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Reporte zur Charge #039K20A

Verknuepft ueber VAERS_ID mit VAERSDATA, Vax und Symptoms

500Reporte angezeigt
156Todesfaelle
138Hospitalisiert
33Lebensbedrohlich
23Bleibende Schaeden
FL 89 KY 46 VA 29 NY 23 OH 21 NJ 17 WV 9 MA 9 CT 9 NC 8 CA 8 IL 8

VAERS 2727554

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
89,0
Geschlecht
M
Eingang
27.12.2023
Impfdatum
11.10.2022
Beginn
14.12.2023
Tage bis Beginn
429,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Death SARS-CoV-2 test positive

Symptomtext

Pt deceased after contracting COVID-19 virus in December 2023. No boosters administered after Oct 2022 for 4th dose.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
11,0
Labordaten
PCR Positive for COVID-19 on 12/14/2023
Aktuelle Erkrankungen
-
Vorgeschichte
COPD, CHF, HYPERLIPDEMIA, AND HYPERTENSION
Andere Medikamente
Unknown
Allergien
Unknown
Vorherige Impfungen
-

VAERS 2682385

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
95,0
Geschlecht
F
Eingang
15.09.2023
Impfdatum
12.01.2021
Beginn
22.07.2023
Tage bis Beginn
921,0
Dosis
1
Route/Site
UN / UN
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Death SARS-CoV-2 test positive

Symptomtext

She tested + o 4-2-23 and passed away 7-22-23. I have no other information. The ordering facility for the covid test was hospital

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2672835

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
MI
Alter
75,0
Geschlecht
M
Eingang
17.08.2023
Impfdatum
11.02.2021
Beginn
14.10.2021
Tage bis Beginn
245,0
Dosis
2
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Breakthrough COVID-19 Death SARS-CoV-2 test

Symptomtext

Breakthrough case admission after 2 vaccines; patient expired Moderna 1/14/21 lot# 012L20A; Moderna 2/11/21 lot# 039K20A

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
COVID +
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2623115

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
83,0
Geschlecht
F
Eingang
28.04.2023
Impfdatum
15.01.2021
Beginn
17.01.2023
Tage bis Beginn
732,0
Dosis
UNK
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Cellulitis Chills Death Dyspnoea Pyrexia SARS-CoV-2 test positive

Symptomtext

tested + for covid 7-29-22 to ER with fever, chills , shortness of breath ,given remdesivir which she completed, she was dc to home after she improved but also had cellulitis that admission deceased on 1-17-23

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
HTN, A FIB, DEMENTIA, PANCREATITIS (DID NOT WANT PEG TUBE) , CHRONIC KIDNEY DISEASE LIST MAY NOT BE COMPLETE
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2620007

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
FL
Alter
29,0
Geschlecht
F
Eingang
24.04.2023
Impfdatum
09.06.2022
Beginn
18.03.2023
Tage bis Beginn
282,0
Dosis
2
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Acute respiratory failure Asthma COVID-19 Condition aggravated SARS-CoV-2 test positive

Symptomtext

Hospitalization: 3/17/2023 - 3/20/2023 (3 days) Presentation to the ED: acute hypoxic respiratory failure from acute asthma exacerbation COVID + date: 3/18/2023 Treatment: high dose steroids Discharge to: HOME. 013L20A 2/3/2021 039K20A 3/1/2021 038A22A 6/9/2022

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute respiratory failure
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
ASTHMA, RA, HLD, ANXIETY
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2615859

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
77,0
Geschlecht
M
Eingang
16.04.2023
Impfdatum
21.01.2021
Beginn
29.10.2022
Tage bis Beginn
646,0
Dosis
UNK
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Death SARS-CoV-2 test positive

Symptomtext

I don't have any info other than tested positive for covid on 9-12-22 at Hospital and deceased 10-29-22.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2507895

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
PA
Alter
65,0
Geschlecht
F
Eingang
15.11.2022
Impfdatum
30.12.2020
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Pulmonary embolism

Symptomtext

Pulmonary embolism in right lung/ Got very ill/ Almost died; This spontaneous case was reported by a nurse and describes the occurrence of PULMONARY EMBOLISM (Pulmonary embolism in right lung/ Got very ill/ Almost died) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 045J21A, 004M20A and 039K20A) for COVID-19 prophylaxis. Patient had no allergies. On 30-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 27-Jan-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 01-May-2022, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced PULMONARY EMBOLISM (Pulmonary embolism in right lung/ Got very ill/ Almost died) (seriousness criteria hospitalization and medically significant). The patient was treated with TPA at an unspecified dose and frequency and HEPARIN at an unspecified dose and frequency. At the time of the report, PULMONARY EMBOLISM (Pulmonary embolism in right lung/ Got very ill/ Almost died) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medication was not provided. Treatment medication also include oral anticoagulants. Company comment: This spontaneous case concerns a 67-year-old female patient, with no medical history reported, who experienced the unexpected serious (medically significant, hospitalized) of Pulmonary embolism (reported as Pulmonary embolism in right lung/got very ill/almost died) that occurred unknown days after receiving the third dose of mRNA-1273 vaccine in the Covid-19 vaccination series. Latency could not be assessed as the onset date of the event was not available. Patient had also received first and second dose of Moderna vaccine at an interval of 28 days. Patient was treated with,TPA(alteplase), Heparin and oral anticoagulants. No further information regarding risk factors, concurrent condition, concomitant medication, medical history, investigations and additional treatment details were provided. The outcome of the events was unknown. The benefit-risk relationship of mRNA-1273 Vaccine is not affected by this report. Sender's Comments: This spontaneous case concerns a 67-year-old female patient, with no medical history reported, who experienced the unexpected serious (medically significant, hospitalized) of Pulmonary embolism (reported as Pulmonary embolism in right lung/got very ill/almost died) that occurred unknown days after receiving the third dose of mRNA-1273 vaccine in the Covid-19 vaccination series. Latency could not be assessed as the onset date of the event was not available. Patient had also received first and second dose of Moderna vaccine at an interval of 28 days. Patient was treated with TPA(alteplase), Heparin and oral anticoagulants. No further information regarding risk factors, concurrent condition, concomitant medication, medical history, investigations and additional treatment details were provided. The outcome of the events was unknown. The benefit-risk relationship of mRNA-1273 Vaccine is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pulmonary embolism
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: Patient had no allergies.
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2493507

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

kritisch
Staat
FL
Alter
66,0
Geschlecht
M
Eingang
30.10.2022
Impfdatum
16.07.2022
Beginn
24.08.2022
Tage bis Beginn
39,0
Dosis
2
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Death

Symptomtext

Pt was in excellent health. He rode his bike and exercised every day. We had breakfast and he went off to play golf at 8:00 a.m. 3 hours later I got a call from the police department. He keeled over and passed on the 16th hole. No warning! Every week I hear of more men in their 60s who had the COVID shots and a suddenly dying. Something is awful is going on.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
none
Vorgeschichte
Pt had a heart virus many years ago. He cleared the virus and his ejection fraction and rhythm returned to normal. To be on the safe side, he's been seeing a cardiologist for followups every 6 months.
Andere Medikamente
analapril, metropolo
Allergien
none
Vorherige Impfungen
-

VAERS 2481909

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
86,0
Geschlecht
F
Eingang
18.10.2022
Impfdatum
11.01.2021
Beginn
01.05.2022
Tage bis Beginn
475,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Death SARS-CoV-2 test positive

Symptomtext

tested + for covid 2-10-22, passed on 5-1-22; I have no further info available

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2478582

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
90,0
Geschlecht
M
Eingang
14.10.2022
Impfdatum
07.01.2021
Beginn
12.06.2022
Tage bis Beginn
521,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Death SARS-CoV-2 test positive

Symptomtext

TESTED + FOR COVID ON 6-9-22 ;DECEASED 6-12-22 ; I HAVE NO RECORDS ON THIS PATIENT

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2469649

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
91,0
Geschlecht
M
Eingang
05.10.2022
Impfdatum
07.01.2021
Beginn
07.09.2022
Tage bis Beginn
608,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Bladder transitional cell carcinoma COVID-19 Computerised tomogram thorax abnormal Cystoscopy abnormal Death Encephalopathy General physical health deterioration Haematuria Lung infiltration SARS-CoV-2 test positive

Symptomtext

+ covid 8-7-22 Admitted with hematuria for weeks and had encephalopathy during hosp stat. + for covid. Had cysto which showed likely transitional cell cancer of bladder. Treated for covid per protocol . He improved but declined again and was felt not to have gotten over the covid. he required levophed and oxygen. Ct showed ifiltrates possible covid vs aspiration and placed on comfort measures and deceased on 9-7-22.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Htn, borderline high cholesterol, diabetes mellitus, copd, anxiety, insomnia
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2463961

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
DE
Alter
71,0
Geschlecht
M
Eingang
29.09.2022
Impfdatum
20.01.2021
Beginn
16.06.2021
Tage bis Beginn
147,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Deep vein thrombosis Oxygen saturation Pulmonary embolism Ultrasound Doppler

Symptomtext

Pulmonary embolism (PE) in the pulmonary artery; DVT in the left leg; This spontaneous case was reported by a consumer and describes the occurrence of DEEP VEIN THROMBOSIS (DVT in the left leg) and PULMONARY EMBOLISM (Pulmonary embolism (PE) in the pulmonary artery) in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 015M20A and 039K20A) for COVID-19 vaccination. The patient's past medical history included Thrombectomy, Angiography (Pulmonary embolism was discovered) in June 2021 and Angioplasty (Stents were placed in upper left leg.) in June 2021. Concurrent medical conditions included Blood pressure high (Controlled with medication), High cholesterol (Controlled with medication) and GERD (Controlled with medication). Concomitant products included AMLODIPINE BESILATE (NORVASC) for Blood pressure, PRAVASTATIN for Cholesterol, OMEPRAZOLE for GERD. On 20-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) (Intramuscular) dosage was changed to 1 dosage form. On 16-Jun-2021, the patient experienced DEEP VEIN THROMBOSIS (DVT in the left leg) (seriousness criteria hospitalization, medically significant, life threatening and intervention required). On 17-Jun-2021, the patient experienced PULMONARY EMBOLISM (Pulmonary embolism (PE) in the pulmonary artery) (seriousness criteria hospitalization, medically significant and life threatening). The patient was hospitalized on 16-Jun-2021 due to DEEP VEIN THROMBOSIS, and then on 20-Jun-2021 due to PULMONARY EMBOLISM. The patient was treated with HEPARIN at a dose of 1 dosage form and APIXABAN (ELIQUIS) at a dose of 1 dosage form. At the time of the report, DEEP VEIN THROMBOSIS (DVT in the left leg) and PULMONARY EMBOLISM (Pulmonary embolism (PE) in the pulmonary artery) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In June 2021, Oxygen saturation: 75 oxygen saturation: 75. On 15-Jun-2021, Ultrasound Doppler: Slow flow but no DVT. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered DEEP VEIN THROMBOSIS (DVT in the left leg) and PULMONARY EMBOLISM (Pulmonary embolism (PE) in the pulmonary artery) to be possibly related. .No treatment information was provided. No relevant concomitant medications were reported. Additional information added was that the patient was taken to the operating room and a surgeon removed clots from his left leg behind the knee and placed stents. Company comment: This case refers to a 71-year-old male patient who experienced the serious unexpected events Deep vein thrombosis and Pulmonary embolism 4 months 29 days after receiving mRNA-1273 vaccine. The event Deep vein thrombosis was more consistent with the age related risk factors. Pulmonary embolism was more consistent with the possible complication of Deep vein thrombosis. 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. Most recent FOLLOW-UP information incorporated above includes: On 02-Sep-2021: Added Patient's demographics, Concurrent conditions, Procedures, Concomitant Medications, Events and Updated dates of events and outcome of events. On 02-Sep-2021: Upon internal review on 27-Sep-2022, non-significant correction was performed: Case received from field was updated to blank; 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.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pulmonary embolism
Hospital-Tage
-
Labordaten
Test Date: 202106; Test Name: oxygen saturation; Result Unstructured Data: oxygen saturation: 75; Test Date: 20210615; Test Name: Doppler study; Result Unstructured Data: Slow flow but no DVT
Aktuelle Erkrankungen
Blood pressure high (Controlled with medication); GERD (Controlled with medication); High cholesterol (Controlled with medication)
Vorgeschichte
Medical History/Concurrent Conditions: Angiography (Pulmonary embolism was discovered); Angioplasty (Stents were placed in upper left leg.); Thrombectomy
Andere Medikamente
NORVASC; PRAVASTATIN; OMEPRAZOLE
Allergien
-
Vorherige Impfungen
-

VAERS 2456484

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
86,0
Geschlecht
F
Eingang
23.09.2022
Impfdatum
07.01.2021
Beginn
23.08.2022
Tage bis Beginn
593,0
Dosis
1
Route/Site
SYR / UN
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthritis COVID-19 COVID-19 pneumonia Chronic obstructive pulmonary disease Coronary artery disease Death Dyspnoea Fatigue SARS-CoV-2 test positive

Symptomtext

Patient tested + for covid on 8-7-22 and was admitted same day to hospital. Had shortness of breath and fatigue. dx of covid pneumonia, copd, cad and arthritis. expired on 8-23-22 .

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
anemia, blood clots, former smoker, chronic lung disease
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2452095

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
82,0
Geschlecht
M
Eingang
20.09.2022
Impfdatum
12.01.2021
Beginn
31.08.2022
Tage bis Beginn
596,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Atrial fibrillation Atrial flutter COVID-19 Cardiac failure congestive Death Mechanical ventilation Pneumonia Rectal haemorrhage Respiratory failure SARS-CoV-2 test positive Troponin I increased

Symptomtext

Patient tested positive for Covid 8-11-22. He was seen in ER 8-10-22 and admitted 8-11-22. All Covid medical therapies, he did not want intubation and was given non invasive ventilation. Placed on comfort measures. Passed away in the hospital on 8-31-22. Death Note includes Covid 19; respiratory failure; CAP; elevated troponin I level, new onset AFib, CHF, bright red blood per rectum, transient AFib/flutter.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2451084

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
79,0
Geschlecht
M
Eingang
19.09.2022
Impfdatum
20.01.2021
Beginn
18.08.2022
Tage bis Beginn
575,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Anaemia COVID-19 Colon cancer metastatic Death SARS-CoV-2 test positive

Symptomtext

Patient tested + for covid on 1-21-2022. deceased on 8-18-22. Had metastatic colon cancer , passed away at home. Not recently admitted to the hospital and last admit there was 4-2021 with anemia.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
copd, htn, HLD, anxiety , depression
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2431303

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
85,0
Geschlecht
M
Eingang
07.09.2022
Impfdatum
15.01.2021
Beginn
14.03.2022
Tage bis Beginn
423,0
Dosis
1
Route/Site
SYR / UN
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Acute respiratory failure COVID-19 Death General physical health deterioration Pneumonia Respiratory disorder SARS-CoV-2 test positive Sepsis

Symptomtext

tested + 1/26/22 , admitted 3/10/22 and was placed on hydration , antibiotics. Worsening resp status and continued to deteriorate and due to very grim prognosis was placed on comfort measures and passed 3/14/22. DX were post covid condition, acute and chronic resp failure, pneumonia and sepsis

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute respiratory failure
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
chronic diastolic heart failure; diabetes mellitus, hypertension, chronic lung disease
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2431127

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
68,0
Geschlecht
M
Eingang
07.09.2022
Impfdatum
07.01.2021
Beginn
30.07.2022
Tage bis Beginn
569,0
Dosis
1
Route/Site
SYR / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Acute kidney injury Acute myocardial infarction Acute respiratory failure Aortic aneurysm repair COVID-19 Cardiac arrest Cerebral small vessel ischaemic disease Computerised tomogram abnormal Confusional state Death Hypertransaminasaemia Intensive care Mechanical ventilation Mental status changes Metabolic acidosis Pneumonia SARS-CoV-2 test positive

Symptomtext

+ covid 7/21/2022; admitted 7/23/22 altered mental status, had mild confusion after AAA repair 7/6/22 but worsened the last few days prior to admission . covid infusion? 7/22. Pneumonia. given roephin, azithromycin, decadron and later vancomycin and zosyn. CT showed indeterminate age infarct & chronic small vessel ischemic disease tPA not recommended, had carotid artery disease. Statins held due to transaminitis. transfered to ICU d/t acute resp failure s/p cardiac arrest apparently on 7/25/22 and he had ROSC, placed on ventilator, levophed. AKI, AGMA, did not improve and expired 7/30/22

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute myocardial infarction
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
dilated cardiomyopathy EF 25 percent; CAD, STEMI 3/2021, HTN, tobacco abuse, HLD?, AAA repair 7/6/22, three vessel CABG, h/o carotid endarterectomy 2021
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2429142

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

kritisch
Staat
CA
Alter
58,0
Geschlecht
F
Eingang
06.09.2022
Impfdatum
05.01.2021
Beginn
18.06.2022
Tage bis Beginn
529,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Myocardial infarction SARS-CoV-2 test positive SARS-CoV-2 test

Symptomtext

got COVID; This spontaneous case was reported by a patient and describes the occurrence of COVID-19 (got COVID) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 005m21a, 012f21a, 007m20a and 039k20a) for COVID-19 vaccination. Previously administered products included for Product used for unknown indication: flu shot (after the heart attack) in December 2021. Past adverse reactions to the above products included No adverse event with flu shot. Concurrent medical conditions included Allergic reaction to antibiotics (doxycycline). On 05-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 02-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 25-Oct-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 21-Apr-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 18-Jun-2022, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced COVID-19 (got COVID). At the time of the report, COVID-19 (got COVID) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 18-Jun-2022, SARS-CoV-2 test: (Positive) Positive. No concomitant medication was reported. No treatment medication was reported. Company comment: This spontaneous case concerns a 58-year-old, female patient with no reported medical history, who experienced the unexpected, non-serious AESI of COVID-19. The event occurred 58 days after administration of fourth dose of mRNA-1273, the third dose was given 187 days prior, the initial two doses of mRNA-1273 were given approximately 8 months prior the third dose, the interval between the two doses is 28 days. On the day of onset of the event, SARS-CoV-2 test was done which revealed a positive result. It has been reported that the patient experienced an episode of heart attack 22 days after the administration of third dose of mRNA-1273. Details of concomitant medications, medical history, clinical course and treatment were not provided. The outcome of the event is unknown at the time of the report. The benefit-risk relationship of mRNA-1273 is not affected by this report. This case was linked to MOD-2022-637942 (Patient Link).; Sender's Comments: This spontaneous case concerns a 58-year-old, female patient with no reported medical history, who experienced the unexpected, non-serious AESI of COVID-19. The event occurred 58 days after administration of fourth dose of mRNA-1273, the third dose was given 187 days prior, the initial two doses of mRNA-1273 were given approximately 8 months prior the third dose, the interval between the two doses is 28 days. On the day of onset of the event, SARS-CoV-2 test was done which revealed a positive result. It has been reported that the patient experienced an episode of heart attack 22 days after the administration of third dose of mRNA-1273. Details of concomitant medications, medical history, clinical course and treatment were not provided. The outcome of the event is unknown at the time of the report. The benefit-risk relationship of mRNA-1273 is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Myocardial infarction
Hospital-Tage
-
Labordaten
Test Date: 20220618; Test Name: COVID + test; Test Result: Positive ; Result Unstructured Data: Positive
Aktuelle Erkrankungen
Allergic reaction to antibiotics (doxycycline)
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2429142

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

kritisch
Staat
CA
Alter
58,0
Geschlecht
F
Eingang
06.09.2022
Impfdatum
05.01.2021
Beginn
18.06.2022
Tage bis Beginn
529,0
Dosis
4
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Myocardial infarction SARS-CoV-2 test positive SARS-CoV-2 test

Symptomtext

got COVID; This spontaneous case was reported by a patient and describes the occurrence of COVID-19 (got COVID) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 005m21a, 012f21a, 007m20a and 039k20a) for COVID-19 vaccination. Previously administered products included for Product used for unknown indication: flu shot (after the heart attack) in December 2021. Past adverse reactions to the above products included No adverse event with flu shot. Concurrent medical conditions included Allergic reaction to antibiotics (doxycycline). On 05-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 02-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 25-Oct-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 21-Apr-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 18-Jun-2022, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced COVID-19 (got COVID). At the time of the report, COVID-19 (got COVID) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 18-Jun-2022, SARS-CoV-2 test: (Positive) Positive. No concomitant medication was reported. No treatment medication was reported. Company comment: This spontaneous case concerns a 58-year-old, female patient with no reported medical history, who experienced the unexpected, non-serious AESI of COVID-19. The event occurred 58 days after administration of fourth dose of mRNA-1273, the third dose was given 187 days prior, the initial two doses of mRNA-1273 were given approximately 8 months prior the third dose, the interval between the two doses is 28 days. On the day of onset of the event, SARS-CoV-2 test was done which revealed a positive result. It has been reported that the patient experienced an episode of heart attack 22 days after the administration of third dose of mRNA-1273. Details of concomitant medications, medical history, clinical course and treatment were not provided. The outcome of the event is unknown at the time of the report. The benefit-risk relationship of mRNA-1273 is not affected by this report. This case was linked to MOD-2022-637942 (Patient Link).; Sender's Comments: This spontaneous case concerns a 58-year-old, female patient with no reported medical history, who experienced the unexpected, non-serious AESI of COVID-19. The event occurred 58 days after administration of fourth dose of mRNA-1273, the third dose was given 187 days prior, the initial two doses of mRNA-1273 were given approximately 8 months prior the third dose, the interval between the two doses is 28 days. On the day of onset of the event, SARS-CoV-2 test was done which revealed a positive result. It has been reported that the patient experienced an episode of heart attack 22 days after the administration of third dose of mRNA-1273. Details of concomitant medications, medical history, clinical course and treatment were not provided. The outcome of the event is unknown at the time of the report. The benefit-risk relationship of mRNA-1273 is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Myocardial infarction
Hospital-Tage
-
Labordaten
Test Date: 20220618; Test Name: COVID + test; Test Result: Positive ; Result Unstructured Data: Positive
Aktuelle Erkrankungen
Allergic reaction to antibiotics (doxycycline)
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2424351

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
70,0
Geschlecht
M
Eingang
30.08.2022
Impfdatum
07.01.2021
Beginn
20.02.2022
Tage bis Beginn
409,0
Dosis
1
Route/Site
SYR / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Anaemia COVID-19 Condition aggravated Death Facial bones fracture Fall Jaundice Myeloproliferative neoplasm Sepsis

Symptomtext

deceased on 02/20/2022: had covid 12/2021 and was admitted after a fall 2/13/22 with closed fx of nasal bone, sepsis, jaundice, anemia in setting of myeloproliferative disorder. placed on comfort measures and discharged 2-16-22 to hospice

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Myeloproliferative disorder, afib, htn, chronic kidney disease, gerd, copd, h/o ascites, chf
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2424267

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
91,0
Geschlecht
M
Eingang
30.08.2022
Impfdatum
07.01.2021
Beginn
14.05.2022
Tage bis Beginn
492,0
Dosis
1
Route/Site
SYR / UN
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chest pain Death

Symptomtext

date of death 5-14-22 Presented to ER with CP 3/22

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
HTN, CVD, former smoker
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2415809

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
89,0
Geschlecht
F
Eingang
19.08.2022
Impfdatum
15.01.2021
Beginn
01.11.2021
Tage bis Beginn
290,0
Dosis
1
Route/Site
UN / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Death

Symptomtext

deceased on 11/24/2021

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
HTN, dementia, anxiety, anemia
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2404358

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
FL
Alter
65,0
Geschlecht
F
Eingang
08.08.2022
Impfdatum
06.01.2021
Beginn
09.07.2021
Tage bis Beginn
184,0
Dosis
1
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Acute myocardial infarction Catheterisation cardiac abnormal Coronary arterial stent insertion Coronary artery occlusion Coronary artery thrombosis Dyspnoea Dyspnoea exertional Electrocardiogram Laboratory test Myocardial infarction X-ray

Symptomtext

Felt on some shortness of breath on exertion for several months after receiving vaccine. Had a heart attack with large clot in R coronary artery which was 100% blocked on July 9th, went to ER on July 10th and was diagnosed w NSTEMI.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute myocardial infarction
Hospital-Tage
2,0
Labordaten
EKG, Labs, xrays, cardiac cath, stent placment. Started on Plavix and Aspirin 81 mg daily.
Aktuelle Erkrankungen
none
Vorgeschichte
hypothyroidism, hypertension
Andere Medikamente
Levoxyl 50 mcg daily, Liothyronine 5 mcg twice a day, Losartan 100 mg daily.
Allergien
Zithromax, nausea and vomiting
Vorherige Impfungen
-

VAERS 2433338

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
85,0
Geschlecht
M
Eingang
21.07.2022
Impfdatum
31.12.2020
Beginn
14.02.2021
Tage bis Beginn
45,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
COVID-19 Death

Symptomtext

Narrative: Patient passed away due to COVID-19. He had received an initial series of the Moderna COVID-19 vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2370235

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
69,0
Geschlecht
M
Eingang
15.07.2022
Impfdatum
23.12.2020
Beginn
26.05.2021
Tage bis Beginn
154,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
COVID-19 Death

Symptomtext

Narrative: Patient passed away due to COVID-19. He had received the COVID-19 vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2370215

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
83,0
Geschlecht
M
Eingang
15.07.2022
Impfdatum
13.01.2021
Beginn
13.05.2021
Tage bis Beginn
120,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
COVID-19 Death

Symptomtext

Narrative: Patient passed away due to COVID-19. He had received the COVID-19 vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2370277

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
94,0
Geschlecht
M
Eingang
14.07.2022
Impfdatum
11.01.2021
Beginn
04.12.2021
Tage bis Beginn
327,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
COVID-19 Death

Symptomtext

Narrative: Patient passed away due to COVID-19. He had received the COVID-19 vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2320554

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
70,0
Geschlecht
F
Eingang
15.06.2022
Impfdatum
02.02.2021
Beginn
01.12.2021
Tage bis Beginn
302,0
Dosis
2
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Cough Death Diet refusal Dysphagia Dyspnoea Fluid intake reduced General physical health deterioration Refusal of treatment by patient SARS-CoV-2 test positive

Symptomtext

12/12/21 pt had a positive COVID test in Health and Rehab Center; cough; not SOB initially; breathing became labored with O2 sat of 88% on RA; placed on 2L O2 via NC; sent to ED then returned back to facility on the same day; family desired to transition pt to palliative care; over time, pt began to not eat, drink, or take meds; zinc and dexamethasone ordered for pt, but unable to swallow meds; pt continued to decline and passed away in the facility.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
functional quadriplegia, dementia, HTN
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2315184

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
FL
Alter
63,0
Geschlecht
F
Eingang
10.06.2022
Impfdatum
07.01.2021
Beginn
25.04.2021
Tage bis Beginn
108,0
Dosis
2
Route/Site
OT / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood iron Blood test Chest X-ray Dyspnoea Electrocardiogram Fatigue Heart rate Immunisation reaction Joint injury Meniscus injury Oxygen saturation Pulmonary embolism Pulmonary function test

Symptomtext

mild side effects ( after both doses); died of a pulmonary embolism/shower of tiny blood clots" in her lungs; she hurt her knee exercising.; She had torn her minescous.; shortness of breath/trouble catching my breath/looked like she stopped breathing; she felt tired; This spontaneous case was reported by a consumer and describes the occurrence of PULMONARY EMBOLISM (died of a pulmonary embolism/shower of tiny blood clots" in her lungs) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 039K20A and 029K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient never a smoker and did not had any unhealthy habits.Since Covid started in March 2020, she never got sick once. Never a cold or sniffles. On 07-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 25-Apr-2021, the patient experienced FATIGUE (she felt tired). In September 2021, the patient experienced DYSPNOEA (shortness of breath/trouble catching my breath/looked like she stopped breathing). In October 2021, the patient experienced JOINT INJURY (she hurt her knee exercising.) and MENISCUS INJURY (She had torn her minescous.). On 26-Apr-2022, the patient experienced PULMONARY EMBOLISM (died of a pulmonary embolism/shower of tiny blood clots" in her lungs) (seriousness criteria death and medically significant). On an unknown date, the patient experienced IMMUNISATION REACTION (mild side effects ( after both doses)). The patient died on 26-Apr-2022. The reported cause of death was Pulmonary embolism. An autopsy was performed. At the time of death, IMMUNISATION REACTION (mild side effects ( after both doses)), DYSPNOEA (shortness of breath/trouble catching my breath/looked like she stopped breathing), JOINT INJURY (she hurt her knee exercising.), MENISCUS INJURY (She had torn her minescous.) and FATIGUE (she felt tired) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 25-Apr-2021, Pulmonary function test: normal (normal) Normal. On 26-Apr-2021, Heart rate: never got a pulse (abnormal) never got a pulse. On 26-Apr-2021, Oxygen saturation: no reading showed (abnormal) no reading showed. On an unknown date, Blood iron: low (Low) Low iron. On an unknown date, Blood test: normal (normal) Normal. On an unknown date, Chest X-ray: normal (normal) Normal. On an unknown date, Electrocardiogram: normal (normal) normal. No concomitant product was provided. The patient was in medical field as a certified registered nurse anesthetist. She experienced mild side effects post shot. In Sep 2021she and her husband went to state. She complained of shortness of breath the first day out there, but that was it. She felt fine the rest of the trip. In Oct 2021, she hurt her knee exercising. She had torn her meniscus. The tear was so small, the orthopedic doctor said surgery was not required. He suggested her to take 12 weeks off. She rested her knee for 12 weeks to let it heal. On 05 Apr 2021 she told her daughter that she was experiencing shortness of breath when going up the stairs. She went to a pulmonologist. The blood work she had gotten done was to test to see if she was genetically predisposed to any clotting disorders. All of those came back negative. On Monday 25 April 2021 pulmonary functions test done. That night she told she felt tired, but that was normal for her after a work day. On April 26, at 7:58 am ambulance called as she had trouble breathing. She reached hospital around 8:30 am. In emergency room it was told that she passed. She had trouble catching breath. Her heart and lungs sounded fine. The pulse oximeter and no reading, she was still talking and suddenly stopped talking and then shortly thereafter, looked like she stopped breathing. Her husband started doing CPR. At one point while he was doing CPR on her, her eyes popped back open and she started to lift her head up, but then it fell back to the floor and her eyes closed again. The medics in the ambulance never got a pulse on her and the ER doctor never got a pulse on her in the hospital. The autopsy was done. The medical examiner found a shower of tiny blood clots in her lungs and told her she died of a pulmonary embolism. Medical examiner thought that a big clot formed in her sleep Monday night. The reporter believed that the vaccine made her and sedentary. Patient died on 26 Apr 2022 around 8:30 am. Company Comment This spontaneous case concerns a 63-year-old female patient with relevant medical history of knee injury and prolonged rest, who experienced the unexpected serious(death) AESI of Pulmonary embolism, 1-year 3months after receiving the 2nd dose of mRNA-1273 vaccine. Immediately after the shot, the patient had experienced mild symptoms (unspecified). Seven months later she had brief episode of shortness of breath. A month later she suffered knee injury with a small meniscal tear. An orthopaedician saw her, ruled out the need for surgery and advised rest for 12 weeks. The patient rested her knee for the said period and by the end, developed shortness of breath while climbing stairs. She consulted a pulmonologist and was screened for any genetic predisposition for clotting disorders ? they all were negative. Pulmonary function test was done which turned out to be normal. The same night she complained of tiredness, but later resolved. The next day she was found unconscious, CPR was attempted at home but by the time the ambulance and medics arrived, she did not have any pulse or O2 saturation. An autopsy was done which revealed pulmonary embolism. Details of concurrent conditions, concomitant medications, detailed clinical course, further investigation reports and treatment were not provided. The patient has received the two primary doses of mRNA-1273 vaccine. Age of the patient could be a risk factor. Medical history of knee injury and prolonged rest remains a confounder. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report. This case was linked to MOD-2022-584085.; Sender's Comments: This spontaneous case concerns a 63-year-old female patient with relevant medical history of knee injury and prolonged rest, who experienced the unexpected serious(death) AESI of Pulmonary embolism, 1-year 3months after receiving the 2nd dose of mRNA-1273 vaccine. Immediately after the shot, the patient had experienced mild symptoms (unspecified). Seven months later she had brief episode of shortness of breath. A month later she suffered knee injury with a small meniscal tear. An orthopaedician saw her, ruled out the need for surgery and advised rest for 12 weeks. The patient rested her knee for the said period and by the end, developed shortness of breath while climbing stairs. She consulted a pulmonologist and was screened for any genetic predisposition for clotting disorders ? they all were negative. Pulmonary function test was done which turned out to be normal. The same night she complained of tiredness, but later resolved. The next day she was found unconscious, CPR was attempted at home but by the time the ambulance and medics arrived, she did not have any pulse or O2 saturation. An autopsy was done which revealed pulmonary embolism. Details of concurrent conditions, concomitant medications, detailed clinical course, further investigation reports and treatment were not provided. The patient has received the two primary doses of mRNA-1273 vaccine. Age of the patient could be a risk factor. Medical history of knee injury and prolonged rest remains a confounder. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.; Reported Cause(s) of Death: Pulmonary embolism

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pulmonary embolism
Hospital-Tage
-
Labordaten
Test Name: Iron; Result Unstructured Data: Low iron; Test Name: Blood analysis; Result Unstructured Data: Normal; Test Name: chest x-ray; Result Unstructured Data: Normal; Test Name: EKG; Result Unstructured Data: normal; Test Date: 20210426; Test Name: Pulse; Result Unstructured Data: never got a pulse; Test Date: 20210426; Test Name: Oxygen saturation; Result Unstructured Data: no reading showed; Test Date: 20210425; Test Name: Pulmonary function test; Result Unstructured Data: Normal
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: The patient never a smoker and did not had any unhealthy habits.Since Covid started in March 2020, she never got sick once. Never a cold or sniffles.
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2298701

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
90,0
Geschlecht
F
Eingang
27.05.2022
Impfdatum
02.02.2021
Beginn
01.12.2021
Tage bis Beginn
302,0
Dosis
2
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Death Hypophagia SARS-CoV-2 test positive

Symptomtext

pt had a positive COVID test on 12/6/21; asymptomatic except for poor oral intake; pt stays in Health and Rehab facility; pt passed away in the facility; DC and med records sent.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Alzheimer's dementia; HTN; NIDDM-2, major depression, falls
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2292658

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
87,0
Geschlecht
M
Eingang
24.05.2022
Impfdatum
03.02.2021
Beginn
01.09.2021
Tage bis Beginn
210,0
Dosis
2
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Coronavirus pneumonia Death SARS-CoV-2 test positive

Symptomtext

Moderna COVID vaccine #3 given 11/12/2021, lot # 002C21A; pt stays in a local facility; pt had a positive COVID test on 9/19/2021; DNR; per death certificate, pt died in the facility with coronavirus pneumonia being a condition contributing to death; death certificate and med records sent to info@vaers.org per VAERS request

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
dysphagia, CAD, HTN, chronic thrombocytopenia, anxiety, hyperlipidemia
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2254588

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
TN
Alter
78,0
Geschlecht
F
Eingang
27.04.2022
Impfdatum
16.02.2021
Beginn
23.09.2021
Tage bis Beginn
219,0
Dosis
2
Route/Site
SYR / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Pulse absent Respiratory arrest SARS-CoV-2 test positive Unresponsive to stimuli

Symptomtext

Patient tested positive for Covid 19 on 9/23/2021. Patient was residing at assisted living facility. On 10/03/2021 patient was found unresponsive in bed, no pulse, no breath. Due to code status of DNR, code blue was not called.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Respiratory arrest
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2215868

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
TN
Alter
81,0
Geschlecht
F
Eingang
05.04.2022
Impfdatum
10.02.2021
Beginn
11.09.2021
Tage bis Beginn
213,0
Dosis
2
Route/Site
SYR / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Death SARS-CoV-2 test positive

Symptomtext

Information unavailable. Medical records have not been received from LTC facility. Patient tested positive on 9/16/2021 with Covid-19 and passed away on 10/14/2021 with Covid 19 listed as a cause of death on death certificate.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2189694

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
84,0
Geschlecht
M
Eingang
21.03.2022
Impfdatum
18.01.2021
Beginn
01.09.2021
Tage bis Beginn
226,0
Dosis
1
Route/Site
SYR / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Cerebrovascular accident SARS-CoV-2 test positive

Symptomtext

Stroke associated with COVID19

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
-
Labordaten
COVID19 positive 8-29-21
Aktuelle Erkrankungen
unknown
Vorgeschichte
atrial fibrillation COPD hypertension thyroid disease obesity rhabdomyolysis elevated LFTs kidney injury
Andere Medikamente
unknown
Allergien
unknown
Vorherige Impfungen
-

VAERS 2217926

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
100,0
Geschlecht
M
Eingang
03.02.2022
Impfdatum
26.01.2021
Beginn
09.08.2021
Tage bis Beginn
195,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

Narrative: 99 yo patient receiving hospice care expired on 8/9/21 after receiving COVID-19 vaccine on 1/26/21

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2085760

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
PA
Alter
77,0
Geschlecht
M
Eingang
03.02.2022
Impfdatum
26.01.2021
Beginn
26.07.2021
Tage bis Beginn
181,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Anticoagulant therapy Aphasia Atrial fibrillation Cerebral thrombosis Cerebrovascular accident Computerised tomogram Computerised tomogram head abnormal Condition aggravated Paranasal sinus discomfort Paranasal sinus inflammation Upper-airway cough syndrome

Symptomtext

After taking the 2nd dose, my sinus irritation/inflammation & post nasal drip worsened, which originally started after taking the first dose of Moderna. On 07/26/2021, I went into Afib and had blood clots in the brain. I had a stroke. I didn't have shortness of breath, lightheadedness, dizziness, or increased heart rate though. But I experienced loss of speech for 4 days. The blood clots still have not dissolved since being on the blood thinners. My sinus irritation/inflammation & post nasal drip has persisted.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
4,0
Labordaten
CAT scan; CT scan - blood clots on the left side of my brain, which caused the loss of speech; The blood clots still have not dissolved since being on the blood thinners. My sinus irritation/inflammation & post nasal drip has persisted.
Aktuelle Erkrankungen
Since the first vaccination, I had sinus irritation/inflammation
Vorgeschichte
Hypertension
Andere Medikamente
Blood pressure medication
Allergien
None
Vorherige Impfungen
-

VAERS 2062684

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
NY
Alter
55,0
Geschlecht
F
Eingang
25.01.2022
Impfdatum
28.12.2020
Beginn
01.03.2021
Tage bis Beginn
63,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Blood test Cardiac stress test Catheterisation cardiac abnormal Computerised tomogram Coronary arterial stent insertion Coronary artery occlusion Culture Echocardiogram Electrocardiogram Glycosylated haemoglobin increased Heavy menstrual bleeding Hypertension Myocardial infarction Nephrolithiasis Pain Postmenopausal haemorrhage Skin operation Vaginal haemorrhage

Symptomtext

After Dose 1 no outside treatment and after Dose 2 basically told it would go away those are normal reactions from the vaccine. Then after 30 days of Dose 2 on January 1, 2021 I started to hemorrhaging after 3 years of no menstrual. I was having vagina bleeding that was continuously that didn't stop. I went to my PCP and OB couldn't tell me what was happening had EKG. I started experiencing high blood pressure followed up with Cardiologist found my right side is enlarged. I was placed on Cholesterol and High blood pressure medication. In November 2021 was hospitalized at a HCF for 7 days had tissue removed from my thigh my A1C levels was high and blood pressure. I continued wood care treatment. I was released from the surgeon on January 6, 2022 and on January 7, 2022 developed kidney stones and left side pain. I had a ultrasound on January 17, 2022. On January 18, 2022 was transported to another HCF at hospital had heart attack. Then on January 19, 2022 admitted had heart catherization placed 2 stents in one artery the was blocked discharged on January 21, 2022. The worse part is nobody can tell me what's going on had no problems before vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Myocardial infarction
Hospital-Tage
7,0
Labordaten
EKG, Echocardiogram, Cardiac Cath, CT Scan, Stress Test, Blood work, Cultures
Aktuelle Erkrankungen
No
Vorgeschichte
Borderline Diabetic (management by diet)
Andere Medikamente
Apple Cider Vinegar
Allergien
Eggs; milk; Advil; Atorvastatin; Bactrim; Aleve; Claritin; Doxycycline; Morphine; Hydrochlorothiazide; Lisinopril
Vorherige Impfungen
Flu vaccine 2001 (arm swelling for a week).

VAERS 2058940

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
69,0
Geschlecht
M
Eingang
24.01.2022
Impfdatum
09.02.2021
Beginn
18.11.2021
Tage bis Beginn
282,0
Dosis
2
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: unbekannt
COVID-19 Chills Death Dyskinesia General physical health deterioration Lethargy SARS-CoV-2 test positive Unresponsive to stimuli

Symptomtext

brought to ED via EMS from SNF; pt is lethargic, no responding to questions; jerking all over (chills or rigors); O2 sats 85%; positive for COVID in ED; pt receiving O2 via NC; pt's condition deteriorated quickly and per death certificate, pt passed away in the ED

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2050581

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
83,0
Geschlecht
M
Eingang
20.01.2022
Impfdatum
03.01.2022
Beginn
16.01.2022
Tage bis Beginn
13,0
Dosis
1
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Anxiety COVID-19 Chest pain Death of relative Depressed mood Dizziness SARS-CoV-2 test positive

Symptomtext

He came to the hospital with a chief complaint of left-sided chest pain. Patient also reported some dizziness associated with that. Pain is less in the left lateral chest wall. Patient reports that recently his wife passed away so he is feeling very down and anxious. He reports that his chest pain may have something to do with that. He denies any fevers, chills, cough, shortness of breath, palpitations, abdominal pain, nausea, vomiting, burning or painful urination, diarrhea. Patient however denies any severe depressive symptoms or suicidal ideations. Tested positive on 01/16/2022

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death of relative
Hospital-Tage
2,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
hypertension, hyperlipidemia, history of DVT and PE currently not on anticoagulation due to high risk for bleeding, BPH, depression, chronic GERD
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2015371

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
SC
Alter
53,0
Geschlecht
F
Eingang
07.01.2022
Impfdatum
05.02.2021
Beginn
05.02.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: unbekannt Erholt: nein
Blindness Cerebrovascular accident Computerised tomogram Disturbance in attention Erythema Feeling abnormal Hypersomnia IVth nerve paralysis Immediate post-injection reaction Injection site nodule Injection site pain Laboratory test Lumbar puncture Magnetic resonance imaging head abnormal Memory impairment Pain in extremity Peripheral swelling Scan with contrast

Symptomtext

Immediate adverse reaction - Covid Arm. My arm became hot within hours, sore, inflamed and red and stayed that way for nearly one year. I still have a knot and at times an ache where the vaccine was given. After the shot I exhibited more low attention characteristics, more cloudy thinking and forgetfulness and sleeping more. After a couple of weeks I realized my vision had changed and I could not see as well. My boss and coworkers noticed my decreased vision change as well. I kept forgetting to make an eye appt. When I saw the eye doctor I was told I had 4th nerve palsey and and needed a CT. After CT I was sent to Neurologist for MRI where it was discovered I had had a stroke also.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
-
Labordaten
Multiple labs; spinal tap; CT; many MRI's with out and with dye. Please seek records. I am not a medical person.
Aktuelle Erkrankungen
-
Vorgeschichte
Depression, PTSD, Low Attention ADD
Andere Medikamente
HCTZ, Levothyroxine, Vyvance, Pantopraz, Trintellix
Allergien
codeine, penicillin
Vorherige Impfungen
-

VAERS 2659158

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
79,0
Geschlecht
M
Eingang
06.01.2022
Impfdatum
14.01.2021
Beginn
29.01.2021
Tage bis Beginn
15,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death Malaise Pain

Symptomtext

Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 77 and suffering from end stage renal disease on dialysis. Uncontrolled pain was a complaint on note from 1/27/21, and it was noted that patient missed at least one dialysis appointment due to not feeling well. Unconfirmed cause of death but likely due to age/end of life complicated by end stage kidney disease

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2530802

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
90,0
Geschlecht
M
Eingang
05.01.2022
Impfdatum
06.02.2021
Beginn
06.02.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. At the time of his death, patient had long existing comorbidities including, CKD stage 4, anemia of chronic renal failure, advanced age, leukemia, DVT, HLD, emphysema, HTN, obesity, thrombocytopenia. Patient was 88 and died on 2/6/21. No documentation detailing the circumstances of his passing or his cause of death.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2530790

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
95,0
Geschlecht
M
Eingang
05.01.2022
Impfdatum
20.01.2021
Beginn
02.04.2021
Tage bis Beginn
72,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death Pneumonia

Symptomtext

Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient had pneumonia around the time of 02/17/2021, receiving care through medical source. No other notes documenting symptoms. Patient has a PMH significant CAD, HTN, AF, Hyperlipidemia.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2541761

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
72,0
Geschlecht
M
Eingang
04.01.2022
Impfdatum
03.02.2021
Beginn
07.03.2021
Tage bis Beginn
32,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

Narrative: Patient received Moderna COVID vaccine #1 on 1/6/21 and #2 on 2/3/21. There are no further scanned records or notes in medical records since 2/3/21. Date of death is recorded as 3/7/21. No autopsy reports. Time from second vaccine to date of death is 32 days.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2534938

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
90,0
Geschlecht
M
Eingang
04.01.2022
Impfdatum
20.01.2021
Beginn
19.03.2021
Tage bis Beginn
58,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 89 with afib, CAD, DM, HTN, HLD. Patient not receiving much care and there is not a lot of documentation on his chart. Details surrounding his death are unknown based on chart review.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2529640

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
89,0
Geschlecht
M
Eingang
04.01.2022
Impfdatum
15.01.2021
Beginn
28.02.2021
Tage bis Beginn
44,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death Foot amputation Infection Surgery

Symptomtext

Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. On 2/3/21, notes state patient was inpatient at hospital after having multiple surgeries/partial amputation of left foot after receiving an infection. Patient not receiving care from our hospital so unclear if passing on 2/28/21 was related to infection/complications from surgery. Comorbidities include advanced age, CKD, prostate cancer, DM2, CAD, HTN, HLD.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2529633

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
81,0
Geschlecht
M
Eingang
04.01.2022
Impfdatum
23.01.2021
Beginn
31.03.2021
Tage bis Beginn
67,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death Fall Spinal decompression Spinal operation

Symptomtext

Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Comorbidities include CKD, anemia, DM2, CAD, HTN, HLD. On 2/19/21 it was reported that patient spent some time in the hospital over the last week after suffering several falls while a resident in a nursing home. He underwent back surgery for spinal decompression on 3/2/21 . He passed away at the hospital on 3/31/21 with unknown cause of death. Patient also had CHF, COPD, Crohns Disease, anxiety/depression.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2529627

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
96,0
Geschlecht
M
Eingang
04.01.2022
Impfdatum
21.01.2021
Beginn
15.03.2021
Tage bis Beginn
53,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Adverse drug reaction Chest tube insertion Death Weight decreased

Symptomtext

Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 94 and contributing comorbidities include sarcoidosis, afib, nonischemic congestive cardiomyopathy w/ ICD, DM2, HTN, HLN, Dementia/ senile. Patient required hospice care on 2/19/21 and had lost significant weight up to that point and had a chest tube in place.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2529607

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
81,0
Geschlecht
M
Eingang
04.01.2022
Impfdatum
20.01.2021
Beginn
15.03.2021
Tage bis Beginn
54,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Bedridden Death Dysphagia Dyspnoea Hypophagia Weight decreased

Symptomtext

Narrative: Patient was not previously Covid positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was admitted to Hospital on 3/11/21 with dyspnea. He was transferred from a rehab facility as he could no longer care for himself due to being bed-bound. He lost 27 pounds over last 6 months due to progressive dysphagia limiting PO intake. PMH significant for dementia, CAD, HTN, COPD.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2531871

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
86,0
Geschlecht
M
Eingang
03.01.2022
Impfdatum
-
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

Narrative: Unknown if the patient passed away as a result of the vaccine however, it is being reported as an Vaccine Adverse Drug Reaction since the patient passed away within 42 days of receiving the vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2531347

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
92,0
Geschlecht
M
Eingang
03.01.2022
Impfdatum
08.02.2021
Beginn
02.04.2021
Tage bis Beginn
53,0
Dosis
UNK
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

Narrative: Pt is a 90y.o. male who died on 04/02/2021 w/ h/o AFib, HLD, Past stroke, Colonic polyps. Pt received Moderna Covid-19 Vaccination 2/2 on 02/08/2021. Pt died on 04/02/2021 at Hospital. Unlikely Moderna Covid-19 Vaccine caused/contributed to pt death.

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Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2531288

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
88,0
Geschlecht
M
Eingang
03.01.2022
Impfdatum
28.12.2020
Beginn
05.04.2021
Tage bis Beginn
98,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

Narrative: Unknown if death is related to vaccine, reporting as adverse event since it was within 42 days of receiving vaccination

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Praegender Schweregrund
Death
Hospital-Tage
-
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-
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-
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-
Andere Medikamente
-
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-
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-

VAERS 2530834

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
87,0
Geschlecht
M
Eingang
03.01.2022
Impfdatum
-
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death Immunisation reaction

Symptomtext

Narrative: Unknown if patient passing away was due to COVID-19 vaccine however, it is being reported as a Vaccine Adverse Drug Reaction since it happened with 42 days of receiving the vaccine.

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Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
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-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2530825

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
79,0
Geschlecht
M
Eingang
03.01.2022
Impfdatum
04.02.2021
Beginn
06.03.2021
Tage bis Beginn
30,0
Dosis
UNK
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

Narrative: Pt is a 78y.o. male who died on 03/06/2021 w/ h/o AFib, BPH, COPD, CVD, dementia, HTN, HLD, past Stroke, T2DM, hemiparesis. Pt received Moderna Covid-19 Vaccination 2/2 on 02/04/2021. Pt died at Hospital on 03/06/2021. Unlikely that Moderna Covid-19 vaccine cause/contributed to pt death.

Weitere VAERSDATA-Felder
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Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2510497

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
91,0
Geschlecht
M
Eingang
02.01.2022
Impfdatum
08.01.2021
Beginn
02.03.2021
Tage bis Beginn
53,0
Dosis
UNK
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

Narrative: Pt is a 89y.o male who died on 03/02/2021 w/ h/o dementia, prostate cancer, BCC,BPH, HLD, gout. Pt received Moderna Covid-19 Vaccination 1/2 on 01/08/2021. Pt died at home on 03/02/2021. Unlikely that Moderna Covid-19 vaccine caused/contributed to pt death.

Weitere VAERSDATA-Felder
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Death
Hospital-Tage
-
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-
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-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2508178

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
76,0
Geschlecht
M
Eingang
02.01.2022
Impfdatum
06.01.2021
Beginn
17.05.2021
Tage bis Beginn
131,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

Narrative: Pt is a 74 y/o male with diagnosis listed as Parkinson's Disease & Dementia. Pt received both covid vaccine vaccinations on 1/6/21 & 2/3/21. Pt passed away on 5/17/2021 while outpatient. No further information available about his death. Unable to assess if death is related to covid vaccinations.

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Death
Hospital-Tage
-
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-
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-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2500384

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
75,0
Geschlecht
M
Eingang
02.01.2022
Impfdatum
08.01.2021
Beginn
14.02.2021
Tage bis Beginn
37,0
Dosis
UNK
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
COVID-19 Death Dialysis Endotracheal intubation Mechanical ventilation Refusal of treatment by patient Speech disorder

Symptomtext

Narrative: Pt is a 73y.o. male who died on 02/14/2021 w/ h/o dementia, sickle cell trait, history of antineoplastic chemotherapy, history of radiation therapy, history of renal failure, depression, malignancy and the bladder, GERD, low back pain, hypertension, hepatitis C and PTSD. Pt received Moderna Covid-19 Vaccination 1/2 on 01/08/2021. Reviewing pt's chart (01/26/2021) saw pt was admitted to hospital yesterday w/ Covid. Pt was put on ventilator per daughter. Per his nurse, pt was extubated on 1/27/21 and is now on room air. He has been non-verbal throughout stay, refusing meds, on dialysis (having catheter placed tomorrow). Nurse stated family is looking at NHP. Pt died while inpatient at the hospital on 02/14/2021. Unlikely that Moderna Covid Vaccine caused/contributed to pt death.

Weitere VAERSDATA-Felder
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Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2500297

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
99,0
Geschlecht
M
Eingang
02.01.2022
Impfdatum
03.02.2021
Beginn
10.03.2021
Tage bis Beginn
35,0
Dosis
UNK
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

Narrative: Pt is a 97y.o. male who died on 03/10/2021 w/ h/o bradycardia, HTN, HLD, CAD, melanoma, occlusion & stenosis of carotid artery. Pt received Moderna Covid-19 Vaccination 2/2 on 02/03/2021. Unlikely that Moderna Covid-19 Vaccine caused/contributed to pt death.

Weitere VAERSDATA-Felder
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Death
Hospital-Tage
-
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-
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-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2500286

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
74,0
Geschlecht
M
Eingang
02.01.2022
Impfdatum
08.01.2021
Beginn
29.01.2021
Tage bis Beginn
21,0
Dosis
UNK
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Acute respiratory failure Death Dyspnoea Fall

Symptomtext

Narrative: Pt was a 72y.o. male who died on 01/29/2021 w/ h/o DVT, venous insufficiency, CHF, BPH, frontotemporal dementia, restrictive lung disease, hypertension. Pt received Moderna Covid-19 Vaccination 1/2 on 01/08/2021. Pt presented to ED on 01/23/2021 for evaluation of fall and shortness of breath. Pt admitted for palliative care. Pt died inpatient on 01/29/2021 with physician reporting Death was caused by: Acute Hypoxic Respiratory Failure . Unlikely that Moderna covid-19 vaccine caused/contributed to pt death.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute respiratory failure
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2500247

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
83,0
Geschlecht
M
Eingang
02.01.2022
Impfdatum
05.02.2021
Beginn
12.02.2021
Tage bis Beginn
7,0
Dosis
UNK
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

Narrative: Pt is a 81y.o. male who died on 02/12/2021 w/ h/o ESRD on chronic HD, HTN, CAD h/o pci and stents, CHF EF 26%, tachycardia s/p ppm, aortic stenosis s/p TAVR 2019, T2DM, HTN, HLD. Pt received Moderna Covid-19 Vaccination 2/2 on 02/05/2021. Unlikely that Moderna Covid-19 Vaccine caused/contributed to pt death.

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Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2498931

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
77,0
Geschlecht
M
Eingang
02.01.2022
Impfdatum
20.01.2021
Beginn
08.04.2021
Tage bis Beginn
78,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death Vascular operation

Symptomtext

Narrative: Patient was not previously COVID-19 positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Pt was 75 years old with past medical history of A.Fib, Hyperlipidemia, COPD, Ocular Hypertension, Sleep Apnea, Chronic ischemic heart disease, Chronic pain, History of malignant neoplasm of bladder, Arteriosclerosis of nonautologous coronary artery bypass graft. Last few notes says patient had vascular surgery and was discharged to short term rehab in 3.21. There weren't notes on cause of death. Pt was deceased on 4.8.21.

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Hospital-Tage
-
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-
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-
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-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2498874

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
92,0
Geschlecht
M
Eingang
02.01.2022
Impfdatum
08.02.2021
Beginn
09.05.2021
Tage bis Beginn
90,0
Dosis
UNK
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

Narrative: Pt is a 91 male who died on 05/09/2021 w/h/o CKD, GERD, HLD, and HTN. Pt received Moderna Covid-19 vaccination 2/2 on 02/08/2021. Pt died on 05//09/2021 at hospital. Unlikely Moderna Covid-19 vaccine caused/contributed to pt death.

Weitere VAERSDATA-Felder
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Hospital-Tage
-
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-
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-
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-
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-
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-
Vorherige Impfungen
-

VAERS 2515064

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
87,0
Geschlecht
M
Eingang
01.01.2022
Impfdatum
07.01.2021
Beginn
03.01.2021
Tage bis Beginn
-
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death Urticaria

Symptomtext

Narrative: patient broke out into hives the evening after getting COVID-19 vaccine. Patient's girlfriend stated that this happens to patient sometimes, off and on. Patient did not get his second dose of the vaccine. Patient was in hospice care due to appendix cancer and passed away on 02/24/2021.

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Hospital-Tage
-
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-
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-
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-
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-
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-
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-

VAERS 1989694

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
FL
Alter
51,0
Geschlecht
M
Eingang
29.12.2021
Impfdatum
27.01.2021
Beginn
28.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
SYR / UN
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Cardiomegaly Death Pulmonary congestion Pulmonary oedema

Symptomtext

Death, pulmonary congestion and edema, cardiomegaly

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
2/6/21
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Alprazolam Quetiapine
Allergien
-
Vorherige Impfungen
-

VAERS 1971986

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
NJ
Alter
60,0
Geschlecht
M
Eingang
22.12.2021
Impfdatum
08.02.2021
Beginn
10.02.2021
Tage bis Beginn
2,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Pulmonary embolism Thrombosis

Symptomtext

Blood Clot right leg. Transported to pulmonary embolisms

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pulmonary embolism
Hospital-Tage
3,0
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 2540277

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

kritisch
Staat
-
Alter
55,0
Geschlecht
M
Eingang
17.12.2021
Impfdatum
28.12.2020
Beginn
11.01.2021
Tage bis Beginn
14,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: ja ER: ja Erholt: nein
Cardiac failure Myocardial infarction Palpitations

Symptomtext

Palpitations Widowmaker, 2 heart attacks, hospitalization Narrative: 2 heart attacks, widowmaker. Continuous heart failure post incident. No prior cardiac history reported.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Myocardial infarction
Hospital-Tage
4,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2564260

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
82,0
Geschlecht
M
Eingang
03.12.2021
Impfdatum
12.01.2021
Beginn
26.01.2021
Tage bis Beginn
14,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death Fall Subdural haematoma

Symptomtext

Narrative: Patient expired related to subdural hematoma following a fall at home approximately 2 weeks after receiving COVID vaccine

Weitere VAERSDATA-Felder
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Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2564257

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
76,0
Geschlecht
M
Eingang
03.12.2021
Impfdatum
23.02.2021
Beginn
27.07.2021
Tage bis Beginn
154,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death Dysphagia Parkinson's disease

Symptomtext

Narrative: Patient admitted to Palliative Care Unit for comfort measures for Parkinsons Disease and dysphagia. Expired 7/27/21.

Weitere VAERSDATA-Felder
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Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1903577

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039*K20A

kritisch
Staat
IL
Alter
71,0
Geschlecht
M
Eingang
27.11.2021
Impfdatum
05.01.2021
Beginn
15.11.2021
Tage bis Beginn
314,0
Dosis
2
Route/Site
OT / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Death Dyspnoea Eye disorder Hyperhidrosis Limb discomfort Loss of consciousness Skin discolouration

Symptomtext

Passed away/ Doctors couldn't revive him; passed out; gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working; He was sweating/chest was wet; looked a little ashy; his legs went limb and relaxed; "His eyes were, like, not right"; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (Passed away/ Doctors couldn't revive him), LOSS OF CONSCIOUSNESS (passed out), DYSPNOEA (gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working), HYPERHIDROSIS (He was sweating/chest was wet), SKIN DISCOLOURATION (looked a little ashy), LIMB DISCOMFORT (his legs went limb and relaxed) and EYE DISORDER ("His eyes were, like, not right") in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 076C21A, 039*K20A and 038K20A) for COVID-19 vaccination. The patient's past medical history included Heart disease, unspecified and Heart valve replacement (three years ago he had a heart valve replacement surgery, but he had been fine since.) in 2018. Concurrent medical conditions included Diabetes (had diabetes (but under control).), Blood pressure high (had high blood pressure (but under control).) and Overweight. On 05-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) (unknown route) dosage was changed to 1 dosage form. On 14-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 15-Nov-2021, the patient experienced LOSS OF CONSCIOUSNESS (passed out) (seriousness criteria death and medically significant), DYSPNOEA (gasping for air/couldn't breathe/tried to breathe for him and do CPR, but it wasn't working) (seriousness criterion death), HYPERHIDROSIS (He was sweating/chest was wet) (seriousness criterion death), SKIN DISCOLOURATION (looked a little ashy) (seriousness criterion death), LIMB DISCOMFORT (his legs went limb and relaxed) (seriousness criterion death) and EYE DISORDER ("His eyes were, like, not right") (seriousness criterion death). The patient died on 15-Nov-2021. The cause of death was not reported. An autopsy was performed, but no results were provided. Patient was sitting on the couch, gasping for air, and told reporter to hurry and call 911 since he couldn't breathe.The ambulance people tried to revive him, they put him on the floor, and they took his pulse. They asked for his medications and took him into the ambulance. When they arrived at the hospital, it took a while for any doctor to come and talk to her, so she thought they could revive him and was expecting some damage, like slow speech or paralysis. But when the doctor came in, he told her that they couldn't revive him, and he had passed. When she got in to see him, he had a tube on his mouth and his body temperature was fine, but he wasn't there anymore. No concomitant medication information were given. No treatment information were given. Company comment: This case concerns a 71-year-old, male patient, with medical history of diabetes, heart disease, and heart valve replacement surgery, who experienced the serious, unexpected events of death, loss of consciousness, dyspnea, hyperhidrosis, skin discoloration, limb discomfort and eye disorder. One day after receiving the booster dose of mRNA 1273 vaccine, patient called out for his wife as he was gasping for air and couldn't breathe, he was sweating and looked a little ashy. Patient passed out before ambulance arrived, CPR was done but patient was not revived. Wife requested for an autopsy by private individual, result not yet provided. The patient's co-morbidities of diabetes, heart disease, and heart valve replacement remains as a confounder to the events. The benefit risk relationship of vaccine is not affected by this report.; Sender's Comments: This case concerns a 71-year-old, male patient, with medical history of diabetes, heart disease, and heart valve replacement surgery, who experienced the serious, unexpected events of death, loss of consciousness, dyspnea, hyperhidrosis, skin discoloration, limb discomfort and eye disorder. One day after receiving the booster dose of mRNA 1273 vaccine, patient called out for his wife as he was gasping for air and couldn't breathe, he was sweating and looked a little ashy. Patient passed out before ambulance arrived, CPR was done but patient was not revived. Wife requested for an autopsy by private individual, result not yet provided. The patient's co-morbidities of diabetes, heart disease, and heart valve replacement remains as a confounder to the events. The benefit risk relationship of vaccine is not affected by this report.; Reported Cause(s) of Death: Unknown cause of death

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Blood pressure high (had high blood pressure (but under control).); Diabetes (had diabetes (but under control).); Overweight
Vorgeschichte
Medical History/Concurrent Conditions: Heart disease, unspecified; Heart valve replacement (three years ago he had a heart valve replacement surgery, but he had been fine since.)
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1877292

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
89,0
Geschlecht
M
Eingang
17.11.2021
Impfdatum
08.02.2021
Beginn
02.03.2021
Tage bis Beginn
22,0
Dosis
UNK
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Acute respiratory failure Atrial fibrillation COVID-19 Chest X-ray abnormal Chronic obstructive pulmonary disease Condition aggravated Death Dyspnoea Fall Hypertension Lung infiltration Lung opacity Pneumoconiosis Pneumonia SARS-CoV-2 test positive

Symptomtext

MRG: Report as COVID 19 death as Xray support the COVID 19 death. Not LTCF; PCR positive 3/2/2021, (-) 3/22/21; S/S: shortness of breath, worsening chest X-rays, diffuse ground-glass infiltrates similar to that of Coronovirus, admitted for managing shortness of breath post fall several week priorl; C/M: CVD - A-fib, heart failure, gout, HTN, COPD - black lung; Dx: ARF with hypoxemia, pneumonia, paroxysmal A-fib, HTN, black lung, acute exacerbation of chronic obstructive airways disease, history of COVID-19, heart failure, Moderna vaccines on 1/12 and 2/8

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute respiratory failure
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Black lung,
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1853228

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
-
Geschlecht
F
Eingang
09.11.2021
Impfdatum
-
Beginn
-
Tage bis Beginn
-
Dosis
UNK
Route/Site
OT / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Death

Symptomtext

Both my father and my mother took your Moderna Covid vaccine and both died a few weeks later; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (Both my father and my mother took your Moderna Covid vaccine and both died a few weeks later) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. Death occurred on an unknown date The cause of death was not reported. It is unknown if an autopsy was performed. Not Provided No Concomitant medication was provided. No treatment medication was provided. Company Comment: This case concerns a female patient with no relevant medical history, who experienced the unexpected event of Death (Nos). The event occurred approximately few weeks (unspecified) after a dose of mRNA-1273 (Moderna Covid-19 vaccine); It's unknown if it was first or second dose. The rechallenge was not applicable. Limited information provided precludes a complete medical or causal assessment of this case. The benefit-risk relationship of mRNA-1273 (Moderna Covid-19 vaccine) is not affected by this report. This case was linked to MOD-2021-370905 (Patient Link).; Sender's Comments: This case concerns a female patient with no relevant medical history, who experienced the unexpected event of Death (Nos). The event occurred approximately few weeks (unspecified) after a dose of mRNA-1273 (Moderna Covid-19 vaccine); It's unknown if it was first or second dose. The rechallenge was not applicable. Limited information provided precludes a complete medical or causal assessment of this case. The benefit-risk relationship of mRNA-1273 (Moderna Covid-19 vaccine) is not affected by this report.; Reported Cause(s) of Death: unknown cause of death

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1853227

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
-
Geschlecht
M
Eingang
09.11.2021
Impfdatum
-
Beginn
-
Tage bis Beginn
-
Dosis
UNK
Route/Site
OT / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Death

Symptomtext

Both my father and my mother took your Moderna Covid vaccine and both died a few weeks later; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (Both my father and my mother took your Moderna Covid vaccine and both died a few weeks later) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. Death occurred on an unknown date The cause of death was not reported. It is unknown if an autopsy was performed. Not Provided No concomitant products were reported. No treatment drugs were reported. Company Comment: This case concerns a male patient (age not provided) with no relevant medical history, who experienced the unexpected event of Death (Nos). The event occurred approximately few weeks (unspecified) after a dose of mRNA-1273 (Moderna Covid-19 vaccine), It's unknwon if it was the first or second dose. The rechallenge was not applicable. Limited information provided precludes a completed medical or causal assessment of this case. The benefit-risk relationship of mRNA-1273 (Moderna Covid-19 vaccine) is not affected by this report. This case was linked to MOD-2021-370921 (Patient Link).; Sender's Comments: This case concerns a male patient (age not provided) with no relevant medical history, who experienced the unexpected event of Death (Nos). The event occurred approximately few weeks (unspecified) after a dose of mRNA-1273 (Moderna Covid-19 vaccine), It's unknwon if it was the first or second dose. The rechallenge was not applicable. Limited information provided precludes a completed medical or causal assessment of this case. The benefit-risk relationship of mRNA-1273 (Moderna Covid-19 vaccine) is not affected by this report.; Reported Cause(s) of Death: Unknown cause of death

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2601581

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
87,0
Geschlecht
M
Eingang
02.11.2021
Impfdatum
17.02.2021
Beginn
06.10.2021
Tage bis Beginn
231,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

Narrative: Patient admitted to hospice care and dies shortly thereafter. Patient was 87 years old with multiple medical diagnoses.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2599945

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
85,0
Geschlecht
M
Eingang
02.11.2021
Impfdatum
03.02.2021
Beginn
28.08.2021
Tage bis Beginn
206,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death Road traffic accident

Symptomtext

Narrative: Pt was an 84 YO male with PMH significant for dementia, CKD, and gout. Pt was in a severe MVA in May and after discharge from STR pt was transferred to home hospice, where he passed away.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1821687

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
84,0
Geschlecht
F
Eingang
27.10.2021
Impfdatum
15.02.2021
Beginn
15.10.2021
Tage bis Beginn
242,0
Dosis
UNK
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
COVID-19 Death

Symptomtext

death COVID

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1808173

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
FL
Alter
74,0
Geschlecht
M
Eingang
22.10.2021
Impfdatum
15.02.2021
Beginn
08.08.2021
Tage bis Beginn
174,0
Dosis
1
Route/Site
UN / UN
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
COVID-19 Chest X-ray abnormal Death Mouth haemorrhage Pleural effusion SARS-CoV-2 test positive Tracheal haemorrhage

Symptomtext

Patient was transferred to hospital on 8/8 via medical flight from his facility due to persistent intermittent bleeding from his trach and mouth. Subsequently goals of care transitioned to CMO only and patient passed away on 8/17. Regarding covid, patient had mild infection without hypoxemia and was given course of remdesivir. Patient is fully vaccinated.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
9,0
Labordaten
covid positive test on 8/8/21 chest x ray impression on 8/8/21: bilateral small pleural effusions
Aktuelle Erkrankungen
N/A
Vorgeschichte
tonsillar SCC, progressive sarcomatoid carcinoma of the posterior pharyngeal wall, Afib, PE, CAD
Andere Medikamente
acetaminophen, albuterol, apixaban, aspirin, atorvastatin, bisacodyl, dexamethasone, diltiazem, famotidine, fluconazole, duoneb, melatonin, oxycodone, miralax, senna, tamsulin, tramadol, valacyclovir
Allergien
No known allergies
Vorherige Impfungen
-

VAERS 1768620

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
90,0
Geschlecht
M
Eingang
07.10.2021
Impfdatum
20.02.2021
Beginn
30.09.2021
Tage bis Beginn
222,0
Dosis
UNK
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Acute kidney injury Death

Symptomtext

death Acute kidney injury

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1768611

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
81,0
Geschlecht
M
Eingang
07.10.2021
Impfdatum
18.02.2021
Beginn
07.09.2021
Tage bis Beginn
201,0
Dosis
UNK
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Acute respiratory failure Death

Symptomtext

death J96.01 - Acute respiratory failure with hypoxia

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute respiratory failure
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1768518

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
84,0
Geschlecht
M
Eingang
07.10.2021
Impfdatum
23.02.2021
Beginn
13.09.2021
Tage bis Beginn
202,0
Dosis
UNK
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Acute kidney injury Acute respiratory failure COVID-19 COVID-19 pneumonia Death

Symptomtext

death U07.1 - COVID-19 J96.01 - Acute respiratory failure with hypoxia J12.82 - Pneumonia due to coronavirus disease 2019 N17.9 - Acute kidney failure, unspecified

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute respiratory failure
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1745080

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
56,0
Geschlecht
M
Eingang
29.09.2021
Impfdatum
12.01.2021
Beginn
13.09.2021
Tage bis Beginn
244,0
Dosis
1
Route/Site
IM / UN
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
COVID-19 Death SARS-CoV-2 test

Symptomtext

Patient hospitalized 9/13/21, diagnosed with COVID19 9/14/21, deceased 9/25/21

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
12,0
Labordaten
COVID test 9/14/21
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1737230

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20A

kritisch
Staat
MO
Alter
76,0
Geschlecht
M
Eingang
27.09.2021
Impfdatum
30.12.2020
Beginn
02.06.2021
Tage bis Beginn
154,0
Dosis
UNK
Route/Site
SYR / AR
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Abdominal pain Autopsy Chest X-ray Hernia Laboratory test Sudden death

Symptomtext

On 06/02/2021 my father started having extreme abdominal pain. He visited er and was sent home with a surgeon follow up in one week. They said he had a hernia However no hernia was noted on autopsy report. He died suddenly on the morning of 6/9/2021 just before surgeon appointment

Weitere VAERSDATA-Felder
Praegender Schweregrund
Sudden death
Hospital-Tage
-
Labordaten
Labs, chest xray
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Labetalol arorvastin
Allergien
Nka
Vorherige Impfungen
-

VAERS 1713892

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
NC
Alter
84,0
Geschlecht
M
Eingang
19.09.2021
Impfdatum
08.01.2021
Beginn
15.01.2021
Tage bis Beginn
7,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Cerebral haemorrhage Computerised tomogram head abnormal Death Headache Loss of consciousness Unresponsive to stimuli

Symptomtext

Developed severe headache the morning of 1/15/21 called for help found unconscious in bed room floor regained consciousness taken to Hospital became unresponsive shortly there after. Result of hemorrhaging on the brain. Died 1/17/21.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebral haemorrhage
Hospital-Tage
3,0
Labordaten
CT scan Brain Hemorrhaging
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1700191

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
89,0
Geschlecht
F
Eingang
15.09.2021
Impfdatum
12.02.2021
Beginn
08.09.2021
Tage bis Beginn
208,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Death

Symptomtext

Minimal nursing notes were provided. Patient lived at Healthcare facility and died at their sister facility - Nursing and Rehabilitation.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1662364

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
VA
Alter
59,0
Geschlecht
F
Eingang
01.09.2021
Impfdatum
24.02.2021
Beginn
27.04.2021
Tage bis Beginn
62,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Blood test Chest pain Coronary arterial stent insertion Dyspnoea Electrocardiogram abnormal Hyperhidrosis Intensive care Myocardial infarction Respiratory disorder Sleep disorder

Symptomtext

On 4/27/2021 around 3am, I woke up in a sweat and I was having severe chest pains. I took 2 aspirins right away. At 9am, I decided to go to the ER. They did blood work and EKG and it showed I was having a heart attack. I did an emergency surgery and a stent was place. I was admitted and was in the ICU for 5 days. I was discharged with new medications and to follow up with a cardiologist. On 5/28/2021, I had another stent place. I now have SOB and breathing issues that I have never had before.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Myocardial infarction
Hospital-Tage
5,0
Labordaten
blood work EKG surgery
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
none
Allergien
demerol, morphine
Vorherige Impfungen
-

VAERS 1623782

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
71,0
Geschlecht
M
Eingang
23.08.2021
Impfdatum
09.02.2021
Beginn
07.08.2021
Tage bis Beginn
179,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Acute kidney injury Acute respiratory failure Angiogram pulmonary normal Atelectasis COVID-19 Cardiac failure congestive Deep vein thrombosis Hyponatraemia Lung opacity Pleural effusion Pneumonia viral Scan with contrast normal Septic shock Ultrasound Doppler abnormal

Symptomtext

Discharge diagnosis: Acute hypoxic respiratory failure secondary to viral pneumonia in the setting of COVID-19 Acute kidney injury Septic shock Right popliteal DVT Hyponatremia

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute respiratory failure
Hospital-Tage
-
Labordaten
8/6/2021: CTA chest pulmonary embolism with contrast: No evidence of pulmonary embolism. There are small bilateral pleural effusions and bibasilar atelectasis. Geographic areas of groundglass attenuation are noted throughout both lungs suspicious for pneumonia, congestive heart failure, or other inflammatory process. 8/10/2021 VL lower extremity bilateral venous imaging: 1: Popliteal vein DVT. 2: No sonographic evidence of left lower extremity DVT.
Aktuelle Erkrankungen
Unknown
Vorgeschichte
Vascular disease Alzheimers High blood pressure
Andere Medikamente
Aspirin 81 mg QD Atorvastatin 20 mg QD Donepezil 5 mg QHS Metoprolol 25 mg 24H tablet QD Valsartan-HCTZ 160/12.5 mg QD
Allergien
Unknown
Vorherige Impfungen
-

VAERS 1575103

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
AZ
Alter
69,0
Geschlecht
M
Eingang
16.08.2021
Impfdatum
23.12.2020
Beginn
17.05.2021
Tage bis Beginn
145,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Chest X-ray Computerised tomogram thorax Dyspnoea Laboratory test Pulmonary embolism Ultrasound scan

Symptomtext

Severe Pulmonary Embolism SOB

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pulmonary embolism
Hospital-Tage
1,0
Labordaten
Labs, Ultrasound CT Scan Chest, Chest Xray
Aktuelle Erkrankungen
None
Vorgeschichte
Arthritis lower back
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 1554040

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

kritisch
Staat
LA
Alter
70,0
Geschlecht
M
Eingang
13.08.2021
Impfdatum
02.01.2021
Beginn
27.07.2021
Tage bis Beginn
206,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Blood test Chest X-ray Chills Computerised tomogram thorax Iron deficiency anaemia Pneumonia Pulmonary embolism Pyrexia Scan with contrast

Symptomtext

Admitted to medical center 7/28 w/ symptoms fever & chills. Blood tests, chest x-ray, chest ct, chest ct w/contrast. Diagnosed low iron anemia, pneumonia (middle lobe, rt lung, and pulmonary embolism. Discharged 8/3

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pulmonary embolism
Hospital-Tage
7,0
Labordaten
-
Aktuelle Erkrankungen
none
Vorgeschichte
prostate cancer
Andere Medikamente
ferrous sulfate, 325mg bid lipitor, 40mg 1/1/dy omeprazole, 10mg 1/2/dy citrizine, 10mg 1/1/dy diclofenac, 50mg 1/1/dy famotidine, 20mg 1/2/dy vascepa, 1g 2/2/dy ubrogepant, 10mg as needed metamucil, 525mg 1/2/dy calcium, 400mg 2/1/dy aspr
Allergien
none
Vorherige Impfungen
-

VAERS 1528901

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
84,0
Geschlecht
F
Eingang
05.08.2021
Impfdatum
02.02.2021
Beginn
17.02.2021
Tage bis Beginn
15,0
Dosis
UNK
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Acute kidney injury Death Dyspnoea Gastrointestinal haemorrhage

Symptomtext

death shortness of breath N17.9 - AKI (acute kidney injury) K92.2 - Gastrointestinal hemorrhage, unspecified gastrointestinal hemorrhage type

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1457522

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
76,0
Geschlecht
F
Eingang
08.07.2021
Impfdatum
23.02.2021
Beginn
10.06.2021
Tage bis Beginn
107,0
Dosis
UNK
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Acute myocardial infarction

Symptomtext

I21.4 - NSTEMI (non-ST elevated myocardial infarction) (CMS/HCC)

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute myocardial infarction
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1450110

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
85,0
Geschlecht
F
Eingang
06.07.2021
Impfdatum
23.02.2021
Beginn
16.05.2021
Tage bis Beginn
82,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Abdominal pain Acute kidney injury Acute myocardial infarction Diarrhoea Hyponatraemia Nausea Vomiting

Symptomtext

AKI (acute kidney injury) Hyponatremia NSTEMI (non-ST elevated myocardial infarction) ABDOMINAL PAIN VOMITING DIARRHEA NAUSEA

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute myocardial infarction
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1433140

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
78,0
Geschlecht
F
Eingang
29.06.2021
Impfdatum
27.02.2021
Beginn
30.04.2021
Tage bis Beginn
62,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Acute myocardial infarction

Symptomtext

I21.4 - Non-ST elevation (NSTEMI) myocardial infarction

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute myocardial infarction
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1431244

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

kritisch
Staat
FL
Alter
82,0
Geschlecht
M
Eingang
28.06.2021
Impfdatum
12.01.2021
Beginn
14.01.2021
Tage bis Beginn
2,0
Dosis
1
Route/Site
IM / AR
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Cough Death Inflammatory marker increased Pyrexia Rhinorrhoea Upper gastrointestinal haemorrhage

Symptomtext

started with runny nose, fever, cough. ended in death due to Upper GI Bleed and inflammatory markers very elevated and no explanation why.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
6,0
Labordaten
Hospitalized two times
Aktuelle Erkrankungen
-
Vorgeschichte
Chronic Leukemia, High Blood Preasure
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1431215

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
81,0
Geschlecht
M
Eingang
28.06.2021
Impfdatum
26.02.2021
Beginn
02.06.2021
Tage bis Beginn
96,0
Dosis
UNK
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Acute kidney injury Death

Symptomtext

Death N17.9 - AKI (acute kidney injury)

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1431167

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
81,0
Geschlecht
F
Eingang
28.06.2021
Impfdatum
17.02.2021
Beginn
17.05.2021
Tage bis Beginn
89,0
Dosis
UNK
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Death Pneumonia

Symptomtext

Death J18.9 - Pneumonia of both lower lobes due to infectious organism

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1431110

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
89,0
Geschlecht
M
Eingang
28.06.2021
Impfdatum
25.02.2021
Beginn
23.05.2021
Tage bis Beginn
87,0
Dosis
UNK
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Death Gastrointestinal haemorrhage Pneumonia

Symptomtext

Death Gastrointestinal hemorrhage, unspecified Pneumonia

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1367855

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
82,0
Geschlecht
F
Eingang
02.06.2021
Impfdatum
28.01.2021
Beginn
05.02.2021
Tage bis Beginn
8,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Cerebrovascular accident

Symptomtext

I63.9 - Cerebrovascular accident (CVA), unspecified mechanism (CMS/HCC)

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
7,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1346738

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
78,0
Geschlecht
F
Eingang
25.05.2021
Impfdatum
06.03.2021
Beginn
16.05.2021
Tage bis Beginn
71,0
Dosis
1
Route/Site
UN / UN
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Acute kidney injury Death Hyponatraemia Hypoosmolar state

Symptomtext

death E87.1 - Hypo-osmolality and hyponatremia N17.9 - Acute kidney failure, unspecified

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1313282

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
83,0
Geschlecht
F
Eingang
13.05.2021
Impfdatum
16.02.2021
Beginn
18.03.2021
Tage bis Beginn
30,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Acute kidney injury Acute myocardial infarction

Symptomtext

I21.4 - NSTEMI (non-ST elevated myocardial infarction) (CMS/HCC) N17.9 - AKI (acute kidney injury) (CMS/HCC)

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute myocardial infarction
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1307530

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
76,0
Geschlecht
F
Eingang
11.05.2021
Impfdatum
18.02.2021
Beginn
07.04.2021
Tage bis Beginn
48,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Cerebrovascular accident

Symptomtext

R29.90 - Stroke-like symptom CEREBROVASCULAR ACCIDENT

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1307514

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
85,0
Geschlecht
F
Eingang
11.05.2021
Impfdatum
25.02.2021
Beginn
28.03.2021
Tage bis Beginn
31,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Acute myocardial infarction

Symptomtext

I21.4 - Non-ST elevation (NSTEMI) myocardial infarction

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute myocardial infarction
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1307301

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
79,0
Geschlecht
M
Eingang
11.05.2021
Impfdatum
18.02.2021
Beginn
01.03.2021
Tage bis Beginn
11,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Acute kidney injury Acute myocardial infarction Myocardial infarction Pneumonia

Symptomtext

Non-ST elevation (NSTEMI) myocardial infarction; Acute kidney failure, unspecified; Pneumonia, unspecified organism

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute myocardial infarction
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1304092

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
43,0
Geschlecht
F
Eingang
10.05.2021
Impfdatum
16.02.2021
Beginn
28.04.2021
Tage bis Beginn
71,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: unbekannt
Chest pain Pulmonary embolism

Symptomtext

CHEST PAIN Other pulmonary embolism without acute cor pulmonale

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pulmonary embolism
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1303815

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
79,0
Geschlecht
M
Eingang
10.05.2021
Impfdatum
25.02.2021
Beginn
05.03.2021
Tage bis Beginn
8,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Pulmonary embolism

Symptomtext

I26.99 - Pulmonary embolism (CMS/HCC) I26.99 - Other pulmonary embolism without acute cor pulmonale

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pulmonary embolism
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1303041

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
77,0
Geschlecht
M
Eingang
10.05.2021
Impfdatum
22.02.2021
Beginn
28.04.2021
Tage bis Beginn
65,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Death

Symptomtext

This 77 year old male received the Covid shot on 2/22/21 and went to the ED and admitted on 4/28/21 with the diagnoses listed below and died on 5/5/21. cause of death unknown at time of report

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1088956

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
NY
Alter
74,0
Geschlecht
M
Eingang
10.05.2021
Impfdatum
03.02.2021
Beginn
31.03.2021
Tage bis Beginn
56,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Death Intensive care SARS-CoV-2 test positive

Symptomtext

Patient had no allergic reaction during the 15 mins waiting period at the pharmacy after the vaccination on Feb 3, 2021. He was instructed to return for his 2nd dose on March 31, 2021. he didn't show up on March 31, 2021 for his 2nd dose and we were not able to contact him or his family until his friend told us that he had passed away at hospital.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
no medical history presented to vaccinator at the time of vaccination based on the screening form review
Vorgeschichte
no medical history presented to vaccinator based on the screening form review
Andere Medikamente
Nothing was taken at the time of vaccination
Allergien
NKA
Vorherige Impfungen
-

VAERS 1088956

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
NY
Alter
74,0
Geschlecht
M
Eingang
10.05.2021
Impfdatum
03.02.2021
Beginn
31.03.2021
Tage bis Beginn
56,0
Dosis
1
Route/Site
SYR / UN
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Death Intensive care SARS-CoV-2 test positive

Symptomtext

Patient had no allergic reaction during the 15 mins waiting period at the pharmacy after the vaccination on Feb 3, 2021. He was instructed to return for his 2nd dose on March 31, 2021. he didn't show up on March 31, 2021 for his 2nd dose and we were not able to contact him or his family until his friend told us that he had passed away at hospital.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
no medical history presented to vaccinator at the time of vaccination based on the screening form review
Vorgeschichte
no medical history presented to vaccinator based on the screening form review
Andere Medikamente
Nothing was taken at the time of vaccination
Allergien
NKA
Vorherige Impfungen
-

VAERS 1300432

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
82,0
Geschlecht
F
Eingang
08.05.2021
Impfdatum
28.01.2021
Beginn
24.02.2021
Tage bis Beginn
27,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Cerebral infarction Cerebrovascular accident Facial paresis

