VAERS Reports 069H21A

VAERS 2615375

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

kritisch

Staat: LA
Alter: 66,0
Geschlecht: M
Eingang: 14.04.2023
Impfdatum: 08.09.2022
Beginn: 09.09.2022
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: - / -

Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein

Death Fatigue Haemorrhage Malaise Thrombosis Type 2 diabetes mellitus Weight decreased

Symptomtext

Tiredness, general feeling of unwellness, over 4 months time weight loss, type-2 diabetes diagnosis, death. Patient had blood clots and physicians could not determine the source of the bleeding.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Death
Hospital-Tage: 5,0
Labordaten: Multiple/exact unknown: Inpatient Hospital December 2022; Inpatient Hospital January 2023
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2611924

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

kritisch

Staat: NY
Alter: 44,0
Geschlecht: M
Eingang: 08.04.2023
Impfdatum: 01.01.2022
Beginn: 01.01.2023
Tage bis Beginn: 365,0
Dosis: 3
Route/Site: SYR / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: ja ER: ja Erholt: ja

Myocardial infarction Myocarditis Peripheral swelling Thrombosis Ventricular tachycardia Weight increased

Symptomtext

Myocarditis, sudden weight gain, blood clot, left leg swelling

Weitere VAERSDATA-Felder

Praegender Schweregrund: Myocardial infarction
Hospital-Tage: 8,0
Labordaten: hospital, heart attack, blood clot, vTAC,
Aktuelle Erkrankungen: Herniated L1/L2 vertebrae, L5 pars defect, asthma,
Vorgeschichte: Asthma
Andere Medikamente: Baclofen, Meloxicam, magnesium
Allergien: Gabapentin, chantix, methadone
Vorherige Impfungen: -

VAERS 2609371

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

kritisch

Staat: -
Alter: 76,0
Geschlecht: M
Eingang: 04.04.2023
Impfdatum: 29.12.2021
Beginn: 21.05.2022
Tage bis Beginn: 143,0
Dosis: 3
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt

Acute respiratory failure Hepatic lesion Hypotension Nephrogenic anaemia

Symptomtext

Immunization: COVID-19 Moderna, External Administration I95.9 HYPOTENSION 6/24/2022 ANEMIA DUE TO CKD J96.00 ACUTE RESPIRATORY FAILURE 6/24/2022 ANEMIA DUE TO CKD I95.9 HYPOTENSION 6/24/2022 ANEMIA DUE TO CKD J96.00 ACUTE RESPIRATORY FAILURE 6/24/2022 ANEMIA DUE TO CKD I95.9 HYPOTENSION 6/24/2022 LIVER LESION J96.00 ACUTE RESPIRATORY FAILURE 6/24/2022 LIVER LESION

Weitere VAERSDATA-Felder

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

VAERS 2565923

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

kritisch

Staat: MI
Alter: 85,0
Geschlecht: F
Eingang: 23.01.2023
Impfdatum: 01.05.2021
Beginn: 22.01.2023
Tage bis Beginn: 631,0
Dosis: 2
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt

Acute respiratory failure COVID-19 COVID-19 pneumonia Cough Dyspnoea exertional Fall SARS-CoV-2 test positive Spinal compression fracture Urinary tract infection

Symptomtext

Pt discharged home from SNF last week after admission in December post fall with UTI and T11 compression fracture. Pt having mild nonproductive cough and exertional dyspnea. Found to be COVID positive. Admitted to the hospital with acute hypoxic respiratory failure secondary to COVID pneumonia.

Weitere VAERSDATA-Felder

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

VAERS 2546924

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

kritisch

Staat: NJ
Alter: 52,0
Geschlecht: F
Eingang: 30.12.2022
Impfdatum: 14.12.2021
Beginn: 17.12.2021
Tage bis Beginn: 3,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Amnesia Blood test Cardiac function test Cardiac monitoring Cerebral infarction Cerebrovascular accident Magnetic resonance imaging head abnormal Speech disorder

Symptomtext

three infarction strokes. two in the front lobes and one in the back right lobe. Loss of memory and spech imparement.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Cerebrovascular accident
Hospital-Tage: -
Labordaten: Hematologist blood work - October 2022 Neurological - MRI - May 2, 2022 & November 8, 2022 Cardiac monitor - October 14, 2022 Cardiac testing - November 14, 2022
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Xyzal, meloxicam, levothyroxine, nasacort, multi-vitimins, cranbery tablets, vitimin E, fiber gummies
Allergien: Dulara
Vorherige Impfungen: -

VAERS 2536652

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

kritisch

Staat: -
Alter: 86,0
Geschlecht: F
Eingang: 19.12.2022
Impfdatum: 20.01.2022
Beginn: 01.06.2022
Tage bis Beginn: 132,0
Dosis: 2
Route/Site: - / -

Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

COVID-19 Condition aggravated Death Dementia General physical health deterioration SARS-CoV-2 test positive

Symptomtext

pt in Rehab due to dementia; on comfort medications; 6/23/22 pt had a positive COVID test; placed in isolation; given steroids and Levaquin; on hospice with comfort medications; pt had a rapid decline and passed away in the facility

Weitere VAERSDATA-Felder

Praegender Schweregrund: Death
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: DEMENTIA, GERD, DMT2, CKD3
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2531044

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

kritisch

Staat: CA
Alter: 59,0
Geschlecht: M
Eingang: 14.12.2022
Impfdatum: 03.12.2021
Beginn: 26.07.2022
Tage bis Beginn: 235,0
Dosis: 2
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja

Acoustic stimulation tests Aphasia Balance disorder Blood glucose abnormal Blood test Cerebrovascular accident Condition aggravated Disorganised speech Hypertension Hypoaesthesia Liver function test abnormal Reading disorder Visual impairment

Symptomtext

Around 9:00AM on July 26, 2022, I was sitting at my computer, and I noticed I was having trouble seeing all of the words on my computer. I was struggling to read. I drank some water to see if that helped. I got up and was off balance. When I tried to speak, I spoke gibberish and was unable to speak. I had a hearing test that was already scheduled that day at 11:00AM. I knew I would already be at the hospital, so I drove myself to the hospital. On the way there, my right hand went numb. It was a 30-minute drive. By the time I got there my symptoms had diminished. I was able to give my name at the front desk. After my hearing test, I considered going to urgent care. The following day I called my doctor and explained what had happened the day before. She had me go directly to the emergency room. They were able to determine that I had a stroke on the left side of my brain. I was still having a little bit of residual symptoms from the prior day. My blood pressure was very high, 150/100 and would not go down. My heart rate was in the 100s even though I was at rest. My normal heart rate is in the 60s. I have since tried 4 different medications to control my blood pressure. My heart rate continues to be from 70-100 regularly.

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Praegender Schweregrund: Cerebrovascular accident
Hospital-Tage: -
Labordaten: Blood panels, normal except for Liver functions and sugars
Aktuelle Erkrankungen: N/A
Vorgeschichte: High Blood Pressure
Andere Medikamente: CLARITIN; losartan; rosuvastatin
Allergien: N/A
Vorherige Impfungen: -

VAERS 2492929

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

kritisch

Staat: SD
Alter: 74,0
Geschlecht: M
Eingang: 28.10.2022
Impfdatum: 19.12.2021
Beginn: 25.08.2022
Tage bis Beginn: 249,0
Dosis: 3
Route/Site: SYR / LA

Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt

COVID-19 Death Fall General physical health deterioration Head injury Hypoglycaemia Loss of consciousness SARS-CoV-2 test positive Subarachnoid haemorrhage Subdural haematoma Vaccine breakthrough infection

Symptomtext

This is an instance of breakthrough COVID-19 after which death occurred. The individual was vaccinated with the Moderna product on 02/17/2021, 03/17/2021, and 12/29/2021. They tested positive for COVID-19 on 08/25/2022, when they presented to emergency department for assessment after a fall. They were admitted to hospital. They were found to be severely hypoglycemic and to have suffered a head injury with loss of consciousness, subdermal hematoma, and a subarachnoid hemorrhage. Their condition declined and they died in the hospital on 09/04/2022.

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Praegender Schweregrund: Death
Hospital-Tage: 10,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Type II Diabetes, Hypertension, Hypokalemia,
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2470560

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

kritisch

Staat: -
Alter: 91,0
Geschlecht: M
Eingang: 05.10.2022
Impfdatum: 25.01.2022
Beginn: 27.09.2022
Tage bis Beginn: 245,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein

Acquired diaphragmatic eventration Acute respiratory failure Anion gap Atrial fibrillation Atrial flutter Atrioventricular block Basophil count decreased Basophil percentage decreased Blood calcium decreased Blood chloride Blood creatinine increased Blood glucose normal Blood potassium increased Blood sodium Blood urea increased Chronic kidney disease Condition aggravated Dyspnoea

Symptomtext

/Narrative: Pt presented to ED on 9/27/2022 c/o cough with yellow mucous and chest congestion x 1 week; + sick contact exposure. In the ED, the pt was tachypnic. COVID-19 swab was positive. CXR showed elevated right diaphragm and possible right lower lobe atelectasis. Pt admitted 9/27/22-9/30/22 with priniple diagnosis: PRINCIPAL DIAGNOSIS: 1. New Onset of Shortness of Breath with Productive Cough, Tachypnea & Tachycardia 2/2 COVID-19 Viral Syndrome 2. Acute Respiratory Failure with Hypoxia & Hypocapnia 2/2 Covid-19 Viral Pneumonia 3. Acute Tachycardia & Tachypnea in Setting of Acute on Chronic Atrial Fibrillation w/ Flutter, Occasional Rapid Response on Apixaban 4. Acute on Chronic Normocytic Anemia 5. Acute on Chronic Kidney Disease Stage 4 6. Hyperkalemia 7. Hyperchloremia ADDITIONAL DIAGNSES: 8. BPH 9. Hypertension 10. Hx Prostate Cancer 11. Depression 12. Type II diabetes, Diet Controlled 13. GERD 14. Obesity Class 2: BMI 34.0 Hosp. Course includes: Patient's chief symptoms on admission were; hypoxia requiring supplemental oxygen therapy, hypocapnea, tachycardia and tachypnea. Patient noted on file- Moderna vaccination x 3 doses. Supportive care and monitoring implemented; screening/trend labs, EKGs and imaging studies. EKGs obtained during this hospitalization, noted with Atrial flutter with variable A-V block with PVCs. Pt is on chronic anticoagulation with apixiban for management of chronic Atrial Flutter. CXR obtained-impression negative for cardiopulmonary and elevated right diaphragm and possible right lower lobe atelectasis. No evidence of superimposed bacterial pneumonia. Airborne Precautions initiated. COVID-19 viral pneumonia treatment was initiated with ; dexamethasone 6mg qd, PRN acetaminophen/tesselon/albuterol inhaler, continous pox, telemetry monitoring, PRN supplementation of electrolytes, consults, etc. Patient noted with respiratory alkalosis; CO2 levels ranged between 15-20 mmol/L - treated with sodium bicarbonate supplementation of 1300mg oral twice a day for management. Patient did not require remdesivir. Patient considered for discharge on 9/29/22, and initially no labs were obtained. In preparing medication reconcillation, unable to determine if sodium bicarbonate should be ordered on discharge. There fore, ordered a CHEM7 at 13:00 on 9/29/2022. CHEM7 resulted, most notable for hyperkalemia (K+ level of 5.80) and Scr 2.2/BUN 40. NO hemolysis noted on lab report. Discharge cancelled for management of hyperkalemia. One dose of Patiromer Calcium Sorbitex 8.4gm/1PKT was ordered and administered. Telemetry monitoring restarted, EKG obtained at this time(results - Aflutter with variable A-V block, ST & Twave abnormality), initiated IVF hydration w/ NS @ 75cc/hr and cardiac enzymes ordered. On following day (9/30/22), Pt denied any acute concerns or pain, K+ level; 5.0, Scr 2.2 and cardiac enzyme set of 3 negative for troponin elevation. Patient was cleared for discharge to home with family at this time- on 9/30/22.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Acute respiratory failure
Hospital-Tage: -
Labordaten: Vital Signs *Temperature 97.9 F (36.6 C) Pulse 112 Respirations 18 Blood Pressure 115/66 Pain scale recorded: 0 Pulse Oximetry 98 Room Air LABS: SODIUM: pending POTASSIUM: pending CHLORIDE: pending CO2: 20 L ANION GAP (CALCULATED): pending GLUCOSE: 96 CREATININE: 2.7 H CALCIUM: 8.9 EGFR: 22 UREA, BUN: 32 H WBC: 10.3 RBC: 3.40 L HGB: 8.7 L HCT: 27.5 L MCV: 80.9 MCH: 25.6 L MCHC: 31.6 L RDW: 25.2 H PLT: 255 MPV: 6.6 L EOSINO, ABSOLUTE: 0.0 BASO, ABSOLUTE: 0.0 GRAN % (SS): 82.5 H LYMPH % (SS): 8.6 L MONO % (SS): 8.2 EOS% (SS): 0.4 BASO% (SS): 0.3 GRAN# (SS): 8.5 H LYMPH# (SS): 0.9 L MONO# (SS): 0.8 COVID-19 DIAGNOSTIC (CEPHEID): POSITIVE H*
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2425065

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

kritisch

Staat: TN
Alter: 68,0
Geschlecht: M
Eingang: 31.08.2022
Impfdatum: 16.12.2021
Beginn: 02.03.2022
Tage bis Beginn: 76,0
Dosis: 3
Route/Site: SYR / -

Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein

Anticoagulant therapy COVID-19 Clostridium test positive Death Endotracheal intubation Fall General physical health deterioration Haemofiltration Hemiparesis Hypoxia Intensive care Intervertebral disc operation Intervertebral disc protrusion Magnetic resonance imaging normal Pulmonary embolism Spinal stenosis

Symptomtext

The patient had a PMH of severe COPD s/p R lung transplant (2016), CKD 4, BK virus nephropathy, Stage III melanoma with Lymph node metastasis presented to a local ED following a ground-level fall on 2/17/2022 with left-sided weakness. MRI did not show any clear evidence of an acute infarct. Found to have C3-4 disc herniation with pre-existing spinal canal stenosis, s/p ACDF with neurosurgery on 2/25/22. On 3/2/2022 the patient was found to have Covid-19 and treated with Dexamethasone and Remdesivir. The patient then tested positive for C. diff 3/7/2022 and received PO vanc. On 3/11/22 the patient became acutely hypoxic and was transferred to MICU and initiation on therapeutic anticoagulation for suspicion of PE. The patient required intubation. On 3/13 CRRT was initiated and had 2 L taken off with improvement in his oxygenation. The patient continued to decline and was made DNR/DNI and expired on 3/17/2022.

Weitere VAERSDATA-Felder

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

VAERS 2376814

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

kritisch

Staat: SD
Alter: 91,0
Geschlecht: F
Eingang: 21.07.2022
Impfdatum: 11.02.2022
Beginn: 05.06.2022
Tage bis Beginn: 114,0
Dosis: 1
Route/Site: SYR / LA

Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein

Acute respiratory failure Asthenia COVID-19 COVID-19 pneumonia Death Dyspnoea General physical health deterioration Illness Inappropriate schedule of product administration SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

This is an instance of breakthrough COVID-19 after which death occurred. The individual was vaccinated with the Moderna product on 01/12/2022 and 02/11/2022. They tested positive for COVID-19 on 06/05/2022. They were admitted to hospital for this illness on 06/04/2022. They were diagnosed with COVID-19 pneumonia and acute hypoxic respiratory failure. They were discharged 06/07/2022. However, they then presented to Emergency Department again on 06/12/2022 with a primary complaints of shortness of breath and weakness. They were admitted to hospital again. Their condition declined rapidly and they died on 03/13/2022.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Acute respiratory failure
Hospital-Tage: 4,0
Labordaten: Positive COVID-19 test on 06/05/2022 despite being vaccinated.
Aktuelle Erkrankungen: -
Vorgeschichte: COPD, Possible Right Middle Lung Mass, Chronic Systolic & Diastolic Heart Failure, Cardiomyopathy, Peripheral Vascular Disease, Peripheral Arterial Disease, Hyperlipidemia, Chronic Kidney Disease Stage 4
Andere Medikamente: -
Allergien: Ciprofloxacin (reaction: GI Intolerance)
Vorherige Impfungen: -

VAERS 2290575

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

kritisch

Staat: WA
Alter: 89,0
Geschlecht: M
Eingang: 23.05.2022
Impfdatum: 16.12.2021
Beginn: 12.05.2022
Tage bis Beginn: 147,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt

Acute respiratory failure COVID-19 COVID-19 pneumonia Condition aggravated Dementia Alzheimer's type SARS-CoV-2 test positive

Symptomtext

Patient received Moderna COVID vaccine on 1/20/21 (lot # 011L20A), 2/24/21 (lot # 002A21A), and 12/16/21 (lot # 069H21A). On 5/12/22, patient admitted to our inpatient facility with COVID-19 pneumonia, acute respiratory failure with hypoxia, and advanced Alzheirmer's dementia. He was discharged on 5/18/22 back to his assisted living facility.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Acute respiratory failure
Hospital-Tage: 6,0
Labordaten: COVID status positive 5/12/22
Aktuelle Erkrankungen: -
Vorgeschichte: advanced Alzheimer's dementia, type 2 diabetes, chronic kidney disease (stage 3), and hypercholesterolemia
Andere Medikamente: allopurinol, vitamin d3, donepezil, glipizide, metformin, mvi, pravastatin
Allergien: NKDA
Vorherige Impfungen: -

VAERS 2263504

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

kritisch

Staat: TN
Alter: 63,0
Geschlecht: M
Eingang: 04.05.2022
Impfdatum: 13.01.2022
Beginn: 15.01.2022
Tage bis Beginn: 2,0
Dosis: 3
Route/Site: - / RA

Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: ja Erholt: nein

Asthenia Dyspnoea Endotracheal intubation Gait inability Laboratory test Mobility decreased Pleural effusion Respiratory arrest

Symptomtext

He got his vaccine, didn't notice anything, didn't get sick or sore. Then on 1/15/22 in the middle of the day he had an episode that he could not breath. He got himself ready to go to the ER on his own and had to take a bath and has problems with his leg and has to hang his leg out, and when he got out of the tub he had difficulty breathing. He called his son who called his nephew across the road, and tried to calm him down. He went by ambulance to the ER and they said that his oxygen was pretty good, but he was smothering from fluid on his lungs. He was intubated and sedated him, and was then transferred to Hospital. He was there for a week. He was at Hospital and said that his lungs were filled with fluid and was transferred later to hospital. Since being discharged he has been recovering. He now has no energy and his legs will not carry him, cannot walk from tree to tree. He has chairs everywhere where he can move from one to another. He states he used to be healthy and strong, but not anymore. He has been put on two more blood pressure pills since being in the hospital, Copidogrel 85 mg, Losartan 50 mg twice a day, and a diuretic Furosemide 20 mg, and also takes Famotidine. His regular cardiologist told him that it was from the vaccine itself.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Respiratory arrest
Hospital-Tage: 6,0
Labordaten: Multiple as above.
Aktuelle Erkrankungen: Skipping heart beat since 2nd vaccine.
Vorgeschichte: RA, high blood pressure, spondylitis, osteoarthritis, iritis, high cholesterol.
Andere Medikamente: Carvedilol 25 mg 1 a day, Prednisone 5 mg daily, Rosuvastatin 20 mg once a day, Gabapentin 300 mg 3 a day, Diazepam 5 mg, Hydrocodone 7.5/325 mg up to 3 a day, Amitriptyline 75 mg. , 81 mg aspirin, nasal spray Fluticasone, Vitamin D, zinc,
Allergien: None.
Vorherige Impfungen: 2nd COVID vaccine, noticed that his heart would beat hard, could not sleep due to that and his covers would jump due to the beat

VAERS 2254651

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

kritisch

Staat: -
Alter: 87,0
Geschlecht: F
Eingang: 27.04.2022
Impfdatum: 15.12.2021
Beginn: 01.01.2022
Tage bis Beginn: 17,0
Dosis: 3
Route/Site: - / -

Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt

Acute kidney injury Atrial fibrillation COVID-19 Death Decreased appetite Dehydration Encephalopathy Gastrointestinal tube insertion General physical health deterioration Hypernatraemia Mental status changes Pneumonia klebsiella SARS-CoV-2 test positive Staring Urinary tract infection

Symptomtext

2/8/22 pt brought to hosp from nursing home (name of facility unknown) due to an altered mental state, pt has a blank stare today with son; pt had a positive COVID test on 1/13/22 and has been in isolation at nursing home until today; COVID test still positive on admission; admitted with acute encephalopathy, UTI secondary to Klebsiella pneumonia; treated with ABX; A fib with RVR; pt's condition declined; poor appetite; developed AKI and hypernatremia due to dehydration; DNR with limited therapy; NG tube inserted; pt expired in hospital after NG tube insertion

Weitere VAERSDATA-Felder

Praegender Schweregrund: Death
Hospital-Tage: 8,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: advanced dementia
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2246829

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

kritisch

Staat: NJ
Alter: 36,0
Geschlecht: F
Eingang: 21.04.2022
Impfdatum: 25.02.2022
Beginn: 22.03.2022
Tage bis Beginn: 25,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Abortion missed Exposure during pregnancy Foetal death Gene mutation identification test Pathology test Ultrasound antenatal screen normal Uterine dilation and curettage

Symptomtext

Pregnancy ending in missed abortion at 16 weeks fetus death based on measurements at 13 weeks same week booster was administered. 12 week ultrasound WNL. Estimated due date 9/1/2022

Weitere VAERSDATA-Felder

Praegender Schweregrund: Foetal death
Hospital-Tage: -
Labordaten: D&C with pathology and genetics
Aktuelle Erkrankungen: -
Vorgeschichte: Hypothyroidism. Thyroid labs WNL before during and after pregnancy
Andere Medikamente: Synthroid, prenatal vitamins
Allergien: Sulfa
Vorherige Impfungen: -

VAERS 2189657

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

kritisch

Staat: TN
Alter: 73,0
Geschlecht: M
Eingang: 21.03.2022
Impfdatum: 19.12.2021
Beginn: 21.03.2022
Tage bis Beginn: 92,0
Dosis: 3
Route/Site: SYR / RA

Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein

COVID-19 Death Vaccine breakthrough infection

Symptomtext

covid related death - breakthrough case

Weitere VAERSDATA-Felder

Praegender Schweregrund: Death
Hospital-Tage: 23,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2180134

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

kritisch

Staat: WI
Alter: 60,0
Geschlecht: F
Eingang: 15.03.2022
Impfdatum: 20.12.2021
Beginn: 12.03.2022
Tage bis Beginn: 82,0
Dosis: 3
Route/Site: IM / LA

Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein

COVID-19 Death

Symptomtext

DEATH RELATED TO COVID-19

Weitere VAERSDATA-Felder

Praegender Schweregrund: Death
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: CVA, CHF, HTN, Interstitial lung disease
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2189484

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

kritisch

Staat: -
Alter: 60,0
Geschlecht: F
Eingang: 12.03.2022
Impfdatum: 18.12.2021
Beginn: 29.12.2021
Tage bis Beginn: 11,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: ja Erholt: nein

Alanine aminotransferase normal Aspartate aminotransferase normal Atelectasis Back pain Basophil count normal Basophil percentage Blood albumin normal Blood alkaline phosphatase normal Blood bilirubin normal Blood calcium normal Blood chloride increased Blood creatinine normal Blood glucose normal Blood potassium normal Blood sodium normal Blood urea normal Carbon dioxide normal Computerised tomogram thorax abnormal

Symptomtext

Narrative: ADMISSION DATE: December 29, 2021 DISCHARGE DATE: The 31st 2021 ACUTE CARE MEDICINE PRIMARY DISCHARGE DIAGNOSIS: Bilateral submassive pulmonary embolism, without cor pulmonale DVT Hemorrhoids SECONDARY DISCHARGE DIAGNOSIS: Chronic lower back pain with lumbar radiculopathy since a MVA History of migraine Menopausal symptoms

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pulmonary embolism
Hospital-Tage: -
Labordaten: DEC 29, 2021@19:42 CT THORAX W/CONT Findings: Positive for bilateral PE with involvement of all lobes. The most central PE is in the distal right main pulmonary artery. No evidence for right heart strain. No effusions. No cardiomegaly. No evidence for discrete pulmonary infarct. Atelectasis and/or scar. No consolidation/evidence for pneumonia. No CT evidence for edema. Impression: Positive for bilateral PE. DEC 29, 2021@21:34 DUPLEX EXTREMITIES VEINS,BIL,COMPLETE Impression: Deep vein thrombus throughout the left femoral vein, extending into the left popliteal vein and left peroneal trunk. Nonocclusive deep vein thrombus in the right proximal femoral vein. Specimen Collection Date: Dec 29, 2021@17:40 D-DIMER QNT (SY/AL) 9.689 H mcg FEU/ml Ref: <=0.499 Specimen Collection Date: Dec 29, 2021@17:40 Test name Result units Ref. range WBC (V2) 6.1 K/mm3 4.4 - 10.7 RBC (V2) 4.26 M/mm3 3.6 - 5 HGB (V2) 13.2 g/dl 11.5 - 15.6 HCT (V2) 40.1 % 35 - 46.5 MCV (V2) 94.1 fl 86 - 99 MCH (V2) 31.0 pg 28 - 33.0 MCHC (V2) 32.9 g/dl 32 - 34.8 RDW (V2) 12.3 % 11.5 - 13.3 PLT (V2) 184 K/mm3 140 - 375 MPV (V2) 10.0 fl 9.0 - 12.6 NEUTROPHIL % (V2) 43.2 L% 45 - 72 LYMPH% (V2) 43.8 H % 16 - 40 MONO% (V2) 7.1 % 5.5 - 13.5 EOS% (V2) 4.8 % 0.7 - 6.6 BASO% (V2) 0.8 % 0 2 IG% (V2) 0.3 % 0.0 - 1.0 NEUTROPHILS,ABS (V2) 2.61 K/mm3 2.40 - 6.80 LYMPHS,ABS (V2) 2.65 K/mm3 1 - 3 MONO,ABS (V2) 0.43 K/mm3 0.3 - 0.8 EOSIN,ABS (V2) 0.29 K/mm3 0.1 - 0.5 BASO,ABS (V2) 0.05 K/mm3 0 - 0.3 IG,ABS (V2) 0.02 K/mm3 0.00 - 0.08 SODIUM (V2) 144 mEq/L 135 - 145 POTASSIUM (V2) 4.1 mWq/L 3.8 - 5.1 CHLORIDE (V2) 109 mEq/L 97 - 109 CO2 (V2) 27 mEq/L 22 32 UREA NITROGEN (V2) 12 mg/dl 9 - 26 CREATININE (V2) 0.9 mg/dl 0.5 - 1.2 GLUCOSE (V2) 92 mg/dl 70 - 140 CALCIUM (V2) 9.3 mg/dL 8.3 - 10.6 EGFR (V2) >60mL/min Ref: > 60 PROTEIN,TOTAL (V2) 7.2 g/dL 6.3 - 8.0 ALBUMIN (V2) 3.7 g/dl 3.4 - 4.5 BILIRUBIN,TOTAL (V2) 0.3 mg/dl 0.3 - 1.2 ALKALINE PHOSPHATASE (V2) 74 units/L 50 - 136 AST (V2) 18 units/L 6 - 32 ALT (V2) 15 units/L 10 - 55
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2206387

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

kritisch

Staat: -
Alter: 89,0
Geschlecht: M
Eingang: 04.02.2022
Impfdatum: 14.12.2021
Beginn: 19.12.2021
Tage bis Beginn: 5,0
Dosis: 3
Route/Site: IM / RA

Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Arrhythmia Bradycardia Brief resolved unexplained event Cardiac arrest Circulatory collapse Death Heart rate decreased Hypotension Lethargy Malaise Mental status changes Resuscitation Sepsis

Symptomtext

Narrative: 88yr patient received Moderna Booster and Fluad Vaccines on 12/14/21, died on 12/19/21 of cardiac arrest (no autopsy was performed). PMH: Alzheimer's disease, CKD3, aortic sclerosis, afib, dementia, T2DM, HTN, HLD, and bladder cancer. 12/29/2021; patient presented to Facility ED by EMS with increased lethargy, altered mental status (from baseline), and hypotensive (BP 70/45). Physical exam/vitals: PPR: 43, RR 20, BP 77/40, SPO2 87%, CV bradycardic rate, irregular rhythm, diminished pulses. Per outside ER records; patient's was critically ill with a high probability of imminent or life-threatening deterioration (severe sepsis requiring resuscitation (circulatory failure). Patient went into cardiac arrest in the ED and expired.

Weitere VAERSDATA-Felder

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

VAERS 2058752

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

kritisch

Staat: NY
Alter: 77,0
Geschlecht: F
Eingang: 24.01.2022
Impfdatum: 10.12.2021
Beginn: 10.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: - / LA

Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein

Abdominal pain upper COVID-19 pneumonia Chills Death Dehydration Pneumonia Pyrexia Respiratory tract congestion

Symptomtext

Fever, chills, congestion, pneumonia, dehydration, stomach pain, death. #21-n (Hospitalization 11 days, remdesivir, oxygen, steroids, Patient died from COVID pneumonia on 1/6/22

Weitere VAERSDATA-Felder

Praegender Schweregrund: Death
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Unknown
Vorgeschichte: Unknown
Andere Medikamente: NA
Allergien: Penicillin, alcohol
Vorherige Impfungen: -

VAERS 2058752

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

kritisch

Staat: NY
Alter: 77,0
Geschlecht: F
Eingang: 24.01.2022
Impfdatum: 10.12.2021
Beginn: 10.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: SYR / LA

Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein

Abdominal pain upper COVID-19 pneumonia Chills Death Dehydration Pneumonia Pyrexia Respiratory tract congestion

Symptomtext

Fever, chills, congestion, pneumonia, dehydration, stomach pain, death. #21-n (Hospitalization 11 days, remdesivir, oxygen, steroids, Patient died from COVID pneumonia on 1/6/22

Weitere VAERSDATA-Felder

Praegender Schweregrund: Death
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Unknown
Vorgeschichte: Unknown
Andere Medikamente: NA
Allergien: Penicillin, alcohol
Vorherige Impfungen: -

VAERS 2028692

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

kritisch

Staat: WA
Alter: 75,0
Geschlecht: F
Eingang: 12.01.2022
Impfdatum: 15.12.2021
Beginn: 15.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Death

Symptomtext

Doctor received a phone call from the patient's brother on 01/03/22, to report that she went home after her booster on 12/15/21 and passed away later that night. She was not a patient of our clinic and was only here to receive her booster shot of Moderna. She gave us a copy of her vaccination card and filled out the pre-vaccination checklist from the CDC. She also waited the recommended 15-30 minutes post-vaccination and left without issue. She and the circumstances of her death are otherwise unknown to us.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Death
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: None reported on pre-vaccination checklist
Vorgeschichte: None reported on pre-vaccination checklist
Andere Medikamente: Unknown blood thinner as reported on pre-vaccination check list
Allergien: None reported on pre-vaccination checklist
Vorherige Impfungen: -

VAERS 1995100

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge #069H21A

kritisch

Staat: -
Alter: 75,0
Geschlecht: U
Eingang: 31.12.2021
Impfdatum: 15.12.2021
Beginn: 15.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / -

Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Asthenia Chills Death Dyspnoea Fatigue Loss of consciousness Malaise

Symptomtext

several hours(2-4) later went to bed not feeling well; weak; Chills; Fatigue; Labored Breathing; shortly lost consciousness; Died; This spontaneous case was reported by a consumer and describes the occurrence of MALAISE (several hours(2-4) later went to bed not feeling well), ASTHENIA (weak), CHILLS (Chills), FATIGUE (Fatigue), DYSPNOEA (Labored Breathing), LOSS OF CONSCIOUSNESS (shortly lost consciousness) and DEATH (Died) in a 75-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. #069H21A) for COVID-19 vaccination. Previously administered products included for Product used for unknown indication: Pfizer. Past adverse reactions to the above products included No adverse event with Pfizer. Concurrent medical conditions included Lupus syndrome (lupus). On 15-Dec-2021 at 4:40 PM, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Dec-2021, the patient experienced MALAISE (several hours(2-4) later went to bed not feeling well) (seriousness criterion death), ASTHENIA (weak) (seriousness criterion death), CHILLS (Chills) (seriousness criterion death), FATIGUE (Fatigue) (seriousness criterion death), DYSPNOEA (Labored Breathing) (seriousness criterion death), LOSS OF CONSCIOUSNESS (shortly lost consciousness) (seriousness criteria death and medically significant) and DEATH (Died) (seriousness criteria death and medically significant). The patient died on 15-Dec-2021. The reported cause of death was several hours (2-4) later went to bed not feeling well, weak, Chills, Fatigue, Labored breathing and shortly lost consciousness. It is unknown if an autopsy was performed. No concomitant medication was provided by reporter. Patient shortly lost consciousness Paramedics called, Husband and Daughter applied CPR in the interim could not Resuscitate. No treatment drug was provided by reporter.; Sender's Comments: This case concerns a 75-year-old patient (gender not provided) with no relevant medical history, who experienced the unexpected events of Malaise, Asthenia, Chills, Fatigue, Dyspnea, Loss of Consciousness. The events occurred several hours after the booster dose of mRNA-1273 (Moderna Covid-19 vaccine); and resulted in death. The rechallenge was not applicable as events occurred after booster dose with fatal outcome. The benefit-risk relationship of mRNA-1273 (Moderna covid-19 vaccine) is not affected by this report.; Reported Cause(s) of Death: several hours (2-4) later went to bed not feeling well; Weak; Chills; Fatigue; Labored Breathing; shortly lost consciousness; Died

Weitere VAERSDATA-Felder

Praegender Schweregrund: Death
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Lupus syndrome (lupus)
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2601658

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

schwer

Staat: MI
Alter: 83,0
Geschlecht: F
Eingang: 22.03.2023
Impfdatum: 22.12.2022
Beginn: 21.03.2023
Tage bis Beginn: 89,0
Dosis: 3
Route/Site: SYR / UN

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein

Aspartate aminotransferase increased Atrial fibrillation Blood alkaline phosphatase increased Blood culture Blood pH increased Blood test abnormal Blood urea increased COVID-19 Carbon dioxide normal Condition aggravated Dyspnoea Fall Haemoglobin decreased Influenza virus test Intensive care Laboratory test PO2 increased Poor peripheral circulation

Symptomtext

Patient arrived via EMS with complaint of shortness of breath and she had actually fallen out of bed. Patient is in respiratory distress, HPI is limited secondary to clinical presentation. Patient was found to be febrile upon presentation. Upon presentation patient is tachypneic and difficulty obtaining a pulse ox secondary to atrial fibrillation and poor circulation.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Intensive care
Hospital-Tage: 2,0
Labordaten: IV access established baseline labs are drawn. Patient started with a 1 L fluid bolus. Patient is given a dose of Rocephin after blood cultures are obtained. Influenza and COVID swabs are obtained. patient is found to have a pH 7.49, CO2 slightly low at 24, and PO2 of 223. Patient is subsequently treated with a nebulizer treatment. Patient was found to be COVID-positive, she is given a dose of Decadron 6 mg IV push.. Patient's blood work shows an elevated white blood cell count of 13.5, hemoglobin of 9.4 with comparison to previous hemoglobin of 10 on 3/07/23. Patient has a mildly elevated BUN of 26, initial troponin is 0.06. Patient's AST is elevated at 72 and alk phos of 276. Patient admitted to hospital
Aktuelle Erkrankungen: unknown
Vorgeschichte: HTN CAD Afib CHF RA
Andere Medikamente: Current Home Medications 1. fluticasone-salmeterol CFC free 45 mcg-21 mcg/inh inhalation aerosol : 2 puff(s) inhaled 2 times a day 2. Fosamax : 1 tab(s) orally once a week 3. Humira : 1 dose(s) subcutaneous every 2 weeks. Restart per Rheuma
Allergien: Allergy: - oxycodone; (Drug) Unknown - sulfa drugs; (Drug Category) Unknown
Vorherige Impfungen: -

VAERS 2447728

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

schwer

Staat: IL
Alter: 24,0
Geschlecht: F
Eingang: 16.09.2022
Impfdatum: 21.12.2021
Beginn: 23.12.2021
Tage bis Beginn: 2,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja

Chills Electrocardiogram Injection site erythema Injection site swelling Nausea Pain Pyrexia Syncope

Symptomtext

Redness/swelling at immunization site, fever, chills, body aches, syncope, nausea

Weitere VAERSDATA-Felder

Praegender Schweregrund: Syncope
Hospital-Tage: -
Labordaten: ECG
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Valcyclyvor
Allergien: None
Vorherige Impfungen: -

VAERS 2397953

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

schwer

Staat: SC
Alter: 59,0
Geschlecht: M
Eingang: 01.08.2022
Impfdatum: 02.07.2021
Beginn: 15.02.2022
Tage bis Beginn: 228,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Bell's palsy Facial paresis

Symptomtext

Bell's Palsy

Weitere VAERSDATA-Felder

Praegender Schweregrund: Bell's palsy
Hospital-Tage: -
Labordaten: Lose of all muscular function on the left side of the face
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: Erythromycin
Vorherige Impfungen: -

VAERS 2266381

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

schwer

Staat: GA
Alter: 44,0
Geschlecht: F
Eingang: 06.05.2022
Impfdatum: 01.12.2021
Beginn: 01.01.2022
Tage bis Beginn: 31,0
Dosis: 3
Route/Site: IM / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: ja ER: ja Erholt: nein

Blood test Computerised tomogram Gait inability Guillain-Barre syndrome Lumbar puncture

Symptomtext

Guillian Barre Syndrome, inability to walk. I am currently still doing at home physical therapy to regain my ability to walk.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Guillain-Barre syndrome
Hospital-Tage: 22,0
Labordaten: 02/2022-04/2022 CT scan Blood work LP
Aktuelle Erkrankungen: None
Vorgeschichte: Fibroids GERD Migraines
Andere Medikamente: None
Allergien: Strawberries Sulfur
Vorherige Impfungen: -

VAERS 2240937

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

schwer

Staat: CO
Alter: 84,0
Geschlecht: F
Eingang: 19.04.2022
Impfdatum: 05.04.2022
Beginn: 07.04.2022
Tage bis Beginn: 2,0
Dosis: 4
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: ja

Aortic stenosis Asthenia Blood electrolytes Computerised tomogram Echocardiogram Electrocardiogram Hypophagia Hypovolaemia Malaise Myocardial injury Nausea Presyncope Troponin Vomiting

Symptomtext

Patient with a complex medical history presented to ED with symptoms of malaise, nausea/vomiting, weakness, and pre-syncope associated with poor oral intake persisting through 36 hours after COVID-19 vaccine booster dose #2. Symptoms improved with IV fluids. Diagnostic work-up revealed non-ischemic myocardial injury associated with hypovolemia and moderate aortic stenosis. Patient was discharged with definitive outpatient treatment plan in place.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Presyncope
Hospital-Tage: 2,0
Labordaten: Troponin Electrolytes Electrocardiogram Cardiac computed tomography Transthoracic echocardiogram
Aktuelle Erkrankungen: Aortic stenosis Generalized anxiety disorder Osteopenia Hypertension
Vorgeschichte: Aortic stenosis Generalized anxiety disorder Osteopenia Hypertension History of appendiceal carcinoma, status post-hemicolectomy and chemotherapy
Andere Medikamente: Alprazolam Cholecalciferol Losartan Sertraline Rosuvastatin
Allergien: Doxycycline Cyclobenzaprine Sulfonamides
Vorherige Impfungen: Moderna SARS-COV2 (COVID-19) Vaccine; 1/21/2021 & 9/2/2021

VAERS 2062265

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

schwer

Staat: NJ
Alter: 27,0
Geschlecht: F
Eingang: 25.01.2022
Impfdatum: 11.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 9,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja

Anaphylactic reaction Angioedema Throat tightness

Symptomtext

Anaphylaxis w/ airway closing/angioedema - Treated with an EpiPen.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Anaphylactic reaction
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: glaucoma - retinopathy prematurity
Vorgeschichte: -
Andere Medikamente: n/a
Allergien: Greek yogurt
Vorherige Impfungen: -

VAERS 2036160

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

schwer

Staat: WA
Alter: 43,0
Geschlecht: F
Eingang: 14.01.2022
Impfdatum: 30.12.2021
Beginn: 30.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Blood test Chest X-ray Chest pain Child maltreatment syndrome Computerised tomogram Dizziness Electrocardiogram Inflammation Neck pain Thrombosis X-ray

Symptomtext

I was having chest pain going across my left shoulder and up side of my neck, I also had dizziness, I went to the ER around 08:30PM on 12/30/2021 I was told that their was some type of inflammation on my chest, I was given medicine at the hospital that helped me and I was release from the hospital. I went back to the same hospital on 01/07/2022 at 3:30AM because I was having chest pain and they said I needed blood work, Chest X-Ray and EKG which the bloodwork came back positive for the blood clots and since that came back positive they ran CT scan and that came back clear. I have an appointment on 01/17/2022 with Primary care for a follow and talk more about the blood clots and what to do moving forward.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Thrombosis
Hospital-Tage: -
Labordaten: 12/30/2021 EKG Chest X-Ray , Everything came back clear 01/07/2022 CT scan X-Ray EKG everything was normal 01/07/2022 Blood test, Positive for blood clots
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: N/A
Allergien: Tree nuts and mangos
Vorherige Impfungen: -

VAERS 2030959

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

schwer

Staat: CA
Alter: 61,0
Geschlecht: F
Eingang: 13.01.2022
Impfdatum: 29.12.2021
Beginn: 30.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: OT / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Arthralgia Asthenia Bone swelling Dizziness Dyspnoea Fatigue Headache Loss of consciousness Myalgia Nausea Pharyngeal swelling Pyrexia Swelling face Vaccination site swelling

Symptomtext

Joint pain; Nausea; Fever; has had to use the breathing treatments 4 or 5 times a day due to difficulty breathing; swelling that went up to her collar bone; Swelling of her face & throat; Weakness; swelling of her face & throat that went up from the injection site in her left arm up to her collar bone & the side of her face; Dizziness; Swelling of her face & throat that went up from the injection site in her left arm up to her collar bone & the side of her face; Fatigue big time; Headache; Muscle pain; Was passed out; This spontaneous case was reported by a consumer and describes the occurrence of LOSS OF CONSCIOUSNESS (Was passed out) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for an unknown indication. The occurrence of additional non-serious events is detailed below. Co-suspect product included non-company product TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) for COVID-19 vaccination. Concurrent medical conditions included Asthmatic (She is asthmatic & uses Albuterol via a nebulizer for breathing treatments.). Concomitant products included SALBUTAMOL (ALBUTEROL HFA) for Asthma. On 29-Dec-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient received first dose of TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) (unknown route) 1 dosage form. On an unknown date, received second dose of TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) (unknown route) dosage was changed to 1 dosage form. On 30-Dec-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced LOSS OF CONSCIOUSNESS (Was passed out) (seriousness criterion medically significant). On an unknown date, the patient experienced DYSPNOEA (has had to use the breathing treatments 4 or 5 times a day due to difficulty breathing), BONE SWELLING (swelling that went up to her collar bone), PHARYNGEAL SWELLING (Swelling of her face & throat), ASTHENIA (Weakness), SWELLING FACE (swelling of her face & throat that went up from the injection site in her left arm up to her collar bone & the side of her face), DIZZINESS (Dizziness), VACCINATION SITE SWELLING (Swelling of her face & throat that went up from the injection site in her left arm up to her collar bone & the side of her face), FATIGUE (Fatigue big time), HEADACHE (Headache), MYALGIA (Muscle pain), ARTHRALGIA (Joint pain), NAUSEA (Nausea) and PYREXIA (Fever). The patient was treated with PREDNISONE at an unspecified dose and frequency. At the time of the report, LOSS OF CONSCIOUSNESS (Was passed out), DYSPNOEA (has had to use the breathing treatments 4 or 5 times a day due to difficulty breathing), BONE SWELLING (swelling that went up to her collar bone), PHARYNGEAL SWELLING (Swelling of her face & throat), ASTHENIA (Weakness), SWELLING FACE (swelling of her face & throat that went up from the injection site in her left arm up to her collar bone & the side of her face), DIZZINESS (Dizziness), VACCINATION SITE SWELLING (Swelling of her face & throat that went up from the injection site in her left arm up to her collar bone & the side of her face), FATIGUE (Fatigue big time), HEADACHE (Headache), MYALGIA (Muscle pain), ARTHRALGIA (Joint pain), NAUSEA (Nausea) and PYREXIA (Fever) outcome was unknown. Caregiver was reporting their wife's experiences after receiving Pfizer as her primary series & a booster dose (lot # 069H21A on 29Dec2021) of the Moderna Covid-19 Vaccine. She was asthmatic & uses Albuterol via a nebulizer for breathing treatments. After receiving her booster dose she had to use the breathing treatments 4 or 5 times a day due to difficulty breathing. She had experienced swelling of her face & throat that went up from the injection site in her left arm up to her collar bone & the side of her face. She also had dizziness, weakness, & fatigue big time. She's also had headache, muscle pain, joint pain, nausea, & fever. On Thursday evening when she got home from work she was passed out. The breathing treatments helped then. He was supposed to go get some prednisone tablets that her doctor prescribed for her. This is a regulatory case concerning a 61-year-old, female patient with relevant medical history of Asthma, who experienced the serious (medically significant) event of a loss of consciousness. The event started one day after the booster dose of mRNA-1273 vaccine. On an unknown date, the patient experienced dyspnea, bone swelling, pharyngeal swelling, asthenia, swelling face, dizziness, vaccination site swelling, fatigue, headache, myalgia, arthralgia, nausea and pyrexia. The patient was treated with PREDNISONE at an unspecified dose and frequency. The rechallenge was not applicable since the first two doses are from another pharmaceutical company (Pfizer). The benefit-risk relationship of mRNA-1273 Vaccine is not affected by this report.; Sender's Comments: This is a regulatory case concerning a 61-year-old, female patient with relevant medical history of Asthma, who experienced the serious (medically significant) event of a loss of consciousness. The event started one day after the booster dose of mRNA-1273 vaccine. On an unknown date, the patient experienced dyspnea, bone swelling, pharyngeal swelling, asthenia, swelling face, dizziness, vaccination site swelling, fatigue, headache, myalgia, arthralgia, nausea and pyrexia. The patient was treated with PREDNISONE at an unspecified dose and frequency. The rechallenge was not applicable since the first two doses are from another pharmaceutical company (Pfizer). 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: Asthmatic (She is asthmatic & uses Albuterol via a nebulizer for breathing treatments.)
Vorgeschichte: -
Andere Medikamente: ALBUTEROL HFA
Allergien: -
Vorherige Impfungen: -

VAERS 1981281

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

schwer

Staat: OH
Alter: 32,0
Geschlecht: M
Eingang: 26.12.2021
Impfdatum: 20.12.2021
Beginn: 20.12.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Blood glucose normal Dizziness Fall Head injury Hyperhidrosis Loss of consciousness Scan Skin discolouration Tooth fracture

Symptomtext

patient received vaccine, sat on chair in front of pharmacy to begin 15min wait, about 2 or 3 min into the wait he became extremely dizzy, he was in the middle of texting and it came on so fast he couldn't react, he passed out and fell out of his chair, hit the front top portion of his head and chipped a tooth, patient woke up within about 10 seconds, he was very sweaty, we were able to move him to the nearby clinical room to lay him on the floor, he was still very dizzy but stable and alert, an ambulance was declined by the patient and I felt it was not necessary, after about 10-20 min his color was getting better but each time he tried to sit up he remained very dizzy, eventually family members came to take him home, he rested in our clinical room for over an hour before he felt he was able to walk to the car at which time he looked fine and his BP & glucose were within normal limits, he consulted with his physician the next day who referred him to get a scan due continued dizziness, results of scan are pending, aside from dizziness patient is feeling fine ---- of note patient has passed out when having blood drawn in the past

Weitere VAERSDATA-Felder

Praegender Schweregrund: Loss of consciousness
Hospital-Tage: -
Labordaten: scan on 12/23/21 - unsure of what type of scan performed
Aktuelle Erkrankungen: -
Vorgeschichte: Epilepsy
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1971706

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

schwer

Staat: CA
Alter: 27,0
Geschlecht: M
Eingang: 22.12.2021
Impfdatum: 22.12.2021
Beginn: 22.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Dizziness Presyncope

Symptomtext

Pt had a vasovagal episode post vaccination. Patient appeared to feel dizzy, recognized his symptoms and notified nurse. Patient was accompanied by his wife. Patient was instructed to lay down and elevate legs. Pt was given Water, crackers,. Then took vitals. Outcome: Patient recovered without difficulties Pt educated about ER precautions, Patient acknowledged understanding. Patient fully recovered @ 11:18. Pt left observation after 15 minutes. Vital Signs: @ 10:55 Blood Pressure: 100/76 Pulse: 83 O2: 97% Vital Signs: @ 11:05 Blood Pressure: 114/80 Pulse: 79 O2: 99% Vital Signs: @ 11:10 Blood Pressure: 119/79 Pulse: 79 O2: 97%

Weitere VAERSDATA-Felder

Praegender Schweregrund: Presyncope
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1964432

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

schwer

Staat: WA
Alter: 62,0
Geschlecht: F
Eingang: 20.12.2021
Impfdatum: 19.12.2021
Beginn: 20.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja

Chills Confusional state Dizziness Electrocardiogram normal Fatigue Feeling hot Nausea Neurological examination normal Syncope Urinary incontinence

Symptomtext

Patient experienced chills the night of, and then syncope the morning after vaccination. Experienced fatigue, then sudden warmth and nausea followed by syncope, urinary incontinence, then confusion and dizziness upon awakening which has resolved.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Syncope
Hospital-Tage: -
Labordaten: Exam on 12/20/21 normal neurological examination, EKG (12/20/21) normal sinus rhythm, no labs.
Aktuelle Erkrankungen: None
Vorgeschichte: Hereditary tremor
Andere Medikamente: None
Allergien: Codeine
Vorherige Impfungen: -

VAERS 1963474

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

schwer

Staat: NY
Alter: 65,0
Geschlecht: F
Eingang: 20.12.2021
Impfdatum: 18.12.2021
Beginn: 19.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Arthralgia Electric shock sensation Pain

Symptomtext

I had almost all of the typical symptoms associated with the Moderna except: I had electrical sensations coming from my brain the following day for the entire day ( as if I had suddenly stopped taking my sertraline, which was not the case) Shooting pains under my left knee throughout the following day These symptoms have disappeared now.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Electric shock sensation
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: Recovering from EBV reactivation
Vorgeschichte: Hashimoto thyroiditis
Andere Medikamente: Sertraline 150 mg/day ArmourThyroid 120mg/day Progesterone 100mg/day Estradiol 0.01 vaginal cream 2x/week Melotonin 3 mg Ashwagandha Forte- 200mg/day Thuja occidentalis 30 C 5 pellets 2x/day VitamimA-62,500 IU once a week Vitamin D3
Allergien: Ampicillin
Vorherige Impfungen: -

VAERS 1948165

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

schwer

Staat: CA
Alter: 33,0
Geschlecht: F
Eingang: 14.12.2021
Impfdatum: 14.12.2021
Beginn: 14.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Feeling abnormal Loss of consciousness

Symptomtext

Patient was sitting for the required 15 minutes after getting the shot, then started calling for us as she was passing out. We laid her on the floor and she came to after a few minutes, she was talking normally, no trouble breathing, described feeling of "being dead", but we laid her on the bench after that and the EMTs came to her aid thereafter.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Loss of consciousness
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 1948160

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

schwer

Staat: WA
Alter: 31,0
Geschlecht: M
Eingang: 14.12.2021
Impfdatum: 04.12.2021
Beginn: 09.12.2021
Tage bis Beginn: 5,0
Dosis: 3
Route/Site: SYR / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein

Anticoagulant therapy Blood creatine phosphokinase MB Blood creatine phosphokinase abnormal C-reactive protein abnormal Chest X-ray Chest pain Differential white blood cell count abnormal Echocardiogram Electrocardiogram Fibrin D dimer increased Full blood count abnormal Influenza A virus test Influenza B virus test Laboratory test abnormal Metabolic function test abnormal Myocarditis N-terminal prohormone brain natriuretic peptide abnormal SARS-CoV-2 test

Symptomtext

Myocarditis. Went to hospital 12/9 after experiencing chest pains 12/8 and 12/9, discharged 12/10. Pending follow-up with cardiologist and cardiac MRI. Treating with 975mg of Aspirin 3x daily.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Myocarditis
Hospital-Tage: 2,0
Labordaten: Test Ordered By Date The result is abnormalLab TROPONIN I Doctor Dec 10, 2021 Other type of result ECG 12 LEAD Advance Registered Nurse Practitioner Dec 10, 2021 The result is abnormalLab CBC NO DIFFERENTIAL Doctor Dec 10, 2021 The result is abnormalLab BASIC METABOLIC PANEL Doctor Dec 10, 2021 The result is abnormalLab C-REACTIVE PROTEIN Doctor Dec 10, 2021 The result is abnormalLab TROPONIN I Doctor Dec 10, 2021 The result is abnormalLab CK TOTAL AND CKMB Doctor Dec 10, 2021 Lab INFLUENZA A,B,COVID-19,NAAT Physician Assistant Dec 9, 2021 Imaging ECHO COMPLETE Physician Assistant Dec 9, 2021 Imaging XR CHEST AP PORTABLE Physician Assistant Dec 9, 2021 The result is abnormalLab POC TROPONIN I (RESULTS ONLY) Physician Assistant Dec 9, 2021 The result is abnormalLab CBC W/DIFFERENTIAL Physician Assistant Dec 9, 2021 The result is abnormalLab COMPREHENSIVE METABOLIC PANEL Physician Assistant Dec 9, 2021 The result is abnormalLab NT-PRO BNP Physician Assistant Dec 9, 2021 The result is abnormalLab C-REACTIVE PROTEIN Physician Assistant Dec 9, 2021 Lab DDimer Quant Physician Assistant Dec 9, 2021 The result is abnormalLab POC TROPONIN I (RESULTS ONLY) Physician Assistant Dec 9, 2021 Other type of result ECG 12 LEAD Physician Assistant Dec 9, 2021
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 2672962

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: TX
Alter: 59,0
Geschlecht: M
Eingang: 17.08.2023
Impfdatum: 19.12.2021
Beginn: 31.01.2022
Tage bis Beginn: 43,0
Dosis: 2
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja

Asthenia COVID-19 COVID-19 pneumonia Dyspnoea Fatigue SARS-CoV-2 test positive

Symptomtext

Presented w/ fatigue, weakness, SOB. Pneumonia-covid +. Tx dexamethosone, O2.

