE PAIN (severe pain on the shoulder of the injection arm). At the time of the report, HYPOKINESIA (she could not move her arm) was resolving and SWELLING (whole upper shoulder is swollen and red), ERYTHEMA (whole upper shoulder is swollen and red) and INJECTION SITE PAIN (severe pain on the shoulder of the injection arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications reported by investigator No treatment medications provided by the reporter.

Other Meds:

Current Illness:

ID: 1552348
Sex: F
Age: 87
State: OH

Vax Date: 01/21/2021
Onset Date: 02/18/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: upset stomach; diarrhea; This spontaneous case was reported by a consumer and describes the occurrence of ABDOMINAL DISCOMFORT (upset stomach) and DIARRHOEA (diarrhea) in an 87-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029L20A and 006M20A) for COVID-19 vaccination. No Medical History information was reported. On 21-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 18-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 18-Feb-2021, the patient experienced ABDOMINAL DISCOMFORT (upset stomach) and DIARRHOEA (diarrhea). At the time of the report, ABDOMINAL DISCOMFORT (upset stomach) and DIARRHOEA (diarrhea) outcome was unknown. No concomitant medications reported by reporter. No treatment medications provided by the reporter. Most recent FOLLOW-UP information incorporated above includes: On 30-Apr-2021: Additional information received and Reporter details updated. On 14-Jul-2021: Follow up information received on 14 Jul 2021 and patient's demographics were updated,Dose 1 batch number 029L20A was added.

Other Meds:

Current Illness:

ID: 1552349
Sex: M
Age:
State: TX

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 08/13/2021
Hospital:

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

Lab Data: Test Date: 20210119; Test Name: COVID-19; Test Result: Positive ; Result Unstructured Data: tested positive.

Allergies:

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: COVID postive; Feeling sick; This spontaneous case was reported by a nurse (subsequently medically confirmed) and describes the occurrence of MALAISE (Feeling sick) and COVID-19 (COVID postive) 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 16-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Jan-2021, the patient experienced MALAISE (Feeling sick). On 19-Jan-2021, the patient experienced COVID-19 (COVID postive). The patient was treated with MONOCLONAL ANTIBODIES at an unspecified dose and frequency. At the time of the report, MALAISE (Feeling sick) and COVID-19 (COVID postive) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 19-Jan-2021, COVID-19: tested positive.. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route), the reporter did not provide any causality assessments. This case was linked to MOD-2021-017944 (Patient Link).

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am