Symptomtext

This 82 year old female received the Moderna Covid shot on 1/28/21 and went to the ED on 2/24/21 and was admitted on 2/24/21 with the following diagnoses listed below. CVA (cerebral vascular accident) Cerebral infarction, unspecified Facial weakness

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1300369

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
77,0
Geschlecht
M
Eingang
08.05.2021
Impfdatum
27.01.2021
Beginn
06.02.2021
Tage bis Beginn
10,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Cerebrovascular accident

Symptomtext

This 77 year old white male received the Moderna Covid shot on 1/27/21 and went to the ED on 2/6/21 and was admitted on 2/9/21 with the following diagnoses listed below. I63.9 - Acute CVA (cerebrovascular accident).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1285237

UNKNOWN MANUFACTURER · VACCINE NOT SPECIFIED (NO BRAND NAME) · Charge 039K20A

kritisch
Staat
OH
Alter
89,0
Geschlecht
F
Eingang
04.05.2021
Impfdatum
24.02.2021
Beginn
03.05.2021
Tage bis Beginn
68,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Death SARS-CoV-2 test positive

Symptomtext

death

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
positive COVID PCR
Aktuelle Erkrankungen
unknown
Vorgeschichte
CVD,
Andere Medikamente
unknown
Allergien
unknown
Vorherige Impfungen
-

VAERS 1274296

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
68,0
Geschlecht
F
Eingang
30.04.2021
Impfdatum
03.03.2021
Beginn
22.03.2021
Tage bis Beginn
19,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Death Dyspnoea Pneumonia

Symptomtext

This 68 year old white female received the Covid shot on 3/3/21 and went to the ED on 3/22/21 and was admitted on 3/22/21 with shortness of breath, pneumonia and died on 4/10/21 . Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1274273

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
86,0
Geschlecht
M
Eingang
30.04.2021
Impfdatum
06.03.2021
Beginn
26.04.2021
Tage bis Beginn
51,0
Dosis
1
Route/Site
UN / UN
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Death

Symptomtext

This 86 year old white male received the Covid shot on 03/06/21 and died on 04/26/21 . Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1271382

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
TN
Alter
62,0
Geschlecht
F
Eingang
29.04.2021
Impfdatum
01.02.2021
Beginn
25.02.2021
Tage bis Beginn
24,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Death

Symptomtext

Patient was admitted to facility 2/25 and passed away 3/4.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Diabetes, heart disease, renal disease, CVA, seizures, dementia, bipolar
Andere Medikamente
Unknown
Allergien
Unknown
Vorherige Impfungen
-

VAERS 1269796

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
VA
Alter
67,0
Geschlecht
F
Eingang
29.04.2021
Impfdatum
25.02.2021
Beginn
01.03.2021
Tage bis Beginn
4,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Back pain Computerised tomogram abnormal Flank pain Pulmonary embolism

Symptomtext

I developed severe lower back/flank pain about 4 days after receiving my 2nd Moderna vaccination. The pain was most pronounced while lying supine and , while in that position, manifested a creeping , fluid nature, i.e. migrating from my lower back to my shoulder. I was unable to lie down comfortably. In thinking about the nature of this pain, I determined that it was possibly/probably from a PE as it seemed as if pain was migrating from my lower back to my shoulder. I'm "not a doctor but play one on TV" (LOL ) so surmised that it was something serious that decided that this was something needing attention. I presented to a hospital ER for care and was ultimately told I had 2 small PE blood clots - 1 in the base of each lung. My diagnosis was confirmed by a CT scan and I was subsequently admitted for observation. I was discharged the following day with blood thinners and blood pressure medication.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pulmonary embolism
Hospital-Tage
-
Labordaten
CT SCAN
Aktuelle Erkrankungen
None
Vorgeschichte
I suffered a PE blood clot and was hospitalized
Andere Medikamente
antacids (Rollaids, etc.), fomotidine PRN (generic)
Allergien
NKA
Vorherige Impfungen
-

VAERS 1268049

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
86,0
Geschlecht
M
Eingang
28.04.2021
Impfdatum
26.02.2021
Beginn
26.03.2021
Tage bis Beginn
28,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Death Fall

Symptomtext

Fall Death

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1268019

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
83,0
Geschlecht
F
Eingang
28.04.2021
Impfdatum
26.02.2021
Beginn
22.04.2021
Tage bis Beginn
55,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Acute kidney injury Anaemia Clavicle fracture Death Fall Generalised oedema Hyperkalaemia Subdural haematoma Thrombocytopenia

Symptomtext

This 83 year old female received the vaccine on 2/26/21 and went to the ED on 4/22/21 and was admitted with Thrombocytopenia, acute renal failure, fall with subdural hematoma, clavicle fracture, anemia, head injury, anascara, hyperkalemia and died on 4/27/2021. Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1267601

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
NY
Alter
46,0
Geschlecht
F
Eingang
28.04.2021
Impfdatum
06.02.2021
Beginn
17.02.2021
Tage bis Beginn
11,0
Dosis
2
Route/Site
SYR / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: ja ER: ja Erholt: nein
Angiogram cerebral abnormal Arteriogram carotid Cerebral artery occlusion Cerebral infarction Cerebrovascular accident Consciousness fluctuating Hyporesponsive to stimuli Injection site swelling Scan with contrast

Symptomtext

Only slight swelling at injection site occurred following the administration of the second dose. Swelling only lasted approximately 2 days. 11 days later on 02/17/2021, my mother was found (at approx 11- 11:30am) to be having a stroke unbeknownst to us. Barely responsive when paramedics came, and going in and out of consciousness. There were NO typical stroke symptoms not exhibited leading up to the time of stroke on 02/17/21 as she just received a clean bill of health the December prior.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
37,0
Labordaten
CT ANGIO Head and neck With Contrast 02/17: Left Middle Cerebral Artery- Proximal to midleft M1 segment middle cerebral artery occlusion small focal area of hypodensity in the left corona radiata suspicious for early infarct.
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
Liquid Chlorophyll
Allergien
N/A
Vorherige Impfungen
-

VAERS 1259351

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
84,0
Geschlecht
M
Eingang
26.04.2021
Impfdatum
24.02.2021
Beginn
01.04.2021
Tage bis Beginn
36,0
Dosis
1
Route/Site
UN / UN
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Death

Symptomtext

This 84 year old male was a hospice patient and received the Covid shot on 2/24/21 . The patient died on 4/1/21. Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1255831

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
FL
Alter
77,0
Geschlecht
M
Eingang
25.04.2021
Impfdatum
23.12.2020
Beginn
24.12.2020
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Albumin globulin ratio decreased Anaphylactic reaction Aspartate aminotransferase normal Atrioventricular block complete Blood albumin decreased Blood calcium decreased Blood chloride increased Blood creatinine decreased Blood glucose increased Blood osmolarity increased Blood potassium decreased Bradycardia Bundle branch block right Cardiac arrest Cardiac pacemaker insertion Computerised tomogram neck Dyspnoea Electrocardiogram abnormal

Symptomtext

77 y.o., male come to ED on 12/24/20, with complaint of SOB and neck swelling. Per ED notes, PE: Large left side neck mass (Erythematous, warm and tender). Possible abscess vs gland infx vs lymphadenitis , which started 4 hours PTA. Pt stated he woke up with the symptoms after having his COVID vaccination yesterday (12/23/20). Patient was given clindamycin in ED, had an anaphylactic reaction (neck, tongue and epiglottis swelling), developed progressive respiratory distress requiring intubation. Noted to develop complete heart block, had 2 cardiac arrests with preceding bradycardia, had transvenous pacer and and tolerated procedure well. He was discharged back to SNF on 1/02/21. Patient noted to have a subclavian DVT on DC, and will start Eliquis.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cardiac arrest
Hospital-Tage
8,0
Labordaten
VS in ED on 12/24/20: Physical Exam BP 138/76 | Pulse 82 | Temp 99.8 ?F (37.7 ?C) (Oral) | Resp 18 | Wt 140 lb (63.5 kg) | SpO2 100%. SARS-CoV-2 RNA NEGATIVE. CT soft-tissue neck results: IMPRESSION: LEFT SUBMANDIBULAR GLANDS SIALADENITIS WITH SIGNIFICANT LEFT PERIMANDIBULAR AND LEFT NECK SOFT TISSUE EDEMA AND FAT STRANDING. PATCHY AIRSPACE OPACITIES WITH SCATTERED AREAS OF MOSAIC ATTENUATION ARE SEEN WITHIN THE LEFT LUNG. FINDINGS COULD BE RELATED TO MULTIFOCAL PNEUMONIA. CLINICAL CORRELATION AND DEDICATED CHEST CT MAY BE PERFORMED FOR FURTHER EVALUATION. Labs from ED on 12/24/20: Potassium 3.0, Chloride 112, glucose 113, Creatinine 0.46, Calcium 6.4, AST 12.0, Total Protein 4.4, Albumin 1.7, Albumin/globulin ratio 0.6, Calculated osmolality 297, WBC count 12.29, RBC count 4.18, hemoglobin 12.1, hematocrit 38.6, MCV 92.3, MCHC 31.3, RDW-CV 16.5, Platelet count 122, lymphocytes 15.1, immature granulocytes 0.8, neutrophils absolute count 8.99, monocytes absolute count 1.25, absolute immature granulocytes 0.10, UA: nitrite positive, leukocyte esteraces moderate, WBC 17, UBACT 1+, mucus threads present. 12/25/20: EKGs: 1. @ presentation: SR, RBBB (old), Non-Sp ST-T wave changes, 2. Post ROSC: SR, Jxn rhythm, CHB, 3. Sinus Tachycardia, RBBB. CV note 12/25/20: Bradycardia, Cardiac arrest x2 (2min each) s/p ROSC, Complete heart block, Unclear etiology, Likely related to hypoxia and high vagal tone post intubation, baseline: @ presentation: SR, RBBB (old), Non-Sp ST-T wave changes, Post ROSC: SR, Jxn rhythm, CHB, Return of AVN function on 12/25.
Aktuelle Erkrankungen
Unknown
Vorgeschichte
PMHx significant for dementia, DM type 2, HTN, HLD, renal disorder
Andere Medikamente
Unknown
Allergien
No known drug allergies
Vorherige Impfungen
-

VAERS 1255807

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
FL
Alter
91,0
Geschlecht
M
Eingang
25.04.2021
Impfdatum
03.01.2021
Beginn
06.01.2021
Tage bis Beginn
3,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Abdominal pain upper Acute kidney injury Acute respiratory failure Alanine aminotransferase increased Aspartate aminotransferase increased Back pain Bilevel positive airway pressure Blood gases abnormal Cholangitis Cholecystitis Chromaturia Computerised tomogram thorax abnormal Dyspnoea Hepatitis Hyperbilirubinaemia Jaundice Lactic acidosis Leukocytosis

Symptomtext

On 1/6/21, 91 yo M amb to ER with c/c of allergic reaction to COVID x 1 day. Pt receive COVID vaccine Moderna Jan 3, 2021. Pt c/o fever, n/v, lower back pain, SOB, dark colored urine. Jaundice noted to bilat sclera and generalized skin. Patient hospitalized and discharged on 1/17/21. Admitting diagnosis was pneumonia, hepatitis, acute repiratory failure with hypoxia and acture renal failure. Patient was treated for sepsis due to acute cholangitis and completed 10 day course of IV zosyn

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute respiratory failure
Hospital-Tage
11,0
Labordaten
Note from 1/7/21: 1. Neuro - No FND - AAOx3 , pleasant and conversational. 2. CV - Hx of CAD, CHF EF 33%, HLD on crestor, AAA, Pulm HTN - HD stable, BP 120/80, HR 81 - No signs of fluid overload, receiving NS at 125 cc/hr 3. RESP - Hx of MAI - Pt arrived tachypneic and wheezing to the ED, ABG 7.29/39/94/18.8, improved after Decadron, duonebs, bipap, and fluids. - Now saturating well on RA - CT scan with no consolidation, pleural effusion, or pneumothorax. Central airway patent. Minimal nodularity noted along the R side of central airway. 4. GI - Ascending Cholangitis - Pt presents with fever, jaundice, and RUQ tenderness. - Lactic acidosis 3.1, leukocytosis 24.7, transaminitis AST 423/ ALT197, and direct hyperbilirubinemia >16, total >25. - CT scan demonstrating severely distended GB, CBD distension of 2.1 cm. Abdominal US CBD measuring 1.4cm. No calculus demonstrated on CT or U/S. - GI consulted, pt scheduled for ERCP. - Broad spectrum Abx with Vanc / Zosyn. - Repeat labs demonstrate worsening leukocytosis from 25 to 27. Lipase elevated at 1373 demonstrating component of pancreatitis. Pt given NS at 125cc/hr. He has hx of CHF w/ EF of 33% in 2019. Also given 250 cc bolus of D10. Considering increasing rate if no signs of fluid overload.
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1241384

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
97,0
Geschlecht
M
Eingang
22.04.2021
Impfdatum
23.02.2021
Beginn
27.03.2021
Tage bis Beginn
32,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

Death Narrative: Patient was 96 yr old, prostate cancer, peg tube placed, Died on Hospice service, No vaccine complication reported.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1241383

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
81,0
Geschlecht
M
Eingang
22.04.2021
Impfdatum
25.02.2021
Beginn
04.03.2021
Tage bis Beginn
7,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death Food refusal

Symptomtext

Death Narrative: 80 yr old metastatic lung cancer, had stopped eating, still wanted vaccine, Died on hospice service. no vaccine complications reported.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1236409

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
98,0
Geschlecht
M
Eingang
20.04.2021
Impfdatum
23.01.2021
Beginn
05.03.2021
Tage bis Beginn
41,0
Dosis
1
Route/Site
UN / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death Fall

Symptomtext

Death Narrative: Patient was not previously COVID positive and did not have any predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did not occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 97 and admitted to Hospital on around 2/20/2021 due to a fall at home. He later passed away on 3/5/21.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1232970

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
75,0
Geschlecht
F
Eingang
20.04.2021
Impfdatum
23.02.2021
Beginn
19.04.2021
Tage bis Beginn
55,0
Dosis
1
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Death

Symptomtext

Patient passed away.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Pancreatitis/Abdominal Pain, COPD
Vorgeschichte
Pancreatitis, COPD
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1228976

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
79,0
Geschlecht
F
Eingang
19.04.2021
Impfdatum
22.02.2021
Beginn
10.03.2021
Tage bis Beginn
16,0
Dosis
2
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: unbekannt
Death Dyspnoea

Symptomtext

Death SHORTNESS OF BREATH

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1056972

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
ME
Alter
77,0
Geschlecht
F
Eingang
19.04.2021
Impfdatum
29.01.2021
Beginn
02.02.2021
Tage bis Beginn
4,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Abdominal discomfort Antiphospholipid antibodies Antiphospholipid antibodies positive Antiphospholipid syndrome Asthenia Abdominal pain Acute myocardial infarction Atrial fibrillation Biliary dilatation Autopsy Computerised tomogram abnormal Death Diarrhoea Disorientation Cerebrovascular accident Dysphagia Electrocardiogram QT prolonged Encephalopathy

Symptomtext

Patient died on 2/27/2021 of Catastrophic Antiphospholipid syndrome at the Medical Center. She had no history of blood clots or of an autoimmune syndrome in Medical records. After the shot on 1/29/2021 patient self reported on 02/02/2021 "aches and palpitations in pelvis" Next day she noted "felt gastritus,,soreness under ribs and could not get a deep breath". Her condition continued to deteriorate and when she got diarrhea she called her doctor who recommended a Covid-19 test. Patient got that test on 02/10/2021 (negative result). Her condition continued to worsen adding new symptoms of vomiting and extreme tiredness. such that she got a doctors appointment for 02/15/2021. On 02/15/2021 patient's condition deteriorated rapidly in the early afternoon before her appointment such that she was mentally disoriented and unable to concentrate; and was physically so weak and unsteady that she had to be assisted in her walking and needed a wheel chair by the time of the appointment. Patient was sent to the emergency room at Hospital and later transferred to Medical Center. Her admission notes at Medical Center list the first Assessment as Thrombus (pages of Electronic records). "Patient presents with concern for thrombus in both venous (splenic, SMV, portal vein) and arterial supplies (renal). --" Further on in paragraph entitled "Assessment and Plan" of the ER report at hospital the record says in part" "This is a 77 y.o. female with fatigue, nausea, vomiting. Found to have abdominal discomfort on examination. Labs and CT scans show multiple derangements. Etiology is uncertain. Most likely represents an embolic phenomenon of some kind." (Note that phenomenon can involve an autoimmune response.) Patient had gone to the hospital ER on 10/20/2020. The medical records for that visit start including all lab tests. Essentially this all dealt with her lightheadedness and tachycardia. She had follow up visits on 10/23/2020; 11/17/2020 and finally on 01/26/2021. The doctor's report on that last visit noted with regard to the tachycardia that patient has been asymptomatic since using metoprolol succinate and noted any fatigue and lightheadedness may be due to medication and suggested cutting the dose in half. The hypertension was strongly suspected to be "white coat hypertension"; Osteopenia was stable and the cyst benign. There were no other medical conditions noted. These facts prove that it is more likely than not that the Moderna Vaccine is the most likely cause of patient's embolic phenomenon or that the vaccine triggered an asymptomatic reaction causing the embolic phenomenon. Please add a warning to Moderna Fact sheet for patients and providers to save a life! SEEK IMMEDIATE MEDICAL ATTENTION IF YOU DEVELOP PERSISTENT ABDOMINAL PAIN; DIARRHEA; SHORTNESS OF BREATH; VOMITING; EXHAUSTION; OR MENTAL DISORIENTATION TWO WEEKS after vaccination!

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute myocardial infarction
Hospital-Tage
-
Labordaten
Patient was in Medical Center's care from 02/15/2021 until 02/27/2021 when she died. There were many reports, medical tests and laboratory results that are contained in the electronically shared records. I am more than happy to share these records with you because I could not possibly summarize the myriad test or laboratory results. However the most germane report is from Hemotology. On 02/25/2021 at 12:17 pm it is reported: 'lab workup with+APL Ab IgM" which confirmed the diagnosis of Catastrophic Antiphospholid Syndrome. An autopsy has been done on patient and the pathologist confirms that the lab work is correct in making that diagnosis. I am happy to share the autopsy with you. The autopsy confirms my suspicion that patient did not have cirrhosis of the liver because, despite what the medical records said, she did not drink two glasses of wine very night-far from it.
Aktuelle Erkrankungen
SVT (suprventrical tachycarda)
Vorgeschichte
depression; hyperlipidemia; Anxiety disorder: Osteopenia: Tubular adenoma of colon; serrated adenoma of colon; cyst
Andere Medikamente
FLUoxetine: simvastatin; cholecalciferol: metoprolol succinate; Glucosomine, Fish oil, Multi vitamin, Probiotic, Benefir tabs, and Calcium Carbonate
Allergien
Amicillin
Vorherige Impfungen
-

VAERS 1056972

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
ME
Alter
77,0
Geschlecht
F
Eingang
19.04.2021
Impfdatum
29.01.2021
Beginn
02.02.2021
Tage bis Beginn
4,0
Dosis
UNK
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Abdominal discomfort Antiphospholipid antibodies Antiphospholipid antibodies positive Antiphospholipid syndrome Asthenia Abdominal pain Acute myocardial infarction Atrial fibrillation Biliary dilatation Autopsy Computerised tomogram abnormal Death Diarrhoea Disorientation Cerebrovascular accident Dysphagia Electrocardiogram QT prolonged Encephalopathy

Symptomtext

Patient died on 2/27/2021 of Catastrophic Antiphospholipid syndrome at the Medical Center. She had no history of blood clots or of an autoimmune syndrome in Medical records. After the shot on 1/29/2021 patient self reported on 02/02/2021 "aches and palpitations in pelvis" Next day she noted "felt gastritus,,soreness under ribs and could not get a deep breath". Her condition continued to deteriorate and when she got diarrhea she called her doctor who recommended a Covid-19 test. Patient got that test on 02/10/2021 (negative result). Her condition continued to worsen adding new symptoms of vomiting and extreme tiredness. such that she got a doctors appointment for 02/15/2021. On 02/15/2021 patient's condition deteriorated rapidly in the early afternoon before her appointment such that she was mentally disoriented and unable to concentrate; and was physically so weak and unsteady that she had to be assisted in her walking and needed a wheel chair by the time of the appointment. Patient was sent to the emergency room at Hospital and later transferred to Medical Center. Her admission notes at Medical Center list the first Assessment as Thrombus (pages of Electronic records). "Patient presents with concern for thrombus in both venous (splenic, SMV, portal vein) and arterial supplies (renal). --" Further on in paragraph entitled "Assessment and Plan" of the ER report at hospital the record says in part" "This is a 77 y.o. female with fatigue, nausea, vomiting. Found to have abdominal discomfort on examination. Labs and CT scans show multiple derangements. Etiology is uncertain. Most likely represents an embolic phenomenon of some kind." (Note that phenomenon can involve an autoimmune response.) Patient had gone to the hospital ER on 10/20/2020. The medical records for that visit start including all lab tests. Essentially this all dealt with her lightheadedness and tachycardia. She had follow up visits on 10/23/2020; 11/17/2020 and finally on 01/26/2021. The doctor's report on that last visit noted with regard to the tachycardia that patient has been asymptomatic since using metoprolol succinate and noted any fatigue and lightheadedness may be due to medication and suggested cutting the dose in half. The hypertension was strongly suspected to be "white coat hypertension"; Osteopenia was stable and the cyst benign. There were no other medical conditions noted. These facts prove that it is more likely than not that the Moderna Vaccine is the most likely cause of patient's embolic phenomenon or that the vaccine triggered an asymptomatic reaction causing the embolic phenomenon. Please add a warning to Moderna Fact sheet for patients and providers to save a life! SEEK IMMEDIATE MEDICAL ATTENTION IF YOU DEVELOP PERSISTENT ABDOMINAL PAIN; DIARRHEA; SHORTNESS OF BREATH; VOMITING; EXHAUSTION; OR MENTAL DISORIENTATION TWO WEEKS after vaccination!

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute myocardial infarction
Hospital-Tage
-
Labordaten
Patient was in Medical Center's care from 02/15/2021 until 02/27/2021 when she died. There were many reports, medical tests and laboratory results that are contained in the electronically shared records. I am more than happy to share these records with you because I could not possibly summarize the myriad test or laboratory results. However the most germane report is from Hemotology. On 02/25/2021 at 12:17 pm it is reported: 'lab workup with+APL Ab IgM" which confirmed the diagnosis of Catastrophic Antiphospholid Syndrome. An autopsy has been done on patient and the pathologist confirms that the lab work is correct in making that diagnosis. I am happy to share the autopsy with you. The autopsy confirms my suspicion that patient did not have cirrhosis of the liver because, despite what the medical records said, she did not drink two glasses of wine very night-far from it.
Aktuelle Erkrankungen
SVT (suprventrical tachycarda)
Vorgeschichte
depression; hyperlipidemia; Anxiety disorder: Osteopenia: Tubular adenoma of colon; serrated adenoma of colon; cyst
Andere Medikamente
FLUoxetine: simvastatin; cholecalciferol: metoprolol succinate; Glucosomine, Fish oil, Multi vitamin, Probiotic, Benefir tabs, and Calcium Carbonate
Allergien
Amicillin
Vorherige Impfungen
-

VAERS 1236419

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
70,0
Geschlecht
M
Eingang
16.04.2021
Impfdatum
25.01.2021
Beginn
09.02.2021
Tage bis Beginn
15,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death Hypophagia Somnolence

Symptomtext

death Narrative: Patient, that is a facility resident, received his Moderna covid vaccine #1 on 12/28/20. On 1/14/21 due a continued decline in status, he was changed to hospice care. On 1/25/21, he received covid #2. He was noted to have a decline in oral intake and increase in somnolence over a few weeks prior to his date of death on 2/9/21. No autopsy results available. 15 days from date of second vaccine to date of death.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1236414

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
85,0
Geschlecht
M
Eingang
16.04.2021
Impfdatum
08.02.2021
Beginn
18.03.2021
Tage bis Beginn
38,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Brain scan abnormal Cerebrovascular accident Death Haemorrhage intracranial Mental impairment Pyrexia Renal failure

Symptomtext

death Narrative: Patient received Moderna covid #1 on 1/9/21 and #2 on 2/8/21. On 2/24/21, he was sent to the ER at a facility from a nursing home where he was admitted for skilled nursing care. He was sent to the ER due to fever, decreased mental status, renal failure, possible UTI and possible pneumonia. He was admitted and received IV fluids, Zosyn and Solu Medrol. On 2/26/21, a consult was placed for hospice care and he was accepted for hospice care at a contract nursing home. Upon review of scanned records, it appears he had a stroke/intercranial hemorrhage on 2/10/21 and that is why he was admitted to the nursing home for skilled nursing services. A date of death of 3/18/21 is recorded. No autopsy results recorded. 38 days from vaccine #2 and date of death.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1228011

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
91,0
Geschlecht
M
Eingang
16.04.2021
Impfdatum
19.01.2021
Beginn
21.02.2021
Tage bis Beginn
33,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Anticoagulant therapy Death Dyspnoea Fall Femur fracture Intensive care

Symptomtext

Death Narrative: Patient was not previously Covid positive and did not have any predisposing factors (PMH, allergies, etc.) for experiencing an adverse drug event. The ADR did no occur at the time of the administration of the vaccine nor was there an ADR that occurred between the observation period and the date of death. Patient was 90 yo and admitted on 2/10/21 for SOB and a fall resulting in a femur fracture. Patient was on Eliquis and has h/o CABG x5, dementia, bradycardia s/p pacemaker. Patient was discharged to a rehab facility where his condition declined ultimately resulting in transfer to inpatient hospice. He eventually required care in ICU where he eventually deceased.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1216264

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
NJ
Alter
87,0
Geschlecht
F
Eingang
15.04.2021
Impfdatum
26.01.2021
Beginn
28.03.2021
Tage bis Beginn
61,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Acute myeloid leukaemia Acute respiratory failure COVID-19 pneumonia Death Endotracheal intubation

Symptomtext

Patient admitted 3/28/2021 with severe COVID 19 pneumonia. She progressed to acute respiratory failure and was intubated. During her hospitalization she was diagnosed with acute myeloblastic leukemia. Her family withdrew care and she died on 4/7/2021

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute respiratory failure
Hospital-Tage
10,0
Labordaten
-
Aktuelle Erkrankungen
depression, hyperlipidemia
Vorgeschichte
-
Andere Medikamente
-
Allergien
penicillin, shellfish,
Vorherige Impfungen
-

VAERS 1213572

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
85,0
Geschlecht
M
Eingang
15.04.2021
Impfdatum
01.02.2021
Beginn
28.02.2021
Tage bis Beginn
27,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death Hypopnoea Respiratory rate increased Terminal state Unresponsive to stimuli

Symptomtext

death Narrative: Patient received COVID vaccine #1 on 12/30/20 and #2 on 2/1/21. He was an inpatient in the facility and had been under hospice care since 12/9/20. No adverse events to vaccine found per notes. On 2/27/21, he began to have short and rapid respirations and was unresponsive. He was given morphine, atropine sublingual, lorazepam and nebulizers per hospice care orders and was determined to be imminent. On 2/28/21 at 2230, he passed. No autopsy results available. 27 days from date of vaccination to date of death.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1213286

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
100,0
Geschlecht
M
Eingang
15.04.2021
Impfdatum
07.02.2021
Beginn
09.03.2021
Tage bis Beginn
30,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

death Narrative: Patient received Moderna COVID vaccine #1 on 1/10/21, he was seen by his PCP for a routine 6 month check up on 1/14/21. Notes at that time indicate he had a left great toe, he wound and was receiving home health and IV daptomycin through a PICC line. On 2/7/21, he received vaccine #2. Notes then indicate that on 3/9/21, he was found passed away in his home by family. No autopsy results available. 30 days form date of vaccine #2 to date of death.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1212418

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
84,0
Geschlecht
M
Eingang
14.04.2021
Impfdatum
04.01.2021
Beginn
04.02.2021
Tage bis Beginn
31,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death Incomplete course of vaccination Syncope Urinary tract infection

Symptomtext

death Narrative: Patient received his COVID #1 vaccine on 1/4/2021. He is noted to be a dialysis patient and on 1/21/2021 was given a RX for treatment of a UTI. On 1/24/2021, he was admitted to a facility with a syncopal episode. He remained there until 2/2/2021 when he discharged to home. On 2/4/2021, notes indicate that he passed away in his sleep that night. No autopsy reports available. 31 days from time of vaccine #1 and date of death, does not appear that he received vaccine #2.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1212227

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
83,0
Geschlecht
M
Eingang
14.04.2021
Impfdatum
13.01.2021
Beginn
11.02.2021
Tage bis Beginn
29,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Acute kidney injury Death Dementia Fall Urinary tract infection Urine analysis

Symptomtext

death Narrative: Patient received COVID vaccine #1 on 1/13/2021. On 1/19/2021, notes from primary care indicate advancing dementia and a urinalysis suggestive of a UTI, he was ordered a course of cefdinir and PCP at that time suggested long term care. On 2/1/2021, he was admitted to a facility for acute kidney failure and was also noted to have frequent falls at home, no scanned records from that hospitalization are available. On 2/7/2021, he discharged from that facility with home hospice. On 2/11/2021 at 0140, Patient passed away at home. No autopsy results available.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1209096

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
61,0
Geschlecht
M
Eingang
14.04.2021
Impfdatum
19.02.2021
Beginn
05.04.2021
Tage bis Beginn
45,0
Dosis
2
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Death

Symptomtext

Death

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1208807

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
82,0
Geschlecht
F
Eingang
14.04.2021
Impfdatum
26.02.2021
Beginn
08.03.2021
Tage bis Beginn
10,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Acute kidney injury Anaemia Death Generalised oedema Hyperammonaemia Hypermagnesaemia Mental status changes Pulmonary oedema

Symptomtext

Death Anasarca Hyperammonemia Altered mental status Pulmonary edema Hypermagnesemia ARF (acute renal failure) Anemia

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1207687

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
PA
Alter
70,0
Geschlecht
M
Eingang
14.04.2021
Impfdatum
12.03.2021
Beginn
13.03.2021
Tage bis Beginn
1,0
Dosis
5
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Death Feeling cold Illness Influenza like illness Myocardial infarction

Symptomtext

My husband became very sick the day after recieving the shot. He was freezing cold. No matter what he did he could not get warm. He experienced flu like symptons for about 24 hours. This was on Saturday. On Tuesday he died. They said it was a heart attack. He was in excellent health. We had gone to the gym 3 days a week for years. He was doing Cardio on the bike and treadmill for over an hour each time. He never experienced shortness of breath and before the shot was 100 % healthy

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
He was given a stint
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
Lisinipril, Digoxin, Metopralol, xarel,Doztiazem
Allergien
none
Vorherige Impfungen
-

VAERS 1197557

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
81,0
Geschlecht
M
Eingang
09.04.2021
Impfdatum
28.01.2021
Beginn
25.03.2021
Tage bis Beginn
56,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

Death Narrative: already reported VAER for hospitalization on 3/3; the patient subsequently died once transferred to SNF

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1169796

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge #039K20A

kritisch
Staat
NY
Alter
81,0
Geschlecht
F
Eingang
05.04.2021
Impfdatum
07.02.2021
Beginn
21.02.2021
Tage bis Beginn
14,0
Dosis
1
Route/Site
IM / UN
Tod: ja Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Acute interstitial pneumonitis Antinuclear antibody positive Bacterial test positive Blood culture negative Blood lactate dehydrogenase increased Bronchiectasis Bronchoscopy C-reactive protein increased Chest X-ray abnormal Computerised tomogram abnormal Death Diarrhoea Dyspnoea Endotracheal intubation Fatigue Fungal test negative HIV test negative Hypoxia

Symptomtext

4/2020 presumed COVID-19 (not formally diagnosed, not hospitalized) 2/07/21 Moderna vaccine #1 (date per pt's daughter) 2/21/21 onset SOB/DOE, fever 2/24/21 Seen at Urgent Care: RML crackles and infiltrate on CXR, given azithromycin and Augmentin 2/27/21 Presented to ED with progression of SOB/DOE, fatigue, diarrhea. Hypoxemic requiring low-flow NC, B/L basilar crackles noted; started on CTX/azithro (2/27-3/3) for presumed CAP 3/08/21 Required HFNC; first seen by me personally: diffuse, distinct velcro crackles, lower > upper fields 3/12/21 Started on high-dose steroids without improvement; unable to wean from HFNC with progressively worsening hypoxemia; pt declined intubation. 03/22/21 Patient died in Palliative Care Unit Diagnosis: Interstitial lung disease of uncertain etiology, acute interstitial pneumonitis vs. undiagnosed connective tissue disease

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
24,0
Labordaten
- CT (3/3): moderate bilateral, predominantly dependent and peripheral/subpleural reticular and irregular groundglass and consolidative opacities, some with slightly rounded/nodular morphology; mild traction bronchiectasis; no pleural effusion or pneumothorax. - s/p bronchoscopy (3/9): BAL in lingula, 180 mL in / 90 mL out; mucous plugs present in return fluid. Labs/micro: - SARS/flu/RSV/BioFire neg, Legionella UAg neg, Bcxs neg - procalcitonin 0.05 (2/28) > 0.09 (3/8) 2/28 SARS-CoV-2 semi-quantitative IgG (Kantaro assay) 4,447 AU/mL [ref range, < 5 AU/mL = negative to >40 AU/mL = Strong positive "Interpretation: The Semi-Quantitative SARS-COV-2 IgG results of >40 AU/mL confirm the presence of circulating IgG antibodies specific for SARS-CoV-2 at high levels. Corresponding serum titers range from 960 and rise to above 2880 with increasing numerical value. "] - 3/5 ANA 1:320, homogenous - 3/5 CRP 35 >> 150; LDH 830 - 3/9 BAL RBC 1.95K, WBC 473/68% polys, 26% macs, bacteria seen. SARS PCR neg. GS 1-9 polys, no orgs, cx usu resp flora, fungal cx neg, - AFB neg x6 - HIV neg; no known immunosuppressive predisposition to OIs like PCP or other fungi; serum CrAg/GM/Fungitell neg and sputum PCP DFA neg
Aktuelle Erkrankungen
None
Vorgeschichte
Denied
Andere Medikamente
-
Allergien
NKDA
Vorherige Impfungen
-

VAERS 1166224

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
LA
Alter
69,0
Geschlecht
M
Eingang
04.04.2021
Impfdatum
08.01.2021
Beginn
19.01.2021
Tage bis Beginn
11,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: ja ER: ja Erholt: nein
Asthenia Cerebrovascular accident Computerised tomogram Endotracheal intubation Ischaemic stroke Magnetic resonance imaging Pneumonia

Symptomtext

Ischemic stroke, - pneumonia - intubated, --- some residual post cva weakness

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
-
Labordaten
MRI - Ct - Intubation, ect.
Aktuelle Erkrankungen
none
Vorgeschichte
hypertension, spinal stenosis, anxiety, sleep apnea, CIPD, PVD, gastritis, sinusitis, prostatitis, osteoarthros,
Andere Medikamente
alprazolam, atorvastatin, casaicin, clonidine, ergocalcif, Fentanyl, finastride, lisinopril, protonix, sennoside, plavix, albuterol, pregabalin, tamsilosin, levothyroxine,
Allergien
tetracycline, bactrim, aspirin
Vorherige Impfungen
-

VAERS 1160235

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
89,0
Geschlecht
M
Eingang
01.04.2021
Impfdatum
11.01.2021
Beginn
01.02.2021
Tage bis Beginn
21,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Cough Death Dyspnoea Pulse absent Respiratory arrest Respiratory tract congestion Resuscitation Rhinitis Suspected COVID-19 Unresponsive to stimuli

Symptomtext

Death Narrative: Pt passed away ~3 weeks after dose 1 of COVID vaccine (Moderna). Daughter was home with pt and after he went to the bathroom she reports pt was out of breath, however that has been chronic/ongoing for him due to his diagnosis of COPD, pulmonary HTN and metastatic lung cancer. After sitting and resting in a chair, she states patient became unresponsive. She called 911 who told her he had no pulse and was not breathing. She states that they were not able to resuscitate him. Pt had been suspected to be positive for COVID as he had symptoms of increased cough, congestion and rhinitis. Daughter (that is primary caregiver and lives in home with patient) tested positive for COVID on 1/31/21. She started having symptoms on 1/25/21. Patient started having symptoms on 1/31/21. No COVID test confirmed prior to pt's death. Patient had a definitive diagnosis of metastatic adenocarcinoma in October 2020. History of multimorbidity. He did have a 60 pack year history of smoking. Most likely cause of death from available records is metastatic lung cancer, with other serious diagnoses contributing.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1149904

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
OH
Alter
41,0
Geschlecht
F
Eingang
31.03.2021
Impfdatum
22.01.2021
Beginn
23.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Anaphylactic shock Diarrhoea Dizziness Eye swelling Haemorrhage Headache Hypoaesthesia Paraesthesia Pharyngitis Pruritus Pyrexia Rash Skin discolouration Swelling Urticaria Vomiting

Symptomtext

Never seen anyone bleed this much; Numbness in her fingertips and toes; Tingling in finguretips and toes; Throat closed up; Eyes swollen; Swollen itchy hives; Felt a little dizzy; Discoloration in her skin pattern; Full body rash head to toes; Rash; Swollen itchy hives; Ungodly itch open sores; Hives so large and severe; Low grade fever; Headache; Vomiting; Diarrhea; They were able to stop her from going into anaphylactic shock; A spontaneous report was received from a consumer concerning 41-year old, female patient who received Moderna's covid-19 vaccine (mRNA-1273) and developed felt a little dizzy, diarrhoea, vomiting, headache, low grade fever, full body rash head to toes, hives so large and severe, throat closed up, eyes swollen, discoloration in her skin pattern, numbness in her fingertips and toes, tingling in fingertips and toes, swollen itchy hives, ungodly itch open sores, rash and never seen anyone bleed this much, they were able to stop her going into anaphylactic shock The patient's medical history was not provided. Products known to have been used by the patient, within two weeks prior to the event, included tumeric, multivitamin, vitamin d, lexapro and adderall. On 22 Jan 2021, approximately 1 day prior to the onset of the symptoms, the patient received their first of two planned doses of mrna-1273 (batch number: 039k20a) intramuscularly in the left deltoid for prophylaxis of covid-19 infection. On 23 Jan 2021 the patient had experienced felt a little dizzy, diarrhoea, vomiting, headache, low grade fever, full body rash head to toes, hives so large and severe, throat closed up, eyes swollen, discoloration in her skin pattern, numbness in her fingertips and toes, tingling in fingertips and toes, swollen itchy hives, swollen itchy hives, ungodly itch open sores, rash and never seen anyone bleed this much and they were able to stop her going into anaphylactic shock. Treatment for the event included was given steroids, benadryl, and prescription antihistamine. Action taken with mrna-1273 in response to the events was not provided. The outcome of the events were not reported.; Reporter's Comments: This case concerns a 41 Y/O F with serious unexpected dizziness, urticaria, diarrhea, vomiting, pharyngitis, eye swelling, skin discoloration, hypoesthesia, paresthesia, pruritus, swelling, rash, hemorrhage, pyrexia, headache. Event onset Day 2 after first dose mRNA-1273. Treatment prevented anaphylactic shock. Event outcomes unknown. Based on current available information and temporal association between use of the product and start date of the event, a causal relationship cannot be excluded.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic shock
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: No adverse event
Andere Medikamente
MULTIVITAMIN & MINERAL; VITAMIN D 2000; LEXAPRO; ADDERALL
Allergien
-
Vorherige Impfungen
-

VAERS 1143266

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
74,0
Geschlecht
M
Eingang
29.03.2021
Impfdatum
19.02.2021
Beginn
25.03.2021
Tage bis Beginn
34,0
Dosis
2
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Death

Symptomtext

Death

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1130110

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
91,0
Geschlecht
M
Eingang
24.03.2021
Impfdatum
07.01.2021
Beginn
21.02.2021
Tage bis Beginn
45,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death Incomplete course of vaccination

Symptomtext

Patient passed away unrelated to covid vaccination Narrative: The patient had diabetes, hypertension and coronary atherosclerosis. Patient received his first dose of Moderna on 1/7/2021. Patient elected to not receive 2nd dose vaccination following clinical discussion with provider. Patient was diagnosed with pancreatic cancer and ws place on hospice care. Patient passed away on 2/21.No indication that death was related to COVID 19 vaccination.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1124383

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
75,0
Geschlecht
M
Eingang
22.03.2021
Impfdatum
14.01.2021
Beginn
18.01.2021
Tage bis Beginn
4,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

DEATH Narrative: Events surrounding patient's death are unknown- nothing is documented in medical record regarding event. Causality of death is unknown. This event is being reported due to the timing of the death in relation to the receipt of vaccine (4 days).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
No recent labs 10/20/2020 COVID-19 TEST WAS NEGATIVE 3/19/20 hemoglobin A1C 5.8;CBC and urine WNL, except MCV 96 and urine WBC 6
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1122392

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
71,0
Geschlecht
M
Eingang
19.03.2021
Impfdatum
20.01.2021
Beginn
10.02.2021
Tage bis Beginn
21,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death Unresponsive to stimuli Ventricular arrhythmia

Symptomtext

Patient passed away related to covid vaccination Narrative: The patient had CHF, cardiomyopathy, A-fib and COPD. Patient received his first dose of Moderna on 1/20. No adverse reaction was reported. Patient was found unresponsive and confirmed dead by Sheriff on 2/10. Cardiologist was notified of his death and suspect patient's death is related to ventricular arrhythmia. He also has a history of noncompliance. Cause of death is not related to COVID 19 vaccination.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1115862

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
FL
Alter
85,0
Geschlecht
M
Eingang
19.03.2021
Impfdatum
19.02.2021
Beginn
20.02.2021
Tage bis Beginn
1,0
Dosis
UNK
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Blood pressure abnormal Death Laboratory test Lethargy Somnolence Wheelchair user

Symptomtext

I could not wake him up fully in the morning after the shot. He was terribly lethargic. Instead of him using the rollater to come from his bedroom I got the wheel chair out of the care and got him to the table where I fed him a little breakfast. His blood pressure was low then high (I don't now have the readings) By 5 pm I called the ambulance. He was in the hospital until I transferred him to hospice 6 days later. He died in hospice 4 days after that.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
6,0
Labordaten
He was in Clinic, Hospital and had many tests.
Aktuelle Erkrankungen
-
Vorgeschichte
Severe COPD, A-fib
Andere Medikamente
Alprazolam, Amlodipine, Atenolol, Elliquis, Ferrex, Flecainide, Furosemide, ProAir Resiclick Aer, Simvastatin, eye drops: Vyzulta, Simbrinza Centrum Silver Men, Caltrate, Vitamin C Nebulizers: Yupelri, Perforomist, Budesonide
Allergien
none
Vorherige Impfungen
-

VAERS 1118956

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
94,0
Geschlecht
M
Eingang
18.03.2021
Impfdatum
11.01.2021
Beginn
04.02.2021
Tage bis Beginn
24,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
COVID-19 pneumonia Chronic obstructive pulmonary disease Condition aggravated Death No adverse event Road traffic accident SARS-CoV-2 test positive

Symptomtext

Patient passed away unrelated to COVID vaccine Narrative: The patient has COPD and congestive heart failure. Patient received first dose of Moderna vaccine on 1/11/2021 and no adverse reaction was reported. Patient's son reported patient had a minor car accident and was taken to ER where he was tested positive for COVID pneumonia and he passed away in his sleep on the morning of 2/4/2021. Patient's son stated due to his COPD, he was not able to survive the COVID pneumonia. No indication that death was related to COVID 19 vaccination.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1111266

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
TX
Alter
75,0
Geschlecht
M
Eingang
18.03.2021
Impfdatum
31.12.2020
Beginn
01.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blindness Cerebrovascular accident Sneezing

Symptomtext

No longer has vision in that eye; Stroke; Sneezing; A spontaneous report was received from a consumer concerning a 75-years-old, male patient who experienced stroke, lost vision in one eye and Sneezing. The patient's medical history was not provided. Products known to have been used by the patient, within two weeks prior to the event, included blood pressure medicines. On 31 Dec 2020, approximately one day prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 [Lot number 039K20A] intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 01 Jan 2021, the patient reported sneezing and had vision issues. He was told that it appeared he had a stroke. Treatment for the event included eye drops. Action taken with mRNA-1273 in response to the events was not provided. The outcome of the events stroke, lost vision in one eye and Sneezing were unknown.; Reporter's Comments: This case concerns a 75 year old, male patient, who experienced a serious unexpected event of blindness and cerebrovascular accident. Concomitant medication included blood pressure medication. Very limited information regarding this event has been provided at this time. Further information has been requested.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: No adverse event (No reported medical history)
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1108477

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
91,0
Geschlecht
F
Eingang
17.03.2021
Impfdatum
07.01.2021
Beginn
29.01.2021
Tage bis Beginn
22,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

Patient died unrelated to covid vaccine Narrative: The patient had advanced Alzheimer's disease and severe dementia. Patient received the first dose of Moderna vaccine on 1/7/2021 and no adverse reaction was reported. Placed in hospice care and passed away on 1/29/2021. Cause of death not documented. No indication that death was related to COVID 19 vaccination.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1108475

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
79,0
Geschlecht
M
Eingang
17.03.2021
Impfdatum
06.01.2021
Beginn
23.01.2021
Tage bis Beginn
17,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

death Narrative: Patient received COVID vaccine # 1 on 1/6/2021, on 1/23/21 his wife reported to the facility that he passed away. Notes in database do not mention cause of death or where death occurred. There are no scanned records in database with any detail either.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1108262

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
85,0
Geschlecht
M
Eingang
17.03.2021
Impfdatum
15.01.2021
Beginn
06.02.2021
Tage bis Beginn
22,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

Patient passed away unrelated to covid vaccine Narrative: The patient had hypertension, diabetes, hyperlipidemia and sleep apnea. Patient received first dose of Moderna vaccine 1/15/2021 and no adverse reaction was recorded. Clinical staff called to review patient's intent for second dose, patient is not interested and has elected to not receive second dose following clinical discussion of the risks and benefits of the COVID-19 vaccination. Patient was called on 2/17/2021 and his son stated patient passed away on 2/6/2021.Cause of death not documented. No indication that death was related to COVID 19 vaccination.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1103885

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
85,0
Geschlecht
F
Eingang
16.03.2021
Impfdatum
27.01.2021
Beginn
23.02.2021
Tage bis Beginn
27,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Death

Symptomtext

death

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1103826

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
87,0
Geschlecht
M
Eingang
16.03.2021
Impfdatum
25.01.2021
Beginn
06.03.2021
Tage bis Beginn
40,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Cardiac failure acute Chest pain Death

Symptomtext

chest pain, acute heart failue death

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1095737

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
75,0
Geschlecht
M
Eingang
12.03.2021
Impfdatum
21.01.2021
Beginn
17.02.2021
Tage bis Beginn
27,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Acute kidney injury Death Dyspnoea Liver function test abnormal

Symptomtext

Shortness of breath Acute on chronic renal failure Abnormal LFTs Death

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1095725

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
77,0
Geschlecht
M
Eingang
12.03.2021
Impfdatum
05.02.2021
Beginn
07.03.2021
Tage bis Beginn
30,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Death

Symptomtext

death

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1095456

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
91,0
Geschlecht
F
Eingang
12.03.2021
Impfdatum
20.01.2021
Beginn
15.02.2021
Tage bis Beginn
26,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Cardiac arrest Death

Symptomtext

date of injection 01/30/2021 CARDIAC ARREST 1/30/2021 Death 1/30/2021

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cardiac arrest
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1095160

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
93,0
Geschlecht
F
Eingang
12.03.2021
Impfdatum
26.01.2021
Beginn
19.02.2021
Tage bis Beginn
24,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Death

Symptomtext

death

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1094402

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
81,0
Geschlecht
M
Eingang
12.03.2021
Impfdatum
02.02.2021
Beginn
01.03.2021
Tage bis Beginn
27,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Death

Symptomtext

death

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1094208

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
76,0
Geschlecht
M
Eingang
12.03.2021
Impfdatum
26.01.2021
Beginn
05.02.2021
Tage bis Beginn
10,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Death Mental status changes

Symptomtext

ALTERED MENTAL STATUS Death

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1092401

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
FL
Alter
55,0
Geschlecht
F
Eingang
11.03.2021
Impfdatum
04.02.2021
Beginn
28.02.2021
Tage bis Beginn
24,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Bundle branch block Chest X-ray normal Computerised tomogram thorax abnormal Dyspnoea Echocardiogram Electrocardiogram abnormal Heart rate increased Magnetic resonance imaging heart Palpitations Pulmonary embolism Scan with contrast

Symptomtext

I was swimming in a lake when suddenly I couldn't breath and my heart started pounding. I was gasping for air. My pulse went from a normal working out pulse to above 145 bps. It did not come down when floating on my back or resting when I eventually got back into shore. Then when I got home I had to climb stairs and I lost my breath again.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pulmonary embolism
Hospital-Tage
4,0
Labordaten
EKG: abnormal Chest x-ray: normal MRI of the heart: Not sure Echo cardiogram: not sure CT scan of the heart with contrast: all good with the exception of a branch bundle blockage; 0 % stenosis and 0% Plaque CT scan of the Lungs with contrast: Pulmonary Embolism
Aktuelle Erkrankungen
-
Vorgeschichte
Descending T-wave on ekg the year prior thyroid disease. PCOS
Andere Medikamente
NP thyroid Metformin Omega 3 Vit D Multi vit Bio identical hormone replacement therapy Various medication for optimizing metabolism
Allergien
GLUTEN
Vorherige Impfungen
-

VAERS 1080932

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
87,0
Geschlecht
F
Eingang
08.03.2021
Impfdatum
12.01.2021
Beginn
23.01.2021
Tage bis Beginn
11,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Acute respiratory failure COVID-19 Endotracheal intubation

Symptomtext

DIAGNOSED WITH COVID 1/21/21; RECIEVED BAMLANIVUBAM INFUSION; HOSPITAL ADMISSION 1/23/21 WITH ACUT RESPIRATORY FAILURE DUE TO COVID. INTUBATED X 10 DAYS

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute respiratory failure
Hospital-Tage
10,0
Labordaten
INTUBATION 1/23/21;
Aktuelle Erkrankungen
HYPERTENSION, COPD, NON-SMALL CELL CANCER RIGHT LUNG
Vorgeschichte
-
Andere Medikamente
-
Allergien
NKA
Vorherige Impfungen
-

VAERS 1073813

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
96,0
Geschlecht
M
Eingang
04.03.2021
Impfdatum
31.12.2020
Beginn
05.02.2021
Tage bis Beginn
36,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

DEATH Narrative: UNCLEAR WHY PATIENT WAS HOSPITALIZED AS LIMITED INFORMATION IN RECORD

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1071945

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
NC
Alter
77,0
Geschlecht
F
Eingang
04.03.2021
Impfdatum
12.02.2021
Beginn
03.03.2021
Tage bis Beginn
19,0
Dosis
2
Route/Site
SYR / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: ja ER: ja Erholt: nein
Cerebrovascular accident Hemiplegia

Symptomtext

Massive stroke causing Left hemiplegia

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
10,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Heart related condition , High blood pressure
Andere Medikamente
-
Allergien
NKA
Vorherige Impfungen
-

VAERS 1068887

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
90,0
Geschlecht
M
Eingang
02.03.2021
Impfdatum
06.01.2021
Beginn
13.02.2021
Tage bis Beginn
38,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

DEATH Narrative: UNSURE DETAILS OF EVENT, NO DOCUMENTATION IN PROGRESS NOTES

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1063561

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
IL
Alter
92,0
Geschlecht
F
Eingang
01.03.2021
Impfdatum
07.01.2021
Beginn
07.02.2021
Tage bis Beginn
31,0
Dosis
1
Route/Site
IM / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Death Diet refusal

Symptomtext

Patient was a Resident on our LTC wing. Per the LTC Manager: Resident had hx of CVA with deficits in speech and extremities. Hx of decreased circulation to BLE's which resulted in wounds to bilateral feet on and off that needed treatment. Average meal consumption 25-50% of meals, started refusing more often in December and January. Would consume small amounts 60-120mL of fluids here or there. Vaccinated on 1/7/21. Stopped eating 1/18/21. Attempted bolus NS fluid 1/25/21. Resident refused all treatment afterwards. Went hospice on 2/3/21 and passed away on 2/7/21.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Resident had hx of CVA with deficits in speech and extremities. Hx of decreased circulation to BLE's which resulted in wounds to bilateral feet on and off that needed treatment. Decreased oral Intake. Average meal consumption 25-50% of meals, started refusing more often in December and January. Would consume small amounts 60-120mL of fluids here or there.
Vorgeschichte
CVA, Decreased circulation to BLE, Decreased oral intake
Andere Medikamente
-
Allergien
Lisinopril
Vorherige Impfungen
-

VAERS 1060779

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
FL
Alter
37,0
Geschlecht
F
Eingang
28.02.2021
Impfdatum
12.01.2021
Beginn
07.02.2021
Tage bis Beginn
26,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: unbekannt
Abortion spontaneous Exposure during pregnancy Foetal death Human chorionic gonadotropin positive Ultrasound antenatal screen abnormal

Symptomtext

At 5 weeks, 5 days pregnant I received the 1st Covid-19 dose. I started bleeding the evening of Feb. 7, 2021. The bleeding continued to increase. I visited the Emergency Department on Feb. 10, 2021 and learned my baby had died around 7 weeks into the pregnancy.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Foetal death
Hospital-Tage
-
Labordaten
Feb. 10, 2021: Ultrasound (showing embryo of approx. 7 weeks with no heartbeat) Feb. 10, 2021: beta hCG levels. (approx. 17,000+) Feb. 12, 2021: Repeat of beta hCG levels. (approx. 7,000+, consistent with miscarriage) Feb. 19, 2021: Ultrasound (confirming loss of gestational sac and contents)
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Pre-natal vitamins Vyvanse 50mg Citalopram 40mg
Allergien
Amoxicillin
Vorherige Impfungen
-

VAERS 1056476

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
WV
Alter
73,0
Geschlecht
M
Eingang
26.02.2021
Impfdatum
14.01.2021
Beginn
10.02.2021
Tage bis Beginn
27,0
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: ja
Cerebrovascular accident Electroencephalogram Fatigue Seizure

Symptomtext

Seizures; Mini stroke; Tired; A spontaneous report was received from a consumer concerning a 73-year-old male who received Moderna Covid-19 vaccine and experienced seizures, mini stroke, confused, agitated, eyes were abnormal, memory impairment, and tired. The patient's medical history included heart attack and stent placement in 2011. His relevant concomitant medications include acetylsalicylic acid, candesartan cilexetil, clopidogrel bisulfate, diltiazem hydrochloride, ezetimibe, adenosine, gabapentin, metoprolol tartrate and rosuvastatin calcium. The patient received their first of two planned doses of mRNA-1273 on 14 Jan 2021. On 10 Feb 2021, 30 minutes prior to the onset of the events, the patient received his second of two planned doses of mRNA-1273 (Lot#010M20A) intramuscularly in left deltoid for the prophylaxis of COVID-19 infection. On 10 Feb 2021, With in 30 minutes of receiving the vaccination, the patient had a seizure. They took him to the hospital, where he had a computerized tomography (CT) scan, blood work and had a consult. After consult, they said, it's a mini stroke. They released him and told her if it happens again call 911. He felt so tired and went to sleep at home. Around 17:00 dinner time, he woke up looked very blankly, and his wife reported knowing he had another seizure. She reported he ran to his keys saying, "I have to go", seemed confused, agitated and didn't know where he was. She called 911 andhe was transported to the hospital in an ambulance. Around 19:00 the same day, he was admitted to do scans overnight. Around 21:00, patient's eyes were abnormal, he became agitated again and nurses confirmed he was having another seizure. 30 minutes later, he was talking to his wife and daughter as if he didn't remember anything. He mentioned some metallic taste in his mouth. On 11 Feb 2021, they did an electroencephalogram (EEG) and confirmed that he was having seizure. He was prescribed seizure medication and released him from hospital. However, the patient and his wife reported not wanting him to take the medication as they believe the events were due to the vaccine. Treatment information was not provided. Action taken with vaccine is not applicable as the patient received both the doses. The outcomes of the events, seizures, mini stroke, and tired, were recovered.; Reporter's Comments: Very limited information regarding this event has been provided at this time. The patient's medical history of heart attack and concomitant medication use can be confounding factor. Further information has been requested.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
-
Labordaten
Test Date: 20210210; Test Name: EEG; Result Unstructured Data: confirmed the patient was having a seizure
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: Heart attack (Heart attack in 2011 and stent was placed.); Stent placement
Andere Medikamente
BABY ASPIRIN; ATACAND; PLAVIX; CARDIZEM CD; ZETIA; TRICOR [ADENOSINE]; NEURONTIN; LOPRESSOR; CRESTOR
Allergien
-
Vorherige Impfungen
-

VAERS 1034985

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
-
Geschlecht
U
Eingang
17.02.2021
Impfdatum
04.01.2021
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
OT / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Death

Symptomtext

4 Nurshing home patients Died; A Spontaneous report was received from a pharmacist concerning 4 nursing home patients of unspecified age and gender who received Moderna's COVID-19 vaccine (mRNA-1273) and died. The patients' medical histories were not provided. No relevant concomitant medications were reported. On unspecified dates, 4 nursing home patients received their first of two planned doses of mRNA-1273 (Lot # 039K20A) for prophylaxis of COVID-19 infection. A pharmacist reported that they just learned 4 nursing home patients died after the first dose of the Modern vaccine. The patients were buried, and no autopsies were conducted. The pharmacist suspected latent Covid-19 on the patients and that the vaccine precipitated this outcome. No treatment information was provided. Action taken with the second dose of mRNA-1273 in response to the event was not applicable. The event 4 nursing home patients died was fatal.; Reporter's Comments: This case concerns 4 nursing home patients of unspecified age and gender who received their first dose of Moderna's COVID-19 vaccine (mRNA-1273)Lot # 039K20A) and died. Very limited information regarding this event has been provided at this time. Further information has been requested.; Reported Cause(s) of Death: died

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: No adverse event (No reported medical history)
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1029783

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
DE
Alter
90,0
Geschlecht
F
Eingang
14.02.2021
Impfdatum
21.01.2021
Beginn
21.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Abdominal pain upper Chest pain Death Dementia Peripheral coldness Somnolence Syncope

Symptomtext

Shortly after receiving the Moderna COVID-19 vaccine, patient complained of chest and stomach pain, then became very sleepy and fainted. RN was unable to obtain a manual BP; Apical pulse 36. Pulse Ox in the 70s. She was placed in bed and eventually regained consciousness. Her pulse ox improved to the 90s. BP 92/55. Her only complaint was that her hands were cold. Medical Director believes it was vasovagal syncopy due to receiving the vaccine. Patient died on 1/28/2021, due to progressive dementia.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
Progressive decline in ability to ambulate. Appetite and oral intake has continued to decline over the past 2 weeks.
Vorgeschichte
A 90-y/o lady with medical history of CAD, Vitamin D Deficiency, Dementia, GERD, Hypertension, Incontinence, and Osteoarthritis.
Andere Medikamente
CLOTRIMAZOLE TOPICAL 1% cream topical 1 app applied topically BID COLACE sodium 100 mg capsule oral 1 cap(s) orally daily MELATONIN 10 mg capsule oral 1 cap(s) orally once a day (at bedtime) MEMANTINE 10 mg tablet oral 1 tab(s) orally BID P
Allergien
PCN
Vorherige Impfungen
-

VAERS 1020320

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
IA
Alter
48,0
Geschlecht
M
Eingang
10.02.2021
Impfdatum
05.01.2021
Beginn
06.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Cerebral haemorrhage Computerised tomogram head abnormal Diplopia Ear pain Headache Magnetic resonance imaging brain abnormal Sensory loss Subarachnoid haemorrhage

Symptomtext

After the first vaccine next day at 9:00am I have shooting headache,severe pounding in my ear. I told my wife (physician) what happened she recommended me to go toER. I went to ER they thought I had a stroke,CT scan diagnosed with subarachnoid bleeding. I was transferred to another hospital 1 day had another CT scan, MRI Scan and was seen by a Neurosurgeon. I was told I have a revolving bleeding in my brain, loss sensation right side and double vision. I'm scheduled for Cerebral Angiogram in Feb.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebral haemorrhage
Hospital-Tage
1,0
Labordaten
CT Scan (2), MRI,Cerebral Angiogram in Feb.
Aktuelle Erkrankungen
No
Vorgeschichte
No
Andere Medikamente
No
Allergien
No
Vorherige Impfungen
-

VAERS 1005568

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
66,0
Geschlecht
M
Eingang
05.02.2021
Impfdatum
05.01.2021
Beginn
06.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Death

Symptomtext

Pt. deceased.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
Unknown
Aktuelle Erkrankungen
Unknown
Vorgeschichte
Unknown
Andere Medikamente
Unknown
Allergien
Unknown
Vorherige Impfungen
-

VAERS 930142

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
FL
Alter
68,0
Geschlecht
F
Eingang
05.02.2021
Impfdatum
05.01.2021
Beginn
05.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Back pain Blood potassium decreased Blood pressure abnormal Blood test Catheterisation cardiac Chest pain Stress cardiomyopathy Troponin increased Diarrhoea Echocardiogram Magnetic resonance imaging Muscular weakness Myalgia Myocardial infarction Neck pain Vomiting X-ray

Symptomtext

Severe reaction - 10 hours of vomiting and diarrhea every 20 to 30 minutes; severe muscle pain in entire back and neck followed by a takostuo heart attack. Taken to emergency room after testing was transferred to a heart hospital for a catherization. Released two days later only to be re-admitted with severe back and neck pain, a dangerously low pottasium level. Received IV fludis, IV pottasium, pain medication and muscle relaxers. Discharged 4 days later. One month later I am still dealing with blood pressure issues, diarrhea and muscle weakness. Treatment is ongoing

Weitere VAERSDATA-Felder
Praegender Schweregrund
Myocardial infarction
Hospital-Tage
7,0
Labordaten
Too numerous to list but include MRI's, X-rays, numerous blood test, ultrasound of heart, catherization of the heart.
Aktuelle Erkrankungen
no
Vorgeschichte
Migraines
Andere Medikamente
Nortriptyline 10 mg
Allergien
no
Vorherige Impfungen
-

VAERS 1017685

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
75,0
Geschlecht
M
Eingang
04.02.2021
Impfdatum
23.12.2020
Beginn
02.01.2021
Tage bis Beginn
10,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: ja Erholt: ja
Cardio-respiratory arrest Catheterisation cardiac abnormal Chest pain Coronary arterial stent insertion Coronary artery occlusion

Symptomtext

Angina MI Narrative: Employee presented to ED with chest pain. Cath showed 99% blockage of LAD and diagonal. Employee transferred to another hospital for w/u for CABG. Prior to assessment for CABG, employee coded. Urgent cath. with multiple stents placed. At time of reporting of event, employee was recovering. Cardiologist instructed employee to complete COVID vaccination series which was done on 1/20/2021.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cardio-respiratory arrest
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 995346

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
IL
Alter
61,0
Geschlecht
M
Eingang
02.02.2021
Impfdatum
05.01.2021
Beginn
27.01.2021
Tage bis Beginn
22,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Blood test Chest discomfort Computerised tomogram thorax Deep vein thrombosis Echocardiogram Electrocardiogram Insomnia Myocardial necrosis marker Painful respiration Pulmonary embolism Scan with contrast Sleep disorder Ultrasound scan Ventilation/perfusion scan

Symptomtext

Tightness in chest several times about 1 week and 2 weeks after 1st round. Difficulty sleeping on left side 20 and 21 days following 1st round. Severe pain with inhaling AM of 22 day. Diagnosed at ER Hospital, with DVT left calf and PE both lungs. On Heparin IV for 4 days inpatient. Now on Eloquis 10mg BID for a week, 5mg BID thereafter.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pulmonary embolism
Hospital-Tage
4,0
Labordaten
QV, CT chest, CT with die marker, EKG, ultrasound both legs, cardiac echo, cardiac enzymes, numerous other blood work, etc.
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
none
Allergien
CT die marker
Vorherige Impfungen
-

VAERS 995147

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
88,0
Geschlecht
M
Eingang
01.02.2021
Impfdatum
23.12.2020
Beginn
20.01.2021
Tage bis Beginn
28,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Chills Death Erythema Fatigue General physical health deterioration Injection site pain Laboratory test normal Pain in extremity Pyrexia SARS-CoV-2 test negative

Symptomtext

Death Narrative: Patient received the first COVID-19 dose on 12/23. Afterwards, patient complained of localized pain on L deltoid area where the vaccine was administered; his temperature was 98.1 F. On 12/26-27, staff reported that patient appeared more fatigued than usual and was shivering on 12/27, which seized after blanket was given. On 12/28, patient presented with fever (Tmax 100.2 F) and acetaminophen was administered for alleviation of fever. ADR was reported for the fever on 12/29. Patient continued to decline and was placed back on hospice care on 12/29; on 12/30. the symptoms reported on nursing note include erythema and pain on whole L arm. Lidocaine was applied. Patient's family and provider mutually agreed not to administer the second dose of vaccine. He continued to decline and was started on end-of-life care around 1/4 and passed on 1/20 1417.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
Lab tests after MODERNA COVID-19 vaccine: ALL NEGATIVE Orders for date: 01/19/2021 Test Urgency Status Lab NASAL SWAB NASAL CAVITY COVID-19 MONT PANEL (AT BINAX) ROUTINE Test Complete 01/19/2021 12:43 Orders for date: 01/14/2021 Test Urgency Status Order NASAL SWAB NASAL CAVITY COVID-19 MONT PANEL (AT BINAX) ROUTINE Test Complete 01/14/2021 15:59 Orders for date: 01/11/2021 Test Urgency Status Lab NASAL SWAB NASOPHARYNGEAL CAVITY COVID-19 MONT PANEL (AT BINAX) ROUTINE Test complete 01/11/2021 12:27 Orders for date: 01/07/2021 Test Urgency Status Lab NASOPHARYNGEAL SWAB NASOPHARYNX zzCOVID-19 (M2000)ROUTINE Test Complete 01/11/2021 17:01 Orders for date: 01/04/2021 Test Urgency Status Lab NASOPHARYNGEAL SWAB NASOPHARYNX zzCOVID-19 (M2000)ROUTINE Test Complete 01/08/2021 07:34 Orders for date: 12/28/2020 Test Urgency Status Lab NASOPHARYNGEAL SWAB NASOPHARYNX COVID-19 DIAGNOSTIC PANEL (BIOFIRE) ROUTINE Test Complete 12/28/2020 13:58 PCR 20 1403 Most recent med list prior to patient's death: INPT ACETAMINOPHEN 650 MG RTL SUPP (Status=Active) 650MG RCT FOUR TIMES A DAY AS NEEDED Fever. Give PR if unable to take PO ORDER LAST ACTION: 12/29/20 16:37 GIVEN ALBUTEROL 3/IPRATROP 0.5MG/3ML INHL 3 ML INHALE 1 VIAL IN NEBULIZER BY ORAL INHALATION FOUR TIMES DAILY AS NEEDED COPD, MED HAS LARGE SUPPLY INPT BISADODYL 10MG RTL SUPP (Status=Active) 10MG RCT EVERY 72 HOURS AS NEEDED Constipation. Give if MOM ineffective ORDER LAST ACTION: 02/26/20 18:11 GIVEN INPT LORAZEPAM 2MG/ML INJ. 1 ML (Status=Active) 0.5MG(0.25 ML) SUBCUTANEOUSLY EVERY FOUR HOURS AS NEEDED End of life agitation or anxiety INPT MILK OF MAGNESIA 30 ML UD (Status=Active) 30ML BY MOUTH DAILY AS NEEDED CONSTIPATION ORDER LAST ACTION: 01/07/21 15:09 GIVEN INPT MORPHINE SO4 4MG/ML INJ PFS (Status=ACTIVE) 4MG/ML IV EVERY ONE HOUR AS NEEDED if needed for end of life restlessness, air hunger, pain. ORDER LAST ACTION: 01/19/21 11:15 GIVEN POLYETHYLENE GLYCOL 3350 ORAL PWDR TAKE 17 GM (ONE CAPFUL) BY MOUTH DAILY AS NEEDED constipation. MED HAS LARGE SUPPLY
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 991677

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

kritisch
Staat
IL
Alter
63,0
Geschlecht
F
Eingang
01.02.2021
Impfdatum
21.01.2021
Beginn
30.01.2021
Tage bis Beginn
9,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Death Dyspnoea

Symptomtext

got up in the night and stated that she couldn't breath, ambulance was called, pt expired in route to hospital. *relayed to me by Facility staff RN.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
diagnosed with Covid on 12/03/2020
Vorgeschichte
hypertension, hyperlipidemia, diabetes, GERD
Andere Medikamente
-
Allergien
Sulfa, Flexeril, trimethoprim
Vorherige Impfungen
-

VAERS 950108

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
53,0
Geschlecht
F
Eingang
31.01.2021
Impfdatum
02.01.2021
Beginn
06.01.2021
Tage bis Beginn
4,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Cardiac disorder Death Catheterisation cardiac abnormal Myocardial infarction

Symptomtext

DEATH

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
2,0
Labordaten
PT WAS SEEN AT MEDICAL CENTER ON 1/13/2021 WITH CARDIAC SIDE EFFECTS. WAS DECEASED ON 1/15/20201
Aktuelle Erkrankungen
HIGH BLOOD PRESSURE, OBESITY
Vorgeschichte
HIGH BLOOD PRESSURE, OBESITY
Andere Medikamente
UNKNOWN
Allergien
UNKNOWN
Vorherige Impfungen
-

VAERS 981249

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
NH
Alter
51,0
Geschlecht
F
Eingang
28.01.2021
Impfdatum
29.12.2020
Beginn
25.01.2021
Tage bis Beginn
27,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: ja Erholt: ja
Aphasia Cerebrovascular accident Computerised tomogram Full blood count Magnetic resonance imaging Metabolic function test Mobility decreased

Symptomtext

I had covid nov 23 2020. On jan 25 I had a stroke Couldn't talk. Couldn't move my left arm or leg. I received TPA.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
2,0
Labordaten
CT, CBC, BMP, MRI
Aktuelle Erkrankungen
Covid nov 23
Vorgeschichte
HTN, anxiety/ depression
Andere Medikamente
Lisinopril 10 mg daily. Zoloft 75 mg daily. Atenolol 25mg
Allergien
None
Vorherige Impfungen
-

VAERS 983721

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
72,0
Geschlecht
M
Eingang
27.01.2021
Impfdatum
13.01.2021
Beginn
23.01.2021
Tage bis Beginn
10,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

Death Narrative: Patient with Severe Dementia and on Hospice for end of life care.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 983720

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
76,0
Geschlecht
M
Eingang
27.01.2021
Impfdatum
30.12.2020
Beginn
20.01.2021
Tage bis Beginn
21,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

Death Narrative: Patient had Parkinson's and advanced Dementia. He was on a palliative care unit and a DNR.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 981945

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
96,0
Geschlecht
M
Eingang
27.01.2021
Impfdatum
08.01.2021
Beginn
13.01.2021
Tage bis Beginn
5,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Asthenia COVID-19 Death Fall SARS-CoV-2 test positive

Symptomtext

weakness and fallsNarrative: 95 yo male w/ a PMH significant for Afib, legal blindness, Hx of CVA, cognitive impairment, GERD, HTN, pseudogout, BPH, chronic knee infection, and DJD who received his first dose of the Moderna COVID-19 vaccine on 01/08/21. The pt's COVID-19 screening questionnaire prior to receiving the vaccine was negative. The pt presented to the ED on 01/13/21 for weakness and m PCR test on ultiple recent falls (since receiving his first dose of the COVID-19 vaccine). The pt's COVID-19 01/13/20 was positive and he was admitted. He was started on treatment with remdesivir + dexamethasone on 1/14. The pt initially required supplemental oxygen via low-flow NC, however his oxygen requirements increased to 100% NRB. On 01/16/21 his MPOA elected for hospice care. The pt passed on 01/17/21. Unclear if the COVID-19 vaccine attributed to the patient's hospitalization and eventual death, or whether these events occurred from COVID-19 itself, however this case is being reported the FDA since this vaccine is under an emergency use authorization (EUA).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
COVID positive on 01/13/21
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 981938

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
69,0
Geschlecht
M
Eingang
27.01.2021
Impfdatum
22.01.2021
Beginn
23.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Autopsy Cardiac arrest Cardio-respiratory arrest Chest X-ray abnormal Cyanosis Death Lung infiltration Lung opacity Pulse absent Respiratory arrest Resuscitation SARS-CoV-2 test negative Unresponsive to stimuli

Symptomtext

UNKNOWN/ASYTOLE Narrative: Please refer to section 6. 68y/o male with h/o severe peripheral vascular disease with previous left AKA 2/3/20, s/p bilateral bypasses in the past. Pt recently underwent right AKA on 1/12/21. Per Hospital remote data 1/10/21 pt c/o shortness of breath, CXR demonstrated right lower lobe opacity & left basilar infiltrate. Pt s/p >10 days emperic IV abx. Moderna vaccine 0.5ml IM was administered via left deltoid on 1/22/21 around 16:21. On 1/23/21@05:14 code blue was called as pt found to be unresponsive, breathless and pulseless, facial cyanosis noted, CPR started immediately.Pt found to be in asystole. ACLS guideline followed but no return of spontaneous circulation, At 05:32 pt remained pulseless and breathless and was pronounced. Autopsy currently pending.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cardiac arrest
Hospital-Tage
-
Labordaten
Covid negative: 12/27/20, 1/20/21, 1/25/21 Covid Negative 1/11/21
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 973820

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
74,0
Geschlecht
M
Eingang
24.01.2021
Impfdatum
23.12.2020
Beginn
13.01.2021
Tage bis Beginn
21,0
Dosis
2
Route/Site
- / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Death

Symptomtext

Narrative: Symptoms: & DEATH DUE TO COVID 01/13/21 Treatment:

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 965323

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
FL
Alter
71,0
Geschlecht
F
Eingang
22.01.2021
Impfdatum
13.01.2021
Beginn
14.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Aphasia Blood test Cerebrovascular accident Computerised tomogram Magnetic resonance imaging

Symptomtext

Sudden onset of expressive aphasia the next morning (0915) after vaccination. Went to emergency room and diagnosed with stroke.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
5,0
Labordaten
Hospitalized - in ER did full stroke workup including CT scan, MRI, blood work (1/14). Was admitted inpatient and on heparin drip for four days.
Aktuelle Erkrankungen
none
Vorgeschichte
hypertension, hyperlipidemia
Andere Medikamente
Baby aspirin, nifedipine
Allergien
none
Vorherige Impfungen
-

VAERS 964401

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

kritisch
Staat
IL
Alter
56,0
Geschlecht
M
Eingang
22.01.2021
Impfdatum
12.01.2021
Beginn
16.01.2021
Tage bis Beginn
4,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Death

Symptomtext

Pt died 4 days after vaccine, no known reaction to the vaccination

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 962318

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
80,0
Geschlecht
M
Eingang
21.01.2021
Impfdatum
29.12.2020
Beginn
19.01.2021
Tage bis Beginn
21,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Death

Symptomtext

Called to schedule second vaccine and daughter reports that he died on01/19/2021 with "COVID"

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
unknown
Aktuelle Erkrankungen
unknown
Vorgeschichte
unknown
Andere Medikamente
Unknown
Allergien
unknown
Vorherige Impfungen
-

VAERS 961845

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20A

kritisch
Staat
-
Alter
77,0
Geschlecht
M
Eingang
21.01.2021
Impfdatum
12.01.2021
Beginn
17.01.2021
Tage bis Beginn
5,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Death

Symptomtext

Narrative:

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 958971

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
FL
Alter
84,0
Geschlecht
M
Eingang
20.01.2021
Impfdatum
13.01.2021
Beginn
14.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Basal ganglia stroke Computerised tomogram Haemorrhagic stroke Death

Symptomtext

Hemorrhagic Stroke Basal Ganglion on 1/14/21 - Deceased

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Hyperlipidemia Aortic Insufficiency h/o prostate cancer
Andere Medikamente
Simvastatin
Allergien
-
Vorherige Impfungen
-

VAERS 958971

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
FL
Alter
84,0
Geschlecht
M
Eingang
20.01.2021
Impfdatum
13.01.2021
Beginn
14.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
SYR / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Basal ganglia stroke Computerised tomogram Haemorrhagic stroke Death

Symptomtext

Hemorrhagic Stroke Basal Ganglion on 1/14/21 - Deceased

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Hyperlipidemia Aortic Insufficiency h/o prostate cancer
Andere Medikamente
Simvastatin
Allergien
-
Vorherige Impfungen
-

VAERS 1349910

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KS
Alter
85,0
Geschlecht
M
Eingang
14.01.2021
Impfdatum
07.01.2021
Beginn
07.01.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
- / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Death

Symptomtext

Symptoms: & Death

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 910363

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
84,0
Geschlecht
M
Eingang
14.01.2021
Impfdatum
23.12.2020
Beginn
28.12.2020
Tage bis Beginn
5,0
Dosis
2
Route/Site
- / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Death Seizure Tachypnoea

Symptomtext

Narrative: This report has already been sent to CDC VAERS by the attending physician who deemed the event unlikely to be related to the vaccine but reportable due to timing of vaccine. The patient's death was not unexpected due to advanced dementia and hospice eligibility, and he was on comfort care measures only. Symptoms: Seizures & tachypnea Treatment:

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
oxycodone, senna, ketoconazole cream, ondansetron, selenium sulfate, risperidone, guaifenesin, hydrophilic cream, doxazosin, calcium carbonate, bisacodyl, acetaminophen
Allergien
-
Vorherige Impfungen
-

VAERS 939050

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
NY
Alter
32,0
Geschlecht
F
Eingang
12.01.2021
Impfdatum
28.12.2020
Beginn
29.12.2020
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Aphasia Cough Death Endotracheal intubation Hemiparesis Respiratory failure SARS-CoV-2 test positive

Symptomtext

Patient vaccinated on 12/28. Approximately one day later, develops cough and on azithromycin x 1 week. On 1/3, patient develops left-sided weakness and aphasia. Taken to the hospital, tested COVID+, required intubation -- acute hypoxic respiratory failure secondary to COVID - on H&P. Patient died on 1/4/21 at 7:20am.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Unknown
Vorgeschichte
Morbid obesity and hypothyroidism
Andere Medikamente
Unknown
Allergien
Unknown
Vorherige Impfungen
-

VAERS 936805

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
KY
Alter
25,0
Geschlecht
M
Eingang
12.01.2021
Impfdatum
22.12.2020
Beginn
11.01.2021
Tage bis Beginn
20,0
Dosis
1
Route/Site
IM / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Death Unresponsive to stimuli

Symptomtext

Patient received the vaccine on 12/22/20 without complication. It was reported today that the patient was found unresponsive and subsequently expired at home on 1/11/21.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
None associated.
Aktuelle Erkrankungen
Whiplash injury to neck. Sprain of ligaments of cervical spine
Vorgeschichte
Septal defect (heart), chronic sinusitis
Andere Medikamente
See Continuation Field
Allergien
Ceftriaxone
Vorherige Impfungen
-

VAERS 954121

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
50,0
Geschlecht
F
Eingang
09.01.2021
Impfdatum
-
Beginn
06.01.2021
Tage bis Beginn
-
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Cerebrovascular accident Hypoaesthesia Injection site hypoaesthesia Transient ischaemic attack

Symptomtext

TIAStoke Employee complained of numbness at injection and stated she would like to wait about 5 minutes to see if it got better. Employee then stated it started to travel down right arm. Employee was offered treatment and was taken to be evaluated. Employee complained of numbness at injection and stated she would like to wait about 5 minutes to see if it got better. Employee then stated it started to travel down right arm. Employee was offered treatment and was taken to be evaluated.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 951518

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
WY
Alter
77,0
Geschlecht
M
Eingang
09.01.2021
Impfdatum
28.12.2020
Beginn
04.01.2021
Tage bis Beginn
7,0
Dosis
2
Route/Site
- / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Death SARS-CoV-2 test negative Syncope

Symptomtext

Narrative: Patient with severe aphasia and only able to say "hey, hey, hey" or "uh huh" or shake his head no as a way to communicate. Patient previously able to ambulate with significant limp and hyperextension of right knee, but mostly wheelchair bound over last several years as he had had a slow and steady decline in overall health and mobility. Patient developed aggressive behavior of shouting "hey" and grabbing of groin in 2016. This was worked up with CT scans, labs, referral to urology, neurology, and referrals to psychiatry. The exact etiology of this action was never able to be affirmed, but thought to be more psychiatrically related. It improved significantly with addition of antipsychotics, worsened when antipsychotics were reduced, and improved again with addition of injectable antipsychotic on 12-10-2020.Patient suffered from falls on occasion given his significantly impaired physical mobility. His last documented fall was 8-31-2019. Patient began utilizing wheelchair most of time following that fall. No significant injuries noted in documentation of the falls. In the last 3 months, patient would often refuse medications. He would sometimes indicate that they would cause dizziness, and other times he would simply refuse. We attempted to hide medications in his food/fluid (with wife's blessing) and when he detected this he would occasionally refuse to eat. Patient previously on DOAC. After pharmacy review in 12/2020 it was recommended to discontinue this as no clear indication to continue use. He was high fall risk and would often refuse this medication as well since 10/2020. Noted to be in NSR on EKGs and decision made to discontinue the DOAC. Patient had no evidence of adverse effects noted after vaccination on December 28th. Patient seen by provider on the morning of his death (1/4/2021) with no noticeable significant change in health condition. Temperature 36.8Con January 4th at 19:45. During routine bedtime cares, patient suddenly collapsed and death was pronounced January 4, 2021 at 20:05. Autopsy was requested from next of kin and no autopsy was granted. Symptoms: & DEATH Treatment:

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
Specimen: NASOPHARYNX. Specimen Collection Date: Dec 29, 2020@09:45 Test name Result units Ref. range Site Code COVID-19 (M2000) Not Detected
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 917961

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
-
Alter
55,0
Geschlecht
M
Eingang
08.01.2021
Impfdatum
31.12.2020
Beginn
04.01.2021
Tage bis Beginn
4,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Angina pectoris Cerebrovascular accident Chest pain Dyspnoea Transient ischaemic attack Angiogram cerebral Aphasia Arteriogram carotid Blood magnesium Blood thyroid stimulating hormone Asthenia Dysarthria Vision blurred Brain natriuretic peptide C-reactive protein Chest X-ray Computerised tomogram head Culture urine

Symptomtext

TIAStroke, Angina, SOB, chest pain. Narrative: Employee stated that the attending physician mentioned that the vaccine might have exacerbated employee's previous health condition.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
3,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 924066

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
SC
Alter
36,0
Geschlecht
F
Eingang
06.01.2021
Impfdatum
06.01.2020
Beginn
06.01.2021
Tage bis Beginn
366,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Blood test Cardio-respiratory arrest Chest discomfort Dyspnoea Erythema Hypersensitivity Laboratory test Urticaria

Symptomtext

Trouble breathing. Chest tightness, hives, redness, started at 10:08 and it was called as a code at 10:15 and they administered epi

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cardio-respiratory arrest
Hospital-Tage
-
Labordaten
Drew blood and normal allergic reaction work up all today 1/6/2021
Aktuelle Erkrankungen
Migraines
Vorgeschichte
Anaphylaxis
Andere Medikamente
Ibuprofen 400 mg to help with the vaccine taken the night before. Was given 2 shots of epi, soul-medrol and Benadryl via IV.
Allergien
Peanuts, tetanus, shellfish
Vorherige Impfungen
2018 flu shot/ allergic reaction- flucelvax

VAERS 923993

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

kritisch
Staat
NC
Alter
62,0
Geschlecht
M
Eingang
06.01.2021
Impfdatum
30.12.2020
Beginn
02.01.2021
Tage bis Beginn
3,0
Dosis
1
Route/Site
IM / AR
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Death

Symptomtext

Patient was vaccinated Dec 30, 2020. Prime dose of Moderna vaccine. Observed for full 15 minutes post-injection. No complaints when asked during observation. Released. Subsequently, vaccine clinic staff learned from the patient's supervisor that on Jan 4, 2021 that the patient had expired on Jan 2, 2021. By report from the supervisor, the patient was found dead at his home. The patient's primary care provider was unaware of his death when contacted by this reporter today (Jan 6, 2021). Electronic Medical Record without any information since the vaccination.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
No
Vorgeschichte
History of stage II (T3N0) appendiceal carcinoma - s/p resection Dec 2014. CAD s/p stenting Diabetes Mellitus Hyperlipidemia Hypertension Glaucoma
Andere Medikamente
Unknown
Allergien
Hay fever
Vorherige Impfungen
-

VAERS 2680701

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
GA
Alter
49,0
Geschlecht
F
Eingang
10.09.2023
Impfdatum
27.01.2021
Beginn
01.02.2021
Tage bis Beginn
5,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: ja ER: ja Erholt: nein
Bradycardia Cervical spinal stenosis Chills Dyspnoea Dyspnoea exertional Fatigue Gastritis Herpes zoster Iron deficiency anaemia Irritability Laboratory test abnormal Loss of employment Nausea Nystagmus Occipital neuralgia Pallor Peripheral coldness Small intestinal obstruction