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19 pneumonia
Hospital-Tage: 3,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2652845

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: MI
Alter: 72,0
Geschlecht: M
Eingang: 05.07.2023
Impfdatum: 11.03.2021
Beginn: 01.05.2023
Tage bis Beginn: 781,0
Dosis: 3
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Ageusia Anosmia Antibody test positive Blood test Brain fog Chills Cough Decreased appetite Dyspnoea Fatigue Headache Nausea Night sweats Poor quality sleep Pyrexia SARS-CoV-2 test negative Secretion discharge

Symptomtext

Since 05/21/23:Lots of fatigue with exertion, Chronic cough, lack of taste or smell, poor sleep, night sweats, nausea, no appetite, intermittent headache, serious brain fog, copious mucus production, trouble breathing,, low grade fever, chills, and more I can't think of right now. 8 or 9 home tests and 2 PRCs over time I have never tested positive for Covid. Blood test shows antibodies for spike protein from vaccine only.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: See above. Blood test done 6/29/20023.
Aktuelle Erkrankungen: None
Vorgeschichte: RA, Bipolar Depression,
Andere Medikamente: Multivitamin, Vitamins C,E, Multimineral. Prednisone, Methotrexate
Allergien: Gluten, Dairy,
Vorherige Impfungen: -

VAERS 2619892

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: IL
Alter: 36,0
Geschlecht: F
Eingang: 24.04.2023
Impfdatum: 15.12.2021
Beginn: 26.12.2021
Tage bis Beginn: 11,0
Dosis: 3
Route/Site: IM / AR

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: unbekannt Erholt: nein

Chest pain Tinnitus

Symptomtext

Had chest pains and tinnitus after the 12/15/2021 shot. Visited doctor. No treatment recommended. Moderna 037B21A 4/08/2021; Moderna 006C21A 5/06/2021; Moderna 069H21A 12/15/2021.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: Latex, prednisone
Vorherige Impfungen: -

VAERS 2583978

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

moderat

Staat: AZ
Alter: 27,0
Geschlecht: M
Eingang: 18.02.2023
Impfdatum: 01.01.2021
Beginn: 01.03.2021
Tage bis Beginn: 59,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Anxiety Cardiac monitoring Computerised tomogram Condition aggravated Dizziness Echocardiogram Electrocardiogram Fatigue Feeling abnormal Magnetic resonance imaging Ultrasound abdomen

Symptomtext

Fatigue, anxiety,dizziness,lightheaded,brain fog.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Condition aggravated
Hospital-Tage: -
Labordaten: Mri,CATscan,ear and eye test from ent specialist. EKG, heart monitor,echo gram, abdominal ultrasound.
Aktuelle Erkrankungen: None
Vorgeschichte: Fatigue,dizziness,mental fog, Anxiety that fells like I?m gonna pass out dead. Medical records to back up
Andere Medikamente: Mitragyna speciosa
Allergien: None
Vorherige Impfungen: -

VAERS 2578622

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: NJ
Alter: 42,0
Geschlecht: F
Eingang: 08.02.2023
Impfdatum: 31.01.2023
Beginn: 31.01.2023
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Chest pain Dizziness Feeling abnormal Hot flush Hypertension Palpitations

Symptomtext

Moderna Bivalent administered and within 45 minutes I experienced a hot flush feeling, chest pain, heart palpitations and high blood pressure (170/110). EMS was called to the Pharmacy administering the booster.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: 1 week later another episode happened with the same symptoms: heart palpitations, high BP (200/115), dizziness, brain fog. Emergency Room diagnosed high blood pressure and referred me to a cardiologist.
Aktuelle Erkrankungen: Sleep Apnea Endometriosis Asthma
Vorgeschichte: -
Andere Medikamente: -
Allergien: Sudafed, peanuts, latex
Vorherige Impfungen: Pfizer- 1st dose, 40 years old, 5/19/21 - heart palpitations

VAERS 2540816

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: WA
Alter: 40,0
Geschlecht: F
Eingang: 22.12.2022
Impfdatum: 19.12.2021
Beginn: 28.11.2022
Tage bis Beginn: 344,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Asthenia Bronchitis COVID-19 Cough Dyspnoea Dyspnoea exertional Exercise tolerance decreased Exposure to SARS-CoV-2 Fatigue Oropharyngeal pain Pyrexia Respiratory tract congestion SARS-CoV-2 test positive

Symptomtext

I received the Moderna COVID-19 booster on 12/19/2021. On 11/28/2022, I developed a sore throat. My brother, who lives with me, had recently tested positive, so I was alert to the possible signs of infection. On 11/29/2022, I developed a fever, which hovered between 100 and 101 and lasted for about 48 hours. On the morning of 12/1/2022, I took a home antigen test and got a positive result. I was very fatigued and developed a cough. I had both head and chest congestion, but my main concern was the cough, because I had previously had bronchitis over the summer of 2022. For this reason, I decided to contact my doctor, and she suggested that I stay on the lookout for severe respiratory symptoms, such as difficulty breathing and turning blue. She also prescribed me benzonatate to treat the cough. I had begun isolating on 11/28/2022, and I continued to isolate until 12/6/2022, which is when I tested negative. By 12/5/2022, my symptoms had begun to improve. I had more energy, and I no longer needed the benzonatate as consistently. At that point, I mainly had to take it at night. At the time of this writing, I am much better. I still have some shortness of breath when I climb the stairs. I also have not yet resumed my previous exercise routine, which I plan to resume after the New Year.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: 11/28/2022, 11/29/2022, 11/30/2022, 12/6/2022 home antigen tests negative results; 12/1/2022 home antigen test positive result.
Aktuelle Erkrankungen: None.
Vorgeschichte: Endometriosis.
Andere Medikamente: LEXAPRO; CLARITIN; multivitamin.
Allergien: Cat dander.
Vorherige Impfungen: -

VAERS 2539438

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: WA
Alter: 51,0
Geschlecht: F
Eingang: 21.12.2022
Impfdatum: 18.12.2021
Beginn: 18.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Blood test COVID-19 Dyspnoea Electrocardiogram Heart rate increased Oedema

Symptomtext

I got my last booster in December of last year. I experienced rapid heart rate right after the vaccine that spontaneously went away. It came back again in April. I went to the emergency room on March 09, 2022, where they did an ECG and Blood work. They sent me home indicating they could not find anything. I went to a cardiologist. They did a 15-day heart monitor. I completed that and it indicated my minimum heart rate was 56 bpm and max heart was 168. Predominately underlying rhythm was sinus. Isolated SVE's were rare as well as isolated VE. I got Edema in my feet and ankles which has been treated with Hydrochlorothiazide in July. This medication did help but I am still under the care of a cardiologist for other things that resulted from the Edema. Currently I am experiencing heart related issues with shortness of breath. I also COVID-19 in August as well and they suspect these may be long COVID symptoms.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: ECG-March 09, 2022-Sinus Tacchyardia cannot rule out anterior infarction-abnormal ECG Blood Work-March 09, 2022-Normal 15 Day Heart Monitor-Normal
Aktuelle Erkrankungen: N/A
Vorgeschichte: Epilepsy; PCOS; Asthma; Hypothyroidism
Andere Medikamente: Estradiol; Epidiolex Levothyroxine; Probiotic; Zyrtec; B-Complex; Magnesium
Allergien: Maple Trees; Zoloft; Codeine; Egg Sensitivity
Vorherige Impfungen: -

VAERS 2496479

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: TX
Alter: 64,0
Geschlecht: M
Eingang: 02.11.2022
Impfdatum: 03.01.2022
Beginn: 25.08.2022
Tage bis Beginn: 234,0
Dosis: 3
Route/Site: IM / AR

Tod: unbekannt Lebensbedrohlich: ja Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Activated partial thromboplastin time Anticoagulant therapy Atrial fibrillation Blood glucose increased Blood magnesium Chest X-ray Chest pain Differential white blood cell count Dyspnoea Electrocardiogram Fibrin D dimer Full blood count Heart rate increased Oropharyngeal pain Pain in jaw Sleep disorder Thyroxine free Troponin I

Symptomtext

As of 02-NOV-2022; have had two Atrial-Fibrillation; events occurred on 25-AUG-2022 and 01-NOV-2022;

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: 25-AUG-2022:10:10pm (1st occurrence of Atrial-Fibrillation): Paroxysmal Atrial Fibrillation; started at about 10:10pm on 25-AUG-2022; BPM: 150 bpm Treatment: Eliquis (a.k.a. apixaban); Saline IV; morphine at 11:00pm; ondansetron (Zofran) at 11:00pm; Tests: Automated Differential CBC with Differential Comprehensive Metabolic Panel D. Dimer Quantitative Magnesium Partial Thromboplastin Time-Activated (PTT) T4 FREE TROPONIN I (CTNI) performed 2 times Chest X-Ray EKG BP:117/68; TEMP:97.7?F; Respiration:16; Oxygen Saturation:96%; Blood Sugar: 201; 01-NOV-2022:01:21am (2nd occurrence of Atrial Fibrillation): I was awakened by another Atrial-Fibrillation on Tuesday, 01-NOV-2022 @ 01:21 am (with pain (about 7 on scale of 10), in chest, throat, and jaw; measured heart-rate and A-Fib with Kardia-Mobile device; heart rate up to 149 bpm (bouncing up and down between 118 to 149 bpm); slightly out-of-breath). I immediately took two 5mg of Eliquis and two 81 mg aspirins with a glass (half) of water. The A-Fib lasted about 2 hours and 50 minutes (the last A-Fib event lasted about 1 hour on 25-AUG-2022).
Aktuelle Erkrankungen: none
Vorgeschichte: hypothyroid; type-2 diabetes; high-blood pressure; hyperlipidemia; Restless Leg Syndrome;
Andere Medikamente: PRESCRIPTION MEDICATIONS: DOSAGE: FORM: FREQUENCY: STARTED: 01 Citalopram HBR (low serotonin) 40 mg tablet 1 per day; since: 8/20/2002 02 Hydrochlorothiazide (for edema) 25 mg tablet 1 per day; since: 2/23/2017 03 Losartan Potassium (b
Allergien: none
Vorherige Impfungen: -

VAERS 2483939

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: NJ
Alter: 57,0
Geschlecht: M
Eingang: 20.10.2022
Impfdatum: 15.12.2021
Beginn: 15.12.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: ja Erholt: nein

Arthralgia Back pain Blood test Catheterisation cardiac Chest discomfort Dental restoration failure Dyspnoea Ear pain Fatigue Headache Heart rate increased Jaw operation Movement disorder Pain in jaw Periorbital swelling Rash Rhinorrhoea Scan

Symptomtext

He got his vaccine, he went home and within an hour he had fatigue, runny nose and then it seemed like he was getting joint pain, back pain and a headache/jaw pain. His breathing got short, chest discomfort. He went to the ER and was informed that it was muscular. His heart rate was climbing at times, up and down and would get up and move around. He went to his cardiologist and felt that he was throwing T-signs on a scan. They did a catheterization and they did not say too much. He then started with skin rashes, "moon bumps", which he took pictures of and had swelling around his eyes as well. He had pain in his ear, jaw and his teeth. He was trouble with his teeth with them chipping and some of his fillings were falling out. Recently he had a problem with skin lesions/sores and has scars when he had previous signs of this after the first vaccine J&J. He still has fatigue and went to PenDental due to his teeth and has to readjust his bite and do some surgery in his jaw. He was down for 8 weeks with the J&J vaccine, and had circulations with the 2nd vaccine and has problems with movement and fatigue. He may also have Raynaud's disease from the vaccine as well. He had welts, skin lesions but not like Stevens-Johnsons. He was put on a steroid ointment that he used, which did help. He also went to a dermatologist who told him to take a antihistamine. He did not have problems with breathing or chest problems prior to the vaccines.

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Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: Catheterization, blood work through Quest diagnostics.
Aktuelle Erkrankungen: Seasonal allergies.
Vorgeschichte: Degenerative arthritis, calcification of the aorta, aortic aneurysm 4.3 cm not surgically repaired, Crohn's disease.
Andere Medikamente: Multivitamin 50+ men, calcium/magnesium vitamin, CoQ10, Vitamin D, Armour Thyroid, Zoloft, Florinef, Glucosamine chondroitin.
Allergien: Abilify, Pentasa.
Vorherige Impfungen: J&J vaccine, chest issues, breathing problems. It took more than 8 weeks for the symptoms to calm down and was in a chair for t

VAERS 2432936

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: -
Alter: 75,0
Geschlecht: M
Eingang: 13.08.2022
Impfdatum: 06.01.2022
Beginn: 23.07.2022
Tage bis Beginn: 198,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein

COVID-19 Cough Dyspnoea Feeling abnormal Glomerular filtration rate decreased Hiccups SARS-CoV-2 test positive Ventilation/perfusion scan normal

Symptomtext

Narrative: Pt presented to ED at 23:20 on 7/23/2022 with c/o shortness of breath x2 days, hiccups all day, and "just feels bad." Pt notes increased cough and SOB; increased dry cough for almost a week. Pt tested COVID positive 7/24/22 and admitted to hospital from 7/24 to 7/29 with primary diagnosis of "acute COVID-19 infection." is a 74 yo gentleman with stage IIIb/IV CKD, Chronic CHF due to systolic dysfunction EF 20-25%, COPD, who presented on 7/24/22 with shortness of breath and dry cough, patient found to be positive for covid 19 (s/p vaccination x2, booster x1 1/2022). The patient was admitted to the medical floor on airborne precautions. He was started on decadron, but was not a candidate for remdesivir given GFR 28-30. The perfusion portion of V/Q scan was negative for perfusion defects. The patient improved clinically, he has been advised to get a COVID booster in 3-4 weeks.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: Pt COVID positive on 7/24/2022. Vital Signs *Temperature 97.9 F (36.6 C) Pulse 53 Respirations 24 Blood pressure 118/74 Pain scale recorded: 0 Pulse Oximetry 97 Room Air
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2374170

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: WA
Alter: 67,0
Geschlecht: M
Eingang: 19.07.2022
Impfdatum: 15.01.2022
Beginn: 25.06.2022
Tage bis Beginn: 161,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Arthralgia COVID-19 Fatigue Feeling abnormal Malaise Massage Mobility decreased Oropharyngeal pain SARS-CoV-2 test positive

Symptomtext

3 months after having the vaccine, my shoulder started to have a pain. I was unable to move my arm from right to left or back. It has improved but I am still having issues moving the arm backwards. I have not seen a doctor. I have taken ibuprofen and Tylenol but nothing works. I had a cold and warm massage and the hot pack improved the symptoms. On a Saturday around 1:00PM, I was not feeling well and my daughter told me to take a COVID-19 test because I was tired and feeling crappy. I took the test and it was positive on June 25, 2022. I called an advice nurse and the doctor prescribed me Paxlovid. When I took the medication, my throat had started to hurt. I believed it was from the medication so I did not take it the next day. I took just Tylenol and ibuprofen. My symptoms improved with 12 hours. I continued to isolate for 5 days.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mobility decreased
Hospital-Tage: -
Labordaten: COVID-19 Home Test-June 25th, 2022-Positive
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: Niacin; Metformin; Atorvastatin; Multi-Vitamin; Vitamin D
Allergien: N/A
Vorherige Impfungen: -

VAERS 2364447

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: WA
Alter: 73,0
Geschlecht: F
Eingang: 11.07.2022
Impfdatum: 12.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 8,0
Dosis: 4
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Condition aggravated Rheumatoid arthritis

Symptomtext

Increase in RA flares in my hands after the 4th dose.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Condition aggravated
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Rheumatoid arthritis
Andere Medikamente: methotrexate, hydroxychloroquine, folic acid, paroxetine calcium, fish oil, multivitamins
Allergien: lanolin
Vorherige Impfungen: -

VAERS 2339241

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: TX
Alter: 65,0
Geschlecht: M
Eingang: 28.06.2022
Impfdatum: 27.02.2021
Beginn: 21.05.2021
Tage bis Beginn: 83,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: ja ER: ja Erholt: nein

Atrial fibrillation Cardiac stress test normal Chronic obstructive pulmonary disease Dyspnoea Echocardiogram Ejection fraction Electrocardiogram abnormal Fatigue Hypotension Pulmonary function test abnormal

Symptomtext

5/21 Shortness of Breath and had PFT performed which showed mild COPD, one year later had another PFT performed with same results. Visited heart doctor on 6/16 and discovered I had A-fib. On 6/18 admitted to Hospital with low blood pressure and extreme fatigue. Test at hospital included EKG still showed continuous A-fib and echo showed 35-40 EF. Stress test showed no damage to heart. Have appt with Electrophysiologist on 6/30.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: 3,0
Labordaten: 6/16 EKG at Doctor office showed A-fib 6/18 EKG showed continuous A-fib 6/19 Echo showed EF at 35-40 6/20 Stress Test showed no heart damage.
Aktuelle Erkrankungen: None
Vorgeschichte: No
Andere Medikamente: Lisinopril 10 mg and Amlodipine 10 mg
Allergien: None
Vorherige Impfungen: -

VAERS 2370328

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: -
Alter: 58,0
Geschlecht: M
Eingang: 27.06.2022
Impfdatum: 29.12.2021
Beginn: 26.05.2022
Tage bis Beginn: 148,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein

Anion gap Basophil count increased Basophil percentage increased Bilirubin urine Blood calcium increased Blood chloride normal Blood creatinine increased Blood glucose normal Blood potassium normal Blood sodium decreased Blood urea increased Blood urine absent Brain natriuretic peptide increased COVID-19 Carbon dioxide decreased Cardiac failure Cardiac failure congestive Chest X-ray abnormal

Symptomtext

Narrative: Covid + exposure within home. Pt. presented to facility ER 5/26/2022. HPI: Patient presents to the emergency department with a 4-day history of several symptoms that began a few days after being exposed to COVID-19. He states that initially he does have a scratchy throat but that progressed to cough and shortness of breath the next day. He feels achy all over as well and had a temperature up to 99 last night. Patient has a history of congestive heart failure but feels like this shortness of breath is different. Patient denies chest pain and peripheral edema. Pt admitted to facility 5/26/2022 and treated with Albuterol and oral steroid. Pt discharged 5/29/2022.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: Tested COVID positive 5/26/2022 and admitted to facility 5/26/2022. LABS:BNPS 846 H SODIUM: 133 L POTASSIUM: 4.6 CHLORIDE: 103 CO2: 22 ANION GAP (CALCULATED): 8 GLUCOSE: 196 H CREATININE: 1.6 H CALCIUM: 9.4 EGFR: 50 UREA, BUN: 21 WBC: 12.0 H RBC: 4.31 HGB: 9.9 L HCT: 32.3 L MCV: 74.8 L MCH: 22.8 L MCHC: 30.5 L RDW: 22.2 H PLT: 346 MPV: 7.7 EOSINO, ABSOLUTE: 0.1 BASO, ABSOLUTE: 0.2. H GRAN% (SS): 73.9 H LYMPH% (SS): 17.2 MONO% (SS): 6.9 EOS% (SS): 0.7 BASO% (SS): 1.3 H GRAN# (SS): 8.9 H LYMPH# (SS): 2.1 MONO# (SS): 0.8 MDW: 18.54 TROP-I iSTAT: 0.02 COVID-19 PCR (FLUVID)(CEPHEID): POSITIVE H* FLU A PCR (FLUVID)(CEPHEID): NEGATIVE FLU B PCR (FLUVID)(CEPHEID): NEGATIVE RSV PCR (FLUVID)(CEPHEID): NEGATIVE URINE COLOR Light-Yellow APPEARANCE Clear SPECIFIC GRAVITY 1.007 1.002-1.030 UROBILINOGEN NORMAL mg/dL Ref: Normal(<2.0) UR BLOOD NEGATIVE Ref: NEGATIVE UR BILIRUBIN NEGATIVE URINE KETONES NEGATIVE mg/dL Ref: Neg. URINE GLUCOSE Normal mg/dL Ref: Normal URINE PROTEIN NEGATIVE mg/dL Ref: Neg. URINE PH 5.5 5 - 8 NITRITE, URINE NEGATIVE Ref: Neg. LEUCOCYTE ESTERASE, URINE Negative Ref: Neg IMAGING: Chest x-ray with acute infiltrate CHF versus Covid and a potential left-sided infiltrate. Today's Imaging: Radiology impression (2Days) Date Procedure CPT Status Case # 05/26/2022 CHEST 1 VIEW 71045 Verified 1293 1) Findings suggestive of mild cardiac decompensation or fluid overload. 2) Superimposed pneumonia cannot be excluded.
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2310243

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: WA
Alter: 40,0
Geschlecht: F
Eingang: 06.06.2022
Impfdatum: 05.12.2021
Beginn: 06.05.2022
Tage bis Beginn: 152,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Blood test normal COVID-19 Cough Dyspnoea Electrocardiogram normal Fatigue Pneumonia Pyrexia Respiratory tract congestion SARS-CoV-2 test positive Ultrasound Doppler normal Urine analysis normal Wheezing

Symptomtext

I tested positive for COVID-19 on 5/18/22. I was having fatigue, shortness of breath, fever 100.7, congestion, cough, and wheezing. I saw multiple doctors about this through the clinic. I was prescribed Prednisone, and an Albuterol inhaler. I am still having some symptoms at this time. I went back to the walk in clinic on 5/11/22 because I was having worsening symptoms, coughing, and shortness of breath. They took me off the mediation and they found that I had a small case of Pneumonia and they put me on Paxlovid.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: COVID-19 Test- Positive- 5/8/22 EKG- 5/11/22- Normal Ultrasound of Legs- 5/18/22- Normal Blood Panel- 5/11/22 and 5/18/22- Normal Urinalyses- 5/18/22- Normal
Aktuelle Erkrankungen: N/A
Vorgeschichte: Asthma Liver Issues
Andere Medikamente: N/A
Allergien: Sulfa
Vorherige Impfungen: -

VAERS 2305002

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: MI
Alter: 71,0
Geschlecht: F
Eingang: 01.06.2022
Impfdatum: 19.12.2021
Beginn: 22.05.2022
Tage bis Beginn: 154,0
Dosis: 3
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja

Acute kidney injury Blood creatinine increased Blood folate normal Blood iron decreased COVID-19 Chronic obstructive pulmonary disease Clostridium test negative Dehydration Diarrhoea Gastrointestinal pathogen panel Gastrooesophageal reflux disease Haemoglobin decreased Hyperlipidaemia Hypertension Iron deficiency anaemia Malaise Respiratory tract congestion Restless legs syndrome

Symptomtext

Discharge Provider: DO Primary Care Provider at Discharge: DO Admission Date: 5/22/2022 Discharge Date: 5/25/2022 HOSPITAL PROBLEMS 1. Covid-19 Infection 2. Diarrhea secondary to Covid-19 3. AKI 4. HTN 5. T2DM 6. IDA 7. COPD 8. GERD 9. HLD 10. RLS HOSPITAL COURSE: Patient is a 72 y.o. female admitted to hospital due to diarrhea and dehydration secondary to Covid-19 infection. Covid-19/Diarrhea: Patient admitted with several days of copious diarrhea and subsequent dehydration. She had also been feeling generally unwell, with congestion and rhinorrhea. Was found to be Covid positive on 5/22/2022. Did not have SOB, fever or cough. Was not candidate for steroids or Remdesivir. While thought diarrhea due to Covid infection did not want to overlook bacterial cause so enteric pathogens and C diff were tested which came back negative. Patient was started on IV fluids. Diarrhea began to resolve and patient was tolerating diet. Was able to discharge home. AKI: On admission Cr 3.32, with baseline 1.0-1.3. Likely prerenal given GI losses and dehydration. Lisinopril and Maxide was held, and she was started on IV fluids, with subsequent improvement in Cr. IV fluids were discontinued when patient had adequate PO intake, and Cr continued to show improvement. Was deemed stable for discharge home with follow up with PCP. Lisinopril and Maxide held at discharge, with repeat BMP ordered for 5/27/2022. IDA: Patients Hb 8.5 on admission. Vit B12 and folate WNL. Iron low at 26. Was started on Iron supplementation. EGD 2019: distal stricture with erosion, moderate HH. Colon 2017: 5 mm, diminutive polyp - tubular adenoma

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Praegender Schweregrund: Dehydration
Hospital-Tage: 3,0
Labordaten: -
Aktuelle Erkrankungen: Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 12/13/2021 Discharge Date: 12/14/2021 PRESENTING PROBLEM: Cough, diarrhea, dizziness. See H&P from 12/13/21 for full details ED-Sepsis with tachycardia, tachypnea, leukocytosis and fever. CTA neg for PE. Rapid flu and covid negative. UA high spec gravity, non infectious. Started on abx to cover for CAP, film array pending. Mag low, repleted. HOSPITAL COURSE: Patient was admitted to the general medicine service for sepsis secondary to what was suspected to be community-acquired pneumonia versus viral upper respiratory infection. CTA thorax negative for PE, did have hazy bilateral lung opacities. She had no lactic acidosis, mild leukocytosis of 12k however her procalcitonin was wnl. She was initially started on Rocephin and Zithromax, her film array did return positive for human metapneumovirus. Her rocephin was discontinued as likely the source of her sepsis was the metapneumovirus and picture of dehydration on admission. She continues have diarrhea, stool studies were obtained prior to discharge, these are pending and she can follow this up with her PCP. We did ask that she hold her blood pressure medication including her backside for 2 days or until her diarrhea improves; she is normotensive today (home antihypertensives held) but did have soft blood pressures on admission which improved after she received 2 L of IV fluids in the emergency department. She will be prescribed 3 days of Zithromax given her possible bronchitis and hx of copd. She was not wheezing this admission so steroids were not started. Tessalon perles prescribed. She can continue to use her home albuterol mdi prn shortness of breath Sputum cx, strep pneumoniae and legionella studies pending at discharge Repeat A1C was obtained and pending. Blood sugars were stable while inpatient and did not require corrective insulin. She should follow up with PCP in about one week.
Vorgeschichte: COPD (chronic obstructive pulmonary disease) Type 2 diabetes mellitus, without long-term current use of insulin GERD (gastroesophageal reflux disease) Anxiety RLS (restless legs syndrome) Chest pain Infection due to human metapneumovirus (hMPV) COVID-19 virus infection High cholesterol Essential hypertension, benign AKI (acute kidney injury)
Andere Medikamente: albuterol HFA (PROVENTIL HFA, VENTOLIN HFA, PROAIR HFA) 108 (90 Base) MCG/ACT inhaler benzonatate (TESSALON) 100 MG capsule ferrous sulfate 325 (65 Fe) MG tablet fluorouracil (EFUDEX) 5 % cream fluticasone (FLONASE) 50 MCG/ACT nasal spr
Allergien: None
Vorherige Impfungen: -

VAERS 2278382

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: WA
Alter: 32,0
Geschlecht: F
Eingang: 16.05.2022
Impfdatum: 29.12.2021
Beginn: 30.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: ja Erholt: nein

Adrenal disorder Anxiety Asthenia Bedridden Chills Echocardiogram Electrocardiogram Fatigue Full blood count Hypoaesthesia Impaired work ability Metabolic function test Postural orthostatic tachycardia syndrome Tension headache Tilt table test Troponin

Symptomtext

Initial symptom was chills with the development of tension headache with numbness and radiation down neck. Initially thought reaction to shellfish, ruled out. Symptoms progressed to development of chronic, debilitating POTS. She described episodes of intense fatigue, "adrenaline surges," anxiety, and tachycardia. Her resting HR is 40-60. When standing, it will spike to 110 then go down to 95-100. If she raises her left arm, her HR can go up to 130. She was home/bedbound for about 3-4 months in an attempt to keep her HR stable and had to take leave/dramatically reduce work hours. Her symptoms improved slightly with 12.5mg sertraline, vitamin supplements, and an herbal remedy, but she still has flares.

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Praegender Schweregrund: Postural orthostatic tachycardia syndrome
Hospital-Tage: -
Labordaten: EKG, Troponin, CBC, CMP, add'l labs ED visit 1/1/2022; repeat workup at ED visit including modified tilt table test with orthostatic vitals 1/20/2022; Echo 1/28/202
Aktuelle Erkrankungen: UTI, latent dental infection
Vorgeschichte: Environmental allergies
Andere Medikamente: Multivitamin, zyrtec
Allergien: Environmental
Vorherige Impfungen: -

VAERS 2277693

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21A

moderat

Staat: NC
Alter: 75,0
Geschlecht: F
Eingang: 14.05.2022
Impfdatum: 08.12.2021
Beginn: 08.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: UN / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Cardiac function test normal Cardiac monitoring abnormal Hypoaesthesia Tachycardia

Symptomtext

after waiting a few minutes I began to feel numbness in my face. fearing escalation to a more severe allergic reaction, I went to the ER. eventually this numbness subsided on it's own. March 31 and April 6, 2022 I have had two incidences of Tachycardia.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Tachycardia
Hospital-Tage: -
Labordaten: 12/8/21 ER . No tests no known cause. March 31, 2022 2nd hospital ER, April 6, 2022 3rd ER, . April 4, 2022 my primary care dr. placed heart monitor. event captured April 6, 2022. April 15 Cardiologist. after interpreting the heart monitor report, referred to EP. May 6 EP study done. All heart tests have come back with no know cause for this Tachycardia. The only thing different that I put in my body was the vaccine.
Aktuelle Erkrankungen: -
Vorgeschichte: controlled high blood pressure and cholesterol. Type 2 diabetes diet controlled. no other long standing health conditions
Andere Medikamente: -
Allergien: allergic to antibiotic Nitrofuran
Vorherige Impfungen: -

VAERS 2328561

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: -
Alter: 71,0
Geschlecht: M
Eingang: 10.05.2022
Impfdatum: 12.01.2022
Beginn: 13.01.2022
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein

Activated partial thromboplastin time shortened Alanine aminotransferase normal Anion gap Aspartate aminotransferase normal Basophil count decreased Basophil percentage Blood albumin decreased Blood alkaline phosphatase normal Blood bilirubin normal Blood calcium decreased Blood chloride normal Blood creatinine increased Blood glucose increased Blood lactic acid Blood potassium normal Blood sodium decreased Blood urea increased COVID-19

Symptomtext

Narrative: Patient COVID positive despite 3 doses of COVID vaccine. Admitted 1/14/2022 and discharged same day. per Provider: Patient was found to be Covid positive however did not really have any symptoms and was requiring no oxygen. Patient needs no treatment regarding this peer.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Hypotension
Hospital-Tage: -
Labordaten: PRINCIPAL DIAGNOSIS (Reason for admission after study): Hypotension due to Covid COVID positive 1/13/2022 Vital Signs * Temperature 99.8 F (37.7 C) Pulse 102 Respirations 16 Blood Pressure 74/47 Pulse Oximetry 98% Room Air LABS: TODAY'S LABS: TROP-I iSTAT: 0.01 COVID-19 ANTIGEN (BINAX): POSITIVE H* COVID-19 AG BINAX INT QC: Pass I.N.RATIO: 1.18 L PROTIME (9/01): 14.9 H PTT (9/01): 35.2 H WBC: 5.4 RBC: 3.49 L HGB: 11.9 L HCT: 33.2 L MCV: 95.3 H MCH: 34.1 H MCHC: 35.8 H RDW: 13.9 PLT: 163 L MPV: 9.4 EOSINO, ABSOLUTE: 0.0 BASO, ABSOLUTE: 0.0 GRAN % (SS): 51.9 LYMPH % (SS): 35.8 MONO % (SS): 11.3 EOS% (SS): 0.4 BASO% (SS): 0.6 GRAN# (SS): 2.8 LYMPH# (SS): 1.9 MONO# (SS): 0.6 MDW: 24.27 H* LACTIC ACID PMAX: 1.7 01/13/2022 SODIUM 134.00 L 01/13/2022 POTASSIUM 3.90 01/13/2022 CHLORIDE: 102.00 01/13/2022 CO2 23.00 01/13/2022 GLUCOSE 463.00 H 01/13/2022 BUN 28.00 H 01/13/2022 CREATININE 1.30 01/13/2022 CALCIUM 8.50 01/13/2022 ANION GAP 9.00 01/13/2022 EGFR 55.00 01/13/2022 AST 11.00 01/13/2022 ALT 8.00 01/13/2022 ALKALINE PHOSPHATASE 84.00 01/13/2022 TOTAL BILIRUBIN 0.70 01/13/2022 ALBUMIN 3.20 L 01/13/2022 TOTAL PROTEIN 6.40
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2251872

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: CA
Alter: 44,0
Geschlecht: F
Eingang: 26.04.2022
Impfdatum: 18.12.2021
Beginn: 18.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Hypoaesthesia oral Lacrimation increased Nasal congestion Paraesthesia oral

Symptomtext

Client presented at the vaccination site on 12.18.21. Client reported she received first dose of Moderna COVID vaccine on 04/20/21 (lot #: 001C21A) at the clinic with no issues. She reported with second dose of Moderna COVID vaccine on 05/18/21 (lot #: 024C21A), after 30 minutes observation and left the vaccination site, she developed tingly and numbing lips, stuffy nose, and watery eye but denied shortness of breath (SOB) or any other symptoms. She reported she took one oral pill Benadryl 25 mg at home and all symptoms resolved on the same day. She denied any chronic illnesses or taking any medications. She told she didn?t follow-up with any doctor since she didn?t have any health insurance. PHN referred client to call to apply for insurance. PHN educated client to seek EMS if she experienced any reactions to the COVID vaccine even if she doesn?t have any health insurance. She reported she had a history of aspirin allergy with her throat closed and SOB. Then she reported she took three Benadryl pills 25 mg each with help for the aspirin allergy. Client is requesting for the booster dose of Moderna COVID vaccine today. PHN submitted a medical consult via text message to clinical project coordinator requesting to proceed with the booster dose of Moderna COVID vaccine. Per the doctor, approval to proceed with the booster dose of Moderna COVID vaccine was obtained via text message from clinical project coordinator. Client received the booster dose of Moderna COVID vaccine, LOT#: 069H21A on 12/18/21 at 1309 by RN. The client did not report any symptoms during the 30-minute observation period. PHN educated client on possible adverse reactions and when to seek EMS. Client verbalized understanding. Client left vaccination site at 1339 unassisted and with a steady gait.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Paraesthesia oral
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: Aspirin
Vorherige Impfungen: -

VAERS 2226567

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: VA
Alter: 24,0
Geschlecht: F
Eingang: 11.04.2022
Impfdatum: 18.12.2021
Beginn: 25.01.2022
Tage bis Beginn: 38,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Cardiac stress test normal Chest pain Dysmenorrhoea Electrocardiogram normal Heart rate increased Laboratory test normal Menstrual disorder Oligomenorrhoea Palpitations Ultrasound scan vagina normal

Symptomtext

Chest Pains, weird palpitations, accelerated heart rate- 2 months on and off Completely thrown off cycle, very long, painful and abnormal- 2 Weeks long for 2 months

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Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: Saw cardiologist labs and stress test as well as ECG and EKG completed all came back normal Transvagional Ultrasound
Aktuelle Erkrankungen: Central Core Myopathy Type 1 Diabetes Hypothyroidism Scoliosis Post-Molar pregnancy/ infertility
Vorgeschichte: type 1 diabetes Central Core Myopathy Hypothyroidism Scoliosis
Andere Medikamente: Insulin, Synthroid, Vitamin D, Fiber, Fortify, Vitamin C,
Allergien: Sulfa Drugs
Vorherige Impfungen: abnormal cycle following dose 2

VAERS 2226052

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

moderat

Staat: CA
Alter: 30,0
Geschlecht: F
Eingang: 11.04.2022
Impfdatum: 11.03.2021
Beginn: 24.03.2022
Tage bis Beginn: 378,0
Dosis: 3
Route/Site: SYR / AR

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Cough Exposure to SARS-CoV-2 Fatigue Impaired work ability Malaise Mobility decreased Myalgia Oropharyngeal pain Rhinorrhoea SARS-CoV-2 test negative

Symptomtext

came in contact with covid positive person. woke up with sore throat and coughing. tested positive. was down for 3 days not feeling well with coughing, sore throat, runny nose, fatigue, sore muscles. missed 7 days of work because the cough wasn't subsiding although other symptoms had gone.

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Praegender Schweregrund: Mobility decreased
Hospital-Tage: -
Labordaten: home tests on 3/24, 3/29, 3/31. all negative. medical office said not to test anymore.
Aktuelle Erkrankungen: none
Vorgeschichte: epilepsy
Andere Medikamente: lamictal, topamax, lexapro
Allergien: none
Vorherige Impfungen: -

VAERS 2225752

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: MA
Alter: 71,0
Geschlecht: F
Eingang: 05.04.2022
Impfdatum: 28.02.2021
Beginn: 01.03.2021
Tage bis Beginn: 1,0
Dosis: UNK
Route/Site: IM / AR

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Blood test Chest X-ray Colonoscopy Computerised tomogram abdomen Computerised tomogram head Computerised tomogram thorax Diarrhoea Dysphagia Echocardiogram Electrocardiogram ambulatory Endoscopy Eye movement disorder Magnetic resonance imaging head Mammogram Nystagmus Pain in extremity Palpitations Pyrexia

Symptomtext

1ST DOSE SORE ARM. AT EXACTLY 24 HOURS: HEADACHE. 48 HOURS: FEVER, NAUSEA. 72 HOURS: DIARRHEA AND BODY ACHES FOR 1 WEEK THEREAFTER. FEVER, DIARRHEA CONTINUED WITH WEIGHT LOSS. 2ND DOSE ARM SORENESS, DIARRHEA, WEIGHT LOSS AND TROUBLE SWALLOWING AND FEVER WITH RACING HEART. 3RD DOSE ARM SORENESS, DIARRHEAR, WEIGHT LOSS, TROUBLE SWALLOWING, FEVER, RACING HEART AND INTERMITTENT MICRO SQUARE WAVE JERKS OF BOTH EYES.

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Praegender Schweregrund: Palpitations
Hospital-Tage: -
Labordaten: LOTS OF BLOOD WORK, CT SCAN OF HEAD, CHEST AND ABDOMEN 12/01/21. TWO MRI'S OF THE BRAIN. 03/18/2021, ENDOSCOPY AND COLONOSCOPY TIMES X 2. BARIUM SWALLOW. ENDO MOTILITY 06/07/21; CARDOLOGY 09/15/2021 CT SCAN OF HEART 09/28/2021 HOLTER MONITOR 11/18/2021 ECHO CARDIAGRAM 9/30/2021 ENDOFLIP 10/29/2021 EYE DOCTOR FOR ? NYSTIGAMUS 11/03/2021 11/29/2021 01/06/22 OPTHAMOLOGY 03/01/22 BRAIN MRI 02/10/21 03/12/22 ER 12/12/2021 CT CHEST 12/27//21 ENDOSCOPY AND COLONOSCOPY 01/03/22 03/18/21 GASTRIC MOTILITY 01/31/22 MOTILITY STUDY 06/07/21 EMG 03/17/22 MAMMOGRAM 01/24/22 XRAY CHEST 11/12/21
Aktuelle Erkrankungen: NONE
Vorgeschichte: SLEEP APNEA, GERD AND FATTY LIVER
Andere Medikamente: LOSARTAN, LANSOPRAZOLE, METFORMIN, MILK THISTLE, VIT B, CITRACAL, VIT D, FISH OIL, FLAX SEED OIL, STOOL SOFTNER, AND FLINTSTONE MULTIVITAMIN
Allergien: ZESTRIL, AVELOX, BACTRIM, CONTRAST MEDIA READY BOX, LIPITOR, PRAVACHOL, NORVASC, PENICILLINS, SEAFOOD, ERYTHROMYCIN, PRILOSEC, TETRACYCLINE, JARDIANCE, ACARBOSE, TRULICITY, GLIPIZIDE AND MARIJUANA
Vorherige Impfungen: -

VAERS 2182254

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: FL
Alter: 41,0
Geschlecht: F
Eingang: 16.03.2022
Impfdatum: 28.12.2021
Beginn: 29.12.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Asthenia Grip strength decreased Laboratory test Mobility decreased Musculoskeletal stiffness Pain Pain in extremity

Symptomtext

The very next morning I was feeling body aches which and extreme pain and stiffness in my hands. I could not fold my fingers nor close my hand. The soles of my feet would hurt too. I assumed these were normal side effects from the vaccine and figured they would go away. Three months later, my pain has intensified to the point that I am losing strength in my hands, I wake up without being able to close my hands or bend my fingers, I lost my strong grip, I need help opening items, it hurts to carry a grocery bag and I used to lift weights and now have problems with gripping them.

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Praegender Schweregrund: Mobility decreased
Hospital-Tage: -
Labordaten: My doctor has requested testing for lupus and rheumatoid arthritis on 3/15/2022.
Aktuelle Erkrankungen: None
Vorgeschichte: Hashimoto?s, vitamin D deficiency, PCOS, endiometrosis.
Andere Medikamente: Vitamin D Levithiroxine
Allergien: Flagyl, Benadryl, adhesive tape, various soaps.
Vorherige Impfungen: -

VAERS 2180621

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: CA
Alter: 23,0
Geschlecht: M
Eingang: 15.03.2022
Impfdatum: 05.01.2022
Beginn: 05.01.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Chills Dizziness Dyspnoea Headache Hunger Nausea Photophobia Taste disorder Visual impairment

Symptomtext

Client reported within a couple minutes after receiving the Moderna COVID vaccine he developed dizziness, light sensitivity, headache, and nausea. The client stated the symptoms lasted 6 minutes. The client stated his vision was ?white? for 2-3 minutes. Client stated he was observed at the site and no medication was administered. Client stated later that day he experienced persistent headache, chills, change in taste, and hunger that lasted 1-2 days. Client also reported for one day he had shortness of breath and described the feeling as, "I couldn't fill my lungs." Client reported he didn't take any medication for the symptoms. The client did not follow up with any doctors. The client denied any chronic medical conditions, medications, or known allergies. The client denied any history or syncope.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Unknown
Vorgeschichte: None
Andere Medikamente: None
Allergien: NKA
Vorherige Impfungen: -

VAERS 2150707

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: NJ
Alter: 51,0
Geschlecht: M
Eingang: 01.03.2022
Impfdatum: 04.02.2022
Beginn: 01.02.2022
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Fatigue Headache Hypertension Pyrexia Vaccination site pain

Symptomtext

developed stage-2 hypertension after the vaccination; Headaches that have not subsided and continued for 3 weeks post vaccination; pain the right arm for 3-4 days; Fatigue that lasted for 2 to 4 days; Fever that lasted for 2 to 4 days; This spontaneous case was reported by a consumer and describes the occurrence of HYPERTENSION (developed stage-2 hypertension after the vaccination), HEADACHE (Headaches that have not subsided and continued for 3 weeks post vaccination), VACCINATION SITE PAIN (pain the right arm for 3-4 days), FATIGUE (Fatigue that lasted for 2 to 4 days) and PYREXIA (Fever that lasted for 2 to 4 days) in a 51-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. Concurrent medical conditions included Seasonal allergy (Seasonal allergies). On 04-Feb-2022, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In February 2022, the patient experienced HYPERTENSION (developed stage-2 hypertension after the vaccination), HEADACHE (Headaches that have not subsided and continued for 3 weeks post vaccination), VACCINATION SITE PAIN (pain the right arm for 3-4 days), FATIGUE (Fatigue that lasted for 2 to 4 days) and PYREXIA (Fever that lasted for 2 to 4 days). The patient was treated with HYDROCHLOROTHIAZIDE for Hypertension, at an unspecified dose and frequency. In February 2022, VACCINATION SITE PAIN (pain the right arm for 3-4 days), FATIGUE (Fatigue that lasted for 2 to 4 days) and PYREXIA (Fever that lasted for 2 to 4 days) had resolved. At the time of the report, HYPERTENSION (developed stage-2 hypertension after the vaccination) and HEADACHE (Headaches that have not subsided and continued for 3 weeks post vaccination) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were taken by patient. The patient had not undergone any previous positive COVID test or was not previously diagnosed with COVID-19. The patient had experienced multiple adverse reactions post vaccination. On 23-Feb-2022, the patient went to check with the physician and was prescribed with Hydrochlorothiazide.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Hypertension
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Seasonal allergy (Seasonal allergies)
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2147612

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: NJ
Alter: 53,0
Geschlecht: F
Eingang: 27.02.2022
Impfdatum: 25.02.2022
Beginn: 26.02.2022
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Arthralgia Blood culture negative Blood test normal Chest X-ray normal Chills Diarrhoea Dysstasia Electrocardiogram normal Gait disturbance Heart rate increased Hyperhidrosis Migraine Nausea Pain Pain in extremity Palpitations Pyrexia Ultrasound scan normal

Symptomtext

Approx 8pm began to have Fever of 104 lasted thru the night unrelieved by Tylenol 650 x3 doses, and cool compress, chest palpitations, high heart rate, severe body aches, left shoulder pain, nausea, diarrhea, severe left leg pain could not stand or walk, Chills and sweats, and severe migraine, went to emergency room, ordered EKG, left leg ultrasound, chest X-ray, blood cultures, blood work and urinalysis.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Migraine
Hospital-Tage: -
Labordaten: Ultrasound of left leg negative for DVT, chest X-ray no active disease, blood cultures and blood work normal, ekg normal, administered iv fluids , Toradol for severe migraine and zofran for nausea. Migraine and nausea still persist.
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: Initial covid vaccine moderna dose 1 and dose 2 high fever x2 days and body aches.

