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Reporte zur Charge 001J212A

Verknuepft ueber VAERS_ID mit VAERSDATA, Vax und Symptoms

229Reporte angezeigt
3Todesfaelle
34Hospitalisiert
4Lebensbedrohlich
5Bleibende Schaeden
TX 31 PR 21 OR 16 FL 16 CA 11 MN 11 KS 10 IA 9 WI 9 MI 8 PA 8 NY 8

VAERS 2708502

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2A

kritisch
Staat
MA
Alter
57,0
Geschlecht
F
Eingang
01.11.2023
Impfdatum
19.03.2021
Beginn
05.01.2022
Tage bis Beginn
292,0
Dosis
1
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: ja ER: ja Erholt: nein
Cerebrovascular accident Computerised tomogram Disturbance in attention Echocardiogram Headache Hemiparesis Hypoaesthesia Laboratory test Magnetic resonance imaging Scan myocardial perfusion

Symptomtext

Had numbness weakness on the entire right side head to toe. Head aches , could not concentrate on anything.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
5,0
Labordaten
Ct , mri 3/8/2022, echo, nuclear stress test. 3/4/2022 a Labs same day 3/4/2022.
Aktuelle Erkrankungen
High blood pressure
Vorgeschichte
None at the time of vaccinations. After vaccinations I had a stroke.
Andere Medikamente
Losartan 25mg
Allergien
Bactrim / cipro
Vorherige Impfungen
-

VAERS 2610843

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

kritisch
Staat
MN
Alter
82,0
Geschlecht
M
Eingang
06.04.2023
Impfdatum
24.01.2022
Beginn
29.12.2022
Tage bis Beginn
339,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Acute respiratory failure Asthenia COVID-19 COVID-19 pneumonia Condition aggravated Fall SARS-CoV-2 test positive

Symptomtext

Patient with history of COPD and dementia. He was brought to the ED by EMS on 12/29/22 for evaluation after a fall at home. His wife noted he has been more weak than normal. COVID PCR test performed in the ED resulted positive. He was admitted to the hospital 12/29/22 - 1/9/23. Discharge diagnoses included acute hypoxic respiratory failure due to COVID-19 pneumonia, among other diagnoses. Patient was on 2L O2 and was able to be weaned off to room air during his admission. Patient has received the primary COVID vaccine series and one booster.

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

VAERS 2606995

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

kritisch
Staat
OR
Alter
74,0
Geschlecht
F
Eingang
31.03.2023
Impfdatum
01.03.2022
Beginn
27.09.2022
Tage bis Beginn
210,0
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Cerebrovascular accident SARS-CoV-2 test

Symptomtext

she had symptoms of Stroke; diagnosed her with Positive COVID Test; This spontaneous case was reported by a patient and describes the occurrence of CEREBROVASCULAR ACCIDENT (she had symptoms of Stroke) and COVID-19 (diagnosed her with Positive COVID Test) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001J21-2A) for COVID-19 prophylaxis. Co-suspect product included non-company product TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) for an unknown indication. Previously administered products included for Product used for unknown indication: J & J Covid-19 vaccine (First shot) on 09-Mar-2021 and Pfizer monovalent booster (2nd Pfizer monovalent booster) on 02-Nov-2021. Past adverse reactions to the above products included No adverse event with J & J Covid-19 vaccine and Pfizer monovalent booster. Concurrent medical conditions included Immunocompromised. On 01-Mar-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 07-Sep-2022, the patient received fourth dose of TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) (unknown route) 1 dosage form. On 27-Sep-2022, the patient experienced CEREBROVASCULAR ACCIDENT (she had symptoms of Stroke) (seriousness criteria hospitalization and medically significant) and COVID-19 (diagnosed her with Positive COVID Test) (seriousness criterion hospitalization). At the time of the report, CEREBROVASCULAR ACCIDENT (she had symptoms of Stroke) and COVID-19 (diagnosed her with Positive COVID Test) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 27-Sep-2022, SARS-CoV-2 test: Positive. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication was reported. Patient had symptoms of Stroke and went to the hospital, while patient was in the hospital, they diagnosed her with Positive COVID Test. No treatment information was reported. Company comment. This spontaneous case concerns a 74 ? year ? old female patient, with medical history of Immunodeficiency, who experienced the unexpected, serious (medically significant and hospitalization) AESI Cerebrovascular accident and the unexpected, serious (hospitalization) event of COVID ? 19. The events occurred approximately 7 months after a dose of mRNA ? 1273 original vaccine, reported as a booster dose of her COVID ? 19 immunization schedules; the patient previously had one dose of Janssen COVID ? 19 vaccines and one dose of Tozinameran COVID ? 19 vaccines. The report stated that the patient had symptoms of stroke and went to hospital. While she was in hospital, she was diagnosed with a positive COVID test. Twenty days prior the onset of the events the patient received an Omicron Booster dose with Tozinameran COVID ? 19 vaccine. No further clinical details were provided for medical reviewing. Patient?s mentioned medical history could be confounder for serious illness from COVID ? 19. Patient?s age and COVID ? 19 could be risk factors for cerebrovascular accident. Co ? suspect product Tozinameran COVID ? 19 vaccine remains as confounder. The benefit-risk relationship of mRNA ? 1273 original vaccine is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
-
Labordaten
Test Date: 20220927; Test Name: COVID Test; Test Result: Positive
Aktuelle Erkrankungen
Immunocompromised
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2444026

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

kritisch
Staat
CA
Alter
57,0
Geschlecht
M
Eingang
13.09.2022
Impfdatum
11.01.2022
Beginn
12.01.2022
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Cerebrovascular accident

Symptomtext

PER PATIENT'S WIFE: PATIENT HAD A STROKE AND NEEDED TO HOSPITALIZED

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
HIGH BLOOD PRESSURE, CHOLESTEROL, DIABETES, VITAMIN DEFICIENCY
Vorgeschichte
HIGH BLOOD PRESSURE, CHOLESTEROL, DIABETES, VITAMIN DEFICIENCY
Andere Medikamente
AMLODIPINE, ASPIRIN, ATORVASTATIN, VITAMIN D3, GLIPIZIDE, LORATIDINE, LOSARTAN, METFORMIN, IBUPROFEN, TRAZODONE, LISINOPRIL
Allergien
NO KNOWN ALLERGIES
Vorherige Impfungen
-

VAERS 2359608

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

kritisch
Staat
OR
Alter
66,0
Geschlecht
M
Eingang
06.07.2022
Impfdatum
02.04.2022
Beginn
22.04.2022
Tage bis Beginn
20,0
Dosis
4
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: ja
Amnesia Balance disorder Cerebrovascular accident Disorientation Fatigue Headache Laboratory test normal Malaise Pain in extremity

Symptomtext

Initially I had some arm pain and felt ill for 10 hours after receiving the vaccine. Then, within a few days, I developed headaches, disorientation and loss of balance. 3 weeks later I had a stroke. I was hospitalized for 2 days. I have been given a different regimen of medication. Numerous tests have been done to rule out underlying conditions that could have caused the stroke and all came back negative. I am still having some lingering effects from the stroke like loss of memory and general fatigue.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
2,0
Labordaten
Numerous tests to rule out underlying conditions that could have caused the stroke: all negative.
Aktuelle Erkrankungen
None
Vorgeschichte
Gout; Slightly High Blood Pressure; Hypothyroidism
Andere Medikamente
Levothyroxine; losartan potassium; allopurinol; vitamin C; zinc
Allergien
None
Vorherige Impfungen
-

VAERS 2198910

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

kritisch
Staat
-
Alter
80,0
Geschlecht
M
Eingang
25.03.2022
Impfdatum
28.01.2022
Beginn
30.01.2022
Tage bis Beginn
2,0
Dosis
3
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Abdominal pain Bladder catheter replacement Catheter removal Death Device leakage Diarrhoea Hypotension

Symptomtext

ED visit for Urinary catheter leaking - removed and replaced. Hospital admission @ 1 month later - admitted to superior hospital 2/28 through 3/1 for abdominal pain and diarrhea but transfer to hospital after having episodes of hypotension requiring vasoactive medications. He passed away on 3/1. ED visit, hospital admission and death within 6 weeks of receiving the COVID vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
2,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2151820

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

kritisch
Staat
NM
Alter
84,0
Geschlecht
M
Eingang
02.03.2022
Impfdatum
02.02.2022
Beginn
03.02.2022
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Angiogram pulmonary normal Cardiac arrest Chest X-ray normal Death Resuscitation Troponin increased Unresponsive to stimuli

Symptomtext

Death. Pt found unresponsive by son, EMS called, pt had pulse but on way to ED found to be in asystole, CPR/Epi with ROSC. The family chose comfort care on 2/5/2022 and the patient was pronounced dead on 2/5/2022 at 1450

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cardiac arrest
Hospital-Tage
-
Labordaten
CXR negative acute cardiopulmonary process, CTA negative for PE, troponin elevation.
Aktuelle Erkrankungen
None known
Vorgeschichte
History of NSTEMI 2020, hypertension, COPD on 4L baseline, chronic pain
Andere Medikamente
aspirin, atorvastatin, hydralazine, hydrochlorothiazide, levothyroxine, lisinopril, oxycodone
Allergien
NKDA
Vorherige Impfungen
-

VAERS 2029226

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

kritisch
Staat
OR
Alter
66,0
Geschlecht
F
Eingang
03.02.2022
Impfdatum
02.01.2022
Beginn
02.01.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Acute respiratory failure Dysstasia Endotracheal intubation Fall Grip strength decreased Asthenia Chest X-ray Computerised tomogram abdomen Computerised tomogram head Computerised tomogram neck Computerised tomogram thorax Dysphagia Guillain-Barre syndrome Hypoxia Immunoglobulin therapy Intensive care Mechanical ventilation Musculoskeletal disorder

Symptomtext

Patient experienced loss of control of arms and legs with tingling in arms and fingers and couldn't hold anything the same day of receiving the vaccine (1/2). She fell twice on 1/7 with difficulty standing back up and also experienced urinary retention. She was admitted to hospital on 1/8 and was started on IVIG on 1/11; respiratory status worsened and she was intubated 1/11. She was transferred to a different hospitals NSICU on 1/12 for further care, including mechanical ventilation and eventual tracheostomy.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute respiratory failure
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
Hypertension, depression
Andere Medikamente
Amlodipine 10 mg daily, sertraline 25 mg daily, fish oil 1200 mg daily, vit D
Allergien
Codeine
Vorherige Impfungen
-

VAERS 2539077

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

schwer
Staat
MI
Alter
70,0
Geschlecht
M
Eingang
21.12.2022
Impfdatum
23.03.2021
Beginn
02.10.2022
Tage bis Beginn
558,0
Dosis
3
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Amnesia Blood creatinine increased Chest X-ray normal Computerised tomogram head normal Haemodialysis Haemoglobin decreased Hypotension Laboratory test SARS-CoV-2 test positive Syncope Troponin

Symptomtext

This is a 72y.o. male with PMH significant for ESRD on HD T/T/S, HTN, DM, CVA, BPH, GERD, HLD who was sent to ED from a center for syncopal episode while getting HD. The patient doesn't recall the event, he only remembers that he had breakfast prior to HD and went to his session as usual, he says he was told he had completed HD session. Per primary note he had another syncopal episode 3 weeks ago due to low BP. ED his vitals were stable, labs showed creatinine 4.29, trop 0.04, hgb 10.5. CXR unremarkable. Head CT no acute process. He was admitted to medicine for further management, nephrology is consulted to resume HD

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
10/2 SARS-CoV-2 -COVID-19 by NAA, Micro -- detected
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2460254

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

schwer
Staat
UT
Alter
36,0
Geschlecht
F
Eingang
25.09.2022
Impfdatum
17.01.2022
Beginn
22.01.2022
Tage bis Beginn
5,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Abdominal lymphadenopathy Abdominal operation Abdominal pain Biopsy lymph gland abnormal Blood alkaline phosphatase increased Carditis Chest pain Colonoscopy Computerised tomogram Dyspnoea Eating disorder Echocardiogram Electrocardiogram Electrocardiogram ambulatory Erythema Extrasystoles Gastritis Gastrointestinal pain

Symptomtext

Multi-organ inflammatory reaction: -Inflammation of the heart: skip beats, speed up, slow down, chest pain, out of breathe -Enlarged lymph nodes -Inflammation in the mesentery: severe gut pain and constant nausea for over 4months! Could hardly eat. Very sick. Persistent enlarged lymph nodes in the mesentery: not lymphoma. Biopsy showed necrosis! (Death) and granuloma inflammation. -Entire esophagus & stomach lining Red & inflammed -Tiny blood clots coming from GI tract exactly 2 weeks and 1 day after 1st and 2nd doses. -Liver pain and raised ALP -Enlarged spleen & spleen pain -Lung nodules Enlarged lymph nodes persist past 8 months and continue. Nausea improved but persistent. Heart improved after 4 months

Weitere VAERSDATA-Felder
Praegender Schweregrund
Thrombosis
Hospital-Tage
2,0
Labordaten
CT exam-2/3/22 EKG 2/22 Holt heart monitor 3/22 Heart Echo 3/22 Colonoscopy & scope 3/15/22 Cardiac MRI-4/6/22 CT exam 4/29/22 CT exam 7/8/22 Abdominal surgery- lymph node biopsy 8/9/22 Pathology results of lymph node & surrounding tissue Lots of labs inbetween all that!
Aktuelle Erkrankungen
None. Was nursing though.
Vorgeschichte
Inflammatory Arthritis
Andere Medikamente
None
Allergien
Intolerance to egg, dairy, chicken.
Vorherige Impfungen
-

VAERS 2223682

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

schwer
Staat
IA
Alter
57,0
Geschlecht
M
Eingang
08.04.2022
Impfdatum
07.04.2022
Beginn
07.04.2022
Tage bis Beginn
0,0
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Amnesia Confusional state Fatigue Influenza like illness Loss of consciousness Memory impairment Movement disorder Speech disorder

Symptomtext

One hour after vaccine administration, patient suddenly lost consciousness while sitting at his computer. After a short period of time, he woke up with his head laying on his keyboard after his wife found him. Upon waking up he reported confusion, an inability to remember where he was/the time/who he was, and an inability to communicate verbally. He was also unable to move his body. Emergency medical services were called, and his initial workup with them was apparently negative. At some point, he was so scared that he did not think he would survive this incident. He also endorsed some flu-like symptoms. He is not able to recall the entire event due to memory loss. The day after the event (the day in which he reported the event to local Pharmacy), he was back to his baseline (i.e. able to speak, move, communicate coherently, etc.) but was still experiencing latent flu-like symptoms and fatigue.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Unknown
Vorgeschichte
Unknown
Andere Medikamente
Prescriptions: -Alprazolam 0.5 mg, once daily as needed -Solifenacin succinate 5mg, once daily -Gabapentin 300 mg, one capsule three times daily -Sildenafil 100 mg, one tablet daily as need -Venlafaxine ER 75 mg one daily + venlafaxine ER 3
Allergien
Unknown
Vorherige Impfungen
-

VAERS 2209080

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

schwer
Staat
MO
Alter
57,0
Geschlecht
F
Eingang
31.03.2022
Impfdatum
15.01.2022
Beginn
17.01.2022
Tage bis Beginn
2,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: ja ER: ja Erholt: nein
Gait inability Hypoaesthesia Malaise Paralysis Urinary incontinence

Symptomtext

After 48 hours of the vaccine, patient was very ill, she could not walk, both legs are numb, and experienced urinary incontinence. She is partially paralyzed from the vaccine. Right now, she is seeing physical therapy to help her recovery from normal daily activities.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paralysis
Hospital-Tage
2,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2179881

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

schwer
Staat
FL
Alter
22,0
Geschlecht
M
Eingang
15.03.2022
Impfdatum
16.01.2022
Beginn
24.01.2022
Tage bis Beginn
8,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Anticoagulant therapy Blood test Chest X-ray Computerised tomogram Contusion Deep vein thrombosis Magnetic resonance imaging Pain Swelling Ultrasound scan

Symptomtext

DVT left arm, swelling, bruising and pain Anti-coagulant/blood thinner daily Monthly monitoring of blood clot

Weitere VAERSDATA-Felder
Praegender Schweregrund
Deep vein thrombosis
Hospital-Tage
3,0
Labordaten
chest x-ray, ulta-sound, MRI, Cat scan, blood work in hospital and admission
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
none
Allergien
none
Vorherige Impfungen
-

VAERS 2098874

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

schwer
Staat
AR
Alter
35,0
Geschlecht
F
Eingang
09.02.2022
Impfdatum
31.01.2022
Beginn
31.01.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Dyspnoea Feeling abnormal Malaise Paraesthesia Paraesthesia oral Seizure Tongue disorder

Symptomtext

Moderna covid vaccine was given 1/31/22 at 1:42 PM. Within minutes patient stated she wasn't feeling well. Said she had tingling sensation in her left arm. I then asked about throat, tongue swelling, and breathing. She said her tongue felt thick and was tingling. Instructed technician to call 911. I administered 50 mg oral diphenhydramine solution. Patient said she was still feeling strange. Prepared epipen for administration. Started to monitor blood pressure and pulse, unable to get reading because Patient began to seize. We administered epipen. Patient continued to go in and out of seizures. She was able to communicate between seizures. EMT arrived and transported to a local Emergency room. Spoke to patient 2/1/22. She was kept at ER for approximately 8 hours to be monitored. She knew they gave her famotidine and a steroid. Followed up with patient 2/9/22. She stated she had to go back to ER 2/2/22 at approximately 11pm because she was feeling short of breath and tingly again. Said they gave her famotidine, steroid, and antihistamine again and monitored her. She was released and has had no symptoms since.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Seizure
Hospital-Tage
-
Labordaten
do not have hospital records
Aktuelle Erkrankungen
COVID 01/04/22
Vorgeschichte
HYPOTHYROIDISM, HYPERTENSION, PCOS
Andere Medikamente
BUPROPION XL 300, PROPRANOLOL 80, LEVOTHYROXINE 75MCG
Allergien
PENICILLIN, PROMETHAZINE, GLUTEN
Vorherige Impfungen
-

VAERS 2095435

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

schwer
Staat
-
Alter
21,0
Geschlecht
M
Eingang
08.02.2022
Impfdatum
19.01.2022
Beginn
07.02.2022
Tage bis Beginn
19,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: unbekannt
Chest X-ray normal Chest pain Electrocardiogram normal Fibrin D dimer normal Painful respiration Pericarditis Pleuritic pain Troponin increased Ultrasound scan normal

Symptomtext

Seen ER 2/7/22 by Dr, sudden onsent of pleuritic chest pain, positional , sharp stabbing left side check with numbness radiating into left arm, hurts when pushes on chest or takes deep breathe, no previous history of or of pericarditis, long history of abdominal pain for few years, CXR no acute findings, beside ultrasound shows no pericardial effusion, troponin mildly elevated, D-dimer negative, EKG shows no new ischemia, case discussed with cardiology Dr, no regional beds available to admit, discussed with pt, fiance and mother, discharged with close follow up, Toradol IV given with decrease pain, outpt. echo in next day or two, trend toponins as outpatient, ibuprofen for pericarditis,

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pericarditis
Hospital-Tage
-
Labordaten
will discharge home, cardiology appointment in next week.
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2088232

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001 J212A

schwer
Staat
FL
Alter
45,0
Geschlecht
F
Eingang
04.02.2022
Impfdatum
08.01.2022
Beginn
30.01.2022
Tage bis Beginn
22,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Bell's palsy Facial paralysis Facial paresis Headache Neurological examination Pain in jaw Tinnitus

Symptomtext

Exactly 3 weeks after receiving my booster, I started having left-sided facial weakness. I ended up going to the ER and they diagnosed me with Bell?s palsy. I have not had Covid, nor have I been sick in the last year. I now have a significant left facial droop, ringing in my ears, jaw pain, headache.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bell's palsy
Hospital-Tage
-
Labordaten
Emergency room assessment by ER Dr. and neurologist. Diagnosis was confirmed by my PCP
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 2074547

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j212a

schwer
Staat
KS
Alter
41,0
Geschlecht
M
Eingang
29.01.2022
Impfdatum
20.01.2022
Beginn
20.01.2022
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 Fall Heart rate increased Hyperhidrosis Loss of consciousness

Symptomtext

Patient received first dose of Moderna vaccine, complained of light headedness, fast heart rate, chills and sweating and ended up passing out and falling. 911 was called. This lasted about 20 minutes after which the patient felt better and was discharged.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 2051531

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

schwer
Staat
NY
Alter
20,0
Geschlecht
M
Eingang
20.01.2022
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: ja
Loss of consciousness

Symptomtext

patient passed out about 5 minutes after vaccination. 911 was called, patient was put in a comfortable position by the parent, but woke up immediately after, he was given water and Benadryl but refused. 911 personnel came and attended fully to the patient, then took him to the hospital.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
penicillin
Vorherige Impfungen
-

VAERS 2039136

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

schwer
Staat
FL
Alter
38,0
Geschlecht
F
Eingang
15.01.2022
Impfdatum
14.01.2022
Beginn
14.01.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Loss of consciousness

Symptomtext

Patient attempted to get up after administration of the vaccine and Passed out

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2036127

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

schwer
Staat
WV
Alter
18,0
Geschlecht
M
Eingang
14.01.2022
Impfdatum
14.01.2022
Beginn
14.01.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Fall Head injury Swelling Syncope

Symptomtext

AFTER RECEIVING FIRST DOSE OF MODERNA, PATIENT STOOD UP AND WALKED AWAY FROM VACCINE BOOTH. HE BECAME FAINT AND FELL TO THE FLOOR, HITTING HIS HEAD. HE DID NOT LOSE CONSCIOUSNESS BUT EMS WAS CONTACTED. BY THE TIME EMS ARRIVED, APPROXIMATELY 20 MINUTES LATER, PATIENT WAS SITTING IN CHAIR AND HAD A RAISED BUMP ON HEAD FROM FALL. HE STATED HE FELT FINE AND REFUSED EMS TREATMENT.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
UNKNOWN
Vorgeschichte
UNKNOWN
Andere Medikamente
NOT KNOWN
Allergien
NO ALLERGIES STATED;NKA
Vorherige Impfungen
-

VAERS 2032031

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j212a

schwer
Staat
NY
Alter
19,0
Geschlecht
F
Eingang
13.01.2022
Impfdatum
13.01.2021
Beginn
13.01.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Condition aggravated Seizure

Symptomtext

patient had a seizure after receiving the vaccine. no treatment. emt came and assessed patient.