Symptomtext

?Moderna COVID-19 Vaccine EUA? Syncopy/ Tachycardia/ Bradycardia/ POSSIBLE LEFT ATRIAL ENLARGEMENT/ Iron Deficiency Anemia/ partial small bowel obstruction/ gastritis/ Hives, Shingles/ Coarse tremors/ transient global amnesia/ Occipital neuralgia/ Nystagmus/persistent irritability/ Cervical spinal stenosis / dyspnea on exertion/ fatigue/ Shortness of breath/ Chills/ Nausea with vomiting/ cool, pale skin/Moderate to severe tendinosis of the supraspinatus and mild to moderate grade tendinosis of the infraspinatus tendons left shoulder/ Occipital neuralgia/ Mild central canal stenosis/ Abnormal labatory results of unknown orgion Multiple physician visits/ hospital stay/ Emergancy room visits/ Surgeries/ loss of work from 03/21/2021 to present

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
5,0
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 2609901

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

schwer
Staat
NH
Alter
48,0
Geschlecht
M
Eingang
05.04.2023
Impfdatum
29.09.2022
Beginn
15.12.2022
Tage bis Beginn
77,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Dyspnoea Facial paralysis Hemiparesis Magnetic resonance imaging normal

Symptomtext

Shortness of breath Left sided weakness and drooping of the left side of face, treated for a possible stroke 3/31/23-4/3/23. Neurologist said that this has been known to happen one the body needs to be reset with the brain and has no long term effects of the body once the reset is complete, it's not the first time they have seen this in the last 2 or 3 years and there is no definite reason why except most people have this from some of the Covid vaccine or virus.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Facial paralysis
Hospital-Tage
-
Labordaten
MRI 4/1/2023 negative results to stroke. Several times of shortness of breath before being admitted to Hospital for 4 days (3/31/23- 4/3/23)
Aktuelle Erkrankungen
No
Vorgeschichte
High blood pressure High cholesterol
Andere Medikamente
Imdur, atorvastatin, lisinopril, carvedilol, clopidogrel
Allergien
No
Vorherige Impfungen
-

VAERS 2590377

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
77,0
Geschlecht
F
Eingang
02.03.2023
Impfdatum
29.12.2020
Beginn
01.10.2022
Tage bis Beginn
641,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Deep vein thrombosis Erythema Peripheral embolism Peripheral swelling Skin warm Thrombosis Ultrasound Doppler abnormal

Symptomtext

Ultra Sound found a massive blood clot from my right foot extending to my upper right hip area. Swollen right foot, right leg warm and red.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Deep vein thrombosis
Hospital-Tage
-
Labordaten
2nd follow up of Ultra Sound - Acute embolism and thrombosis usp deep vein usp lower extremity. Partial deep vein thrombosis of the right superficial femoral vein. January 17, 2023
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Hydrochlorot 25mg Lisinopril 40mg Vitamin D3 50000 IU
Allergien
No known allergies
Vorherige Impfungen
-

VAERS 2479380

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
VA
Alter
36,0
Geschlecht
M
Eingang
18.10.2022
Impfdatum
29.12.2020
Beginn
19.07.2022
Tage bis Beginn
567,0
Dosis
1
Route/Site
OT / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood test COVID-19 immunisation Giant cell myocarditis Immunisation reaction Interchange of vaccine products Echocardiogram Electrocardiogram Magnetic resonance imaging heart Myocarditis SARS-CoV-2 test Sarcoidosis Syncope

Symptomtext

Granulomatous myocarditis; Sarcoidosis; Interchange of vaccine products; Revaccination with different COVID-19 vaccine; Syncopal episodes while exercising 6 and 10 weeks after last vaccine dose. Had relatively severe reaction to all three doses; Syncopal episodes while exercising 6 and 10 weeks after last vaccine dose.Had relatively severe reaction to all three doses; This spontaneous case was reported by a consumer and describes the occurrence of GIANT CELL MYOCARDITIS (Granulomatous myocarditis), IMMUNISATION REACTION (Syncopal episodes while exercising 6 and 10 weeks after last vaccine dose. Had relatively severe reaction to all three doses), SYNCOPE (Syncopal episodes while exercising 6 and 10 weeks after last vaccine dose.Had relatively severe reaction to all three doses) and SARCOIDOSIS (Sarcoidosis) in a 37-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 026L20A and 039K20A) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below. Co-suspect product included non-company product TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) for an unknown indication. The patient's past medical history included Allergy (( unknown drug)). Concurrent medical conditions included Hypertension and Asthma. Concomitant products included LISINOPRIL, MONTELUKAST, SALBUTAMOL (PROVENTIL [SALBUTAMOL]) and CETIRIZINE HYDROCHLORIDE (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) 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) (unknown route) dosage was changed to 1 dosage form. On 22-Nov-2021, the patient started TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) (unknown route) 1 dosage form. On 19-Jul-2022 at 6:30 PM, the patient experienced IMMUNISATION REACTION (Syncopal episodes while exercising 6 and 10 weeks after last vaccine dose. Had relatively severe reaction to all three doses) (seriousness criterion medically significant) and SYNCOPE (Syncopal episodes while exercising 6 and 10 weeks after last vaccine dose.Had relatively severe reaction to all three doses) (seriousness criterion medically significant). On an unknown date, the patient experienced GIANT CELL MYOCARDITIS (Granulomatous myocarditis) (seriousness criteria death and medically significant), SARCOIDOSIS (Sarcoidosis) (seriousness criterion medically significant), INTERCHANGE OF VACCINE PRODUCTS (Interchange of vaccine products) and COVID-19 IMMUNISATION (Revaccination with different COVID-19 vaccine). The patient died on an unknown date. The reported cause of death was granulomatous myocarditis. An autopsy was performed. At the time of death, IMMUNISATION REACTION (Syncopal episodes while exercising 6 and 10 weeks after last vaccine dose. Had relatively severe reaction to all three doses), SYNCOPE (Syncopal episodes while exercising 6 and 10 weeks after last vaccine dose.Had relatively severe reaction to all three doses), SARCOIDOSIS (Sarcoidosis), INTERCHANGE OF VACCINE PRODUCTS (Interchange of vaccine products) and COVID-19 IMMUNISATION (Revaccination with different COVID-19 vaccine) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 20-Jul-2022, Blood test: (Negative) Negative. Concomitant medicine also included LISINOPRIL, MONTELUKAST, SALBUTAMOL (PROVENTIL [SALBUTAMOL]) and ZYRTEC for unknown indications. It was also reported that the patient's cardiologist performed ECG, Cardiac Echo, Cardiac MRI -no results reported. No treatment or further studies were recommended by cardiologist. No treatment was reported. An autopsy was performed. The reported cause of death was sudden adult death due to granulomatous myocarditis. Autopsy also revealed multiple findings in other organs, consistent with sarcoidosis. Reporter did not allow further contact; Sender's Comments: This is a spontaneous case concerning a 37-year-old male patient, with medical history of hypertension, asthma and allergy (reported as "relevant past drug history", with unknown drug name) who experienced the unexpected serious fatal, medically significant AESI of giant cell myocarditis. This event was reported as the cause of death, following the autopsy. The patient also experienced the following serious,unexpected, medically significant events: sarcoidosis (also revealed during autopsy as ''multiple findings in other organs, consistent with sarcoidosis''), immunization reaction, and syncope. Giant cell myocarditis and syncope occurred on an unknown date (thus latency between vaccination and these events' onset could not be assessed). Immunization reaction and syncope occurred approximately 19 months from the last (second) dose of mRNA-1273. The patient's previous vaccination included the first dose vaccination with mRNA-1273. The third reported vaccination dose was from another manufacturer- Pfizer TOZINAMERAN vaccine (interchange of vaccine products/ revaccination with different COVID-19 vaccine) Outcome of all events (except the fatal Giant cell myocarditis) was unknown. No treatment was indicated for the events. Reportedly, the patient's cardiologist performed ECG, Cardiac Echo, Cardiac MRI (no results reported), but no treatment or further studies were recommended by cardiologist. Concomitant products included lisinopril, montelukast, salbutamol and Zyrtec, all for unknown indications. It was reported that the patient had relatively severe reaction to all three vaccine doses; however, syncopal episodes while exercising occurred 6 and 10 weeks after last vaccine dose (Pfizer TOZINAMERAN). Concurrent medical conditions of hypertension and asthma, and third vaccination with co-suspect Pfizer TOZINAMERAN remain as significant confounders for all events. The benefit-risk relationship of mRNA-1273 is not affected by this report.; Reported Cause(s) of Death: Granulomatous myocarditis.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Myocarditis
Hospital-Tage
-
Labordaten
Test Date: 20220720; Test Name: blood test performed post-mortem; Test Result: Negative; Result Unstructured Data: Negative
Aktuelle Erkrankungen
Asthma; Hypertension
Vorgeschichte
Medical History/Concurrent Conditions: Allergy (( unknown drug))
Andere Medikamente
LISINOPRIL; MONTELUKAST; PROVENTIL [SALBUTAMOL]; ZYRTEC [CETIRIZINE HYDROCHLORIDE]
Allergien
-
Vorherige Impfungen
-

VAERS 2460048

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
OH
Alter
30,0
Geschlecht
F
Eingang
26.09.2022
Impfdatum
30.12.2020
Beginn
29.01.2021
Tage bis Beginn
30,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Anaphylactic reaction Ear pain Headache Lymphadenopathy Pharyngeal swelling

Symptomtext

allergist confirmed it was an anaphylaxis reaction; both sides of her throat started swelling; lingering residual swelling in lymph nodes, upper chest, and throat 67 days after vaccination; ears were really affected in the beginning with throbbing ear pain; headaches; This spontaneous case was reported by an other health care professional and describes the occurrence of ANAPHYLACTIC REACTION (allergist confirmed it was an anaphylaxis reaction) in a 30-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 026L20A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Reaction to food coloring. On 30-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 29-Jan-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 29-Jan-2021, the patient experienced ANAPHYLACTIC REACTION (allergist confirmed it was an anaphylaxis reaction) (seriousness criterion medically significant), PHARYNGEAL SWELLING (both sides of her throat started swelling), LYMPHADENOPATHY (lingering residual swelling in lymph nodes, upper chest, and throat 67 days after vaccination), EAR PAIN (ears were really affected in the beginning with throbbing ear pain) and HEADACHE (headaches). At the time of the report, ANAPHYLACTIC REACTION (allergist confirmed it was an anaphylaxis reaction), PHARYNGEAL SWELLING (both sides of her throat started swelling), LYMPHADENOPATHY (lingering residual swelling in lymph nodes, upper chest, and throat 67 days after vaccination), EAR PAIN (ears were really affected in the beginning with throbbing ear pain) and HEADACHE (headaches) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were reported. On 29 Jan 2021, 45 minutes after administration of the second dose, both sides of her throat started swelling and she was taken to the Emergency Room (ER) Treatment medications in the ER included Epipen (epinephrine), unspecified steroids, and Benadryl (diphenhydramine). At home, she took loratidine, famotidine and two rounds of a 5-day tapering regimen of prednisone. The allergist confirmed it was an anaphylaxis reaction, and thought she was allergic to the base, polyethylene glycol, which has not been tested. Based on the current available information and the temporal association between the product use and the start date of the events a causal relationship cannot be excluded. This case was linked to MOD-2021-073672, MOD21-14991, MOD-2021-002300, MOD21-00576 (Patient Link).; Sender's Comments: Based on the current available information and the temporal association between the product use and the start date of the events a causal relationship cannot be excluded.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic reaction
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: Reaction to food coloring
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2370280

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
73,0
Geschlecht
M
Eingang
14.07.2022
Impfdatum
-
Beginn
04.06.2022
Tage bis Beginn
-
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
COVID-19 Intensive care Pyrexia Respiratory failure SARS-CoV-2 test positive

Symptomtext

Narrative: 73 year old male admitted on June 4 2022 with from long-term care after testing COVID positive on surveillance screening. He had a fever fo 101F and was transferred to intensive care without evidence of respiratory failure. He had received Moderna vaccine x 3 on December 28, 2020, January 26 2021, October 27 2021. He was treated with remdesivir 200 mg IV x 1 then 100 mg daily x 4 days and dexamethasone 6 mg IV daily x 5 days. He clinically improved and returned to long-term care on June 25 2022 after completing quarantine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Intensive care
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2322736

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
KY
Alter
58,0
Geschlecht
F
Eingang
17.06.2022
Impfdatum
11.01.2021
Beginn
10.06.2022
Tage bis Beginn
515,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Abdominal discomfort Appendicitis Blood pressure decreased Body temperature Diarrhoea Disturbance in attention Fall Gait disturbance Gastrointestinal disorder Hypokinesia Insomnia Loss of consciousness Pyrexia Vertigo

Symptomtext

attacked my GI system / felt like my digestive track was under attack/; low grade fever of 99-100.9; diarrhea; appendicitis; couldn't pass gas / felt like my stomach and intestines were locked; vertigo; crawled to bathroom because it hurt to stand up; felt like I had a decrease in blood pressure; felt like everything was falling out/hand in head stayed in the bathroom on the floor for 3 hours; couldn't use the bathroom; altered and couldn't focus; crawled back in bed and couldn't sleep; passed out; This spontaneous case was reported by a nurse and describes the occurrence of LOSS OF CONSCIOUSNESS (passed out) and APPENDICITIS (appendicitis) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 060A22A, 077C21B, 007M20A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Breast cancer (removal and repair in 2013) in 2013. Concurrent medical conditions included Penicillin allergy, Drug allergy, Stevens-Johnson syndrome and Irritable bowel syndrome. Concomitant products included VITAMINS NOS, FISH OIL, POLYCARBOPHIL CALCIUM (FIBER), CALCIUM, DOCUSATE SODIUM (STOOL SOFTENER) and XYLOMETAZOLINE HYDROCHLORIDE (SUDAFED [XYLOMETAZOLINE HYDROCHLORIDE]) for an unknown indication. On 11-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 12-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 10-Jun-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 10-Jun-2022, the patient experienced LOSS OF CONSCIOUSNESS (passed out) (seriousness criterion medically significant), ABDOMINAL DISCOMFORT (couldn't pass gas / felt like my stomach and intestines were locked), VERTIGO (vertigo), GAIT DISTURBANCE (crawled to bathroom because it hurt to stand up), BLOOD PRESSURE DECREASED (felt like I had a decrease in blood pressure), FALL (felt like everything was falling out/hand in head stayed in the bathroom on the floor for 3 hours), HYPOKINESIA (couldn't use the bathroom), DISTURBANCE IN ATTENTION (altered and couldn't focus) and INSOMNIA (crawled back in bed and couldn't sleep). On 12-Jun-2022, the patient experienced APPENDICITIS (appendicitis) (seriousness criterion medically significant) and DIARRHOEA (diarrhea). On 13-Jun-2022, the patient experienced GASTROINTESTINAL DISORDER (attacked my GI system / felt like my digestive track was under attack/) and PYREXIA (low grade fever of 99-100.9). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Vertigo, at an unspecified dose and frequency. At the time of the report, LOSS OF CONSCIOUSNESS (passed out), APPENDICITIS (appendicitis), ABDOMINAL DISCOMFORT (couldn't pass gas / felt like my stomach and intestines were locked), VERTIGO (vertigo), GAIT DISTURBANCE (crawled to bathroom because it hurt to stand up), BLOOD PRESSURE DECREASED (felt like I had a decrease in blood pressure), FALL (felt like everything was falling out/hand in head stayed in the bathroom on the floor for 3 hours), HYPOKINESIA (couldn't use the bathroom), DISTURBANCE IN ATTENTION (altered and couldn't focus), INSOMNIA (crawled back in bed and couldn't sleep), GASTROINTESTINAL DISORDER (attacked my GI system / felt like my digestive track was under attack/), DIARRHOEA (diarrhea) and PYREXIA (low grade fever of 99-100.9) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 99-100.9 99-100.9. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Nurse reported side effects after Moderna vaccine stating that side effects got worse with every vaccine. Patient reported that she started to walk a bit where she could not eat anything but had Jell-O. On 13 Jun 2022, she started to walk a bit more, ate crackers, banana and potato but used the bathroom after consuming even water. Company Comment: This spontaneous case concerns a 58-year-old female patient with a relevant medical history of irritable bowel syndrome, who experienced the unexpected serious (medically significant) AESI of Appendicitis, unexpected serious (medically significant) event of Loss of consciousness and several non-serious events of Vertigo, Fall, Gastrointestinal disorder and Diarrhoea after Fourth dose of mRNA-1273 vaccine in covid-19 vaccination series. After receiving the vaccine patient woke up in the night with severe abdominal cramps, felt like indigestion and almost passed out. She was unable to stand up as she felt like there is decrease in blood pressure and everything falling out. She had abdominal discomfort could not sleep, with reduced appetite, anorexia. The next day she had diarrhea followed by severe stabbing abdominal pain, fever, vomiting and GI disorder. She took Tylenol for the same. She had vertigo since a week and is on Benadryl. She went to emergency suspecting appendicitis, triaged by a nurse but did not stay. Patients relevant medical history of irritable bowel syndrome could be confounder for the events Gastrointestinal disorder and abdominal discomfort. Concomitant product Docusate Sodium (stool softener) could be confounding for the event Diarrhoea. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report. This case was linked to MOD-2022-589013, MOD-2022-589031, MOD-2022-589045, MOD-2022-589106 (Patient Link).; Sender's Comments: This spontaneous case concerns a 58-year-old female patient with a relevant medical history of irritable bowel syndrome, who experienced the unexpected serious (medically significant) AESI of Appendicitis, unexpected serious (medically significant) event of Loss of consciousness and several non-serious events of Vertigo, Fall, Gastrointestinal disorder and Diarrhoea after Fourth dose of mRNA-1273 vaccine in covid-19 vaccination series. After receiving the vaccine patient woke up in the night with severe abdominal cramps, felt like indigestion and almost passed out. She was unable to stand up as she felt like there is decrease in blood pressure and everything falling out. She had abdominal discomfort could not sleep, with reduced appetite, anorexia. The next day she had diarrhea followed by severe stabbing abdominal pain, fever, vomiting and GI disorder. She took Tylenol for the same. She had vertigo since a week and is on Benadryl. She went to emergency suspecting appendicitis, triaged by a nurse but did not stay. Patients relevant medical history of irritable bowel syndrome could be confounder for the events Gastrointestinal disorder and abdominal discomfort. Concomitant product Docusate Sodium (stool softener) could be confounding for the event Diarrhoea. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
Test Name: Body temperature; Result Unstructured Data: 99-100.9
Aktuelle Erkrankungen
Drug allergy; Irritable bowel syndrome; Penicillin allergy; Stevens-Johnson syndrome
Vorgeschichte
Medical History/Concurrent Conditions: Breast cancer (removal and repair in 2013)
Andere Medikamente
VITAMINS NOS; FISH OIL; FIBER; CALCIUM; STOOL SOFTENER; SUDAFED [XYLOMETAZOLINE HYDROCHLORIDE]
Allergien
-
Vorherige Impfungen
-

VAERS 2261983

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
VT
Alter
48,0
Geschlecht
F
Eingang
03.05.2022
Impfdatum
08.01.2021
Beginn
09.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Anxiety Arthralgia Blood test Chest X-ray Chest pain Computerised tomogram Condition aggravated Fatigue Headache Neck pain Ocular discomfort Palpitations Paranasal sinus discomfort Pericarditis Pleural effusion Pleurisy Pulmonary mass Sinusitis

Symptomtext

after fist shot had racing heart for about 2 days and increased anxiety. a little headache. After the 2nd shot i had a headache and was a little tired. I continued to develop sinus and eye problems in the next few weeks with sinus and eye pressure. I was treated with an antibiotic for a sinus infection. 3 months after my 2 nd shot I developed severe and debilitating vertigo with neck pain and vomiting and a headache. It took about 6 months for the vertigo to go away. I started having more neck and shoulder pain along with some chest pain over the year but thought it was from exercise. I was just diagnosed with pleurisy with effusion and pericarditis. I very strongly feel the connection with the vaccine and my recent diagnoses. I am sensitive to most medicines and this one is just another. I have also developed lung nodules that were not there until I got the vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pericarditis
Hospital-Tage
-
Labordaten
CT scan x3 Chest xray Blood tests
Aktuelle Erkrankungen
none
Vorgeschichte
Anxiety, inflammation.
Andere Medikamente
Magnesuim, Vitamin D, plaquenil.
Allergien
Sulfa Cyndamacine Ertythamacin
Vorherige Impfungen
-

VAERS 2131440

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

schwer
Staat
KY
Alter
39,0
Geschlecht
F
Eingang
22.02.2022
Impfdatum
20.06.2021
Beginn
08.11.2021
Tage bis Beginn
141,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Allergy test Anaphylactic reaction Hypersensitivity Swelling face Urticaria

Symptomtext

Playing basketball, I experienced an allergic reaction, which I had never had before. I went into anaphylaxis and experienced hives and facial swelling.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic reaction
Hospital-Tage
-
Labordaten
Allergy tests which came back inconclusive.
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
N/A
Allergien
N/A
Vorherige Impfungen
-

VAERS 2061627

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
KY
Alter
55,0
Geschlecht
F
Eingang
25.01.2022
Impfdatum
08.01.2021
Beginn
31.12.2021
Tage bis Beginn
357,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Chills Facial bones fracture Gait disturbance Hyperhidrosis Loss of consciousness Paraesthesia Pyrexia Tinnitus

Symptomtext

Broke nose; Felt tingly all over; Ringing in ears; Staggered a bit; Was real sweaty; passed out 2 days in a row/ passed out but did not fall/The next morning she passed out again and was in unconsciousness; Fever; Chills; This spontaneous case was reported by a consumer and describes the occurrence of LOSS OF CONSCIOUSNESS (passed out 2 days in a row/ passed out but did not fall/The next morning she passed out again and was in unconsciousness) and FACIAL BONES FRACTURE (Broke nose) in a 56-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 059H21A, 013M20A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Blood pressure high, High cholesterol, Pre-diabetes and Allergy. Concomitant products included CETIRIZINE HYDROCHLORIDE (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) for Allergy, METFORMIN, LOSARTAN, PRAVASTATIN, COLECALCIFEROL (VITAMIN D3) and MULTIVITAMINS [VITAMINS NOS] for an unknown indication. On 08-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 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 31-Dec-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 31-Dec-2021, the patient experienced PYREXIA (Fever) and CHILLS (Chills). On 01-Jan-2022, the patient experienced LOSS OF CONSCIOUSNESS (passed out 2 days in a row/ passed out but did not fall/The next morning she passed out again and was in unconsciousness) (seriousness criterion medically significant), PARAESTHESIA (Felt tingly all over), TINNITUS (Ringing in ears), GAIT DISTURBANCE (Staggered a bit) and HYPERHIDROSIS (Was real sweaty). On 02-Jan-2022, the patient experienced FACIAL BONES FRACTURE (Broke nose) (seriousness criterion medically significant). The patient was treated with NAPROXEN for Fever, at an unspecified dose and frequency and IBUPROFEN (ADVIL [IBUPROFEN]) for Fever, at an unspecified dose and frequency. At the time of the report, LOSS OF CONSCIOUSNESS (passed out 2 days in a row/ passed out but did not fall/The next morning she passed out again and was in unconsciousness), FACIAL BONES FRACTURE (Broke nose), PARAESTHESIA (Felt tingly all over), TINNITUS (Ringing in ears), GAIT DISTURBANCE (Staggered a bit), HYPERHIDROSIS (Was real sweaty), PYREXIA (Fever) and CHILLS (Chills) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. The patient had a booster shot on 31-Dec-2021. On the day of the injection, she had fever and chills. On the first day she took naproxen and ibuprofen on the second day, but both did not help bring down the fever. She passed out 2 days in a row on 01-Jan-2022 and on 02-Jan-2022. She woke up in middle of the night, and passed out but did not fall. Afterwards, she felt tingly all over, ringing in the ears, staggered a bit and was real sweaty. The next morning she passed out again and was in unconsciousness, she broke her nose and went to the emergency room (ER). At the ER, she had an ECG test and CT scan to check her neck. The doctor diagnosed as an adverse event. No medications were prescribed. On the 3rd and 4th day, she stayed home and was feeling fine ever since. She had performed Computerized tomogram neck and Electrocardiogram performed to check her neck. Company comment: This spontaneous case concerns a 56-year-old female patient with concomitant use of Losartan, who experienced the unexpected serious event of Loss of consciousness and Broken nose after mRNA- 1273 vaccine. The onset of the events occurred approximately 1 day after the booster dose of mRNA- 1273 vaccine. The patient passed out and broke her nose due to the fall. She was evaluated at the emergency department, electrocardiogram and Computer tomogram were performed, but the results were not provided. At the time of the report, the events had resolved. Concomitant use of Losartan remains a confounder. The benefit-risk relationship of mRNA- 1273 vaccine is not affected by this report. This case was linked to MOD-2022-455272 (Patient Link).; Sender's Comments: This spontaneous case concerns a 56-year-old female patient with concomitant use of Losartan, who experienced the unexpected serious event of Loss of consciousness and Broken nose after mRNA- 1273 vaccine. The onset of the events occurred approximately 1 day after the booster dose of mRNA- 1273 vaccine. The patient passed out and broke her nose due to the fall. She was evaluated at the emergency department, electrocardiogram and Computer tomogram were performed, but the results were not provided. At the time of the report, the events had resolved. Concomitant use of Losartan remains a confounder. The benefit-risk relationship of mRNA- 1273 vaccine is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Allergy; Blood pressure high; High cholesterol; Pre-diabetes
Vorgeschichte
-
Andere Medikamente
METFORMIN; LOSARTAN; PRAVASTATIN; ZYRTEC [CETIRIZINE HYDROCHLORIDE]; VITAMIN D3; MULTIVITAMINS [VITAMINS NOS]
Allergien
-
Vorherige Impfungen
-

VAERS 2042986

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
OH
Alter
52,0
Geschlecht
M
Eingang
18.01.2022
Impfdatum
26.12.2021
Beginn
04.01.2022
Tage bis Beginn
9,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Computerised tomogram normal Deep vein thrombosis Fibrin D dimer increased Superficial vein thrombosis Ultrasound Doppler abnormal

Symptomtext

DVT lower right leg, behind calf, distal to knee, with extraneous SVT in upper right thigh

Weitere VAERSDATA-Felder
Praegender Schweregrund
Deep vein thrombosis
Hospital-Tage
-
Labordaten
venous dopper ultrasound on right and left legs - positive for DVT in right leg CT scan with contrast - negative for PE in chest DDimer - 374
Aktuelle Erkrankungen
none
Vorgeschichte
History of DVT / PE. One previous episode in 2006, occurred as complication from achilles tendon repair surgery in June 2006.
Andere Medikamente
fish oil, vitamin D
Allergien
none
Vorherige Impfungen
-

VAERS 2017659

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
90,0
Geschlecht
F
Eingang
08.01.2022
Impfdatum
14.01.2021
Beginn
01.12.2021
Tage bis Beginn
321,0
Dosis
2
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Chills Contusion Dizziness Fatigue Head injury Headache Joint injury Ligament sprain Limb injury Myalgia Nausea Pyrexia Rash Syncope

Symptomtext

Fainted on a tile floor; Bruised tailbone / Bruised back; Hurt right arm/ hurt arm and Hurt right shoulder; Hurt elbow; Hit head; Twisted neck; Dizzy; Rash; Muscle pain; Joint pain; Chills; Headache comes and goes; Slight fever; Very fatigue and Very tired; Nausea; This spontaneous case was reported by a consumer and describes the occurrence of SYNCOPE (Fainted on a tile floor) in a 90-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 031H21A, 039K20A and 028L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 14-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 10-Dec-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. In December 2021, the patient experienced SYNCOPE (Fainted on a tile floor) (seriousness criterion medically significant), CONTUSION (Bruised tailbone / Bruised back), LIMB INJURY (Hurt right arm/ hurt arm and Hurt right shoulder), JOINT INJURY (Hurt elbow), HEAD INJURY (Hit head), LIGAMENT SPRAIN (Twisted neck), DIZZINESS (Dizzy), RASH (Rash), MYALGIA (Muscle pain), ARTHRALGIA (Joint pain), CHILLS (Chills), HEADACHE (Headache comes and goes), PYREXIA (Slight fever), FATIGUE (Very fatigue and Very tired) and NAUSEA (Nausea). The patient was treated with PARACETAMOL (TYLENOL 8 HOUR) at a dose of 650 mg every eight hours. At the time of the report, SYNCOPE (Fainted on a tile floor) outcome was unknown and CONTUSION (Bruised tailbone / Bruised back), LIMB INJURY (Hurt right arm/ hurt arm and Hurt right shoulder), JOINT INJURY (Hurt elbow), HEAD INJURY (Hit head), LIGAMENT SPRAIN (Twisted neck), DIZZINESS (Dizzy), RASH (Rash), MYALGIA (Muscle pain), ARTHRALGIA (Joint pain), CHILLS (Chills), HEADACHE (Headache comes and goes), PYREXIA (Slight fever), FATIGUE (Very fatigue and Very tired) and NAUSEA (Nausea) had not resolved. Patient stated that 15 hours after getting the booster shot, she fainted on a tile floor. She did x-ray and scan for her head. Treatment also included application of heat on tailbone, exercise for neck and general exercise. Company comment: This spontaneous case concerns a 90-year-old female patient with no details on relevant medical history reported, who experienced the unexpected - according to a regulatory authority - serious (medically significant) event of Syncope after mRNA- 1273 Moderna vaccine. The event occurred approximately 15 hours after the booster dose of mRNA- 1273 vaccine. Very limited information is available regarding the circumstances leading to the event. Due to the fall, the patient experienced several contusions, twisted neck and hit her head. An X-ray and Head scan were performed, the results were not provided, however, only treatment with paracetamol was prescribed. It is unknown if further diagnostic work-up was requested to assess the aetiology of the event. Patient?s age remains a confounder. The benefit-risk relationship of mRNA- 1273 vaccine is not affected by this report.; Sender's Comments: This spontaneous case concerns a 90-year-old female patient with no details on relevant medical history reported, who experienced the unexpected - according to a regulatory authority - serious (medically significant) event of Syncope after mRNA- 1273 Moderna vaccine. The event occurred approximately 15 hours after the booster dose of mRNA- 1273 vaccine. Very limited information is available regarding the circumstances leading to the event. Due to the fall, the patient experienced several contusions, twisted neck and hit her head. An X-ray and Head scan were performed, the results were not provided, however, only treatment with paracetamol was prescribed. It is unknown if other work-up was requested to assess the aetiology of the event. Patient?s age remains a confounder. The benefit-risk relationship of mRNA- 1273 vaccine is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1989407

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
VA
Alter
62,0
Geschlecht
F
Eingang
29.12.2021
Impfdatum
24.12.2020
Beginn
15.05.2021
Tage bis Beginn
142,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: ja ER: ja Erholt: nein
Angiocardiogram Biopsy heart Cardiac monitoring abnormal Cardioversion Catheterisation cardiac normal Chest pain Dizziness Echocardiogram Implantable defibrillator insertion Intensive care Left ventricular failure Myocardial fibrosis Myocarditis Nausea Oropharyngeal pain Pain in extremity Pain in jaw Palpitations

Symptomtext

5/15/21 sudden onset of Chest, throat, jaw and left arm pain; lightheadedness & nausea with heart pounding. EMS called, cardiac monitor showed ventricular tachycardia in 250s. I was taken to Hospital. I was Cardioverted twice (200j) in the Emergency department; Immediately following Cardioversion taken to Cath lab where no Coronary Artery Disease was noted. Amiodarone intravenous infusion started in ICU. After 4 days in ICU I was transferred for possible Myocarditis and for pacemaker/defibrillator placement. I was in the Cardiac ICU 5 days. After Cardioversion I continued to have runs of ventricular tachycardia so Amiodarone IV was started.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Intensive care
Hospital-Tage
10,0
Labordaten
I had Cardioversion, Cardiac Cath, Cardiac CTA, Cardiac ECHO I had Cardiac Cath twice, second time for cardiac biopsy, CTA, ECHO, Pacemaker/defibrillator placement I was diagnosed with CHRONIC MYOCARDITIS, that resulted in significance scaring to my heart, and in systolic heart failure.
Aktuelle Erkrankungen
None
Vorgeschichte
Osteoarthritis; Obesity; Diabetes type 2 & diet controlled; GERD
Andere Medikamente
Cymbalta 60 mg daily for plantar fasciitis; Mobic 15 mg daily for osteoarthritis; Omeprazole 20 mg daily for GERD; Adderall 20 mg daily on the days I worked; Flintstone vitamin daily; Flexeril 10 mg at bedtime for right shoulder pain
Allergien
Amoxicillin causes itching; Vicodin causes nausea
Vorherige Impfungen
-

VAERS 1989171

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
VA
Alter
66,0
Geschlecht
F
Eingang
29.12.2021
Impfdatum
28.12.2020
Beginn
28.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Electrocardiogram normal Loss of consciousness Pruritus Urticaria

Symptomtext

Broke out in hives 10 mins following the vaccination. I was itching all over and then I passed out. The rescue squad came by and did an EKG and checked my pulse. I took Benadryl every 6 hours, and the hives went away the next day.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
EKG - Normal
Aktuelle Erkrankungen
None
Vorgeschichte
Hypertension; Uveitis
Andere Medikamente
Losartan; Hydrochlorothiazide; Spironolactone; Methotrexate; Vitamin D3; Aspirin
Allergien
Sulfa Drugs
Vorherige Impfungen
-

VAERS 2525060

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
51,0
Geschlecht
M
Eingang
28.12.2021
Impfdatum
31.12.2020
Beginn
31.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: ja
Agitation Anaphylactic reaction Angioedema Diarrhoea Dizziness Palpitations Tachycardia

Symptomtext

Agitation, Dizziness, Anaphylaxis, Angioedema, Diarrhea, Palpitations & Tachycardia Narrative: Initially presented for Moderna COVID vaccine on 12/30/2020 and was advised by two nurses to wait 2 weeks before receiving the Moderna vaccine because he had received a live virus vaccine (MMR) on 12/24/2020. The patient left the vaccine area, but returned the next day, 12/31/2020, and repeated the screening process with different staff members; he neglected to inform them that he had been advised to wait 2 weeks to receive the shot, not did he inform them that he had received a live virus vaccine the prior week.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic reaction
Hospital-Tage
3,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2524433

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
51,0
Geschlecht
F
Eingang
27.12.2021
Impfdatum
16.01.2021
Beginn
16.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Abdominal pain upper Acute cardiac event Asthenia Decreased appetite Heart rate increased Loss of consciousness Nausea Pyrexia Tachycardia Vomiting

Symptomtext

Fever, NauseaVomiting, Tachycardia, stomach pain; weakness; decreased appetite Narrative: employee states: her first vaccine was 1/16/21, 30 minutes after injection she was nauseated and experienced a fast heartbeat. Later that afternoon she vomited, passed out. She then had epigastric pain x 2 days with weakness. on day 3-4, her heartrate was 106-125 at time with a low grade fever, weak and poor appetite. She went to the doctor on day 6, which suggested a cardiac event. Day 7, she was hospitalized. She believes her cardiologist may also be reporting this event.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1974030

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
DE
Alter
66,0
Geschlecht
F
Eingang
23.12.2021
Impfdatum
04.02.2021
Beginn
08.12.2021
Tage bis Beginn
307,0
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Back pain Body temperature Chest X-ray Dyspnoea Electrocardiogram Full blood count Loss of consciousness Lymphocyte count Monocyte count Myalgia Neutrophil count Pyrexia Troponin Urine analysis Vaccination site erythema Vaccination site pain Vaccination site swelling Visual impairment

Symptomtext

Left arm was now red; Left arm was swollen; Back pain all the way up her back; Couldn't see right as everything was sepia in color; Passed out in her bathroom; Stopped breathing; Achy; Low grade temperature; sore left arm, which was the injection arm; This spontaneous case was reported by a nurse and describes the occurrence of BACK PAIN (Back pain all the way up her back), VISUAL IMPAIRMENT (Couldn't see right as everything was sepia in color), MYALGIA (Achy), VACCINATION SITE ERYTHEMA (Left arm was now red) and VACCINATION SITE SWELLING (Left arm was swollen) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 031H21A, 010A21A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 07-Dec-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 08-Dec-2021, the patient experienced MYALGIA (Achy), PYREXIA (Low grade temperature) and VACCINATION SITE PAIN (sore left arm, which was the injection arm). On 09-Dec-2021, the patient experienced BACK PAIN (Back pain all the way up her back), VISUAL IMPAIRMENT (Couldn't see right as everything was sepia in color), LOSS OF CONSCIOUSNESS (Passed out in her bathroom) and DYSPNOEA (Stopped breathing). On 10-Dec-2021, the patient experienced VACCINATION SITE ERYTHEMA (Left arm was now red) and VACCINATION SITE SWELLING (Left arm was swollen). On 09-Dec-2021, LOSS OF CONSCIOUSNESS (Passed out in her bathroom) and DYSPNOEA (Stopped breathing) had resolved. At the time of the report, BACK PAIN (Back pain all the way up her back), VISUAL IMPAIRMENT (Couldn't see right as everything was sepia in color), MYALGIA (Achy), VACCINATION SITE ERYTHEMA (Left arm was now red), VACCINATION SITE SWELLING (Left arm was swollen), PYREXIA (Low grade temperature) and VACCINATION SITE PAIN (sore left arm, which was the injection arm) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 08-Dec-2021, Body temperature: high (High) Low grade temperature. On 09-Dec-2021, Chest X-ray: normal (normal) normal. On 09-Dec-2021, Electrocardiogram: normal (normal) normal. On 09-Dec-2021, Full blood count: normal (normal) Complete blood count done and results were normal.. On 09-Dec-2021, Lymphocyte count (25-40): 22.5 (Low) Lymphocytes were low. On 09-Dec-2021, Monocyte count (4-10): 10.4 (High) Monocytes were high. On 09-Dec-2021, Neutrophil count (50-60): 65 (High) Neutrophils were a little elevated. On 09-Dec-2021, Troponin: normal (normal) Troponin test done and the results were normal.. On 09-Dec-2021, Urine analysis: normal (normal) normal. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications reported. No treatment medication reported. This case was linked to MOD-2021-408588 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
Test Date: 20211208; Test Name: Body temperature; Result Unstructured Data: Low grade temperature; Test Date: 20211209; Test Name: Chest x-ray; Result Unstructured Data: normal; Test Date: 20211209; Test Name: EKG; Result Unstructured Data: normal; Test Date: 20211209; Test Name: CBC; Result Unstructured Data: Complete blood count done and results were normal.; Test Date: 20211209; Test Name: Lymphocytes; Result Unstructured Data: Lymphocytes were low; Test Date: 20211209; Test Name: Monocytes; Result Unstructured Data: Monocytes were high; Test Date: 20211209; Test Name: Neutrophils; Result Unstructured Data: Neutrophils were a little elevated; Test Date: 20211209; Test Name: Troponin; Result Unstructured Data: Troponin test done and the results were normal.; Test Date: 20211209; Test Name: Urinalysis; Result Unstructured Data: normal
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1971304

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
AR
Alter
43,0
Geschlecht
F
Eingang
22.12.2021
Impfdatum
27.12.2020
Beginn
27.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Abdominal pain upper Burning sensation Chills Decreased appetite Ejection fraction decreased Fatigue Feeling abnormal Feeling drunk Headache Inflammation Laboratory test Muscle spasms Pain in extremity Palpitations Pericarditis Vision blurred

Symptomtext

Immediately after reporting to waiting room, started having a "racing" in heart. I did not report as I have a history of SVT, even though I haven't had issues in years. I thought maybe it was anxiety/excitement to finally get the vaccine. Went home, no other issues until next day, severe fatigue where I couldn't get awake to get out of bed. Thought this to be a normal reaction then began having severe leg cramps on the following day, Tuesday. I reached out to my physician, they said take anti-inflammatory and rest. Proceeded to have more severe leg pain and a drunken feeling, weird chills up and down all extremities in waves. Vision intermittently blurry, could not read texts, etc. My head hurt incredibly bad. During the next week, I went to the ER twice, in which I received IV anti-inflammatory drugs. My stomach had severe pain, didn't feel like eating. The ER doctors said that it was the vaccine and due to the irregularities in my labs, I was experiencing a vascular inflammatory response. I was sent to my rheumatologist, which gave me IM and oral steroids. He was sure this was vaccine related and heard a pericardial rub as I felt pain like pleurisy. I was also COVID tested multiple times, negative, during this. PCR and rapid testing. I am a clinical research nurse and very pro vaccine. The rheumatologist said I had O2 sats drop upon walking after performing a walk test. He also instructed me to take no further MRNA vaccines. In September I approached my cardiologist about trying Pfizer, and he also told me this was not a good idea, considering the pericarditis I experienced and my ejection fraction dropping. I have had intermittent blurry vision, brain fog, hard to manage blood pressure, intermittent severe leg cramps (burning) since. I have since had another round of steroids. I was discouraged to report by my peers, as I am supposed to be a very rare reaction. I decided that reporting was my duty, since I was told my facility did not report this, though I informed them of my serious side effects.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pericarditis
Hospital-Tage
-
Labordaten
ER tests were irregular approximately 1 week post vaccine. Not sure of the exact date but can obtain that.
Aktuelle Erkrankungen
-
Vorgeschichte
Pacemaker, Hypertension, Psoriatic Arthritis
Andere Medikamente
Effexor 75 mg qd Metoprolol Succinate 50 mg qd Bumex 1 mg prn Tylenol PM qhs
Allergien
Penicillin, Sulfa, Phenergan, Tamiflu, Vancomycin, Avelox
Vorherige Impfungen
-

VAERS 2536380

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
57,0
Geschlecht
F
Eingang
21.12.2021
Impfdatum
28.12.2020
Beginn
29.12.2020
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Allergy test negative Anaphylactic reaction Hypersensitivity Injection site pruritus Pharyngeal swelling Pruritus Rash Skin reaction Urticaria

Symptomtext

Anaphylaxis, SkinRash, Rash & UrticariaPruritus Narrative: Delayed allergic reaction following mornings to 1st dose of Moderna: hives, itchiness at the injection site, and throat swelling requiring an epipen. Saw allergist: results negative for allergy to vaccine , cleared to receive 2nd dose

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic reaction
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2536353

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
62,0
Geschlecht
F
Eingang
21.12.2021
Impfdatum
28.05.2021
Beginn
01.01.2021
Tage bis Beginn
-
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Anaphylactic reaction Arthralgia Dizziness Headache Hypersensitivity Myalgia Pruritus Pyrexia Urticaria

Symptomtext

Dizziness, Headache, Myalgia, Arthralgia, Anaphylaxis, UrticariaPruritus, Large hives involving my left eyelid and then my right eyelid/Fever max 102.4 Narrative: Discussed reactions with my immunologist, Dr.--Clinic. He stated this was an allergic reaction and I should not have the second dose of COVID.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic reaction
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
yes varying reactions to vaccines usually involving localized swelling at the injection site, myalgias and arthralgias

VAERS 1962526

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
CT
Alter
34,0
Geschlecht
F
Eingang
19.12.2021
Impfdatum
26.12.2020
Beginn
26.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Blood test Computerised tomogram Echocardiogram Electrocardiogram Magnetic resonance imaging Pericardial drainage Pericardial effusion Pericarditis Ultrasound scan

Symptomtext

Pericarditis, pericardial effusion that required drain procedure

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pericarditis
Hospital-Tage
7,0
Labordaten
CT scan, MRI, ultrasound, blood work, echocardiogram, ekg
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Yaz, Zyrtec, Culturelle, Zinc, Vitamin C
Allergien
Shellfish, contrast dye, peanuts
Vorherige Impfungen
-

VAERS 1957797

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
73,0
Geschlecht
F
Eingang
17.12.2021
Impfdatum
09.01.2021
Beginn
14.11.2021
Tage bis Beginn
309,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Abdominal discomfort Asthenia Feeling abnormal Head discomfort Impaired driving ability Loss of consciousness Mental impairment Nausea Neck pain Pain in extremity Presyncope Tremor Vaccination complication Visual impairment

Symptomtext

couldn't think straight,thinking skills weren't as good; bit of passing out; felt like I was going to pass out; hit my stomach at first/it was weird, intense; it hit her head and felt like an explosion in her head. It was intense. It felt like her head was going to explode.; Her vision was going black; cannot drive; shaky,very weak and shaky in the morning; pain in the neck; After the second and third dose, her arm was sore and went across her shoulder,arm was sore [after second and booster dose]; feels like a guinea pig/totally not functional/debilitated; It took them almost 6 months to get over the experience, and now this is just starting all over again; intense nausea that hit my stomach at first, it was weird; weakness,because they ended up in bed/She felt weak and had to sit down.; This spontaneous case was reported by a consumer and describes the occurrence of MENTAL IMPAIRMENT (couldn't think straight,thinking skills weren't as good) and LOSS OF CONSCIOUSNESS (bit of passing out) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 051F21A, 029K20A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Migraine (she's had migraines since she was 30 years old). On 09-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 10-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 14-Nov-2021, the patient experienced ASTHENIA (weakness,because they ended up in bed/She felt weak and had to sit down.). On an unknown date, the patient experienced MENTAL IMPAIRMENT (couldn't think straight,thinking skills weren't as good) (seriousness criterion medically significant), LOSS OF CONSCIOUSNESS (bit of passing out) (seriousness criterion medically significant), PRESYNCOPE (felt like I was going to pass out), ABDOMINAL DISCOMFORT (hit my stomach at first/it was weird, intense), HEAD DISCOMFORT (it hit her head and felt like an explosion in her head. It was intense. It felt like her head was going to explode.), VISUAL IMPAIRMENT (Her vision was going black), IMPAIRED DRIVING ABILITY (cannot drive), TREMOR (shaky,very weak and shaky in the morning), NECK PAIN (pain in the neck), PAIN IN EXTREMITY (After the second and third dose, her arm was sore and went across her shoulder,arm was sore [after second and booster dose]), FEELING ABNORMAL (feels like a guinea pig/totally not functional/debilitated), VACCINATION COMPLICATION (It took them almost 6 months to get over the experience, and now this is just starting all over again) and NAUSEA (intense nausea that hit my stomach at first, it was weird). The patient was treated with PARACETAMOL (TYLENOL [PARACETAMOL]) for Adverse event, at an unspecified dose and frequency. At the time of the report, MENTAL IMPAIRMENT (couldn't think straight,thinking skills weren't as good), LOSS OF CONSCIOUSNESS (bit of passing out), PRESYNCOPE (felt like I was going to pass out), ABDOMINAL DISCOMFORT (hit my stomach at first/it was weird, intense), HEAD DISCOMFORT (it hit her head and felt like an explosion in her head. It was intense. It felt like her head was going to explode.), VISUAL IMPAIRMENT (Her vision was going black), IMPAIRED DRIVING ABILITY (cannot drive), TREMOR (shaky,very weak and shaky in the morning), NECK PAIN (pain in the neck), PAIN IN EXTREMITY (After the second and third dose, her arm was sore and went across her shoulder,arm was sore [after second and booster dose]), FEELING ABNORMAL (feels like a guinea pig/totally not functional/debilitated), VACCINATION COMPLICATION (It took them almost 6 months to get over the experience, and now this is just starting all over again) and NAUSEA (intense nausea that hit my stomach at first, it was weird) outcome was unknown and ASTHENIA (weakness,because they ended up in bed/She felt weak and had to sit down.) had not resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Company comment: This case concerns a 73-year-old, female patient with no relevant medical history reported, who experienced the unexpected serious event of Mental impairment and Loss of consciousness, with concurrent non-serious events of presyncope and head discomfort, among others. The events occurred approximately at an unknown day after the booster dose of mRNA-1273 vaccine. The rechallenge was not applicable since the events happened after the third dose and no additional dosing is expected. Furthermore, Mental impairment appeared after the first or second dose, but it is not clearly stated if it had improved previous to the booster dose or not. It is stated that it was improving at the time of the report. Loss of consciousness start date was not provided. The patient also referred that It took almost 6 months to get over the experience, and now this is just starting all over again, although the specific symptoms that reappeared are not detailed (except for pain in extremity). The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report. Case was assessed as serious due to important medical event and medical judgement. This case was linked to MOD-2021-409950, MOD-2021-409978 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 15-Nov-2021: Follow up received included date of birth and event was added.; Sender's Comments: This case concerns a 73-year-old, female patient with no relevant medical history reported, who experienced the unexpected serious event of Mental impairment and Loss of consciousness, with concurrent non-serious events of presyncope and head discomfort, among others. The events occurred approximately at an unknown day after the booster dose of mRNA-1273 vaccine. The rechallenge was not applicable since the events happened after the third dose and no additional dosing is expected. Furthermore, Mental impairment appeared after the first or second dose, but it is not clearly stated if it had improved previous to the booster dose or not. It is stated that it was improving at the time of the report. Loss of consciousness start date was not provided. The patient also referred that It took almost 6 months to get over the experience, and now this is just starting all over again, although the specific symptoms that reappeared are not detailed (except for pain in extremity). The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report. Case was assessed as serious due to important medical event and medical judgement.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Migraine (she's had migraines since she was 30 years old)
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1944066

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
56,0
Geschlecht
F
Eingang
13.12.2021
Impfdatum
14.02.2021
Beginn
15.02.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Blood pressure decreased Discomfort Dizziness Head injury Insomnia Loss of consciousness Myalgia Pain Tunnel vision

Symptomtext

The muscle aches were bad, the whole body was aching, and I couldn't get comfortable sleeping. I tried going upstairs to go to a different bed, and when I got up there, I had tunnel vision, dizziness, I passed out and hit my head on the bed. But my blood pressure I think dropped when I was trying to get up the stairs, and I don't think that would've happened if I didn't overexert myself. I've never had a reaction like that to any vaccine. Confused about whether or not to medicate during this vaccination for symptoms.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
Rapid Heartrate; Thyroid disease; Hashimoto's; Lichen Autoimmune; Restless Leg Syndrome; Sleep Apnea
Andere Medikamente
Vitamin D; Synthroid; Levothyroxine; Carvedilol
Allergien
Penicillin; Sulfa; Azithromycin; Vicodin; Compazine
Vorherige Impfungen
-

VAERS 1939976

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
MA
Alter
44,0
Geschlecht
F
Eingang
10.12.2021
Impfdatum
18.02.2021
Beginn
17.09.2021
Tage bis Beginn
211,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Acute kidney injury Acute respiratory distress syndrome COVID-19 Chest X-ray abnormal Diarrhoea Dyspnoea Dyspnoea exertional Hypoxia Intensive care Lung opacity Pneumonia viral Polyarteritis nodosa Pulmonary mass SARS-CoV-2 test positive

Symptomtext

Patient was at facility with 1 week of watery diarrhea and extertional dyspnea found to have covid 19 and AKI. Patient was transferred to another facility on 9/17/21 for higher level of care. Patient completed 5 doses of rermdesvir from 9/19-23. chest x ray showed worsening reticulonodular opacities in the bilateral lung fields with increased work of breathing and hypoxia consistent with covid ARDS requiring transfer to MICU. Patient completed courses of micafungin and peromenam for PAN while in the MICU and was transferred to ICU for further workup and closer nursing monitoring. Patient was discharged on 12/1 to rehab.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute respiratory distress syndrome
Hospital-Tage
75,0
Labordaten
9/20/21 positive covid test chest x ray impression on 9/19/21: subtle opacities in periphery of both lungs, consistent with viral pneumonia in setting of known covid 19 infection.
Aktuelle Erkrankungen
N/A
Vorgeschichte
GERD, HLD, kidney transplant
Andere Medikamente
Vitamin B 12 No longer taking, but used to take: atorvastatin, myfortic, protonix, prednisone, tacrolimus
Allergien
No known allergies
Vorherige Impfungen
-

VAERS 1922669

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
PA
Alter
77,0
Geschlecht
F
Eingang
04.12.2021
Impfdatum
20.01.2021
Beginn
24.10.2021
Tage bis Beginn
277,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Feeling abnormal Head discomfort Presyncope Thyroid disorder Thyroid function test

Symptomtext

fell like head has fast pulse; Funny sensation; felt like was going to pass out like something was happening to her; After [getting the booster] my thyroid seems to be giving me some difficulty/ took thyroid test and come out a little high; This spontaneous case was reported by a consumer and describes the occurrence of HEAD DISCOMFORT (fell like head has fast pulse), FEELING ABNORMAL (Funny sensation), PRESYNCOPE (felt like was going to pass out like something was happening to her) and THYROID DISORDER (After [getting the booster] my thyroid seems to be giving me some difficulty/ took thyroid test and come out a little high) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 016m20A and 039K20A) for COVID-19 vaccination. No Medical History information was reported. Concomitant products included LEVOTHYROXINE SODIUM (SYNTHROID) for Dysfunction thyroid. On 20-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 17-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 24-Oct-2021, the patient experienced HEAD DISCOMFORT (fell like head has fast pulse), FEELING ABNORMAL (Funny sensation), PRESYNCOPE (felt like was going to pass out like something was happening to her) and THYROID DISORDER (After [getting the booster] my thyroid seems to be giving me some difficulty/ took thyroid test and come out a little high). At the time of the report, HEAD DISCOMFORT (fell like head has fast pulse) and FEELING ABNORMAL (Funny sensation) had not resolved, PRESYNCOPE (felt like was going to pass out like something was happening to her) outcome was unknown and THYROID DISORDER (After [getting the booster] my thyroid seems to be giving me some difficulty/ took thyroid test and come out a little high) was resolving. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 24-Oct-2021, Thyroid function test: high (High) High. No Medical History information was reported. It was reported that patient had to lower the doses of Tyrod, and didn't change Thyroid levels and had to stop taking Centroid. Patient had not been able to take Tyrod in several weeks, and had to wait to take it back and rebuild and thinks she feels better and improved. This case was linked to MOD-2021-398519, MOD-2021-398901 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 26-Nov-2021: Follow-up received contains Reporter's details, Patient demographics, first and second dose information and additional events added.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
Test Date: 20211024; Test Name: Thyroid test; Result Unstructured Data: High
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: No Medical History information was reported.
Andere Medikamente
SYNTHROID
Allergien
-
Vorherige Impfungen
-

VAERS 1884599

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
WV
Alter
54,0
Geschlecht
M
Eingang
19.11.2021
Impfdatum
30.12.2020
Beginn
03.01.2021
Tage bis Beginn
4,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Asthenia Atrial fibrillation Chest pain Dyspnoea Gastrointestinal haemorrhage Myocarditis Pericarditis

Symptomtext

had A.FIB; Had shortness of breath/could not breath; had chest pain; could not lay down flat and slept in chair for days; Pericarditis; Myocarditis; GI bleed; This spontaneous case was reported by a consumer and describes the occurrence of GASTROINTESTINAL HAEMORRHAGE (GI bleed), ATRIAL FIBRILLATION (had A.FIB), PERICARDITIS (Pericarditis) and MYOCARDITIS (Myocarditis) in a 54-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 30-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Jan-2021, the patient experienced ATRIAL FIBRILLATION (had A.FIB) (seriousness criterion medically significant), DYSPNOEA (Had shortness of breath/could not breath), CHEST PAIN (had chest pain) and ASTHENIA (could not lay down flat and slept in chair for days). In 2021, the patient experienced GASTROINTESTINAL HAEMORRHAGE (GI bleed) (seriousness criterion medically significant), PERICARDITIS (Pericarditis) (seriousness criterion medically significant) and MYOCARDITIS (Myocarditis) (seriousness criterion medically significant). At the time of the report, GASTROINTESTINAL HAEMORRHAGE (GI bleed) outcome was unknown and ATRIAL FIBRILLATION (had A.FIB), PERICARDITIS (Pericarditis), MYOCARDITIS (Myocarditis), DYSPNOEA (Had shortness of breath/could not breath), CHEST PAIN (had chest pain) and ASTHENIA (could not lay down flat and slept in chair for days) had not resolved. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Patient was taking regular medicines which were not specified. Treatment included steroids which is a old anti-inflammatory. Patient developed GI bleed which patient stated that was due to anti-inflammatory. The patient had shortness of breath, A.FIB, chest pain, could not breath, could not lay down flat and slept in chair for days. The patient went to ER and they gave him steroids and it subside. GI bleed occurred from the medicine given which is old anti-inflammatory. Caller was not able to recall the name of medicine. On 28Jan2021 after patient's 2nd dose same things happened. The patient had myocarditis and pericarditis. The patient have myocarditis and pericarditis. Company Comment - This case concerns a 54-year-old, male patient with no medical history reported, who experienced the unexpected events of atrial fibrillation, dyspnoea, chest pain, nocturnal dyspnoea and gastrointestinal pain and expected events of myocarditis and pericarditis. The events occurred approximately 4 days after the first dose of mRNA-1273. The patient had shortness of breath, A.FIB, chest pain, could not breath, could not lay down flat and slept in chair for days. The patient went to ER and they gave him steroids which helped his symptoms subside. Patient developed GI bleed which patient attributed to the anti-inflammatory (steoids) that was given to him. The patient had same events after dose 2 and was diagnosed with myocarditis and pericarditis. The rechallenge was not applicable as patient received treatment for his symptoms. The benefit-risk relationship of mRNA-1273 is not affected by this report. This case was linked to MOD-2021-384450 (Patient Link).; Sender's Comments: This case concerns a 54-year-old, male patient with no medical history reported, who experienced the unexpected events of atrial fibrillation, dyspnoea, chest pain, nocturnal dyspnoea and gastrointestinal pain and expected events of myocarditis and pericarditis. The events occurred approximately 4 days after the first dose of mRNA-1273. The patient had shortness of breath, A.FIB, chest pain, could not breath, could not lay down flat and slept in chair for days. The patient went to ER and they gave him steroids which helped his symptoms subside. Patient developed GI bleed which patient attributed to the anti-inflammatory (steoids) that was given to him. The patient had same events after dose 2 and was diagnosed with myocarditis and pericarditis. The rechallenge was not applicable as patient received treatment for his symptoms. The benefit-risk relationship of mRNA-1273 is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Myocarditis
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2602023

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
75,0
Geschlecht
M
Eingang
02.11.2021
Impfdatum
30.12.2020
Beginn
30.08.2021
Tage bis Beginn
243,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Chills Cough Dyspnoea Dyspnoea exertional Insomnia COVID-19 COVID-19 pneumonia Cardiomegaly Chest X-ray abnormal Chest discomfort Lung opacity Osteoarthritis Productive cough Pulmonary congestion Pulmonary oedema Pyrexia SARS-CoV-2 test positive Sepsis

Symptomtext

Narrative: Admission: 8/30/2021 Discharge 9/10/2021 in stable condition 74yo M w/ hx bradycardia, sick sinus syndrome s/p pacemaker (2016), HTN, asthma, DM (last A1c 5.2, not on meds, obstructive sleep apnea on CPAP, hx DVT not on anticoagulation, presented to Emergency Room with worsening SOB and cough. First symptomatic on 8/22, had progressively worsening SOB w/ productive cough (yellow sputum). Reported increasing dyspnea on exertion, inability to climb small flight of stairs without feeling SOB, subjective fever/chills, coughing/SOB at night making it difficult to sleep. When walking complained of chest heaviness, difficulty catching breath. Received 2 doses Moderna Covid vaccine vaccine in Dec 2020/Jan 2021. Tested positive for COVID 8/27/2021. Tested positive for COVID 8/30/2021. No other complaints. Admitted for COVID pneumonia with sepsis: Tested positive for COVID 8/27 with symptom onset 8/22. Required up to 4L O2 in Emergency Department. Treated with remdesivir, oral dexamethasone and enoxaparin. Discharged 9/10/2021 in stable condition.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pulmonary oedema
Hospital-Tage
-
Labordaten
Specimen Collection Date: Aug 30, 2021@17:52 COVID-19_(XPRESS PCR) DETECTED H* Exam Date/Time 08/30/2021 15:08 Procedure Name CHEST-1 VIEW (AP/PA) impression Cardiomegaly with cardiac pacemaker in place. Vascular congestion and mild interstitial edema most likely. There are also patchy air space opacities, right greater than left, concerning for superimposed infection and could represent covid pneumonitis. Comparison: March 25, 2019, November 5, 2018 Technique: Single frontal view of the chest was obtained. Findings: Left- sided dual-lead cardiac pacemaker with no gross change in lead positioning. Mediastinal contour stable. Cardiac silhouette stable mildly enlarged. Central vascular congestion and mild interstitial thickening there are also scattered patchy air space opacities right greater than left. Visualized bones show osteoarthritic changes. Limited evaluation of upper abdomen remarkable.
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1823451

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
48,0
Geschlecht
M
Eingang
28.10.2021
Impfdatum
08.01.2021
Beginn
22.07.2021
Tage bis Beginn
195,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Atrial fibrillation Bundle branch block Cardiac tamponade Chest discomfort Chest pain Dyspnoea Haemothorax Pain Palpitations Pericarditis Pleural effusion Pneumonia Pyrexia

Symptomtext

pneumonia; Hemorrhagic effusion/ drained 1 liter of fluid; pre-cardiac tamponade; Pericarditis with hemorrhagic effusion fluid; left pleural effusion/ bilateral pleural effusions; Fever greater than 101.5; His EKG showed atrial fibrillation and a bundle branch block; His EKG showed atrial fibrillation and a bundle branch block; palpitations; chest pain/ sternal chest pain; chest discomfort; sternal chest pain; pain when lying on his left side at night; Pain with taking a deep breath; This spontaneous case was reported by a nurse and describes the occurrence of PALPITATIONS (palpitations), PLEURAL EFFUSION (left pleural effusion/ bilateral pleural effusions), PYREXIA (Fever greater than 101.5), BUNDLE BRANCH BLOCK (His EKG showed atrial fibrillation and a bundle branch block), ATRIAL FIBRILLATION (His EKG showed atrial fibrillation and a bundle branch block), PNEUMONIA (pneumonia), HAEMOTHORAX (Hemorrhagic effusion/ drained 1 liter of fluid), CARDIAC TAMPONADE (pre-cardiac tamponade) and PERICARDITIS (Pericarditis with hemorrhagic effusion fluid) in a 48-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 028L20A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concomitant products included IBUPROFEN and COLCHICINE for an unknown indication. 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) (Intramuscular) dosage was changed to 1 dosage form. On 22-Jul-2021, the patient experienced CHEST PAIN (chest pain/ sternal chest pain), CHEST DISCOMFORT (chest discomfort), CHEST PAIN (sternal chest pain), PAIN (pain when lying on his left side at night) and DYSPNOEA (Pain with taking a deep breath). On 12-Aug-2021, the patient experienced PALPITATIONS (palpitations) (seriousness criteria hospitalization prolonged, medically significant and life threatening), BUNDLE BRANCH BLOCK (His EKG showed atrial fibrillation and a bundle branch block) (seriousness criteria hospitalization prolonged, medically significant and life threatening) and ATRIAL FIBRILLATION (His EKG showed atrial fibrillation and a bundle branch block) (seriousness criteria hospitalization prolonged, medically significant and life threatening). On an unknown date, the patient experienced PLEURAL EFFUSION (left pleural effusion/ bilateral pleural effusions) (seriousness criteria hospitalization prolonged, medically significant and life threatening), PYREXIA (Fever greater than 101.5) (seriousness criteria hospitalization prolonged, medically significant and life threatening), PNEUMONIA (pneumonia) (seriousness criteria hospitalization prolonged, medically significant and life threatening), HAEMOTHORAX (Hemorrhagic effusion/ drained 1 liter of fluid) (seriousness criteria hospitalization prolonged, medically significant and life threatening), CARDIAC TAMPONADE (pre-cardiac tamponade) (seriousness criteria hospitalization prolonged, medically significant and life threatening) and PERICARDITIS (Pericarditis with hemorrhagic effusion fluid) (seriousness criteria hospitalization prolonged, medically significant and life threatening). At the time of the report, PALPITATIONS (palpitations), PLEURAL EFFUSION (left pleural effusion/ bilateral pleural effusions), PYREXIA (Fever greater than 101.5), BUNDLE BRANCH BLOCK (His EKG showed atrial fibrillation and a bundle branch block), ATRIAL FIBRILLATION (His EKG showed atrial fibrillation and a bundle branch block), PNEUMONIA (pneumonia), HAEMOTHORAX (Hemorrhagic effusion/ drained 1 liter of fluid), CARDIAC TAMPONADE (pre-cardiac tamponade), PERICARDITIS (Pericarditis with hemorrhagic effusion fluid), CHEST PAIN (chest pain/ sternal chest pain), CHEST DISCOMFORT (chest discomfort), CHEST PAIN (sternal chest pain), PAIN (pain when lying on his left side at night) and DYSPNOEA (Pain with taking a deep breath) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 12-Aug-2021, Electrocardiogram: atrial fibrillation and bundle branch block (abnormal) Showed atrial fibrillation and bundle branch block. On an unknown date, Angiogram: pleural effusion and pericarditis (abnormal) ruled out coronary artery embolism, showed left pleural effusion and pericarditis with hemoohagic effusion fluid. On an unknown date, Body temperature: 101.5 (High) 101.5. On an unknown date, SARS-CoV-2 test: negative (Negative) Negative. On an unknown date, Troponin: normal (normal) Normal. On an unknown date, X-ray: pleural effusion and pericarditis (abnormal) ruled out coronary artery embolism, showed left pleural effusion and pericarditis with hemoohagic effusion fluid. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered PALPITATIONS (palpitations), PLEURAL EFFUSION (left pleural effusion/ bilateral pleural effusions), PYREXIA (Fever greater than 101.5), BUNDLE BRANCH BLOCK (His EKG showed atrial fibrillation and a bundle branch block), ATRIAL FIBRILLATION (His EKG showed atrial fibrillation and a bundle branch block), PNEUMONIA (pneumonia), HAEMOTHORAX (Hemorrhagic effusion/ drained 1 liter of fluid), CARDIAC TAMPONADE (pre-cardiac tamponade), PERICARDITIS (Pericarditis with hemorrhagic effusion fluid), CHEST PAIN (chest pain/ sternal chest pain), CHEST DISCOMFORT (chest discomfort), CHEST PAIN (sternal chest pain), PAIN (pain when lying on his left side at night) and DYSPNOEA (Pain with taking a deep breath) to be possibly related. EKG showed atrial fibrillation and a bundle branch block. Also received a chest Xray and CT angiogram of chest which ruled out pulmonary embolism, but showed a left pleural effusion, and pericarditis with hemorrhagic effusion fluid. So much fluid like precardiac tamponade. The pericarditis was idiopathic. Admitted to hospital for pericarditis where they surgically removed 1L of fluid and cut out a piece of the back of heart. Intubated during this procedure and discharged from the hospital and since returned to hospital 2 additional time for having a fever more than 101.5F. The first was attributed to pericarditis and second was due to pericarditis and pneumonia. At the most recent hospital visit, they found bilateral pleural effusions on his chest x-ray, but the fluid had not come back around heart. The pneumonia was projected to be a postsurgical complication of his procedure. Tested for COVID-19 at all hospitalizations, but all tests were negative. was experiencing fever >101.5 again. Company Comment: This case concerns a 48-year-old male patient with no relevant medical history, who experienced the unexpected events of Palpitations, Atrial Fibrillation, Bundle Branch Block, Pyrexia, Pneumonia, Pleural Effusion, Haemothorax, Cardiac Tamponade and the expected event of Pericarditis. The events Palpitations, Atrial Fibrillation, and Bundle Branch Block, occurred at 7 months 5 days after receiving the second dose of mRNA-1273 (Moderna COVID-19 Vaccine) while the events of Pyrexia, Pneumonia, Pleural Effusion, Haemothorax, Cardiac Tamponade, and Pericarditis occurred on an unknown date with outcome of hospitalization. The rechallenge was unknown as there's no information available about the first dose. The The event of pericarditis is consistent with the current understanding of the mechanism of action of the vaccine. The benefit-risk relationship of mRNA-1273 (Moderna COVID-19 Vaccine) is not affected by this report.; Sender's Comments: This case concerns a 48-year-old male patient with no relevant medical history, who experienced the unexpected events of Palpitations, Atrial Fibrillation, Bundle Branch Block, Pyrexia, Pneumonia, Pleural Effusion, Haemothorax, Cardiac Tamponade and the expected event of Pericarditis. The events Palpitations, Atrial Fibrillation, and Bundle Branch Block, occurred at 7 months 5 days after receiving the second dose of mRNA-1273 (Moderna COVID-19 Vaccine) while the events of Pyrexia, Pneumonia, Pleural Effusion, Haemothorax, Cardiac Tamponade, and Pericarditis occurred on an unknown date with outcome of hospitalization. The rechallenge was unknown as there's no information available about the first dose. The The event of pericarditis is consistent with the current understanding of the mechanism of action of the vaccine. The benefit-risk relationship of mRNA-1273 (Moderna COVID-19 Vaccine) is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pericarditis
Hospital-Tage
-
Labordaten
Test Name: CT angiogram; Result Unstructured Data: ruled out coronary artery embolism, showed left pleural effusion and pericarditis with hemoohagic effusion fluid; Test Name: Fever; Result Unstructured Data: 101.5; Test Date: 20210812; Test Name: EKG; Result Unstructured Data: Showed atrial fibrillation and bundle branch block; Test Name: COVID-19 Test; Test Result: Negative ; Result Unstructured Data: Negative; Test Name: Troponin; Result Unstructured Data: Normal; Test Name: X-ray; Result Unstructured Data: ruled out coronary artery embolism, showed left pleural effusion and pericarditis with hemoohagic effusion fluid
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
IBUPROFEN; COLCHICINE
Allergien
-
Vorherige Impfungen
-

VAERS 1818243

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
WV
Alter
82,0
Geschlecht
F
Eingang
26.10.2021
Impfdatum
02.02.2021
Beginn
12.04.2021
Tage bis Beginn
69,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: ja Erholt: ja
Anticoagulant therapy Pulmonary thrombosis Thrombosis

Symptomtext

Ten weeks after getting second Moderna she developed blood clots in leg and lungs. Taking Elequist at this time and doing better.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pulmonary thrombosis
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
NKA
Vorherige Impfungen
-

VAERS 1804742

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

schwer
Staat
CA
Alter
57,0
Geschlecht
F
Eingang
21.10.2021
Impfdatum
30.12.2020
Beginn
30.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: unbekannt Erholt: nein
Bell's palsy Drooling Eye pain Facial pain Facial paralysis Hypoaesthesia Lacrimation increased Pain Paraesthesia Trigeminal neuralgia

Symptomtext

Within a couple of hours after receiving the vaccine, I developed a right facial tingling across my cheekbones my forehead and around my eye. By the next day my entire right side of my face felt numb and I was drooling slightly. You can see a slight droop on the right side of my mouth. Within a couple days I developed shooting pains across my face and into my eye causing tearing of my eye. This lasted for 2 days straight and then it stopped. A couple weeks later those same symptoms shooting pains across my face into my eyes started happening on the left side of my face and lasted for 1 day. This has happened at least 6 times over the past year since getting the vaccine. I have seen a neurologist and my primary care doctor who have now diagnosed me with Bell's palsy of the right side of my face and trigeminal neuralgia. I am still waiting to have a new MRI.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bell's palsy
Hospital-Tage
-
Labordaten
MRI is pending
Aktuelle Erkrankungen
None
Vorgeschichte
Headaches and neck pain
Andere Medikamente
None
Allergien
Penicillin and codeine
Vorherige Impfungen
Superficial skin infection at the site of injection

VAERS 1800252

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
84,0
Geschlecht
M
Eingang
20.10.2021
Impfdatum
04.01.2021
Beginn
01.02.2021
Tage bis Beginn
28,0
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Arrhythmia Atrial fibrillation Blood pressure measurement Dizziness Electrocardiogram Fall Feeling cold Hyperhidrosis Syncope Tremor Visual impairment

Symptomtext

Arrhythmia /They measured a 12 second pause 1 time and some other pauses throughout his hospitalization.; fell/smashing his nose and face; He was diagnosed with atrial fibrillation and given a pacemaker on 9AUG2021; Shaking; Sweating; felt cold even with a coat on/stayed in bed for the next 3 days/ couldn't get warm; vision went to nothing; fainting spells/fainting episodes; felt weak like he was going to faint; This spontaneous case was reported by a nurse and describes the occurrence of ARRHYTHMIA (Arrhythmia /They measured a 12 second pause 1 time and some other pauses throughout his hospitalization.), SYNCOPE (fainting spells/fainting episodes) and ATRIAL FIBRILLATION (He was diagnosed with atrial fibrillation and given a pacemaker on 9AUG2021) in an 84-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 031L20A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Macular degeneration. Concomitant products included LISINOPRIL for Low blood pressure. On 04-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 01-Feb-2021, the patient experienced TREMOR (Shaking), HYPERHIDROSIS (Sweating), FEELING COLD (felt cold even with a coat on/stayed in bed for the next 3 days/ couldn't get warm) and VISUAL IMPAIRMENT (vision went to nothing). In February 2021, the patient experienced SYNCOPE (fainting spells/fainting episodes) (seriousness criteria medically significant and life threatening) and DIZZINESS (felt weak like he was going to faint). In 2021, the patient experienced ARRHYTHMIA (Arrhythmia /They measured a 12 second pause 1 time and some other pauses throughout his hospitalization.) (seriousness criteria hospitalization, medically significant and life threatening). On 04-Aug-2021, the patient experienced FALL (fell/smashing his nose and face). In August 2021, the patient experienced ATRIAL FIBRILLATION (He was diagnosed with atrial fibrillation and given a pacemaker on 9AUG2021) (seriousness criteria medically significant and life threatening). The patient was treated with LORATADINE (CLARITIN [LORATADINE]) for Adverse event, at an unspecified dose and frequency and Surgery (Given a pacemaker on 09 Aug 2021) for Atrial fibrillation. In February 2021, FEELING COLD (felt cold even with a coat on/stayed in bed for the next 3 days/ couldn't get warm) was resolving. At the time of the report, ARRHYTHMIA (Arrhythmia /They measured a 12 second pause 1 time and some other pauses throughout his hospitalization.), SYNCOPE (fainting spells/fainting episodes), ATRIAL FIBRILLATION (He was diagnosed with atrial fibrillation and given a pacemaker on 9AUG2021), TREMOR (Shaking), HYPERHIDROSIS (Sweating), DIZZINESS (felt weak like he was going to faint), VISUAL IMPAIRMENT (vision went to nothing) and FALL (fell/smashing his nose and face) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure measurement: 130/70 (abnormal) His blood pressure is usually 130/70. On an unknown date, Electrocardiogram: abnormal (abnormal) They measured a 12 second pause 1 time and some other pauses throughout his hospitalization. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Lab test data included ECG, echocardiogram, and imaging but specific results not provided. He was hospitalized for 1 week with a significant work up of ECG, echocardiogram, and imaging. They measured a 12 second pause 1 time and some other pauses throughout his hospitalization.He was diagnosed with atrial fibrillation and given a pacemaker on 9AUG2021. He has not had any episodes of atrial fibrillation since receiving the pace maker. Company comment: This case concerns a 84-year-old, male patient with previous relevant medical history of hypertension and use of concomitant medication, who experienced the unexpected events of arrhythmia, syncope and atrial fibrillation. The events occurred approximately 6 months after the second dose of mRNA-1273. The rechallenge was not applicable since the events happened after the second dose. The medical history of hypertension and use of concomitant medication remains a confounder. The benefit-risk relationship of mRNA-1273 is not affected by this report.; Sender's Comments: This case concerns a 84-year-old, male patient with previous relevant medical history of hypertension and use of concomitant medication, who experienced the unexpected events of arrhythmia, syncope and atrial fibrillation. The events occurred approximately 6 months after the second dose of mRNA-1273. The rechallenge was not applicable since the events happened after the second dose. The medical history of hypertension and use of concomitant medication remains a confounder. The benefit-risk relationship of mRNA-1273 is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
Test Name: Blood pressure measurement; Result Unstructured Data: His blood pressure is usually 130/70; Test Name: ECG; Result Unstructured Data: They measured a 12 second pause 1 time and some other pauses throughout his hospitalization
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: Macular degeneration
Andere Medikamente
LISINOPRIL
Allergien
-
Vorherige Impfungen
-

VAERS 1776339

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20A

schwer
Staat
FL
Alter
61,0
Geschlecht
F
Eingang
11.10.2021
Impfdatum
26.02.2021
Beginn
10.03.2021
Tage bis Beginn
12,0
Dosis
2
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Computerised tomogram abdomen Dizziness Ear pain Extrasystoles Fatigue Feeling hot Hypertension Loss of personal independence in daily activities Magnetic resonance imaging head abnormal Muscle twitching Muscular weakness Nausea Pain Palpitations Paraesthesia Renal cyst Seizure like phenomena Sensory disturbance

Symptomtext

2 weeks after second dose=dizziness, nausea, weakness in legs, high bp, heart palpitations, severe weight loss( 14 lbs in first 10 days) , vertigo, left ear pain, diarrhea constant at first, feeling faint, left side of face tingling, palpitations, skipped beats, now, after 7 months=vibrating in head, torso with heat in feet/back of hands and twitching random places every night like clock work. Feels like a seizure sometimes when the vibrating is on my left side of my head. This has been consistent for 4 months now and replaced the ?wave of motion, followed by nauseating ? in middle of the night. Tingling, heat in random areas, fatigue twitching and fatigue is still keeping me from living my life. I have no insurance and the hospital bills and ER, specialists have left me deep in debt without helping me

Weitere VAERSDATA-Felder
Praegender Schweregrund
Seizure like phenomena
Hospital-Tage
-
Labordaten
4/23/2021- ct of abdominal area - kidney cysts unrelated to cause of diarrhea/ nausea/ pain 5-12-21 MRI- brain white matter spots Ent Arthritis dr more( no time left
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Bystolic, Amlodipine Bestylate, synthroid, hormone cream
Allergien
None
Vorherige Impfungen
-

VAERS 1730294

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
NJ
Alter
75,0
Geschlecht
F
Eingang
24.09.2021
Impfdatum
08.01.2021
Beginn
05.02.2021
Tage bis Beginn
28,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Bell's palsy Fatigue Nausea Pyrexia

Symptomtext

Bell's palsy; Low grade fever; Felt tired; Nauseous; This spontaneous case was reported by a consumer and describes the occurrence of BELL'S PALSY (Bell's palsy), PYREXIA (Low grade fever), FATIGUE (Felt tired) and NAUSEA (Nauseous) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030L20A and 039K20A) 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 05-Feb-2021, the patient experienced PYREXIA (Low grade fever), FATIGUE (Felt tired) and NAUSEA (Nauseous). On 14-May-2021, the patient experienced BELL'S PALSY (Bell's palsy). The patient was treated with PREDNISONE for Bell's palsy, at an unspecified dose and frequency. On 06-Feb-2021, PYREXIA (Low grade fever), FATIGUE (Felt tired) and NAUSEA (Nauseous) had resolved. At the time of the report, BELL'S PALSY (Bell's palsy) was resolving. No relevant concomitant medications were reported. Patient had Bell's palsy and was brought to ER and stayed for less than 24 hours. As per doctors, the event Bell's palsy wasn't related to the vaccine. Treatment for the events included anti-viral medication and eye drops. Company comment: This case concerns a 75 year old female patient, with no relevant medical history, who experienced the expected event of Bell's palsy. The event occurred approximately 4 months after the second dose of Spikevax. The benefit-risk relation of Spikevax is not affected by this report. Event of Bell's Palsy was automatically upgraded as a Serious event. However, based on information available and as per medical criteria was classified as Non-serious. Most recent FOLLOW-UP information incorporated above includes: On 15-Sep-2021: Follow up received contains no new information.; Sender's Comments: This case concerns a 75 year old female patient, with no relevant medical history, who experienced the expected event of Bell's palsy. The event occurred approximately 4 months after the second dose of Spikevax. The benefit-risk relation of Spikevax is not affected by this report. Event of Bell's Palsy was automatically upgraded as a Serious event. However, based on information available and as per medical criteria was classified as Non-serious.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bell's palsy
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1719201

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20a

schwer
Staat
CA
Alter
57,0
Geschlecht
F
Eingang
21.09.2021
Impfdatum
01.12.2020
Beginn
30.12.2020
Tage bis Beginn
29,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Drooling Eye paraesthesia Facial paralysis Hypoaesthesia Hypoaesthesia eye Paraesthesia

Symptomtext

Within a few hours the right side of my face became numb and tingling and I noticed I had some drooling on the right side of my mouth. Around my right eye was numb and tingling very severely and I noticed a droop on the right side of my mouth as well as my right eye.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Facial paralysis
Hospital-Tage
-
Labordaten
None I reported this to the where I got the vaccine as well as my primary care provider and no one did anything.
Aktuelle Erkrankungen
Penicillin and codeine
Vorgeschichte
Arthritis of the neck Migraine
Andere Medikamente
None
Allergien
Penicillin and codeine
Vorherige Impfungen
-

VAERS 2604597

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
NC
Alter
78,0
Geschlecht
M
Eingang
19.09.2021
Impfdatum
13.02.2021
Beginn
12.04.2021
Tage bis Beginn
58,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: ja ER: ja Erholt: nein
Abdominal pain lower Acute kidney injury Alcoholic ketoacidosis Amino acid level Angiotensin converting enzyme normal Anti-aquaporin-4 antibody negative Anti-neuronal antibody negative Anticoagulant therapy Antineutrophil cytoplasmic antibody negative Antinuclear antibody Antinuclear antibody positive Asthenia Atelectasis Bacterial test negative Bartonella test negative Biopsy spinal cord abnormal Blood test abnormal CSF cell count normal

Symptomtext

Transverse Myelitis. Patient, is a 78 y.o. male with a PMH of CML (2014) on nilotinib (2014-2019) in remission for the last 2 years. Over the course of 1 month or so he has noticed unsteady gait then on 4/15 he had abrupt onset of left lower extremity weakness, MRI at outside hospital with new thoracic spinal mass, this was biopsied and revealed non-caseating granulomas. He was started on high-dose IVMP in the hospital but he only received 1 dose in the hospital as when he arrived to acute rehab they did not have IVMP and he only received 80mg prednisone and has been on slow taper since then, currently on 40mg prednisone. He has done well with improved strength in his lower extremities, improvement in sensory symptoms overall. Per ID, infectious process is still on the differential given that the biopsy specimen was not sent to microbiology; all of his ID workup in the hospital was negative to-date. ID recommended that if repeat resection/biopsy is done, we would recommend that a sample be sent to BOTH micro for aerobic/anaerobic/AFB/fungal culture as well as to path. Given his clinical improvement on steroids and that he has not had paradoxical worsening of his symptoms if this were an infectious process, neurosarcoidosis may be more likely however, ACE (in serum and CSF) are soluble IL-2 receptor have been negative; in addition he had a full body PET with no e/o lung involvement. A repeat MRI T-spine was completed in July 2021 that showed marked improvement in the mass lesion at T1-T2 with reduction of spinal cord edeman previously present. Unfortunately, an MRI C-spine that I had ordered was not completed and an MRI L-spine was instead done. LP result were reviewed that again demonstrated no OCB's, normal nucleated cell, glucose and Protein 103 which is reduced compared to initial LP with Protein 165 on 5/24/2021. Notably, cytology was negative in CSF when repeated. Given his clinical and radiographic improvement on steroids, and improvement of protein levels on CSF, neurosarcoidosis is the most likely diagnosis and has responded very well to immune suppression. Other work-up for myelopathies have been negative including NMO, MOG, HTLV, vitamin deficiencies. If there is radiographic worsening, will need to discuss with ID and neurosurgery indicatino for repeat spinal mass biopsy. Will continue prednisone taper as currently prescribed given his improvement. Will plan to repeat MRI T-spine in early November 2021, obtain an MRI C-spine that was not completed. I have instructed the patient to continue slow prednisone taper Transient thrombocytopenia, now resolved Discussed with ID, and was thought due to Bactrim ppx use in the setting of long steroid taper. This has now resolved. He reports he saw his hematologist and was re-tested for CLL which was negative. His cytopenias have resolved on most recent CBC on 7/28. Severe Lumbar DJD with severe neuro foraminal narrowing throughout L-spine His recent MRI L-spine on my review looks to have severe NF narrowing at various spinal cord levels. I suspect that this may be contributing to the numbness/tingling he is experiencing in the left leg. I will ask his neurosurgeon to review this imaging.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
21,0
Labordaten
See Attached Sheet
Aktuelle Erkrankungen
See attached sheet
Vorgeschichte
Cancer 2008; Gallbladder disease; Hyperlipidemia; Hypertension
Andere Medikamente
acetaminophen; albuterol HFA; alfuzosin; apixaban; aspirin; fluticasone furoate-vilanterol; losartan; meclizine; methocarbamol; metoprolol tartrate; nitroglycerin; pantoprazole; prednisone; pyridoxine, vitamin B6; quetiapine; simvastatin; s
Allergien
Levofloxacin, Dizziness; Gabapentin, Nausea and Vomiting and Dizziness
Vorherige Impfungen
-

VAERS 1705007

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
CT
Alter
58,0
Geschlecht
M
Eingang
16.09.2021
Impfdatum
10.02.2021
Beginn
17.02.2021
Tage bis Beginn
7,0
Dosis
2
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Angiogram Angiogram cerebral Blood test abnormal Fatigue Laboratory test Presyncope Tinnitus Ultrasound abdomen