VAERS 2102020

PFIZER\BIONTECH · COVID19 (COVID19 (PFIZER-BIONTECH)) · Charge 069H21A

moderat

Staat: MI
Alter: 63,0
Geschlecht: M
Eingang: 10.02.2022
Impfdatum: 13.04.2021
Beginn: 08.02.2022
Tage bis Beginn: 301,0
Dosis: 3
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt

COVID-19 Dyspnoea Hip arthroplasty Interchange of vaccine products SARS-CoV-2 test positive

Symptomtext

Pt was a total hip arthroplasty pt that had been admitted since 2/3. He complained of some shortness of breath and was tested for COVID prior to discharge and was COVID positive.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2087114

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: GA
Alter: 47,0
Geschlecht: F
Eingang: 04.02.2022
Impfdatum: 21.12.2021
Beginn: 21.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Back pain Blood pressure increased Blood pressure measurement Fatigue Heart rate Palpitations Pruritus Swelling Urticaria

Symptomtext

"she also noted that her blood pressure went up to 131/65"; feeling really tired; heart palpitation; hives which come back daily; sensation that "something there was swelling" (she could not tell) in the middle part of her right back; sensation that "something there was painful (she could not tell) in the middle part of her right bac; itching on the right side of her face; This spontaneous case was reported by a consumer and describes the occurrence of PALPITATIONS (heart palpitation), BLOOD PRESSURE INCREASED ("she also noted that her blood pressure went up to 131/65"), URTICARIA (hives which come back daily), SWELLING (sensation that "something there was swelling" (she could not tell) in the middle part of her right back) and BACK PAIN (sensation that "something there was painful (she could not tell) in the middle part of her right bac) in a 47-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included G6PD deficiency (G6PD), Palpitation and Hives. On 21-Dec-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Dec-2021, the patient experienced PALPITATIONS (heart palpitation), URTICARIA (hives which come back daily), SWELLING (sensation that "something there was swelling" (she could not tell) in the middle part of her right back), BACK PAIN (sensation that "something there was painful (she could not tell) in the middle part of her right bac) and PRURITUS (itching on the right side of her face). On 23-Dec-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced FATIGUE (feeling really tired). On 26-Dec-2021, the patient experienced BLOOD PRESSURE INCREASED ("she also noted that her blood pressure went up to 131/65"). At the time of the report, PALPITATIONS (heart palpitation) and FATIGUE (feeling really tired) had not resolved and BLOOD PRESSURE INCREASED ("she also noted that her blood pressure went up to 131/65"), URTICARIA (hives which come back daily), SWELLING (sensation that "something there was swelling" (she could not tell) in the middle part of her right back), BACK PAIN (sensation that "something there was painful (she could not tell) in the middle part of her right bac) and PRURITUS (itching on the right side of her face) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 26-Dec-2021, Blood pressure measurement: 131/65 (abnormal) 131/65. On an unknown date, Heart rate: 91 (abnormal) 91 or sometimes 119. 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 product was provided. 4 days before the vaccine, patient had an environmental allergy test done on the same area (middle part of her back). Patient had a history of heart Palpitation in the past and was being worked up. Echocardiogram was performed, but the results were not reported. Patient reported she had another cardio appointment next month and they will "further study her heart" She states that she has hives which come back daily. And this was happening before she had the Moderna shot but this again recurred when she got the Moderna shot together with the palpitation. No medications were done and the itching and the palpitation but would still come and go. She was advised by her allergist to take Benadryl but she has G6PD and Benadryl is one medication that she should avoid. Following lab tests were ordered, results were not provided - Environmental test, Food profile(onion, garlic, coconut), Alpha -Gal panel, CBC with differential, IgE Antibody , Basic Metabolic Panel, Latex Screen, ANA w/reflex if positive , Serum alkaline phosphatase, Thyroid Antithyroglobulin antibody , Thyroid peroxidase antibodies, Thyroid profile plus TSH( T3, T4, TSH ) It was reported 2nd dose was due on 18-Jan-2022. Most recent FOLLOW-UP information incorporated above includes: On 10-Jan-2022: Follow up contains no new information: NNI On 26-Jan-2022: Significant follow up appended : HCP reporter details updated, Lot number updated, Patient race and ethnicity added, patients initial updated. Company Comment : This is a spontaneous case concerning a 47-year-old, female patient with relevant medical history of palpitation and hives, who experienced the unexpected non-serious events of heart palpitation, hives which come back daily, swelling (sensation that "something there was swelling" (she could not tell) in the middle part of her right back), back pain (sensation that "something there was painful (she could not tell) in the middle part of her right back) pruritus (itching on the right side of her face) and blood pressure increased (blood pressure went up to 131/65) and expected non-serious event of fatigue (feeling really tired). The events heart palpitation, hives which come back daily, swelling (sensation that "something there was swelling" (she could not tell) in the middle part of her right back), back pain (sensation that "something there was painful (she could not tell) in the middle part of her right back) and pruritus (itching on the right side of her face) occurred the same day with the first dose of mRNA-1273 vaccine administration, the events fatigue (feeling really tired) occurred 2 days after the first dose of mRNA-1273 vaccine administration while the event blood pressure increased (blood pressure went up to 131/65) occurred 5 days after the first dose of mRNA-1273 vaccine administration. Patient underwent diagnostic exams as follows with unknown results, environmental test, food profile (onion, garlic, coconut), alpha-gal panel, CBC with differential, IgE antibody, basic metabolic panel, latex screen, ANA w/ reflex if positive, serum alkaline phosphatase, thyroid antithyroglobulin antibody, thyroid peroxidase antibodies and thyroid profile plus TSH (T3, T4, TSH ). No reported treatment information. The outcome of the events hives which come back daily, swelling (sensation that "something there was swelling" (she could not tell) in the middle part of her right back), back pain (sensation that "something there was painful (she could not tell) in the middle part of her right back), pruritus (itching on the right side of her face) and blood pressure increased (blood pressure went up to 131/65) were unknown, the events heart palpitation and fatigue (feeling really tired) were not resolved from the time of last observation. The medical history of palpitation and hives remain confounders. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.; Sender's Comments: This is a spontaneous case concerning a 47-year-old, female patient with relevant medical history of palpitation and hives, who experienced the unexpected non-serious events of heart palpitation, hives which come back daily, swelling (sensation that "something there was swelling" (she could not tell) in the middle part of her right back), back pain (sensation that "something there was painful (she could not tell) in the middle part of her right back) pruritus (itching on the right side of her face) and blood pressure increased (blood pressure went up to 131/65) and expected non-serious event of fatigue (feeling really tired). The events heart palpitation, hives which come back daily, swelling (sensation that "something there was swelling" (she could not tell) in the middle part of her right back), back pain (sensation that "something there was painful (she could not tell) in the middle part of her right back) and pruritus (itching on the right side of her face) occurred the same day with the first dose of mRNA-1273 vaccine administration, the events fatigue (feeling really tired) occurred 2 days after the first dose of mRNA-1273 vaccine administration while the event blood pressure increased (blood pressure went up to 131/65) occurred 5 days after the first dose of mRNA-1273 vaccine administration. Patient underwent diagnostic exams as follows with unknown results, environmental test, food profile (onion, garlic, coconut), alpha-gal panel, CBC with differential, IgE antibody, basic metabolic panel, latex screen, ANA w/ reflex if positive, serum alkaline phosphatase, thyroid antithyroglobulin antibody, thyroid peroxidase antibodies and thyroid profile plus TSH (T3, T4, TSH ). No reported treatment information. The outcome of the events hives which come back daily, swelling (sensation that "something there was swelling" (she could not tell) in the middle part of her right back), back pain (sensation that "something there was painful (she could not tell) in the middle part of her right back), pruritus (itching on the right side of her face) and blood pressure increased (blood pressure went up to 131/65) were unknown, the events heart palpitation and fatigue (feeling really tired) were not resolved from the time of last observation. The medical history of palpitation and hives remain confounders. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Palpitations
Hospital-Tage: -
Labordaten: Test Date: 20211226; Test Name: blood pressure; Result Unstructured Data: 131/65; Test Name: Heart rate; Result Unstructured Data: 91 or sometimes 119
Aktuelle Erkrankungen: G6PD deficiency (G6PD); Hives; Palpitation
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2085594

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: IL
Alter: 62,0
Geschlecht: F
Eingang: 03.02.2022
Impfdatum: 21.12.2021
Beginn: 23.12.2021
Tage bis Beginn: 2,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Electrocardiogram ambulatory abnormal Palpitations Ventricular extrasystoles

Symptomtext

3 days after my 3rd dose vaccination I experienced consistent heart palpitations (40skips/day) and it went for about 7 days. I went to the ER on 12/28/2021 and there was no prescription given and was advised to visit a cardiologist which I did and had an ECG (Holter Monitor) and the result was. 61 PVCs and a total of 10 PSVCS. (PVC - Polyvinyl chloride) I was not prescribed with anything and my symptoms subsided around January 2, and as of today I have on and off palpitations.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Palpitations
Hospital-Tage: -
Labordaten: ECG (Holter Monitor)
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: NP THYROID; vitamin D; probiotics; allergy shot (self administered)
Allergien: EVALAX; sulfa drugs; chemical burn off
Vorherige Impfungen: -

VAERS 2085546

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: WA
Alter: 44,0
Geschlecht: F
Eingang: 03.02.2022
Impfdatum: 05.01.2022
Beginn: 17.01.2022
Tage bis Beginn: 12,0
Dosis: 3
Route/Site: IM / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Angiogram Burning sensation Chest X-ray Chest pain Computerised tomogram abdomen Computerised tomogram normal Computerised tomogram pelvis Dyspepsia Electrocardiogram normal Erythema Fibrin D dimer Full blood count Influenza A virus test Influenza B virus test Influenza virus test Lipase Metabolic function test Platelet count

Symptomtext

Hives (itchy, red, upraised) started to appear first on scalp, hands, groin area. Within 24 hours of first appearing. moved to all areas of body. They would first burn and then become very itchy. Would be intense for 15-30 minutes and then move to another spot on the body and be intense 15-30 minutes. This lasted for 24 hours for 9 days. Went to Urgent Care on 1/19 because also had chest pain / heart burn, which is abnormal for me. Urgent Care ran all of the tests (EKG, CT scan, etc.) and heart and lungs were fine. I have no known allergies and no new food introduction or skin products introduced in environment. Nothing new with environment at all. Doctor prescribed a 5-day tapered prednisone for hives. The Prednisone did not offer any relief. I took Benadryl every 5-6 hours along with the prednisone prescription. The Benadryl provided minor itching relief. After 9 days of Hives 24/7, I reached out to Doctor again and she consulted with allergy team. They believe that I was having a delayed-immune response to Booster shot I received on 1/5. Told me to take Zyrtech (one or two tablets, twice daily). I had immediate relief once I started taking Zyrtech. I am taking 1 tablet, twice a day. Hives still come and go but they aren't itchy or upraised. Just red splotches in random places. It is 2/3 and I am still having to take Zyrtech.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: Urgent Care on 1/19. Did the following tests (mostly for chest pain I experienced on 1/18 for 6-8 hours) COVID-19 QUALITATIVE PCR MD Jan 21, 2022 CT ANGIOGRAM CTA chest MD Jan 19, 2022 CT SCAN abdomen and pelvis MD Jan 19, 2022 FLUVID (INFLUENZA A/B & SARS-COV-2) RAPID TEST MD Jan 19, 2022 X-RAY chest 2V MD Jan 19, 2022 CBC/PLT/DIFF MD Jan 19, 2022 COMP. METABOLIC PANEL MD Jan 19, 2022 TROPONIN I MD Jan 19, 2022 D-DIMER QUANT MD Jan 19, 2022 LIPASE MD Jan 19, 2022 EKG PROVIDER, UNSPECIFIED Jan 19, 2022
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Birth control - ZOVIA 1-35 (28) 1-35 mg-mcg tablet
Allergien: None
Vorherige Impfungen: -

VAERS 2085484

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: MI
Alter: 92,0
Geschlecht: F
Eingang: 03.02.2022
Impfdatum: 20.12.2021
Beginn: 02.01.2022
Tage bis Beginn: 13,0
Dosis: UNK
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein

Abdominal pain Abdominal pain upper COVID-19 Chest X-ray normal Chest discomfort Chest pain Dyspnoea Hypertension Liver function test increased Nausea Pain SARS-CoV-2 test positive Tachycardia Tachypnoea Troponin increased Vomiting

Symptomtext

This is a 92y.o. female with significant past medical history of HTN and COPD that presented to the hospital with chief complaint of chest and abdominal pain. Chest pain began 4-5 days ago and did resolve temporarily with Tums. Chest pain is described as achy pressure and is located underneath her ribcage and epigastric area with radiation to midsternal area. She admits to nausea, vomiting, and shortness of breath. Denies any fever, chills, chest pain, abdominal pain, constipation, diarrhea, or urinary symptoms. In the ED, patient hypertensive, afebrile, tachycardic, tachypneic, stable SPO2 on room air. COVID detected on swab. LFTs elevated. Troponin elevated. CXR negative. She has been admitted for further evaluation and management with GI and cardiology evaluations. Patient seen and examined only by the attending physician. NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chest pain
Hospital-Tage: 8,0
Labordaten: -
Aktuelle Erkrankungen: Hypertension
Vorgeschichte: Hypertension
Andere Medikamente: aspirin EC (HALFPRIN) 81 MG PO Tablet Delayed Response take 81 mg by mouth once daily. 1/5/2022 Unknown time B Complex Vitamins (VITAMIN B COMPLEX PO) take 1 Tablet by mouth once daily. 1/5/2022 Unknown time Biotin 5000 MCG PO Cap take 1 Ca
Allergien: Codeine GI Distress
Vorherige Impfungen: -

VAERS 2080306

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: MI
Alter: 51,0
Geschlecht: F
Eingang: 01.02.2022
Impfdatum: 29.01.2022
Beginn: 29.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: - / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Feeling cold Hypothermia Mobility decreased Muscle tightness Tremor

Symptomtext

Hypothermia like response for almost 4 hours -1130pm to 330am (freezing, uncontrollable shaking/tremors and muscles felt tight and could barely move, no fever.) Finally was able to get up and took Tylenol and by 4am was able to fall asleep and the shaking subsided.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mobility decreased
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Hypothyroidism, infertility/total hysterectomy
Andere Medikamente: Levothyroxine 62.5 mcg, vit d 5000, cal/mag/zinc, cranberry, hormone cream, magnesium, b12, turmeric, fiber cap, flonase, saline nasal spray
Allergien: Penicillin/all derivatives
Vorherige Impfungen: -

VAERS 2074673

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: NC
Alter: 70,0
Geschlecht: F
Eingang: 29.01.2022
Impfdatum: 27.12.2021
Beginn: 30.12.2021
Tage bis Beginn: 3,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Mobility decreased Muscle spasms

Symptomtext

pt had moderna booster on 12/27/21 at pharmacy, pt came back on 01/28/2022 around 4.30 pm at the pharmacy saying she cant lift her left arm like normal any more, and having muscle cramp from neck to all the way to back on left side and do go any further, and she said it has happened ever since she had moderna booster, no inflamation at the site of injection

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mobility decreased
Hospital-Tage: -
Labordaten: na
Aktuelle Erkrankungen: NA
Vorgeschichte: -
Andere Medikamente: NA
Allergien: NA
Vorherige Impfungen: -

VAERS 2071936

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: CA
Alter: 57,0
Geschlecht: F
Eingang: 28.01.2022
Impfdatum: 04.01.2022
Beginn: 10.01.2022
Tage bis Beginn: 6,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

COVID-19 Chest pain Cough Fatigue Oropharyngeal pain Pyrexia SARS-CoV-2 test positive

Symptomtext

I had a burning feeling in my chest. I also had a fever, cough, fatigue, and a sore throat. These lasted for about 11 days. I was tested positive for Covid-19 on Jan 12th.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: Covid-19 test.
Aktuelle Erkrankungen: n/a
Vorgeschichte: asthma
Andere Medikamente: Cingular, DeLaria
Allergien: communize, tutorize, iodine, walnuts, peanuts
Vorherige Impfungen: -

VAERS 2036170

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: WA
Alter: 47,0
Geschlecht: F
Eingang: 27.01.2022
Impfdatum: 21.12.2021
Beginn: 21.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Hyperaesthesia Pain in extremity Product administered at inappropriate site Sensitive skin Skin discomfort Injected limb mobility decreased Injection site pain

Symptomtext

SUBJECTIVE: HPI: Patient comes in today because of 4-week pain on her left arm medial aspect near to the elbow. She had a Moderna booster 4 weeks ago, her and her husband the same day developed some pain on the lower medial aspect of the left arm. That is the side where she had the shot. Apparently the shot was given high in the deltoid. The pain is mostly sensitivity and discomfort on the skin, when she also does overhead activities. On exam there is hyperesthesia on an area that its 5 x 5 cm on the medial aspect of the left third lower arm. There is no discoloration, there is now palpation of any mass under the skin. However she is very uncomfortable with palpation of the area. There is also some pain on the medial epicondyles of the left elbow. She already reported this is a possible vaccine reaction to the CDC website. However it is a possibility that she could have a C8-T1 radiculopathy, for this reason she is agreeing on an x-ray of the C-spine. However am recommending that she would ice the area, take some anti-inflammatories such as ibuprofen or Aleve for at least a week. Make sure the anti-inflammatory are taken with a full stomach and drinking plenty of fluids. She will follow-up with us in 4 weeks. She needs also refills for her montelukast she is doing very well with her moderate asthma. And some hydrocortisone 2.5% lotion for eczema.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injected limb mobility decreased
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2036170

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

moderat

Staat: WA
Alter: 47,0
Geschlecht: F
Eingang: 27.01.2022
Impfdatum: 21.12.2021
Beginn: 21.12.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Hyperaesthesia Pain in extremity Product administered at inappropriate site Sensitive skin Skin discomfort Injected limb mobility decreased Injection site pain

Symptomtext

SUBJECTIVE: HPI: Patient comes in today because of 4-week pain on her left arm medial aspect near to the elbow. She had a Moderna booster 4 weeks ago, her and her husband the same day developed some pain on the lower medial aspect of the left arm. That is the side where she had the shot. Apparently the shot was given high in the deltoid. The pain is mostly sensitivity and discomfort on the skin, when she also does overhead activities. On exam there is hyperesthesia on an area that its 5 x 5 cm on the medial aspect of the left third lower arm. There is no discoloration, there is now palpation of any mass under the skin. However she is very uncomfortable with palpation of the area. There is also some pain on the medial epicondyles of the left elbow. She already reported this is a possible vaccine reaction to the CDC website. However it is a possibility that she could have a C8-T1 radiculopathy, for this reason she is agreeing on an x-ray of the C-spine. However am recommending that she would ice the area, take some anti-inflammatories such as ibuprofen or Aleve for at least a week. Make sure the anti-inflammatory are taken with a full stomach and drinking plenty of fluids. She will follow-up with us in 4 weeks. She needs also refills for her montelukast she is doing very well with her moderate asthma. And some hydrocortisone 2.5% lotion for eczema.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injected limb mobility decreased
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2065769

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: CT
Alter: 61,0
Geschlecht: F
Eingang: 26.01.2022
Impfdatum: 21.12.2021
Beginn: 21.12.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Headache Hypertension

Symptomtext

Approximately 1 hour after vaccination I had a severe headache (specifically in the lower back of my head) It was very unusual for me. I took a total of 4 Tylenol tabs. I had the headache consistent for 3 days then after that it was intermittent. I checked my blood pressure and it was (145 over 81) - I did a continuous check for 1 week and I had a consistent high blood pressure which is not normal for me. I called my Cardiologist for an appointment tomorrow (01/27/2022) and up to this day 01/26/22 there's no improvement with either headache and my high blood pressure.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Hypertension
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Aspirin(81mg), Qsymia (15mg), Rosuvastatin (5mg), Vitamin C (250mg), Zinc, Vit B12 (1000mg), Vitamin B3 (1000mg)
Allergien: None
Vorherige Impfungen: -

VAERS 2063787

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: CA
Alter: 55,0
Geschlecht: F
Eingang: 25.01.2022
Impfdatum: 10.12.2021
Beginn: 19.01.2022
Tage bis Beginn: 40,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Blood test abnormal Chest pain Cholelithiasis Electrocardiogram normal Ultrasound abdomen abnormal Urine analysis abnormal

Symptomtext

01/19 Incredible pain for about 30-45 min. and felt like a heart attack. After a ride in ambulance pain went from a 10 to about a 5 and was wheeled in and immediately rushed in to the EKG, Ultrasound, blood test, and urine test. It was after the blood work and urine sample that they thought it might be gall stones and confirmed this with an Ultrasound. When discovered, was given pain medication and as a prescription and advised to see a G.I. Specialist. I have an appointment with a new G.I. Specialist on 1/28.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: EKG, (normal); Blood, Urine (evidence of possible Gall Stones); Ultrasound (Confirmed Gall Stone)
Aktuelle Erkrankungen: None
Vorgeschichte: Acid Reflux
Andere Medikamente: D3; cranberry tablets; EMERGEN-C; chamomile
Allergien: Codeine
Vorherige Impfungen: -

VAERS 2058806

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

moderat

Staat: TN
Alter: 45,0
Geschlecht: F
Eingang: 24.01.2022
Impfdatum: 19.01.2022
Beginn: 19.01.2022
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Ageusia Chills Cough Disturbance in attention Erythema Fatigue Lymphadenopathy Migraine Nausea Oropharyngeal pain Pain in extremity Peripheral swelling Pruritus Pyrexia Tinnitus Vomiting

Symptomtext

Same issues as with the first shot Lot 010A21A given on 3/2/21 by the Health Dept. And I was advised by my dr to not get the 2nd but my job gave me zero option. Right after the shot I had a migraine headache which has not gone away, extreme soreness and swelling in my arm, arm was purple now it is bright red and itches. My entire skin itches. Fever, chills, nausea, vomiting. Not being hungry, extreme fatigue. Today is 1/24/22 and the symptoms are still going. Lymph nodes swollen, sore throat, cough. Can't taste. I was negative for covid before this. I absolutely disagree with the forced vaccination to keep my job. I have been sick for weeks and ringing in my ears. Can't concentrate, This is outrageous. Dr. won't see me because I have symptoms of covid without testing for it because of this shot. Exactly what happened the first time. If this continues I will have to find a doctor or emergency room

Weitere VAERSDATA-Felder

Praegender Schweregrund: Migraine
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: NONE
Vorgeschichte: NONE
Andere Medikamente: None
Allergien: Latex allergy
Vorherige Impfungen: -

VAERS 2058631

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: FL
Alter: 51,0
Geschlecht: F
Eingang: 24.01.2022
Impfdatum: 19.01.2022
Beginn: 19.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Chest discomfort Chest pain Chills Dyspnoea Hyperhidrosis Pain in extremity Poor quality sleep Pyrexia

Symptomtext

Later in the evening after receiving the booster (0.3mL Moderna), patient states that she developed chills. Felt as though she had a fever, took 2 Advil and went to bed. She woke up the next morning around 4 a.m. "soaked in sweat", changed her clothes and took 2 more Advil. She stated her fever went up to 104.3 and continued for the next few days. As of yesterday, 1/23, she states she had a fever of 99.9. On 1/20, the day following her vaccine, she developed chest pain as well and pain in her left arm. She called a teleprovider who recommended she go to the ER. She did not at that time. She states that for the last several nights, she has not been able to sleep well and has to prop her head up with 2 pillows due to chest discomfort and shortness of breath. The chest pain is sharp and is intermittent. She stated she was going to see her PCP this afternoon after work. I advised her to go to the ER immediately and explained that they would not see her if she was having active chest pain but would also recommend her to go to the ER. She agreed and at the time of this, she was on her way to the ER.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: None yet.
Aktuelle Erkrankungen: Symptoms of Bronchitis since December, seeing PCP, ear infection 2 weeks prior to vaccine. Took full course of amoxicillin but was finished w/ antibiotics prior to vaccine.
Vorgeschichte: Diabetes HTN Palpitations
Andere Medikamente: Metformin 500 mg TID Rosuvastatin 20 mg QD Metoprolol QD Zinc Vit D
Allergien: NKA
Vorherige Impfungen: She states she had a similar reaction with her 2nd vaccine.

VAERS 2053914

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: MA
Alter: 60,0
Geschlecht: F
Eingang: 21.01.2022
Impfdatum: 11.01.2022
Beginn: 11.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Ageusia Chills Dizziness Fatigue Headache Hyperhidrosis Myalgia Pyrexia Tremor Vomiting

Symptomtext

Vomiting, severe chills and shaking, headache, severe muscle aches , dizziness , fever, sweats, lack of taste, fatigue, total duration four days . Symptoms changed daily.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Tremor
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Levothyroxine
Allergien: None
Vorherige Impfungen: -

VAERS 2047674

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: MA
Alter: 74,0
Geschlecht: F
Eingang: 19.01.2022
Impfdatum: 13.12.2021
Beginn: 26.12.2021
Tage bis Beginn: 13,0
Dosis: 3
Route/Site: SYR / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: unbekannt Erholt: nein

Arthritis Condition aggravated

Symptomtext

Severe arthritis flare-up in lower extremedies

Weitere VAERSDATA-Felder

Praegender Schweregrund: Condition aggravated
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Osteoarthritis
Andere Medikamente: Vitamins
Allergien: Penicillin
Vorherige Impfungen: -

VAERS 2046183

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: MO
Alter: 63,0
Geschlecht: F
Eingang: 19.01.2022
Impfdatum: 08.01.2022
Beginn: 08.01.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Blood pressure measurement Hypertension

Symptomtext

Blood pressure went up/high blood pressure; This spontaneous case was reported by a consumer and describes the occurrence of HYPERTENSION (Blood pressure went up/high blood pressure) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. No Medical History information was reported. On 08-Jan-2022, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Jan-2022, the patient experienced HYPERTENSION (Blood pressure went up/high blood pressure). At the time of the report, HYPERTENSION (Blood pressure went up/high blood pressure) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 08-Jan-2022, Blood pressure measurement: high (High) Result Patient reported high blood pressure. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product use was not provided by the reporter. No treatment information provided. patient was antivaxxer

Weitere VAERSDATA-Felder

Praegender Schweregrund: Hypertension
Hospital-Tage: -
Labordaten: Test Date: 20220108; Test Name: blood pressure; Result Unstructured Data: Result Patient reported high blood pressure
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2039973

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: CA
Alter: 37,0
Geschlecht: F
Eingang: 17.01.2022
Impfdatum: 28.12.2021
Beginn: 28.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: ja Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Dyspnoea Erythema Flushing Periorbital swelling Rash

Symptomtext

signs: Dyspnea, Red flush , puffy eyes, rash used: Epinephrine, triamcinolone and lidocaine , and PO bendaryl 50 mg monitored for 2 hours and released when stabilized to family

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: polyps in the Ethmoid sinus
Vorgeschichte: asthma
Andere Medikamente: Dupixent Losartan Clairitn
Allergien: peanut olive oil coconut avocado Psuedofed hydrocodone Red dye #40
Vorherige Impfungen: Flu shot at age 22

VAERS 2038338

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: CO
Alter: 61,0
Geschlecht: M
Eingang: 16.01.2022
Impfdatum: 01.01.2022
Beginn: 11.01.2022
Tage bis Beginn: 10,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Arthralgia Chills Differential white blood cell count Electrocardiogram Full blood count Headache Insomnia Myalgia Pain in extremity Tremor White blood cell count decreased

Symptomtext

Headache, muscle pain, joint pain, tremors, chills, insomnia, sore left arm

Weitere VAERSDATA-Felder

Praegender Schweregrund: Tremor
Hospital-Tage: -
Labordaten: CBC with Diff ~ abnormal ( 1/11/22) WBC White blood 3.4 EKG ~ normal
Aktuelle Erkrankungen: -
Vorgeschichte: PTSD/Depression Hypothyroid GERD Blood clot gene Chronic pain
Andere Medikamente: Synthroid Protonix Eliquis Diazepam Suboxone , Remeron
Allergien: None that I know off
Vorherige Impfungen: -

VAERS 2028879

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: TN
Alter: 56,0
Geschlecht: F
Eingang: 12.01.2022
Impfdatum: 12.01.2022
Beginn: 12.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Hypertension Lip swelling Panic attack Pruritus

Symptomtext

Patient received booster dose of Moderna around 1:15pm. At 3:00pm she reported generalized itching in different locations not near the injection site, but no rash and no throat swelling or tightness. I advised her to take some Benadryl and go to the ER if it worsens. At around 6:00pm patient reported her blood pressure was very high and she seemed to be panicking. She also said that her lips might feel a little swollen. I advised her to go to the ER for treatment.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Hypertension
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2554311

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

moderat

Staat: -
Alter: 74,0
Geschlecht: F
Eingang: 11.01.2022
Impfdatum: 10.12.2021
Beginn: 10.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Asthenia Dyskinesia Erythema multiforme Feeling abnormal Headache Nausea Rash Tremor Vomiting

Symptomtext

Headache, SkinRash, ErythemaMultiform, NauseaVomiting, weakness, brain fog, jerking/shaking Narrative:

Weitere VAERSDATA-Felder

Praegender Schweregrund: Tremor
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: yes

VAERS 2515099

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: -
Alter: 54,0
Geschlecht: F
Eingang: 11.01.2022
Impfdatum: 22.12.2021
Beginn: 20.12.2021
Tage bis Beginn: -
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja

Dizziness Flushing Paraesthesia oral Tremor

Symptomtext

Tingling in tongue, shaking, light headed, flushed Narrative:

Weitere VAERSDATA-Felder

Praegender Schweregrund: Paraesthesia oral
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2027717

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: NY
Alter: 57,0
Geschlecht: M
Eingang: 11.01.2022
Impfdatum: 06.01.2022
Beginn: 08.01.2022
Tage bis Beginn: 2,0
Dosis: UNK
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Arthralgia Confusional state Injection site pain Interchange of vaccine products Irritability Lymphadenopathy Malaise Migraine Pyrexia

Symptomtext

I received my initial 2 vaccines in March 2021 (Pfizer) and did not have any adverse events. However, after I received my COVID booster (Moderna) on 1/6/2022 and experienced a significant reaction from it including; high fever (101.4F), excessive joint pain, swollen lymph nodes in left armpit, malaise, mental confusion, migraine headache, irritability, significant soreness/ tenderness at injection sight.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Migraine
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: HBP, Heart Disease
Vorgeschichte: -
Andere Medikamente: Atorvastatin Calcium, Clopidogrel, Escitalopram Oxalate, Losartan, Metoprolol, Aspirin
Allergien: Contrast dye
Vorherige Impfungen: -

VAERS 2026108

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

moderat

Staat: -
Alter: 47,0
Geschlecht: M
Eingang: 11.01.2022
Impfdatum: 11.01.2022
Beginn: 11.01.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Condition aggravated Nausea Somnolence

Symptomtext

prior to vaccine, pt felt nauseous. they decided to get the vaccine even though we suggested to hold off. After administration, pt felt nauseous and fell asleep but was able to be wakened. we called 911. pt was evaluated by ems

Weitere VAERSDATA-Felder

Praegender Schweregrund: Condition aggravated
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2021456

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: GA
Alter: 46,0
Geschlecht: F
Eingang: 10.01.2022
Impfdatum: 17.12.2021
Beginn: 17.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Arthralgia Chills Gait disturbance Migraine Myalgia Pharyngeal swelling Pyrexia

Symptomtext

I had Pfizer for my first 2 doses and received Moderna as a booster. I had severe muscle aches, severe joint pain, could barely walk, migraine, swollen throat, chills for about 48 hrs. I had a fever of close to 102 for about 30 hrs,

Weitere VAERSDATA-Felder

Praegender Schweregrund: Migraine
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Collagen
Allergien: Latex, silicone
Vorherige Impfungen: -

VAERS 2021259

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: MA
Alter: 29,0
Geschlecht: F
Eingang: 10.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Injected limb mobility decreased Pain in extremity Peripheral swelling

Symptomtext

Patient reported that starting night of vaccine, 1/6/2022, she noted left arm pain and swelling of left ring finger both of which have increased in severity since that day. Has taken Tylenol OTC without improvement. Notable decrease in ROM in left arm/shoulder.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injected limb mobility decreased
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Laparoscopic cholecystectomy - 12/22/2021
Vorgeschichte: None
Andere Medikamente: None
Allergien: Shellfish Containing Products, Amoxicillin, and Pineapple
Vorherige Impfungen: -

VAERS 2021075

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: MA
Alter: 66,0
Geschlecht: F
Eingang: 10.01.2022
Impfdatum: 31.03.2021
Beginn: 21.04.2021
Tage bis Beginn: 21,0
Dosis: N/A
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja

Blepharospasm Blood test Cardiac discomfort Cardiac monitoring abnormal Electrocardiogram Interchange of vaccine products Palpitations Supraventricular extrasystoles Tachycardia Ventricular extrasystoles X-ray

Symptomtext

4-5 days after each vaccine, experienced extreme palpitations and cardiac discomfort daily and nearly constant. Went to ER on 4/07/21. Cardiologist at Hospital ruled out disease and explained and showed me on monitor that I was having PACs and PVCs. Same occurred after second vaccine. I then wore a monitor for 5 days in May, which showed PACs, PVCs, tachycardia. Subsequently saw Dr. at Hospital to review monitor results and he confirmed these are benign, no medical treatment. Palpitations and racing heart lasted for 6 months. Mild palpitations and eye twitching from Moderna booster lasted only 1 week-10 days.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Palpitations
Hospital-Tage: -
Labordaten: 4/7/21 at ER: EKG, bloodwork, x-ray, monitoring showed PVCs and PACs; May 17 heart monitor showed PACs, PVCs, tachycardia.
Aktuelle Erkrankungen: none
Vorgeschichte: bronchiectasis
Andere Medikamente: vitamin C, zinc, coQ10, folate, B12, D, NAC, probiotic
Allergien: Levaquin, mysoline, gluten, lobster
Vorherige Impfungen: -

VAERS 2015343

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: UT
Alter: 48,0
Geschlecht: F
Eingang: 07.01.2022
Impfdatum: 15.12.2021
Beginn: 19.12.2021
Tage bis Beginn: 4,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Blood test normal Computerised tomogram normal Condition aggravated Dysstasia Gait disturbance Hypertension Hypoaesthesia Interchange of vaccine products Pain Pain in extremity Paraesthesia Sciatica X-ray normal

Symptomtext

Radiating pain up and down my left leg, extreme difficulty walking or standing for 2 weeks (required prednisolone), pain when lifting leg, sciatic nerve problem. Numbness and tingling in my left leg and left arm. Extremely high blood pressure (well above my normal). These issues are still ongoing except the pain has lessened.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Condition aggravated
Hospital-Tage: -
Labordaten: I was seen in the emergency room at Hospital on 12/22/2021. They performed blood tests, Cat scan, and x-ray all were normal.
Aktuelle Erkrankungen: None
Vorgeschichte: High Blood Pressure
Andere Medikamente: Estradiol
Allergien: -
Vorherige Impfungen: Pfizer Covid-19, 3/22/2021, numbness and tingling in left leg and left arm.

VAERS 2014807

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

moderat

Staat: TX
Alter: 40,0
Geschlecht: F
Eingang: 07.01.2022
Impfdatum: 04.01.2022
Beginn: 04.01.2022
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: unbekannt

Dyspnoea Heart rate increased Tachycardia

Symptomtext

with in 10 minutes, pt was c/o difficulty breathing and tachycardia. b/p 140's/90's. heart rate was 112-120's. resp 22-28. sao2 98% on ra. states that she had this with previous injection. transported to the local er for care via ems.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2014758

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: CA
Alter: 37,0
Geschlecht: F
Eingang: 07.01.2022
Impfdatum: 22.12.2021
Beginn: 23.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Blood cholesterol increased Blood test Chills Dizziness Headache Pain Palpitations Pyrexia

Symptomtext

I had a fever that lasted about 36 -48 hours, body aches, headache and chills the days following the vaccine. I had heart palpitations the following week and almost passed out on 12/29/2021. I was really dizzy for a few days. I saw the doctor the following Monday (01/03/2022). She told me it was because of the vaccine and it should go away. She just told me to keep an eye on it. The palpitations have gotten better in the last few days.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Palpitations
Hospital-Tage: -
Labordaten: Blood work 01/03/2022- high cholesterol
Aktuelle Erkrankungen: none
Vorgeschichte: focal nodule hyperplasia; 1st and second degree heart block
Andere Medikamente: vitamin D3; calcium/magnesium/zinc
Allergien: cipro
Vorherige Impfungen: Moderna dose 2- 03/04/2021- I had similar symptoms to dose 3 and my blood sugar was high.

VAERS 2005763

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: GA
Alter: 47,0
Geschlecht: F
Eingang: 05.01.2022
Impfdatum: 21.12.2021
Beginn: 22.12.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Condition aggravated Fatigue Musculoskeletal discomfort Palpitations Pruritus

Symptomtext

Patient states that 45 minutes after vax there was a bad feeling in her back. Later on, patient had heart palpitations, patient stated that she usually has them but this time was different, had itching on right side o face and severe fatigue.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Condition aggravated
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Having issues with G6PD.
Vorgeschichte: -
Andere Medikamente: Laxitives
Allergien: Pending tests
Vorherige Impfungen: -

VAERS 2001653

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: VA
Alter: 26,0
Geschlecht: M
Eingang: 04.01.2022
Impfdatum: 30.12.2021
Beginn: 01.01.2022
Tage bis Beginn: 2,0
Dosis: 3
Route/Site: SYR / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Cough Dyspnoea Influenza like illness Oropharyngeal pain Pain Pyrexia Respiratory tract congestion Secretion discharge

Symptomtext

Flu like symptoms (severe cough, shortness of breath, congestion, sore throat, aches and pains, high temperature, excessive mucus production) beginning 48 hours following injection. Initially slight cough only. Symptoms persist and continue to become more apparent 7 days following injection.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: Dextroamphetamine, Amphetamine salts ER, Bupropion HCL XL
Allergien: -
Vorherige Impfungen: -

VAERS 2000569

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: CA
Alter: 57,0
Geschlecht: F
Eingang: 04.01.2022
Impfdatum: 17.12.2021
Beginn: 17.12.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: SYR / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Contusion Fatigue Immediate post-injection reaction Mobility decreased Pharyngeal swelling Pruritus Pyrexia Rash Swollen tongue

Symptomtext

In spite of taking a 5mg Claritin 2 hours before shot I felt immediately my tongue and throat swell. I took another Claritin and sensations subsided in an hour. The next day my arm was bruised right above injection site. I couldn't lift my arm. I also had a fever and felt very tired. Both of these resolved by the third day. A few days later the rash began. All over my mid-body. It is itchy and has progressively gotten worse over the last couple of weeks.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mobility decreased
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Interstitial cystitis, microscopic colitis
Andere Medikamente: Claritin 5mg
Allergien: Pfizer COVID-19 vaccine, Zenpep, Acacia, cats
Vorherige Impfungen: Pfizer COVID-19 vaccine; 03/29/2021; age 57; swelling of tongue and rash.

VAERS 1997222

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: SC
Alter: 34,0
Geschlecht: F
Eingang: 01.01.2022
Impfdatum: 27.12.2021
Beginn: 30.12.2021
Tage bis Beginn: 3,0
Dosis: 3
Route/Site: SYR / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

COVID-19 Dyspnoea Respiratory tract congestion SARS-CoV-2 test positive

Symptomtext

Shortness of breath began 12/29/21, chest congestion and positive COVID19 test 12/31/21. Due date: 8/18/22

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: Positive COVID19 test, 12/31/21
Aktuelle Erkrankungen: -
Vorgeschichte: Hashimoto?s thyroiditis - asymptomatic, normal thyroid levels
Andere Medikamente: Prenatal, vit e, baby aspirin, prednisone (10mg), levothyroxine (25mcg)
Allergien: -
Vorherige Impfungen: -

VAERS 1995925

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: NY
Alter: 59,0
Geschlecht: F
Eingang: 31.12.2021
Impfdatum: 22.12.2021
Beginn: 24.12.2021
Tage bis Beginn: 2,0
Dosis: 2
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Arthralgia Paraesthesia Peripheral swelling Pruritus Urticaria

Symptomtext

Received J&J vaccine on 04/28/2021. She had no adverse reaction. Approximately 48 hours post Moderna booster on 12/22/2021, skin began to tingle and itch, developing into hives. Upon administration of diphenhydramine, symptoms subsided only to return hours later. It persisted for 6 days, accompanied by joint pain/swelling of fingers and toes.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Paraesthesia
Hospital-Tage: -
Labordaten: On day 6, MD prescribed Methylprednisolone Dose Pak.
Aktuelle Erkrankungen: None
Vorgeschichte: IBS
Andere Medikamente: Vivelle dot; Omeprazole; Multivitamin; Vitamin D3; Zinc
Allergien: Sulfa; Penicillin; Keflex; Cipro
Vorherige Impfungen: Hives after receiving vaccine for Hep A.

VAERS 1993441

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

moderat

Staat: NC
Alter: 35,0
Geschlecht: M
Eingang: 30.12.2021
Impfdatum: 10.12.2021
Beginn: 13.12.2021
Tage bis Beginn: 3,0
Dosis: 3
Route/Site: SYR / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Electrocardiogram Palpitations

Symptomtext

3 days after receiving booster shot heart palpitations started (premature heartbeats). Initially, every 10-15 minutes and then progressively getting more intense and more frequent (every 30 seconds by day 2). Less intense and frequent (one per every two minutes) sustained for 3+ weeks after. Ongoing monitoring and treatment with no resolution so far.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Palpitations
Hospital-Tage: -
Labordaten: EKG (December 13), EKG/ECG December 30th, Stress test and Echo scheduled for January.
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 1989434

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: CA
Alter: 53,0
Geschlecht: F
Eingang: 29.12.2021
Impfdatum: 29.12.2021
Beginn: 29.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Dysphagia Dyspnoea Interchange of vaccine products Pharyngeal swelling

Symptomtext

Four hours after receiving second Pfizer COVID vaccine, patient experienced redness and hot flushing to tops of feet that lasted four days. MD approved booster. 20 minutes after receiving the Moderna booster, patient experienced throat swelling described as "difficulty swallowing" and about one hour later, "hard to breathe". She was taken by ambulance to the hospital.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: denied
Vorgeschichte: denied
Andere Medikamente: denied medications, stated she often takes benadryl for headaches
Allergien: Mangoes
Vorherige Impfungen: -

VAERS 1988793

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: NJ
Alter: 28,0
Geschlecht: F
Eingang: 29.12.2021
Impfdatum: 27.12.2021
Beginn: 28.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Adverse event Chills Condition aggravated Fatigue Headache Insomnia Lymph node pain Lymphadenopathy Pain

Symptomtext

This was the booster shot. Adverse events: Extremely swollen lymph node at left armpit, which hurts to touch and move. Visibly swollen, looks like I was nailed in the armpit with a baseball. Even when I walk my lymph node throbs. Hard to sleep due to the pain. This is in addition to chills, fatigue, headache, body aches.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Condition aggravated
Hospital-Tage: -
Labordaten: None.
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: Banana, Avocado
Vorherige Impfungen: Chills, headache, body aches

VAERS 1984640

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: NY
Alter: 41,0
Geschlecht: F
Eingang: 28.12.2021
Impfdatum: 20.12.2021
Beginn: 20.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Blood test normal Cough Dysphagia Dyspnoea Eye swelling Feeding disorder Immediate post-injection reaction Influenza virus test negative Ocular hyperaemia Pharyngeal swelling Pregnancy test negative Respiratory tract congestion SARS-CoV-2 test negative Secretion discharge Streptococcus test negative Throat irritation

Symptomtext

Stratchy throat (immediate), swollen throat (couldn't swallow, could eat), congestion, couldn't breathe, eyes -very red and swollen, yellow mucus, cough, shortness of breathe . On steroids, Benadryl, antibiotic eye drop.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: Tested for streep, flu, Covid, pregnancy - all negative Blood work - came back fine
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: Multiple allergies, highly allergic
Vorherige Impfungen: -

VAERS 1982204

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: TX
Alter: 34,0
Geschlecht: M
Eingang: 27.12.2021
Impfdatum: 23.12.2021
Beginn: 25.12.2021
Tage bis Beginn: 2,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja

Blood creatine phosphokinase MB C-reactive protein increased Chest pain Chills Electrocardiogram normal Troponin I increased

Symptomtext

Onset of central chest pain intermittently off and on with chills 12/25, 12/26 and 12/27 with vaccination 12/23

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: elevated troponin I (3.5, normal <0.4ng/ml), elevated CKMB (22.3), elevated CRP (19.2), done 12/27/2021 at our hospital; EKG normal;
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: none
Allergien: none
Vorherige Impfungen: -

VAERS 1979226

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: CA
Alter: 48,0
Geschlecht: F
Eingang: 24.12.2021
Impfdatum: 23.12.2021
Beginn: 24.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Asthenopia Dental paraesthesia Paraesthesia oral

Symptomtext

0705: 3rd dose of Moderna given 0717: Employee reported tingling to lips, teeth, tongue, and right eye heaviness. 25 mg po Benadryl administered per protocol. O2 98 RA, HR 99. 0734: Employee reports that tingling decreased and only present in lips and teeth. 0745: Employee reports symptoms resolved.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dental paraesthesia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Valley fever, chronic
Vorgeschichte: Valley Fever
Andere Medikamente: Fluconazole 400 mg q PM, multivitamin, vitamin D.
Allergien: None
Vorherige Impfungen: -

VAERS 1978545

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: NC
Alter: 80,0
Geschlecht: M
Eingang: 24.12.2021
Impfdatum: 09.12.2021
Beginn: 09.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein

Asthenia Blood potassium Blood pressure measurement Fall Illness Tremor

Symptomtext

Shaky; Fell out of bed; Weak; Got really sick after booster; This spontaneous case was reported by a consumer and describes the occurrence of TREMOR (Shaky), FALL (Fell out of bed), ASTHENIA (Weak) and ILLNESS (Got really sick after booster) in an 80-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. No Medical History information was reported. On 09-Dec-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Dec-2021, the patient experienced ILLNESS (Got really sick after booster) (seriousness criterion hospitalization). On 10-Dec-2021, the patient experienced TREMOR (Shaky) (seriousness criterion hospitalization), FALL (Fell out of bed) (seriousness criterion hospitalization) and ASTHENIA (Weak) (seriousness criterion hospitalization). The patient was hospitalized from 10-Dec-2021 to 12-Dec-2021 due to ASTHENIA, FALL, ILLNESS and TREMOR. At the time of the report, TREMOR (Shaky), FALL (Fell out of bed), ASTHENIA (Weak) and ILLNESS (Got really sick after booster) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In December 2021, Blood potassium: high (High) High. In December 2021, Blood pressure measurement: low (Low) Low BP. At the hospital patient received IV Fluids. Company comment: This spontaneous case concerns an 80-year-old male patient, with no medical history provided, who experienced the serious (hospitalization) unexpected events of TREMOR, FALL, ASTHENIA and ILLNESS. The event occurred the 1 day after receiving a booster dose of mRNA-1273. The rechallenge is not applicable because the outcome of the events is unknown and no further dosing is expected. Patient was admitted to the hospital for 2 days, and relevant findings included increased blood potassium and low blood pressure. No final diagnosis was provided at this time. The benefit-risk relationship of mRNA-1273 is not affected by this report. This case was linked to MOD-2021-410982, MOD-2021-410964, MOD-2021-412276 (Patient Link).; Sender's Comments: This spontaneous case concerns an 80-year-old male patient, with no medical history provided, who experienced the serious (hospitalization) unexpected events of TREMOR, FALL, ASTHENIA and ILLNESS. The event occurred the 1 day after receiving a booster dose of mRNA-1273. The rechallenge is not applicable because the outcome of the events is unknown and no further dosing is expected. Patient was admitted to the hospital for 2 days, and relevant findings included increased blood potassium and low blood pressure. No final diagnosis was provided at this time. The benefit-risk relationship of mRNA-1273 is not affected by this report.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Tremor
Hospital-Tage: 3,0
Labordaten: Test Date: 202112; Test Name: Potassium level; Result Unstructured Data: High; Test Date: 202112; Test Name: blood pressure; Result Unstructured Data: Low BP
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1976901

UNKNOWN MANUFACTURER · VACCINE NOT SPECIFIED (NO BRAND NAME) · Charge 069H21A

moderat

Staat: IN
Alter: 62,0
Geschlecht: M
Eingang: 23.12.2021
Impfdatum: 22.12.2021
Beginn: 22.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein

Blood test Chest pain Electrocardiogram Headache Oral discomfort Pyrexia Swelling face Tremor

Symptomtext

head pain - still have this pain - more than 12 hours mouth and lip trembling - 6 hours face swollen- still have a swollen face chest pain - he still has chest pain high fever - still has fever

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: Radiology Blood test EKG
Aktuelle Erkrankungen: no
Vorgeschichte: diabetes high blood pressure cholesterol
Andere Medikamente: Naproxen 500 MG Tablet Amlodipine Besylate 5MG Metformin HCL 500 MG Tablet Atorvastatin 20 Mg tablet
Allergien: no
Vorherige Impfungen: -

VAERS 1975064

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: AL
Alter: 58,0
Geschlecht: F
Eingang: 23.12.2021
Impfdatum: 17.12.2021
Beginn: 17.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: SYR / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Abdominal pain Asthenia Chills Cough Dizziness Ear pain Eye discharge Fatigue Headache Hot flush Lacrimation increased Nasal congestion Nausea Non-cardiac chest pain Oropharyngeal pain Pain Pyrexia Rhinorrhoea

Symptomtext

I became dizzy. I got a cough. I had a headache and chills. I had hot flashes and a sore throat. I also had a ear ache and fever. My eyes was watery and draining. I had abdomen pain and body ache. I had some nausea and runny nose with congestion. When I cough I have chest pain and I am weak and tired. I went to the doctor about this. They did a COVID-19 test, negative result.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Non-cardiac chest pain
Hospital-Tage: -
Labordaten: COVID-19 test
Aktuelle Erkrankungen: N/A
Vorgeschichte: Diabetic
Andere Medikamente: Metformin, Vitamin B12, Colestipol, Velophile, Gabapentin, Aspirin, Pretax, Ambien
Allergien: N/A
Vorherige Impfungen: -

VAERS 1963841

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: NC
Alter: 60,0
Geschlecht: M
Eingang: 23.12.2021
Impfdatum: 18.12.2021
Beginn: 18.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: SYR / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Accidental overdose Body temperature Feeling abnormal Inappropriate schedule of product administration Pyrexia Dizziness Hyperpyrexia Mobility decreased Tremor

Symptomtext

This felt as bad as having COVID.; fever Saturday night that reached 105F),/"Yeah. Bye brain cells; mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after; mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (This felt as bad as having COVID.), PYREXIA (fever Saturday night that reached 105F),/"Yeah. Bye brain cells), ACCIDENTAL OVERDOSE (mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after) in a 60-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. No Medical History information was reported. On 18-Dec-2021 at 10:45 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 18-Dec-2021 at 11:20 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 18-Dec-2021, the patient experienced FEELING ABNORMAL (This felt as bad as having COVID.), PYREXIA (fever Saturday night that reached 105F),/"Yeah. Bye brain cells), ACCIDENTAL OVERDOSE (mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after). The patient was treated with PARACETAMOL (TYLENOL [PARACETAMOL]) for Adverse event, at a dose of 4 dosage form once. On 18-Dec-2021, ACCIDENTAL OVERDOSE (mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after) had resolved. At the time of the report, FEELING ABNORMAL (This felt as bad as having COVID.) and PYREXIA (fever Saturday night that reached 105F),/"Yeah. Bye brain cells) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 18-Dec-2021, Body temperature: 105f (High) 105F fever. No concomitant medications were reported. Patient went to get his first dose of the Moderna vaccine (069H21A) and there was a bunch of confusion at the pharmacy. They initially thought he was there to get the Pfizer vaccine, but the patient corrected them. The patient stated that they mistakenly give him the Moderna booster and then gave him a primary dose 30 minutes after. He was on his butt entire weekend.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mobility decreased
Hospital-Tage: -
Labordaten: Test Date: 20211218; Test Name: Body temperature; Result Unstructured Data: 105F fever
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1963841

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: NC
Alter: 60,0
Geschlecht: M
Eingang: 23.12.2021
Impfdatum: 18.12.2021
Beginn: 18.12.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Accidental overdose Body temperature Feeling abnormal Inappropriate schedule of product administration Pyrexia Dizziness Hyperpyrexia Mobility decreased Tremor

Symptomtext

This felt as bad as having COVID.; fever Saturday night that reached 105F),/"Yeah. Bye brain cells; mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after; mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (This felt as bad as having COVID.), PYREXIA (fever Saturday night that reached 105F),/"Yeah. Bye brain cells), ACCIDENTAL OVERDOSE (mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after) in a 60-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. No Medical History information was reported. On 18-Dec-2021 at 10:45 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 18-Dec-2021 at 11:20 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 18-Dec-2021, the patient experienced FEELING ABNORMAL (This felt as bad as having COVID.), PYREXIA (fever Saturday night that reached 105F),/"Yeah. Bye brain cells), ACCIDENTAL OVERDOSE (mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after). The patient was treated with PARACETAMOL (TYLENOL [PARACETAMOL]) for Adverse event, at a dose of 4 dosage form once. On 18-Dec-2021, ACCIDENTAL OVERDOSE (mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after) had resolved. At the time of the report, FEELING ABNORMAL (This felt as bad as having COVID.) and PYREXIA (fever Saturday night that reached 105F),/"Yeah. Bye brain cells) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 18-Dec-2021, Body temperature: 105f (High) 105F fever. No concomitant medications were reported. Patient went to get his first dose of the Moderna vaccine (069H21A) and there was a bunch of confusion at the pharmacy. They initially thought he was there to get the Pfizer vaccine, but the patient corrected them. The patient stated that they mistakenly give him the Moderna booster and then gave him a primary dose 30 minutes after. He was on his butt entire weekend.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mobility decreased
Hospital-Tage: -
Labordaten: Test Date: 20211218; Test Name: Body temperature; Result Unstructured Data: 105F fever
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1963841

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: NC
Alter: 60,0
Geschlecht: M
Eingang: 23.12.2021
Impfdatum: 18.12.2021
Beginn: 18.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: SYR / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Accidental overdose Body temperature Feeling abnormal Inappropriate schedule of product administration Pyrexia Dizziness Hyperpyrexia Mobility decreased Tremor

Symptomtext

This felt as bad as having COVID.; fever Saturday night that reached 105F),/"Yeah. Bye brain cells; mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after; mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (This felt as bad as having COVID.), PYREXIA (fever Saturday night that reached 105F),/"Yeah. Bye brain cells), ACCIDENTAL OVERDOSE (mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after) in a 60-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. No Medical History information was reported. On 18-Dec-2021 at 10:45 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 18-Dec-2021 at 11:20 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 18-Dec-2021, the patient experienced FEELING ABNORMAL (This felt as bad as having COVID.), PYREXIA (fever Saturday night that reached 105F),/"Yeah. Bye brain cells), ACCIDENTAL OVERDOSE (mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after). The patient was treated with PARACETAMOL (TYLENOL [PARACETAMOL]) for Adverse event, at a dose of 4 dosage form once. On 18-Dec-2021, ACCIDENTAL OVERDOSE (mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (mistakenly give me the Moderna booster and then gave me a primary dose 30 minutes after) had resolved. At the time of the report, FEELING ABNORMAL (This felt as bad as having COVID.) and PYREXIA (fever Saturday night that reached 105F),/"Yeah. Bye brain cells) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 18-Dec-2021, Body temperature: 105f (High) 105F fever. No concomitant medications were reported. Patient went to get his first dose of the Moderna vaccine (069H21A) and there was a bunch of confusion at the pharmacy. They initially thought he was there to get the Pfizer vaccine, but the patient corrected them. The patient stated that they mistakenly give him the Moderna booster and then gave him a primary dose 30 minutes after. He was on his butt entire weekend.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mobility decreased
Hospital-Tage: -
Labordaten: Test Date: 20211218; Test Name: Body temperature; Result Unstructured Data: 105F fever
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1972460

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: KS
Alter: 29,0
Geschlecht: F
Eingang: 22.12.2021
Impfdatum: 18.12.2021
Beginn: 19.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Injected limb mobility decreased Pain in extremity Peripheral swelling

Symptomtext

Patient reported sore arm, swelling and reduced mobility several days after vaccination

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injected limb mobility decreased
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1971535

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: FL
Alter: 68,0
Geschlecht: M
Eingang: 22.12.2021
Impfdatum: 21.12.2021
Beginn: 22.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Balance disorder Dizziness Heart rate increased Nausea Pain Pain in extremity Palpitations Pollakiuria

Symptomtext

Dizziness, nausea, always feeling like he is falling down. He stated he has to urine alot and his heart pounding and beating abnormally fast. Stabbing pain in his hands.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Palpitations
Hospital-Tage: -
Labordaten: no
Aktuelle Erkrankungen: no
Vorgeschichte: no
Andere Medikamente: fludrocortisone, lipitor, aspirin
Allergien: no
Vorherige Impfungen: -

VAERS 1967678

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: WA
Alter: 42,0
Geschlecht: F
Eingang: 21.12.2021
Impfdatum: 18.12.2021
Beginn: 18.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Arthralgia Back pain Condition aggravated Discomfort Fibromyalgia Gait disturbance Injection site pain Muscle spasms Neck pain Pain Pain in extremity Skin burning sensation Sleep disorder Vaccine positive rechallenge

Symptomtext

After i got my shot at about 5:30 not only did my arm start to hurt at the injection site. My feet started to hurt, the pain went from my feet to my knees to hips up my back arms to my neck. and into my hands. the pain wasn't in my joints. The pain was that of a Fibro flare, x10. The worst body pain I can't even explain. Muscle spasms in the palms of my hands that have lasted for 4 days. Foot pain that makes walking very painful. Back pain that makes it hard to sit up, hard to lay down. Pain that keeps you awake. Skin feeling like it's on fire. intense pain 72 hours, THe pain I have doesn't respond to OCT or muscle relaxers. I can't get comfortable.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Condition aggravated
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: sinus infection
Vorgeschichte: Epilepsy Fibromyalgia
Andere Medikamente: Lamotrigine ER, Zonisamide, Prazosin
Allergien: Amoxicillin, Z-pack
Vorherige Impfungen: I have only had this happen one other time and that was with my 2nd Moderna shot in April 14,2021. Moderna 4/14/2021 - After i g

VAERS 1964666

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

moderat

Staat: AL
Alter: 55,0
Geschlecht: F
Eingang: 20.12.2021
Impfdatum: 18.12.2021
Beginn: 19.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Blood donor Chest pain Headache Injection site erythema Injection site swelling

Symptomtext

Patient came to pharmacy stating she had an injection site reaction to both the flu shot and moderna booster. Patient received both shots on 12/18/21 in separate arms and started having swelling and erythema at both sites after 24 hours. She gave blood on 12/19/21 before injection site reactions started. She started having chest pains and a headache on 12/19/21 but was not sure if it was from the vaccines or from giving blood. She went to the ER to make sure everything was alright and they said she was experiencing side effects from the covid vaccine. I recommended she take benadryl and ibuprofen/tylenol and to apply a cold compress to the injection site. I recommended she follow up with her md about the chest pains and also if the injection site reaction continued to expand.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: na
Aktuelle Erkrankungen: na
Vorgeschichte: Chronic cervicalgia of occipito-axial region.
Andere Medikamente: percocet, flexeril
Allergien: sulfa, sulfasalazine, cephalosporins
Vorherige Impfungen: -