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

VAERS 2028590

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

schwer
Staat
NC
Alter
22,0
Geschlecht
M
Eingang
12.01.2022
Impfdatum
11.01.2022
Beginn
11.01.2022
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Condition aggravated Seizure

Symptomtext

after administering pts 2nd moderna covid vaccine, pt was instructed to wait for 15 minutes in the waiting area. While the pt was waiting he signaled me over and indicated that he felt as if he was about to have a seizure. As I was calling EMS a technician stayed with the pt. He had 2 seizing episodes while seated in the waiting area until EMS arrived. Pt then left with EMS on stretcher

Weitere VAERSDATA-Felder
Praegender Schweregrund
Seizure
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
history of seizures
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2028561

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

schwer
Staat
MI
Alter
21,0
Geschlecht
M
Eingang
12.01.2022
Impfdatum
12.01.2022
Beginn
12.01.2022
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Condition aggravated Dizziness Electrocardiogram Interchange of vaccine products Loss of consciousness Musculoskeletal stiffness Syncope Tremor Unresponsive to stimuli

Symptomtext

Patient had a vasovagal syncope rxn. He had it marked on his questionnaire. I asked him and he said it only happened once and was due to being nervous getting the J 7 J 1st dose. I talked to him for a minute to see how he was feeling and he said anxious but thought he would be fine this time. I tried to get him to focus on something other than the shot. I told him to count to 10. As soon as he started counting as a distraction, I gave him the shot. He seemed fine, but I asked to make sure. He said he was fine, we talked for a moment and I asked him was doing ok, which he said he was. I asked if he was ready or wanted to wait a minute. He said he thought he was fine. I told him no rush. He then said he was feeling a little light headed, so I got him a water. Then he passed out and stiffened up and had tremors. I tried talking to him and he was unresponsive. I had Employee call Emergency. It took about 2 minutes before he seemed to gain his wits. A manager came in and was talking to him. I told them we called Emergency. We asked if he wanted medical attention. Initially he said no, but when they showed up he decided to let them check him out.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
The EMT's checked his BP, HR and ran an EKG. They recommended he go to the hospital for a follow up. He declined. The EMT did say he believed it was a vasovagal syncope event. After about 15 minutes, he seemed fully aware and appeared much better. The EMT's again recommended he get checked out, but he said he was fine and signed saying he felt fine.
Aktuelle Erkrankungen
unknown
Vorgeschichte
None
Andere Medikamente
UNKNOWN
Allergien
NONE ACCORDING TO VACCINE QUESTIONNAIRE
Vorherige Impfungen
only the J & J shot that he received on 5/11/2021, He was 20. Similar rxn according to patient

VAERS 2028186

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2A

schwer
Staat
SC
Alter
36,0
Geschlecht
F
Eingang
12.01.2022
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: ja Erholt: nein
Dizziness Fall Head injury Seizure Syncope

Symptomtext

Patient had dizziness, lightheadedness, and fainted about 15 minutes after receiving vaccine. She hit her head and had seizure about 1 minute after fall

Weitere VAERSDATA-Felder
Praegender Schweregrund
Seizure
Hospital-Tage
-
Labordaten
EMT responded and assessed patient before releasing her to her husband
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
none
Vorherige Impfungen
Patient fainted after receiving 2nd dose of Moderna at age 35

VAERS 2635461

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

moderat
Staat
-
Alter
97,0
Geschlecht
F
Eingang
23.05.2023
Impfdatum
02.02.2022
Beginn
25.09.2022
Tage bis Beginn
235,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Hypotension

Symptomtext

I95.89 CHRONIC HYPOTENSION 10/12/2022 HX OF TRANSIENT ISCHEMIA ATTACK I95.9 HYPOTENSION 9/25/2022 HX OF TRANSIENT ISCHEMIA ATTACK

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

VAERS 2539619

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

moderat
Staat
FL
Alter
72,0
Geschlecht
F
Eingang
21.12.2022
Impfdatum
21.01.2022
Beginn
09.12.2022
Tage bis Beginn
322,0
Dosis
3
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Dyspnoea Genitourinary symptom SARS-CoV-2 test positive

Symptomtext

Hospitalization: 11/25/2022 - 12/9/2022 (14 days) Presentation to the ED: shortness of breath & UTI symptoms. COVID + date: 12/9/2022 Treatment: none, patient was asymptomatic. tested positive on a transfer screen required to return to SNF. Discharge to: SNF Moderna Lot # 046B21A 4/23/2021 Moderna Lot # 003C21A 5/21/2021 Moderna Lot # 001J212A 1/21/2022

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

VAERS 2466509

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

moderat
Staat
NY
Alter
76,0
Geschlecht
F
Eingang
01.10.2022
Impfdatum
02.01.2022
Beginn
01.04.2022
Tage bis Beginn
89,0
Dosis
4
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Hypertension Memory impairment

Symptomtext

Patient has become forgetful after Covid-19 infection.; high blood pressure which started in April of 2022 and may be related to her Covid-19 infection.; patient caught Covid-19 after her first Moderna Covid-19 booster dose.; This spontaneous case was reported by a patient and describes the occurrence of MEMORY IMPAIRMENT (Patient has become forgetful after Covid-19 infection.), HYPERTENSION (high blood pressure which started in April of 2022 and may be related to her Covid-19 infection.) and COVID-19 (patient caught Covid-19 after her first Moderna Covid-19 booster dose.) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 001J212A and 053B22A) for COVID-19 vaccination. No medical history was provided by the reporter. Concurrent medical conditions included Hypertension and Hypercholesteremia. Concomitant products included METOPROLOL and PARACETAMOL (TYLENOL) for an unknown indication. On 02-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 18-Aug-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In April 2022, the patient experienced HYPERTENSION (high blood pressure which started in April of 2022 and may be related to her Covid-19 infection.) and COVID-19 (patient caught Covid-19 after her first Moderna Covid-19 booster dose.). On an unknown date, the patient experienced MEMORY IMPAIRMENT (Patient has become forgetful after Covid-19 infection.). At the time of the report, MEMORY IMPAIRMENT (Patient has become forgetful after Covid-19 infection.), HYPERTENSION (high blood pressure which started in April of 2022 and may be related to her Covid-19 infection.) and COVID-19 (patient caught Covid-19 after her first Moderna Covid-19 booster dose.) outcome was unknown. Patient was using unspecified high Cholesterol medication as a concomitant product. Patient was experienced Fever, cough, muscular weakness and headache as a symptom of covid-19. All the events were experienced after the covid-19 infection. No treatment information was provided by the reporter. The patient had headaches and high blood pressure which started in April of 2022 and may be related to her Covid-19 infection. This case was linked to US-MODERNATX, INC.-MOD-2022-653180, US-MODERNATX, INC.-MOD-2022-653189 (E2B Linked Report).; Sender's Comments: US-MODERNATX, INC.-MOD-2022-653180:Dose 1 US-MODERNATX, INC.-MOD-2022-653189:Dose 2

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypertension
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Hypercholesteremia; Hypertension
Vorgeschichte
Comments: No medical history was provided by the reporter.
Andere Medikamente
METOPROLOL; TYLENOL
Allergien
-
Vorherige Impfungen
-

VAERS 2431018

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

moderat
Staat
MI
Alter
78,0
Geschlecht
F
Eingang
07.09.2022
Impfdatum
13.03.2021
Beginn
05.08.2022
Tage bis Beginn
510,0
Dosis
3
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Arthralgia Atrial fibrillation COVID-19 Dizziness Electrocardiogram ST-T segment abnormal Electrocardiogram abnormal Femur fracture Musculoskeletal disorder Palpitations Periprosthetic fracture SARS-CoV-2 test positive Sinus rhythm Tachycardia

Symptomtext

80 y/o female with a history of CAD by CTA 2015, hx of multiple PE's in 2015 on coumadin, PHT, HTN, HLD, GERD, CKD, and COPD who presented to the EC on 8/5 for knee pain after her legs gave out while bending down to pick up an object. Found to have a periprosthetic nondisplaced medial femoral condyle Fracture. Also found to be positive for COVID on admission. During admission developed atrial fibrillation with RVR. On 8/13 she was RRT for tachycardia with palpitations and lightheadedness. ECG with recurrence of atrial fibrillation with diffuse ST-T abnormalities. She was started on IV amiodarone and her magnesium was supplemented with conversion back to NSR. She is stable for DC to SAR with outpatient follow-up.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Palpitations
Hospital-Tage
12,0
Labordaten
8/5 SARS-CoV-2 (COVID-19) by Nucleic Acid Amplification, POC --detected
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2390976

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

moderat
Staat
VA
Alter
49,0
Geschlecht
F
Eingang
26.07.2022
Impfdatum
24.01.2022
Beginn
24.06.2022
Tage bis Beginn
151,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood cholesterol increased Blood test Hypertension Low density lipoprotein increased Stress

Symptomtext

I don't want to blame my health events on the vaccine but on June 21st of 2022 a stressful event occurred in my life and I knew it was effecting me but I didn't realize how bad it was until 06/24 when I was told by an ENT that my blood pressure was very high. I went to see my doctor and it was still high. She advised that I monitor my blood pressure and if it got to anything higher than 140 over 90 consistently for 2 days to begin taking a medication that she prescribed. I monitored for two days and my readings continued to be high so I've been taking 10mg of amlodipine daily since 07/17/2022. The readings of my blood pressure have improved but are still high. I've only had 1 reading in the advised range since beginning the medication.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypertension
Hospital-Tage
-
Labordaten
Blood panel, high cholesterol, high LDL levels, 06/29/2022.
Aktuelle Erkrankungen
None.
Vorgeschichte
None.
Andere Medikamente
Vitamin D3; ZYRTEC; montelukast; levothyroxine; ADDERALL XR; probiotic gummies; azelastine HCI; FLONASE
Allergien
WELLBUTRIN; EFFEXOR; AVELOX; gabapentin
Vorherige Impfungen
-

VAERS 2379353

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

moderat
Staat
TX
Alter
50,0
Geschlecht
F
Eingang
22.07.2022
Impfdatum
20.01.2022
Beginn
16.06.2022
Tage bis Beginn
147,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
COVID-19 Chills Dizziness Ear infection Ear pain Fatigue Feeling cold Headache Lethargy Oropharyngeal pain Productive cough Pyrexia Rhinorrhoea SARS-CoV-2 test positive Sneezing Tremor

Symptomtext

Starting 06/16/2022, I woke up at 06:00AM with a sore throat. I did the at home test and it was negative. So, I got on the plane with a mask. I arrived at 03:00PM and felt even worse. Later, I had a headache, "on fire" sore throat, left earache and bad fatigue. I was so fatigued that evening. I know I broke a fever that evening because I could not get warm. I had chills and was shaking. The next morning I woke up and felt dizzy. I didn't know where I was and had to grasp the wall. I went to the bathroom and tested my temp (102.5) and (101.2). I went back to bed and at 08:00AM I called my doctor and they got me a telehealth visit. So, about 30 min before the visit I did my 2nd at home test which came back positive. So, I saw the doctor and she recommended I take PAXLOVID, isolate for 5 days and take ibuprofen. She also called me in an antibiotic for an ear infection and cough medicine. I could feel myself getting worse and becoming more fatigued and I was shaky, lethargic, had a headache and fever. I got the PAXLOVID and took it right away. 30 minutes after taking it I started feeling better and that feeling would come and go in waves. She gave me something for pain but I did not need it. I did develop a cough but it was never a phlegmy cough. I did need the cough medicine but not much. Saturday 06/18/2022, I started the antibiotic (possibly ciprofloxacin) for the ear infection because the ear pain would not stop. I was still taking the PAXLOVID at this time and I was coming out of it on 06/19/2022. I was more coherent and was feeling better by 06/20/2022. I finished the PAXLOVID as instructed and on 06/21/2022 I was feeling better. The only thing that I experienced after stopping the PAXLOVID was a runny nose and some sneezing which lasted for about 2 days then resolved. I have felt fine ever since.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Tremor
Hospital-Tage
-
Labordaten
At-home COVID-19 test (06/16/2022): positive; at-home COVID-19 test (06/17/2022): positive.
Aktuelle Erkrankungen
None
Vorgeschichte
High Blood Pressure
Andere Medikamente
Multivitamin; zinc; magnesium; AZOR; omega 3; ibuprofen
Allergien
Sulfa; diphenhydramine; aspirin
Vorherige Impfungen
-

VAERS 2367713

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

moderat
Staat
MT
Alter
64,0
Geschlecht
M
Eingang
13.07.2022
Impfdatum
12.04.2022
Beginn
09.06.2022
Tage bis Beginn
58,0
Dosis
4
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Blood test normal Chest X-ray normal Chest discomfort Dyspnoea Electrocardiogram normal Fibrin D dimer normal Laboratory test normal

Symptomtext

My symptoms were when I laid down I my chest felt tight like a vice grip had a hold and I couldn't catch my breath. This has happened June 9th, June 24th, June 25 and July 12th. I may have happened prior to June 9th but not bad enough to go the the ER. On each date I went to the ER but all tests that they ran were normal. The doctor increased your Nexium and Metropole in case it was my acid reflux that causing the issue.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
3,0
Labordaten
EKG, normal; Chest XRay, normal; Blood Panel, normal; DDimer, normal
Aktuelle Erkrankungen
N/A
Vorgeschichte
Skin graphs from burns; stint in heart;
Andere Medikamente
Acetaminophen; Acyclovir; Amoxicillin; Apixaban; Aspirin; Atorvastatin; Benzonatate; Cetirizine; CPap; Duloxetine; Esomeprazole; Gabapentin; Losartan; Metoprolol; Multi Vitamin; Naproxen; NDansetrion; Pramipexol; GasX; Sumatriptan; Cialis;
Allergien
Delotid; Ketamine; Sage
Vorherige Impfungen
-

VAERS 2323033

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

moderat
Staat
FL
Alter
70,0
Geschlecht
F
Eingang
17.06.2022
Impfdatum
11.05.2021
Beginn
12.05.2022
Tage bis Beginn
366,0
Dosis
3
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
COVID-19 Chronic obstructive pulmonary disease Condition aggravated Hypoxia SARS-CoV-2 test positive

Symptomtext

Hospitalization on dates 5/12/2022- 5/21/2022 for hypoxemia likely secondary to COPD exacerbation, positive for COVID 5/13/2022 . Treated with dexamethasone, methylprednisolone, prednisone

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
9,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
tramadol, stress test dye
Vorherige Impfungen
-

VAERS 2245523

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

moderat
Staat
OR
Alter
54,0
Geschlecht
F
Eingang
21.04.2022
Impfdatum
18.01.2022
Beginn
18.01.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Body temperature Chest pain Cough Nasal congestion Pyrexia

Symptomtext

small cough; chest hurt; felt a little stuffy for about a week; 103-104 fever for 3 or 4 days; This spontaneous case was reported by a consumer and describes the occurrence of COUGH (small cough), CHEST PAIN (chest hurt), NASAL CONGESTION (felt a little stuffy for about a week) and PYREXIA (103-104 fever for 3 or 4 days) in a 54-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 18-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 18-Jan-2022, the patient experienced COUGH (small cough), CHEST PAIN (chest hurt), NASAL CONGESTION (felt a little stuffy for about a week) and PYREXIA (103-104 fever for 3 or 4 days). At the time of the report, COUGH (small cough) and CHEST PAIN (chest hurt) outcome was unknown and NASAL CONGESTION (felt a little stuffy for about a week) and PYREXIA (103-104 fever for 3 or 4 days) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 103-104 (High) 103-104 fever. No Concomitant product use was reported. The patient after getting the Moderna booster dose on 18-Jan-2022, began to experience side effects as well. The patient had a 103-104 fever for 3 or 4 days and also stated that the patient had a small cough, their chest hurt, and the patient felt a little stuffy for about a week. No treatment information was provided.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
Test Name: Body temperature; Result Unstructured Data: 103-104 fever
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2245521

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

moderat
Staat
OR
Alter
63,0
Geschlecht
M
Eingang
21.04.2022
Impfdatum
18.01.2022
Beginn
19.01.2022
Tage bis Beginn
1,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Dyspnoea Metastases to lung Oxygen saturation

Symptomtext

Woke up the following night and couldn't breathe/Had hard time breathing, like couldn't catch breathe/It felt like could not get enough oxygen and was gasping for air; This spontaneous case was reported by a patient and describes the occurrence of DYSPNOEA (Woke up the following night and couldn't breathe/Had hard time breathing, like couldn't catch breathe/It felt like could not get enough oxygen and was gasping for air) in a 63-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001J21-2A) for COVID-19 vaccination. The patient's past medical history included Nephrectomy (One of kidneys removed). Concurrent medical conditions included Blood pressure, Immunocompromised, Renal cell carcinoma and Metastases to lung (Cancer was metastasized to lungs and started a treatment of Keytruda 2 days after the booster (20-Jan-2022)). On 18-Jan-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-Jan-2022, the patient experienced DYSPNOEA (Woke up the following night and couldn't breathe/Had hard time breathing, like couldn't catch breathe/It felt like could not get enough oxygen and was gasping for air). The patient was treated with PEMBROLIZUMAB (KEYTRUDA) on 20-Jan-2022 for Metastases to lung, at an unspecified dose and frequency. At the time of the report, DYSPNOEA (Woke up the following night and couldn't breathe/Had hard time breathing, like couldn't catch breathe/It felt like could not get enough oxygen and was gasping for air) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Oxygen saturation: 93/94% O2 levels were 93/94%. Patient took concomitant medications for blood pressure. Patient report that after getting the Moderna booster dose, he began to experience some side effects. He woke up the following night and could not breathe. He had hard time breathing, like he could not catch my breathe. It felt like could not get enough oxygen and was gasping for air. He indicated that he was still having same problem but not as bad at the time of report. He also stated that he had been to the ER, they could not anything wrong. He stated that his cancer was metastasized to his lungs and started a treatment of Keytruda. Keytruda can also cause respiratory issues, but patient was experiencing these before he got that treatment. Treatment for the event included inhaler. This case was linked to MOD-2022-541254.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
Test Name: O2 level; Result Unstructured Data: O2 levels were 93/94%
Aktuelle Erkrankungen
Blood pressure; Immunocompromised; Metastases to lung (Cancer was metastasized to lungs and started a treatment of Keytruda 2 days after the booster (20-Jan-2022)); Renal cell carcinoma
Vorgeschichte
Medical History/Concurrent Conditions: Nephrectomy (One of kidneys removed)
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2245521

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

moderat
Staat
OR
Alter
63,0
Geschlecht
M
Eingang
21.04.2022
Impfdatum
18.01.2022
Beginn
19.01.2022
Tage bis Beginn
1,0
Dosis
2
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Dyspnoea Metastases to lung Oxygen saturation

Symptomtext

Woke up the following night and couldn't breathe/Had hard time breathing, like couldn't catch breathe/It felt like could not get enough oxygen and was gasping for air; This spontaneous case was reported by a patient and describes the occurrence of DYSPNOEA (Woke up the following night and couldn't breathe/Had hard time breathing, like couldn't catch breathe/It felt like could not get enough oxygen and was gasping for air) in a 63-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001J21-2A) for COVID-19 vaccination. The patient's past medical history included Nephrectomy (One of kidneys removed). Concurrent medical conditions included Blood pressure, Immunocompromised, Renal cell carcinoma and Metastases to lung (Cancer was metastasized to lungs and started a treatment of Keytruda 2 days after the booster (20-Jan-2022)). On 18-Jan-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-Jan-2022, the patient experienced DYSPNOEA (Woke up the following night and couldn't breathe/Had hard time breathing, like couldn't catch breathe/It felt like could not get enough oxygen and was gasping for air). The patient was treated with PEMBROLIZUMAB (KEYTRUDA) on 20-Jan-2022 for Metastases to lung, at an unspecified dose and frequency. At the time of the report, DYSPNOEA (Woke up the following night and couldn't breathe/Had hard time breathing, like couldn't catch breathe/It felt like could not get enough oxygen and was gasping for air) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Oxygen saturation: 93/94% O2 levels were 93/94%. Patient took concomitant medications for blood pressure. Patient report that after getting the Moderna booster dose, he began to experience some side effects. He woke up the following night and could not breathe. He had hard time breathing, like he could not catch my breathe. It felt like could not get enough oxygen and was gasping for air. He indicated that he was still having same problem but not as bad at the time of report. He also stated that he had been to the ER, they could not anything wrong. He stated that his cancer was metastasized to his lungs and started a treatment of Keytruda. Keytruda can also cause respiratory issues, but patient was experiencing these before he got that treatment. Treatment for the event included inhaler. This case was linked to MOD-2022-541254.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
Test Name: O2 level; Result Unstructured Data: O2 levels were 93/94%
Aktuelle Erkrankungen
Blood pressure; Immunocompromised; Metastases to lung (Cancer was metastasized to lungs and started a treatment of Keytruda 2 days after the booster (20-Jan-2022)); Renal cell carcinoma
Vorgeschichte
Medical History/Concurrent Conditions: Nephrectomy (One of kidneys removed)
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2240948

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

moderat
Staat
TX
Alter
60,0
Geschlecht
F
Eingang
19.04.2022
Impfdatum
28.01.2022
Beginn
03.02.2022
Tage bis Beginn
6,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood test Condition aggravated Diabetes mellitus Fatigue Somnolence

Symptomtext

I was very tired & very sleepy all the time it felt like I was drained. I was already pre-diabetic but now I am diabetic & on meds.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
Bloodwork-All
Aktuelle Erkrankungen
one
Vorgeschichte
High blood pressure
Andere Medikamente
Amlodipine, Atorvastatin, Metoprolol
Allergien
None
Vorherige Impfungen
-

VAERS 2221239

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

moderat
Staat
VA
Alter
25,0
Geschlecht
F
Eingang
07.04.2022
Impfdatum
15.01.2022
Beginn
15.01.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Hypoaesthesia Paraesthesia

Symptomtext

I have had periodic numbness and tingling in my hands and feet since receiving the Covid vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
spironolactone, tretinoin, dapsone, multivitamin
Allergien
none
Vorherige Impfungen
-