Symptomtext

Symptoms: pulsitile tinnitus, severe fatigue, near syncopal episodes, abnormal bloodwork. Primary care physician ordered numerous diagnostic?s and referred me to hematology oncology specialist. Repeat bloodwork still abnormal with no differential diagnosis yet. Repeat bloodwork in four weeks to watch for changes. Symptoms still persist.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
CTA of the head and Neck 08/2021 MRA of brain with and without 8/14/2021 Abdominal Ultrasound Hospital 8/24/2021 Labs done at Hospital Hematology Oncology
Aktuelle Erkrankungen
No
Vorgeschichte
No
Andere Medikamente
Cymbalta 30 mg
Allergien
No
Vorherige Impfungen
-

VAERS 1683903

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
35,0
Geschlecht
F
Eingang
08.09.2021
Impfdatum
05.02.2021
Beginn
02.09.2021
Tage bis Beginn
209,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
C-reactive protein increased Chest pain Echocardiogram normal Electrocardiogram ST segment elevation Myocardial necrosis marker normal Neutrophil count decreased Pericarditis Red blood cell sedimentation rate increased White blood cell count increased

Symptomtext

Presented with acute chest pain that was relieved with leaning forward. Chest pain began acutely the evening of 9/2/2021. Found to have diffuse ST elevation on serial EKGs. Cardiac enzymes negative. Echo performed and was normal. Idiopathic pericarditis diagnosed. Cardiology follow up planned as an outpatient. Started on ibuprofen 600mg po TID and colchicine 0.6mg po q 12 hours. NSAIDs will be tapered. Colchicine planned for at least 3 months. Patient had similar symptom 2 months ago relieved with prednisone 20mg po q day x 3 days.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pericarditis
Hospital-Tage
1,0
Labordaten
ESR 22 mm/hr; WBC 19.4, ANC 16.9, CRP 28.1.
Aktuelle Erkrankungen
None
Vorgeschichte
Allergic rhinitis
Andere Medikamente
Prenatal, claritin prn, vitamin b12, folic acid, nasocort prn
Allergien
NKA
Vorherige Impfungen
-

VAERS 1655973

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
66,0
Geschlecht
F
Eingang
30.08.2021
Impfdatum
11.02.2021
Beginn
18.07.2021
Tage bis Beginn
157,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Acupuncture Bell's palsy Blood test normal Condition aggravated Infrared therapy Urine analysis

Symptomtext

I developed Bell's Palsy in the left side of my face. I already suffer with chronic Bell's Palsy in the right side of my face. Treatment includes a course of prednisone and of valacyclovir, acupuncture, near infrared light therapy, physical therapy (microcurrent stimulation).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bell's palsy
Hospital-Tage
1,0
Labordaten
Too many to list, were done at Hospital on 7/18 and 7/19/21. I can get these if needed. Also bloodwork done to test for autoimmune disorders, none found, results available on request. Also I submitted blood and urine testing via mail to independent lab, results not yet available.
Aktuelle Erkrankungen
None
Vorgeschichte
Prolapsed mitral valve; Bell?s palsy right-sided since April 2002, left sided since July 18, 2021; genital herpes, diagnosed in 2008 (I have never had an outbreak); posterior vitreous detachment, checked regularly; osteoporosis (not medicating for this)
Andere Medikamente
Gabapentin, ibuprofen, acetaminophen, Intrarosa (prasterone) vaginal insert, multi-vitamin, calcium, vitamin D3, DHA/EPA vegan dietary supplement, probiotics, digestive enzymes
Allergien
Ceclor (causes hives)
Vorherige Impfungen
-

VAERS 1126024

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
VA
Alter
49,0
Geschlecht
F
Eingang
23.08.2021
Impfdatum
08.01.2021
Beginn
29.01.2021
Tage bis Beginn
21,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Angiogram normal Antinuclear antibody increased Cardiac stress test normal Chest pain Echocardiogram abnormal Dyspnoea Laboratory test abnormal Ejection fraction normal Electrocardiogram abnormal Fibrin D dimer increased Pain Pericarditis

Symptomtext

POUNDING, EXTREME CHEST PAIN; DIAGNOSED WITH PERICARDITIS AFTER HOSPITAL ADMISSION, APPROXIMATELY 21 DAYS AFTER FIRST VACCINE DOSE

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pericarditis
Hospital-Tage
2,0
Labordaten
Acute pericarditis, unspecified type [I30.9] 1/30/2021 1:25 AM D-dimer, elevated [R79.89] 1/30/2021 1:25 AM CTA: no PE or dissection Cardiac Stress test: non ischemic, EF 58% Echo with trace PC fluid EKG consistent with pericarditis Elevated dimer and ANA.
Aktuelle Erkrankungen
NONE
Vorgeschichte
PRIOR TO ONSET NONE
Andere Medikamente
NONE
Allergien
NONE
Vorherige Impfungen
-

VAERS 1586883

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
NJ
Alter
26,0
Geschlecht
M
Eingang
21.08.2021
Impfdatum
07.02.2021
Beginn
17.02.2021
Tage bis Beginn
10,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Hypokinesia Pain in extremity Impaired driving ability Monoplegia Paralysis

Symptomtext

Pain in both arm; Could not raise arms; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Pain in both arm) and HYPOKINESIA (Could not raise arms) in a 26-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. No Medical History information was reported. On 07-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Feb-2021, the patient experienced PAIN IN EXTREMITY (Pain in both arm) and HYPOKINESIA (Could not raise arms). At the time of the report, PAIN IN EXTREMITY (Pain in both arm) and HYPOKINESIA (Could not raise arms) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications were not provided. Treatment information was not provided by reporter.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paralysis
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1586883

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
NJ
Alter
26,0
Geschlecht
M
Eingang
21.08.2021
Impfdatum
07.02.2021
Beginn
17.02.2021
Tage bis Beginn
10,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Hypokinesia Pain in extremity Impaired driving ability Monoplegia Paralysis

Symptomtext

Pain in both arm; Could not raise arms; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Pain in both arm) and HYPOKINESIA (Could not raise arms) in a 26-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. No Medical History information was reported. On 07-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Feb-2021, the patient experienced PAIN IN EXTREMITY (Pain in both arm) and HYPOKINESIA (Could not raise arms). At the time of the report, PAIN IN EXTREMITY (Pain in both arm) and HYPOKINESIA (Could not raise arms) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications were not provided. Treatment information was not provided by reporter.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paralysis
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1557450

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
NY
Alter
71,0
Geschlecht
M
Eingang
14.08.2021
Impfdatum
06.02.2021
Beginn
06.02.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Chills Pain Pallor Presyncope Pyrexia

Symptomtext

Feels like he was about to pass out; White as ghost; Body ache; Fever; chills; Joint pain; This spontaneous case was reported by a consumer and describes the occurrence of PRESYNCOPE (Feels like he was about to pass out), PALLOR (White as ghost), PAIN (Body ache), PYREXIA (Fever) and CHILLS (chills) in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 06-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Feb-2021, the patient experienced PRESYNCOPE (Feels like he was about to pass out), PALLOR (White as ghost), PAIN (Body ache), PYREXIA (Fever), CHILLS (chills) and ARTHRALGIA (Joint pain). The patient was treated with NAPROXEN (MOTRIN [NAPROXEN]) for Adverse event, at a dose of 2 UNK. At the time of the report, PRESYNCOPE (Feels like he was about to pass out), PALLOR (White as ghost), PAIN (Body ache), PYREXIA (Fever), CHILLS (chills) and ARTHRALGIA (Joint pain) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication was not reported. Reporter did not allow further contact

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1543357

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
KY
Alter
-
Geschlecht
F
Eingang
11.08.2021
Impfdatum
06.01.2021
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Headache Hyperhidrosis Nausea Presyncope Pyrexia Vomiting

Symptomtext

almost blacked out; Sweating; Vomiting (24 hours); Nausea; Fever (101); severe headache; A spontaneous report was received from a consumer concerning a female patient of unknown age who experienced fever (101), severe headache, nausea, sweating, vomiting (24 hours), and almost "blacked out".. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. On 06JAN2021, the patient received their first of two planned doses of mRNA-1273 (Batch number: 039k20a) intramuscularly for prophylaxis of COVID-19 infection. Patient called on 04Feb2021 to inquire about getting second dose of Moderna COVID-19 vaccine. She was concerned about the side effects she experienced after getting the first dose on 06Jan2021 (expiration date unknown). She is due for her second dose on 06Feb2021. The side effects she experienced were fever (101), severe headache, nausea, sweating, vomiting (24hours), and almost "blacked out". Patient was advised by HCP to contact Moderna before getting second dose. Treatment information included Tylenol and Zofran. The events, fever (101), severe headache, nausea, sweating, vomiting (24hours), and almost "blacked out". were considered recovered/resolved.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: No adverse event (No reported medical history)
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1528819

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
73,0
Geschlecht
F
Eingang
05.08.2021
Impfdatum
29.12.2020
Beginn
29.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Feeling hot Head injury Loss of consciousness Mobility decreased Pyrexia

Symptomtext

12/29/2020 I was not able to left at all. This lasted for three days. It is mobile after the three days. 12/30/2020 I woke up in the night, went to the bathroom, go very hot and light headed and passed out. I hit my head on the floor, I crawled to the bed. I had fever for three days there after, and felt back to normal.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
None
Andere Medikamente
I was taking Metoprolol, Amityrptil, Famotidine
Allergien
Macrodatin and Codeine
Vorherige Impfungen
-

VAERS 1515368

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
SD
Alter
39,0
Geschlecht
M
Eingang
30.07.2021
Impfdatum
04.02.2021
Beginn
05.02.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Angiogram cerebral abnormal Cerebellar infarction Cerebral thrombosis Cerebral venous sinus thrombosis Computerised tomogram abnormal Computerised tomogram head abnormal Headache Jugular vein thrombosis Magnetic resonance imaging head abnormal Mastoiditis Mucosal hypertrophy Pyrexia Venogram Venogram abnormal Vertebral artery stenosis

Symptomtext

102.7 fever followed by months of right temporal headaches. Cerebral Vascular Thrombosis was confirmed on MRI/CT scans 07/06/21.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebral thrombosis
Hospital-Tage
3,0
Labordaten
MRI Brain 07/06/21, CTA/CTV 07/06/21 Impression 1. Right sigmoid and transverse venous sinus thrombosis. Thrombosis extends to the cephalad/terminal portion of the right internal jugular vein. The remaining dural venous sinuses are patent. 2. Stable focal irregularity and narrowing of the right vertebral artery V3 and V4 segments. 3. CTA of the head is otherwise unremarkable. Venous sinus thrombosis was discussed approximately 3:15 PM via telephone conversation on 7/6/2021. MRI 1. Findings concerning for venous sinus thrombosis involving the right sigmoid and transverse sinuses. Follow-up CT venogram of the head is recommended to confirm or disprove. 2. Mild white matter signal abnormalities have not significantly changed. These may represent sequela of prior infection/inflammation, possibly demyelination and other etiologies such as migraine headaches. 3. Remote right cerebellar infarcts. 4. Paranasal sinus mucosal thickening/partial opacification and trace fluid in the right mastoid air cells, of uncertain significance.
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
atorvastatin
Allergien
none
Vorherige Impfungen
-

VAERS 1507864

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
CA
Alter
76,0
Geschlecht
M
Eingang
28.07.2021
Impfdatum
06.01.2021
Beginn
04.02.2021
Tage bis Beginn
29,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chills Fatigue Headache Hypotension Loss of consciousness Nausea Sleep apnoea syndrome

Symptomtext

low blood pressure; Central sleep apnea; passed out while on the toilet; chills; nausea; tiredness; headache; This spontaneous case was reported by a consumer and describes the occurrence of LOSS OF CONSCIOUSNESS (passed out while on the toilet) in a 76-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 013M20A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Sleep apnea (Recent change in status of chronic condition took place. On 8 Apr 2021 a sleep study found that the patient have Central apnea.) since 13-May-2009, Hypothyroidism since 01-Jul-1977 and Allergic reaction to analgesics (Hydrocodone). Concomitant products included ATORVASTATIN from 2000 to an unknown date for High cholesterol, LEVOTHYROXINE SODIUM (SYNTHROID) from 1977 to an unknown date for Hypothyroidism, VITAMIN D [VITAMIN D NOS] and VITAMIN C [ASCORBIC ACID] for an unknown indication. On 06-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-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 LOSS OF CONSCIOUSNESS (passed out while on the toilet) (seriousness criterion medically significant), CHILLS (chills), NAUSEA (nausea), FATIGUE (tiredness) and HEADACHE (headache). On 06-Apr-2021, the patient experienced SLEEP APNOEA SYNDROME (Central sleep apnea). On an unknown date, the patient experienced HYPOTENSION (low blood pressure). The patient was treated with PARACETAMOL (TYLENOL) at a dose of 1 dosage form. On 04-Feb-2021, LOSS OF CONSCIOUSNESS (passed out while on the toilet) had resolved. At the time of the report, SLEEP APNOEA SYNDROME (Central sleep apnea) had not resolved and HYPOTENSION (low blood pressure), CHILLS (chills), NAUSEA (nausea), FATIGUE (tiredness) and HEADACHE (headache) outcome was unknown. Patient needed a machine for central sleep apnea. Concomitant medication also included Multivitamin daily for an unknown indication. For 10 years, the patient have been treated for obstructive sleep apnea with a dental appliance. At that time and on 03 Jug 2016, The Patient was diagnosed with obstructive sleep apnea. In order to get a new appliance the patient needed a recent sleep study. That sleep study on 08 Apr 2021 showed that the patient now have central sleep apnea. The patient have to use a CPAP machine. 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. This case was linked to MOD-2021-024979 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 23-Jul-2021: Reporters information was updated, Patients demographics and race was updated , Patients relevant historical condition was added, Vaccine facility information added, concomitant medications added, New events chills, nausea, tiredness, and headache was added and outcome of the events updated; 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.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Allergic reaction to analgesics (Hydrocodone); Hypothyroidism; Sleep apnea (Recent change in status of chronic condition took place. On 8 Apr 2021 a sleep study found that the patient have Central apnea.)
Vorgeschichte
-
Andere Medikamente
SYNTHROID; ATORVASTATIN; VITAMIN D [VITAMIN D NOS]; VITAMIN C [ASCORBIC ACID]
Allergien
-
Vorherige Impfungen
-

VAERS 1507186

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
66,0
Geschlecht
F
Eingang
28.07.2021
Impfdatum
05.02.2021
Beginn
26.03.2021
Tage bis Beginn
49,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Deep vein thrombosis Optic ischaemic neuropathy Peripheral embolism Ultrasound Doppler Visual impairment

Symptomtext

I did get "moderna arm" following 2nd dose but it is the aforementioned issues (VASCULAR) with my LEFT EYE and blood clot in LEFT LEG

Weitere VAERSDATA-Felder
Praegender Schweregrund
Deep vein thrombosis
Hospital-Tage
-
Labordaten
Ischemic Optic Neuropathy: March 26-Diagnosed with Ischemic Optic Neuropathy; follow-up on 5/7 and June 4. Next appointment is 8/16/2021 Acute Embolism and Thrombosis of unspecified Deep Veins-LEFT LEG-Diagnosed May 26-Ultrasound, Follow up with Hematologist on Sept 2 with blood work and ultrasound
Aktuelle Erkrankungen
none
Vorgeschichte
on March 23, I woke up with LEFT EYE dark curtain....I was diagnosed on March 26 with Ischemic Optic Neuropathy-the symptoms of this have changed over time but still exists On May 25 I was diagnosed with a Acute embolism and thrombosis of unspecified deep veins-LEFT LEG
Andere Medikamente
Losartan, Hydroclorothiazide, Atorvastin
Allergien
none
Vorherige Impfungen
-

VAERS 1463598

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
NY
Alter
37,0
Geschlecht
F
Eingang
11.07.2021
Impfdatum
02.02.2021
Beginn
02.02.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Amnesia Balance disorder Blood test Computerised tomogram Condition aggravated Electroencephalogram Fatigue Headache Hydrocephalus Lumbar puncture Magnetic resonance imaging Seizure Sleep study Thinking abnormal Weight decreased

Symptomtext

I have suffered server headaches, extreme tiredness, increased fluid on my brain, weight loss, loss of balance, loss of memory, slow thought processing, and now seizures over the course of the last 5 months.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Seizure
Hospital-Tage
1,0
Labordaten
CT Scans MRI's Blood work Spinal Tap EEG's Sleep study I do not have all the date's but I can get them
Aktuelle Erkrankungen
None
Vorgeschichte
Sleep Apenea Anxiety Disorder High Blood Pressure Migraine PCOS Gastroesphageal Reflux Disease
Andere Medikamente
Alprazolam 0.5mg 1/2 tab daily Amlodipine 5mg Daily Sertraline 150mg Daily Metformin 1,000mg Twice a day Laberalol 200 mg twice a day Omeprazole 40 MG daily
Allergien
Bee's Adhesive Tape Compazine
Vorherige Impfungen
-

VAERS 1457104

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
76,0
Geschlecht
F
Eingang
08.07.2021
Impfdatum
22.02.2021
Beginn
01.07.2021
Tage bis Beginn
129,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Cerebellar stroke

Symptomtext

I63.9 - Occipital infarction (CMS/HCC)

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebellar stroke
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1033614

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
42,0
Geschlecht
F
Eingang
06.07.2021
Impfdatum
15.01.2021
Beginn
23.01.2021
Tage bis Beginn
8,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Autoimmune demyelinating disease CSF protein increased CSF white blood cell count negative Cauda equina syndrome Computerised tomogram head normal Blood test CSF test Chest pain Electromyogram Gait disturbance Guillain-Barre syndrome Injection site erythema Injection site reaction Injection site warmth Lumbar puncture Magnetic resonance imaging head Magnetic resonance imaging spinal Neuralgia

Symptomtext

My first adverse event I had cellulitis around the vaccine site, which was about 8 days after the vaccine. After that about 3 weeks after I started to feel tingling in my feet and then it went to my hands. I started to limp from my right legs. It started to get very hard to walk. The day I went to the emergency room, it started to shake very badly, and I started to have pain in my chest. I had those symptoms about a week after the vaccine. I was in the hospital for 9 days. They did a spinal tap, MRI Lumbar spine IV contrast. They also did MR Brain Demyelinating Contrast, EMG, and CFS Analysis. They also did blood work. They decided to do the treatment of Plasmapheresis. They repeat the EMG on the third day I was admitted and then again before I was discharged. I was in the hospital from the 11th to the 19th of February. They diagnosed me with Guillain-Barre Syndrome. My doctor has been monitoring me since my discharge. I had a flare up and I was in the hospital June 22nd -26th. I was admitted because I was having worsening symptoms such as more nerve pain. They decided to do pulse steroid treatment. They are trying to find out if I have a certain type of GBS.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Guillain-Barre syndrome
Hospital-Tage
9,0
Labordaten
Spinal tap, MRI Lumbar spine IV contrast, MR Brain Demyelinating Contrast, EMG x2, CFS Analysis
Aktuelle Erkrankungen
-
Vorgeschichte
Autoimmune Sjogren's Syndrome; Hypothyroidism
Andere Medikamente
Levofloxacin; Ferrous Sulfate; Vitamin B12
Allergien
Latex; Tramadol
Vorherige Impfungen
-

VAERS 1445729

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
CT
Alter
60,0
Geschlecht
F
Eingang
03.07.2021
Impfdatum
12.01.2021
Beginn
09.02.2021
Tage bis Beginn
28,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Breath holding Chills Deafness Dizziness Dyspnoea Erythema Fatigue Feeling abnormal General physical condition abnormal Hyperhidrosis Loss of consciousness Mobility decreased Nausea Neoplasm skin Pain in extremity Rash erythematous Swelling Vaccination site movement impairment

Symptomtext

couldn't breath; head started spinning where she saw white spots; passed out in the kitchen chair where her eyes were wide open and her husband couldn't feel her breathing; Pasty and sweating; Patient was white; developed a growth in her right leg in the shin that was cancerous/developed another cancerous growth on right forearm; rash got redder on the stomach area/rash on stomach would not go away; couldn't hear; swelling; Very sore left arm/right arm hurt; could not get out of bed; redness; brain fog; Nauseated; Chills all day; Red bump on the corner of a tattoo on her thigh/tattoo on thigh became red around it; Dizzy; Out of breath; passed out; Felt tired all day/very tired; Hard to lift her arm; Felt like she was "punched in the arm"; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of LOSS OF CONSCIOUSNESS (passed out) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 004M20A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient had history of high cholesterol. Concurrent medical conditions included Drug allergy. Concomitant products included VITAMINS NOS for an unknown indication. On 12-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 ml. On 09-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .5 ml. On 09-Feb-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced VACCINATION SITE MOVEMENT IMPAIRMENT (Hard to lift her arm; Felt like she was "punched in the arm"). On 10-Feb-2021, the patient experienced LOSS OF CONSCIOUSNESS (passed out) (seriousness criterion medically significant), DYSPNOEA (Out of breath), DIZZINESS (Dizzy) and FATIGUE (Felt tired all day/very tired). On 17-Feb-2021, the patient experienced ERYTHEMA (Red bump on the corner of a tattoo on her thigh/tattoo on thigh became red around it). On an unknown date, the patient experienced DEAFNESS (couldn't hear), SWELLING (swelling), PAIN IN EXTREMITY (Very sore left arm/right arm hurt), DYSPNOEA (couldn't breath), VERTIGO (head started spinning where she saw white spots), BREATH HOLDING (passed out in the kitchen chair where her eyes were wide open and her husband couldn't feel her breathing), HYPERHIDROSIS (Pasty and sweating), GENERAL PHYSICAL CONDITION ABNORMAL (Patient was white), NEOPLASM SKIN (developed a growth in her right leg in the shin that was cancerous/developed another cancerous growth on right forearm), RASH ERYTHEMATOUS (rash got redder on the stomach area/rash on stomach would not go away), MOBILITY DECREASED (could not get out of bed), ERYTHEMA (redness), FEELING ABNORMAL (brain fog), NAUSEA (Nauseated) and CHILLS (Chills all day). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency; PARAFFIN (LUBRIDERM [PARAFFIN]) for Adverse event, at an unspecified dose and frequency and CORTISONE (topical) for Adverse event, at an unspecified dose and frequency. On 13-Feb-2021, LOSS OF CONSCIOUSNESS (passed out), DYSPNOEA (Out of breath), VACCINATION SITE MOVEMENT IMPAIRMENT (Hard to lift her arm; Felt like she was "punched in the arm") and DIZZINESS (Dizzy) had resolved. At the time of the report, DEAFNESS (couldn't hear), SWELLING (swelling), PAIN IN EXTREMITY (Very sore left arm/right arm hurt), DYSPNOEA (couldn't breath), VERTIGO (head started spinning where she saw white spots), BREATH HOLDING (passed out in the kitchen chair where her eyes were wide open and her husband couldn't feel her breathing), HYPERHIDROSIS (Pasty and sweating), GENERAL PHYSICAL CONDITION ABNORMAL (Patient was white), NEOPLASM SKIN (developed a growth in her right leg in the shin that was cancerous/developed another cancerous growth on right forearm), RASH ERYTHEMATOUS (rash got redder on the stomach area/rash on stomach would not go away), MOBILITY DECREASED (could not get out of bed), ERYTHEMA (redness), FEELING ABNORMAL (brain fog), NAUSEA (Nauseated) and CHILLS (Chills all day) outcome was unknown and ERYTHEMA (Red bump on the corner of a tattoo on her thigh/tattoo on thigh became red around it) and FATIGUE (Felt tired all day/very tired) had resolved. Concomitant medication included unknown cholesterol medication. Treatment for the event included ice and orange juice. It was reported that the red bump went away on an unknown date. On an unknown date, blood pressure measurement was high; CT scan, blood work, and electrocardiogram were normal. 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. This case was linked to MOD21-035540, MOD-2021-021611 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 22-Jun-2021: Added lab data and new events. Case upgraded to serious.; 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.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Drug allergy
Vorgeschichte
Comments: The patient had history of high cholesterol.
Andere Medikamente
VITAMINS NOS
Allergien
-
Vorherige Impfungen
-

VAERS 1417885

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
IL
Alter
43,0
Geschlecht
F
Eingang
22.06.2021
Impfdatum
28.12.2020
Beginn
04.01.2021
Tage bis Beginn
7,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: ja
Chest pain Ear pain Echocardiogram Electrocardiogram Hypoacusis Magnetic resonance imaging heart Myocarditis Respiratory viral panel Tinnitus Troponin increased

Symptomtext

A week after the COVID vaccine, I experienced muffled ear pain and ringing in my ears. Then a week later I felt chest pain, heart rate at rest was 130's-140's. Went to the ER and Troponin levels were elevated. I was diagnosed with Myocarditis, of unknown cause since all my respiratory panels were negative, all my labs do not point to any cause except that I received the COVID vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Myocarditis
Hospital-Tage
8,0
Labordaten
EKG 1/12/21 , 1/13/21 2D ECHO 1/12/21, 1/18/21 Cardiac MRI 1/14/21, 1/19/21
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
Tylenol extra strength
Allergien
none
Vorherige Impfungen
-

VAERS 1413850

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
NC
Alter
77,0
Geschlecht
F
Eingang
21.06.2021
Impfdatum
16.01.2021
Beginn
31.05.2021
Tage bis Beginn
135,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Blood test Deep vein thrombosis

Symptomtext

Deep Vein Thrombosis (DVT) diagnosed at Hospital

Weitere VAERSDATA-Felder
Praegender Schweregrund
Deep vein thrombosis
Hospital-Tage
-
Labordaten
Complete work up
Aktuelle Erkrankungen
allergies, see above
Vorgeschichte
-
Andere Medikamente
Prescription drugs: Prevastatin, and Clarinex (as needed) Over-the Counter drugs: lutein, Vitamin D3, Co-Q-10, Vitamin E, calcium d-glucarate
Allergien
Perennial rye grass Ragweed Trees Weeds Mold Fire ants Cipro Iodine IV dye Dust Feathers English Plantain Mites
Vorherige Impfungen
-

VAERS 1394066

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
VA
Alter
94,0
Geschlecht
M
Eingang
12.06.2021
Impfdatum
22.01.2021
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Dyspnoea Headache Magnetic resonance imaging Myalgia Seizure Transient ischaemic attack Wheezing

Symptomtext

mini-strokes which have increased in frequency; placed on low-dose seizure medicine Aptiom 200 and Aspirin 325 to prevent further seizures; Wheezing; Shortness of breath; Headaches; Soreness in arm; This spontaneous case was reported by a consumer and describes the occurrence of TRANSIENT ISCHAEMIC ATTACK (mini-strokes which have increased in frequency) and SEIZURE (placed on low-dose seizure medicine Aptiom 200 and Aspirin 325 to prevent further seizures) in a 94-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 013l20A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. Concomitant products included ACETYLCYSTEINE, CALCIUM LEVOMEFOLATE, MECOBALAMIN (CEREFOLIN NAC [ACETYLCYSTEINE;CALCIUM LEVOMEFOLATE;MECOBALAMIN]), COLECALCIFEROL (VITAMIN D3) and AMOXICILLIN SODIUM (AMOXICILLIN [AMOXICILLIN SODIUM]) for an unknown indication. On 22-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 18-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 TRANSIENT ISCHAEMIC ATTACK (mini-strokes which have increased in frequency) (seriousness criterion medically significant), SEIZURE (placed on low-dose seizure medicine Aptiom 200 and Aspirin 325 to prevent further seizures) (seriousness criterion medically significant), WHEEZING (Wheezing), DYSPNOEA (Shortness of breath), HEADACHE (Headaches) and MYALGIA (Soreness in arm). The patient was treated with ASPIRIN [ACETYLSALICYLIC ACID] ongoing since an unknown date for Seizure prophylaxis, at a dose of 325 dosage form and ESLICARBAZEPINE ACETATE (APTIOM) ongoing since an unknown date for Seizure prophylaxis, at a dose of 200 milligram. At the time of the report, TRANSIENT ISCHAEMIC ATTACK (mini-strokes which have increased in frequency) had not resolved and SEIZURE (placed on low-dose seizure medicine Aptiom 200 and Aspirin 325 to prevent further seizures), WHEEZING (Wheezing), DYSPNOEA (Shortness of breath), HEADACHE (Headaches) and MYALGIA (Soreness in arm) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 17-May-2021, Magnetic resonance imaging: mini-strokes (abnormal) mini-strokes were confirmed via MRI. The patient's caregiver reported the patient stopped taking amoxicillin 875-125 prior to receiving the second dose of the vaccine. After receiving the second vaccine, he began to experience a repeat of symptoms similar to those after the first dose which were described as a number of mini-strokes which increased in frequency. The patient was treated and released in an emergency room (less than 24-hour stay). It was reported the mini-strokes occurred within 24 to 72 hours post-vaccination. Company Comment : 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. Further information has been requested. This case was linked to MOD-2021-207709 (Patient Link).; 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. Further information has been requested.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Seizure
Hospital-Tage
-
Labordaten
Test Date: 20210517; Test Name: MRI; Result Unstructured Data: mini-strokes were confirmed via MRI
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: No Medical History information was reported.
Andere Medikamente
CEREFOLIN NAC [ACETYLCYSTEINE;CALCIUM LEVOMEFOLATE;MECOBALAMIN]; VITAMIN D3; AMOXICILLIN [AMOXICILLIN SODIUM]
Allergien
-
Vorherige Impfungen
-

VAERS 1391461

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
KY
Alter
51,0
Geschlecht
F
Eingang
11.06.2021
Impfdatum
02.02.2021
Beginn
02.03.2021
Tage bis Beginn
28,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: ja Erholt: ja
Anticoagulant therapy Computerised tomogram thorax abnormal Cough Dyspnoea Echocardiogram Fibrin D dimer increased Laboratory test Pulmonary thrombosis Renal impairment Thrombosis Ultrasound Doppler

Symptomtext

Multiple blood clots in lungs, and kidney fuction has declined . Was in hospital for 3 days for treatment. I am currently taking xerelto for clots.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pulmonary thrombosis
Hospital-Tage
3,0
Labordaten
multiple labs, between 3/11/ 21 and now. I went to ER on 3/11/21 copuldnt breath thats when thye found clots. Went to DR on 3/9/21 for cough and shortness of breath. Had CT of chest on 3/11/21 in ER where the found clots and positive D-dimer. Tranfered by ambulance to hospital where admitted to hospital on 3/11/21 to 3/13/21. They did multiple test on me. Echo of heart, doppler or legs and multiple labs during stay. Now See hematologist, and Nephrologist.
Aktuelle Erkrankungen
heart attack in 2015, interstial cystitis.
Vorgeschichte
chronic kidney disease, heart disease
Andere Medikamente
Levathyroxine, Aspirin, loratadine, vitamin D, and Diazide
Allergien
none
Vorherige Impfungen
-

VAERS 1388084

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
86,0
Geschlecht
F
Eingang
10.06.2021
Impfdatum
10.01.2021
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Condition aggravated Dyspnoea Guillain-Barre syndrome Hypoaesthesia

Symptomtext

numbness in bilateral legs, SOB- states her GBS symptoms have slowly been progressively getting worse since Feb. after receiving the 1st dose of the COVID vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Guillain-Barre syndrome
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Guillen's Barre Syndrome Cardiac Defibrillator
Andere Medikamente
metoprolol 25mg Daily losartan 25mg Daily escitalopram 10mg Daily risperidone 0.25mg BID atorvastatin 10mg Daily amiodarone 200mg Daily Xarelto 20mg Daily zolpidem PRN sleep
Allergien
NKA
Vorherige Impfungen
Gillian barre syndrome from flu shot at 60 years old

VAERS 967669

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
VA
Alter
38,0
Geschlecht
F
Eingang
04.06.2021
Impfdatum
22.01.2021
Beginn
22.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
- / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Anaphylactic reaction Asthenia Dyspnoea Feeling hot Rash Dizziness Impaired work ability Lip swelling Loss of consciousness Rash erythematous Swelling Swelling face Tinnitus

Symptomtext

after the shot I had a red rash, swollen neck and face in lips area within the next few minutes, then I was unable to breath and I remember waking up in the hospital. A few weeks after the event, I was very dizzy and there was really loud ringing in my ears and I would episodes that I would pass out, so there were days that I could not work. This was within two to three weeks after the shot. I took a lot of Benadryl before my next shot and I was okay

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic reaction
Hospital-Tage
-
Labordaten
I don't remember if they did any blood work or anything. I know that they just waited for my heart rate to return to a normal range after the epinephrine.
Aktuelle Erkrankungen
No
Vorgeschichte
No
Andere Medikamente
No
Allergien
I am allergic to shell fish, hornets, tomatoes, environmental allergies, seasonal allergies
Vorherige Impfungen
-

VAERS 967669

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
VA
Alter
38,0
Geschlecht
F
Eingang
04.06.2021
Impfdatum
22.01.2021
Beginn
22.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Anaphylactic reaction Asthenia Dyspnoea Feeling hot Rash Dizziness Impaired work ability Lip swelling Loss of consciousness Rash erythematous Swelling Swelling face Tinnitus

Symptomtext

after the shot I had a red rash, swollen neck and face in lips area within the next few minutes, then I was unable to breath and I remember waking up in the hospital. A few weeks after the event, I was very dizzy and there was really loud ringing in my ears and I would episodes that I would pass out, so there were days that I could not work. This was within two to three weeks after the shot. I took a lot of Benadryl before my next shot and I was okay

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic reaction
Hospital-Tage
-
Labordaten
I don't remember if they did any blood work or anything. I know that they just waited for my heart rate to return to a normal range after the epinephrine.
Aktuelle Erkrankungen
No
Vorgeschichte
No
Andere Medikamente
No
Allergien
I am allergic to shell fish, hornets, tomatoes, environmental allergies, seasonal allergies
Vorherige Impfungen
-

VAERS 1368388

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
70,0
Geschlecht
F
Eingang
02.06.2021
Impfdatum
20.01.2021
Beginn
21.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Electric shock sensation Headache Myalgia Pyrexia

Symptomtext

I had intense shocking all over my body, a fever of 109 degrees, headache and muscle aches, and I took two Tylenols. It started at about 06:00PM and then at 3:00AM in the morning I was fine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Electric shock sensation
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
No
Vorgeschichte
No
Andere Medikamente
I took my morning meds which was 1 Prozac and 1 lacertine.
Allergien
I am allergice to all pain meds except Tylenol and Fentanyl.
Vorherige Impfungen
-

VAERS 1368294

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
68,0
Geschlecht
F
Eingang
02.06.2021
Impfdatum
26.01.2021
Beginn
13.04.2021
Tage bis Beginn
77,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: unbekannt
Bell's palsy

Symptomtext

G51.0 - Left-sided Bell's palsy

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bell's palsy
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1351179

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
WI
Alter
18,0
Geschlecht
F
Eingang
26.05.2021
Impfdatum
26.05.2021
Beginn
26.05.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Confusional state Dizziness Hypotension Syncope Unresponsive to stimuli

Symptomtext

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Medium, Additional Details: Patient became unresponsive (eyes rolled back). Attempted to obtain response and 911 was called. Patient returned to responsiveness in less than 1 min and was confused. Unaware that they had lost consciousness. BP/Pulse was check and was low. EMTs arrived within 5 min and patient BP/Pulse and returned to normal upon recheck. Patient declined further treatment or transport. Mother was present in store and provided food and water. Observed for an additional 20 min. Patient left on own ambulation.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1232352

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
VA
Alter
71,0
Geschlecht
F
Eingang
22.05.2021
Impfdatum
03.03.2021
Beginn
04.03.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: ja ER: ja Erholt: nein
Angiogram cerebral abnormal Arteriovenous malformation Computerised tomogram head abnormal Craniotomy Eye pain Computerised tomogram Haemorrhagic stroke Feeding tube user Gait inability General physical health deterioration Mechanical ventilation Mobility decreased Neurologic neglect syndrome Resuscitation Ultrasound Doppler Wheelchair user X-ray limb X-ray of pelvis and hip

Symptomtext

My mom received her second vaccine on March 3 at approximately 2:00 PM. On March 4, approximately 16 hours after her vaccination, she woke with an excruciating pain behind her right eye. Her condition continued to decline and an ambulance was called and she was taken to our local hospital. Local hospital transported her via helicopter to another facility, a Level 1 Trauma Center, where she underwent an emergency craniotomy for a hemorrhagic stroke. During surgery it was discovered that she had an arteriovenous malformation (AVM). She spent over two weeks in Hospital and an additional three weeks at a Rehabilitation Hospital. She is home now undergoing home physical, occupational, and speech therapy. She suffers from significant left side neglect and is in a wheelchair, unable to walk or move her arm and hand. She vision in the lower left quadrant of both eyes. She was revived and resuscitated during her craniotomy. Prior to her stroke, she was a healthy, vibrant, independent 71 year old. Although the AVM can be congenital, a prior MRI of her brain in 2015 never picked it up and was reported as normal.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Haemorrhagic stroke
Hospital-Tage
17,0
Labordaten
emergency craniotomy 3/4, angiogram 3/5 ( no other AVM's found), 5 CT's of head, 2 Dopplers of leg, on a ventilator 3/4-6, induced coma x2/days, feeding tube, x-rays of left shoulder, hip, hand and ankle
Aktuelle Erkrankungen
NA
Vorgeschichte
arthritis in spine, cholestrol controlled with medication
Andere Medikamente
Crestor, nasonex, Vit D/C, Caltrate, Centrum Silver, Allegra
Allergien
Anchovies/anchovy paste, sulfur, codeine, ceftin, cipro, pcn
Vorherige Impfungen
-

VAERS 1323208

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
77,0
Geschlecht
M
Eingang
17.05.2021
Impfdatum
22.01.2021
Beginn
16.02.2021
Tage bis Beginn
25,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Fatigue Syncope

Symptomtext

SYNCOPE FATIGUE

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1300579

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
57,0
Geschlecht
F
Eingang
08.05.2021
Impfdatum
30.12.2020
Beginn
14.01.2021
Tage bis Beginn
15,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: unbekannt
Acute respiratory distress syndrome COVID-19 COVID-19 pneumonia

Symptomtext

This 57 year old female received the Covid shot on 12/30/20 and went to the ED on 1/14/21 and was admitted on /21 with the following diagnoses listed below. U07.1 - COVID-19 J12.82 - Pneumonia due to Coronavirus disease 2019

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute respiratory distress syndrome
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1294829

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
OH
Alter
40,0
Geschlecht
F
Eingang
07.05.2021
Impfdatum
04.01.2021
Beginn
05.01.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Electromyogram Heart rate Heart rate decreased Hypoaesthesia Hypokinesia Loss of consciousness Pain in extremity Spinal X-ray Vomiting

Symptomtext

Passed out; Right arm became norm down to her fingers; No longer move right arm from elbow down to fingers / lost functioning completely in the entire right arm; Terrible pain in the entire right arm; Heart rate dropped; Vomited; This spontaneous case was reported by an other health care professional (subsequently medically confirmed) and describes the occurrence of LOSS OF CONSCIOUSNESS (Passed out) in a 40-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 039K20A and 031L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was reported. Concomitant products included LEVOCETIRIZINE DIHYDROCHLORIDE (XYZAL) for an unknown indication. On 04-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 05-Jan-2021, the patient experienced LOSS OF CONSCIOUSNESS (Passed out) (seriousness criterion medically significant), HYPOAESTHESIA (Right arm became norm down to her fingers), HYPOKINESIA (No longer move right arm from elbow down to fingers / lost functioning completely in the entire right arm), PAIN IN EXTREMITY (Terrible pain in the entire right arm), HEART RATE DECREASED (Heart rate dropped) and VOMITING (Vomited). At the time of the report, LOSS OF CONSCIOUSNESS (Passed out), HYPOAESTHESIA (Right arm became norm down to her fingers), HYPOKINESIA (No longer move right arm from elbow down to fingers / lost functioning completely in the entire right arm), PAIN IN EXTREMITY (Terrible pain in the entire right arm), HEART RATE DECREASED (Heart rate dropped) and VOMITING (Vomited) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Electromyogram: unknown (Inconclusive) result unknown. On an unknown date, Heart rate: low (Low) Drop in heart rate was reported. On an unknown date, Spinal X-ray: normal (normal) Reported to be normal. mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) dosing remained unchanged. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Treatment details included the use of ibuprofen and oral steroid prednisone. A week later the patient's arm was still very painful and some functioning had returned but not up to 50%. Company comment: 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. This case was linked to MOD21-083933 (E2B Linked Report).; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. MOD21-083933:2nd dose

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
Test Name: EMG; Test Result: Inconclusive ; Result Unstructured Data: result unknown; Test Name: Heart rate; Result Unstructured Data: Drop in heart rate was reported; Test Name: Neck X-ray; Result Unstructured Data: Reported to be normal
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: No medical history was reported.
Andere Medikamente
XYZAL
Allergien
-
Vorherige Impfungen
-

VAERS 1291852

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
NJ
Alter
35,0
Geschlecht
F
Eingang
06.05.2021
Impfdatum
04.02.2021
Beginn
16.02.2021
Tage bis Beginn
12,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Balance disorder Blood test Dizziness Impaired driving ability Impaired work ability Loss of personal independence in daily activities Palpitations Panic attack Presyncope Pyrexia X-ray

Symptomtext

Effects of vaccine were all normal during the first few days and through the first week. Had a bit of heart palpitations and fever after dose #2 - but it subsided by day 2 and i was back to normal mostly, no real issues. A week later i experienced an episode of almost-syncope in which i start falling forward in my seat and almost hit the wall in front of me and couldn't hold my head up. This has NEVER happened to me before. I did have a panic attack AFTER this because of how scared i had become of that feeling, but i recognize that and know the difference. After that i continued to experience bouts of dizziness and disequilibrium. I have almost fallen reaching for things, opening my car door, walking, etc. Several weeks later i experienced another flare up of the syncope feeling while at work where i almost fainted again and was able to regain composure and the disequilibrium sensation lasted for several days to which i sought medical help. I have been visiting a chiropractor and a physical therapist for over a month now with minor improvement. I still experience unexplained episodes that prevent me from being able to work properly or leave my home as it would be unsafe to drive or be out in case i need medical assistance. I have never experienced ANYTHING like this until i was vaccinated and three months later it is still affecting my quality of life.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
Blood work on 2/17/2021 and then again on March 10th. X-rays on 4/5/2021
Aktuelle Erkrankungen
No illnesses - just panic disorder and generalized anxiety that is treated with therapy and medication and is well-controlled
Vorgeschichte
Panic Disorder and GAD, not debilitating and well-treated.
Andere Medikamente
Lexapro 10mg (had been on that dose and stable since July 2020) Magnesium Glycinate 120mg Probiotic
Allergien
Seasonal and cats only
Vorherige Impfungen
-

VAERS 955485

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
SC
Alter
50,0
Geschlecht
F
Eingang
06.05.2021
Impfdatum
16.01.2021
Beginn
31.01.2021
Tage bis Beginn
15,0
Dosis
1
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Abdominal pain upper Asthenia Decreased appetite Heart rate increased Loss of consciousness Catheterisation cardiac Chest pain Echocardiogram Electrocardiogram Electrocardiogram ambulatory Laboratory test Nausea Palpitations Vomiting

Symptomtext

1/16/21 Pt states feeling chest burning, nausea and palpitations after returning to car after waiting 15min. post vaccine. Pt states thought it might just be indigestion. 1/21/21 Pt saw Doctor. Labs and Echocardiogram completed. Refer to Cardiologist 1/22/21 cardiology 1/22/21 Hospitalized

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
2,0
Labordaten
EKG, 24 hr holter monitor 1/21/21 left heart catheterization 1/22/21
Aktuelle Erkrankungen
No Known
Vorgeschichte
No
Andere Medikamente
OTC Vitamin D
Allergien
NKMA
Vorherige Impfungen
-

VAERS 1288101

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
86,0
Geschlecht
M
Eingang
05.05.2021
Impfdatum
20.01.2021
Beginn
18.02.2021
Tage bis Beginn
29,0
Dosis
2
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Angina pectoris Blood pressure fluctuation Cardiac complication associated with device Chest pain Oxygen saturation Presyncope Vaccination site pain Vaccination site swelling

Symptomtext

Sharp pain in heart/feels like scar tissue around heart; hurting in his chest, boom in chest; He felt severe pain from the pacemaker jolt on his heart/pacemakers is giving him violent reactions; Almost passed out; blood pressure has been erratic; severe swelling at injection site/swelling right arm; a lot of pain at the injection site/swelling and pain in his right arm; This spontaneous case was reported by a consumer and describes the occurrence of ANGINA PECTORIS (Sharp pain in heart/feels like scar tissue around heart) in an 86-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 039K20A and 031M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Atrial fibrillation and Pacemaker insertion (cardiac) (He has a pacemaker for 10 years, implanted on 2007. He had the battery replaced in his pacemaker on 01/Dec/2018). Concurrent medical conditions included Post-traumatic stress disorder and Plantar fasciitis. Concomitant products included ASPIRIN [ACETYLSALICYLIC ACID] for an unknown indication. On 20-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 18-Feb-2021, the patient experienced PRESYNCOPE (Almost passed out), BLOOD PRESSURE FLUCTUATION (blood pressure has been erratic), VACCINATION SITE SWELLING (severe swelling at injection site/swelling right arm) and VACCINATION SITE PAIN (a lot of pain at the injection site/swelling and pain in his right arm). On 27-Apr-2021, the patient experienced ANGINA PECTORIS (Sharp pain in heart/feels like scar tissue around heart) (seriousness criteria hospitalization and medically significant) and CARDIAC COMPLICATION ASSOCIATED WITH DEVICE (He felt severe pain from the pacemaker jolt on his heart/pacemakers is giving him violent reactions). On an unknown date, the patient experienced CHEST PAIN (hurting in his chest, boom in chest). At the time of the report, ANGINA PECTORIS (Sharp pain in heart/feels like scar tissue around heart), CARDIAC COMPLICATION ASSOCIATED WITH DEVICE (He felt severe pain from the pacemaker jolt on his heart/pacemakers is giving him violent reactions), CHEST PAIN (hurting in his chest, boom in chest), BLOOD PRESSURE FLUCTUATION (blood pressure has been erratic), VACCINATION SITE SWELLING (severe swelling at injection site/swelling right arm) and VACCINATION SITE PAIN (a lot of pain at the injection site/swelling and pain in his right arm) outcome was unknown and PRESYNCOPE (Almost passed out) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In February 2021, Oxygen saturation: 63 percent (Low) low. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. 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. Further information has been requested. Concomitant medication used by patient includes Aspirin 325 mg. No treatment medication information provided. This case was linked (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 27-Apr-2021: Angina pectoris was added as event. Start date of other events are updated.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. Further information has been requested.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
Test Date: 202102; Test Name: pulse ox; Test Result: 63 %; Result Unstructured Data: low
Aktuelle Erkrankungen
Pacemaker insertion (cardiac) (He has a pacemaker for 10 years, implanted on 2007. He had the battery replaced in his pacemaker on 01/Dec/2018)
Vorgeschichte
Medical History/Concurrent Conditions: Atrial fibrillation; Plantar fasciitis; Post-traumatic stress disorder
Andere Medikamente
ASPIRIN [ACETYLSALICYLIC ACID]
Allergien
-
Vorherige Impfungen
-

VAERS 1209816

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
MA
Alter
48,0
Geschlecht
F
Eingang
04.05.2021
Impfdatum
12.04.2021
Beginn
25.04.2021
Tage bis Beginn
13,0
Dosis
1
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Anaphylactic reaction Dermatitis acneiform Dizziness Dysgeusia Dyspnoea Dysphagia Hypersensitivity Pharyngeal swelling Pruritus Electrocardiogram Heart rate increased Nausea Swollen tongue Rash Throat tightness Urticaria

Symptomtext

48-year-old female presenting with allergic reaction. Unclear precipitant. 13 days ago, received Moderna Covid 19 vaccination and afterwards, developed a rash, difficulty swallowing, was treated at hospital, given epinephrine, steroids and discharged. She completed course of prescribed medications. Today, was in the car, developed return of symptoms with itchiness of the shoulder, feeling of throat swelling, difficulty breathing. She took Benadryl 1 hour prior to arrival and epinephrine 20 minutes prior to arrival. She does report some improvement in symptoms with still with a feeling of throat tightness.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic reaction
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Prednisone
Allergien
-
Vorherige Impfungen
-

VAERS 1209816

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
MA
Alter
48,0
Geschlecht
F
Eingang
04.05.2021
Impfdatum
12.04.2021
Beginn
25.04.2021
Tage bis Beginn
13,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Anaphylactic reaction Dermatitis acneiform Dizziness Dysgeusia Dyspnoea Dysphagia Hypersensitivity Pharyngeal swelling Pruritus Electrocardiogram Heart rate increased Nausea Swollen tongue Rash Throat tightness Urticaria

Symptomtext

48-year-old female presenting with allergic reaction. Unclear precipitant. 13 days ago, received Moderna Covid 19 vaccination and afterwards, developed a rash, difficulty swallowing, was treated at hospital, given epinephrine, steroids and discharged. She completed course of prescribed medications. Today, was in the car, developed return of symptoms with itchiness of the shoulder, feeling of throat swelling, difficulty breathing. She took Benadryl 1 hour prior to arrival and epinephrine 20 minutes prior to arrival. She does report some improvement in symptoms with still with a feeling of throat tightness.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic reaction
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Prednisone
Allergien
-
Vorherige Impfungen
-

VAERS 1232179

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
VA
Alter
-
Geschlecht
U
Eingang
27.04.2021
Impfdatum
-
Beginn
-
Tage bis Beginn
-
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Computerised tomogram abdomen Computerised tomogram pelvis Cyst Magnetic resonance cholangiopancreatography Mesenteric vein thrombosis Pancreatitis necrotising Splenic vein thrombosis

Symptomtext

Acute necrotizing pancreatitis; Thrombosis of SMV; Thrombosis of splenic vein; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a pharmacist and describes the occurrence of PANCREATITIS NECROTISING (Acute necrotizing pancreatitis), MESENTERIC VEIN THROMBOSIS (Thrombosis of SMV) and SPLENIC VEIN THROMBOSIS (Thrombosis of splenic vein) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PANCREATITIS NECROTISING (Acute necrotizing pancreatitis) (seriousness criterion medically significant), MESENTERIC VEIN THROMBOSIS (Thrombosis of SMV) (seriousness criterion medically significant) and SPLENIC VEIN THROMBOSIS (Thrombosis of splenic vein) (seriousness criterion medically significant). At the time of the report, PANCREATITIS NECROTISING (Acute necrotizing pancreatitis), MESENTERIC VEIN THROMBOSIS (Thrombosis of SMV) and SPLENIC VEIN THROMBOSIS (Thrombosis of splenic vein) 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. Based on the current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded. Very little information is available at this time. Further information has been requested.; Sender's Comments: Based on the current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded. Very little information is available at this time. Further information has been requested.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mesenteric vein thrombosis
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1259727

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
ME
Alter
51,0
Geschlecht
F
Eingang
26.04.2021
Impfdatum
23.01.2021
Beginn
16.02.2021
Tage bis Beginn
24,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: unbekannt Erholt: nein
Crying Dyskinesia Electroencephalogram Fatigue Feeling abnormal Headache Magnetic resonance imaging abnormal Seizure

Symptomtext

Left frontal lobe focal headache all day, at 7:30pm, feeling of overwhelming doom, followed by sudden onset uncontrollable crying, culminating in a seizure without loss of consciousness. Legs, arms, abdomen jerking in contraction and release. Extreme fatigue following event.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Seizure
Hospital-Tage
-
Labordaten
MRI scan 3/30/2021 with positive finding, EEG 4/6/2021
Aktuelle Erkrankungen
None
Vorgeschichte
High blood pressure, hashimoto?s thyroiditis
Andere Medikamente
Lisinopril hydrachlorothiazide, trazadone, melatonin
Allergien
Latex, dogs, maple trees
Vorherige Impfungen
-

VAERS 1245426

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
MA
Alter
-
Geschlecht
F
Eingang
23.04.2021
Impfdatum
12.04.2021
Beginn
12.04.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: ja Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Anaphylactic reaction

Symptomtext

Anaphylactic reaction; This spontaneous case was reported by a consumer and describes the occurrence of ANAPHYLACTIC REACTION (Anaphylactic reaction) in a 48-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. The patient's past medical history included No adverse event (No medical history was reported.). On 12-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Apr-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced ANAPHYLACTIC REACTION (Anaphylactic reaction) (seriousness criteria medically significant and life threatening). At the time of the report, ANAPHYLACTIC REACTION (Anaphylactic reaction) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product use was not provided. The patient received treatment with oral Benadryl 50mg (Diphenhydramine). She was given IV push 50mg of benadryl in the ambulance. Then in the hospital, she received Epi-pen (epinephrine) and other medications. Reportedly, the patient had an anaphylactic reaction 10 minutes after the dose was administered and was sent to the emergency room. They observed her there at about 11 AM and discharged her about 5-6 PM. They gave her IV push 50 mg Benadryl and 50 mg oral Benadryl and gave her Epi-pen and other meds in the hospital. Patient does not have a HCP. 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.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic reaction
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: No adverse event (No medical history was reported.)
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1230092

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
VA
Alter
58,0
Geschlecht
M
Eingang
19.04.2021
Impfdatum
28.12.2020
Beginn
01.01.2021
Tage bis Beginn
4,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: ja ER: ja Erholt: nein
Abdominal pain Blood creatinine increased Blood lactic acid increased Computerised tomogram abdomen Computerised tomogram abnormal Enteral nutrition Feeding disorder Gastrointestinal tube insertion Haemoglobin normal Lipase increased Magnetic resonance cholangiopancreatography Mesenteric vein thrombosis Pancreatic pseudocyst Pancreatitis Pancreatitis acute Pancreatitis necrotising Splenic vein thrombosis Weight decreased

Symptomtext

Severe abdominal pain after the first and second vaccines, starting about 2-3 days after the vaccine. Hospitalized 3 times with acute pancreatitis which progressively worsened and became necrotizing pancreatitis with 8 cm cyst formation. Unable to eat and required placement of NJ tube for 3 weeks of enteral feeding. 20 pound weight loss.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mesenteric vein thrombosis
Hospital-Tage
21,0
Labordaten
2/11/21: CT scan abdomen and pelvis: acute interstitial pancreatitis 2/11/21: MRCP: acute pancreatitis with peripancreatic stranding 2/12/21: Lipase > 3000 2/27/21: CT scan abdomen and pelvis: severe acute pancreatitis 2/27/21: Lactate 3.6 MMOL/L 2/28/21 WBC 23.5, Hgb 17,7, Cr 1.32 2/28/21: Lipsase > 3000 3/18/21: MRCP: Necrotic pancreatitis with large pancreatic pseudocyst in the body of the pancreas with THROMBOSIS of the splenic vein and superior mesenteric vein
Aktuelle Erkrankungen
None: Very healthy: swimming one mile three times a week and working a busy schedule as an internist at a primary care clinic
Vorgeschichte
Mild Hypertension Psoriatic arthritis 2 episodes of idiopathic pancreatitis: 2012 and 2018, each lasting about 10 days
Andere Medikamente
Amlodipine Etanercept Amitriptyline
Allergien
NKDA
Vorherige Impfungen
-

VAERS 1230092

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
VA
Alter
58,0
Geschlecht
M
Eingang
19.04.2021
Impfdatum
28.12.2020
Beginn
01.01.2021
Tage bis Beginn
4,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: ja ER: ja Erholt: nein
Abdominal pain Blood creatinine increased Blood lactic acid increased Computerised tomogram abdomen Computerised tomogram abnormal Enteral nutrition Feeding disorder Gastrointestinal tube insertion Haemoglobin normal Lipase increased Magnetic resonance cholangiopancreatography Mesenteric vein thrombosis Pancreatic pseudocyst Pancreatitis Pancreatitis acute Pancreatitis necrotising Splenic vein thrombosis Weight decreased

Symptomtext

Severe abdominal pain after the first and second vaccines, starting about 2-3 days after the vaccine. Hospitalized 3 times with acute pancreatitis which progressively worsened and became necrotizing pancreatitis with 8 cm cyst formation. Unable to eat and required placement of NJ tube for 3 weeks of enteral feeding. 20 pound weight loss.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mesenteric vein thrombosis
Hospital-Tage
21,0
Labordaten
2/11/21: CT scan abdomen and pelvis: acute interstitial pancreatitis 2/11/21: MRCP: acute pancreatitis with peripancreatic stranding 2/12/21: Lipase > 3000 2/27/21: CT scan abdomen and pelvis: severe acute pancreatitis 2/27/21: Lactate 3.6 MMOL/L 2/28/21 WBC 23.5, Hgb 17,7, Cr 1.32 2/28/21: Lipsase > 3000 3/18/21: MRCP: Necrotic pancreatitis with large pancreatic pseudocyst in the body of the pancreas with THROMBOSIS of the splenic vein and superior mesenteric vein
Aktuelle Erkrankungen
None: Very healthy: swimming one mile three times a week and working a busy schedule as an internist at a primary care clinic
Vorgeschichte
Mild Hypertension Psoriatic arthritis 2 episodes of idiopathic pancreatitis: 2012 and 2018, each lasting about 10 days
Andere Medikamente
Amlodipine Etanercept Amitriptyline
Allergien
NKDA
Vorherige Impfungen
-

VAERS 1210811

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

schwer
Staat
WV
Alter
28,0
Geschlecht
F
Eingang
14.04.2021
Impfdatum
08.02.2021
Beginn
23.02.2021
Tage bis Beginn
15,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Deep vein thrombosis Ultrasound scan

Symptomtext

Deep vein thrombosis in right arm pit

Weitere VAERSDATA-Felder
Praegender Schweregrund
Deep vein thrombosis
Hospital-Tage
-
Labordaten
Ultrasound
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 1203129

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
KY
Alter
43,0
Geschlecht
M
Eingang
13.04.2021
Impfdatum
08.01.2021
Beginn
08.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Abnormal sensation in eye Bell's palsy Chills Erythema Hot flush Pain in extremity Peripheral coldness Swelling

Symptomtext

left arm started to hurt pretty bad; patient felt flushed and hot; skin was red; shivering and shaking on left side of their body; left side numb, kind of Bells Palsy syndrome; feel cold in their shoulder; cold behind left eye then from wrist to behind both eyes; left side of the body was swollen, like swollen pecks, back and chest, like they had been stung; This spontaneous case was reported by a consumer and describes the occurrence of FACIAL PARALYSIS (left side numb, kind of Bells Palsy syndrome) in a 43-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event (No reported medical event). On 08-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Jan-2021, the patient experienced PERIPHERAL COLDNESS (feel cold in their shoulder), ABNORMAL SENSATION IN EYE (cold behind left eye then from wrist to behind both eyes) and SWELLING (left side of the body was swollen, like swollen pecks, back and chest, like they had been stung). On 09-Jan-2021, the patient experienced FACIAL PARALYSIS (left side numb, kind of Bells Palsy syndrome) (seriousness criterion medically significant) and CHILLS (shivering and shaking on left side of their body). On 10-Jan-2021, the patient experienced PAIN IN EXTREMITY (left arm started to hurt pretty bad), HOT FLUSH (patient felt flushed and hot) and ERYTHEMA (skin was red). At the time of the report, FACIAL PARALYSIS (left side numb, kind of Bells Palsy syndrome), PERIPHERAL COLDNESS (feel cold in their shoulder), ABNORMAL SENSATION IN EYE (cold behind left eye then from wrist to behind both eyes), PAIN IN EXTREMITY (left arm started to hurt pretty bad), SWELLING (left side of the body was swollen, like swollen pecks, back and chest, like they had been stung), CHILLS (shivering and shaking on left side of their body), HOT FLUSH (patient felt flushed and hot) and ERYTHEMA (skin was red) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Reporter did not allow further contact; 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. Further information has been requested.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bell's palsy
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: No adverse event (No reported medical event)
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1157578

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
69,0
Geschlecht
M
Eingang
01.04.2021
Impfdatum
13.01.2021
Beginn
01.02.2021
Tage bis Beginn
19,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Bell's palsy

Symptomtext

Bells palsy on same side as vaccine; A spontaneous report was received from a consumer concerning 69-year-old, male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced facial palsy. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. On 13 Jan 2021,the patient received his first of the two planned vaccine doses of mRNA-1273 (Batch number: 039K20A). On 10 Feb 2021, approximately 28 days after the first vaccine dose, prior to the onset of the symptoms, the patient received his second of the two planned vaccine doses of mRNA-1273 (Batch number: 028L20A), intramuscularly, in the left arm, for prophylaxis of COVID-19 infection. On an unknown date, after 2.5 weeks of the second dose of vaccination, the patient experienced bell's palsy on the same side he received the vaccine and was reported as ongoing at the time of report. Treatment for the event included steroid, antiviral and eyedrops. The patient received both scheduled doses of mRNA-1273 prior to the events; therefore, action taken with the drug in response to the events was not applicable. The outcome of the events, facial paralysis and cerebrovascular accident, were considered not resolved at the time of report.; 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.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bell's palsy
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: No adverse event (No medical history was reported.)
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1157566

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
TN
Alter
62,0
Geschlecht
F
Eingang
01.04.2021
Impfdatum
23.12.2020
Beginn
07.03.2021
Tage bis Beginn
74,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Antibody test Myocarditis Vaccination complication

Symptomtext

Myocarditis; Started having symptoms and typical symptoms; A spontaneous report was reported from a nurse (patient), concerning herself, a 62 years-old female patient, unknown race and ethnicity, was administered Moderna's COVID-19 vaccine (mRNA-1273), and experienced myocarditis, and started having symptoms and typical symptoms (vaccination complication). The patient's current condition included blood donor. Concomitant medications reported included acetylsalicylic acid, atorvastatin, and escitalopram. On 23 Dec 2020, the patient received her first of two planned doses of mRNA-1273 (batch number: 039K20A) intramuscularly for prophylaxis of COVID-19 infection. On 20 Jan 2021, prior to the onset of the events, the patient received her second of two planned doses of mRNA-1273 (batch number: 027L20A) intramuscularly for prophylaxis of COVID-19 infection. The patient had nothing after the first dose and typical symptoms after the second dose. She started having symptoms on 07 Mar 2021. The patient was healthy and doesn't have any coronary disease. This was a red herring and stated that she was a blood donor and gave blood on Sunday, 07 Mar 2021. That's, the same day, the symptoms started. Also, the patient was a blood donor all last year. All the antibody tests were negative for last year and including the recent 07 Mar 2021 donation. This was outside the window of expected reactions, but she's been diagnosed with myocarditis, effective last week on 11 Mar 2021. The patient reported that the doctor started her on metoprolol tartrate 25 mg twice daily, which was started on 14 Mar 2021. Action taken with second dose of mRNA-1273 in response to the event was not applicable. The outcome of the events, myocarditis, and started having symptoms and typical symptoms were considered as unknown.; 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. However, Further information is requested.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Myocarditis
Hospital-Tage
-
Labordaten
Test Date: 2020; Test Name: Antibody testing; Test Result: Negative ; Result Unstructured Data: Negative; Test Date: 20210307; Test Name: Antibody testing; Test Result: Negative ; Result Unstructured Data: Negative
Aktuelle Erkrankungen
Blood donor (Also, was a blood donor all last year)
Vorgeschichte
-
Andere Medikamente
ASPIRIN 81; ATORVASTATIN; ESCITALOPRAM
Allergien
-
Vorherige Impfungen
-

VAERS 1148614

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
NY
Alter
55,0
Geschlecht
F
Eingang
30.03.2021
Impfdatum
04.02.2021
Beginn
25.03.2021
Tage bis Beginn
49,0
Dosis
1
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Bell's palsy Tinnitus

Symptomtext

I developed Bells Palsy .....left side of face. Tinnitus in right ear. AFTER 2ND VACCINE>. I have had for 5 days and hoping for a full recovery.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bell's palsy
Hospital-Tage
-
Labordaten
Clinical evaluation with PCP. No test was given.
Aktuelle Erkrankungen
Reactive Arthritis. Hypo-paratyroidism
Vorgeschichte
-
Andere Medikamente
Rocaltrol, Calcium, Multi Vit, Ezetimibe
Allergien
Sulfa
Vorherige Impfungen
-

VAERS 1008042

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
IN
Alter
42,0
Geschlecht
F
Eingang
30.03.2021
Impfdatum
05.02.2021
Beginn
05.02.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Agitation Dysphagia Dysphonia Nasopharyngitis Nervousness Anaphylactic reaction Dermatitis bullous Paraesthesia Swelling Pharyngeal swelling Rash Rash erythematous Wheezing

Symptomtext

Tingling sensation and swelling in neck and rash at her chest. Treated as anaphylactic reaction. Epi 0.3 x 2IM with Benadryl 25 mg IM and albuterol inhaler. Rash/symptoms improved after.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic reaction
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
Tramadol
Vorherige Impfungen
-

VAERS 1137960

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
NY
Alter
-
Geschlecht
F
Eingang
26.03.2021
Impfdatum
11.02.2021
Beginn
12.03.2021
Tage bis Beginn
29,0
Dosis
2
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Asthenia Dizziness Fatigue Syncope

Symptomtext

Fainted; Feeling dizzy; Weak; Exhausted; A spontaneous report was received from a consumer concerning a 66 years old female patient who received Moderna's COVID-19 (mRNA-1273) and experienced fainted/syncope, feeling dizzy/dizziness, weakness/asthenia, and exhaustion/fatigue. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. The patient received their first of two planned doses of mRNA-1273 (Batch number: 039K20A) on 11 Feb 2021. The patient received their second of two planned doses of mRNA-1273 (Batch number: 036A21A) on 11 Mar 2021 intramuscularly for prophylaxis of COVID-19 infection. On 12 Mar 2021, the patient felt so weak and exhausted, she didn't have the strength to brush her teeth. She remembered feeling dizzy while standing in the bathroom. She fainted shortly after. She felt like couldn't stand up because she was so weak and was very scared. Treatment of the event was not provided. The patient received both scheduled doses of mRNA-1273 prior to the events; therefore, action taken with the drug in response to the events is not applicable. The events fainted, feeling dizzy, weakness, and fatigue were considered resolved on 13 Mar 2021.; 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.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: No adverse event (No relevant medical history)
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1137873

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
NY
Alter
44,0
Geschlecht
M
Eingang
26.03.2021
Impfdatum
08.02.2021
Beginn
11.02.2021
Tage bis Beginn
3,0
Dosis
2
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Bell's palsy Neck pain Pain

Symptomtext

Bells palsy; Soreness; Neck pain; A spontaneous report was received from a consumer concerning a 44-years-old, male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced soreness/ pain, bells palsy/ facial paralysis and neck pain. The patient's medical history was not provided. No relevant concomitant medications were reported. On 8 Feb 2021, prior to the onset of the events, the patient received the second of two planned doses of mRNA-1273 (Batch Number: 039K20A) intramuscularly for prophylaxis of COVID-19 infection. On 11 Feb 2021, the patient experienced soreness, bells palsy , and neck pain. No treatment information was provided. The patient received both scheduled doses of mRNA-1273 prior to the events, therefore action taken with the drug in response to the events was not applicable. The outcome of the events, soreness, bells palsy, and neck pain was not reported.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bell's palsy
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: No adverse event (No recorded medical history)
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1131187

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
NY
Alter
58,0
Geschlecht
F
Eingang
25.03.2021
Impfdatum
31.12.2020
Beginn
31.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Blood glucose Blood glucose decreased Chills Dizziness Heart rate Heart rate increased Hyperhidrosis Illness Neck pain Pallor Presyncope Product dose omission issue SARS-CoV-2 test negative Tunnel vision Vaccination site pain

Symptomtext

Has not gotten second dose; Got really sick; Violent bed shaking chills; Pain at injection site all the way up the right and left side of neck; Was white; Minor chills; Tunnel vision; Going to pass out; Sweaty; Increased heart rate; Blood sugar dropped; Dizzy; Pain at injection site all the way up the right and left side of neck; A spontaneous report was received from a consumer concerning a 58-years-old, female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced tunnel vision, felt like going to pass out/ presyncope, was white/ pallor and sweaty/ hyperhidrosis, increased heart rate/ heart rate increased, blood sugar dropped/ blood glucose decreased, minor chills/ chills, dizzy/ dizziness, pain at injection site/ vaccination site pain all the way up the right and left side of neck/ neck pain, got really sick/ illness, had violent bed shaking chills/ chills and has not gotten second dose/ product dose omission issue. The patient's medical history was not provided. No relevant concomitant medications were reported. On 31 Dec 2020, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Batch Number: 039K20A) for prophylaxis of COVID-19 infection. On 31 Dec 2020, immediately after receiving vaccine, the patient felt like she was going to pass out, tunnel vision a medically significant event, was white and sweaty, increased heart rate, blood sugar dropped, minor chills, dizzy, pain at injection site all the way up the right and left side of neck. The patient was monitored at a doctor's office for about 3 hours before she felt good enough to drive home and felt better. Pain injections lasted a week and other symptoms ended on an unspecified date. On 26 Feb 2021, the patient got really sick and had violent bed shaking chills (ended on an unknown date). The patient has not gotten her second dose but did test negative for COVID. Laboratory details included increased heart rate, blood sugar dropped and test negative for COVID. No treatment information was reported. Action taken with mRNA-1273 in response to the events was not reported. The outcome of events, tunnel vision, presyncope, pallor, hyperhidrosis, heart rate increased, blood glucose decreased, chills, dizziness and neck pain, was resolved on 31 Dec 2020. The outcome of events, vaccination site pain, illness and chills, was resolved on an unspecified date.; 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.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
Test Date: 20201231; Test Name: Blood glucose; Result Unstructured Data: Blood sugar dropped; Test Date: 20201231; Test Name: Heart rate; Result Unstructured Data: Increased; Test Date: 202102; Test Name: COVID-19; Test Result: Negative ; Result Unstructured Data: Negative
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: No adverse event (No reported medical history)
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1115599

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
42,0
Geschlecht
F
Eingang
19.03.2021
Impfdatum
19.01.2021
Beginn
20.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chills Headache Loss of consciousness Pruritus Seizure Swollen tongue Tremor

Symptomtext

Passed Out; Possible Seizure; Swollen Tongue; itchines; Headache; shivering; shaking really bad; A spontaneous report was received from a nurse who was a 42- year-old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and who experienced shivering, shaking really bad, had a headache day afterwards, tongue was swollen, passed out and doesn't know if she had a seizure and itchiness. The patient's medical history was not reported by the reporter. Concomitant medications were not provided. On 19-Jan 2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Lot number: 039K20A) intramuscularly for prophylaxis of COVID-19 infection. On 20-Jan-2021, 24 hours after vaccine administration, the patient reported that she was shivering and shaking really bad and had a headache day afterwards. On an unknown date, she reported that her tongue was swollen. She also reported that the she passed out and doesn't know if she had a seizure (date unknown). The patient reported that she took ibroprophen for her headache and diphenhydramine for itchiness. On 28-Jan-2021, she reported that she felt fine. Treatment for events included ibroprophen and diphenhydramine. Action taken with mRNA-1273 in response to the events was unknown. The outcomes of events, experienced some side effects was unknown, shivering, shaking really bad, had a headache day afterwards, tongue was swollen, passed out and doesn't know if she had a seizure and itchiness, were considered recovered/resolved on an unknown date.; Reporter's Comments: Based on the information provided and a strong temporal association between the reported events and administration of mRNA-1273 vaccine, a causal association between the reported events and the product use cannot be excluded. Headache and chills are consistent with the known safety profile of the vaccine

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: No adverse event (medical history not provided)
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1114243

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
ME
Alter
34,0
Geschlecht
F
Eingang
19.03.2021
Impfdatum
12.01.2021
Beginn
10.02.2021
Tage bis Beginn
29,0
Dosis
2
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Cardiac disorder Chills Electrocardiogram abnormal Loss of consciousness

Symptomtext

Passed out for 40 secs; Chills; Cardiac issues; A spontaneous report was received from a consumer who was also a 34-year-old, female patient who received Moderna's COVID-19 Vaccine (mRNA-1273) and who experienced passed out for 40 secs/ loss of consciousness, chills, and cardiac issues/ cardiac disorder. The patient's medical history included depression. Products known to have been used by the patient, within two weeks prior to the event, included quetiapine fumarate (Seroquel) since 2014. The patient received the first of two planned doses of mRNA-1273 (Batch number: 039K20A) on 12 Jan 2021. On 10 Feb 2021, approximately one day prior to the onset of the symptoms, the patient received the second of two planned doses of mRNA-1273 (Batch number: 028L20A) for prophylaxis of COVID-19 infection. On 10 Feb 2021, after receiving the second dose of the vaccine the patient, had experienced cardiac issues. On 11 Feb 2021, the patient started experiencing chills and passed out for 40 seconds (secs). The patient had visited the emergency room (ER) and EKG (electrocardiogram) showed slight abnormality. She was given heart monitor for 14 days. She was scheduled for Stress test and Echo. She was on antipsychotic medications for seven years. She was curious whether the antipsychotic drugs caused the cardiac abnormalities in response to Covid-19 vaccine. Treatment information was not provided. The adverse event of passed out for 40 secs was assessed as medically significant. The patient received both scheduled doses of mRNA-1273 prior to the events; therefore, action taken with the drug in response to the events was not applicable. The outcome of the events chills and cardiac issues was unknown. Outcome of the event passed out for 40 secs was recovered on 11 Feb 2021.; 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.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
Test Date: 202102; Test Name: EKG; Result Unstructured Data: Slight abnormality
Aktuelle Erkrankungen
Depression (Medication is taken for seven years.)
Vorgeschichte
-
Andere Medikamente
SEROQUEL
Allergien
-
Vorherige Impfungen
-

VAERS 1079224

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
VA
Alter
67,0
Geschlecht
F
Eingang
07.03.2021
Impfdatum
28.01.2021
Beginn
01.03.2021
Tage bis Beginn
32,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Computerised tomogram abnormal Flank pain Hypertension Pain Thrombosis

Symptomtext

3 DAYS AFTER THE 2ND INJECTION, I DEVELOPED 2 BLOOD CLOTS AT THE BASE OF MY LUNGS - 1 ON EACH LUNG. IN CONNECTION WITH THAT, I DEVELOPED SEVER PAIN IN MY LOWER RIGHT FLANK AREA THAT RADIATED TO MY SHOULDER AS WELL AS HIGH BLOOD PRESSURE. THERE IS NO HISTORY IN MY FAMILY OF ANY CLOTTING ISSUES AND I MYSELF HAD NEVER HAD SUCH A THING OCCUR. THE PAIN BECAME SO BAD IT FORCED ME TO GO TO A HOSPITAL EMERGENCY DEPT. AFTER CT SCANS CONFIRMED THE PRESENCE OF THE CLOTS, I WAS SUBSEQUENTLY ADMITTED FOR OBSERVATION ON A REGIMEN OF DRUGS, BLOOD THINNER, PAIN MED, AND A CLOT BUSTER (NOT SURE WHICH MANUFACTURER.) I AM STILL EXPERIENCING PAIN IN MY RIGHT FLANK AREA - SOMEWHAT RADIATING TO MY RIGHT SHOULDER DAY 1 POST DISCHARGE AND AM HAVING TO RELY ON OPIOID PAIN MED AS WELL AS THE CLOT BUSTING MED AND A HIGH BLOOD PRESSURE MED. TO ME, IT SEEMS THAT THIS MAY NOT BE JUST COINCIDENTAL. I WAS FEELING FINE PRIOR TO THE S 2ND DOSE OF THE MODERNA VAC AND THIS SEEMS TO ME THAT IT MIGHT BE RELATED TO THE 2 DOSE.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Thrombosis
Hospital-Tage
-
Labordaten
CT SCAN POSITIVE - 2 BLOOD CLOTS IN LUNGS ONE ON EACH LUNG
Aktuelle Erkrankungen
NONE
Vorgeschichte
NO
Andere Medikamente
ANTACIDS
Allergien
NKA
Vorherige Impfungen
-

VAERS 1062906

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
NY
Alter
38,0
Geschlecht
U
Eingang
01.03.2021
Impfdatum
30.12.2020
Beginn
30.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Presyncope

Symptomtext

Patient experienced a near-syncope event 20mins post vaccine. Presented to ED. No anaphylactic symptoms expressed. Assessed and released

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
NKDA
Vorherige Impfungen
-

VAERS 1062887

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
NY
Alter
52,0
Geschlecht
F
Eingang
01.03.2021
Impfdatum
04.01.2021
Beginn
04.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: ja ER: ja Erholt: nein
Anaphylactic reaction Blood pressure abnormal Blood pressure increased Cardiac disorder Epinephrine Gait disturbance Impaired work ability Lip swelling Mobility decreased Oedema peripheral Tachycardia

Symptomtext

patient presented to ED post covid vaccination with anaphylactic symptoms. Elevated BP, upper lip swelling, mild edema of all four extremities, tachycardia. Patient received epi, Benadryl, famotidine, dexamethasone. Patient was admitted for four days due to edema in all four limbs and difficulty ambulating. Patient has been out of work and subsequently readmitted for cardiac, BP and Edema issues

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic reaction
Hospital-Tage
4,0
Labordaten
-
Aktuelle Erkrankungen
N/A
Vorgeschichte
-
Andere Medikamente
-
Allergien
Penicillins
Vorherige Impfungen
-

VAERS 1062863

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
PA
Alter
52,0
Geschlecht
F
Eingang
01.03.2021
Impfdatum
24.02.2021
Beginn
26.02.2021
Tage bis Beginn
2,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chills Dizziness Dyskinesia Headache Influenza like illness Loss of consciousness Pain Pyrexia

Symptomtext

I suffered what seemed to be a seizure on Friday 2/24. It was witnessed by my adult daughter. I was seated on a sofa, my eyes closed and I lost consciousness. My daughter reported that my arms went back and forth as did my head. I woke back up and felt dizzy but fine otherwise. I have never had a seizure or anything like that happen to me on the past. I did have all flu like symptoms (fever, chills, body aches, headache) 12 hours post vaccine which I expected to happen. All of these flu like symptoms occurred 2/23 and were essentially gone by 2/24. I am not reporting the flu like symptoms as ?adverse ?. I am simply reporting the seizure like activity that occurred approximately 1:00 pm on 2/24. I did not seek medical attention but I am following up with my doctor. No more seizures have occurred.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
None as of this point I plan to follow up with my doctor and have labs drawn.
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Tylenol for symptoms of receiving vaccine
Allergien
None
Vorherige Impfungen
-

VAERS 1054513

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
21,0
Geschlecht
F
Eingang
25.02.2021
Impfdatum
06.01.2021
Beginn
06.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Cold sweat Dizziness Nasopharyngitis Nausea Presyncope Tinnitus Vision blurred

Symptomtext

States about 3 hours after administration she felt nauseous, dizzy, cold, clammy, blurry vision, ringing ears, near syncope, visited ED.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1051677

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
VA
Alter
78,0
Geschlecht
M
Eingang
24.02.2021
Impfdatum
27.01.2021
Beginn
14.02.2021
Tage bis Beginn
18,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: ja
Activated partial thromboplastin time Blood magnesium Borrelia test Brain natriuretic peptide C-reactive protein Chest X-ray Computerised tomogram abdomen Computerised tomogram head Facial paralysis Full blood count Glomerular filtration rate Glycosylated haemoglobin Lipase Lipids Magnetic resonance imaging Metabolic function test Musculoskeletal foreign body Procalcitonin

Symptomtext

I noticed that the left side of my mouth was a little droopy around 10:00am on 2/14/2021 but didn?t think anything of it. Then around 4pm my daughter saw me and noticed it as well. We went to the ED immediately and got a stroke rule out work up. There were no other deficits besides the left sided facial palsy.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Facial paralysis
Hospital-Tage
1,0
Labordaten
CT scan to rule out stroke 2/14/2021 Attempted MRI but unable to complete due to iron shrapnel in head Lyme panel 2/17/2021 CBC, CMP, APTT, Troponin, Lipase, Sed rate, HgA1C, Mg, Lipid panel, BnP, CrP, Procalcitonin, GFR, cheat x-ray, Abdominal CT 2/14/2021
Aktuelle Erkrankungen
None
Vorgeschichte
Hypertension Hyperlipidemia
Andere Medikamente
Aspirin 81mg daily Losartan 50mg daily Atorvastatin 40mg daily Fish oil One a day men?s vitamin
Allergien
No known allergies
Vorherige Impfungen
-

VAERS 1046832

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
27,0
Geschlecht
F
Eingang
22.02.2021
Impfdatum
22.02.2021
Beginn
22.02.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Presyncope

Symptomtext

Near syncope, evaluated by EMS -dizzy, lightheaded. BP 128/72. Monitored for 30 minutes, symptoms resolved. Discharged home at 1:30 pm.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1046642

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
CA
Alter
32,0
Geschlecht
F
Eingang
22.02.2021
Impfdatum
05.01.2021
Beginn
08.01.2021
Tage bis Beginn
3,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Electrocardiogram Haemoglobin normal Syncope

Symptomtext

Syncope, went to urgent care .