VAERS 1964463

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: TX
Alter: 65,0
Geschlecht: F
Eingang: 20.12.2021
Impfdatum: 17.12.2019
Beginn: 18.12.2021
Tage bis Beginn: 732,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Angina pectoris Chest pain Nerve compression Neuralgia Pain in extremity

Symptomtext

Patient experienced arm pain , pinched nerve pain extended to heart and left chest area.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1964087

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: CA
Alter: 75,0
Geschlecht: F
Eingang: 20.12.2021
Impfdatum: 20.12.2021
Beginn: 20.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

COVID-19 Condition aggravated Inappropriate schedule of product administration Nervousness Pruritus

Symptomtext

Patient DOB: EXACT came into vaccination site on 12/20/21 for COVID-19 Moderna Booster. Patient received first dose on 2/20/21 and second dose on 3/19/21. Patient reported to RN a history of COVID-19 diagnosis about one year ago which she managed at home. Patient reports a history over about the last year of shortness of breath, agitation, fatigue, vertigo, nausea, and itching on her head and skin accompanied by a rash. Patient does not recall when symptoms began. Patient cannot confirm nor deny if symptoms started within a few hours after the vaccine. Her son is with her and denies she had any adverse reactions to the vaccine. Patient states all symptoms are intermittent. Patient stated that she did see her PCP. PCP states that her symptoms are related to having been diagnosed with COVID and stated that it is up to her if she wants to get her booster vaccine. Patient stated that she has a history of diabetes, hypothyroidism, and hypertension. Patient stated that she is taking losartan, trazadone, atorvastatin, levothyroxine, metformin, and glipizide. Patient denies any allergies. Patient stated that she feels nervous about getting COVID vaccine today and feels itchiness on head today. EMT took patients vital signs. BP: 166/72, HR: 77, O2: 97%. Patient states that this about her normal BP. RN submitted a medical consult via text message to Vaccine Operations Leads, requesting to proceed with the COVID vaccine Moderna booster. Per CDC guidance, approval to proceed with COVID vaccine Moderna booster was obtained from medical consult team, Vaccine Operations Lead RN via Dr. approval. Patient received COVID vaccine Moderna LOT# 069H21A at 1525. Patient was educated on adverse effects of COVID vaccine and when to seek EMS. Patient verbalized understanding. Patient left vaccination site with her son at 1550 unassisted and with a steady gait.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Condition aggravated
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1963991

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: TN
Alter: 75,0
Geschlecht: M
Eingang: 20.12.2021
Impfdatum: 18.12.2021
Beginn: 18.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Erythema Headache Hypoaesthesia Pain Paraesthesia Swelling

Symptomtext

Patient woke up during the middle of the night approximately 14 hours after vaccine administration. Complained of Headache, Body aches, erythema, swelling, numbness/tingling down entire right arm. Patient came in 2 days to pharmacy and stated that arm is still numb/tingling.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Paraesthesia
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: Aspirin 81mg daily
Allergien: none
Vorherige Impfungen: -

VAERS 1963423

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: WA
Alter: 52,0
Geschlecht: M
Eingang: 20.12.2021
Impfdatum: 04.12.2021
Beginn: 04.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Condition aggravated Interchange of vaccine products Tinnitus

Symptomtext

Significant increase in tinnitus, continuous since shortly after injection. This is consistent with symptoms experienced after COVID infection in February 2020, Pfizer vaccine #1 (3/17/21), Pfizer vaccine #2 (4/7/21). Between Pfizer #2 and Moderna Booster, tinnitus finally seemed to begin improving after roughly 6 months. Following Moderna #3, symptoms have returned to a similar level experienced previously.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Condition aggravated
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: Pfizer COVID Vaccine 3/17/21 - tinnitus

VAERS 1962338

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: TN
Alter: 53,0
Geschlecht: M
Eingang: 19.12.2021
Impfdatum: 18.12.2021
Beginn: 18.12.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Hypoaesthesia Paraesthesia

Symptomtext

The patient's son contacted the pharmacy approximately 1 hour post vaccination and reported numbness in the left hand and tingling along the left arm. The patient's son contacted the pharmacy approximately 2 hours after the initial report of adverse reactions and stated that both the tingling and numbness had resolved.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Paraesthesia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1962294

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: KS
Alter: 70,0
Geschlecht: F
Eingang: 19.12.2021
Impfdatum: 16.12.2021
Beginn: 17.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Cellulitis Joint swelling Mobility decreased Peripheral swelling Skin warm Tenderness Ultrasound scan

Symptomtext

Patient reported swollen arm from shoulder to wrist beginning day after vaccinations . Patient also states that she had an IV in the same arm 4 days before vaccines, as well. The arm was very tender and unable to raise arm. Reported heat and lines down her arm. She reported to an urgent care and was ruled out for blood clots, and was treated for cellulits.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mobility decreased
Hospital-Tage: -
Labordaten: Sonogram to rule out blood clots on 12/18/21
Aktuelle Erkrankungen: Unsure. However, patient said she had an IV placed in the same arm on 12/12/21
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1962254

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: AL
Alter: 55,0
Geschlecht: F
Eingang: 19.12.2021
Impfdatum: 17.12.2021
Beginn: 17.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Agitation Chest pain Dyspnoea Heart rate irregular Pain Pain in extremity Palpitations Vomiting

Symptomtext

On December 17, 2021 at 10:40 am, I received a Moderna booster. By 10:00pm that same night I started having intense chest pain, like someone was placing a branding iron on my heart and searing pain would radiate out to my arms. My rhr (resting heart rate) maintained at 90-114 bpm. I felt like my heart was pounding and beating irregularly, with shortness of breath and I was unable to calm either. I vomited. ALL of these symptoms mentioned above lasted from 10:00 pm until 8:00 am the following morning, December 18, 2021.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none
Vorgeschichte: mitral valve prolapse
Andere Medikamente: none
Allergien: penicillin
Vorherige Impfungen: Second dose of Moderna on April 11, 2021 resulted in chest pain and high pulse rate for extended period of time, appox. 12 hours

VAERS 1955957

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: CA
Alter: 88,0
Geschlecht: F
Eingang: 16.12.2021
Impfdatum: 16.12.2021
Beginn: 16.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Dizziness Extra dose administered Headache Hypertension Inappropriate schedule of product administration Neck pain

Symptomtext

Client received the Moderna COVID vaccine booster dose (lot 069H21A, expiration 01/07/2021) to her left arm and Fluarix Quadrivalent (Lot 7557A, Expiration 6/30/2022) to her right arm at approximately 1320. Patient reported to EMT at 1345 that she was experiencing mild dizziness. EMT notified Co-Lead RN. RN assisted client to anti-gravity chair. At this time, client stated that dizziness started approximately 15 minutes after receiving both vaccinations. Vital signs at 1346 were as follows: O2 98%, pulse 75, blood pressure 172/82, respirations 17. Client also reported a mild headache in back of her head and neck. Upon assessment, client is alert and oriented to person and place. Client could not recall year, month or president. The client's husband agrees that client's orientation is typical for her and that client " has been having recent issues with her memory". Clients skin is appropriate for ethnicity, dry and warm to touch. Pupils are equal and reactive. Client denies shortness of breath, chest pain, itchiness, palpitations, swelling of throat or tongue and any other symptoms of concern. Medical conditions include: history of breast cancer. Client's husband reports she does not have a history of high blood pressure, but reports her systolic blood pressure has been reported in the 150-160s during her last few visits at her doctor's office and reports that the client normally complains of a tension headache in her neck and back of her head. Client denies allergies and reports that she last ate a cookie and cup of coffee at 0800. Vital signs at 1355 are as follows: O2 99%, pulse 82, blood pressure 160/82, respirations 18. Client reports that dizziness and headache have improved, but reports symptoms are still present. At 1410 vital signs at are as follows: O2 99%, pulse 83, blood pressure 172/80, respirations 18. Client offered EMS due to continued symptoms of dizziness and high blood pressure. Client and husband declined EMS. Co-Lead RN advised client and husband to follow up with physician immediately. Lead RN educated client and husband on ER precautions. Client and husband verbalized understanding. Client's husband stated he would drive client home and reported " I will call her doctor right away". At 1430, Co-lead RN and Lead monitored client while she ambulated to her car with a steady gait. No further nursing interventions required at this time.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Hypertension
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Hx of breastcancer
Andere Medikamente: Unknown
Allergien: NKDA
Vorherige Impfungen: -

VAERS 1955284

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: TX
Alter: 32,0
Geschlecht: F
Eingang: 16.12.2021
Impfdatum: 15.12.2021
Beginn: 16.12.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Arthralgia Bone pain Disturbance in attention Ear pain Fatigue Feeling abnormal Feeling hot Migraine Nausea Neck pain

Symptomtext

Migraine Bone pain Joint pain Ear pain Neck pain Fatigue Nausea Brain fog Unable to focus All began around 1am morning after vaccination not relieved by ibuprofen nor Tylenol nor excedrine in creased water intake to no avail Felt very hot but nothing higher that 99.5F still feeling badly with all symptoms stated above

Weitere VAERSDATA-Felder

Praegender Schweregrund: Migraine
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: N/a
Vorgeschichte: N/a
Andere Medikamente: Daily vitamin
Allergien: Ciprofloxcian
Vorherige Impfungen: -

VAERS 1951204

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: MA
Alter: 36,0
Geschlecht: F
Eingang: 15.12.2021
Impfdatum: 13.12.2021
Beginn: 13.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Burning sensation Muscle spasms Neurological examination Pain Pain in extremity Paraesthesia

Symptomtext

Since Dec 13th I've been experiencing tingling/ pins and needles in my left arm, hand, leg and foot. I was instructed by Health's on call staff that if it got worse or if I had one more adverse event I needed to go to the hospital and if the system was still occurring I needed to be seen at my Dr.'s office, which I did on Dec 14th. The systems hadn't gone away completely but had subsided until around 3am on Dec15th. I woke up having muscle spasms in my left leg, a burning sensation down my left arm and waves of intense pins and needles in my left hand and foot. Also, I had waves of cramping type pain on the bottom of both feet. Now I have a dull pain down my left leg and continued mild pins and needs in my left hand mainly and sometimes in my left foot.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Paraesthesia
Hospital-Tage: -
Labordaten: Dec 14th - vitals and nuero exam by a nurse practitioner at Health.
Aktuelle Erkrankungen: seasonal allergies in Nov.
Vorgeschichte: For the past few years I've had a hormone imbalance and have been seeking treatment through diet and supplements through a Medical Practitioner.
Andere Medikamente: Vitamin C, D, B12; Magnesium; Zinc; Colostrum; DIM-Evail; Chaste Tree Berry.
Allergien: Seasonal allergies; gluten free sensitivity.
Vorherige Impfungen: -

VAERS 1951175

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: SD
Alter: 71,0
Geschlecht: F
Eingang: 15.12.2021
Impfdatum: 14.12.2021
Beginn: 14.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Chest discomfort Dyspnoea Erythema Feeling hot

Symptomtext

Patient was administered COVID booster shot and high dose flu shot at 1528. At 1535, patient stated she felt like she was having a reaction. Patient reported she felt warm and her chest felt heavy, making it seem hard to take a breath. Patient's face, chest, and ears were red. Vitals were taken, see in chart. DNP was called to the conference room to evaluate patient. Patient remained in observation for 30 minutes, and voiced feeling better prior to leaving. Advised patient to report to the ER with any further concerns.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: Fluoxetine HCl 20 mg, Fosamax 70 mg, Calcium 1200 mg, Vitamin D 800 IU, Melatonin 12mg, Multivitamin
Allergien: Sulfa antibiotics
Vorherige Impfungen: -

VAERS 1935555

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: MI
Alter: 39,0
Geschlecht: F
Eingang: 09.12.2021
Impfdatum: 07.12.2021
Beginn: 07.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Condition aggravated Contusion Lymphadenopathy Pain in extremity

Symptomtext

Received the injection in my left arm, same as the first two rounds. Arm felt like someone hit me with a bat (same as with first two injections) within a few hours. By Wednesday evening, I received bruising toward my upper inside arm near arm pit and my lymph nodes around the outside of my armpit near my left breast swelled significantly. Roughly the size of a softball. Swelling decreased to half by Thursday morning. I did not have this reaction to the first two shots.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Condition aggravated
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: seasonal birth control
Allergien: penicillian
Vorherige Impfungen: -

VAERS 1931534

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

moderat

Staat: NV
Alter: 24,0
Geschlecht: F
Eingang: 07.12.2021
Impfdatum: 07.12.2021
Beginn: 07.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Paraesthesia

Symptomtext

Pt felt a tingling sensation on the left side, which then moved over to the right side. Pt had taken an Acetaminophen tablet. Pt was advised to take a Benadryl tablet, but was advised that if she was concerned, to visit a Dr or ER.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Paraesthesia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2603728

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: NY
Alter: 56,0
Geschlecht: F
Eingang: 25.03.2023
Impfdatum: 01.04.2021
Beginn: 01.04.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: ja Erholt: nein

Arthralgia Blood test Colectomy Computerised tomogram Diverticulitis Dysphagia Electromyogram Influenza like illness Injection site injury Injection site pain Lumbar puncture Magnetic resonance imaging Mesenteric abscess Muscular weakness Speech disorder Ultrasound scan X-ray

Symptomtext

Shot1: March 22 2021 severe injection site arm and shoulder pain Shot 2:April 19 2021 severe injection site arm shoulder pain, flu- like illness for week. July- recurring diverticulitis, mesenteric abscess culminating in colon resection 5/22 August- progressive left hand/ arm weakness. shot 3: December 17, 2021 severe injection site injury, flu like illness week to 10 days, speech impairment begins followed by difficulty swallowing.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: 7 mri, 7 ctscan, 4 emg, spinal tap, Xray, sonogram, hundreds of blood tests
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: none
Allergien: none
Vorherige Impfungen: -

VAERS 2579413

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

mild

Staat: FL
Alter: 57,0
Geschlecht: M
Eingang: 09.02.2023
Impfdatum: 05.03.2021
Beginn: 31.01.2023
Tage bis Beginn: 697,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein

Blood test abnormal Contusion Fatigue Platelet count decreased

Symptomtext

1/31/2023 reported to HCP for bruising, fatigue, contusions. Blood drawn and results on 2/2/23 showed critically low platelets. Unsure if related to vaccinations.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: 2,0
Labordaten: 2/2/23 low platelets
Aktuelle Erkrankungen: no
Vorgeschichte: no
Andere Medikamente: none
Allergien: no
Vorherige Impfungen: -

VAERS 2539281

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CO
Alter: 75,0
Geschlecht: M
Eingang: 21.12.2022
Impfdatum: 14.12.2021
Beginn: 28.11.2022
Tage bis Beginn: 349,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja

COVID-19 Discharge Headache Influenza virus test positive Oropharyngeal pain Pyrexia SARS-CoV-2 test positive Sinus congestion

Symptomtext

I woke up with a headache, drainage, sore throat, full sinuses, fever of about 99 and I normally run about 97. Shortly afterwards temperature up to 100, then I think later that day it got up to 101 and that's when I went to urgent care. They tested me for COVID-19 and flu, both came up negative. The attending Dr. told me to test again the next day and come back if I got a positive test. The next day the temperature got up to 102 and my symptoms were more exaggerated. I went to a nurse her at the retirement home to get another test and that test came up positive. I went back to urgent care and the doctor gave me a prescription for PAXLOVID. Within 24/hrs. all symptoms were gone. Back to normal temperature, but had some drainage and sore throat for about a week or so. I isolated for 10 days per retirement home regulation.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Headache
Hospital-Tage: -
Labordaten: Rapid COVID-19 test negative (11/28/22) rapid flu test negative (11/28/22) COVID-19 test positive (11/29/22)
Aktuelle Erkrankungen: N/A
Vorgeschichte: Chronic Kidney Disease; Lupus SLE; Coronary Artery Disease; High Blood Pressure; Osteo Arthritis
Andere Medikamente: Mycophenolate mofetil; rosuvastatin; lisinopril; baby aspirin; osteo bi-flex glucosamine chondroitin; fish oil; calcium CALTRATE with vitamin D; FOLBEE food supplement; garlic capsule; vitamin D3; extra strength TYLENOL
Allergien: Latex; morphine; surgical wash
Vorherige Impfungen: After 2nd COVID-19 vaccinations I had a 30 hour event of bad chills and shaking so bad I had trouble urinating and fever up to 1

VAERS 2538668

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: SC
Alter: 70,0
Geschlecht: F
Eingang: 21.12.2022
Impfdatum: 14.12.2022
Beginn: 15.12.2022
Tage bis Beginn: 1,0
Dosis: UNK
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Headache Myalgia Pyrexia SARS-CoV-2 test

Symptomtext

fever; headache; muscle aches; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (fever), HEADACHE (headache) and MYALGIA (muscle aches) in a 70-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 069H21A) for COVID-19 prophylaxis. Never diagnosed with COVID-19 Allergies: Sulfite, artificial crab legs Asthma from inhaling certain chemicals and cooking oils. There was no parental vaccine exposure. The patient's past medical history included Allergy and Asthma. Previously administered products included for COVID-19 prophylaxis: COVID-19 VACCINE on 25-Feb-2021 and COVID-19 VACCINE on 09-Dec-2021; for an unreported indication: COVID-19 VACCINE on 28-Jan-2021. Past adverse reactions to the above products included No adverse event with COVID-19 VACCINE and COVID-19 VACCINE. Concurrent medical conditions included Allergy and Asthma. On 14-Dec-2022, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On 15-Dec-2022, the patient experienced PYREXIA (fever), HEADACHE (headache) and MYALGIA (muscle aches). At the time of the report, PYREXIA (fever), HEADACHE (headache) and MYALGIA (muscle aches) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 12-Dec-2022, SARS-CoV-2 test: Negative. For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments. No concomitant medication was provided by reporter. No treatment medication was provided by reporter.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Headache
Hospital-Tage: -
Labordaten: Test Date: 20221212; Test Name: COVID-19 test; Test Result: Negative
Aktuelle Erkrankungen: Allergy; Asthma
Vorgeschichte: Medical History/Concurrent Conditions: Allergy; Asthma; Comments: Never diagnosed with COVID-19 Allergies: Sulfite, artificial crab legs Asthma from inhaling certain chemicals and cooking oils. There was no parental vaccine exposure.
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2524188

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: WA
Alter: 38,0
Geschlecht: M
Eingang: 06.12.2022
Impfdatum: 05.12.2021
Beginn: 01.11.2022
Tage bis Beginn: 331,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Basedow's disease Blood test Fatigue Heart rate increased Hyperhidrosis Thyroxine increased

Symptomtext

I have been diagnosed with Graves' Disease. My symptoms were increased heartrate, sweating, and fatigue. I was prescribed 2 medications atenolol, and methimazole. I am feeling better with medication at this time, but still deal with some of the symptoms.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: 16AUG2022 blood panel, increased T4 level
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: Multivitamin; probiotic; vitamin B12
Allergien: N/A
Vorherige Impfungen: -

VAERS 2374763

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: IN
Alter: 39,0
Geschlecht: F
Eingang: 20.07.2022
Impfdatum: 18.01.2022
Beginn: 01.06.2022
Tage bis Beginn: 134,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Nasopharyngitis Pyrexia SARS-CoV-2 test negative

Symptomtext

It was a really bad cold that came out of no where. I had a fever. Never had a loss of smell and taste. I took a at home COVID-19 test and it all came back negative. It lasted about a week and a half.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pyrexia
Hospital-Tage: -
Labordaten: COVID-19 test - negative at home.
Aktuelle Erkrankungen: No
Vorgeschichte: No
Andere Medikamente: BENADRYL
Allergien: Allergy medicine; NEOSPORIN; dextromethorphan
Vorherige Impfungen: -

VAERS 2367953

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: NJ
Alter: 71,0
Geschlecht: F
Eingang: 13.07.2022
Impfdatum: 01.04.2022
Beginn: 23.06.2022
Tage bis Beginn: 83,0
Dosis: 4
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

COVID-19 Fatigue Feeling abnormal Influenza like illness Malaise Oropharyngeal pain Pain Respiratory tract congestion SARS-CoV-2 test positive

Symptomtext

COVID-19 symptoms started 06/23/22 at 8 Am with mild sore throat and a little congestion. I tested positive same day at 9 AM. Later in the day I felt achy and flu-like and I don't think I had a fever but I did feel achy and not good. Symptoms lasted that day but I had phoned clinic for COVID-19 hotline for virtual appointment and I got Paxlovid and started right away. After that I did have mild achiness and fatigue throughout the day and the next day I felt fine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: COVID-19 Positive 06/23/22
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Crestor
Allergien: None
Vorherige Impfungen: Shingrex-January 2020- flu-like, achiness, chills, feverish

VAERS 2367516

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CA
Alter: 39,0
Geschlecht: F
Eingang: 13.07.2022
Impfdatum: 11.01.2022
Beginn: 05.06.2022
Tage bis Beginn: 145,0
Dosis: 3
Route/Site: SYR / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Asthenia COVID-19 Cough Decreased appetite Diarrhoea Fatigue Feeling abnormal Gastrointestinal disorder Nasal congestion Ocular discomfort Pyrexia SARS-CoV-2 test positive

Symptomtext

I thought I had allergies and then I had the fever, 100.9 degrees on Sunday afternoon. It felt like allergy symptoms at first. I was very stuffy and run down. I took a rapid test and it was positive. The next day I was feeling more run down than what allergies were. That same day I went to the ER on 6/7, they gave me the PAXLOVID prescription. Basically I was exhausted, absolutely no energy, coughing, my eyes were bothering me. The first half was more similar to allergies and then on the 17th is when I finally tested negative. The last three to four days of my symptoms I had to use my inhaler consistently and it lasted for the following 2 and a half weeks after that. I did have a lot of gastrointestinal issues during. I did lose my appetite and also had diarrhea.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Diarrhoea
Hospital-Tage: -
Labordaten: 6/50/2022 at home COVID-19 test positive; 6/7/2022 PCR COVID-19 test positive.
Aktuelle Erkrankungen: N/A
Vorgeschichte: Asthma
Andere Medikamente: Vitamin D; ALLEGRA; ZOLOFT; acyclovir; ibuprofen; albuterol inhaler
Allergien: Seasonal Allergies; smoke; smog; lactose intolerant; any form of pepper; soaps; cleaners
Vorherige Impfungen: Tetanus shot, 28 years old, swollen feverish red and itchy, left arm.

VAERS 2364663

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: NJ
Alter: 69,0
Geschlecht: F
Eingang: 11.07.2022
Impfdatum: 06.04.2022
Beginn: 01.06.2022
Tage bis Beginn: 56,0
Dosis: 4
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Headache Polymerase chain reaction Pyrexia Rhinorrhoea Sinus congestion

Symptomtext

I experienced a mild headache for 2-3 days; runny nose; mild fever; sinus congestion.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Headache
Hospital-Tage: -
Labordaten: Home testing/PCR.
Aktuelle Erkrankungen: No
Vorgeschichte: Rheumatoid Arthritis
Andere Medikamente: Metoprolol; bupropion; folic acid; OTREXUP
Allergien: Sulfur; shellfish
Vorherige Impfungen: -

VAERS 2362720

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CO
Alter: 67,0
Geschlecht: F
Eingang: 08.07.2022
Impfdatum: 05.04.2022
Beginn: 24.06.2022
Tage bis Beginn: 80,0
Dosis: 4
Route/Site: SYR / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

COVID-19 Oropharyngeal pain SARS-CoV-2 test positive

Symptomtext

I started getting a sore throat. I tested myself on Thursday evening and i was negative. The next day I received a call from my friend who stated that she had tested positive for COVID-19 so I retested the next day and was positive for COVID-19. I went the next day to the Infusion Center and was given the monnoclonal infusion.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Oropharyngeal pain
Hospital-Tage: -
Labordaten: COVID 19
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Levothyroxine; Multi Vitamins
Allergien: None
Vorherige Impfungen: -

VAERS 2339001

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: OK
Alter: 43,0
Geschlecht: F
Eingang: 28.06.2022
Impfdatum: 13.12.2021
Beginn: 22.06.2022
Tage bis Beginn: 191,0
Dosis: 2
Route/Site: IM / UN

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja

COVID-19 Ear pain Myalgia Oropharyngeal pain Respiratory tract congestion Rhinorrhoea SARS-CoV-2 test Streptococcus test Vaccine breakthrough infection

Symptomtext

Breakthrough covid case. Patient presented to ER on 6/22/22 with c/o of runny nose, congestion, sore throat, ear pain and myalgia. Hx of Moderna vaccine x 2 doses. DC home.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Ear pain
Hospital-Tage: -
Labordaten: 6/22/22: covid test, strep test
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2325559

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: IN
Alter: 52,0
Geschlecht: F
Eingang: 21.06.2022
Impfdatum: 01.04.2021
Beginn: 14.04.2022
Tage bis Beginn: 378,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Ageusia Anosmia COVID-19 Cough Headache Lethargy Malaise Pain Pyrexia SARS-CoV-2 test positive Sinus congestion Sinusitis Vaccine breakthrough infection

Symptomtext

After taking with an agent at V-Safe, they advised I report a breakthrough case of COVID. I was extremely ill with a high fever (102) for 3 days, cough, body aches and lethargy and head congestion which led to an intense sinus infection and extreme headache pain that lasted for two weeks. I also had loss of taste and smell. My PCP prescribed an antibiotic to clear up the sinus infection.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Headache
Hospital-Tage: -
Labordaten: At home COVID test, positive, 4/15/22
Aktuelle Erkrankungen: None.
Vorgeschichte: Crohn's Disease, osteopenia, seasonal allergies.
Andere Medikamente: Inflectra, Loperamide, OTC allergy medications (Zyrtec, Flonase), Calcium and Vitamin D supplements.
Allergien: none known
Vorherige Impfungen: -

VAERS 2298647

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: SC
Alter: 20,0
Geschlecht: M
Eingang: 27.05.2022
Impfdatum: 28.12.2021
Beginn: 01.12.2021
Tage bis Beginn: -
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Erythema Inflammation Pain in extremity

Symptomtext

PATIENT CAME INTO THE PHARMACY ON 05/23/2022 AND STATED THAT HE HAD ISSUES WITH HIS ARM AFTER HIS SHOT. HE STATED THAT HIS ARM WAS RED AND HAD STREAKS GOING DOWN HIS ARM. HE SAID THAT HIS ARM WAS RAW, SORE AND INFLAMMED. PATIENT SHOWED ME WHERE THE INJECTION OCCURED WHICH WAS APPROXIMATELY 3 INCHES ABOVE THE ELBOW. I EXPLAINED THAT WE DO NOT GIVE SHOTS THAT LOW AND MAYBE IT COULD BE A SPIDER BITE OR OTHER ISSUE. I ADVISED PATIENT TO GO TO THEIR DR FOR A DIAGNOSIS.

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Praegender Schweregrund: Pain in extremity
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2270688

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: -
Alter: 42,0
Geschlecht: F
Eingang: 09.05.2022
Impfdatum: 10.01.2022
Beginn: 10.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Fatigue Headache Injection site pain Night sweats Pain

Symptomtext

Headache injection pain, fatigue, body aches, night sweats Narrative: employee states : "half of what the full dose did and lasted 2.5 days"

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2261897

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: NJ
Alter: 38,0
Geschlecht: F
Eingang: 03.05.2022
Impfdatum: 24.03.2022
Beginn: 24.03.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Dermatitis Injection site rash Peripheral swelling Pruritus Rash Scratch Skin warm

Symptomtext

I began having a rash wrapping around my arm from where the injection site was at the same day that I received the vaccination and it traveled all over my body and the bottom of my feet began to swell in April and it has been on going. The rash inflamed and hot in touch it traveled to different parts of my body and I dealt with it a couple days on my own taking Benadryl and I went to the ED on April 9th I am not a scratcher but it would blow up because I scratched in that area. I thought it was done for but I started getting itchy yesterday and the day before.

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Praegender Schweregrund: Injection site rash
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Fibromyalgia, PCOS, Autoimmune non specific
Andere Medikamente: None
Allergien: Penicillin
Vorherige Impfungen: -

VAERS 2255254

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: NJ
Alter: 64,0
Geschlecht: F
Eingang: 27.04.2022
Impfdatum: 01.04.2022
Beginn: 13.04.2022
Tage bis Beginn: 12,0
Dosis: 4
Route/Site: - / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Drug intolerance Pruritus Rash Rash erythematous

Symptomtext

Red rash started on stomach and has moved around the body for the last two weeks. Mostly on the torso. Also palms of hands are really itchy. Went to allergist who suggested an antihistamine which is turns out I can't tolerate so I'm waiting for further instructions from him on an alternative treatment.. Said it should correct itself hopefully within the next two weeks. said he had seen this with the first booster. Two weeks in I'm still itchy.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: no tests.
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: prempro, fish oil, multiple vitamins, coq10, vitamin c
Allergien: iodine
Vorherige Impfungen: -

VAERS 2249935

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: TX
Alter: 33,0
Geschlecht: F
Eingang: 25.04.2022
Impfdatum: 23.03.2021
Beginn: 23.03.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: SYR / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Headache

Symptomtext

Headaches that come and go all day everyday

Weitere VAERSDATA-Felder

Praegender Schweregrund: Headache
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: HIV, Over weight
Andere Medikamente: Odefesy, Ferrous Sulfate
Allergien: OxyContin, penicillin
Vorherige Impfungen: -

VAERS 2249580

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CA
Alter: 65,0
Geschlecht: F
Eingang: 23.04.2022
Impfdatum: 30.03.2022
Beginn: 07.04.2022
Tage bis Beginn: 8,0
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Arthralgia Burning sensation Erythema Eye swelling Pain in extremity Peripheral swelling Rash erythematous Rash pruritic Skin exfoliation

Symptomtext

Problems started on April 7 (vaccination was March 30). I woke up and my eyes were almost swollen shut, all the fingers on both hands were very swollen (so badly that the rings that are usually comfortably loose were wedged on) and some had painful red areas, both feet were puffed up, a big red rash on one ankle and the underside of both big toes was firey red and intensely ichy. My right arm, the shoulder area felt like a torn rotator cuff (believe me I know what that feels like), but wasn't, and my right wrist felt like it was sprained. My spine was burning. I took Benadryl immediatly and used a topical prescription steroid (Triamcinolone) cream. Everything responded to the Benadryl and the steroid. I've been taking Benadryl since the 7th. If I try to back off it, symptoms come roaring back. I still have joint pain (in joints that have never bothered me), but oddly not in my neck which has been a problem for years. Also oddly my left arm has barely any issues. I have rashes where I've never had them before, and a few scaly areas turned bright red and are starting to calm down after using the steroid cream. The right arm sometimes feels better with use throughout the day, after I've had Benadryl, but in the evening it starts getting worse, until more Benadryl. And I've been adding fiorinal or Baclofen. I was hoping I could ignore this and it would all go away. But it was best to see my doctor. I saw her on Wednesday, April 20. She prescribed Triamcinolone (what I had on hand was out of date since I only rarely used it), Diclofenac, Baclofen (what I had was out of date) and told me no second COVID vaccine until at least 3 weeks after I have no symptoms. Prescriptions were delayed at the pharmacy (Trimacinlone still isn't ready!!!) until today, April 23. Symptoms are still pretty unpleasant. My spine feels like it is burning. The rash on my right ankle is less red but it is burning. Multiple joints are burning that have never burned before.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: Blood tests scheduled on Tuesday, April 26
Aktuelle Erkrankungen: occasionally a little eczema in ears, particularly the right one
Vorgeschichte: migraines, high blood pressure, depression, pinched nerve in neck, arthritis in neck
Andere Medikamente: atenolol, mirtazapine, aspirin, fish oil, chondroitin/glucosamine, vitamin d, zinc, calcium, vitamin c
Allergien: tetanus vaccine, mycin antibiotics, Septra, DPT vaccine, cortisporin
Vorherige Impfungen: Anaphylactic reactions to multiple childhood vaccines. Last one was 1/4 of a tetanus shot in the doctors office in 1967 (or 196

VAERS 2248245

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CA
Alter: 62,0
Geschlecht: M
Eingang: 22.04.2022
Impfdatum: 17.12.2021
Beginn: 01.01.2022
Tage bis Beginn: 15,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: ja Erholt: nein

Arthralgia Dysstasia Fatigue Frustration tolerance decreased Gait disturbance Generalised oedema Impaired work ability Muscle discomfort Musculoskeletal stiffness Pain Peripheral swelling Pollakiuria

Symptomtext

On the third week after getting my vaccine. Frequent urination, body Pain and fatigue. Extreme joint pain. I had an ER visit on 04/21/2022, they could not find anything wrong. I have never had this happen before. I am barely able to work because of this. I have trouble even going up the stairs. I am having joint pain. My hands and feet are swollen. I am frustrated and hurting while working. I must stand little by little to stand and walk. I have stiffness and I feel as if my whole body is swollen. When I bend my knees, I must push myself, I feel like my muscles are loaded. I feel like I am 90 years old.

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Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: High Blood and Pressure; Diabetes
Andere Medikamente: Metformin; Losartan; Hydrochloride
Allergien: Lisinopril
Vorherige Impfungen: -

VAERS 2240878

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: WI
Alter: 47,0
Geschlecht: F
Eingang: 19.04.2022
Impfdatum: 12.12.2021
Beginn: 13.12.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Blood test normal Dizziness Fatigue Feeling abnormal Headache Nausea X-ray

Symptomtext

It started the next day after the vaccine. I had fatigue, light headed, head ache, brain fog, nausea and dizziness. The doctor ran a lot of test and everything came back negative. I am now seeing the Chiropractor because the doctor don't know what else to do. I have been going to the Chiropractor for about 4 weeks now. I was referred to another Chiropractor because the first one didn't know what to do for me. I have an appointment today.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: Full blood panel test; Eye exam; Ear nose and throat doctor; X-rays.
Aktuelle Erkrankungen: None
Vorgeschichte: Migraine
Andere Medikamente: Trazodone, Sumatriptan (as needed), Zyrtec D (as needed) and Zinc and Vitamin C.
Allergien: None
Vorherige Impfungen: -

VAERS 2236106

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

mild

Staat: -
Alter: 15,0
Geschlecht: F
Eingang: 15.04.2022
Impfdatum: 23.03.2022
Beginn: 23.03.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Injection site pain

Symptomtext

no symptoms other than sore arm from injection site

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2129298

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CO
Alter: 14,0
Geschlecht: F
Eingang: 15.04.2022
Impfdatum: 18.02.2022
Beginn: 03.04.2022
Tage bis Beginn: 44,0
Dosis: 3
Route/Site: IM / AR

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Erythema Product administered to patient of inappropriate age Swelling Urticaria

Symptomtext

14 year old was given Moderna (not yet approved for 14 year olds) and now has recurring, intermittent facial redness, hives and swelling

Weitere VAERSDATA-Felder

Praegender Schweregrund: Urticaria
Hospital-Tage: -
Labordaten: Urgent care 4/3 prescribed predisone and benadryl. Dermatologist scheduled 6/27
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: melatonin
Allergien: sulfa drugs
Vorherige Impfungen: -

VAERS 2129298

UNKNOWN MANUFACTURER · VACCINE NOT SPECIFIED (NO BRAND NAME) · Charge 069H21A

mild

Staat: CO
Alter: 14,0
Geschlecht: F
Eingang: 15.04.2022
Impfdatum: 18.02.2022
Beginn: 03.04.2022
Tage bis Beginn: 44,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Erythema Product administered to patient of inappropriate age Swelling Urticaria

Symptomtext

14 year old was given Moderna (not yet approved for 14 year olds) and now has recurring, intermittent facial redness, hives and swelling

Weitere VAERSDATA-Felder

Praegender Schweregrund: Urticaria
Hospital-Tage: -
Labordaten: Urgent care 4/3 prescribed predisone and benadryl. Dermatologist scheduled 6/27
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: melatonin
Allergien: sulfa drugs
Vorherige Impfungen: -

VAERS 2207133

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: MA
Alter: 59,0
Geschlecht: M
Eingang: 30.03.2022
Impfdatum: 22.12.2021
Beginn: 22.01.2022
Tage bis Beginn: 31,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Blood test Pruritus Rash Rash macular Skin papilloma Viral rash

Symptomtext

About one month after receiving the vaccine I started to have itchy skin, and I developed red tiny spots on my skin. The spots were on my right and left arms, thighs, hands, chest and on my face. They eventually turned into warts on my left forearm and right trapezius. I went in to see a dermatologist, and they removed the two warts I had. I was told the skin rash developed due to a virus. I was given a cream called fluocinonide to use to help with the itching.

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Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: Waiting to hear about blood tests results to proceed with treatments.
Aktuelle Erkrankungen: None
Vorgeschichte: AVM Rupture 1994; Seizure disorder
Andere Medikamente: Dilantin 50mg tab and 100 mg tab; Folic Acid; Red Yeast Rice; Zinc; Multivitamin
Allergien: Adhesive
Vorherige Impfungen: -

VAERS 2196355

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: NH
Alter: 36,0
Geschlecht: F
Eingang: 24.03.2022
Impfdatum: 15.12.2021
Beginn: 24.12.2021
Tage bis Beginn: 9,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Allergy test Blood test Pruritus Urticaria

Symptomtext

On 12/24 I developed hives and itchiness. It spread to my face and was still there a week later. I went to my PCP around Christmas time so she referred me to a Allergists. Was taking Zyrtec and QVAR inhalers.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: Allergy blood work.
Aktuelle Erkrankungen: None
Vorgeschichte: Asthma
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 2177332

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: NH
Alter: 34,0
Geschlecht: F
Eingang: 13.03.2022
Impfdatum: 10.12.2021
Beginn: 21.12.2021
Tage bis Beginn: 11,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Rash Urticaria chronic

Symptomtext

Chronic urticaria. Full body hives appeared on 12/21/21. Treated with bendryl and prednisone for 6 days. Then continued to manage symptoms with zyrtec once a day. The rash is reduced 90% with daily zyrtec. Without zyrtec, the rash returns in 24 hours. This continues to be the case as of today, 3/13/22, although it seems to be improving very gradually. I tired a second course of prednisone and montelukast which did not improve the rash.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Rash
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Pre-natal multivitamin, magnesium, vitamin D
Allergien: minocycline
Vorherige Impfungen: -

VAERS 2163500

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: NJ
Alter: 26,0
Geschlecht: F
Eingang: 07.03.2022
Impfdatum: 11.02.2022
Beginn: 19.02.2022
Tage bis Beginn: 8,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Rash Rash erythematous Rash pruritic

Symptomtext

Red itchy small bumps in a straight line which appears on the arms, back, stomach, and legs. The rash can be provoked with contact, hot showers. Occurred 9 days after vaccination and continues to this day. Improves with Zyrtec, Benadryl.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Rash
Hospital-Tage: -
Labordaten: n/a
Aktuelle Erkrankungen: n/a
Vorgeschichte: n/a
Andere Medikamente: n/a
Allergien: Allergic to copper, latex, gluten, shrimp
Vorherige Impfungen: -

VAERS 2160770

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: SC
Alter: 75,0
Geschlecht: F
Eingang: 05.03.2022
Impfdatum: 23.12.2021
Beginn: -
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Cellulitis Chills Discharge Epistaxis Fatigue Feeling hot Illness Sinusitis Vaccination site erythema Vaccination site pain Vaccination site reaction Vaccination site swelling

Symptomtext

cellulitis; sicker; heat; nose bleed with clots after that; Green drainage; sinus infection; allergic reaction at the inject sight; fatigued; chills; bright red; swollen; I thought my left arm was going to fall off; This spontaneous case was reported by a nurse and describes the occurrence of CELLULITIS (cellulitis) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 007J212A and 069H21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Skin cancer (Stage 1 squamous cell), Seizures (due to a car accident), Accident automobile (Car accident), Transient ischemic attack (4 TIAs), Clinical trial participant (2003 was out for 3 weeks with MERS (said they tested positive)) in 1997, Skin cancer excision in September 2021 and Squamous cell carcinoma excision in July 2021. Concurrent medical conditions included Asthma, Cardiac arrhythmia and Allergy (with a prescribed epi pen). Concomitant products included LEVETIRACETAM (KEPRA), FLECAINIDE, MONTELUKAST SODIUM (SINGULAIR), PANTOPRAZOLE SODIUM SESQUIHYDRATE (PANTOPRAZOLE 40), FEXOFENADINE HYDROCHLORIDE (ALLEGRA 24 HOUR), SALBUTAMOL (ALBUTEROL HFA), HCTZ, MUPIROCIN and TETANUS VACCINE for an unknown indication. On 23-Dec-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 25-Jan-2022, 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 CELLULITIS (cellulitis) (seriousness criterion medically significant), ILLNESS (sicker), FEELING HOT (heat), EPISTAXIS (nose bleed with clots after that), DISCHARGE (Green drainage), SINUSITIS (sinus infection), VACCINATION SITE REACTION (allergic reaction at the inject sight), FATIGUE (fatigued), CHILLS (chills), VACCINATION SITE ERYTHEMA (bright red), VACCINATION SITE SWELLING (swollen) and VACCINATION SITE PAIN (I thought my left arm was going to fall off). The patient was treated with CEFALEXIN MONOHYDRATE (KEFLEX [CEFALEXIN MONOHYDRATE]) at a dose of 500 milligram and AMOXICILLIN, CLAVULANIC ACID (AUGMENT [AMOXICILLIN;CLAVULANIC ACID]) at a dose of 875 mg (after sinus infection). At the time of the report, CELLULITIS (cellulitis), ILLNESS (sicker), FEELING HOT (heat), EPISTAXIS (nose bleed with clots after that), DISCHARGE (Green drainage), VACCINATION SITE REACTION (allergic reaction at the inject sight), VACCINATION SITE ERYTHEMA (bright red), VACCINATION SITE SWELLING (swollen) and VACCINATION SITE PAIN (I thought my left arm was going to fall off) outcome was unknown and SINUSITIS (sinus infection), FATIGUE (fatigued) and CHILLS (chills) had not resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medication included Elipta 200 m. It was stated that they could not get into her primary care doctor, so she went to the urgent care. Stated they saw their primary doctor on the 9th of February and they provided further instructions. Caller states their podiatrist. She was forced to take the shot by the company she worked for after telling them that she had problem (with previous vaccines). She do not had history of COVID diagnosis. Company comment: This Spontaneous case concerns an elderly female patient with medical history of Automobile accident, seizures, cardiac arrhythmia and TIAs, experienced the unexpected serious event Cellulitis, on an unknown date after second dose of mRNA-1273. At the time of reporting, the event had not resolved. The benefit-risk relationship of mRNA-1273 is not affected by this report. This case was linked to MOD-2022-491980 (Patient Link).; Sender's Comments: This Spontaneous case concerns an elderly female patient with medical history of Automobile accident, seizures, cardiac arrhythmia and TIAs, experienced the unexpected serious event Cellulitis, on an unknown date after second dose of mRNA-1273. At the time of reporting, the event had not resolved. The benefit-risk relationship of mRNA-1273 is not affected by this report.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Allergy (with a prescribed epi pen); Asthma; Cardiac arrhythmia
Vorgeschichte: Medical History/Concurrent Conditions: Accident automobile (Car accident); Clinical trial participant (2003 was out for 3 weeks with MERS (said they tested positive)); Seizures (due to a car accident); Skin cancer (Stage 1 squamous cell); Skin cancer excision; Squamous cell carcinoma excision; Transient ischemic attack (4 TIAs)
Andere Medikamente: KEPRA; FLECAINIDE; SINGULAIR; PANTOPRAZOLE 40; ALLEGRA 24 HOUR; ALBUTEROL HFA; HCTZ; MUPIROCIN; TETANUS VACCINE
Allergien: -
Vorherige Impfungen: -

VAERS 2146014

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: SC
Alter: 75,0
Geschlecht: F
Eingang: 26.02.2022
Impfdatum: 23.12.2021
Beginn: 23.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Chills Diarrhoea Dizziness Headache MERS-CoV test Nausea Vaccination complication Vaccination site pain

Symptomtext

Experienced side effects; Diarrhea; Dizziness; Headache; Chills; Nausea; I thought my right arm was going to fall off; This spontaneous case was reported by a nurse and describes the occurrence of VACCINATION COMPLICATION (Experienced side effects), DIARRHOEA (Diarrhea), DIZZINESS (Dizziness), HEADACHE (Headache) and CHILLS (Chills) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Accident, Squamous cell carcinoma of skin (Stage 1 skin cancer in Sep-2021), Clinical trial participant in 1997, TIA (4 TIAs), MERS and Amputation (On right hand removed) in July 2021. Concurrent medical conditions included Asthma, Cardiac arrhythmia, Seizures (due to car accident) and Allergy (Severe Allergies-with a prescribed epi pen). Concomitant products included EPINEPHRINE (EPIPEN) for Allergy, LEVETIRACETAM (KEPRA), FLECAINIDE, MONTELUKAST SODIUM (SINGULAIR), PANTOPRAZOLE, FEXOFENADINE HYDROCHLORIDE (ALLEGRA [FEXOFENADINE HYDROCHLORIDE]), ALBUTEROL [SALBUTAMOL], HCTZ and MUPIROCIN for an unknown indication. On 23-Dec-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 23-Dec-2021, the patient experienced DIARRHOEA (Diarrhea). 23-Dec-2021, the patient experienced DIZZINESS (Dizziness), HEADACHE (Headache), CHILLS (Chills) and NAUSEA (Nausea). 23-Dec-2021, the patient experienced VACCINATION SITE PAIN (I thought my right arm was going to fall off). On an unknown date, the patient experienced VACCINATION COMPLICATION (Experienced side effects). At the time of the report, VACCINATION COMPLICATION (Experienced side effects), DIARRHOEA (Diarrhea), DIZZINESS (Dizziness), HEADACHE (Headache), CHILLS (Chills), NAUSEA (Nausea) and VACCINATION SITE PAIN (I thought my right arm was going to fall off) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2003, MERS-CoV test: positive (Positive) Positive, in 2003 was out for 3 weeks with MERS. 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. It was stated that patient had no COVID diagnosis and had received a Tetanus shot 08-Jan-2022 because they cut their finger on a garbage can. Concomitant medication include Ellipta 200 m. No treatment information was reported. This case was linked to MOD-2022-492034 (Patient Link).

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: Test Date: 2003; Test Name: MERS-CoV test; Test Result: Positive ; Result Unstructured Data: Positive, in 2003 was out for 3 weeks with MERS
Aktuelle Erkrankungen: Allergy (Severe Allergies-with a prescribed epi pen); Asthma; Cardiac arrhythmia; Seizures (due to car accident)
Vorgeschichte: Medical History/Concurrent Conditions: Accident; Amputation (On right hand removed); Clinical trial participant; MERS; Squamous cell carcinoma of skin (Stage 1 skin cancer in Sep-2021); TIA (4 TIAs)
Andere Medikamente: KEPRA; FLECAINIDE; SINGULAIR; PANTOPRAZOLE; ALLEGRA [FEXOFENADINE HYDROCHLORIDE]; ALBUTEROL [SALBUTAMOL]; HCTZ; MUPIROCIN; EPIPEN
Allergien: -
Vorherige Impfungen: -

VAERS 2140323

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

mild

Staat: NJ
Alter: 59,0
Geschlecht: M
Eingang: 25.02.2022
Impfdatum: 26.12.2021
Beginn: 15.01.2022
Tage bis Beginn: 20,0
Dosis: UNK
Route/Site: - / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Peripheral swelling Rash

Symptomtext

Swelling of legs and skin rash on 70% of body

Weitere VAERSDATA-Felder

Praegender Schweregrund: Rash
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Rash swollen legs
Andere Medikamente: Amlodine-Benaz 10/20. Atenolol. 50 mg. Met Forman 500 mg
Allergien: None
Vorherige Impfungen: -

VAERS 2123310

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: OH
Alter: 37,0
Geschlecht: F
Eingang: 18.02.2022
Impfdatum: 06.01.2022
Beginn: 16.01.2022
Tage bis Beginn: 10,0
Dosis: 3
Route/Site: - / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Laboratory test Pruritus Rash Thyroid disorder Urticaria

Symptomtext

10 days after Covid booster, started having a rash on different parts of the body, very itchy and when scratched the area welted up. Tried loratadine 3/per day and 10mg steroid treatment for 1 week with not much change. After 1 month from booster shot saw allergy doctor and she said the rash was from the covid booster and from having thyroid issues. She gave me a steroid shot in the buttocks and prescribed cetirizine 2 pill twice a day and hydroxyzine as needed.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: All lab results aren't in yet.
Aktuelle Erkrankungen: -
Vorgeschichte: Hypothyroidism
Andere Medikamente: Levothyroxine, Flonase, Omeprazole, Loratadine, Sam-E
Allergien: N/A
Vorherige Impfungen: -

VAERS 2122528

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: SC
Alter: 51,0
Geschlecht: F
Eingang: 18.02.2022
Impfdatum: 17.12.2021
Beginn: 17.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Pain Pain in extremity

Symptomtext

Terrible pain in her right leg all night long for about a week/her leg is sore every day; Sore to even touch/The pain does not go away since the vaccination; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Terrible pain in her right leg all night long for about a week/her leg is sore every day) and PAIN (Sore to even touch/The pain does not go away since the vaccination) in a 51-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. Concomitant products included DEXLANSOPRAZOLE (DEXILANT SOLUTAB) for Acid reflux (esophageal), IRON for Anaemia, BUPROPION HYDROCHLORIDE (WELLBUTRIN SR) for Antidepressant therapy, PIROXICAM (PAXIL [PIROXICAM]) for Anxiety, ATORVASTATIN CALCIUM TRIHYDRATE (ATORVASTATIN [ATORVASTATIN CALCIUM TRIHYDRATE]) for Cholesterol, LOSARTAN for Hypertension, TRAZODONE for Sleep disorder. On 17-Dec-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 17-Dec-2021, the patient experienced PAIN IN EXTREMITY (Terrible pain in her right leg all night long for about a week/her leg is sore every day) and PAIN (Sore to even touch/The pain does not go away since the vaccination). At the time of the report, PAIN IN EXTREMITY (Terrible pain in her right leg all night long for about a week/her leg is sore every day) and PAIN (Sore to even touch/The pain does not go away since the vaccination) had not resolved. she does not know which dose quantity was applied for those 3 doses. she does not have any allergies.she did not have any acute or chronic illnesses. She did not tested positive for Covid-19 and did not receive any other vaccine 1 month prior to Moderna. she did not have any acute or chronic illnesses. She never experienced a similar event on the past.She went to see her Dr at the facility in contact 3 before getting the Booster shot because she did not want to receive Moderna's, but HCP told her that if she got the Moderna primary series she had to receive the Moderna booster as well. No treatment medication was reported. This case was linked to MOD-2022-485263, MOD-2022-485309.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: WELLBUTRIN SR; PAXIL [PIROXICAM]; DEXILANT SOLUTAB; ATORVASTATIN [ATORVASTATIN CALCIUM TRIHYDRATE]; LOSARTAN; TRAZODONE; IRON
Allergien: -
Vorherige Impfungen: -

VAERS 2116471

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: WA
Alter: 35,0
Geschlecht: F
Eingang: 16.02.2022
Impfdatum: 12.02.2022
Beginn: 12.02.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: SYR / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Asthenia Dysgeusia Dysstasia Fatigue Nervousness Restlessness Skin discolouration

Symptomtext

1. Simultaneous exhaustion and extreme restlessness for about 7 hours (too weak to stand, but couldn't stay in one position for more than 3-5 seconds). 2. Very metallic taste in mouth for about the same timeframe. 3. In morning, palms of hands had turned dark orange, rusty-looking and smelled metallic (20 hours after injection, unsure of time of onset). Palms remained significantly orange for 24-36 hours. 96 hours later, orange discoloration is gone, but reappears between fingers if sweaty. 4. Prolonged weakness. 4 days later, still shaky with low energy.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Wellbutrin XL 300mg; bupropion 20mg; vitamin D; ferrous sulfate 65mg
Allergien: None
Vorherige Impfungen: -

VAERS 2116444

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: MA
Alter: 25,0
Geschlecht: F
Eingang: 16.02.2022
Impfdatum: 17.12.2021
Beginn: 01.01.2022
Tage bis Beginn: 15,0
Dosis: 3
Route/Site: SYR / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Mechanical urticaria Pruritus Urticaria

Symptomtext

Generalized itch all over body starting 14 days after Moderna booster. Hives appeared when skin was scratched. Symptoms have persisted for over 6 weeks. Diagnosed with Dermatographia on 2/16.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mechanical urticaria
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: Premature Ventricular Contractions
Andere Medikamente: levonorgestrel (MIRENA)
Allergien: None
Vorherige Impfungen: -

VAERS 2111320

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CA
Alter: 44,0
Geschlecht: M
Eingang: 15.02.2022
Impfdatum: 27.12.2021
Beginn: 10.01.2022
Tage bis Beginn: 14,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Burning sensation Pruritus Rash erythematous

Symptomtext

It was started with Itchiness, red rashes. It felt like burning and itchy all over the body from head to toes. Initial two days took OTC allergy tablets and vaseline, That was not effective. So called to telemedicine . Doctor prescribed Cetirizine 10mg tablet and Triamcinolone 0.1% cream for a month.