VAERS 2214004

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

moderat
Staat
WI
Alter
69,0
Geschlecht
F
Eingang
04.04.2022
Impfdatum
18.01.2022
Beginn
28.01.2022
Tage bis Beginn
10,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Cardiac failure chronic Cardiac failure congestive Chronic obstructive pulmonary disease Dyspnoea exertional

Symptomtext

Patient presented to the ED for dyspnea on exertion and COPD on 1/28/22. Patient presented to the ED and was subsequently hospitalized for chronic congestive heart failure. These visits are within 6 weeks of receiving covid vaccination.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea exertional
Hospital-Tage
5,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2179952

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

moderat
Staat
IA
Alter
55,0
Geschlecht
M
Eingang
15.03.2022
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: ja ER: unbekannt Erholt: nein
Alanine aminotransferase increased Amino acid level Blood bilirubin increased Blood calcium normal Blood electrolytes normal Blood magnesium normal Blood testosterone normal Blood thyroid stimulating hormone normal Burning sensation Chest pain Dysgeusia Exposure to extreme temperature Feeling cold Feeling hot Full blood count normal Magnetic resonance imaging spinal normal Paraesthesia Paraesthesia oral

Symptomtext

Around January 17th 2022 - Initially it felt like cold air was intermittently rushing over my right quad muscle with pants on. That lasted for about 1 week and then it developed in the other quad muscle. Again when I had long pants on. February 19th I was exposed to extreme cold in my fingers and face. The rest of the body was covered up. February 21 I was woken up from sleep with the feeling that my outer left leg was cold and air was rushing over it. I was under the covers. This progressed to the other leg , both hands/fingertips tingled, my face/lips and tongue started to tingle and still do. Bottom of my feet burn and feel hot. Slight metallic taste in my mouth occurs periodically. The burning sensation progressed to groin and chest 3/15/2022.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
Normal labs : electrolytes, kidney function, Vit B12, methylmalonic acid, T4/TSH, testoterone, Vit D, CBC, Calcium , magnesium Abnormal labs: ALT elevated 2 points over normal and TBili 1.2 (normal 1.0) RAdiology: X-ray -mild to moderate degenerative arthritis at C-5 thru C-7. MRI of C-spine: normal. No nerve impingement
Aktuelle Erkrankungen
none
Vorgeschichte
ulcerative colitis, BPH, chronic allergies
Andere Medikamente
mesalamine 800 mg BID, citalopram 20mg QD, Loratadine 10mg QD, montelukast 10mg QD, Fish oil 2gm daily, multivitamin 1 QD, tamsulosin 0.4mg BID, glucosamine/chondroitin 2 tabs daily.
Allergien
environmental. tree pollen, dist mites, mold, cats
Vorherige Impfungen
Severe dizziness that did not respond to labyrinthine maneuvers diagnoses as Disembarkment syndrome in April 2021 after vaccine

VAERS 2177384

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

moderat
Staat
GA
Alter
42,0
Geschlecht
F
Eingang
13.03.2022
Impfdatum
10.01.2022
Beginn
11.01.2022
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dehydration Dizziness Pyrexia

Symptomtext

Pt experienced high fever for 4 days post vaccine. 102 degrees, dizziness, dehydration

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

VAERS 2151060

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

moderat
Staat
OR
Alter
25,0
Geschlecht
F
Eingang
01.03.2022
Impfdatum
16.02.2022
Beginn
27.02.2022
Tage bis Beginn
11,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Abortion spontaneous Blood test Dizziness Exposure during pregnancy Feeling cold Haemorrhage Headache Pyrexia Tremor Ultrasound scan

Symptomtext

She got her vaccine, she was having very bad shakes, was kind of cold and running a fever, and having a headache. She didn't feel super dizzy. A week after her vaccine she was bleeding (pregnant) and was diagnosed as having a miscarriage. She was 9 1/2 weeks pregnant. The hospital did an ultrasound and some blood work and they did not find a heart beat on the US. She is currently bleeding but it's like a period, doesn't know if she is passing it or not, but has an APT today to see the doctor to see what is going to happen from there.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Tremor
Hospital-Tage
-
Labordaten
US and blood work.
Aktuelle Erkrankungen
None.
Vorgeschichte
Anxiety.
Andere Medikamente
Prenatal vitamins, Celexa.
Allergien
None.
Vorherige Impfungen
Got the flu after receiving the flu shot when she got her first COVID shot 1/19/22.

VAERS 2143549

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

moderat
Staat
PA
Alter
72,0
Geschlecht
F
Eingang
26.02.2022
Impfdatum
16.01.2022
Beginn
23.01.2022
Tage bis Beginn
7,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Incorrect route of product administration Joint range of motion decreased Mobility decreased Pain in extremity

Symptomtext

1 week after receiving Moderna booster, patient experienced difficulty moving her right arm. She does not have full range of motion. She cannot put her arm behind her back and has some pain in her right arm. Last week she asked about it and all the doctor said was maybe the pharmacist hit a bone.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mobility decreased
Hospital-Tage
-
Labordaten
None.
Aktuelle Erkrankungen
Cough from COPD
Vorgeschichte
COPD, high blood pressure
Andere Medikamente
Losartan/HCTZ, Brovana, Budesonide inhalant solution, multivitamins
Allergien
NKA
Vorherige Impfungen
-

VAERS 2138192

UNKNOWN MANUFACTURER · VACCINE NOT SPECIFIED (NO BRAND NAME) · Charge 001J212A

moderat
Staat
AK
Alter
23,0
Geschlecht
M
Eingang
25.02.2022
Impfdatum
08.02.2022
Beginn
13.02.2022
Tage bis Beginn
5,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Condition aggravated Sleep disorder Urticaria

Symptomtext

Originally received a shot in July-August of 2021, and shortly moved in to a new residence. Started getting breakouts of hives, mostly on my left shoulder, my upper back, and the insides both arms/forearms/armpits. They would always flare up especially bad late at night, shortly before going to bed Originally believed it was some other element, such as a food or fragrant chemicals that I may be having a reaction to, or that it may be stress-induced hives. Took a regimen of medication (cannot recall at the moment the exact intake, but it was about twenty pills over six days) that helped boost my immune system, and then wean me off to a point that it could "calm down" again, and hopefully the hives would go with it, as was described by my nurse. After the regimen, my hives calmed down but never went away completely, though they never flared up like they had been. On February 8th, I received the booster for Moderna (the vaccine listed on this report), and by the end of the week (the earliest I can remember it happening was on the Sunday following), my hives started flaring up again, same pattern as before, but much worse than last time. Now, they're all down my back, down the sides and inside of my legs and knees, on the top of my feet, the backs of my hands, on my upper chest and belly, on my forehead and back of head underneath my hair, as well as all the same places they were showing up before. They also itch much worse, to the point that it is sometimes difficult to fall asleep because of them. Due to the similar time both flare ups occurred after getting a vaccine, my nurse came to the conclusion it was happening due to the vaccine or an ingredient in the vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
Just the Moderna vaccine and booster shots.
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Vitamin C supplements (Nature Made brand)
Allergien
-
Vorherige Impfungen
Moderna. Hives.

VAERS 2085761

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

moderat
Staat
-
Alter
65,0
Geschlecht
M
Eingang
03.02.2022
Impfdatum
20.01.2022
Beginn
28.01.2022
Tage bis Beginn
8,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Electrocardiogram Electrocardiogram QT prolonged Electrocardiogram T wave abnormal Electrocardiogram normal Fall Hypotension Memory impairment Neck pain QRS axis normal Unresponsive to stimuli

Symptomtext

EMS reports patient was walking this evening 01/28/2022 when his feet slipped out from under him and he fell. His family notes that they were with him but they are not sure if he hit his head or lost consciousness. He remained outside for an unknown amount of time before his family could get him inside. He does not remember much of the fall and is not able to provide details of he events before or after the fall. He notes that he had 3 drinks prior to arrival. He is complaining of some neck pain but does not admit to any other pain. EMS noted that the patient was hypotensive to the 80s systolic en route and had a brief 1 minute episode in which he went unresponsive, staring off to the left side. Patient received a second covid vaccine on 01/20/2022. Per guidelines, all hospitalization are reported.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypotension
Hospital-Tage
1,0
Labordaten
EKG 12-LEAD Date/Time: 1/28/2022 9:06 PM ECG reviewed by ED Physician in the absence of a cardiologist: yes Rate: ECG rate: 75 ECG rate assessment: normal Rhythm: Rhythm: sinus rhythm QRS: QRS axis: Normal Comments: Prolonged QT. Nonspecific T wave changes.
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2085162

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

moderat
Staat
FL
Alter
62,0
Geschlecht
F
Eingang
03.02.2022
Impfdatum
25.01.2022
Beginn
25.01.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Condition aggravated Cough Dyspnoea Fatigue Nasal congestion Pain Pyrexia Sinus congestion

Symptomtext

Fever of 100.5 and higher. Body aches, sinus passages filled, difficulty breathing. Fever lasted for over 4 days. Stuffy nose, fatigue, and difficulty breathing along with cough continues. Going on 8 days. Making an appointment with family doctor.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
N/A - making appointment with family doctor.
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
Losartan 50 mg
Allergien
mild allergies to chocolate
Vorherige Impfungen
Fever & body aches for 24 hours. 62 yrs, 07/06/2021. Covid-19 Moderna. Second shot.

VAERS 2072003

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

moderat
Staat
MN
Alter
21,0
Geschlecht
F
Eingang
28.01.2022
Impfdatum
26.01.2022
Beginn
26.01.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Anion gap Blood calcium normal Blood chloride increased Blood creatinine normal Blood glucose normal Blood potassium normal Blood sodium normal Blood urea nitrogen/creatinine ratio Blood urea normal Brain natriuretic peptide normal Carbon dioxide decreased Chest X-ray normal Chest discomfort Dyspnoea Electrocardiogram abnormal Full blood count Haematocrit Haemoglobin decreased

Symptomtext

Chest tightness, shortness of breath, nausea and vomiting 8:45pm increasingly worse until about 11:30pm with acetaminophen and Zofran.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
Basic Metabolic Panel: NA 137 K 3.7 CL 107 CO2 21 AG 9 GLU 124 CA 9.1 BUN 11 CRE AT 0.81 B/C RATI O 14, Brain Natriuretic Peptide: BRAIN NAT PEPTIDE 12, CBC W PLT NO DIFF: WBC 10.0 RBC 3.97 HGB 11.2 HCT 33.7 MCV 85 MCH 28.2 MCH C 33.2 RDW 13.0 PLT 250 MPV 10.3, Nucleated red blood cells as percent of blood leukocytes: NRBC 0.0 ABS NRBC 0.0, troponin I: TROPI <0.010, EKG 12 lead: normal sinus rhythm right atrial enlargement t wave abnormality consider inferior ischemia abnormal ECG compared to EKG of 19-FEB-2021 rate increased by 27 bpm t wave inversions inferiorly new especially aVF ventricular rate 97bpm atrial rate 97 bpm p-r interval 146ms QRS duration 82ms QT 344ms QTc436ms p axis 78 degrees r axis 81 degrees t axis -22 degrees, x-ray chest 1 view portable: no acute intrathoracic process lungs are clear no appreciable pleural effusion or pneumothorax the cardio mediastinal silhouette is normal the visualized osseous structures are unremarkable. All tests between 11pm 01/26/22 and 1am 01/27/22
Aktuelle Erkrankungen
-
Vorgeschichte
Long Haul Covid (fatigue, brain fog, muscle and joint pain month after contracting Covid-19).
Andere Medikamente
CYRED EQ (hormonal birth control pill), vitamins D3, C, B12), magnesium, fish oil
Allergien
amoxicillin
Vorherige Impfungen
-

VAERS 2055483

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j212a

moderat
Staat
WY
Alter
44,0
Geschlecht
F
Eingang
28.01.2022
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: unbekannt Erholt: nein
COVID-19 Chest pain Cyanosis Dyspnoea Malaise Dizziness Illness Tremor Vomiting Nausea Pain Pallor SARS-CoV-2 test positive

Symptomtext

Approx 8-10 min after vaccine administration, I vomited and remained nauseated for 24 hours. Pallor was present. Approx 4 hours in I had shortness of breath and some cyanosis around my mouth (blue lips as well). I had been sweeping. I stopped and went to lie down. I had a can of ?Oxygen in a can?. I took in some of that over the course of 30 minuets. I started to develop chest pain that I initially attributed to anxiety. But, had felt general malaise the entire time. The chest pain got severe enough I called the ER. I preformed my own ECG and submitted it to the ER. It looked good. My saturation was WNL as well as the rest of my vitals. I started with fairly severe body aches by 11 pm. Those steadily increased and by 2:30-3 PM on the 20th I was in clinic receiving IV fluids and IM pain medication. I struggled with SOB and went in for a COVID swab on Monday 1/24/22. This came out positive. I had been tested the day of my vaccination and had been testing every other day for over a week. 1/25/22 the sob got severe enough I started a prednisone pack I had left over and text my provider about starting that. By the next afternoon, the sob and tightness in my chest began to improve. I am still experiencing fatigue and spinal pain (which I got with my first bout of COVID and each vaccination).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Tremor
Hospital-Tage
-
Labordaten
X-rays will be obtained on my back when I'm well.
Aktuelle Erkrankungen
Streptococcus (throat)
Vorgeschichte
Have had fatigue resulting from the removal of a parathyroid tumor on 8/2020. Have had chronic spinal pain since the last COVID vaccine
Andere Medikamente
Adderall, Lamotrigine,pantoprazol
Allergien
None
Vorherige Impfungen
Same as above minus the sob and hypoxia. Bith Moderna vaccinations jan 2021 and feb 2021. Aged 43

VAERS 2647630

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

moderat
Staat
KY
Alter
30,0
Geschlecht
F
Eingang
27.01.2022
Impfdatum
24.01.2022
Beginn
24.01.2022
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: unbekannt
Blood test normal Bronchospasm Dysphemia Electrocardiogram normal Impaired work ability Tremor

Symptomtext

Patient was receiving the booster dose while at work. About 1 hour after vaccine was given, patient started to shake and studder during normal conversation with coworkers. Patient left work and went to the urgent care. Where they did not perform any tests and sent her home to rest. They told her that this ADR had been reported 51 times and that it would go away in a few days. The next morning (Tuesday 1/25) patient woke up and starting shaking again around 8am, then she started to studder again starting at 11am uncontrollably. The symptoms would only subside during sleep. The next day (Wed 1/26) patient woke up and symptoms persisted and she decided to visit her physician. During her physician visit they performed an EKG and blood work to try and determine what was going on. All test came back normal. The physician determined that she was having bronchial spasms and sent her home with some Hydroxyzine and it should go away in a few days.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Tremor
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
no
Vorgeschichte
HTN, Asthma, PCOS
Andere Medikamente
Fluticasone, Albuterol, Montelukast, Fluoxetine,Vitamin D3, Amlodipine, Metformin, levocetirizine, Medroxyprogesterone, Omeprazole
Allergien
Celexa, HCTZ: Spike in BP for both
Vorherige Impfungen
-

VAERS 2066960

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j212a

moderat
Staat
TX
Alter
33,0
Geschlecht
F
Eingang
26.01.2022
Impfdatum
20.01.2022
Beginn
22.01.2022
Tage bis Beginn
2,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Fatigue Hypertension

Symptomtext

High blood pressure spikes throughout day after vaccinated persisting a week after vaccination. Fatigue also present for a week after vaccination

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypertension
Hospital-Tage
-
Labordaten
High blood pressure . Normal blood pressure for patient is 120/80. Multiple readings showed 178/78, 144/78, 166/79.
Aktuelle Erkrankungen
NA
Vorgeschichte
NA
Andere Medikamente
Vyvanse, adderall
Allergien
Peppers
Vorherige Impfungen
-

VAERS 2057972

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

moderat
Staat
OR
Alter
50,0
Geschlecht
M
Eingang
23.01.2022
Impfdatum
20.01.2022
Beginn
21.01.2022
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chest pain Dyspnoea Heart rate increased Myalgia

Symptomtext

Shortness of breath, chest pain and muscle soreness over left chest fast heart beat on and off still lasting 3 days later.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Biotin, B12
Allergien
Penicillin
Vorherige Impfungen
-

VAERS 2057493

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

moderat
Staat
OK
Alter
77,0
Geschlecht
M
Eingang
22.01.2022
Impfdatum
21.01.2022
Beginn
21.01.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Anxiety Back pain Breath sounds abnormal Chest tube insertion Dyspnoea Pneumothorax

Symptomtext

RESIDENT W/O EXERTION/BREATHING DIFFICULTIES, POX 71%-72% WITH O2 AT 2L PER NC. LUNGS SOUNDS DIMINISHED BILATERAL. INCREASED 02 TO 4L PER NC PER PRN TITRATION ORDERS. DUONEB BREATHING TX ADMINISTERED. ANXIOUS AFFECT BUT HE DENIES ANXIETY. POX IMPROVED SOME AFTER BREATHING TX 88%-91% WITH O2 AT 4L PER NC AND STATES HE IS STARTING TO FEEL BETTER. LUNG SOUNDS CONTINUE DIMINISHED BILATERAL. RESIDENT C/O BACK PAIN BEHIND HIS LUNGS. VS 98.4 102 22 128/82. DR. NOTIFIED OF RESIDENTS CONDITION AND WAS INSTRUCTED TO SEND HIM TO ER FOR FURTHER EVAL. CALLED ER TO CHECK ON STATUS OF RESIDENT AND WAS TOLD HE HAD A PNEUMOTHORAX(LEFT) AND WAS HAVING A CHEST TUBE PLACED AT THIS TIME AND WILL BE ADMITTED.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
COPD, Dependence on supplemental oxygen, hypothyroidism, hypertension, insomnia, Hyperlipidemia
Vorgeschichte
COPD, Hyperlipidemia, DEPENDENCE ON SUPPLEMENTAL OXYGEN, HYPOTHYROIDISM, UNSPECIFIED, ESSENTIAL (PRIMARY) HYPERTENSION, ACQUIRED ABSENCE OF OTHER SPECIFIED PARTS OF DIGESTIVE TRACT, INSOMNIA, UNSPECIFIED
Andere Medikamente
Advair Diskus Aerosol Powder Breath Activated 250-50 MCG/DOSE (Fluticasone-Salmeterol) 1 inhalation inhale orally two times a day related to CHRONIC OBSTRUCTIVE PULMONARY DISEASE, UNSPECIFIED Clopidogrel Bisulfate Tablet 75 MG Give 75 mg
Allergien
NKDA, NKA
Vorherige Impfungen
-

VAERS 2053943

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

moderat
Staat
PR
Alter
52,0
Geschlecht
M
Eingang
21.01.2022
Impfdatum
18.01.2022
Beginn
18.01.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Chest pain Epistaxis Pyrexia Tongue disorder Wheezing

Symptomtext

Nose bleeding, chest pain, wheezing, scaled tongue, high fever 41*. These were the same symptoms when received the second dose of Moderna. Not reported previously. Severe joint pain since the first dose a year ago

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 2053740

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

moderat
Staat
CA
Alter
29,0
Geschlecht
F
Eingang
21.01.2022
Impfdatum
10.01.2022
Beginn
15.01.2022
Tage bis Beginn
5,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Condition aggravated Pruritus

Symptomtext

itching of both palms and both of feet; Itching of both palms of hands that gradually got worse; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (itching of both palms and both of feet) and CONDITION AGGRAVATED (Itching of both palms of hands that gradually got worse) in a 29-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001J212A) for COVID-19 vaccination. No Medical History information was reported. On 10-Jan-2022, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Jan-2022, the patient experienced PRURITUS (itching of both palms and both of feet) and CONDITION AGGRAVATED (Itching of both palms of hands that gradually got worse). The patient was treated with HYDROCORTISONE for Adverse event, at an unspecified dose and frequency. At the time of the report, PRURITUS (itching of both palms and both of feet) had not resolved and CONDITION AGGRAVATED (Itching of both palms of hands that gradually got worse) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were mentioned. It was stated that patient went to doctor who did not prescribe anything as per patient.

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

VAERS 2046394

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

moderat
Staat
IA
Alter
48,0
Geschlecht
M
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: ja Disable: unbekannt ER: ja Erholt: ja
Chest discomfort Condition aggravated Dyspnoea

Symptomtext

About 13 minutes after the vaccine was given, patient started complaining of chest tightness and trouble breathing. Pt has had multiple severe anaphylatic events due to medications, injections and foods. Patient was immediately escorted over to our ED department for further treatment which is connected to the hospital.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Dry cough, some chest tightness x 2 weeks
Vorgeschichte
Asthma
Andere Medikamente
Lisinopril, flomax,tramadol
Allergien
Bee Venom, Toradol, morphine, PCN, shell fish, strawberry extract, minocycline
Vorherige Impfungen
-

VAERS 2043466

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

moderat
Staat
-
Alter
45,0
Geschlecht
F
Eingang
18.01.2022
Impfdatum
14.01.2022
Beginn
14.01.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Ear pain Fatigue Feeling abnormal Headache Injected limb mobility decreased Oedema peripheral Pain Pain in extremity Pyrexia

Symptomtext

I received the vaccine at 8:30 am on 1/14/22. By 8:00 pm that evening, I felt really bad - severe pain in my arm, fever, body aches. On 1/15/22, I could barely lift my left arm as it hurt so bad. I noticed that the left armpit was starting to swell and I ran a 102.3 F. fever all day and had body aches, headache, and fatigue. 1/16/22, fever was down to 100 degrees and body aches started to improve. Armpit was still swollen at this time. On 1/17/22 still felt fatigued and noticed that the swelling in the armpit appeared to be worse than the previous day. 1/18/22 - swelling in armpit is significantly worse and left ear has been hurting as well. Called primary care physician to get checked. Have appointment on 1/19/2022.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injected limb mobility decreased
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
Iodine
Vorherige Impfungen
-

VAERS 2040466

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

moderat
Staat
NY
Alter
49,0
Geschlecht
F
Eingang
17.01.2022
Impfdatum
14.01.2022
Beginn
15.01.2022
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Axillary pain Chest pain Induration Injection site pain Pain in extremity Peripheral swelling Skin warm Tenderness

Symptomtext

injection site pain, full arm pain with swelling and more intense pain in the arm pit and upper chest on left side. Forearm is hard and warm to the touch and also has pain with pain to touch.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
migraines, diverticulosis, hyperlipidemia
Vorgeschichte
-
Andere Medikamente
lipitor, align probiotic, multivitamin, lo lo estrin FE
Allergien
NKA
Vorherige Impfungen
-

VAERS 2039292

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

moderat
Staat
GA
Alter
47,0
Geschlecht
F
Eingang
17.01.2022
Impfdatum
10.01.2022
Beginn
11.01.2022
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chest pain Palpitations

Symptomtext

Patient reported a racing heart, pounding heart, and chest ache. It was suggested the patient see his MD immediately, and get back to us. Patient has not returned out call to let us know what tests, treatments, or outcomes he received.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
Patient has not returned out call to let us know what tests, treatments, or outcomes he received.
Aktuelle Erkrankungen
UNKNOWN.
Vorgeschichte
UNKNOWN.
Andere Medikamente
UNKNOWN.
Allergien
NONE.
Vorherige Impfungen
-

VAERS 2036092

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

moderat
Staat
ME
Alter
28,0
Geschlecht
F
Eingang
14.01.2022
Impfdatum
05.01.2022
Beginn
05.01.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dizziness Headache Pain Paraesthesia

Symptomtext

Patient contacted pharmacy on 1/14/22, she reported ongoing side effects following vaccination 9 days ago. She indicated that about 3 to 4 hours after her injection she started getting side effects that included significant headache and pain that radiated toward the neck and spine. This has continued. She indicated that she has had feelings of lightheadness and dizziness. She indicated that she has had feelings of tingling in all 4 extremities since the booster shot. Patient was calling to know more about what people have experienced and if it was a normal reaction and what would be next coarse of action. Rph indicated that since it was ongoing and of concern to patient that it was not getting better that rph would advise to be seen by medical provider

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
none at this time
Aktuelle Erkrankungen
asthma
Vorgeschichte
asthma
Andere Medikamente
unknown at this time
Allergien
endorsed allergies on consent form, exact details unknown at this time
Vorherige Impfungen
reports moderna reaction on dose 1 2/27/21 and dose 2 3/23/21 but not to this extent

VAERS 2031832

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212a

moderat
Staat
FL
Alter
69,0
Geschlecht
F
Eingang
13.01.2022
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: unbekannt
Mobility decreased

Symptomtext

Patient reported experiencing loss of bodily movement after reaching home from her vaccination. (waited in-store 20 minutes after receiving vaccine). Pt has fully recovered.

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

VAERS 2031473

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

moderat
Staat
PA
Alter
51,0
Geschlecht
F
Eingang
13.01.2022
Impfdatum
07.01.2022
Beginn
08.01.2022
Tage bis Beginn
1,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Aphasia Condition aggravated Feeling abnormal Memory impairment Paraesthesia

Symptomtext

Both legs tingling like pins and needles. Brain fog. Neuro system not functioning like normal like I was on another planet. Having trouble remembering basic things and finding the right words when speaking. More forgetful.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Zinc; Vitamin C and D
Allergien
-
Vorherige Impfungen
Tingling legs.

VAERS 2027932

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

moderat
Staat
PR
Alter
93,0
Geschlecht
F
Eingang
12.01.2022
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: ja Erholt: nein
Chest pain Electrocardiogram Tremor

Symptomtext

Patient reports having chest pain and involuntary tremors. Evaluation is carried out S/V. Patient is well oriented at this time of place and herself/person. A consultation with Doctor is made, which indicates that she remains under observation then contacted the ambulance to transport the patient to the nearest hospital. After evaluation of the ambulance staff. Vital signs are reassessed and an EKG is performed.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
n/a
Aktuelle Erkrankungen
n/a
Vorgeschichte
n/a
Andere Medikamente
n /a
Allergien
n/a
Vorherige Impfungen
-

VAERS 2010782

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2A

moderat
Staat
PR
Alter
39,0
Geschlecht
F
Eingang
06.01.2022
Impfdatum
05.01.2022
Beginn
05.01.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chest pain Condition aggravated Dyspnoea Headache Heart rate irregular Palpitations

Symptomtext

By administering the third dose of the Moderna vaccine, everything was stable until 11 p.m. My heart started to beat harder, my heart started racing, I also started feeling chest pain in part the front of my chest and the back of the chest. Also I have difficulty breathing I have to breathe up to a certain limit because if it does not give me chest pain and headache

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
I have not attended no doctor.
Aktuelle Erkrankungen
NO
Vorgeschichte
NO
Andere Medikamente
NONE
Allergien
NO
Vorherige Impfungen
Yes. I felt a racing heart, shortness of breath, chest pain in front and behind the chest and headache. She was 38 years old and

VAERS 2584860

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

mild
Staat
FL
Alter
64,0
Geschlecht
F
Eingang
21.02.2023
Impfdatum
08.01.2022
Beginn
30.01.2023
Tage bis Beginn
387,0
Dosis
3
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Asymptomatic COVID-19 Dizziness SARS-CoV-2 test positive Vertigo

Symptomtext

Hospitalization: 1/30/2023 - 1/31/2023 (27 hours) Presentation to the ED: dizziness and vertigo symptoms concerning for possible CVA COVID + date: 1/30/2023 Treatment: ASYMPTOMATIC. NO TREATMENT REQUIRED. Discharge to: HOME. 006B21A 3/17/2021 037B21A 4/17/2021 001J212A 1/8/2022

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
no significant past medical history
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2549476

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

mild
Staat
CO
Alter
52,0
Geschlecht
F
Eingang
03.01.2023
Impfdatum
21.12.2021
Beginn
11.11.2022
Tage bis Beginn
325,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Aphonia COVID-19 Cough Pyrexia Respiratory tract congestion SARS-CoV-2 test positive Sneezing

Symptomtext

On November 11, 2022, my infection began with congestion and sneezing and coughing, but not a deep cough. I had a low-grade fever. By Sunday I started coughing more and the next day I was losing my voice because I was coughing so much. My fever increased by Tuesday and on Wednesday - Thursday my fever remained 102. I got Paxlovid on that Friday when I went to the urgent care. I tested positive on Wednesday for COVID-19. I still have a foggy memory and remain fatigued.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pyrexia
Hospital-Tage
-
Labordaten
Home COVID-19, positive, 11172022
Aktuelle Erkrankungen
N/A
Vorgeschichte
Hypothyroidism; Anxiety
Andere Medikamente
Synthroid; Spironolactone; Lexapro; Multi Vitamin
Allergien
Penicillin; Cats; Pine Trees
Vorherige Impfungen
-

VAERS 2471915

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

mild
Staat
FL
Alter
68,0
Geschlecht
M
Eingang
07.10.2022
Impfdatum
07.01.2021
Beginn
23.09.2022
Tage bis Beginn
624,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Cough Diarrhoea Mental status changes Nausea SARS-CoV-2 test positive Vomiting

Symptomtext

Hospitalization: 9/23/2022 - 9/27/2022. Presentation to the ED: AMS, COUGH, NAUSEA, VOMITING, DIARRHEA. COVID-19 + date: 9/23/22. Treatment: NO TREATMENT GIVEN SPECIFICALLY FOR COVID INFECTION. Discharge to: Home or Self Care.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Diarrhoea
Hospital-Tage
4,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
HTN, SMOKER, CHRONIC OPIOID USE.
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2454840

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

mild
Staat
AR
Alter
72,0
Geschlecht
F
Eingang
22.09.2022
Impfdatum
06.04.2022
Beginn
15.09.2022
Tage bis Beginn
162,0
Dosis
4
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
COVID-19 Extra dose administered Immunisation reaction Injection site erythema Injection site warmth Malaise SARS-CoV-2 test positive

Symptomtext

Patient had a series of 4 Covid vaccines with the last being on April 6, 2022 listed above. She recently developed symptomatic Covid (PCR confirmed) and within 24 hours of symptom onset developed a "Covid arm" on both the right and left previous injection sites. Pictures available if needed. The area on both arms was 2-3 inches in diameter red, warm and slightly indurated . The findings lasted 24 to 36 hours and there were no sequelae. She is not sure which shot time wise was given in each arm but the area involved was very distinctive and correspondent to the previous injection sites.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site erythema
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
lipitor multivitamins
Allergien
none
Vorherige Impfungen
-

VAERS 2398034

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

mild
Staat
MO
Alter
65,0
Geschlecht
M
Eingang
01.08.2022
Impfdatum
21.01.2022
Beginn
16.07.2022
Tage bis Beginn
176,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Back pain COVID-19 Fall SARS-CoV-2 test positive

Symptomtext

7/16/2022 pt went to ER due to recent fall/back pain. Patient states he was diagnosed with Covid 7/11/2022 with a home Covid-19 testing kit. Denies c/o SOB, denies fever, denies N/V. Lives at home and takes Eliquis. Patient has been Covid + approximately 6 days. Pt tested Covid-19 + per PCR test at Hospital.

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

VAERS 2325690

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

mild
Staat
IL
Alter
77,0
Geschlecht
F
Eingang
21.06.2022
Impfdatum
19.03.2022
Beginn
17.05.2022
Tage bis Beginn
59,0
Dosis
4
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia COVID-19 Chills Fatigue Feeling abnormal Headache Malaise Oropharyngeal pain Pyrexia SARS-CoV-2 test positive

Symptomtext

I had 102 fever, terrible headache a sore throat with joint pain and chills. I felt like I had a foggy brain that lasted about two weeks. I was very fatigued. I took PAXLOVID, starting on May 17th 2022. I tested negative after 10 days. 5 days later my symptoms came back, I was not feeling perfect I tested positive again. I was sick for another week after that. I still have fatigue more than I have ever felt before.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
COVID testing PCR - 05/2022.
Aktuelle Erkrankungen
None
Vorgeschichte
Osteoarthritis
Andere Medikamente
Vitamin D; ONE A DAY vitamin; biotin; magnesium
Allergien
Penicillin; BACTRIM; tigecycline; kiwi; raw carrots
Vorherige Impfungen
-

VAERS 2290704

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

mild
Staat
OR
Alter
51,0
Geschlecht
F
Eingang
23.05.2022
Impfdatum
20.01.2021
Beginn
27.01.2022
Tage bis Beginn
372,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Chest discomfort Chills Computerised tomogram head normal Fatigue Head discomfort Headache Influenza like illness Magnetic resonance imaging normal Myalgia Neck pain Pain

Symptomtext

On 01/20/2022 at 5:00PM I experienced flu like symptoms of myalgia, chills, and fatigue that resolved at 4:00PM the next day. On 01/27/2022 at 7:00PM I experienced a dull ache of pain that went up the left side of my neck up into my head, the pressure in my head increased for a pounding painful pressure and headache that lasted intensely for 2 minutes before lessening to a dull pain again down the left side of my neck. There was also pressure on my rib cage in the center of my sternum, which lasted for an hour. The dull ache and pressure in my head lasted until I sought care in the ER and was administered pain medication. All of the symptoms resolved within about 24 hours and have not returned. I did not receive a diagnosis for my adverse event.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
CT Scan of the head on 01/27/2022 was clear MRI on 02/17/2022 was clear
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
Vitamin D Fluoxetine 20mg Trazadone
Allergien
N/A
Vorherige Impfungen
-

VAERS 2271185

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

mild
Staat
TX
Alter
62,0
Geschlecht
F
Eingang
11.05.2022
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
Arthralgia Biopsy Granuloma annulare Osteoarthritis Pain in extremity

Symptomtext

The granuloma annulare continued to spread after the booster on my face, legs and arms. My dermatologist prescribed two steroid creams for relief. In February I experienced severe knee and leg pain. I went to see my doctor and was diagnosed with osteoarthritis.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
Biopsy
Aktuelle Erkrankungen
None
Vorgeschichte
Hypothyroid
Andere Medikamente
Levothyroxine Vitamin D2 Two Steroid Creams Clobetasol Propionate Desonide
Allergien
Penicillin Sulfa Drugs Naproxen
Vorherige Impfungen
-

VAERS 2245690

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

mild
Staat
FL
Alter
65,0
Geschlecht
F
Eingang
21.04.2022
Impfdatum
13.01.2022
Beginn
13.01.2022
Tage bis Beginn
0,0
Dosis
4
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Abscess drainage Anaemia Bacterial infection Blood glucose increased Blood test abnormal Chills Erythema Fatigue Inflammation Joint abscess Joint swelling Joint warmth Pyrexia Skin discolouration Skin exfoliation

Symptomtext

01/13/2022 That evening after my vaccine, I noticed I had swelling in my knee. I had chills, was fatigued and had fever. I noticed inflammation of my nerve endings in my knee. It turned into a bacterial infection. I went to the doctor on 3/23/2022. By that time, it had swollen twice the size it should be. I had severe inflammation that was showing on the outside of the knee. Huge red discoloration and fever was noticed in the knee. My skin was also peeling off my knee. I went back to my doctor's office on 4/18/2022. I have been treated with antibiotics for 4 weeks for this infection. I am on the third round of antibiotics. The name of the antibiotics are Bactrim, Levaquin and Clindamycin. I am also taking over the counter probiotics my doctor told me to take. My knee has an abscess, it is draining and has improved. I had a knee replacement in 2016.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
Bloodwork, Glucose was a little high; Anemia
Aktuelle Erkrankungen
None
Vorgeschichte
Asthma; Diabetes Type II; High Blood Pressure
Andere Medikamente
Multivitamin for Women over 50 Vision Formula with Lutein Iron 81mg Aspirin Metformin Escitalopram Atorvastatin Levoxyl Montelukast Lisinopril Amlodipine Farxiga Glipizide
Allergien
Shellfish; Penicillin
Vorherige Impfungen
-

VAERS 2243535

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

mild
Staat
VA
Alter
42,0
Geschlecht
F
Eingang
20.04.2022
Impfdatum
18.03.2021
Beginn
01.04.2021
Tage bis Beginn
14,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Burning sensation Epistaxis Exercise tolerance decreased Fatigue Headache Influenza Limb mass Pain in extremity Rash Skin warm

Symptomtext

Upon receiving my first dose of Moderna, I developed a lump on my arm, severe pain in the arm and also a rash. I developed flu like symptoms with exception to the headache. The flue symptoms subsided in about 72 hours, the lump and rash and arm pain took about 7 days. After the second dose of Moderna, the arm pain was more severe, the rash was burning hot, and the lump was significantly larger and the flue symptoms were worse and one again after the flu symptoms and arm rash/lump/pain subsided the headache still remained. Over the past year, general fatigue has increased and the headache pain has increased. In December of 2021, along with the tiredness and headache, I also started getting nosebleeds. In February I sought medical help from my GP and have been placed indefinitely on migraine medication that comes with a whole list of side effects as well. I was once very active running every day and going to the gym regularly. I would normally run a half marathon a month and now I am lucky if I am able to get the energy to run once or twice a week and only a couple of miles.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
asthma
Andere Medikamente
Singulair Zyrtec Albuterol (when needed) Advair
Allergien
ammoxicillan seasonal
Vorherige Impfungen
-

VAERS 2216057

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

mild
Staat
CA
Alter
30,0
Geschlecht
F
Eingang
05.04.2022
Impfdatum
02.02.2022
Beginn
16.02.2022
Tage bis Beginn
14,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Mechanical urticaria Urticaria

Symptomtext

Have been experiencing hives and dermatographia almost daily

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mechanical urticaria
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Oral contraceptives
Allergien
Allergic to penicillin
Vorherige Impfungen
Got hives from a penicillin shot (probably around age 5-7)

VAERS 2214198

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

mild
Staat
-
Alter
84,0
Geschlecht
F
Eingang
04.04.2022
Impfdatum
17.03.2021
Beginn
25.01.2022
Tage bis Beginn
314,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Asthenia COVID-19 Fatigue Laboratory test abnormal Peripheral swelling SARS-CoV-2 test positive

Symptomtext

01/25/22 presents to ED for "abnormal labs" "fatigue, leg swelling, and weakness" "recently was diagnosed is COVID positive". PMHx of "hypertension, Atrial fibrillation, GI bleed, colon ca,CKD"

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
01/25/22 SARS-CoV-2 (COVID-19) by NAA detected
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2211733

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

mild
Staat
-
Alter
27,0
Geschlecht
F
Eingang
01.04.2022
Impfdatum
31.03.2022
Beginn
31.03.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Chills Dizziness Nausea Vision blurred

Symptomtext

DIZZY, NAUSEOUS, LIGHT HEADED, CHILLS, BLURRY VISION

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
Allergic to erythromycin, macro bid, amoxicillin, triazolam
Vorherige Impfungen
-

VAERS 2209261

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

mild
Staat
OR
Alter
26,0
Geschlecht
M
Eingang
31.03.2022
Impfdatum
17.01.2022
Beginn
30.01.2022
Tage bis Beginn
13,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Urticaria

Symptomtext

After receiving the vaccine, I had hives that appeared on my body about two weeks later. They appeared on my back mostly and spread out a little on my forehead and some of my arms. They went away after 24 hours, I took some Alka-Seltzer. I then saw the doctor who did a in office skin exam and determined it was hives. The hives still come and go and I take the over counter medication the doctor recommended.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Urticaria
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
-
Andere Medikamente
None
Allergien
Kiwi, Raw pineapple
Vorherige Impfungen
-

VAERS 2204153

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

mild
Staat
MI
Alter
33,0
Geschlecht
F
Eingang
29.03.2022
Impfdatum
25.03.2022
Beginn
26.03.2022
Tage bis Beginn
1,0
Dosis
7+
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site erythema Injection site nodule Injection site oedema Injection site pain Injection site warmth

Symptomtext

HARD KNOT, WARM TO TOUCH, RED, EDEMA AND PAIN AT INJECTION SITE

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site erythema
Hospital-Tage
-
Labordaten
NA
Aktuelle Erkrankungen
NA
Vorgeschichte
NO
Andere Medikamente
NA
Allergien
NA
Vorherige Impfungen
-

VAERS 2204015

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j212a

mild
Staat
-
Alter
42,0
Geschlecht
F
Eingang
29.03.2022
Impfdatum
28.03.2022
Beginn
28.03.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Headache Heart rate increased Oropharyngeal pain Pain Pyrexia

Symptomtext

FEVER (101.8), INCREASED HEART RATE (124), HEADACHE, BODY ACHE, SORE THROAT

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

VAERS 2198968

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j212a

mild
Staat
PA
Alter
51,0
Geschlecht
F
Eingang
25.03.2022
Impfdatum
03.02.2022
Beginn
16.02.2022
Tage bis Beginn
13,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Pruritus Urticaria

Symptomtext

uncontrolled itching all over, followed by histamine reaction/ hives.. continuous since 2/16.... colleague with same exact symptoms, received 1 day apart from one another, from same facility, this was our booster shot, received 2 moderna vaccinations prior, asymptomatic for both.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
pcp visit on 3/7.... resulted in prednisone prescription, helped initially, now symptoms have returned.
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
rosuvastatin calcium 5 mg. 81 mg asprin
Allergien
penicillin
Vorherige Impfungen
-

VAERS 2184422

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

mild
Staat
-
Alter
36,0
Geschlecht
M
Eingang
17.03.2022
Impfdatum
16.03.2022
Beginn
16.03.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Chills Headache Myalgia Nausea Pyrexia

Symptomtext

FEVER, CHILLS, NAUSEA, HEADACHE, MUSCLE ACHES

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
NO
Vorgeschichte
NO
Andere Medikamente
NO
Allergien
ALLERGY TO PENICILLIN
Vorherige Impfungen
-

VAERS 2184268

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

mild
Staat
OR
Alter
63,0
Geschlecht
F
Eingang
17.03.2022
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: nein
Joint range of motion decreased Pain Pain in extremity

Symptomtext

Severe arm pain to touch or movement; restricted range of motion.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
Sulfa drugs Trazadone Contrast dye
Vorherige Impfungen
-

VAERS 2137778

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

mild
Staat
MN
Alter
58,0
Geschlecht
M
Eingang
24.02.2022
Impfdatum
14.07.1962
Beginn
24.02.2022
Tage bis Beginn
21.775,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Immediate post-injection reaction Injection site pain Injection site warmth

Symptomtext

BURNING IN THE INJECTION SITE (RIGHT DELTOID). PATIENT DESCRIBED AS HOT OR BURNING; USED SPILLING COFFEE ON YOURSELF AS AN EXAMPLE. STARTED IMMEDIATELY AFTER INJECTION. NO REDNESS OR SWELLING VISIBLE.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site pain
Hospital-Tage
-
Labordaten
NONE. SELF REPORTED, NOT TESTS AVAILABLE FOR SYMPTOM EXPERIENCED.
Aktuelle Erkrankungen
None per patient
Vorgeschichte
None per patient
Andere Medikamente
Unknown, patient does not fill with administering pharmacy.
Allergien
None per patient
Vorherige Impfungen
-

VAERS 2129195

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

mild
Staat
WV
Alter
16,0
Geschlecht
M
Eingang
23.02.2022
Impfdatum
26.01.2022
Beginn
26.01.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Immediate post-injection reaction Injection site hypoaesthesia Product administered to patient of inappropriate age No adverse event

Symptomtext

Patient was administered the first dose of the COVID vaccine series with Moderna (0.5 mL). The patient is 16 years old, and Moderna COVID vaccines are not approved for use in anyone less than 18 years of age at this time. No reported side effects. Unclear if barcoding technology was used and how vaccine was ordered.

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

VAERS 2131120

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

mild
Staat
CT
Alter
32,0
Geschlecht
F
Eingang
22.02.2022
Impfdatum
17.01.2022
Beginn
27.01.2022
Tage bis Beginn
10,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Erythema Pruritus Skin warm Urticaria

Symptomtext

Presented with severe urticaria 10 days after booster. Redness, itchiness, swelling, warm to the touch - all over body from scalp to bottoms of feet. First visit to ER was given 2 steroid injections and prescribed Medrol dose pack and hydroxyzine for 6 days and Pepcid for 7 days. Symptoms kept calm but still itchy. 24 hours after finishing last prescription, hives came back again. Went back to the ER on 2/14 where I was prescribed prednisone for 10 days and Allegra 12 hour antihistamine. This course of treatment has helped better than the first but still have minor itchy from time to time. Currently done with prednisone but still taking Allegra and have an appointment with an allergist.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
N/A
Vorgeschichte
Hyperlipidemia
Andere Medikamente
Atorvastatin 10mg PO QD
Allergien
NKA
Vorherige Impfungen
-

VAERS 2128482

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

mild
Staat
UT
Alter
0,4
Geschlecht
F
Eingang
20.02.2022
Impfdatum
17.01.2022
Beginn
17.01.2022
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dermatitis diaper Diarrhoea Eczema Exposure via breast milk Inflammation Irritability Rash Skin exfoliation

Symptomtext

This is to report an adverse reaction in my nursing baby. Starting the first afternoon after my vaccination, she broke out in a rash on her face and neck which later spread to her upper/middle trunk and also became a diaper rash. She was fussy and had loose bowels for 5-7 days. And bowel consistency still hasn?t returned to normal after 1 month. The rash is still here and will wax & wane and continue as I nurse her. Rash had a burn appearance initially and skin would open and peel. The rash sometimes looks like and behaves like exzema but also other times as the skin has healed, we see a spider-like capillary design under her almost healed skin which will then flare and erupt again. It appears to be an inflammatory response. Same baby had a similar reaction on a much much smaller scale after the first shot 28 days prior. (Dec. 20, 2021) We are still battling this 1 month later.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Diarrhoea
Hospital-Tage
-
Labordaten
Just seen our pediatrician And now an allergist/immunologist at a local hospital
Aktuelle Erkrankungen
None.
Vorgeschichte
None known.
Andere Medikamente
None
Allergien
None known. Family history of food allergies.
Vorherige Impfungen
-

VAERS 2116132

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

mild
Staat
PR
Alter
23,0
Geschlecht
M
Eingang
16.02.2022
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: nein
Dizziness

Symptomtext

Patient with dizziness after the booster vaccine. He consulted with Doctor who recommends that he make an appointment with his family doctor.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
N/A
Allergien
N/A
Vorherige Impfungen
-

VAERS 2105192

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

mild
Staat
AK
Alter
47,0
Geschlecht
F
Eingang
11.02.2022
Impfdatum
14.01.2022
Beginn
14.01.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Cellulitis Injection site induration Injection site swelling

Symptomtext

Caregiver has reported symptoms of arm swelling/hardness at injection site that began on 1/14/22 post Covid-19 vaccine booster on 1/14/22 and worsened by 1/16/22. CG saw provider via Telehealth appointment, prescribed ABX for DX of Cellulitis and advised to apply warm compress to site.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site induration
Hospital-Tage
-
Labordaten
Unknown
Aktuelle Erkrankungen
UNKNOWN
Vorgeschichte
UNKNOWN
Andere Medikamente
UNKNOWN
Allergien
UNKNOWN
Vorherige Impfungen
-

VAERS 2099050

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

mild
Staat
TX
Alter
73,0
Geschlecht
F
Eingang
09.02.2022
Impfdatum
01.02.2022
Beginn
01.02.2022
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Contusion Oropharyngeal pain Pain in extremity Pruritus Sinus congestion

Symptomtext

Sore arm, bruising, and intense itching on same side thigh, sore throat, congestion in sinuses.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Oropharyngeal pain
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
Intense anaphylactic flu shot reaction and respiratory infection.

VAERS 2020740

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

mild
Staat
PR
Alter
68,0
Geschlecht
F
Eingang
08.02.2022
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: nein
Dizziness Hyperhidrosis Immediate post-injection reaction

Symptomtext

Patient reports dizziness and has profuse sweating. Alert and oriented x 3. Doctor is notified and remains under observation for 30 minutes.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
Caltrate
Allergien
N/A
Vorherige Impfungen
-

VAERS 2091455

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j212a

mild
Staat
NE
Alter
19,0
Geschlecht
M
Eingang
05.02.2022
Impfdatum
28.01.2022
Beginn
03.02.2022
Tage bis Beginn
6,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Lip swelling Rash

Symptomtext

Rash, lower lip swelling

Weitere VAERSDATA-Felder
Praegender Schweregrund
Rash
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
ADHD
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 2086175

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

mild
Staat
MA
Alter
19,0
Geschlecht
F
Eingang
03.02.2022
Impfdatum
15.01.2022
Beginn
22.01.2022
Tage bis Beginn
7,0
Dosis
3
Route/Site
- / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Pruritus Rash Urticaria

Symptomtext

Painful Rashes, itching, and hives all over body

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

VAERS 2082961

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

mild
Staat
MN
Alter
28,0
Geschlecht
F
Eingang
02.02.2022
Impfdatum
25.01.2022
Beginn
26.01.2022
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site infection

Symptomtext

Patient presented to her primary care clinic with an infection at the site of injection of her Covid-19 vaccine (Moderna) two days after her vaccination. Patient was prescribed Amoxicillin, Prednisone, and Hydrocodone/APAP by provider.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site infection
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
Salicylates, Sulfa Antibiotics
Vorherige Impfungen
-

VAERS 2082557

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

mild
Staat
MN
Alter
23,0
Geschlecht
M
Eingang
02.02.2022
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: nein
Pruritus Throat irritation

Symptomtext

Client vaccinated with first dose of Moderna without incident at 10:20 am. Had history of severe allergic reaction to bee sting as child. Instructed to stay for observation for 30 minutes. At 10:40 am reported itchy neck and feeling of "a ball in my throat". Monitored every 5 minutes for 90 minutes. Incident occurred at County Jail so jail staff gave him 50 mg Benadryl. O2 was 99%. At 11:35 client stated everything feels normal. Released back to POD at 12 noon.

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

VAERS 2079581

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

mild
Staat
AZ
Alter
67,0
Geschlecht
F
Eingang
01.02.2022
Impfdatum
18.01.2022
Beginn
25.01.2022
Tage bis Beginn
7,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site rash Rash

Symptomtext

Red rash on left bicep and outer arm above elbow. No pain. Started a week after injection and has persisted for the past week.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site rash
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
Parkinsons
Andere Medikamente
Unknown
Allergien
Sulfa
Vorherige Impfungen
-

VAERS 2076192

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

mild
Staat
FL
Alter
51,0
Geschlecht
F
Eingang
31.01.2022
Impfdatum
16.01.2022
Beginn
26.01.2022
Tage bis Beginn
10,0
Dosis
3
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Asymptomatic COVID-19 Nausea SARS-CoV-2 test negative SARS-CoV-2 test positive Vomiting

Symptomtext

This is a 51-year-old female with a past medical history of anxiety, PE, seizure disorder, orthostatic hypotension, chronic pain, opiate dependency who presents to the emergency room for 3 days of intractable nausea and vomiting. Patient is asympomatic for COVID.Patient initially tested negative on 1/25/22 then turned positive 1/26/22. Previously received Moderna 3/31/21, 4/28/21 & 1/16/22. Discharged 1/28/22.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Nausea
Hospital-Tage
4,0
Labordaten
COVID 19 PCR + 1/26/22.
Aktuelle Erkrankungen
-
Vorgeschichte
Anxiety; PE; Seizure disorder; Hypotension; Chronic pain.
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2069243

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

mild
Staat
TX
Alter
30,0
Geschlecht
M
Eingang
27.01.2022
Impfdatum
12.01.2022
Beginn
22.01.2022
Tage bis Beginn
10,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Eye swelling Peripheral swelling Swelling Urticaria

Symptomtext

Severe hives starting 10 days after shot. No known allergies. Going on now for a week and still severe. 13 days after shot eyes, head, feet, and hands swelled up, went to ER. Prescribed me steroids and antihistamines which don?t seem to help much

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

VAERS 2054566

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

mild
Staat
MN
Alter
29,0
Geschlecht
M
Eingang
21.01.2022
Impfdatum
20.01.2022
Beginn
20.01.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Body temperature increased Feeling hot Malaise Thirst

Symptomtext

approximately 6 hours after the booster (around 3pm) he felt ill. at 7:30 pm his temperature was 99.6, he took two 500 mg of tylenol and went to bed. at 3:30 am he was still feeling ill and still felt warm didn't check his temp with a thermometer however. He took two more 500 mg of tylenol and went back to bed. went back to bed after taking the tylenol and slept until 1pm the next day (today 1-21-2022). He was thirsty but said he felt some better. didn't take any tylenol but did drink some water. he asked me for more tylenol at 2:20 pm i checked his temperature with a forehead scanning thermometer, his temp was 102.4

Weitere VAERSDATA-Felder
Praegender Schweregrund
Malaise
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
none
Vorgeschichte
Schitzophrenia
Andere Medikamente
Perphenazine 24 mg at bedtime Rosuvastatin Calcium 20 mg at bedtime Benztropine MES 0.5 mg tab two tabs at bedtime Sertraline HCL 50 mg tab one at bedtime Olanzapine 30 mg at bedtime
Allergien
Sulpha
Vorherige Impfungen
both the first and second dose gave him a fever and he felt ill for a couple of days afterwards. recieived the first moderna on

VAERS 2053239

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

mild
Staat
MN
Alter
35,0
Geschlecht
M
Eingang
21.01.2022
Impfdatum
19.01.2022
Beginn
20.01.2022
Tage bis Beginn
1,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Axillary pain Injection site pain Myalgia Vascular pain

Symptomtext

Injection site pain on left arm, Pain near the left armpit, Muscle pain, Joint pain, Feeling like pain inside veins

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Acetaminophen 500mg, Baclofen 10 mg, Cholecalciferol 2000 IU
Allergien
Dust allergy
Vorherige Impfungen
Injection site pain, Fever and Chill; 35 years old; 04/01/2021 and 04/28/2021; COVID-19 Vaccine; Moderna

VAERS 2052236

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

mild
Staat
KY
Alter
24,0
Geschlecht
M
Eingang
20.01.2022
Impfdatum
08.01.2022
Beginn
17.01.2022
Tage bis Beginn
9,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dysphagia Ear swelling Erythema Pruritus Skin swelling Skin warm

Symptomtext

Patient states difficulty swallowing, itching skin with red puffy areas and swollen, ears swollen and hot to the touch

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
N?A
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
Unknown
Allergien
N/A
Vorherige Impfungen
-

VAERS 2047937

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

mild
Staat
IA
Alter
46,0
Geschlecht
M
Eingang
19.01.2022
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
Dizziness Headache Immediate post-injection reaction Pallor

Symptomtext

The recipient felt dizzy, had a headache, and was very pale immediately following receiving the vaccine.

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

VAERS 2043557

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

mild
Staat
CA
Alter
29,0
Geschlecht
F
Eingang
18.01.2022
Impfdatum
10.01.2022
Beginn
16.01.2022
Tage bis Beginn
6,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Pruritus Rash Rash pruritic

Symptomtext

ON 1/18/22 PATIENT CAME TO PHARMACY TO REPORT ITCHY RASH ON BOTH PALMS OF HANDS AND SOLES OF BOTH FEET THAT STARTED ON 1/16/22. SHE REPORTS SHE WAS SEEN BY A PHYSICIAN AND EVALUATED ON 1/18/22. NO TREATMENT WAS PRESCRIBED AND PER PATIENT SHE WAS ADVISED BY THE PHYSICIAN TO GO AHEAD WITH HER SECOND DOSE OF THE COVID VACCINE. PATIENT CAME IN TO PHARMACY TO REPORT THE EVENT PER INSTRUCTIONS IN ORDER FOR THE PHARMACY TO DOCUMENT AND REPORT THE ADVERSE EVENT. PATIENT WAS GIVEN AND INSTRUCTED BY THIS PHARMACIST INFORMATION ON SELF- REPORTING TO V-SAFE AND TO MODERNA THE EVENT WHICH OCCURED TO HER.

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

VAERS 2043557

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

mild
Staat
CA
Alter
29,0
Geschlecht
F
Eingang
18.01.2022
Impfdatum
10.01.2022
Beginn
16.01.2022
Tage bis Beginn
6,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Pruritus Rash Rash pruritic

Symptomtext

ON 1/18/22 PATIENT CAME TO PHARMACY TO REPORT ITCHY RASH ON BOTH PALMS OF HANDS AND SOLES OF BOTH FEET THAT STARTED ON 1/16/22. SHE REPORTS SHE WAS SEEN BY A PHYSICIAN AND EVALUATED ON 1/18/22. NO TREATMENT WAS PRESCRIBED AND PER PATIENT SHE WAS ADVISED BY THE PHYSICIAN TO GO AHEAD WITH HER SECOND DOSE OF THE COVID VACCINE. PATIENT CAME IN TO PHARMACY TO REPORT THE EVENT PER INSTRUCTIONS IN ORDER FOR THE PHARMACY TO DOCUMENT AND REPORT THE ADVERSE EVENT. PATIENT WAS GIVEN AND INSTRUCTED BY THIS PHARMACIST INFORMATION ON SELF- REPORTING TO V-SAFE AND TO MODERNA THE EVENT WHICH OCCURED TO HER.

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

VAERS 2035930

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

mild
Staat
PA
Alter
26,0
Geschlecht
F
Eingang
14.01.2022
Impfdatum
12.01.2022
Beginn
12.01.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Dizziness Feeling hot Nausea

Symptomtext

Patient felt hot, dizzy and nauseated about 10 minutes after receiving Moderna booster vaccine. She did not appear anxious or nervous at the time of vaccination. She tolerated the first and second vaccines well. She appears to be ok now.

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

VAERS 2035921

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

mild
Staat
AR
Alter
37,0
Geschlecht
F
Eingang
14.01.2022
Impfdatum
10.01.2022
Beginn
13.01.2022
Tage bis Beginn
3,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Cough Dysphonia Headache Pain SARS-CoV-2 test positive

Symptomtext

Woke up at night because of ache and pain, severe headache, coughing and hoarseness. Later in the day increasingly so throughout the day. My temp is usually low but it showed 99.0? as opposed to my usual 97.6. Was advised to take an at home COVID test and showed positive that day.(1/13) Appointment scheduled for 1/17 at 10:30 CT. No contact with Medical Professional. Have been using a Proventil that was given to me during my last COVID infection. Also, been taking a Daytime Cold relief pill.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Headache
Hospital-Tage
-
Labordaten
1/13 COVID Rapid (Positive).
Aktuelle Erkrankungen
None
Vorgeschichte
Environmental Allergies, UCTD. Sicca syndrome, Raynaud's syndrome, Carpal tunnel (both wrist), Hidradenitis suppurativa
Andere Medikamente
Trazodone; Temazepam; Gabapentin; Clonazepam; Protonix; Plaquenil; Dayzie; Minocin; Clinoril; Restasis; Claritin; Biotin; Vitamin C; D3; Zinc; Acidophilus; Prenatal MultiVitamin; Magnesium; Omega 3
Allergien
NKA
Vorherige Impfungen
-

VAERS 2032881

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

mild
Staat
NC
Alter
72,0
Geschlecht
M
Eingang
13.01.2022
Impfdatum
08.01.2022
Beginn
09.01.2022
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Asthenia Confusional state Fall General physical condition abnormal Malaise Mydriasis Somnolence

Symptomtext

WEAKNESS AND CONFUSION, SLEEPINESS, DIALTAED EYES, "LOOKING HIGH" ACCORDING TO WIFE AND DAUGHTER. PARAMEDICS CALLED TO HELP LIFT PATIENT FROM THE FLOOR AS WIFE COULD NOT. PARAMEDICS TOOK PATIENT VITALS AND STATED THAT THEY WERE NORMAL. PATIENT WAS NOT TRANSPORTED AND PARAMEDICS FELT HE WOULD BE FINE AT HOME. PATIENT STILL HAVING MALAISE DAYS LATER.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Malaise
Hospital-Tage
-
Labordaten
PARAMEDICS TOOK PATIENT VITALS 1/9/2022 AND STATED THEY WERE NORMAL.
Aktuelle Erkrankungen
DIABETIES, DECREASED PULMONARY FUNCTION
Vorgeschichte
DIABETES, DECREASED PULMONARY FUNCTION
Andere Medikamente
METFORMIN 1000MG TAB, JARDIANCE 25MG TAB, ATORVASTATIN 40MG TAB, BREO ELLIPTA 100-25 INH, METOPROLOL ER 100MG TAB, PROVENTIL HFA , GLYBURIDE 5MG TAB, TRULICITY 1.5/0.5 INJ, ELIQUIS 5MG TAB
Allergien
NKDA
Vorherige Impfungen
-

VAERS 2032247

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

mild
Staat
-
Alter
74,0
Geschlecht
M
Eingang
13.01.2022
Impfdatum
12.01.2022
Beginn
13.01.2022
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Malaise Unresponsive to stimuli

Symptomtext

Patient received the Moderna vaccine at 4pm on Wednesday 01/12/22 at 4 pm. No complications were reported after the vaccine was administered. Patient did not report any symptoms prior to going to bed. Patient awoke feeling unwell around 6-7am on 01/13/22 and was given two tylenols from Wife to help with symptoms. They then request to move to the bathroom where thereafter they were found on the ground and unresponsive. Emergency response was called shortly afterwards.

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

VAERS 2031581

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2A

mild
Staat
FL
Alter
57,0
Geschlecht
F
Eingang
13.01.2022
Impfdatum
03.06.2021
Beginn
10.01.2022
Tage bis Beginn
221,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Back pain Dizziness Feeling abnormal Headache Hypersomnia Impaired work ability Nausea Neck pain

Symptomtext

Since I have received my booster shot on Sunday January 10,2022, I would like you to know that Monday January 11th I came home from work I have slept until Wednesday morning. when the 12 2022. I have called my doctor I went in to see him this Morning at 8 am January 13,2022. Symptoms are lower back pain, dizziness, head pain neck pain and also nausea. He game Ondansetron HCL. Also, Ibuprofen 800 mg tab for pain I am out of my 2 jobs work until Monday January 17th I can go back. I am having a real bad time with this shot I have received the Moderna.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Back pain
Hospital-Tage
-
Labordaten
No.
Aktuelle Erkrankungen
No.
Vorgeschichte
No.
Andere Medikamente
No.
Allergien
Procardia XL30.
Vorherige Impfungen
-

VAERS 2024764

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

mild
Staat
IL
Alter
63,0
Geschlecht
F
Eingang
11.01.2022
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
Chills Fatigue Myalgia Nausea Pyrexia

Symptomtext

Pt. states that after receiving the 3rd dose of Moderna 01/07/2022, started experiencing symptoms that evening of fever (101.7 lasting 01/11/2022), chills, muscle aches, fatigue, and nausea. No noted Primary visit/communications. Symptoms have subsided after 72hrs.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
N/A
Vorgeschichte
HBP
Andere Medikamente
Atenolol, Losartan, Amlodipine, Omeprazole, Baby Aspirin
Allergien
Pennicillin
Vorherige Impfungen
-

VAERS 2682900

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

gering
Staat
PR
Alter
90,0
Geschlecht
F
Eingang
18.09.2023
Impfdatum
13.02.2023
Beginn
13.02.2023
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered

Symptomtext

Expired vaccine administered.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
Desconocido
Aktuelle Erkrankungen
Alzheimer's.
Vorgeschichte
Alzheimer's.
Andere Medikamente
Unknown.
Allergien
Unknown.
Vorherige Impfungen
-

VAERS 2596324

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
-
Alter
50,0
Geschlecht
F
Eingang
14.03.2023
Impfdatum
07.09.2022
Beginn
07.09.2022
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 No adverse event Wrong product administered

Symptomtext

No adverse event; The vaccine received on 07-Sep-2022 with lot number 001J21-2A was expired on 12-Apr-2022 long before Moderna bivalent vaccine was available.; Patients thought they received Moderna bivalent vaccine booster dose however it was monovalent with lot number 001J21-2A which was expired.; This spontaneous case was reported by a consumer and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (The vaccine received on 07-Sep-2022 with lot number 001J21-2A was expired on 12-Apr-2022 long before Moderna bivalent vaccine was available.), WRONG PRODUCT ADMINISTERED (Patients thought they received Moderna bivalent vaccine booster dose however it was monovalent with lot number 001J21-2A which was expired.) and NO ADVERSE EVENT (No adverse event) in a 50-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001J21-2A) for COVID-19 prophylaxis. Previously administered products included for Product used for unknown indication: PFIZER BIONTECH COVID-19 VACCINE. Past adverse reactions to the above products included No adverse reaction with PFIZER BIONTECH COVID-19 VACCINE. On 07-Sep-2022, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 07-Sep-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (The vaccine received on 07-Sep-2022 with lot number 001J21-2A was expired on 12-Apr-2022 long before Moderna bivalent vaccine was available.) and WRONG PRODUCT ADMINISTERED (Patients thought they received Moderna bivalent vaccine booster dose however it was monovalent with lot number 001J21-2A which was expired.). On an unknown date, the patient experienced NO ADVERSE EVENT (No adverse event). At the time of the report, EXPIRED PRODUCT ADMINISTERED (The vaccine received on 07-Sep-2022 with lot number 001J21-2A was expired on 12-Apr-2022 long before Moderna bivalent vaccine was available.), WRONG PRODUCT ADMINISTERED (Patients thought they received Moderna bivalent vaccine booster dose however it was monovalent with lot number 001J21-2A which was expired.) and NO ADVERSE EVENT (No adverse event) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter considered NO ADVERSE EVENT (No adverse event) to be related. No further causality assessments were provided for EXPIRED PRODUCT ADMINISTERED (The vaccine received on 07-Sep-2022 with lot number 001J21-2A was expired on 12-Apr-2022 long before Moderna bivalent vaccine was available.) and WRONG PRODUCT ADMINISTERED (Patients thought they received Moderna bivalent vaccine booster dose however it was monovalent with lot number 001J21-2A which was expired.). No concomitant medications were reported. The reporter reported that his wife also received expired Moderna Covid-19 monovalent vaccine instead of Moderna Bivalent vaccine on 07-Sep-2022. The reporter and his wife went to pharmacy to check if they received Moderna bivalent booster dose on 07-Sep-2022. The vaccine received on 07-Sep-2022 with lot number 001J21-2A was expired on 12-Apr-2022 long before Moderna bivalent vaccine was available. On 07-Sep-2022 the patients had traveled to an unfamiliar part of town to eat at a highly regarded Taco restaurant. After that they ventured to the building next sore which had a tent and a Health Care Professional offering to give the patient and his wife updated Moderna bivalent booster shots. Patients thought they received Moderna bivalent vaccine booster dose however it was monovalent with lot number 001J21-2A which was expired. The caller reports that his wife received Pfizer vaccine for all her Previous Covid-19 vaccines prior to the Moderna booster dose on 07-Sep-2022. No treatment information was reported.

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

VAERS 2489424

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

gering
Staat
PA
Alter
52,0
Geschlecht
F
Eingang
26.10.2022
Impfdatum
28.01.2022
Beginn
-
Tage bis Beginn
-
Dosis
3
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Burning sensation Hot flush Influenza like illness Lymphadenopathy

Symptomtext

face burn just a little bit; had minor flu like symptoms; Lymph nodes swell up; hot flashes increase in number; This spontaneous case was reported by a patient and describes the occurrence of BURNING SENSATION (face burn just a little bit), INFLUENZA LIKE ILLNESS (had minor flu like symptoms), HOT FLUSH (hot flashes increase in number) and LYMPHADENOPATHY (Lymph nodes swell up) in a 52-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001J212A) for COVID-19 prophylaxis. Patient had no history of COVID positive test or diagnosis. Patient had no history relating to mentioned AE and both Acute and Chronic illnesses at the time of vaccination. Patient did not receive any other vaccines given within 1 month prior to Moderna COVID-19 vaccine. Concurrent medical conditions included Gluten intolerance, Soy allergy, Allergy to nuts (tree nuts), Peanut allergy, Vegetable allergy (tomatoes), Allergy to chemicals (coloring dyes), Egg allergy, Sesame allergy, Shellfish allergy, Drug allergy (Oxycodone) and Postmenopause. Concomitant products included ETHINYLESTRADIOL, NORETHISTERONE ACETATE (MICROGESTIN) and LEVOTHYROXINE SODIUM (TIROSINT) for an unknown indication. On 28-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced BURNING SENSATION (face burn just a little bit), INFLUENZA LIKE ILLNESS (had minor flu like symptoms), HOT FLUSH (hot flashes increase in number) and LYMPHADENOPATHY (Lymph nodes swell up). At the time of the report, BURNING SENSATION (face burn just a little bit) and LYMPHADENOPATHY (Lymph nodes swell up) outcome was unknown and INFLUENZA LIKE ILLNESS (had minor flu like symptoms) and HOT FLUSH (hot flashes increase in number) had resolved. Patient had received Moderna vaccine 1st dose on 14Apr2021, left arm IM with lot no 040B21A and 2nd dose on 12May2022 left arm IM with lot no 014C21A. Patient received half dose of 1st booster in left arm (a little higher up in the muscle). Patient had minor flu like symptoms for a day and half. Patient experienced hot flashes increased in number and had severity for 4 months. No treatment information was provided by the reporter. This case was linked to MOD-2022-662107, MOD-2022-662027 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Burning sensation
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Allergy to chemicals (coloring dyes); Allergy to nuts (tree nuts); Drug allergy (Oxycodone); Egg allergy; Gluten intolerance; Peanut allergy; Postmenopause; Sesame allergy; Shellfish allergy; Soy allergy; Vegetable allergy (tomatoes)
Vorgeschichte
Comments: Patient had no history of COVID positive test or diagnosis. Patient had no history relating to mentioned AE and both Acute and Chronic illnesses at the time of vaccination. Patient did not receive any other vaccines given within 1 month prior to Moderna COVID-19 vaccine.
Andere Medikamente
MICROGESTIN; TIROSINT
Allergien
-
Vorherige Impfungen
-

VAERS 2433602

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
MI
Alter
75,0
Geschlecht
M
Eingang
08.09.2022
Impfdatum
24.03.2021
Beginn
24.08.2022
Tage bis Beginn
518,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Heart rate increased Imaging procedure abnormal

Symptomtext

08/24/22 presents to EC ED for "abnormal imaging and rapid heart rate". PMHx of "Ischemic stroke L parietal lobe with small superimposed hemorrhage 07/22, Afib, IDDM s/p RBKA and L toe amputation, HTN, HLD, PVD "

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

VAERS 2408561

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j212a

gering
Staat
FL
Alter
85,0
Geschlecht
M
Eingang
11.08.2022
Impfdatum
09.01.2022
Beginn
01.08.2022
Tage bis Beginn
204,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Asymptomatic COVID-19 SARS-CoV-2 test positive Thrombocytopenia Transfusion

Symptomtext

Patient was admitted to hospital for thrombocytopenia, treated with transfusions. Upon discharging pt tested + for covid asymptomatic.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Asymptomatic COVID-19
Hospital-Tage
11,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
BPH Copd Gerd osteoarthritis
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2407898

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
PR
Alter
60,0
Geschlecht
F
Eingang
11.08.2022
Impfdatum
21.01.2022
Beginn
26.05.2022
Tage bis Beginn
125,0
Dosis
3
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered No adverse event Product storage error SARS-CoV-2 test

Symptomtext

This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Dose administered after expiration date), PRODUCT STORAGE ERROR (Vial was expired on 13-May-2022, stored in refrigerator on 21-Jan-2022 and administered on 26-May-2022) and NO ADVERSE EVENT (no adverse event) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 003K21-2A and 001J21-2A) for COVID-19 prophylaxis. It was unknown if patient had acute illnesses at the time of vaccination and up to one month before. It was unknown if patient had chronic or long-standing health conditions. Previously administered products included for Product used for unknown indication: Pfizer / BioNTech (Dose number: 1, Batch/lot number- EW0186, 0.3 milliliter, Route of administration- intramuscular, left arm.) on 24-May-2021, Pfizer / BioNTech (Dose number- 2, Batch/lot number- EW0180, 0.3 milliliter, Route of administration- intramuscular and left arm.) on 14-Jun-2021. Past adverse reactions to the above products included No adverse event with Pfizer / BioNTech and Pfizer / BioNTech. On 21-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .25 milliliter. On 26-May-2022 at 9:24 AM, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .25 milliliter. On 26-May-2022 at 9:24 AM, the patient experienced EXPIRED PRODUCT ADMINISTERED (Dose administered after expiration date). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Vial was expired on 13-May-2022, stored in refrigerator on 21-Jan-2022 and administered on 26-May-2022) and NO ADVERSE EVENT (no adverse event). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Dose administered after expiration date), PRODUCT STORAGE ERROR (Vial was expired on 13-May-2022, stored in refrigerator on 21-Jan-2022 and administered on 26-May-2022) and NO ADVERSE EVENT (no adverse event) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test: (Positive) Positive. 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 expiration date) and PRODUCT STORAGE ERROR (Vial was expired on 13-May-2022, stored in refrigerator on 21-Jan-2022 and administered on 26-May-2022) to have an unknown relationship. It was unknown if any prescriptions, over-the-counter-medications, dietary supplements, or herbal remedies were being taken by the patient at the time of vaccination and/or at the time of the adverse event. No treatment medications was provided by the reporter. The used vials were placed in the refrigerator on the same day of administration 26-May-2022.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
Test Name: COVID-19 test; Test Result: Positive; Result Unstructured Data: Positive.
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: It was unknown if patient had acute illnesses at the time of vaccination and up to one month before. It was unknown if patient had chronic or long-standing health conditions.
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2376563

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
MI
Alter
85,0
Geschlecht
F
Eingang
21.07.2022
Impfdatum
20.01.2022
Beginn
23.06.2022
Tage bis Beginn
154,0
Dosis
2
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

Breakthrough Case

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19
Hospital-Tage
-
Labordaten
Covid + on 06/23/2022
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2373730

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
MI
Alter
90,0
Geschlecht
M
Eingang
19.07.2022
Impfdatum
31.12.2021
Beginn
18.07.2022
Tage bis Beginn
199,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Exposure to SARS-CoV-2 Fall Respiratory tract congestion Rhinorrhoea SARS-CoV-2 test positive

Symptomtext

Pt presented to ER post ground level fall. He also was positive for COVID and reported that he has had a runny nose and congested for about a week and was exposed to his brother who was positive for COVID.

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2367751

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j212a

gering
Staat
MN
Alter
51,0
Geschlecht
F
Eingang
13.07.2022
Impfdatum
11.01.2022
Beginn
01.04.2022
Tage bis Beginn
80,0
Dosis
3
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Macular hole

Symptomtext

After the 3rd dose I had a Macular hole on my right eye. I was given eye drops to see if it will help heal. I'm currently waiting for surgery to fix it

Weitere VAERSDATA-Felder
Praegender Schweregrund
Macular hole
Hospital-Tage
-
Labordaten
Eye exam - Macular hole condition
Aktuelle Erkrankungen
No
Vorgeschichte
Long-term depression and anxiety; Anemia; Blood clot
Andere Medikamente
Warfarin; Omeprazole; Wellbutrin
Allergien
No
Vorherige Impfungen
-

VAERS 2260198

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

gering
Staat
IA
Alter
54,0
Geschlecht
F
Eingang
02.05.2022
Impfdatum
19.01.2022
Beginn
07.02.2022
Tage bis Beginn
19,0
Dosis
3
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Tinnitus

Symptomtext

I am prone to tinnitus but now it seems to be constant ringing in both ears and it doesn't stop. It seems to have gotten worse.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Tinnitus
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
No
Vorgeschichte
None
Andere Medikamente
Fish Oil; Iron Supplement; Vitamin D; Hydrochlorothiazide
Allergien
None
Vorherige Impfungen
-

VAERS 2258595

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
MI
Alter
91,0
Geschlecht
M
Eingang
29.04.2022
Impfdatum
05.01.2022
Beginn
24.04.2022
Tage bis Beginn
109,0
Dosis
3
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19

Symptomtext

covid

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2245734

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
RI
Alter
66,0
Geschlecht
F
Eingang
21.04.2022
Impfdatum
10.04.2022
Beginn
15.04.2022
Tage bis Beginn
5,0
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: unbekannt Disable: ja ER: ja Erholt: nein
Atrial fibrillation Blood electrolytes Chest discomfort Electrocardiogram

Symptomtext

4/15/2022: Treated at Hospital ER for: Chest Discomfort, Rapid Afib with RVR. Arrived to ER vis Rescue at 810pm and discharged home at 1145pm.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Atrial fibrillation
Hospital-Tage
-
Labordaten
EKG, Electrolytes
Aktuelle Erkrankungen
Sinus Infection.
Vorgeschichte
Sinusitis
Andere Medikamente
Omega3 500mg one gel tab daily. Vision Formula+50 one gel tab daily. Fexofenadine 180mg one tablet daily. Famotadine 20mg one tablet daily, Guaiafenesin 600mg-Dextromethorphan tablet 2-3x daily.
Allergien
PenVK Sulfa Patanol eye drops Latex Kiwi, Nuts
Vorherige Impfungen
-

VAERS 2245542

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
NC
Alter
37,0
Geschlecht
F
Eingang
21.04.2022
Impfdatum
14.04.2022
Beginn
14.04.2022
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

Dose administered after manufacturer date of expiry; The vial first expired on 12-Apr-2022 and was then stored in the refrigerator on 14-Apr-2022; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Dose administered after manufacturer date of expiry) and PRODUCT STORAGE ERROR (The vial first expired on 12-Apr-2022 and was then stored in the refrigerator on 14-Apr-2022) in a 37-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 14-Apr-2022, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Dose administered after manufacturer date of expiry) and PRODUCT STORAGE ERROR (The vial first expired on 12-Apr-2022 and was then stored in the refrigerator on 14-Apr-2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Dose administered after manufacturer date of expiry) and PRODUCT STORAGE ERROR (The vial first expired on 12-Apr-2022 and was then stored in the refrigerator on 14-Apr-2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. No treatment information was reported. The patient had received the second booster dose of the vaccine. It was reported that the vial had not undergone any temperature excursion issues. The reporter asked about what plan of action needs to be taken for the patient.

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

VAERS 2242526

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
KS
Alter
-
Geschlecht
U
Eingang
20.04.2022
Impfdatum
15.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
4
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered

Symptomtext

Gave 3 booster doses of Lot # that expired on the 12Apr2022.; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Gave 3 booster doses of Lot # that expired on the 12Apr2022.) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 15-Apr-2022, the patient received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced EXPIRED PRODUCT ADMINISTERED (Gave 3 booster doses of Lot # that expired on the 12Apr2022.). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Gave 3 booster doses of Lot # that expired on the 12Apr2022.) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication reported. No treatment medication reported. The reporter stated that they were administering Moderna COVID-19 vaccines and stated that they gave 3 booster doses that expired on the 12 Apr 2022. The HCP was unable to provide any additional details about the patients except that it was their 2nd booster dose. On 08 Apr 2022 the vial was initially stored in the refrigerator. Reporter did not allow further contact

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

VAERS 2240429

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2a

gering
Staat
IA
Alter
68,0
Geschlecht
F
Eingang
19.04.2022
Impfdatum
13.04.2022
Beginn
13.04.2022
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

Vaccine expired on 12-Apr-2022 was initially stored in refrigerator on 13-Apr-2022; A patient was administered an expired dose; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (A patient was administered an expired dose) and PRODUCT STORAGE ERROR (Vaccine expired on 12-Apr-2022 was initially stored in refrigerator on 13-Apr-2022) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001J21-2a) for COVID-19 vaccination. No Medical History information was reported. On 13-Apr-2022, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (A patient was administered an expired dose). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Vaccine expired on 12-Apr-2022 was initially stored in refrigerator on 13-Apr-2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (A patient was administered an expired dose) and PRODUCT STORAGE ERROR (Vaccine expired on 12-Apr-2022 was initially stored in refrigerator on 13-Apr-2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medication was reported. It was reported that the patient was administered with the 2nd booster dose on 13-Apr-2022. Date the vial was initially stored in the refrigerator was on 13-Apr-2022. The vial did not undergo any temperature excursions. Patient did not experience any symptoms. No treatment medications were reported. Most recent FOLLOW-UP information incorporated above includes: On 13-Apr-2022: Follow-up document received includes no new information.

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

VAERS 2236117

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

gering
Staat
PA
Alter
52,0
Geschlecht
F
Eingang
15.04.2022
Impfdatum
28.03.2022
Beginn
29.03.2022
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Angiopathy Eye disorder

Symptomtext

Patient states she had vascular event following the vaccine administration. Reports ocular changes. Patient followed up with hospital.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Angiopathy
Hospital-Tage
-
Labordaten
unknown
Aktuelle Erkrankungen
n/a
Vorgeschichte
thyroid issues, celiac disease, arthritis, gout, idiopathic leg edema
Andere Medikamente
Alprazolam, spironolactone, febuxostat, hydroxychlorquine, loratidine, liothyronine, torsemide, vitamin d 2000
Allergien
Seafood, all nuts, stone fruits
Vorherige Impfungen
-

VAERS 2235976

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
KS
Alter
89,0
Geschlecht
F
Eingang
15.04.2022
Impfdatum
15.04.2022
Beginn
15.04.2022
Tage bis Beginn
0,0
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered

Symptomtext

pt was given vaccine that expired on 4/12/2022 and it was administered 4/15/2022

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

VAERS 2235971

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
KS
Alter
89,0
Geschlecht
M
Eingang
15.04.2022
Impfdatum
15.04.2022
Beginn
15.04.2022
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

pt was given vaccine that expired on 4/12/2022 and it was administered 4/15/2022

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

VAERS 2235959

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
KS
Alter
49,0
Geschlecht
F
Eingang
15.04.2022
Impfdatum
15.04.2022
Beginn
15.04.2022
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

Expired vaccine given. 04/12/2022 was expiration date for vaccine but was administered on 4/15/2022

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

VAERS 2218084

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

gering
Staat
-
Alter
57,0
Geschlecht
M
Eingang
06.04.2022
Impfdatum
26.01.2022
Beginn
04.03.2022
Tage bis Beginn
37,0
Dosis
1
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Acute left ventricular failure Cardiac failure congestive Catheterisation cardiac abnormal Coronary artery disease Delusion of parasitosis

Symptomtext

ED visit for delusions of parasitosis. Treated and released. ED to hospital visit 6 days later for Acute systolic congestive heart failure. Cardiac Catheterization completed 3/9: Left and right heart cath showed moderate non-obstructive coronary artery disease with normal filling pressures. Per Cardiology recommendation: -Start Crestor 20 mg daily -Start Aspirin 81 mg daily ED visits and hospital admission within 6 weeks of receiving the COVID vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute left ventricular failure
Hospital-Tage
3,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2209491

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

gering
Staat
-
Alter
24,0
Geschlecht
F
Eingang
31.03.2022
Impfdatum
08.02.2022
Beginn
12.02.2022
Tage bis Beginn
4,0
Dosis
1
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Abscess Appendicitis Appendicitis perforated Exposure during pregnancy Focal peritonitis Infection

Symptomtext

Acute appendicitis with perforation, localized peritonitis and abscess. Patient continued on antibiotics post-op given perforation with abscess. Her diet advanced. She was ready for discharge. ED visit to hospital admission at 8 weeks pregnant; 6 weeks within receiving the COVID-19 vaccine. Re-admitted 2/18/2022 for infection. Treated and discharged. EDD unknown.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Abscess
Hospital-Tage
6,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2208761

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
NY
Alter
36,0
Geschlecht
M
Eingang
31.03.2022
Impfdatum
27.03.2022
Beginn
27.03.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Poor quality product administered Product temperature excursion issue

Symptomtext

Dose administered out a vial that experienced excursion for 4 hours; Dose administered out a vial that experienced excursion for 4 hours; This spontaneous case was reported by a pharmacist and describes the occurrence of PRODUCT TEMPERATURE EXCURSION ISSUE (Dose administered out a vial that experienced excursion for 4 hours) and POOR QUALITY PRODUCT ADMINISTERED (Dose administered out a vial that experienced excursion for 4 hours) in a 36-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 27-Mar-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 27-Mar-2022, the patient experienced POOR QUALITY PRODUCT ADMINISTERED (Dose administered out a vial that experienced excursion for 4 hours). On an unknown date, the patient experienced PRODUCT TEMPERATURE EXCURSION ISSUE (Dose administered out a vial that experienced excursion for 4 hours). At the time of the report, PRODUCT TEMPERATURE EXCURSION ISSUE (Dose administered out a vial that experienced excursion for 4 hours) and POOR QUALITY PRODUCT ADMINISTERED (Dose administered out a vial that experienced excursion for 4 hours) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medications were not provided. Treatment information was not reported. The vials were returned to stable temperature of refrigerator after 4 hours. The patient received the booster dose. This case was linked to MOD-2022-525790, MOD-2022-525469 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Poor quality product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2208760

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
NY
Alter
30,0
Geschlecht
M
Eingang
31.03.2022
Impfdatum
27.02.2022
Beginn
27.03.2022
Tage bis Beginn
28,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Poor quality product administered Product temperature excursion issue

Symptomtext

Doses administered out a vial which experienced excursion for 4 hours; Doses administered out a vial which experienced excursion for 4 hours; This spontaneous case was reported by a pharmacist and describes the occurrence of PRODUCT TEMPERATURE EXCURSION ISSUE (Doses administered out a vial which experienced excursion for 4 hours) and POOR QUALITY PRODUCT ADMINISTERED (Doses administered out a vial which experienced excursion for 4 hours) in a 30-year-old male patient who received mRNA-1273 (Spikevax) (batch nos. 001J21-2A and 001J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 27-Feb-2022, the patient received first dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. On 27-Mar-2022, received second dose of mRNA-1273 (Spikevax) (unknown route) dosage was changed to 1 dosage form. On 27-Mar-2022, the patient experienced POOR QUALITY PRODUCT ADMINISTERED (Doses administered out a vial which experienced excursion for 4 hours). On an unknown date, the patient experienced PRODUCT TEMPERATURE EXCURSION ISSUE (Doses administered out a vial which experienced excursion for 4 hours). At the time of the report, PRODUCT TEMPERATURE EXCURSION ISSUE (Doses administered out a vial which experienced excursion for 4 hours) and POOR QUALITY PRODUCT ADMINISTERED (Doses administered out a vial which experienced excursion for 4 hours) outcome was unknown. For mRNA-1273 (Spikevax) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. No treatment information was reported. The vials were returned to stable refrigerator temperature after 4 hours. This case was linked to MOD-2022-525469, MOD-2022-525791 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Poor quality product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2208743

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
NY
Alter
32,0
Geschlecht
F
Eingang
31.03.2022
Impfdatum
27.02.2022
Beginn
27.03.2022
Tage bis Beginn
28,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Poor quality product administered Product temperature excursion issue

Symptomtext

Doses administered out a vial that experienced excursion for 4 hours; Doses administered out a vial that experienced excursion; This spontaneous case was reported by a pharmacist and describes the occurrence of PRODUCT TEMPERATURE EXCURSION ISSUE (Doses administered out a vial that experienced excursion for 4 hours) and POOR QUALITY PRODUCT ADMINISTERED (Doses administered out a vial that experienced excursion) in a 32-year-old female patient who received mRNA-1273 (Spikevax) (batch nos. 001J21-2A and 001J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 27-Feb-2022, the patient received first dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. On 27-Mar-2022, received second dose of mRNA-1273 (Spikevax) (unknown route) dosage was changed to 1 dosage form. On 27-Mar-2022, the patient experienced POOR QUALITY PRODUCT ADMINISTERED (Doses administered out a vial that experienced excursion). On an unknown date, the patient experienced PRODUCT TEMPERATURE EXCURSION ISSUE (Doses administered out a vial that experienced excursion for 4 hours). At the time of the report, PRODUCT TEMPERATURE EXCURSION ISSUE (Doses administered out a vial that experienced excursion for 4 hours) and POOR QUALITY PRODUCT ADMINISTERED (Doses administered out a vial that experienced excursion) outcome was unknown. For mRNA-1273 (Spikevax) (Unknown), the reporter did not provide any causality assessments. No concomitant medication information provided. It was reported that 3 doses were administered out a vial which experienced excursion for 4 hours. The vials were returned to stable refrigerator temperature after 4 hours. No treatment information provided This case was linked to MOD-2022-525790, MOD-2022-525791 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Poor quality product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2194704

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

gering
Staat
MD
Alter
16,0
Geschlecht
M
Eingang
23.03.2022
Impfdatum
23.03.2022
Beginn
23.03.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Product administered to patient of inappropriate age

Symptomtext

Patient received the Moderna COVID-19 vaccine instead of the Pfizer COVID-19 vaccine based on his age

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
N/A
Allergien
N/A
Vorherige Impfungen
-

VAERS 2187727

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
-
Alter
84,0
Geschlecht
F
Eingang
18.03.2022
Impfdatum
23.02.2022
Beginn
23.02.2022
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 No adverse event

Symptomtext

There was no adverse reaction, vaccine was administered on 02/23/22 and vaccine expired on 02/17.

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

VAERS 2187723

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
-
Alter
72,0
Geschlecht
F
Eingang
18.03.2022
Impfdatum
23.02.2022
Beginn
23.02.2022
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 No adverse event

Symptomtext

There was no adverse reaction, vaccine was administered on 02/23/22 and vaccine expired on 02/17.

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

VAERS 2187721

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
-
Alter
39,0
Geschlecht
M
Eingang
18.03.2022
Impfdatum
23.02.2022
Beginn
23.02.2022
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 No adverse event

Symptomtext

There was no adverse reaction, vaccine was administered on 02/23/22 and vaccine expired on 02/17.

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

VAERS 2187719

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
-
Alter
98,0
Geschlecht
F
Eingang
18.03.2022
Impfdatum
23.02.2022
Beginn
23.02.2022
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 No adverse event

Symptomtext

There was no adverse reaction, vaccine was administered on 02/23/22 and vaccine expired on 02/17.

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

VAERS 2187716

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
-
Alter
26,0
Geschlecht
F
Eingang
18.03.2022
Impfdatum
23.02.2022
Beginn
23.02.2022
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 No adverse event

Symptomtext

There was no adverse reaction, vaccine was administered on 02/23/22 and vaccine expired on 02/17.

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

VAERS 2187714

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
PR
Alter
75,0
Geschlecht
F
Eingang
18.03.2022
Impfdatum
23.02.2022
Beginn
23.02.2022
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 No adverse event

Symptomtext

There was no adverse reaction, vaccine was administered on 02/23/22 and vaccine expired on 02/17.

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

VAERS 2187698

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
PR
Alter
61,0
Geschlecht
M
Eingang
18.03.2022
Impfdatum
23.02.2022
Beginn
23.02.2022
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 No adverse event

Symptomtext

There was no adverse reaction, vaccine was administered on 02/23/22 and vaccine expired on 02/17.

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

VAERS 2187692

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
PR
Alter
36,0
Geschlecht
M
Eingang
18.03.2022
Impfdatum
23.02.2022
Beginn
23.02.2022
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 No adverse event

Symptomtext

There was no adverse reaction, vaccine was administered on 02/23/22 and vaccine expired on 02/17.

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

VAERS 2187688

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
PR
Alter
37,0
Geschlecht
F
Eingang
18.03.2022
Impfdatum
23.02.2022
Beginn
23.02.2022
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 No adverse event

Symptomtext

There was no adverse reaction, vaccine was administered on 02/23/22 and vaccine expired on 02/17.

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

VAERS 2187674

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
PR
Alter
52,0
Geschlecht
M
Eingang
18.03.2022
Impfdatum
23.02.2022
Beginn
23.02.2022
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 No adverse event

Symptomtext

There was no adverse reaction, vaccine was administered on 02/23/22 and vaccine expired on 02/17.

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

VAERS 2187669

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
PR
Alter
60,0
Geschlecht
M
Eingang
18.03.2022
Impfdatum
23.02.2022
Beginn
23.02.2022
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 No adverse event

Symptomtext

There was no adverse reaction, vaccine was administered on 02/23/22 and vaccine expired on 02/17.

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

VAERS 2187665

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
PR
Alter
20,0
Geschlecht
M
Eingang
18.03.2022
Impfdatum
23.02.2022
Beginn
23.02.2022
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 No adverse event

Symptomtext

There was no allergic reaction, PT was vaccinated on 02/23/22, vaccine expired on 02/17/22.

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

VAERS 2187646

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
PR
Alter
72,0
Geschlecht
M
Eingang
18.03.2022
Impfdatum
23.02.2022
Beginn
23.02.2022
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 No adverse event

Symptomtext

No adverse effect, PT was vaccinated 02/23/22, Vaccine expired 02/17/22.

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

VAERS 2187639

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
PR
Alter
48,0
Geschlecht
M
Eingang
18.03.2022
Impfdatum
23.02.2022
Beginn
23.02.2022
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 No adverse event

Symptomtext

There was no adverse effect, vaccine was administered on February 23, vaccine has expiration dose on February 17.

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

VAERS 2177340

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
MD
Alter
17,0
Geschlecht
M
Eingang
13.03.2022
Impfdatum
10.02.2022
Beginn
11.02.2022
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Product administered to patient of inappropriate age

Symptomtext

Patient is 17 years old but received Moderna that is indicated for 18 years and older.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2171084

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
OR
Alter
26,0
Geschlecht
F
Eingang
10.03.2022
Impfdatum
04.02.2022
Beginn
04.02.2022
Tage bis Beginn
0,0
Dosis
4
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered No adverse event

Symptomtext

Patient received full 0.5 ml dose of Moderna in error after previously receiving doses of Pfizer on 2/6/21 and 2/27/21 and a Moderna Booster (0.25ml) on 11/26/21 No known adverse reaction.

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

VAERS 2162579

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
KS
Alter
-
Geschlecht
M
Eingang
07.03.2022
Impfdatum
07.03.2022
Beginn
07.03.2022
Tage bis Beginn
0,0
Dosis
4
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Extra dose administered No adverse event

Symptomtext

Patient received her initial Moderna series at Pharmacy on 04/30/2021 (0.5mL), and 05/28/2021 (0.5mL). She later received her booster (0.25mL) at Primary care on 12/16/2021. This booster dose was not inputted. Patient came into office today to receive a Moderna booster. Nurse checked , which advised nurse to administer booster today without knowing patient had already received Moderna booster (0.25mL) on 12/16/21. Moderna 0.25mL booster was given today. This was her 4th dose of Moderna. No adverse reaction/event occurred. However, Pharmacists recommend to report additional 4th dose to VAERS.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
-
Vorgeschichte
Type 2 diabetes mellitus without complication, sleep apnea, hypothyroidism, hypertensive disorder, hyperlipidemia, elevated liver enzymes level, depressive disorder, body mass index 40+ - severely obese, anxiety.
Andere Medikamente
Buspirone; Dextroamphetamine-amphetamine; Duloxetine; Euthyrox; Farxiga; Ibuprofen; Metformin; Olanzapine; Ozempic; Propranolol; Topiramate.
Allergien
Oxycodone.
Vorherige Impfungen
-

VAERS 2147690

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
CA
Alter
75,0
Geschlecht
M
Eingang
27.02.2022
Impfdatum
20.01.2022
Beginn
20.01.2022
Tage bis Beginn
0,0
Dosis
N/A
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
No adverse event Wrong product administered

Symptomtext

Patient booked an appointment and requested the booster shot of the Janssen vaccine. However, the wrong vaccine was administered. Patient was given the booster dose (0.25ml) of Moderna. No adverse reaction was observed after the shot during the patient's stay in the pharmacy.

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
NA
Aktuelle Erkrankungen
NA
Vorgeschichte
NA
Andere Medikamente
None on file at the time
Allergien
NA
Vorherige Impfungen
-

VAERS 2145977

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

gering
Staat
WI
Alter
16,0
Geschlecht
M
Eingang
26.02.2022
Impfdatum
26.01.2022
Beginn
26.01.2022
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Product administered to patient of inappropriate age

Symptomtext

This spontaneous case reported by an other healthcare professional, describes the occurrence of product administered to patient of inappropriate age (received a Moderna vaccination while under the age of 18) in a 16-year-old male patient who received mRNA-1273 (Moderna COVID-19 vaccine, batch/lot# 001J212A) for COVID-19 immunization. No medical history reported. On Jan 26, 2022, patient received a dose of mRNA-1273 (Moderna COVID-19 vaccine), unknown route; 1 dosage form. On Jan 26, 2022, product administered to patient of inappropriate age (received a Moderna vaccination while under the age of 18). At the time of the report, product administered to patient of inappropriate age (received a Moderna vaccination while under the age of 18) outcome: unknown. The reporter did not provide any causality assessments, concomitant medication or treatment information. Reportedly, patient had no side effect after vaccination.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2138015

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
OR
Alter
61,0
Geschlecht
M
Eingang
24.02.2022
Impfdatum
24.02.2022
Beginn
24.02.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered Medication error

Symptomtext

MEDICATION ERROR - GAVE 0.5 ML INSTEAD OF THE 0.25 ML THAT SHOULD HAVE BEEN GIVEN FOR THE BOOSTER

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
NONE
Aktuelle Erkrankungen
NONE
Vorgeschichte
NONE
Andere Medikamente
NONE
Allergien
NONE
Vorherige Impfungen
-

VAERS 2138013

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
OR
Alter
53,0
Geschlecht
M
Eingang
24.02.2022
Impfdatum
24.02.2022
Beginn
24.02.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered Medication error

Symptomtext

MEDICATION ERROR - GAVE 0.5 INSTEAD OF 0.25

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
NONE
Aktuelle Erkrankungen
NONE
Vorgeschichte
NONE
Andere Medikamente
UNK
Allergien
NONE
Vorherige Impfungen
-

VAERS 2130288

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
TX
Alter
42,0
Geschlecht
F
Eingang
22.02.2022
Impfdatum
07.02.2022
Beginn
07.02.2022
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 temperature excursion issue

Symptomtext

Doses administered after temperature excursion; Doses administered after temperature excursion; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Doses administered after temperature excursion) and PRODUCT TEMPERATURE EXCURSION ISSUE (Doses administered after temperature excursion) in a 42-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 07-Feb-2022 at 8:30 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On 07-Feb-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Doses administered after temperature excursion) and PRODUCT TEMPERATURE EXCURSION ISSUE (Doses administered after temperature excursion). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Doses administered after temperature excursion) and PRODUCT TEMPERATURE EXCURSION ISSUE (Doses administered after temperature excursion) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Vaccine was administered on left side intramuscularly. No concomitant products were reported. No adverse event reported. No treatment details were reported. On Monday 07-Feb-2022 at 8:00 am, the digital readout on data logger reading -22.5 degree F for freezer and 19.9 degree F for refrigerator. Vaccine bottles from refrigerator had no signs of freeze, which meant no ice or crystallized solids in the vaccine bottle. The refrigerator temperature controller dial adjusted to 5 from initial number 7. No water bottles in refrigerator and frozen coolant packs in freezer at that time or any other times. At 9:11 am, refrigerator data logger reading was 27.7 degree F. Freezer data logger reading was -10.3 degree F. The temperature controller dial was on number 5. At 9:55 am on 07-FEB-2022, refrigerator data logger reading was 32.5 degree F and freezer data logger reading was -0.9 degree F.

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

VAERS 2130287

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
TX
Alter
62,0
Geschlecht
M
Eingang
22.02.2022
Impfdatum
07.02.2022
Beginn
07.02.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered Product temperature excursion issue

Symptomtext

Doses administered to 3 patients after temperature excursion; Temperature excursion; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Doses administered to 3 patients after temperature excursion) and PRODUCT TEMPERATURE EXCURSION ISSUE (Temperature excursion) in a 62-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 07-Feb-2022 at 8:40 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On 07-Feb-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Doses administered to 3 patients after temperature excursion) and PRODUCT TEMPERATURE EXCURSION ISSUE (Temperature excursion). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Doses administered to 3 patients after temperature excursion) and PRODUCT TEMPERATURE EXCURSION ISSUE (Temperature excursion) outcome was unknown. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No Concomitant medications were reported. No Treatment medications were reported.

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

VAERS 2129746

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
LA
Alter
23,0
Geschlecht
F
Eingang
21.02.2022
Impfdatum
20.01.2022
Beginn
17.02.2022
Tage bis Beginn
28,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered Product storage error

Symptomtext

Dose administered to 2 patients after more than 30 days stored in the refrigerator; Product storage error; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Dose administered to 2 patients after more than 30 days stored in the refrigerator) and PRODUCT STORAGE ERROR (Product storage error) in a 23-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 060H21A and 001J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 20-Jan-2022, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 17-Feb-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Dose administered to 2 patients after more than 30 days stored in the refrigerator) and PRODUCT STORAGE ERROR (Product storage error). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Dose administered to 2 patients after more than 30 days stored in the refrigerator) and PRODUCT STORAGE ERROR (Product storage error) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication was provided No treatment medication was provided. This case was linked to MOD-2022-489166 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 18-Feb-2022: Significant FU appended- dose 1 and dose 2 details and patient details were added

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

VAERS 2129496

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

gering
Staat
WI
Alter
29,0
Geschlecht
F
Eingang
21.02.2022
Impfdatum
14.02.2022
Beginn
14.02.2022
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered

Symptomtext

Patient received her 2nd dose of Moderna from a refrigerated vial expired by 11 days.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
None.
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2129482

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
WI
Alter
25,0
Geschlecht
F
Eingang
21.02.2022
Impfdatum
14.02.2022
Beginn
14.02.2022
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered

Symptomtext

Patient received her 2nd dose of Moderna from a refrigerated vial which had expired by 11 days.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2129474

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
WI
Alter
36,0
Geschlecht
F
Eingang
21.02.2022
Impfdatum
09.02.2022
Beginn
09.02.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered

Symptomtext

Patient received booster dose of Moderna vaccine from an expired vial which had been kept in refrigerator. Vial expired on 2/3/22 and dose given on 2/9/22.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2129443

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
WI
Alter
30,0
Geschlecht
F
Eingang
21.02.2022
Impfdatum
16.02.2022
Beginn
16.02.2022
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered No adverse event

Symptomtext

No adverse event known. Pt given 2nd dose of Moderna from a vaccine bottle which had been refrigerated, but expiration date had passed by 13 days.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
none.
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2128768

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
TX
Alter
61,0
Geschlecht
F
Eingang
21.02.2022
Impfdatum
07.02.2022
Beginn
07.02.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered Product temperature excursion issue

Symptomtext

The HCP stated that 3 doses were administered from the opened vial/ Temperature excursion; Temperature excursion; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (The HCP stated that 3 doses were administered from the opened vial/ Temperature excursion) and PRODUCT TEMPERATURE EXCURSION ISSUE (Temperature excursion) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 07-Feb-2022 at 8:40 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On 07-Feb-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (The HCP stated that 3 doses were administered from the opened vial/ Temperature excursion) and PRODUCT TEMPERATURE EXCURSION ISSUE (Temperature excursion). At the time of the report, EXPIRED PRODUCT ADMINISTERED (The HCP stated that 3 doses were administered from the opened vial/ Temperature excursion) and PRODUCT TEMPERATURE EXCURSION ISSUE (Temperature excursion) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were reported. Reporter reported that 3 doses were administered among which 2 doses were booster and 1 dose was a full dose. Excursion temperature maximum 33.4 degrees Fahrenheit and minimum 19.5 degrees Fahrenheit. Excursion occurred on 07-Feb-2022 with the duration of 612 minutes. Vails were stored at room temperature and were moved from freezer to refrigerator on 04-Feb-2022. Vails looked normal on visual inspection. patient doesn't experienced any side effect 8:00 am Monday (07-FEB-2021) Digital readout on data logger reading -22.5F for freezer and 19.9F for refrigerator. vaccine bottles from refrigerator had no signs of freeze, i.e. no ice or crystallized solids in the vaccine bottle the refrigerator temperature controller dial adjusted to 5 from initial number 7. no water bottles in refrigerator and frozen coolant packs in freezer at this time or any other times. 9:11 am (07-FEB-2021) refrigerator data logger reading is 27.7F freezer data logger reading is -10.3F. the temperature controller dial is on number 5 9:55 am (07-FEB-2021) refrigerator data logger reading is 32.5F and freezer data logger reading is -0.9F. No treatment medications were provided. Most recent FOLLOW-UP information incorporated above includes: On 17-Feb-2022: Patient demographics updated, product details updated, new Event added.

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

VAERS 2123970

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
NV
Alter
31,0
Geschlecht
M
Eingang
18.02.2022
Impfdatum
15.02.2022
Beginn
15.02.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

Patient should have been given a booster dose and instead he received a full third dose of Moderna because he marked that it was his second dose.

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

VAERS 2115704

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
OR
Alter
-
Geschlecht
U
Eingang
16.02.2022
Impfdatum
08.02.2022
Beginn
08.02.2022
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

Symptomtext

Dose given past expiration date; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Dose given past expiration date) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 08-Feb-2022, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Feb-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Dose given past expiration date). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Dose given past expiration date) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were reported. Refrigerator expiration date reported as 05-Feb-2022 as it was removed from freezer on 06-Jan-2022. No temperature excursion was reported during storage. No treatment medications were reported. Most recent FOLLOW-UP information incorporated above includes: On 11-Feb-2022: Non significant follow up received.

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

VAERS 2114943

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

gering
Staat
AZ
Alter
17,0
Geschlecht
M
Eingang
16.02.2022
Impfdatum
03.01.2022
Beginn
03.01.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product administered to patient of inappropriate age

Symptomtext

A 17-year-old patient inadvertently given Moderna (dose #1), which is indicated for ages 18+.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2113161

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
CA
Alter
17,0
Geschlecht
M
Eingang
15.02.2022
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
Product administered to patient of inappropriate age

Symptomtext

N/A

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2111062

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
OR
Alter
15,0
Geschlecht
U
Eingang
14.02.2022
Impfdatum
04.02.2022
Beginn
04.02.2022
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product administered to patient of inappropriate age

Symptomtext

Patient received Moderna booster, Patient is not 18 and not eligible to receive Moderna and should have received 12+ 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 2110170

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
KS
Alter
17,0
Geschlecht
F
Eingang
14.02.2022
Impfdatum
07.02.2022
Beginn
07.02.2022
Tage bis Beginn
0,0
Dosis
2
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

Moderna given to patient under the age of 18. NO Adverse adverse event was experienced from patient.

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
unknow
Vorgeschichte
unknow
Andere Medikamente
unknown
Allergien
unknow
Vorherige Impfungen
-

VAERS 2105898

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j212a

gering
Staat
WI
Alter
20,0
Geschlecht
M
Eingang
11.02.2022
Impfdatum
11.02.2022
Beginn
11.02.2022
Tage bis Beginn
0,0
Dosis
2
Route/Site
- / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Asthenia Fall

Symptomtext

The patient got weak and went to the floor.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Asthenia
Hospital-Tage
-
Labordaten
n/a
Aktuelle Erkrankungen
not known
Vorgeschichte
n/a
Andere Medikamente
not known
Allergien
penicillin
Vorherige Impfungen
-

VAERS 2104935

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
CA
Alter
16,0
Geschlecht
F
Eingang
11.02.2022
Impfdatum
10.02.2022
Beginn
10.02.2022
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 requested and received a moderna vaccine and was later found to be under 18 by pharmacist

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2101482

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

gering
Staat
PR
Alter
59,0
Geschlecht
F
Eingang
10.02.2022
Impfdatum
16.01.2022
Beginn
16.01.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Discomfort Dysphagia

Symptomtext

Patient was in the observation area when the incident occurred. He refers to feeling discomfort when swallowing after the administration of the vaccine. Doctor was consulted and ordered to administer 50mg of BENADRYL P.O.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Discomfort
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
Synthroid; Clonazepam
Allergien
Contrast
Vorherige Impfungen
-

VAERS 2014554

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
KS
Alter
31,0
Geschlecht
F
Eingang
08.02.2022
Impfdatum
06.01.2022
Beginn
06.01.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered Interchange of vaccine products Unevaluable event

Symptomtext

It was discovered that this patient had received Jansen COVID vaccination on 9/9/21. Instead of receiving .25ml of Moderna for the booster dose, patient received a full dose of .5ml of Moderna

Weitere VAERSDATA-Felder
Praegender Schweregrund
Unevaluable event
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
N/A
Allergien
Sulfa
Vorherige Impfungen
-

VAERS 2014554

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
KS
Alter
31,0
Geschlecht
F
Eingang
08.02.2022
Impfdatum
06.01.2022
Beginn
06.01.2022
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 Interchange of vaccine products Unevaluable event

Symptomtext

It was discovered that this patient had received Jansen COVID vaccination on 9/9/21. Instead of receiving .25ml of Moderna for the booster dose, patient received a full dose of .5ml of Moderna

Weitere VAERSDATA-Felder
Praegender Schweregrund
Unevaluable event
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
N/A
Allergien
Sulfa
Vorherige Impfungen
-

VAERS 2092606

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j212a

gering
Staat
FL
Alter
81,0
Geschlecht
F
Eingang
07.02.2022
Impfdatum
23.01.2022
Beginn
25.01.2022
Tage bis Beginn
2,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blister Erythema Peripheral swelling

Symptomtext

Patient stated her fingers in the administration arm became red, sore, and had some blisters from the fingernail to the first joint. She explained that they are improving without treatment, but she wanted us to report. She said she cannot take any sort of steroids due to steroid sensitivity and was overall ok with the improvement on its own.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Blister
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None that patient was aware of
Vorgeschichte
Hypertension
Andere Medikamente
Losartan
Allergien
-
Vorherige Impfungen
Near Death to Pox Vaccine

VAERS 2092582

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
WI
Alter
40,0
Geschlecht
M
Eingang
07.02.2022
Impfdatum
01.02.2022
Beginn
07.02.2022
Tage bis Beginn
6,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Incorrect dose administered

Symptomtext

PATIENT PRESENTED FOR FIRST MODERNA .5ML WHICH IS A HIGHER DOSE THAN AUTHORIZED. DOCTOR WAS NOTIFIED.

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

VAERS 2091502

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
KS
Alter
50,0
Geschlecht
M
Eingang
05.02.2022
Impfdatum
04.02.2022
Beginn
05.02.2022
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Incorrect dose administered No adverse event

Symptomtext

PT CAME IN FOR A BOOSTER DOSE OF THE COVID-19 VACCINE. HIS FIRST DOSE WAS OF JANSSEN. A BOOSTER DOSE OF MODERNA WAS REQUESTED BY THE PATIENT. HE WAS GIVEN A FULL DOSE OF 0.5ML MODERNA INSTEAD OF THE BOOSTER DOSE OF 0.25ML OF MODERNA. PT WAS OBSERVED FOR 15 MINUTES AFTER RECEIVING THE VACCINE AND DID NOT HAVE ANY S/S OF ADVERSE REACTIONS. THE ERROR WAS NOT DISCOVERED UNTIL AFTER THE PT HAD LEFT THE CLINIC. THE PT. WAS NOT NOTIFIED OF THE ERROR.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
UNKNOWN. NONE LISTED
Vorgeschichte
-
Andere Medikamente
UNKNOWN
Allergien
NONE
Vorherige Impfungen
-

VAERS 2091108

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
FL
Alter
16,0
Geschlecht
F
Eingang
05.02.2022
Impfdatum
04.02.2022
Beginn
04.02.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Wrong product administered

Symptomtext

GIVEN MODERNA INSTEAD OF PFIZER

Weitere VAERSDATA-Felder
Praegender Schweregrund
Wrong product administered
Hospital-Tage
-
Labordaten
NONE
Aktuelle Erkrankungen
NONE
Vorgeschichte
NONE
Andere Medikamente
NO
Allergien
NONE
Vorherige Impfungen
-

VAERS 2090892

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
PA
Alter
45,0
Geschlecht
M
Eingang
05.02.2022
Impfdatum
03.01.2022
Beginn
05.01.2022
Tage bis Beginn
2,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: unbekannt Erholt: nein
Erectile dysfunction

Symptomtext

Erectile disfunction

Weitere VAERSDATA-Felder
Praegender Schweregrund
Erectile dysfunction
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
Excellent
Andere Medikamente
None
Allergien
Penicillin
Vorherige Impfungen
-

VAERS 2087697

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

gering
Staat
PR
Alter
39,0
Geschlecht
F
Eingang
04.02.2022
Impfdatum
17.01.2022
Beginn
17.01.2022
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Lip swelling

Symptomtext

Patient states that at 4:30pm on 01/17/22 the lip of her mouth begun to swell and at 7:49 pm she arrived at the emergency room of Doctors where she was administered Solumedrol- and BENADRYL, patient was discharged.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Lip swelling
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Patient reports that before being vaccinated she took Tylenol.
Allergien
-
Vorherige Impfungen
-

VAERS 2085599

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
TX
Alter
85,0
Geschlecht
M
Eingang
03.02.2022
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
No adverse event

Symptomtext

patient did not have any reaction

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
nkda
Vorherige Impfungen
-

VAERS 2085593

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
TX
Alter
75,0
Geschlecht
M
Eingang
03.02.2022
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
No adverse event

Symptomtext

patient did not have any reaction

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
nkda
Vorherige Impfungen
-

VAERS 2085589

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
TX
Alter
22,0
Geschlecht
M
Eingang
03.02.2022
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
No adverse event

Symptomtext

patient did not have any reaction

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
nkda
Vorherige Impfungen
-

VAERS 2085585

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
TX
Alter
63,0
Geschlecht
M
Eingang
03.02.2022
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
No adverse event

Symptomtext

patient did not have any reaction

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
nkda
Vorherige Impfungen
-

VAERS 2085580

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
TX
Alter
30,0
Geschlecht
M
Eingang
03.02.2022
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
No adverse event

Symptomtext

patient did not have any reaction

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
nkda
Vorherige Impfungen
-

VAERS 2085576

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
TX
Alter
42,0
Geschlecht
M
Eingang
03.02.2022
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
No adverse event

Symptomtext

patient did not have any reaction

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
nkda
Vorherige Impfungen
-

VAERS 2085575

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
TX
Alter
49,0
Geschlecht
M
Eingang
03.02.2022
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
No adverse event

Symptomtext

Patient did not have any reaction.

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
nkda
Vorherige Impfungen
-

VAERS 2085571

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
TX
Alter
40,0
Geschlecht
M
Eingang
03.02.2022
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
No adverse event

Symptomtext

patient did not have any reaction

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
nkda
Vorherige Impfungen
-

VAERS 2085567

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
TX
Alter
31,0
Geschlecht
M
Eingang
03.02.2022
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
No adverse event

Symptomtext

patient did not have any reaction

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
nkda
Vorherige Impfungen
-

VAERS 2085559

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
TX
Alter
55,0
Geschlecht
M
Eingang
03.02.2022
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
No adverse event

Symptomtext

patient did not have any reaction

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
nkda
Vorherige Impfungen
-

VAERS 2085556

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
TX
Alter
49,0
Geschlecht
M
Eingang
03.02.2022
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
No adverse event

Symptomtext

patient did not have any reaction

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
nkda
Vorherige Impfungen
-

VAERS 2085553

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
TX
Alter
44,0
Geschlecht
F
Eingang
03.02.2022
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
No adverse event

Symptomtext

patient did not have any reaction

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
nkda
Vorherige Impfungen
-

VAERS 2085548

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
TX
Alter
45,0
Geschlecht
M
Eingang
03.02.2022
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
No adverse event

Symptomtext

patient did not have any reaction

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
nkda
Vorherige Impfungen
-

VAERS 2085543

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
TX
Alter
40,0
Geschlecht
F
Eingang
03.02.2022
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
No adverse event

Symptomtext

patient did not have any reaction

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
nkda
Vorherige Impfungen
-

VAERS 2085540

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
TX
Alter
40,0
Geschlecht
F
Eingang
03.02.2022
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
No adverse event

Symptomtext

patient did not have any reaction

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
nkda
Vorherige Impfungen
-

VAERS 2085537

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
TX
Alter
18,0
Geschlecht
M
Eingang
03.02.2022
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
No adverse event

Symptomtext

patient did not have any reaction

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
nkda
Vorherige Impfungen
-

VAERS 2085515

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
TX
Alter
64,0
Geschlecht
F
Eingang
03.02.2022
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
No adverse event

Symptomtext

no reaction present

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
nkda
Vorherige Impfungen
-

VAERS 2079653

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
MO
Alter
69,0
Geschlecht
F
Eingang
01.02.2022
Impfdatum
01.02.2022
Beginn
01.02.2022
Tage bis Beginn
0,0
Dosis
4
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

Patient received a full 0.5 ml dose of the 4th booster dose for an immunocompromised patient

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
Ovarian Cancer, A-Fib, Hypokalemia, Osteoporosis
Vorgeschichte
Ovarian Cancer
Andere Medikamente
Potassium Chloride, Metoprolol, Oxybutynin Chloride, Norco, Phenazopyridine, Compazine, Loperamide, Iron, Lorazepam, Magnesium Citrate, Mekinist, Colace, Famotidine, Faslodex
Allergien
Penicillin, Pine, Fosamax, CT Dye
Vorherige Impfungen
-

VAERS 2079557

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
WI
Alter
73,0
Geschlecht
F
Eingang
01.02.2022
Impfdatum
13.01.2022
Beginn
15.01.2022
Tage bis Beginn
2,0
Dosis
UNK
Route/Site
SC / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Cyanosis

Symptomtext

Both hands turned blue from 7:30pm to 1:30 am 6 hours. No other symptoms at all. Came second dat after booster vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cyanosis
Hospital-Tage
-
Labordaten
Did not need to go in.
Aktuelle Erkrankungen
-
Vorgeschichte
Asthma
Andere Medikamente
Losartan 100mg once daily/ omerprozole once a day/ Amlotdipine 5mg once a day/ Asmanex 1-2 puffs @ hs/ coQ10 / vitamin D 3 / magnesium/ Zyrtec
Allergien
Flu vaccine / amoxicillin / statins
Vorherige Impfungen
Flu vaccine in 1967 hives throat started to swell shut in hospital.

VAERS 2074872

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

gering
Staat
TX
Alter
38,0
Geschlecht
F
Eingang
30.01.2022
Impfdatum
28.01.2022
Beginn
29.01.2022
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Burning sensation Nasal discomfort

Symptomtext

Prolonged sinus burning and burning in neck and lower back 24 hours after first covid vaccine Moderna

Weitere VAERSDATA-Felder
Praegender Schweregrund
Burning sensation
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Acetaminophen 500 mg Benadryl 25 mg
Allergien
None
Vorherige Impfungen
-

VAERS 2074624

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

gering
Staat
CA
Alter
16,0
Geschlecht
F
Eingang
29.01.2022
Impfdatum
29.01.2022
Beginn
29.01.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
No adverse event Wrong product administered

Symptomtext

No adverse event at this moment. Patient received the wrong vaccine. Patient received ? dose (0.25mL) of Moderna. The only vaccine patient qualified to receive is Pfizer (12 and above).

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
None.
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
N/A
Allergien
No known allergy
Vorherige Impfungen
-

VAERS 2074510

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
IN
Alter
53,0
Geschlecht
F
Eingang
29.01.2022
Impfdatum
29.01.2022
Beginn
29.01.2022
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Inappropriate schedule of product administration

Symptomtext

dose 2 in primary series administered too early at 21 days (instead of 28 days)

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2071972

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
AR
Alter
73,0
Geschlecht
F
Eingang
28.01.2022
Impfdatum
26.01.2022
Beginn
28.01.2022
Tage bis Beginn
2,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Inappropriate schedule of product administration Interchange of vaccine products No adverse event

Symptomtext

RESIDENT RECEIVED PFIZER VACCINE ON 1/21/22 WHEN RESIDENT DISCHARGED FROM HOSPITAL. WHEN RESIDENT ADMITTED TO FACILITY DAUGHTER SIGNED CONSENT FORM FOR VACCINE AND REPORTED THAT RESIDENT DID NOT RECEIVE VACCINE. ON 1/26/22 RESIDENT WAS GIVEN MODERNA VACCINE. RESIDENT DOES NOT HAVE ANY ADVERSE REACTIONS AT THIS TIME.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2068544

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
PA
Alter
51,0
Geschlecht
F
Eingang
27.01.2022
Impfdatum
06.01.2022
Beginn
19.01.2022
Tage bis Beginn
13,0
Dosis
N/A
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Herpes zoster Ophthalmic herpes zoster

Symptomtext

Shingles left side of face including eye and scalp

Weitere VAERSDATA-Felder
Praegender Schweregrund
Herpes zoster
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Vitamin d3 Vitamin c
Allergien
None
Vorherige Impfungen
-

VAERS 2057977

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
AK
Alter
44,0
Geschlecht
F
Eingang
23.01.2022
Impfdatum
21.01.2022
Beginn
21.01.2022
Tage bis Beginn
0,0
Dosis
4
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered Inappropriate schedule of product administration No adverse event

Symptomtext

Patient did not have any adverse events. We discovered after I administered the Moderna vaccine that she had already had the Moderna booster 0.25 mL on 10/22/21. Lot# 091D21A, Exp. 12/12/21. She said she was due for #3.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
anemia, ETOH abuse, eczema
Andere Medikamente
None
Allergien
amoxicillin, crab
Vorherige Impfungen
-

VAERS 2057496

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
MD
Alter
60,0
Geschlecht
M
Eingang
22.01.2022
Impfdatum
22.01.2022
Beginn
22.01.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Extra dose administered

Symptomtext

Patient came in for an appointment for Moderna booster. He presented his vaccine card which indicated he had received the first dose June 2021 and second July 2021, so he was due for his booster dose. Confirmed w/ the patient he wanted the Moderna booster and administered the shot. After giving the dose the patient asked if mixing and matching manufacturers was ok and I responded that it was according to the CDC. He said that he had gotten the J & J vaccine and booster, but he wanted Moderna because he heard it was more effective. I questioned that because according to the vaccine card he presented he had gotten Moderna initially, and again today. He then stated, oh I have another vaccine card, which he removed from his wallet, and it had his name and DOB and indicated that he had gotten an initial J & J dose in April 2021 and a second November 2021. I confirmed this information on system. The patient departed the pharmacy not complaining of any adverse effects, but I had never encountered someone getting that many doses and wanted to report it.

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

VAERS 2055560

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
CA
Alter
16,0
Geschlecht
M
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 Product administered to patient of inappropriate age

Symptomtext

Moderna vaccine was given to a patient under the age of 18 years old. No current side effects or symptoms have been reported by mother

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2051346

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
TX
Alter
15,0
Geschlecht
F
Eingang
20.01.2022
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: nein
Incorrect dose administered Product administered to patient of inappropriate age Wrong product administered

Symptomtext

Child is 15, accidentally gave Moderna half dose for booster vaccine verses Pfizer booster dose. Child tolerated well, have informed Parent of dosing of Moderns vs Pfizer.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
unknown
Allergien
None
Vorherige Impfungen
-

VAERS 2051303

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
IA
Alter
16,0
Geschlecht
M
Eingang
20.01.2022
Impfdatum
07.01.2022
Beginn
10.01.2022
Tage bis Beginn
3,0
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 or patient's representative registered online to receive their first dose of Moderna Covid19 vaccine. The patient was 16 years old, rather than the minimum age of 18 required to receive the Moderna brand vaccine. Pharmacist administering vaccine did not realize patient was under the required age and administered the dose. Patient did not experience side effects from the vaccine. Local Department of Public Health contacted the pharmacy 3 days later to point out the error after reviewing the local Immunization Registry. Pharmacy contacted patient's father to explain error and prepare them to select the Pfizer vaccine when registering for their second dose. Patient's father was understanding. Pharmacy subsequently updated their online form to show eligible patient age range in parentheses for each brand of Covid19 vaccine offered.

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 2051280

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
PR
Alter
14,0
Geschlecht
M
Eingang
20.01.2022
Impfdatum
20.01.2022
Beginn
20.01.2022
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 Wrong product administered

Symptomtext

The patient and the mother of the minor are advised of the vaccine to be administered (Pfizer) as appropriate and as already written on the vaccination card for both. At the time of administering the vaccine (PFIZER) Patient asked me if she and her son wanted it to be Moderna; which I administered according to request by mother. The mother is advice regarding the age indicated for this vaccine, the mother is advised to report any secondary effect of the vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2051188

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
TX
Alter
16,0
Geschlecht
M
Eingang
20.01.2022
Impfdatum
15.01.2022
Beginn
15.01.2022
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. Not yet approved for the age group as the primary dose.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
None.
Aktuelle Erkrankungen
n/a
Vorgeschichte
n/a
Andere Medikamente
n/a
Allergien
n/a
Vorherige Impfungen
-

VAERS 2051170

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
TX
Alter
13,0
Geschlecht
M
Eingang
20.01.2022
Impfdatum
15.01.2022
Beginn
15.01.2022
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. Age group not currently approved.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
N/A
Allergien
N/A
Vorherige Impfungen
-

VAERS 2049934

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
ID
Alter
23,0
Geschlecht
M
Eingang
20.01.2022
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: unbekannt
Incorrect dose administered

Symptomtext

Given 0.25ml instead of 0.5ml for second dose. Pt was contacted on 01/15/2022 and offered another dose of 0.25ml. He declined. He was told that due to the lesser dose he did not complete the series to be considered fully vaccinated. He still did not want.

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

VAERS 2048046

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
NV
Alter
32,0
Geschlecht
M
Eingang
19.01.2022
Impfdatum
18.01.2022
Beginn
18.01.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Inappropriate schedule of product administration

Symptomtext

Patient received booster 5 days before he should have. 1 day before the allowable 4 days.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2044271

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
CA
Alter
17,0
Geschlecht
F
Eingang
18.01.2022
Impfdatum
18.01.2022
Beginn
18.01.2022
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

Patient and father checked in for Pfizer booster vaccine. Before administration, patient's father requested with nurse that the Moderna booster vaccine be administered instead. Administering nurse administered Moderna booster vaccine without confirming with pharmacy staff.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
NONE
Vorgeschichte
UNKNOWN
Andere Medikamente
UNKOWN
Allergien
NONE
Vorherige Impfungen
-

VAERS 2043731

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
NV
Alter
44,0
Geschlecht
F
Eingang
18.01.2022
Impfdatum
12.01.2022
Beginn
12.01.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Inappropriate schedule of product administration

Symptomtext

Patient was given a booster dose of Moderna less than 6 months from her second dose.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2043725

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

gering
Staat
NV
Alter
45,0
Geschlecht
M
Eingang
18.01.2022
Impfdatum
12.01.2022
Beginn
12.01.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Inappropriate schedule of product administration

Symptomtext

Patient given a booster dose of Moderna less than 6 months from his second dose.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2043624

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
IA
Alter
17,0
Geschlecht
F
Eingang
18.01.2022
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: unbekannt Erholt: ja
Product administered to patient of inappropriate age

Symptomtext

The patient was given Moderna, but she was not yet 18 years of age. The patient did not have any signs or symptoms at the time of reporting.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2039561

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
AR
Alter
35,0
Geschlecht
M
Eingang
17.01.2022
Impfdatum
13.01.2022
Beginn
14.01.2022
Tage bis Beginn
1,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Nodule Oedema peripheral

Symptomtext

Swollen armpit on left side. Knot on left shoulder blade

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

VAERS 2039188

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

gering
Staat
MN
Alter
15,0
Geschlecht
F
Eingang
17.01.2022
Impfdatum
14.01.2022
Beginn
14.01.2022
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Interchange of vaccine products No adverse event Product administered to patient of inappropriate age Product administration error

Symptomtext

No adverse event, administration error. Patient requested Moderna booster after her Pfizer series but is not old enough to get Moderna. Administering pharmacist did not catch she was too young until after the shot was administered.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Interchange of vaccine products
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2036785

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
AL
Alter
18,0
Geschlecht
M
Eingang
14.01.2022
Impfdatum
14.01.2022
Beginn
14.01.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

Patient came to get his first dose of Covid 19 moderna vaccine. He received 0.25 ml initially and the error was realized immediately and explained to the patient. He was then given 0.25ml on the same arm.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
UNKNOWN
Vorgeschichte
UNKNOWN
Andere Medikamente
UNKNOWN
Allergien
UNKNOWN
Vorherige Impfungen
-

VAERS 2035695

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
AR
Alter
76,0
Geschlecht
F
Eingang
14.01.2022
Impfdatum
05.01.2022
Beginn
12.01.2022
Tage bis Beginn
7,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 SARS-CoV-2 test positive

Symptomtext

hospitalization with covid after being fully vaccinated with a booster

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19
Hospital-Tage
-
Labordaten
positive covid pcr 1/12/22
Aktuelle Erkrankungen
unknown
Vorgeschichte
(last Echo 09/27/21: EF 35 to 40%), COPD (2L of oxygen at home), CAD s/p multiple stent placements, CKDIII, Afib on Apixaban, HTN, HLD
Andere Medikamente
unknown
Allergien
adhesive tape
Vorherige Impfungen
-

VAERS 2034929

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

gering
Staat
PR
Alter
13,0
Geschlecht
F
Eingang
14.01.2022
Impfdatum
14.01.2022
Beginn
14.01.2022
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 Product administered to patient of inappropriate age

Symptomtext

A 13 year old patient was administered a dose of Moderna .25cc. There was no adverse reaction and no negative symptoms.

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
-
Vorgeschichte
Autism
Andere Medikamente
N/A
Allergien
None
Vorherige Impfungen
-

VAERS 2029564

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
MN
Alter
34,0
Geschlecht
F
Eingang
12.01.2022
Impfdatum
12.01.2022
Beginn
12.01.2022
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Underdose

Symptomtext

GIVEN HALF-DOSE.

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

VAERS 2029563

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
MN
Alter
42,0
Geschlecht
M
Eingang
12.01.2022
Impfdatum
12.01.2022
Beginn
12.01.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Underdose

Symptomtext

GIVEN HALF-DOSE.

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

VAERS 2028766

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
IA
Alter
17,0
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: unbekannt Erholt: nein
Product administered to patient of inappropriate age

Symptomtext

Vaccine was administered to a 17 year old female. Moderna has EUA for 18 years and older.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
unknown
Vorgeschichte
unknown
Andere Medikamente
Unknow
Allergien
none
Vorherige Impfungen
-

VAERS 2025937

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
PR
Alter
27,0
Geschlecht
F
Eingang
11.01.2022
Impfdatum
11.01.2022
Beginn
11.01.2022
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

During the interview, the nurse ask to the patient which previous dose she had administered and she indicates that she has been administered the COVID 19 Moderna vaccine. After a consult with the medical director of the facility, from which dose correspond to the patient due to her medical history either a 0.25 ml or a 0.50 ml dose, Dr. indicates that the corresponding dose is 0.50 ml. After administration of the vaccine, when the form was in the quality area, the employee notice that the previous dose was 0.50 ml of COVID19 Janssen vaccine. After this event, a consult was made with Dr. due to that there was an erroneous administration of the vaccine due that the corresponding dose should have been 0.25 ml since it is considered a booster, as it has been established in the CDC guidelines.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
NONE
Aktuelle Erkrankungen
-
Vorgeschichte
Chron's Syndrome
Andere Medikamente
Humira 80 mg - Imuran 50 mg -
Allergien
Renflexis - which induces anaphylactic shock
Vorherige Impfungen
-

VAERS 2025292

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J21-2A

gering
Staat
TX
Alter
17,0
Geschlecht
F
Eingang
11.01.2022
Impfdatum
11.01.2022
Beginn
11.01.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
No adverse event Product administered to patient of inappropriate age

Symptomtext

Patient was due for COVID booster. Administered Moderna Booster to patient who is 17 years and 4 months old. Consulted with supervising physician and chief nursing officer for clinical practice group. Patient and parent of patient are aware. No adverse events occurred post vaccination.

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2020718

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001J212A

gering
Staat
FL
Alter
49,0
Geschlecht
F
Eingang
10.01.2022
Impfdatum
07.01.2022
Beginn
09.01.2022
Tage bis Beginn
2,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Lymphadenopathy

Symptomtext

Swollen lymph node under left arm and left side of neck, both are very large 3 - 5 inches in size

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

VAERS 2010653

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 001j21-2a

gering
Staat
NY
Alter
12,0
Geschlecht
F
Eingang
06.01.2022
Impfdatum
05.01.2022
Beginn
06.01.2022
Tage bis Beginn
1,0
Dosis
1
Route/Site
- / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product administered to patient of inappropriate age

Symptomtext

pt is only 12 years old and received the moderna vaccine - which is not recommended for this pt age. Moderna was contacted - case # MOD22-001168. was told to just monitor pt but should be safe and no further action required by pharmacy,

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
none -
Allergien
none
Vorherige Impfungen
-