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
Received EKG (consistent with prior) and Hemoglobin test (13.9)
Aktuelle Erkrankungen
None
Vorgeschichte
Congenital heart defect, unspecified gastrointestinal problems
Andere Medikamente
81mg aspirin, Metoprolol, Losartan, B12, Hyoscyamine
Allergien
None
Vorherige Impfungen
-

VAERS 1045547

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
NJ
Alter
-
Geschlecht
F
Eingang
22.02.2021
Impfdatum
08.02.2021
Beginn
08.02.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Asthenia Chills Fall Loss of consciousness Pain Vision blurred

Symptomtext

Fell; Blurred vision; Very weak; Passed out; A lot of pain; Chills; A spontaneous report was received from a 66-year- old female patient who experienced a lot of pain, chills, fell, blurred vision, very weak and passed out. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. The patient received their first of two planned doses of mRNA-1273 (Batch number: 039K20A) on 08 Feb 2021, intramuscularly in left arm for the prophylaxis of COVID-19 infection. On 08 Feb 2021, the patient experienced pain at injection site, chills. On 09 Feb 2021, the patient fell, had blurred vision, very weak and passed out. She spoke to her doctor who recommended rest. Treatment information was not provided. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event passed out was resolved; outcome of the events, pain at injection site, chills, fell, blurred vision, and very weak, was unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the onset date of the events, a causal relationship cannot be excluded.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: No adverse event
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1040948

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
VA
Alter
43,0
Geschlecht
F
Eingang
19.02.2021
Impfdatum
27.01.2021
Beginn
28.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Blood test normal Computerised tomogram normal Dizziness Influenza like illness Loss of consciousness Nausea

Symptomtext

flu-like achy symptoms in the morning, turning worse as the day went on. dizzy, nausea, then passing out losing consciousness

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
CAT, blood work--all showing normal ranges. heart rate came back to normal after a few hours
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
citalopram 10mg omeperazole 40mg tri-linyah avorstatin 10mg
Allergien
none
Vorherige Impfungen
-

VAERS 1040918

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
-
Geschlecht
M
Eingang
19.02.2021
Impfdatum
16.01.2021
Beginn
23.01.2021
Tage bis Beginn
7,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site pain Pericarditis

Symptomtext

Acute pericarditis; Soreness on the left shoulder (injection site); A spontaneous report was received from a consumer who was also a 75-years-old, male patient, who received Moderna's COVID-19 Vaccine (mRNA-1273) and who experienced soreness on the left shoulder (injection site)/ injection site soreness and acute pericarditis/ pericarditis. The patient's medical history was not provided. Concomitant medications were not reported. On 16 Jan 2021, seven days prior to onset of the events, the patient received their first two planned doses of mRNA-1273 (Batch number: 039K20A) intramuscularly for the prophylaxis of COVID-19 infection. On 23 Jan 2021, the patient experienced soreness on the left shoulder (injection site), tiredness, headache, and chest pain. On 02 Feb 2021, he had difficulty breathing even with his continuous positive airway pressure (CPAP) machine and called 911. He was taken to emergency room (ER) and was diagnosed with acute pericarditis. Treatment included ibuprofen, pantoprazole, and colchicine. Action taken with mRNA-1273 in response to the events was not reported. The outcome of events, soreness on the left shoulder (injection site and acute pericarditis, was not reported.; Reporter's Comments: This case concerns a 75 year old male subject, who experienced a serious unexpected event of Pericarditis and a non-serious expected event of injection site pain after first dose of mRNA1273 (Lot# 039K20A). Very limited information has been provided regarding the event of pericarditis at this time. Further information has been requested.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pericarditis
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: No adverse event (No reported medical history)
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1261990

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
51,0
Geschlecht
M
Eingang
18.02.2021
Impfdatum
06.01.2021
Beginn
25.01.2021
Tage bis Beginn
19,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: ja
Bell's palsy Computerised tomogram head normal Facial paralysis

Symptomtext

Bells Palsy RULES OUT STROKE (CT scan). right sided facial drop. Narrative: Other Relevant History:

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bell's palsy
Hospital-Tage
3,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1038763

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

schwer
Staat
FL
Alter
66,0
Geschlecht
M
Eingang
18.02.2021
Impfdatum
18.02.2021
Beginn
18.02.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Pallor Syncope

Symptomtext

Patient became pale and felt faint while sitting in the observation area after receiving the vaccination. He was alert and talking but quickly reported the need to lay on the floor with dizziness and faintness. The patient began feeling better after laying down and wanted to then sit in the chair again. After sitting up a second time the patient fainted in the chair and was guided to the ground where he became alert again and waited until the medics arrived. After some time with the medics the patient began feeling better and declined to be taken for further medical treatment.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
n/a
Aktuelle Erkrankungen
none known
Vorgeschichte
unknown
Andere Medikamente
Unknown
Allergien
None
Vorherige Impfungen
-

VAERS 1036692

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
TX
Alter
67,0
Geschlecht
F
Eingang
17.02.2021
Impfdatum
13.02.2021
Beginn
14.02.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Headache Hyperhidrosis Malaise Pyrexia Syncope

Symptomtext

The day after my injection, at 5:00 a.m. I got up to try to go to the bathroom but felt very dizzy - I had help to get to commode but had to lie on floor to stop from passing out, was sweating profusely. Did not feel well between 5 and 8 am. I think I had 2 vasovagal episodes during this time brought on by needing to do a bowel movement but I had difficulty not passing out. After second bowel movement - the dizziness and nausea and sweating subsided. The rest of the day, I just had minor fever and minor headache. By the next day I was normal. I have had 2 or 3 vasovagal episodes in the last 15 years and so that is what I think it was but I assume possibly brought on by the vaccine. My average sleeping heart rate that first night was 10 beats per minute higher than normal (I wear a Fitbit with a sleep app).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
No
Vorgeschichte
scoliosis
Andere Medikamente
Lipitor, Ubiquinol.
Allergien
No
Vorherige Impfungen
-

VAERS 1033453

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
NJ
Alter
34,0
Geschlecht
F
Eingang
16.02.2021
Impfdatum
05.02.2021
Beginn
05.02.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Bradycardia Foaming at mouth Loss of consciousness Muscle rigidity Nuchal rigidity Pallor Tonic clonic movements

Symptomtext

"...noted she had back, neck & four extremity rigidity with tonic / clonic seizure movements. It appeared like a petit grand mal seizure with facial pallor, loss of consciousness, some saliva foaming formation on lips. ...The patients pallor and bradycardia (48 bpm) was evident, the patient was breathing on her own and able to respond to direction and pain stimuli.(2 minutes from initial evaluation.) The seizure like signs and symptoms resolved quickly She was able to place her head between her knees after 30 seconds with her feet on the floor. Her mentation improved rapidly..." Evaluated by EMS, refused transport to ED. PMD followup unknown

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
NA
Aktuelle Erkrankungen
unknown
Vorgeschichte
unknown
Andere Medikamente
unknown
Allergien
unknown
Vorherige Impfungen
-

VAERS 1030023

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20-A

schwer
Staat
NY
Alter
43,0
Geschlecht
F
Eingang
15.02.2021
Impfdatum
26.12.2020
Beginn
26.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Allergy to vaccine Blood pressure decreased Chills Computerised tomogram Diarrhoea Facial paralysis Feeling cold Headache Hemiplegia Hypoaesthesia Hypoaesthesia oral Magnetic resonance imaging Musculoskeletal discomfort Nausea Pain in extremity Palpitations Pruritus Pyrexia

Symptomtext

couldn't move her face and all the left side of her body/ Drooping Face/ Bell's Palsy; couldn't move her face and all the left side of her body; palm went numb; hip pain; lower leg pain; heart racing; really low blood pressure; arm was itching, her whole body was itching; Tongue and roof of the mouth numb; really bad headache; rash on both arms; nausea; vomiting; freezing; chills; Severe allergic reaction/Allergic symptoms; diarrhea; low grade fever; A spontaneous report was received from a healthcare professional who is a 43-year-old, female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and couldn't move her face and all the left side of her body, her palm went numb, headache, body aches, chills, had a low-grade fever, diarrhea, arm pain, arm itched, whole body itching, rash on both arms, nausea, really bad headache, vomiting, freezing, low blood pressure, hip pain and lower leg pain and a bad headache. The patient's medical history included helicobacter pylori, two cervical spinal fusions, allergies to shellfish, strawberry leaves and dust. No concomitant product use was reported. On 26 Dec 2020, the patient received their first of two planned doses of mRNA-1273 (Lot number: 039K20-A) in the left arm intramuscularly for prophylaxis of COVID-19 infection. On 23 Jan 2021, the patient received their second of two planned doses of mRNA-1273 (Lot number: 013L20A) in the right arm intramuscularly for prophylaxis of COVID-19 infection. On 26 Dec 2020, approximately 20 minutes after receiving the Moderna COVID-19 vaccine, the patient reported she experienced a headache, body aches, chills, had a low-grade fever, diarrhea and arm pain. The headache and arm pain resolved after 4 days. On 23 Jan 2021, after the patient received her second dose of the Moderna COVID-19 vaccine, she reported her arm itched, then had whole body itched, a rash on both arms, was nauseated with a bad headache and vomiting. She stated she went to the emergency care unit and was given diphenhydramine 50 milligrams intramuscularly, a steroid injection and intravenous fluids. She stated, her legs and arms were shaking, she was freezing, and her teeth were chattering. Everything disappeared 2 hours later. The patient stated she went home but continued to vomit, had fevers, headaches, chills and body aches for two more days. On 30 Jan 2021, the patient reported she had a rash, was nauseated and her heart was racing. She road in an ambulance to the emergency room. She stated her palm went numb, she could not mover her face or the left side of her body. She stated, "they thought I was having a stroke". She also reported her blood pressure was low. The patient reported, they gave her Tissue Plasminogen Activator (TPA) and diphenhydramine. She reported she was able to mover her arm a little better. On unknown date, the patient reported that she was in the Coronary Care Unit (CCU) on bed rest with monitors. The patient reported she had hip pain and lower leg pain that was making her limp and a bad headache. On unknown date, the patient reported she had a magnetic resonance imaging (MRI) and computed tomography scan (CT) and stated, "it only showed a narrow spine". The patient stated she had a spinal fusion (date not provided). Treatment for the event included diphenhydramine, a steroid injection, intravenous fluids, and Tissue Plasminogen Activator (TPA). Action taken with mRNA-1273 in response to the events was not provided. The outcome of the events, headache and arm pain, were considered resolved on 30 Dec 2020. The outcome of the events, arm itched, whole body itching, freezing, rash on both arms, were considered resolved on 23 Jan 2021. The outcome of the events, couldn't move her face and all the left side of her body, her palm went numb, headache, body aches, chills, had a low-grade fever, diarrhea, rash, nausea, really bad headache, vomiting, low blood pressure, hip pain and lower leg pain, were considered unknown.; Reporter's Comments: This case concerns a 43-year old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and couldn't move her face and all the left side of her body, her palm went numb, headache, body aches, chills, had a low-grade fever, diarrhea, arm pain, arm itched, whole body itching, rash on both arms, nausea, really bad headache, vomiting, freezing, low blood pressure, hip pain and lower leg pain and a bad headache.Very limited information regarding these events has been provided at this time. Further information has been requested.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Facial paralysis
Hospital-Tage
-
Labordaten
Test Date: 20210130; Test Name: CT; Result Unstructured Data: Narrow spine; Test Date: 20210130; Test Name: MRI; Result Unstructured Data: Narrow spine
Aktuelle Erkrankungen
Shellfish allergy
Vorgeschichte
Medical History/Concurrent Conditions: H.pylori gastrointestinal disease (No reported medical history.); Spinal fusion (Date not provided.)
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1027694

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
MA
Alter
58,0
Geschlecht
F
Eingang
13.02.2021
Impfdatum
31.12.2020
Beginn
02.01.2021
Tage bis Beginn
2,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Arthralgia Asthenia Blood lactic acid normal Bronchospasm Computerised tomogram Cough Echocardiogram Fatigue Full blood count Headache Metabolic function test Myalgia Oxygen saturation decreased Procalcitonin increased Pulmonary oedema Pyrexia Rash Respiratory viral panel

Symptomtext

Fevers- 102 max, Full body rash, severe occipital headache, vomiting, bronchospastic cough, decreased oxygen saturations, mild pulmonary edema, myalgias, arthralgias, severe fatigue and weakness. Severe symptoms lasting 10 days, moderate symptoms additional 1week and mild residual symptoms 1 week. Totally recovery from symptoms ~ 21 days

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pulmonary oedema
Hospital-Tage
-
Labordaten
01/04/21: CBC w/ diff, CMP, Lactic acid normal, Procalcitonin elevated, Covid rapid ( neg) Covid PCR ( negative) , viral panel negative, CT scan , Cardiac US, Cardiac monitoring with SPO2
Aktuelle Erkrankungen
None
Vorgeschichte
Htn
Andere Medikamente
Metoprolol, carbamezapine, citralopram,
Allergien
None
Vorherige Impfungen
Low grade temps, flu like symptoms ~ 5-7 days, Age 57, Shingrix #2dose

VAERS 1025587

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
OH
Alter
31,0
Geschlecht
F
Eingang
12.02.2021
Impfdatum
12.02.2021
Beginn
12.02.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Anaphylactic reaction

Symptomtext

Patient received second dose of covid vaccine within 5 minutes of injection developed anaphylaxis reaction, 2 doses of epinephrine was administered on site. EMS was called and patient was transported to local emergency department for treatment.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic reaction
Hospital-Tage
-
Labordaten
Unknown at time of form completion, patient was transferred to the hospital
Aktuelle Erkrankungen
NO
Vorgeschichte
Unknown
Andere Medikamente
Unknown
Allergien
Allergy to previous covid vaccine
Vorherige Impfungen
Anaphylaxis reaction to first dose of vaccine administered

VAERS 1018328

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
-
Geschlecht
F
Eingang
10.02.2021
Impfdatum
11.01.2021
Beginn
12.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Headache Injection site erythema Injection site rash Syncope

Symptomtext

Headache; Collapsed on the floor; Left arm injection site red; Rash; A spontaneous report was received from a consumer, who was also a 80-year-old, female patient who received Moderna's COVID-19 Vaccine (mRNA-1273) and experienced syncope, injection site redness, rash, and headache. The patient's medical history, as provided by the reporter, included high blood pressure. Concomitant product use reported included atenolol and atorvastatin. On 11 Jan 2021, one day prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Batch number: 039K20A) intramuscularly in the left arm for the prophylaxis of COVID-19 infection. On 12 Jan 2021, the patient noticed her left arm was getting redder and redder at the injection site. When she turned to look at the clock, the patient collapsed on the floor. She went to the medical center and was prescribed prednisone and diphenhydramine. On 21 Jan 2021, the patient reported she now had a headache that began on an unspecified date, and that her injection site redness and rash were still present, but getting better. Action taken with mRNA-1273 in response to the events was not reported. The outcome of event, syncope, was unknown. The events, injection site redness and rash, were considered resolving. The event, headache, was considered not resolved.; Reporter's Comments: This spontaneous report concerns an 80-year-old, female patient with medical history of high blood pressure who experienced serious event of syncope and non-serious events of injection site redness, rash and headache. The events of syncope rash and injection site redness occurred 1 day after administration of mRNA-1273 (Batch number: 039K20A, expiration date-unknown). On an unspecified date on the event of headache began. Treatment provided for the events included prednisone and diphenhydramine and the outcome is not resolved. injection site redness, rash and headache are consistent with the known safety profile of the mRNA-1273 Vaccine and hence, based on the temporal association between the events and the vaccine administration, a causal association cannot be excluded

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Blood pressure high
Vorgeschichte
-
Andere Medikamente
ATENOLOL; ATORVASTATIN
Allergien
-
Vorherige Impfungen
-

VAERS 2669820

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
59,0
Geschlecht
F
Eingang
09.02.2021
Impfdatum
25.01.2021
Beginn
25.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chills Headache Myalgia Presyncope Pyrexia

Symptomtext

Headache, Myalgia, Fever, CHILLS, ALMOST SYNCOPE Narrative: Other Relevant History:

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1018151

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
NY
Alter
61,0
Geschlecht
M
Eingang
09.02.2021
Impfdatum
09.02.2021
Beginn
09.02.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Hyperhidrosis Loss of consciousness

Symptomtext

PATIENT APPAREDTO BE DIAPHORETIC AND HAD AN EPISODE OF LOC FOR ONE SECOND

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
n/a
Vorgeschichte
n/a
Andere Medikamente
n/a
Allergien
pcn
Vorherige Impfungen
-

VAERS 1002688

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
76,0
Geschlecht
F
Eingang
04.02.2021
Impfdatum
30.01.2021
Beginn
30.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chills Fall Fatigue Feeling abnormal Loss of consciousness

Symptomtext

Evening of vaccine patient felt chills that lasted through out the night. Patient got up Sunday morning and passed out, fell to floor. Patient reports that once she woke up it was about 15 mins before she could get off the floor. All day Sunday felt very fatigued and rested. Then felt "foggy" on Monday.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
NA
Vorgeschichte
Acquired hypothyroidism DDD (degenerative disc disease), lumbar Spondylolisthesis, lumbar region Meniere's disease Mixed hyperlipidemia Varicose veins of bilateral lower extremities with pain Neck pain Degenerative cervical disc Left cervical radiculopathy Spinal stenosis of lumbar region with neurogenic claudication Scoliosis of lumbar spine Saphenofemoral venous reflux Bilateral leg edema GERD (gastroesophageal reflux disease) Varicose veins of legs Essential hypertension, not on medication Blood pressure alteration Lumbar stenosis Dural tear Postoperative hypotension Status post lumbar laminectomy Spondylosis of lumbar region without myelopathy or radiculopathy Lumbar radiculitis Syncope Acute frontal sinusitis Acute pulmonary embolism (HCC) Hepatic steatosis
Andere Medikamente
-
Allergien
Prednisone, morphine, naproxen, pollen extract, Flonase, etodolac
Vorherige Impfungen
-

VAERS 1000874

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
OH
Alter
84,0
Geschlecht
F
Eingang
04.02.2021
Impfdatum
21.01.2021
Beginn
24.01.2021
Tage bis Beginn
3,0
Dosis
1
Route/Site
SYR / UN
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Cardiac tamponade Chest discomfort Condition aggravated Mechanical ventilation Pathology test Pericardial excision Pericarditis

Symptomtext

Pericarditis Tamponade. She went to the hospital with chest discomfort on the 25th and by the evening of the 26th had pericarditis to a degree that required a Pericardial Window emergency procedure. Prior to the vaccine, she was doing great with no issues. She was put on a ventilator and came through the procedure on the 27th. She was moved to rehab on February 1st, which is where she remains as of this submission.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pericarditis
Hospital-Tage
7,0
Labordaten
We are still waiting on final pathology but the Hospitalist recommended we submit this information. Her cardiologist was reviewing if there are similar potential responses to the vaccine as well, but since it is so new had yet to find a similar issue.
Aktuelle Erkrankungen
No
Vorgeschichte
Had a heart attack and stent in Sept 2020. Prior to that, no health issues.
Andere Medikamente
Metoprolol, Lisinopril, Plavix, Pepcid, baby aspirin, daily vitamin, vitamin D
Allergien
No
Vorherige Impfungen
-

VAERS 1000857

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20A

schwer
Staat
-
Alter
59,0
Geschlecht
M
Eingang
04.02.2021
Impfdatum
06.01.2021
Beginn
01.02.2021
Tage bis Beginn
26,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Intensive care Intestinal obstruction

Symptomtext

suspect bowel obstruction/ septic Narrative: Pt was admitted to ICU with a suspected bowel obstruction / possible sepsis 2/1/2021, Vaccine was administered 1/6/2021, Moderna Lot 039K20A Exp 6/20/2021.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Intensive care
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1000849

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
62,0
Geschlecht
M
Eingang
04.02.2021
Impfdatum
20.01.2021
Beginn
01.02.2021
Tage bis Beginn
12,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Asthenia Intensive care PO2 decreased Respiratory depression Respiratory failure

Symptomtext

Narrative: Respiratory failure / respiratory depression went to ED / ICU 2/1/2021. Frail patient. 1st vaccine 12/23/2020 Moderna Lot 039K20A exp 6/20/2021, 2nd vaccine 1/20/2020 Moderna Lot 013L20A exp 7/8/2021

Weitere VAERSDATA-Felder
Praegender Schweregrund
Intensive care
Hospital-Tage
-
Labordaten
P02 % dropped to 66% on O2 through nasal cannula 1/31/2021
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 991722

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
OH
Alter
54,0
Geschlecht
M
Eingang
03.02.2021
Impfdatum
06.01.2021
Beginn
01.01.2021
Tage bis Beginn
-
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Bell's palsy External ear pain Headache Magnetic resonance imaging normal Pain of skin Tongue disorder Unevaluable event

Symptomtext

Possible Bells Palsy

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bell's palsy
Hospital-Tage
-
Labordaten
Follow-up with PCP and Neurology Consult
Aktuelle Erkrankungen
unknown
Vorgeschichte
Environmental allergies, Steatosis of Liver
Andere Medikamente
Gabapentin, Lortab, Meloxicam
Allergien
NKDA; multiple environmental allergies
Vorherige Impfungen
-

VAERS 956504

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
27,0
Geschlecht
F
Eingang
03.02.2021
Impfdatum
16.01.2021
Beginn
16.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Anaphylactic reaction Anxiety Cyanosis Dizziness Dyspnoea Cardiac function test Differential white blood cell count Full blood count Metabolic function test Tachycardia Hypersensitivity

Symptomtext

This is a 27-year-old female with past medical history of anxiety, allergic to shellfish, presented for COVID-19 vaccination, developed shortness of breath after COVID-19 Moderna injection, felt lightheadedness and noted with cyanosis as per nursing, received epinephrine injection and transferred to ED. In ED she received solumedrol, benadryl and pepcid. At the time of my visit she felt anxious, denies SOB, palpitation, or chest pain. Vitals in the ER Revealed tachycardia HR 95-105 , Sat 96% on room air not in distress. Patient was admitted for further observation. She did well overnight on telemetry with stable vitals and no further evidence of respiratory compromise. Patient was counseled about her allergy to covid moderna vaccine and to list it as an allergy with anaphylaxis.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic reaction
Hospital-Tage
1,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 956504

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
27,0
Geschlecht
F
Eingang
03.02.2021
Impfdatum
16.01.2021
Beginn
16.01.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Anaphylactic reaction Anxiety Cyanosis Dizziness Dyspnoea Cardiac function test Differential white blood cell count Full blood count Metabolic function test Tachycardia Hypersensitivity

Symptomtext

This is a 27-year-old female with past medical history of anxiety, allergic to shellfish, presented for COVID-19 vaccination, developed shortness of breath after COVID-19 Moderna injection, felt lightheadedness and noted with cyanosis as per nursing, received epinephrine injection and transferred to ED. In ED she received solumedrol, benadryl and pepcid. At the time of my visit she felt anxious, denies SOB, palpitation, or chest pain. Vitals in the ER Revealed tachycardia HR 95-105 , Sat 96% on room air not in distress. Patient was admitted for further observation. She did well overnight on telemetry with stable vitals and no further evidence of respiratory compromise. Patient was counseled about her allergy to covid moderna vaccine and to list it as an allergy with anaphylaxis.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic reaction
Hospital-Tage
1,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2665471

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
60,0
Geschlecht
F
Eingang
02.02.2021
Impfdatum
28.01.2021
Beginn
29.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chest injury Fall Headache Loss of consciousness Myalgia Pyrexia Syncope

Symptomtext

Headache, Myalgia, Fever & Syncope Narrative EH visit. She says she passed out 27 hours after the vaccine. Fell out of chair, hit ribs.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2664648

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
36,0
Geschlecht
M
Eingang
02.02.2021
Impfdatum
28.12.2020
Beginn
28.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Arthralgia Condition aggravated Diarrhoea Headache Myalgia Pyrexia Seizure

Symptomtext

Headache, Seizures, Myalgia, Arthralgia, Fever & Diarrhea Narrative: Headache, fever, myalgia, arthralgia, diarrhea; 2 days later had seizure. has hx of seizure well controlled with meds for years; treted by neurologist. Resolved.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Seizure
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2511510

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
52,0
Geschlecht
F
Eingang
02.02.2021
Impfdatum
04.01.2021
Beginn
01.02.2021
Tage bis Beginn
28,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dizziness Nausea Presyncope Vomiting

Symptomtext

Dizziness, NauseaVomiting, NAUSEA. FEELING LIGHT HEADED AND ABOUT TO FAINT

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 995395

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
VA
Alter
82,0
Geschlecht
F
Eingang
02.02.2021
Impfdatum
27.01.2021
Beginn
27.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: ja ER: unbekannt Erholt: nein
Loss of consciousness Mobility decreased

Symptomtext

passed out without warning around 10pm. woke up on floor. couldn't move right leg. slept on floor all night.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
2,0
Labordaten
went to ER at hospital on 01/28/2021. had tests. now in rehab unit for 6 to 8 weeks of rehab. possible fractured pelvis.
Aktuelle Erkrankungen
none
Vorgeschichte
chronic UTIs
Andere Medikamente
high blood pressure medicine and high cholesterol medicine
Allergien
shellfish
Vorherige Impfungen
flu

VAERS 989287

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
VA
Alter
44,0
Geschlecht
F
Eingang
31.01.2021
Impfdatum
31.01.2021
Beginn
31.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Loss of consciousness

Symptomtext

Passed out/blacked out/lost consciousness about 3 minutes after receiving the vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
Flax seed oil
Allergien
none
Vorherige Impfungen
-

VAERS 980361

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
NY
Alter
40,0
Geschlecht
F
Eingang
28.01.2021
Impfdatum
12.01.2021
Beginn
12.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dizziness Feeling hot Hyperhidrosis Nausea Syncope Vomiting

Symptomtext

Fainted to the floor; Dizzy; Too dizzy, hot and sweaty; Nausea; A little vomit; sweaty; A spontaneous report was received from a non-health professional who was a 40-years-old, female patient who received Moderna's COVID-19 vaccine and fainted, was dizzy, felt hot, had nausea and vomiting, and sweaty. The patient's medical history included a propensity for fainting and low blood pressure. Concomitant product use was not provided by the reporter. On 12 Jan 2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Lot number: 039K20A) intramuscularly in the right arm for prophylaxis of COVID-19 infection. On 12 Jan 2021, after receiving the vaccine, the patient got dizzy, had nausea, a little vomit, and fainted to the floor. She reported feeling dizzy, hot and sweaty. Patient did not take medication to treat her symptoms. Action taken with the second dose of mRNA-1273 in response to the event was not reported. The outcome for the events, fainted, dizziness, felt hot, nausea and vomiting, and sweaty were unknown.; Reporter's Comments: This case concerns a 40-year-old female patient with medical history of propensity for fainting and low blood pressure who received their first of two planned doses of mRNA-1273 (Lot unknown), and who experienced the unlisted event of Syncope which was considered medically significant. Additionally, the patient experienced the non-serious listed events of Nausea and Vomiting, and the non-serious unlisted events of Feeling Hot, Dizziness and Hyperhidrosis. Based on the current available information and temporal association between the use of the product and the onset of events on the day of vaccination, a causal relationship cannot be excluded and the events are considered possibly related to the vaccine. We would note that the patient's history of propensity for fainting and low blood pressure could be also contributory.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Fainting (Patient has a propensity to fainting.); Low blood pressure; Penicillin allergy
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2657467

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
36,0
Geschlecht
M
Eingang
27.01.2021
Impfdatum
30.12.2020
Beginn
31.12.2020
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Ageusia Arthralgia Confusional state Depression Dizziness Headache Hypertension Myalgia Nausea Peripheral paralysis Pyrexia Tachycardia Vision blurred Vomiting

Symptomtext

BlurredVision, Confusion, Depression, Dizziness, Headache, Myalgia, Arthralgia, Fever, NauseaVomiting, HYPERtension, Tachycardia, PARTIAL PARALYSIS BOTH HANDS, LOSS OF TASTE Narrative:

Weitere VAERSDATA-Felder
Praegender Schweregrund
Peripheral paralysis
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 979274

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

schwer
Staat
-
Alter
34,0
Geschlecht
F
Eingang
27.01.2021
Impfdatum
14.01.2021
Beginn
16.01.2021
Tage bis Beginn
2,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Hospitalisation Injection site cellulitis Injection site erythema Migraine Nystagmus Pain in extremity Pyrexia

Symptomtext

Experienced sore arm and severe migraines for 3 days post 1st vaccination. A week after vaccination, experienced redness and cellulitis at injection site, as well as fever, nystagmus that resulted in hospitalization. Currently on antibiotic treatment.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hospitalisation
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 978925

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
40,0
Geschlecht
F
Eingang
27.01.2021
Impfdatum
26.01.2021
Beginn
27.01.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: unbekannt
Dizziness Headache Impaired work ability Loss of consciousness Pain in extremity Pallor Skin warm

Symptomtext

Day after receiving second moderna dose, while at work patient omplained of headache and feeling dizzy while sitting at her work station. Pale color, skin warm to touch. Assisted to floor. Brief loss of consciousness and gradually responded to questions.. SaO2 98-99% on room air with pulse 60-70. B/P 118/78 lying. Finger stick blood sugar 124. EMS called to respond. Increased responsiveness and states had COVID immunization second dose yesterday. This AM her legs ached. Had taken ibuprofen for symptoms. Has not eaten food today but has been drinking fluids. Report given to EMS on arrival and care transferred. Reported patient is at home sleeping, plans to return to work 1/28.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 977869

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
LA
Alter
76,0
Geschlecht
F
Eingang
27.01.2021
Impfdatum
08.01.2021
Beginn
09.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: ja Erholt: ja
Asthenia Bilevel positive airway pressure Dyspnoea Intensive care Loss of personal independence in daily activities Chest X-ray abnormal Nausea Oxygen saturation decreased Pain Pneumonia Pyrexia SARS-CoV-2 test negative Tremor Urinary tract infection X-ray abnormal

Symptomtext

1/9/2021- DEVELOPED SOB, FEVER UNRELIEVED FROM TYLENOL, NAUSEA UNRELIEVED FROM ZOFRAN, REQUIRED ADDITIONAL ASSISTANCE WITH ADL'S. . STAT CHEST XRAY AND ROCEPHIN STARTED FOR PNUEMONIA. FEVER CONTINUED TO CLIMB AND O2 STATUS CONTINUED TO DECLINE- SENT TO ER VIA AMBULANCE 1/9/2021. COVID TESTS NEGATIVE, ADMITTED FOR PNUEMONIA AND UTI. IV ANTIBIOTICS INITIATED IN THE HOSPITAL, WITH WORSENING O2 STATUS REQUIRING ICU AND BIPAP. WAS EVENTUALLY WEANED OFF BIPAP AND TO SUPPLEMENTAL O2 AND PLACED ON TELEMETRY FLOOR UNTIL DATE OF DISCHARGE 1/19/2021.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Intensive care
Hospital-Tage
11,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 977363

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
MA
Alter
34,0
Geschlecht
F
Eingang
27.01.2021
Impfdatum
26.12.2020
Beginn
26.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Asthenia Decreased appetite Dizziness Fatigue Hyperventilation Impaired work ability Loss of consciousness Nausea Pyrexia Retching Vomiting

Symptomtext

info from incident rpt-approximately 5 minutes after receiving Moderna Vaccine at the employee clinic, pt c/o nausea, and dizziness. Pt began dry heaving and hyperventilating, became very weak and ? LOC for a few second. Symptoms resolved in about 45 minutes without medicine. No hives or angioedema noted, no difficulty breathing once she stopped hyperventilating; telephone call with employee: states got vaccine on 12/24- within 15 minutes felt dizzy, face "felt big", passed out, was put on stretcher, woke and vomited, was still feeling nausea so went home; had fever the next day, lost appetite, feeling fatigued, nausea, yesterday (12/29/20) felt weak -states was covid + in March 2020, had another test recently which was negative, ? whether can get the second vaccine. consult allergy - ok for vaccine 30 min watch ;

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 964184

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20A

schwer
Staat
ME
Alter
60,0
Geschlecht
F
Eingang
24.01.2021
Impfdatum
08.01.2021
Beginn
13.01.2021
Tage bis Beginn
5,0
Dosis
1
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Bell's palsy Ear discomfort Ear pain Facial paralysis Ocular discomfort Pain in jaw Trismus

Symptomtext

Patient reports she received the 1st Moderna covid 19 vaccine lot number 039k20A on 01/08/2021 at the vaccine clinic. Patient reports she noted left side facial droop 5 days after receiving the vaccine on 1/13/2021 and was diagnosed the Bells palsy and started on Prednisone for 5 days. Patient reports she was sent to ED to rule out TIA and the ED did rule out TIA and diagnosed with Bell's Palsy. Patient reports her face continues to have facial droop and she reports she has "spasm" pain in jaw and pain was 10/10 on pain scale lasting minutes, then occurred again minutes later lasting a few minutes, but then resolved. Patient reports she saw her neurologist on 1/21/2021. Patient rep

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bell's palsy
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
denies
Vorgeschichte
hypothyroid
Andere Medikamente
Levothyroxine, Flexeril, Hydrocodone, Seraquil
Allergien
Amoxicillin, Tetracycline,
Vorherige Impfungen
-

VAERS 964184

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
ME
Alter
60,0
Geschlecht
F
Eingang
24.01.2021
Impfdatum
08.01.2021
Beginn
13.01.2021
Tage bis Beginn
5,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Bell's palsy Ear discomfort Ear pain Facial paralysis Ocular discomfort Pain in jaw Trismus

Symptomtext

Patient reports she received the 1st Moderna covid 19 vaccine lot number 039k20A on 01/08/2021 at the vaccine clinic. Patient reports she noted left side facial droop 5 days after receiving the vaccine on 1/13/2021 and was diagnosed the Bells palsy and started on Prednisone for 5 days. Patient reports she was sent to ED to rule out TIA and the ED did rule out TIA and diagnosed with Bell's Palsy. Patient reports her face continues to have facial droop and she reports she has "spasm" pain in jaw and pain was 10/10 on pain scale lasting minutes, then occurred again minutes later lasting a few minutes, but then resolved. Patient reports she saw her neurologist on 1/21/2021. Patient rep

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bell's palsy
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
denies
Vorgeschichte
hypothyroid
Andere Medikamente
Levothyroxine, Flexeril, Hydrocodone, Seraquil
Allergien
Amoxicillin, Tetracycline,
Vorherige Impfungen
-

VAERS 2638739

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
38,0
Geschlecht
F
Eingang
22.01.2021
Impfdatum
23.12.2020
Beginn
23.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Ear pain Facial paralysis Lacrimation increased Paraesthesia

Symptomtext

LEFT EYE WATERY, LEFT SIDE OF FACE TINGLING, PAIN IN LEFT EAR CANAL & BEHIND EAR, FACIAL DROOP ON LEFT SIDE STARTED WITHIN 30MINUTES OF VACCINE. FACIAL DROOP ONLY LASTING ~30 SECONDS ON 12/24, 25, 26.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Facial paralysis
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 965715

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
57,0
Geschlecht
F
Eingang
22.01.2021
Impfdatum
08.01.2021
Beginn
08.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Asthenia Blood test Catheterisation cardiac Chest pain Echocardiogram Electrocardiogram Magnetic resonance imaging Myocarditis Viral cardiomyopathy

Symptomtext

viral cardiomyopathy, myopericarditis, weakness, chest pains

Weitere VAERSDATA-Felder
Praegender Schweregrund
Myocarditis
Hospital-Tage
3,0
Labordaten
Blood work, EKG, Echocardiogram, MRI, cardiac catheterization
Aktuelle Erkrankungen
None
Vorgeschichte
Breast Cancer 2010
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 2482965

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
49,0
Geschlecht
F
Eingang
21.01.2021
Impfdatum
26.12.2020
Beginn
26.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Cough Gastrointestinal pain Headache Sensitive skin Syncope Wheezing

Symptomtext

Headache, coughWheeze, Syncope, Facial sensitivity, GI cramping Narrative: Symptoms resolved by 1/5/21.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 962732

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
ME
Alter
21,0
Geschlecht
F
Eingang
21.01.2021
Impfdatum
28.12.2020
Beginn
20.01.2021
Tage bis Beginn
23,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Computerised tomogram Electrocardiogram Facial paralysis Laboratory test Lacrimation increased Magnetic resonance imaging Urine analysis Vision blurred

Symptomtext

left eye blurred vision, facial drooping, continuous watery eye. ED test: CT, MRI, Labs, Urine, EKG

Weitere VAERSDATA-Felder
Praegender Schweregrund
Facial paralysis
Hospital-Tage
-
Labordaten
as above
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
none
Allergien
none
Vorherige Impfungen
-

VAERS 961200

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
58,0
Geschlecht
F
Eingang
21.01.2021
Impfdatum
14.01.2021
Beginn
14.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Anaphylactic reaction Intensive care

Symptomtext

anaphylaxis - treatment ED / ICU epinephrine, famotidine, methylprednisolone

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic reaction
Hospital-Tage
1,0
Labordaten
-
Aktuelle Erkrankungen
none
Vorgeschichte
Celiac and asthma
Andere Medikamente
vitamin D glipizide metformin allopurinol potassium and magnesium supplements prn inhaler - Proventil, breo, singulair
Allergien
- anaphylaxis to bees, -hives, wheezing with PCN, contrast dye, amoxicillin
Vorherige Impfungen
wheezing after hep b dose 2

VAERS 959807

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
33,0
Geschlecht
F
Eingang
20.01.2021
Impfdatum
02.01.2021
Beginn
12.01.2021
Tage bis Beginn
10,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Bell's palsy Computerised tomogram Full blood count normal

Symptomtext

Bellspalsy diagnosed in the ED 01/12/2021

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bell's palsy
Hospital-Tage
-
Labordaten
CT?scan- Normal CBC with diff- Normal
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Femynor, Amlodipine, Topiramate
Allergien
NKDA
Vorherige Impfungen
-

VAERS 2459984

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
68,0
Geschlecht
M
Eingang
19.01.2021
Impfdatum
30.12.2020
Beginn
30.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Loss of consciousness

Symptomtext

passed out Narrative:

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 957871

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
KY
Alter
42,0
Geschlecht
F
Eingang
19.01.2021
Impfdatum
24.12.2020
Beginn
18.01.2021
Tage bis Beginn
25,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Bell's palsy Laboratory test

Symptomtext

LEFT SIDED FACIAL PARALYSIS THAT BEGAN ON 1/18/2021 WHEN SHE WOKE UP. SHE WORKED THAT DAY AND THE LEFT SIDED FACIAL PARALYSIS WAS PROMINANT. NO OTHER NEUROLOGICAL SYMTOMS WERE PRESENT. SHE SAW A PROVIDER AFTER WORK AND WAS DIAGNOSED WITH BELLS PALSY AND TREATED WITH A PREDNISONE DOSE PAK. FOLLOW UP WITH HER THIS MORNING 1/19/2021 ABD THE SYMPTOMS ARE THE SAME, NO WORSE OR NO BETTER. THE FIRST DOSE OF THE MODERN VACCINE WAS ADMINSTERED ON 12/24/2020.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bell's palsy
Hospital-Tage
-
Labordaten
LABS WERE ORDERED BUT I HAVE NOT SEEN THOSE
Aktuelle Erkrankungen
NONE
Vorgeschichte
OBESITY
Andere Medikamente
NONE
Allergien
NONE
Vorherige Impfungen
-

VAERS 956694

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

schwer
Staat
AZ
Alter
47,0
Geschlecht
M
Eingang
19.01.2021
Impfdatum
31.12.2020
Beginn
31.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Hyperhidrosis Hypoaesthesia Presyncope Tachycardia

Symptomtext

Initially I felt fine and had no pain. After about 5 minutes I had tachycardia and sweating, which resolved and seemed to be a vaso vagal reaction. About 30 minutes after the vaccine I developed ipsilateral facial numbness which lasted about 24 hours. I would like guidance on whether to proceed with the second dose.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Aspirin 81mg
Allergien
None
Vorherige Impfungen
-

VAERS 956295

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
91,0
Geschlecht
F
Eingang
19.01.2021
Impfdatum
05.01.2021
Beginn
09.01.2021
Tage bis Beginn
4,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Bell's palsy Cardiovascular evaluation Facial paralysis Hypoaesthesia oral Laboratory test normal

Symptomtext

A 91 Y.O FEMALE RECEIVED COVID-19 VACCINE ON 01/05/21 AT 11:30AM. FOUR DAYS AFTER THE VACCINATION ON 01/09/21 AT 3:15 PM, SHE CALLED HER DAUGHTER AND TOLD HER THAT HER MOUTH WAS NUMB, LEFT SIDE OF THE MOUTH WAS DROOPING, SO AS HER EYLID. AT ABOUT 5 PM THAT DAY, PATIENT ARRIVED IN TMH ER VIA AMBULANCE. ER DOCTOR RULED OUT HEART ATTACK OR STROKE. PATIENT WAS DIAGNOSED WITH BELL'S PALSY. WAS SENT BACK TO WESTMINSTER OAKS THAT DAY WITH CORTICOSTEROID AND EYE OINTMENT THAT WAS PRESCRIBED BY THE DOCTOR. (INFORMATIONS REPORTED TO ME BY THE DAUGHTER AND THE PATIENT HERSELF) AS OF 01/19/21, PATIENT IS STILL RECOVERING. SPOKE WITH THE PATIENT TODAY 01/19/21, PATIENT STATE SHE STILL HAS THE SIGNS AND SYMPTOMS OF THE BELLS PALSY, BUT SHE SAID SHE'S GETTING BETTER. SHE ALSO STATES THAT TODAY IS THE LAST DAY OF HER CORTICOSTEROID TREATMENT.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bell's palsy
Hospital-Tage
-
Labordaten
BLOOD WORKS IN ER WERE NORMAL PER DAUGHTER. CARDIAC WORKOUT WITH NEGATIVE TEST RESULTS PER DAUGHTER.
Aktuelle Erkrankungen
NONE
Vorgeschichte
FIBROMYALGIA,PERNICIOUS ANEMIA, CRICOPHARYNGEAL BAR, MACULAR DEGENERATION, BENIGN BRAIN TUMOR, MIGRAIN, HYPOTHYROIDISM.
Andere Medikamente
FLONASE, KEPPRA, SYNTHROID, ATIVAN, PAXIL, COQVIT, VIT.D3, JEVITY VIA G-TUBE
Allergien
SULFA DRUGS, PENICILLIN, IBUPROFIN, CODEINE, VINEGAR
Vorherige Impfungen
-

VAERS 955214

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20A

schwer
Staat
OH
Alter
22,0
Geschlecht
F
Eingang
19.01.2021
Impfdatum
28.12.2020
Beginn
28.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Nausea Pyrexia Syncope

Symptomtext

Right after I felt fine.. I felt nauseas . Later that night , I was really dizzy, Fainted, nauseas, I felt feverish

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
NA
Aktuelle Erkrankungen
NA
Vorgeschichte
epilepsy asthma
Andere Medikamente
Lomotil
Allergien
Antibiotics Ceclor Prednisone
Vorherige Impfungen
-

VAERS 2419866

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

schwer
Staat
-
Alter
38,0
Geschlecht
F
Eingang
16.01.2021
Impfdatum
06.01.2021
Beginn
07.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Bradycardia Dizziness Nausea Syncope Vomiting

Symptomtext

Dizziness, NauseaVomiting, Bradycardia, Syncope Narrative:

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2419827

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

schwer
Staat
-
Alter
47,0
Geschlecht
F
Eingang
16.01.2021
Impfdatum
14.01.2021
Beginn
14.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Anaphylactic reaction Dyspnoea

Symptomtext

Anaphylaxis Narrative: Patient was observed in clinic for 15 minutes post vaccination and left stating no issues. Was later in parking lot and told someone she was having trouble breathing. 911 was called. Currently awaiting update.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic reaction
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2419193

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
37,0
Geschlecht
F
Eingang
16.01.2021
Impfdatum
14.01.2021
Beginn
14.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Blood pressure increased Dizziness postural Fear of injection Hyperhidrosis Loss of consciousness Nervousness Pallor

Symptomtext

vasovagal response Narrative: Initial Vital Signs: Temp: BP: 83/38 HR: 44 RR: O2 Sat: Primary Reason for Call: CODE WHITE in vaccination observation area Staff concern, worried Explain: pale, diaphoretic Situation: Pt received covid vaccine at 0802-0805 staff noticed that pt was pale and diaphoretic, laid pt on the floor, BP in the 60's, On arrival pt resting on floor a/o x3. States that this happens with injections. Report BP 83/38, 44. After a period of time BP increased to 116/72, 64. Pt assisted to wc with BP sitting 125/81, 70, taken to the ED for evaluation and observation. Nurse who administered the vaccine stated the patient said she was afraid of needles and was very nervous prior to the injection. ED provider: FEMALE who presents to the Emergency Dept. "passed out after getting the Covid shot". Triage note as above, patient went for covid vaccine this morning and afterwards and she felt dizzy and passed out. She is known for having passing out with previous vaccination as well. No preceding chest discomfort, feeling fine now no nausea vomiting or other focal complaints. She regained consciousness soon after that.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
yes- patient with history of syncopal episodes in past with immunizations (from notes- specifics unknown)

VAERS 946553

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

schwer
Staat
NM
Alter
26,0
Geschlecht
F
Eingang
15.01.2021
Impfdatum
14.01.2021
Beginn
14.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Anaphylactic reaction Chest discomfort Electrocardiogram normal Lethargy Lip swelling Nausea Palpitations Vomiting

Symptomtext

anaphylaxis by lethargy, nausea, vomiting, palpitations, funny feeling in chest, swollen lips

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic reaction
Hospital-Tage
-
Labordaten
n/a 12-lead EKG normal
Aktuelle Erkrankungen
none
Vorgeschichte
allergies
Andere Medikamente
unknown
Allergien
flu vaccine allergy
Vorherige Impfungen
flu vaccine reaction unknown

VAERS 946256

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
OH
Alter
40,0
Geschlecht
F
Eingang
15.01.2021
Impfdatum
13.01.2021
Beginn
14.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Chills Diarrhoea Fatigue Headache Hyperhidrosis Myalgia Nausea Pain Presyncope Syncope Vomiting

Symptomtext

Awoke at 3 am with severe chills, diaphoresis, nausea, vomiting, diarrhea and headache. Syncope episode within that hour. Worsening full body joint and muscular pain which became severe by 8am lasting until around 7pm. Able at this time to tolerate 400 mg ibuprofen without vomiting and gain control of pain level. Continued, more mild headache, body ache, fatigue, presyncope and diaphoresis lasting until following day.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
Covid-19 onset 12/28/2020
Vorgeschichte
none
Andere Medikamente
none
Allergien
none
Vorherige Impfungen
-

VAERS 2376218

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
68,0
Geschlecht
F
Eingang
14.01.2021
Impfdatum
12.01.2021
Beginn
12.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Anaphylactic reaction Angioedema

Symptomtext

Anaphylaxis & Angioedema Narrative:

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic reaction
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 944517

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
44,0
Geschlecht
F
Eingang
14.01.2021
Impfdatum
23.12.2020
Beginn
25.12.2020
Tage bis Beginn
2,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Chills Computerised tomogram normal Confusional state Dyspnoea Electrocardiogram normal Fatigue Feeling abnormal Joint injury Laboratory test normal Limb injury Magnetic resonance imaging abnormal Myalgia Seizure Syncope Unresponsive to stimuli X-ray normal

Symptomtext

Myalgia chills, fatigue, syncope vs seizure 43 yo employee falt fatigue on 12/24 and again on 12/25/20. The patients husband reports she was walking down the stairs, seemed "off" and missed the step/slid on step injuring both feet/ankles. Pt got up and was able to stand for a few minutes. Husband reports that he than sat her on the steps-few minutes later she had syncope with convulsions vs seizure. Per his report this lasted over a minute, she stopped breathing and was unresponsive. He reports she was confused while he was on the phone with 911 operator (3 minutes). Patient was taken to Health Center for work up. The head CT, labs, X-rays, EKG were unremarkable. Followed up her physician Dr. and was referred to neurologist. She had a MRI without contrast which was unremarkable and is scheduled to undergo a sleep deprived EEG. She is undergoing physical therapy at this time for injury to bilateral feet/ankles.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Seizure
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 938562

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
56,0
Geschlecht
M
Eingang
12.01.2021
Impfdatum
12.01.2021
Beginn
12.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Presyncope

Symptomtext

After receiving first dose of covid-19 Moderna at 3:27pm, a few minutes later the client felt dizzy and sat on the floor and had a vasovagal response. After inhaling ammonia, he responded and he was AAO x3, paramedics arrived and took vitals all WNLs. Client stayed in observation for 30 more minutes and left the facility feeling ok.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
None
Allergien
Penicillin
Vorherige Impfungen
-

VAERS 935941

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

schwer
Staat
WV
Alter
83,0
Geschlecht
M
Eingang
11.01.2021
Impfdatum
11.01.2021
Beginn
11.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Loss of consciousness

Symptomtext

Patient passed out while driving, the patient called me when they got home. His wife stated that he felt fine and I advised them to get him checked out as their earliest convince.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
n/a
Aktuelle Erkrankungen
patient states that they had a cough in December and took a round of antibiotics
Vorgeschichte
atrial fibrillation, Hyperlipidemia (prevention of cardiovascular events), HTN,
Andere Medikamente
proair, fenofibrate 160mg, losartan 50mg, megestrol 40mg, omeprazole 20mg, pravastatin 20mg, sotalol af 80mg, vitamin d, multi-vitamin, aspirin 81mg
Allergien
sulfa, levaquiin
Vorherige Impfungen
-

VAERS 933808

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
VA
Alter
33,0
Geschlecht
F
Eingang
11.01.2021
Impfdatum
07.01.2021
Beginn
08.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Dizziness Full blood count normal Hyperhidrosis Hypotension Injection site pain Leukocytosis Loss of consciousness Malaise Metabolic function test Nausea Neutrophil count increased Pallor Pregnancy test negative Syncope Tremor Urine analysis normal White blood cell count increased

Symptomtext

Summary: syncopal event, hypotension, leukocytosis About 22-24 hours after receiving the first dose of the vaccine (1/8/21), the patient became nauseous and lightheaded, sat down in a chair for at least 30 minutes, felt worse and let a coworker know, then had a syncopal episode lasting 5-10 minutes, coworkers witnessed patient had stable vital signs but unresponsive, diaphoretic, pale, and shaking, a hospital rapid response was called (patient works at the hospital). Patient was taken to the ED for observation, remained hypotensive (90's/50's) for about an hour, then slowly returned to normal BP (110's/80's) over another hour. Patient likely did not require going to the ED, however was taken there as a precaution due initially to the length of time passed out and hypotension. Prior to this episode, the patient only experienced soreness at the injection site. Following this episode, the patient felt some weakness and had a mild headache for another 24 hours before returning to baseline.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
(1/8/21) Pregnancy test negative, CBC/BMP/urine screen WNL except for an elevated WBC (17.2 K/uL), %neutrophil (86%) and absolute neutrophil counts (14.7 K/uL). ECG QT interval 373 ms, QTc 434 ms O2 100% Temp WNL HR WNL
Aktuelle Erkrankungen
None (Of note, tested positive for covid-19 on 10/18/20, had mild symptoms)
Vorgeschichte
Anemia Hashimoto's thyroiditis Anxiety/Depression Tested positive for covid-19 on 10/18/20, had mild symptoms
Andere Medikamente
Levothyroxine 88 mcg PO daily Paroxetine 10 mg PO daily Norethindrone PO daily Post-natal vitamin with iron PO daily
Allergien
None
Vorherige Impfungen
-

VAERS 1395613

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

schwer
Staat
-
Alter
38,0
Geschlecht
F
Eingang
10.01.2021
Impfdatum
23.12.2020
Beginn
25.12.2020
Tage bis Beginn
2,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Cough Dyspnoea Headache Hypertension Syncope Vision blurred Wheezing

Symptomtext

BlurredVision, Headache, CoughWheeze, HYPERtension, Syncope, shortness of breath Narrative:

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1395518

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
42,0
Geschlecht
M
Eingang
09.01.2021
Impfdatum
23.12.2020
Beginn
30.12.2020
Tage bis Beginn
7,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Bell's palsy Facial paralysis Headache

Symptomtext

Headache On Jan 1, 2021 10:00 had facial droop with headache, went to ED Narrative: went to ED Jan 1 after onset of facial droop with headache around 10:00am, diagnosed with Bell's Palsy, treated with Toradol, Acyclovir, Benadryl and 7 day course of Prednisone 60mg daily and acyclovir 1000mg q8 hours x 7 days

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bell's palsy
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1015725

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
41,0
Geschlecht
M
Eingang
09.01.2021
Impfdatum
30.12.2020
Beginn
30.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Hypersensitivity Hypoaesthesia Hypoaesthesia oral Immunisation anxiety related reaction Presyncope

Symptomtext

Reported numbness in lips and L Malar area; no angioedema Narrative: Employee was taken to facility in wheelchair, evaluated and stable. Diagnosis vasovagal due to needle anxiety vs mild allergic reaction to MODERNA vaccine. Given 50mg Benadryl and Solumedrol 125mg IM. Monitored for 30 minutes, completely asymptomatic. Release home in care of wife.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 990748

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

schwer
Staat
-
Alter
38,0
Geschlecht
F
Eingang
09.01.2021
Impfdatum
23.12.2020
Beginn
25.12.2020
Tage bis Beginn
2,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Cough Dyspnoea Headache Hypertension Syncope Vision blurred Wheezing

Symptomtext

BlurredVision, Headache, CoughWheeze, Hypertension, Syncope, shortness of breath

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 977884

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
60,0
Geschlecht
F
Eingang
09.01.2021
Impfdatum
31.12.2020
Beginn
31.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Asthenia Diarrhoea Dizziness Mobility decreased Nausea Syncope Vertigo Vomiting

Symptomtext

Dizziness, NauseaVomiting, severe vertigo, vomiting and diarrhea, weakness Narrative: dizziness started approx 2 hours after vaccine was administered. that evening, experienced severe vertigo and weakness, vomiting and diarrhea and collapsed on the bathroom floor. took some benadryl. next day could not get out of bed due to dizziness and weakness. have since recovered.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 954160

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
37,0
Geschlecht
F
Eingang
09.01.2021
Impfdatum
06.01.2021
Beginn
06.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Anaphylactic reaction Blood test Dysphagia Dyspnoea Respiratory distress Stridor Tachypnoea

Symptomtext

Anaphylaxis severe anaphylaxis; SOB, stridor Narrative: Patient has multiple allergies including severe anaphylaxis to peanuts and a reaction to a previous flu vaccine. Patient desired COVID vaccination and was cleared by private PC to receive vaccine from Employee Health. Patient had with her her own Epi-pen and albuterol inhaler. Patient was administered vaccine and observed in the observation area. Approximately 14 minutes after vaccination physician in observation area responded to patient with stridor and code white was called. Code team responded to vaccination testing site. Upon arrival, patient seated and alert sitting using albuterol inhaler. BP 160/93, HR 97, 99% room air. She was tachypneic and in respiratory distress following the first dose of her COVID 19 vaccine. Patient gave herself OT of EPI, and then our on call team arrived. Upon arrival as noted above, she was using her albuterol inhaler, 12.5mg benadryl attempted to be given however patient with difficulty swallowing. She was taken to ED and on way 2nd dose of epinephrine given. Patient was stabilized. Follow-up: Take Prednisone for 3-5 days. Take an antihistamine like Benadryl or Zyrtec for the next 3-5 days. Also take Pepcid 20 mg 2 times daily for the next 3-5 days. Return for worsening reaction. Timeline of event: Situation: 1001 Pt was given her first Covid vaccine, staff was watching her time and at 1014 it was noticed that she was not breathing well. 1015 Code white called. 1015 Pt gave herself and dose of Epi, 1018 pt took own inhaler,1019 Benadryl 12.5 given. 1021 pt to ED for evaluation, on the way 2nd dose of Epi given- 1025 1030=pt was acode white from the area from where getting covid vaccine shots, pt states received shot at 1001 this am and with in 30 min she began to feel SOB, when pt arrived to ER respirations of stridor. pt spo2 at 99% on room air. 1045-pt has had a 20g placed by Rn in lt ac with blood draw, pt has been placed on monitor. VS WN. 1055- pt has received pepcid 20mg IV in 50ml to run over 30 min. sol-medrol 125ng ivp benadryl 50mg ivp 1100- pt now resting with warm blanket pt no longer having stridor. upper resp clear. pt spo2 at 99% ON ROOM AIR. will continue to monitor. 1120- pt states she feels much better. 1200-pt still sleeping in room. 1225- pt has been D/c to home with instructions from provider.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic reaction
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
yes- patient stated she had an anaphylactic reaction previously to an influenza vaccine (unknown when or brand)

VAERS 931772

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20A

schwer
Staat
OH
Alter
30,0
Geschlecht
F
Eingang
09.01.2021
Impfdatum
07.01.2021
Beginn
07.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Anaphylactic reaction

Symptomtext

Anaphylaxis

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anaphylactic reaction
Hospital-Tage
-
Labordaten
Treated urgently in facility and then transferred to local ED same day
Aktuelle Erkrankungen
none
Vorgeschichte
Had COVID 19 diagnosed October 2020
Andere Medikamente
OTC multi-vitamin
Allergien
Ambien-visual hallucination Bee/wasp venom (localized swelling)
Vorherige Impfungen
-

VAERS 931283

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
-
Alter
23,0
Geschlecht
F
Eingang
09.01.2021
Impfdatum
09.01.2021
Beginn
09.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Dizziness Syncope

Symptomtext

pt c/o feeling lightheaded, dizzy, faint; she was escorted to a cot to lie down for several minutes, she used an ice pack on her head and neck; she never lost consciousness; she eventually stated that she felt better and left the premises on her own

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 929937

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
25,0
Geschlecht
F
Eingang
08.01.2021
Impfdatum
08.01.2021
Beginn
08.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Asthenia Culture urine Human chorionic gonadotropin Loss of consciousness Metabolic function test Palpitations Tinnitus Urine analysis

Symptomtext

Patient states that she got her coronavirus vaccine and about 10 min later she felt very weak diffusely, felt her ears ringing and passed out. Patient was caught and lowered to a chair, thus did not hit her head. Patient states she has passed out before but this felt different. Patient felt her heart racing prior to passing out.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
URINE HCG URINALYSIS BMP
Aktuelle Erkrankungen
NONE
Vorgeschichte
NONE
Andere Medikamente
UNKNOWN
Allergien
NKDA
Vorherige Impfungen
-

VAERS 929910

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
KY
Alter
43,0
Geschlecht
F
Eingang
08.01.2021
Impfdatum
08.01.2021
Beginn
08.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Dysphagia Dyspnoea Heart rate increased Limb discomfort Loss of consciousness Mobility decreased Movement disorder Muscular weakness Pallor Sensation of foreign body

Symptomtext

The patient had a previous reaction to a flu vaccine. She was treated for Bell's Palsy related to the flu vaccine 3 years ago. The patient with the moderna vaccine started feeling left arm weakness and the arm felt heavy. She was unable to lift arm. She had a lump in her throat but minimal difficulty breathing and swallowing. She then reported right arm weakness and being unable to move either arm. She was having episodic type reactions. Every few minutes she would lose color and appear to be having difficulty breathing and swallowing but would come back to normal within a minute or two. After the 4th episode in which she stated she was going to pass out and could not move her legs, we had EMS called to come monitor the patient. EMS took vitals and monitored for and additional 20-30 minutes. The patient refused to leave with EMS and I continued to monitor for a short time longer for the duration of about 1.5 hours.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
The patient refused hospital care but was monitored by EMS for approximately 30 minutes. Her BP and heart rate were only slightly elevated and they had no reason to make her seek additional care. The patient stated Bell's Palsy occured a day or 2 after her flu vaccine.
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
Codeine; Morphine; Pseudoephedrine
Vorherige Impfungen
Influenza

VAERS 929031

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
KY
Alter
20,0
Geschlecht
F
Eingang
08.01.2021
Impfdatum
07.01.2021
Beginn
07.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Blood pressure increased Dizziness Dyspnoea Heart rate increased Hyperventilation Loss of consciousness

Symptomtext

dizziness, labored breathing, hyperventilation, increased pulse and blood pressure, O2 sat of 80% briefly passing out. O2 applied per nasal cannula.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Post COVID positive
Vorgeschichte
None known
Andere Medikamente
None known
Allergien
None
Vorherige Impfungen
-

VAERS 928569

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
MA
Alter
39,0
Geschlecht
M
Eingang
08.01.2021
Impfdatum
08.01.2021
Beginn
08.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Presyncope Visual impairment

Symptomtext

Pt c/o feeling lightheaded, "seeing spots" 10min s/p covid-19 vaccine. Pt notes that sx exactly the same as he experiences with blood draws, blood donations. NO LOC. EASED TO SUPIME POSITION. VITALS AS NOTED. SX RESOLVED W/O TX, VITALS AS NOTED. ADVISED TO NOTIFY STAFF OF THIS NEAR SYNCOPAL EPISODE WHEN HE RETURNS FOR DOSE #2. 10:50 BP 89/52 10:55 BP 92/56 IMPROVED 10:59 BP 116/74 ASYMPTOMATIC DX: NEAR SYNCOPE POST VACCINATION. RESOLVED.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
COVID positive on Dec. 6, 2020
Vorgeschichte
None
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 927539

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
50,0
Geschlecht
F
Eingang
08.01.2021
Impfdatum
06.01.2021
Beginn
06.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Abdominal pain upper Chills Diarrhoea Hyperhidrosis Injection site pain Pain Presyncope Pyrexia

Symptomtext

Severe site pain, Severe stomach cramps, body aches (after 6 hours), vagovasal response, diarrhea, chills, fever, sweating (after 28 hours) Moderna COVID-19 Vaccine EUA

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
Synthroid 100mcg, Mobic 15mg, vitamin b12, vitamin d 500mg
Allergien
Latex, Composine, Shellfish
Vorherige Impfungen
-

VAERS 933533

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

schwer
Staat
-
Alter
52,0
Geschlecht
F
Eingang
07.01.2021
Impfdatum
29.12.2020
Beginn
29.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Asthma Condition aggravated Cough Diarrhoea Fatigue Myalgia Nausea Pain Pruritus Respiratory tract congestion Syncope Urticaria Vomiting Wheezing

Symptomtext

Myalgia, CoughWheeze, UrticariaPruritus, NauseaVomiting, Syncope, itching; chest congestion; fatigue body ache; n/v for the first 24 hrs of vaccinating employee Narrative: 12/29 developed itching and chest congestion that flared up my asthma. 12/30 still itching and chest congestion/ having bad fatigue, body aches, nausea and diarrhea lasted for 24 hrs.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 926433

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
88,0
Geschlecht
F
Eingang
07.01.2021
Impfdatum
28.12.2020
Beginn
31.12.2020
Tage bis Beginn
3,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: ja ER: ja Erholt: nein
Computerised tomogram abnormal Haemorrhagic stroke Intensive care Neurologic neglect syndrome Visual impairment

Symptomtext

Hemmoragic Stroke. Began with vision difficulty in the morning. Then I noticed she had left sided neglect. Went to ER. Treated with Andresxa (to counteract Elaquis). In SICU for 2 nights then telemetry unit for 3 nights. CUrrently in Rehab.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Haemorrhagic stroke
Hospital-Tage
5,0
Labordaten
2 CT scans showing large bleed. ,
Aktuelle Erkrankungen
high bp, high cholesterol,
Vorgeschichte
deaf in rt ear - rt vestibular schwanoma,
Andere Medikamente
Elequis, Amiodoron, pravastatin, losartin, synthroid, timalol
Allergien
none
Vorherige Impfungen
-

VAERS 925842

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
FL
Alter
48,0
Geschlecht
F
Eingang
07.01.2021
Impfdatum
07.01.2021
Beginn
07.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Differential white blood cell count Dizziness Electrocardiogram Feeling hot Full blood count Metabolic function test Syncope Troponin Urine analysis

Symptomtext

Patient felt warm and dizzy and fainted twice during monitoring period.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
Urinalysis, Troponins, CMP, CBC with diff, EKG Fluids given
Aktuelle Erkrankungen
Unknown
Vorgeschichte
Depression
Andere Medikamente
Prozac
Allergien
NKDA
Vorherige Impfungen
-

VAERS 925834

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
KY
Alter
54,0
Geschlecht
M
Eingang
07.01.2021
Impfdatum
28.12.2020
Beginn
02.01.2021
Tage bis Beginn
5,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Facial paralysis

Symptomtext

Facial drooping No treatment Symptoms have improved but not completely resolved.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Facial paralysis
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
HTN; Hyperlipidemia
Andere Medikamente
Atenolol, Fenofibrate
Allergien
NONE
Vorherige Impfungen
-

VAERS 925162

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
NC
Alter
-
Geschlecht
F
Eingang
07.01.2021
Impfdatum
31.12.2020
Beginn
05.01.2021
Tage bis Beginn
5,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Chest X-ray Computerised tomogram head Dizziness Drug screen Electrocardiogram Full blood count Laboratory test Loss of consciousness Magnetic resonance imaging

Symptomtext

Patient was riding in a car and began feeling dizzy and passed out, this happened ten times and over the evening and decided to go to the ER the next morning at 7am. These episodes lasted 5 minutes or so and then she was able to regain consciousness.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
CBC, CMP, Urine Drug Screen, MRI and CT of the Brain, EKG and Chest X ray and urinalysis. Referral was given to neurology and cardiology has not followed up with specialist at this time.
Aktuelle Erkrankungen
None
Vorgeschichte
Hx of Cytomegalovirus
Andere Medikamente
None
Allergien
Allergic to Bee Stings
Vorherige Impfungen
-

VAERS 921836

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
CT
Alter
25,0
Geschlecht
F
Eingang
05.01.2021
Impfdatum
29.12.2020
Beginn
30.12.2020
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chills Dizziness Fatigue Foaming at mouth Headache Loss of consciousness Nausea

Symptomtext

Fatigue, chills, nausea, headache. Next morning, felt dizzy. Tried to get up. Sat at table, felt dizzy again, passed out, felt like she was deep sleep, was told she was foaming at the mouth. Felt better afterwards.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
no
Aktuelle Erkrankungen
no
Vorgeschichte
no
Andere Medikamente
Calcium, Multivitamin, Fish Oil, Birth Control
Allergien
seasonal
Vorherige Impfungen
-

VAERS 921091

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
NH
Alter
54,0
Geschlecht
M
Eingang
05.01.2021
Impfdatum
31.12.2020
Beginn
31.12.2020
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Defaecation urgency Hyperhidrosis Loss of consciousness Nausea Road traffic accident Syncope

Symptomtext

Pt received vaccination and left after 15 min. observation symptom free. He drove a short distance away from the clinical site when he felt profuse sweating and had syncope (seconds) crashing into curb. He was aroused from impact and was able to stop car. He then developed profuse nausea and sudden urge to defecate. He went to restroom. Given these events he returned to the clinical site in another vehicle. Upon arrival he denied chest pain, shortness of breath or ongoing nausea or abdominal pain. He reported his AM blood sugar was 72 and does not take insulin. No history of coronary disease or syncope. EMS was activated and assumed care.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
diabetes
Andere Medikamente
none related
Allergien
neomycin
Vorherige Impfungen
-

VAERS 919275

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
WY
Alter
43,0
Geschlecht
F
Eingang
04.01.2021
Impfdatum
23.12.2020
Beginn
25.12.2020
Tage bis Beginn
2,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Arthralgia Blood glucose normal Blood magnesium normal Blood pressure increased Chills Computerised tomogram head normal Electrocardiogram normal Fall Fatigue Full blood count normal Limb injury Magnetic resonance imaging brain Metabolic function test normal Pain in extremity Seizure like phenomena X-ray limb normal

Symptomtext

I started with fatigue on 12/24/20 and on 12/25/20 developed fatigue and chills (could not get warm). On 12/25/20 I was walking downstairs when my husband felt I didn't look normal. I fell off the bottom two stairs sustaining injury to both feet. I was able to get myself up to standing position and then sat down. My husband reports that a few minutes later I had what he described was seizure activity for about one minute/stopped breathing and he called 911. Due to COVID visitor restrictions my husband was not allowed to go to the ER with me the night of the incident. I had full work-up with labs, EKG and head CT that were unremarkable at Medical Center. I had an appointment with my primary care physician on 12/28/20 and was referred to neurologist. He did an exam, ordered MRI and sleep deprived EEG. My MRI was completed and reported as no abnormalities. I have the sleep deprived EEG scheduled on 1/11/21. I have continued pain/physical therapy on both feet/ankles from the date of the incident.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Seizure like phenomena
Hospital-Tage
-
Labordaten
EKG, CBC, CMP, Mag, CT head without contrast, XR bilateral feet-all deemed unremarkable except glucose of 119 and a couple elevated Blood pressure readings in the ER 12/25/20 MRI of the brain without contrast 12/29/2021
Aktuelle Erkrankungen
I received the influenza vaccine from Medical Center in Sept. 2020. I received the tetanus vaccine October 26th, 2020. No other illnesses at the time of vaccine. I had complete check-up with labs, mammogram, and thyroid ultrasound by my previous primary care provider 10/26/20. She was transitioning to a new position and I established care with another PCP on 12/17/20 . I had repeat laboratory testing done at this time.
Vorgeschichte
migraine headache endometriosis
Andere Medikamente
Effexor XR 37.5mg daily for migraine prophylaxis Hydroxyzine 10 mg prn for sleep
Allergien
sulfa-anaphylaxis
Vorherige Impfungen
-

VAERS 918493

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
OH
Alter
41,0
Geschlecht
F
Eingang
04.01.2021
Impfdatum
30.12.2020
Beginn
30.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Dyspnoea Full blood count Injection site erythema Injection site warmth Metabolic function test Painful respiration Syncope

Symptomtext

?Moderna COVID- 19 Vaccine EUA? Flu vaccine allergy discussed at length with patient prior to Moderna vaccine. Patient's arm became red and very swollen on two separate occasions after receiving flu vaccine but patient did NOT experience difficulty breathing, respiratory distress, throat swelling, shortness of breath, or anaphylaxis. Approximately 11 minutes after receiving Moderna vaccine, patient complained of warmth and redness at injection site. Immediately after this complaint, patient began to faint and complain of difficulty breathing and pain when breathing. Rapid response was called. Patient continued to complain of painful inspirations and difficulty breathing. EpiPen, albuterol inhaler, and diphenhydramine IM were administered. Patient improved and was transported to emergency room for further monitoring. Patient improved in emergency room and was discharged sooner after.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
12/30/2020 BMP, CBC labs ordered in emergency room
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
dexamethasone (no reaction given), hydrocodone (no reactions given), flu vaccine (redness and swelling of arm on two separate occasions after receiving flu vaccine, no respiratory distress, no throat swelling, no difficulty breathing, no anaphylaxis)
Vorherige Impfungen
flu vaccine, arm redness and swelling

VAERS 917829

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

schwer
Staat
CA
Alter
64,0
Geschlecht
F
Eingang
03.01.2021
Impfdatum
27.12.2020
Beginn
28.12.2020
Tage bis Beginn
1,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Facial paralysis

Symptomtext

Bells Palsy

Weitere VAERSDATA-Felder
Praegender Schweregrund
Facial paralysis
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Diabetes, high blood pressure
Vorgeschichte
Diabetes, high bp
Andere Medikamente
Metformin, losartan
Allergien
None
Vorherige Impfungen
-

VAERS 2691353

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
84,0
Geschlecht
M
Eingang
05.10.2023
Impfdatum
22.10.2022
Beginn
29.09.2023
Tage bis Beginn
342,0
Dosis
1
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Bacterial infection COVID-19 pneumonia Incentive spirometry

Symptomtext

COVID-19 Acute viral pneumonia Duonebs q.6 hours Short acting bronchodilator: Albuterol prn IV azithromycin and ceftriaxone for empiric coverage of secondary bacterial infection. Supplemental Oxygen therapy p.r.n. Incentive spirometer Antitussive therapy Patient to bring Paxilovid to the hospital for administration. Not hypoxic at this time, not meeting indication for dexamethasone IV or remdesivir.

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19 pneumonia
Hospital-Tage
2,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
BPH, hypothyroidism, depression
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2661294

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
82,0
Geschlecht
M
Eingang
26.07.2023
Impfdatum
08.11.2021
Beginn
04.06.2023
Tage bis Beginn
573,0
Dosis
2
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Chronic left ventricular failure Coronary arterial stent insertion Coronary artery bypass Coronary artery disease Diastolic dysfunction Ejection fraction decreased Hyperlipidaemia Hypertension

Symptomtext

030L20A 1/22/2021 039K20A 2/20/2021 051F21A 11/8/2021 6/4/2023 - 6/14/2023 (10 days) DC to SNF tx: Remdesivir & ceftriaxone azithromycin -HTN -HLD -CAD s/p CABG -s/p stents -chronic systolic and diastolic heart failure with last known ejection fraction of 30-35% with grade 2 diastolic dysfunction in February 2023

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypertension
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2642955

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
82,0
Geschlecht
F
Eingang
08.06.2023
Impfdatum
24.01.2021
Beginn
25.08.2022
Tage bis Beginn
578,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 COVID-19 pneumonia Hypertension Hypertonic bladder Oral candidiasis Pollakiuria SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

BREAKTHROUGH COVID: FULLY VACCINATED AND BOOSTED, COVID POSITIVE. PT DIAGNOSISED WITH Covid pneumonia,Hypertension on hydrochlorothiazide, AND Overactive bladder and urinary frequency. She otherwise denies any CP, SOB, fever, chills, diarrhea, focal neurological deficits, hallucinations, altered mental status or any other acute complaints. Covid positive 8/23/22 treated with Paxlovid. Was prescribed Nystatin for oral thrush following her paxlovid, which she is no longer taking.

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19 pneumonia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
UNKNONWN
Vorgeschichte
HLD, CARDIOMEGLY,HYPOTHYROID, HYPERTENSION
Andere Medikamente
UNKNOWN
Allergien
Penicillins
Vorherige Impfungen
-

VAERS 2619771

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
-
Alter
74,0
Geschlecht
F
Eingang
24.04.2023
Impfdatum
29.04.2022
Beginn
18.06.2022
Tage bis Beginn
50,0
Dosis
5
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Hypotension

Symptomtext

PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE HYPOTENSION

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypotension
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2599435

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
MI
Alter
56,0
Geschlecht
F
Eingang
20.03.2023
Impfdatum
10.08.2022
Beginn
15.03.2023
Tage bis Beginn
217,0
Dosis
2
Route/Site
UN / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Angiogram pulmonary normal Asthenia Atelectasis Blood culture negative Blood lactic acid normal COVID-19 Chest X-ray abnormal Condition aggravated Cough Culture urine positive Dyspnoea Electrocardiogram ST segment abnormal Electrocardiogram T wave inversion Electrocardiogram abnormal Fibrin D dimer Lung disorder Oxygen saturation decreased Procalcitonin

Symptomtext

Discharge summary "Patient is a 57 YO female with a PMHx of chronic respiratory failure on 2 L O2 at baseline, COPD, MDD, anxiety, metabolic stone disease, neurogenic bladder, multiple urinary tract infections (follows with Urology as noted below), chronic foley, HLD, MS (bed-bound at baseline, only has use of left arm/hand), chronic constipation, GERD, and insomnia who presented to the ED on 3/15/23 with fever, shortness of breath, weakness and nonproductive cough for one day. She tested positive for COVID-19 on 3/14/23. Patient was brought to the ED on 3L O2. Her oxygen saturation dropped to 88% and she was titrated up to 5L. She had a fever of 102.5 F and was tachycardic up to 135. Rapid COVID test was positive. Patient did not have a leukocytosis. Lactic Acid was not elevated. Procalcitonin was elevated to 0.4. D-dimer was elevated to 650. Chest X-ray demonstrated chronic left lower lobe atelectasis or pneumonic scarring. CTA pulm was negative for embolism or definite pneumonia. Left greater than right posterior airspace disease favoring atelectasis. Pneumonia, such as aspiration pneumonia possible. EKG demonstrated sinus tachycardia with ST and T wave inversion in the inferior leads. Patient was administered Ofirmev, fluid bolus and Unasyn. Patient was accepted for admission to the hospitalist team. Patient was treated with Decadon, DuoNebs, and Mucinex, and she was weaned off of supplemental oxygen as tolerated. IV Unasyn was continued. UA results were indicative of UTI and culture grew gram negative rods. Blood cultures had no growth. Patient had no further fevers during her hospital stay. She was weaned off of oxygen completely and was saturating 98% on room air. On evaluation on the morning of 3/16/23 patient admitted to being back to her baseline. She was feeling well and requesting to go back home. As vitals and labs were stable patient was discharged home with 5 days of Augmentin to treat her UTI. "

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
2,0
Labordaten
Positive COVID 19 PCR test 3/15/23
Aktuelle Erkrankungen
-
Vorgeschichte
Anxiety COPD COVID-19 Neurogenic bladder Chronic indwelling Foley catheter Multiple sclerosis, primary progressive Dependence on supplemental oxygen Depression Peripheral neuropathy Hyperlipidemia Insomnia GERD without esophagitis RESOLVED: Sepsis RESOLVED: Acute on chronic respiratory failure
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2576390

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
NJ
Alter
79,0
Geschlecht
F
Eingang
06.02.2023
Impfdatum
08.10.2022
Beginn
01.11.2022
Tage bis Beginn
24,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: unbekannt Erholt: nein
Burning sensation Laboratory test normal Nerve conduction studies Paraesthesia Quantitative sudomotor axon reflex test Small fibre neuropathy

Symptomtext

After receiving he October vaccine I developed tingling and burning in both feet. Have been diagnosed with small fiber neuropathy.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
All laboratory tests are normal. Have had nerve conduction study and Q-SART test.
Aktuelle Erkrankungen
None
Vorgeschichte
Restless Leg Syndrome
Andere Medikamente
Medipex, Vitamins, Calcium Citrate, probiotic
Allergien
None
Vorherige Impfungen
-

VAERS 2519576

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
OH
Alter
66,0
Geschlecht
F
Eingang
30.11.2022
Impfdatum
15.01.2021
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chills Tremor

Symptomtext

uncontrollable shaking; chills; This spontaneous case was reported by a patient and describes the occurrence of TREMOR (uncontrollable shaking) and CHILLS (chills) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 071F21A, 031L20A and 039K20A) for COVID-19 prophylaxis. 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 09-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 02-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced TREMOR (uncontrollable shaking) and CHILLS (chills). At the time of the report, TREMOR (uncontrollable shaking) and CHILLS (chills) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route), the reporter did not provide any causality assessments. No concomitant medications were reported. It was reported that After each dose of the Covid vaccine patient was experienced an uncontrollable shaking and chills approximately 8-10 hrs after receiving the vaccine. This was resolved by the morning of the following day. No treatment medications were reported. This case was linked to US-MODERNATX, INC.-MOD-2022-676579 (E2B Linked Report).; Sender's Comments: US-MODERNATX, INC.-MOD-2022-676579:Dose 4

Weitere VAERSDATA-Felder
Praegender Schweregrund
Tremor
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2463093

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
73,0
Geschlecht
M
Eingang
28.09.2022
Impfdatum
10.11.2021
Beginn
03.09.2022
Tage bis Beginn
297,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Dyspnoea SARS-CoV-2 test positive

Symptomtext

Hospitalization: 9/3/22 admit, 9/8/22 discharge. Presentation to the ED: shortness of breath. COVID-19 + date: 9/3/22. Treatment: Rocephin, azithromycin, dexamethasone, supplemental O2, remedesevir. Discharge to: home w/ health care services.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
5,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
hypertension, hyperlipidemia, history of CABG, DM T2, Afib, CKD.
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2452990

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20A

moderat
Staat
OH
Alter
57,0
Geschlecht
M
Eingang
21.09.2022
Impfdatum
22.12.2020
Beginn
22.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blindness Conjunctivitis Eye swelling Migraine Vision blurred Visual impairment

Symptomtext

cannot see anything further than 10 feet, near sided; vision blurry; pink eye; left eye felt swollen; migraine behind left eye; Loss of vision; This spontaneous case was reported by a consumer and describes the occurrence of BLINDNESS (Loss of vision) in a 57-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039k20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Back disorder (lower back) in 2007 and Barrett's esophagus in 2017. Concurrent medical conditions included Allergy to arthropod sting (Bee's), Penicillin allergy and Nearsighted (Patient was nearsighted in both eyes). Concomitant products included OMEPRAZOLE for an unknown indication. On 22-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Dec-2020 at 7:30 PM, the patient experienced BLINDNESS (Loss of vision) (seriousness criterion medically significant) and MIGRAINE (migraine behind left eye). On 23-Dec-2020, the patient experienced VISUAL IMPAIRMENT (cannot see anything further than 10 feet, near sided), VISION BLURRED (vision blurry), CONJUNCTIVITIS (pink eye) and EYE SWELLING (left eye felt swollen). The patient was treated with PARACETAMOL (TYLENOL) for Migraine, at a dose of 100 mg. On 23-Dec-2020, MIGRAINE (migraine behind left eye) had resolved. At the time of the report, BLINDNESS (Loss of vision) had not resolved and VISUAL IMPAIRMENT (cannot see anything further than 10 feet, near sided), VISION BLURRED (vision blurry), CONJUNCTIVITIS (pink eye) and EYE SWELLING (left eye felt swollen) 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 considered BLINDNESS (Loss of vision) to be possibly related. No further causality assessments were provided for VISUAL IMPAIRMENT (cannot see anything further than 10 feet, near sided), VISION BLURRED (vision blurry), CONJUNCTIVITIS (pink eye), EYE SWELLING (left eye felt swollen) and MIGRAINE (migraine behind left eye). Company comment: 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. This case was linked to MOD-2021-205675. Most recent FOLLOW-UP information incorporated above includes: On 20-Jul-2021: Follow up received on 20-Jul-2021 and included reporter address and postal code wad updated, New patient medical history, height, weight, race and ethnicity were added. Batch number of 1st dose of the vaccine was added. Concomitant medication was added. Treatment medication tylenol dose was updated. New Events blindness, vision blurred, conjunctivitis, eye swelling was added. Outcome of event migraine was updated to recovered. Onset date for the event migraine was updated from unknown to 22-Dec-2020, Case was upgraded from Non-serious to serious due to the event blindness. On 16-Aug-2021: Follow-up received on 16 Aug 2021 contains no new information. On 16-Aug-2021: Follow-up received on 16 Aug 2021, contains no new information.; 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.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Migraine
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Allergy to arthropod sting (Bee's); Nearsighted (Patient was nearsighted in both eyes); Penicillin allergy
Vorgeschichte
Medical History/Concurrent Conditions: Back disorder (lower back); Barrett's esophagus
Andere Medikamente
OMEPRAZOLE
Allergien
-
Vorherige Impfungen
-

VAERS 2452987

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
-
Geschlecht
M
Eingang
21.09.2022
Impfdatum
09.01.2021
Beginn
26.01.2021
Tage bis Beginn
17,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Blood immunoglobulin G Blood immunoglobulin M COVID-19 pneumonia SARS-CoV-2 test positive

Symptomtext

classic covid pneumonia; positive covid PCR; This spontaneous case was reported by a physician and describes the occurrence of SARS-COV-2 TEST POSITIVE (positive covid PCR) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. The patient's past medical history included No adverse event (No reported medical history.). On 09-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 SARS-COV-2 TEST POSITIVE (positive covid PCR) (seriousness criterion hospitalization). The patient was hospitalized on 26-Jan-2021 due to COVID-19 PNEUMONIA and SARS-COV-2 TEST POSITIVE. At the time of the report, SARS-COV-2 TEST POSITIVE (positive covid PCR) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood immunoglobulin G: (Negative) Negative. On an unknown date, Blood immunoglobulin M: (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. Most recent FOLLOW-UP information incorporated above includes: On 29-Jan-2021: Upon internal review on 16-Sep-2022 non-significant corrections performed to update case received from field.; Reporter's Comments: This case concerns a male patient, an infectious disease MD, who experienced a serious event of COVID-19 pneumonia and SARS-Cov-2 test positive after receiving first dose of mRNA-1273 (Lot# 039K20A). Based on the mechanism of action of mRNA-1273, the event is assessed as unlikely related to mRNA-1273.