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Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Diabetic
Andere Medikamente: Metformin 500mg Atorvastatin 10mg
Allergien: -
Vorherige Impfungen: -

VAERS 2109946

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CO
Alter: 35,0
Geschlecht: F
Eingang: 14.02.2022
Impfdatum: 03.02.2022
Beginn: 04.02.2022
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Axillary pain Hypoaesthesia Oedema peripheral Vaccination site pain

Symptomtext

Significant pain and swelling in the armpit under the vaccine administration site. Numbness in the hands began the next day and continues at night when she is laying down.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Axillary pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2109333

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: NJ
Alter: 23,0
Geschlecht: F
Eingang: 12.02.2022
Impfdatum: 11.02.2022
Beginn: 11.02.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Dizziness Tinnitus

Symptomtext

c/o feeling dizzy, ringing of the ears. Patient put in tredelenburg. Blood pressure 106/68. AFter 15 minutes, patient symptoms resolved. Discharged.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: history of fainting with first vaccine
Andere Medikamente: vitamins
Allergien: -
Vorherige Impfungen: -

VAERS 2105261

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: WA
Alter: 61,0
Geschlecht: M
Eingang: 11.02.2022
Impfdatum: 15.12.2021
Beginn: 24.12.2021
Tage bis Beginn: 9,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Abdominal discomfort Rash Vaccination site reaction

Symptomtext

Full body rash / GI tract discomfort / COVID-19 toes. Treated with oral diphenhydramine and topical hydrocortisone. As of 2/11/2022 symptoms have declined to nearly normal.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Rash
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 2104974

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: FL
Alter: 55,0
Geschlecht: F
Eingang: 11.02.2022
Impfdatum: 11.02.2022
Beginn: 11.02.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: - / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Arthralgia Back pain Discomfort Hypoaesthesia Musculoskeletal pain

Symptomtext

On left side of face: Cheek heavy . Numbness and heaviness down the cheek to the jaw around the ear and top of the neck on the side, left side. Left side Jaw aches like the numbness is trying to come back from a dental shot of novocaine. Been like this for over an hour no signs of letting up just continues. Left side of back shoulder blades feels heavy, and aches and warm from back of the shoulder to the shoulder blade, this happen within 20mins from the shot and hasn't let up. The neck down the back of the ear feels really numb and slightly swollen. No signs of dizziness or brain fog but the numbness really aches and continues with no signs of letting up. Top of should hurts too, small ache then it occurs in front above the breast then the shoulder like a drum beat then stops for a while.

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Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: Sinus infection 2 weeks ago finish antibiotics
Vorgeschichte: type 2 diabetes and high blood pressure, borderline cholesterol (has dropped a lot from last year)
Andere Medikamente: Tylenol and Advil when needed (lately at bedtime at least 3 times a week). Daily Prescriptions: Carvedilol 12.5mg twice a day and Valsartan-HCTZ 160/25mg once a day and Lantus Insulin 42 units in the morning Daily Vitamins, - Bilberry Extr
Allergien: no
Vorherige Impfungen: Flu shot 28yrs ago caused flu like systems but was allergic reaction and didn't maintain any antibodies

VAERS 2099759

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: WA
Alter: 56,0
Geschlecht: M
Eingang: 09.02.2022
Impfdatum: 16.12.2021
Beginn: 03.01.2022
Tage bis Beginn: 18,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Blood test Blood thyroid stimulating hormone increased Discomfort Dyspepsia Dysphagia Hiccups Inflammation Inflammatory marker increased Joint swelling Mechanical urticaria Peripheral swelling Pruritus Urticaria

Symptomtext

Itching, hives, severe discomfort. Dermographia as hives subsided. Sever swelling bilateral wrusts and the forearm for days. Esophageal/pharynx? spasm like heartburn/something blocking swallowing , hiccups(especially at night)..

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Praegender Schweregrund: Mechanical urticaria
Hospital-Tage: -
Labordaten: Blood work. A marker that indicated inflammation, consistant with uticaria rash. Slight elevation of TSH. otherwise normal
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Losartan
Allergien: None
Vorherige Impfungen: -

VAERS 2096271

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: NY
Alter: 20,0
Geschlecht: F
Eingang: 08.02.2022
Impfdatum: 29.12.2021
Beginn: 09.01.2022
Tage bis Beginn: 11,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Pruritus Skin swelling Urticaria

Symptomtext

Hives all over body and face, extreme itching all over body, raised and swollen skin

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: none
Allergien: none
Vorherige Impfungen: -

VAERS 2095479

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CA
Alter: 52,0
Geschlecht: F
Eingang: 08.02.2022
Impfdatum: 28.01.2022
Beginn: 28.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Fatigue Headache Injection site pain Nausea Pain Pyrexia

Symptomtext

Tired all weekend, headache lasted until Jan 31st, Fever: 99 early morning on Jan 29th to 101.2 in the afternoon to 102.4 early evening to 99 on Jan 30th in the morning to 97.8 Jan 30th in the evening. Achy, nausea Jan 29 and Jan 30, Injection site hurt until Jan 31.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: In Remission Of Subcutaneous Panniculitis Like T Cell Lymphoma- (blood cancer)
Vorgeschichte: In Remission Of Subcutaneous Panniculitis Like T Cell Lymphoma (BLOOD CANCER)
Andere Medikamente: ELDERBERRY GUMMIES
Allergien: Salsalate, Flagyl, Acitretin, Metronidazole, Sulfa
Vorherige Impfungen: -

VAERS 2088932

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: OH
Alter: 37,0
Geschlecht: F
Eingang: 04.02.2022
Impfdatum: 28.01.2022
Beginn: 28.01.2022
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Oropharyngeal pain Pruritus Throat tightness

Symptomtext

Throat tightness, pain, pruritus 15-20mins, treatment 50 mgnof benadryl, outcome . No further action

Weitere VAERSDATA-Felder

Praegender Schweregrund: Oropharyngeal pain
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Eluryng, multivitamin
Allergien: Shrimp, multidose vial flu vaccine
Vorherige Impfungen: -

VAERS 2087982

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: IL
Alter: 50,0
Geschlecht: F
Eingang: 04.02.2022
Impfdatum: 29.12.2021
Beginn: 30.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Movement disorder Spinal pain

Symptomtext

I WOKE UP AND HAD EXTREME PAIN IN MY SPINE AND IT LASTED FOR 4 DAYS I COULD BARELY MOVE THE PAIN WAS SO BAD THE PAIN SLOWLY WENT AWAY

Weitere VAERSDATA-Felder

Praegender Schweregrund: Spinal pain
Hospital-Tage: -
Labordaten: NONE
Aktuelle Erkrankungen: NONE
Vorgeschichte: ARTHRITIS POLYARTHALGIA HIGH BLOOD PRESSURE KIDNEY DISEASE
Andere Medikamente: LISINOPRIL
Allergien: ALLOPURINOL TRAMADOL
Vorherige Impfungen: -

VAERS 2080279

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: KS
Alter: 74,0
Geschlecht: F
Eingang: 01.02.2022
Impfdatum: 22.12.2021
Beginn: 23.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Bursitis Pain in extremity Peripheral swelling Vaccination complication

Symptomtext

Patient received Moderna booster dose of 0.25mL in left arm on 12/22/21 at Pharmacy. Patient reported on 2/1/22 that a sore arm occurred day of vaccination on 12/23/21 with swelling. Soreness became worse days later, so patient saw her doctor. Doctor believes that patient has bursitis resulting as adverse event from vaccine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain in extremity
Hospital-Tage: -
Labordaten: Doctor appointment - unknown date
Aktuelle Erkrankungen: Prednisone 10d therapy taken 1 month prior for unknown infection
Vorgeschichte: Hypothyroidism
Andere Medikamente: Alprazolam, levothyroxine
Allergien: NKDA
Vorherige Impfungen: -

VAERS 2079290

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: MA
Alter: 28,0
Geschlecht: M
Eingang: 01.02.2022
Impfdatum: 17.12.2021
Beginn: 28.12.2021
Tage bis Beginn: 11,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Oropharyngeal pain Pruritus Pyrexia Rash Urticaria

Symptomtext

On December 28th, while traveling abroad I came down with a fever and hives all over my body. The fever and sore throats are gone but the hives stayed. I get itchy and my head itches at times throughout the day. If I hit something then I get these bumps on me.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Oropharyngeal pain
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none
Vorgeschichte: Liver
Andere Medikamente: Entecavir
Allergien: none that I know of
Vorherige Impfungen: a month after the second dose but it stopped after 5 days.

VAERS 2074888

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CA
Alter: 22,0
Geschlecht: F
Eingang: 30.01.2022
Impfdatum: 22.12.2021
Beginn: 04.01.2022
Tage bis Beginn: 13,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Erythema Mechanical urticaria Pruritus Urticaria

Symptomtext

Beginning 1/4, woke with intense itching on entire body and hives. Continued and increased with red lines across body. Saw dermatologist 1/10 who cited cause as likely from booster. Began Allegra 180 mg twice daily, which helps control the itch. Hives still appear as well as dermatographia. Seeing allergist this week.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mechanical urticaria
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Chronic migraine
Andere Medikamente: Lexapro, melatonin, accutane
Allergien: Gluten (celiac disease)
Vorherige Impfungen: -

VAERS 2071644

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: NC
Alter: 54,0
Geschlecht: F
Eingang: 28.01.2022
Impfdatum: 27.01.2022
Beginn: 27.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Nausea Rash erythematous Salivary hypersecretion Vomiting

Symptomtext

Pt received vaccine @8:45 am, at 10:05am pt became nauseous, Increased salivation, vomiting, red rash on chest hands and arms. Pt left work at 10:30 am and went home and took Zofran and Benedryl. Pt began feeling better and symptoms eased up at 2:30 pm.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Nausea
Hospital-Tage: -
Labordaten: n/a
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: Synthroid
Allergien: PCN, coconut
Vorherige Impfungen: -

VAERS 2070105

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: -
Alter: 34,0
Geschlecht: F
Eingang: 27.01.2022
Impfdatum: 20.12.2021
Beginn: 20.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Dizziness

Symptomtext

Client presented to the vaccination site on 12/20/2021 and received a booster dose of Moderna COVID vaccine lot #069H21A at 16:05. Client reported feeling dizzy 5 minutes into her observation period. RN's assisted client into anti-gravity chair and took vitals: BP - 125/80, HR - 95, SpO2 - 99%, RR - 14. Lead RN had client take off face mask and drink water at 16:24. Client reports no health history or allergies, client states "I have a history of fainting with blood work". Client declined another set of vitals to be taken but allowed HR and SpO2 to be checked: HR- 88, SpO2 - 99%. Lead RN educated client on possible adverse reactions, when to seek medical care and to register with V-Safe. The client left the vaccination site at 16:34 A&Ox4 with a steady gait.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2065683

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: TN
Alter: 22,0
Geschlecht: M
Eingang: 26.01.2022
Impfdatum: 14.12.2021
Beginn: 23.12.2021
Tage bis Beginn: 9,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Angioedema Blood test Electrocardiogram Erythema Hypersensitivity Pruritus Urticaria

Symptomtext

Began with red itchy scalp approx. 9 days post vaccine and within a day or two welts/hives developed first on arms with angioedema in hands. Welts/hives/rash spread to various parts of body with itching. Went to ER due to "allergic reaction" type symptoms with angioedema being the most worrisome. Was given steroids which helped with angioedema but he continues to suffer with hives/rash/dermatographia for 5 weeks now. Has been taking antihistamine daily since onset of symptoms. He saw our internist approx. two weeks post ER visit who acknowledged he has seen this reaction post vaccination before.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: ER visit December 28 Blood work "normal" EKG normal. Doctor office January 10 Blood work normal EKG normal, all tests taken considered normal.
Aktuelle Erkrankungen: None
Vorgeschichte: Mild Asthma
Andere Medikamente: None
Allergien: Peanut, Tree Nut
Vorherige Impfungen: -

VAERS 2063236

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: MD
Alter: 39,0
Geschlecht: F
Eingang: 25.01.2022
Impfdatum: 27.12.2021
Beginn: 27.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Eye pruritus Rash Throat irritation Urticaria

Symptomtext

Rag on arm for the first day. Rash and hives on chest and neck continued until 01/18/22. Itchy eyes, ears, and throat still continuing.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Eye pruritus
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Ra, Pa, Sjogrens, fibromyalgia, proxsymal hemicrania, nait
Andere Medikamente: Diclofenac Allegra
Allergien: Allergic to all foods except seafood, all pollens, trees, grasses, any medication that is metabolized via CYP2D6, HCTZ.
Vorherige Impfungen: -

VAERS 2061995

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: TX
Alter: 64,0
Geschlecht: F
Eingang: 25.01.2022
Impfdatum: 21.12.2021
Beginn: 18.01.2022
Tage bis Beginn: 28,0
Dosis: 1
Route/Site: OT / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Arthralgia Arthritis Asthenia Back pain Gait disturbance Influenza Insomnia Myalgia Neck pain Nightmare Pyrexia

Symptomtext

it felt like I got the flu bad.; could not sleep (kept tossing and turning for hours; had nightmares; felt wobbly when walking; I feel weak; my neck hurts; my back hurts; vaccine may have kicked up my arthritis symptoms; my shoulders hurt; I also felt like I had a fever; feel achy all over her body; This spontaneous case was reported by a consumer and describes the occurrence of INFLUENZA (it felt like I got the flu bad.), INSOMNIA (could not sleep (kept tossing and turning for hours), NIGHTMARE (had nightmares), GAIT DISTURBANCE (felt wobbly when walking) and ASTHENIA (I feel weak) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 028K21A and 069H21A) 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 in December 2021. Past adverse reactions to the above products included No adverse event with Flu vaccine. Concurrent medical conditions included Arthritis. On 21-Dec-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 18-Jan-2022 at 9:00 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 18-Jan-2022 at 6:30 AM, the patient experienced INFLUENZA (it felt like I got the flu bad.), INSOMNIA (could not sleep (kept tossing and turning for hours), NIGHTMARE (had nightmares), GAIT DISTURBANCE (felt wobbly when walking), ASTHENIA (I feel weak), NECK PAIN (my neck hurts), BACK PAIN (my back hurts), ARTHRITIS (vaccine may have kicked up my arthritis symptoms), ARTHRALGIA (my shoulders hurt), PYREXIA (I also felt like I had a fever) and MYALGIA (feel achy all over her body). At the time of the report, INFLUENZA (it felt like I got the flu bad.), INSOMNIA (could not sleep (kept tossing and turning for hours), NIGHTMARE (had nightmares), GAIT DISTURBANCE (felt wobbly when walking), ASTHENIA (I feel weak), NECK PAIN (my neck hurts), BACK PAIN (my back hurts), ARTHRITIS (vaccine may have kicked up my arthritis symptoms), ARTHRALGIA (my shoulders hurt), PYREXIA (I also felt like I had a fever) and MYALGIA (feel achy all over her body) outcome was unknown. Concomitant medications details were not reported by the reporter. Treatment details was not reported by the reporter. This case was linked to MOD-2022-455461 (Patient Link).

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Arthritis.
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2057935

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: -
Alter: 27,0
Geschlecht: F
Eingang: 23.01.2022
Impfdatum: 20.01.2022
Beginn: 21.01.2022
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Injection site erythema Injection site pain Injection site pruritus Injection site swelling Injection site warmth

Symptomtext

Pain and swelling at injection site on day 1 and 2. Redness, hot to the touch, inching, and pain on day 2-5. Treated with antibiotics.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054072

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CA
Alter: 45,0
Geschlecht: F
Eingang: 21.01.2022
Impfdatum: 22.12.2021
Beginn: 16.01.2022
Tage bis Beginn: 25,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

COVID-19 Chills Dizziness Headache Nausea Rhinorrhoea SARS-CoV-2 test positive

Symptomtext

I had light headed, nausea, headache, running nose and chills. These lasted for about 4 or 5 days. I still have a little bit of a headache. I tested positive for Covid-19 test on Jan 19th. I also went to the doctors that day as well about my symptoms.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: Covid-19 test
Aktuelle Erkrankungen: n/a
Vorgeschichte: n/a
Andere Medikamente: n/a
Allergien: n/a
Vorherige Impfungen: -

VAERS 2053783

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: TX
Alter: 64,0
Geschlecht: F
Eingang: 21.01.2022
Impfdatum: 21.12.2021
Beginn: -
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Pain in extremity

Symptomtext

sore arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (sore arm) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. Co-suspect product included non-company product INFLUENZA VACCINE (FLU) for an unknown indication. No Medical History information was reported. On 21-Dec-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form and dose of INFLUENZA VACCINE (FLU) (unknown route) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (sore arm). At the time of the report, PAIN IN EXTREMITY (sore arm) outcome was unknown. mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) dosing remained unchanged. Concomitant medication of the patient was not reported. No treatment information was provided by the reporter. This case was linked to MOD-2022-455441 (Patient Link).

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain in extremity
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2053245

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: MA
Alter: 19,0
Geschlecht: F
Eingang: 21.01.2022
Impfdatum: 13.01.2022
Beginn: 14.01.2022
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Burning sensation Gait disturbance Injection site inflammation Pain Peripheral swelling Pruritus Urticaria

Symptomtext

Started with inflammation at the dose site, then itchiness in sensitive areas around the body. Started developing into hives over the next few days, then inflammation with feet and hands to the point where shoes couldn't fit and it was painful to walk due to sensitive inflammation areas. Red hives began to form and burn. Went away the next day after this episode.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site inflammation
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: COVID
Vorgeschichte: -
Andere Medikamente: Abilify, escipitalopram, bupropion, antacid, biotin, multivitamins, Vitamin D, Vitamin B12, melatonin
Allergien: Porcini mushrooms
Vorherige Impfungen: -

VAERS 2050965

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

mild

Staat: ME
Alter: 36,0
Geschlecht: F
Eingang: 20.01.2022
Impfdatum: 22.12.2021
Beginn: 23.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Erythema Mass Pain in extremity Pruritus Skin warm

Symptomtext

After 3rd shot (booster), I developed "covid arm". My entire upper arm and just below my elbow became very red, warm to the touch, intensely itchy and painful with a lump like a golf ball. This started about a day after the vaccine with some redness, which spread quickly on Friday. I went to walk-in care on 12/24 around 6:30pm who advised to try advil and benadryl. Those didn't work so I went through 2 tubes of hydrocortisone cream in 2 days and it was much better with no lasting effects.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain in extremity
Hospital-Tage: -
Labordaten: n/a - walk-in care did not run any tests.
Aktuelle Erkrankungen: n/a
Vorgeschichte: Essential hypertension, menorrhagia, depression/anxiety.
Andere Medikamente: Lisinopril Sertraline "Nikki" birth control tablets.
Allergien: Nightshade intolerance.
Vorherige Impfungen: -

VAERS 2049946

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CA
Alter: 37,0
Geschlecht: F
Eingang: 20.01.2022
Impfdatum: 30.12.2021
Beginn: 14.01.2022
Tage bis Beginn: 15,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Dysmenorrhoea Mechanical urticaria Menstrual disorder Pruritus Rash erythematous Urticaria

Symptomtext

Spontaneous Urticaria- Severe random itching of the skin. Arms, legs, feet, chest, neck, back. When scratched, small red bumps appear as well as dermatographia. Resistant to anti-itch creams. Menstrual period was also 2 days late with 3 days of cramps before the period started, which is unusual for me. It also only lasted 3 days, when it is normally 5.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mechanical urticaria
Hospital-Tage: -
Labordaten: None yet
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Deva Multivitamin and Mineral Supplement, HUM Hair Sweet Hair, HUM Flatter Me
Allergien: Sulfa Eye Drops
Vorherige Impfungen: -

VAERS 2047977

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CA
Alter: 33,0
Geschlecht: M
Eingang: 19.01.2022
Impfdatum: 03.01.2022
Beginn: 15.01.2022
Tage bis Beginn: 12,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Rash Urticaria

Symptomtext

Severe rashes that turned to hives all over chest, back, legs, arms, groin, neck and head

Weitere VAERSDATA-Felder

Praegender Schweregrund: Rash
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: N/A
Allergien: N/A
Vorherige Impfungen: -

VAERS 2047948

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: FL
Alter: 65,0
Geschlecht: F
Eingang: 19.01.2022
Impfdatum: 18.01.2022
Beginn: 18.01.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Fatigue Headache Incorrect dose administered Injection site pain

Symptomtext

Client presented to off-site COVID19 vaccination clinic (through Health Department) on 1/18/2022 for her first dose of Moderna Vaccine. Patient inadvertently received 1mg of Moderna vaccine instead of 0.5mg. Called client today (01/19/2022). Complains of mild side effects - sore arm (at injection site), headache, and fatigue. No other complaints noted.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: Amlodipine, Atorvastatin, Metoprolol, Citalopram, Vitamin D
Allergien: codeine, sulfa
Vorherige Impfungen: -

VAERS 2044477

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

mild

Staat: WA
Alter: 55,0
Geschlecht: M
Eingang: 18.01.2022
Impfdatum: 09.01.2022
Beginn: 10.01.2022
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Abdominal discomfort Asthenia Chills Fatigue Hyperhidrosis Injection site pain Oropharyngeal pain Pain Pyrexia

Symptomtext

Injection site pain, sore throat, body aches, fever, chills, sweating, stomach upset, weak, tired

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Ramipril
Allergien: None
Vorherige Impfungen: -

VAERS 2043320

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: NJ
Alter: 36,0
Geschlecht: M
Eingang: 18.01.2022
Impfdatum: 10.12.2021
Beginn: 11.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Axillary pain Back pain Erythema Neck pain Urticaria

Symptomtext

1) On 12/11/2021 (One Day After the Vaccine): Pain under the armpit, left upper back pain, pain near collar bone. I still have this pain, one month after taking the booster dose. 2) On 12/19/2021: Started getting hives and redness at different places of my body. This keeps coming and going. I am still having these hives.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Axillary pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 2042074

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: ID
Alter: 61,0
Geschlecht: M
Eingang: 18.01.2022
Impfdatum: 07.01.2022
Beginn: 07.01.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Chills Pyrexia SARS-CoV-2 test Swelling face Vaccination site swelling

Symptomtext

Swelling under the left jaw; Swelling under the left arm (size of a baseball) after first dose; Fever; Chills; This spontaneous case was reported by a consumer and describes the occurrence of SWELLING FACE (Swelling under the left jaw), VACCINATION SITE SWELLING (Swelling under the left arm (size of a baseball) after first dose), PYREXIA (Fever) and CHILLS (Chills) in a 61-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. The patient's past medical history included COVID-19 in September 2021. On 07-Jan-2022, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 07-Jan-2022, the patient experienced PYREXIA (Fever) and CHILLS (Chills). On 09-Jan-2022, the patient experienced VACCINATION SITE SWELLING (Swelling under the left arm (size of a baseball) after first dose). On 10-Jan-2022, the patient experienced SWELLING FACE (Swelling under the left jaw). On 09-Jan-2022, PYREXIA (Fever) and CHILLS (Chills) had resolved. On 14-Jan-2022, SWELLING FACE (Swelling under the left jaw) had resolved. At the time of the report, VACCINATION SITE SWELLING (Swelling under the left arm (size of a baseball) after first dose) was resolving. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In September 2021, SARS-CoV-2 test: positive (Positive) Positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant products and treatment information were reported. Patient received Monoclonal antibody on 18-Sep-2021 to treat COVID-19. Swelling under the armpit was a little better but still swollen. Patient stated that his father had Lymph-node Cancer and was worried because under the arm there was the lymph node.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: Test Date: 202109; Test Name: COVID-19; Test Result: Positive ; Result Unstructured Data: Positive
Aktuelle Erkrankungen: -
Vorgeschichte: Medical History/Concurrent Conditions: COVID-19
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2038255

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

mild

Staat: CA
Alter: 44,0
Geschlecht: F
Eingang: 16.01.2022
Impfdatum: 06.01.2022
Beginn: 07.01.2022
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Arthralgia Fatigue Headache Nausea Pain Pain in extremity Pyrexia

Symptomtext

I was required to get booster shot for work. I had a bad reaction with the Pfizer 2nd shot (10 day headache, Fevers 3 days, so bad I reported to CDC and was tested for COVID at the time) so I decided to try Moderna. With Moderna I had a 103.3 fever for 2 days, headache, nausea, fatigue, joint pain for 8 days not relieved with meds, arm pain still and new symptom 10 days from shot of burning axillary pain and still have fatigue and nausea.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: Have appointment with PCP in a month (soonest I could get in)
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: multivitamins, claritin,
Allergien: Levaquin
Vorherige Impfungen: Pfizer Lot EL3249 on 1/19/2020

VAERS 2037833

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: MA
Alter: 30,0
Geschlecht: F
Eingang: 15.01.2022
Impfdatum: 13.01.2022
Beginn: 14.01.2022
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Chills Faeces discoloured Fatigue Haematochezia Injection site mass Myalgia Pyrexia Somnolence

Symptomtext

Severe fever chills muscle aches tiredness and large lump on shoulder were vaccine was given . I slept from 4PM-7:55 AM today day three counting day given of vaccine I had black stool with small amount of blood and muscles feel sore. Took OTC Tylenol and ibuprofen to mitigate the chills and fever and will call my doctor if the blood in stool symptoms continue. I?m mostly recovered I HAVE NOT HAD TO SEE MY DOCTOR YET I talked with a doctor I know. He said will call them on Monday if the blood in stool continues.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: Flo gummies women?s multivitamin
Allergien: -
Vorherige Impfungen: -

VAERS 2037445

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CA
Alter: 26,0
Geschlecht: F
Eingang: 15.01.2022
Impfdatum: 16.12.2021
Beginn: 24.12.2021
Tage bis Beginn: 8,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Pruritus Urticaria Urticaria chronic

Symptomtext

8 days after booster experienced severe hives and itching in patches all over body that would come and go. Back of the head and neck, groin, back, arms, and hips were all particularly bad. Overall worse in the evening and if something rough was rubbing/touching that area. Chronic urticaria and pruritus ever since. Mild most of the time with some bad flare-ups every few days.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: Lamotrigine
Allergien: Bactrim
Vorherige Impfungen: -

VAERS 2035511

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: MO
Alter: 39,0
Geschlecht: F
Eingang: 14.01.2022
Impfdatum: 11.01.2022
Beginn: 12.01.2022
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Aphonia Arthralgia Chills Injection site pain Injection site swelling Myalgia Nausea Pyrexia Urticaria Vomiting

Symptomtext

At the injection site it became puffy and sore. She lost her voice and had nausea, vomiting, high fever of 102. Muscle aches and joint pains along with chills. With to ER and they gave her 3 high steroid pills and a pepcid. She has also developed hives.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: no
Aktuelle Erkrankungen: no
Vorgeschichte: stomach issues, right kidney renal mass
Andere Medikamente: omeprazole, triam/hydro, flynd(birth control)
Allergien: unknown allergies but has to carry an epipen
Vorherige Impfungen: -

VAERS 2035498

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

mild

Staat: MO
Alter: 18,0
Geschlecht: F
Eingang: 14.01.2022
Impfdatum: 14.01.2022
Beginn: 14.01.2022
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Dizziness

Symptomtext

patient felt dizzy and thought she was going to pass out, she needed to sit down. after sitting for a few minutes (about 15 minutes), she felt fine and left the store.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: na
Aktuelle Erkrankungen: unknown
Vorgeschichte: none
Andere Medikamente: unknown
Allergien: unknown
Vorherige Impfungen: -

VAERS 2033258

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: WA
Alter: 62,0
Geschlecht: M
Eingang: 13.01.2022
Impfdatum: 22.12.2021
Beginn: 08.01.2022
Tage bis Beginn: 17,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt

Abdominal pain Asymptomatic COVID-19 Colitis Faeces discoloured Hyperkalaemia SARS-CoV-2 test positive White blood cell count increased

Symptomtext

Patient received Moderna COVID vaccine on 3/18/21 (lot # 045A21A), 4/15/21 (lot # 042B21A), and 12/21/21 (lot # 069H21A). On 1/8/22, patient tested positive for COVID. On 1/10/21, patient admitted to our inpatient facility med/surg unit with colitis (maroon ostomy output, abd pain, and increased WBC), hyperkalemia (need additional HD), and COVID-19 infection (asymptomatic). As of today (1/13/22), patient is still admitted in the med/surg unit and remained asymptomatic for COVID-19 infection.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Abdominal pain
Hospital-Tage: 3,0
Labordaten: COVID status positive 1/8/22.
Aktuelle Erkrankungen: -
Vorgeschichte: ESRD on HD, remote lung cancer, colostomy status post partial colectomy, emphysema
Andere Medikamente: acetaminophen PRN, amlodipine, calcium carbonate, carvedilol, levetiracetam, metoprolol er, sertraline, sevelamer
Allergien: nifedipine, gabapentin, ceftaroline
Vorherige Impfungen: -

VAERS 2032870

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CA
Alter: 65,0
Geschlecht: M
Eingang: 13.01.2022
Impfdatum: 13.01.2022
Beginn: 13.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Dizziness

Symptomtext

At approximately 1458, patient reported feeling lightheadedness, staff RN x 2 proceeded to lay patient down on the ground and elevated feet. Patient immediately felt "better" and denied any shortness of breath or difficulty breathing. Alert and oriented x 4. Patient vital signs were taken at approximately 1500 (see vitals on patient chart). Upon stabilization, patient was transferred to gurney where he was closely monitored and provided with water. Patient was kept for an additional 50 minutes and was closely monitored by RN for any worsening symptoms. Patient denied any pain, shortness of breath, and lightheadedness upon discharge.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: nka
Vorherige Impfungen: patient states same incident happened years ago

VAERS 2029049

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CA
Alter: 34,0
Geschlecht: F
Eingang: 12.01.2022
Impfdatum: 08.01.2022
Beginn: 08.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Arthralgia Fatigue Headache Injection site erythema Pain Pain in extremity

Symptomtext

The night I started getting a headache and took TYLENOL, arm started getting sore and was feeling tired. Went to sleep woke up and body felt painful and ached. As day progressed and pain got worse and redness on arm spread from the injection site and grew bigger and pain from back of arm to shoulder to elbow.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: Birth control
Allergien: MORPHINE; CECLOR; latex; penicillin
Vorherige Impfungen: -

VAERS 2028851

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

mild

Staat: CA
Alter: 38,0
Geschlecht: M
Eingang: 12.01.2022
Impfdatum: 22.12.2021
Beginn: 02.01.2022
Tage bis Beginn: 11,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Urticaria

Symptomtext

Hives, that move every 2-3 hours. Been going on now for about 1 and a half weeks. So far they have prescribed me prednisone for 7 days. Let see if this helps.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Urticaria
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 2028746

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: IL
Alter: 39,0
Geschlecht: F
Eingang: 12.01.2022
Impfdatum: 20.12.2021
Beginn: 22.12.2021
Tage bis Beginn: 2,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Injection site erythema Pruritus Rash erythematous Skin warm Swelling

Symptomtext

Red rash around the injection site Itching Swelling skin warm to the touch

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: Adverse event: Rash around the injection site, itching, swelling and skin warm to the touch. Showed up for 7 days after the vacc

VAERS 2028730

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: WA
Alter: 31,0
Geschlecht: F
Eingang: 12.01.2022
Impfdatum: 13.12.2021
Beginn: 13.12.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: SYR / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Body temperature increased Bone pain Chills Diarrhoea Fatigue Headache Hot flush Myalgia Vomiting

Symptomtext

Vomiting, muscle aches, fatigue, chills, temperature, hot flashes, bone pain, headache, the runs,

Weitere VAERSDATA-Felder

Praegender Schweregrund: Bone pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: See list
Andere Medikamente: See list
Allergien: See list
Vorherige Impfungen: -

VAERS 2028697

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: NE
Alter: 59,0
Geschlecht: F
Eingang: 12.01.2022
Impfdatum: 11.01.2022
Beginn: 12.01.2022
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Arthralgia Cough Diarrhoea Dizziness Headache Nausea Pain Somnolence

Symptomtext

Body aches, joint pain, headache, severe nausea, diarrhea, dizzy, sleepy. All day. At 3:00 pm, cough started.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Angioedema
Vorgeschichte: Angioedema
Andere Medikamente: -
Allergien: None
Vorherige Impfungen: -

VAERS 2027977

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: KY
Alter: 52,0
Geschlecht: F
Eingang: 12.01.2022
Impfdatum: 11.01.2021
Beginn: 11.01.2022
Tage bis Beginn: 365,0
Dosis: 2
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Diarrhoea Headache Lip swelling Mouth swelling Nausea Pruritus Swollen tongue Urticaria

Symptomtext

Began with nausea, then itching began, had broken out in hives. Lower lip and under the tongue swelled, also corner of mouth swelled. Diarrhea and severe headache.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Diarrhoea
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: Peppermint, Tomato vines, ingredient in commercial sausage (unsure of exact ingredient), Nickle
Vorherige Impfungen: -

VAERS 2026242

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

mild

Staat: AZ
Alter: 43,0
Geschlecht: F
Eingang: 11.01.2022
Impfdatum: 21.12.2021
Beginn: 10.01.2022
Tage bis Beginn: 20,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Urticaria

Symptomtext

Severe hives all over my body

Weitere VAERSDATA-Felder

Praegender Schweregrund: Urticaria
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: 3000 IU vitamin D per day. 3468 mg fish oil concentrate per day. 0.1mg synthroid
Allergien: No
Vorherige Impfungen: -

VAERS 2025025

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

mild

Staat: -
Alter: 45,0
Geschlecht: F
Eingang: 11.01.2022
Impfdatum: 15.12.2021
Beginn: 24.12.2021
Tage bis Beginn: 9,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Pruritus Urticaria

Symptomtext

itching/utricaria in several places of the body.Started with the back of neck, then, the shoulders, later around the abdomen a fe days later under the breasts and back. Each day the spot would vary with knives that would calm down with Zyrtec but then again re appear the next day. medal dose pack did not work.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: none
Allergien: none
Vorherige Impfungen: -

VAERS 2021598

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

mild

Staat: MA
Alter: 50,0
Geschlecht: M
Eingang: 10.01.2022
Impfdatum: 09.12.2021
Beginn: 07.01.2022
Tage bis Beginn: 29,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

COVID-19 Cough Lethargy Myalgia Nasal congestion Pyrexia SARS-CoV-2 test positive Sneezing

Symptomtext

tested positive for covid 19 28 days later. mild case 3 days of fever, muscle aches, lethargy, cough and sneeze, nasal congestion

Weitere VAERSDATA-Felder

Praegender Schweregrund: Myalgia
Hospital-Tage: -
Labordaten: tested negative for covid 19 on 1/4, tested positive on 1/7
Aktuelle Erkrankungen: none
Vorgeschichte: diabetes, type 2
Andere Medikamente: metformin, jardiance, colace, vit b, vit d, lantus, novolog,
Allergien: walmuts, pecans, Nickle
Vorherige Impfungen: -

VAERS 2021167

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: WA
Alter: 39,0
Geschlecht: F
Eingang: 10.01.2022
Impfdatum: 15.12.2021
Beginn: 26.12.2021
Tage bis Beginn: 11,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Alanine aminotransferase normal Blood alkaline phosphatase normal Blood bilirubin normal Erythema Exposure during pregnancy Laboratory test normal Mechanical urticaria Pruritus Tenderness Urticaria

Symptomtext

At time of vaccination, 20 weeks gestation. No immediate reaction noted. Redness, tenderness developed within 24 hours and subsided within 72 hours. No other signs. However, starting December 26 (day 10 post vaccination), hives appeared on my elbows, abdomen, eyes, neck and breasts. Intense itching also started at the same time, and whenever itched, red welts appeared. Itching was throughout the body, from feet to head, and along all extremities. Visit to obstetrician on the 27th, and 50 mg diphenhydramine started q6 hours, which would control 80% of symptoms but did not resolve all hives or pruritis. Completed liver bloodwork to exclude cholestasis of pregnancy on December 28th. Saw dermatologist on the 29th for persistent signs despite use of diphenhydramine and was changed to 10 mg certirizine q24 hours, which resolved 90-95% of the pruritis, 100% of hives/urticaria, but dermatographia persists even after 12 days of continuous therapy and pruritis returns when dosing interval id complete. There is no known topical or oral exposure to allergen to cause signs, and there are no signs in other members of the household.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mechanical urticaria
Hospital-Tage: -
Labordaten: 12/28/21: Liver profile and bile acids, all values within normal limits including ALT, ALP, bilirubin and bile acids.
Aktuelle Erkrankungen: None.
Vorgeschichte: Celiac disease. Well controlled asthma.
Andere Medikamente: Prenatal Vitamins, Supplemental iron/B12 tablets, low dose aspirin (81 mg per day).
Allergien: Celiac Disease (gluten), Sulfonamide antibiotics. Clarithromycin. Doxycycline.
Vorherige Impfungen: Rabies vaccination, given in 2002, reaction to third dose in prophylactic series, involved fever, headache, neuralgia in left ar

VAERS 2019997

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

mild

Staat: WA
Alter: 33,0
Geschlecht: M
Eingang: 09.01.2022
Impfdatum: 22.12.2021
Beginn: 01.01.2022
Tage bis Beginn: 10,0
Dosis: 3
Route/Site: SYR / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Erythema Pruritus Rash Urticaria

Symptomtext

Skin itching, multiple hives all over the body - arms, legs, neck, back, waistline, and head. Consistent rash and itching all over the body with hives - redness, bumps etc.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: No
Vorgeschichte: No
Andere Medikamente: No
Allergien: No
Vorherige Impfungen: -

VAERS 2019949

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: MA
Alter: 24,0
Geschlecht: F
Eingang: 09.01.2022
Impfdatum: 20.12.2021
Beginn: 01.01.2022
Tage bis Beginn: 12,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Pruritus Urticaria

Symptomtext

I received the vaccine on 12/20/21 and on 1/1/22, developed an extremely itchy scalp and hairline. The following day (and every day since), I have experienced full body hives on my neck, ears, arms, legs, and trunk. They come and go but are consistent throughout the entire day.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: -
Allergien: Sulfa drugs
Vorherige Impfungen: -

VAERS 2019913

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: WA
Alter: 50,0
Geschlecht: F
Eingang: 09.01.2022
Impfdatum: 07.01.2022
Beginn: 08.01.2022
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Chills Fatigue Headache Myalgia Nausea Pyrexia

Symptomtext

High fever up to 103, headache, chills, nausea, sore musceles, fatigue. Symptoms started on the morning after the vaccine. Fever spiked quickly to 103. Currently 48h after the booster vaccine, fever hovering between 96 to 102, going up and down. Ibuprofein and cold compress used, these most likely stopped fever from going above 103.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: Endometriosis, chiari malformation, asthma
Andere Medikamente: Vitamin D, Lutin, Zeathenen
Allergien: Cafeine, bug bites, melon, walnuts
Vorherige Impfungen: 2nd doze of moderna, similiar very high fever situation. 1st doze, covid arm. 1992, yellow fever vaccine, soreness, fever and f

VAERS 2019885

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: -
Alter: 23,0
Geschlecht: F
Eingang: 09.01.2022
Impfdatum: 27.12.2021
Beginn: 04.01.2022
Tage bis Beginn: 8,0
Dosis: UNK
Route/Site: SYR / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Urticaria

Symptomtext

Hives all around body started developing a week after the booster shot including neck, thighs, face and scalp. Have never experienced anything like this before

Weitere VAERSDATA-Felder

Praegender Schweregrund: Urticaria
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 2019753

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: TN
Alter: 77,0
Geschlecht: F
Eingang: 09.01.2022
Impfdatum: 03.01.2022
Beginn: 04.01.2022
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Erythema Pain in extremity Peripheral swelling

Symptomtext

Patient stated that arm was swollen, red, and sore the next day. It was still swollen and red on 1/8/21 but less sore.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain in extremity
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: none reported
Vorgeschichte: high blood pressure
Andere Medikamente: not that are know
Allergien: compazine
Vorherige Impfungen: -

VAERS 2019330

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CA
Alter: 30,0
Geschlecht: F
Eingang: 08.01.2022
Impfdatum: 16.12.2021
Beginn: 26.12.2021
Tage bis Beginn: 10,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Chronic spontaneous urticaria

Symptomtext

Chronic Spontaneous Urticaria (Hives) 10 days after the booster injection, I began experiencing hives all over my body. Today is day 13 of continuous symptoms. I am concerned this will be an ongoing adverse effect.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chronic spontaneous urticaria
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: N/A
Allergien: N/A
Vorherige Impfungen: -

VAERS 2019298

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: KS
Alter: 31,0
Geschlecht: F
Eingang: 08.01.2022
Impfdatum: 04.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 2,0
Dosis: 2
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Injection site erythema Injection site swelling Pain in extremity

Symptomtext

Patient experienced sore arm, redness at injection site and swelling at injection site. This started the day after vaccination and has persisted through 1/7/22, slowly improving at this time but not fully recovered.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2014518

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: PA
Alter: 39,0
Geschlecht: M
Eingang: 07.01.2022
Impfdatum: 08.12.2021
Beginn: 19.12.2021
Tage bis Beginn: 11,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Erythema Pruritus Urticaria

Symptomtext

Hives all over body except face, extreme itchiness. Started off just around stomach then spread to all over by next day. Took Prednisone 50mg for 5 days and Zrytec and Benedryl . Used hydrocortisone cream as well as needed throughout day. Hives and itchiness lasted until 12/27/21 but still have red marks that flare up after taking a warm or hot shower.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Amlodopine, multi vitamin, vitamin D, biotin, chrondroiton, fish oil
Allergien: Penicillin
Vorherige Impfungen: -

VAERS 2010859

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: MA
Alter: 52,0
Geschlecht: M
Eingang: 06.01.2022
Impfdatum: 15.12.2021
Beginn: 29.12.2021
Tage bis Beginn: 14,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Feeling abnormal Hypersensitivity Pruritus Rash erythematous Urticaria

Symptomtext

Began getting a red-colored rash and hives on all parts of my body after the third (booster) shot. I had no side effects from the first two shots. They start out as red lines and then expanded in size as time went on. The largest areas are about the size of a dinner plate. The main places I am getting these rashes are chest, back and shoulders (where they are the largest). I am also getting the rashes on my arms, hands, feet and legs. I went to a pharmacy. They instructed me to take Benadryl pills and cream. The pharmacist thought it looked like an allergic reaction. So I took the Benadryl. It cleared up completely most of the time, but returns approximately four to six hours the time the pill states it works for. I waited approximately three days to see if it would get better but it did not. I contacted my doctor to book an emergency office visit. I booked the visit for the same day which was 01/05/2022. The doctor inspected the rash and checked all of my vitals. His conclusion was he also suspects that it is an allergic reaction that could be connected to the booster shot. I have not changed any items in my life like diet, soaps or detergents. The doctor recommended the continued use of the allergy medication for approximately two weeks to see if the rashes continue. If they continue, I am to contact my doctor. He will have me return to his office for further testing. Towards the end of the medications cycle, I can feel that it is beginning to return. The rash mainly fells like a bug bite in the sense that it begins to get itchy. I don't feel sick, but have felt a little run down since I received the booster shot. I had the same felling after the first two shots but it only lasted a day or two.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 2008815

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: MN
Alter: 42,0
Geschlecht: M
Eingang: 06.01.2022
Impfdatum: -
Beginn: -
Tage bis Beginn: -
Dosis: 2
Route/Site: - / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Abdominal distension Interchange of vaccine products Nausea

Symptomtext

Pain in the right arm also gut rot bloating I'm feeling like I'm nauseous and that I'm having episodes like I'm feeling like I might die due to the causes of the vaccine before I felt fine until my last injection where I felt the same type of events.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Nausea
Hospital-Tage: -
Labordaten: Have not seeked medical attention at this time.
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: Had the same effects from the Johnson vaccine.

VAERS 2002131

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CA
Alter: 24,0
Geschlecht: F
Eingang: 04.01.2022
Impfdatum: 22.12.2021
Beginn: 02.01.2022
Tage bis Beginn: 11,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Urticaria

Symptomtext

Allergic urticaria - random patches of hives

Weitere VAERSDATA-Felder

Praegender Schweregrund: Urticaria
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Head cold
Vorgeschichte: None
Andere Medikamente: None
Allergien: Peanuts - mild allergy
Vorherige Impfungen: -

VAERS 2002087

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CA
Alter: 38,0
Geschlecht: F
Eingang: 04.01.2022
Impfdatum: 17.12.2021
Beginn: 24.12.2021
Tage bis Beginn: 7,0
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

COVID-19 Headache Nasal congestion SARS-CoV-2 test positive Urticaria

Symptomtext

When I woke on 12/24 I had hives on Legs, Torso, Stomach, Arms. Took a benadryl but by that evening could not function. 12/25 By Christmas day my hives was everywhere on my body and tried to stay home. 12/26 Went to see a doctor thru urgent care telehealth and was advised if got worse go to hospital but try to stay home and take benadryl with rest. By 12/31 I experienced headache and nasal congestion and I went to get a COVID test at home. It come back positive and started to quarantine at home. Went to urgent care 2 days later for an official check and have not heard back from them yet.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Headache
Hospital-Tage: -
Labordaten: COVID test 01/02 and home test positive on 12/31.
Aktuelle Erkrankungen: None
Vorgeschichte: Anima; Cancer (Hysterectomy)
Andere Medikamente: Green Tea
Allergien: Iron
Vorherige Impfungen: Flu shot (unknown) 2012, vomiting, fever, ect. age 28.

VAERS 2531865

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: -
Alter: 49,0
Geschlecht: M
Eingang: 03.01.2022
Impfdatum: 28.12.2021
Beginn: 28.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Chills Fatigue Injection site pain Pain in extremity

Symptomtext

chills, fatigue, pain at injection site, sore arm. Narrative:

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2000550

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: AZ
Alter: 32,0
Geschlecht: F
Eingang: 03.01.2022
Impfdatum: 17.12.2021
Beginn: 22.12.2021
Tage bis Beginn: 5,0
Dosis: 3
Route/Site: - / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Abdominal pain Eructation Flatulence Nausea

Symptomtext

I had severe abdominal pains and nausea again following this booster dose of Moderna, very similar to the pains I experienced after my first dose. This time, however, they lasted for a full 72 hours before finally returning to normal. Along with the cramping pains and nausea I was also very gassy and kept belching. I had originally thought the pains I experienced in April 2021 were unrelated to the vaccine, but after experiencing similar pains after all three doses of the Moderna COVID-19 vaccine I now suspect they are related.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Abdominal pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Polycystic Ovary Syndrome
Andere Medikamente: 20 mg Fluoxetine daily
Allergien: No known allergies
Vorherige Impfungen: Similar abdominal pains, cramping, and nausea after my first two Moderna COVID-19 vaccines, received on 04/05/2021 and 05/03/202

VAERS 1999774

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: SC
Alter: 50,0
Geschlecht: F
Eingang: 03.01.2022
Impfdatum: 11.12.2021
Beginn: 11.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Burning sensation Pruritus Vaccination complication

Symptomtext

Patient is complaining of a itching, burning sensation on her upper left part of her back

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: Pt was seen by a Dr. and the doctor did a visual exam of the patient and believed her reaction was from the vaccine
Aktuelle Erkrankungen: -
Vorgeschichte: high blood pressure, migraines
Andere Medikamente: amlodipine, fiorcet, potassium chloride, spironolactone
Allergien: no known drug allergies
Vorherige Impfungen: -

VAERS 1997656

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: MA
Alter: 78,0
Geschlecht: F
Eingang: 02.01.2022
Impfdatum: 01.12.2021
Beginn: 01.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / AR

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Injection site erythema

Symptomtext

Patient states she has 3 red quarter size circles below the vaccination site. She could not say if it was ever swollen or not but at this time it was not. She also stated a line that was going down her arm from said spots but it was starting to fade and not going down very far. She did not indicate any pain from site. She was going to visit the walk-in after speaking with me. She had her vaccine on 12/29/21 and just decided to call us on 1/2/22. Unclear exactly when this started after immunization.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: HBP, Cholesterol
Andere Medikamente: Lisinopril, Metoprolol ER ,Atorvastatin,Aspirin 81mg, Possibly-iron,zyrtec,
Allergien: -
Vorherige Impfungen: -

VAERS 2515144

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: -
Alter: 50,0
Geschlecht: F
Eingang: 01.01.2022
Impfdatum: 28.12.2021
Beginn: 28.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Arthralgia Chills Cough Dizziness Headache Pain Pyrexia Sinusitis Wheezing

Symptomtext

Headache, Arthralgia, CoughWheeze, LIGHTHEADNESS, HEADACHE, FEVER, CHILLS, BODY ACHES, SINUSITIS

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2515121

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: -
Alter: 59,0
Geschlecht: M
Eingang: 01.01.2022
Impfdatum: 28.12.2021
Beginn: 28.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Arthralgia Injection site pain Myalgia Pyrexia

Symptomtext

Myalgia, Fever, INJECTION SITE PAIN, FEVER, MUSCLE ACHES, JOINT PAIN, FEVER Narrative:

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1997404

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: UT
Alter: 28,0
Geschlecht: M
Eingang: 01.01.2022
Impfdatum: 28.12.2021
Beginn: 28.12.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Chills Cough Fatigue Oropharyngeal pain Pain Pyrexia

Symptomtext

5+ days of fever, body aches, fatigue, chills, cough, and sore throat.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: Type 1 diabetes
Andere Medikamente: None
Allergien: Amoxicillin, ceclor
Vorherige Impfungen: After second moderna shot I experienced fatigue, chills, and headache

VAERS 1997241

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: VA
Alter: 45,0
Geschlecht: F
Eingang: 01.01.2022
Impfdatum: 29.12.2021
Beginn: 30.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Induration Mass Pain Pruritus Skin warm Swelling

Symptomtext

Started out as a small hard, warm lump that progressed to a small softball size. Today I measured and it is 3 1/2 in long, still warm and hard. It?s itching and hurts.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: Joint inflammation (back and arm)
Vorgeschichte: Migraines, GERD, HTN, High cholesterol
Andere Medikamente: Dexilant, singular, HCTZ, Amylodipine Beselate, Zetia, Pepcid, Paxil, Viramin D, Ashwaganda
Allergien: Cillins, Avelox, Ceftin
Vorherige Impfungen: -

VAERS 1995938

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: WA
Alter: 60,0
Geschlecht: F
Eingang: 31.12.2021
Impfdatum: 18.12.2021
Beginn: 19.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Arthralgia Asthenia Chills Dizziness Headache Hypopnoea Myalgia Nausea Pyrexia Yellow skin

Symptomtext

Awoke 12 hours after injection with fever of 101degF, chills, muscle and joint aches, severe headache and nausea. Breathing was shallow, and face, hands, arms were pasty yellow/white. My husband kept checking me to be sure I was breathing as he thought at times I might have died. I was awake throughout but very weak and dizzy. O2 sat checked with a pulse oximeter was 96%, and blood pressure 98/61. I began to recover 30 hours after injection, and was weak for a couple of days afterward, and then felt ok. I am fine now.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: Occasional migraine headaches. Hypothyroidism.
Andere Medikamente: Levothyroxine 112mcg/d
Allergien: None
Vorherige Impfungen: -

VAERS 1994823

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: IL
Alter: 60,0
Geschlecht: F
Eingang: 31.12.2021
Impfdatum: 22.12.2021
Beginn: -
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Dysgeusia Nasal congestion Oropharyngeal pain

Symptomtext

experiencing sore throat; congestion; metallic taste; This spontaneous case was reported by a consumer and describes the occurrence of OROPHARYNGEAL PAIN (experiencing sore throat), NASAL CONGESTION (congestion) and DYSGEUSIA (metallic taste) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. Concomitant products included LEVOTHYROXINE, INSULIN and METFORMIN for an unknown indication. On 22-Dec-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced OROPHARYNGEAL PAIN (experiencing sore throat), NASAL CONGESTION (congestion) and DYSGEUSIA (metallic taste). At the time of the report, OROPHARYNGEAL PAIN (experiencing sore throat), NASAL CONGESTION (congestion) and DYSGEUSIA (metallic taste) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Treatment medication Includes:Homeopathic Medicine Concomitant medication:Iodine IV Contrast for CT Scan Anatomical location;left arm non dominant

Weitere VAERSDATA-Felder

Praegender Schweregrund: Oropharyngeal pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: LEVOTHYROXINE; INSULIN; METFORMIN
Allergien: -
Vorherige Impfungen: -

VAERS 1989518

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: MO
Alter: 55,0
Geschlecht: F
Eingang: 29.12.2021
Impfdatum: 23.12.2021
Beginn: 26.12.2021
Tage bis Beginn: 3,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja

Chills Urticaria

Symptomtext

Received my booster 7 months after 2 initial shots of moderna .had giant hive 5he size of grapefruit on my arm. 3 days after receiving it.. Had to go to ER for prednisone shot and pills for 5 days to stop the reaction. Had slight chills and huge know under my skin next day.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: Dr. Performed no tests..just knew it was a bad reacton.
Aktuelle Erkrankungen: Sinus infection
Vorgeschichte: Asthma
Andere Medikamente: Singulair
Allergien: Levaquin cipro
Vorherige Impfungen: -

VAERS 1987596

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: WA
Alter: 32,0
Geschlecht: M
Eingang: 29.12.2021
Impfdatum: 28.12.2021
Beginn: 28.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: SYR / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Diarrhoea Food poisoning Nausea

Symptomtext

Explosive gut wrenching diarrhea 5 times within the last hour. This is very comparable to food poisoning. I did feel slightly nauseous about 4 hours prior to this but it never got to the point of vomiting. Hopefully the diarrhea subsides by early morning or I will go to the emergency room for intravenous fluids. The previous two vaccines only resulted in 2 days of chills for me which was manageable.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Diarrhoea
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: Moderna, first and second dose, chills.