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19 pneumonia
Hospital-Tage
-
Labordaten
Test Name: IgG; Test Result: Negative ; Result Unstructured Data: Negative; Test Name: IgM; Test Result: Negative ; Result Unstructured Data: Negative
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: No adverse event (No reported medical history.)
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2433615

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
MI
Alter
42,0
Geschlecht
M
Eingang
08.09.2022
Impfdatum
13.01.2021
Beginn
25.08.2022
Tage bis Beginn
589,0
Dosis
1
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Chest discomfort Palpitations SARS-CoV-2 test positive

Symptomtext

08/25/22 presents to ED for "palpitations and chest pressue". PMHx of "WPW, HTN, anxiety, GERD"

Weitere VAERSDATA-Felder
Praegender Schweregrund
Palpitations
Hospital-Tage
-
Labordaten
08/25/22 SARS-CoV-2 (COVID-19) by NAA detected
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2419935

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
-
Alter
64,0
Geschlecht
F
Eingang
25.08.2022
Impfdatum
20.07.2022
Beginn
04.01.2021
Tage bis Beginn
-
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chest pain Hypertension Lymphoedema

Symptomtext

Narrative: Hypertension lymphedema, htn chest pain started first dose Moderna and got worse each subsequent dose not certain related to vaccine

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2411964

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
83,0
Geschlecht
M
Eingang
16.08.2022
Impfdatum
04.01.2021
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood test COVID-19 Hypertension SARS-CoV-2 test

Symptomtext

he never had high blood pressure until after he got the vaccine and had 4 of them; tested positive for Covid after 4 Moderna; This spontaneous case was reported by a patient and describes the occurrence of HYPERTENSION (he never had high blood pressure until after he got the vaccine and had 4 of them) and COVID-19 (tested positive for Covid after 4 Moderna) in an 83-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. D66K21A, 014F21A, 029K20A and 039K20A) for COVID-19 prophylaxis. Co-suspect product included non-company product NIRMATRELVIR, RITONAVIR (PAXLOVID) tablet for COVID-19 treatment. Concurrent medical conditions included Upset stomach. Concomitant products included VALSARTAN for Blood pressure high, PANTOPRAZOLE for Upset stomach. On 04-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 01-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 17-Sep-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 08-Mar-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 05-Jul-2022, the patient started NIRMATRELVIR, RITONAVIR (PAXLOVID) (unknown route) 3 dosage form twice a day. On an unknown date, the patient experienced HYPERTENSION (he never had high blood pressure until after he got the vaccine and had 4 of them) and COVID-19 (tested positive for Covid after 4 Moderna). At the time of the report, HYPERTENSION (he never had high blood pressure until after he got the vaccine and had 4 of them) and COVID-19 (tested positive for Covid after 4 Moderna) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood test: normal. On an unknown date, SARS-CoV-2 test: (Positive) Positive. It was reprted that the patient took Paxlovid and had taken 2 days worth. The patient had come down with a sore throat and it might be worse then strep throat. The patient was not sure if that was a side effect from the Paxlovid. It was so sore and was even a little more difficult to talk. The patient went to bad previous night and had no sore throat what so ever. At 6am in the morning, the patient woke up with a horrible sore throat. The patient did not know exactly when it started but, he woke up at 6:00 am in the morning because he had the sore throat. It was deep in his throat and was his whole throat, not just one side. It was across his entire throat. The patient had a cup of hot tea with honey in thinking it might soothe his throat and it did not do a thing. COMPANY COMMENT: This spontaneous case concerns an 83-year-old male patient, with no relevant medical history reported, who experienced the unexpected non-serious events of Hypertension and COVID-19 (AESI) which occurred unknown number of days after receiving the dose 4 of COVID-19 vaccine mRNA-1273, first booster dose in the COVID-19 vaccine series. Patient previously received the 3 full doses of mRNA-1273 vaccine, dose 1 and dose 2 given with an interval of 28 days, dose 3 given 7 months 16 days after the dose 2, and dose 4 given 5 months 19 days after dose 3. On an unknown date, COVID-19 test (home kit) was positive. Patient took Paxlovid as treatment and, after 2 days, had sore throat, onset reported as almost four months after dose 4. Of note, sore throat may be related to COVID-19. There is no available information regarding clinical course. Since onset dates of both events were not provided, onset latency could not be assessed. The patient's elderly age remains a predisposition risk factor for both events. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.; Sender's Comments: This spontaneous case concerns an 83-year-old male patient, with no relevant medical history reported, who experienced the unexpected non-serious events of Hypertension and COVID-19 (AESI) which occurred unknown number of days after receiving the dose 4 of COVID-19 vaccine mRNA-1273, first booster dose in the COVID-19 vaccine series. Patient previously received the 3 full doses of mRNA-1273 vaccine, dose 1 and dose 2 given with an interval of 28 days, dose 3 given 7 months 16 days after the dose 2, and dose 4 given 5 months 19 days after dose 3. On an unknown date, COVID-19 test (home kit) was positive. Patient took Paxlovid as treatment and, after 2 days, had sore throat, onset reported as almost four months after dose 4. Of note, sore throat may be related to COVID-19. There is no available information regarding clinical course. Since onset dates of both events were not provided, onset latency could not be assessed. The patient's elderly age remains a predisposition risk factor for both events. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypertension
Hospital-Tage
-
Labordaten
Test Name: blood test; Result Unstructured Data: normal; Test Name: COVID-19 virus test; Test Result: Positive ; Result Unstructured Data: Positive
Aktuelle Erkrankungen
Upset stomach
Vorgeschichte
-
Andere Medikamente
VALSARTAN; PANTOPRAZOLE
Allergien
-
Vorherige Impfungen
-

VAERS 2632288

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
CT
Alter
66,0
Geschlecht
F
Eingang
06.07.2022
Impfdatum
13.01.2021
Beginn
13.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Asthenia Erythema Injected limb mobility decreased Pain Pain in extremity

Symptomtext

Pain,erythema,weakness, difficulty raising arm Since that first vaccination I have had 3 boosters last beeing 4/2/2022 I continue to have pain at night when lying in bed in my Rt arm. I also have waekness and difficulty lifting it at tiimes when lying. MRI scheduled

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injected limb mobility decreased
Hospital-Tage
-
Labordaten
MRI scheduled
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
alendronate,levothyroidine,vt D
Allergien
none
Vorherige Impfungen
-

VAERS 2359515

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
VA
Alter
43,0
Geschlecht
F
Eingang
06.07.2022
Impfdatum
06.11.2021
Beginn
16.02.2022
Tage bis Beginn
102,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: ja ER: ja Erholt: nein
Arthralgia Blood magnesium Blood thyroid stimulating hormone COVID-19 Cardiac stress test normal Cervical spinal stenosis Computerised tomogram normal Ejection fraction Electrocardiogram Electrocardiogram ambulatory abnormal Headache Hypoaesthesia Injection site pain Intervertebral disc degeneration Intervertebral disc protrusion Lumbar puncture Magnetic resonance imaging spinal abnormal Malaise

Symptomtext

Pseudotumor cerebri Log Feb 16,2022 s/s: neck pain 6/10, left shoulder, left arm pain 6/10, numbness/tingle to fingertips 2,3,4. TX: Bio freeze to neck, ibuprofen 2 tabs, appoint scheduled with Dr. Feb 23, 2022 Dr. - X-ray C-spine C-5 stenosis. Ordered Physical Therapy March 5, 2022 PT @11:30 March 10,2022 PT@12:30 March 17,2022 ***PT@8:30-first time with mechanical machine traction on cervical neck Massage ***March 18,2022***ER visit @0430 woke up with left facial tingle and numbness in addition to left sided numbness Worked for 11 hours?increased blurred vision, headache, left sided increased numbness, severe neck pain and shoulder pain, tinnitus. ER March 24, 2022- Lumbar Puncture opening pressures 24cm /H2O 30cc removed 11cm/H2O. All symptoms subsided. Medications: Diamox 750mg BID PO Foricet PRN ***March 30-31,2022***ER visit CT negative EKG 49 VBGH-Lumbar Puncture opening pressures 19 cm/H2O 30 cc removed 6 cm/H2O April 5,2022 PCP appointment- Sleep study appointment, cardiology appointment April 6, 2022 Mammogram- negative April 14, 2022 Dr.- Changed Diamox to Topamax d/t side effects of Diamox April 15,2022 Cortisol 10.2 April 22,2022 Dr.- Order rotational CT scan for possible Craniocervical instability and EMG May 2, 2022 Cervical Spinal flex/ext: moderate C5/6 degenerative disc disease. Slight subluxation at some levels during flex/ext, without sign instability. Ext: slight retrolisthesis at c3/4 (2mm) C4/5 (1.5 mm) and C5/6 (1.5 mm) May 3, 2022 Dr.- pulmonologist/sleep study May 13, 2022 MRI-mild straightening of cervical lordotic curature. No large disc herniation, cord compression or cord signal adnormality. C5-6 degeneratie disc disease w/mild diffuse disc bulging. C6-7 mild central disc bulge No significant facet arthropathy, foraminal stenosis or nerve root compression. May 25, 2022 Nuclear stress test: Normal study, low risk, LVEF 69% May 26, 2022 Woke up this morning feeling almost normal, slight headache to left but energy uplifted. HR check 65 compared to 45 as before. Only difference was the cardiolite medication given yesterday for the nuclear stress test to raise my HR. LABS: TSH, T4, T3, Mag Stopped Topamax. Only on Diamox June 1, 2022 DR. (cardiac)- Echo rescheduled due to wearing Zio Holter monitor for 14 days. (SR 43-168 HR with x1 episode SVT) June 7, 2022 DR. (Neurosurgeon)- Improved symptoms so no shunt at this time. June DR.-reorder Diamox medication. Annual training waiver June 29, 2022 Covid symptoms July 3, 2022 Tested positive for covid July 12, 2022 Future fitting

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
4,0
Labordaten
***March 22,2022***ER visit No papillary edema. Blurred vision remained but no vision change. increased symptoms of left sided numbness and headache, expressive
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
Vit D, Ca+2, Allegra
Allergien
Shrimp
Vorherige Impfungen
-

VAERS 2294617

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
83,0
Geschlecht
F
Eingang
25.05.2022
Impfdatum
30.10.2021
Beginn
17.05.2022
Tage bis Beginn
199,0
Dosis
1
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Abdominal pain Back pain Bile duct stone Bronchitis COVID-19 Chest pain Cholelithiasis Computerised tomogram abdomen abnormal Coronavirus test positive Cough Dyspnoea Endoscopic retrograde cholangiopancreatography abnormal Influenza A virus test positive SARS-CoV-2 test positive Vomiting

Symptomtext

She received Moderna COVID vaccines on 12/30/20, 1/27/2021, and 10/30/2021. She presented to the ED of a local HCF with 2 days of vomiting, chest pain, cough, SOB, back pain and abdominal pain on 5/17/22. Her COVID test resulted in positive. She was also tested positive with non-covid Coronavirus 229E PCR and Influenza A H3 PCR. Her CT showed choledocholithiasis, and she was admitted for acute bronchitis and choledocholithiasis management on the same day. She was given steroids, Ceftriaxone, Oseltamivir, Zosyn. She had ERCP for gallstone. She was one point on 4L of oxygen. She was medically stable, not required supplemental oxygen, and she was discharge to the local skilled nursing facility on 5/25/22.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
9,0
Labordaten
SARS CoV PCR COVID 19 positive, Influenza A H3 PCR, Coronavirus 229E PCR were positive on 5/17/22.
Aktuelle Erkrankungen
-
Vorgeschichte
Asthma, HTN, HLD
Andere Medikamente
-
Allergien
codeine, PCN, Sulfadiazine
Vorherige Impfungen
-

VAERS 2256270

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
IL
Alter
-
Geschlecht
M
Eingang
28.04.2022
Impfdatum
02.02.2021
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Immunisation reaction Mobility decreased

Symptomtext

Bad reaction; felt like almost paralysis/could not move; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (Bad reaction) and MOBILITY DECREASED (felt like almost paralysis/could not move) in an elderly male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 001M21A, 038K20A and 039K20A) for COVID-19 vaccination. Concurrent medical conditions included Glaucoma (2 eye drops a day for Glaucoma.) and Sulfonamide allergy (Suspicion of Sulfa allergy). Concomitant products included VITAMIN D3 for an unknown indication. On 02-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 26-Oct-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 23-Apr-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced VACCINATION COMPLICATION (Bad reaction) and MOBILITY DECREASED (felt like almost paralysis/could not move). The patient was treated with ASPIRIN [ACETYLSALICYLIC ACID] for Adverse event, at a dose of 1 dosage form. At the time of the report, VACCINATION COMPLICATION (Bad reaction) was resolving and MOBILITY DECREASED (felt like almost paralysis/could not move) outcome was unknown. Concomitant medication also included unspecified 2 eye drops for glaucoma. Patient did not had positive COVID test or diagnosis.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mobility decreased
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Glaucoma (2 eye drops a day for Glaucoma.); Sulfonamide allergy (Suspicion of Sulfa allergy)
Vorgeschichte
-
Andere Medikamente
VITAMIN D3
Allergien
-
Vorherige Impfungen
-

VAERS 2245697

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
90,0
Geschlecht
M
Eingang
21.04.2022
Impfdatum
27.01.2021
Beginn
20.04.2022
Tage bis Beginn
448,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Body temperature increased COVID-19 Chest X-ray normal Chills Computerised tomogram abdomen Confusional state SARS-CoV-2 test positive Tremor Vaccine breakthrough infection White blood cell count increased

Symptomtext

Covid19 breakthrough. 1st vacine received on 12/28/2020. 91 y/o male with PMHx of AFIB, HTN, SAH, CAD s/p CABG, Pancreatic cancer, Biliary disease with obstruction s/p biliary stent in Sept 2021 presents to ER with c/o severe chills, uncontrollable shaking, confusion. Temp 101.1, room air sat 99%, CXR with no acute process. Pt with elevated WBC and CT A/P with possible obstruction of stent. Pt planned to have EUS/ERCP. Pre procedure Covid test +. On IV abx.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Tremor
Hospital-Tage
-
Labordaten
SARS CoV 2 PCR Covid19-Detected on 04/20/2022
Aktuelle Erkrankungen
-
Vorgeschichte
AFIB, HTN, SAH, CAD s/p CABG, Pancreatic cancer, Biliary dz with obstruction s/p biliary stent
Andere Medikamente
-
Allergien
Codeine, Shellfish
Vorherige Impfungen
-

VAERS 2243469

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
-
Alter
82,0
Geschlecht
M
Eingang
20.04.2022
Impfdatum
04.01.2021
Beginn
07.09.2021
Tage bis Beginn
246,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Condition aggravated Fatigue SARS-CoV-2 test positive

Symptomtext

9/6/21 Pt to ED c/o fatigue. Pt reporting fatigue since left hip injury 5 years ago but reporting increased fatigue x1 week.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
9/7/21 SARS-CoV-2 (COVID-19) by NAA, Micro Detected
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2238281

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
IN
Alter
79,0
Geschlecht
F
Eingang
19.04.2022
Impfdatum
05.01.2021
Beginn
05.04.2022
Tage bis Beginn
455,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Body temperature Feeling abnormal Pyrexia Chills Epicondylitis Fatigue Malaise Paraesthesia Tendon pain Tendonitis

Symptomtext

experiencing some tingling in fingers on the right hand/tingling is not constant/feel tingling going on in her fingers; Tennis elbow; tendonitis in elbow/feel tendonitis in right shoulder as well now/tendonitis in her shoulder joint as well/wonders if the vaccine triggered an autoimmune response; pain as a 6 on a 1-10 scale/Pain is not debilitating or incapacitates her/touching and pressing gets the pain going; did not feel great for the first few days after receiving her booster dose; experienced some tiredness that day/felt little tired; had some chills the following day/had the chills a little bit; This spontaneous case was reported by a consumer and describes the occurrence of EPICONDYLITIS (Tennis elbow), TENDONITIS (tendonitis in elbow/feel tendonitis in right shoulder as well now/tendonitis in her shoulder joint as well/wonders if the vaccine triggered an autoimmune response), TENDON PAIN (pain as a 6 on a 1-10 scale/Pain is not debilitating or incapacitates her/touching and pressing gets the pain going), MALAISE (did not feel great for the first few days after receiving her booster dose) and PARAESTHESIA (experiencing some tingling in fingers on the right hand/tingling is not constant/feel tingling going on in her fingers) in an 80-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 046Z21A, 019F21A, 012M20A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Drug allergy (Demerol) and Latex allergy (Latex sensitivity). Concomitant products included COLECALCIFEROL (VITAMIN D [COLECALCIFEROL]) for an unknown indication. On 05-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On 02-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to .5 milliliter. On 27-Oct-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to .25 milliliter. On 05-Apr-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to .25 milliliter. On 05-Apr-2022, the patient experienced MALAISE (did not feel great for the first few days after receiving her booster dose), FATIGUE (experienced some tiredness that day/felt little tired) and CHILLS (had some chills the following day/had the chills a little bit). On 06-Apr-2022, the patient experienced EPICONDYLITIS (Tennis elbow), TENDONITIS (tendonitis in elbow/feel tendonitis in right shoulder as well now/tendonitis in her shoulder joint as well/wonders if the vaccine triggered an autoimmune response) and TENDON PAIN (pain as a 6 on a 1-10 scale/Pain is not debilitating or incapacitates her/touching and pressing gets the pain going). On 12-Apr-2022, the patient experienced PARAESTHESIA (experiencing some tingling in fingers on the right hand/tingling is not constant/feel tingling going on in her fingers). The patient was treated with PARACETAMOL (TYLENOL [PARACETAMOL]) for Chills and Tiredness, at an unspecified dose and frequency and IBUPROFEN (ADVIL [IBUPROFEN]) for Tendonitis, at an unspecified dose and frequency. At the time of the report, EPICONDYLITIS (Tennis elbow), TENDONITIS (tendonitis in elbow/feel tendonitis in right shoulder as well now/tendonitis in her shoulder joint as well/wonders if the vaccine triggered an autoimmune response), TENDON PAIN (pain as a 6 on a 1-10 scale/Pain is not debilitating or incapacitates her/touching and pressing gets the pain going) and PARAESTHESIA (experiencing some tingling in fingers on the right hand/tingling is not constant/feel tingling going on in her fingers) had not resolved and MALAISE (did not feel great for the first few days after receiving her booster dose), FATIGUE (experienced some tiredness that day/felt little tired) and CHILLS (had some chills the following day/had the chills a little bit) had resolved. It was reported that patient has never been diagnosed/tested positive for COVID-19. No other vaccines given within 1 month prior to moderna covid-19 vaccines. Patient experienced some tiredness on the day of vaccination, so she rested for some time. Patient also had some chills the following day. Patient stated that none of these symptoms was bothersome. 24-36 hours after receiving her 2nd booster, patient started experiencing tennis elbow. Patient does not play tennis, golf, or has done any vigorous activities to hurt herself. Patient states that she can touch and press in that joint to get the pain going and also feels it a lot more when she was transferring laundry from washer to dryer, or when she grips something tight. Patient wondered if the vaccine triggered an autoimmune response. Patient experienced some tingling in her fingers on the right hand. The tingling was not constant, and comes and goes and it was reported as worsened for the patient. Patient stated that as she was speaking, she could feel tingling going on in her fingers at the time of report. Patient reported that tendonitis worsened as it seems to be in the elbow as well as the shoulder for the patient. This case was linked to MOD-2022-539506 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Drug allergy (Demerol); Latex allergy (Latex sensitivity)
Vorgeschichte
-
Andere Medikamente
VITAMIN D [COLECALCIFEROL]
Allergien
-
Vorherige Impfungen
-

VAERS 2228648

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
WV
Alter
37,0
Geschlecht
F
Eingang
12.04.2022
Impfdatum
31.12.2020
Beginn
04.02.2021
Tage bis Beginn
35,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood iron Dyspnoea Fatigue Full blood count Iron deficiency anaemia Onychoclasis Serum ferritin

Symptomtext

Iron deficient anemia- found during an appointment for leukocytosis Shortness of breath, fatigue, brittle nails

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
CBC/iron panel/ferritin 2/4/2021
Aktuelle Erkrankungen
Asthma Hyperlipidemia Leukocytosis
Vorgeschichte
See above
Andere Medikamente
Singulair Allegra Flovent Proair
Allergien
Macrobid PCN Codeine Sulfa
Vorherige Impfungen
Continued anemia

VAERS 2222588

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

moderat
Staat
PA
Alter
36,0
Geschlecht
F
Eingang
08.04.2022
Impfdatum
28.12.2020
Beginn
01.01.2021
Tage bis Beginn
4,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chills Dyspnoea Immunisation reaction

Symptomtext

difficulty breathing; pretty severe reaction; chills; This spontaneous case was reported by a consumer and describes the occurrence of DYSPNOEA (difficulty breathing), VACCINATION COMPLICATION (pretty severe reaction) and CHILLS (chills) in a 37-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 013l20a and 039k20a) for COVID-19 vaccination. Concurrent medical conditions included Reaction to preservatives. On 28-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 27-Jan-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In January 2021, the patient experienced DYSPNOEA (difficulty breathing), VACCINATION COMPLICATION (pretty severe reaction) and CHILLS (chills). The patient was treated with PARACETAMOL (TYLENOL [PARACETAMOL]) at an unspecified dose and frequency. At the time of the report, DYSPNOEA (difficulty breathing), VACCINATION COMPLICATION (pretty severe reaction) and CHILLS (chills) outcome was unknown. No concomitant medication was provided. Within 5 hours of receiving the 2nd dose patient started to experience a reaction.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Reaction to preservatives.
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2189704

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
VA
Alter
84,0
Geschlecht
M
Eingang
21.03.2022
Impfdatum
24.02.2021
Beginn
24.02.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dyspnoea Fatigue Mobility decreased Sluggishness

Symptomtext

I experienced extreme fatigue, shortness of breath, sluggishness and had to stay in bed for a couple days.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Blood Pressure
Andere Medikamente
Amoxicillin; Dicloxacillin; Finasteride; Ibuprofen and Tizanidine
Allergien
I am allergic to statins
Vorherige Impfungen
-

VAERS 2189267

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

moderat
Staat
FL
Alter
75,0
Geschlecht
F
Eingang
20.03.2022
Impfdatum
03.02.2021
Beginn
06.04.2021
Tage bis Beginn
62,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Anticoagulant therapy Atrial fibrillation Cardiac monitoring Heart rate increased Laboratory test Palpitations

Symptomtext

March 2021 Accelerated hearth beat continued intermeddling until mid May 2021 admitted to Hospital ER with Hearth Palpations No conclusions referred to Dr Ran several test and referred to Dr proscribed blood thinner for a fib. Pacaition was advised that a doctor was to treat the symptoms and not denoise the cause.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Palpitations
Hospital-Tage
-
Labordaten
Dr. ran several test including a 30 day heart monitor
Aktuelle Erkrankungen
-
Vorgeschichte
Polymyalgia rheumatica
Andere Medikamente
3 mg prednisone, 600 mg calcium, 25 mcg Vitamin D, 50 mg Zinc, 250 mg magnesium, 5000 mcg biotin
Allergien
alendronate, sulfa, Percocet
Vorherige Impfungen
Bextra

VAERS 2168135

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
TN
Alter
81,0
Geschlecht
F
Eingang
09.03.2022
Impfdatum
16.02.2021
Beginn
04.11.2021
Tage bis Beginn
261,0
Dosis
2
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Chills Dyspnoea SARS-CoV-2 test positive

Symptomtext

Pt arrived to ER via EMS complaining of SOB after testing positive for COVID on 09/25; O2 levels at 84-85% on room air; pt complained of chills, shortness of breath; hx of htn, diabetes; no tobacco use Treatments: metoprolol 2.5mg q6h, pantoprazole 40mg iv push,

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
6,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2143514

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
NY
Alter
57,0
Geschlecht
F
Eingang
26.02.2022
Impfdatum
11.02.2021
Beginn
12.03.2021
Tage bis Beginn
29,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Anxiety Palpitations Sleep disorder Temperature intolerance

Symptomtext

Heart palpitation; Heat Sensation; May have anxiety,Terribly frightening; it wakes me up out of my sleep every single night,I can't sleep peacefully anymore out of fear; This spontaneous case was reported by a consumer and describes the occurrence of PALPITATIONS (Heart palpitation), TEMPERATURE INTOLERANCE (Heat Sensation), ANXIETY (May have anxiety,Terribly frightening) and SLEEP DISORDER (it wakes me up out of my sleep every single night,I can't sleep peacefully anymore out of fear) in a 57-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 036A21A and 039K20A) for COVID-19 vaccination. No Medical History information was reported. On 11-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 12-Mar-2021, the patient experienced PALPITATIONS (Heart palpitation), TEMPERATURE INTOLERANCE (Heat Sensation) and ANXIETY (May have anxiety,Terribly frightening). 12-Mar-2021, the patient experienced SLEEP DISORDER (it wakes me up out of my sleep every single night,I can't sleep peacefully anymore out of fear). At the time of the report, PALPITATIONS (Heart palpitation), TEMPERATURE INTOLERANCE (Heat Sensation), ANXIETY (May have anxiety,Terribly frightening) and SLEEP DISORDER (it wakes me up out of my sleep every single night,I can't sleep peacefully anymore out of fear) outcome was unknown. No concomitant medications were reported. Per report, the patient experienced heat sensations and severe palpitations following dose, which interrupted her sleep every night, but not as severe during daytime. She stated that the experience sometimes felt like an imminent heart attack. Results of diagnostic investigations ordered by the patient's cardiologist had returned as negative, as no abnormality was detected. The patient reported difficulty sleeping peacefully for fear of a recurrences at night, and she wanted to know why she had been feeling that way. Treatment information was not provided by reporter. Most recent FOLLOW-UP information incorporated above includes: On 02-Aug-2021: Follow-up received on 02-Aug-2021 in which Event added- (Sleep disorder)

Weitere VAERSDATA-Felder
Praegender Schweregrund
Palpitations
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2102533

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
KY
Alter
49,0
Geschlecht
F
Eingang
10.02.2022
Impfdatum
11.01.2022
Beginn
21.01.2022
Tage bis Beginn
10,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Bronchospasm COVID-19 Cough Diarrhoea Dyspnoea Enlarged uvula Headache Influenza virus test Malaise Oropharyngeal pain Pain Pharyngeal swelling SARS-CoV-2 test positive Streptococcus test

Symptomtext

Covid symptoms started on 01/21/2022. I've had mostly a cough but that didn't start right away. No fever, but I did have body aches and a bad headache and diarrhea, and then the cough started and I've had bronchial spasms which is why I still have a cough and sore throat. I tested positive on 02/03/2022. I've seen the Doctor several times and I'm using an inhaler and that's mostly it. The reason I went to Urgent Care was because my throat and uvula were swollen and I was having trouble breathing.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
Flu/Strep/Covid 02/03/2022
Aktuelle Erkrankungen
None.
Vorgeschichte
None.
Andere Medikamente
None.
Allergien
Albuterol.
Vorherige Impfungen
-

VAERS 2095896

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
KY
Alter
70,0
Geschlecht
F
Eingang
08.02.2022
Impfdatum
06.02.2021
Beginn
30.01.2022
Tage bis Beginn
358,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: ja
Cardiovascular evaluation Chest discomfort Chest pain Dyspnoea

Symptomtext

Pt complaints of chest pain/tightness and SOB that began yesterday. Admitted for evaluation for chest pain and further work up.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
2,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Afib RVR, DM type 2, Arthritis, Anemia
Andere Medikamente
-
Allergien
NKA
Vorherige Impfungen
-

VAERS 2068650

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
NY
Alter
47,0
Geschlecht
M
Eingang
27.01.2022
Impfdatum
26.12.2020
Beginn
03.02.2021
Tage bis Beginn
39,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Headache Heart rate increased Palpitations Rash

Symptomtext

First was a headache for about a month and one or two a week ever since. I got a rash on top of my left foot/ ankle that resembeled shingles about a week after first shot. The same thing hapened after my second shot on my right foot and ankle a week after my second shot. Have had heart palpitations and occasional rapid heartbeat since a week after second covid shot

Weitere VAERSDATA-Felder
Praegender Schweregrund
Palpitations
Hospital-Tage
-
Labordaten
Did not have only blood work doctor thought I was nuts and said the Shot will not effect heart or give you rash.
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
omeprazole,amlodipine,Rosuvastatin,triamterene,metoprole
Allergien
Lisinopril, Atorvastin
Vorherige Impfungen
-

VAERS 2068505

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20A

moderat
Staat
VA
Alter
76,0
Geschlecht
M
Eingang
27.01.2022
Impfdatum
21.01.2021
Beginn
13.12.2021
Tage bis Beginn
326,0
Dosis
1
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Blood test Cardiac monitoring Catheterisation cardiac Chest pain Coronary artery bypass Echocardiogram Fatigue X-ray

Symptomtext

Triple bypass heart surgery following catherization after tiredness and chest pain. One week hospitalization. Home care, cardio rehabilitation.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
12,0
Labordaten
Catherization, heart monitor, daily vitals, extensive blood tests, extensive X-rays, heart echo gram, from surgery on 13 December until present
Aktuelle Erkrankungen
None
Vorgeschichte
Type 2 diabetes, high blood pressure, high cholesterol, heart disease, arthritis
Andere Medikamente
Jardiance,zettabytes, lisinopril,metfotmin, creator, Zoloft, toprol, amaryllis,
Allergien
Tetracycline, niasin
Vorherige Impfungen
-

VAERS 2067705

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
OH
Alter
75,0
Geschlecht
M
Eingang
27.01.2022
Impfdatum
30.12.2020
Beginn
20.11.2021
Tage bis Beginn
325,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Alanine aminotransferase Altered state of consciousness Angiogram Anion gap Aspartate aminotransferase Asthenia Basophil count Blood albumin Blood alkaline phosphatase Blood bicarbonate Blood bilirubin Blood calcium Blood chloride Blood creatinine Blood glucose Blood magnesium Blood potassium Blood sodium

Symptomtext

Drug ineffective; Can't keep fluids down; Severe dehydration; Bilateral covid pneumonia in his lungs/ Dehydration COVID Pneumonia; Altered level of consciousness; very weak; Unable to eat / Drink; hepatic enzymes abnormal; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 PNEUMONIA (Bilateral covid pneumonia in his lungs/ Dehydration COVID Pneumonia), ALTERED STATE OF CONSCIOUSNESS (Altered level of consciousness), HEPATIC ENZYME ABNORMAL (hepatic enzymes abnormal), DEHYDRATION (Severe dehydration) and VOMITING (Can't keep fluids down) in a 75-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 034F21A, 026L20A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Previously administered products included for Product used for unknown indication: FLU Vaccine (Flu vaccine and Intramuscular) on 14-Sep-2021. Past adverse reactions to the above products included No adverse event with FLU Vaccine. Concurrent medical conditions included Bradycardia (Cardiovascular disease), Type 2 diabetes mellitus (Type 2 Diabetes) since 1997 and Obesity (Obesity). On 30-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 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 16-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 20-Nov-2021, the patient experienced HEPATIC ENZYME ABNORMAL (hepatic enzymes abnormal) (seriousness criterion medically significant). On 21-Nov-2021, the patient experienced ALTERED STATE OF CONSCIOUSNESS (Altered level of consciousness) (seriousness criterion medically significant), ASTHENIA (very weak) and FEEDING DISORDER (Unable to eat / Drink). On 28-Nov-2021, the patient experienced COVID-19 PNEUMONIA (Bilateral covid pneumonia in his lungs/ Dehydration COVID Pneumonia) (seriousness criterion medically significant). On 01-Dec-2021, the patient experienced DEHYDRATION (Severe dehydration) (seriousness criterion medically significant). On an unknown date, the patient experienced DRUG INEFFECTIVE (Drug ineffective) and VOMITING (Can't keep fluids down) (seriousness criterion medically significant). The patient was treated with SALBUTAMOL (ALBUTEROL HFA) on 07-Dec-2021 at an unspecified dose and frequency; BENZONATATE (TESSALON PERLE) from 06-Dec-2021 to 08-Dec-2021 at a dose of as necessary; AZITHROMYCIN (oral) from 28-Nov-2021 to 06-Dec-2021 at a dose of 250 milligram and MONOCLONAL ANTIBODY 17-1A (intravenous) 01-Dec-2021 at an unspecified dose and frequency. On 28-Nov-2021, ALTERED STATE OF CONSCIOUSNESS (Altered level of consciousness) had resolved. On 14-Dec-2021, HEPATIC ENZYME ABNORMAL (hepatic enzymes abnormal) had resolved. At the time of the report, COVID-19 PNEUMONIA (Bilateral covid pneumonia in his lungs/ Dehydration COVID Pneumonia), DEHYDRATION (Severe dehydration), ASTHENIA (very weak) and FEEDING DISORDER (Unable to eat / Drink) had resolved and DRUG INEFFECTIVE (Drug ineffective) and VOMITING (Can't keep fluids down) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 21-Nov-2021, Chest X-ray: normal (normal) normal. On 21-Nov-2021, SARS-CoV-2 test: positive (Positive) Positive. On 22-Nov-2021, Anion gap: 16 (normal) 16 Normal value low: 10 mmol/L Normal value high: 20 mmol/L. On 22-Nov-2021, Blood bicarbonate: 25 (normal) 25 Normal value low: 21 mmol/L Normal value high: 32 mmol/L. On 22-Nov-2021, Blood calcium: 8.40 (normal) 8.40 Normal value low: 8.6 mg/dL Normal value high: 10.3 mg/dL. On 22-Nov-2021, Blood chloride: 98 (normal) 98 Normal value low: 98 mmol/L Normal value high: 107 mmol/L. On 22-Nov-2021, Blood creatinine: 1.08 (normal) 1.08 Normal value low: 0.50 mg/dL Normal value high: 1.30 mg/dL. On 22-Nov-2021, Blood potassium: 3.60 (normal) 3.60 Normal value low: 3.5 mmol/L Normal value high: 5.3 mmol/L. On 22-Nov-2021, Blood sodium: 135 (Low) 135 Normal value low: 136 mmol/L Normal value high: 145 mmol/L. On 22-Nov-2021, Blood urea: 19 (normal) 19 Normal value low: 6 mg/dL Normal value high: 23 mg/dL. On 22-Nov-2021, Glomerular filtration rate: >60 (normal) >60 mL/min/1.73m^2 and >60 (normal) >60 mL/min/1.73m^2. On 22-Nov-2021, Haematocrit: 40.40 (Low) 40.40 Normal value low: 41.0 % Normal value high: 52.0 %. On 22-Nov-2021, Haemoglobin: 13.50 (normal) 13.50 Normal value low: 13.5 g/dL Normal value high: 17.5 g/dL. On 22-Nov-2021, Mean cell haemoglobin concentration: 33.40 (normal) 33.40 Normal value low: 32.0 g/dL Normal value high: 36.0 g/dL. On 22-Nov-2021, Mean cell volume: 88.00 (normal) 88.00 Normal value low: 80 ft Normal value high:100 ft. On 22-Nov-2021, Platelet count: 108 (Low) 108 Normal value low: 150*10E9/L Normal value high: 450*10E9/L. On 22-Nov-2021, Red blood cell count: 4.61 (normal) 4.61 Normal value low: 4.50*10E12/L Normal value high: 5.90*10E12/L. On 22-Nov-2021, Red cell distribution width: 13.70 (normal) 13.70 Normal value low: 11.5 % Normal value high: 14.5 %. On 22-Nov-2021, White blood cell count: 3.30 (Low) 3.30 Normal value low: 4.4*10E9/L Normal value high: 11.3*10E9/L. On 28-Nov-2021, Alanine aminotransferase: 60 (High) 60 Normal value low: 10 U/L Normal value high: 52 U/L. On 28-Nov-2021, Anion gap: 16 (normal) 16 Normal value low: 10 mmol/L Normal value high: 20 mmol/L. On 28-Nov-2021, Aspartate aminotransferase: 46 (High) 46 Normal value low: 9 U/L Normal value high: 39 U/L. On 28-Nov-2021, Basophil count: 0.30 (normal) 0.30 Normal value low: 0.0 % Normal value high: 2.0 % and 0.02 (normal) 0.02 Normal value low: 0.00*10E9/L Normal value high: 0.10*10E9/L. On 28-Nov-2021, Blood albumin: 3.50 (normal) 3.50 Normal value low: 3.4 g/dL Normal value high: 5.0 g/dL. On 28-Nov-2021, Blood alkaline phosphatase: 85 (normal) 85 Normal value low: 33 U/L Normal value high: 136 U/L. On 28-Nov-2021, Blood bicarbonate: 26 (normal) 26 Normal value low: 21 mmol/L Normal value high: 32 mmol/L. On 28-Nov-2021, Blood bilirubin: 1.30 (normal) 1.30 Normal value low: 0.0 mg/dL Normal value high: 1.2 g/dL. On 28-Nov-2021, Blood calcium: 8.60 (normal) 8.60 Normal value low: 8.6 mg/dL Normal value high: 10.3 mg/dL. On 28-Nov-2021, Blood chloride: 98 (normal) 98 Normal value low: 98 mmol/L Normal value high: 107 mmol/L. On 28-Nov-2021, Blood creatinine: 0.84 (normal) 0.84 Normal value low: 0.50 mg/dL Normal value high: 1.30 mg/dL. On 28-Nov-2021, Blood glucose: 192 (High) 192 Normal value low: 74 mg/dL Normal value high: 99 mg/dL. On 28-Nov-2021, Blood potassium: 4.00 (normal) 4.00 Normal value low: 3.5 mmol/L Normal value high: 5.3 mmol/L. On 28-Nov-2021, Blood sodium: 136 (normal) 136 Normal value low: 136 mmol/L Normal value high: 145 mmol/L. On 28-Nov-2021, Blood urea: 19 (normal) 19 Normal value low: 6 mg/dL Normal value high: 23 mg/dL. On 28-Nov-2021, Chest X-ray: abnormal (abnormal) Probable bilateral pneumonia, potentially COVID-19. On 28-Nov-2021, Electrocardiogram: abnormal (abnormal) Right bundle branch block. On 28-Nov-2021, Electrocardiogram PR prolongation: 164 (Inconclusive) 164 ms. On 28-Nov-2021, Electrocardiogram QRS complex: 154 (Inconclusive) 154 ms. On 28-Nov-2021, Electrocardiogram QT interval: 486 (Inconclusive) 486 ms. On 28-Nov-2021, Eosinophil count: 0.80 (normal) 0.80 Normal value low: 0.0 % Normal value high: 6.0 % and 0.06 (normal) 0.06 Normal value low: 0.00*10E9/L Normal value high: 0.40*10E9/L. On 28-Nov-2021, Glomerular filtration rate: >60 (normal) >60 mL/min/1.73m^2 and >60 (normal) >60 mL/min/1.73m^2. On 28-Nov-2021, Haematocrit: 39.90 (Low) 39.90 Normal value low: 41.0 % Normal value high: 52.0 %. On 28-Nov-2021, Haemoglobin: 13.10 (normal) 13.10 Normal value low: 13.5 g/dL Normal value high: 17.5 g/dL. On 28-Nov-2021, Immature granulocyte count: 2.40 (normal) 2.40 Normal value low: 0.0 % Normal value high: 0.9 %. On 28-Nov-2021, Lymphocyte count: 15.20 (normal) 15.20 Normal value low: 13 % Normal value high: 44 % and 1.10 (normal) 1.10 Normal value low: 0.80*10E9/L Normal value high: 3.00*10E9/L. On 28-Nov-2021, Mean cell haemoglobin concentration: 32.80 (normal) 32.80 Normal value low: 32.0 g/dL Normal value high: 36.0 g/dL. On 28-Nov-2021, Mean cell volume: 88.00 (normal) 88.00 Normal value low: 80 ft Normal value high:100 ft. On 28-Nov-2021, Monocyte count: 10.20 (normal) 10.20 Normal value low: 2 % Normal value high: 10 % and 0.74 (normal) 0.74 Normal value low: 0.05*10E9/L Normal value high: 0.80*10E9/L. On 28-Nov-2021, Neutrophil count: 71.10 (normal) 71.10 Normal value low: 40 % Normal value high: 80 % and 5.14 (normal) 5.14 Normal value low: 1.60*10E9/L Normal value high: 5.50*10E9/L. On 28-Nov-2021, Platelet count: 256 (normal) 256 Normal value low: 150*10E9/L Normal value high: 450*10E9/L. On 28-Nov-2021, Protein total: 6.30 (normal) 6.30 Normal value low: 6.4 g/dL Normal value high: 8.2 g/dL. On 28-Nov-2021, Red blood cell count: 4.52 (normal) 4.52 Normal value low: 4.50*10E12/L Normal value high: 5.90*10E12/L. On 28-Nov-2021, Red cell distribution width: 13.40 (normal) 13.40 Normal value low: 11.5 % Normal value high: 14.5 %. On 28-Nov-2021, White blood cell count: 7.20 (normal) 7.20 Normal value low: 4.4*10E9/L Normal value high: 11.3*10E9/L. On 01-Dec-2021, Alanine aminotransferase: 61 (High) 61 Normal value low: 10 U/L Normal value high: 52 U/L. On 01-Dec-2021, Angiogram: normal (normal) normal. On 01-Dec-2021, Anion gap: 16 (normal) 16 Normal value low: 10 mmol/L Normal value high: 20 mmol/L. On 01-Dec-2021, Aspartate aminotransferase: 41 (High) 41 Normal value low: 9 U/L Normal value high: 39 U/L. On 01-Dec-2021, Basophil count: 0.20 (normal) 0.20 Normal value low: 0.0 % Normal value high: 2.0 % and 0.02 (normal) 0.02 Normal value low: 0.00*10E9/L Normal value high: 0.10*10E9/L. On 01-Dec-2021, Blood albumin: 3.30 (normal) 3.30 Normal value low: 3.4 g/dL Normal value high: 5.0 g/dL. On 01-Dec-2021, Blood alkaline phosphatase: 96 (normal) 96 Normal value low: 33 U/L Normal value high: 136 U/L. On 01-Dec-2021, Blood bicarbonate: 26 (normal) 26 Normal value low: 21 mmol/L Normal value high: 32 mmol/L. On 01-Dec-2021, Blood bilirubin: 1.80 (normal) 1.80 Normal value low: 0.0 mg/dL Normal value high: 1.2 g/dL. On 01-Dec-2021, Blood calcium: 8.50 (normal) 8.50 Normal value low: 8.6 mg/dL Normal value high: 10.3 mg/dL. On 01-Dec-2021, Blood chloride: 98 (normal) 98 Normal value low: 98 mmol/L Normal value high: 107 mmol/L. On 01-Dec-2021, Blood creatinine: 0.75 (normal) 0.75 Normal value low: 0.50 mg/dL Normal value high: 1.30 mg/dL. On 01-Dec-2021, Blood glucose: 139 (High) 139 Normal value low: 74 mg/dL Normal value high: 99 mg/dL. On 01-Dec-2021, Blood magnesium: 1.80 (normal) 1.80 Normal value low: 1.60 mg/dL Normal value high: 2.40 mg/dL. On 01-Dec-2021, Blood potassium: 3.60 (normal) 3.60 Normal value low: 3.5 mmol/L Normal value high: 5.3 mmol/L. On 01-Dec-2021, Blood sodium: 136 (normal) 136 Normal value low: 136 mmol/L Normal value high: 145 mmol/L. On 01-Dec-2021, Blood urea: 23 (normal) 23 Normal value low: 6 mg/dL Normal value high: 23 mg/dL. On 01-Dec-2021, Computerised tomogram: abnormal (abnormal) abnormal. On 01-Dec-2021, Electrocardiogram: normal (normal) normal. On 01-Dec-2021, Electrocardiogram PR prolongation: 162 (Inconclusive) 162 ms. On 01-Dec-2021, Electrocardiogram QRS complex: 160 (Inconclusive) 160 ms. On 01-Dec-2021, Electrocardiogram QT interval: 482 (Inconclusive) 482 ms. On 01-Dec-2021, Eosinophil count: 1.80 (normal) 1.80 Normal value low: 0.0 % Normal value high: 6.0 % and 0.16 (normal) 0.16 Normal value low: 0.00*10E9/L Normal value high: 0.40*10E9/L. On 01-Dec-2021, Fibrin D dimer: 1705 (abnormal) 1705 ng/mL. On 01-Dec-2021, Glomerular filtration rate: >60 (normal) >60 mL/min/1.73m^2 and >60 (normal) >60 mL/min/1.73m^2. On 01-Dec-2021, Haematocrit: 37.40 (Low) 37.40 Normal value low: 41.0 % Normal value high: 52.0 %. On 01-Dec-2021, Haemoglobin: 12.80 (normal) 12.80 Normal value low: 13.5 g/dL Normal value high: 17.5 g/dL. On 01-Dec-2021, Immature granulocyte count: 2.10 (normal) 2.10 Normal value low: 0.0 % Normal value high: 0.9 %. On 01-Dec-2021, Lymphocyte count: 8.30 (Low) 8.30 Normal value low: 13 % Normal value high: 44 % and 0.72 (Low) 0.72 Normal value low: 0.80*10E9/L Normal value high: 3.00*10E9/L. On 01-Dec-2021, Mean cell haemoglobin concentration: 34 (normal) 34 Normal value low: 32.0 g/dL Normal value high: 36.0 g/dL. On 01-Dec-2021, Mean cell volume: 85 (normal) 85 Normal value low: 80 ft Normal value high:100 ft. On 01-Dec-2021, Monocyte count: 8.20 (normal) 8.20 Normal value low: 2 % Normal value high: 10 % and 0.71 (normal) 0.71 Normal value low: 0.05*10E9/L Normal value high: 0.80*10E9/L. On 01-Dec-2021, Neutrophil count: 79.40 (normal) 79.40 Normal value low: 40 % Normal value high: 80 % and 6.92 (normal) 6.92 Normal value low: 1.60*10E9/L Normal value high: 5.50*10E9/L. On 01-Dec-2021, Platelet count: 420 (normal) 420 Normal value low: 150*10E9/L Normal value high: 450*10E9/L. On 01-Dec-2021, Protein total: 6.20 (normal) 6.20 Normal value low: 6.4 g/dL Normal value high: 8.2 g/dL. On 01-Dec-2021, Red blood cell count: 4.42 (normal) 4.42 Normal value low: 4.50*10E12/L Normal value high: 5.90*10E12/L. On 01-Dec-2021, Red cell distribution width: 13.40 (normal) 13.40 Normal value low: 11.5 % Normal value high: 14.5 %. On 14-Dec-2021, Alanine aminotransferase: 37 (normal) 37 Normal value low: 10 U/L Normal value high: 52 U/L. On 14-Dec-2021, Anion gap: 14 (normal) 14 Normal value low: 10 mmol/L Normal value high: 20 mmol/L. On 14-Dec-2021, Aspartate aminotransferase: 20 (normal) 20 Normal value low: 9 U/L Normal value high: 39 U/L. On 14-Dec-2021, Blood albumin: 3.40 (normal) 3.40 Normal value low: 3.4 g/dL Normal value high: 5.0 g/dL. On 14-Dec-2021, Blood alkaline phosphatase: 87 (normal) 87 Normal value low: 33 U/L Normal value high: 136 U/L. On 14-Dec-2021, Blood bicarbonate: 28 (normal) 28 Normal value low: 21 mmol/L Normal value high: 32 mmol/L. On 14-Dec-2021, Blood bilirubin: 0.80 (normal) 0.80 Normal value low: 0.0 mg/dL Normal value high: 1.2 g/dL. On 14-Dec-2021, Blood calcium: 9.40 (normal) 9.40 Normal value low: 8.6 mg/dL Normal value high: 10.3 mg/dL. On 14-Dec-2021, Blood chloride: 100 (normal) 100 Normal value low: 98 mmol/L Normal value high: 107 mmol/L. On 14-Dec-2021, Blood creatinine: 0.74 (normal) 0.74 Normal value low: 0.50 mg/dL Normal value high: 1.30 mg/dL. On 14-Dec-2021, Blood potassium: 3.60 (normal) 3.60 Normal value low: 3.5 mmol/L Normal value high: 5.3 mmol/L. On 14-Dec-2021, Blood urea: 13 (normal) 13 Normal value low: 6 mg/dL Normal value high: 23 mg/dL. On 14-Dec-2021, Protein total: 7.40 (normal) 7.40 Normal value low: 6.4 g/dL Normal value high: 8.2 g/dL. On an unknown date, Body temperature: 101 (High) 101 degree Farenheit. On an unknown date, Hepatic enzyme abnormal: abnormal (abnormal) liver enzymes are up. On an unknown date, Oxygen saturation: 84-94 (abnormal) 84-94%. Concomitant medications were not reported. Patient experienced fever for 2 days, chills, shortness of breath, muscle aches for 14 days, cough for 21 days, diarrhea for 10 days and fatigue was ongoing at the time of report. Patient went to ER for three times, on 21-Nov-2021, 28-Nov-2021 and 01-Dec-2021. On 21-Nov-2021 to 06-Dec2021, Oxygen saturation was performed and the result was 88-93%. On 28-Nov-2021 and 01-Dec-2021, Ventricular rate and Atrial rate was measured and reported as 70 and 63 respectively. Company Comment: This spontaneous case concerns a 75 year old male with no medical history reported , who experienced , serious ( Medically Significant ) , unexpected AESI events of Covid19 pneumonia which occurred on an unknown date in Nov. 2021 after vaccination with the 3rd dose of mRNA-1273 vaccine ( Moderna Covid19 Vaccine ) . Also on an unknown date in Nov, 2021 , he experienced Serious ( Medically Significant ) , unexpected events of hepatic enzyme abnormality and vomiting after vaccination with the 3rd dose of mRNA-1273 vaccine . Additional event of Drug ineffective was also coded for this case . I it was noted that the patient made ER visit and it was suspected that he might already been infected upon receiving the 3rd dose of the vaccine. The re-challenge for this case is not applicable since the events occurred after the 3rd dose and no additional doses will be given and also the outcome of the events was unknown. The age of the patient can be considered as a confounder for this case ( elderly population are vulnerable to Covid19 infection and its complications due to their altered immune response) The benefit -risk relationship of mRNA -1273 ( Moderna Covid19 Vaccine) is not affected by this report. Most recent FOLLOW-UP information incorporated above includes: On 30-Nov-2021: Follow up received - Reporter details added On 30-Nov-2021: Follow up received - No New information On 11-Dec-2021: Follow-up information included no new information. On 19-Jan-2022: Added medical history, lab data, treatment medications and updated events, events outcome and reporter causality.; Sender's Comments: This spontaneous case concerns a 75 year old male with relevant medical history of Diabetes Mellitus type 2 and obesity who experienced , Serious ( Medically significant ) , unexpected , AESI event of Covid 19 Pneumonia which occurred 13 days post vaccination with the 3rd dose of mRNA-1273 vaccine ( Moderna Covid 19 vaccine ) . Five days post vaccination with the 3rd dose , he experienced Serious , unexpected event hepatic enzyme abnormal , six days post vaccination , he experienced Serious , unexpected altered state of consciousness, non-serious , unexpected event of asthenia and feeding disorder . Fifteen days post vaccination with the 3rd dose , he experienced Serious , unexpected eventof dehydration while on an unknown date post vaccination with the 3rd dose , he experienced Non-serious , unexpected event of Drug ineffective and serious, unexpected event of vomiting. It was noted that the patient made ER visits ( 3x ) and it was suspected that he might already been infected upon receiving the 3rd dose of the vaccine. On his last ER visit he was given monoclonal antibodies and on Ct scan he was noted to have lung nodule mass vs hiatal hernia in the esophagus . He was also treated with Benzonatate , Salbutamol and Azithromycin ( oral ). The re-challenge for this case is not applicable since the events occurred after the 3rd dose and no additional doses will be given and also the outcome of the events was unknown. The age of the patient can be considered as a confounder for this case ( elderly population are vulnerable to Covid 19 infection and its complications due to their altered immune response) The benefit -risk relationship of mRNA -1273 ( Moderna Covid 19 Vaccine) is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19 pneumonia
Hospital-Tage
-
Labordaten
Test Date: 20211128; Test Name: Alanine aminotransferase serum; Result Unstructured Data: 60 Normal value low: 10 U/L Normal value high: 52 U/L; Test Date: 20211201; Test Name: Alanine aminotransferase serum; Result Unstructured Data: 61 Normal value low: 10 U/L Normal value high: 52 U/L; Test Date: 20211214; Test Name: Alanine aminotransferase serum; Result Unstructured Data: 37 Normal value low: 10 U/L Normal value high: 52 U/L; Test Date: 20211201; Test Name: Angio chest; Result Unstructured Data: normal; Test Date: 20211122; Test Name: Anion gap Serum; Result Unstructured Data: 16 Normal value low: 10 mmol/L Normal value high: 20 mmol/L; Test Date: 20211128; Test Name: Anion gap Serum; Result Unstructured Data: 16 Normal value low: 10 mmol/L Normal value high: 20 mmol/L; Test Date: 20211201; Test Name: Anion gap Serum; Result Unstructured Data: 16 Normal value low: 10 mmol/L Normal value high: 20 mmol/L; Test Date: 20211214; Test Name: Anion gap Serum; Result Unstructured Data: 14 Normal value low: 10 mmol/L Normal value high: 20 mmol/L; Test Date: 20211128; Test Name: Aspartate transaminase serum; Result Unstructured Data: 46 Normal value low: 9 U/L Normal value high: 39 U/L; Test Date: 20211201; Test Name: Aspartate transaminase serum; Result Unstructured Data: 41 Normal value low: 9 U/L Normal value high: 39 U/L; Test Date: 20211214; Test Name: Aspartate transaminase serum; Result Unstructured Data: 20 Normal value low: 9 U/L Normal value high: 39 U/L; Test Date: 20211128; Test Name: Basophil; Result Unstructured Data: 0.30 Normal value low: 0.0 % Normal value high: 2.0 %; Test Date: 20211201; Test Name: Basophil; Result Unstructured Data: 0.20 Normal value low: 0.0 % Normal value high: 2.0 %; Test Date: 20211128; Test Name: Basophil count; Result Unstructured Data: 0.02 Normal value low: 0.00*10E9/L Normal value high: 0.10*10E9/L; Test Date: 20211201; Test Name: Basophil count; Result Unstructured Data: 0.02 Normal value low: 0.00*10E9/L Normal value high: 0.10*10E9/L; Test Date: 20211128; Test Name: Albumin serum; Result Unstructured Data: 3.50 Normal value low: 3.4 g/dL Normal value high: 5.0 g/dL; Test Date: 20211201; Test Name: Albumin serum; Result Unstructured Data: 3.30 Normal value low: 3.4 g/dL Normal value high: 5.0 g/dL; Test Date: 20211214; Test Name: Albumin serum; Result Unstructured Data: 3.40 Normal value low: 3.4 g/dL Normal value high: 5.0 g/dL; Test Date: 20211128; Test Name: Alkaline phosphatase serum; Result Unstructured Data: 85 Normal value low: 33 U/L Normal value high: 136 U/L; Test Date: 20211201; Test Name: Alkaline phosphatase serum; Result Unstructured Data: 96 Normal value low: 33 U/L Normal value high: 136 U/L; Test Date: 20211214; Test Name: Alkaline phosphatase serum; Result Unstructured Data: 87 Normal value low: 33 U/L Normal value high: 136 U/L; Test Date: 20211122; Test Name: Bicarbonate serum; Result Unstructured Data: 25 Normal value low: 21 mmol/L Normal value high: 32 mmol/L; Test Date: 20211128; Test Name: Bicarbonate serum; Result Unstructured Data: 26 Normal value low: 21 mmol/L Normal value high: 32 mmol/L; Test Date: 20211201; Test Name: Bicarbonate serum; Result Unstructured Data: 26 Normal value low: 21 mmol/L Normal value high: 32 mmol/L; Test Date: 20211214; Test Name: Bicarbonate serum; Result Unstructured Data: 28 Normal value low: 21 mmol/L Normal value high: 32 mmol/L; Test Date: 20211128; Test Name: Bilirubin serum; Result Unstructured Data: 1.30 Normal value low: 0.0 mg/dL Normal value high: 1.2 g/dL; Test Date: 20211201; Test Name: Bilirubin serum; Result Unstructured Data: 1.80 Normal value low: 0.0 mg/dL Normal value high: 1.2 g/dL; Test Date: 20211214; Test Name: Bilirubin serum; Result Unstructured Data: 0.80 Normal value low: 0.0 mg/dL Normal value high: 1.2 g/dL; Test Date: 20211122; Test Name: Calcium serum; Result Unstructured Data: 8.40 Normal value low: 8.6 mg/dL Normal value high: 10.3 mg/dL; Test Date: 20211128; Test Name: Calcium serum; Result Unstructured Data: 8.60 Normal value low: 8.6 mg/dL Normal value high: 10.3 mg/dL; Test Date: 20211201; Test Name: Calcium serum; Result Unstructured Data: 8.50 Normal value low: 8.6 mg/dL Normal value high: 10.3 mg/dL; Test Date: 20211214; Test Name: Calcium serum; Result Unstructured Data: 9.40 Normal value low: 8.6 mg/dL Normal value high: 10.3 mg/dL; Test Date: 20211122; Test Name: Chloride serum; Result Unstructured Data: 98 Normal value low: 98 mmol/L Normal value high: 107 mmol/L; Test Date: 20211128; Test Name: Chloride serum; Result Unstructured Data: 98 Normal value low: 98 mmol/L Normal value high: 107 mmol/L; Test Date: 20211201; Test Name: Chloride serum; Result Unstructured Data: 98 Normal value low: 98 mmol/L Normal value high: 107 mmol/L; Test Date: 20211214; Test Name: Chloride serum; Result Unstructured Data: 100 Normal value low: 98 mmol/L Normal value high: 107 mmol/L; Test Date: 20211122; Test Name: Creatinine serum; Result Unstructured Data: 1.08 Normal value low: 0.50 mg/dL Normal value high: 1.30 mg/dL; Test Date: 20211128; Test Name: Creatinine serum; Result Unstructured Data: 0.84 Normal value low: 0.50 mg/dL Normal value high: 1.30 mg/dL; Test Date: 20211201; Test Name: Creatinine serum; Result Unstructured Data: 0.75 Normal value low: 0.50 mg/dL Normal value high: 1.30 mg/dL; Test Date: 20211214; Test Name: Creatinine serum; Result Unstructured Data: 0.74 Normal value low: 0.50 mg/dL Normal value high: 1.30 mg/dL; Test Date: 20211128; Test Name: Glucose serum; Result Unstructured Data: 192 Normal value low: 74 mg/dL Normal value high: 99 mg/dL; Test Date: 20211201; Test Name: Glucose serum; Result Unstructured Data: 139 Normal value low: 74 mg/dL Normal value high: 99 mg/dL; Test Date: 20211201; Test Name: Magnesium serum; Result Unstructured Data: 1.80 Normal value low: 1.60 mg/dL Normal value high: 2.40 mg/dL; Test Date: 20211122; Test Name: Potassium serum; Result Unstructured Data: 3.60 Normal value low: 3.5 mmol/L Normal value high: 5.3 mmol/L; Test Date: 20211128; Test Name: Potassium serum; Result Unstructured Data: 4.00 Normal value low: 3.5 mmol/L Normal value high: 5.3 mmol/L; Test Date: 20211201; Test Name: Potassium serum; Result Unstructured Data: 3.60 Normal value low: 3.5 mmol/L Normal value high: 5.3 mmol/L; Test Date: 20211214; Test Name: Potassium serum; Result Unstructured Data: 3.60 Normal value low: 3.5 mmol/L Normal value high: 5.3 mmol/L; Test Date: 20211122; Test Name: Sodium serum; Result Unstructured Data: 135 Normal value low: 136 mmol/L Normal value high: 145 mmol/L; Test Date: 20211128; Test Name: Sodium serum; Result Unstructured Data: 136 Normal value low: 136 mmol/L Normal value high: 145 mmol/L; Test Date: 20211201; Test Name: Sodium serum; Result Unstructured Data: 136 Normal value low: 136 mmol/L Normal value high: 145 mmol/L; Test Date: 20211122; Test Name: Blood urea nitrogen serum; Result Unstructured Data: 19 Normal value low: 6 mg/dL Normal value high: 23 mg/dL; Test Date: 20211128; Test Name: Blood urea nitrogen serum; Result Unstructured Data: 19 Normal value low: 6 mg/dL Normal value high: 23 mg/dL; Test Date: 20211201; Test Name: Blood urea nitrogen serum; Result Unstructured Data: 23 Normal value low: 6 mg/dL Normal value high: 23 mg/dL; Test Date: 20211214; Test Name: Blood urea nitrogen serum; Result Unstructured Data: 13 Normal value low: 6 mg/dL Normal value high: 23 mg/dL; Test Name: Body temperature; Result Unstructured Data: 101 degree Farenheit; Test Date: 20211121; Test Name: Chest x-ray; Result Unstructured Data: normal; Test Date: 20211128; Test Name: Chest x-ray; Result Unstructured Data: Probable bilateral pneumonia, potentially COVID-19; Test Date: 20211201; Test Name: CT Scan; Result Unstructured Data: abnormal; Test Date: 20211128; Test Name: ECG; Result Unstructured Data: Right bundle branch block; Test Date: 20211201; Test Name: ECG; Result Unstructured Data: normal; Test Date: 20211128; Test Name: P-R interval; Test Result: Inconclusive ; Result Unstructured Data: 164 ms; Test Date: 20211201; Test Name: P-R interval; Test Result: Inconclusive ; Result Unstructured Data: 162 ms; Test Date: 20211128; Test Name: QRS Duration; Test Result: Inconclusive ; Result Unstructured Data: 154 ms; Test Date: 20211201; Test Name: QRS Duration; Test Result: Inconclusive ; Result Unstructured Data: 160 ms; Test Date: 20211128; Test Name: Q-T interval; Test Result: Inconclusive ; Result Unstructured Data: 486 ms; Test Date: 20211201; Test Name: Q-T interval; Test Result: Inconclusive ; Result Unstructured Data: 482 ms; Test Date: 20211128; Test Name: Eosinophil; Result Unstructured Data: 0.80 Normal value low: 0.0 % Normal value high: 6.0 %; Test Date: 20211201; Test Name: Eosinophil; Result Unstructured Data: 1.80 Normal value low: 0.0 % Normal value high: 6.0 %; Test Date: 20211128; Test Name: Eosinophil count; Result Unstructured Data: 0.06 Normal value low: 0.00*10E9/L Normal value high: 0.40*10E9/L; Test Date: 20211201; Test Name: Eosinophil count; Result Unstructured Data: 0.16 Normal value low: 0.00*10E9/L Normal value high: 0.40*10E9/L; Test Date: 20211201; Test Name: D-Dimer; Result Unstructured Data: 1705 ng/mL; Test Date: 20211122; Test Name: GFR; Result Unstructured Data: >60 mL/min/1.73m^2; Test Date: 20211128; Test Name: GFR; Result Unstructured Data: >60 mL/min/1.73m^2; Test Date: 20211201; Test Name: GFR; Result Unstructured Data: >60 mL/min/1.73m^2; Test Date: 20211122; Test Name: GFR; Result Unstructured Data: >60 mL/min/1.73m^2; Test Date: 20211128; Test Name: GFR; Result Unstructured Data: >60 mL/min/1.73m^2; Test Date: 20211201; Test Name: GFR; Result Unstructured Data: >60 mL/min/1.73m^2; Test Date: 20211122; Test Name: Hematocrit; Result Unstructured Data: 40.40 Normal value low: 41.0 % Normal value high: 52.0 %; Test Date: 20211128; Test Name: Hematocrit; Result Unstructured Data: 39.90 Normal value low: 41.0 % Normal value high: 52.0 %; Test Date: 20211201; Test Name: Hematocrit; Result Unstructured Data: 37.40 Normal value low: 41.0 % Normal value high: 52.0 %; Test Date: 20211122; Test Name: Hemoglobin; Result Unstructured Data: 13.50 Normal value low: 13.5 g/dL Normal value high: 17.5 g/dL; Test Date: 20211128; Test Name: Hemoglobin; Result Unstructured Data: 13.10 Normal value low: 13.5 g/dL Normal value high: 17.5 g/dL; Test Date: 20211201; Test Name: Hemoglobin; Result Unstructured Data: 12.80 Normal value low: 13.5 g/dL Normal value high: 17.5 g/dL; Test Name: Hepatic Enzyme; Result Unstructured Data: liver enzymes are up; Test Date: 20211128; Test Name: Immature Granulocytes; Result Unstructured Data: 2.40 Normal value low: 0.0 % Normal value high: 0.9 %; Test Date: 20211201; Test Name: Immature Granulocytes; Result Unstructured Data: 2.10 Normal value low: 0.0 % Normal value high: 0.9 %; Test Date: 20211128; Test Name: Lymphocyte; Result Unstructured Data: 15.20 Normal value low: 13 % Normal value high: 44 %; Test Date: 20211201; Test Name: Lymphocyte; Result Unstructured Data: 8.30 Normal value low: 13 % Normal value high: 44 %; Test Date: 20211128; Test Name: Lymphocyte count; Result Unstructured Data: 1.10 Normal value low: 0.80*10E9/L Normal value high: 3.00*10E9/L; Test Date: 20211201; Test Name: Lymphocyte count; Result Unstructured Data: 0.72 Normal value low: 0.80*10E9/L Normal value high: 3.00*10E9/L; Test Date: 20211122; Test Name: MCHC; Result Unstructured Data: 33.40 Normal value low: 32.0 g/dL Normal value high: 36.0 g/dL; Test Date: 20211128; Test Name: MCHC; Result Unstructured Data: 32.80 Normal value low: 32.0 g/dL Normal value high: 36.0 g/dL; Test Date: 20211201; Test Name: MCHC; Result Unstructured Data: 34 Normal value low: 32.0 g/dL Normal value high: 36.0 g/dL; Test Date: 20211122; Test Name: MCV; Result Unstructured Data: 88.00 Normal value low: 80 ft Normal value high:100 ft; Test Date: 20211128; Test Name: MCV; Result Unstructured Data: 88.00 Normal value low: 80 ft Normal value high:100 ft; Test Date: 20211201; Test Name: MCV; Result Unstructured Data: 85 Normal value low: 80 ft Normal value high:100 ft; Test Date: 20211128; Test Name: Monocyte; Result Unstructured Data: 10.20 Normal value low: 2 % Normal value high: 10 %; Test Date: 20211201; Test Name: Monocyte; Result Unstructured Data: 8.20 Normal value low: 2 % Normal value high: 10 %; Test Date: 20211128; Test Name: Monocyte count; Result Unstructured Data: 0.74 Normal value low: 0.05*10E9/L Normal value high: 0.80*10E9/L; Test Date: 20211201; Test Name: Monocyte count; Result Unstructured Data: 0.71 Normal value low: 0.05*10E9/L Normal value high: 0.80*10E9/L; Test Date: 20211128; Test Name: Neutrophil; Result Unstructured Data: 71.10 Normal value low: 40 % Normal value high: 80 %; Test Date: 20211201; Test Name: Neutrophil; Result Unstructured Data: 79.40 Normal value low: 40 % Normal value high: 80 %; Test Date: 20211128; Test Name: Neutrophil count; Result Unstructured Data: 5.14 Normal value low: 1.60*10E9/L Normal value high: 5.50*10E9/L; Test Date: 20211201; Test Name: Neutrophil count; Result Unstructured Data: 6.92 Normal value low: 1.60*10E9/L Normal value high: 5.50*10E9/L; Test Name: Oxygen; Result Unstructured Data: 84-94%; Test Date: 20211122; Test Name: Platelet count; Result Unstructured Data: 108 Normal value low: 150*10E9/L Normal value high: 450*10E9/L; Test Date: 20211128; Test Name: Platelet count; Result Unstructured Data: 256 Normal value low: 150*10E9/L Normal value high: 450*10E9/L; Test Date: 20211201; Test Name: Platelet count; Result Unstructured Data: 420 Normal value low: 150*10E9/L Normal value high: 450*10E9/L; Test Date: 20211128; Test Name: Protein total serum; Result Unstructured Data: 6.30 Normal value low: 6.4 g/dL Normal value high: 8.2 g/dL; Test Date: 20211201; Test Name: Protein total serum; Result Unstructured Data: 6.20 Normal value low: 6.4 g/dL Normal value high: 8.2 g/dL; Test Date: 20211214; Test Name: Protein total serum; Result Unstructured Data: 7.40 Normal value low: 6.4 g/dL Normal value high: 8.2 g/dL; Test Date: 20211122; Test Name: Red blood cell count; Result Unstructured Data: 4.61 Normal value low: 4.50*10E12/L Normal value high: 5.90*10E12/L; Test Date: 20211128; Test Name: Red blood cell count; Result Unstructured Data: 4.52 Normal value low: 4.50*10E12/L Normal value high: 5.90*10E12/L; Test Date: 20211201; Test Name: Red blood cell count; Result Unstructured Data: 4.42 Normal value low: 4.50*10E12/L Normal value high: 5.90*10E12/L; Test Date: 20211122; Test Name: RDW-CV; Result Unstructured Data: 13.70 Normal value low: 11.5 % Normal value high: 14.5 %; Test Date: 20211128; Test Name: RDW-CV; Result Unstructured Data: 13.40 Normal value low: 11.5 % Normal value high: 14.5 %; Test Date: 20211201; Test Name: RDW-CV; Result Unstructured Data: 13.40 Normal value low: 11.5 % Normal value high: 14.5 %; Test Date: 20211121; Test Name: SARS-CoV-2 test; Test Result: Positive ; Result Unstructured Data: Positive; Test Date: 20211122; Test Name: White blood cell count; Result Unstructured Data: 3.30 Normal value low: 4.4*10E9/L Normal value high: 11.3*10E9/L; Test Date: 20211128; Test Name: White blood cell count; Result Unstructured Data: 7.20 Normal value low: 4.4*10E9/L Normal value high: 11.3*10E9/L
Aktuelle Erkrankungen
Bradycardia (Cardiovascular disease); Obesity (Obesity); Type 2 diabetes mellitus (Type 2 Diabetes)
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2050930

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
KY
Alter
58,0
Geschlecht
F
Eingang
20.01.2022
Impfdatum
14.01.2021
Beginn
14.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
- / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Fatigue Feeling abnormal Hypertension Somnolence

Symptomtext

I had really high blood pressure. That afternoon I got real sleepy and tired and the day after. My BP was 210/100 plus. Pill to take as needed to get it down. I had never had any issues with my blood pressure. I am hesitant to get another vaccine for fear of a stroke. I also had COVID-19 in November of 2020. I have not been the same since receiving the vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypertension
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
Fibromyalgia
Andere Medikamente
Cymbalta Atenolol daily vitamins
Allergien
Lortab sulfa Levaquin
Vorherige Impfungen
-

VAERS 2043332

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
74,0
Geschlecht
M
Eingang
18.01.2022
Impfdatum
14.01.2021
Beginn
08.01.2022
Tage bis Beginn
359,0
Dosis
1
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Atrial fibrillation Blood test Cardiac ablation Cardioversion Condition aggravated Electrocardiogram Urine analysis

Symptomtext

I use Kardia device with my cellular device which checks my heart's sinus rhythm. On 01/08 it was noted I had a Afib issue and this is the 3rd of 3 instances that my device alerted me to. The others in July and September and I talked to members of the cardiology dept. at the clinic. After the second in Sept. It was suggested a 2nd ablation treatment which was performed in Nov. This time the cardiology team suggested a Cardioversion. Scheduled for this Friday 01/21.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
Blood work, EKG, ECG, Urine sample (Date and results to be filled later with doctor, does not have at this time).
Aktuelle Erkrankungen
None
Vorgeschichte
Environmental Allergy; Spondylolisthesis; Barrett's Esophagus; Atrial fibrillation
Andere Medikamente
Dexilant; Xarelto; Rapaflo; amlodipine; metoprolol; rosuvastatin; Members Mark probiotic; biotin; B12; Equate multivitamin 50+
Allergien
Sulfa; clindamycin; budesonide
Vorherige Impfungen
-

VAERS 2028656

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
KY
Alter
77,0
Geschlecht
M
Eingang
12.01.2022
Impfdatum
09.02.2021
Beginn
31.12.2021
Tage bis Beginn
325,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
COVID-19 Chest X-ray abnormal Exposure to SARS-CoV-2 Fall Hypoxia Oxygen saturation decreased Pneumonia Pneumothorax Rib fracture SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

HOSPITALIZED BREAKTHROUGH CASE VACCINATED WITH MODERNA ON 1-12-21 AND 2-9-21. SYMPTOMS-HYPOXIA EXPOSURES-WIFE ALSO TESTED POSITIVE FOR COVID ON 12-31-21 HE WAS TAKEN TO THE ER AFTER A FALL AT HOME. HE HAD FRACTURED RIBS AND A PNEUMOTHORAX. AFTER HIS OXYGEN LEVELS DROPPED, HE WAS TESTED FO COVID AND FOUND TO BE POSITIVE.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pneumonia
Hospital-Tage
-
Labordaten
CXR-PNEUMONIA, PNEUMOTHORAX AND FRACTURED RIBS COVID PCR TEST-POSITIVE
Aktuelle Erkrankungen
UNKNOWN
Vorgeschichte
COPD, CHF, ANEMIA, EPILEPSY, HTN, CAD, FORMER SMOKER, LUNG CANCER
Andere Medikamente
UNKNOWN
Allergien
UNKNOWN
Vorherige Impfungen
-

VAERS 2017938

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
CA
Alter
90,0
Geschlecht
M
Eingang
08.01.2022
Impfdatum
08.01.2021
Beginn
04.01.2022
Tage bis Beginn
361,0
Dosis
2
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Freezing phenomenon Myalgia Tremor

Symptomtext

Shaking violently for 4 hours, after booster/Thought he was having a seizure, after booster; Freezing after booster; Body ache from the top of his head to the bottom of his toes after booster; This spontaneous case was reported by a consumer and describes the occurrence of TREMOR (Shaking violently for 4 hours, after booster/Thought he was having a seizure, after booster), FREEZING PHENOMENON (Freezing after booster) and MYALGIA (Body ache from the top of his head to the bottom of his toes after booster) in a 90-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 028K21A, 039K20A and 013M20A) for COVID-19 vaccination. The patient's past medical history included Open heart surgery (Open Heart Surgery 10 years ago.). On 08-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 03-Jan-2022, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 04-Jan-2022, the patient experienced TREMOR (Shaking violently for 4 hours, after booster/Thought he was having a seizure, after booster), FREEZING PHENOMENON (Freezing after booster) and MYALGIA (Body ache from the top of his head to the bottom of his toes after booster). The patient was treated with PARACETAMOL (TYLENOL A) for Adverse event, at an unspecified dose and frequency. At the time of the report, TREMOR (Shaking violently for 4 hours, after booster/Thought he was having a seizure, after booster), FREEZING PHENOMENON (Freezing after booster) and MYALGIA (Body ache from the top of his head to the bottom of his toes after booster) outcome was unknown. No any concomitant medications were reported. Patient had Pacemaker on 2019. Patient does not had a medical history of seizures.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Tremor
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: Open heart surgery (Open Heart Surgery 10 years ago.)
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2001155

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
NH
Alter
47,0
Geschlecht
M
Eingang
04.01.2022
Impfdatum
20.04.2021
Beginn
21.04.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: ja
Computerised tomogram Migraine

Symptomtext

After my dose, I began experiencing a severe migraine headache so I contacted my PCP who suggested I go to the emergency room. At the ER, they gave me a CT scan to make sure I wasn't experiencing a stroke or aneurism. They then gave me migraine medication and gave me fluids to help reduce the migraine pain and prescribed me migraine medication to take at home for the next week and if the migraines were to return after being discharged.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Migraine
Hospital-Tage
1,0
Labordaten
CT scan--04/21/2021
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
N/A
Allergien
N/A
Vorherige Impfungen
-

VAERS 1989717

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
72,0
Geschlecht
F
Eingang
29.12.2021
Impfdatum
12.02.2021
Beginn
17.02.2021
Tage bis Beginn
5,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Cardiac monitoring normal Echocardiogram normal Fatigue Palpitations Somnolence

Symptomtext

heart palpitations (approx 5 weeks duration), extreme fatigue (approx 1 week duration), somnolence (approx 1 week duration),

Weitere VAERSDATA-Felder
Praegender Schweregrund
Palpitations
Hospital-Tage
-
Labordaten
echocardiogram ( March 12, 2021) 2 week heart monitor Mar-Apr 2021) MD said results were normal
Aktuelle Erkrankungen
-
Vorgeschichte
chronic ulcerative colitis
Andere Medikamente
mercaptopurine, remicade, levothyroxine, spironolactone, hrt
Allergien
pcn, sulfa
Vorherige Impfungen
-

VAERS 2525139

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
-
Alter
58,0
Geschlecht
F
Eingang
28.12.2021
Impfdatum
30.12.2020
Beginn
27.01.2021
Tage bis Beginn
28,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Anaphylactoid reaction Chills Diarrhoea Feeling abnormal Headache Local reaction Pain Palpitations Pruritus Respiration abnormal Skin warm Swelling Tachycardia Urticaria Vomiting

Symptomtext

UrticariaPruritus & Palpitations Narrative: Tachycardia after 1st vaccine, fuzzy head, weird breathing, developed a hive on her face. These side effects lasted several hours after vaccination. She later developed a localized reaction, a palm-sized, large bump that was hot. This lasted days. On January 3rd she developed another hive, on her face, about the size of a large nickels The She took Benadryl. The next day she developed diarrhea, vomiting, body aches, HA, and chills that lasted 2 days. Because of the anaphylactic-type symptoms (racing heart, weird breathing, hives) it was recommended that she not get the second COVID shot. Despite this, she was fully vaccinated with second dose on 1/27/2021/

Weitere VAERSDATA-Felder
Praegender Schweregrund
Palpitations
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2525070

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
-
Alter
42,0
Geschlecht
F
Eingang
28.12.2021
Impfdatum
17.05.2021
Beginn
28.04.2021
Tage bis Beginn
-
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
COVID-19 Chills Dyspnoea exertional Exposure to SARS-CoV-2 Fatigue Headache Oropharyngeal pain SARS-CoV-2 test positive

Symptomtext

Reported positive COVID test more than 2 weeks past second COVID vax Narrative: Employee developed COVID about 3 months after second Moderna vaccination. Symptoms were mild, DOE, mild HA, fatigue, sore throat, and intermittent chills. She reported exposure to known positive COVID patient.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea exertional
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1985174

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
69,0
Geschlecht
F
Eingang
28.12.2021
Impfdatum
31.08.2021
Beginn
23.12.2021
Tage bis Beginn
114,0
Dosis
1
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Condition aggravated Dyspnoea Dysuria Pyrexia SARS-CoV-2 test positive Urinary tract infection

Symptomtext

Patient received the third Moderna COVID vaccine in August 2021. She has had an ongoing UTI for the last 6 weeks. She also noticed shortness of breath, and low-grade fever, so she tested the covid home test, which resulted in a positive on 12/22/21. She came to the ED for dysuria, and she was admitted to the hospital on 12/23/21. She was given Meropenem, Vancomycin, and Micafungin for UTI. She was also on IV steroids while hospitalized. She was discharged home on 12/27/21.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
5,0
Labordaten
SARS CoV 2 PCR COVID19 detected on 12/23/21
Aktuelle Erkrankungen
-
Vorgeschichte
Wegners disease, colonic fistula, cystocele, Rectocele, cirrhosis, DM, UTI, Hypogammaglobulinemia on IVIG
Andere Medikamente
-
Allergien
Ceclor, Ambisome, Dilaudid, Doxycyline, Humalog, Levemir, PCN,
Vorherige Impfungen
-

VAERS 1981782

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
66,0
Geschlecht
F
Eingang
27.12.2021
Impfdatum
04.02.2021
Beginn
22.12.2021
Tage bis Beginn
321,0
Dosis
1
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Dyspnoea Exposure to SARS-CoV-2 Fatigue Headache Hypertension Oxygen saturation decreased Productive cough Pyrexia SARS-CoV-2 test positive

Symptomtext

Patient completed two Moderna vaccines in February 2021. She developed a productive cough, fatigue, headache, and fever after exposure to her positive family member. She used home covid test and resulted positive on 12/20/21. Her symptoms were not improving, and she noted low oxygen saturation at home. She came to ED on 12/22/21 and was admitted for shortness of breath and hypertension. She received one dose of Remdesivir and IV/PO steroids. She stayed afebrile and hemodynamically stable. She was discharged home with home oxygen on 12/24/21.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
3,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
HTN, hypercholestrolemia, Hx of cancer of larynx, Hypothyroidism, GERD, Osteopenia, Asthma
Andere Medikamente
-
Allergien
contrast dye, iodine
Vorherige Impfungen
-

VAERS 2544407

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
-
Alter
58,0
Geschlecht
F
Eingang
17.12.2021
Impfdatum
29.01.2021
Beginn
29.01.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Angina pectoris Balance disorder Chest pain Chills Dizziness Ear pain Electrocardiogram abnormal Fatigue Headache Impaired work ability Myalgia Nausea Pain in extremity Ultrasound Doppler normal Vomiting

Symptomtext

Dizziness, Headache, Myalgia, NauseaVomiting, Angina, EAR PAIN OFF BALANCE Narrative: PT WAS OUT OF WORK FOR OVER 4 MONTHS. PER THE PT: CHILLS,FATIGUE,HA,EAR ACHE, NAUSEA,DIZZINESS AND OFF BALANCE DAY 2 THROUGH WEEK 18. CHEST PAIN AND LEFT LEG PAIN SENT HER TO THE ER. EKG AND U/S WERE COMPLETED. EKG WAS ABNORMAL BUT U/S NEGATIVE FOR DVT.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1950725

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
73,0
Geschlecht
F
Eingang
15.12.2021
Impfdatum
09.01.2021
Beginn
01.01.2021
Tage bis Beginn
-
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Asthenia Migraine Musculoskeletal stiffness Tremor

Symptomtext

ended up in bed/Weak; Shaky; Migraines/ triggering migraines that took weeks to go away; stiffness went up her arm to the back of her head; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (ended up in bed/Weak), TREMOR (Shaky), MIGRAINE (Migraines/ triggering migraines that took weeks to go away) and MUSCULOSKELETAL STIFFNESS (stiffness went up her arm to the back of her head) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. The patient's past medical history included Migraine (She states she's had migraines since she was 30 years old.). Concurrent medical conditions included Thinking abnormal NOS. On 09-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In January 2021, the patient experienced ASTHENIA (ended up in bed/Weak), TREMOR (Shaky), MIGRAINE (Migraines/ triggering migraines that took weeks to go away) and MUSCULOSKELETAL STIFFNESS (stiffness went up her arm to the back of her head). The patient was treated with PARACETAMOL (TYLENOL [PARACETAMOL]) at an unspecified dose and frequency. At the time of the report, ASTHENIA (ended up in bed/Weak), TREMOR (Shaky), MIGRAINE (Migraines/ triggering migraines that took weeks to go away) and MUSCULOSKELETAL STIFFNESS (stiffness went up her arm to the back of her head) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications was provided. The patient received her Moderna booster (lot 051F21A) on 10Nov2021 in right arm. The patient received second dose (lot 029K20A) on 06Feb2021 in right arm and Moderna booster (lot 051F21A) on 10Nov2021 in right. The patient stated she had brain fog, but she doesn't remember whether it started after the first or second dose. She could not think straight. She states the brain fog has improved slowly,but she is not back to what she was before the first dose. She was so debilitated that she was in bed for months. It wasn't until evening that she could get out of bed. The patient states she does not know if anything could be done. She stated she was totally not functional she was still weak. She was scared to take another Moderna shot in the future. This case was linked to MOD-2021-409950, MOD-2021-410013 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 15-Nov-2021: Significant follow up events updated

Weitere VAERSDATA-Felder
Praegender Schweregrund
Migraine
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Thinking abnormal NOS
Vorgeschichte
Medical History/Concurrent Conditions: Migraine (She states she's had migraines since she was 30 years old.)
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1897320

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
66,0
Geschlecht
M
Eingang
13.12.2021
Impfdatum
04.01.2021
Beginn
04.01.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: unbekannt Erholt: nein
Arthralgia Bone pain Bursa disorder Immediate post-injection reaction Injected limb mobility decreased Bursitis Magnetic resonance imaging abnormal Injection site pain Joint injection Product administered at inappropriate site

Symptomtext

Client reports shoulder pain post 1/4/2021 vaccination. Reports continues up to date of report 12/9/2021.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injected limb mobility decreased
Hospital-Tage
-
Labordaten
Client reports MRI with finding of bursitis.
Aktuelle Erkrankungen
None reported.
Vorgeschichte
Unknown
Andere Medikamente
Unknown
Allergien
Reported none.
Vorherige Impfungen
-

VAERS 1938990

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
77,0
Geschlecht
M
Eingang
10.12.2021
Impfdatum
28.12.2020
Beginn
27.01.2021
Tage bis Beginn
30,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Body temperature Mobility decreased Myalgia Pyrexia Vaccination site erythema Vaccination site swelling

Symptomtext

Could not move the left arm after 2nd shot; Swollen deltoid muscle left arm after 2nd shot; Generalized body ache after 2nd shot; Redness at site of injection after 2nd shot; Fever low grade 100.1 F after 2nd shot; This spontaneous case was reported by a physician and describes the occurrence of MOBILITY DECREASED (Could not move the left arm after 2nd shot), VACCINATION SITE SWELLING (Swollen deltoid muscle left arm after 2nd shot), MYALGIA (Generalized body ache after 2nd shot), VACCINATION SITE ERYTHEMA (Redness at site of injection after 2nd shot) and PYREXIA (Fever low grade 100.1 F after 2nd shot) in a 78-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029K20A and 039K20A) for COVID-19 vaccination. No Medical History information was reported. On 28-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 27-Jan-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 27-Jan-2021, the patient experienced MOBILITY DECREASED (Could not move the left arm after 2nd shot), VACCINATION SITE SWELLING (Swollen deltoid muscle left arm after 2nd shot), MYALGIA (Generalized body ache after 2nd shot), VACCINATION SITE ERYTHEMA (Redness at site of injection after 2nd shot) and PYREXIA (Fever low grade 100.1 F after 2nd shot). The patient was treated with PARACETAMOL (TYLENOL [PARACETAMOL]) for Adverse event, at an unspecified dose and frequency. On 29-Jan-2021, MOBILITY DECREASED (Could not move the left arm after 2nd shot), VACCINATION SITE SWELLING (Swollen deltoid muscle left arm after 2nd shot), MYALGIA (Generalized body ache after 2nd shot), VACCINATION SITE ERYTHEMA (Redness at site of injection after 2nd shot) and PYREXIA (Fever low grade 100.1 F after 2nd shot) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 27-Jan-2021, Body temperature: 100.1 (High) low grade fever 100.1 Fahrenheit. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medication list was not provided. After second shot, patient had a swollen deltoid muscle left arm, could not move the arm, generalized body ache, redness at site of injection and low grade fever 100.1 Fahrenheit. Patient took Tylenol and the reaction went away after 2 days. This case was linked to MOD-2021-406527, MOD-2021-406569 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mobility decreased
Hospital-Tage
-
Labordaten
Test Date: 20210127; Test Name: Body temperature; Result Unstructured Data: low grade fever 100.1 Fahrenheit
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1938836

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
OH
Alter
74,0
Geschlecht
M
Eingang
10.12.2021
Impfdatum
30.12.2020
Beginn
01.11.2021
Tage bis Beginn
306,0
Dosis
2
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 COVID-19 pneumonia Cough Diarrhoea Drug ineffective Hepatic enzyme abnormal Illness Oxygen saturation Pyrexia SARS-CoV-2 test Vomiting

Symptomtext

Bilateral covid pneumonia in his lungs; Ill; Can't keep fluids down; Drug ineffective; COVID-19; Little fever/fever started going up; coughing; diarrhea; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 PNEUMONIA (Bilateral covid pneumonia in his lungs) in a 75-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 034F21A, 039K20A and 026L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 30-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) (unknown route) dosage was changed to 1 dosage form. On 16-Nov-2021, received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In November 2021, the patient experienced COUGH (coughing) and DIARRHOEA (diarrhea). On 16-Nov-2021, the patient experienced PYREXIA (Little fever/fever started going up). On 21-Nov-2021, the patient experienced COVID-19 (COVID-19). On an unknown date, the patient experienced COVID-19 PNEUMONIA (Bilateral covid pneumonia in his lungs) (seriousness criterion medically significant), ILLNESS (Ill), VOMITING (Can't keep fluids down) and DRUG INEFFECTIVE (Drug ineffective). At the time of the report, COVID-19 PNEUMONIA (Bilateral covid pneumonia in his lungs), COUGH (coughing), DIARRHOEA (diarrhea) and ILLNESS (Ill) had not resolved and COVID-19 (COVID-19), PYREXIA (Little fever/fever started going up), VOMITING (Can't keep fluids down) and DRUG INEFFECTIVE (Drug ineffective) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 21-Nov-2021, SARS-CoV-2 test: positive (Positive) Positive. On an unknown date, Hepatic enzyme abnormal: abnormal (abnormal) liver enzymes are up. On an unknown date, Oxygen saturation: 84-94 (abnormal) 84-94%. Concomitant medications were not reported. No treatment information was provided by the reporter Company Comment: This spontaneous case concerns a 75 year old male with no medical history reported , who experienced , serious ( Medically Significant ) , unexpected AESI events of Covid 19 pneumonia which occurred on an unkown date in Nov. 2021 after vaccination with the 3rd dose of mRNA-1273 vaccine ( Moderna Covid 19 Vaccine ) . Also on an unknown date in Nov, 2021 , he experienced Serious ( Medically Significant ) , unexpected events of hepatic enzyme abnormality and vomiting after vaccination with the 3rd dose of mRNA-1273 vaccine . Additional event of Drug ineffective was also coded for this case . I it was noted that the patient patient made ER visit and it was suspected that he might already been infected upon receving the 3rd dose of the vaccine. The re-challenge for this case is not applicable since the events occurred after the 3rd dose and no additional doses will be given and also the outcome of the events was unknown. The age of the patient can be considered as a confounder for this case ( elderly population are vulnerable to Covid 19 infeciotn and its complications due to their altered immune response) The benefit -risk relationship of mRNA -1273 ( Moderna Covid 19 Vaccine) is not affected by this report. Most recent FOLLOW-UP information incorporated above includes: On 30-Nov-2021: Follow up received - Reporter details added On 30-Nov-2021: Follow up received - No New information; Sender's Comments: This spontaneous case concerns a 75 year old male with no medical history reported , who experienced , serious ( Medically Significant ) , unexpected AESI events of Covid 19 pneumonia which occurred on an unkown date in Nov. 2021 after vaccination with the 3rd dose of mRNA-1273 vaccine ( Moderna Covid 19 Vaccine ) . Also on an unknown date in Nov, 2021 , he experienced Serious ( Medically Significant ) , unexpected events of hepatic enzyme abnormality and vomiting after vaccination with the 3rd dose of mRNA-1273 vaccine . Additional event of Drug ineffective was also coded for this case . I it was noted that the patient patient made ER visit and it was suspected that he might already been infected upon receving the 3rd dose of the vaccine. The re-challenge for this case is not applicable since the events occurred after the 3rd dose and no additional doses will be given and also the outcome of the events was unknown. The age of the patient can be considered as a confounder for this case ( elderly population are vulnerable to Covid 19 infeciotn and its complications due to their altered immune response) The benefit -risk relationship of mRNA -1273 ( Moderna Covid 19 Vaccine) is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19 pneumonia
Hospital-Tage
-
Labordaten
Test Name: Hepatic Enzyme; Result Unstructured Data: liver enzymes are up; Test Name: Oxygen; Result Unstructured Data: 84-94%; Test Date: 20211121; Test Name: SARS-CoV-2 test; Test Result: Positive ; Result Unstructured Data: Positive
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2560430