VAERS 2524971

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: -
Alter: 26,0
Geschlecht: F
Eingang: 28.12.2021
Impfdatum: 22.12.2021
Beginn: 23.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Arthralgia Headache Myalgia Nausea Pyrexia Vomiting

Symptomtext

Headache, Myalgia, Arthralgia, Fever & NauseaVomiting Narrative:

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2524444

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: -
Alter: 55,0
Geschlecht: M
Eingang: 28.12.2021
Impfdatum: 21.12.2021
Beginn: 22.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Fatigue Myalgia

Symptomtext

Myalgia FATIGUE Narrative:

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2523986

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: -
Alter: 29,0
Geschlecht: M
Eingang: 28.12.2021
Impfdatum: 21.12.2021
Beginn: 22.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Chills Headache Pyrexia

Symptomtext

Headache, Fever, HEADACHE, CHILLS, FEVER Narrative:

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2523952

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21a

mild

Staat: -
Alter: 67,0
Geschlecht: M
Eingang: 28.12.2021
Impfdatum: 17.12.2021
Beginn: 21.12.2021
Tage bis Beginn: 4,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Cough Fatigue Oropharyngeal pain Pain

Symptomtext

Patient developed body aches, sore throat, fatigue, and cough after receiving his 3rd dose of covid vaccine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1985243

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: TX
Alter: 61,0
Geschlecht: F
Eingang: 28.12.2021
Impfdatum: 27.12.2021
Beginn: 28.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Arthralgia Chills Fatigue Injection site pain Myalgia Pain in extremity Pyrexia

Symptomtext

Fever, chills, fatigue. muscle and joint pain (especially in legs) and pain at injection site . Goes away with Excedrine but comes back after wearing off. Not sever enough for urgent care. Pretty sure this is a reaction to the Shingles vaccine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: Moderna Booster at same time as Shingles Vaccination, L-Thyroxine 150 Mcg, Liothyronine Sod Tabs 25Mcg.
Allergien: -
Vorherige Impfungen: -

VAERS 1984168

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: OK
Alter: 65,0
Geschlecht: M
Eingang: 27.12.2021
Impfdatum: 14.12.2021
Beginn: 17.12.2021
Tage bis Beginn: 3,0
Dosis: 3
Route/Site: IM / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Dizziness

Symptomtext

Dizziness on several occasions.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: COPD, Sleep apnea
Andere Medikamente: Pregabalin, Tamsulosin
Allergien: Ibuprofen
Vorherige Impfungen: -

VAERS 1982117

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: KS
Alter: 76,0
Geschlecht: F
Eingang: 27.12.2021
Impfdatum: 21.12.2021
Beginn: 22.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Arthralgia Erythema Joint swelling Pain in extremity Peripheral swelling

Symptomtext

Patient presented to pharmacy 12/27/21 reporting redness, swelling and pain in the right arm that occurred roughly 12 hours after patient received immunization. Patient received a flu shot in the left arm and a moderna additional dose (immunocomprimised) in the right arm. She said no mobility issues in the shoulder just soreness, swelling and redness. She has been managing with topical creams, acetaminophen and benadryl. As of today it is getting better started improving Sunday, worst she thought was Saturday 12/25/21 (Shots given Tuesday 12/21/21).

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Immunosuppressive therapy
Vorgeschichte: Cancer
Andere Medikamente: -
Allergien: Penicillins, NSAIDs
Vorherige Impfungen: -

VAERS 1981719

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CT
Alter: 57,0
Geschlecht: F
Eingang: 27.12.2021
Impfdatum: 10.12.2021
Beginn: 22.12.2021
Tage bis Beginn: 12,0
Dosis: 1
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Fatigue Malaise Pain Rash Rash pruritic Swelling

Symptomtext

Felt exhausted and ill first 4 days after vaccine , first day after being the worst,.then better as days went on. 13 days after vaccine itchy rash left should top to mid back.. left arm rash , swelling, painful as if bruised, rash on right buttock itchy.. left forearm ..face left side near mouth.. next day by right side.. left ear in back of ear 2 days later right ear.. used cortizone cream, benadryl creme .. helping.. took benedryl pill (1) every 4 hours on day 2 by day 4 all cleared.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: high blood pressure ,
Andere Medikamente: losartan,amlodopine,pravastatine,welbuterin,tramadol,ibprophen tylenol
Allergien: -
Vorherige Impfungen: -

VAERS 1981006

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: NH
Alter: 62,0
Geschlecht: F
Eingang: 25.12.2021
Impfdatum: 11.12.2021
Beginn: 22.12.2021
Tage bis Beginn: 11,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Pruritus Rash erythematous Rash pruritic Urticaria

Symptomtext

On day 11 post vaccine, palms of hands and scalp became extremely itchy. No lesions or rash on hands, found none on my scalp. The next morning I woke up with my back extremely itchy and discovered red itchy rash/hives. Since then I have had hives break out all over my body including hands and soles of feet, elbows, groin, thighs tops of feet, stomah and wrists. Some disappear relatively quickly but new hives continue to pop up in various places. Still have intermittent very itchy scalp and palms.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: I will be contacting doctor on Monday as this has been over the holiday and I was hoping it was a short self limiting event
Aktuelle Erkrankungen: Had a cold 3 weeks before vaccine, was tested negative for COVID (rapid test)
Vorgeschichte: none
Andere Medikamente: multi vitamin, calcium, magnesium
Allergien: penicillin
Vorherige Impfungen: -

VAERS 1980870

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: TN
Alter: 27,0
Geschlecht: F
Eingang: 24.12.2021
Impfdatum: 23.12.2021
Beginn: 23.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: SYR / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Injection site erythema Injection site pain Injection site swelling

Symptomtext

Golf ball-sized swelling, tenderness and redness at injection site. Muscle soreness of arm near injection site.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Asthma
Andere Medikamente: Wellbutrin
Allergien: Penicillin allergy
Vorherige Impfungen: -

VAERS 1979321

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: KY
Alter: 29,0
Geschlecht: F
Eingang: 24.12.2021
Impfdatum: 22.12.2021
Beginn: 23.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Injection site erythema Injection site nodule Injection site pruritus Injection site warmth

Symptomtext

Patient received Moderna 0.25ml IM (booster strength) on 12/22. She reported today, 12/24, that she has a silver dollar-size knot located slightly below injection site that is red, itchy, and warm-to-touch. Patient took Tylenol on the night after receiving the vaccine then took Ibuprofen on 12/23 when the symptoms started to appear. Instructed patient to take Benadryl to help alleviate some of the itching and to continue OTC pain medications, also to receive medical care if her condition does not improve after the holiday weekend.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1978977

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

mild

Staat: TX
Alter: 59,0
Geschlecht: F
Eingang: 24.12.2021
Impfdatum: 21.12.2021
Beginn: 21.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Arthralgia Joint injury

Symptomtext

Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1974927

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: OH
Alter: 61,0
Geschlecht: M
Eingang: 23.12.2021
Impfdatum: 21.12.2021
Beginn: 21.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Asthenia Chills Decreased appetite Diarrhoea Dysgeusia Headache Hyperhidrosis Hypersomnia

Symptomtext

Weakness, headache, sweating, slept for 36 hours, chills, metal taste, no appetite., loose stolls.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: Same as I had with the Booster shot

VAERS 1972093

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: -
Alter: 48,0
Geschlecht: F
Eingang: 22.12.2021
Impfdatum: 22.12.2021
Beginn: 22.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Dizziness

Symptomtext

Patient received vaccine at 1444, c/o lightheadedness and dizziness. Patient was instructed to lie down, offered water and apple juice, and observed for 30 mins. Patient discharged home at 1535.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1971740

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: AZ
Alter: 40,0
Geschlecht: F
Eingang: 22.12.2021
Impfdatum: 19.12.2021
Beginn: 20.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Pruritus Rash

Symptomtext

Rash appeared on wrist and fingers, lower stomach and thigh area itchy with rash.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None.
Vorgeschichte: Hypothyroid.
Andere Medikamente: None.
Allergien: None.
Vorherige Impfungen: -

VAERS 1971380

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: TN
Alter: 54,0
Geschlecht: F
Eingang: 22.12.2021
Impfdatum: 18.12.2021
Beginn: 18.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Pruritus

Symptomtext

Intense itching of feet & hands started about 8 hours after booster injection & lasted about 4 hours. No rash.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: High cholesterol
Andere Medikamente: Rosuvastatin 10 Mg Tablet Fenofibrate 160 Mg Tablet Hydroxyzine Hcl 25 Mg Tablet
Allergien: Amoxicillin, Tramodol, & Poison Ivy
Vorherige Impfungen: -

VAERS 2537438

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: -
Alter: 54,0
Geschlecht: M
Eingang: 21.12.2021
Impfdatum: 16.12.2021
Beginn: 17.12.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Arthralgia Asthenia Chills Headache Impaired work ability Myalgia Nausea Pyrexia Vomiting

Symptomtext

Headache, Myalgia, Arthralgia, Fever, NauseaVomiting, Also reported fever 102.5, weakness, chills. Unable to work on 12/17/21 Narrative:

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: yes, similar reaction, but milder, with shingles vaccine and with the 2nd covid vaccine

VAERS 2537415

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: -
Alter: 37,0
Geschlecht: F
Eingang: 21.12.2021
Impfdatum: 16.12.2021
Beginn: 19.12.2021
Tage bis Beginn: 3,0
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Arthralgia Arthritis reactive Joint swelling Oedema peripheral Pain in extremity Peripheral swelling Ultrasound Doppler normal

Symptomtext

Narrative: Lower, extremity edema, left arm edema, Dx with reactive arthritis. I was diagnosis with reactive arthritis. Sunday woke up with swollen feel, ankles and knee with worsen as the day went on, I also had pain in my knees. Woke up yesterday with continued but slightly improved pain and swelling in knees, ankles and feet. Then I watched my left arm swell up from wrist to elbow yesterday between 10:15 and 11 am. Urgent Care sent me to ED for ultrasound that showed no blood clot. Swelling in left arm worse today to include an inch above the elbow and my hand. Pain in wrist and elbow. Knees and feet less swollen today but still joint pain with walking,

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1968008

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: TN
Alter: 81,0
Geschlecht: F
Eingang: 21.12.2021
Impfdatum: 15.12.2021
Beginn: 15.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Rash Skin warm

Symptomtext

Patient came to the pharmacy today, 12/21 stating that she received her booster shot last week and that since that day, a rash formed. When asked if she had treated the rash with anything, she said she used benadryl cream and this made it worse. The patient showed me the rash and said that it was also holding heat. There seemed to be a small rash, but it was honestly hard to tell. Since the patient had used benadryl cream already, I suggested seeing her primary doctor to see if he could call her in a steroid of some sort or give her something else for treatment

Weitere VAERSDATA-Felder

Praegender Schweregrund: Rash
Hospital-Tage: -
Labordaten: N/a
Aktuelle Erkrankungen: no known illnesses
Vorgeschichte: no known illnesses
Andere Medikamente: benadryl cream
Allergien: aspirin, codeine, and sulfamethoxazole
Vorherige Impfungen: -

VAERS 1967890

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: NJ
Alter: 16,0
Geschlecht: F
Eingang: 21.12.2021
Impfdatum: 20.12.2021
Beginn: 20.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

No adverse event Product administered to patient of inappropriate age Vaccination site pain

Symptomtext

Patient is not old enough to get Moderna and received Moderna vaccine. Patient is feeling normal, no any adverse side effect is occurred except little soreness in arm with vaccination.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Vaccination site pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: No
Vorgeschichte: No
Andere Medikamente: No
Allergien: No
Vorherige Impfungen: -

VAERS 1967125

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: LA
Alter: -
Geschlecht: M
Eingang: 21.12.2021
Impfdatum: 15.12.2021
Beginn: 16.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: OT / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Vaccination site rash

Symptomtext

Rash in the vaccination site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE RASH (Rash in the vaccination site) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. No medical history was provided by the reporter. On 15-Dec-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Dec-2021, the patient experienced VACCINATION SITE RASH (Rash in the vaccination site). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Rash, at an unspecified dose and frequency. At the time of the report, VACCINATION SITE RASH (Rash in the vaccination site) outcome was unknown. Concomitant medication included blood pressure medication.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Vaccination site rash
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Comments: No medical history was provided by the reporter.
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1967099

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: NJ
Alter: 77,0
Geschlecht: F
Eingang: 21.12.2021
Impfdatum: 15.12.2021
Beginn: 01.12.2021
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Vaccination site pruritus Vaccination site rash

Symptomtext

started to experience a rash on the arm,, itchiness; started to experience a rash on the arm,, itchiness; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PRURITUS (started to experience a rash on the arm,, itchiness) and VACCINATION SITE RASH (started to experience a rash on the arm,, itchiness) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. Concurrent medical conditions included Depression. Concomitant products included MIRTAZAPINE for Depression, VITAMINS NOS and ATORVASTATIN CALCIUM (STATIN [ATORVASTATIN CALCIUM]) for an unknown indication. On 15-Dec-2021, the patient 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 received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In December 2021, the patient experienced VACCINATION SITE PRURITUS (started to experience a rash on the arm,, itchiness) and VACCINATION SITE RASH (started to experience a rash on the arm,, itchiness). At the time of the report, VACCINATION SITE PRURITUS (started to experience a rash on the arm,, itchiness) and VACCINATION SITE RASH (started to experience a rash on the arm,, itchiness) outcome was unknown. No treatment medication was provided. The patient reports having no problems with the first 2 doses. The rash was a pretty good sized rash.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Vaccination site pruritus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Depression
Vorgeschichte: -
Andere Medikamente: VITAMINS NOS; MIRTAZAPINE; STATIN [ATORVASTATIN CALCIUM]
Allergien: -
Vorherige Impfungen: -

VAERS 1963534

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: AL
Alter: 69,0
Geschlecht: F
Eingang: 20.12.2021
Impfdatum: 15.12.2021
Beginn: 16.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Dry skin Rash Rash papular Skin warm Swelling

Symptomtext

PATIENT REPORTED A RAISED ROUGH RASH WITH SWELLING AND HEAT THAT WENT FROM SHOULDER TO ELBOW. LASTED APPROXIMATELY 5 DAYS BUT HAS NOW RESOLVED. PATIENT TOOK BENADRYL AT THE TIME OF REACTION.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Rash
Hospital-Tage: -
Labordaten: NONE
Aktuelle Erkrankungen: NONE
Vorgeschichte: UNKNOWN
Andere Medikamente: UNKNOWN
Allergien: NONE
Vorherige Impfungen: -

VAERS 1962027

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CA
Alter: 52,0
Geschlecht: F
Eingang: 18.12.2021
Impfdatum: 11.12.2021
Beginn: 12.12.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja

Back pain Pyrexia

Symptomtext

Patient developed a high, fluctuating fever for 2-4 days after the vaccine. Her highest temperature was 102 F, and she also developed some back pain. She visited the urgent care 4 days later to pickup medications for symptoms.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Back pain
Hospital-Tage: -
Labordaten: Patient saw urgent care, and she will also check up with PCP for approval if she can get second vaccine.
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1961811

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: -
Alter: 51,0
Geschlecht: F
Eingang: 18.12.2021
Impfdatum: 17.12.2021
Beginn: 17.12.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Dizziness Hypoaesthesia Nausea

Symptomtext

Patient had facial numbness, nausea and dizziness shortly after receiving vaccination. She has a history of diabetes and recently started on a new insulin medication since last Moderna doses.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1961703

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: TN
Alter: 74,0
Geschlecht: M
Eingang: 18.12.2021
Impfdatum: 15.12.2021
Beginn: 16.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Injection site pain Injection site pruritus

Symptomtext

Patient reported itching and tenderness at injection site without redness or swelling.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1959574

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: -
Alter: 36,0
Geschlecht: F
Eingang: 17.12.2021
Impfdatum: 17.12.2021
Beginn: 17.12.2021
Tage bis Beginn: 0,0
Dosis: N/A
Route/Site: IM / AR

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Dizziness Feeling hot

Symptomtext

Patien received the booster dose of the Moderna COVID vaccine (lot 069H21A) at 1455. At 1500, patient reported to PHN that she felt hot and dizzy. PHN approached to asses, patient sat in zero-gravity chair and placed supine. Vital signs: respirations 18, pulse 100, O2 99%, blood pressure 130/76. At 1505, PHN offered patient Benadryl but patient declined. PHN educated on following up with provider, ER precautions, and to remain onsite for 30min monitoring from time of reporting symptoms. Patient reported no allergies, medical conditions include vertigo, hypothyroidism, and vestibular migraines. Patient reported she was possibly pregnant. Medications include: synthroid, verapamil, vitamin D, prenatal vitamin, and Valium as needed for migraines. At 1515, patient reported symptoms improved. Vital signs: respirations 16, O2 99%, pulse 82, blood pressure 132/78. At 1530, patient reported symptoms resolved. Patient sat up, continued reporting no symptoms. Vital signs: blood pressure 128/74, pulse 72, O2 99%, respirations 14. Patient stood up, continuing to report no symptoms. Patient left walking with steady gait at 1533.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: vertigo, hypothyroidism, and vestibular migraines. Patient reported she was possibly pregnant
Andere Medikamente: synthroid, verapamil, vitamin D, prenatal vitamin, and Valium as needed for migraines
Allergien: -
Vorherige Impfungen: -

VAERS 1959533

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

mild

Staat: OH
Alter: 57,0
Geschlecht: F
Eingang: 17.12.2021
Impfdatum: 15.12.2021
Beginn: 17.12.2021
Tage bis Beginn: 2,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Gait inability Pain in extremity X-ray

Symptomtext

extreme pain in left leg. unable to walk. patient went to hospital.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain in extremity
Hospital-Tage: -
Labordaten: xray other tests unknow at current time
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1959325

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CA
Alter: 21,0
Geschlecht: F
Eingang: 17.12.2021
Impfdatum: 17.12.2021
Beginn: 17.12.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Dizziness Interchange of vaccine products

Symptomtext

Client received her first dose of COVID vaccine (Janssen on 04/09/21 lot: 1808980). Client requested to receive a Moderna COVID Vaccine Booster and a FLU shot. RN spoke with client about mixing of vaccines, and client did report that she did not have any adverse reaction with her Janssen COVID vaccine. RN administered Moderna Booster COVID vaccine Lot: 069H21A first and then the Fluarix Lot: 7557A to client. At 11:35 AM client complained of dizziness after the Fluarix was administered. RN then called both EMTs to bring the gravity chair to her station. Both EMTs stood near client to ensure client does not fall upon transfer to gravity chair and RN followed. Client reported that she ate this morning and did not have any reaction with a previous FLU shot nor with her Janssen COVID vaccine, client does not take any medications, no pertinent medical history and has no known allergies. 11:39 AM Vital Signs obtained: Oxygen Saturation: 98% on room air, Heart Rate: 58, Respiration Rate: 16 and Blood Pressure: 105/76. Skin is warm and dry and reported that she's feeling better. 11:45 AM Vital Signs obtained: Oxygen Saturation: 99% on room air, Heart Rate: 65, Respiration Rate: 18 and Blood Pressure: 105/73. Client did state, "I'm feeling better and the dizziness only lasted for a minute." Client was able to stand unassisted from gravity chair and no dizziness reported after client stood up. RN advised for client to stay another 15 minutes at observation area, so we can continue to monitor her; however client declined. RN and EMT then escorted client to the car where her father was waiting for her. Client was able to ambulate unassisted to their car. Client left facility at 11:50 AM.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: Not taking any medications.
Allergien: No known allergies.
Vorherige Impfungen: -

VAERS 1958841

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: NJ
Alter: 75,0
Geschlecht: F
Eingang: 17.12.2021
Impfdatum: 14.12.2021
Beginn: 14.12.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Arthralgia Axillary mass Back pain Headache Immediate post-injection reaction Muscle spasms Myalgia Pain Pain in extremity

Symptomtext

pain in arm as soon as administered. Unable to raise or extend arm without experiencing strong pain which finally lessened on the third day. Pain in muscle, elbow, hand, cramps in fingers, pain in back, felt lump under arm pit on the left side. Took Tylenol during the night to lessen pain and headache

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: none
Vorgeschichte: copd (asthma) thyroid high blood pressure cholesterol acid reflux depression
Andere Medikamente: 1. Synthroid 75 mcg 1 tablet once a day (thyroid) 2. Zetia 10 mg 1 tablet once a day (cholesterol) 3. Losartan 50 mg 1 tablet once a day (blood pressure) 4. Lansoprazole 30 mg 1 capsule once a day (acid reflux) (8/6/19) 5. Lexapro 20 mg on
Allergien: monopril lidocream tincture of benzoin
Vorherige Impfungen: -

VAERS 1955955

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: SC
Alter: 62,0
Geschlecht: F
Eingang: 16.12.2021
Impfdatum: 16.12.2021
Beginn: 16.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Nausea Vomiting

Symptomtext

Pt. had nausea and vomiting shortly after taking the vaccine. She returned to the pharmacy and I had her sit down. She is diabetic and I asked the last time she ate and she said "this morning" so I had her take some glucose tablets and drink some water while she rested. She felt better within a short time and she went home. I called an hour or so later and checked on her and she was still nauseated. I told her to continue to rest, hydrate and contact her dr. if she feels worse.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Nausea
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: DIABETES
Vorgeschichte: DIABETES
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1954883

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: IN
Alter: 56,0
Geschlecht: F
Eingang: 16.12.2021
Impfdatum: 14.12.2021
Beginn: 15.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Pyrexia

Symptomtext

Fever of around 100.5 for 18 hours

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pyrexia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: no
Vorgeschichte: no - on tamoxifen for breast cancer but I have had no recurrence
Andere Medikamente: tamoxifen
Allergien: no
Vorherige Impfungen: -

VAERS 1954165

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: NC
Alter: 80,0
Geschlecht: F
Eingang: 16.12.2021
Impfdatum: 10.12.2021
Beginn: 10.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Myalgia

Symptomtext

sore arm / Just being sore; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (sore arm / Just being sore) in an 80-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. Concomitant products included HYDROCORTISONE for Fibromyalgia. On 10-Dec-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 10-Dec-2021, the patient experienced MYALGIA (sore arm / Just being sore). At the time of the report, MYALGIA (sore arm / Just being sore) had not resolved. 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 treatment information was provided.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Myalgia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: HYDROCORTISONE
Allergien: -
Vorherige Impfungen: -

VAERS 1951858

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: TX
Alter: 86,0
Geschlecht: F
Eingang: 15.12.2021
Impfdatum: 13.12.2021
Beginn: 14.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Asthenia Nausea

Symptomtext

On 12/15/21, patient stated that she had felt weak and started having nausea on 12/14/21 in the evening

Weitere VAERSDATA-Felder

Praegender Schweregrund: Nausea
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1950419

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: CA
Alter: 24,0
Geschlecht: F
Eingang: 15.12.2021
Impfdatum: 11.12.2021
Beginn: 11.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Cold sweat Diarrhoea Dizziness Fatigue Headache Heart rate increased Nausea Pain Pyrexia

Symptomtext

High resting heart rate for 12+ hours. Resting heart rate up to 163 in my sleep. Heart rate was in 85-95 range the hour of the shot then began rising after I went to sleep. stayed in 117 -136 range from 1 am Dec 12 to 11 am Dec 12. This is the most severe of the other side effects I experienced - body aches, head aches, short fever (99.3 F - 101 F) & cold sweats, fatigue, dizziness, nausea, diarrhea.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Diarrhoea
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None known
Vorgeschichte: None
Andere Medikamente: None known
Allergien: None known
Vorherige Impfungen: -

VAERS 1943961

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

mild

Staat: FL
Alter: 62,0
Geschlecht: F
Eingang: 13.12.2021
Impfdatum: 10.12.2021
Beginn: 10.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Dysgeusia Feeling abnormal Headache Pain Pain in extremity Pyrexia

Symptomtext

Sugar taste in mouth with injection, sore arm. 10 hours later, onset of fever (104 degrees). Severe headache, body aches, brain fog. Taking advil and tylonol.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Headache
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: ME/CFS
Andere Medikamente: -
Allergien: Penicillin, Iodine, Adhesive derivates, Prednisone
Vorherige Impfungen: 2nd Covid shot, 03/26/2021

VAERS 1942397

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

mild

Staat: OH
Alter: 53,0
Geschlecht: F
Eingang: 11.12.2021
Impfdatum: 11.12.2021
Beginn: 11.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Pruritus

Symptomtext

Itching started within 1-2 minutes of administration in her right upper arm and stayed in that area. She was given 25mg of oral liquid diphenhydramine and then observed. It improved within 10 minutes of receipt of the diphenhydramine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: been feeling fine
Vorgeschichte: diabetic, HBP, acid reflux, anxiety
Andere Medikamente: Lisinopril, metformin, Farxiga, lipitor, escitalopram, omeprazole
Allergien: eryc, pineapple, cats
Vorherige Impfungen: -

VAERS 1935592

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

mild

Staat: OH
Alter: 87,0
Geschlecht: F
Eingang: 09.12.2021
Impfdatum: 06.12.2021
Beginn: 07.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Injection site erythema Injection site pruritus

Symptomtext

Patient states that starting the day after her vaccination the arm she received the vaccine in became very itchy and very red all the way from her shoulder to her elbow.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: none reported
Vorgeschichte: none reported
Andere Medikamente: ropinirole 0.25mg
Allergien: no known allergies
Vorherige Impfungen: -

VAERS 2702573

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 70,0
Geschlecht: F
Eingang: 26.10.2023
Impfdatum: 31.01.2022
Beginn: 31.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

Vaccine administered after BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2702571

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 57,0
Geschlecht: F
Eingang: 26.10.2023
Impfdatum: 31.01.2022
Beginn: 31.01.2022
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

Vaccine administered after BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2702566

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 61,0
Geschlecht: M
Eingang: 26.10.2023
Impfdatum: 14.01.2022
Beginn: 14.01.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

Vaccine administered after BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2702564

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 60,0
Geschlecht: F
Eingang: 26.10.2023
Impfdatum: 19.01.2022
Beginn: 19.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

Vaccine administered after BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2702561

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 87,0
Geschlecht: M
Eingang: 26.10.2023
Impfdatum: 24.01.2022
Beginn: 24.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

Vaccine adminstered after BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2702555

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 56,0
Geschlecht: F
Eingang: 26.10.2023
Impfdatum: 13.01.2022
Beginn: 13.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

Vaccine adminstered after BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2702525

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 67,0
Geschlecht: M
Eingang: 26.10.2023
Impfdatum: 13.01.2022
Beginn: 13.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

Vaccine administered after BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2700872

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 41,0
Geschlecht: M
Eingang: 24.10.2023
Impfdatum: 01.02.2022
Beginn: 01.02.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

Vaccine administered after BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2700870

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 49,0
Geschlecht: F
Eingang: 24.10.2023
Impfdatum: 09.02.2022
Beginn: 09.02.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

Vaccine adminstered after BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2700864

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 40,0
Geschlecht: F
Eingang: 24.10.2023
Impfdatum: 19.01.2022
Beginn: 19.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

Vaccine administered after BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2653158

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: MI
Alter: 74,0
Geschlecht: M
Eingang: 06.07.2023
Impfdatum: 07.12.2021
Beginn: 11.01.2023
Tage bis Beginn: 400,0
Dosis: 3
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Breakthrough case admission after 3 vaccines Moderna 3/12/21 lot# 044A21A; Moderna 4/19/21 lot# 025B21A; Moderna 12/7/21 lot# 069H21A

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: COVID +
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2651508

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 65,0
Geschlecht: F
Eingang: 30.06.2023
Impfdatum: 06.04.2022
Beginn: 06.04.2022
Tage bis Beginn: 0,0
Dosis: 4
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Patient received vaccine after beyond-use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2651505

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 44,0
Geschlecht: F
Eingang: 30.06.2023
Impfdatum: 06.04.2022
Beginn: 06.04.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Patient received vaccine after beyond-use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2651503

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 71,0
Geschlecht: M
Eingang: 30.06.2023
Impfdatum: 06.04.2022
Beginn: 06.04.2022
Tage bis Beginn: 0,0
Dosis: 4
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Patient received vaccine after beyond-se date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2651502

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 58,0
Geschlecht: F
Eingang: 30.06.2023
Impfdatum: 02.04.2022
Beginn: 02.04.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Patient received vaccine after beyond-use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2651500

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 65,0
Geschlecht: F
Eingang: 30.06.2023
Impfdatum: 02.04.2022
Beginn: 02.04.2022
Tage bis Beginn: 0,0
Dosis: 4
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Patient received vaccine after beyond-use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2651498

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 35,0
Geschlecht: F
Eingang: 30.06.2023
Impfdatum: 02.04.2022
Beginn: 02.04.2022
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Patient received vaccine after beyond-use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2651497

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 31,0
Geschlecht: M
Eingang: 30.06.2023
Impfdatum: 02.04.2022
Beginn: 02.04.2022
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Patient received vaccine after beyond-use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2651494

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 19,0
Geschlecht: M
Eingang: 30.06.2023
Impfdatum: 05.04.2022
Beginn: 05.04.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Patient received vaccine after beyond-use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2651493

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 67,0
Geschlecht: M
Eingang: 30.06.2023
Impfdatum: 02.04.2022
Beginn: 02.04.2022
Tage bis Beginn: 0,0
Dosis: 4
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Patient received vaccine after beyond-use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2651492

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 63,0
Geschlecht: M
Eingang: 30.06.2023
Impfdatum: 02.04.2022
Beginn: 02.04.2022
Tage bis Beginn: 0,0
Dosis: 4
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Patient received vaccine after beyond-use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2651491

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 19,0
Geschlecht: F
Eingang: 30.06.2023
Impfdatum: 05.04.2022
Beginn: 05.04.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Patient received vaccine after beyond-use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2612603

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 81,0
Geschlecht: F
Eingang: 10.04.2023
Impfdatum: 13.02.2021
Beginn: 27.03.2023
Tage bis Beginn: 772,0
Dosis: 3
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: unbekannt

Unevaluable event

Symptomtext

none

Weitere VAERSDATA-Felder

Praegender Schweregrund: Unevaluable event
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2589928

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 33,0
Geschlecht: F
Eingang: 01.03.2023
Impfdatum: 12.01.2022
Beginn: 16.03.2022
Tage bis Beginn: 63,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: unbekannt Erholt: nein

Abortion spontaneous Autoimmune disorder Blood glucose increased Blood test Glycosylated haemoglobin Maternal exposure before pregnancy Pregnancy Type 1 diabetes mellitus

Symptomtext

Got pregnant 2 weeks later and miscarried at 7 weeks due to high glucose levels due to an autoimmune response of type 1 diabetes that was not diagnosed until June 17th, 2022

Weitere VAERSDATA-Felder

Praegender Schweregrund: Abortion spontaneous
Hospital-Tage: -
Labordaten: Blood test to determine glucose levels & A1C
Aktuelle Erkrankungen: None
Vorgeschichte: Type 1 diabetes
Andere Medikamente: Prenatal vitamin
Allergien: None
Vorherige Impfungen: -

VAERS 2574257

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: MI
Alter: 64,0
Geschlecht: F
Eingang: 02.02.2023
Impfdatum: 15.12.2021
Beginn: 03.01.2023
Tage bis Beginn: 384,0
Dosis: 3
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Breakthrough case admission after 3 vaccines Pfizer 4/2/21 Lot# Ew0150; Pfizer 5/12/21 Lot# Ew083; Moderna 12/15/21 Lot# 069H21A

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: COVID +
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2544850

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NH
Alter: 54,0
Geschlecht: F
Eingang: 28.12.2022
Impfdatum: 24.12.2021
Beginn: 17.10.2022
Tage bis Beginn: 297,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

COVID-19 Cough Menstrual disorder Respiratory tract congestion SARS-CoV-2 test positive Skin burning sensation

Symptomtext

I believe I got it around midnight 11/12, I felt like my skin was on fire. I was able to go back to sleep after a while and then I woke up and throughout the day I was having congestions and coughing. I then took a test for COVID-19 it was negative. I kept feeling worse than next day I tested again and still negative. I went to the doctor about a week later and was positive. They gave me no medication and sent me on my way. I did isolate from everyone for the next 5 days. It took about 6 weeks to completely recover. I developed a cough so bad that I was almost inconstant. I didn't start to recover until Dec 5. I felt like I was fighting Mono. Something else that was strange was that I started my cycle all over again and it lasted for weeks. I did reach put to my OBGYN and was told that COVID does throw off cycles.

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: 2 COVID-19 at home test, COVID-19 rapid
Aktuelle Erkrankungen: -
Vorgeschichte: Respiratory illness
Andere Medikamente: Pantoprazole; estradiol; nasal spray; ZYRTEC; vitamin D; melatonin; magnesium
Allergien: Prednisone; cough medication; narcotic medication; codeine; antibiotic
Vorherige Impfungen: -

VAERS 2533180

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: MI
Alter: 93,0
Geschlecht: M
Eingang: 15.12.2022
Impfdatum: 16.12.2021
Beginn: 30.11.2022
Tage bis Beginn: 349,0
Dosis: 3
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja

Asthenia Body temperature decreased COVID-19 Capillary nail refill test Obesity SARS-CoV-2 test positive

Symptomtext

Admission Date: 11/30/2022 Discharge Date: 12/11/2022 COVID positive date 11/30/2022 PRESENTING PROBLEM: Weakness COVID-19 HOSPITAL COURSE: 94yom with pmhx CVA, HTN, mild cog CONSULTS / RECOMMENDATION: N/a INPATIENT PROCEDURES: N/a BP 142/67 | Pulse 77 | Temp 36.3 ?C (Oral) | Resp 20 | Ht 1.727 m | Wt 93.8 kg | SpO2 95% | BMI 31.44 kg/m? Physical Exam Vitals and nursing note reviewed. Constitutional: General: He is not in acute distress. Appearance: He is obese. HENT: Head: Normocephalic and atraumatic. Nose: No congestion. Mouth/Throat: Mouth: Mucous membranes are moist. Pharynx: Oropharynx is clear. Eyes: Extraocular Movements: Extraocular movements intact. Pupils: Pupils are equal, round, and reactive to light. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulses: Normal pulses. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Breath sounds: Normal breath sounds. Abdominal: General: Abdomen is flat. Bowel sounds are normal. There is no distension. Palpations: Abdomen is soft. Musculoskeletal: General: No swelling or deformity. Normal range of motion. Cervical back: Normal range of motion and neck supple. Right lower leg: No edema. Left lower leg: No edema. Skin: General: Skin is warm and dry. Capillary Refill: Capillary refill takes less than 2 seconds. Neurological: General: No focal deficit present. Mental Status: He is alert and oriented to person, place, and time. Cranial Nerves: No cranial nerve deficit. Motor: Weakness present. Psychiatric: Mood and Affect: Mood normal. Behavior: Behavior normal.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Asthenia
Hospital-Tage: 11,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Left Lower lobe Lung nodule 14 mm identified 12/2020 Essential hypertension Cerebellar stroke Olecranon bursitis Neuropathy peripheral Recurrent falls Major depressive disorder Anxiety Generalized weakness Ataxia Former smoker quit 1980 Right inguinal hernia Fall
Andere Medikamente: acetaminophen (TYLENOL) 500 MG tablet amlodipine (NORVASC) 2.5 MG tablet aspirin 81 MG chewable tablet atorvastatin (LIPITOR) 40 MG tablet FLUoxetine (PROZAC) 20 MG capsule melatonin 3 MG METAMUCIL FIBER PO mirabegron ER (MYRBETRIQ) 50 MG 2
Allergien: NKA
Vorherige Impfungen: -

VAERS 2507077

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: -
Alter: 58,0
Geschlecht: M
Eingang: 08.11.2022
Impfdatum: 04.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 2,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein

Alcohol withdrawal syndrome Suicidal ideation

Symptomtext

Narrative: Patient admitted to the hospital within 30 days of receiving MODERNA COVID-19 vaccine. Patient is admitted for alcohol withdrawal with suicidal ideation.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Alcohol withdrawal syndrome
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2477283

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: MI
Alter: 79,0
Geschlecht: M
Eingang: 13.10.2022
Impfdatum: 27.03.2021
Beginn: 02.10.2022
Tage bis Beginn: 554,0
Dosis: 3
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt

Atrial fibrillation COVID-19 SARS-CoV-2 test positive

Symptomtext

Pt has a history of COPD and lung cancer. Pt was admitted for afib and RVR and was found to be COVID positive.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Atrial fibrillation
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2450855

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: MI
Alter: 17,0
Geschlecht: F
Eingang: 19.09.2022
Impfdatum: 14.04.2021
Beginn: 13.09.2022
Tage bis Beginn: 517,0
Dosis: 3
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt

Acute psychosis Asymptomatic COVID-19 SARS-CoV-2 test positive

Symptomtext

Pt arrived to ER for acute psychosis. Pt swabbed for COVID due to potential admission to psych unit, but was COVID-19 positive and asymptomatic.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Acute psychosis
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2438762

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: KY
Alter: 83,0
Geschlecht: M
Eingang: 10.09.2022
Impfdatum: 13.12.2021
Beginn: 27.08.2022
Tage bis Beginn: 257,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein

Extra dose administered

Symptomtext

Admitted to hospital.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Extra dose administered
Hospital-Tage: 5,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2436266

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: MI
Alter: 85,0
Geschlecht: M
Eingang: 09.09.2022
Impfdatum: 17.12.2021
Beginn: 24.08.2022
Tage bis Beginn: 250,0
Dosis: 3
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja

Asthenia COVID-19 Chest X-ray normal Corynebacterium test positive Culture urine positive Enterococcus test positive SARS-CoV-2 test positive Sepsis Staphylococcus test positive Urinary tract infection

Symptomtext

Patient with 3 COVID vaccines who admitted to hospital with positive COVID test. Provider d/c note: "86-year-old male with past medical history of hypothyroid, dementia, and neurogenic bladder s/p suprapubic catheter. Patient was admitted 08/24 for sepsis secondary to urinary tract infection after presenting with symptoms of weakness. He was also found to be COVID-19 positive, but with no hypoxia or chest x-ray findings of COVID-19 pneumonia. He was started on IV Rocephin initially, but urine cultures grew MRSA, Enterococcus, and Corynebacerium, and so his antibiotics were switched to vancomycin. His suprapubic catheter was exchanged 8/30. He is stable for discharge home with home health and oral antibiotics."

Weitere VAERSDATA-Felder

Praegender Schweregrund: Asthenia
Hospital-Tage: 9,0
Labordaten: COVID detected PCR on 08/24/22.
Aktuelle Erkrankungen: -
Vorgeschichte: Hypothyroidism PRP (pityriasis rubra pilaris) Hiatal hernia Multiple gastric polyps Chronic suprapubic catheter (*) Diverticulosis Urinary retention due to benign prostatic hyperplasia Late onset Alzheimer's dementia without behavioral disturbance (*)
Andere Medikamente: -
Allergien: Cipro
Vorherige Impfungen: -

VAERS 2431247

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: MI
Alter: 84,0
Geschlecht: F
Eingang: 07.09.2022
Impfdatum: 21.12.2021
Beginn: 27.08.2022
Tage bis Beginn: 249,0
Dosis: 3
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Breakthrough case admission after three vaccines Moderna 4/29/21 Lot# 004C21A; Moderna 5/27/21 Lot# 054C21A; Moderan 12/21/21 Lot# 069H21A

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: COVID +
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2422605

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 58,0
Geschlecht: F
Eingang: 29.08.2022
Impfdatum: 07.04.2022
Beginn: 07.04.2022
Tage bis Beginn: 0,0
Dosis: 4
Route/Site: OT / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered No adverse event

Symptomtext

No adverse event; Dose administered after manufacture expiry date; This spontaneous case was reported by a nursing assistant and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Dose administered after manufacture expiry date) and NO ADVERSE EVENT (No adverse event) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 prophylaxis. No Medical History information was reported. On 07-Apr-2022 at 10:50 AM, the patient received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On 07-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Dose administered after manufacture expiry date). On an unknown date, the patient experienced NO ADVERSE EVENT (No adverse event). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Dose administered after manufacture expiry date) and NO ADVERSE EVENT (No adverse event) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered NO ADVERSE EVENT (No adverse event) to be not related and EXPIRED PRODUCT ADMINISTERED (Dose administered after manufacture expiry date) to have an unknown relationship. Vaccine did not undergo and temperature excursion issue. No concomitant product reported by reporter. Event did not caused patient to seek medical care. No treatment medication reported by reporter. This case was linked to US-MODERNATX, INC.-MOD-2022-635425, US-MODERNATX, INC.-MOD-2022-630555 (E2B Linked Report).; Sender's Comments: US-MODERNATX, INC.-MOD-2022-635425:76 year old female US-MODERNATX, INC.-MOD-2022-630555:88 year old male

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2433492

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: -
Alter: 76,0
Geschlecht: M
Eingang: 23.08.2022
Impfdatum: 11.05.2022
Beginn: 21.07.2022
Tage bis Beginn: 71,0
Dosis: 3
Route/Site: IM / RA

Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Adult failure to thrive

Symptomtext

Narrative: hospice due to complication with Adult Failure to Thrive

Weitere VAERSDATA-Felder

Praegender Schweregrund: Adult failure to thrive
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2404349

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: -
Alter: 77,0
Geschlecht: M
Eingang: 08.08.2022
Impfdatum: 10.01.2022
Beginn: 08.08.2022
Tage bis Beginn: 210,0
Dosis: 3
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt

COVID-19 Vaccine breakthrough infection

Symptomtext

Fully vaccinated with one booster. COVID breakthrough infection

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2400347

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 17,0
Geschlecht: F
Eingang: 03.08.2022
Impfdatum: 16.03.2022
Beginn: 16.03.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Product administered to patient of inappropriate age

Symptomtext

The patient was 17 years old at the time of inoculation.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product administered to patient of inappropriate age
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2372125

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: IL
Alter: 41,0
Geschlecht: M
Eingang: 18.07.2022
Impfdatum: 04.01.2022
Beginn: 07.07.2022
Tage bis Beginn: 184,0
Dosis: 1
Route/Site: OT / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered Inappropriate schedule of product administration Product storage error

Symptomtext

Vial was stored in refrigerator on 02-Jun-2022 and administered on 07-Jul-2022; Moderna COVID vaccine from a vial that had exceeded its 30 day working expiration.; second dose given on 04-Jan-2022 and booster dose on 07-Jul-2022; This spontaneous case was reported by a pharmacist and describes the occurrence of INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (second dose given on 04-Jan-2022 and booster dose on 07-Jul-2022), PRODUCT STORAGE ERROR (Vial was stored in refrigerator on 02-Jun-2022 and administered on 07-Jul-2022) and EXPIRED PRODUCT ADMINISTERED (Moderna COVID vaccine from a vial that had exceeded its 30 day working expiration.) in a 41-year-old male patient who received mRNA-1273 (Spikevax) (batch nos. 059M21A and 069H21A) for COVID-19 prophylaxis. The patient's past medical history included Erectile dysfunction (No recent changes in condition status) on 10-Sep-2021. Concurrent medical conditions included Multiple sclerosis (No recent changes in condition status) since 22-Dec-2020, Chronic pain (Chronic pain/opioid dependence,No recent changes in condition status) since 07-Sep-2017, GERD (No recent changes in condition status) since 16-Apr-2016 and Hyperlipidemia (No recent changes in condition status) since 07-Dec-2015. Concomitant products included BUPRENORPHINE from 17-May-2022 to an unknown date for Chronic pain, FAMOTIDINE from 10-Feb-2021 to an unknown date for GERD, ATORVASTATIN from 07-Jan-2022 to an unknown date and GEMFIBROZIL from 10-Sep-2021 to an unknown date for Hyperlipidemia, GLATIRAMER ACETATE from 10-Sep-2021 to an unknown date for Multiple sclerosis. On 04-Jan-2022 at 9:34 AM, the patient received first dose of mRNA-1273 (Spikevax) (unknown route) .5 milliliter. On 07-Jul-2022 at 9:11 AM, received second dose of mRNA-1273 (Spikevax) (unknown route) dosage was changed to .5 milliliter. On 07-Jul-2022 at 9:11 AM, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (second dose given on 04-Jan-2022 and booster dose on 07-Jul-2022) and EXPIRED PRODUCT ADMINISTERED (Moderna COVID vaccine from a vial that had exceeded its 30 day working expiration.). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Vial was stored in refrigerator on 02-Jun-2022 and administered on 07-Jul-2022). At the time of the report, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (second dose given on 04-Jan-2022 and booster dose on 07-Jul-2022), PRODUCT STORAGE ERROR (Vial was stored in refrigerator on 02-Jun-2022 and administered on 07-Jul-2022) and EXPIRED PRODUCT ADMINISTERED (Moderna COVID vaccine from a vial that had exceeded its 30 day working expiration.) outcome was unknown. For mRNA-1273 (Spikevax) (Unknown), the reporter did not provide any causality assessments. Acute illness at the time of vaccination and up to one month before was reported as none. No adverse events noted at the time of reporting. Number of doses and vials were reported as 15 doses and 3 red cap vials. Vial was initially stored in the refrigerator on 02-Jun-2022 The vial did not undergo any temperature excursions. Treatment details were not reported by the reporter.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Chronic pain (Chronic pain/opioid dependence, No recent changes in condition status); GERD (No recent changes in condition status); Hyperlipidemia (No recent changes in condition status); Multiple sclerosis (No recent changes in condition status.)
Vorgeschichte: Medical History/Concurrent Conditions: Erectile dysfunction (No recent changes in condition status.)
Andere Medikamente: GLATIRAMER ACETATE; BUPRENORPHINE; ATORVASTATIN; FAMOTIDINE; GEMFIBROZIL.
Allergien: -
Vorherige Impfungen: -

VAERS 2370759

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 46,0
Geschlecht: M
Eingang: 15.07.2022
Impfdatum: 10.01.2022
Beginn: 15.03.2022
Tage bis Beginn: 64,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Deafness unilateral Ear congestion Tinnitus

Symptomtext

In my yearly physical it shows hearing loss one ear is worse than the other, feels and sounds like I'm submerged had clogged ears. Since it started have had a high pitched wine tinnitus and a crackling sound as well it's comes and goes. There were no other significant events I can think of that may have caused this issue.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Deafness unilateral
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Vitamin supplements (SMARTY PANTS)
Allergien: A severe reaction to steroid pack when I was younger
Vorherige Impfungen: -

VAERS 2366290

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 17,0
Geschlecht: F
Eingang: 12.07.2022
Impfdatum: 07.01.2022
Beginn: 07.01.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Product administered to patient of inappropriate age

Symptomtext

Patient received Moderna outside of the recommended age series. Patient C/O no side effects/symptoms

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product administered to patient of inappropriate age
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: NKDA
Vorherige Impfungen: -

VAERS 2364411

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NM
Alter: 61,0
Geschlecht: F
Eingang: 11.07.2022
Impfdatum: 20.01.2022
Beginn: 22.01.2022
Tage bis Beginn: 2,0
Dosis: 3
Route/Site: SYR / AR

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Blood test normal Inflammation Limb mass Magnetic resonance imaging abnormal Oedema Rheumatoid factor negative Scan with contrast

Symptomtext

Lump appeared on right side of right ankle. Lumps have continued to appear, some have disappeared over time. One is still on right achilles tendon, under foot on a tendon, and tendon near ankle bone.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Blood test normal
Hospital-Tage: -
Labordaten: Had two MRIs. Both showed inflammation/edema due to the lumps, but the lumps are not visible even with contrast. Complete bloodwork done was normal RA factor negative. Waiting to get in with rheumatologist and immunologist to rule out an auto-immune disease.
Aktuelle Erkrankungen: Recovered from COVID/Pneumonia
Vorgeschichte: Asthma, Controlled High Blood Pressure, RLS, GERD
Andere Medikamente: Amlodipine, Lisinopril, Carbidopa-Levodopa, Ropinirole, Symbicort, Albuterol, Azelastine, Fluticasone, Clonazepam, Omeprazole
Allergien: Chicken, Soy, Rice, Peanuts, Walnuts, Barley, Potatoes
Vorherige Impfungen: -

VAERS 2363961

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 64,0
Geschlecht: F
Eingang: 09.07.2022
Impfdatum: 04.04.2022
Beginn: 19.05.2022
Tage bis Beginn: 45,0
Dosis: 4
Route/Site: - / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: unbekannt Erholt: nein

Acoustic stimulation tests abnormal Deafness unilateral Head discomfort Nasopharyngitis Tinnitus

Symptomtext

Rapid onset hearing loss - left ear about May 19, 2022. Had a cold & suddenly got severe ringing in left ear & feeling of head under water. Had travelled by plane previously. Thought ringing in ear & loss of hearing would clear up, but 6 weeks later had hearing test & left ear has had sudden large dip in hearing which seems permanent. MRI scheduled. Doctor suspects Autoimmune Hearing Loss.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Acoustic stimulation tests abnormal
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Sinusitis, Auto immune gastritis, GERD, Hypothyroidism,
Andere Medikamente: Temazapam , Azelastin, Levothyroxin, Budesonide, Effexor
Allergien: Latex
Vorherige Impfungen: -

VAERS 2338755

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: MI
Alter: 31,0
Geschlecht: F
Eingang: 28.06.2022
Impfdatum: 17.01.2022
Beginn: 22.06.2022
Tage bis Beginn: 156,0
Dosis: 3
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Breakthrough case admission after three doses Moderna 4/19/21 Lot# 040B21A Moderna 5/17/21 Lot# 040B21A Moderna 1/17/22 Lot# 069H21A

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: COVID +
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2335763

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: MI
Alter: 66,0
Geschlecht: F
Eingang: 27.06.2022
Impfdatum: 16.12.2021
Beginn: 24.06.2022
Tage bis Beginn: 190,0
Dosis: 3
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

COVID BREAKTHROUGH CASE

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: COVID + 6/24/22
Aktuelle Erkrankungen: -
Vorgeschichte: HTN, DM, obesity, Raynaud's, CAD
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2325133

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 81,0
Geschlecht: F
Eingang: 21.06.2022
Impfdatum: 18.01.2022
Beginn: 24.05.2022
Tage bis Beginn: 126,0
Dosis: 3
Route/Site: OT / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered Product storage error

Symptomtext

This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Administered with vaccine that is past beyond the 30 day use or after manufacture date of expiry) and PRODUCT STORAGE ERROR (Vaccine was initially stored in the refrigerator on 20-Apr-2022 and administered on 24-May-2022) in an 81-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 033K212A and 069H21A) for COVID-19 vaccination. Previously administered products included for Drug use for unknown indication: PFIZER (Dose- 1, Batch lot number-EW0175, ROA-IM, left deltoid, Dose/Volume-0.3 ml) on 23-Jun-2021, PFIZER (Dose- 2, Batch lot number-EW0191 ROA-IM and Dose/Volume-0.3 ml) on 14-Jul-2021. Past adverse reactions to the above products included No adverse event with PFIZER and PFIZER. On 18-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .25 milliliter. On 24-May-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .25 milliliter. On 24-May-2022, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced EXPIRED PRODUCT ADMINISTERED (Administered with vaccine that is past beyond the 30 day use or after manufacture date of expiry). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Vaccine was initially stored in the refrigerator on 20-Apr-2022 and administered on 24-May-2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Administered with vaccine that is past beyond the 30 day use or after manufacture date of expiry) and PRODUCT STORAGE ERROR (Vaccine was initially stored in the refrigerator on 20-Apr-2022 and administered on 24-May-2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications was provided by the reporter. Number of doses or vials administered 13 booster in 1vial. The Vial was initially stored on refrigerator on 20-Apr-2022. The vial had not undergone any temperature excursion. No treatment medications were reported

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2324193

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: -
Alter: 32,0
Geschlecht: F
Eingang: 20.06.2022
Impfdatum: 07.05.2021
Beginn: 01.12.2021
Tage bis Beginn: 208,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Blood test abnormal Diabetes mellitus Glycosylated haemoglobin increased

Symptomtext

Diabetes diagnosis based on bloodwork, very high A1C about 2 years after having a normal A1C, do not have lab work from 2020, but unusual to see such extreme change so suddenly, no COVID infection

Weitere VAERSDATA-Felder

Praegender Schweregrund: Blood test abnormal
Hospital-Tage: -
Labordaten: April 2019 normal A1C December 2021 A1C >11
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: Sulfa
Vorherige Impfungen: -

VAERS 2320461

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 65,0
Geschlecht: F
Eingang: 15.06.2022
Impfdatum: 11.12.2021
Beginn: 01.04.2022
Tage bis Beginn: 111,0
Dosis: 3
Route/Site: SYR / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Axillary mass Breast disorder female Mammogram abnormal Ultrasound breast normal

Symptomtext

12/11/2021 Vaccination 04/1/2022 Doing a normal breast exam, I noticed a lump under my right arm. I contacted Dr.She saw me the following week. 04/26/2022 Mammogram; dense breast tissue 04/26/2022 Sonogram; dense breast tissue *stated it could be related to the vaccine. **no further medical treatment at this time.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Axillary mass
Hospital-Tage: -
Labordaten: 04/26/2022 Mammogram; dense breast tissue 04/26/2022 Sonogram; dense breast tissue *'normal ultra sound. No lump noted but some swelling due to vaccination per the radiologist'.
Aktuelle Erkrankungen: n/a
Vorgeschichte: hypertension, pre-diabetic
Andere Medikamente: propranolol 40mg, Amlodipine 5mg, Lisinopril 2.5mg, calcium, vit D, multi-vitamin, vit C, Lutein Zeaxanthin, red yeast rice
Allergien: n/a
Vorherige Impfungen: pneumonia; rash at injection site 2021. 2nd shingrex rash at injection site 2022

VAERS 2310118

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 28,0
Geschlecht: F
Eingang: 06.06.2022
Impfdatum: 13.05.2022
Beginn: 13.05.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

pt received an exp covid vaccine

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2310100

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 59,0
Geschlecht: F
Eingang: 06.06.2022
Impfdatum: 13.05.2022
Beginn: 13.05.2022
Tage bis Beginn: 0,0
Dosis: 4
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

pt received an exp vaccine

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2310092

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 59,0
Geschlecht: F
Eingang: 06.06.2022
Impfdatum: 13.05.2022
Beginn: 13.05.2022
Tage bis Beginn: 0,0
Dosis: 4
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

pt received exp covid vaccine

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2310088

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 60,0
Geschlecht: M
Eingang: 06.06.2022
Impfdatum: 13.05.2022
Beginn: 13.05.2022
Tage bis Beginn: 0,0
Dosis: 4
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

pt received an exp covid vaccine

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2310085

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 69,0
Geschlecht: M
Eingang: 06.06.2022
Impfdatum: 13.05.2022
Beginn: 13.05.2022
Tage bis Beginn: 0,0
Dosis: 4
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

pt received an exp covid vaccine

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2310082

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 60,0
Geschlecht: F
Eingang: 06.06.2022
Impfdatum: 13.05.2022
Beginn: 13.05.2022
Tage bis Beginn: 0,0
Dosis: 4
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

pt received an exp dose of covid vaccine

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2297648

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: -
Geschlecht: U
Eingang: 27.05.2022
Impfdatum: -
Beginn: -
Tage bis Beginn: -
Dosis: UNK
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product temperature excursion issue

Symptomtext

This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT TEMPERATURE EXCURSION ISSUE (Freezer temperature never reached an acceptable range and was always warm by at least 2 degree C.) in a patient of an unknown age and gender who received mRNA-1273 (Spikevax) (batch no. 069H21A) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. On an unknown date, the patient experienced PRODUCT TEMPERATURE EXCURSION ISSUE (Freezer temperature never reached an acceptable range and was always warm by at least 2 degree C.). At the time of the report, PRODUCT TEMPERATURE EXCURSION ISSUE (Freezer temperature never reached an acceptable range and was always warm by at least 2 degree C.) outcome was unknown. For mRNA-1273 (Spikevax) (Unknown), the reporter did not provide any causality assessments. Concomitant medication was not provided. It was reported that there are 4 days temperature data(between 4/1/2022 and 4/4/2022) for the freezer storage unit, however it never reached an acceptable range and was always warm by at least 2 degree C. Between 2/22/21 to 4/26/22 there is no other temperature data available. Total 6640 doses of COVID-19 Moderna Vaccine were received by this facility during this time period and LOT numbers were provided (057M21A, 025L21B, 066H21A, 069H21A, 027H21B, 032F21A, 011F21A, 004F21A, 025C21A, 017C21A, 002C21A, 042B21A, 031B21A, 027B21A, 026B21A, 016B21A, 008B21A, 045A21A, 001B21A, 029A21A, 025A21A, 001A21A). Some vials may have been moved to a refrigerator at some point. There is no temperature data for that storage unit. Treatment information was not reported.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product temperature excursion issue
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2321731

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: -
Alter: 33,0
Geschlecht: M
Eingang: 19.05.2022
Impfdatum: -
Beginn: 07.01.2022
Tage bis Beginn: -
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein

Unevaluable event

Symptomtext

Narrative:

Weitere VAERSDATA-Felder

Praegender Schweregrund: Unevaluable event
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2282701

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: -
Alter: 32,0
Geschlecht: M
Eingang: 18.05.2022
Impfdatum: 22.12.2021
Beginn: 28.04.2022
Tage bis Beginn: 127,0
Dosis: 3
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

COVID-19 SARS-CoV-2 test

Symptomtext

Patient tested positive on 28-Apr and started taking paxlovid on 29-Apr. The symptoms lessened within 48 hours of taking the medicine and patient tested negative on 06-May; This spontaneous case was reported by a patient and describes the occurrence of COVID-19 (Patient tested positive on 28-Apr and started taking paxlovid on 29-Apr. The symptoms lessened within 48 hours of taking the medicine and patient tested negative on 06-May) in a 32-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. Patient had an allergic reaction to an unknown historical drug. On 22-Dec-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 28-Apr-2022, the patient experienced COVID-19 (Patient tested positive on 28-Apr and started taking paxlovid on 29-Apr. The symptoms lessened within 48 hours of taking the medicine and patient tested negative on 06-May). The patient was treated with NIRMATRELVIR, RITONAVIR (PAXLOVID) from 29-Apr-2022 to 04-May-2022 for COVID-19 treatment, at an unspecified dose and frequency. On 06-May-2022, COVID-19 (Patient tested positive on 28-Apr and started taking paxlovid on 29-Apr. The symptoms lessened within 48 hours of taking the medicine and patient tested negative on 06-May) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 28-Apr-2022, SARS-CoV-2 test: positive (Positive) Positive. On 06-May-2022, SARS-CoV-2 test: negative (Negative) Negative. On 09-May-2022, SARS-CoV-2 test: positive (Positive) Positive. No concomitant medication information was provided. Company comment- This spontaneous case concerns a 32-year-old male patient with no reported medical history, who experienced unexpected, non-serious adverse event of special interest Covid-19 (with a positive SARS-CoV-2 test) that occurred 4 months and 6 days after vaccination with a third dose of mRNA-1273. The outcome of the events was reported as resolved. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.; Sender's Comments: This spontaneous case concerns a 32-year-old male patient with no reported medical history, who experienced unexpected, non-serious adverse event of special interest Covid-19 (with a positive SARS-CoV-2 test) that occurred 4 months and 6 days after vaccination with a third dose of mRNA-1273. The outcome of the events was reported as resolved. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: Test Date: 20220428; Test Name: COVID-19 Virus test; Test Result: Positive ; Result Unstructured Data: Positive; Test Date: 20220506; Test Name: COVID-19 Virus test; Test Result: Negative ; Result Unstructured Data: Negative; Test Date: 20220509; Test Name: COVID-19 Virus test; Test Result: Positive ; Result Unstructured Data: Positive
Aktuelle Erkrankungen: -
Vorgeschichte: Comments: Patient had an allergic reaction to an unknown historical drug.
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2277817

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

gering

Staat: NC
Alter: 37,0
Geschlecht: M
Eingang: 15.05.2022
Impfdatum: 21.12.2021
Beginn: 04.02.2022
Tage bis Beginn: 45,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Acoustic stimulation tests abnormal Deafness Tinnitus

Symptomtext

tinnitus and hearing loss. hearing loss. Treatment was high dose oral steroids for 2 weeks. Ringing in ears still persist today.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Acoustic stimulation tests abnormal
Hospital-Tage: -
Labordaten: I did a hearing test to test hearing loss at Wilmington health ENT, to confirm loss of hearing.
Aktuelle Erkrankungen: -
Vorgeschichte: asthma
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2269048

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: TN
Alter: 46,0
Geschlecht: M
Eingang: 10.05.2022
Impfdatum: 10.05.2022
Beginn: 10.05.2022
Tage bis Beginn: 0,0
Dosis: 4
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Extra dose administered

Symptomtext

Patient requested Moderna booster #1 and presented with Covid card with two primary doses already given. Booster dose administered as requested. After checking Tenniis, it showed three doses given prior to today.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Extra dose administered
Hospital-Tage: -
Labordaten: Dose given today is actually the patient's second booster. However, the patient age (46 y/o) does not qualify him getting a second booster at this time.
Aktuelle Erkrankungen: None
Vorgeschichte: none
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 2268921

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

gering

Staat: CO
Alter: 15,0
Geschlecht: F
Eingang: 10.05.2022
Impfdatum: 10.05.2022
Beginn: 10.05.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: - / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

No adverse event

Symptomtext

Pt tolerated vaccine well no reactions

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2268867

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 21,0
Geschlecht: F
Eingang: 10.05.2022
Impfdatum: 28.02.2022
Beginn: 21.03.2022
Tage bis Beginn: 21,0
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Contraceptive implant Menstruation irregular

Symptomtext

Booster dose after J&J Provider documentation: She mentions some irregularity of her menses after the booster shot. She has had two menses this month. 2/28 and 3/21

Weitere VAERSDATA-Felder

Praegender Schweregrund: Contraceptive implant
Hospital-Tage: -
Labordaten: Patient has Nexplanon implant
Aktuelle Erkrankungen: None known
Vorgeschichte: Unknown
Andere Medikamente: None known
Allergien: None known
Vorherige Impfungen: -

VAERS 2268525

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 23,0
Geschlecht: F
Eingang: 10.05.2022
Impfdatum: 24.03.2022
Beginn: 24.03.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered Product storage error Product temperature excursion issue

Symptomtext

Possible temperature excursion incidence; The vial was administered more than 30 days after the vial was first removed from frozen storage; The vial was administered more than 30 days after the vial was first removed from frozen storage; This spontaneous case was reported by a physician and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (The vial was administered more than 30 days after the vial was first removed from frozen storage), PRODUCT TEMPERATURE EXCURSION ISSUE (Possible temperature excursion incidence) and PRODUCT STORAGE ERROR (The vial was administered more than 30 days after the vial was first removed from frozen storage) in a 23-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. The patient never been diagnosed with or tested positive for COVID-19. No acute illnesses at the time of vaccination and up to one month before. No Chronic or long-standing health conditions. No over-the-counter medications, dietary supplements, or herbal remedies being taken at time of vaccination and/or at the time of the adverse event. On 24-Mar-2022 at 2:24 PM, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) .25 milliliter. On 24-Mar-2022 at 2:24 PM, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced EXPIRED PRODUCT ADMINISTERED (The vial was administered more than 30 days after the vial was first removed from frozen storage). On an unknown date, the patient experienced PRODUCT TEMPERATURE EXCURSION ISSUE (Possible temperature excursion incidence) and PRODUCT STORAGE ERROR (The vial was administered more than 30 days after the vial was first removed from frozen storage). At the time of the report, EXPIRED PRODUCT ADMINISTERED (The vial was administered more than 30 days after the vial was first removed from frozen storage), PRODUCT TEMPERATURE EXCURSION ISSUE (Possible temperature excursion incidence) and PRODUCT STORAGE ERROR (The vial was administered more than 30 days after the vial was first removed from frozen storage) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter considered EXPIRED PRODUCT ADMINISTERED (The vial was administered more than 30 days after the vial was first removed from frozen storage) to be not related. No further causality assessments were provided for PRODUCT TEMPERATURE EXCURSION ISSUE (Possible temperature excursion incidence) and PRODUCT STORAGE ERROR (The vial was administered more than 30 days after the vial was first removed from frozen storage). No concomitant medications were provided. It was reported that staff immediately refroze the vial and administered the dose to the patient. Upon request, Moderna Inc, manufacturer for Spikevax, had completed an investigation (Case ID CEA-2076) on the Viability of this Lot 069H21A following this "possible temperature excursion incidence". On 07-Apr-2022 Moderna Inc, has determined that "Analysis of the vials associated with your storage excursion is complete. The vaccine administered on or before 24-Mar-2022, from lot number 069H21A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration." There were no other potential causes and patient did not experience similar event in the past. It was stated that, event did not cause patient to seek medical care. Patient did not experience, similar event in past. The patient did not report adverse reaction. No treatment medications was provided.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Comments: The patient never been diagnosed with or tested positive for COVID-19. No acute illnesses at the time of vaccination and up to one month before. No Chronic or long-standing health conditions. No over-the-counter medications, dietary supplements, or herbal remedies being taken at time of vaccination and/or at the time of the adverse event.
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2268523

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 23,0
Geschlecht: M
Eingang: 10.05.2022
Impfdatum: 17.03.2022
Beginn: 17.03.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered Product storage error Product temperature excursion issue

Symptomtext

Temperature was around 0-1 degree C. The vial was refrozen immediately; Vial was removed from the frozen storage on 10-Feb-2022 and was administered on 17-Mar-2022, after 35 days; The vaccine first removed from frozen storage on 10-Feb-2022 and administered on 17-Mar-2022, after 35 days; This spontaneous case was reported by a physician and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (The vaccine first removed from frozen storage on 10-Feb-2022 and administered on 17-Mar-2022, after 35 days), PRODUCT TEMPERATURE EXCURSION ISSUE (Temperature was around 0-1 degree C. The vial was refrozen immediately) and PRODUCT STORAGE ERROR (Vial was removed from the frozen storage on 10-Feb-2022 and was administered on 17-Mar-2022, after 35 days) in a 23-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. Patient has never been diagnosed or tested positive for COVID-19. Acute illness at the time of vaccination ad up to one month before was reported as none. No chronic or long standing health conditions were reported. On 17-Mar-2022 at 3:36 PM, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) .25 milliliter. On 17-Mar-2022 at 3:36 PM, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced EXPIRED PRODUCT ADMINISTERED (The vaccine first removed from frozen storage on 10-Feb-2022 and administered on 17-Mar-2022, after 35 days). On an unknown date, the patient experienced PRODUCT TEMPERATURE EXCURSION ISSUE (Temperature was around 0-1 degree C. The vial was refrozen immediately) and PRODUCT STORAGE ERROR (Vial was removed from the frozen storage on 10-Feb-2022 and was administered on 17-Mar-2022, after 35 days). At the time of the report, EXPIRED PRODUCT ADMINISTERED (The vaccine first removed from frozen storage on 10-Feb-2022 and administered on 17-Mar-2022, after 35 days), PRODUCT TEMPERATURE EXCURSION ISSUE (Temperature was around 0-1 degree C. The vial was refrozen immediately) and PRODUCT STORAGE ERROR (Vial was removed from the frozen storage on 10-Feb-2022 and was administered on 17-Mar-2022, after 35 days) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter considered EXPIRED PRODUCT ADMINISTERED (The vaccine first removed from frozen storage on 10-Feb-2022 and administered on 17-Mar-2022, after 35 days) to be not related. No further causality assessments were provided for PRODUCT TEMPERATURE EXCURSION ISSUE (Temperature was around 0-1 degree C. The vial was refrozen immediately) and PRODUCT STORAGE ERROR (Vial was removed from the frozen storage on 10-Feb-2022 and was administered on 17-Mar-2022, after 35 days). Prescription, over the counter medications dietary supplements, or herbal remedies being taken at the time of vaccination or at the time of adverse event was reported as none. Patient did not seek any medical care. There were no potential causes reported for the event. The vial was first removed from the frozen storage on 10-Feb-2022 and was administered after 35 days, on 17-Mar-2022. The temperature was around 0-1 degree Celsius. The patient did not report any adverse reaction, no positive COVID test not COVID disease till 25-Apr -2022. It was reported that the Moderna Inc manufacturer for spike ax had completed an investigation on the viability of the lot 069H21A following the possible temperature excursion incidence. On 7-Apr-2022 it was determined that analysis of the vial associated with storage excursion was completed. the vaccine which was administered on or before 24-Mar-2022 from lot no. 069H21A maintained the activity necessary to protect against SARS-CoV-2 (COVID-19) Virus at the time of administration. No treatment medication information provided.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Comments: Patient has never been diagnosed or tested positive for COVID-19. Acute illness at the time of vaccination ad up to one month before was reported as none. No chronic or long standing health conditions were reported.
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2268487

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 72,0
Geschlecht: M
Eingang: 10.05.2022
Impfdatum: 24.03.2022
Beginn: 24.03.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered Product storage error Product temperature excursion issue

Symptomtext

Vial initially stored in refrigerator on 10Feb2022, and vaccine administered on 24Mar2022; 30 days from the onsite of temperature excursion / possible temperature excursion incidence; 1 dose administered after 30-day Use by Date / Possible expired product administered; This spontaneous case was reported by a physician and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (1 dose administered after 30-day Use by Date / Possible expired product administered), PRODUCT STORAGE ERROR (Vial initially stored in refrigerator on 10Feb2022, and vaccine administered on 24Mar2022) and PRODUCT TEMPERATURE EXCURSION ISSUE (30 days from the onsite of temperature excursion / possible temperature excursion incidence) in a 72-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. Patient had not ever been diagnosed with or tested positive for COVID-19. Acute illnesses at the time of vaccination and up to 1 month before were none. Chronic or long-standing health conditions were none. Prescriptions, over-the-counter medications, dietary supplements, or herbal remedies being taken at time of vaccination and/or at the time of the adverse event were none. On 24-Mar-2022 at 2:43 PM, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) .25 milliliter. On 24-Mar-2022 at 2:43 PM, the patient experienced EXPIRED PRODUCT ADMINISTERED (1 dose administered after 30-day Use by Date / Possible expired product administered). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Vial initially stored in refrigerator on 10Feb2022, and vaccine administered on 24Mar2022) and PRODUCT TEMPERATURE EXCURSION ISSUE (30 days from the onsite of temperature excursion / possible temperature excursion incidence). At the time of the report, EXPIRED PRODUCT ADMINISTERED (1 dose administered after 30-day Use by Date / Possible expired product administered) and PRODUCT STORAGE ERROR (Vial initially stored in refrigerator on 10Feb2022, and vaccine administered on 24Mar2022) had resolved and PRODUCT TEMPERATURE EXCURSION ISSUE (30 days from the onsite of temperature excursion / possible temperature excursion incidence) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter considered EXPIRED PRODUCT ADMINISTERED (1 dose administered after 30-day Use by Date / Possible expired product administered) and PRODUCT STORAGE ERROR (Vial initially stored in refrigerator on 10Feb2022, and vaccine administered on 24Mar2022) to be not related. No further causality assessment was provided for PRODUCT TEMPERATURE EXCURSION ISSUE (30 days from the onsite of temperature excursion / possible temperature excursion incidence). No concomitant medications was reported. It was reported Number of doses/vials administered included for 3 patients, one on 17-Mar-2022 and two on 24-Mar-2022, 30 days from the onsite of temperature excursion. On 24-Mar-2022, the patient received 1 dose of mRNA-1273 (Spikevax) 0.25 ml. This vial was administered more than 30 days after the vial was first removed from frozen storage (IQ-Feb-2022) Courier. The courier delivered the vial to site within hours. The courier reported to health staff that the temperature was around 0?1-degree C. staff immediately refroze the vial, and administered the dose to this patient on 24-Mar-2022---42 days from 10-Feb-2022. The patient did not report adverse reaction, no positive COVID test, nor COVID disease up to today 25-Apr-2022. Please note that upon my request, Moderna Inc, manufacturer for Spikevax, had completed an investigation (Case ID CEA-2076) on the Viability of this Lot 069H21A following this " possible temperature excursion incidence". On 7-Apr-2022 Moderna Inc, has determined that: "Analysis of the vials associated with your storage excursion is complete. The vaccine administered on or before March 24, 2022, from lot number 069H21A maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration." No treatment drug details was reported. This case was linked to MOD-2022-531748 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 04-May-2022: Significant Follow-up received, Reporter postal code, Patient Details, Suspect coding, vaccine details, causality, added, outcome and narrative updated. Event onset for Expired vaccine used corrected.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Comments: Patient had not ever been diagnosed with or tested positive for COVID-19. Acute illnesses at the time of vaccination and up to 1 month before were none. Chronic or long-standing health conditions were none. Prescriptions, over-the-counter medications, dietary supplements, or herbal remedies being taken at time of vaccination and/or at the time of the adverse event were none.
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2259928

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: AZ
Alter: 53,0
Geschlecht: F
Eingang: 01.05.2022
Impfdatum: 03.01.2022
Beginn: 10.02.2022
Tage bis Beginn: 38,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Alopecia

Symptomtext

My hair fell out after the third vaccine. I am still dealing with this at this time.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Alopecia
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Ozempic Jardiance Oxycodone Allegra Multi Vitamin Vitamin D3 L-lysine
Allergien: Wheat; Beef; Pork; Chicken; Seafood; Shellfish; Lamb; Barley; Carrots; Aocado; Sweet Potatoes; Cauliflower; Green Peppers; Black Walnuts; Brazil Nuts; Cashews; Eggs; Whole Milk; Peanuts; Turkey; Almonds; Cantaloupe; Malt; Oat; Septra; Ultram; Glucophage; Lexapro; Latex; Diaudid; Duricef; Augmentin; Miralax; NSAIDS; Morphine; Dust Mites; Cockroaches; Olive Trees; Bee Pollen; Honey; Propolis
Vorherige Impfungen: My body keep pushing out the MMR vaccine and I have to keep getting it. I also had reactions to the flu vaccine so I don't get i

VAERS 2254869

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: MS
Alter: 43,0
Geschlecht: F
Eingang: 27.04.2022
Impfdatum: 21.04.2022
Beginn: 21.04.2022
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

Inadvertently received a dose of COVID vaccine that had expired 2 weeks earlier on 4/6/2022

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none
Vorgeschichte: Morbid obesity Diabetes Hypothyroid disease Hypertension Acid reflux disease Gastric motility problem
Andere Medikamente: Metformin 1000mg PO BID Losartan 100mg PO q day Triamterene/ HCTz (37.5/25mg/tab) 1 tab PO q am Levothyroxine 50mcg PO q am Esomeprazole 40mg PO BID Metoclopramide 10mg PO q day Vit D3, 2000 units PO q day
Allergien: Sulfa meds Ferrous sulfate
Vorherige Impfungen: -

VAERS 2254795

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

gering

Staat: MA
Alter: 62,0
Geschlecht: M
Eingang: 27.04.2022
Impfdatum: 20.12.2021
Beginn: 21.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Extra dose administered No adverse event

Symptomtext

Pt came into clinic for covid booster. He did not have original vaccine card with him at the time. Immunization information system was checked and RN determined pt was due for booster based on current criteria at the time. Last dose based on immunization information system was on 04/12/2021 Administered booster w/o incidence. When pt returned home he found his vaccine card and realized he had received his booster dose back of 08/2021 by pharmacy. Per immunization information system the pt has 2 different charts and booster was not listed on pt's chart that was viewed by RN. Pt did not exhibit any symptoms or side effects. Provider aware.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Extra dose administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2254633

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: MS
Alter: 58,0
Geschlecht: M
Eingang: 27.04.2022
Impfdatum: 21.04.2022
Beginn: 21.04.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

Inadvertently received a booster dose of Moderna vaccine that expired on 4/06/2022 (2 weeks prior)

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: none
Vorgeschichte: Gross Obesity Diabetes Peripheral neuropathy Hyperlipidemia
Andere Medikamente: Metformin 1000mg PO BID Glipizide 5mg PO BID Gabapentin 100mg PO BID Atorvastatin 20mg PO q HS
Allergien: No known allergies
Vorherige Impfungen: -

VAERS 2254622

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: MS
Alter: 41,0
Geschlecht: F
Eingang: 27.04.2022
Impfdatum: 21.04.2022
Beginn: 21.04.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

Patient inadvertently received vaccine that had expired on 4/06/2022 (2 weeks prior)

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Gross obesity Diabetes Hypertension
Andere Medikamente: Metformin 1000mg PO q BID Glimepiride 2mg PO q am Amlodipine PO q day Chlorthalidone 25mg PO q am
Allergien: No known allergies
Vorherige Impfungen: -

VAERS 2249924

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: OH
Alter: 62,0
Geschlecht: F
Eingang: 25.04.2022
Impfdatum: 21.12.2021
Beginn: 31.01.2022
Tage bis Beginn: 41,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Acoustic stimulation tests abnormal Deafness unilateral Ear discomfort Tinnitus

Symptomtext

About a few weeks to one month after my Moderna booster shot, I started having constant tinnitus in both ears as well as pressure on my eustachian tubes. I believe that I was having some short episodes of it after my first two doses but it definitely has become constant and more pronounced after my booster shot in December. At this time I am still dealing with a constant tone in my ears and some episodes of pronounced "ringing" in both ears. Despite taking two medications daily, Flonase and Azelastine sprays suggested by my doctors, I continue to be plagued with a feeling of pressure on my ears that causes discomfort and more severely so when there is loud noise.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Acoustic stimulation tests abnormal
Hospital-Tage: -
Labordaten: My allergist sent me to see Dr, an ENT. A hearing evaluation with an audiologist shows that I have some hearing loss in my left ear but a more significant amount in my right ear in the higher frequencies.
Aktuelle Erkrankungen: None
Vorgeschichte: hypothyroidism mild asthma osteoporosis high cholesterol
Andere Medikamente: Fosamax L-Thyroxine Singulair Pravastatin Flonase spray Azelastine spray Multi-vitamin Calcium-Magnesium Vitamin D CoQ10 Omega 3
Allergien: erythromycin intolerance-severe stomach cramps
Vorherige Impfungen: -

VAERS 2249869

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 44,0
Geschlecht: F
Eingang: 25.04.2022
Impfdatum: 15.12.2021
Beginn: 15.12.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

No adverse event

Symptomtext

Client presented at the vaccination site on 12.15.21. Client reported she received first dose Moderna COVID vaccine on 11/16/21. She reported with first dose Moderna COVID vaccine, the next day she had a very painful muscle ache on her left arm 10/10 on a pain scale of 10 on 11/17/21 then it was a 4/10 or 5/10 daily on a pain scale of 10, where she received her injection which lasted for three weeks. She denied rash or redness on the injection site. Client reported she took Ibuprofen 400 mg twice only on 11/17/21 but didn?t take Ibuprofen after 11/17/21. Client denied any chronic illnesses or any known allergies. She stated she didn?t follow-up with her PCP. She reported the injection side muscle ache of the left arm got better last week because she didn?t use her left arm that much. She reported no other symptoms. Client is requesting to get her second dose Moderna COVID vaccine on the same left arm because she stated she needs to use her right arm in case she gets the same painful muscle ache again on her left arm. PHN submitted a medical consult via text message to clinical project coordinator, requesting to proceed with the second dose of Moderna COVID vaccine. Per the doctor, approval to proceed with the second dose of Moderna COVID vaccine was obtained from medical consult team via text message from clinical project coordinator. Client received the second dose of Moderna COVID vaccine, LOT#: 069H21A on 01/08/22 at 1741 by RN. The client did not report any symptoms during the 30-minute observation period. PHN educated client on possible adverse reactions and when to seek EMS. Client verbalized understanding. Client left vaccination site at 1811 unassisted and with a steady gait.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 2247631

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: ID
Alter: 33,0
Geschlecht: U
Eingang: 22.04.2022
Impfdatum: 19.04.2022
Beginn: 19.04.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered Product storage error

Symptomtext

Expired vial was stored in the refrigerator on 12-Apr-2022 and administered on 19-Apr-2022; A 1st booster dose of expired Moderna Covid-19 vaccine was administered to a patient today.; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (A 1st booster dose of expired Moderna Covid-19 vaccine was administered to a patient today.) and PRODUCT STORAGE ERROR (Expired vial was stored in the refrigerator on 12-Apr-2022 and administered on 19-Apr-2022) in a 33-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. No Medical History information was reported. On 19-Apr-2022, the patient 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 received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 19-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (A 1st booster dose of expired Moderna Covid-19 vaccine was administered to a patient today.). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Expired vial was stored in the refrigerator on 12-Apr-2022 and administered on 19-Apr-2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (A 1st booster dose of expired Moderna Covid-19 vaccine was administered to a patient today.) and PRODUCT STORAGE ERROR (Expired vial was stored in the refrigerator on 12-Apr-2022 and administered on 19-Apr-2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication was reported. It was reported that number of doses/vials were 1 dose and vial was not undergone any temperature excursions. The treatment information was unknown.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2245515

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21-A

gering

Staat: CA
Alter: -
Geschlecht: M
Eingang: 21.04.2022
Impfdatum: 20.01.2022
Beginn: -
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Peripheral swelling

Symptomtext

Had swelling in legs; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (Had swelling in legs) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21-A) for COVID-19 vaccination. The patient's past medical history included Hip replacement (last year (before vaccine).) in 2021. On 20-Jan-2022, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PERIPHERAL SWELLING (Had swelling in legs). At the time of the report, PERIPHERAL SWELLING (Had swelling in legs) outcome was unknown. mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) dosing was delayed on an unknown date. No concomitant products were reported. It was reported that patient postponed the second dose. Greater than 35 days since first dose.Had swelling in legs. Had taken some water pills. Hip replacement last year (before vaccine).

Weitere VAERSDATA-Felder

Praegender Schweregrund: Peripheral swelling
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Medical History/Concurrent Conditions: Hip replacement (last year (before vaccine).)
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2238719

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 17,0
Geschlecht: F
Eingang: 18.04.2022
Impfdatum: 17.12.2021
Beginn: 17.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

No adverse event Product administered to patient of inappropriate age

Symptomtext

NO ADVERSE EVENTS NOTED POST VACCINATION- REPORTING DUE TO <18 YEARS OLD AT TIME OF MODERNA VACCINATION.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: NONE
Aktuelle Erkrankungen: NONE
Vorgeschichte: NONE
Andere Medikamente: NONE
Allergien: NKA
Vorherige Impfungen: -

VAERS 2237600

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: MS
Alter: 79,0
Geschlecht: M
Eingang: 16.04.2022
Impfdatum: 13.04.2022
Beginn: 13.04.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered Product storage error

Symptomtext

Vaccine expired on 06-Apr-2022 stored in refrigerator on 06-Apr-2022 and administered on 13-Apr-2022; Received expired booster dose beyond MFG expiration date; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Received expired booster dose beyond MFG expiration date) and PRODUCT STORAGE ERROR (Vaccine expired on 06-Apr-2022 stored in refrigerator on 06-Apr-2022 and administered on 13-Apr-2022) in a 79-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. No Medical History information was reported. On 13-Apr-2022 at 9:45 AM, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 13-Apr-2022 at 9:45 AM, the patient experienced EXPIRED PRODUCT ADMINISTERED (Received expired booster dose beyond MFG expiration date). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Vaccine expired on 06-Apr-2022 stored in refrigerator on 06-Apr-2022 and administered on 13-Apr-2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Received expired booster dose beyond MFG expiration date) and PRODUCT STORAGE ERROR (Vaccine expired on 06-Apr-2022 stored in refrigerator on 06-Apr-2022 and administered on 13-Apr-2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication reported. There is no temperature excursion. The vaccine was stored in the refrigerator on 06-Apr-2022 at 10:30 AM. No treatment information was provided.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2237599

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: MS
Alter: 75,0
Geschlecht: F
Eingang: 16.04.2022
Impfdatum: 13.04.2022
Beginn: 13.04.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered Product storage error

Symptomtext

Vaccine expired on 06-Apr-2022 stored in refrigerator on 06-Apr-2022 and administered on 13-Apr-2022; Received expired booster dose beyond MFG expiration date; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Received expired booster dose beyond MFG expiration date) and PRODUCT STORAGE ERROR (Vaccine expired on 06-Apr-2022 stored in refrigerator on 06-Apr-2022 and administered on 13-Apr-2022) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. No Medical History information was reported. On 13-Apr-2022 at 9:45 AM, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 13-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Received expired booster dose beyond MFG expiration date). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Vaccine expired on 06-Apr-2022 stored in refrigerator on 06-Apr-2022 and administered on 13-Apr-2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Received expired booster dose beyond MFG expiration date) and PRODUCT STORAGE ERROR (Vaccine expired on 06-Apr-2022 stored in refrigerator on 06-Apr-2022 and administered on 13-Apr-2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Date the vial was initially stored in the refrigerator - 06APR2022 10:30AM The vial Didn't undergo any temperature excursions No Concomitant Medications were provided by the Reporter No Treatment Medications were provided by the Reporter

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2237530

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 64,0
Geschlecht: M
Eingang: 16.04.2022
Impfdatum: 05.03.2021
Beginn: 07.04.2022
Tage bis Beginn: 398,0
Dosis: 3
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (COVID vaccine was administered on 07-Apr-2022 and expiration date was 06-Apr-2022) in a 64-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. Concomitant products included AMLODIPINE, ATORVASTATIN, LEVOTHYROXINE SODIUM (EUTHYROX), HYDROCHLOROTHIAZIDE and LISINOPRIL for an unknown indication. On 05-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 02-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 05-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 07-Apr-2022 at 8:40 AM, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .25 milliliter. On 07-Apr-2022 at 8:40 AM, the patient experienced EXPIRED PRODUCT ADMINISTERED (COVID vaccine was administered on 07-Apr-2022 and expiration date was 06-Apr-2022). On 07-Apr-2022 at 8:40 AM, EXPIRED PRODUCT ADMINISTERED (COVID vaccine was administered on 07-Apr-2022 and expiration date was 06-Apr-2022) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Patient's weight was reported as 196. Reporter stated that patient had no known allergies and it was unknown that the patient had been tested positive or diagnosed with COVID-19, had no acute illness at the time of vaccination and up to one month before and chronic or long standing health conditions information was unknown. It was unknown that the patient experienced similar event in the past and unknown for other potential causes for the event and Patient did not seek medical care for the event. Reporter also stated that no adverse reaction to the vaccine took place after administration. Treatment information was not provided by the reporter. This case was linked to MOD-2022-538544, MOD-2022-538516, MOD-2022-535445 (Patient Link).

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: Amlodipine; Atorvastatin; Euthyrox; Hydrochlorothiazide; Lisinopril
Allergien: -
Vorherige Impfungen: -

VAERS 2231220

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: MS
Alter: 75,0
Geschlecht: F
Eingang: 13.04.2022
Impfdatum: 13.04.2022
Beginn: 13.04.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered No adverse event

Symptomtext

Patient was given Moderna Booster vaccine on 04/13/22. Lot # 069H21A went out of date on 04/06/22. Temp was in range per CDC guidelines. Patient had no adverse reaction after required 15 minute waiting period. Moderna was called.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: n/a
Vorgeschichte: hyperlipidemia hypertension diabetes
Andere Medikamente: metFORMIN (GLUCOPHAGE) 500 MG tablet TAKE TWO TABLETS BY MOUTH TWO TIMES DAILY WITH MEALS atorvastatin (LIPITOR) 20 MG tablet TAKE ONE TABLET BY MOUTH EVERY DAY calcium carbonate-vitamin D (OSCAL-500) 500-200 MG-UNIT per tablet Take 1 table
Allergien: Codeine
Vorherige Impfungen: -

VAERS 2231211

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: MS
Alter: 79,0
Geschlecht: M
Eingang: 13.04.2022
Impfdatum: 13.04.2022
Beginn: 13.04.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered No adverse event

Symptomtext

Patient was given the booster dose of Moderna on 04/13/2022, the vaccine expired on 04/06/2022. No adverse reactions during the required 15 minute waiting period after the immunization was given.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: n/a
Aktuelle Erkrankungen: n/a
Vorgeschichte: Diabetes Hypertension
Andere Medikamente: ALPRAZolam (XANAX) 0.5 MG tablet Take 1 tablet (0.5 mg total) by mouth as needed. aspirin EC 81 MG tablet Take 81 mg by mouth daily. Pt taking one tablet every 3 days Budesonide (PULMICORT FLEXHALER) 90 MCG/ACT inhaler Inhale 2 puffs into t
Allergien: Shellfish Codeine
Vorherige Impfungen: -

VAERS 2228605

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: -
Alter: 60,0
Geschlecht: F
Eingang: 12.04.2022
Impfdatum: 27.01.2022
Beginn: 06.02.2022
Tage bis Beginn: 10,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Tinnitus

Symptomtext

after the third shot I've experienced continual ringing in my ears.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Tinnitus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: multi vitamin
Allergien: sulfa based products
Vorherige Impfungen: -

VAERS 2223583

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 81,0
Geschlecht: F
Eingang: 08.04.2022
Impfdatum: 08.04.2022
Beginn: 08.04.2022
Tage bis Beginn: 0,0
Dosis: 4
Route/Site: IM / UN

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Vaccine administered on 4/08/22 expired on 4/06/2022

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2223580

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 63,0
Geschlecht: F
Eingang: 08.04.2022
Impfdatum: 08.04.2022
Beginn: 08.04.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / UN

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Vaccine administered on 4/08/22 expired on 4/06/2022

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2223378

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 61,0
Geschlecht: F
Eingang: 08.04.2022
Impfdatum: 08.04.2022
Beginn: 08.04.2022
Tage bis Beginn: 0,0
Dosis: 4
Route/Site: IM / UN

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Vaccine administered on 4/08/22 expired on 4/06/22

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2223373

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 75,0
Geschlecht: F
Eingang: 08.04.2022
Impfdatum: 08.04.2022
Beginn: 08.04.2022
Tage bis Beginn: 0,0
Dosis: 4
Route/Site: IM / UN

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Vaccine administered on 4/08/2022 expired on 4/06/2022

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2223369

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 55,0
Geschlecht: M
Eingang: 08.04.2022
Impfdatum: 08.04.2022
Beginn: 08.04.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / UN

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Vaccine administered on 4/08/2022 expired on 04/06/2022

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2219729

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: -
Geschlecht: U
Eingang: 07.04.2022
Impfdatum: 17.03.2022
Beginn: 17.03.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered Product storage error

Symptomtext

A dose of the Moderna Covid-19 Vaccine that was administered more than 30 days after the vial was first removed from frozen storage/1 possible refreeze occurred; A dose of the Moderna Covid-19 Vaccine that was administered more than 30 days after the vial was first removed from frozen storage/3 doses administered past 30 day use by date; This spontaneous case was reported by a physician and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (A dose of the Moderna Covid-19 Vaccine that was administered more than 30 days after the vial was first removed from frozen storage/3 doses administered past 30 day use by date) and PRODUCT STORAGE ERROR (A dose of the Moderna Covid-19 Vaccine that was administered more than 30 days after the vial was first removed from frozen storage/1 possible refreeze occurred) in a patient of an unknown age and gender who received mRNA-1273 (Spikevax) (batch no. 069H21A) for COVID-19 vaccination. No Medical History information was reported. On 17-Mar-2022, the patient received dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. On 17-Mar-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (A dose of the Moderna Covid-19 Vaccine that was administered more than 30 days after the vial was first removed from frozen storage/3 doses administered past 30 day use by date). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (A dose of the Moderna Covid-19 Vaccine that was administered more than 30 days after the vial was first removed from frozen storage/1 possible refreeze occurred). At the time of the report, EXPIRED PRODUCT ADMINISTERED (A dose of the Moderna Covid-19 Vaccine that was administered more than 30 days after the vial was first removed from frozen storage/3 doses administered past 30 day use by date) and PRODUCT STORAGE ERROR (A dose of the Moderna Covid-19 Vaccine that was administered more than 30 days after the vial was first removed from frozen storage/1 possible refreeze occurred) outcome was unknown. For mRNA-1273 (Spikevax) (Unknown), the reporter did not provide any causality assessments. Concomitant medication list was not provided It was reported that a pack of 10 vials arrived on 10-Feb-2022 at a temperature of 0C to 1C. The Department of Health had removed them from frozen storage that morning & shipped them to them in non-frozen packaging. Their procedure had always been to put newly received vials in the freezer, which they did. The vial was stored frozen from that point on until the day of administration. It was reported Number of doses/vials administered included for 3 patients, one on 17-Mar-2022 and two on 24-Mar-2022. The vial was initially stored in the refrigerator on 10-Feb-2022 and use by date was given as 12-Mar-2022. Treatment information was not provided. Upon further detailed review of the patient log: Reporter found 3 patients ( not 1 as he told him over the phone) given the vaccination from this lot out the 30 days range of 3/12/2022 expiration date ( 30 days from the onsite of temperature excursion. Most recent FOLLOW-UP information incorporated above includes: On 04-Apr-2022: Follow-up received contains Non Significant information -Patient Info updated(3 patients),

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2214919

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 65,0
Geschlecht: M
Eingang: 04.04.2022
Impfdatum: 12.01.2022
Beginn: 31.03.2022
Tage bis Beginn: 78,0
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Inappropriate schedule of product administration No adverse event

Symptomtext

1st dose given on 1/12/2022 and 2nd dose given on 2/2/2022, 3 weeks apart NOT 4 weeks apart like how Moderna is supposed to be given - no adverse reactions

Weitere VAERSDATA-Felder

Praegender Schweregrund: Inappropriate schedule of product administration
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2203464

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: IL
Alter: 17,0
Geschlecht: M
Eingang: 29.03.2022
Impfdatum: 04.01.2022
Beginn: 04.01.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product administered to patient of inappropriate age

Symptomtext

17 year old received first dose; This spontaneous case was reported by a nurse and describes the occurrence of PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (17 year old received first dose) in a 17-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. No Medical History information was reported. On 04-Jan-2022, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Jan-2022, the patient experienced PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (17 year old received first dose). At the time of the report, PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (17 year old received first dose) 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. Concomitant medications were not reported. On 09-Feb-2022, received second dose of vaccine (lot number: 022J21A). Treatment medications were not reported.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product administered to patient of inappropriate age
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2204723

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 13,0
Geschlecht: F
Eingang: 28.03.2022
Impfdatum: 19.01.2022
Beginn: -
Tage bis Beginn: -
Dosis: 2
Route/Site: - / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

No adverse event Product administered to patient of inappropriate age

Symptomtext

No symptoms per mom, child was fine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2194514

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 17,0
Geschlecht: F
Eingang: 23.03.2022
Impfdatum: 22.12.2021
Beginn: 22.03.2022
Tage bis Beginn: 90,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Product administered to patient of inappropriate age

Symptomtext

Moderna Booster administered to person under the age of 18. Patient was 17 years 2 months old at time Moderna Booster administered. No reaction or negative outcome noted.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product administered to patient of inappropriate age
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: ferrous sulfate, dried (SLOW FE) 159 mg (45 mg iron) extended release tablet levonorgestrel-ethinyl estradiol (LEVORA-28) 0.15-0.03 mg tablet FLUoxetine (PROZAC) 20 mg capsule multivitamin tablet
Allergien: Methylphenidate
Vorherige Impfungen: -

VAERS 2194453

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 67,0
Geschlecht: M
Eingang: 23.03.2022
Impfdatum: 22.03.2022
Beginn: -
Tage bis Beginn: -
Dosis: 4
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Extra dose administered Medication error No adverse event

Symptomtext

No adverse events. -Med error - administered additional booster dose when not eligible

Weitere VAERSDATA-Felder

Praegender Schweregrund: Extra dose administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2190427

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 17,0
Geschlecht: M
Eingang: 21.03.2022
Impfdatum: 13.01.2022
Beginn: 13.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product administered to patient of inappropriate age

Symptomtext

Vaccination Given prior to individual turning 18 years old.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product administered to patient of inappropriate age
Hospital-Tage: -
Labordaten: None.
Aktuelle Erkrankungen: None reported at appointment.
Vorgeschichte: None reported at appointment
Andere Medikamente: not reported
Allergien: None reported at appointment.
Vorherige Impfungen: -

VAERS 2189785

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 17,0
Geschlecht: M
Eingang: 21.03.2022
Impfdatum: 21.02.2022
Beginn: 21.02.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Product administered to patient of inappropriate age

Symptomtext

17 year old male received a booster dose of Moderna instead of the approved Pfizer vaccine. First and second doses were Pfizer.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product administered to patient of inappropriate age
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2173752

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 15,0
Geschlecht: M
Eingang: 11.03.2022
Impfdatum: 22.02.2022
Beginn: 22.02.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product administered to patient of inappropriate age

Symptomtext

This pt received a Moderna booster at a clinic held at a college. The clinic staff did not verify he was ove r18 before giving this vaccine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product administered to patient of inappropriate age
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2171651

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 17,0
Geschlecht: M
Eingang: 10.03.2022
Impfdatum: 10.03.2022
Beginn: 10.03.2022
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Inappropriate schedule of product administration Product administered to patient of inappropriate age

Symptomtext

Patient requested second dose of Moderna, first dose administered by a different pharmacy on 1/6/2022 (despite his age of 17). Staff decided to continue his Moderna series and administered the second Moderna dose on 3/10/2022.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Inappropriate schedule of product administration
Hospital-Tage: -
Labordaten: None.
Aktuelle Erkrankungen: Unknown
Vorgeschichte: Unknown
Andere Medikamente: Unknown
Allergien: Unknown
Vorherige Impfungen: -

VAERS 2171092

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 17,0
Geschlecht: F
Eingang: 10.03.2022
Impfdatum: 29.12.2021
Beginn: 29.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Product administered to patient of inappropriate age

Symptomtext

None

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product administered to patient of inappropriate age
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Lo-Estrin
Allergien: None
Vorherige Impfungen: -

VAERS 2170263

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 50,0
Geschlecht: M
Eingang: 10.03.2022
Impfdatum: 28.02.2022
Beginn: 28.02.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

Vaccine lot 069H21A met the 30-day thawed expiration on 2/20/22 from 5 doses were administered; This spontaneous case was reported by a health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Vaccine lot 069H21A met the 30-day thawed expiration on 2/20/22 from 5 doses were administered) in a 50-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. Previously administered products included for Product used for unknown indication: Pfizer (Dose - 2) and Pfizer (Dose - 1). Past adverse reactions to the above products included No adverse event with Pfizer and Pfizer. On 28-Feb-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 28-Feb-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Vaccine lot 069H21A met the 30-day thawed expiration on 2/20/22 from 5 doses were administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Vaccine lot 069H21A met the 30-day thawed expiration on 2/20/22 from 5 doses were administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. It was reported that patient was non-immunocompromised and no known history of COVID. No concomitant medications were provided by the reporter. No treatment medications were provided by the reporter. Patient received the booster vaccine as part of an outpatient visit. There was no report of adverse event. This case was linked to MOD-2022-504341 (Patient Link).

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2170255

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 77,0
Geschlecht: M
Eingang: 10.03.2022
Impfdatum: 28.02.2022
Beginn: 28.02.2022
Tage bis Beginn: 0,0
Dosis: 4
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered Product storage error

Symptomtext

This spontaneous case was reported by a health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Vaccine lot # 069H21A met the 30-day thawed expiration on 2/20/22/administered on 28-Feb-2022) and PRODUCT STORAGE ERROR (Vaccine lot # 069H21A met the 30-day thawed expiration on 2/20/22/administered on 28-Feb-2022) in a 77-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. The patient's past medical history included Kidney transplant. Concurrent medical conditions included Immunocompromised. On 28-Feb-2022, the patient received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 28-Feb-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Vaccine lot # 069H21A met the 30-day thawed expiration on 2/20/22/administered on 28-Feb-2022). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Vaccine lot # 069H21A met the 30-day thawed expiration on 2/20/22/administered on 28-Feb-2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Vaccine lot # 069H21A met the 30-day thawed expiration on 2/20/22/administered on 28-Feb-2022) and PRODUCT STORAGE ERROR (Vaccine lot # 069H21A met the 30-day thawed expiration on 2/20/22/administered on 28-Feb-2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No vaccines given concurrently. No known history of COVID-19. No concomitant medications were reported. No treatment drugs were reported.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Immunocompromised
Vorgeschichte: Medical History/Concurrent Conditions: Kidney transplant
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2170249

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 75,0
Geschlecht: M
Eingang: 10.03.2022
Impfdatum: 25.02.2022
Beginn: 25.02.2022
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

Dose administered after the expiration; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Dose administered after the expiration) in a 75-year-old male patient who received mRNA-1273 (batch no. 069H21A) for COVID-19 vaccination. Previously administered products included for Product used for unknown indication: Quadrivalent flu vaccine on 21-Jan-2022. Past adverse reactions to the above products included No adverse event with Quadrivalent flu vaccine. On 25-Feb-2022, the patient received second dose of mRNA-1273 (unknown route) 1 dosage form. On 25-Feb-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Dose administered after the expiration). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Dose administered after the expiration) outcome was unknown. For mRNA-1273 (Unknown), the reporter did not provide any causality assessments. The patient had no known history of COVID. No concomitant medications were reported. It was reported that vaccine vial had met the 30-day thawed and patient had dose 2 of primary series and no vaccines were given the same day. The patient received the vaccine as part of an outpatient visit. No adverse events were reported. No treatment medications were reported. This case was linked to MOD-2022-497238, MOD-2022-504333, MOD-2022-504357, MOD-2022-504347 (Patient Link).

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2170242

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 56,0
Geschlecht: M
Eingang: 10.03.2022
Impfdatum: 25.02.2022
Beginn: 25.02.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered SARS-CoV-2 test

Symptomtext

Dose administered after 30-day Use By Date or after manufacturer date of expiry-day; This spontaneous case was reported by a health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Dose administered after 30-day Use By Date or after manufacturer date of expiry-day) in a 56-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. Concomitant products included INFLUENZA VACCINE (INFLUENZA) for an unknown indication. On 25-Feb-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 25-Feb-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Dose administered after 30-day Use By Date or after manufacturer date of expiry-day). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Dose administered after 30-day Use By Date or after manufacturer date of expiry-day) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 29-Dec-2020, SARS-CoV-2 test: positive (Positive) positive COVID- RNA test. On 04-Jan-2021, SARS-CoV-2 test: positive (Positive) positive Binax test. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Patient was non-immunocompromised. No treatment medication was provided by the reporter. This case was linked to MOD-2022-504341 (Patient Link).