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
-
Alter
42,0
Geschlecht
F
Eingang
06.12.2021
Impfdatum
29.12.2020
Beginn
29.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: ja
Angina pectoris Chest pain Electrocardiogram T wave abnormal Hypoaesthesia

Symptomtext

Angina severe chest pain, left leg numbness, T wave changes Narrative:

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1906261

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
IN
Alter
60,0
Geschlecht
F
Eingang
29.11.2021
Impfdatum
15.01.2021
Beginn
15.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: unbekannt Erholt: nein
Arthralgia Injected limb mobility decreased Injection site bruising Injection site nodule Injection site pain Injection site swelling Pain Pain in extremity X-ray limb normal

Symptomtext

I'm a provider and I never had any pain before to my Right arm until after this injection and now I it'll have right shoulder arm pain when was given I had a knot black and blue bruise with swelling that last over 2-3 months and now over 10 month later still painful arm radiates to shoulder and unable to move arm, with our pain had X-ray and shows no arthritis I feel it is a deep bruise type damage maybe causing damage to bursae ligaments or tendons.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injected limb mobility decreased
Hospital-Tage
-
Labordaten
xray was done of my right shoulder arm no arthritis normal X-ray , I have iced heat stretch and taken ibuprofen or Tylenol no help
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
none
Allergien
Sulfa
Vorherige Impfungen
-

VAERS 1891422

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
AZ
Alter
53,0
Geschlecht
M
Eingang
22.11.2021
Impfdatum
05.01.2021
Beginn
02.02.2021
Tage bis Beginn
28,0
Dosis
1
Route/Site
SYR / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood test Cardiac flutter Cardiac stress test Chest pain Dyspnoea Echocardiogram Electrocardiogram Fatigue Heart rate decreased Heart rate irregular

Symptomtext

I started to experience chest pains, shortness of breath(Easily Exhausted with minimal effort), low heart rate(40's bpm), irregular heart beat(Fluttering) on or around April 2021. I was not aware of the possibility that the vaccine I was given could have caused these new symptoms I was experiencing until I seen something on TV that explained some potential side effects, that is when I sought medical attention. I have been prescribed an additional medication called Metoprolol Tartrate.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
Stress test, EKG, Ultrasound of heart, blood work
Aktuelle Erkrankungen
none
Vorgeschichte
Hypertension
Andere Medikamente
Amlodipine Besylate, Telemisartan, Asprin
Allergien
none known
Vorherige Impfungen
-

VAERS 1884107

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

moderat
Staat
NJ
Alter
74,0
Geschlecht
M
Eingang
19.11.2021
Impfdatum
06.02.2021
Beginn
11.11.2021
Tage bis Beginn
278,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chills Dyspnoea Oropharyngeal pain Pyrexia

Symptomtext

Sore throat, 12 hours after the vaccine,very painful sore throat, still haves it.; And when they take large breaths, deep breaths, it hurts; Last night, was horrible, they had fever and chills, and all seem to be gone this mooring; Last night, was horrible, they had fever and chills, and all seem to be gone this mooring; This spontaneous case was reported by a consumer and describes the occurrence of OROPHARYNGEAL PAIN (Sore throat, 12 hours after the vaccine,very painful sore throat, still haves it.), DYSPNOEA (And when they take large breaths, deep breaths, it hurts), PYREXIA (Last night, was horrible, they had fever and chills, and all seem to be gone this mooring) and CHILLS (Last night, was horrible, they had fever and chills, and all seem to be gone this mooring) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 034f22a and 039k20a) for COVID-19 vaccination. Concurrent medical conditions included Drug allergy (allergic to aspirin) and Penicillin allergy. On 06-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 11-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 11-Nov-2021, the patient experienced PYREXIA (Last night, was horrible, they had fever and chills, and all seem to be gone this mooring) and CHILLS (Last night, was horrible, they had fever and chills, and all seem to be gone this mooring). On 12-Nov-2021, the patient experienced OROPHARYNGEAL PAIN (Sore throat, 12 hours after the vaccine,very painful sore throat, still haves it.) and DYSPNOEA (And when they take large breaths, deep breaths, it hurts). On 12-Nov-2021, PYREXIA (Last night, was horrible, they had fever and chills, and all seem to be gone this mooring) and CHILLS (Last night, was horrible, they had fever and chills, and all seem to be gone this mooring) had resolved. At the time of the report, OROPHARYNGEAL PAIN (Sore throat, 12 hours after the vaccine,very painful sore throat, still haves it.) had not resolved and DYSPNOEA (And when they take large breaths, deep breaths, it hurts) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. Treatment medications were not provided by the reporter.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Drug allergy (allergic to aspirin); Penicillin allergy
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1877291

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20A

moderat
Staat
FL
Alter
43,0
Geschlecht
F
Eingang
17.11.2021
Impfdatum
31.12.2020
Beginn
22.02.2021
Tage bis Beginn
53,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Antinuclear antibody Cardiac stress test Catheterisation cardiac Chest pain Dizziness Dysphagia Dyspnoea Echocardiogram Electromyogram Erythema Laboratory test Magnetic resonance imaging head Magnetic resonance imaging spinal Muscular weakness Nerve conduction studies Nervousness Palpitations Skin burning sensation

Symptomtext

heart palpitations, tachycardia, chest pain, shortness of breath, dizziness, muscle weakness, internal shaking, blurry vision, tremors, ringing in ears, trouble swallowing, skin burning and turns red on face, neck and chest.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
1,0
Labordaten
stress test, echocardiogram, left heart cath, brain and cervical spine MRI, EMG/nerve conduction studies on hands and feet, multiple labs to check for thyroid issues, ANA, and many other labs.
Aktuelle Erkrankungen
none
Vorgeschichte
uterine fibroids
Andere Medikamente
multivitamin
Allergien
none
Vorherige Impfungen
-

VAERS 1872496

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
NY
Alter
74,0
Geschlecht
F
Eingang
16.11.2021
Impfdatum
09.02.2021
Beginn
10.02.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Ageusia Anaemia Asthenia Blood test Colonoscopy Connective tissue disorder Decreased appetite Endoscopy Haematocrit Immune system disorder Iron metabolism disorder Joint swelling Nausea Paraesthesia Peripheral swelling Platelet count Vitamin B12 deficiency Weight decreased

Symptomtext

I can't use my fingers, they are swollen, look like sausages; 24-hour tingling in fingers; Ankles are also swollen; It destroyed my immune system; My body doesn't absorb iron or vitamin B12; My body doesn't absorb iron; Connective tissue disease; loss of appetite; loss of taste; started losing weight; very weak; nausea; I developed Anemia; This spontaneous case was reported by a consumer and describes the occurrence of CONNECTIVE TISSUE DISORDER (Connective tissue disease), PERIPHERAL SWELLING (I can't use my fingers, they are swollen, look like sausages), PARAESTHESIA (24-hour tingling in fingers), JOINT SWELLING (Ankles are also swollen) and IMMUNE SYSTEM DISORDER (It destroyed my immune system) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 039K20A and 013L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included H.pylori gastrointestinal disease, Urinary infection and Blood loss anemia. Previously administered products included for Product used for unknown indication: Levothyroxine (50 mcg and Tablet.) from 01-Jul-2019 to 15-Oct-2021. Past adverse reactions to the above products included No adverse event with Levothyroxine. Concurrent medical conditions included Hypothyroidism since 01-Jul-2019 and Osteoarthritis. Concomitant products included COLECALCIFEROL (D3) from 01-Jun-2016 to an unknown date, PYRIDOXINE HYDROCHLORIDE (B6) from 01-Jun-2016 to an unknown date and LEVOTHYROXINE from 15-Oct-2021 to an unknown date for an unknown indication. On 09-Feb-2021 at 9:15 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 10-Mar-2021 at 9:30 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 10-Feb-2021, the patient experienced ANAEMIA (I developed Anemia), DECREASED APPETITE (loss of appetite), AGEUSIA (loss of taste), WEIGHT DECREASED (started losing weight), ASTHENIA (very weak) and NAUSEA (nausea). On 11-Oct-2021, the patient experienced CONNECTIVE TISSUE DISORDER (Connective tissue disease). On an unknown date, the patient experienced PERIPHERAL SWELLING (I can't use my fingers, they are swollen, look like sausages), PARAESTHESIA (24-hour tingling in fingers), JOINT SWELLING (Ankles are also swollen), IMMUNE SYSTEM DISORDER (It destroyed my immune system), VITAMIN B12 DEFICIENCY (My body doesn't absorb iron or vitamin B12) and IRON METABOLISM DISORDER (My body doesn't absorb iron). The patient was treated with IBUPROFEN ongoing since an unknown date for Pain, at a dose of 600 mg twice a day; METHOTREXATE (oral) at a dose of 2.5 mg once a week and FOLIC ACID at a dose of 1 mg. At the time of the report, CONNECTIVE TISSUE DISORDER (Connective tissue disease), ANAEMIA (I developed Anemia), DECREASED APPETITE (loss of appetite), AGEUSIA (loss of taste), WEIGHT DECREASED (started losing weight), ASTHENIA (very weak) and NAUSEA (nausea) had not resolved and PERIPHERAL SWELLING (I can't use my fingers, they are swollen, look like sausages), PARAESTHESIA (24-hour tingling in fingers), JOINT SWELLING (Ankles are also swollen), IMMUNE SYSTEM DISORDER (It destroyed my immune system), VITAMIN B12 DEFICIENCY (My body doesn't absorb iron or vitamin B12) and IRON METABOLISM DISORDER (My body doesn't absorb iron) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In March 2021, Colonoscopy: negative (Negative) Negative. In March 2021, Endoscopy: negative (Negative) Negative. In March 2021, Haematocrit: low (Low) Hematocrit was found to be low.. In March 2021, Platelet count: high (High) The platelet count was doubled.. On 16-Mar-2021, Blood test: iron deficiency anemia (Low) iron deficiency anemia. In October 2021, Blood test: negative (Negative) Negative. mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) dosing remained unchanged. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. The last Rheumatologist diagnosed connective tissue disease which is so rare that shouldn't happen to someone 75 years old, as it happens to much younger women, sometimes to kids, as reported by the patient. There is no medicine or cure for the disease, it doesn't go into remission, it's terminal. The patient couldn't use his fingers, they were swollen, look like sausages and had 24-hour tingling. Ankles were also swollen. The patient strongly believe it's due to the vaccine. It destroyed his immune system. The patient developed Anemia, which didn't have before and his body doesn't absorb iron or vitamin B12, as reported. This case concerns a 74-year-old, female patient with medical history of H.pylori gastrointestinal disease, Urinary infection, Blood loss anemia, hypothyroidism and osteoarthritis, who experienced the unexpected events of connective tissue disorder, peripheral swelling, immune system disorder, anemia, decreased appetite, ageusia, weight decreased, asthenia, joint swelling, iron metabolism disorder, vitamin B12 deficiency, and paresthesia and expected event of nausea. The events of anemia, decreased appetite, ageusia, weight decreased asthenia and nausea occurred approximately 1 day after the first dose of mRNA-1273, the event of connective tissue disorder was diagnosed 6 and a half months following the second dose while the onset date for the rest of the events is unclear. The rechallenge not applicable as events occurred following second dose and outcome of events was unknown. The reporter assessed the events as related to the product. The above mentioned medical history remains a confounder. The patient was diagnosed with unspecified connective tissue disease which could have contributed to development of the rest of the symptoms described. The benefit-risk relationship of mRNA-1273 is not affected by this report. This case was linked to MOD-2021-374240 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 08-Nov-2021: Follow up received: Contains Patient race, Height, Weight, Concomitants, Events and Sender's comment updated.; Sender's Comments: This case concerns a 74-year-old, female patient with medical history of H.pylori gastrointestinal disease, Urinary infection, Blood loss anemia, hypothyroidism and osteoarthritis, who experienced the unexpected events of connective tissue disorder, peripheral swelling, immune system disorder, anemia, decreased appetite, ageusia, weight decreased, asthenia, joint swelling, iron metabolism disorder, vitamin B12 deficiency, and paresthesia and expected event of nausea. The events of anemia, decreased appetite, ageusia, weight decreased asthenia and nausea occurred approximately 1 day after the first dose of mRNA-1273, the event of connective tissue disorder was diagnosed 6 and a half months following the second dose while the onset date for the rest of the events is unclear. The rechallenge not applicable as events occurred following second dose and outcome of events was unknown. The reporter assessed the events as related to the product. The above mentioned medical history remains a confounder. The patient was diagnosed with unspecified connective tissue disease which could have contributed to development of the rest of the symptoms described. The benefit-risk relationship of mRNA-1273 is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
Test Date: 20210316; Test Name: Blood test; Result Unstructured Data: iron deficiency anemia; Test Date: 202110; Test Name: Blood test; Test Result: Negative ; Result Unstructured Data: Negative; Test Date: 202103; Test Name: Colonoscopy; Test Result: Negative ; Result Unstructured Data: Negative; Test Date: 202103; Test Name: Endoscopy; Test Result: Negative ; Result Unstructured Data: Negative; Test Date: 202103; Test Name: Hematocrit; Result Unstructured Data: Hematocrit was found to be low.; Test Date: 202103; Test Name: platelet count; Result Unstructured Data: The platelet count was doubled.
Aktuelle Erkrankungen
Hypothyroidism; Osteoarthritis
Vorgeschichte
Medical History/Concurrent Conditions: Blood loss anemia; H.pylori gastrointestinal disease; Urinary infection
Andere Medikamente
D3; B6; LEVOTHYROXINE
Allergien
-
Vorherige Impfungen
-

VAERS 1869552

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
51,0
Geschlecht
F
Eingang
15.11.2021
Impfdatum
05.01.2021
Beginn
11.01.2021
Tage bis Beginn
6,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chills Condition aggravated Extra dose administered Muscle spasms Pain Pyrexia

Symptomtext

One week after my first vaccine, I broke out in hives all over my body. After my second dose, I developed left upper arm muscle spasms and cramps, which have not gone away. 3rd dose (booster) fever, chills body aches and left arm spasms.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
HTR (BioTe Pellets), DIM; Vitamin D 50000 units; CoQ10; Effexor 75mg; Rosuvastatin 40mg.
Allergien
None
Vorherige Impfungen
52-year-old, 02/01/2021, Moderna - 2nd dose. Uncontrolled muscle spams in left upper arm with left hand tingling and numbness, w

VAERS 1842437

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
73,0
Geschlecht
M
Eingang
04.11.2021
Impfdatum
16.01.2021
Beginn
12.02.2021
Tage bis Beginn
27,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Anxiety Atrial fibrillation Blood pressure measurement Feeling abnormal Hypertension Mobility decreased

Symptomtext

Atrial Fibrillation; felt anxious; couldn't settle down; blood pressure was high; felt "funky"; This spontaneous case was reported by a consumer and describes the occurrence of ATRIAL FIBRILLATION (Atrial Fibrillation) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029K20A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Arrhythmia (heart was "shocked) in 2016, Pulmonary embolism (pulmonary embolisms were "drained) in 2016 and Cardioversion in May 2021. Concurrent medical conditions included Food allergy (Allergic to shrimp) and Sleep apnea. On 16-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 12-Feb-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced FEELING ABNORMAL (felt "funky"). On 25-Feb-2021, the patient experienced MOBILITY DECREASED (couldn't settle down) and HYPERTENSION (blood pressure was high). On an unknown date, the patient experienced ATRIAL FIBRILLATION (Atrial Fibrillation) (seriousness criterion medically significant). an unknown date, the patient experienced ANXIETY (felt anxious). The patient was treated with RIVAROXABAN (XARELTO) for Adverse event, at an unspecified dose and frequency and DOFETILIDE (TIKOSYN) for Adverse event, at an unspecified dose and frequency. At the time of the report, ATRIAL FIBRILLATION (Atrial Fibrillation), FEELING ABNORMAL (felt "funky"), ANXIETY (felt anxious), MOBILITY DECREASED (couldn't settle down) and HYPERTENSION (blood pressure was high) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 25-Feb-2021, Blood pressure measurement: high (High) High. Concomitant medications were not included. He reported that he went and bought a heart monitor and it showed he had Atrial Fibrillation. The caller mentioned he has an upcoming appointment on 29Nov2021 where he will be placed on Tikosyn and have a procedure done through the groin to send radio frequencies and zaps to the heart to treat Atrial Fibrillation Company comment: This is a regulatory case concerning a 74 years old, male patient with clinical history of Heart arrhythmia and Pulmonary embolism who experienced the unexpected serious events of Atrial fibrillation (AESI, Arrhytmia) and other non-serious events. The events occurred 1 days after the second dose of Moderna Covid 19 vaccine The rechallenge is not applicable" as the events occurred after the second dose and no details were provided about the first dose The medical history of Heart arrhythmia and Pulmonary embolism remain as confounders. The benefit-risk relationship of Moderna Covid 19 vaccine is not affected by this report.; Sender's Comments: This is a regulatory case concerning a 74 years old, male patient with clinical history of Heart arrhythmia and Pulmonary embolism who experienced the unexpected serious events of Atrial fibrillation (AESI, Arrhytmia) and other non-serious events. The events occurred 1 days after the second dose of Moderna Covid 19 vaccine The rechallenge is not applicable" as the events occurred after the second dose and no details were provided about the first dose The medical history of Heart arrhythmia and Pulmonary embolism remain as confounders. The benefit-risk relationship of Moderna Covid 19 vaccine is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypertension
Hospital-Tage
-
Labordaten
Test Date: 20210225; Test Name: Blood pressure; Result Unstructured Data: High
Aktuelle Erkrankungen
Food allergy (Allergic to shrimp); Sleep apnea
Vorgeschichte
Medical History/Concurrent Conditions: Arrhythmia (heart was "shocked); Cardioversion; Pulmonary embolism (pulmonary embolisms were "drained)
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2599951

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
-
Alter
71,0
Geschlecht
M
Eingang
02.11.2021
Impfdatum
01.02.2021
Beginn
09.09.2021
Tage bis Beginn
220,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Blood gases COVID-19 Chest X-ray normal Diarrhoea Dyspnoea Dyspnoea exertional Fraction of inspired oxygen SARS-CoV-2 test positive Sputum culture positive Staphylococcus test positive

Symptomtext

Narrative: Admission Date: Sep 9,2021 Discharge Date: Sep 22,2021 70 year old male with history of ESRD secondary to HTN s/p renal transplant in 2015 on tacrolimus/prednisone, hx of hepatitis C, DM, prostate cancer s/p XRT, substance abuse (in remission) who presented to the Emergency Department on 09/09/21 with worsening SOB, DOE, and diarrhea in the setting of recent positive Covid-19 test despite being fully vaccinated with Moderna's COVID vaccine 1/4/2021 and 2/1/2021. He was admitted on September 9,2021. ABG on admission 7.49/25/72/19 on FiO2 40% w/ SpO2 96%. He was weaned down to 3L O2 in the ED. CXR without focal airspace consolidation or opacities. Tested positive for Covid-19 on 09/07/21. Received MAB (w/ Regeneron on 09/08/21). Notably upon arrival to the floor, the patient was w/o a supplemental oxygen requirement and was SpO2 >94% on RA. He was treated initially was vancomycin (9/18) and greatly improved clinically; sputum culture grew MRSA, so was transitioned Bactrim; he will finish Doxycycline 9/25/21 for an 8-day course of Abx. Otherwise, he was given supportive care and was eventually discharged on 9/22/2021 to a rehab facility.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
Specimen Collection Date: Sep 07, 2021@13:15 COVID-19_ (XPRESS PCR) DETECTED H* COVID CT VALUE E (CEPHEID) 14.2 COVID CT VALUE N2 (CEPHEID) 17.0
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1833009

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
81,0
Geschlecht
F
Eingang
01.11.2021
Impfdatum
13.02.2021
Beginn
20.02.2021
Tage bis Beginn
7,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dyspnoea

Symptomtext

pt states about a week after getting her 2nd dose of the covid vax that she started having severe shortness of breath. She saw her PCP about this and she was prescribed anxiety medication lorazepam. Pt states that she feels like her breathing was compromised after getting her vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
heart condition, cholesterol, thyroid, AFIB, Interstitial Lung Disease
Andere Medikamente
pravastatin 20 mg, metoprolol 25 mg, levothyroxine 75 mg, HCTZ 37.5 mg, Eliquis 5mg bds, multivitamin, COQ10, B12, Probiotic, magnesium,
Allergien
nka
Vorherige Impfungen
-

VAERS 1807861

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20A

moderat
Staat
-
Alter
67,0
Geschlecht
F
Eingang
22.10.2021
Impfdatum
02.02.2021
Beginn
21.10.2021
Tage bis Beginn
261,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Asthenia COVID-19 Dyspnoea Haematocrit decreased Haemoglobin decreased SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Breakthrough COVID admitted for low H/H SOB and weakness.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
COVID test + 10/21/2021
Aktuelle Erkrankungen
-
Vorgeschichte
diabetes, HTN, Glaucoma, hypothyroidism, kidney stone
Andere Medikamente
-
Allergien
no known allergies
Vorherige Impfungen
-

VAERS 1797192

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
55,0
Geschlecht
F
Eingang
19.10.2021
Impfdatum
12.01.2021
Beginn
11.02.2021
Tage bis Beginn
30,0
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Alanine aminotransferase Arthralgia Aspartate aminotransferase Asthenia Blood pressure measurement Blood test Body temperature Chills Headache Mental fatigue Oedema Pain Pain in extremity Palpitations Paraesthesia Prealbumin Pruritus Pyrexia

Symptomtext

palpitations; itchy; Like a tingling; edema; energy started dipping/brain fatigue; Vaccination site redness; swelling and redness in the injection site; joint-pain (shoulder, hips); strong chills; temperature started climbing to fever/temperature went up to a 102?F; headache; started to have some aches/Very achy (right arm, lesser in the leg); Brain fatigue; pain; This spontaneous case was reported by a consumer and describes the occurrence of OEDEMA (edema), ASTHENIA (energy started dipping/brain fatigue), PARAESTHESIA (Like a tingling), PALPITATIONS (palpitations) and PAIN IN EXTREMITY (started to have some aches/Very achy (right arm, lesser in the leg)) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 028L20A, 039K20A and 040L21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The medical history was not provided by the reporter. Concomitant products included ANASTROZOLE (ARIMIDEX) for an unknown indication. On 12-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In March 2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 100 ml. On 11-Feb-2021, the patient experienced OEDEMA (edema), ASTHENIA (energy started dipping/brain fatigue), PAIN IN EXTREMITY (started to have some aches/Very achy (right arm, lesser in the leg)), MENTAL FATIGUE (Brain fatigue), PAIN (pain), VACCINATION SITE ERYTHEMA (Vaccination site redness), VACCINATION SITE SWELLING (swelling and redness in the injection site), ARTHRALGIA (joint-pain (shoulder, hips)), CHILLS (strong chills), PYREXIA (temperature started climbing to fever/temperature went up to a 102?F) and HEADACHE (headache). On 17-Feb-2021, the patient experienced PARAESTHESIA (Like a tingling) and PRURITUS (itchy). In March 2021, the patient experienced PALPITATIONS (palpitations). The patient was treated with PARACETAMOL (TYLENOL) for Pyrexia, at an unspecified dose and frequency. On 13-Feb-2021, OEDEMA (edema), ASTHENIA (energy started dipping/brain fatigue), PAIN IN EXTREMITY (started to have some aches/Very achy (right arm, lesser in the leg)), MENTAL FATIGUE (Brain fatigue), PAIN (pain), ARTHRALGIA (joint-pain (shoulder, hips)), CHILLS (strong chills), PYREXIA (temperature started climbing to fever/temperature went up to a 102?F) and HEADACHE (headache) had resolved. On 17-Feb-2021, VACCINATION SITE ERYTHEMA (Vaccination site redness) and VACCINATION SITE SWELLING (swelling and redness in the injection site) had resolved. On 20-Feb-2021, PARAESTHESIA (Like a tingling) and PRURITUS (itchy) had resolved. At the time of the report, PALPITATIONS (palpitations) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Alanine aminotransferase: high (High) High. On an unknown date, Aspartate aminotransferase: high (High) High. On an unknown date, Blood pressure measurement: 137/99 mmHg (High) pressure went up to 137 over 99 after about 30 minutes. On an unknown date, Blood test: abnormal (abnormal) abnormal. On an unknown date, Body temperature: 102 (High) 102?F. On an unknown date, Prealbumin: high (High) high. On an unknown date, Vitamin D: 18 (Low) 18. Patient also reported that the third dose given was of 100ml instead of 50ml, the lot of this shot is 040L21A. Patient stated that her doctor advised to take Benadryl 24 hours before the vaccine. This case was linked to MOD21-022141 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Palpitations
Hospital-Tage
-
Labordaten
Test Name: ALT; Result Unstructured Data: High; Test Name: AST; Result Unstructured Data: High; Test Name: Blood pressure; Result Unstructured Data: pressure went up to 137 over 99 after about 30 minutes; Test Name: Blood test; Result Unstructured Data: abnormal; Test Name: Body temperature; Result Unstructured Data: 102?F; Test Name: PA; Result Unstructured Data: high; Test Name: Vitamin D; Result Unstructured Data: 18
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: The medical history was not provided by the reporter.
Andere Medikamente
ARIMIDEX
Allergien
-
Vorherige Impfungen
-

VAERS 1790550

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
CT
Alter
28,0
Geschlecht
F
Eingang
16.10.2021
Impfdatum
25.12.2020
Beginn
01.01.2021
Tage bis Beginn
7,0
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Back pain Blood pressure measurement Hypoaesthesia Impaired work ability Inner ear inflammation Memory impairment Muscle spasms Muscle twitching Muscular weakness Neurological symptom Paraesthesia Polychondritis Speech disorder Tremor

Symptomtext

She started not being able to remember anything/She had extreme forgetfulness; she couldn't spell "world" backwards/inability to form sentences; Neurologic symptoms/ Not being able to remember anything/ Extreme forgetfulness and inability to form sentences; Relapsing polychondritis; Numbness; Tingling; Pain in the back of head down neck and spine; Muscle twitch; Spasms in my legs; No longer able to work anymore; Tremors in legs; Developed weakness (in my legs); Redness, inflammation and severe pain inside both ears; This spontaneous case was reported by a consumer and describes the occurrence of NEUROLOGICAL SYMPTOM (Neurologic symptoms/ Not being able to remember anything/ Extreme forgetfulness and inability to form sentences), MEMORY IMPAIRMENT (She started not being able to remember anything/She had extreme forgetfulness), SPEECH DISORDER (she couldn't spell "world" backwards/inability to form sentences) and POLYCHONDRITIS (Relapsing polychondritis) in a 28-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 013L20A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was reported by the reporter. On 25-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 24-Jan-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In January 2021, the patient experienced INNER EAR INFLAMMATION (Redness, inflammation and severe pain inside both ears). In February 2021, the patient experienced MUSCULAR WEAKNESS (Developed weakness (in my legs)). In March 2021, the patient experienced TREMOR (Tremors in legs). In April 2021, the patient experienced NEUROLOGICAL SYMPTOM (Neurologic symptoms/ Not being able to remember anything/ Extreme forgetfulness and inability to form sentences) (seriousness criterion hospitalization), MEMORY IMPAIRMENT (She started not being able to remember anything/She had extreme forgetfulness) (seriousness criterion hospitalization) and SPEECH DISORDER (she couldn't spell "world" backwards/inability to form sentences) (seriousness criterion hospitalization). On an unknown date, the patient experienced POLYCHONDRITIS (Relapsing polychondritis) (seriousness criterion medically significant), HYPOAESTHESIA (Numbness), PARAESTHESIA (Tingling), BACK PAIN (Pain in the back of head down neck and spine), MUSCLE TWITCHING (Muscle twitch), MUSCLE SPASMS (Spasms in my legs) and IMPAIRED WORK ABILITY (No longer able to work anymore). The patient was hospitalized on sometime in April 2021 due to NEUROLOGICAL SYMPTOM. The patient was treated with HYDROXYCHLOROQUINE for Adverse event, at a dose of 400 milligram once a day; METHYLPREDNISOLONE ongoing since an unknown date for Adverse event, at a dose of 12 milligram once a day; GABAPENTIN (NEURONTIN) for Adverse event, at a dose of 300 milligram; ACETYLSALICYLIC ACID (BABY ASPIRIN) for Adverse event, at an unspecified dose and frequency; PREDNISONE for Adverse event, at an unspecified dose and frequency and MELOXICAM for Pain, at a dose of 15 milligram. At the time of the report, NEUROLOGICAL SYMPTOM (Neurologic symptoms/ Not being able to remember anything/ Extreme forgetfulness and inability to form sentences), MEMORY IMPAIRMENT (She started not being able to remember anything/She had extreme forgetfulness), SPEECH DISORDER (she couldn't spell "world" backwards/inability to form sentences), POLYCHONDRITIS (Relapsing polychondritis), TREMOR (Tremors in legs), INNER EAR INFLAMMATION (Redness, inflammation and severe pain inside both ears), MUSCULAR WEAKNESS (Developed weakness (in my legs)), HYPOAESTHESIA (Numbness), PARAESTHESIA (Tingling), BACK PAIN (Pain in the back of head down neck and spine), MUSCLE TWITCHING (Muscle twitch), MUSCLE SPASMS (Spasms in my legs) and IMPAIRED WORK ABILITY (No longer able to work anymore) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure measurement: decreased (Low) decreased. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. Within a couple days after the second shot, the patient got redness, inflammation, and severe pain inside both ears. On an unknown date in Feb-2021, the patient developed weakness. On an unknown date in Mar-2021, the patient developed tremors in legs, numbness and tingling, and pain in the back of head down neck and spine. The patient never had pain in back in spin before. The patient had muscle twitches and spasms in legs. On an unknown date in Apr-2021, the patient was in the hospital for a week with neurologic symptoms. The patient was not able to remember anything, could not spell 'world' backwards, had extreme forgetfulness and inability to form sentences. The patient still had difficulty with that. The blood pressure kept dropping, which was never issue before. The patient was no longer able to work anymore. The patient was started on hydroxychloroquine because it looked like relapsing polychondritis. Since vaccination, the condition had been continually worsening. The patient has seen a million different specialists, and no one seems to know what was going on. It had been months now. Company comment: This case concerns a 28 year old female patient, with no medical history reported, who experienced serious unexpected events of neurological symptoms, Memory impairment and Speech disorder after second dose of mRNA-1273. The events occurred approximately 2 months after second dose of mRNA-1273. The re-challenge is not applicable as no further dose is expected to be given. The benefit-risk relationship of Spikevax is not affected by this report. This case was linked to MOD-2021-345526 (Patient Link).; Sender's Comments: This case concerns a 28 year old female patient, with no medical history reported, who experienced serious unexpected events of neurological symptoms, Memory impairment and Speech disorder after second dose of mRNA-1273. The events occurred approximately 2 months after second dose of mRNA-1273. The re-challenge is not applicable as no further dose is expected to be given. The benefit-risk relationship of Spikevax is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
Test Name: Blood pressure; Result Unstructured Data: decreased
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: No medical history was reported by the reporter.
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1790219

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
85,0
Geschlecht
M
Eingang
16.10.2021
Impfdatum
30.12.2020
Beginn
23.08.2020
Tage bis Beginn
-
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Abdominal discomfort Atrial flutter Dyspnoea Electrocardiogram Feeling abnormal Headache Heart rate increased Hot flush Influenza like illness Oesophageal irritation Oesophageal pain Vaccination site pain

Symptomtext

Stomach problems; Pain or irritation on the inner part of his esophagus; Hot flashes; Felt like his heart was beathing very fast; Shortness of breath; Pain or irritation on the inner part of his esophagus; Atrial flutter; Headaches; Flu like symptoms; Feeling druggy; Hurt and soreness on the shoulder; This spontaneous case was reported by a consumer and describes the occurrence of ATRIAL FLUTTER (Atrial flutter) in an 85-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 039b21a, 029k20a and 039k20a) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Ulcer. On 30-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 27-Jan-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 23-Aug-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 23-Aug-2020, the patient experienced INFLUENZA LIKE ILLNESS (Flu like symptoms), FEELING ABNORMAL (Feeling druggy) and VACCINATION SITE PAIN (Hurt and soreness on the shoulder). On an unknown date, the patient experienced ATRIAL FLUTTER (Atrial flutter) (seriousness criterion medically significant), ABDOMINAL DISCOMFORT (Stomach problems), OESOPHAGEAL PAIN (Pain or irritation on the inner part of his esophagus), HOT FLUSH (Hot flashes), HEART RATE INCREASED (Felt like his heart was beating very fast), DYSPNOEA (Shortness of breath), OESOPHAGEAL IRRITATION (Pain or irritation on the inner part of his esophagus) and HEADACHE (Headaches). The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date for Headache, at an unspecified dose and frequency and ESOMEPRAZOLE SODIUM (NEXIUM [ESOMEPRAZOLE SODIUM]) at an unspecified dose and frequency. At the time of the report, ATRIAL FLUTTER (Atrial flutter) was resolving, INFLUENZA LIKE ILLNESS (Flu like symptoms), FEELING ABNORMAL (Feeling druggy), ABDOMINAL DISCOMFORT (Stomach problems), OESOPHAGEAL PAIN (Pain or irritation on the inner part of his esophagus), HOT FLUSH (Hot flashes), HEART RATE INCREASED (Felt like his heart was beathing very fast), DYSPNOEA (Shortness of breath), OESOPHAGEAL IRRITATION (Pain or irritation on the inner part of his esophagus) and VACCINATION SITE PAIN (Hurt and soreness on the shoulder) outcome was unknown and HEADACHE (Headaches) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Electrocardiogram: normal (normal) An EKG was done after the cardioversion and it was fine. Concomitant medications included blood thinners, blood pressure medication, thyroid medication and cholesterol medication. On 23 Sep 2021, cardioversion was done in an outpatient clinic. ECG, cardiac test and cardiac enzymes laboratory test was performed with unknown result. Most recent FOLLOW-UP information incorporated above includes: On 07-Oct-2021: Follow up received included new events was added.; Sender's Comments: This case concerns a 85 year old male with relevant medical history of Ulcer, who experienced unexpected events of Influenza like illness, feeling abnormal and expected event of vaccination site pain which occurred on the same day after vaccination with the 3rd dose of mRNA (Moderna) , On unknown date after vaccination with the 3rd dose , he experienced unexpected events of atrial flutter , adominal discomfort, esophageal pain , hot flush , heart rate increased , dyspnea , esophageal irritation and expected event of headache. The rechallenge for this case is not applicable . The age and history of ulcer are considered confounders for this case ( Aging can cause abnormalities in the heart and may affect the conduction system that may lead to arrhythmias while the history of ulcer may also explain the possible event of abdmominal pain , possible recurrence? ) . The benefit-risk relationship of mRNA-1273 ( Moderna )is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
Test Name: EKG; Result Unstructured Data: An EKG was done after the cardioversion and it was fine.
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: Ulcer.
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1771158

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
NY
Alter
49,0
Geschlecht
F
Eingang
08.10.2021
Impfdatum
08.02.2021
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Hypokinesia Mobility decreased Periarthritis Vaccination site pain

Symptomtext

frozen shoulder; can't lift my arm all the way up; very restricted in motion; very sore shoulder where she had the vaccine; This spontaneous case was reported by a consumer and describes the occurrence of PERIARTHRITIS (frozen shoulder), HYPOKINESIA (can't lift my arm all the way up), MOBILITY DECREASED (very restricted in motion) and VACCINATION SITE PAIN (very sore shoulder where she had the vaccine) in a 49-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 001A21A and 039K20A) for COVID-19 vaccination. No medical history was provided by the reporter. On 08-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced PERIARTHRITIS (frozen shoulder), HYPOKINESIA (can't lift my arm all the way up), MOBILITY DECREASED (very restricted in motion) and VACCINATION SITE PAIN (very sore shoulder where she had the vaccine). The patient was treated with Physical therapy for Vaccination site pain. At the time of the report, PERIARTHRITIS (frozen shoulder), HYPOKINESIA (can't lift my arm all the way up), MOBILITY DECREASED (very restricted in motion) and VACCINATION SITE PAIN (very sore shoulder where she had the vaccine) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medication included unspecified cholesterol medication Treatment included physical therapy for pain and inflammation.; Sender's Comments: This case concerns a 49-year-old female patient with no relevant medical history, who experienced the unexpected non-serious events of periarthritis, hypokinesia and mobility decreased and the expected non-serious event of vaccination site pain. The events occurred on unknown days after the second dose of mRNA- 1273 vaccine / Moderna COVID-19 Vaccine. The rechallenge was not applicable, as the events were reported after the second dose and no additional dosing will be given. The benefit-risk relationship of vaccine is not affected by this report

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mobility decreased
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: No medical history was provided by the reporter.
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1768839

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
IL
Alter
71,0
Geschlecht
F
Eingang
07.10.2021
Impfdatum
15.02.2021
Beginn
22.02.2021
Tage bis Beginn
7,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Condition aggravated Tinnitus

Symptomtext

MY TINNITUS IN BOTH EARS BECAME WORSE. THE LEFT EAR HAS MOSTLY SUBSIDED BUT MY RIGHT EAR IS NOW BOTHERSOME.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
none
Vorgeschichte
very mild tinnitus
Andere Medikamente
5 mg rosuvastin
Allergien
none
Vorherige Impfungen
-

VAERS 1766104

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
CT
Alter
63,0
Geschlecht
F
Eingang
06.10.2021
Impfdatum
25.01.2021
Beginn
26.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chills Headache Impaired work ability Mobility decreased Nausea Tremor

Symptomtext

Severe headache, could not lift head from pillow. Nausea. Involuntary trembling, shaking and shivering. Missed work the day after vaccine. These symptoms lasted six hours. I am a very strong person who tolerates illness/injury well. This reaction was above and beyond anything I've ever felt. I am reporting this at this time because I just realized that this incident can be reported. I do not want the booster. I refuse it.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mobility decreased
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Multivitamin, Calcium
Allergien
Sulfa
Vorherige Impfungen
-

VAERS 1755772

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
WV
Alter
71,0
Geschlecht
M
Eingang
02.10.2021
Impfdatum
07.01.2021
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Body temperature abnormal Feeling abnormal Illness Mobility decreased Pyrexia Somnolence

Symptomtext

he got sleepy; so drowsy; temperature of 99.9; sick for a month; heart felt like it was going to beat out of chest/he felt bad; could hardly hold head up/could not get out of bed; This spontaneous case was reported by a consumer and describes the occurrence of SOMNOLENCE, DOWZY, BODY TEMPERATURE ABNORMAL (temperature of 99.9), ILLNESS, and FEELING ABNORMAL (heart felt like it was going to beat out of chest/he felt bad) in a 71-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029K20A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. Concomitant products included PREDNISONE and METHOTREXATE for an unknown indication. On 07-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 18-Aug-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced SOMNOLENCE, DROWSY, BODY TEMPERATURE ABNORMAL (temperature of 99.9), ILLNESS, FEELING ABNORMAL (heart felt like it was going to beat out of chest/he felt bad), and MOBILITY DECREASED (could hardly hold head up/could not get out of bed). At the time of the report, SOMNOLENCE, DROWSY, BODY TEMPERATURE ABNORMAL (temperature of 99.9), ILLNESS (sick for a month), FEELING ABNORMAL (heart felt like it was going to beat out of chest/he felt bad), and MOBILITY DECREASED (could hardly hold head up/could not get out of bed) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available) on 19-Aug-2021, Body temperature 99.9 (High) body temperature elevated. No treatment medications reported. Patient has symptoms for a month after third dose, but now he's feeling fine. Most recent FOLLOW-UP information incorporated above includes on 24-Sep-2021: Significant follow up received on 24 Sep 2021, first and second dosage information added in product tab, outcome of event updated to recovered.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mobility decreased
Hospital-Tage
-
Labordaten
Test Date: 20210819; Test Name: Body temperature; Result Unstructured Data: body temperature elevated (99.9 Fahrenheit).
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: No Medical History information was reported.
Andere Medikamente
PREDNISONE; METHOTREXATE
Allergien
-
Vorherige Impfungen
-

VAERS 1753495

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
MA
Alter
49,0
Geschlecht
F
Eingang
01.10.2021
Impfdatum
02.06.2021
Beginn
02.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Chills Fatigue Headache Myalgia Nausea Pyrexia Tremor

Symptomtext

Fever, chills, extreme muscle aches, headaches, nausea, extreme fatigue and a 12 day period, and inner body trimmer.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Tremor
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Autoimmune thyroditis
Andere Medikamente
LEVOXYL
Allergien
Penicillin; sulfa; jelly fish
Vorherige Impfungen
-

VAERS 1719383

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
AZ
Alter
58,0
Geschlecht
F
Eingang
21.09.2021
Impfdatum
01.12.2020
Beginn
24.05.2021
Tage bis Beginn
174,0
Dosis
1
Route/Site
SYR / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Autoimmune disorder Limb injury Magnetic resonance imaging Mobility decreased Musculoskeletal stiffness Pain White blood cell count increased X-ray

Symptomtext

Severe stiffness, pain developed in neck, bilateral shoulders, arms, hips, legs, ankles including muscles associated with those areas. Increasing g in severity to the point of being unable to move. This followed a right shoulder rotator cuff tear on 05/23/2021. Shoulder surgery scheduled for 07/02/2021 which was cancelled the day of surgery due to my severe autoimmune type symptoms. Emergency MRI showed negative to pinched cervical spine. Treatment was in ER of 60 mg Prednisone and follow up with rheumatologist Dr. is now evaluating my care and making recommendations to see how I respond.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mobility decreased
Hospital-Tage
-
Labordaten
12 x rays of joints showed calcium pyrophosphate and elevated WBC lab test. Colchicine and Hydroxychloroquin prescribed along with a reduction to 20 mg, then 10mg of prednisone.
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Multivitamin, cinnamon, fish oil, calcium/vitamin D
Allergien
-
Vorherige Impfungen
-

VAERS 1691973

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
CT
Alter
-
Geschlecht
M
Eingang
11.09.2021
Impfdatum
13.01.2021
Beginn
-
Tage bis Beginn
-
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: unbekannt Erholt: nein
Balance disorder Fatigue Feeling abnormal Gait disturbance Inappropriate schedule of product administration Malaise Mobility decreased Vestibular disorder Walking aid user

Symptomtext

vestibular disorder is exaggerated; has to walk with a walker; he was talking with someone, started to turn his head to the left, and his whole body went to the left/has no balance; has trouble walking; has trouble getting out of bed; it's like he's a different person. He feels something in his head & it's getting worse.; feels sea sick; Reeceived second dose on 10Feb2021 and third dose 22Aug2021; tired and spent all day in bed; This spontaneous case was reported by a consumer and describes the occurrence of VESTIBULAR DISORDER (vestibular disorder is exaggerated), WALKING AID USER (has to walk with a walker), BALANCE DISORDER (he was talking with someone, started to turn his head to the left, and his whole body went to the left/has no balance), GAIT DISTURBANCE (has trouble walking) and MOBILITY DECREASED (has trouble getting out of bed) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 13-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Aug-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced VESTIBULAR DISORDER (vestibular disorder is exaggerated) (seriousness criterion disability), WALKING AID USER (has to walk with a walker) (seriousness criterion disability), BALANCE DISORDER (he was talking with someone, started to turn his head to the left, and his whole body went to the left/has no balance) (seriousness criterion disability), GAIT DISTURBANCE (has trouble walking) (seriousness criterion disability), MOBILITY DECREASED (has trouble getting out of bed) (seriousness criterion disability), FEELING ABNORMAL (it's like he's a different person. He feels something in his head & it's getting worse.), MALAISE (feels sea sick), INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Reeceived second dose on 10Feb2021 and third dose 22Aug2021) and FATIGUE (tired and spent all day in bed). At the time of the report, VESTIBULAR DISORDER (vestibular disorder is exaggerated), WALKING AID USER (has to walk with a walker), BALANCE DISORDER (he was talking with someone, started to turn his head to the left, and his whole body went to the left/has no balance), GAIT DISTURBANCE (has trouble walking), MOBILITY DECREASED (has trouble getting out of bed), FEELING ABNORMAL (it's like he's a different person. He feels something in his head & it's getting worse.), MALAISE (feels sea sick), INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Reeceived second dose on 10Feb2021 and third dose 22Aug2021) and FATIGUE (tired and spent all day in bed) outcome was unknown. No concomitant medications were provided by the reporter. No treatment information was provided by the reporter. Company comment: Although the onset date of the events were not reported. Based on the timing of the 3rd dose to date of report, there is evidence of temporal relationship between the reported events and mRNA-1273 administration, hence the causal relationship cannot be excluded. The event of inappropriate schedule is assessed as not applicable This case was linked to MOD-2021-306464 (Patient Link).; Sender's Comments: Although the onset date of the events were not reported. Based on the timing of the 3rd dose to date of report, there is evidence of temporal relationship between the reported events and mRNA-1273 administration, hence the causal relationship cannot be excluded. The event of inappropriate schedule is assessed as not applicable

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mobility decreased
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1685446

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
VA
Alter
72,0
Geschlecht
M
Eingang
09.09.2021
Impfdatum
02.02.2021
Beginn
03.08.2021
Tage bis Beginn
182,0
Dosis
1
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Chest X-ray abnormal Pneumonia

Symptomtext

Xray of lungs found pneumonia Prescribed an antibiotic

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pneumonia
Hospital-Tage
-
Labordaten
See 18 above
Aktuelle Erkrankungen
None
Vorgeschichte
Hyper tension, prostrate
Andere Medikamente
Rosuvastatin, Chlorthalidon, Tamsulosin Vitamins E, B complex, D, C, Fish Oil
Allergien
Penicillin and related
Vorherige Impfungen
-

VAERS 1672377

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
30,0
Geschlecht
M
Eingang
04.09.2021
Impfdatum
28.12.2020
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Chills Condition aggravated Cough Dysphagia Erythema Feeling hot Gait disturbance Herpes zoster Inflammation Insomnia Limb discomfort Mass Metabolic function test Mobility decreased Oral pruritus Pain Pain in extremity

Symptomtext

went to hospital in which they believed it was shingles and prescribed acyclovir which he did not take and the red lumps and inflammation went away however it is still ongoing; seasonal allergy type of issues; itching on his feet/ painful itching on hands and body/ itchy,/ painful and same time itches / whole body itches / feet itching / hand was itchng; Having painful pressure when sitting; He went to the hospital last April due to severe coughing and was put on isolation but tested negative for Covid.; Patient also experienced that his whole mouth was itching; The next day he was able to walk but was still painful/ Had a lot of pain / painful; Difficulty swallowing but able to breath; pain at his shoulder with pain scale of 6/10.; Had sores on armpit and stomach; pain at his right arm,States if he rides a motorcycle for too long his legs get swollen, itchy, and painful,he uses a machines my hands will bother me / Pain in feet; if he rides a motorcycle for too long his legs get swollen, itchy, and painful / hands got swollen / inner legs and thighs are extremely completely swollen / finger hands swollen; had a massage and was in a chair and after his whole body became full of red lumps; symptoms are getting worse; swelling; not able to walk; extremely hot / extremely warm to touch; could not even sleep; can't even make a fist / could not move from the pain; hives; chills; Inflammation / inflammatory response is not normal; developed bumps and rash that is more like shingles but went away the next day/red bumps / rash / rash type in belly; Patient also had extremely red and painful itching on hands and body/ a red spot also developed on the belt area//whole body became full of red lumps / red dot spot; This spontaneous case was reported by a consumer and describes the occurrence of HERPES ZOSTER (went to hospital in which they believed it was shingles and prescribed acyclovir which he did not take and the red lumps and inflammation went away however it is still ongoing), SEASONAL ALLERGY (seasonal allergy type of issues), PRURITUS (itching on his feet/ painful itching on hands and body/ itchy,/ painful and same time itches / whole body itches / feet itching / hand was itchng), LIMB DISCOMFORT (Having painful pressure when sitting) and COUGH (He went to the hospital last April due to severe coughing and was put on isolation but tested negative for Covid.) in a 30-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029K20A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter. Concurrent medical conditions included Allergy to antibiotic (Allergy to Rocephin antibiotic) and Allergy to animal (Allergy to Dogs). Concomitant products included METHYLPREDNISOLONE ACETATE (DEPOMEDROL) and PREDNISONE for an unknown indication. On 28-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Jan-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 HERPES ZOSTER (went to hospital in which they believed it was shingles and prescribed acyclovir which he did not take and the red lumps and inflammation went away however it is still ongoing), SEASONAL ALLERGY (seasonal allergy type of issues), PRURITUS (itching on his feet/ painful itching on hands and body/ itchy,/ painful and same time itches / whole body itches / feet itching / hand was itchng), LIMB DISCOMFORT (Having painful pressure when sitting), COUGH (He went to the hospital last April due to severe coughing and was put on isolation but tested negative for Covid.), ORAL PRURITUS (Patient also experienced that his whole mouth was itching), PAIN (The next day he was able to walk but was still painful/ Had a lot of pain / painful), DYSPHAGIA (Difficulty swallowing but able to breath), ARTHRALGIA (pain at his shoulder with pain scale of 6/10.), SKIN ULCER (Had sores on armpit and stomach), PAIN IN EXTREMITY (pain at his right arm,States if he rides a motorcycle for too long his legs get swollen, itchy, and painful,he uses a machines my hands will bother me / Pain in feet), PERIPHERAL SWELLING (if he rides a motorcycle for too long his legs get swollen, itchy, and painful / hands got swollen / inner legs and thighs are extremely completely swollen / finger hands swollen), MASS (had a massage and was in a chair and after his whole body became full of red lumps), CONDITION AGGRAVATED (symptoms are getting worse), SWELLING (swelling), GAIT DISTURBANCE (not able to walk), FEELING HOT (extremely hot / extremely warm to touch), INSOMNIA (could not even sleep), MOBILITY DECREASED (can't even make a fist / could not move from the pain), URTICARIA (hives), CHILLS (chills), INFLAMMATION (Inflammation / inflammatory response is not normal), RASH (developed bumps and rash that is more like shingles but went away the next day/red bumps / rash / rash type in belly) and ERYTHEMA (Patient also had extremely red and painful itching on hands and body/ a red spot also developed on the belt area//whole body became full of red lumps / red dot spot). At the time of the report, HERPES ZOSTER (went to hospital in which they believed it was shingles and prescribed acyclovir which he did not take and the red lumps and inflammation went away however it is still ongoing) had not resolved, SEASONAL ALLERGY (seasonal allergy type of issues), PRURITUS (itching on his feet/ painful itching on hands and body/ itchy,/ painful and same time itches / whole body itches / feet itching / hand was itchng), LIMB DISCOMFORT (Having painful pressure when sitting), COUGH (He went to the hospital last April due to severe coughing and was put on isolation but tested negative for Covid.), ORAL PRURITUS (Patient also experienced that his whole mouth was itching), PAIN (The next day he was able to walk but was still painful/ Had a lot of pain / painful), DYSPHAGIA (Difficulty swallowing but able to breath), ARTHRALGIA (pain at his shoulder with pain scale of 6/10.), SKIN ULCER (Had sores on armpit and stomach), PAIN IN EXTREMITY (pain at his right arm,States if he rides a motorcycle for too long his legs get swollen, itchy, and painful,he uses a machines my hands will bother me / Pain in feet), PERIPHERAL SWELLING (if he rides a motorcycle for too long his legs get swollen, itchy, and painful / hands got swollen / inner legs and thighs are extremely completely swollen / finger hands swollen), MASS (had a massage and was in a chair and after his whole body became full of red lumps), CONDITION AGGRAVATED (symptoms are getting worse), SWELLING (swelling), GAIT DISTURBANCE (not able to walk), FEELING HOT (extremely hot / extremely warm to touch), INSOMNIA (could not even sleep), MOBILITY DECREASED (can't even make a fist / could not move from the pain), URTICARIA (hives) and CHILLS (chills) outcome was unknown and INFLAMMATION (Inflammation / inflammatory response is not normal), RASH (developed bumps and rash that is more like shingles but went away the next day/red bumps / rash / rash type in belly) and ERYTHEMA (Patient also had extremely red and painful itching on hands and body/ a red spot also developed on the belt area//whole body became full of red lumps / red dot spot) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Metabolic function test: high (High) CMP elevated. On an unknown date, SARS-CoV-2 test: negative (Negative) COVID- Negative. No Treatment Medications were provided. Most recent FOLLOW-UP information incorporated above includes: On 23-Aug-2021: Additional events were added.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
Test Name: comprehensive metabolic panel; Result Unstructured Data: CMP elevated; Comments: CMP elevated; Test Name: SARS-CoV-2 test; Test Result: Negative ; Result Unstructured Data: COVID- Negative
Aktuelle Erkrankungen
Allergy to animal (Allergy to Dogs); Allergy to antibiotic (Allergy to Rocephin antibiotic)
Vorgeschichte
Comments: No medical history was provided by the reporter.
Andere Medikamente
DEPOMEDROL; PREDNISONE
Allergien
-
Vorherige Impfungen
-

VAERS 1656813

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
69,0
Geschlecht
F
Eingang
30.08.2021
Impfdatum
09.02.2021
Beginn
11.02.2021
Tage bis Beginn
2,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dyspnoea Rhinorrhoea SARS-CoV-2 test negative Viral test negative

Symptomtext

On 01/11/21 in the mid afternoon I developed a runny nose and then later felt like I couldn?t take a deep breath. I used albuterol inhaler, two puffs but after a few minutes did not improve. Went to an Urgent Care clinic and explained what had happened after the first vaccine. I received 60 mg oral prednisone and an albuterol breathing treatment via nebulizer.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
Received influenza and covid tests. Both were negative.
Aktuelle Erkrankungen
None.
Vorgeschichte
Osteoarthritis, seasonal allergies. Asthma as a young child.
Andere Medikamente
Multivitamin, Vitamins B, C, D, K, ginger, turmeric, glucosamine chondroitin, fish oil, Zyrtec.
Allergien
Sulfa, tetracycline, benzoyl peroxide.
Vorherige Impfungen
-

VAERS 1653893

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
OH
Alter
50,0
Geschlecht
F
Eingang
29.08.2021
Impfdatum
31.12.2020
Beginn
31.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Blood magnesium normal Blood test normal Blood thyroid stimulating hormone normal Electrocardiogram normal Full blood count normal Lymphadenopathy Metabolic function test Palpitations

Symptomtext

Palpitations started several hours (~6hrs) after injection, intermittent throughout the days, exacerbated by eating, persisted approximately 8months and now are very few and far between though still happening very rarely. Also developed significant tender axillary adenopathy that lasted approximately 4 weeks.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Palpitations
Hospital-Tage
-
Labordaten
Bloodwork done 5/6/21 all normal (BMP, Mg, CBC, TSH) EKG done: normal
Aktuelle Erkrankungen
None
Vorgeschichte
Asthma Cat Allergies
Andere Medikamente
Zyrtec Singulair Symbicort Vitamin D Fish Oil
Allergien
Cats
Vorherige Impfungen
-

VAERS 1645190

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
-
Alter
31,0
Geschlecht
F
Eingang
28.08.2021
Impfdatum
29.12.2020
Beginn
29.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Diarrhoea Dizziness Dysarthria Dyspnoea Feeling hot Heart rate Hot flush Hypoaesthesia Hypoxia Jaw disorder Myelitis Nausea Oxygen saturation Pain in jaw Paraesthesia Tachycardia Vomiting

Symptomtext

MRI and it showed possible myelitis; Diarrhea; Hard to talk; Profound jaw fatigue; Started developing numbness and tingling in feet; Tingling in feet, then tingling in hand; Painful jaw and hard to talk.; Vomiting; Nausea; Short of breath; oxygen level down to 85%; Started feeling warm head to toe; had hot flashes from head to toe; Felt light headed; Heart rate went all the way up to 170 beats per minute / Heart rate went to 200 beats per minute at home / Heart rate went above 100 / high Heart rate which was intermittent; This spontaneous case was reported by a consumer and describes the occurrence of HYPOXIA (oxygen level down to 85%) and MYELITIS (MRI and it showed possible myelitis) in a 31-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 29-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 29-Dec-2020, the patient experienced HOT FLUSH (had hot flashes from head to toe) and DIZZINESS (Felt light headed). 29-Dec-2020, the patient experienced TACHYCARDIA (Heart rate went all the way up to 170 beats per minute / Heart rate went to 200 beats per minute at home / Heart rate went above 100 / high Heart rate which was intermittent). On 31-Dec-2020, the patient experienced HYPOXIA (oxygen level down to 85%) (seriousness criterion medically significant) and FEELING HOT (Started feeling warm head to toe). On 01-Jan-2021, the patient experienced DYSPNOEA (Short of breath), VOMITING (Vomiting) and NAUSEA (Nausea). On 03-Jan-2021, the patient experienced HYPOAESTHESIA (Started developing numbness and tingling in feet), PARAESTHESIA (Tingling in feet, then tingling in hand), PAIN IN JAW (Painful jaw and hard to talk.) and JAW DISORDER (Profound jaw fatigue). On an unknown date, the patient experienced MYELITIS (MRI and it showed possible myelitis) (seriousness criterion medically significant), DIARRHOEA (Diarrhea) and DYSARTHRIA (Hard to talk). At the time of the report, HYPOXIA (oxygen level down to 85%), MYELITIS (MRI and it showed possible myelitis), HOT FLUSH (had hot flashes from head to toe), DIZZINESS (Felt light headed), FEELING HOT (Started feeling warm head to toe), DYSPNOEA (Short of breath), DIARRHOEA (Diarrhea), HYPOAESTHESIA (Started developing numbness and tingling in feet), PARAESTHESIA (Tingling in feet, then tingling in hand), PAIN IN JAW (Painful jaw and hard to talk.), DYSARTHRIA (Hard to talk), VOMITING (Vomiting), NAUSEA (Nausea) and JAW DISORDER (Profound jaw fatigue) outcome was unknown and TACHYCARDIA (Heart rate went all the way up to 170 beats per minute / Heart rate went to 200 beats per minute at home / Heart rate went above 100 / high Heart rate which was intermittent) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Heart rate: 170 beats (High) Heart rate went all the way up to 170 beats per minute, 200 beats (High) Heart rate went to 200 beats per minute at home and 100 beats (High) Heart rate went above 100. On an unknown date, Oxygen saturation: 85% (Low) oxygen levels went down to 85%. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were provided. No treatment information was provided. 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. Myelitis was captured as an event as per SD assessment, further information is expected to confirm event.; 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. Myelitis was captured as an event as per SD assessment, further information is expected to confirm event.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
Test Name: Heart rate; Result Unstructured Data: Heart rate went all the way up to 170 beats per minute; Test Name: Heart rate; Result Unstructured Data: Heart rate went to 200 beats per minute at home; Test Name: Heart rate; Result Unstructured Data: Heart rate went above 100; Test Name: Oxygen level; Result Unstructured Data: oxygen levels went down to 85%
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1644738

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
VA
Alter
93,0
Geschlecht
M
Eingang
28.08.2021
Impfdatum
29.03.2021
Beginn
30.03.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Asthenia Gait disturbance General physical health deterioration Mental impairment Mobility decreased Urinary incontinence

Symptomtext

Drag himself even after using a walker which makes it harder for him to walk.; Become physically weak; has to walk very slow and drag himself even after using a walker which makes it harder for him to walk; Lost his physical ability; Wet himself; Lost his mental ability; This spontaneous case was reported by a consumer and describes the occurrence of MENTAL IMPAIRMENT (Lost his mental ability) and MOBILITY DECREASED (Drag himself even after using a walker which makes it harder for him to walk.) in a 94-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 29-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 30-Mar-2021, the patient experienced MENTAL IMPAIRMENT (Lost his mental ability) (seriousness criterion medically significant), GENERAL PHYSICAL HEALTH DETERIORATION (Lost his physical ability) and URINARY INCONTINENCE (Wet himself). On an unknown date, the patient experienced ASTHENIA (Become physically weak), MOBILITY DECREASED (Drag himself even after using a walker which makes it harder for him to walk.) (seriousness criterion medically significant) and GAIT DISTURBANCE (has to walk very slow and drag himself even after using a walker which makes it harder for him to walk). The patient was treated with Physical therapy for Mental impairment; Physical therapy for General physical health deterioration; Physical therapy for Mobility decreased and Physical therapy for Gait disturbance. At the time of the report, MENTAL IMPAIRMENT (Lost his mental ability) and GENERAL PHYSICAL HEALTH DETERIORATION (Lost his physical ability) had not resolved and URINARY INCONTINENCE (Wet himself), ASTHENIA (Become physically weak), MOBILITY DECREASED (Drag himself even after using a walker which makes it harder for him to walk.) and GAIT DISTURBANCE (has to walk very slow and drag himself even after using a walker which makes it harder for him to walk) outcome was unknown. mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) dosing remained unchanged. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication was provided. Treatment information include that the patient had seen by a physical therapist but stated that there was no any improvements. Company comment: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mobility decreased
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1643511

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
WV
Alter
61,0
Geschlecht
F
Eingang
28.08.2021
Impfdatum
23.12.2020
Beginn
03.01.2021
Tage bis Beginn
11,0
Dosis
2
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Computerised tomogram Dizziness Head discomfort Headache Hypoaesthesia Migraine Nausea

Symptomtext

felt like the top of my head was vibrating; nausea; headache; numbness / stroke-like symptom (numbness); term transient dizziness / dizziness; migraine; This spontaneous case was reported by a pharmacist and describes the occurrence of HEAD DISCOMFORT (felt like the top of my head was vibrating), DIZZINESS (term transient dizziness / dizziness), NAUSEA (nausea), HYPOAESTHESIA (numbness / stroke-like symptom (numbness)) and HEADACHE (headache) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 039K20A and 029C20A.) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History reported by reporter. Concomitant products included VITAMIN B COMPLEX (B COMPLEX [VITAMIN B COMPLEX]) and VITAMINS NOS for an unknown indication. On 23-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Jan-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 03-Jan-2021, the patient experienced DIZZINESS (term transient dizziness / dizziness) and MIGRAINE (migraine). On 19-Apr-2021, the patient experienced HYPOAESTHESIA (numbness / stroke-like symptom (numbness)). On an unknown date, the patient experienced HEAD DISCOMFORT (felt like the top of my head was vibrating), NAUSEA (nausea) and HEADACHE (headache). The patient was treated with PREDNISONE at a dose of 1 dosage form. On 05-Jan-2021, DIZZINESS (term transient dizziness / dizziness) and MIGRAINE (migraine) had resolved. On 19-Apr-2021, HYPOAESTHESIA (numbness / stroke-like symptom (numbness)) had resolved. At the time of the report, HEAD DISCOMFORT (felt like the top of my head was vibrating), NAUSEA (nausea) and HEADACHE (headache) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Computerised tomogram: No Indication of Stroke. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. The action taken with mRNA-1273 with the events was considered as not applicable This case was linked to MOD-2021-116510 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 14-Jun-2021: No specific follow-up information recorded.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Migraine
Hospital-Tage
-
Labordaten
Test Name: CT Scan; Result Unstructured Data: No Indication of Stroke
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: No Medical History reported by reporter.
Andere Medikamente
B COMPLEX [VITAMIN B COMPLEX]; VITAMINS NOS
Allergien
-
Vorherige Impfungen
-

VAERS 1639312

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
MA
Alter
51,0
Geschlecht
M
Eingang
27.08.2021
Impfdatum
15.05.2021
Beginn
11.06.2021
Tage bis Beginn
27,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chills Dyspnoea Headache Pyrexia

Symptomtext

Shortness of breath; Fever; Chills; Headache; This spontaneous case was reported by a consumer and describes the occurrence of DYSPNOEA (Shortness of breath), PYREXIA (Fever), CHILLS (Chills) and HEADACHE (Headache) in a 51-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. No Medical History information was reported. On 15-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Jun-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 11-Jun-2021, the patient experienced PYREXIA (Fever), CHILLS (Chills) and HEADACHE (Headache). On 12-Jun-2021, the patient experienced DYSPNOEA (Shortness of breath). On 13-Jun-2021, DYSPNOEA (Shortness of breath), PYREXIA (Fever), CHILLS (Chills) and HEADACHE (Headache) had resolved. Concomitant product use was not provided by the reporter. No treatment information was provided. Action taken with mRNA-1273 in response to the event was not applicable. This case was linked to MOD-2021-223938 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1639082

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
69,0
Geschlecht
F
Eingang
27.08.2021
Impfdatum
11.02.2021
Beginn
11.02.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Axillary pain Body temperature Chest pain Dyspnoea Fatigue Headache Oropharyngeal pain Pyrexia SARS-CoV-2 test negative Vaccination site rash Vaccination site warmth

Symptomtext

Fever; chest pain; sore throat; Tired; trouble breathing a little; rash on the vaccination site - left arm; hot to the touch - left arm; slight headache; temperature; sore arm - left arm; This spontaneous case was reported by a consumer and describes the occurrence of AXILLARY PAIN (sore arm - left arm), VACCINATION SITE RASH (rash on the vaccination site - left arm), VACCINATION SITE WARMTH (hot to the touch - left arm), HEADACHE (slight headache) and PYREXIA (temperature) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History was provided by the reporter. Concomitant products included ATORVASTATIN CALCIUM (LIPITOR) and IBANDRONATE SODIUM (BONIVA) for an unknown indication. On 11-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 AXILLARY PAIN (sore arm - left arm) and PYREXIA (temperature). On 15-Feb-2021, the patient experienced VACCINATION SITE RASH (rash on the vaccination site - left arm), VACCINATION SITE WARMTH (hot to the touch - left arm) and HEADACHE (slight headache). On an unknown date, the patient experienced PYREXIA (Fever), CHEST PAIN (chest pain), OROPHARYNGEAL PAIN (sore throat), FATIGUE (Tired) and DYSPNOEA (trouble breathing a little). On 13-Feb-2021, PYREXIA (temperature) had resolved. At the time of the report, AXILLARY PAIN (sore arm - left arm), VACCINATION SITE RASH (rash on the vaccination site - left arm), VACCINATION SITE WARMTH (hot to the touch - left arm), HEADACHE (slight headache), OROPHARYNGEAL PAIN (sore throat), FATIGUE (Tired) and DYSPNOEA (trouble breathing a little) outcome was unknown, PYREXIA (Fever) was resolving and CHEST PAIN (chest pain) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 11-Feb-2021, Body temperature: 99 (High) patient had fever of 99 F after 2nd shot of vaccine.. On an unknown date, Body temperature: 102 (High) patient had fever of 102 F tested two weeks after 2nd shot of vaccine. On an unknown date, SARS-CoV-2 test negative: negative Negative. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Patient's treatment medication included antibiotics taken for Adverse event.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
Test Name: body temperature; Result Unstructured Data: patient had fever of 102 F tested two weeks after 2nd shot of vaccine.; Test Date: 20210211; Test Name: body temperature; Result Unstructured Data: patient had fever of 99 F after 2nd shot of vaccine.; Test Name: SARS-CoV-2 test negative; Test Result: Negative ; Result Unstructured Data: Negative
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: No Medical History was provided by the reporter.
Andere Medikamente
LIPITOR; BONIVA
Allergien
-
Vorherige Impfungen
-

VAERS 1638957

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
KY
Alter
38,0
Geschlecht
F
Eingang
27.08.2021
Impfdatum
-
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Chromaturia Confusional state Dizziness Headache Influenza like illness Pain Paraesthesia Trismus

Symptomtext

Dark urine; Confusion/dizziness; Headache; Tingling of the ear; Flu Like Symptoms; Body Aches; Locked Jaw; Confusion/Dizziness; This spontaneous case was reported by a pharmacist and describes the occurrence of CONFUSIONAL STATE (Confusion/dizziness) in a 38-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. The patient's past medical history included Neurological disorder NOS, Tingling and Panic attacks. 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 CONFUSIONAL STATE (Confusion/dizziness). At the time of the report, CONFUSIONAL STATE (Confusion/dizziness) 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. Treatment medication not provided. Concomitant medication not provided. Most recent FOLLOW-UP information incorporated above includes: On 13-Apr-2021: No new information received; 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.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: Neurological disorder NOS; Panic attacks; Tingling
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1636463

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
NJ
Alter
51,0
Geschlecht
F
Eingang
26.08.2021
Impfdatum
06.02.2021
Beginn
12.02.2021
Tage bis Beginn
6,0
Dosis
2
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Condition aggravated Hypersensitivity Pulmonary function test normal Wheezing

Symptomtext

After a week after my vaccination, 02/12/2021, I noticed I was wheezing. It had been about 10 to 15 years were I had an episode of asthma. This was going on for like a month. I was trying to treat myself, I took some steroids myself. What caught my attention, it was winter of all the season of the year, it's the time of season I feel my best. and I was thinking why am I wheezing in the winter. I went to see my allergist about a month later, on 02/27/2021. The doctor did not think the asthma was related to the vaccine. The doctor put me on a different asthma inhaler and a nasal inhaler. The nasal wasn't bothering me as much as the wheezing . It seemed to have resolved with the 2 inhalers he gave. I did a short course of oral steroid, Prednisone. I am a doctor and I have been double masking since May 2020, and this started like in February, and I wasn't sure if it was the mask, but I really don't think it had anything to do with it, neither did the doctor. My perception is I felt like I am reacting to everything, like the vaccine set off my immune system. All of my allergies just seem to have come back, since 15 years ago. My allergies were just reacting especially during a season, winter, they normally don't react.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
breathing test- I was already treated by the time I had the test, so the test came out normal.
Aktuelle Erkrankungen
no
Vorgeschichte
asthma; allergies; muscular; like back pain
Andere Medikamente
Vitamin C
Allergien
penicillin; sulfa; tree nuts; asparagus; grass, tree, pollen; dust
Vorherige Impfungen
flu shot- bad reaction , sick for days, flu like symptoms that were very persistent

VAERS 1635716

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
OH
Alter
59,0
Geschlecht
F
Eingang
26.08.2021
Impfdatum
23.12.2020
Beginn
23.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Anxiety Blood thyroid stimulating hormone decreased Chest pain Decreased appetite Dizziness Fatigue Gait disturbance Vaccination site pain Weight fluctuation

Symptomtext

she was smoking more and she does that when she's anxious; Head whozzy; she lost 4 pounds after 2 weeks although she gained 1 pound today; Couldnt walk; TSH has dropped; Feeling so tired; Sore arm; no appetite; Chest pain; So wired i couln't calm down; This spontaneous case was reported by an other health care professional and describes the occurrence of ANXIETY (So wired i couln't calm down), CHEST PAIN (Chest pain), ANXIETY (she was smoking more and she does that when she's anxious), DIZZINESS (Head whozzy) and DECREASED APPETITE (no appetite) in a 59-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 23-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Dec-2020, the patient experienced ANXIETY (So wired i couln't calm down). On 24-Dec-2020, the patient experienced CHEST PAIN (Chest pain), DECREASED APPETITE (no appetite), FATIGUE (Feeling so tired) and VACCINATION SITE PAIN (Sore arm). On an unknown date, the patient experienced ANXIETY (she was smoking more and she does that when she's anxious), DIZZINESS (Head whozzy), WEIGHT FLUCTUATION (she lost 4 pounds after 2 weeks although she gained 1 pound today), GAIT DISTURBANCE (Couldnt walk) and BLOOD THYROID STIMULATING HORMONE DECREASED (TSH has dropped). At the time of the report, ANXIETY (So wired i couln't calm down), CHEST PAIN (Chest pain), ANXIETY (she was smoking more and she does that when she's anxious), DIZZINESS (Head whozzy), DECREASED APPETITE (no appetite), WEIGHT FLUCTUATION (she lost 4 pounds after 2 weeks although she gained 1 pound today), GAIT DISTURBANCE (Couldnt walk), BLOOD THYROID STIMULATING HORMONE DECREASED (TSH has dropped), FATIGUE (Feeling so tired) and VACCINATION SITE PAIN (Sore arm) 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 reported. No treatment medications were provided by the reporter. Most recent FOLLOW-UP information incorporated above includes: On 10-Jan-2021: No new information

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 950573

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
44,0
Geschlecht
F
Eingang
26.08.2021
Impfdatum
07.01.2021
Beginn
23.07.2021
Tage bis Beginn
197,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Chest X-ray Computerised tomogram thorax Pain in extremity SARS-CoV-2 test Scan with contrast Injection site erythema Injection site induration Injection site pruritus Paraesthesia Injection site reaction

Symptomtext

Lower extremity pain.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
4,0
Labordaten
CT Chest PE with contrast, covid test, cxr
Aktuelle Erkrankungen
-
Vorgeschichte
Asthma, HTN, hypercholesterolemia, kidney stone, anxiety.
Andere Medikamente
-
Allergien
Ambien
Vorherige Impfungen
-

VAERS 1633565

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
CT
Alter
28,0
Geschlecht
F
Eingang
25.08.2021
Impfdatum
25.12.2020
Beginn
01.01.2021
Tage bis Beginn
7,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: ja ER: ja Erholt: nein
Acne Angiogram normal Antinuclear antibody positive Arthralgia Audiogram normal Back pain Blood immunoglobulin G Cerumen removal Chest X-ray normal Ear canal erythema Ear pain Ear, nose and throat examination abnormal Echocardiogram normal Electrocardiogram T wave abnormal Erythema External ear inflammation Facet joint syndrome Fatigue

Symptomtext

A week after receiving my first Moderna COVID vaccine (Dec 25), I started developing redness, pain, and tenderness over both ears. I watched my symptoms. I received my second dose of Moderna 1/24/21, and the ear symptoms and pain got progressively worse following, and migrated to both ear canals. I was seen by my PCP where the possibility of infection was raised. I was started on doxycycline for acne on my face, which did not have any effect on my ear symptoms, and was switched to Augmentin without much benefit. I also received some ear drops and was referred to see ENT. I began developing lower extremity weakness, tremors, numbness and tingling, shakiness while walking down stairs, pain in my lower back and back of head, increased forgetfulness, brain fog, difficulty expressing, exhaustion, blurry vision, and joint pains in my ankles, knees, and wrists. I was seen by ENT 04/01 and was told that my ears did look red and inflamed, but not infectious. I was instructed to take NSAIDS for pain and some wax over my tympanic membrane was removed. I had a follow-up visit on 04/15 and audiometry noted normal hearing. I was started on a course of prednisone. I had worsening of my neurologic symptoms, requiring hospitalization 04/22-04/28. In the hospital I was noted to have hypotension due to unclear etiology. I was worked up in the hospital by neurology and rheumatology. After being discharged, I have been further worked up by rheumatology, and neurology. I have also seen an immunologist and have an appointment scheduled to see cardiology. I continue to have all symptoms, which all fluctuate in severity. I started taking meloxicam for the ear pain with some relief. I was then started on a low dose prednisone taper by rheumatology, which I am currently still on, and have just started taking plaquenil for ?vaccine induced relapsing polychondritis.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypotension
Hospital-Tage
7,0
Labordaten
+ANA 1:640 dense fine speckled (04/17) +Histone Antibody, IGG 1.20 (06/04) EKG: sinus rhythm:borderline left axis deviation:borderline t abnormalities, inferior lead (04/25) brain MRI, MRI of auditory canals, spinal tap- results normal Nerve conduction study Echo 04/24 normal neg chest xray 04/24 neg BL venous ultrasound 04/27 neg CTA lower extremity 04/27 Xray lumbar spine: Findings: (08/02)There are five non rib-bearing lumbar vertebral bodies. There is normal lumbar lordosis. There is mild disc space narrowing at L5-S1, suggestive of mild degenerative disc disease. There is mild facet arthrosis of the lower lumbar spine. There is minimal retrolisthesis of L5 on S1. The lumbar vertebral body heights are preserved. Xray of bilateral ankles negative (08/02) xray of bilateral hips and pelvis negative (08/02) Spine MRI now ordered
Aktuelle Erkrankungen
-
Vorgeschichte
Depression, anxiety, ADHD, sinus tachycardia
Andere Medikamente
Metroprolol 25mg, adderall 30mg BID, xanax 0.25mg PRN, lexapro 20mg, wellbutrin 150mg, claritin 10mg,
Allergien
-
Vorherige Impfungen
-

VAERS 1625994

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
GA
Alter
55,0
Geschlecht
M
Eingang
24.08.2021
Impfdatum
30.12.2020
Beginn
30.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Dyspnoea Erythema Feeling cold Limb discomfort Tachycardia Tremor

Symptomtext

Whole bodyredness; shaking; coldness; tachycardia; shortness of breath; heaviness in lower extremities; This spontaneous case was reported by a nurse (subsequently medically confirmed) and describes the occurrence of ERYTHEMA (Whole bodyredness), FEELING COLD (coldness), TACHYCARDIA (tachycardia), DYSPNOEA (shortness of breath) and LIMB DISCOMFORT (heaviness in lower extremities) in a 55-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. No Medical History information was reported. On 30-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Dec-2020, the patient experienced ERYTHEMA (Whole bodyredness), FEELING COLD (coldness), TACHYCARDIA (tachycardia), DYSPNOEA (shortness of breath) and LIMB DISCOMFORT (heaviness in lower extremities). The patient was treated with ROSUVASTATIN CALCIUM (CRESTOR) at an unspecified dose and frequency; ALLOPURINOL at an unspecified dose and frequency and LORATADINE, PSEUDOEPHEDRINE HYDROCHLORIDE (BENADRYL 24 D) at an unspecified dose and frequency. At the time of the report, ERYTHEMA (Whole bodyredness), FEELING COLD (coldness), TACHYCARDIA (tachycardia), DYSPNOEA (shortness of breath) and LIMB DISCOMFORT (heaviness in lower extremities) 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.; Sender's Comments: Based on the current available information and the temporal association between the product use and the start date of the events a causal relationship cannot be excluded.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1623628

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
VA
Alter
25,0
Geschlecht
F
Eingang
23.08.2021
Impfdatum
01.02.2021
Beginn
30.03.2021
Tage bis Beginn
57,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: ja ER: ja Erholt: nein
Condition aggravated Hypoaesthesia Magnetic resonance imaging head Magnetic resonance imaging spinal Multiple sclerosis

Symptomtext

MS relapse - left side numbness starting at shoulder

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
1,0
Labordaten
MRI of brain and c-spine - 4/7/21
Aktuelle Erkrankungen
-
Vorgeschichte
MS
Andere Medikamente
Vitamin D
Allergien
-
Vorherige Impfungen
-

VAERS 1616790

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
37,0
Geschlecht
F
Eingang
22.08.2021
Impfdatum
20.01.2021
Beginn
20.02.2021
Tage bis Beginn
31,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Feeling abnormal Joint swelling Paraesthesia Vaccination site pain Vaccination site swelling

Symptomtext

magnetic pull on left arm and then the magnetic pull moved to her forehead; tingling of left elbow; swelling and tingling of left elbow; pain and swelling at injection site of left arm; swelling at injection site of left arm; This spontaneous case was reported by a patient and describes the occurrence of PARAESTHESIA (tingling of left elbow), FEELING ABNORMAL (magnetic pull on left arm and then the magnetic pull moved to her forehead), VACCINATION SITE PAIN (pain and swelling at injection site of left arm), VACCINATION SITE SWELLING (swelling at injection site of left arm) and JOINT SWELLING (swelling and tingling of left elbow) in a 37-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) 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-Feb-2021, the patient experienced VACCINATION SITE PAIN (pain and swelling at injection site of left arm) and VACCINATION SITE SWELLING (swelling at injection site of left arm). On 10-May-2021, the patient experienced PARAESTHESIA (tingling of left elbow) and JOINT SWELLING (swelling and tingling of left elbow). On 13-May-2021, the patient experienced FEELING ABNORMAL (magnetic pull on left arm and then the magnetic pull moved to her forehead). On 11-May-2021, PARAESTHESIA (tingling of left elbow) and JOINT SWELLING (swelling and tingling of left elbow) had resolved. On 15-May-2021, FEELING ABNORMAL (magnetic pull on left arm and then the magnetic pull moved to her forehead) had resolved. At the time of the report, VACCINATION SITE PAIN (pain and swelling at injection site of left arm) and VACCINATION SITE SWELLING (swelling at injection site of left arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication information was not provided. Treatment information was not provided. This case was linked to MOD21-090969 (E2B Linked Report).; Sender's Comments: MOD21-090969:

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1615255

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
WV
Alter
61,0
Geschlecht
F
Eingang
22.08.2021
Impfdatum
23.12.2020
Beginn
01.03.2021
Tage bis Beginn
68,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Dizziness Hypoaesthesia Migraine Nausea

Symptomtext

Nausea; My right side went numb from waist up; stroke-like symptoms; dizziness; felt like I was in a wave pool; migrane headaches; the top of my head vibrating; This spontaneous case was reported by a pharmacist (subsequently medically confirmed) and describes the occurrence of DIZZINESS (dizziness; felt like I was in a wave pool), MIGRAINE (migrane headaches; the top of my head vibrating), HYPOAESTHESIA (My right side went numb from waist up; stroke-like symptoms) and NAUSEA (Nausea) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029C20A and 039K20A) for COVID-19 vaccination. No medical history provided by the reporter. Concomitant products included VITAMIN B NOS (B-COMPLEX [VITAMIN B NOS]) for an unknown indication. On 23-Dec-2020 at 10:00 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Jan-2021 at 2:00 PM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 01-Mar-2021, the patient experienced DIZZINESS (dizziness; felt like I was in a wave pool). 01-Mar-2021, the patient experienced MIGRAINE (migrane headaches; the top of my head vibrating). On 19-Apr-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced HYPOAESTHESIA (My right side went numb from waist up; stroke-like symptoms). On an unknown date, the patient experienced NAUSEA (Nausea). The patient was treated with MECLIZINE [MECLOZINE] for Dizziness, at a dose of 1 dosage form and PREDNISONE for Adverse event, at a dose of 1 dosage form. On 19-Apr-2021, HYPOAESTHESIA (My right side went numb from waist up; stroke-like symptoms) had resolved. On 01-May-2021, DIZZINESS (dizziness; felt like I was in a wave pool) and MIGRAINE (migrane headaches; the top of my head vibrating) had resolved. At the time of the report, NAUSEA (Nausea) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 19-Apr-2021, Computerised tomogram: normal (normal) normal- no indication of a stroke. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. The patient reported trying meclizine and Sea bands for the dizziness, but neither therapy caused the dizziness to disappear. The migraine headaches were almost constant, not intense but always there to some degree. Both the dizziness and headache lasted about 8 weeks. The stroke-like symptom only occurred once. The patient went to the ER and had a CT scan done. The patient was prescribed prednisone; the patient reported that the symptoms disappeared about 10-14 days after the steroid was initiated. Most recent FOLLOW-UP information incorporated above includes: On 10-May-2021: Additional events/event details provided, outcome of all events updated to recovered/resolved (except dizziness) On 14-Jun-2021: Completed ADR Form updated patient's demographics and provided event and treatment details

Weitere VAERSDATA-Felder
Praegender Schweregrund
Migraine
Hospital-Tage
-
Labordaten
Test Date: 20210419; Test Name: CT scan; Result Unstructured Data: normal- no indication of a stroke
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: No medical history provided by the reporter.
Andere Medikamente
B-COMPLEX [VITAMIN B NOS]
Allergien
-
Vorherige Impfungen
-

VAERS 1611275

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
NJ
Alter
-
Geschlecht
F
Eingang
22.08.2021
Impfdatum
26.12.2020
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Headache Hypertension Pain in extremity Vaccination site pain

Symptomtext

headaches; injection site pain; higher than normal blood pressure; pain in arm; This spontaneous case was reported by a nurse and describes the occurrence of HEADACHE (headaches), VACCINATION SITE PAIN (injection site pain), HYPERTENSION (higher than normal blood pressure) and PAIN IN EXTREMITY (pain in arm) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 032L20A and 039K20A) for COVID-19 vaccination. No Medical History information was reported. On 26-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 23-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 HEADACHE (headaches), VACCINATION SITE PAIN (injection site pain), HYPERTENSION (higher than normal blood pressure) and PAIN IN EXTREMITY (pain in arm). At the time of the report, HEADACHE (headaches), VACCINATION SITE PAIN (injection site pain), HYPERTENSION (higher than normal blood pressure) and PAIN IN EXTREMITY (pain in arm) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Treatment icepack at night after first vaccine. This case was linked to MOD-2021-014742 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypertension
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1606559

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20A

moderat
Staat
IN
Alter
31,0
Geschlecht
F
Eingang
22.08.2021
Impfdatum
06.04.2021
Beginn
06.04.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood pressure measurement Dizziness Tremor

Symptomtext

hands started shaking; lightheaded; This spontaneous case was reported by a nurse and describes the occurrence of TREMOR (hands started shaking) and DIZZINESS (lightheaded) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039k20A) for COVID-19 vaccination. No Medical History information was reported. On 06-Apr-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) at an unspecified dose. On 06-Apr-2021, the patient experienced TREMOR (hands started shaking) and DIZZINESS (lightheaded). DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 06-Apr-2021, Blood pressure measurement: 118/72. On 06-Apr-2021, Heart rate: 06-apr-2021. On 06-Apr-2021, Oxygen saturation: 06-apr-2021. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route), the reporter did not provide any causality assessments. Reporter did not allow further contact

Weitere VAERSDATA-Felder
Praegender Schweregrund
Tremor
Hospital-Tage
-
Labordaten
Test Date: 20210406; Test Name: blood pressure
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1605652

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
-
Alter
86,0
Geschlecht
M
Eingang
22.08.2021
Impfdatum
09.01.2021
Beginn
04.02.1900
Tage bis Beginn
-
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Asthenia Condition aggravated Hypertension Mobility decreased

Symptomtext

Hypertension; High blood pressure condition has worsened; Weakness; Difficulty to move at night; This spontaneous case was reported by a consumer and describes the occurrence of HYPERTENSION (Hypertension), CONDITION AGGRAVATED (High blood pressure condition has worsened), ASTHENIA (Weakness) and MOBILITY DECREASED (Difficulty to move at night) in an 86-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029K20A and 039K20A) for COVID-19 vaccination. Concurrent medical conditions included Hypertension and Parkinson's disease. On 09-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On 04-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 04-Feb-1900, the patient experienced MOBILITY DECREASED (Difficulty to move at night). On 04-Feb-2021, the patient experienced HYPERTENSION (Hypertension), CONDITION AGGRAVATED (High blood pressure condition has worsened) and ASTHENIA (Weakness). At the time of the report, HYPERTENSION (Hypertension), CONDITION AGGRAVATED (High blood pressure condition has worsened), ASTHENIA (Weakness) and MOBILITY DECREASED (Difficulty to move at night) outcome was unknown. Action taken with mRNA-1273 in response to the events was not Applicable. Concomitant product use was not provided by the reporter. Treatment information was not provided.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Hypertension; Parkinson's disease
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1605635

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
85,0
Geschlecht
M
Eingang
22.08.2021
Impfdatum
08.02.2021
Beginn
11.02.2021
Tage bis Beginn
3,0
Dosis
2
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Blood pressure measurement Hypertension

Symptomtext

Hypertension; This spontaneous case was reported by a consumer and describes the occurrence of HYPERTENSION in an 85-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. Concurrent medical conditions included Blood cholesterol increased. Concomitant products included ATORVASTATIN for Cholesterol blood increased. On 08-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-Feb-2021, the patient experienced HYPERTENSION. The patient was treated with AMLODIPINE for Hypertension, at an unspecified dose and frequency. At the time of the report, HYPERTENSION outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 12-Feb-2021, Blood pressure measurement: 200 mmHg (High). Patient went to Emergency Room and stayed for 2 nights after his BP normalized. Reporter did not allow further contact.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypertension
Hospital-Tage
-
Labordaten
Test Date: 20210212; Test Name: Blood pressure; Test Result: 200; Result Unstructured Data.
Aktuelle Erkrankungen
Blood cholesterol increased
Vorgeschichte
-
Andere Medikamente
ATORVASTATIN
Allergien
-
Vorherige Impfungen
-

VAERS 1596501

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
OH
Alter
51,0
Geschlecht
M
Eingang
21.08.2021
Impfdatum
05.01.2021
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chest pain Computerised tomogram Therapeutic response unexpected

Symptomtext

burning pain in chest at the site of tumors; CAT scan from 2Mar2021 showed significant regression of tumors; This spontaneous case was reported by a health care professional and describes the occurrence of CHEST PAIN (burning pain in chest at the site of tumors) and COMPUTERISED TOMOGRAM (CAT scan from 2Mar2021 showed significant regression of tumors) in a 51-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 0262Z0A and 039K20A) for COVID-19 vaccination. No Medical History information was reported. On 05-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-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 CHEST PAIN (burning pain in chest at the site of tumors) and COMPUTERISED TOMOGRAM (CAT scan from 2Mar2021 showed significant regression of tumors). At the time of the report, CHEST PAIN (burning pain in chest at the site of tumors) and COMPUTERISED TOMOGRAM (CAT scan from 2Mar2021 showed significant regression of tumors) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 02-Mar-2021, Computerised tomogram: significant regression of tumors (Inconclusive) significant regression of tumors. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No treatment information was provided. No relevant concomitant medications reported.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
Test Date: 20210302; Test Name: CT scan; Test Result: Inconclusive ; Result Unstructured Data: significant regression of tumors
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1596426

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
55,0
Geschlecht
F
Eingang
21.08.2021
Impfdatum
12.01.2021
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chills Discomfort Hypertension Pain in extremity Pruritus

Symptomtext

itching in her body, as if a mosquito was biting her in various parts of her body; itch, as if she has an allergy clothing; uncomfortable; little arm pain; chills; blood pressure goes up because she gets nervous; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (itching in her body, as if a mosquito was biting her in various parts of her body), PRURITUS (itch, as if she has an allergy clothing), DISCOMFORT (uncomfortable), PAIN IN EXTREMITY (little arm pain) and CHILLS (chills) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 039K20A and 029K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event. Concomitant products included blood pressure amlodipine, hydrochlorothiazide Diuretic, aspirin per day and ERGOCALCIFEROL, RETINOL PALMITATE (VITAMINS A & D) for an unknown indication. 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 first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced PRURITUS (itching in her body, as if a mosquito was biting her in various parts of her body), PRURITUS (itch, as if she has an allergy clothing), DISCOMFORT (uncomfortable), PAIN IN EXTREMITY (little arm pain), CHILLS (chills) and HYPERTENSION (blood pressure goes up because she gets nervous). At the time of the report, PRURITUS (itching in her body, as if a mosquito was biting her in various parts of her body), PRURITUS (itch, as if she has an allergy clothing), DISCOMFORT (uncomfortable), PAIN IN EXTREMITY (little arm pain), CHILLS (chills) and HYPERTENSION (blood pressure goes up because she gets nervous) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Reporter did not allow further contact

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypertension
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: No adverse event
Andere Medikamente
blood pressure amlodipine; hydrochlorothiazide Diuretic; aspirin per day; VITAMINS A & D
Allergien
-
Vorherige Impfungen
-

VAERS 1594730

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
PA
Alter
25,0
Geschlecht
F
Eingang
21.08.2021
Impfdatum
22.01.2021
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Feeling abnormal Paraesthesia Skin discolouration

Symptomtext

Tingling Sensation; Black and Blue mark; Don't feel good; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PARAESTHESIA (Tingling Sensation), SKIN DISCOLOURATION (Black and Blue mark) and FEELING ABNORMAL (Don't feel good) in a 25-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. Concurrent medical conditions included Asthma. Concomitant products included FLUTICASONE FUROATE, VILANTEROL TRIFENATATE (BREO ELLIPTA) for Asthma, VITAMINS NOS for an unknown indication. On 22-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PARAESTHESIA (Tingling Sensation), SKIN DISCOLOURATION (Black and Blue mark) and FEELING ABNORMAL (Don't feel good). At the time of the report, PARAESTHESIA (Tingling Sensation), SKIN DISCOLOURATION (Black and Blue mark) and FEELING ABNORMAL (Don't feel good) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information was not provided. Most recent FOLLOW-UP information incorporated above includes: On 16-Apr-2021: Email address of reporter updated.; 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.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Asthma
Vorgeschichte
-
Andere Medikamente
BREO ELLIPTA; VITAMINS NOS
Allergien
-
Vorherige Impfungen
-

VAERS 1594640

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
VA
Alter
41,0
Geschlecht
F
Eingang
21.08.2021
Impfdatum
24.01.2021
Beginn
25.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Blood thyroid stimulating hormone Chest scan Fibrin D dimer Full blood count Hypertension Metabolic function test Palpitations Pregnancy test urine Tachycardia Troponin Urine analysis White blood cell count

Symptomtext

really high blood pressure; beats per minute have been around157-166; my heart is going to leave my chest; My heart beat stay constant at 177; This spontaneous case was reported by a consumer and describes the occurrence of HYPERTENSION (really high blood pressure), TACHYCARDIA (beats per minute have been around157-166), PALPITATIONS (my heart is going to leave my chest) and TACHYCARDIA (My heart beat stay constant at 177) in a 41-year-old female adult exposed to mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) , while the parent received the product for COVID-19 vaccination. MEDICAL HISTORY (Parent): Unknown. MEDICAL HISTORY (Patient): Concurrent medical conditions included Asthma since 2000. Concomitant product exposures included TOPIRAMATE (TOPAMAX) for Migraine, ALBUTEROL [SALBUTAMOL], VITAMIN C [ASCORBIC ACID], MAGNESIUM and PROBIOTICS NOS for an unknown indication. On 24-Jan-2021 at 5:30 PM, the parent received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. Last menstrual period and estimated date of delivery were not provided. On 25-Jan-2021, the adult was diagnosed with HYPERTENSION (really high blood pressure), TACHYCARDIA (beats per minute have been around157-166), PALPITATIONS (my heart is going to leave my chest) and TACHYCARDIA (My heart beat stay constant at 177). The Adult was exposed to mRNA-1273 (Moderna COVID-19 Vaccine) during pregnancy. On 26-Jan-2021, HYPERTENSION (really high blood pressure), TACHYCARDIA (beats per minute have been around157-166), PALPITATIONS (my heart is going to leave my chest) and TACHYCARDIA (My heart beat stay constant at 177) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 25-Jan-2021, Blood thyroid stimulating hormone (0.27-4.20): 3.23 (normal) 3.23mcu/ml. On 25-Jan-2021, Chest scan: pectus exacavatum (Inconclusive) No acute intrathoracic identified. pectus exacavatum. On 25-Jan-2021, Fibrin D dimer (0.00-1.12): 0.23 (normal) 0.23 mg/L FEU. On 25-Jan-2021, Full blood count: abnormal (abnormal) Test Ref Range Value WBC x 10*3 12.6 (H) 4.0 - 11.0 K/uL RBC x 10% 4.93 3.80 - 5.20 M/uL HGB 15.9 (H) 11.7-15.Sg/dL HCT 48.2 (H) 35.1-46.5% MCV 98 81-99fL MCH 32 26 - 34 pg MCHC 33 31 - 36 g/dL RDW 12.9 10.0-15.5% Platelet 321 140 - 440 K/uL MPV 9.3 9.0 - 13.0 fl Segmented Neutrophils 40 - 75 % 63 Lymphocytes 28 20 - 45 % Monocytes 8 3 - 12 % Eosinophil 1 0 - 6 % Basophils 1 0 - 2 % Absolute Neutrophils 1.8 - 7.7 K/uL 7.9 (H) Absolute Lymphocytes 1.0 - 4.8 K/uL 3.5 Absolute Monocyte Count~0.1 - 1.0 K/uL 1.0 Absolute Eosinophil~0.0 - 0.5 K/uL 0.1 Absolute Basophil Count~0.0 - 0.2 K/uL 0.1. On 25-Jan-2021, Metabolic function test: normal (normal) Result~Value~Ref Range Potassium~3.7~3.5 - 5,5 mmol/L Sodium~140~133 - 145 mmol/L. Chloride~108~98 - 110 m noi/L Glucose~81~70 - 99 mg/dL Calcium~9.2~8.4 - 10.5 mg/dL Albumin~4.2~3.5 - 5.0 g/dL SGPT (ALT)~12~5 - 40 U/L SGOT (AST)~16~10 - 37 U/L Bilirubin Total~0.1 (L)~0.2 - 1.2 mg/dL Alkaline Phosphatase~73~25 - 115 U/L BUN~17~6 - 22 mg/dL CO2~21~20 - 32 mmol/L Creatinine~0.8~0.5 - 1.2 mg/dL eGFR African American~>60.0~>60.0 eGFR Non African American~>60.0~>60.0 Globulin~3.2~2.0 - 4.0 g/dL A/G Ratio~1.3~1.1 - 2.6 ratio Total Protein~7.4~6.4 - 8.3 g/dL Anion Gap~11.3~3.0 - 15.0 mmol/L. On 25-Jan-2021, Pregnancy test urine: negative (Negative) Negative. On 25-Jan-2021, Troponin (0-19 ng/L): 12 ng/L (normal) 12ng/l. On 25-Jan-2021, Urine analysis: 140 (normal) Result Value Ref Range Urine Color Yellow Straw, Light Yellow, Yellow, Dark Urine Clarity Clear Clear, Slightly Cloudy Urine pH 5.5 5.0 - 8.0 pH Urine Protein Screen Negative Negative, Trace mg/dL Urine Glucose Negative Negative, Trace mg/dL Urine Ketones Negative Negative, NOT TESTED, Color I nterference, Mucoid Interference mg/dl Urine Occult Blood Negative NegativeNegative Urine Specific Gravity 1.020 1.005 - 1.030 Urine Nitrite Negative Negative Urine Leukocyte Esterase Negative Negative Urine Bilirubin Negative Negative Urine Urobilinogen 0.2 <2.0 mg/dL Urine RBC Negative Negative, 0-2 /hpf Urine WBC Negative 0 - 2 /hpf. On 25-Jan-2021, White blood cell count (4.0-11.0): 12.6 (High) 12.6 K/UL. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient went to Emergency room for worsening adverse event where he was given IV and heart beat came down and was discharge. Most recent FOLLOW-UP information incorporated above includes: On 14-Jun-2021: Reporter provided outcome of AE's and lab work pertaining to ER visit

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypertension
Hospital-Tage
-
Labordaten
Test Date: 20210125; Test Name: TSH; Result Unstructured Data: 3.23mcu/ml; Test Date: 20210125; Test Name: chest; Test Result: Inconclusive ; Result Unstructured Data: No acute intrathoracic identified. pectus exacavatum; Test Date: 20210125; Test Name: d-dimer Quantitive; Result Unstructured Data: 0.23 mg/L FEU; Test Date: 20210125; Test Name: CBC WITH DIFFERENTIAL AUTO; Result Unstructured Data: Test Ref Range Value WBC x 10*3 12.6 (H) 4.0 - 11.0 K/uL RBC x 10% 4.93 3.80 - 5.20 M/uL HGB 15.9 (H) 11.7-15.Sg/dL HCT 48.2 (H) 35.1-46.5% MCV 98 81-99fL MCH 32 26 - 34 pg MCHC 33 31 - 36 g/dL RDW 12.9 10.0-15.5% Platelet 321 140 - 440 K/uL MPV 9.3 9.0 - 13.0 fl Segmented Neutrophils 40 - 75 % 63 Lymphocytes 28 20 - 45 % Monocytes 8 3 - 12 % Eosinophil; Test Date: 20210125; Test Name: Comprehensive metabolic panel; Result Unstructured Data: Result Value Ref Range Potassium 3.7 3.5 - 5,5 mmol/L Sodium 140 133 - 145 mmol/L. Chloride 108 98 - 110 m noi/L Glucose 81 70 - 99 mg/dL Calcium 9.2 8.4 - 10.5 mg/dL Albumin 4.2 3.5 - 5.0 g/dL SGPT (ALT) 12 5 - 40 U/L SGOT (AST) 16 10 - 37 U/L Bilirubin Total 0.1 (L) 0.2 - 1.2 mg/dL Alkaline Phosphatase 73 25 - 115 U/L BUN 17 6 - 22 mg/dL CO2 21 20 - 32 mmol/L Creatinine 0.8 0.5 - 1.2 mg/dL eGFR African American >60.0 >60.0 eGFR Non African American >60.0 >60.0 Globulin 3.2 2.0 - 4.0 g/dL A/G Ratio 1.3 1.1 - 2.6 ratio Total Protein 7.4 6.4 - 8.3 g/dL Anion Gap 11.3 3.0 - 15.0 mmol/L; Test Date: 20210125; Test Name: pregnancy urine; Test Result: Negative ; Result Unstructured Data: Negative; Test Date: 20210125; Test Name: troponin; Result Unstructured Data: 12ng/l; Test Date: 20210125; Test Name: Urinalysis with Microscopic; Result Unstructured Data: Result Value Ref Range Urine Color Yellow Straw, Light Yellow, Yellow, Dark Urine Clarity Clear Clear, Slightly Cloudy Urine pH 5.5 5.0 - 8.0 pH Urine Protein Screen Negative Negative, Trace mg/dL Urine Glucose Negative Negative, Trace mg/dL Urine Ketones Negative Negative, NOT TESTED, Color I nterference, Mucoid Interference mg/dl Urine Occult Blood Negative NegativeNegative Urine Specific Gravity 1.020 1.005 - 1.030 Urine Nitrite Negative Negative Urine Leukocyte Esterase Negative Negative Urine Bilirubin Negative Negative Urine Urobilinogen 0.2 <2.0 mg/d; Test Date: 20210125; Test Name: WBC; Result Unstructured Data: 12.6 K/UL
Aktuelle Erkrankungen
Asthma
Vorgeschichte
-
Andere Medikamente
TOPAMAX; ALBUTEROL [SALBUTAMOL]; VITAMIN C [ASCORBIC ACID]; MAGNESIUM; PROBIOTICS NOS
Allergien
-
Vorherige Impfungen
-

VAERS 1591981

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
70,0
Geschlecht
M
Eingang
20.08.2021
Impfdatum
27.01.2021
Beginn
27.07.2021
Tage bis Beginn
181,0
Dosis
1
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Asthenia COVID-19 Chest discomfort Chills Dyspnoea Dyspnoea exertional Feeling abnormal Orthopnoea SARS-CoV-2 test positive

Symptomtext

presents in the facility with complaints worsening dyspnea. States patient has not been feeling good for the past 5 days with onset of dyspnea on exertion about 2 days ago. He reports that last night, he experiences chest tightness and orthopnea while lying in bed with chills and generalized weakness,

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
2,0
Labordaten
SARS CoV positive 7/27/2021
Aktuelle Erkrankungen
-
Vorgeschichte
CAD, chronic AFib s/p ablation-on Coumadin, WPW, s/p PPM, HF, dyslipidemia, GERD and obesity
Andere Medikamente
Benzonatate, dexamethasone, fluticasone nasal, budesonide form
Allergien
NKA
Vorherige Impfungen
-

VAERS 1586782

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
KY
Alter
49,0
Geschlecht
F
Eingang
19.08.2021
Impfdatum
05.02.2021
Beginn
05.02.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Headache Migraine Nausea Occipital neuralgia Photophobia Pyrexia

Symptomtext

Within about 5-7 minutes post the injection, I started getting a headache and mild nausea. I was monitored in the ER because I have had known severe drug reactions. I took some Tylenol and had some ice chips. I was light sensitive. I ended up leaving work early that day due to the headache worsening, light sensitivity and nausea. I had a horrible migraine that same day by the time I got home, unable to tolerate any light, skull sore to the touch, felt like brain was about to explode. I had increasing nausea. I took more Tylenol(can't take ibuprofen due to kidney and bladder disease). I also had to take Zofran for the nausea. I had to keep all lights off and stay in the bed for three days. I developed a fever of 101 degrees by 8pm, it increased to 103.5 degrees by 9-10pm, still with severe migraine and nausea. Nothing relieved the headache. I continued with the migraine and nausea on day two. Fever did not subside until the afternoon on day 3. I did not get relief from the headache until the evening on day 3.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Migraine
Hospital-Tage
-
Labordaten
I was home for the weekend with the migraine, nausea, and fever. I did not go back to the hospital.
Aktuelle Erkrankungen
No acute illnesses prior to or at the time of vaccination.
Vorgeschichte
Chronic GERD, Chronic Gastritis, Chronic Interstitial Cystitis, Chronic Kidney Disease Stage 3, Hypothyroidism
Andere Medikamente
Dexilant, Levothyroxine, Estradiol, Lasix PRN,
Allergien
Compazine (severe -tardive dyskinesia and NMS-neuroleptic malignant syndrome), Penicillin-Severe Hives, Erythromycin-Severe Hives, Sulfa-hives, Cipro-Hives
Vorherige Impfungen
Influenza vaccine caused severe headache, nausea, fever, body aches, bladder pain for 48 hours

VAERS 1586583

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
IN
Alter
54,0
Geschlecht
F
Eingang
19.08.2021
Impfdatum
12.01.2021
Beginn
01.02.2021
Tage bis Beginn
20,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Fatigue Hot flush Hypertension Immediate post-injection reaction Menopause Paraesthesia Tinnitus Toothache Visual acuity reduced

Symptomtext

Severe tinnitus - right ear- started immediately after 2nd injection - no treatment available Second menopause, hot flashing, weight gain, severe fatigue - have not been evaluated for this yet Hypertensive events - various times 140-180 s/ 90-120s - in midst of evaluating Fingers and toes twisting - no treatment beyond Tylenol, Ibuprofen - will need to see Rheumatologist Decline in visual acuity, increased visual snow - new glasses/pescription, saw Optometrist Teeth pain - Tylenol - dentist found no reason All of these symptoms started at some point after 2nd injection

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypertension
Hospital-Tage
-
Labordaten
In process of having MD set up well visit to discuss all of the above items except teeth.
Aktuelle Erkrankungen
N/A
Vorgeschichte
Cardiac arrhythmias
Andere Medikamente
None
Allergien
PCN, Imitrex, Opioids, Anti-cholinergics, stimulants, food preservatives that end in -ite and -ate
Vorherige Impfungen
Influenza vaccine

VAERS 1581864

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
VA
Alter
-
Geschlecht
F
Eingang
18.08.2021
Impfdatum
31.12.2020
Beginn
31.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chest pain Discomfort Erythema Fatigue Lethargy Pain in extremity Pelvic pain Pruritus

Symptomtext

Very sharp pain in the pelvis area; Very very slight little sensation enough to know that there is something; Left arm very sore; Lethargic,like a zombie; very tired; Red area; itchy; Pain in chest; This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (Red area), PRURITUS (itchy), CHEST PAIN (Pain in chest), PAIN IN EXTREMITY (Left arm very sore) and LETHARGY (Lethargic,like a zombie) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 039K20A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 31-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 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 31-Dec-2020, the patient experienced CHEST PAIN (Pain in chest). On 01-Jan-2021, the patient experienced ERYTHEMA (Red area) and PRURITUS (itchy). On 26-Jan-2021, the patient experienced PAIN IN EXTREMITY (Left arm very sore), LETHARGY (Lethargic,like a zombie) and FATIGUE (very tired). On 02-Feb-2021, the patient experienced PELVIC PAIN (Very sharp pain in the pelvis area) and DISCOMFORT (Very very slight little sensation enough to know that there is something). On 05-Jan-2021, ERYTHEMA (Red area) and PRURITUS (itchy) had resolved. On 29-Jan-2021, FATIGUE (very tired) had resolved. On 02-Feb-2021, PELVIC PAIN (Very sharp pain in the pelvis area) and DISCOMFORT (Very very slight little sensation enough to know that there is something) had resolved. At the time of the report, CHEST PAIN (Pain in chest), PAIN IN EXTREMITY (Left arm very sore) and LETHARGY (Lethargic,like a zombie) outcome was unknown. Not Provided No concomitant medication was provided. Treatment information included CBD oil.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1581837

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
83,0
Geschlecht
F
Eingang
18.08.2021
Impfdatum
29.12.2020
Beginn
29.01.2021
Tage bis Beginn
31,0
Dosis
1
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Paraesthesia oral Swollen tongue Vaccination site pain

Symptomtext

Swollen tongue; Tingling tongue; Pain in the arm; This spontaneous case was reported by a consumer and describes the occurrence of SWOLLEN TONGUE (Swollen tongue), PARAESTHESIA ORAL (Tingling tongue) and VACCINATION SITE PAIN (Pain in the arm) in an 83-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029K20A and 039K20A) for COVID-19 vaccination. No Medical History information was reported. On 29-Dec-2020, 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 29-Jan-2021, the patient experienced SWOLLEN TONGUE (Swollen tongue), PARAESTHESIA ORAL (Tingling tongue) and VACCINATION SITE PAIN (Pain in the arm). At the time of the report, SWOLLEN TONGUE (Swollen tongue), PARAESTHESIA ORAL (Tingling tongue) and VACCINATION SITE PAIN (Pain in the arm) outcome was unknown. No relevant concomitant medications were reported. No treatment information was provided.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia oral
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1581124

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
OH
Alter
62,0
Geschlecht
F
Eingang
18.08.2021
Impfdatum
06.01.2021
Beginn
06.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Burning sensation Hypoaesthesia Paraesthesia

Symptomtext

tingling in face, arms, hands, legs, right foot, knees; burning in face, arms, hands, legs, right foot, knees; numbness in face, arms, hands, legs, right foot, knees; This spontaneous case was reported by a physician and describes the occurrence of PARAESTHESIA (tingling in face, arms, hands, legs, right foot, knees), BURNING SENSATION (burning in face, arms, hands, legs, right foot, knees) and HYPOAESTHESIA (numbness in face, arms, hands, legs, right foot, knees) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included ESTRADIOL (ESTROGEN) and LEVOTHYROXINE SODIUM (SYNTHROID) for an unknown indication. On 06-Jan-2021 at 8:00 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Jan-2021, the patient experienced PARAESTHESIA (tingling in face, arms, hands, legs, right foot, knees), BURNING SENSATION (burning in face, arms, hands, legs, right foot, knees) and HYPOAESTHESIA (numbness in face, arms, hands, legs, right foot, knees). The patient was treated with PREGABALIN (LYRICA) for Adverse event, at a dose of UNK dosage form and BACLOFEN for Adverse event, at a dose of UNK dosage form. At the time of the report, PARAESTHESIA (tingling in face, arms, hands, legs, right foot, knees), BURNING SENSATION (burning in face, arms, hands, legs, right foot, knees) and HYPOAESTHESIA (numbness in face, arms, hands, legs, right foot, knees) 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. It was reported that around 5 PM left arm started tingling and burning then it went to right arm, then hands, felt numbness, tingling, burning, then to the knees, right foot, the face, had numbness in eat, forehead, chin. At the time of reporting, the patient still has all the symptoms, numbness and burning in arms, face, legs. After 3 and a half weeks, arms were a little bit better, they were not as tight, they were not burning that much, but her hands are, in the thumb, has no feeling in that part of her hand. Felt tingling, numbness, whole face feels like some had given her lidocaine, legs were numb. Patient was treated with 3 doses of high IV (intravenous) steroids.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: No medical history was provided by the reporter.
Andere Medikamente
ESTROGEN; SYNTHROID
Allergien
-
Vorherige Impfungen
-

VAERS 1578961

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
VA
Alter
51,0
Geschlecht
F
Eingang
17.08.2021
Impfdatum
31.01.2021
Beginn
24.02.2021
Tage bis Beginn
24,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Immediate post-injection reaction Injected limb mobility decreased Injection site pain

Symptomtext

Pain and limited motion near the top of right shoulder, at the site of second injection. Pain is sharp, and location of pain seems to coincide with location of shoulder tendon. No longer able to do a full arm circle or reach far back with the right arm. Pain occurred immediately after the second injection. Patient could not move the arm for 24 hours after the injection, and pain has not significantly dissipated since the second injection. (First injection occurred in same arm but was not nearly as noticeable after 24 hours after first injection.)

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injected limb mobility decreased
Hospital-Tage
-
Labordaten
n/a
Aktuelle Erkrankungen
n/a
Vorgeschichte
n/a
Andere Medikamente
n/a
Allergien
n/a
Vorherige Impfungen
-

VAERS 1572879

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
72,0
Geschlecht
M
Eingang
16.08.2021
Impfdatum
30.12.2020
Beginn
30.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Flushing Palpitations

Symptomtext

Flushing on the face; Heart started to race; This spontaneous case was reported by a consumer and describes the occurrence of FLUSHING (Flushing on the face) and PALPITATIONS (Heart started to race) in a 72-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. No Medical History information was reported. On 30-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Dec-2020, the patient experienced FLUSHING (Flushing on the face) and PALPITATIONS (Heart started to race). On 30-Dec-2020, FLUSHING (Flushing on the face) and PALPITATIONS (Heart started to race) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No relevant concomitant medications were reported. No treatment information was provided.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Palpitations
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1572173

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
-
Alter
-
Geschlecht
F
Eingang
16.08.2021
Impfdatum
15.01.2021
Beginn
15.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Vaccination site discomfort Vaccination site paraesthesia Vaccination site pruritus

Symptomtext

Discomfort - Near Injection Site; Itchiness - Near Injection site; Tingling Sensation - Near Injection Site; A spontaneous report was received from other health care professional concerning a 69- year -female patient who received Modena's COVID-19 vaccine (mRNA-1273) and experienced some discomfort (vaccination site discomfort), itchiness(vaccination site pruritus), and a tingling sensation (vaccination site par aesthesia) near the injection site. The patient's medical history was not provided. No relevant concomitant medications were reported. On 15-jan-2021, the patient received their first of two planned doses of mRNA-1273 (lot/batch 039K20A) intramuscularly for prophylaxis of COVID-19 infection. He reported that his wife received the first dose of the Moderna COVID-19 Vaccine on 15JAN2021 in her Right upper arm. Patient husband reported that her symptoms began the same day on 15JAN2021. These symptoms include some discomfort, itchiness, and a tingling sensation near the injection site. No laboratory data was provided. No treatment drugs were provided. Action taken with mRNA-1273 in response to the events some discomfort (vaccination site discomfort), itchiness (vaccination site pruritus), and a tingling sensation (vaccination site par aesthesia) near the injection site was unknown. On an unknown date, the outcome of the events some discomfort (vaccination site discomfort), itchiness (vaccination site pruritus), and a tingling sensation (vaccination site par aesthesia) near the injection site was unknown.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Vaccination site paraesthesia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: No adverse event
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1572068

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
NC
Alter
92,0
Geschlecht
M
Eingang
16.08.2021
Impfdatum
06.01.2021
Beginn
09.01.2021
Tage bis Beginn
3,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dyspnoea Palpitations

Symptomtext

Heart palpitation; Shortness of breath; This spontaneous case was reported by a consumer and describes the occurrence of PALPITATIONS (Heart palpitation) and DYSPNOEA (Shortness of breath) in a 92-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. No Medical History information was reported. On 06-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Jan-2021, the patient experienced PALPITATIONS (Heart palpitation) and DYSPNOEA (Shortness of breath). On 09-Jan-2021, PALPITATIONS (Heart palpitation) and DYSPNOEA (Shortness of breath) 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. Patient took no medications for treatment nor called any health care provider. No laboratory test was reported. 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. Further information has been requested; 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. Further information has been requested

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1571860

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
NH
Alter
69,0
Geschlecht
F
Eingang
16.08.2021
Impfdatum
30.12.2020
Beginn
08.01.2021
Tage bis Beginn
9,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Vaccination site erythema Vaccination site paraesthesia Vaccination site swelling Vaccination site warmth

Symptomtext

tingling; 1-1/2 inch red and swollen circle at injection site which was warm to touch; 2 by 1-1/2 inch red and swollen circle at injection site which was warm to touch; 1-1/2 inch red and swollen circle at injection site which was warm to touch; This spontaneous case was reported by a nurse (subsequently medically confirmed) and describes the occurrence of VACCINATION SITE PARAESTHESIA (tingling), VACCINATION SITE WARMTH (1-1/2 inch red and swollen circle at injection site which was warm to touch), VACCINATION SITE SWELLING (2 by 1-1/2 inch red and swollen circle at injection site which was warm to touch) and VACCINATION SITE ERYTHEMA (1-1/2 inch red and swollen circle at injection site which was warm to touch) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 immunization. No Medical History information was reported. On 30-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Jan-2021, the patient experienced VACCINATION SITE PARAESTHESIA (tingling), VACCINATION SITE WARMTH (1-1/2 inch red and swollen circle at injection site which was warm to touch), VACCINATION SITE SWELLING (2 by 1-1/2 inch red and swollen circle at injection site which was warm to touch) and VACCINATION SITE ERYTHEMA (1-1/2 inch red and swollen circle at injection site which was warm to touch). At the time of the report, VACCINATION SITE PARAESTHESIA (tingling), VACCINATION SITE WARMTH (1-1/2 inch red and swollen circle at injection site which was warm to touch), VACCINATION SITE SWELLING (2 by 1-1/2 inch red and swollen circle at injection site which was warm to touch) and VACCINATION SITE ERYTHEMA (1-1/2 inch red and swollen circle at injection site which was warm to touch) was resolving. 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. Concomitant product use was not provided. The patient had a two by one and a half inch red and swollen circle at the injection site which was warm to touch days after receiving the vaccine. The reporter stated the side effects are not getting worse but seem to be subsiding. She said there was less tingling. Treatment information was not provided. 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. Reporter did not allow further contact; 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.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Vaccination site paraesthesia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1571802

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
-
Geschlecht
F
Eingang
16.08.2021
Impfdatum
31.12.2020
Beginn
31.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Injection site erythema Injection site pruritus Injection site swelling Pain in extremity Paraesthesia

Symptomtext

Injection site swelling, appears red and itchy with about 3 inches in size; Appears itchy; Small red spot at the injection site; Tingling sensation on her skin, legs and back; arm soreness; A spontaneous report was received from an other health care professional, concerning herself, a 31-years-old female patient, who received Moderna's COVID-19 Vaccine and developed tingling sensation on her skin, legs and back; arm soreness; small red spot at the injection site and injection site swelling, appears red and itchy with about 3 inches in size. The patient's medical history was not provided. Concomitant medications reported included ethinylestradiol, levonorgestrel; ascorbic acid, chromium, copper, folic acid, inositol, magnesium, manganese, nicotinamide, pantothenic acid, potassium, pyridoxine hydrochloride, retinol, riboflavin, selenium, vitamin b1 nos, vitamin b12 nos, vitamin e nos, zinc; fish oil 1000 mg and sumatriptan as needed. On 31-Dec-2020, prior to the onset of events, the patient received their first of two planned doses of mRNA-1273 (lot number 039K20A) intramuscularly in the left deltoid for prophylaxis of COVID-19 infection. On 31-Dec-2020, minutes after the administration of vaccine. the patient developed tingling sensation on her skin, legs and back that had lasted for 30 minutes and also developed arm soreness which had lasts for 2-3 days. Additionally, on 08-Jan-2021, a small red spot was evident at the injection site and on 09-Jan-2021 she also noticed that it was swelled up, appears red and itchy with about 3 inches in size. Treatment for the event included over the counter (OTC) diphenhydramine 25 mg, q4-6hrs (2 tablets last night). Patient also reported that she was planning to take just 1 tablet and apply OTC itch cream. Action taken with mRNA-1273 in response to the events were not provided. The events, tingling sensation on her skin, legs and back were considered resolved or on 31-Dec-2020. The event, arm soreness was considered resolved on 02-Jan-2021. The outcome of the events, small red spot at the injection site and injection site swelling, appears red and itchy with about 3 inches in size was not reported.; Reporter's Comments: This spontaneous report concerns 31-years-old female patient who experienced events of tingling sensation on her skin, legs and back; arm soreness; small red spot at the injection site and injection site swelling, appears red and itchy with about 3 inches in size. The events occurred on the same day after the administration of the first dose of the mRNA-1273 vaccine (Lot #: 039K20A, expiration date-unknown). Treatment included diphenhydramine (OTC). Outcome is resolved for tingling sensation and unknown for other events. Based on the information provided, which includes a temporal association between the reported events and the administration of mRNA-1273 vaccine, a causal association cannot be excluded. The events of ; small red spot at the injection site and injection site swelling, appears red and itchy are consistent with the known safety profile of mRNA-1273 vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: No adverse event (No reported medical history.)
Andere Medikamente
LEVONOR [ETHINYLESTRADIOL;LEVONORGESTREL]; MULTI VIT; FISH OIL; SUMATRIPTAN
Allergien
-
Vorherige Impfungen
-

VAERS 1571763

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
NY
Alter
-
Geschlecht
F
Eingang
16.08.2021
Impfdatum
31.12.2020
Beginn
31.12.2020
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Fatigue Paraesthesia Vaccination site pain Vaccination site pruritus Vaccination site swelling Vaccination site warmth

Symptomtext

tingling sensation on fingers; burning sensation; Injection site itching; Injection site soreness; Injection site swelling; Fatigue; This spontaneous case was reported by a nurse (subsequently medically confirmed) and describes the occurrence of PARAESTHESIA (tingling sensation on fingers), VACCINATION SITE WARMTH (burning sensation), VACCINATION SITE PRURITUS (Injection site itching), VACCINATION SITE PAIN (Injection site soreness) and VACCINATION SITE SWELLING (Injection site swelling) in a 31-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 immunization. The occurrence of additional non-serious events is detailed below. No medical history provided by the reporter. Concomitant products included DOCOSAHEXAENOIC ACID (DHA), CYANOCOBALAMIN (VITAMIN B12 AAA) and VITAMIN D3. On 31-Dec-2020, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) at an unspecified dose. On 31-Dec-2020, the patient experienced VACCINATION SITE PAIN (Injection site soreness), VACCINATION SITE SWELLING (Injection site swelling) and FATIGUE (Fatigue). On 07-Jan-2021, the patient experienced PARAESTHESIA (tingling sensation on fingers), VACCINATION SITE WARMTH (burning sensation) and VACCINATION SITE PRURITUS (Injection site itching). On 02-Jan-2021, VACCINATION SITE PAIN (Injection site soreness), VACCINATION SITE SWELLING (Injection site swelling) and FATIGUE (Fatigue) had resolved. At the time of the report, PARAESTHESIA (tingling sensation on fingers), VACCINATION SITE WARMTH (burning sensation) and VACCINATION SITE PRURITUS (Injection site itching) had not 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. On or about 2 January 2021, approximately 36 hours after vaccine was given she felt better and improvement was evident. Treatment included Benadryl, a topical steroid and antibiotic. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: No medical history provided by the reporter.
Andere Medikamente
DHA; VITAMIN B12 AAA; VITAMIN D3
Allergien
-
Vorherige Impfungen
-

VAERS 1571701

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
OH
Alter
56,0
Geschlecht
F
Eingang
16.08.2021
Impfdatum
30.12.2020
Beginn
30.12.2020
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Pain Paraesthesia oral Pruritus Vaccination site urticaria

Symptomtext

noticed welt on left arm, very itchy; Noticed welt on left arm; lips kinda tingled; achiness since date of injection, barely noticeable; This spontaneous case was reported by a consumer and describes the occurrence of PARAESTHESIA ORAL (lips kinda tingled), PAIN (achiness since date of injection, barely noticeable), PRURITUS (noticed welt on left arm, very itchy) and VACCINATION SITE URTICARIA (Noticed welt on left arm) in a 56-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. No Medical History information was reported. On 30-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Dec-2020, the patient experienced PARAESTHESIA ORAL (lips kinda tingled) and PAIN (achiness since date of injection, barely noticeable). On 07-Jan-2021, the patient experienced PRURITUS (noticed welt on left arm, very itchy) and VACCINATION SITE URTICARIA (Noticed welt on left arm). On 30-Dec-2020, PARAESTHESIA ORAL (lips kinda tingled) had resolved. At the time of the report, PAIN (achiness since date of injection, barely noticeable), PRURITUS (noticed welt on left arm, very itchy) and VACCINATION SITE URTICARIA (Noticed welt on left arm) 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. Treatment details were not reported.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia oral
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1569629

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
60,0
Geschlecht
F
Eingang
15.08.2021
Impfdatum
14.02.2021
Beginn
14.03.2021
Tage bis Beginn
28,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Chills Condition aggravated Erythema Fatigue Myalgia Pain Pain in extremity Photosensitivity reaction Rash macular Vaccination site erythema

Symptomtext

photosensitivity reaction; face was terrible red; progressively worse; very sore arm; red blotchy spot at the injection site; chills; very tired; muscle aches; aches; red blotchy spot in her face/ neck/ chest; This spontaneous case was reported by a consumer and describes the occurrence of RASH MACULAR (red blotchy spot in her face/ neck/ chest), PHOTOSENSITIVITY REACTION (photosensitivity reaction), ERYTHEMA (face was terrible red), PAIN (aches) and CONDITION AGGRAVATED (progressively worse) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 02921A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event. Concomitant products included ALENDRONATE SODIUM (FOSAMAX) for an unknown indication. On 14-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 14-Mar-2021, the patient experienced RASH MACULAR (red blotchy spot in her face/ neck/ chest), PAIN (aches), PAIN IN EXTREMITY (very sore arm), VACCINATION SITE ERYTHEMA (red blotchy spot at the injection site), CHILLS (chills), FATIGUE (very tired) and MYALGIA (muscle aches). On 15-Mar-2021, the patient experienced CONDITION AGGRAVATED (progressively worse). On an unknown date, the patient experienced PHOTOSENSITIVITY REACTION (photosensitivity reaction) and ERYTHEMA (face was terrible red). On 15-Mar-2021, PAIN (aches), PAIN IN EXTREMITY (very sore arm), CHILLS (chills) and MYALGIA (muscle aches) had resolved, FATIGUE (very tired) outcome was unknown. At the time of the report, RASH MACULAR (red blotchy spot in her face/ neck/ chest), PHOTOSENSITIVITY REACTION (photosensitivity reaction), ERYTHEMA (face was terrible red), CONDITION AGGRAVATED (progressively worse) and VACCINATION SITE ERYTHEMA (red blotchy spot at the injection site) outcome was unknown. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were reported. No laboratory details were provided. Treatment Prednisone for two weeks, a steroid cream for her face, 3 mg Benadryl 3 times a day for two week This case was linked to MOD21-058418 (E2B Linked Report).; Sender's Comments: MOD21-058418:Cross-Linked Case

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: No adverse event
Andere Medikamente
FOSAMAX
Allergien
-
Vorherige Impfungen
-

VAERS 1569392

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
77,0
Geschlecht
F
Eingang
15.08.2021
Impfdatum
14.01.2021
Beginn
14.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Asthenia Derealisation Eye pain Head discomfort Headache Lip swelling Mobility decreased Pain in extremity Vaccination site pain

Symptomtext

looks like a freak; lips have blown up; outside around her eyes (face) are tender; head was in a vice grip; all of the common side effects; couldn't move her left arm; headache; shooting pain headaches; painful left arm; sore left arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (painful left arm), LIP SWELLING (lips have blown up), MOBILITY DECREASED (couldn't move her left arm), DEREALISATION (looks like a freak) and ASTHENIA (all of the common side effects) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 028L20A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Thyroidectomy. Concurrent medical conditions included Asthma. Concomitant products included LIOTHYRONINE SODIUM (CYTOMEL) and LEVOTHYROXINE SODIUM (SYNTHROID) for an unknown indication. On 14-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 ml. On 09-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .5 ml. On 14-Jan-2021, the patient experienced VACCINATION SITE PAIN (sore left arm). On 09-Feb-2021, the patient experienced PAIN IN EXTREMITY (painful left arm). On 10-Feb-2021, the patient experienced MOBILITY DECREASED (couldn't move her left arm), HEADACHE (headache) and HEADACHE (shooting pain headaches). On 10-Feb-2021 at 10:00 PM, the patient experienced ASTHENIA (all of the common side effects) and HEAD DISCOMFORT (head was in a vice grip). On 11-Feb-2021, the patient experienced LIP SWELLING (lips have blown up) and EYE PAIN (outside around her eyes (face) are tender). On an unknown date, the patient experienced DEREALISATION (looks like a freak). The patient was treated with PARACETAMOL (TYLENOL) for Headache and Fever, at a dose of 1 dosage form. On 16-Jan-2021, VACCINATION SITE PAIN (sore left arm) had resolved. On 11-Feb-2021, PAIN IN EXTREMITY (painful left arm) and MOBILITY DECREASED (couldn't move her left arm) had resolved. At the time of the report, LIP SWELLING (lips have blown up), DEREALISATION (looks like a freak), ASTHENIA (all of the common side effects), EYE PAIN (outside around her eyes (face) are tender), HEAD DISCOMFORT (head was in a vice grip), HEADACHE (headache) and HEADACHE (shooting pain headaches) outcome was unknown. Most recent FOLLOW-UP information incorporated above includes: On 29-Jun-2021: Non-significant Follow up Appended - Reporter mail address updated

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mobility decreased
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Asthma
Vorgeschichte
Medical History/Concurrent Conditions: Thyroidectomy
Andere Medikamente
CYTOMEL; SYNTHROID
Allergien
-
Vorherige Impfungen
-

VAERS 1568905

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
-
Geschlecht
F
Eingang
15.08.2021
Impfdatum
06.01.2021
Beginn
07.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Asthenia Diarrhoea Headache Myalgia Nausea Tremor

Symptomtext

Concomitant products included VITAMIN D NOS, CALCIUM and VALSARTAN for an unknown indication. On 06-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Jan-2021, the patient experienced DIARRHOEA (diarrhea), ASTHENIA (weakness), TREMOR (shaking), HEADACHE (headache), MYALGIA (muscle aches) and NAUSEA (nausea). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. At the time of the report, DIARRHOEA (diarrhea), ASTHENIA (weakness), TREMOR (shaking), HEADACHE (headache), MYALGIA (muscle aches) and NAUSEA (nausea) 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. This case was linked to MOD21-022057 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Tremor
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: No medical history was provided by the reporter.
Andere Medikamente
VITAMIN D NOS; CALCIUM; VALSARTAN
Allergien
-
Vorherige Impfungen
-

VAERS 1568753

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
41,0
Geschlecht
M
Eingang
15.08.2021
Impfdatum
07.01.2021
Beginn
08.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Musculoskeletal stiffness Paraesthesia Vaccination site pain

Symptomtext

Soreness at injection site; Stiff neck; Shoulder soreness; Tingling sensation; This spontaneous case was reported by an other and describes the occurrence of VACCINATION SITE PAIN (Soreness at injection site), MUSCULOSKELETAL STIFFNESS (Stiff neck), ARTHRALGIA (Shoulder soreness) and PARAESTHESIA (Tingling sensation) in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) 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) (Intramuscular) 1 dosage form. On 08-Jan-2021, the patient experienced VACCINATION SITE PAIN (Soreness at injection site), MUSCULOSKELETAL STIFFNESS (Stiff neck), ARTHRALGIA (Shoulder soreness) and PARAESTHESIA (Tingling sensation). At the time of the report, VACCINATION SITE PAIN (Soreness at injection site), MUSCULOSKELETAL STIFFNESS (Stiff neck), ARTHRALGIA (Shoulder soreness) and PARAESTHESIA (Tingling sensation) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment medication provided was ibuprofen OTC . No concomitant medications were provided by reporter.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1568598

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
KY
Alter
58,0
Geschlecht
F
Eingang
15.08.2021
Impfdatum
12.01.2021
Beginn
13.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Condition aggravated Decreased appetite Feeling abnormal Headache Limb discomfort Loss of personal independence in daily activities Pain Pain in extremity

Symptomtext

body aches; Severe Arm Pain; could not lift her arm; Could not shower for 2 days; Could not eat for 2 days; caused a flare up of auto immune disease; Still not feeling normal; severe headaches; A spontaneous report was received from a consumer concerning a 58-female patient, who received Moderna COVID-19 vaccine (mRNA-1273) and experienced severe headache , body aches, severe arm pain so that she could not lift her arm and it caused a flare up of auto immune disease and could not shower or eat for 2 days. The patient's medical history was not provided. Relevant concomitant medications include Dupixent and Prednisone was reported. On 12-jan-2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273(lot number : 039K20A) intramuscularly on left upper arm for the prophylaxis of COVID-19 infection. On 13-jan-2021, the patient experienced severe headache , body aches, severe arm pain so that she could not lift her arm and it caused a flare up of auto immune disease and could not shower or eat for 2 days. No treatment information was provided . Action taken with mRNA-1273 in response to the events was not reported. At the time of report, the outcome of the events severe headache , body aches, severe arm pain so that she could not lift her arm and it caused a flare up of auto immune disease and could not shower or eat for 2 days was unknown.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: No adverse reaction
Andere Medikamente
DUPIXENT; PREDNISONE
Allergien
-
Vorherige Impfungen
-

VAERS 1568461

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
-
Alter
38,0
Geschlecht
F
Eingang
15.08.2021
Impfdatum
04.01.2021
Beginn
05.01.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Fatigue Lymphadenopathy Vaccination site hypoaesthesia Vaccination site paraesthesia Vaccination site rash

Symptomtext

Numbness; Tingling; Rash on the same arm; Underarm swollen lymph node; A little sick and felt a little fatigue; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE HYPOAESTHESIA (Numbness), VACCINATION SITE PARAESTHESIA (Tingling), VACCINATION SITE RASH (Rash on the same arm), LYMPHADENOPATHY (Underarm swollen lymph node) and FATIGUE (A little sick and felt a little fatigue) in a 38-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. No Medical History information was reported. On 04-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Jan-2021, the patient experienced FATIGUE (A little sick and felt a little fatigue). On 08-Jan-2021, the patient experienced LYMPHADENOPATHY (Underarm swollen lymph node). On 14-Jan-2021, the patient experienced VACCINATION SITE HYPOAESTHESIA (Numbness), VACCINATION SITE PARAESTHESIA (Tingling) and VACCINATION SITE RASH (Rash on the same arm). On 11-Jan-2021, LYMPHADENOPATHY (Underarm swollen lymph node) had resolved. At the time of the report, VACCINATION SITE HYPOAESTHESIA (Numbness), VACCINATION SITE PARAESTHESIA (Tingling) and VACCINATION SITE RASH (Rash on the same arm) had not resolved and FATIGUE (A little sick and felt a little fatigue) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant details not reported by the reporter. Treatment details not reported by the reporter.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Vaccination site paraesthesia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1567592

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

moderat
Staat
NJ
Alter
-
Geschlecht
M
Eingang
15.08.2021
Impfdatum
10.02.2021
Beginn
10.03.2021
Tage bis Beginn
28,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chills Fatigue Feeling abnormal Tremor

Symptomtext

Felt bad; Body was Shaky; Fatigue; Chills; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (Felt bad), TREMOR (Body was Shaky), FATIGUE (Fatigue) and CHILLS (Chills) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030A21A and 039k20a) for COVID-19 vaccination. No Medical History information was reported. On 10-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 10-Mar-2021, the patient experienced FEELING ABNORMAL (Felt bad), TREMOR (Body was Shaky), FATIGUE (Fatigue) and CHILLS (Chills). On 12-Mar-2021, FEELING ABNORMAL (Felt bad), TREMOR (Body was Shaky), FATIGUE (Fatigue) and CHILLS (Chills) had resolved. No Concomitant medications was reported Treatment information was not provided

Weitere VAERSDATA-Felder
Praegender Schweregrund
Tremor
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1562705

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
NC
Alter
76,0
Geschlecht
F
Eingang
15.08.2021
Impfdatum
06.01.2021
Beginn
01.02.2021
Tage bis Beginn
26,0
Dosis
2
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chest pain Chills Dyspnoea Eructation Fatigue Mobility decreased Muscle spasms Myalgia Pyrexia

Symptomtext

burping gas; Can breath deeply now, but has to do it more often; muscles are sore like when you do exercise; sharp pain in the chest; kind of muscle spasm; could not breath; Could not get up without her husband lifting her; Fever; muscle pain; chills; extreme fatigue; This spontaneous case was reported by a consumer and describes the occurrence of MOBILITY DECREASED (Could not get up without her husband lifting her), CHEST PAIN (sharp pain in the chest), MUSCLE SPASMS (kind of muscle spasm), DYSPNOEA (could not breath) and ERUCTATION (burping gas) in a 76-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 039K20A and 028L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Cancer, Hypertension and High cholesterol. Concomitant products included VITAMINS NOS for an unknown indication. On 06-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 01-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 01-Feb-2021, the patient experienced MOBILITY DECREASED (Could not get up without her husband lifting her), PYREXIA (Fever), MYALGIA (muscle pain), CHILLS (chills) and FATIGUE (extreme fatigue). On 09-Feb-2021, the patient experienced CHEST PAIN (sharp pain in the chest), MUSCLE SPASMS (kind of muscle spasm) and DYSPNOEA (could not breath). On 12-Feb-2021, the patient experienced ERUCTATION (burping gas), DYSPNOEA (Can breath deeply now, but has to do it more often) and MYALGIA (muscles are sore like when you do exercise). On 04-Feb-2021, MOBILITY DECREASED (Could not get up without her husband lifting her), PYREXIA (Fever), MYALGIA (muscle pain), CHILLS (chills) and FATIGUE (extreme fatigue) had resolved. On 12-Feb-2021, CHEST PAIN (sharp pain in the chest), MUSCLE SPASMS (kind of muscle spasm) and DYSPNOEA (could not breath) had resolved. At the time of the report, ERUCTATION (burping gas), DYSPNOEA (Can breath deeply now, but has to do it more often) and MYALGIA (muscles are sore like when you do exercise) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medications reported were Kitruda Autoimmune medication for Cancer, Vitamins, High blood pressure pill, Stevia and beat root rice pills High cholesterol. Treatment details were not reported by the reporter.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Cancer; High cholesterol; Hypertension
Vorgeschichte
-
Andere Medikamente
VITAMINS NOS
Allergien
-
Vorherige Impfungen
-

VAERS 1562220

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

moderat
Staat
FL
Alter
69,0
Geschlecht
F
Eingang
15.08.2021
Impfdatum
15.01.2021
Beginn
11.02.2021
Tage bis Beginn
27,0
Dosis
2
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chills Fatigue Headache Heart rate increased Muscle spasms Pain Pain in extremity Paraesthesia Tremor

Symptomtext

tinglining from knee to ankles; Foot cramps; Sore arm; Uncontrolled shaking; Roots of her hair were sore to touch; Severe chills; elevated pulse rate; Leg cramps; exhaustion; severe headache; This spontaneous case was reported by a consumer and describes the occurrence of CHILLS (Severe chills), HEART RATE INCREASED (elevated pulse rate), MUSCLE SPASMS (Leg cramps), FATIGUE (exhaustion) and HEADACHE (severe headache) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039k20a) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 15-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 11-Feb-2021, the patient experienced CHILLS (Severe chills), HEART RATE INCREASED (elevated pulse rate), MUSCLE SPASMS (Leg cramps), FATIGUE (exhaustion), HEADACHE (severe headache), MUSCLE SPASMS (Foot cramps), PAIN IN EXTREMITY (Sore arm), TREMOR (Uncontrolled shaking) and PAIN (Roots of her hair were sore to touch). On an unknown date, the patient experienced PARAESTHESIA (tinglining from knee to ankles). At the time of the report, CHILLS (Severe chills), HEART RATE INCREASED (elevated pulse rate), MUSCLE SPASMS (Leg cramps), FATIGUE (exhaustion), HEADACHE (severe headache), MUSCLE SPASMS (Foot cramps), PAIN IN EXTREMITY (Sore arm), TREMOR (Uncontrolled shaking) and PAIN (Roots of her hair were sore to touch) outcome was unknown.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: No adverse event
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1561933

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
-
Alter
25,0
Geschlecht
F
Eingang
15.08.2021
Impfdatum
06.01.2021
Beginn
06.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chest discomfort Dyspnoea Headache Paraesthesia

Symptomtext

difficulty breathing; tightness in chest; tingling in face; headache; This spontaneous case was reported by an other health care professional (subsequently medically confirmed) and describes the occurrence of DYSPNOEA (difficulty breathing), CHEST DISCOMFORT (tightness in chest), PARAESTHESIA (tingling in face) and HEADACHE (headache) in a 25-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. No medical history was provided by the reporter. On 06-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Jan-2021, the patient experienced DYSPNOEA (difficulty breathing), CHEST DISCOMFORT (tightness in chest), PARAESTHESIA (tingling in face) and HEADACHE (headache). At the time of the report, DYSPNOEA (difficulty breathing), CHEST DISCOMFORT (tightness in chest), PARAESTHESIA (tingling in face) and HEADACHE (headache) 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. Concomitant medications were not provided. Treatment details were not provided.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: No medical history was provided by the reporter.
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1561887

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20a

moderat
Staat
FL
Alter
73,0
Geschlecht
F
Eingang
15.08.2021
Impfdatum
10.02.2021
Beginn
10.02.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Burning sensation Fatigue Headache Hypoaesthesia Injection site nerve damage Insomnia Malaise Tachycardia

Symptomtext

Fast heart beat; Felt like it hit a nerve; Burning feeling in arm/burning moved up her face; Started feeling so sick; Whole left side of face from ear to head was numb; Was not able to sleep; Headache; Felt tired; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of TACHYCARDIA (Fast heart beat), INJECTION SITE NERVE DAMAGE (Felt like it hit a nerve), BURNING SENSATION (Burning feeling in arm/burning moved up her face), MALAISE (Started feeling so sick) and HYPOAESTHESIA (Whole left side of face from ear to head was numb) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039k20a) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 10-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Feb-2021, the patient experienced TACHYCARDIA (Fast heart beat), INJECTION SITE NERVE DAMAGE (Felt like it hit a nerve), BURNING SENSATION (Burning feeling in arm/burning moved up her face), MALAISE (Started feeling so sick), HYPOAESTHESIA (Whole left side of face from ear to head was numb), INSOMNIA (Was not able to sleep), HEADACHE (Headache) and FATIGUE (Felt tired). At the time of the report, TACHYCARDIA (Fast heart beat), INJECTION SITE NERVE DAMAGE (Felt like it hit a nerve), BURNING SENSATION (Burning feeling in arm/burning moved up her face), MALAISE (Started feeling so sick), HYPOAESTHESIA (Whole left side of face from ear to head was numb), INSOMNIA (Was not able to sleep), HEADACHE (Headache) and FATIGUE (Felt tired) outcome was unknown. Treatment and concomitant medications were not provided by reporter. Reporter did not allow further contact

Weitere VAERSDATA-Felder
Praegender Schweregrund
Tachycardia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1560217

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
KY
Alter
69,0
Geschlecht
M
Eingang
15.08.2021
Impfdatum
06.01.2021
Beginn
10.01.2021
Tage bis Beginn
4,0
Dosis
2
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dyspnoea Vaccination site pain

Symptomtext

Arm was tender, aching and sore on 3Feb2021; shortness of breathe is ongoing,Shortness of breathe around 10Jan2021; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Arm was tender, aching and sore on 3Feb2021) and DYSPNOEA (shortness of breathe is ongoing,Shortness of breathe around 10Jan2021) in a 69-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. Concomitant products included VALSARTAN (DIOVAN), HYDROXYCHLOROQUINE, MONTELUKAST and PRAVASTATIN for an unknown indication. On 06-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 10-Jan-2021, the patient experienced DYSPNOEA (shortness of breathe is ongoing,Shortness of breathe around 10Jan2021). On 03-Feb-2021, the patient experienced VACCINATION SITE PAIN (Arm was tender, aching and sore on 3Feb2021). At the time of the report, VACCINATION SITE PAIN (Arm was tender, aching and sore on 3Feb2021) and DYSPNOEA (shortness of breathe is ongoing,Shortness of breathe around 10Jan2021) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. He applied diclofenac sodium 1% gel applied to arm twice a day for soreness of injection site. This case was linked to MOD-2021-030405 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
DIOVAN; HYDROXYCHLOROQUINE; MONTELUKAST; PRAVASTATIN
Allergien
-
Vorherige Impfungen
-

VAERS 1560196

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
KY
Alter
68,0
Geschlecht
M
Eingang
15.08.2021
Impfdatum
06.01.2021
Beginn
-
Tage bis Beginn
-
Dosis
2
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dyspnoea

Symptomtext

Shortness of breathe around 10Jan2021; This spontaneous case was reported by a consumer and describes the occurrence of DYSPNOEA (Shortness of breathe around 10Jan2021) in a 68-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. The patient's past medical history included No adverse event. Concomitant products included VALSARTAN (DIOVAN), HYDROXYCHLOROQUINE, MONTELUKAST and PRAVASTATIN for an unknown indication. On 06-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-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 DYSPNOEA (Shortness of breathe around 10Jan2021). At the time of the report, DYSPNOEA (Shortness of breathe around 10Jan2021) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. This case was linked to MOD-2021-030436 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
DIOVAN; HYDROXYCHLOROQUINE; MONTELUKAST; PRAVASTATIN
Allergien
-
Vorherige Impfungen
-

VAERS 1559865

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
VA
Alter
68,0
Geschlecht
F
Eingang
15.08.2021
Impfdatum
04.02.2021
Beginn
04.02.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dysphagia Feeling abnormal Hiatus hernia Hypotension Myalgia Pain Vaccination site erythema Vaccination site swelling Vaccination site warmth

Symptomtext

Have this extreme weird sensation to my neck to the back of my mouth and up to my ear,; Hot to touch; Blood pressure lowered (100/60).; Mouth felt like cotton; Had difficulty swallowing; Left side of my body; Very big Hiatal Hernia; Muscle pain; Very red; Swollen; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (Have this extreme weird sensation to my neck to the back of my mouth and up to my ear,), VACCINATION SITE WARMTH (Hot to touch), HYPOTENSION (Blood pressure lowered (100/60).), FEELING ABNORMAL (Mouth felt like cotton) and DYSPHAGIA (Had difficulty swallowing) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Hiatal hernia. Concomitant products included METOPROLOL, LISINOPRIL, HYDROCHLOROTHIAZIDE, ESOMEPRAZOLE SODIUM (NEXIUM [ESOMEPRAZOLE SODIUM]), CYANOCOBALAMIN (B12 [CYANOCOBALAMIN]), COLECALCIFEROL (D3), UBIDECARENONE (COQ 10) and ASCORBIC ACID (VIT C) for an unknown indication. 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 FEELING ABNORMAL (Have this extreme weird sensation to my neck to the back of my mouth and up to my ear,), VACCINATION SITE WARMTH (Hot to touch), HYPOTENSION (Blood pressure lowered (100/60).), FEELING ABNORMAL (Mouth felt like cotton), DYSPHAGIA (Had difficulty swallowing), PAIN (Left side of my body), HIATUS HERNIA (Very big Hiatal Hernia), MYALGIA (Muscle pain), VACCINATION SITE ERYTHEMA (Very red) and VACCINATION SITE SWELLING (Swollen). At the time of the report, FEELING ABNORMAL (Have this extreme weird sensation to my neck to the back of my mouth and up to my ear,), FEELING ABNORMAL (Mouth felt like cotton) and DYSPHAGIA (Had difficulty swallowing) had resolved and VACCINATION SITE WARMTH (Hot to touch), HYPOTENSION (Blood pressure lowered (100/60).), PAIN (Left side of my body), HIATUS HERNIA (Very big Hiatal Hernia), MYALGIA (Muscle pain), VACCINATION SITE ERYTHEMA (Very red) and VACCINATION SITE SWELLING (Swollen) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment information was provided.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypotension
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Hiatal hernia
Vorgeschichte
-
Andere Medikamente
METOPROLOL; LISINOPRIL; HYDROCHLOROTHIAZIDE; NEXIUM [ESOMEPRAZOLE SODIUM]; B12 [CYANOCOBALAMIN]; D3; COQ 10; VIT C
Allergien
-
Vorherige Impfungen
-

VAERS 1556926

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
NJ
Alter
67,0
Geschlecht
F
Eingang
14.08.2021
Impfdatum
04.02.2021
Beginn
05.02.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chills Cough Diarrhoea Dyspnoea Headache Nasal congestion Vaccination site erythema Vaccination site induration Vaccination site pain Vaccination site pruritus Vaccination site rash

Symptomtext

Loose stools; difficulty breathing; congestion; dry cough; dark red,itchy, rash at injection site; injection site that was hard and painful; dark red,itchy, rash at injection site; shivers (chills); dark red,itchy, rash at injection site; injection site that was hard and painful; headache; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (Loose stools), DYSPNOEA (difficulty breathing), NASAL CONGESTION (congestion), COUGH (dry cough) and VACCINATION SITE RASH (dark red,itchy, rash at injection site) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Seasonal allergy (took nasal spray) since 2000, Hypertension (High Blood Pressure) since 2004, Hyperthyroidism, Arthritis, Heartburn and Obesity. Concomitant products included NAPROXEN for Arthritis, OMEPRAZOLE for Heartburn, LOSARTAN for Hypertension, LEVOTHYROXINE for Hyperthyroidism, LORATADINE (CLARITINE) for Seasonal allergy. On 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Feb-2021, the patient experienced DIARRHOEA (Loose stools), DYSPNOEA (difficulty breathing), NASAL CONGESTION (congestion), COUGH (dry cough), VACCINATION SITE RASH (dark red,itchy, rash at injection site), VACCINATION SITE PAIN (injection site that was hard and painful), VACCINATION SITE ERYTHEMA (dark red,itchy, rash at injection site), CHILLS (shivers (chills)), VACCINATION SITE PRURITUS (dark red,itchy, rash at injection site), VACCINATION SITE INDURATION (injection site that was hard and painful) and HEADACHE (headache). The patient was treated with CLARITHROMYCIN (CLARITIN [CLARITHROMYCIN]) ongoing since an unknown date for Adverse event, at a dose of 1 dosage form and PARACETAMOL (TYLENOL) ongoing since an unknown date for Adverse event, at a dose of 1 dosage form. On 12-Feb-2021, DIARRHOEA (Loose stools), DYSPNOEA (difficulty breathing), NASAL CONGESTION (congestion), COUGH (dry cough), VACCINATION SITE RASH (dark red,itchy, rash at injection site), VACCINATION SITE PAIN (injection site that was hard and painful), VACCINATION SITE ERYTHEMA (dark red,itchy, rash at injection site), CHILLS (shivers (chills)), VACCINATION SITE PRURITUS (dark red,itchy, rash at injection site), VACCINATION SITE INDURATION (injection site that was hard and painful) 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 considered DIARRHOEA (Loose stools), DYSPNOEA (difficulty breathing), NASAL CONGESTION (congestion), COUGH (dry cough), VACCINATION SITE RASH (dark red,itchy, rash at injection site), VACCINATION SITE PAIN (injection site that was hard and painful), VACCINATION SITE ERYTHEMA (dark red,itchy, rash at injection site), CHILLS (shivers (chills)), VACCINATION SITE PRURITUS (dark red,itchy, rash at injection site), VACCINATION SITE INDURATION (injection site that was hard and painful) and HEADACHE (headache) to be possibly related. Treatment medications included allergy nasal spray. This case was linked to MOD-2021-169064 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 25-May-2021: Reporter contact details updated. On 25-May-2021: No new information reported On 27-Jul-2021: Significant follow up appended. patient demography added. Medical history high blood pressure, Arthritis ,heartburn and seasonal allergy added. Concomitant medication Losartan, levothyroxine, omeprazole, naproxen, claritine added. outcome of events recovered/resolved added.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Arthritis; Heartburn; Hypertension (High Blood Pressure); Hyperthyroidism; Obesity; Seasonal allergy (took nasal spray)
Vorgeschichte
-
Andere Medikamente
LOSARTAN; LEVOTHYROXINE; OMEPRAZOLE; NAPROXEN; CLARITINE
Allergien
-
Vorherige Impfungen
-

VAERS 1556011

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
NJ
Alter
72,0
Geschlecht
F
Eingang
14.08.2021
Impfdatum
04.02.2021
Beginn
04.02.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Asthenia Dizziness Heart rate increased Hypertension Oxygen saturation Pallor

Symptomtext

Dizzy; rapid pulse; blood pressure went to roof; Extremely white; Weak; A spontaneous report was received from a consumer (patient) concerning 72 years-old, female patient who received Moderna's COVID-19 Vaccine (mRNA-1273) and experienced dizzy, rapid pulse (heart rate increased), blood pressure went to roof (hypertension), extremely white (pallor), weak (asthenia). The patient's medical history was not reported. The concomitant medications included warfarin sodium for twenty years and blood thinner pills. On 04 Feb 2021, prior to the onset of events, the patient received their first of two planned doses of mRNA-1273 (lot: 039K20A) intramuscularly in left arm for prophylaxis of COVID-19 infection. On 04 Feb 2021, the patient reported that after the shot she felt very dizzy, weak, had very rapid pulse, blood pressure went to roof, did not have any other severe allergic reaction, her oxygen level was okay. The nurse told her she was extremely white and they put the mask away. On the same day, after 15 minutes her oxygen was still good, blood pressure started getting better, no swelling. On the same day, after 15 minutes more she was getting better, had no problems in her throat and no trouble breathing. After the 30 minutes nurse asked her to stay 15 minutes more, she waited and everything was fine, she had no other reaction or other side effects. Treatment received for the event was not provided. Action taken with mRNA-1273 in response to the events was unknown. On 04 Feb 2021, the events of dizzy, rapid pulse (heart rate increased), blood pressure went to roof (hypertension), extremely white (pallor), weak (asthenia) were resolved. The reporter did not provide assessment for the events dizzy, rapid pulse (heart rate increased), blood pressure went to roof (hypertension), extremely white (pallor), weak (asthenia).; 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. Further information has been requested.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypertension
Hospital-Tage
-
Labordaten
Test Date: 20210204; Test Name: Oxygen level; Result Unstructured Data: Normal
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: No adverse event (No medical history reported)
Andere Medikamente
WARFARIN SODIUM
Allergien
-
Vorherige Impfungen
-

VAERS 1555998

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
77,0
Geschlecht
F
Eingang
14.08.2021
Impfdatum
09.01.2021
Beginn
06.02.2021
Tage bis Beginn
28,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Back pain Chills Headache Injection site pain Nausea Neck pain Pain in extremity Sensitive skin Sluggishness Tremor

Symptomtext

Arm is Sore; Sluggish; chills/shivering; Lower back pain; Neck Pain; Skin was sensitive; Shaking; Sore on injection site; Extremely nausea; Headache; Joint pain/shoulder pain/kneepain; This spontaneous case was reported by a consumer and describes the occurrence of BACK PAIN (Lower back pain), PAIN IN EXTREMITY (Arm is Sore), SLUGGISHNESS (Sluggish), NECK PAIN (Neck Pain) and SENSITIVE SKIN (Skin was sensitive) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029K20A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concomitant products included FLECAINIDE for an unknown indication. On 09-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 06-Feb-2021, the patient experienced BACK PAIN (Lower back pain), NECK PAIN (Neck Pain), SENSITIVE SKIN (Skin was sensitive), TREMOR (Shaking), INJECTION SITE PAIN (Sore on injection site), NAUSEA (Extremely nausea), HEADACHE (Headache) and ARTHRALGIA (Joint pain/shoulder pain/kneepain). On 07-Feb-2021, the patient experienced CHILLS (chills/shivering). On 08-Feb-2021, the patient experienced PAIN IN EXTREMITY (Arm is Sore) and SLUGGISHNESS (Sluggish). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, BACK PAIN (Lower back pain), PAIN IN EXTREMITY (Arm is Sore), SLUGGISHNESS (Sluggish), NECK PAIN (Neck Pain), SENSITIVE SKIN (Skin was sensitive), TREMOR (Shaking), INJECTION SITE PAIN (Sore on injection site), NAUSEA (Extremely nausea), HEADACHE (Headache), ARTHRALGIA (Joint pain/shoulder pain/kneepain) and CHILLS (chills/shivering) outcome was unknown. 12 hours after receiving the vaccine, patient experienced extremely nausea (did not vomit), headache, neck and shoulder pain, joint pain, lower back pain and knee pain. Patient also reported the skin was sensitive and had sore on injection site. Twenty four hours after second shot patient had chills, shaking and shivering. On 08Feb2021 patient's arm is very sore and patient feels a little sluggish. Patient took Gatorade to treat symptoms. This case was linked to MOD-2021-058085.; 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.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Tremor
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
FLECAINIDE
Allergien
-
Vorherige Impfungen
-

VAERS 1555969

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039k20A

moderat
Staat
NJ
Alter
40,0
Geschlecht
F
Eingang
14.08.2021
Impfdatum
28.12.2020
Beginn
25.01.2021
Tage bis Beginn
28,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Angiogram Balance disorder Blood test Chills Computerised tomogram Dizziness Fatigue Head discomfort Hypoaesthesia Magnetic resonance imaging Magnetic resonance imaging neck Muscular weakness Ophthalmological examination Pain Paraesthesia Pyrexia Vertigo Vision blurred

Symptomtext

Developed floaters; Numbness to hands and Face; Tingling to Hand and face; Change in Vision with Blurry vision; Body aches; Chills; Low grade fever; Fatigue; Vertigo was bad; head pressure at base of the neck; muscle weakness, generalized muscle weakness; dizziness; her balance is off; This spontaneous case was reported by a nurse (subsequently medically confirmed) and describes the occurrence of VERTIGO (Vertigo was bad), HEAD DISCOMFORT (head pressure at base of the neck), MUSCULAR WEAKNESS (muscle weakness, generalized muscle weakness), DIZZINESS (dizziness) and BALANCE DISORDER (her balance is off) in a 40-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 039K20A and 039k20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Drug allergy (sulfa (developed in last 3 years)) and Anxiety in 2017. Concomitant products included BUSPIRONE from 01-Mar-2020 to 23-Mar-2021 for Anxiety, PROBIOTICS NOS and MULTIVITAMINS [VITAMINS NOS] for an unknown indication. On 28-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) at an unspecified dose. On 25-Jan-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 25-Jan-2021, the patient experienced VERTIGO (Vertigo was bad), HEAD DISCOMFORT (head pressure at base of the neck), MUSCULAR WEAKNESS (muscle weakness, generalized muscle weakness), DIZZINESS (dizziness), BALANCE DISORDER (her balance is off) and FATIGUE (Fatigue). On 26-Jan-2021, the patient experienced PAIN (Body aches), CHILLS (Chills) and PYREXIA (Low grade fever). On 05-Feb-2021, the patient experienced VISION BLURRED (Change in Vision with Blurry vision). On 08-Feb-2021, the patient experienced HYPOAESTHESIA (Numbness to hands and Face) and PARAESTHESIA (Tingling to Hand and face). On 04-Mar-2021, the patient experienced VITREOUS FLOATERS (Developed floaters). The patient was treated with MECLIZINE HCL for Vertigo, at an unspecified dose and frequency. On 27-Jan-2021, PAIN (Body aches), CHILLS (Chills) and PYREXIA (Low grade fever) had resolved. At the time of the report, VERTIGO (Vertigo was bad), HEAD DISCOMFORT (head pressure at base of the neck), MUSCULAR WEAKNESS (muscle weakness, generalized muscle weakness), DIZZINESS (dizziness), BALANCE DISORDER (her balance is off), VITREOUS FLOATERS (Developed floaters) and FATIGUE (Fatigue) outcome was unknown and VISION BLURRED (Change in Vision with Blurry vision), HYPOAESTHESIA (Numbness to hands and Face) and PARAESTHESIA (Tingling to Hand and face) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 06-Feb-2021, Blood test: negative (Negative) negative. On 06-Feb-2021, Computerised tomogram: negative (Negative) negative. On 12-Feb-2021, Magnetic resonance imaging: negative (Negative) Negative. On 17-Feb-2021, Angiogram: negative consulted neurology sent to CD for CTA, labs all negative.. On 02-Mar-2021, Magnetic resonance imaging neck: negative neuro consult negative neuro exam sent for MRI of spine results (neg) for complaints. On 04-Mar-2021, Ophthalmological examination: inconclusive (Inconclusive) no real change in vision per exam despite increased blurred vision and developed floaters.. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Most recent FOLLOW-UP information incorporated above includes: On 26-Apr-2021: Chronic health conditions updated. Lab data updated. Concomitant medication details were updated. New events are added.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
Test Date: 20210217; Test Name: CTA; Result Unstructured Data: consulted neurology sent to CD for CTA, labs all negative.; Test Date: 20210206; Test Name: blood work; Test Result: Negative ; Result Unstructured Data: negative; Test Date: 20210206; Test Name: CT scan; Test Result: Negative ; Result Unstructured Data: negative; Test Date: 20210212; Test Name: MRI; Test Result: Negative ; Result Unstructured Data: Negative; Test Date: 20210302; Test Name: Spinal MRI; Result Unstructured Data: neuro consult negative neuro exam sent for MRI of spine results (neg) for complaints; Test Date: 20210304; Test Name: eye exam; Test Result: Inconclusive ; Result Unstructured Data: no real change in vision per exam despite increased blurred vision and developed floaters.
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: Anxiety; Drug allergy (sulfa (developed in last 3 years))
Andere Medikamente
BUSPIRONE; PROBIOTICS NOS; MULTIVITAMINS [VITAMINS NOS]
Allergien
-
Vorherige Impfungen
-

VAERS 1555140

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
NJ
Alter
72,0
Geschlecht
F
Eingang
13.08.2021
Impfdatum
05.02.2021
Beginn
05.02.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Pain in extremity Palpitations

Symptomtext

arm soreness; pounding heart beat; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (arm soreness) and PALPITATIONS (pounding heart beat) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. Concurrent medical conditions included Allergy (ALLERGIC TO TAMOXIFEN AND LIDOCAINE.). Concomitant products included ROSUVASTATIN for Cholesterol, ASCORBIC ACID (VITAMIN C ACID), VITAMIN D NOS and CALCIUM for Supplementation therapy. On 05-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Feb-2021, the patient experienced PAIN IN EXTREMITY (arm soreness) and PALPITATIONS (pounding heart beat). At the time of the report, PAIN IN EXTREMITY (arm soreness) and PALPITATIONS (pounding heart beat) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment details were not reported by the reporter.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Palpitations
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Allergy (ALLERGIC TO TAMOXIFEN AND LIDOCAINE.)
Vorgeschichte
-
Andere Medikamente
ROSUVASTATIN; VITAMIN C ACID; VITAMIN D NOS; CALCIUM
Allergien
-
Vorherige Impfungen
-

VAERS 1552570

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
DE
Alter
51,0
Geschlecht
F
Eingang
13.08.2021
Impfdatum
28.12.2020
Beginn
25.01.2021
Tage bis Beginn
28,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chills Fatigue Lymphadenopathy Pain in extremity SARS-CoV-2 test Soft tissue disorder Tremor

Symptomtext

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

Weitere VAERSDATA-Felder
Praegender Schweregrund
Tremor
Hospital-Tage
-
Labordaten
Test Date: 20201222; Test Name: COVID 19 test; Test Result: Negative ; Result Unstructured Data: Negative; Test Date: 20201222; Test Name: COVID 19 test; Test Result: Inconclusive ; Result Unstructured Data: results pending
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
REMERON; XANAX
Allergien
-
Vorherige Impfungen
-

VAERS 1552298

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
NY
Alter
64,0
Geschlecht
F
Eingang
13.08.2021
Impfdatum
05.02.2021
Beginn
05.02.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Palpitations

Symptomtext

Rapid raising of heart beat up to 157 beats per minute; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 22-Feb-2021 and was forwarded to Moderna on 22-Feb-2021. This spontaneous case was reported by a consumer and describes the occurrence of PALPITATIONS (Rapid raising of heart beat up to 157 beats per minute) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) for COVID-19 vaccination. Concurrent medical conditions included Atrial fibrillation, Shellfish allergy and Penicillin allergy. Concomitant products included METOPROLOL TARTRATE, LEVOTHYROXINE SODIUM (SYNTHROID), APIXABAN (ELIQUIS), VITAMIN D NOS and MINERALS NOS, VITAMINS NOS (CENTRUM A TO ZINC) for an unknown indication. On 05-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Feb-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced PALPITATIONS (Rapid raising of heart beat up to 157 beats per minute). At the time of the report, PALPITATIONS (Rapid raising of heart beat up to 157 beats per minute) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. This patient experienced rapid raising heart beat 15 minutes after vaccine administration. Her Cardiologist gave her a "heart rate monitor device" and for one week she had the same rapid heart beat only once. Her Cardiologist recommended she get the second vaccine, while her Immunologist did not. Treatment included the patient's on a beta blocker and was able to take that medication. Most recent FOLLOW-UP information incorporated above includes: On 17-Mar-2021: Follow-up information received on 17-Mar-2021 processed at same time as initial report. Follow-up information included update to patient demographics, medical history, concomitant products used, vaccine information update and medical confirmation.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Palpitations
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Atrial fibrillation; Penicillin allergy; Shellfish allergy
Vorgeschichte
-
Andere Medikamente
METOPROLOL TARTRATE; SYNTHROID; ELIQUIS; VITAMIN D NOS; CENTRUM A TO ZINC
Allergien
-
Vorherige Impfungen
-

VAERS 1552207

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
76,0
Geschlecht
F
Eingang
13.08.2021
Impfdatum
16.01.2021
Beginn
14.02.2021
Tage bis Beginn
29,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Body temperature Burning sensation Migraine Muscle spasms Peripheral swelling Pruritus Pyrexia Rash Vaccination site erythema

Symptomtext

migraine like headache; entire arm swollen; burning inside; itchy; redness below injection site about 3 inches to either side; muscle spasms at injection site; Fever; Large left rash on arm; This spontaneous case was reported by a consumer and describes the occurrence of MUSCLE SPASMS (muscle spasms at injection site), MIGRAINE (migraine like headache), PERIPHERAL SWELLING (entire arm swollen), BURNING SENSATION (burning inside) and PRURITUS (itchy) in a 76-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029K20A and 039K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Fever. Concurrent medical conditions included Hypothyroidism since 1980, Atrial fibrillation since 13-Jun-2019 and Congestive heart failure since 07-Jul-2019. Concomitant products included RIVAROXABAN (XARELTO) for Anticoagulant therapy, LEVOTHYROXINE SODIUM (SYNTHROID), ATORVASTATIN, MONTELUKAST, DENOSUMAB (PROLIA), METOPROLOL, POTASSIUM CHLORIDE, FUROSEMIDE, DIGOXIN, TRAZODONE, TIZANIDINE, OMEPRAZOLE, AZELASTINE, FISH OIL, GLUCOSAMINE, CALCIUM CARBONATE, COLECALCIFEROL (CALTRATE + D [CALCIUM CARBONATE;COLECALCIFEROL]), VITAMIN D3, LORATADINE (CLARITIN [LORATADINE]), VITAMIN B12 NOS, ASCORBIC ACID, TOCOPHERYL ACETATE, XANTOFYL, ZEAXANTHIN, ZINC (AREDS) and MAGNESIUM for an unknown indication. 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 RASH (Large left rash on arm) and PYREXIA (Fever). On 27-Feb-2021, the patient experienced MUSCLE SPASMS (muscle spasms at injection site). On an unknown date, the patient experienced MIGRAINE (migraine like headache), PERIPHERAL SWELLING (entire arm swollen), BURNING SENSATION (burning inside), PRURITUS (itchy) and VACCINATION SITE ERYTHEMA (redness below injection site about 3 inches to either side). The patient was treated with FEXOFENADINE HYDROCHLORIDE (ALLEGRA) at a dose of for 2 days. On 16-Feb-2021, PYREXIA (Fever) had resolved. On 19-Feb-2021, RASH (Large left rash on arm) had resolved. At the time of the report, MUSCLE SPASMS (muscle spasms at injection site) had not resolved and MIGRAINE (migraine like headache), PERIPHERAL SWELLING (entire arm swollen), BURNING SENSATION (burning inside), PRURITUS (itchy) and VACCINATION SITE ERYTHEMA (redness below injection site about 3 inches to either side) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Body temperature: 100.6 (High) 100.6-High. The patient reported that exactly two weeks after receiving the second Moderna Vaccine, she started having muscle spasms at the injection site. It seemed to happen 10-12 times per day/ night, but each event would last only about 30 seconds. When it happened at night, it would awaken her. Sometimes during the day, it would be so intense that the injection site on arm would jump. In the process, the patient got shot on the front side of arm, not in the usual side muscle. Most recent FOLLOW-UP information incorporated above includes: On 02-Jul-2021: Updated reporter contact details, patient demographics, race and ethnic group, medical history added, Concomitant medicine added and events added.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Migraine
Hospital-Tage
-
Labordaten
Test Date: 2021; Test Name: Temperature; Result Unstructured Data: 100.6-High
Aktuelle Erkrankungen
Atrial fibrillation; Congestive heart failure; Hypothyroidism
Vorgeschichte
Medical History/Concurrent Conditions: Fever
Andere Medikamente
SYNTHROID; ATORVASTATIN; MONTELUKAST; PROLIA; METOPROLOL; XARELTO; POTASSIUM CHLORIDE; FUROSEMIDE; DIGOXIN; TRAZODONE; TIZANIDINE; OMEPRAZOLE; AZELASTINE; FISH OIL; GLUCOSAMINE; CALTRATE + D [CALCIUM CARBONATE;COLECALCIFEROL]; VITAMIN D3; C
Allergien
-
Vorherige Impfungen
-

VAERS 1550621

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 039K20A

moderat
Staat
FL
Alter
79,0
Geschlecht
F
Eingang
12.08.2021
Impfdatum
06.02.2021
Beginn
06.02.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chills Fatigue Hyperhidrosis Pyrexia Tremor

Symptomtext

Chills; Episode with teeth chattering; 100.2 degree fever; back of her neck was dripping with water; Episode with shaking; Fatigue; This spontaneous case was reported by a consumer and describes the occurrence of CHILLS (Chills), FATIGUE (Fatigue), CHILLS (Episode with teeth chattering), PYREXIA (100.2 degree fever) and HYPERHIDROSIS (back of her neck was dripping with water) in a 79-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039K20A) 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 06-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Feb-2021, the patient experienced FATIGUE (Fatigue). On 18-Feb-2021, the patient experienced CHILLS (Episode with teeth chattering), PYREXIA (100.2 degree fever), HYPERHIDROSIS (back of her neck was dripping with water) and TREMOR (Episode with shaking). On an unknown date, the patient experienced CHILLS (Chills). At the time of the report, CHILLS (Chills), FATIGUE (Fatigue), CHILLS (Episode with teeth chattering), PYREXIA (100.2 degree fever), HYPERHIDROSIS (back of her neck was dripping with water) and TREMOR (Episode with shaking) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Tremor
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: No adverse event
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-