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: Test Date: 20201229; Test Name: COVID-19 virus test; Test Result: Positive ; Result Unstructured Data: positive COVID- RNA test; Test Date: 20210104; Test Name: COVID-19 virus test; Test Result: Positive ; Result Unstructured Data: positive Binax test
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: INFLUENZA
Allergien: -
Vorherige Impfungen: -

VAERS 2169777

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 55,0
Geschlecht: M
Eingang: 10.03.2022
Impfdatum: 24.02.2022
Beginn: 24.02.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered Product storage error

Symptomtext

Dose administered after 30-day Use By Date or after manufacturer date of expiry-day; Dose administered after 30-day Use By Date or after manufacturer date of expiry-day; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Dose administered after 30-day Use By Date or after manufacturer date of expiry-day) and PRODUCT STORAGE ERROR (Dose administered after 30-day Use By Date or after manufacturer date of expiry-day) in a 55-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. Concomitant products included INFLUENZA VACCINE (INFLUENZA) for an unknown indication. On 24-Feb-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 24-Feb-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Dose administered after 30-day Use By Date or after manufacturer date of expiry-day). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Dose administered after 30-day Use By Date or after manufacturer date of expiry-day). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Dose administered after 30-day Use By Date or after manufacturer date of expiry-day) and PRODUCT STORAGE ERROR (Dose administered after 30-day Use By Date or after manufacturer date of expiry-day) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. 5 doses were administered after 30 day use by date. On 21-Jan-2022, the vial was initially stored in the refrigerator. It was administered on 24 or 25-Feb-2022 and also on 28-Feb. The vial did not undergo any temperature excursions. No concomitant medications were reported. No treatment information was reported. Patent reported- influenza quadrivalent vaccine given on the same vaccination day. 30-day thawed expiration on 2/20/22. Most recent FOLLOW-UP information incorporated above includes: On 07-Mar-2022: Significant Follow Up received: Added patient information, vaccination date, concomitant vaccine (Influenza vaccine), event onset date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: INFLUENZA
Allergien: -
Vorherige Impfungen: -

VAERS 2169776

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 23,0
Geschlecht: M
Eingang: 10.03.2022
Impfdatum: 05.01.2022
Beginn: 05.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

Expired two days prior; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired two days prior) in a 23-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. No Medical History information was reported. On 05-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Jan-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired two days prior). On 05-Jan-2022, EXPIRED PRODUCT ADMINISTERED (Expired two days prior) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Date the vial was initially stored in the refrigerator given 03Dec2021. No Treatment information was provided. No Concomitant medication was provided. Most recent FOLLOW-UP information incorporated above includes: On 07-Jan-2022: Follow up received patient initials and suspect product dose information was added. On 12-Jan-2022: FU received on 12-JAN-2022.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2158555

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 17,0
Geschlecht: M
Eingang: 04.03.2022
Impfdatum: 17.12.2021
Beginn: 17.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

No adverse event Product administered to patient of inappropriate age

Symptomtext

Patient was administered Moderna booster 0.25 mL at age 17. Patient was 2 months before 18th birthday. Reviewed error with patient's mom. She stated he had no atypical reaction and even no typical reactions at all.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2151891

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 16,0
Geschlecht: M
Eingang: 02.03.2022
Impfdatum: 10.12.2021
Beginn: 10.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

No adverse event Product administered to patient of inappropriate age

Symptomtext

Patient was under 18 years old and given a Moderna vaccine. Patient was informed and did not have any reactions thereafter.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: N/A
Allergien: N/A
Vorherige Impfungen: -

VAERS 2151552

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: KY
Alter: 22,0
Geschlecht: F
Eingang: 02.03.2022
Impfdatum: 05.01.2022
Beginn: 22.01.2022
Tage bis Beginn: 17,0
Dosis: 2
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

COVID-19 SARS-CoV-2 test positive

Symptomtext

Tested Positive for Covid

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2150693

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: -
Geschlecht: M
Eingang: 01.03.2022
Impfdatum: 24.02.2022
Beginn: 24.02.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

Patient received a dose (patient's booster dose) from a vial that had been punctured for more than 12 hours.; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient received a dose (patient's booster dose) from a vial that had been punctured for more than 12 hours.) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. No Medical History information was reported. On 24-Feb-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 24-Feb-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Patient received a dose (patient's booster dose) from a vial that had been punctured for more than 12 hours.). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Patient received a dose (patient's booster dose) from a vial that had been punctured for more than 12 hours.) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication were reported. No treatment information were provided. The Vial was first punctured at 4:55pm Wednesday 23Feb2022 (two doses were withdrawn). The vaccine was returned to fridge. At 5:15pm (23Feb2022) vial was placed back into the refrigerator. Then transported (in refrigerated state from 6:50pm - 7:01pm) back to the main facility then placed back to the refrigerator at 7:01pm (at 5.38C). Thursday 24Feb2022 vial was removed at 9:32am (at 5.48C). Transported to another facility (arrived at 10:05 am with a temp of 5.27 C). At 5:00pm a dose from vial was administered. The vial undergo any temperature excursions.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2140497

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: -
Alter: 61,0
Geschlecht: M
Eingang: 25.02.2022
Impfdatum: 24.02.2022
Beginn: 24.02.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

Moderna Vial Lot # 069H21A first puncture on Wednesday 02/23/22 at 16:55 and had 2 dose drawn was put back into the refrigerator and used again the following day on Thursday 02/24/22 at 17:00, so that exceeds the 12 hours maximum time after puncture. I have already contacted the Moderna Medical Hotline and they will reach out in a few days.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2134753

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 56,0
Geschlecht: M
Eingang: 23.02.2022
Impfdatum: 23.02.2022
Beginn: 23.02.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Incorrect dose administered No adverse event

Symptomtext

The patient received a Johnson and Johnson Vaccine 05/08/2021 and a second vaccine of a full dose Moderna (0.5 mL) vaccine 09/13/2021. The patient stated that he was traveling and that neither destinations would consider his Johnson and Johnson dose and would not consider him to be fully vaccinated. He requested another dose of Moderna. I consulted with my immediate supervisor who advised me that the second Moderna vaccine he received in September was an error, but she had read up on the clinical guidance from the CDC and to give him a second full dose Moderna, and that she would further e-mail/consult with the CDC with respect to whether or not he needs a booster vaccination. The CDC returned her e-mail communication and said that the administration of the second full dose Moderna, which was given today, was an error and needed to be reported as a VAERS event. The patient was observed for 15 minutes and did not experience any adverse side effects after receiving his vaccine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Incorrect dose administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Unknow
Vorgeschichte: Unknown
Andere Medikamente: Unknown
Allergien: NKA
Vorherige Impfungen: -

VAERS 2131419

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: -
Alter: 7,0
Geschlecht: F
Eingang: 22.02.2022
Impfdatum: 12.01.2022
Beginn: 12.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

No adverse event Product administered to patient of inappropriate age Product administration error

Symptomtext

This is a vaccine administration error, not an adverse event. Moderna vaccine was given to the wrong age patient.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2131321

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: -
Alter: 17,0
Geschlecht: F
Eingang: 22.02.2022
Impfdatum: 23.12.2021
Beginn: 23.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

No adverse event Product administered to patient of inappropriate age

Symptomtext

This is a vaccine administration error, not an adverse event. Moderna vaccine was given to the wrong age patient.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2131309

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: -
Alter: 17,0
Geschlecht: F
Eingang: 22.02.2022
Impfdatum: 22.12.2021
Beginn: 22.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

No adverse event Product administered to patient of inappropriate age Product administration error

Symptomtext

This is a vaccine administration error, not an adverse event. Moderna vaccine was given to the wrong age patient.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2119348

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 32,0
Geschlecht: F
Eingang: 17.02.2022
Impfdatum: 18.12.2021
Beginn: 10.02.2022
Tage bis Beginn: 54,0
Dosis: 3
Route/Site: IM / UN

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt

COVID-19 Vaccine breakthrough infection

Symptomtext

BREAKTHROUGH COVID INFECTION

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2105082

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 22,0
Geschlecht: F
Eingang: 11.02.2022
Impfdatum: 11.02.2022
Beginn: 11.02.2022
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Incorrect dose administered

Symptomtext

The patient came to the clinic to receive her second dose of Moderna. But, she was given a booster dose of Moderna. Contacted her to come back to clinic to receive the rest of the dose for second dose.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Incorrect dose administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2105028

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 43,0
Geschlecht: M
Eingang: 11.02.2022
Impfdatum: 11.02.2022
Beginn: 11.02.2022
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Incorrect dose administered

Symptomtext

The patient came to the clinic to receive his second dose of Moderna. But, the patient received a booster dose of Moderna instead. Contacted the patient to come back to the clinic to receive the rest of the vaccine to make up for the second dose.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Incorrect dose administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2104476

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: -
Alter: 15,0
Geschlecht: F
Eingang: 11.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product administered to patient of inappropriate age

Symptomtext

Vaccine was given to a 15 year old for first dose; This spontaneous case was reported by a pharmacist and describes the occurrence of PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (Vaccine was given to a 15 year old for first dose) in a 15-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. No Medical History information was reported. On 06-Jan-2022, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-Jan-2022, the patient experienced PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (Vaccine was given to a 15 year old for first dose). At the time of the report, PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (Vaccine was given to a 15 year old for first dose) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant products were reported. No treatment drugs were reported. Most recent FOLLOW-UP information incorporated above includes: On 09-Feb-2022: Follow up received contains no new information

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product administered to patient of inappropriate age
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2098775

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 49,0
Geschlecht: M
Eingang: 09.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product storage error

Symptomtext

Vaccine administered BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: NONPROGRESSIVE RELAPSING MULTIPLE SCLEROSIS PREDIABETES LONG TERM IMMUNOSUPPRESSION THERAPY NICOTINE DEPENDENCE, IN REMISSION
Andere Medikamente: Rituxan
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2098765

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 19,0
Geschlecht: F
Eingang: 09.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

Vaccine administered BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: Pharyngitis
Vorgeschichte: MAJOR DEPRESSIVE DISORDER, RECURRENT EPISODE RECURRENT UTI DIURNAL ENURESIS THALASSEMIA
Andere Medikamente: NEXPLANON Albuterol (VENTOLIN HFA)
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2098740

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 31,0
Geschlecht: M
Eingang: 09.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

Vaccine administered BUD.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: MAJOR DEPRESSIVE DISORDER, SINGLE EPISODE ANXIETY, SEASONAL ALLERGIC RHINITIS
Andere Medikamente: hydroxyzine HCL (ATARAX), Citalopram (CELEXA)
Allergien: Sudafed
Vorherige Impfungen: -

VAERS 2098666

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 55,0
Geschlecht: M
Eingang: 09.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product storage error

Symptomtext

Vaccine administered BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: HIGH DENSITY LIPOPROTEIN DEFICIENCY HX OF COLONIC POLYP
Andere Medikamente: Simethicone (MYLICON)
Allergien: Codeine and opiate derivatives
Vorherige Impfungen: -

VAERS 2098662

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 78,0
Geschlecht: F
Eingang: 09.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

Vaccine administered BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: -
Vorgeschichte: HYPOTHYROIDISM HYPERLIPIDEMIA HTN (HYPERTENSION) OSTEOPOROSIS LEFT FEMUR FX HX OF CEREBRAL ANEURYSM HX OF UTI HX OF COLON CANCER GAIT ABNORMALITY ATAXIA, LATE EFFECT OF HEMORRHAGIC STROKE HX OF CEREBELLAR STROKE LEFT LEG PAIN
Andere Medikamente: Levothyroxine (LEVOTHROID/SYNTHROID) oxycodone IR (ROXICODONE) Acetaminophen (TYLENOL) 500 mg Oral Tab Aspirin (ASPIR-LOW) SENNA LAX Biotin Loratadine (CLARITIN)
Allergien: Adhesive Tape Codeine And Opiate Derivatives Iodine And Iodine Containing Compounds Morphine Sulfa (Sulfonamide Antibiotics) Suture
Vorherige Impfungen: -

VAERS 2098643

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 47,0
Geschlecht: M
Eingang: 09.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

Vaccine administered BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: SEVERE ALCOHOL USE DISORDER, IN SUSTAINED REMISSION TOBACCO SMOKER
Andere Medikamente: Simethicone (GAS RELIEF 80, SIMETHICONE,)
Allergien: PCN Class
Vorherige Impfungen: -

VAERS 2098629

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 32,0
Geschlecht: F
Eingang: 09.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product storage error

Symptomtext

Vaccine administered BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: MIGRAINE ANXIETY DISORDER MAJOR DEPRESSIVE DISORDER, RECURRENT EPISODE
Andere Medikamente: None
Allergien: Levaquin [Levofloxacin Sulfa (Sulfonamide Antibiotics)
Vorherige Impfungen: -

VAERS 2098585

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 48,0
Geschlecht: M
Eingang: 09.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

Vaccine administered Beyond Use Date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: ADULT OBSTRUCTIVE SLEEP APNEA, MODERATE DIVERTICULITIS CIRCADIAN RHYTHM SLEEP DISORDER, SHIFT WORK TYPE
Andere Medikamente: Fluticasone (FLONASE ALLERGY RELIEF) Oxymetazoline (AFRIN) Sodium Bicarbonate-Sodium Chloride (NEILMED SINUS RINSE COMPLETE)
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2096479

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 21,0
Geschlecht: M
Eingang: 08.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

Vaccine administered BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: MILD PERSISTENT ASTHMA ECZEMA SEASONAL ALLERGIC RHINITIS PEANUT ALLERGY
Andere Medikamente: Finasteride (PROPECIA) ALVESCO ALVESCO Montelukast (SINGULAIR)
Allergien: Tree Nut
Vorherige Impfungen: -

VAERS 2096272

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 67,0
Geschlecht: F
Eingang: 08.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

Vaccine administered BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: DYSHIDROTIC ECZEMA
Andere Medikamente: Levothyroxine (LEVOTHROID/SYNTHROID) Triamcinolone Acetonide (KENALOG)
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2096263

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 22,0
Geschlecht: F
Eingang: 08.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product storage error

Symptomtext

Vaccine administered BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: INTERMITTENT ASTHMA MIGRAINE MAJOR DEPRESSIVE DISORDER, RECURRENT EPISODE ANXIETY DISORDER SEASONAL ALLERGIC RHINITIS CHRONIC LOW BACK PAIN > 3 MONTHS PRESENCE OF IUD
Andere Medikamente: Rizatriptan (MAXALT-MLT) Prochlorperazine Maleate (COMPAZINE) Fluoxetine (PROZAC) Levonorgestrel (MIRENA)
Allergien: PCN Class
Vorherige Impfungen: -

VAERS 2096250

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 70,0
Geschlecht: M
Eingang: 08.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

Vaccine administered BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: FRAILTY ADULT OBSTRUCTIVE SLEEP APNEA HTN (HYPERTENSION) DM 2 W CKD STAGE 3A (GFR 45-59) HYPERLIPIDEMIA ATRIAL FIBRILLATION, PERMANENT CHRONIC HYPOXEMIC RESPIRATORY FAILURE DIASTOLIC HEART FAILURE, CHRONIC SEVERE OBESITY (BMI >= 40) SECONDARY PULMONARY HTN LONG TERM ANTICOAGULANT THERAPY GOUT BPH W INCOMPLETE BLADDER EMPTYING PERICARDIAL EFFUSION FATTY LIVER DIEULAFOY LESION OF STOMACH W HEMORRHAGE DEMENTIA SCREENING
Andere Medikamente: Triamcinolone Acetonide (KENALOG) Rosuvastatin (CRESTOR) Pantoprazole (PROTONIX) Spironolactone (ALDACTONE) Torsemide (DEMADEX) diltiazem (CARDIZEM CD) Lisinopril (PRINIVIL/ZESTRIL) glipizide (GLUCOTROL) Allopurinol (ZYLOPRIM) metf
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2096045

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 34,0
Geschlecht: M
Eingang: 08.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

Vaccine administered Beyond Use Date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: HYPERTRIGLYCERIDEMIA OBESITY, BMI 30-34.9, ADULT
Andere Medikamente: None
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2096031

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 41,0
Geschlecht: M
Eingang: 08.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product storage error

Symptomtext

Vaccine administered BUD.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: None.
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: NKA
Vorherige Impfungen: -

VAERS 2096006

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 53,0
Geschlecht: M
Eingang: 08.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

Vaccine administered BUD.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None.
Aktuelle Erkrankungen: None
Vorgeschichte: Hyperlipidemia, HTN (Hypertension), Adult Obstructive Sleep Apnea, Gout, Unhealthy Drinking Behavior W Alcohol Prevention Counseling, HX Of Colonic Polyp, Elevated Liver Function Test, Right Metatarsalgia, Left Bunion, Right Bunion, Left Metatarsalgia, Callosity
Andere Medikamente: Lisinopril (PRINIVIL/ZESTRIL), Atorvastatin (LIPITOR)
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2095935

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 64,0
Geschlecht: M
Eingang: 08.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

Vaccine administered BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: -
Vorgeschichte: SLEEP APNEA BPH W INCOMPLETE BLADDER EMPTYING DIVERTICULOSIS OF COLON
Andere Medikamente: Meloxicam (MOBIC) Fluticasone (FLONASE ALLERGY RELIEF)
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2095848

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: -
Alter: 32,0
Geschlecht: F
Eingang: 08.02.2022
Impfdatum: 29.10.2021
Beginn: 24.01.2022
Tage bis Beginn: 87,0
Dosis: 2
Route/Site: - / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Event occurred after 2nd vaccine; breakthrough case

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: 1/24/22 COIVD +
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2095754

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 43,0
Geschlecht: M
Eingang: 08.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

Vaccine administered BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: DM 2 HYPERTRIGLYCERIDEMIA CORONAVIRUS COVID-19 DISEASE
Andere Medikamente: Glimepiride (AMARYL) Metformin (GLUCOPHAGE) Simvastatin (ZOCOR) Omega-3 Fatty Acids-Fish Oil (OMEGA 3 FISH OIL) Omeprazole Magnesium (ACID REDUCER, OMEPRAZOLE,)
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2095681

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 56,0
Geschlecht: M
Eingang: 08.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product storage error

Symptomtext

Vaccine administered BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Obesity PREDIABETES
Andere Medikamente: Simethicone
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2095622

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 41,0
Geschlecht: F
Eingang: 08.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product storage error

Symptomtext

Vaccine administered BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: HYPOTHYROIDISM HTN (HYPERTENSION) PREDIABETES HX OF MIGRAINE ALLERGIC RHINITIS DUE TO POLLEN NONALLERGIC RHINITIS UTERINE FIBROIDS UMBILICAL HERNIA
Andere Medikamente: Lisinopril (PRINIVIL/ZESTRIL) Levothyroxine (LEVOTHROID/SYNTHROID) Levonorgestrel (MIRENA)
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2095543

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 24,0
Geschlecht: F
Eingang: 08.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

Vaccine administered Beyond Use Date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: ANXIETY ADHD POLYCYSTIC OVARIES PRESENCE OF IMPLANTABLE SUBDERMAL CONTRACEPTIVE
Andere Medikamente: Ergocalciferol, Vit D2, (VITAMIN D2) Atomoxetine (STRATTERA) Atomoxetine (STRATTERA)
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2093119

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 29,0
Geschlecht: F
Eingang: 07.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

Vaccine administered BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: PSORIASIS GENERALIZED ANXIETY DISORDER POSTTRAUMATIC STRESS DISORDER CHRONIC DIARRHEA OBESITY, BMI 30-34.9, ADULT PRESENCE OF IUD
Andere Medikamente: None
Allergien: Ceftin
Vorherige Impfungen: -

VAERS 2093112

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 47,0
Geschlecht: M
Eingang: 07.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product storage error

Symptomtext

Vaccine administered BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: ANDROGENIC ALOPECIA HERPES SIMPLEX LABIALIS ERECTILE DYSFUNCTION NONALCOHOLIC STEATOHEPATITIS
Andere Medikamente: Finasteride (PROPECIA) Atovaquone-Proguanil (MALARONE) Hydroquinone RETIN-A Ketoconazole (NIZORAL) Acyclovir Sildenafil
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2092915

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 30,0
Geschlecht: M
Eingang: 07.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

Vaccine administered BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2092886

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 33,0
Geschlecht: F
Eingang: 07.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product storage error

Symptomtext

Vaccine administered BUD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: RHEUMATOID ARTHRITIS OF UNSPECIFIED JOINT W RF HYPOTHYROIDISM LONG TERM IMMUNOSUPPRESSION THERAPY ALOPECIA AREATA
Andere Medikamente: Methotrexate Bisacodyl (DULCOLAX) Levothyroxine (LEVOTHROID/SYNTHROID)
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2092841

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 27,0
Geschlecht: F
Eingang: 07.02.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

Vaccine administered BUD.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None.
Aktuelle Erkrankungen: Upper respiratory infection
Vorgeschichte: Mild persistent asthma; anxiety; acne vulgaris; dysmenorrhea
Andere Medikamente: Ventolin HFA
Allergien: NKA
Vorherige Impfungen: -

VAERS 2092555

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NV
Alter: 68,0
Geschlecht: F
Eingang: 07.02.2022
Impfdatum: 06.12.2021
Beginn: 06.01.2022
Tage bis Beginn: 31,0
Dosis: 3
Route/Site: SYR / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Secretion discharge Throat irritation Vaccine positive rechallenge

Symptomtext

Chronic scratchy/fuzzy throat with mucous at times

Weitere VAERSDATA-Felder

Praegender Schweregrund: Secretion discharge
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: -
Vorgeschichte: None
Andere Medikamente: None
Allergien: NoneNone
Vorherige Impfungen: Same symptoms after 2nd Moderna Vaccine1.29.2021

VAERS 2091462

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: MA
Alter: 15,0
Geschlecht: M
Eingang: 05.02.2022
Impfdatum: 08.01.2022
Beginn: 08.01.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

No adverse event Product administered to patient of inappropriate age

Symptomtext

The patient is a 15yo male who received Moderna for his first dose of the covid vaccine on 01/08/2022. The patient's mother reported that her son had no adverse reactions and "specifically requested that her son get the Moderna vaccine instead."

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: No known illnesses.
Vorgeschichte: -
Andere Medikamente: No Pprescriptions, over-the-counter medications, dietary supplements, or herbal remedies being taken at the time of vaccination.
Allergien: No known allergies.
Vorherige Impfungen: -

VAERS 2088508

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 51,0
Geschlecht: M
Eingang: 04.02.2022
Impfdatum: 04.02.2022
Beginn: 04.02.2022
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Incorrect dose administered

Symptomtext

The pt was given the incorrect dose of the vaccine. The pt initially received a 0.25 ml dose of Moderna by EMT. The pt was supposed to receive his second dose of Moderna at 0.5 mls. This error was caught just shortly after the pt received his vaccine. The pt was then contacted by telephone and asked to return to the mobile vaccination clinic to receive an additional 0.25 ml dose of Moderna to make a full 0.5 ml dose for his second dose. The pt was then administered a second 0.25 ml dose of Moderna by myself, Paramedic. The pt received a total dose of 0.5 mls of Moderna in two doses within an hour of each other.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Incorrect dose administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: Unknown
Vorgeschichte: Unknown
Andere Medikamente: Unknown
Allergien: Unknown
Vorherige Impfungen: -

VAERS 2088491

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 15,0
Geschlecht: F
Eingang: 04.02.2022
Impfdatum: 22.12.2021
Beginn: 22.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

No adverse event Product administered to patient of inappropriate age

Symptomtext

A 15-year-old patient given Moderna instead of Pfizer. Talked to patient's mom. There was no reaction to the vaccine. She is doing good, and mom is fine with Moderna.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: N/A.
Aktuelle Erkrankungen: No
Vorgeschichte: No
Andere Medikamente: No
Allergien: No
Vorherige Impfungen: -

VAERS 2087829

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 40,0
Geschlecht: F
Eingang: 04.02.2022
Impfdatum: 07.01.2022
Beginn: 07.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

No adverse event

Symptomtext

Booster Pfizer was to be given and Moderna vaccine was administrated by mistake, Patient was notified until 02.01.2022, No symptoms or reaction per patient went call to informed was vaccine was given.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: n/a
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: IBUPROFEN 600 MG , ACETAMINOPHEN 500 MG, DIDOFENAC SODIUM 1%, CAPSAISIN 0.1 % CREAM, GABAPATIN 300 MG, NAPROXEN 500 MG, PREDNISONE 20MG
Allergien: N/A
Vorherige Impfungen: -

VAERS 2085973

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 15,0
Geschlecht: F
Eingang: 03.02.2022
Impfdatum: 03.02.2022
Beginn: 03.02.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Product administered to patient of inappropriate age

Symptomtext

Patient was eligible for Pfizer booster, but received Moderna due to lack of query and checking her vaccine card.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product administered to patient of inappropriate age
Hospital-Tage: -
Labordaten: None. I called the mother immediately upon realizing the error (within 20 minutes). Mother was calm after I explained the error, and that we do not expect any adverse side effect from the Moderna vaccine.
Aktuelle Erkrankungen: Had Covid 3 weeks ago.
Vorgeschichte: Unknown
Andere Medikamente: Unknown
Allergien: Unknown
Vorherige Impfungen: -

VAERS 2085194

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 55,0
Geschlecht: F
Eingang: 03.02.2022
Impfdatum: 07.01.2022
Beginn: 07.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Underdose

Symptomtext

Scheduled for additional dose of Moderna due to being immunocompromised/on long term immunosuppression therapy. A full dose was needed, but half dose was given..

Weitere VAERSDATA-Felder

Praegender Schweregrund: Underdose
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: Cough, Sore throat, Shortness of breath
Vorgeschichte: RHEUMATOID ARTHRITIS OF UNSPECIFIED JOINT W RF LONG TERM IMMUNOSUPPRESSION THERAPY ANXIETY DISORDER MAJOR DEPRESSIVE DISORDER, RECURRENT EPISODE, IN FULL REMISSION MIGRAINE HX OF BREAST CANCER ANEMIA VITAMIN D DEFICIENCY HX OF ABNL PAP SMEAR
Andere Medikamente: Methotrexate Folic Acid Citalopram
Allergien: Sulfa, Amoxicillin, Penicillins Class
Vorherige Impfungen: -

VAERS 2085161

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: MI
Alter: 78,0
Geschlecht: M
Eingang: 03.02.2022
Impfdatum: 09.12.2021
Beginn: 17.01.2022
Tage bis Beginn: 39,0
Dosis: 3
Route/Site: IM / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Asymptomatic COVID-19 Pyelonephritis acute SARS-CoV-2 test positive Sepsis

Symptomtext

Patient was admitted after being diagnosed with acute pyelonephritis with sepsis. Per routine screening protocol for transfers he was tested for Covid and was incidentally positive. He was asymptomatic.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Asymptomatic COVID-19
Hospital-Tage: -
Labordaten: 01/21/2022 Positive COVID test.
Aktuelle Erkrankungen: unknown
Vorgeschichte: Urinary retention Closed wedge compression fracture of T8 vertebra with delayed healing Fall with injury BPH (benign prostatic hyperplasia) Schizophrenia (HCC) GERD (gastroesophageal reflux disease) Barrett's esophagus Chronic airway obstruction, not elsewhere classified Dementia (HCC) Depression with anxiety
Andere Medikamente: acetaminophen (TYLENOL) 325 MG tablet albuterol (VENTOLIN HFA) 108 (90 BASE) MCG/ACT HFA inhaler albuterol (VENTOLIN) (2.5 mg/3 mL) 0.083% nebulizer solution amLODIPine (NORVASC) 5 MG tablet dextromethorphan-guaifenesin (ROBITUSSIN-DM)
Allergien: Seroquel
Vorherige Impfungen: -

VAERS 2083265

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 53,0
Geschlecht: M
Eingang: 02.02.2022
Impfdatum: 03.01.2022
Beginn: 03.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja

Atrial fibrillation Cardioversion Chest X-ray Echocardiogram Laboratory test Sinus rhythm

Symptomtext

Approximately 6 hours after the vaccination, he developed atrial fibrillation with rapid ventricular response, with a rate of 160. He was cardioverted in the hospital and discharged home the following day in normal sinus rhythm.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Atrial fibrillation
Hospital-Tage: 1,0
Labordaten: labs 1/4/22, echocardiogram 1/4/22, chest Xray 1/4/22
Aktuelle Erkrankungen: none
Vorgeschichte: depression
Andere Medikamente: Omega 3 fish oil
Allergien: Cipro
Vorherige Impfungen: -

VAERS 2078804

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: UT
Alter: 23,0
Geschlecht: F
Eingang: 01.02.2022
Impfdatum: 09.01.2022
Beginn: 09.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Inappropriate schedule of product administration No adverse event

Symptomtext

A patient received her booster dose at 4 months instead of five. She had had Pfizer as her primary series and received Moderna as the booster dose. The patient has been informed of the situation and knows to contact us if there are any problems. Patient did not report any side affects when she left observation.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Inappropriate schedule of product administration
Hospital-Tage: -
Labordaten: Unknown
Aktuelle Erkrankungen: Unknown
Vorgeschichte: Unknown
Andere Medikamente: Unknown
Allergien: Unknown
Vorherige Impfungen: -

VAERS 2076631

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 46,0
Geschlecht: F
Eingang: 31.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product storage error

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) from the Department of Health on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Atrial Fibrillation Paroxysmal, Major depressive disorder, Anxiety, GERD, Anomaly of cerebral arteriovenous system, Prediabetes, Hyperlipidemia, Long term anti-coagulant therapy, postmenopausal bleeding, sleep apnea, Fibromyalgia, Low back pain w/bilateral sciatica, Vitamin B12 deficiency, Vitamin D Deficiency, Tobacco smoker, elevated alkaline phosphate
Andere Medikamente: Lopressor, Omeprazole, Lipitor, Proair HFA, Calcium citrate Vitamin D3, Cholecalciferol Vitamin D3, Warfarin, Wellbutrin, Gabapentin, Rubramin PC, Nicoderm CQ, Nicorette
Allergien: Penicillin Class
Vorherige Impfungen: -

VAERS 2076440

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 67,0
Geschlecht: F
Eingang: 31.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) from on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: HTN, Hyperlipidemia, Prediabetes, GERD, Muscle Spasm, Mitral valve regurgitation, Allergic Rhinitis, Cervical Radiculopathy, Near syncope, leg edema
Andere Medikamente: Mobic, Losartan, Lipitor
Allergien: Almond, Amlodipine Besylate, Azithromycin, Codeine and Opiate derivatives, Codeine Sulfate, Endocet, Erythromycin Base, Milk Morphine Sulfate, Ofloxacin, Penicillins Class, Tramadol
Vorherige Impfungen: -

VAERS 2076425

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 38,0
Geschlecht: F
Eingang: 31.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) from the local Department of Health on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Anxiety disorder, Vitamin D Deficiency, Varicose veins
Andere Medikamente: Albuterol
Allergien: Shrimp agent
Vorherige Impfungen: -

VAERS 2076421

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 55,0
Geschlecht: M
Eingang: 31.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) from the Department of Health on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None.
Aktuelle Erkrankungen: None.
Vorgeschichte: Adult OSA, HTN, Anxiety, Major Depressive Disorder, Barretts Esophagus, Severe Alcohol Use Disorder, Androgenic Alopecia, Insomnia, Nicotine Dependence, Vitamin D Deficiency, Obesity.
Andere Medikamente: Hyzaar.
Allergien: NKDA.
Vorherige Impfungen: -

VAERS 2076397

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 50,0
Geschlecht: M
Eingang: 31.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) from the Department of Health on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: DM2, Intermittent Allergic Asthma, Migraine, Allergic Rhinitis, Fatty liver
Andere Medikamente: Astelin, Metformin, Revatio, Flonase
Allergien: Aspirin, Penicillins Class
Vorherige Impfungen: -

VAERS 2076171

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 50,0
Geschlecht: F
Eingang: 31.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product storage error

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Hypothyroidism, Autoimmune Thyroiditis, GERD, Obesity, Premature ovarian failure, right ovarian cyst
Andere Medikamente: Estrace, Provera, Levothyroxine, Prilosec, Ceftin
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2076154

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 75,0
Geschlecht: M
Eingang: 31.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) from on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: Sinusitis
Vorgeschichte: HTN, Rheumatoid arthritis, Hyperlipidemia, CKD Stage 3, GERD, Prediabetes, Abdominal aortic aneurysm, Calcific coronary atherosclerosis, Long term immunosuppression therapy, H/O esophageal cancer, Insomnia, BPG w/urinary frequency, osteoarthritis of bilateral knees, Asymmetric bilateral sensorineural hearing loss
Andere Medikamente: Simvastatin, Retin-A, Omeprazole, Losartan, Flomax
Allergien: Ciprofloxacin, Hydrochloride, Remeron
Vorherige Impfungen: -

VAERS 2076117

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 39,0
Geschlecht: F
Eingang: 31.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) from the Department of Health on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: GERD, Intermittent asthma, Severe Obesity, Reflux esophatitis, Vitamin D Deficiency
Andere Medikamente: None
Allergien: Benadryl, Dihydroergotamine, Mesylate, Famotidine, Mucinex, Pregabalin
Vorherige Impfungen: -

VAERS 2076052

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 58,0
Geschlecht: M
Eingang: 31.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product storage error

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) from on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Respiratory failure unspecified acuity, DM2, Dyslipidemia, Microalbuminuria, HTN Adult OSA, Obesity, Chronic bilateral foot pain, H/O coronavirus COVID 19 disease, Sinus tachycardia, pulmonary nodule, restrictive lung disease, Lumbar radiculopathy, Renal calculus, Right benign paroxysmal positional vertigo, Bilateral high frequency sensorineural hearing loss, insomnia
Andere Medikamente: Metformin, Gabapentin, Lipitor, Glimepiride, Hyzaar, Albuterol
Allergien: Vancomycin class, Doxycycline monohydrate, Penicillin V Potassium
Vorherige Impfungen: -

VAERS 2076022

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 68,0
Geschlecht: F
Eingang: 31.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product storage error

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) from the Department of Health on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Osteoporosis, Female breast infiltrating ductal carcinoma, unspecified site of left breast,
Andere Medikamente: Fosamax, Calcium carbonate, Cholecalciferol, Vitamin D3, Aristocort/Kenalog
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2075982

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 31,0
Geschlecht: F
Eingang: 31.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product storage error

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) from the local Department of Health on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: GERD, Prediabetes, Iron deficiency anemia, Obesity, Cardiac arrhythmia, Menorrhagia w/regular cycles, Snoring, Eczema, Vitamin B12 deficiency, Anemia, Nausea, Choledocholithiasis
Andere Medikamente: Portia, Phentermine, Metformin, Aristocort/Kenalog
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2075958

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 29,0
Geschlecht: M
Eingang: 31.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product storage error

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Psoriasis, constipation
Andere Medikamente: None
Allergien: Sulfa
Vorherige Impfungen: -

VAERS 2075733

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 23,0
Geschlecht: F
Eingang: 31.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product storage error

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Chronic back pain, Scoliosis of lumbar spine, Adolescent Idiopathic Scoliosis of thoracolumbar spine
Andere Medikamente: None
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2075160

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: SC
Alter: 13,0
Geschlecht: M
Eingang: 30.01.2022
Impfdatum: 11.12.2021
Beginn: 12.01.2022
Tage bis Beginn: 32,0
Dosis: UNK
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

No adverse event Product administered to patient of inappropriate age

Symptomtext

During the clinic a 13-year-old healthy male was given Moderna vaccine instead of Pfizer. There were no adverse events at the time of vaccination and none reported by his mother on approximately 28 days later when she went to the pediatrician's office to get his second shot. The physical condition of the child is normal and without injury. The adverse event is that he received the wrong product at time of vaccination. Knowledge of the vaccination given was received from the mother to staff on 1.12.22. Moderna was contacted and gave advisement that the second shot should be given as Pfizer. The mother was notified by telephone and verbalized understanding.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: none
Allergien: none
Vorherige Impfungen: -

VAERS 2072466

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 46,0
Geschlecht: F
Eingang: 28.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) from the Department of Health on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Prolactinoma, Microprolactinoma, Total Thyroidectomy, Post-op Hypothyroidism, genital herpes simplex, TMJ disorder, Galactorrhea, Headache, Female Rectocele
Andere Medikamente: Levothyroxine, Acyclovir, Liothyronine, Cabergoline
Allergien: Codeine sulfate
Vorherige Impfungen: -

VAERS 2072304

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 55,0
Geschlecht: M
Eingang: 28.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) from the local Department of Health on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: Viral Syndrome
Vorgeschichte: HTN, Hyperlipidemia, Angioedema, Mixed sleep apnea, Insomnia, Right knee joint pain, Obesity, Tobacco smoker, Mass of soft tissue of left leg, Periodic limb movement disorder, Gout of left big toe, muscle spasm, dermal cyst, Vitamin D deficiency, occult blood in stool, Erectile dysfunction
Andere Medikamente: Mirapex, Allopurinol, Viagra, Norvasc, Albuterol, Crestor, Toprol, Neurontin, Colchicine
Allergien: NSAIDS
Vorherige Impfungen: -

VAERS 2072291

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 29,0
Geschlecht: M
Eingang: 28.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: ADHD, Intermittent Asthma
Andere Medikamente: Adderall
Allergien: Sulfa
Vorherige Impfungen: -

VAERS 2072268

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 59,0
Geschlecht: F
Eingang: 28.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) from the Department of Health on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Adult OSA, Headache
Andere Medikamente: None
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2072254

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 49,0
Geschlecht: M
Eingang: 28.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2072245

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

gering

Staat: CA
Alter: 60,0
Geschlecht: F
Eingang: 28.01.2022
Impfdatum: 15.01.2022
Beginn: 15.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

No adverse event

Symptomtext

No adverse event, patient received Sinopharm vaccine outside of country and came into clinic for booster. Patient received Moderna as booster, not the recommended pfizer dose for boosters for regulatory authority approved vaccines. No issue with patient receiving vaccine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: unknown
Vorgeschichte: unknown
Andere Medikamente: unknown
Allergien: no allergies on file
Vorherige Impfungen: -

VAERS 2072238

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 38,0
Geschlecht: F
Eingang: 28.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product storage error

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) from the local Department of Health on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Menstrual migraine, GERD, Allergic rhinitis
Andere Medikamente: Ibuprofen Tri-sprintec
Allergien: Avocado, Latex
Vorherige Impfungen: -

VAERS 2072212

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 49,0
Geschlecht: F
Eingang: 28.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product storage error

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Migraine, Benign nevus of skin, Skin tag
Andere Medikamente: None
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2072144

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 45,0
Geschlecht: M
Eingang: 28.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: HTN, GERD, DM2, Mixed Hyperlipidemia, Erectile Dysfunction, Polyneuropathy, Unhealthy drinking behavior, Mood disorder, Fatty liver
Andere Medikamente: Lisinopril, Lipitor, Omeprazole, Revatio
Allergien: Vicodin
Vorherige Impfungen: -

VAERS 2072128

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 45,0
Geschlecht: F
Eingang: 28.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product storage error

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) from the Department of Health on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Migraine
Andere Medikamente: None
Allergien: Vicodin
Vorherige Impfungen: -

VAERS 2072103

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 25,0
Geschlecht: M
Eingang: 28.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product storage error

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) from the local Department of Health on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: ADHD, Intermittent asthma, Generalized anxiety disorder, Allergic Rhinitis
Andere Medikamente: Albuterol, Alvesco
Allergien: Dilaudid, Fentanyl
Vorherige Impfungen: -

VAERS 2072082

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 21,0
Geschlecht: M
Eingang: 28.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Product storage error

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Migraine w/aura, Exercise induced asthma
Andere Medikamente: None
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2072069

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 31,0
Geschlecht: M
Eingang: 28.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Stiffness of bilateral wrist joint, Stiffness of right elbow joint
Andere Medikamente: None
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2072027

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 25,0
Geschlecht: M
Eingang: 28.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Expired product administered

Symptomtext

The pharmacy received Moderna vaccine (lot number 069H21A, expiration 4/6/22) from the Department of Health on 12/6/21 at 3:23 PM. The pharmacy miscalculated the beyond use date as 1/6/22, when it should have been 1/5/22 (30 days from the date received). It appears the pharmacy did not account for December having 31 days, which lead to the miscalculation. Patients administered vaccine after 3:23 PM on 1/5/22 received product that was past its beyond use date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Major Depressive Disorder, Anxiety, Left ankle joint pain
Andere Medikamente: None
Allergien: NKDA, NKFA
Vorherige Impfungen: -

VAERS 2069178

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 49,0
Geschlecht: M
Eingang: 27.01.2022
Impfdatum: 13.01.2022
Beginn: 13.01.2022
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Inappropriate schedule of product administration

Symptomtext

Vaccine given 5 days to early. Outside of grace period. Called patient and told him to get re-vaccinated,

Weitere VAERSDATA-Felder

Praegender Schweregrund: Inappropriate schedule of product administration
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Unknown
Vorgeschichte: Unknown
Andere Medikamente: Unknown
Allergien: Unknown
Vorherige Impfungen: -

VAERS 2066858

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: -
Alter: 44,0
Geschlecht: M
Eingang: 26.01.2022
Impfdatum: 30.12.2021
Beginn: 30.12.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Product storage error

Symptomtext

At 17:00, RN alerted Lead RN that the client had received a 0.25 mL Moderna (lot #069H21A) COVID vaccine booster dose in his left arm instead of a 0.5 mL dose for his 2nd dose of Moderna COVID vaccine. Per CDC's Interim Revaccination Guidance on a person who has received a lower than authorized dose of the correct formulation of Moderna COVID vaccine, RN was able to administer an additional dose of Moderna COVID vaccine 0.25 mL (lot #069H21A) in the client's right arm at 1705 to complete a full 0.5 mL dose of Moderna COVID vaccine. Client was educated on being fully vaccinated for his 2nd dose with the two Moderna COVID vaccine doses he had received, client verbalized understanding.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2065438

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CO
Alter: 16,0
Geschlecht: M
Eingang: 26.01.2022
Impfdatum: 20.12.2021
Beginn: 20.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

No adverse event Product administered to patient of inappropriate age

Symptomtext

Travel visit for 16 year old patient, as part of visit Covid Booster dose administered. Moderna given to patient under the age of 18, dose is still valid and no reaction noted.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054582

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: IL
Alter: 56,0
Geschlecht: F
Eingang: 21.01.2022
Impfdatum: 21.01.2022
Beginn: 21.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

No adverse event

Symptomtext

No current symptoms.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: N/A.
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: N/A
Allergien: N/A
Vorherige Impfungen: -

VAERS 2054517

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 46,0
Geschlecht: M
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054510

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 61,0
Geschlecht: M
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054500

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 54,0
Geschlecht: M
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054488

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 60,0
Geschlecht: F
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054485

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 26,0
Geschlecht: M
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054479

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 45,0
Geschlecht: F
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054469

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 49,0
Geschlecht: M
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054468

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 20,0
Geschlecht: F
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054463

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 39,0
Geschlecht: F
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054460

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 63,0
Geschlecht: F
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054456

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 43,0
Geschlecht: M
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054454

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 47,0
Geschlecht: M
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054441

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 46,0
Geschlecht: M
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054434

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 55,0
Geschlecht: F
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054417

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 56,0
Geschlecht: M
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054413

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 40,0
Geschlecht: F
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054410

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 62,0
Geschlecht: F
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054402

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 35,0
Geschlecht: M
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054399

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 42,0
Geschlecht: F
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054393

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 52,0
Geschlecht: M
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054389

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 30,0
Geschlecht: M
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054384

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 47,0
Geschlecht: F
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054381

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 55,0
Geschlecht: M
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054374

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 40,0
Geschlecht: M
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Product preparation issue

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product preparation issue
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054361

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 52,0
Geschlecht: F
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054347

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 66,0
Geschlecht: F
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054332

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 42,0
Geschlecht: M
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054321

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 42,0
Geschlecht: M
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054314

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 44,0
Geschlecht: M
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054290

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: -
Alter: 59,0
Geschlecht: M
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

Moderna vaccine administered on 1/20/22 had expired on 1/19/22. There was no temperature excursion

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2054253

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 53,0
Geschlecht: F
Eingang: 21.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Expired product administered

Symptomtext

vaccine was administered on 1/20/22. the vaccine expired on 1/19/22. There was no temperature excursion.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2051241

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

gering

Staat: ME
Alter: 56,0
Geschlecht: F
Eingang: 20.01.2022
Impfdatum: 18.01.2022
Beginn: 18.01.2022
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Inappropriate schedule of product administration

Symptomtext

Second dose was given too early. First dose was given on 12/27/2022. Patient was called and advised to return on or after Jan. 24 to receive dose.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Inappropriate schedule of product administration
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2051153

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: WA
Alter: 54,0
Geschlecht: M
Eingang: 20.01.2022
Impfdatum: 22.12.2021
Beginn: 22.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Tinnitus

Symptomtext

Loud persistent ringing in the ears.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Tinnitus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: GNC 50 plus Vitamin Pack
Allergien: None
Vorherige Impfungen: -

VAERS 2051145

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069h21a

gering

Staat: CA
Alter: 58,0
Geschlecht: M
Eingang: 20.01.2022
Impfdatum: 20.01.2022
Beginn: 20.01.2022
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Incorrect dose administered

Symptomtext

Patient received J&J on 3/31/2021 and came in for his booster on 1/20/22. He went to the Moderna station and requested a full dose of Moderna based on his physician?s recommendation. Patient received full 0.5 mL dose of Moderna (instead of the booster dose of 0.25 mL). No adverse reaction.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Incorrect dose administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Interstitial lung disease
Andere Medikamente: -
Allergien: NKA
Vorherige Impfungen: -

VAERS 2047689

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: MI
Alter: 65,0
Geschlecht: M
Eingang: 19.01.2022
Impfdatum: 14.01.2022
Beginn: 15.01.2022
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja

Blood test Chest X-ray Electrocardiogram Hyperhidrosis Muscular weakness Urine analysis normal

Symptomtext

At approx. 1300 CNA reported resident was in the bathroom holding onto the door and the bar in bathroom crouching over and she needed assistance getting resident into w/c. Resident was diaphoretic at the time and weak. BP 96/56, pulse 120, respirations 20, temp 98.3, O2 96% RA. No c/o pain, he did c/o weakness to his left leg with walking. Resident said he walked from his bed to the bathroom independent. Res. did have the 2nd dose of the Covid vaccine on 1/14/22. Gave order to send resident to ED for eval at 1325. EMS called at 1357, EMS left with resident at 1419.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Blood test
Hospital-Tage: -
Labordaten: Sent to ED 1/15/22. Update on resident: he is getting 1 L of IV fluids, EKG looked good, waiting to get a urine on resident. His HR has been in the 80's. Res. said he "feels fine". Resident returned from hospital at 1820. Report from hospital, blood work, urine, chest xray, and EKG done all normal. Resident felt tired, no pain was continent. Had IV in right hand, and had band aid on left hand.
Aktuelle Erkrankungen: None
Vorgeschichte: Parkinson's disease, dementia, insomnia, allergic rhinitis, hypertension, urinary urgency and frequency, moderate protein-calorie malnutrition
Andere Medikamente: colace, Ativan, remron, flomax, sinemet ER, trazadone, miralax, aspirin, losartan potassiu,-HCTZ, flonase, tylenol
Allergien: No known allergies
Vorherige Impfungen: -

VAERS 2045409

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 22,0
Geschlecht: M
Eingang: 18.01.2022
Impfdatum: 17.12.2021
Beginn: 31.12.2021
Tage bis Beginn: 14,0
Dosis: 1
Route/Site: IM / RA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Hypoaesthesia

Symptomtext

Client reports numbness in both arms with onset of 1-2 weeks post vaccination, has not resolved since. Denies any other symptoms.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Hypoaesthesia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2043139

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 44,0
Geschlecht: F
Eingang: 18.01.2022
Impfdatum: 11.01.2022
Beginn: 11.01.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Aphonia Dysphonia

Symptomtext

At 9:48am after taking the vaccine pt reported that she was unable to use her voice. Her voice became very raspy and she could only say 4 to 5 words. It progressed to where she couldn't speak at all. She was sent to Hospital for further evaluation.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Aphonia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: hypertension, diabetes, and asthma
Andere Medikamente: albuterol sulfate inhaler, lipitor, klonopin, voltaren, victoza, clarten, prilosec, zofran, effexor
Allergien: amoxicillin, citalopram, isoniazid, penicillin, nortriptyline, propranolol, propranolol hcl, turburklan and cinnamon
Vorherige Impfungen: -

VAERS 2042884

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: NJ
Alter: 54,0
Geschlecht: F
Eingang: 18.01.2022
Impfdatum: 03.01.2022
Beginn: 03.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Blood HIV RNA below assay limit HIV antigen negative HIV test false positive Lymphocyte stimulation test negative SARS-CoV-2 test negative

Symptomtext

Patient went for preadmission testing for orthopedic surgery (spinal stenosis) and tested positive for HIV through routine testing. This was false positive test. Patient takes no medication and has no relevant history. Test done on IM HIV Ag_Ab Combo. History done with physicians resulted in highly unlikely HIV positive. Patient was not COVID positive at the time. According to the lab, test was repeatedly reactive but weak from 1.374 to 1.424. Differentiation assay was negative on PCR. T cell and viral load negative.

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Praegender Schweregrund: Blood HIV RNA below assay limit
Hospital-Tage: -
Labordaten: 1/3/22 10:32; HIV Ab and Ab Inst reactive. 1/3/22, 13:02; HIV Ab1, Ab2, HIV-1 RNA, TMA QL, HIV Ag/Ab, 4th Gen all negative 1/11/2022, 12:32 HIV Ab, HIV Ab Inst reactive 1/11/2022, 112:32 HIV 1 RNA PCR < 20 not detected; HIV Log 10 <1.3 not detected
Aktuelle Erkrankungen: N/A
Vorgeschichte: -
Andere Medikamente: None
Allergien: N/A
Vorherige Impfungen: Patient described lymph node enlargement with prior Moderna dose while recounting this event

VAERS 2042075

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: SC
Alter: 35,0
Geschlecht: F
Eingang: 18.01.2022
Impfdatum: 17.12.2021
Beginn: -
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Parosmia Taste disorder

Symptomtext

taste and smell is altered/tastes an awful taste; taste and smell is altered; This spontaneous case was reported by a consumer and describes the occurrence of TASTE DISORDER (taste and smell is altered/tastes an awful taste) and PAROSMIA (taste and smell is altered) in a 35-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included VITAMIN 15 for an unknown indication. On 17-Dec-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced TASTE DISORDER (taste and smell is altered/tastes an awful taste) and PAROSMIA (taste and smell is altered). At the time of the report, TASTE DISORDER (taste and smell is altered/tastes an awful taste) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment information was provided.

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Praegender Schweregrund: Parosmia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: VITAMIN 15
Allergien: -
Vorherige Impfungen: -

VAERS 2036156

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: TX
Alter: 22,0
Geschlecht: M
Eingang: 14.01.2022
Impfdatum: 06.01.2022
Beginn: 06.01.2022
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Underdose

Symptomtext

RN administering patient his second Moderna Vaccine--(1st had been administered/recorded 9/28/21)--incorrectly administered a booster size dose (0.25ml) instead of full dose of 0.5ml. Patient left clinic--it was then noted by Phamacist that count was off. Confirmed the dose that had been drawn up for him by Phamacist, had not been administered. Instead the count was off by 1 for the 1/2 dose Moderna vaccines. Once identified as error, patient was called back into clinic--and administered another 1/2 dose on 1/8 (2 days later)--bringing him whole in his vaccination status.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Underdose
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2036003

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 61,0
Geschlecht: F
Eingang: 14.01.2022
Impfdatum: 05.01.2022
Beginn: 12.01.2022
Tage bis Beginn: 7,0
Dosis: 3
Route/Site: SYR / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein

Tinnitus

Symptomtext

Significant worsening of Tinnitus in both volume and pitch.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Tinnitus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: multi-vitamin, fish oil, vitamin D, Estradiol Patch .05mg, Progesterone 100mg
Allergien: codeine, tetracycline
Vorherige Impfungen: -

VAERS 2024144

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 46,0
Geschlecht: M
Eingang: 11.01.2022
Impfdatum: 05.01.2022
Beginn: 05.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

expired two days prior; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (expired two days prior) in a 46-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. No Medical History information was reported. On 05-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Jan-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (expired two days prior). On 05-Jan-2022, EXPIRED PRODUCT ADMINISTERED (expired two days prior) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Treatment medication was not provided. Concomitant medication was not provided.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2024143

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 33,0
Geschlecht: M
Eingang: 11.01.2022
Impfdatum: 05.01.2022
Beginn: 05.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered Inappropriate schedule of product administration

Symptomtext

Vaccinated with two days prior expired vaccine; Inappropriate schedule of vaccine administered; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Vaccinated with two days prior expired vaccine) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Inappropriate schedule of vaccine administered) in a 33-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. Previously administered products included for Product used for unknown indication: Pfizer Biontech Covid-19 vaccine (Dose 2) and Pfizer Biontech Covid-19 vaccine (Dose 1). Past adverse reactions to the above products included No adverse event with Pfizer Biontech Covid-19 vaccine and Pfizer Biontech Covid-19 vaccine. On 05-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Jan-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Vaccinated with two days prior expired vaccine) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Inappropriate schedule of vaccine administered). On 05-Jan-2022, EXPIRED PRODUCT ADMINISTERED (Vaccinated with two days prior expired vaccine) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Inappropriate schedule of vaccine administered) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. 30 days expiry date was on 3-Jan-2022. No concomitant medication was reported by reporter. No treatment medication was reported by reporter. Patient had no other adverse reaction.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2024142

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 21,0
Geschlecht: F
Eingang: 11.01.2022
Impfdatum: 05.01.2022
Beginn: 05.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

provided 6 patients with Moderna vaccines from a vial that expired two days prior; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (provided 6 patients with Moderna vaccines from a vial that expired two days prior) in a 21-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. No Medical History information was reported. On 05-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Jan-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (provided 6 patients with Moderna vaccines from a vial that expired two days prior). On 05-Jan-2022, EXPIRED PRODUCT ADMINISTERED (provided 6 patients with Moderna vaccines from a vial that expired two days prior) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant and treatment medication were reported. No adverse event was reported.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2024139

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 67,0
Geschlecht: F
Eingang: 11.01.2022
Impfdatum: 05.01.2022
Beginn: 05.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

Provided 6 patients with Moderna vaccines from a vial that they realized expired two days prior; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Provided 6 patients with Moderna vaccines from a vial that they realized expired two days prior) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. No Medical History information was reported. On 05-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Jan-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Provided 6 patients with Moderna vaccines from a vial that they realized expired two days prior). On 05-Jan-2022, EXPIRED PRODUCT ADMINISTERED (Provided 6 patients with Moderna vaccines from a vial that they realized expired two days prior) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. No treatment medications were reported. No adverse reactions were experienced by the patient.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2024079

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 33,0
Geschlecht: F
Eingang: 11.01.2022
Impfdatum: 05.01.2022
Beginn: 05.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / -

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered

Symptomtext

They provided 6 patients with Moderna vaccines from a vial that they realized expired two days prior; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (They provided 6 patients with Moderna vaccines from a vial that they realized expired two days prior) in a 33-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 069H21A) for COVID-19 vaccination. Previously administered products included for Product used for unknown indication: Pfizer COVID-19 Vaccine (The patient had Pfizer series dose before getting Moderna COVID-19 booster dose.). Past adverse reactions to the above products included No adverse event with Pfizer COVID-19 Vaccine. On 05-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Jan-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (They provided 6 patients with Moderna vaccines from a vial that they realized expired two days prior). On 05-Jan-2022, EXPIRED PRODUCT ADMINISTERED (They provided 6 patients with Moderna vaccines from a vial that they realized expired two days prior) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. The patient had no adverse reactions post expired vaccine administration. No concomitant medication was provided. No treatment medication was provided.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2022010

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 17,0
Geschlecht: F
Eingang: 10.01.2022
Impfdatum: 10.01.2022
Beginn: 10.01.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt

Product administered to patient of inappropriate age

Symptomtext

The client received the first dose of Moderna COVID vaccine (Lot#069H21A, exp: 04/06/2022). LVN checked the client's birthday prior to administering the vaccine. LVN noted the client was 17 years old after administration of the Moderna vaccine. RN The client did not report any symptoms during the 15 minute observation period.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product administered to patient of inappropriate age
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Unknown
Vorgeschichte: Unknown
Andere Medikamente: Unknown
Allergien: Unknown
Vorherige Impfungen: -

VAERS 2020898

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 069H21A

gering

Staat: CA
Alter: 21,0
Geschlecht: F
Eingang: 10.01.2022
Impfdatum: 05.01.2022
Beginn: 05.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja

Expired product administered No adverse event

Symptomtext

The patient did not experience any adverse physical side effects. The patient was administered an expired dose of Moderna. The dose expired at EOD on 1/3/22 and was administered at 1140am on 1/5/22.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -