- Staat
- AR
- Alter
- 75,0
- Geschlecht
- M
- Eingang
- 20.02.2023
- Impfdatum
- 04.10.2022
- Beginn
- 12.02.2023
- Tage bis Beginn
- 131,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
Death
SARS-CoV-2 test positive
Symptomtext
Pt admitted to hospital on 2/12 with covid and pt died on 2/18
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- 7,0
- Labordaten
- Positive covid test 2/13
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Hypercholesterolemia, HTN, Shortness of breath on exertion
- Andere Medikamente
- Unknown
- Allergien
- Dyazide
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 81,0
- Geschlecht
- M
- Eingang
- 19.01.2023
- Impfdatum
- 09.02.2022
- Beginn
- 05.01.2023
- Tage bis Beginn
- 330,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
Death
SARS-CoV-2 test positive
Symptomtext
Death on 01/05/2023
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- -
- Labordaten
- Positive Covid-19 test on 11/29/2022
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- COPD; OSC: COVID-19; CHF; a-fib; HLD
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 51,0
- Geschlecht
- F
- Eingang
- 29.08.2022
- Impfdatum
- 10.02.2022
- Beginn
- 20.02.2022
- Tage bis Beginn
- 10,0
- Dosis
- 3
- Route/Site
- SYR / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
Cardiac arrest
Cardioversion
Death
Endotracheal intubation
General physical health deterioration
Intensive care
Pneumonia aspiration
Resuscitation
Symptomtext
The patient presented to Hospital on 02/20/2022 in cardiac arrest. Pre-arrival treatment included CPR, Oxygen, intubation, defibrillated, and epi. ROSC was achieved prior to arrival. The patient's hospital course was complicated by aspiration PNA and Covid. The patient worsened throughout the ICU course. Palliative care was consulted on 02/23/2022. The patient was transitioned to comfort care on 02/26/2022. The patient expired on 02/27/2022.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cardiac arrest
- Hospital-Tage
- 7,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 45,0
- Geschlecht
- M
- Eingang
- 14.04.2022
- Impfdatum
- 25.01.2022
- Beginn
- 28.01.2022
- Tage bis Beginn
- 3,0
- Dosis
- 3
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: ja
Disable: ja
ER: ja
Erholt: nein
Cerebrovascular accident
Laboratory test
Magnetic resonance imaging head abnormal
Malaise
Ophthalmological examination abnormal
Visual impairment
Symptomtext
I was closing down the pharmacy and I wasn't feeling well or seeing well. I called my wife to come get me and taken to the hospital. The doctor did some diagnostic test and let me go after a few hours but I couldn't see well still. Two days later I went to my eye doctor to get my eyes checked and he said he thought my stroke was still active. I got admitted to a ER and they diagnosed that I had a stroke after they did an MRI. They're currently treating me for the after effect of the stroke. I still can't see well and I'm on medication to prevent any other strokes.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cerebrovascular accident
- Hospital-Tage
- 2,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- Vitamin D3 1250 mcg once a week; Vitamin B12 2500mcg once a week
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 30.03.2022
- Impfdatum
- 24.02.2022
- Beginn
- 19.03.2022
- Tage bis Beginn
- 23,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Death
Symptomtext
Client has died on 3/19/2022 as written in an obituary for her.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- -
- Labordaten
- Unknown
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Rheumatoid Arthritis
- Andere Medikamente
- Unknown
- Allergien
- Penicillin as a child
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 43,0
- Geschlecht
- M
- Eingang
- 28.02.2022
- Impfdatum
- 11.02.2022
- Beginn
- 22.02.2022
- Tage bis Beginn
- 11,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: ja
Cardiac arrest
Cardiac disorder
Carditis
Implantable defibrillator insertion
Resuscitation
Catheterisation cardiac
Echocardiogram
Laboratory test
Magnetic resonance imaging heart
Malaise
Myocarditis
Vaccination complication
Symptomtext
Patient went into cardiac arrest on 2/22/22. Spouse started CPR until squad arrived. Patient had a defibrillator placed while in hospital. Cardiac issues were caused by inflammation of the heart that was caused by the vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cardiac arrest
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- -
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 24.02.2022
- Impfdatum
- 07.02.2022
- Beginn
- 10.02.2022
- Tage bis Beginn
- 3,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Acute respiratory failure
Aldolase
Angiogram
Blood lactic acid
C-reactive protein
Chest X-ray abnormal
Chills
Computerised tomogram abdomen
Decreased appetite
Echocardiogram
Full blood count
Hepatobiliary scan
Malaise
Metabolic function test
Nausea
Illness
Mental status changes
Transaminases increased
Symptomtext
Per PCP, hospital follow up note, 2-18-22 Patient is a 57-year-old female status post pancreas and kidney transplant who presents today for follow-up after recent hospitalization for altered mental status, transaminitis of unclear etiology. She is doing much better at today's visit as compared to her visit last week prior to her hospital stay 1. Transaminitis-LFTs were improving at the time of discharge. Etiology is unclear but the patient's pravastatin and Tylenol were discontinued appropriately given her LFT elevations. I have asked her renal clinic to redraw her LFTs next week and we will likely discuss restarting at least the pravastatin when she follows up with me next week. Of note, the patient's transaminitis did occur after receiving the Covid vaccination and this is the second time she has become ill within a week of receiving the Covid vaccine requiring hospital stay. I have filed a report with the vaccine adverse drug event reporting system.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Acute respiratory failure
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 73,0
- Geschlecht
- F
- Eingang
- 11.02.2022
- Impfdatum
- 26.01.2022
- Beginn
- 10.02.2022
- Tage bis Beginn
- 15,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
Angiogram cerebral abnormal
Anticoagulant therapy
Aortic dilatation
Aortic stenosis
Aortic valve incompetence
Arterial catheterisation
Arterial occlusive disease
Arteriogram carotid abnormal
Arteriosclerosis
Cerebellar infarction
Cerebral artery occlusion
Cerebral infarction
Cerebral ischaemia
Cerebrovascular accident
Chest X-ray normal
Computerised tomogram abdomen normal
Computerised tomogram head abnormal
Condition aggravated
Symptomtext
Patient is a 73 yo woman with h/o afib, PE, severe AS who presented with slurred speech, left sided weakness/incoordination found to have acute stroke CVA: slurred speech and left sided weakness/incoordination. --CTA with right MCA occclusion. Underwent thrombectomy 2/10 --unclear why she developed this while on eliquis but does have h/o PE and afib and family history of DVT as well --check antiphospholipid ab for if positive, would consider transition to warfarin --consider malignancy but just had CT c/a/p last week in preparation for possible TAVR and there was no evidence of malignancy there. --aspirin for now per neurology. --TEE ordered for 2/11. --consider change to xarelto or coumadin as stroke occurred on eliquis --neurology following --PT/OT/speech following but deficits seem resolved Atrial fibrillation: long standing --hold eliquis for now as risk of bleeding higher than clotting after acute stroke. Defer to neurology for when to resume anticoagulation --continue aspirin for now --continue metoprolol Hyperlipidemia: normally on crestor, here on lipitor --lipid panel in a.m. Severe aortic stenosis: last echo with AVA 0.45 --being considered for TAVR vs surgical AVR --stop IVF; is at risk for volume overload --daily weights, accurate I/Os
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cerebrovascular accident
- Hospital-Tage
- 1,0
- Labordaten
- MRI BRAIN WWO CONTRAST Result Date: 2/10/2022 IMPRESSION: Multiple infarcts predominantly within the vascular territory of the right middle cerebral artery including in the superior lateral right frontal lobe, right insula, posterior right lentiform nucleus, superior medial right thalamus, and right occipital lobe. Three punctate foci of restricted diffusion compatible with lacunar infarcts are also present in the left cerebellum. Reading Radiologist - Dictation Date Time - 02/10/2022 12:08 Signed Date Time - 02/10/2022 12:46 Transcriptionist - NA XR CHEST 1VW PORTABLE Result Date: 2/10/2022 IMPRESSION: No acute cardiopulmonary process. Reading Radiologist - Dictation Date Time - 02/10/2022 09:58 Signed Date Time - 02/10/2022 09:59 Transcriptionist - NA CT CEREBRAL PERFUSION ANALYSIS - cerebral ischemia/neuro deficit Result Date: 2/10/2022 FINDINGS/IMPRESSION: Perfusion Deficit: Right middle cerebral artery distribution. Tmax>6.0 sec volume (estimated ischemic tissue+infarct core) 102 mL. CBF <30 Volume (estimated infarct core): 0 mL. Mismatch Volume (estimated ischemic tissue at risk): 102 mL. Mismatch Ratio (ischemia+core/core): infinite. Reading Radiologist Dictation Date Time - 02/10/2022 04:46 Signed Date Time - 02/10/2022 04:48 Transcriptionist - NA CT ANGIO BRAIN NECK STROKE - cerebral ischemia/neuro deficit Result Date: 2/10/2022 IMPRESSION: There is an abrupt cutoff of opacification of the right middle cerebral artery within the proximal M1 segment consistent with acute thromboembolic disease. Critical Results Finding: Critical Stroke Protocol. A message has been communicated to MD on 2/10/2022 4:56. Triage of patient for large vessel occlusion using Rapid LVO to measure intracranial arterial blood flow with notification to stroke team to prioritize workflow if positive diagnosis. Reading Radiologist Dictation Date Time - 02/10/2022 04:54 Signed Date Time - 02/10/2022 05:00 Transcriptionist - NA CT BRAIN - Stroke Result Date: 2/10/2022 IMPRESSION: No acute intracranial abnormality. No CT evidence of early infarct, hemorrhage or mass effect. Critical Results Finding: Critical Stroke Protocol. A message has been communicated to MD on 2/10/2022 4:42 AM. Reading Radiologist Dictation Date Time - 02/10/2022 04:41 Signed Date Time - 02/10/2022 04:43 Transcriptionist - NA IR CAROTID CEREBRAL ANGIOGRAM Result Date: 2/10/2022 IMPRESSION: 1. Successful, transarterial thrombectomy using manual aspiration through Sofia catheter and Solitaire stent retriever for occluded M1 segment of the right middle cerebral artery (MCA) as described above. Post thrombectomy TICI score is 2b. 2. Mild atherosclerotic disease at the right carotid bifurcation. 3. Severe tortuosity of the cervical right internal carotid artery (ICA). Reading Radiologist Dictation Date Time - 02/10/2022 07:57 Transcriptionist - NA ECHO: Left ventricular cavity size is normal. Left ventricular wall thickness is normal. ? Left ventricular systolic function is normal. Ejection fraction is 5560%. ? No regional wall motion abnormalities present. ? Severe aortic valve stenosis, mean gradient 46.3 mmHg, AVA 0.45 cm?, AVmax 4.5 m/s. ? Mild aortic valve regurgitation. ? Trace mitral regurgitation. ? Mild tricuspid valve regurgitation. ? Pulmonary arterial systolic pressure is within the normal range, 22.4 mmHg. ? Mildly dilated proximal ascending aorta, 4.2 cm. ? No significant pericardial effusion.
- Aktuelle Erkrankungen
- none known
- Vorgeschichte
- afib, aortic stenosis, hypercholestolemia,
- Andere Medikamente
- ASA 81mg daily, Cholecalciferol 400 units BID, Eliquis 5mg BID, metoprolol tartrate 25mg 1.5 tablets BID, Rosuvastatin 20mg daily
- Allergien
- Ciprofloxacin
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 34,0
- Geschlecht
- F
- Eingang
- 28.12.2022
- Impfdatum
- 20.01.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- 193,0
- Dosis
- 3
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Anticoagulant therapy
Stent placement
Thrombosis
Ultrasound Doppler abnormal
Symptomtext
Patient developed blood clots in left thigh. 1 removed- length of thigh. 1 removed length of belly button to left knee. A Stent was placed in groin area. There's now another one with limited blood flow. Xarelto is being used to help reduce clots.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Thrombosis
- Hospital-Tage
- -
- Labordaten
- Venous Dopplar revealed clots in October 2022. Then again in December 2022
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Born mentally disabled After 16 yrs schizo affective disorder
- Andere Medikamente
- -
- Allergien
- Pumpkin. Penicillin, tramadol, Iodine, Velosef, latex adhesives
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 50,0
- Geschlecht
- F
- Eingang
- 04.04.2022
- Impfdatum
- 10.02.2022
- Beginn
- 20.03.2022
- Tage bis Beginn
- 38,0
- Dosis
- 2
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Asthenia
Bell's palsy
Ear pain
Eye irritation
Facial paralysis
Feeling abnormal
Laboratory test
Magnetic resonance imaging
Speech disorder
Swelling face
Tenderness
Symptomtext
On the morning of March20th, I woke up from bed later than usual -- and unable to talk well. I went into the ER and was diagnosed with Bells Palsy. The day before, I felt "funny", a bit weaker than usual and my left eye was somewhat irritated. Nothing else was wrong with me and I had no sickness or anything notable to report that was happening with my body. It came on suddenly. I have complete paralysis of my left side face. And my inner ear hurts a great deal, now. That didn't start until after 1 week. My face is also tender to touch and slightly swollen as well.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Bell's palsy
- Hospital-Tage
- -
- Labordaten
- I received a number of tests at Hospital on 3/20. I don't have those with me at this time. I was scheduled for an MRI through Internal Medicine; but they cancelled it and won't see me anymore until I pay my $400 bill. I am in search of a new doctor as of 4/4/2022; to find someone who can help me feel better.
- Aktuelle Erkrankungen
- None (Dec 20th of 2021, I was diagnosed with Covid19) -- I was well when I took this vaccine; which was my 2nd dose.
- Vorgeschichte
- HBP
- Andere Medikamente
- Hypertension Med;
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 46,0
- Geschlecht
- M
- Eingang
- 13.03.2022
- Impfdatum
- 24.01.2022
- Beginn
- 12.02.2022
- Tage bis Beginn
- 19,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Computerised tomogram normal
Electrocardiogram abnormal
Generalised tonic-clonic seizure
Loss of consciousness
Symptomtext
On 02/12/2022 I had a Grand-Mal Seizure that lasted 5 minutes while shopping with my wife at a store. The seizure was caught and the EMTs that arrived, and my wife asked security to review the tapes while I was still unconscious. They claimed it was 5 minutes, with an additional 2 minutes of unconsciousness. I was taken by Ambulance to the ER, was given CT Scan(5mm cuts) - Normal outcome. No visible injuries. Made appointment with Neurology for 03-10-2022. They have set up dates to have MRI Scan of Brain(CPT) , and Sleep Deprivation Test done (EEG) in the next few weeks. General consensus is the booster cause the seizure do to the fact I have severe Psoriasis which causes massive inflammation of the skin, and internal organs. I should have not taken the booster shot due to this reason alone.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Generalised tonic-clonic seizure
- Hospital-Tage
- -
- Labordaten
- CT Scan - Normal EKG - Abnormal EEG - 03-31-2022 CPT - TBD
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Psoriasis
- Andere Medikamente
- Taltz, Albuterol, Methadone, Amlodipine, Losartan.
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 21,0
- Geschlecht
- M
- Eingang
- 11.03.2022
- Impfdatum
- 09.02.2022
- Beginn
- 28.02.2022
- Tage bis Beginn
- 19,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: ja
Activated partial thromboplastin time shortened
Anticoagulant therapy
Benzodiazepine drug level
Blood cholesterol normal
Blood creatine phosphokinase increased
Blood creatinine normal
Blood magnesium increased
Blood potassium normal
Blood urea normal
Blood magnesium normal
Blood potassium decreased
Blood thyroid stimulating hormone normal
Blood triglycerides normal
Blood uric acid normal
Bordetella test negative
Brain natriuretic peptide normal
Bundle branch block right
C-reactive protein increased
Symptomtext
Patient received the Moderna SARS-CoV-2 vaccine on 09FEB2022. No immediate reactions were noted. On 28FEB22 he began to experience chest wall pain with inspiration made worse by laying down. Pain continued throughout the day, so by 2200 he presented himself to the emergency department and was admitted to local Heart Hospital. Admission diagnoses were chest pain, hyperuricemia, elevated CRP, and rule out pericarditis. He was admitted from 28FEB22 through 03MAR22, and cardiology was consulted. He was discharged on colchicine 0.6 mg PO bid for 3 months, ASA 81 mg PO daily, famotidine 20 mg PO bid, and allopurinol 100 mg PO bid. On 03MAR2022, RN on behalf of the cardiologist, recommended no further doses of SARS-CoV-2 vaccine. Brief course of enoxaparin administered while inpatient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pericarditis
- Hospital-Tage
- 4,0
- Labordaten
- 28FEB2022 @2243 EKG NSR with right bundle branch block without acute ischemia (not ACS); repeat EKG unchanged on 02MAR22 @0849. Results follow from local Heart Hospital: 01MAR22 normal chest radiograph @0047; US TEE w/Doppler @1509 disclosed LV EF 55-60%, borderline concentric left ventricular hypertrophy, mildly elevated pulmonary artery systolic pressure, and normal size/function of right ventricle, bilateral atria, and mitral and aortic valves; troponin neg twice @0100 and @0211. 01MAR22 labs @0100 revealed low K 3.1 (3.5-5.1); high CK 356 IU/L (26-308); high uric acid 8.3 mg/dL; high CRP 3.61 mg/dL (0.00-0.30); normal creatinine 1.1 mg/dL (0.6-1.3); PT 11.8 s (9.9-11.6); INR 1.11 (0.80-1.20); PTT 23.8 s (23.9-34.9); low WBC 3.7K; low H/H = 13.70/38.6%; normal HbA1c 5.0%; normal sed rate 8; normal D-dimer ULT 223 ng/mL (0-499); neg for rapid H. pylori, coronaviruses (229E, HKU1, NL63, OC43), human metapneumovirus, human rhino/enterovirus, influenza A/B, parainfluenza (1, 2, 3, 4), RSV, Bordetella pertussis, C. pneumoniae, Mycoplasma pneumoniae, B. parapertussis, and SARS-CoV-2; normal TSH 3.450 mcIU/mL; normal total T4 = 6.70 mcg/dL; normal BNP <5.0 pg/mL (0.0-100.0); normal RA factor 6.8 IU/mL; neg urine tox screen (amphetamine, benzodiazepine, cocaine, PCP, opiates, cannabinoids, barbiturates); cholesterol 104; trig 70; HDL 62; direct LDL 36; normal magnesium 2.1 mg/dL (1.8-2.4); eGRF non-African American 95.45 (normal >60). 02MAR2022 low WBC 2.7K, low H&H 12.9/36.5, K 3.8, BUN 19, CREAT 1.0, magnesium 2.3, normal CK 149.
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE. Family HX includes grandparents with MI.
- Andere Medikamente
- NONE
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 28,0
- Geschlecht
- M
- Eingang
- 04.03.2022
- Impfdatum
- 04.03.2022
- Beginn
- 04.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Fall
Head injury
Syncope
Thermal burn
Symptomtext
Patient experience a syncope reaction. He fell forward from his chair and experienced some rug burn on his forehead.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unkown.
- Allergien
- Unknown
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 33,0
- Geschlecht
- F
- Eingang
- 15.02.2022
- Impfdatum
- 14.02.2022
- Beginn
- 14.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Seizure
Symptomtext
PATIENT WITH HISTORY OF SIEZURE DISORDER HAD A SEIZURE APPROXIMATELY 5-10 MINUTES AFTER RECEIVING HER BOOSTER OF MODERNA 0.25ML. STATED HAD NOT HAD THIS HAPPEN WITH PREVIOUS TWO DOSES.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure
- Hospital-Tage
- -
- Labordaten
- PATIENT SEEN BY NP IN CLINIC POST VACCINE AND SEIZURE.
- Aktuelle Erkrankungen
- HISTORY OF SEIZURES
- Vorgeschichte
- HISTORY OF SEIZURES
- Andere Medikamente
- LORazepam 1 mg oral tablet, 1 mg, 1 tabs, PO, TID PHENobarbital 64.8 mg oral tablet, 64.8 mg, 1 tabs, PO, BID phenytoin 100 mg oral capsule, extended release, 200 mg, 2 caps, PO, BID TEGretol 200 mg oral tablet, 200 mg, 1 tabs, PO, QID
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 23,0
- Geschlecht
- M
- Eingang
- 11.02.2022
- Impfdatum
- 08.02.2022
- Beginn
- 09.02.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: ja
ER: ja
Erholt: nein
Blood test
Chills
Dehydration
Dizziness
Electrocardiogram
Gait disturbance
Loss of consciousness
Pyrexia
Symptomtext
Passed out, fever, chills, dehydrated, dizzy, still cant walk straight and without almost passing out. Being sent to see another Dr in a few days.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- EKG, blood work. 02/10/2022
- Aktuelle Erkrankungen
- Tested positive for covid on 02/02/2022 and was still recovering when employer and pharmacist knew this when they made me submit to vaccine
- Vorgeschichte
- Passed out at work and mother had to rush me to ER, severely dehydrated, fever, chills, can?t eat, dizzy to the point I can not walk still, and have memory loss.
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 25,0
- Geschlecht
- F
- Eingang
- 10.02.2022
- Impfdatum
- 28.01.2022
- Beginn
- 31.01.2022
- Tage bis Beginn
- 3,0
- Dosis
- 1
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Anxiety
Heavy menstrual bleeding
Pregnancy test
Thrombosis
Vaginal haemorrhage
Symptomtext
This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 03-Feb-2022 and was forwarded to Moderna on 03-Feb-2022. WARNING: THE STUDY CONFIGURATION IS MISSING THE STUDY PHASE. PLEASE UPDATE THE STUDY PHASE AND RE-GENERATE THE NARRATIVE AGAIN. The subject received mRNA-1273 (Moderna COVID-19 Vaccine). The report describes a case of THROMBOSIS (Clotting). The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 31-Jan-2022, the patient experienced HEAVY MENSTRUAL BLEEDING (Started bleeding/bleeding started 2.5 weeks before my actual period date/all the blood that was coming out/how heavy her period was) and VAGINAL HAEMORRHAGE (Vaginal bleeding). On 02-Feb-2022, the patient experienced THROMBOSIS (Clotting) (seriousness criterion medically significant). On an unknown date, the patient experienced ANXIETY (Worried). At the time of the report, THROMBOSIS (Clotting), HEAVY MENSTRUAL BLEEDING (Started bleeding/bleeding started 2.5 weeks before my actual period date/all the blood that was coming out/how heavy her period was), VAGINAL HAEMORRHAGE (Vaginal bleeding) and ANXIETY (Worried) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 31-Jan-2022, Pregnancy test: negative (Negative) Negative. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication was reported. Patient had to go to the doctor because of how heavy her period was. Her appointment is later today 03-Feb-2022. Her last cycle was 18-Jan-2022 to 21-Jan-2022. Patient thought she had a miscarriage because of all the blood that was coming out. Patient wants to know if normal and how long it lasts. The patient confirmed that it was vaginal bleeding. Treatment medication was not provided by the reporter. Company comment: This regulatory authority case concerns a 25-year-old female patient with no reported relevant medical history, who experienced the serious unexpected event of thrombosis approximately 6 days after the last dose of mRNA-1273 (Spikevax). The patient experienced the possible manifestations of heavy menstrual bleeding, vaginal haemorrhage and anxiety. The benefit-risk relationship of mRNA-1273 (Spikevax) is not affected by this report. Sender's Comments: This regulatory authority case concerns a 25-year-old female patient with no reported relevant medical history, who experienced the serious unexpected event of thrombosis approximately 6 days after the last dose of mRNA-1273 (Spikevax). The patient experienced the possible manifestations of heavy menstrual bleeding, vaginal haemorrhage and anxiety. The benefit-risk relationship of mRNA-1273 (Spikevax) is not affected by this report.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Thrombosis
- Hospital-Tage
- -
- Labordaten
- Test Date: 20220131; Test Name: Pregnancy test; Test Result: Negative; Result Unstructured Data: Negative.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 22,0
- Geschlecht
- F
- Eingang
- 06.02.2022
- Impfdatum
- 06.02.2022
- Beginn
- 06.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Hypotonia
Immediate post-injection reaction
Syncope
Unresponsive to stimuli
Symptomtext
PATIENT HAD A SYNCOPAL EPISODE IMMIDIATELY AFTER RECEIVING THE VACCINE. PATIENT SLUMPED OVER AND WAS UNRESPONSIVE FOR ABOUT 40 SECONDS. PATIENT WAS SUBSEQUENTLY RESPONSIVE AND VERBALIZED THAT SHE GETS EXTREMELY ANXIOUS WHEN SHE GETS ANY KIND OF INJECTION, IS TERRIFIED OF NEEDLES, AND THAT SHE NOW FELT OKAY. PATIENT HAD A BOTTLE OF WATER AND SAT IN THE WAITNG AREA FOR ABOUT 15 MINUTES AFTER WHICH SHE LEFT THE PHARMACY. TRIED TO CALL HER TO CHECK ON HER AFTER 3 HOURS BUT WAS NOT ABLE TO GET A HOLD OF HER.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- HPV VACCINE
- Vorherige Impfungen
- -
- Staat
- VT
- Alter
- 45,0
- Geschlecht
- M
- Eingang
- 29.01.2022
- Impfdatum
- 29.01.2022
- Beginn
- 29.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Dizziness
Head injury
Syncope
Symptomtext
PATIENT RECIEVES 1ST MODERNA COVID VACCINE. FIVE MINUTES POST VACCINATION PATIENT STARTED TO FEEL DIZZY, FAINTS AND HITS HEAD. 911 IS CALLED BY A BYSTANDER. PATIENT BECOMES ORIENTED AND STATES HE IS FINE. PATIENT IS TAKEN INTO CARE OF PARAMEDIC TEAM.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- NONE KNOWN
- Aktuelle Erkrankungen
- none known
- Vorgeschichte
- general anxiety
- Andere Medikamente
- none known
- Allergien
- none known
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 51,0
- Geschlecht
- F
- Eingang
- 29.01.2022
- Impfdatum
- 24.01.2022
- Beginn
- 24.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Eye movement disorder
Feeling abnormal
Hallucination
Headache
Hot flush
Injection site pain
Musculoskeletal stiffness
Myalgia
Seizure
Skin warm
Swelling face
Vomiting
Symptomtext
feeling off; left injection site arm is very painful; Seizure; vomited 4 times; body aches; head ache/massive headache; Hallucinations; patients eyes went back in her head; face started swelling; left side of my body went stiff.; hot flashes; skin was red; skin was hot; This spontaneous case was reported by a consumer and describes the occurrence of SEIZURE (Seizure) and HALLUCINATION (Hallucinations) in a 51-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Autoimmune disorder, Autoimmune hepatitis, Lupus syndrome, Rheumatoid arthritis, Irritable bowel syndrome, Chronic kidney disease stage 3 and Colitis. Concomitant products included AZATHIOPRINE (IMURAN [AZATHIOPRINE]), PREDNISONE, HYDROXYCHLOROQUINE, ESCITALOPRAM OXALATE (LEXAPRO), OMEPRAZOLE, GABAPENTIN, ALPRAZOLAM (XANAX), AMLODIPINE BESILATE (NORVASC), ZOLPIDEM TARTRATE (AMBIEN), LEVOTHYROXINE, TRAZODONE, CYANOCOBALAMIN (VITAMIN B12 [CYANOCOBALAMIN]) and TIZANIDINE for an unknown indication. On 24-Jan-2022, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 24-Jan-2022, the patient experienced HALLUCINATION (Hallucinations) (seriousness criterion medically significant), EYE MOVEMENT DISORDER (patients eyes went back in her head), SWELLING FACE (face started swelling), MUSCULOSKELETAL STIFFNESS (left side of my body went stiff.), HOT FLUSH (hot flashes), ERYTHEMA (skin was red), SKIN WARM (skin was hot), MYALGIA (body aches) and HEADACHE (head ache/massive headache). On 24-Jan-2022 at 1:00 PM, the patient experienced VOMITING (vomited 4 times). On 24-Jan-2022 at 3:30 PM, the patient experienced SEIZURE (Seizure) (seriousness criterion medically significant). On 25-Jan-2022, the patient experienced FEELING ABNORMAL (feeling off) and INJECTION SITE PAIN (left injection site arm is very painful). At the time of the report, SEIZURE (Seizure), HALLUCINATION (Hallucinations), EYE MOVEMENT DISORDER (patients eyes went back in her head), SWELLING FACE (face started swelling), MUSCULOSKELETAL STIFFNESS (left side of my body went stiff.), FEELING ABNORMAL (feeling off), HOT FLUSH (hot flashes), ERYTHEMA (skin was red), SKIN WARM (skin was hot), INJECTION SITE PAIN (left injection site arm is very painful), VOMITING (vomited 4 times), MYALGIA (body aches) and HEADACHE (head ache/massive headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. The patient was on immunosuppressants. The patients mother told her daughter that she had 3 seizures and that it was looked like the patient was looking through her Mom and not at her. The patients eyes went back in her head, face started swelling , and the left side of my body went stiff. The patients Mother also reports that her daughter was having hallucinations. No Treatment medications were provided. Company comment: This spontaneous case concerns a 51-year-old female patient with a relevant medical history of Systemic lupus erythematous and concomitant use of Hydroxychloroquine, Escitalopram, Alprazolam, Zolpidem, Trazodone and Tizanidine who experienced the unexpected serious events of Seizure (AESI) and Hallucination after mRNA- 1273 vaccine. The onset of the events occurred on the day after the first dose of mRNA- 1273 vaccine. It was reported that the patient experienced three seizures, clinical manifestations included eye rolling, swelling face and musculoskeletal stiffness. No information is available regarding medical assessment and diagnostic work-up. Previous history of Systemic lupus erythematous and polypharmacy remain a confounder. The benefit-risk relationship of mRNA- 1273 vaccine is not affected by this report. On 24JAN2022 at 3:30 the patient suffered a seizure. The patient vomited 4 times on 24JAN2022. The vomiting started at 1PM on 24JAN2022. The patient reports feeling off on 25JAN2022. The patient had headaches, body aches, and hot flashes that started 24JAN2022 and continue through today. The patient has a massive headache. The patients mother is a nurse. The patients mother told her daughter that she had 3 seizures and that it looked like the patient was looking through her Mom and not at her. The patients eyes went back in her head, face started swelling , and the left side of my body went stiff. The patients Mother also reports that her daughter was having hallucinations. Patient also feels like her skin was red and hot.; Sender's Comments: This spontaneous case concerns a 51-year-old female patient with a relevant medical history of Systemic lupus erythematous and concomitant use of Hydroxychloroquine, Escitalopram, Alprazolam, Zolpidem, Trazodone and Tizanidine who experienced the unexpected serious events of Seizure (AESI) and Hallucination after mRNA- 1273 vaccine. The onset of the events occurred on the day after the first dose of mRNA- 1273 vaccine. It was reported that the patient experienced three seizures, clinical manifestations included eye rolling, swelling face and musculoskeletal stiffness. No information is available regarding medical assessment and diagnostic work-up. Previous history of Systemic lupus erythematous and polypharmacy remains a confounder. The benefit-risk relationship of mRNA- 1273 vaccine is not affected by this report.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Autoimmune disorder; Autoimmune hepatitis; Chronic kidney disease stage 3; Colitis; Irritable bowel syndrome; Lupus syndrome; Rheumatoid arthritis
- Vorgeschichte
- -
- Andere Medikamente
- IMURAN [AZATHIOPRINE]; PREDNISONE; HYDROXYCHLOROQUINE; LEXAPRO; OMEPRAZOLE; GABAPENTIN; XANAX; NORVASC; AMBIEN; LEVOTHYROXINE; TRAZODONE; VITAMIN B12 [CYANOCOBALAMIN]; TIZANIDINE
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 39,0
- Geschlecht
- M
- Eingang
- 27.01.2022
- Impfdatum
- 27.01.2022
- Beginn
- 27.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Syncope
Tremor
Symptomtext
Moderna dose was given first then Fluarix dose was administered, patient immediately experienced a syncopal episode with some shaking associated with it. Patient came to and declined EMS services but remained in the pharmacy waiting area under observation for 20 additional minutes after with no more reported effects.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- na
- Aktuelle Erkrankungen
- na
- Vorgeschichte
- none
- Andere Medikamente
- na
- Allergien
- none
- Vorherige Impfungen
- Patient did state he had a similar episode when he was very young, did not know all the details. Recommended him to separate vac
- Staat
- IL
- Alter
- 20,0
- Geschlecht
- F
- Eingang
- 27.01.2022
- 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: ja
Syncope
Symptomtext
PATIENT RECEIVED VACCINATION WHILE SITTING IN CONSULTATION ROOM. SHE STOOD UP AND WALKED OUT TO WAIT IN CHAIRS AND FAINTED.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- UNSURE
- Vorgeschichte
- UNSURE
- Andere Medikamente
- UNSURE
- Allergien
- NO
- Vorherige Impfungen
- FAINTING BUT UNSURE OF AGE AND VACCINE TYPE
- Staat
- MO
- Alter
- 51,0
- Geschlecht
- F
- Eingang
- 25.01.2022
- Impfdatum
- 24.01.2022
- Beginn
- 24.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Condition aggravated
Hallucination
Headache
Hyperventilation
Malaise
Musculoskeletal stiffness
Pain
Seizure
Tardive dyskinesia
Vomiting
Symptomtext
Vomiting 3 hours after vaccine (about 1pm). Seizure 5 hours after vaccine (about 3pm), stiff on left side of body, smacking mouth & deep breathing. This would start & stop about 4 times. Hallucinating for a while beginning about 5 or 6pm, hot all evening, has had a headache every since the seizure, still has body aches & does not feel well.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure
- Hospital-Tage
- -
- Labordaten
- None, patient refuses to go to the hospital.
- Aktuelle Erkrankungen
- Autoimmune hepatitis, lupus SLE, stage 3 kidney disease, RA, IBS, Colitis, Sjogren's Syndrome, Raynaud's Syndrome & unspecified headache disorder.
- Vorgeschichte
- Same as #11
- Andere Medikamente
- Omeprazole; Hydroxychloroquine; Gabapentin; Amlodipine; Levothyroxine; Lexapro; Azathioprine; Prednisone; Vitamin B-12; Alprazolam; Trazodone; Ondansetron; Stadol; Viactiv; Vitamin.
- Allergien
- Multiple, to supply list later, not available now.
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 21,0
- Geschlecht
- M
- Eingang
- 24.01.2022
- Impfdatum
- 19.01.2022
- Beginn
- 22.01.2022
- Tage bis Beginn
- 3,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
Myocarditis
Symptomtext
"Myocarditis" as reported by patient's mother, currently hospitalized. Have not spoken to patient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Myocarditis
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 92,0
- Geschlecht
- M
- Eingang
- 21.01.2022
- Impfdatum
- 19.01.2022
- Beginn
- 20.01.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
Angiogram pulmonary abnormal
Asthenia
COVID-19
Chest X-ray abnormal
Emphysema
Fall
Interstitial lung disease
Lung disorder
Nausea
Pneumonitis
Pulmonary oedema
SARS-CoV-2 test negative
SARS-CoV-2 test positive
Urinary tract infection
Urine analysis abnormal
Vomiting
Symptomtext
This is a 92 year old malewith past medical history of non-insulin dependent DM Type 2, renal calculi and bladder polyps who presented to the ED with complaints of nausea, vomiting and weakness, s/p mechanical fall. He denies any LOC or hitting his head. He reports two occastions of n/c today and subsequent weakness and fall. He was found on the ground at home by a neighbor who assisted in calling 911. A Urinalysis was suspicious for UTI. A CXR showed interstitial PNA, pulmonary edema vs pneumonitis. A CTA of the chest was neg for PE however did show a lesion in the RUL and severe emphysematic changes. (recommending PET scan) On arrival he was 90% on room air and his sats improved to 100@% on 2L n/c.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pulmonary oedema
- Hospital-Tage
- 1,0
- Labordaten
- 01/20/2022 - SARS-CoV-2 Antigen (-), PCR (+)
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Diabetes
- Andere Medikamente
- metFORMIN 500 mg Tablet Directions: 1 tablet oral twice a day (Active)
- Allergien
- Avelox
- Vorherige Impfungen
- -
- Staat
- ME
- Alter
- 33,0
- Geschlecht
- M
- Eingang
- 20.01.2022
- Impfdatum
- 20.01.2022
- Beginn
- 20.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Eye movement disorder
Grunting
Loss of consciousness
Pallor
Skin discolouration
Symptomtext
Patient passed out after receiving vaccine. Patient woke up from episode. Water was giving to patient. He passed out again. Turned pale and green. Eyes rolled back. Grunted. Patient woke up from episode. Ambulance/EMT came. Talked to patient. His O2 sat was 97. Patient felt better and left.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 29,0
- Geschlecht
- F
- Eingang
- 17.01.2022
- Impfdatum
- 17.01.2022
- Beginn
- 17.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Epistaxis
Fall
Joint injury
Loss of consciousness
Seizure
Symptomtext
About 30 seconds to 1 minute following administration of moderna first dose vaccine. Patient appeared to lose consciousness and fell out of chair face down. Patient then appeared to be experiencing seizures. There was visible bloody mucus from her nostrils. Patient very quickly came to consciousness and appeared to be alert, 911 was called immediately after fall and came to her immediately after. Patient declined treatment from the emergency responders. Patient stated after the episode, that she gets dizzy when she sees needles. She also stated to the two pharmacists and the store manager that she was fine and only bumped her knees not her head. Patient refused any other treatment and when asked by pharmacist she declined help. She said she had someone to call to pick her up and did not want us to do it. She then proceeded to walk out of the store and appeared to be conscious and alert.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- no acute illnesses from 1/14/22 - 1/17/22
- Vorgeschichte
- no chronic or long standing health conditions indicated
- Andere Medikamente
- unknown
- Allergien
- no allergies
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 19,0
- Geschlecht
- F
- Eingang
- 09.08.2023
- Impfdatum
- 21.01.2022
- Beginn
- 20.03.2023
- Tage bis Beginn
- 423,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Hypotension
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Hypotension
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 39,0
- Geschlecht
- M
- Eingang
- 26.06.2023
- Impfdatum
- 05.04.2022
- Beginn
- 06.04.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- SYR / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Angina pectoris
Arrhythmia
Cardiac monitoring abnormal
Cardiac stress test
Depressed level of consciousness
Dizziness
Dyspnoea
Electrocardiogram ST-T segment abnormal
Fatigue
Heart rate increased
Immediate post-injection reaction
Influenza
Insomnia
Sinus rhythm
Symptomtext
First dose, light headed immediately and for 48 hours or more. Mild flu symptoms for about 5 days. Heartbeat felt higher than normal. Second dose, light headed immediately and higher heartbeat than normal. By the next day after the second dose, severe heart pains. Then, heart rhythm felt elevated and heavy breathing at least at night before bed. Trouble sleeping and fatigue and cloudiness. Cardiologist states, "Sinus rhythm, ST & T abnormality, consider recent inferior myocardial or pericardial damage." Possible sleep apnea and study pending. All after second Moderna dose.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arrhythmia
- Hospital-Tage
- -
- Labordaten
- Multiple EKG's, heart monitor for 48 hours, stress test and echodardiogram. Reported health issue to primary care physician and working with cardiologist over the issues. Sinus rhythm, ST & T abnormality, consider recent inferior myocardial or pericardial damage. Sleep apnea study pending due to heart monitor results. Given ibuprofen, colchicine and another medication.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 58,0
- Geschlecht
- M
- Eingang
- 28.08.2022
- Impfdatum
- 04.02.2022
- Beginn
- 22.07.2022
- Tage bis Beginn
- 168,0
- Dosis
- 3
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
COVID-19 pneumonia
Cough
Influenza like illness
SARS-CoV-2 test positive
Symptomtext
Diagnosed with COVID19 on 07/25/22 (self tested positive on 07/24/22) flu-like symtoms. Prescribed Paxlovid and antibiotics - took one dose of Pax could not keep down did not take anymore. Moved into chest thought was getting better, tried to work but something not right. Suffered a setback on 08/07 coughing very seriously, doctor diagnosed on 08/08 as post COVID atypical pnemonia. Prescribed another antibiotic. Have recovered.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19 pneumonia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- High Blood Pressure
- Andere Medikamente
- Multiple Blood pressure and Cholesterol medications
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 70,0
- Geschlecht
- F
- Eingang
- 14.07.2022
- Impfdatum
- 26.01.2022
- Beginn
- 30.01.2022
- Tage bis Beginn
- 4,0
- Dosis
- 3
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Dyspnoea
Symptomtext
shortness of breath approx 3 weeks after 3rd booster. Will not receive 4th. Will be going for chest x-ray, blood work
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- COPD, mild anxiety
- Andere Medikamente
- Lamictal Zoloft cozar Detrol Pepcid Vit D3 Calcium Multi VitB12 Valium PRN
- Allergien
- codeine
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 54,0
- Geschlecht
- M
- Eingang
- 08.07.2022
- Impfdatum
- 07.04.2022
- Beginn
- 01.07.2022
- Tage bis Beginn
- 85,0
- Dosis
- 4
- Route/Site
- SYR / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
Cough
Dyspnoea
Nasal congestion
SARS-CoV-2 test positive
Symptomtext
I felt like i had a stuffy nose on friday, I took some Flonase on saturday so i could breathe a little better. By saturday night came i had a cough going on. I did an at home test and it was positive. I notified my company and have been off for 5 days.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- COVID-19- positive
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Blood pressure, Clatis
- Andere Medikamente
- Blood pressure, Daily Vitamin, Mexonitrate
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- -
- Geschlecht
- F
- Eingang
- 11.06.2022
- Impfdatum
- 29.03.2022
- Beginn
- 21.04.2022
- Tage bis Beginn
- 23,0
- Dosis
- 3
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: ja
ER: unbekannt
Erholt: nein
Alopecia
Rash
Tremor
Symptomtext
Alopecia extreme Hair loss started at about 3 weeks after, alos skin rashes , tremors
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Tremor
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 62,0
- Geschlecht
- F
- Eingang
- 06.06.2022
- Impfdatum
- 07.04.2022
- Beginn
- 31.05.2022
- Tage bis Beginn
- 54,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
Acute kidney injury
Atelectasis
COVID-19
COVID-19 pneumonia
Chest X-ray abnormal
Chest pain
Computerised tomogram abdomen abnormal
Dizziness
Electrocardiogram normal
Hydronephrosis
Hypoxia
Nephrolithiasis
Pain
Painful respiration
Renal impairment
Troponin normal
Ureterolithiasis
Symptomtext
Discharge Provider:MD Primary Care Provider at Discharge: MD Admission Date: 5/31/2022 Discharge Date: 6/2/2022 PRESENTING PROBLEM: Hypoxia Ureteral calculus, left AKI (acute kidney injury) Acute kidney injury COVID-19 HOSPITAL COURSE: Patient is a 62-year-old female admitted to hospital on 5/31/2022 with significant left-sided nephrolithiasis, acute renal failure COVID 19 viral pneumonia. Patient had a CT of the abdomen pelvis done that showed a 7 mm calculus in the distal left ureter. It CT was repeated on 06/02/2022 due to the patient's increased reports of pain. The patient's case was discussed with Urology 2 times did not feel that she needed transferred for any intervention. On repeat CT they do review the left kidney stone as 8.5 mm however the stone has migrated distally to the left ureterovesical junction with decrease in the hydronephrosis. The patient's renal function has improved but is not back at her baseline. Would recommend repeat BMP in 1 week to ensure continued improvement. The patient's pain has been controlled on oral pain medication, she has Percocet prescribed at home, she was instructed he uses as needed for pain. The patient was also given a 30 day prescription for Flomax in the setting of a kidney stone. On 06/01/2022 the patient did pass a stone however this was likely from the right side as it was smaller. On 06/01/2020 the patient had a eventful day where she was lightheaded in the a.m. and found to be orthostatic. She was continued on IV fluids later in the day she develops chest pain that was reproducible to palpation but also hurt with deep inspiration. A troponin was done at this time and was not elevated an EKG was also completed at this time and did not show any ST elevation or T-wave inversion. In regards the patient's COVID-19 viral pneumonia. She did develop hypoxia on 05/31 requiring 2 L nasal cannula. A chest x-ray was done which showed subtle early atelectasis verses right lung base pneumonia. The patient was quickly weaned off oxygen but she was started on Decadron during the hospital stay and received a total of 2 doses. Given she was quickly weaned off oxygen will continue Decadron upon discharge. Continue outpatient follow-up for chronic lower back pain, GERD, tobacco abuse, essential hypertension and diabetes. Recommend post hospitalization follow-up with PCP in 1 week
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19 pneumonia
- Hospital-Tage
- 2,0
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- AKI (acute kidney injury) (HCC) Ureteral calculus, left
- Andere Medikamente
- Acyclovir (ZOVIRAX) 5 % aspirin EC 81 MG enteric coated tablet atorvastatin (LIPITOR) 40 MG tablet Calcium 500-100 MG-UNIT CHEW cholecalciferol (VITAMIN D3) 25 MCG (1000 UT) tablet clotrimazole (LOTRIMIN) 1 % cream cyanocobalamin 1000
- Allergien
- Adhesive TapeRash CodeineRash KetamineOther Latex QuinidineItching SulfurUnknown Orange Juice [Oranges]Rash
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 26.05.2022
- Impfdatum
- 27.01.2022
- Beginn
- 01.03.2022
- Tage bis Beginn
- 33,0
- Dosis
- 3
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Ageusia
Anosmia
Bone pain
Cough
Feeling abnormal
Mobility decreased
Pyrexia
Rash
Symptomtext
I began having a fever, with coughing and feeling really bad. I was not able to get up and move around. I had bone aches. I contacted my doctors office and they advised me to isolate. I work in the dental field so I was advised to quarantine for 10 days. I drank a lot of fluids and laid in bed and rested. I did not test to see if I was positive. We had issues getting test. My symptoms dissolved after 10 days. My taste and smell still comes and goes and the rash that I initially got the 1st time I got COVID-19 worsened. The rash worsened on every dose of the vaccine. I have an upcoming appointment at the dermatologist to look at the rash.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Mobility decreased
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- Levothyroxine 0.100mg, Latanoprost 0.005% 1 drop each eye
- Allergien
- Liquid Niacin, Hydrogen Peroxide
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 34,0
- Geschlecht
- M
- Eingang
- 04.05.2022
- Impfdatum
- 29.01.2022
- Beginn
- 30.01.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Chest X-ray
Chest pain
Dyspnoea
Electrocardiogram
Epididymitis
Ultrasound testes
Symptomtext
Chest pain, shortness of breath and epididymitis.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chest pain
- Hospital-Tage
- -
- Labordaten
- ECG, chest x-ray and ultrasound.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 26.04.2022
- Impfdatum
- 11.04.2022
- Beginn
- 12.04.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Ageusia
Condition aggravated
Cytokine storm
Decreased appetite
Fatigue
Feeling abnormal
Laboratory test
Malaise
Neuropathy peripheral
Pyrexia
Somnolence
Symptomtext
With 1st 2 doses I had fever and tiredness for 2 days.#rd day I felt better. With 3rd dose, I became ill next day, fever tiredness, sleepy.The symptoms kept getting worse. Brain fog became as bad as when I had covid, no appetite extreme exhausion, Low grade fever , loss of taste, Neuropathy symptoms worsened, until started taking prednisone. Acetaminophene did not help to eliviate symptoms. I had cytokine storm following 3rd dose of Covid 19 vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Condition aggravated
- Hospital-Tage
- -
- Labordaten
- There are too many to list here. You can get them from Hospital.
- Aktuelle Erkrankungen
- Had covid 19 starting 1st week of March 2020. Had cytokine storm, brain fog, lung involvement, anemia and transient diabetes. I am a Covid19 long hauler. In excellent health prior to that.
- Vorgeschichte
- Only following covid - neuropathy which had improved with IVIG.
- Andere Medikamente
- Voriconazole Magnesium 250 mg
- Allergien
- Penicillin, strawberries
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 78,0
- Geschlecht
- F
- Eingang
- 26.04.2022
- Impfdatum
- 30.03.2022
- Beginn
- 30.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: nein
Arthralgia
Blood test
Chills
Diarrhoea
Feeling cold
Gait disturbance
Hyperhidrosis
Insomnia
Joint swelling
Mobility decreased
Pain
Pain in extremity
Peripheral swelling
Psychomotor hyperactivity
Pyrexia
Sleep disorder
Tremor
Symptomtext
Shortly after the shot I experienced extreme cold from the inside out. I was shaking, it was kind of a hyper feeling inside my body. Then I got body aches and joint aches. The entire night I wasn't able to sleep. The pain in the joints increased and I still couldn't get warm. The next day the symptoms persisted throughout the day. I developed Diarrhea. The body aches started to move into various parts of my body (knee, right hip, hands). On Sunday I started with a fever and chills and also extreme sweating, finally day the fever broke. I should have gone to the hospital then because at that point I couldn't close my hands or touch my thumb to my finger. My left ankle and hand started swelling on the left side, I couldn't bend my foot. It dragged as I tried to walk. The knuckles on the back of my hand started swelling as well. Both hands wrist, right elbow, right knee, left ankle, right hip. That is where the pain seemed to be located the most. When I went to the hospital, they gave me opioids even though I am very sensitive to it. They gave me a small dose of Morphine that I severely reacted to and ended up with esophageal reflex and they had to treat that. At that point they called the rheumatologist, without seeing me and he had a suspicion that I developed RMS. He suggested they try prednisone, and they gave me extra strength Tylenol. At that time, they made the decision to keep me in the hospital. They gave me more prednisone, but it didn't take effect. I wasn't able to sleep more than 5 hours over the course of the days from vaccination. Next day they wanted to give me more opioids, which I denied. They increased my 100 mg of gabapentin dosage to a 900 mg dosage of gabapentin. They prescribed me prednisone and melatonin to help me sleep and that worked. I was discharged that night. The pain isn't totally gone, and I am very aware that too much activity make cause more pain.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Mobility decreased
- Hospital-Tage
- 2,0
- Labordaten
- Blood work
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Asthma; Type II Diabetes
- Andere Medikamente
- Diltiazem Metformin Eliquis Gabapentin Rosuvastatin Losartan Advair Diskus 100/50
- Allergien
- Penicillin; Sulfa Drugs; Hydrocodone Drugs
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 82,0
- Geschlecht
- M
- Eingang
- 13.04.2022
- Impfdatum
- 13.04.2022
- Beginn
- 13.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Chest pain
Dizziness
Dyspnoea
Hyperhidrosis
Symptomtext
Patient experience chest pain, diaphoresis , shortness of breath and dizziness 30mins after receiving his 4th moderna covid booster. Patient's wife came back to pharmacy requesting for help. We immediately called paramedics as I went to assist the patient. Upon arrival, patient state his symptoms were improving. Paramedics arrived and transported patient to hospital for further evaluation.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chest pain
- Hospital-Tage
- -
- Labordaten
- unknown
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 70,0
- Geschlecht
- M
- Eingang
- 07.04.2022
- Impfdatum
- 24.03.2022
- Beginn
- 25.03.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Chills
Dyspnoea
Pyrexia
Vomiting
Symptomtext
Trouble breathing, fever, chills, vomiting,
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- COVID DIAGNOSED 12/17/2021
- Vorgeschichte
- -
- Andere Medikamente
- PRADAXA, HTCZ, METROPOLOL, VITAMINS C, D
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 26.02.2022
- Impfdatum
- 20.02.2022
- Beginn
- 20.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Chest pain
Dizziness
Feeling abnormal
Heart rate
Heart rate abnormal
Oxygen saturation
Symptomtext
Feeling horrible/she is laying low, "feels crappy"; Heart rate keeps going up from 52 to 106/Heart rate went funny again/it is 52 now but went up to 79 during a restroom trip; Gets sore spot on the chest and hurts a bit; Feeling dizzy; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (Feeling horrible/she is laying low, "feels crappy"), HEART RATE ABNORMAL (Heart rate keeps going up from 52 to 106/Heart rate went funny again/it is 52 now but went up to 79 during a restroom trip), CHEST PAIN (Gets sore spot on the chest and hurts a bit) and DIZZINESS (Feeling dizzy) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. Previously administered products included for Product used for unknown indication: JANSSEN COVID-19 VACCINE on 15-Mar-2021. Past adverse reactions to the above products included No adverse reaction with JANSSEN COVID-19 VACCINE. Concurrent medical conditions included Hyperthyroidism (since many years), Vasculitis (since 7 years but does not take any treatment), Penicillin allergy and Allergic reaction to antibiotics (Sulfa and cipro). Concomitant products included LEVOTHYROXINE for Hyperthyroidism. On 20-Feb-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Feb-2022, the patient experienced FEELING ABNORMAL (Feeling horrible/she is laying low, "feels crappy"), HEART RATE ABNORMAL (Heart rate keeps going up from 52 to 106/Heart rate went funny again/it is 52 now but went up to 79 during a restroom trip), CHEST PAIN (Gets sore spot on the chest and hurts a bit) and DIZZINESS (Feeling dizzy). At the time of the report, FEELING ABNORMAL (Feeling horrible/she is laying low, "feels crappy"), HEART RATE ABNORMAL (Heart rate keeps going up from 52 to 106/Heart rate went funny again/it is 52 now but went up to 79 during a restroom trip), CHEST PAIN (Gets sore spot on the chest and hurts a bit) and DIZZINESS (Feeling dizzy) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 20-Feb-2022, Heart rate: 52-106 (abnormal) 52 to 106. On 20-Feb-2022, Oxygen saturation: 95 (normal) oxygen level is good at 95. The patient had not experienced any symptoms like this before receiving the Moderna COVID-19 vaccine. The patient had no history of COVID-19 infection or myocarditis/pericarditis. The patient thought the cause of adverse events was the booster shot and the clinical outcome was unknown. No treatment medications was taken at the time of the report.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chest pain
- Hospital-Tage
- -
- Labordaten
- Test Date: 20220220; Test Name: Heart rate; Result Unstructured Data: 52 to 106; Test Date: 20220220; Test Name: oxygen level; Result Unstructured Data: oxygen level is good at 95
- Aktuelle Erkrankungen
- Allergic reaction to antibiotics (Sulfa and cipro); Hyperthyroidism (since many years); Penicillin allergy; Vasculitis (since 7 years but does not take any treatment)
- Vorgeschichte
- -
- Andere Medikamente
- LEVOTHYROXINE
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 73,0
- Geschlecht
- M
- Eingang
- 13.02.2022
- 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
Amnesia
Asthenia
Asthenopia
Back pain
Confusional state
Decreased appetite
Fatigue
Hypersomnia
Mobility decreased
Muscle fatigue
Myalgia
Symptomtext
Per patient and his wife: Exhaustion to the point of falling asleep mid-sentence. Could not keep eyes open. Once seated, did not have the strength to stand again. Wet the bed because he could not get up to use the restroom due to muscle fatigue. Total loss of appetite for 4 days. After 4 days, extreme muscle pain in legs and back. Confusion and memory loss.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Mobility decreased
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- Carvedilol, Albuterol, Digoxin, Glipizide, Levalbuterol, Spironolactone, Lisinopril, Furosemide
- Allergien
- -
- Vorherige Impfungen
- Moderna dose 1; exhaustion to the point of causing a car accident.
- Staat
- AR
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 10.02.2022
- Impfdatum
- 13.01.2022
- Beginn
- 14.01.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dyspnoea
Heart rate increased
Oropharyngeal pain
Product administered to patient of inappropriate age
Symptomtext
Patient was age 16 years when received Moderna vaccine, which is not recommended for persons under the age of 18. Mother states she spoke with provider about this, and he told her "I think we are close enough it will be ok". Mother allowed patient to receive vaccine. For the following week patient c/o shortness of breath, Rapid heart rate, and sore throat. Mother brought patient back into clinic and was seen by a different provider, and was given a antibiotic therapy. Mother states after finishing the antibiotic, patient recovered well.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- sore throat, cough, headache, diarrhea
- Vorgeschichte
- none
- Andere Medikamente
- Medroxyprogesterone
- Allergien
- no known drug allergies
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- -
- Geschlecht
- F
- Eingang
- 03.02.2022
- Impfdatum
- 02.02.2022
- Beginn
- 03.02.2022
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Erythema
Injection site induration
Mobility decreased
Pain
Skin warm
Swelling
Symptomtext
Sore, can't move arm, red, swollen and hot to the touch, rock hard on the vaccine site about an inch
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Mobility decreased
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 02.02.2022
- Impfdatum
- 31.01.2022
- Beginn
- 31.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Fatigue
Nausea
Tremor
Symptomtext
SEVERE SPASM LIKE SHAKING OF ENTIRE BODY FOR OVER 2 HOURS WITHOUT FEVER OR CHILLS FOLLOWED BY EXTREME FATIGUE AND NAUSEA
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Tremor
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- ASTHMA, HYPOTHYROIDISM, ELEVATED CHOLESTEROL
- Andere Medikamente
- MOMETSONE, LIPITOR, THYROXINE
- Allergien
- ASPIRIN, IBUPROPHEN
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 48,0
- Geschlecht
- F
- Eingang
- 28.01.2022
- Impfdatum
- 15.01.2022
- Beginn
- 17.01.2022
- Tage bis Beginn
- 2,0
- Dosis
- UNK
- Route/Site
- SYR / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Condition aggravated
Herpes simplex
Insomnia
Neuralgia
Pain
Post-traumatic stress disorder
Symptomtext
Diagnosed in 2007 it laid dormant until my first Moderna Vaccination Shot 05/15/21 at pharmacy, second shot 6/10/21 at the same pharmacy. It was extremely painful I didn't know what I was dealing with and did not have health insurance at the time. I got a job June 1, 2021. I suffered including sleepless nights because the nerve endings in my genital area were on fire all day long especially when I laid down, it woke me up in pain constantly. In November I went to my urgent care and got 1,000 mg of Valvacor Valtrex to take twice a day. In January on the 15th I was 95 % better. I took the booster on 1/15/22 at pharmacy and with a day or two I had another huge flare up. I have PSTD from this I'm afraid of my body at this point. I think the Vaccinations are causing the HSV to wake up and also cause flare ups.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Condition aggravated
- Hospital-Tage
- -
- Labordaten
- flare up went to see doctor
- Aktuelle Erkrankungen
- Herpes Simplex 2 first outbreak
- Vorgeschichte
- Diagnosed in 2007 it laid dormant until my first Moderna Vaccination Shot 05/15/21, second shot 6/10/21. It was extremely painful I didn't know what I was dealing with and did not have health insurance at the time. I got a job June 1, 2021. I suffered including sleepless nights because the nerve endings in my genital area were on fire all day long especially when I laid down, it woke me up in pain constantly. In November I went to my urgent care and got 1,000 mg of Valvacor Valtrex to take twice a day. In January on the 15th I was 95 % better. I took the booster on 1/15/22 and with a day or two I had another huge flare up. I have PSTD from this I'm afraid of my body at this point. I think the Vaccinations are causing the HSV to wake up and also cause flare ups.
- Andere Medikamente
- Valtrex aka Valvacor
- Allergien
- Herpes Simplex 2 generally is to stay away from foods high in Arginine. Meat - Cheese- etc an anti-Inflammatory Diet is recommended.
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 48,0
- Geschlecht
- F
- Eingang
- 27.01.2022
- Impfdatum
- 22.01.2022
- Beginn
- 23.01.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- SC / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Adrenocortical insufficiency acute
Arthralgia
Blood cortisol
Chills
Decreased appetite
Diarrhoea
Headache
Hypotension
Nausea
Symptomtext
Moderna Booster -Severe headache, rigors, no fevers, joint pain , hypotension, nausea, diarrhea . Likely sent me into an adrenal crisis . Symptoms improved after dose(s) of hydrocortef were given , with ongoing lack of appetite and diarrhea on 1/27/22.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Hypotension
- Hospital-Tage
- -
- Labordaten
- Cortisol levels
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- prior Cushings Syndrome with adrenalectomy
- Andere Medikamente
- Vit D
- Allergien
- pcn
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 43,0
- Geschlecht
- F
- Eingang
- 26.01.2022
- Impfdatum
- 22.01.2022
- Beginn
- 23.01.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Arthralgia
Burning sensation
Paraesthesia
Pyrexia
Skin discolouration
Symptomtext
Fever onset by 12am 1/23/22 lasting 3 days at 101 degrees. Joint pain in all joints onset 3am 1/23/22. Pain severe (7/10) by 6am 1/23/22 lasting until 1/25/22 at 12pm. Hands began burning and tingling by 8am 1/23/22, lasting 24 hours. Skin on hands changing colors from red to purple to blue to white began 12pm 12/23/22 and lasted 24 hours.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Paraesthesia
- Hospital-Tage
- -
- Labordaten
- None. I did not see a health care provider.
- Aktuelle Erkrankungen
- Acute upper abdominal pain x 1 week and vomiting x 1 day 2 weeks prior to booster. Likely related to EoE
- Vorgeschichte
- I have: antiphospholipid syndrome with a history of thrombotic event (B/L renal infarcts 2020), hashimotos, chronic active EBV, eosinophilic esophagitis. ADHD, Autism (prior to the vaccine ;) I am genderqueer and use testosterone. Hx of severe depression, anxiety in remission
- Andere Medikamente
- Abilify, Adderall, aspirin, N-Acetylcysteine, vitamin d, b complex, H2Plex, super lysine+, Adrenal Assist, methylfolate, testosterone cypionate IM, saffron.
- Allergien
- Opiates make me violently itchy, no hives
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 42,0
- Geschlecht
- F
- Eingang
- 25.01.2022
- Impfdatum
- 25.01.2022
- Beginn
- 25.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Anxiety
Dysphagia
Dyspnoea
Feeling hot
Flushing
Nausea
Pharyngeal swelling
Rash
Symptomtext
Client stated that she was having nausea and a flushed hot feeling in her left arm. She was given water . Client stated that she was having difficulty breathing and trouble swallowing. Client developed a rash on her arms and her forehead . Client stated that her throat was closing up and she was grasping at her throat. Client was given 0.3mg Epi Pen at 5:05. Client stated that her throat was feeling better and she felt able to swallow. Client was given and 2 tablet 0.25 mg of Benadryl. At 5:10, we called 911. At 5:16 her BP was 144/78. EMS arrived at 5:18 with in 10 minutes of the call. Client stated that she has a history of anxiety and anxiety attacks. Client had similar reaction to Iodine at a Doctor's office and she was immediately given an epi Pen and taken to the hospital BP was assessed by EMS 167/84 pulse 107 Pulse ox: 100 percent. At. 5:26 ambulance arrived and told attendants that she was very anxious and couldnt breath. EMT talked to calm the client down and monitored client for 20minutes. 5:38 Vitals taken 138/80 pulse 101. Client signed a release against mediacl advice consent not to go to the hospital. Client stated that she felt well enough f=to go home . Clirnt released at 5:45 No symptoms reported. Client stated felt much better
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- Vital assessed
- Aktuelle Erkrankungen
- none reported
- Vorgeschichte
- none reported
- Andere Medikamente
- none reported
- Allergien
- Iodine
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 41,0
- Geschlecht
- F
- Eingang
- 17.01.2022
- Impfdatum
- 28.04.2021
- Beginn
- 16.01.2022
- Tage bis Beginn
- 263,0
- Dosis
- 3
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Abdominal pain
Asymptomatic COVID-19
COVID-19
Colitis ulcerative
Condition aggravated
SARS-CoV-2 test positive
Symptomtext
Received Moderna vaccines on 3/31, 4/28, 1/14/22 COVID-19 positive by PCR on 1/16/22, asymptomatic admitted to hospital on 1/13/22 d/t abd pain/ulcerative colitis flare, found to be COVID positive during hospitalization.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Condition aggravated
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 58,0
- Geschlecht
- M
- Eingang
- 26.01.2023
- Impfdatum
- 13.10.2022
- Beginn
- 24.11.2022
- Tage bis Beginn
- 42,0
- Dosis
- 2
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
Hypophagia
Lethargy
Pyrexia
SARS-CoV-2 test positive
Symptomtext
Patient brought to the ED by EMS on 11/24 with increasing lethargy and fever. Two days prior (11/22) he tested positive for COVID-19. His facility was concerned his symptoms could indicate something critical so they called EMS. COVID PCR test done in the ED was also positive. Ultimately patient admitted 11/24/22 - 11/29/22 for COVID-19 infection with lethargy and poor p.o. intake.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pyrexia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 83,0
- Geschlecht
- M
- Eingang
- 04.01.2023
- Impfdatum
- 10.03.2022
- Beginn
- 01.01.2023
- Tage bis Beginn
- 297,0
- Dosis
- 3
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: ja
COVID-19
Cough
Hyporesponsive to stimuli
Hypoxia
Pyrexia
Symptomtext
Patient was brought to the local ER for c/o fever, cough and decreased responsiveness per his wife. Patient was found to have Covid during testing. Patient was hypoxic on arrival and was admitted with a diagnosis of Covid-19 and dementia for further evaluation and treatment. Patient was discharged home 1/3/23 with Home Health.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pyrexia
- Hospital-Tage
- 2,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Dementia, TIA, Malignant tumor of Prostate
- Andere Medikamente
- Aspirin 81 mg po daily Mag ox 400 mg po BID Ropinirole 0.5 mg po BID Gabapentin 100 mg po TID Atorvastatin 10 mg po daily
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 51,0
- Geschlecht
- M
- Eingang
- 03.01.2023
- Impfdatum
- 08.04.2021
- Beginn
- 01.04.2022
- Tage bis Beginn
- 358,0
- Dosis
- 3
- Route/Site
- SYR / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Asthenia
Blood test
Impaired work ability
Muscle spasms
Nausea
Urine analysis
Vomiting
Symptomtext
For the last year and half, I've experienced violent nausea, cramping and vomiting. It becomes debilitating and it has happened 4 times. I've been to the ER twice. I cannot work due to it putting me down at random times of the day.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Nausea
- Hospital-Tage
- -
- Labordaten
- Blood work; urine test
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Bupropion SR; citalopram; atorvastatin; trazodone.
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 60,0
- Geschlecht
- F
- Eingang
- 29.08.2022
- Impfdatum
- 25.01.2022
- Beginn
- 20.08.2022
- Tage bis Beginn
- 207,0
- Dosis
- 3
- Route/Site
- UN / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: unbekannt
Chills
Cough
Ear pain
Headache
Myalgia
Nausea
Oropharyngeal pain
Symptomtext
chills, ear pain, sore throat, cough, nausea, myalgias, headaches
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GU
- Alter
- 27,0
- Geschlecht
- M
- Eingang
- 15.08.2022
- Impfdatum
- 15.03.2022
- Beginn
- 21.03.2022
- Tage bis Beginn
- 6,0
- Dosis
- 3
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Antinuclear antibody negative
Blood thyroid stimulating hormone normal
Complement factor C4
Electrophoresis protein normal
Helicobacter test negative
Liver function test normal
Urticaria
White blood cell count increased
Symptomtext
Patient notes 6 days after receiving 3rd dose of Moderna "booster", patient developed full body urticaria without angioedema. Improved with oral antihistamines.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Urticaria
- Hospital-Tage
- -
- Labordaten
- Normal SPEP, H pylori, ANA, C4, TSH, LFTs. Mild elevated WBC (11.12, upper limit 9.4).
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None known
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 18.07.2022
- Impfdatum
- 14.01.2022
- Beginn
- 30.06.2022
- Tage bis Beginn
- 167,0
- Dosis
- 3
- Route/Site
- SYR / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Arthralgia
COVID-19
Headache
Pain in jaw
Pyrexia
SARS-CoV-2 test positive
Sneezing
Symptomtext
Had extreme headache for 4 days, then sneezing and having joint pain. Home test confirmed that she was positive for COVD-19, called my PCP and was prescribed Paxlovid. Two days later I started taking Paxlovid, I felt better. After I finished my Paxlovid medication 4 days later I started getting a fever and jaw pain again. Self monitored, then it went away a few days later.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- COVID-19 test - positive
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Ankling Spondilosis; Rheumatoid Arthritis; Fibromyalgia; High Blood Pressure
- Andere Medikamente
- Losantin; Lamisil; Amlodopine; Metoprolol; HTC; Famotidine; Sulfasalazine; Vitamin D; Vitamin E; Magnesium; B-12 Vitamin; Allegra
- Allergien
- Penicillin ( all cillins ) Morphine; Retuxin; Tramadol; adhesive to medical tape
- Vorherige Impfungen
- -
- Staat
- LA
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 14.07.2022
- Impfdatum
- 13.04.2022
- Beginn
- 27.06.2022
- Tage bis Beginn
- 75,0
- Dosis
- 4
- Route/Site
- SYR / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
COVID-19
Fatigue
Headache
Oropharyngeal pain
Pain
Respiratory tract congestion
SARS-CoV-2 test positive
Symptomtext
On Sunday night I had a sore throat, then on Monday I started having horrible congestion so I tested myself with an at home COVID-19 Test & it was positive. The next day I had a terrible headache and was very fatigued and achy.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- COVID-19 Test
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- High Blood Pressure; Obesity; A-Fib
- Andere Medikamente
- Metoprolol; Venaflaxin; Zyrtec; Baby Aspirin
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 12.07.2022
- Impfdatum
- 16.04.2022
- Beginn
- 27.05.2022
- Tage bis Beginn
- 41,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
COVID-19
Ear discomfort
Fatigue
Headache
Nasal congestion
Oropharyngeal pain
Pyrexia
SARS-CoV-2 test positive
Throat irritation
Symptomtext
On May 27, 2022 in the evening, I started with a scratchy throat that turned into a very sore throat, high fever, headache. I was given Paxlovid which I took May 28, finished the full dose and felt better within 48 hours. June 11, I started to get very tired. June 12, we flew home and my ears were bothering me so I took a COVID-19 test and tested positive again. I had a lot of nasal congestion, tiredness, scratchy throat. 3-5 days later, the symptoms began to subside, with the help of Flonase, Tylenol and Advil and stayed in bed.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- COVID-19 tests on May 28, 2022 and June 12, 2022- both positive COVID-19 tests on June 3 and June 7, 2022 - both negative
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 06.07.2022
- Impfdatum
- 01.04.2022
- Beginn
- 19.05.2022
- Tage bis Beginn
- 48,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
COVID-19
Cough
Malaise
Oropharyngeal pain
Pyrexia
Rhinorrhoea
SARS-CoV-2 test positive
Symptomtext
I WAS TRAVELLED ABROAD ON A CRUISE FROM 4/20/2022 TO 5/4/2022. THEN, I STAYED IN ONE OF THE COUNTRIES FROM 5/4/2022 TO 5/8/2022. ON THE 5/8/2022 EVENING I GOT ON A CRUISE FROM THAT COUNTRY TO ANOTHER & ANOTHER AND BACK ON 05/15/2022. ON 05/16/2022 I FLEW BACK, THEN MADE CONNECTION TO FLY BACK TO MY HOME ON THE SAME DAY. HOWEVER, ON THE THIRD DAY RETURNING HOME, ON 05/19/2022, I HAD THE SYMPTOMS OF COVID 19: RUNNING NOSE, COUGH, SORE THROAT, FEVER. IMMEDIATELY, I CONTACTED MY FAMILY DOCTOR BY E-VISIT FOR TREATMENT AS FOLLOWS: TYLENOL, COUGH SYRUP, AND NOSE SPRAY TAKING DAILY. SINCE MY INFECTION WAS MILD, I RECOVERED WITHIN 5 DAYS.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Malaise
- Hospital-Tage
- -
- Labordaten
- 05/20/2022 MORNING, I TOOK THE COVID SELF TEST AND IT RESULTED POSITIVE 05/30/2022 MORNING, I TOOK THE COVID SELF TEST AND IT RESULTED NEGATIVE
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CT
- Alter
- 39,0
- Geschlecht
- M
- Eingang
- 07.06.2022
- Impfdatum
- 23.02.2022
- Beginn
- 26.04.2022
- Tage bis Beginn
- 62,0
- Dosis
- 3
- Route/Site
- IM / AR
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
COVID-19
Feeling cold
Headache
Malaise
Nausea
Oropharyngeal pain
Pain
Pyrexia
SARS-CoV-2 test negative
Symptomtext
My housemate contracted Covid and tested positive on 04/27. I had a fever and other Covid related symptoms, but multiple Covid tests came back negative. I took an at home test, a rapid test at a local urgent clinic, and a PCR test and they all came up negative. I had sore throat, headache, and nausea with body aches and chills as well. The urgent clinic advised that I just treat my symptoms with over the counter medication and rest and hydrate. I rested and took their advise and began to feel better after around 36 hours.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- Covid tests, negative.
- Aktuelle Erkrankungen
- None.
- Vorgeschichte
- Chronic Back pain
- Andere Medikamente
- None.
- Allergien
- None.
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 72,0
- Geschlecht
- M
- Eingang
- 30.05.2022
- Impfdatum
- 19.04.2022
- Beginn
- 20.04.2022
- Tage bis Beginn
- 1,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Body temperature increased
Fatigue
Feeling abnormal
Malaise
Symptomtext
first two weeks, daily and all day fatigue requiring multiple naps. General sense of not well. Elevated temperature, three days mid first 2 weeks. Intermittent brain fog. next weeks, ongoing to today, intermittent fatigue, intermittent need for naps, intermittent brain fog.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- Low Iron, Pancreatic insufficiency, Low Testosterone
- Vorgeschichte
- Low Iron, Pancreatic insufficiency, Low Testosterone
- Andere Medikamente
- Creon, Atorvastatin, Testosterone Topical, Acetazolamide (as needed), Vitamins/Minerals/ Supliments: Iron, Zinc, Copper, B, Biotin, Luetein, Zeaxanthin, Magnesium, C, A,
- Allergien
- Levaquin, Tramadol
- Vorherige Impfungen
- Short lived, one day, and minimal. Did not interrupt daily activity
- Staat
- CA
- Alter
- 69,0
- Geschlecht
- M
- Eingang
- 17.05.2022
- Impfdatum
- 10.02.2022
- Beginn
- 10.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Abdominal pain upper
COVID-19
Feeling abnormal
Insomnia
Malaise
Pyrexia
SARS-CoV-2 test negative
Symptomtext
I came down with COVID before receiving the vaccine on 02/05/2022. On 02/09/2022 I tested positive on the morning via an at home COVID test. I'm still positive on 02/10/2022 and got the biopsy around this time and then the vaccine. I should not have had the vaccine. My stomach was killing me. I lied about being positive for COVID when I got the vaccine thinking I wouldn't get a reaction. I got super sick after this vaccine. I was unable to sleep and got a "buzz" around my body like I've never experienced before. I felt like I was in outer space. I had a mild fever (98.5) one degree above my normal. I had no appetite either and bad insomnia. The insomnia continued for another night. I didn't feel better for 2 more days. Also, I felt an "MS hug." I was sick to my stomach and "buzzy" with a brain fog. I lied on the couch and hoped the hug would go away. I think I finally felt better on Tuesday or Wednesday. After not testing positive for COVID at home, I wanted to get tested with PCR to ensure I was negative (a week later). I'm informally in a study. Will get the next booster when it comes out.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Abdominal pain upper
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Multiple Sclerosis; Pancreatic Health issues; Bipolar disorder
- Andere Medikamente
- Losartan potassium 50mg 2 tabs; Crestor generic; rosuvastatin calcium 1xday; folic acid 400mcg; vitamin C 1000mg 5 chewable tablets; Valtrex 2 tabs by mouth as needed; vitamin D 2000IU 2 capsules in AM and 2 capsules in the PM and 1 capsule
- Allergien
- Mosquito bites; prednisone; steroids; sensitive to most medications; erythromycin
- Vorherige Impfungen
- Flu vaccines, fever, dose 1 and dose 2 of the Moderna vaccine.
- Staat
- OR
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 22.04.2022
- Impfdatum
- 05.04.2022
- Beginn
- 05.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Chills
Erythema
Injection site induration
Injection site inflammation
Pain in extremity
Swelling
Symptomtext
In the evening post vaccination, my arm became sore and then at about 8P.M. I began to have chills. The next day the chills got worse, my arm became very red and the injection site became inflamed and very hard. The chills went away after the second day however, the arm continued with being sore, and after a week it tapered off. The swelling also reduced. I am no longer experiencing anymore symptoms.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Diabetes; Obesity; High Blood Pressure; HX of Pulmonary Embolism.
- Andere Medikamente
- Acyclovir; Amlodipine; bupropion; Chlorthiamide; Insulin; Lisinopril; Metformin; rosuvastatin; Timolol; latanoprost; Warfarin
- Allergien
- Season allergies; Fina Barbital
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 76,0
- Geschlecht
- F
- Eingang
- 18.04.2022
- Impfdatum
- 06.04.2022
- Beginn
- 06.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Immediate post-injection reaction
Injection site pain
Symptomtext
patient immediately complained of pain at site of injection
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- none known
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- nka
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 69,0
- Geschlecht
- M
- Eingang
- 12.04.2022
- Impfdatum
- 12.04.2022
- Beginn
- 12.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Cough
Depressed level of consciousness
Feeling abnormal
Hyperhidrosis
Nausea
Pain in extremity
Pallor
Symptomtext
received 2nd booster vaccination at 0900, reported feeling "fuzzy headed" approx 0915, denied any previous reactions to vaccination, reported no recent illnesses but was observed to have a cough but reported no recent illnesses or underlying medical issues, patient became pale, diaphoretic, nausea, and episodes of responding only to verbal stimuli, vitals were taken with bp 162/100, O2 97%, pulse 62, proceeded to c/o head and arm feeling fuzzy and right arm pain also, EMS was called and patient was transported to local hospital
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Nausea
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- none reported
- Vorgeschichte
- diabetes
- Andere Medikamente
- unknown
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 66,0
- Geschlecht
- F
- Eingang
- 10.04.2022
- Impfdatum
- 08.04.2022
- Beginn
- 08.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Chills
Extra dose administered
Hyperventilation
Malaise
Muscle contracture
Muscle strain
Myalgia
Symptomtext
Unlike any of three previous vaccinations, I experienced 2 hours of severe rigors with intense muscle contractions, enough to result in pulled groin muscle, and with hyperventilation. 40 hours post injection I am about 80% recovered, but still feeling malaise and muscle pain (secondary to rigors?). This was all severe enough to be disturbing, quite different from the normal reactions I had to earlier shots in the series. Not life threatening but bad enough that I wanted CDC to be aware
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None noted
- Vorgeschichte
- Arthritis, overweight
- Andere Medikamente
- Ibuprofen, naproxen, famotidine, vitamin D, melatonin, fiber capsules
- Allergien
- Mild skin rash to penicillin, sulfa
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 38,0
- Geschlecht
- F
- Eingang
- 07.04.2022
- Impfdatum
- 21.01.2022
- Beginn
- 27.01.2022
- Tage bis Beginn
- 6,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Balance disorder
Dizziness
Nausea
Tension headache
Symptomtext
Intermittent days of dizziness, off-balance and nausea upon waking. Tension in head.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- IBS
- Andere Medikamente
- Mitocharge, Butyric-Cal-Mag, Vitamin C, Calcium D Glucarate, Omega and Vitamin D/K2
- Allergien
- Ceclor
- Vorherige Impfungen
- Joint pain; age 37; 3/11/2021; COVID-19 Moderna first dose.
- Staat
- CA
- Alter
- 27,0
- Geschlecht
- M
- Eingang
- 28.03.2022
- Impfdatum
- 08.03.2022
- Beginn
- 19.03.2022
- Tage bis Beginn
- 11,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Joint swelling
Mechanical urticaria
Urticaria
Symptomtext
Patient broke out in hives, which developed into swollen joints and dermatographia. Symptoms developed on the evening of Saturday 19 March 2022 and have continued without improvement. Patient has been treating with antihistamines and a six day series of dexamethasone. Medications have had little to no effect.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Mechanical urticaria
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- GERD
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 49,0
- Geschlecht
- F
- Eingang
- 23.03.2022
- Impfdatum
- 25.02.2022
- Beginn
- 16.03.2022
- Tage bis Beginn
- 19,0
- Dosis
- 2
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Face oedema
Inflammation
Localised oedema
Pharyngeal oedema
Rash
Rash erythematous
Skin burning sensation
Skin warm
Urticaria
Symptomtext
ON MARCH 16, 2022 STARTED EXPERIENCING A RED RASH COVERING MY UPPER CHEST, NECK AND FACE, WHICH DEVELOPED WELTS, AND EDEMA OF THE NECK, FACE, AND THROAT. SKIN WAS VERY HOT TO TOUCH AND BURNING SENSATION. POST VACCINE INFLAMMATROY SYNDROME
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- RHEUMATOID ARTHRITIS, REFLUX
- Andere Medikamente
- HYDROXYCHLOROQUINE, VIT D, CELEBREX, OMEPRAZOLE
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- GU
- Alter
- 21,0
- Geschlecht
- M
- Eingang
- 15.03.2022
- Impfdatum
- 10.02.2022
- Beginn
- 20.02.2022
- Tage bis Beginn
- 10,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Biopsy skin
Biopsy skin abnormal
C-reactive protein increased
Joint swelling
Liver function test normal
Swelling face
Urticaria
Symptomtext
Developed biopsy-proven urticaria, facial swelling and joint swelling approx 10 days after 3rd injection which occurred 3 weeks after lab-confirmed Covid-19 infection. 3 weeks after start of reaction, has nearly reesolved.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Urticaria
- Hospital-Tage
- -
- Labordaten
- Punch biopsy = urticaria. CRP>90 (<10). LFTs normal.
- Aktuelle Erkrankungen
- Covid-19 symptomatic infection on 19 Jan 2022. completed dose #1 moderna 3/16/21 and dose #2 Moderna 4/13/21 with not issues.
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 46,0
- Geschlecht
- F
- Eingang
- 10.03.2022
- Impfdatum
- 11.02.2022
- Beginn
- 12.02.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- UN / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Peripheral swelling
Pruritus
Skin erosion
Skin exfoliation
Symptomtext
Feet continue to itch. Bottom of feet now peeling and feel raw. Hands are still swelling, but now are flaking off skin.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Multi vitamin, Vitamin B, Vitamin D
- Allergien
- Corn, Milk, Egg White, Rocephin, Codeine, Alcohol
- Vorherige Impfungen
- To numerous to list. Please see previous filed VAERS forms under my name.
- Staat
- SC
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 04.03.2022
- Impfdatum
- 25.01.2022
- Beginn
- 28.01.2022
- Tage bis Beginn
- 3,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Cellulitis
Injection site reaction
Local reaction
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site reaction
- Hospital-Tage
- -
- Labordaten
- Cellulitis of left upper arm (L03.114); Local site reaction (T88.iXXA)
- Aktuelle Erkrankungen
- allergies; sensitive to latex; Skin cancer; diverticulosis; polyps; Reflux; fatigue; shortness of breath; headaches;sinus infection.
- Vorgeschichte
- Asthma; cardiac arrhythmias; seizures; plaquing of carotid arteries.
- Andere Medikamente
- Keppra; Arnuity; Tambacor; HCTZ; Protonic; Singulair; Allegra.
- Allergien
- Morphine; Septra; Macrodantin; Sulfa drugs; Fentanyl; Cardizem.
- Vorherige Impfungen
- SARS-COV-2 1997, MERS 2003, first Moderna vaccine 12/23/2021.
- Staat
- TX
- Alter
- 19,0
- Geschlecht
- F
- Eingang
- 03.03.2022
- Impfdatum
- 25.01.2022
- Beginn
- 01.02.2022
- Tage bis Beginn
- 7,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Urticaria
Symptomtext
hives all over body
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Urticaria
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 23,0
- Geschlecht
- F
- Eingang
- 03.03.2022
- Impfdatum
- 20.01.2022
- Beginn
- 28.01.2022
- Tage bis Beginn
- 8,0
- Dosis
- 3
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Allergy test negative
Antinuclear antibody negative
Electrocardiogram ST-T change
Full blood count normal
Laboratory test normal
Urticaria
Symptomtext
Full body hives 8 days after injection lasting even through steriods and antihistamines
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Urticaria
- Hospital-Tage
- -
- Labordaten
- Cbc, ekg, rads, chem 2/2/2022 normal Chem, metabolic cbc, ANA panel, neg/normal 2/16/2022 Specialist allergy testing. negative 3/3/2022
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- Sulfa antibiotics
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 37,0
- Geschlecht
- F
- Eingang
- 01.03.2022
- Impfdatum
- 01.03.2022
- Beginn
- 01.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Fatigue
Pain in extremity
Symptomtext
After 15 minutes of rest, patient complained of feeling tired and her arm hurt. Pain scale 2 out of 10. Patient vitals were within normal limits. Patient was evaluated by PCP with no concerns of adverse reaction
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Weight loss Recurrent major depressive disorder (CMS/HCC) Prediabetes Panic attacks Morbid obesity (CMS/HCC) Grief GAD (generalized anxiety disorder) Diarrhea Abdominal pain
- Andere Medikamente
- albuterol (PROVENTIL HFA;VENTOLIN HFA) 108 (90 Base) MCG/ACT inhaler (Expired) Biotin 1000 MCG TABS calcium carbonate (OS-CAL) 500 MG TABS Cetirizine HCl (ZYRTEC ALLERGY) 10 MG CAPS Ferrous Sulfate (IRON ORAL) sertraline (ZOLOFT) 50 MG
- Allergien
- Lexapro
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 32,0
- Geschlecht
- F
- Eingang
- 26.02.2022
- Impfdatum
- 04.02.2022
- Beginn
- 16.02.2022
- Tage bis Beginn
- 12,0
- Dosis
- 3
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Blood test
C-reactive protein
Mechanical urticaria
Scratch
Urticaria
Symptomtext
Hives on scalp initially, moving to body, hands and feet, dermatographia presenting in welts and scratches.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Mechanical urticaria
- Hospital-Tage
- -
- Labordaten
- Going to get blood work to highlight C-Reavtive protein
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Asthma
- Andere Medikamente
- Allegra D and singular 10 mg
- Allergien
- Penicillin and blue cheese
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 29,0
- Geschlecht
- M
- Eingang
- 23.02.2022
- Impfdatum
- 22.02.2022
- Beginn
- 22.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Chills
Inappropriate schedule of product administration
Symptomtext
Patient received the second dose for the Moderna covid 19 vaccine a week earlier from their due date on day 28 (3/1/23). We contacted the patient and he states that he experienced chills as of 2/23/22.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- No known health conditions
- Andere Medikamente
- None
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 22.02.2022
- Impfdatum
- 29.01.2022
- Beginn
- 29.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Axillary pain
Chills
Inappropriate schedule of product administration
Oedema peripheral
Product administered to patient of inappropriate age
Symptomtext
12 year old given Moderna booster 0.25ml. Next day complaints of axillary swelling, axillary pain, chills. Side effects resolve within 3 days.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Axillary pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 26,0
- Geschlecht
- M
- Eingang
- 21.02.2022
- Impfdatum
- 10.01.2022
- Beginn
- 23.01.2022
- Tage bis Beginn
- 13,0
- Dosis
- 3
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Mechanical urticaria
Pruritus
Urticaria
Symptomtext
The adverse event is Dermatographic urticaria. The symptoms of Dermatographia began on January 23rd, 2022. The symptoms are still on going as of February 21st, 2022. Antihistamines such as Cetirizine (Zyrtec) relieve the itchiness symptom however they do not prevent the distinct welts that occurs from pressure being applied to the skin. In other words, the antihistamines make the itchiness go away but they don't prevent the welts from occurring.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Mechanical urticaria
- Hospital-Tage
- -
- Labordaten
- The medical test was made by myself on January 28th at home. I wrote on the my skin with a tongue depressor, to see whether a red wheal appears soon afterwards. The read wheal appeared within minutes of writing on the skin. On today's date, February 21st, 2022, the read wheel still continues to appear within minutes of writing on the skin.
- Aktuelle Erkrankungen
- None.
- Vorgeschichte
- None.
- Andere Medikamente
- None.
- Allergien
- None.
- Vorherige Impfungen
- -
- Staat
- WV
- Alter
- 27,0
- Geschlecht
- F
- Eingang
- 21.02.2022
- Impfdatum
- 19.02.2022
- Beginn
- 20.02.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Lymphadenopathy
Pain
Pain in extremity
Skin warm
Tenderness
Symptomtext
swollen, tender, hot to the touch lymph node under left arm. Painful moving arm, pushing things, lifting things.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Zoloft, loloestren, cholesterol medicine
- Allergien
- Mushrooms
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 46,0
- Geschlecht
- F
- Eingang
- 21.02.2022
- Impfdatum
- 24.01.2022
- Beginn
- 25.01.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- SYR / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect route of product administration
Pain in extremity
Shoulder injury related to vaccine administration
Symptomtext
PATIENT HAS PAIN IN ARM AND CLAIMS VACCINE WAS GIVEN TOO HIGH IN THE ARM AND STATES SHE HAS SIRVA AND "THE PHARMACIST MUST HAVE HIT A JOINT"
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 34,0
- Geschlecht
- M
- Eingang
- 21.02.2022
- Impfdatum
- 03.02.2022
- Beginn
- 16.02.2022
- Tage bis Beginn
- 13,0
- Dosis
- 3
- Route/Site
- SYR / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Pruritus
Urticaria
Symptomtext
Hives, welts, intolerable itching. Skin turns bright red if any itching is done and stays that way for hours. Taking 4x the recommended amount of zyrtec just to stop the itching. Hives / redness still there even after taking zyrtec.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- Daily multivitamin 10mg Lexapro
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 39,0
- Geschlecht
- F
- Eingang
- 20.02.2022
- Impfdatum
- 18.02.2022
- Beginn
- 19.02.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Pain in extremity
Peripheral swelling
Skin discolouration
Symptomtext
Patient experienced swelling and pain in the arm down to the hand. It turned purplish for 24 hours.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unknown
- Allergien
- No known drug allergies
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 73,0
- Geschlecht
- F
- Eingang
- 17.02.2022
- Impfdatum
- 14.02.2022
- Beginn
- 16.02.2022
- Tage bis Beginn
- 2,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site swelling
Injection site warmth
Symptomtext
Patient describes large red bump around the size of a coin at site of injection 2 days after receipt. Patient states it is warm to the touch. Pain at injection site. Patient describes no other symptoms a this time. Patient will continue to monitor for possible infection vs localized reaction over coming days. Instructed to seek medical attention if increases in size / pain / or fever. Will follow up with patient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site swelling
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 58,0
- Geschlecht
- F
- Eingang
- 14.02.2022
- Impfdatum
- 28.01.2022
- Beginn
- 28.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Abdominal pain upper
Chills
Fatigue
Feeling abnormal
Headache
Pain
Pyrexia
Symptomtext
body aches, headache, stomach pain, chills & fever ( 104.5) fatigue. Took 1000mg Tylenol every 6 hours , was careful not to exceed 4000mg in 24hrs. Drank cold fluids, stayed in bed for 3 days. Fever would decrease with tylenol down to 99 and then go right back up. After 3rd day, fever stayed down around 99-100.0 for another 2days. All symptoms gone at 5 days however still done feel "normal", not my normal energy and tire very easily
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Abdominal pain upper
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Hypertension, Migraines, Hyperlipidemia, Clinical Depression, Anxiety, IBS, Spinal Arthritis, Seasonal Asthma
- Andere Medikamente
- Metoprolol, Bupropion, Escitalopram, MVI, Vitamin B12, Calcium, Aspirin, Topamax, Atorvastatin, Vitamin D, Tylenol
- Allergien
- Levaquin, Penicillin, Tetracycline, Erythromycin, Reglan
- Vorherige Impfungen
- Covid #2 Moderna 03L20A at 57yo (2/2/21) same reaction, more intense symptoms as far as pain, weakness was severe, fever however
- Staat
- IL
- Alter
- 55,0
- Geschlecht
- F
- Eingang
- 14.02.2022
- Impfdatum
- 04.02.2022
- Beginn
- 04.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Allergy test negative
Erythema of eyelid
Eye swelling
Eyelids pruritus
Ocular hyperaemia
Skin exfoliation
Swelling of eyelid
Symptomtext
Received shot at 3:30 on Friday afternoon. By Friday evening, my eyelids were very red, scaly, swollen and itchy. By Saturday morning, the redness and swelling were below my eye as well.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Eyelids pruritus
- Hospital-Tage
- -
- Labordaten
- Saw dermatologist on 2/5 and started patch allergy testing on 2/7-2/10 to determine the allergen. Nothing surfaced so doctor said to assume it was from the vacine.
- Aktuelle Erkrankungen
- psoriatic arthritis, sacroilitis, high blood pressure, dry cough related to blood pressure medicine, stomach issues
- Vorgeschichte
- psoriatic arthritis, sacroilitis
- Andere Medikamente
- omeprazole sulfasalazine metformin losartan B12 D culturelle
- Allergien
- aspirin
- Vorherige Impfungen
- slight temperature, achiness
- Staat
- MN
- Alter
- 57,0
- Geschlecht
- M
- Eingang
- 14.02.2022
- Impfdatum
- 11.02.2022
- Beginn
- 13.02.2022
- Tage bis Beginn
- 2,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
Oxygen saturation decreased
Pyrexia
Symptomtext
Onset of fever 2/13/2022. O2 SATs in the low-mid 80's beginning 2/14/2022. Treatment included: Oxygen via NC and hospital admission.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pyrexia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Cerebral palsy
- Andere Medikamente
- -
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- VT
- Alter
- 19,0
- Geschlecht
- M
- Eingang
- 11.02.2022
- Impfdatum
- 10.02.2022
- Beginn
- 11.02.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Dizziness
Fatigue
Feeling abnormal
Headache
Myalgia
Nausea
Pyrexia
Symptomtext
Fever up to 102.0F, severe headache, severe muscle aches, dizziness, nausea, exhaustion and possibly "brain-fog."
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Asthma
- Andere Medikamente
- Buspar, One-A-Day Multivitamin, (Pepcid) famotidine
- Allergien
- Abilify, Amoxicillin
- Vorherige Impfungen
- Headache, muscle ache and exhaustion with the first dose. Same effects as third dose with second dose.
- Staat
- CA
- Alter
- 63,0
- Geschlecht
- M
- Eingang
- 10.02.2022
- Impfdatum
- 25.01.2022
- Beginn
- 26.01.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Fatigue
Myalgia
Pyrexia
Somnolence
Symptomtext
Fever Muscle aches Joint pain Sleepiness/Fatigue
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- -
- Andere Medikamente
- Quinapril/HCTZ Levothyroxine Loratadine Pepcid Atorvastatin Montelukast Multi Vitamin B-12 Preservision AREDS2 Turmeric Aspirin low dose CoQ10 Fish Oil Vitamin E Vitamin D3
- Allergien
- Sulfa based medications
- Vorherige Impfungen
- -
- Staat
- AL
- Alter
- 66,0
- Geschlecht
- F
- Eingang
- 10.02.2022
- Impfdatum
- 27.01.2022
- Beginn
- 28.01.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Chills
Pyrexia
Rash
Symptomtext
chills, fever, rash
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- vitamins, gabapentin, warfarin, estrodial, b12. b6, super b complex, d3,
- Allergien
- penicillin
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 83,0
- Geschlecht
- F
- Eingang
- 10.02.2022
- Impfdatum
- 04.02.2022
- Beginn
- 05.02.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Diarrhoea
Memory impairment
Symptomtext
Uncontrollable diarreah, achiness in joints, and unable to remember things as usual.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None.
- Vorgeschichte
- Arthritis.
- Andere Medikamente
- Gabapentin, Tylenol (daily morning meds)
- Allergien
- Cymbalta.
- Vorherige Impfungen
- -
- Staat
- LA
- Alter
- 58,0
- Geschlecht
- F
- Eingang
- 10.02.2022
- Impfdatum
- 08.02.2022
- Beginn
- 09.02.2022
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- SYR / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Chills
Headache
Pyrexia
Urticaria
Symptomtext
Severe hives, headache, chills, fever.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None.
- Vorgeschichte
- None.
- Andere Medikamente
- Losartan; Spironolactone; Hydrochlorothiazide.
- Allergien
- None.
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 51,0
- Geschlecht
- F
- Eingang
- 08.02.2022
- Impfdatum
- 22.04.2021
- Beginn
- 22.04.2021
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Lymphadenopathy
Pain in extremity
Symptomtext
after the second dose she developed severe left forearm pain that was principally from the elbow to the wrist. The pain worsened after the booster dose and never really subsided after the second dose. She is in chronic pain in the left lower arm. She reports some pain in the right, but nothing like the left. Initially after each subsequent dose she got a very red hot deltoid and had significant adenopathy that took weeks to resolve.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 31,0
- Geschlecht
- F
- Eingang
- 08.02.2022
- Impfdatum
- 29.01.2022
- Beginn
- 02.02.2022
- Tage bis Beginn
- 4,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Hypersensitivity
Local reaction
Rash pruritic
Stomatitis
Vaccination site induration
Vaccination site swelling
Symptomtext
PT REORTS AE TO FIRST VACCINE: SWOLLEN, HARDENED LOCALIZED REACTION AT VACCINE SITE DEVELOPING A FEW DAYS AFTER VACCINE ALONG WITH ALERGIC TYPE RESPONSE (ITCHY RASH/IRRITATION AROUND MOUTH). PT TO FOLLOW UP WITH PCP AS WELL
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash pruritic
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 52,0
- Geschlecht
- F
- Eingang
- 08.02.2022
- Impfdatum
- 02.02.2022
- Beginn
- 03.02.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Chills
Dizziness
Dyskinesia
Fatigue
Feeling cold
Hyperhidrosis
Muscle rigidity
Muscle twitching
Neurological examination
Symptomtext
Approximately 24 hours after receiving the vaccine, I was walking in my home and my body suddenly went rigid and started to twitch, my head jerked to the side, my head felt as though it was spinning then went black, then my body suddenly relaxed and I my awareness returned, with my head still a little dizzy. About 30 minutes later I was suddenly very cold and started shivering. I laid under a sheet, 2 fuzzy blankets, and a bed spread in a short sleeve nightgown. I pulled my arms and legs into the nightgown and curled up to try to get warm, falling asleep after about an hour. During the night I began to sweat and continued to do so until morning, fitfully sleeping the rest of the night. The next day I was very tired and dozed off and on but I did not have any other symptoms.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- Saw my doctor, C-NP, on Monday, 2/8/2022 at 9:00 am and reported the unusual incident as I have not had anything like that happen at any other time. A general neurological exam was found normal as was my BP, pulse, oxygen level and temperature. Stated it is possible this was a side effect and she was going to document it in her chart. No other follow-up has been scheduled but I will follow-up should I have any other strange episodes at a later date.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Depression, obesity
- Andere Medikamente
- Paraxotine 40mg, Buproprion 150 mg, Saxenda 3 cc, Vitamin D3, Vitamin A, Rae In The Mood supplement, Rae Daily Cleanse, Rae Pre + Probiotic, Vitamin K2
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 54,0
- Geschlecht
- M
- Eingang
- 07.02.2022
- Impfdatum
- 04.02.2022
- Beginn
- 04.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Arthralgia
Chills
Fatigue
Injection site pain
Lethargy
Muscle spasms
Pyrexia
Symptomtext
Fatigue, Injection site pain, joint pain (full body), muscle cramps (full Body), Fever, Lethargic, chills. Treated with Ibuprofen, lasted 2 days
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- Type 2 Diabetes, High BP, Psoriatic Arthritis, Psoriasis, Gout
- Andere Medikamente
- Amlodipine Besylate, Atorvastatin, Telmisartan, Lansoprazole, Hydrochlorothiazide, Allopurinol, Cosyntex, Cellcoxib, Metformin, Vitamin C, Tumeric Curcumin, Multi Vitamin
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 60,0
- Geschlecht
- M
- Eingang
- 06.02.2022
- Impfdatum
- 05.02.2022
- Beginn
- 05.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site swelling
Symptomtext
Site: Swelling at Injection Site-Mild, Additional Details: Two Benadryl 25mg tablets given to take later if the patient experienced further swelling or a rash. The patient did not take them at the site of care.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site swelling
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 73,0
- Geschlecht
- F
- Eingang
- 05.02.2022
- Impfdatum
- 25.01.2022
- Beginn
- 26.01.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Chills
Diarrhoea
Myalgia
Nausea
Pain
Symptomtext
Chills, nausea, diarrhea, muscle and body aches.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Rheumatoid arthritis
- Andere Medikamente
- Levothyroxine 100mcg, Losartan Potassium 25mg, Folic acid 1mg, Oxybutynin chloride 5mg, Clonidine 0.1mg, Simvastatin 20mg, Methotrexate 12mg weekly, Omeprazole 40mg, Ibandronate Sodium 150mg, and several supplemental vitamins
- Allergien
- No
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 52,0
- Geschlecht
- F
- Eingang
- 04.02.2022
- Impfdatum
- 28.01.2022
- Beginn
- 28.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Accidental underdose
Injection site extravasation
Symptomtext
some leaked out from the injection site/vaccine leaked out during administration; vaccine leaked out during administration; This spontaneous case was reported by a pharmacist and describes the occurrence of INJECTION SITE EXTRAVASATION (some leaked out from the injection site/vaccine leaked out during administration) and ACCIDENTAL UNDERDOSE (vaccine leaked out during administration) in a 52-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 28-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) .25 milliliter. On 28-Jan-2022, the patient experienced INJECTION SITE EXTRAVASATION (some leaked out from the injection site/vaccine leaked out during administration) and ACCIDENTAL UNDERDOSE (vaccine leaked out during administration). On 28-Jan-2022, INJECTION SITE EXTRAVASATION (some leaked out from the injection site/vaccine leaked out during administration) and ACCIDENTAL UNDERDOSE (vaccine leaked out during administration) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medication information was not provided by the reporter. Treatment information was not provided by the reporter. Patient did not experienced any symptoms. Most recent FOLLOW-UP information incorporated above includes: On 28-Jan-2022: Suspect product batch number and patient demographics were added.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site extravasation
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 20,0
- Geschlecht
- M
- Eingang
- 02.02.2022
- Impfdatum
- 14.01.2022
- Beginn
- 28.01.2022
- Tage bis Beginn
- 14,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Mechanical urticaria
Symptomtext
Dermatographic urticaria. Was taking OTC zyrtec without relief. Is now being treated with 20mg zyrtec BID.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Mechanical urticaria
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- None
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 20,0
- Geschlecht
- M
- Eingang
- 31.01.2022
- Impfdatum
- 14.01.2022
- Beginn
- 27.01.2022
- Tage bis Beginn
- 13,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Rash
Skin swelling
Urticaria
Symptomtext
Hives, reddening and swelling of skin after contact (rubbing, scratching, etc.) rash at clothing lines (sleeves, waistband, etc.)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NM
- Alter
- 47,0
- Geschlecht
- F
- Eingang
- 31.01.2022
- Impfdatum
- 28.01.2022
- Beginn
- 29.01.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- SYR / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Dizziness
Headache
Injection site erythema
Injection site induration
Injection site pain
Injection site pruritus
Injection site swelling
Injection site warmth
Lacrimation increased
Nausea
Pain in extremity
Vertigo
Symptomtext
20 hours after the shot I experienced Nausea, Vertigo, Headache, Dizzy, watery eyes. My arm was Sore all over. 40 hour's after shot I woke up to sore arm and large red patch at injection site. The area is swollen and hard, hot to touch and red, very itchy. Pain in my arm, and shoulder. Injection site is painful to touch.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Chronic Pain/ Nerve Pain.
- Andere Medikamente
- Mirtazapine; Ondansetron; Tizanidine; Benadryl Acetaminophen; Mitragina Speciosa.
- Allergien
- None.
- Vorherige Impfungen
- PFIZER COVID 4/20/21, LOT ER 8731.Severe Vertigo to the point I couldn't walk with out falling, throwing up, migraine, dizziness
- Staat
- CA
- Alter
- 69,0
- Geschlecht
- F
- Eingang
- 30.01.2022
- Impfdatum
- 30.01.2022
- Beginn
- 30.01.2022
- 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
Pallor
Symptomtext
Patient started feeling dizzy sweating and lightheaded .patient was extremely pale
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- Unknown
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Asthma
- Andere Medikamente
- Valacyclovir
- Allergien
- Unknown
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 33,0
- Geschlecht
- F
- Eingang
- 30.01.2022
- Impfdatum
- 28.01.2022
- Beginn
- 30.01.2022
- Tage bis Beginn
- 2,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Lymphadenopathy
Pruritus
Urticaria
Symptomtext
Woke up second day post injection to swollen lymph node in right armpit, additionally approximately 8 hives on the torso and legs were found and itchy. I have taken benadryl and am not concerned.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- None, I have taken medication for the symptoms and am not concerned about continued response.
- Aktuelle Erkrankungen
- Mild headache and sore throat for 3 days 2 weeks prior to vaccination with 3 negative Covid tests
- Vorgeschichte
- None
- Andere Medikamente
- Nuvaring, multivitamin
- Allergien
- Penicillin, macrobid, cow dairy, brewers yeast
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 48,0
- Geschlecht
- F
- Eingang
- 30.01.2022
- Impfdatum
- 28.01.2022
- Beginn
- 28.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Back pain
Chills
Discomfort
Fatigue
Headache
Myalgia
Nausea
Pain
Pyrexia
Swelling
Symptomtext
Nausea felt 5 minutes after injection (11:35 am); at about 7:22 pm the same day I began to get a headache and have the chills. Fatigue began to set in around 8:00 pm on 1/28/2022. Body and muscle aches started around 8:30 pm on 1/28/2022. Around 9:10 pm on 1/28/2022, I developed a low grade fever and my body aches intensified, particularly in the hips and joints. The fever broke around 4:45 am on 1/29/2022. I continued with fatigue and severe body aches in the hips and back. It felt like heavy pressure on my hip bones with a continuous dull ache and intermittent sharp pains, particularly in the pelvic area and joints. When putting on deodorant around 8:00 am on 1/29/2022, I noticed a lump in the right arm pit. This lump is still there at the time of this report. Body aches are still prevalent as of 9:12 am PST on 1/30/2022.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Vitamin D, Zinc and Junel birth control
- Allergien
- Codeine
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 39,0
- Geschlecht
- F
- Eingang
- 28.01.2022
- Impfdatum
- 29.12.2020
- Beginn
- 27.01.2021
- Tage bis Beginn
- 29,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Injection site pruritus
Injection site swelling
Injection site warmth
Symptomtext
Itchy and swollen at injection site; hot to the touch; red circle, approximately 2" in diameter. I sought a virtual appointment and NP stated to take Tylenol, Zyrtec in the morning (10mg) and Benedryl at night (25mg). If symptoms did not improve in 48 hours, to make a new appointment for antibiotics and steroids.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 20,0
- Geschlecht
- M
- Eingang
- 26.01.2022
- Impfdatum
- 14.01.2022
- Beginn
- 23.01.2022
- Tage bis Beginn
- 9,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Urticaria
Symptomtext
Diffuse urticarial rash 9 days after Moderna COVID booster.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Urticaria
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- Seasonal Allergies
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 58,0
- Geschlecht
- F
- Eingang
- 25.01.2022
- Impfdatum
- 23.01.2022
- Beginn
- 24.01.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Livedo reticularis
Pain in extremity
Peripheral swelling
Symptomtext
12-18 hours after injection, pt reports swelling and pain on inside portion of vaccine arm. She reports mottled red appearance on deltoid extending downward. Her arm is quite painful. She is icing arm
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 34,0
- Geschlecht
- M
- Eingang
- 24.01.2022
- Impfdatum
- 20.01.2022
- Beginn
- 21.01.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Leukocytosis
Night sweats
Painful respiration
White blood cell count increased
Symptomtext
34 y.o. male with no significant medical history came to medical center for evaluation of leukocytosis (WBC-290,000) found on a routine annual health check up with his PCP. In the past few weeks, he has had occasional night sweats and left sided shoulder pain on deep inspiration. No fever or loss of appetite or weight.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- 3,0
- Labordaten
- -
- Aktuelle Erkrankungen
- Possible new CML diagnosis
- Vorgeschichte
- None
- Andere Medikamente
- Finasteride, loratadine
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 23.01.2022
- Impfdatum
- 21.01.2022
- Beginn
- 23.01.2022
- Tage bis Beginn
- 2,0
- Dosis
- 3
- Route/Site
- - / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Decreased appetite
Headache
Pain
Pyrexia
Thirst
Symptomtext
Fever 101, headaches, excessive thirst, loss of appetite and body aches.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Calcium vitamin
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 25,0
- Geschlecht
- F
- 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: ja
Arthralgia
Axillary pain
Chills
Eye pain
Fatigue
Headache
Inflammation
Myalgia
Pain
Pyrexia
Symptomtext
All events occurred the day after my shot. Fever of 100.8 at 3:45am until 9:30am, chills and body aches all day, major fatigue, arm pain in the deltoid and shoulder joint, inflammation and pain in the armpit, and headaches with eye aches.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- None.
- Vorgeschichte
- None.
- Andere Medikamente
- None.
- Allergien
- Sulfa Drugs
- Vorherige Impfungen
- Similar reaction post 2nd dose of Moderna COVID vaccine. 24 at time of vaccination. Vaccinated on 2/3/2021 and events began the
- Staat
- AZ
- Alter
- 45,0
- Geschlecht
- F
- Eingang
- 18.01.2022
- Impfdatum
- 16.01.2022
- Beginn
- 17.01.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Induration
Pruritus
Skin warm
Swelling
Tenderness
Symptomtext
Redness, tenderness, warm to the touch, a little itchy, swollen and firm to touch, slowly spreading.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Gaucher?s disease, avascular necrosis, high blood pressure, neck/head pain which started in 2017 after viral meningitis
- Andere Medikamente
- Gabapentin, cyclobenzaprine, metoprolol er succinate, Cephalexin
- Allergien
- Penicillin (can take Cephalexin safely), Sulfa, Macrobid
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 36,0
- Geschlecht
- F
- Eingang
- 12.10.2023
- Impfdatum
- 11.03.2022
- Beginn
- 09.10.2023
- Tage bis Beginn
- 577,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
COVID-19
SARS-CoV-2 test positive
Symptomtext
hospitalized with covid; fully vaccinated with 2 boosters
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- 2,0
- Labordaten
- positive covid pcr 10/9/23
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- HTN, MS, migraine headache, depression, anxiety, bladder spasm
- Andere Medikamente
- unknown
- Allergien
- codeine
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 81,0
- Geschlecht
- F
- Eingang
- 06.09.2023
- Impfdatum
- 20.01.2022
- Beginn
- 07.08.2023
- Tage bis Beginn
- 564,0
- Dosis
- 3
- Route/Site
- SYR / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
COVID-19
Overdose
SARS-CoV-2 test positive
Symptomtext
Hospitalization for calcium channel blocker overdose (COVID-19 positive three days later) on dates 8/7/2023-9/4/2023. Treated with dexamethasone, baricitinib, Remdesivir, vitamin C 1,000 mg PO daily, vitamin D 25 mcg PO daily, zinc 50 mg PO daily.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- 29,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- lisinopril
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 83,0
- Geschlecht
- F
- Eingang
- 21.04.2023
- Impfdatum
- 13.04.2022
- Beginn
- 30.01.2023
- Tage bis Beginn
- 292,0
- Dosis
- 4
- Route/Site
- SYR / AR
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
COVID-19
Cough
Nasopharyngitis
SARS-CoV-2 test positive
Symptomtext
I had like a cold, slight cough and that's it. It lasted maybe four or five days. I tested positive for the COVID-19 virus at home on 30JAN2023. I was prescribed Paxlovid by my Doctor.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- 30JAN2023 COVID-19 Test-Positive.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Urostomy; Digestive disorder
- Andere Medikamente
- Atenolol; Creon; Gabapentin; Vitamin D3; Biotin; Vitamin B12
- Allergien
- Cipro; Cephalexin;
- Vorherige Impfungen
- -
- Staat
- AK
- Alter
- 32,0
- Geschlecht
- F
- Eingang
- 22.03.2023
- Impfdatum
- 21.03.2022
- Beginn
- 28.03.2022
- Tage bis Beginn
- 7,0
- Dosis
- 3
- Route/Site
- SYR / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Computerised tomogram
Lymphadenopathy
Ultrasound scan
Symptomtext
I had my vaccination on 03/21/2022. On 03/28/2022 I had swollen lymph nodes on right side from armpit to by breast. I have sought medical attention in which I had diagnostic testing CT scan and ultrasound on 12/2022. I have a follow up in 04/2023 for the results.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Computerised tomogram
- Hospital-Tage
- -
- Labordaten
- Diagnostic testing CT scan and ultrasound 12/2022
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- Vitamin D; prenatal vitamins
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 93,0
- Geschlecht
- M
- Eingang
- 28.12.2022
- Impfdatum
- 15.04.2022
- Beginn
- 27.12.2022
- Tage bis Beginn
- 256,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
SARS-CoV-2 test positive
Symptomtext
hospitalized with covid; fully vaccinated
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- positive covid pcr 12/27/22
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- Coronary Artery Disease, Congestive Heart Failure, COPD, Fracture, Hyperlipidemia, Hypertension, Peptic Ulcer Disease, Renal Disease and Thyroid
- Andere Medikamente
- unknown
- Allergien
- amlodipine, iodinated contrast media, lisinopril, benadryl, pregabalin, brilinta
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 77,0
- Geschlecht
- M
- Eingang
- 28.12.2022
- Impfdatum
- 25.01.2022
- Beginn
- 26.12.2022
- Tage bis Beginn
- 335,0
- 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
hospitalized with covid; fully vaccinated with 1 booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- positive covid antigen 12/26/22
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- HLD, HTN, GERD, HFpEF, Hypothyroidism, CAD s/p PCI, PAD s/p DES and angioplasty, Stage III CKD, and DMII
- Andere Medikamente
- unknown
- Allergien
- lisinopril, pregabalin
- Vorherige Impfungen
- -
- Staat
- MS
- Alter
- 46,0
- Geschlecht
- F
- Eingang
- 28.09.2022
- Impfdatum
- 31.01.2022
- Beginn
- 31.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Inappropriate schedule of product administration
Mammogram
Triple positive breast cancer
Symptomtext
triple positive metastatic ductal carcinoma; Dose Number: 1 Date administered: 13Oct2021 Dose Number: 2 Date administered: 31Jan2022; This spontaneous case was reported by a patient and describes the occurrence of TRIPLE POSITIVE BREAST CANCER (triple positive metastatic ductal carcinoma) in a 46-year-old female patient who received mRNA-1273 (Spikevax) (batch no. 007J21-2A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient had no risk factors. she was not on menopause, she breastfed her children, she did not take hormone medications or birth control, she did a genetic test which said she had no risk factors. So she should not have any breast cancer. Concomitant products included ONDANSETRON (ZOFRAN [ONDANSETRON]) and PROCHLORPERAZINE MALEATE (COMPAZINE [PROCHLORPERAZINE MALEATE]) for an unknown indication. On 31-Jan-2022, the patient received second dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. On 31-Jan-2022, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Dose Number: 1 Date administered: 13Oct2021 Dose Number: 2 Date administered: 31Jan2022). In July 2022, the patient experienced TRIPLE POSITIVE BREAST CANCER (triple positive metastatic ductal carcinoma) (seriousness criterion medically significant). At the time of the report, TRIPLE POSITIVE BREAST CANCER (triple positive metastatic ductal carcinoma) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Dose Number: 1 Date administered: 13Oct2021 Dose Number: 2 Date administered: 31Jan2022) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In December 2020, Mammogram: it was perfect. In July 2022, Mammogram: diagnosed with triple positive metastatic ductal carcinoma. On 13-Oct-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 vaccine) (unknown route) 1 dosage form (batch no. 050E21A) for COVID-19 vaccination.The patient reported that her family dynamics had changed. The doctors told the patient that there was an anomaly. and the patients surgeon would perform a double mastectomy. The patient reported that her quality of life has changed. she is not on menopause, she breastfed her children. she did a genetic test which said she had no risk factors. The patient was currently on chemotherapy. Company comment: This spontaneous case concerns a 46 year old female without a reported medical history who experienced the unexpected, serious (medically significant) event of triple positive breast cancer described as triple positive metastatic ductal carcinoma which occurred approximately 5 months after receiving a dose of mRNA1273 as second dose of COVID-19 vaccine. Latency cannot be fully established since the exact onset date was not specified. The patient received the 2 dose primary series at 110 days interval which is not in alignment with the recommended dosing schedule. The patient was diagnosed with triple positive metastatic ductal carcinoma post vaccination. The patient's surgeon advised double mastectomy for the condition and she is currently on chemotherapy. Further details regarding the clinical course and treatment regimen were not provided. Information regarding other COVID-19 vaccine were not mentioned. The benefit-risk relationship of mRNA-1273 is not affected by this report.; Sender's Comments: This spontaneous case concerns a 46 year old female without a reported medical history who experienced the unexpected, serious (medically significant) event of triple positive breast cancer described as triple positive metastatic ductal carcinoma which occurred approximately 5 months after receiving a dose of mRNA1273 as second dose of COVID-19 vaccine. Latency cannot be fully established since the exact onset date was not specified. The patient received the 2 dose primary series at 110 days interval which is not in alignment with the recommended dosing schedule. The patient was diagnosed with triple positive metastatic ductal carcinoma post vaccination. The patient's surgeon advised double mastectomy for the condition and she is currently on chemotherapy. Further details regarding the clinical course and treatment regimen were not provided. Information regarding other COVID-19 vaccine were not mentioned. The benefit-risk relationship of mRNA-1273 is not affected by this report.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- Test Date: 202012; Test Name: mammogram; Result Unstructured Data: it was perfect; Test Date: 202207; Test Name: mammogram; Result Unstructured Data: diagnosed with triple positive metastatic ductal carcinoma
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Comments: The patient had no risk factors. she was not on menopause, she breastfed her children, she did not take hormone medications or birth control, she did a genetic test which said she had no risk factors. So she should not have any breast cancer.
- Andere Medikamente
- ZOFRAN [ONDANSETRON]; COMPAZINE [PROCHLORPERAZINE MALEATE]
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 90,0
- Geschlecht
- F
- Eingang
- 19.08.2022
- Impfdatum
- 25.01.2022
- Beginn
- 09.08.2022
- Tage bis Beginn
- 196,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Asymptomatic COVID-19
Mental status changes
SARS-CoV-2 test
Vertigo
Symptomtext
presented to emergency department for evaluation of recurrent vertigo symptoms as well as altered mental status. Pt followed my nerology and medically managed. Tested for Covid before d/c to a Snf. pt asymptomatic.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Asymptomatic COVID-19
- Hospital-Tage
- 7,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- hypothyroidism and vertigo
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 27,0
- Geschlecht
- F
- Eingang
- 04.08.2022
- Impfdatum
- 17.02.2022
- Beginn
- 18.02.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Interchange of vaccine products
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Interchange of vaccine products
- Hospital-Tage
- -
- Labordaten
- Unknown.
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- high cholesterol, high functioning autism
- Andere Medikamente
- Zoloft, Concerta, atorvastatin
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 21.07.2022
- Impfdatum
- 23.03.2022
- Beginn
- 19.07.2022
- Tage bis Beginn
- 118,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Symptomtext
Client was given adult formula of moderna covid vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- nka
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 21.07.2022
- Impfdatum
- 23.03.2022
- Beginn
- 19.07.2022
- Tage bis Beginn
- 118,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
client was given adult formula of covid vaccine. No adverse effects noted by client parent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- NA
- Vorgeschichte
- NA
- Andere Medikamente
- none
- Allergien
- nka
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 05.07.2022
- Impfdatum
- 30.01.2022
- Beginn
- 28.06.2022
- Tage bis Beginn
- 149,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
SARS-CoV-2 test positive
Vaccine breakthrough infection
Symptomtext
Breakthrough case after three doses Moderna 3/22/21 Lot# 007B21A; Moderna 4/19/21 Lot# 043B21A; Moderna 1/30/22 Lot# 007J21-2A
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- COVID +
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 66,0
- Geschlecht
- F
- Eingang
- 03.07.2022
- Impfdatum
- 13.03.2021
- Beginn
- 20.05.2022
- Tage bis Beginn
- 433,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
COVID-19
SARS-CoV-2 test
Vaccination failure
Symptomtext
CONFIRMED COVID-19 INFECTION; CONFIRMED CLINICAL VACCINATION FAILURE; This spontaneous report received from a patient via other company manufacturer (Pfizer) concerned a 67 year old female. Initial information was processed along with the additional information received on 24-JUN-2022. The patient's height, and weight were not reported. The patient's concurrent conditions included: high blood pressure, morphine allergy and wool allergy. Patient was not pregnant at the time of reporting. The patient received covid-19 vaccine ad26.cov2.s (dose number in series 1) (suspension for injection, route of admin not reported, batch number: 1805018, expiry: unknown) dose was not reported, 1 total administered to right arm on 13-MAR-2021 16:00 for prophylactic vaccination. Age at time of vaccination 66 years old. Concomitant medications included calcium/cholecalciferol, Vitamin C and lisinopril. The patient additionally received non-company suspect vaccine of Moderna, elasomeran (Spikevax) (dose number in series 2) (form of admin, route of admin not reported, batch number: 050C21A, expiry: unknown) dose was not reported, administered to right arm on 28-OCT-2021 11:00 for prophylactic vaccination. It was unknown whether patient had any adverse events following vaccination with first dose of Moderna vaccine, elasomeran (Spikevax) (dose number in series 2). The patient received second dose of non-company suspect vaccine of Moderna, elasomeran (Spikevax) (dose number in series 3) (form of admin, route of admin not reported, batch number: 007J21-2A, expiry: unknown) dose was not reported, administered to right arm on 06-APR-2022 13:00 for prophylactic vaccination. On an unspecified date, the patient felt sick (confirmed covid-19 infection, dose number in series 3) and tested positive for Covid-19 on 20-MAY-2022 (confirmed clinical vaccination failure, dose number in series 1). The patient received Paxlovid as prescribed by doctor from 20-MAY-2022 to 25-MAY-2022 for treatment of Covid-19. On 26-MAY-2022, after completion of the 5 day anti-viral treatment, the patient tested negative. Laboratory data included: COVID-19 virus test Negative. On 02-JUN-2022 at 09:00, a week later, the patient had Covid symptoms again and tested positive for another full week until 09-JUN-2022. Laboratory data included: COVID-19 virus test Positive. The action taken with covid-19 vaccine ad26.cov2.s, elasomeran (dose number in series 2) and elasomeran (dose number in series 3) was not applicable. The patient recovered from confirmed covid-19 infection on 09-JUN-2022, and the outcome of confirmed clinical vaccination failure was not reported. This report was serious (Other Medically Important Condition). This report was associated with product quality complaint: 90000237576.; Sender's Comments: V0-20220650460 -COVID-19 VACCINE Ad26.COV2.S- Confirmed clinical vaccination failure. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS. Therefore, this event(s) is considered not related.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- Test Date: 20220520; Test Name: COVID-19 TEST; Test Result: Positive ; Test Date: 20220526; Test Name: COVID-19 TEST; Test Result: Negative ; Test Date: 20220602; Test Name: COVID-19 TEST; Test Result: Positive
- Aktuelle Erkrankungen
- Allergy to wool; Blood pressure high; Drug allergy
- Vorgeschichte
- Comments: Patient was not pregnant at the time of reporting.
- Andere Medikamente
- LISINOPRIL; CALCIUM WITH VITAMIN D3 [CALCIUM;COLECALCIFEROL]; VIT C
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 60,0
- Geschlecht
- F
- Eingang
- 27.06.2022
- Impfdatum
- 08.03.2022
- Beginn
- 25.06.2022
- Tage bis Beginn
- 109,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
COVID-19
SARS-CoV-2 test positive
Symptomtext
Hospitalization with covid; fully vaccinated with booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- 1,0
- Labordaten
- positive covid pcr 6/25/22
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- Hypertension and Other (Arthritis; Chronic back pain; depression with anxiety; eczema; psoriasis)
- Andere Medikamente
- unknown
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 76,0
- Geschlecht
- F
- Eingang
- 10.06.2022
- Impfdatum
- 04.03.2022
- Beginn
- 20.04.2022
- Tage bis Beginn
- 47,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
SARS-CoV-2 test positive
Vaccine breakthrough infection
Symptomtext
Confirmed Breakthrough COVID-19 (Moderna) 1 1/20/2021 Pharmacy Moderna 012L20A COVID-19 (Moderna) 2 2/16/2021 Pharmacy Moderna 004M20A COVID-19 (Moderna) 3 03/04/2022 Nursing and Rehab Center Moderna 007J212A
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- Positive Covid Test - 4/20/2022
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 29,0
- Geschlecht
- F
- Eingang
- 03.06.2022
- Impfdatum
- 24.01.2022
- Beginn
- 02.06.2022
- Tage bis Beginn
- 129,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
COVID-19
Exposure during pregnancy
Road traffic accident
SARS-CoV-2 test positive
Vaccine breakthrough infection
Symptomtext
COVID vaccine breakthrough case admitted for MVA, COVID was an incidental finding 32 weeks pregnant as of 6/2/22 dose 1 1/6/21 Moderna 026L20A dose 2 2/3/21 Moderna 007M20A
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- covid+ test on 6/2/22
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 25.05.2022
- Impfdatum
- 22.03.2022
- Beginn
- 22.03.2022
- 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 VACCINE AT AGE 17. SHOULD HAVE RECEIVED PFIZER. PER CDC DOSE DOESN'T NEED TO BE REPEATED.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 14,0
- Geschlecht
- M
- Eingang
- 16.05.2022
- Impfdatum
- 31.01.2022
- Beginn
- 31.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product administered to patient of inappropriate age
Vaccination error
Wrong product administered
Symptomtext
Wrong Booster provided due to patient age. Patient received two Pfizer vaccines. Moderna given in error. No adverse symptoms that the clinic is aware off. Caught by audit.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 46,0
- Geschlecht
- F
- Eingang
- 02.05.2022
- Impfdatum
- 22.01.2022
- Beginn
- 02.04.2022
- Tage bis Beginn
- 70,0
- Dosis
- 3
- Route/Site
- SYR / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Eye laser surgery
Retinal injury
Symptomtext
Torn Retina on 4/2/2022 - Treated on 4/12/2022 with a laser procedure.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Eye laser surgery
- Hospital-Tage
- -
- Labordaten
- 2 eye exams on 4/12/2022 and a laser procedure to fix the tear on 4/12/2022 1 eye exam on 4/20/2022
- Aktuelle Erkrankungen
- I had a positive Covid test on 11/24/2021.
- Vorgeschichte
- Factor 5 positive
- Andere Medikamente
- Low Dose Aspirin, Multi-Vitamin, Fish Oil, Probiotic, 5HTP, and Vitamin D.
- Allergien
- Penicillin
- Vorherige Impfungen
- Covid Arm after first shot on 3/30/2021
- Staat
- MD
- Alter
- 79,0
- Geschlecht
- M
- Eingang
- 01.05.2022
- Impfdatum
- 31.03.2022
- Beginn
- 11.04.2022
- Tage bis Beginn
- 11,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
Abscess drainage
Anaemia
Central venous catheterisation
Computerised tomogram
Electrolyte imbalance
Full blood count
Ileostomy
Intestinal perforation
Laboratory test
Peritonitis
Symptomtext
Spontaneous bowel perforation,Peritonitis, 3 pelvic abcesses drained, by-pass loop ileostomy formed and 2 drains inserted in pelvis near abcesses
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Abscess drainage
- Hospital-Tage
- -
- Labordaten
- 3CT Scans , multiple CBC & TPN panels, PICC line; electrolyte imbalance, anemia
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- osteoarthritis, CAD, GERD, HBP, high cholesterol
- Andere Medikamente
- rosuvastatin,CoQ10,HCTZ, metopralol,losartan,Nexium,lo-doseASA
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 61,0
- Geschlecht
- F
- Eingang
- 28.04.2022
- Impfdatum
- 20.04.2022
- Beginn
- 20.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2a) for COVID-19 vaccination. Concurrent medical conditions included Diabetes. On 20-Apr-2022, the patient received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication was provided. It was reported that the patient never had COVID positive test or diagnosis and patient didn't received any other vaccines within 1 month prior to Moderna COVID-19 vaccine. No treatment medication was provided. This case was linked to MOD-2022-548975 (Patient Link).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Diabetes
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 48,0
- Geschlecht
- M
- Eingang
- 28.04.2022
- Impfdatum
- 20.04.2022
- Beginn
- 20.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
26 Patient received a vaccine expired on 16-Apr-2022; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (26 Patient received a vaccine expired on 16-Apr-2022) in a 48-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2a) for COVID-19 vaccination. Patient does not have any allergies or other chronic conditions. The patient never had COVID positive test or diagnosis. Patient didn't received any other vaccines within 1 month prior to Moderna COVID-19 vaccine. On 20-Apr-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (26 Patient received a vaccine expired on 16-Apr-2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (26 Patient received a vaccine expired on 16-Apr-2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication was provided. The received first booster dose. It was unknown whether seek medical care or whether the patient experienced a similar event in the past. No treatment medication information was provided.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Comments: Patient does not have any allergies or other chronic conditions. The patient never had COVID positive test or diagnosis. Patient didn't received any other vaccines within 1 month prior to Moderna COVID-19 vaccine.
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- -
- Geschlecht
- U
- Eingang
- 28.04.2022
- Impfdatum
- 19.04.2022
- Beginn
- 19.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
Symptomtext
received expired doses of the Moderna COVID19 vaccine; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (received expired doses of the Moderna COVID19 vaccine) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007j21-2a) for COVID-19 vaccination. No Medical History information was reported. On 19-Apr-2022, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 19-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (received expired doses of the Moderna COVID19 vaccine). On 19-Apr-2022, EXPIRED PRODUCT ADMINISTERED (received expired doses of the Moderna COVID19 vaccine) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication reported. Reporter mentioned 10 Patients received expired doses of the Moderna COVID-19 Vaccine. No treatment medication reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 54,0
- Geschlecht
- M
- Eingang
- 28.04.2022
- Impfdatum
- 22.04.2022
- Beginn
- 22.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
Patient received a expired vaccine 16-Apr-2022; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16-Apr-2022) in a 54-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2a) for COVID-19 vaccination. The patient's past medical history included COVID-19 virus test positive. On 22-Apr-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16-Apr-2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16-Apr-2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medication information was not provided by the reporter. Treatment information was not provided by the reporter.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: COVID-19 virus test positive
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 45,0
- Geschlecht
- F
- Eingang
- 28.04.2022
- Impfdatum
- 22.04.2022
- Beginn
- 22.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
The patient received an expired vaccine of 16-Apr-2022; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (The patient received an expired vaccine of 16-Apr-2022) in a 45-year-old female patient who received mRNA-1273 (Spikevax) (batch no. 007J21-2a) for COVID-19 vaccination. Patient did not have allergies to medications, food, and other products. Patient had no acute or chronic illnesses at the time of vaccination. On 22-Apr-2022, the patient received second dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. On 22-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (The patient received an expired vaccine of 16-Apr-2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (The patient received an expired vaccine of 16-Apr-2022) outcome was unknown. For mRNA-1273 (Spikevax) (Unknown), the reporter did not provide any causality assessments. The patient never ever had COVID positive test or diagnosis. The patient did not take other vaccines within 1 month prior to Moderna COVID-19 vaccine. No concomitant medications were reported. It was reported that a total of 26 patients received an expired vaccine of 16-Apr-2022. It was unknown if patient had to seek medical care office visit, urgent care, ER or hospitalization. It was unknown if patient had similar experience in the past. No treatment medications were reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Comments: Patient did not have allergies to medications, food, and other products. Patient had no acute or chronic illnesses at the time of vaccination.
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 58,0
- Geschlecht
- M
- Eingang
- 28.04.2022
- Impfdatum
- 22.04.2022
- Beginn
- 22.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
26 Patient received a expired vaccine 16Apr2022; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022) in a 58-year-old male patient who received mRNA-1273 (Spikevax) (batch no. 007J21-2a) for COVID-19 vaccination. No Medical History information was reported. On 22-Apr-2022, the patient received second dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. On 22-Apr-2022 at 1:00 PM, the patient experienced EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022) outcome was unknown. For mRNA-1273 (Spikevax) (Unknown), 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
- -
- Staat
- -
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 28.04.2022
- Impfdatum
- 22.04.2022
- Beginn
- 22.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
26 Patients received a expired vaccine; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (26 Patients received a expired vaccine) in a 57-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2a) for COVID-19 vaccination. No Medical History information was reported. On 22-Apr-2022, the patient received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (26 Patients received a expired vaccine). At the time of the report, EXPIRED PRODUCT ADMINISTERED (26 Patients received a expired vaccine) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medications details were not reported by the reporter. Treatment details were not reported by the reporter.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 53,0
- Geschlecht
- M
- Eingang
- 28.04.2022
- Impfdatum
- 20.04.2022
- Beginn
- 20.04.2022
- 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
SARS-CoV-2 test
Symptomtext
Patient received a expired vaccine 16 Apr 2022; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16 Apr 2022) in a 53-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2a) for COVID-19 vaccination. The patient's past medical history included COVID-19 in February 2022. Concurrent medical conditions included Diabetes. On 20-Apr-2022, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16 Apr 2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16 Apr 2022) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In February 2022, SARS-CoV-2 test: positive (Positive) Positive. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Dose number was reported as Dirst booster. No concomitant medication were reported. No treatment medication were reported. This case was linked to MOD-2022-549193 (Patient Link).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- Test Date: 202202; Test Name: COVID-19 positive; Test Result: Positive ; Result Unstructured Data: Positive
- Aktuelle Erkrankungen
- Diabetes
- Vorgeschichte
- Medical History/Concurrent Conditions: COVID-19
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 28.04.2022
- Impfdatum
- 20.04.2022
- Beginn
- 20.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
26 Patient received a expired vaccine 16Apr2022; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022) in a 59-year-old female patient who received mRNA-1273 (Spikevax) (batch no. 007J21-2a) for COVID-19 vaccination. Other vaccine was not given to the patient within 1 month prior to Moderna COVID-19 vaccine. Concurrent medical conditions included Penicillin allergy (Penicillin), Diabetes and Heart disease, unspecified. On 20-Apr-2022, the patient received second dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. On 20-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022) outcome was unknown. For mRNA-1273 (Spikevax) (Unknown), the reporter did not provide any causality assessments. No concomitant medication was reported. The treatment information was unknown.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Diabetes; Heart disease, unspecified; Penicillin allergy (Penicillin)
- Vorgeschichte
- Comments: Other vaccine was not given to the patient within 1 month prior to Moderna COVID-19 vaccine.
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 55,0
- Geschlecht
- M
- Eingang
- 28.04.2022
- Impfdatum
- 22.04.2022
- Beginn
- 22.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16-Apr-2022) in a 55-year-old male patient who received mRNA-1273 (Spikevax) (batch no. 007J21-2a) for COVID-19 vaccination. No Medical History information was reported. On 22-Apr-2022, the patient received second dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. On 22-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16-Apr-2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16-Apr-2022) outcome was unknown. For mRNA-1273 (Spikevax) (Unknown), the reporter did not provide any causality assessments. No Concomitant medication was reported. No Treatment medication was reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 42,0
- Geschlecht
- M
- Eingang
- 28.04.2022
- Impfdatum
- 22.04.2022
- Beginn
- 22.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
Patient received a expired vaccine 16 Apr 2022; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16 Apr 2022) in a 42-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2a) for COVID-19 vaccination. The patient did not have any allergies No other vaccine was given prior to Moderna Covid-19 Vaccine. On 22-Apr-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16 Apr 2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16 Apr 2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. It was reported that patient had never had COVID positive test nor diagnosis. No concomitant medication were reported. No treatment medication were reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Comments: The patient did not have any allergies No other vaccine was given prior to Moderna Covid-19 Vaccine.
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 72,0
- Geschlecht
- M
- Eingang
- 28.04.2022
- Impfdatum
- 20.04.2022
- Beginn
- 20.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
26 Patient received a expired vaccine 16Apr2022; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022) in a 72-year-old male patient who received mRNA-1273 (Spikevax) (batch no. 007J21-2a) for COVID-19 vaccination. Concurrent medical conditions included Diabetes. On 20-Apr-2022, the patient received first dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. On 20-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022) outcome was unknown. For mRNA-1273 (Spikevax) (Unknown), the reporter did not provide any causality assessments. The patient did not received any other vaccines within 1 month prior to Moderna COVID-19 vaccine. No concomitant medications were reported. No treatment medications were reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Diabetes
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 30,0
- Geschlecht
- F
- Eingang
- 28.04.2022
- Impfdatum
- 22.04.2022
- Beginn
- 22.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
Patient received a expired vaccine 16Apr2022; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16Apr2022) in a 30-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2a) for COVID-19 vaccination. Patient had no Allergies. Patient never had COVID positive test or diagnosis. No Other vaccines given within 1 month prior to Moderna COVID-19 vaccine. Concurrent medical conditions included Asthma. On 22-Apr-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16Apr2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16Apr2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication information provided. No treatment medication information provided.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Asthma
- Vorgeschichte
- Comments: Patient had no Allergies. Patient never had COVID positive test or diagnosis. No Other vaccines given within 1 month prior to Moderna COVID-19 vaccine.
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 39,0
- Geschlecht
- F
- Eingang
- 28.04.2022
- Impfdatum
- 22.04.2022
- Beginn
- 22.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
SARS-CoV-2 test
Symptomtext
26 Patient received a expired vaccine 16Apr2022; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022) in a 39-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2a) for COVID-19 vaccination. No Medical History information was reported. On 22-Apr-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test: negative (Negative) Negative. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication were reported. No treatment drug were reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- Test Name: COVID-19 TEST; Test Result: Negative ; Result Unstructured Data: Negative
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 41,0
- Geschlecht
- M
- Eingang
- 28.04.2022
- Impfdatum
- 20.04.2022
- Beginn
- 20.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
26 Patient received a expired vaccine 16Apr2022; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022) in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2a) for COVID-19 vaccination. No Medical History information was reported. On 20-Apr-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medications details were not reported by the reporter. Patient received first booster dose. Treatment details was not reported by the reporter. This case was linked to MOD-2022-548975 (Patient Link).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 54,0
- Geschlecht
- M
- Eingang
- 28.04.2022
- Impfdatum
- 22.04.2022
- Beginn
- 22.04.2022
- 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
SARS-CoV-2 test positive
Symptomtext
Patient received a expired vaccine 22-Apr-2022; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 22-Apr-2022) in a 54-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2a) for COVID-19 vaccination. The patient's past medical history included COVID-19. On 22-Apr-2022, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 22-Apr-2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 22-Apr-2022) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test positive: positive (Positive) Patient was diagnosed with COVID-19 positive. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter. On 22-Apr-2022, the patient received the first booster dose of the vaccine. Patient did not have allergies to medications, food and other products. No Other vaccines were given within one month prior to Moderna COVID-19 vaccine to Patient. Patient did not have any acute and Chronic illnesses at the time of vaccination. Treatment information was not provided.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- Test Name: COVID-19 test positive; Test Result: Positive ; Result Unstructured Data: Patient was diagnosed with COVID-19 positive
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: COVID-19
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 28,0
- Geschlecht
- F
- Eingang
- 28.04.2022
- Impfdatum
- 22.04.2022
- Beginn
- 22.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
26 Patients received a expired vaccine; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (26 Patients received a expired vaccine) in a 28-year-old female patient who received mRNA-1273 (Spikevax) (batch no. 007J21-2a) for COVID-19 vaccination. No Medical History information was reported. On 22-Apr-2022, the patient received second dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. On 22-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (26 Patients received a expired vaccine). At the time of the report, EXPIRED PRODUCT ADMINISTERED (26 Patients received a expired vaccine) outcome was unknown. For mRNA-1273 (Spikevax) (Unknown), the reporter did not provide any causality assessments. Concomitant medications details were not reported by the reporter. Treatment details were not reported by the reporter.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 54,0
- Geschlecht
- F
- Eingang
- 28.04.2022
- Impfdatum
- 22.04.2022
- Beginn
- 22.04.2022
- 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
Symptomtext
Patient received a expired vaccine 16Apr2022; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16Apr2022) in a 54-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2a) for COVID-19 vaccination. History relating to mentioned adverse event and both Acute and Chronic illnesses at the time of vaccination was reported as no. Other vaccines given within 1 month prior to Moderna COVID-19 vaccine was reported as no. Concurrent medical conditions included COPD, Asthma and Drug allergy (Tylonol). On 22-Apr-2022, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16Apr2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16Apr2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter. On 22 Apr 2022, the patient received the first booster dose of the vaccine. Treatment information was not provided.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Asthma; COPD; Drug allergy (Tylonol)
- Vorgeschichte
- Comments: History relating to mentioned adverse event and both Acute and Chronic illnesses at the time of vaccination was reported as no. Other vaccines given within 1 month prior to Moderna COVID-19 vaccine was reported as no.
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 26,0
- Geschlecht
- M
- Eingang
- 28.04.2022
- Impfdatum
- 22.04.2022
- Beginn
- 22.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
Patient received a expired vaccine 16Apr2022; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16Apr2022) in a 26-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2a) for COVID-19 vaccination. It was reported that patient did not have any allergies and never had COVID positive test or diagnosis. Patient did not had history relating to mentioned AE . No acute and chronic illnesses at the time of vaccination. On 22-Apr-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16Apr2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16Apr2022) outcome was unknown. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No relevant concomitant drug information was provided. Patient received first booster dose of vaccine. No treatment drug information was reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Comments: It was reported that patient did not have any allergies and never had COVID positive test or diagnosis. Patient did not had history relating to mentioned AE . No acute and chronic illnesses at the time of vaccination.
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 43,0
- Geschlecht
- F
- Eingang
- 28.04.2022
- Impfdatum
- 22.04.2022
- Beginn
- 22.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
26 Patient received a expired vaccine 16Apr2022; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022) in a 43-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2a) for COVID-19 vaccination. No Other vaccines given within 1 month prior to Moderna COVID-19 vaccine. Patient never had COVID positive test or diagnosis. No Allergies (medications, food and other products) were reported. Concurrent medical conditions included Diabetes. On 22-Apr-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications information was reported. Patient received first booster dose on 22 Apr 2022. This case was linked to MOD-2022-548975 (Patient Link).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Diabetes
- Vorgeschichte
- Comments: No Other vaccines given within 1 month prior to Moderna COVID-19 vaccine. Patient never had COVID positive test or diagnosis. No Allergies (medications, food and other products) were reported.
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 23,0
- Geschlecht
- M
- Eingang
- 28.04.2022
- Impfdatum
- 22.04.2022
- Beginn
- 22.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
26 Patient received a expired vaccine 16Apr2022; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022) in a 23-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2a) for COVID-19 vaccination. No Medical History information was reported. On 22-Apr-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (26 Patient received a expired vaccine 16Apr2022) outcome was unknown. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medications details were not reported by the reporter. Patient received first booster dose. Treatment details was not reported by the reporter. This case was linked to MOD-2022-548975 (Patient Link).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 60,0
- Geschlecht
- M
- Eingang
- 28.04.2022
- Impfdatum
- 20.04.2022
- Beginn
- 20.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
Patient received a expired vaccine 16Apr2022; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16Apr2022) in a 60-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2a) for COVID-19 vaccination. The patient's past medical history included Liver disorder. On 20-Apr-2022, the patient received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16Apr2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16Apr2022) outcome was unknown. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. No treatment medications were reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Liver disorder
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 21,0
- Geschlecht
- F
- Eingang
- 28.04.2022
- Impfdatum
- 20.04.2022
- Beginn
- 20.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16-Apr-2022) in a 21-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2a) for COVID-19 vaccination. No Medical History information was reported. On 20-Apr-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16-Apr-2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16-Apr-2022) outcome was unknown. Not Provided. 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. The patient did not had COVID positive test or diagnosis ever.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 32,0
- Geschlecht
- F
- Eingang
- 28.04.2022
- Impfdatum
- 20.04.2022
- Beginn
- 20.04.2022
- 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
Symptomtext
Patient received an expired vaccine; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient received an expired vaccine) in a 32-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2a) for COVID-19 vaccination. The patient had never been tested positive or diagnosed with COVID disease. The patient had no allergies to medications, food and other products. The patient had no medical history related to mentioned adverse events and did not have any acute and chronic illnesses at the time of vaccination. The patient did not receive any other vaccine within 1 month prior to Moderna COVID-19 vaccination. Concurrent medical conditions included Asthma. On 20-Apr-2022, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Patient received an expired vaccine). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Patient received an expired vaccine) outcome was unknown. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication information was provided. No treatment information was provided. On 20-Apr-2022, the patient received the first booster dose of the vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Asthma
- Vorgeschichte
- Comments: The patient had never been tested positive or diagnosed with COVID disease. The patient had no allergies to medications, food and other products. The patient had no medical history related to mentioned adverse events and did not have any acute and chronic illnesses at the time of vaccination. The patient did not receive any other vaccine within 1 month prior to Moderna COVID-19 vaccination.
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 60,0
- Geschlecht
- M
- Eingang
- 28.04.2022
- Impfdatum
- 20.04.2022
- Beginn
- 20.04.2022
- 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
Symptomtext
Patient received an expired vaccine; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient received an expired vaccine) in a 60-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2a) for COVID-19 vaccination. The patient had never been tested positive or diagnosed with COVID-19 disease. The patient had no allergies to medications, food and other products. The patient had no medical history related to mentioned adverse events and did not have any acute and chronic illnesses at the time of vaccination. The patient did not receive any other vaccine within 1 month prior to Moderna COVID-19 vaccination. On 20-Apr-2022, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Patient received an expired vaccine). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Patient received an expired vaccine) outcome was unknown. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication information was provided. On 20-Apr-2022, the patient received the first booster dose of the vaccine. No treatment information was provided.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Comments: The patient had never been tested positive or diagnosed with COVID-19 disease. The patient had no allergies to medications, food and other products. The patient had no medical history related to mentioned adverse events and did not have any acute and chronic illnesses at the time of vaccination. The patient did not receive any other vaccine within 1 month prior to Moderna COVID-19 vaccination.
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 28.04.2022
- Impfdatum
- 20.04.2022
- Beginn
- 20.04.2022
- 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
Symptomtext
Patient received a expired vaccine 16Apr2022; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16Apr2022) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2a) for COVID-19 vaccination. Concurrent medical conditions included Penicillin allergy. On 20-Apr-2022, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16Apr2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Patient received a expired vaccine 16Apr2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication was provided. It was reported that the patient never had COVID positive test or diagnosis and patient didn't received any other vaccines within 1 month prior to Moderna COVID-19 vaccine. No treatment medication information was provided. This case was linked to MOD-2022-549135, MOD-2022-549157, MOD-2022-549136 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 25-Apr-2022: Follow-up received on 25-Apr-2022:.Reporter information and patient details updated.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Penicillin allergy
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 74,0
- Geschlecht
- M
- Eingang
- 27.04.2022
- Impfdatum
- 22.04.2022
- Beginn
- 22.04.2022
- 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
Vial had been initially stored in the refrigerator on 11-Mar-2022, expired on 16-Apr-2022 and administered on 22-Apr-2022; Dose administered after 30-day use by date and after manufacturer date of expiry; This spontaneous case was reported by a nurse and describes the occurrence of PRODUCT STORAGE ERROR (Vial had been initially stored in the refrigerator on 11-Mar-2022, expired on 16-Apr-2022 and administered on 22-Apr-2022) and EXPIRED PRODUCT ADMINISTERED (Dose administered after 30-day use by date and after manufacturer date of expiry) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 22-Apr-2022, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Dose administered after 30-day use by date and after manufacturer date of expiry). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Vial had been initially stored in the refrigerator on 11-Mar-2022, expired on 16-Apr-2022 and administered on 22-Apr-2022). At the time of the report, PRODUCT STORAGE ERROR (Vial had been initially stored in the refrigerator on 11-Mar-2022, expired on 16-Apr-2022 and administered on 22-Apr-2022) and EXPIRED PRODUCT ADMINISTERED (Dose administered after 30-day use by date and after manufacturer date of expiry) 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 vial did not undergo any temperature excursions.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 57,0
- Geschlecht
- M
- Eingang
- 27.04.2022
- Impfdatum
- 22.04.2022
- Beginn
- 22.04.2022
- 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
they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022; they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022) and PRODUCT STORAGE ERROR (they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022) in a 57-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 22-Apr-2022, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022) and PRODUCT STORAGE ERROR (they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. The patient was administered with booster dose.The vial was initially stored in the refrigerator on 11 Mar 2022.The vial did not undergo any temperature excursions. No treatment information was provided.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 78,0
- Geschlecht
- M
- Eingang
- 27.04.2022
- Impfdatum
- 22.04.2022
- Beginn
- 22.04.2022
- 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
they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial refrigerated on 11Mar2022; they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial refrigerated on 11Mar2022; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial refrigerated on 11Mar2022) and PRODUCT STORAGE ERROR (they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial refrigerated on 11Mar2022) in a 78-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 22-Apr-2022, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial refrigerated on 11Mar2022). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial refrigerated on 11Mar2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial refrigerated on 11Mar2022) and PRODUCT STORAGE ERROR (they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial refrigerated on 11Mar2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medications was not provided by the reporter. On 11Mar2022, the vial was initially stored in the refrigerator. The vial does not undergone any temperature excursions. Treatment information was not provided.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 27.04.2022
- Impfdatum
- 22.04.2022
- Beginn
- 22.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Product storage error
Symptomtext
Administered 7 booster doses of the Moderna COVID-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022; Administered 7 booster doses of the Moderna COVID-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Administered 7 booster doses of the Moderna COVID-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022) and PRODUCT STORAGE ERROR (Administered 7 booster doses of the Moderna COVID-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 22-Apr-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Administered 7 booster doses of the Moderna COVID-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Administered 7 booster doses of the Moderna COVID-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Administered 7 booster doses of the Moderna COVID-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022) and PRODUCT STORAGE ERROR (Administered 7 booster doses of the Moderna COVID-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant product use was provided. No treatment medication was provided. Date the vial was initially stored in the refrigerator on 11-Mar-2022. The vial did not undergo any temperature excursions.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 85,0
- Geschlecht
- F
- Eingang
- 27.04.2022
- Impfdatum
- 22.04.2022
- Beginn
- 22.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Product storage error
Symptomtext
administered 7 booster doses of the Moderna COVID-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022; they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022) and PRODUCT STORAGE ERROR (administered 7 booster doses of the Moderna COVID-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022) in an 85-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 22-Apr-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (administered 7 booster doses of the Moderna COVID-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022) and PRODUCT STORAGE ERROR (administered 7 booster doses of the Moderna COVID-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication information provided. Patient was administered with the booster dose of Moderna COVID-19 vaccine. The Date vial was initially stored in the refrigerator was reported as 11 Mar 2022. The vial did not undergo any temperature excursion. No treatment medication information provided.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- -
- Geschlecht
- F
- Eingang
- 27.04.2022
- Impfdatum
- 21.04.2022
- Beginn
- 21.04.2022
- 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
The vial was initially stored in refrigerator on 08-APR-2022/ expired on 16 Apr 2022/ administered on 21-APR-2022; Expired vaccine given to female patient; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine given to female patient) and PRODUCT STORAGE ERROR (The vial was initially stored in refrigerator on 08-APR-2022/ expired on 16 Apr 2022/ administered on 21-APR-2022) in a female patient of an unknown age who received mRNA-1273 (Spikevax) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 21-Apr-2022, the patient received dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. On 21-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired vaccine given to female patient). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (The vial was initially stored in refrigerator on 08-APR-2022/ expired on 16 Apr 2022/ administered on 21-APR-2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine given to female patient) and PRODUCT STORAGE ERROR (The vial was initially stored in refrigerator on 08-APR-2022/ expired on 16 Apr 2022/ administered on 21-APR-2022) outcome was unknown. For mRNA-1273 (Spikevax) (Unknown), the reporter did not provide any causality assessments. Concomitant medications were not reported. Vial didnot undergo any temperature excursion. It was reported that no AE reported by patient. Treatment medications were not reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 89,0
- Geschlecht
- M
- Eingang
- 26.04.2022
- Impfdatum
- 22.04.2022
- Beginn
- 22.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Product storage error
Symptomtext
administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022; Nurse states that they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Nurse states that they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022) and PRODUCT STORAGE ERROR (administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022) in an 89-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 22-Apr-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Nurse states that they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Nurse states that they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022) and PRODUCT STORAGE ERROR (administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant drug was reported. The vial was initially stored in the refrigerator on 11-Mar-2022. The booster dose was administered on 22-Apr-2022. The vial did not undergo any temperature excursions. No treatment drug was reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 69,0
- Geschlecht
- M
- Eingang
- 26.04.2022
- Impfdatum
- 22.04.2022
- Beginn
- 22.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Product storage error
Symptomtext
they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022; Dose administered after 30-day Use By Date AND after manufacturer date of expiry; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Dose administered after 30-day Use By Date AND after manufacturer date of expiry) and PRODUCT STORAGE ERROR (they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022) in a 69-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 22-Apr-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Dose administered after 30-day Use By Date AND after manufacturer date of expiry). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Dose administered after 30-day Use By Date AND after manufacturer date of expiry) and PRODUCT STORAGE ERROR (they administered 7 booster doses of the Moderna Covid-19 Vaccine on 22Apr2022 from a vial expired on 16Apr2022 & had been initially refrigerated on 11Mar2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Date the vial was initially stored in the refrigerator on 11-Mar-2022. The vial did not undergo any temperature excursions.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 78,0
- Geschlecht
- F
- Eingang
- 25.04.2022
- Impfdatum
- 18.04.2022
- Beginn
- 18.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
No adverse event
Symptomtext
no adverse outcome, realized vaccine expired 4/16/22 and was given on 4/18/22, verified with Moderna that dose was valid and did not need repeating.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- UNK
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 65,0
- Geschlecht
- U
- Eingang
- 23.04.2022
- Impfdatum
- 20.04.2022
- Beginn
- 20.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
Dose administered after 30-day Use By Date or after manufacturer date of expiry. This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Dose administered after 30-day Use By Date or after manufacturer date of expiry.) in a 65-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 20-Apr-2022, the patient received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) .25 milliliter. On 20-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Dose administered after 30-day Use By Date or after manufacturer date of expiry.). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Dose administered after 30-day Use By Date or after manufacturer date of expiry.) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No relevant concomitant drug information was provided. Patient had a second booster dose of Moderna vaccine. It was unknown if the patient had allergies to any medications, food and other products. The vial had not undergone any temperature excursion issue. The vial was initially stored in refrigerator on 11-Apr-2022. No treatment drug information was provided. Most recent FOLLOW-UP information incorporated above includes: On 21-Apr-2022: Follow-up received contains no new information.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 77,0
- Geschlecht
- M
- Eingang
- 22.04.2022
- Impfdatum
- 22.04.2022
- Beginn
- 22.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
Patient given Moderna Covid vaccine that had expired on 04/16/22. Vaccine was given to patient on 04/22/22. Patient declines any SOB, Wheezing, or throat closer. Vaccine manufacture contacted and review has been started. At this time, do not know yet if patient needs to be revaccinated.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- NOne
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- HTN, DM,
- Andere Medikamente
- Glipizide, Tamsulosin, Lisinopril, Metformin, Gabapentin, Cinnanmon, Multivitamin..
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- -
- Geschlecht
- U
- Eingang
- 21.04.2022
- Impfdatum
- 18.04.2022
- Beginn
- 18.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
Expired dose administered to a patient; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired dose administered to a patient) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 18-Apr-2022, the patient received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form and third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 18-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired dose administered to a patient). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired dose administered to a patient) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication was provided. Reporter confirmed an expired dose on 16Apr2022 was administered to 1 patient on 18Apr2022. No treatment medication was provided. Most recent FOLLOW-UP information incorporated above includes: On 19-Apr-2022: Follow-up received includes previous dosage of suspect
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 63,0
- Geschlecht
- M
- Eingang
- 21.04.2022
- Impfdatum
- 18.04.2022
- Beginn
- 18.04.2022
- 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 storage error
Symptomtext
stored in the refrigerator is 20Jan2022, experied on 16Apr2022, administered on 18Apr2022; administered with expired vaccine; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (administered with expired vaccine) and PRODUCT STORAGE ERROR (stored in the refrigerator is 20Jan2022, experied on 16Apr2022, administered on 18Apr2022) in a 63-year-old male patient who received mRNA-1273 (Spikevax) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 18-Apr-2022 at 10:25 AM, the patient received first dose of mRNA-1273 (Spikevax) (Intramuscular) .5 milliliter. On 18-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (administered with expired vaccine). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (stored in the refrigerator is 20Jan2022, experied on 16Apr2022, administered on 18Apr2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (administered with expired vaccine) and PRODUCT STORAGE ERROR (stored in the refrigerator is 20Jan2022, experied on 16Apr2022, administered on 18Apr2022) outcome was unknown. The action taken with mRNA-1273 (Spikevax) (Intramuscular) was unknown. For mRNA-1273 (Spikevax) (Intramuscular), the reporter did not provide any causality assessments. A nurse reported that they inadvertently administered an expired Moderna Covid-19 vaccine to 2 patients on 18Apr2022. Lot number 007J21-2A; expiration date per expiration date look up tool online is 16Apr2022. Initial date the vial was stored in the refrigerator is 20Jan2022. They wanted to know what to do with the 2 patients who have been administered with the vaccine. Additional information was reported as follows: Dose administered after 30-day Use By Date or after manufacturer date of expiry Lot number was 007J21-2A; 16Apr2022 The Number of doses/vials: was 2 doses It was reported that the vial was initially stored in the refrigerator on 20Jan2022 The Date of administration of vaccine was18Apr2022 The vial did not undergo any temperature excursions It was reported that the patients received 1st doses and neither reported any side effects Concomitant medications were not reported. Treatment medications were not reported. This case was linked to MOD-2022-543432 (Patient Link).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 21.04.2022
- Impfdatum
- 18.04.2022
- Beginn
- 01.04.2022
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Conversion disorder
Expired product administered
Product storage error
Symptomtext
Initial date the vial was stored in the refrigerator is 20Jan2022, vaccine expired on 16Apr2022 and expired on 18Apr2022; administered with expired vaccine; Hysterical; This spontaneous case was reported by a nurse and describes the occurrence of CONVERSION DISORDER (Hysterical), EXPIRED PRODUCT ADMINISTERED (administered with expired vaccine) and PRODUCT STORAGE ERROR (Initial date the vial was stored in the refrigerator is 20Jan2022, vaccine expired on 16Apr2022 and expired on 18Apr2022) in a 72-year-old female patient who received mRNA-1273 (Spikevax) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 18-Apr-2022 at 10:00 AM, the patient received first dose of mRNA-1273 (Spikevax) (Intramuscular) .5 milliliter. In April 2022, the patient experienced CONVERSION DISORDER (Hysterical). On 18-Apr-2022 at 10:00 AM, the patient experienced EXPIRED PRODUCT ADMINISTERED (administered with expired vaccine). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Initial date the vial was stored in the refrigerator is 20Jan2022, vaccine expired on 16Apr2022 and expired on 18Apr2022). At the time of the report, CONVERSION DISORDER (Hysterical), EXPIRED PRODUCT ADMINISTERED (administered with expired vaccine) and PRODUCT STORAGE ERROR (Initial date the vial was stored in the refrigerator is 20Jan2022, vaccine expired on 16Apr2022 and expired on 18Apr2022) outcome was unknown. The action taken with mRNA-1273 (Spikevax) (Intramuscular) was unknown. For mRNA-1273 (Spikevax) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medication reported. The reporter reported that the vial did not undergo any temperature excursions. No treatment medication reported. This case was linked to MOD-2022-543460 (Patient Link).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Conversion disorder
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 22,0
- Geschlecht
- F
- Eingang
- 21.04.2022
- Impfdatum
- 18.04.2022
- Beginn
- 18.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
Maternal exposure during pregnancy
Symptomtext
22 weeks pregnant; Expired dose administered; This spontaneous prospective pregnancy case was reported by an other health care professional and describes the occurrence of MATERNAL EXPOSURE DURING PREGNANCY (22 weeks pregnant) and EXPIRED PRODUCT ADMINISTERED (Expired dose administered) in a 22-year-old female patient who received mRNA-1273 (Spikevax) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 18-Apr-2022, the patient received second dose of mRNA-1273 (Spikevax) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. Last menstrual period and estimated date of delivery were not provided. On 18-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired dose administered). On an unknown date, the patient experienced MATERNAL EXPOSURE DURING PREGNANCY (22 weeks pregnant). At the time of the report, MATERNAL EXPOSURE DURING PREGNANCY (22 weeks pregnant) had resolved and EXPIRED PRODUCT ADMINISTERED (Expired dose administered) outcome was unknown. For mRNA-1273 (Spikevax) (Unknown), the reporter did not provide any causality assessments. No concomitant medications reported. No treatment medications reported. It was reported, the vial was initially stored in the refrigerator on 14-Apr-2022 and the vial underwent no temperature excursions Company comment: This is a spontaneous case concerning a 22 year-old, female patient with no reported medical history. Maternal exposure during pregnancy and Expired product administered (the second dose expired two days prior to administration) were reported in the case. The patient received the second dose of mRNA-1273 vaccine at 22 weeks gestation. No adverse events were reported. No information regarding first dose was provided. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.; Sender's Comments: This is a spontaneous case concerning a 22 year-old, female patient with no reported medical history. Maternal exposure during pregnancy and Expired product administered (the second dose expired two days prior to administration) were reported in the case. The patient received the second dose of mRNA-1273 vaccine at 22 weeks gestation. No adverse events were reported. No information regarding first dose was provided. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- -
- Geschlecht
- U
- Eingang
- 21.04.2022
- Impfdatum
- 18.04.2022
- Beginn
- 18.04.2022
- 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
Symptomtext
expired dose administered; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (expired dose administered) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 18-Apr-2022, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 18-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (expired dose administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (expired dose administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication were provided. No treatment medication were provided.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- -
- Geschlecht
- U
- Eingang
- 21.04.2022
- Impfdatum
- 18.04.2022
- Beginn
- 18.04.2022
- 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
Symptomtext
Expired Moderna dose administered to a patient; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired Moderna dose administered to a patient) in a patient of an unknown age and gender who received mRNA-1273 (Spikevax) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 18-Apr-2022, the patient received dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. On 18-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired Moderna dose administered to a patient). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired Moderna dose administered to a patient) outcome was unknown. For mRNA-1273 (Spikevax) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. The reporter don't had the exact date it was moved from the freezer to refrigerator but it was definitely after 17-Mar-2022. Product was not pulled out of the refrigerator when it expired on 16-Apr-2022 so was accidently administered to a patient on 18-Apr-2022. It was reported that vial did not underwent any temperature excursions. No treatment medications were reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 75,0
- Geschlecht
- M
- Eingang
- 20.04.2022
- Impfdatum
- 19.04.2022
- Beginn
- 19.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
Symptomtext
Expired Moderna Booster administered on 4/19/22. Patient without adverse effects. We will repeat the vaccines at the patients earliest convenience.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- Hypertension, BPH, Coronary Atherosclerosis, Hyperlipidemia, Anxiety
- Andere Medikamente
- Adult Low Dose Aspirin 81 mg tablet,delayed release, amLODIPine 2.5 mg tablet, meclizine 12.5 mg tablet, PreserVision AREDS-2 (with omega-3) 250 mg-2.5 mg-0.5 mg capsule, rosuvastatin 10 mg tablet
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 71,0
- Geschlecht
- F
- Eingang
- 20.04.2022
- Impfdatum
- 19.04.2022
- Beginn
- 19.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
No adverse event
Symptomtext
Expired Moderna Booster administered on 4/19/22. Patient without adverse effects. We will repeat the vaccines at the patients earliest convenience.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- Nonce
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Insomnia
- Andere Medikamente
- Melatonin, Multivitamin
- Allergien
- Penicillin
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 20.04.2022
- Impfdatum
- 19.04.2022
- Beginn
- 19.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
No adverse event
Symptomtext
Expired Moderna Booster administered on 4/19/22. Patient without adverse effects. We will repeat the vaccines at patients earliest convenience.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Type 2 Diabetes, Hypertension, Anxiety, Hyperlipidemia, Depression, Nicotine Addiction
- Andere Medikamente
- albuterol sulfate HFA 90 mcg/actuation aerosol inhaler, ALPRAZolam 1 mg tablet, Aquanaz 10 mg-15 mg-400 mg tablet, aspirin 81 mg chewable tablet, Baclofen 20 mg tablet, CarvediloL 6.25 mg tablet, DULoxetine 60 mg capsule,delayed release, es
- Allergien
- cetirizine, codeine, Imitrex, morphine, tramadol
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 39,0
- Geschlecht
- M
- Eingang
- 20.04.2022
- Impfdatum
- 18.04.2022
- Beginn
- 18.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Inappropriate schedule of product administration
Symptomtext
Patient received the Pfizer vaccine as first dose and Moderna as second dose; Patient received expired Moderna Covid-19 vaccine; This spontaneous case was reported by a nurse and describes the occurrence of INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Patient received the Pfizer vaccine as first dose and moderna as second dose) and EXPIRED PRODUCT ADMINISTERED (Patient received expired Moderna Covid-19 vaccine) in a 39-year-old male patient who received mRNA-1273 (Spikevax) (batch no. 007J21-2A) for COVID-19 vaccination. Previously administered products included for Product used for unknown indication: Pfizer vaccine (first primary series vaccine dose) on 12-Feb-2022. Past adverse reactions to the above products included No adverse event with Pfizer vaccine. On 18-Apr-2022, the patient received second dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. On 18-Apr-2022, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Patient received the Pfizer vaccine as first dose and Moderna as second dose) and EXPIRED PRODUCT ADMINISTERED (Patient received expired Moderna Covid-19 vaccine). At the time of the report, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Patient received the Pfizer vaccine as first dose and moderna as second dose) and EXPIRED PRODUCT ADMINISTERED (Patient received expired Moderna Covid-19 vaccine) outcome was unknown. For mRNA-1273 (Spikevax) (Unknown), the reporter did not provide any causality assessments. Concomitant medications were not provided by the reporter No other adverse reactions or side effects were reported on 18 APR 2022. Treatment information was not provided.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- -
- Geschlecht
- U
- Eingang
- 20.04.2022
- 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
Symptomtext
she had popped a vial of Moderna Covid-19 yesterday on 13APR2022 and doses wereadministered from the vial greater than 12 hours later.; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (she had popped a vial of Moderna Covid-19 yesterday on 13APR2022 and doses wereadministered from the vial greater than 12 hours later.) in a patient of an unknown age and gender who received mRNA-1273 (Spikevax) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 14-Apr-2022, the patient received dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. On 14-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (she had popped a vial of Moderna Covid-19 yesterday on 13APR2022 and doses wereadministered from the vial greater than 12 hours later.). At the time of the report, EXPIRED PRODUCT ADMINISTERED (she had popped a vial of Moderna Covid-19 yesterday on 13APR2022 and doses wereadministered from the vial greater than 12 hours later.) outcome was unknown. For mRNA-1273 (Spikevax) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. The dose was administered >12/24 hours post puncture. Date the vial was initially stored in the refrigerator was on 04 Apr 2022. The vial was first punctured on 13 Apr 2022 at 8.53 AM and the vial was stored in refrigerated post puncture. The vial did not undergo any temperature excursions. Total amount of time the vial was exposed to room temperature range was less than 15 minutes. No treatment medications were reported. This case was linked to MOD-2022-540270 (Patient Link).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 77,0
- Geschlecht
- M
- Eingang
- 19.04.2022
- Impfdatum
- 14.03.2022
- Beginn
- 14.04.2022
- Tage bis Beginn
- 31,0
- Dosis
- 3
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
4 Patients who received Moderna Covid-19 vaccine 12 hours after the vial had first been used; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (4 Patients who received Moderna Covid-19 vaccine 12 hours after the vial had first been used) in a 77-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 14-Mar-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (4 Patients who received Moderna Covid-19 vaccine 12 hours after the vial had first been used). At the time of the report, EXPIRED PRODUCT ADMINISTERED (4 Patients who received Moderna Covid-19 vaccine 12 hours after the vial had first been used) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant were reported. Patient did not complain of any other adverse reactions. No treatment were reported. This case was linked to MOD-2022-540270 (Patient Link).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 80,0
- Geschlecht
- F
- Eingang
- 19.04.2022
- Impfdatum
- 14.04.2022
- Beginn
- 14.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
4 Patients who received Moderna Covid-19 vaccine 12 hours after the vial had first been used; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (4 Patients who received Moderna Covid-19 vaccine 12 hours after the vial had first been used) in an 80-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 14-Apr-2022, the patient received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (4 Patients who received Moderna Covid-19 vaccine 12 hours after the vial had first been used). At the time of the report, EXPIRED PRODUCT ADMINISTERED (4 Patients who received Moderna Covid-19 vaccine 12 hours after the vial had first been used) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were provided by the reporter. The vial was first punctured on 13 Apr 2022 at 8.53 AM. Date the vial was initially stored in the refrigerator: 04-Apr-2022. The vial was stored in refrigerated post puncture. The vial did not undergo any temperature excursions . The vial stored post puncture was refrigerated. Total amount of time the vial was exposed to room temperature range was less than 15 minutes. Patient did not complain of any other adverse reactions. No treatment information was provided by the reporter. This case was linked to MOD-2022-540270.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 17.04.2022
- Impfdatum
- 09.02.2022
- Beginn
- 23.02.2022
- Tage bis Beginn
- 14,0
- Dosis
- 3
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Hypersensitivity
Symptomtext
Severe allergic reaction, emergency room visit
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Hypersensitivity
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 79,0
- Geschlecht
- F
- Eingang
- 12.04.2022
- Impfdatum
- 08.04.2022
- Beginn
- 08.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Muscle discomfort
Muscle spasms
Symptomtext
uncomfortable muscle spasms in the lumber and thoracic area
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Muscle discomfort
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Hypertension, Atrial fibrillation, diabetes (type2), graves disease, migraines
- Andere Medikamente
- amlodipine 2.5mg, carvedilol 25mg, digoxin 0.125mg, magnesium oxide 400mg, metformin 500mg ER, methimazole 7.5mg, paroxetine 20mg, rosuvastatin 20mg, valsartan 320mg, vitamin D 2500u, xarelto 20mg, tizanidine 4mg
- Allergien
- penicillin (anaphylactic), aspirin, NSAIDS, latex, cephalosporins, small pox vaccine
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- -
- Geschlecht
- U
- Eingang
- 08.04.2022
- Impfdatum
- 30.03.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product storage error
Symptomtext
1 affected vaccine vial was used for 1 dose given to a patient/ their freezer went out of temperature range on 03MAR2022 for 24 minutes.; This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT STORAGE ERROR (1 affected vaccine vial was used for 1 dose given to a patient/ their freezer went out of temperature range on 03MAR2022 for 24 minutes.) in a patient of an unknown age and gender who received mRNA-1273 (Spikevax) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 30-Mar-2022, the patient received dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. On an unknown date, the patient experienced PRODUCT STORAGE ERROR (1 affected vaccine vial was used for 1 dose given to a patient/ their freezer went out of temperature range on 03MAR2022 for 24 minutes.). At the time of the report, PRODUCT STORAGE ERROR (1 affected vaccine vial was used for 1 dose given to a patient/ their freezer went out of temperature range on 03MAR2022 for 24 minutes.) outcome was unknown. The action taken with mRNA-1273 (Spikevax) (Unknown) was unknown. For mRNA-1273 (Spikevax) (Unknown), the reporter did not provide any causality assessments. No concomitant medication were reported. No treatment information were provided. Maximum temp exposure was 11.8 degrees F Total time of excursion duration was 24 minutes Vaccine is remained in the freezer now. There was no Visual inspection noting any vaccine state changes Number of vials/doses impacted was 10 vials in which 1 was used, 9 vials remaining unused. Most recent FOLLOW-UP information incorporated above includes: On 06-Apr-2022: Live follow-up/Non-significant follow-up appended.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 62,0
- Geschlecht
- F
- Eingang
- 06.04.2022
- Impfdatum
- 06.04.2022
- Beginn
- 06.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Inappropriate schedule of product administration
Symptomtext
Patient received 2nd dose of the primary series of the COVID-19 Moderna vaccine a week early. Patient was monitored for 15-20 minutes and had no visible reactions nor did they report side effects/reactions. Patients stood up and walked out the clinic without complaints. Patient was notified of the incident via phone call, but did not answer. A voicemail was left explaining what occurred and the patient was told to return the call to answer any questions she may have had. Patient has not returned call.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 29,0
- Geschlecht
- F
- Eingang
- 06.04.2022
- Impfdatum
- 01.04.2022
- Beginn
- 01.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Product storage error
Symptomtext
vial stored in the fridge greater than 12 hours post puncture; Booster dose given greater than 12 hr post puncture; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Booster dose given greater than 12 hr post puncture) and PRODUCT STORAGE ERROR (vial stored in the fridge greater than 12 hours post puncture) in a 29-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. Previously administered products included for Product used for unknown indication: Pfizer COVID19 Vaccine (First dose) on 10-Sep-2021 and Pfizer COVID19 Vaccine (Second dose) on 01-Oct-2021. Past adverse reactions to the above products included No adverse event with Pfizer COVID19 Vaccine and Pfizer COVID19 Vaccine. On 01-Apr-2022 at 9:00 AM, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 01-Apr-2022 at 9:00 AM, the patient experienced EXPIRED PRODUCT ADMINISTERED (Booster dose given greater than 12 hr post puncture). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (vial stored in the fridge greater than 12 hours post puncture). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Booster dose given greater than 12 hr post puncture) and PRODUCT STORAGE ERROR (vial stored in the fridge greater than 12 hours post puncture) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications was provided. Date the vial was initially stored in the refrigerator was 31-Mar-2022. Date and time vial was first punctured was on 31-Mar-2022 at 5 PM. The vial was stored in fridge post puncture. The vial did not undergo any temperature excursion. Total amount of time the vial was exposed to room temperature range (8 degree Celsius to 25 degree Celsius) was no more than 16 minutes, only to draw out doses. No treatment medications was provided.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- HI
- Alter
- 62,0
- Geschlecht
- M
- Eingang
- 28.03.2022
- Impfdatum
- 26.03.2022
- Beginn
- 26.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
No adverse event
Symptomtext
Patient presented to our booster clinic on 03/26/22 stating that he wanted to receive his Moderna booster vaccine. He presented his COVID vaccination card, which showed that he received his first dose of Janssen on 03/15/2021. No other vaccinations were listed on the presented card. He completed our registration and screening paperwork, which asks about vaccination history, and patient was verbally asked when his last COVID dose was, which he replied, "03/15/2021." Patient received his Moderna booster dose (0.25 mL) at our clinic, was observed for 15 minutes, and then released. Upon entering the vaccination, it was realized that the patient already received two other doses of Moderna (10/03/21 & 12/03/21). Patient was contacted today, 03/28/22, to follow up. Patient admitted that he purposely withheld that information/vaccine history as he still "did not feel safe" and is "all for vaccines." Patient denies any adverse effects/reactions, and states that he feels great with no issues. He apologized for withholding his vaccine history and is advised to seek medical assistance if he has any concerns.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 13,0
- Geschlecht
- F
- Eingang
- 28.03.2022
- Impfdatum
- 26.03.2022
- Beginn
- 26.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product administered to patient of inappropriate age
Symptomtext
On 3/26/22 Patient (13 yo) received Moderna booster instead of Pfizer. Parents made an appointment online and requested Moderna vaccine. Contacted the parents on 3/28/22. Parents reported that patient had no adverse events. Recommended parents to contact and notify PCP as soon as possible. Father reported that PCP did not want to disclose contact information.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 28.03.2022
- Impfdatum
- 26.03.2022
- Beginn
- 26.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product administered to patient of inappropriate age
Symptomtext
On 3/26/2022, a 15-year-old received the Moderna booster instead of Pfizer. Parents made an appointment online and requested the Moderna vaccine. Contacted her parents on 3/28/2022. Parents reported she had no adverse events. Recommended parents to contact and notify PCP as soon as possible. Patient's father did not want to disclose her PCP contact information.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 21.03.2022
- Impfdatum
- 20.03.2022
- Beginn
- 20.03.2022
- 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
MODERNA VACCINE GIVEN TO 17 YEAR OLD. MEDICATION ERROR BEING REPORTED AS VAERS.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- UNKNOWN
- Vorgeschichte
- UNKNOWN
- Andere Medikamente
- UNKNOWN
- Allergien
- UNKNOWN
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 32,0
- Geschlecht
- F
- Eingang
- 21.03.2022
- Impfdatum
- 19.03.2022
- Beginn
- 19.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect dose administered
Interchange of vaccine products
Symptomtext
Patient received .5ml Moderna as a booster rather than .25ml. Primary vaccination was Janssen product.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 10.03.2022
- Impfdatum
- 20.01.2022
- Beginn
- 04.03.2022
- Tage bis Beginn
- 43,0
- Dosis
- 2
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
Cerebral infarction
Computerised tomogram abnormal
Inappropriate schedule of product administration
Laboratory test
Symptomtext
Patient admitted to hospital with Cerebral Infarct.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cerebral infarction
- Hospital-Tage
- 7,0
- Labordaten
- CT, lab,etc.
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- DM, HTN, Hypothyroidism, Hyperlipidemia, Carotid Artery Stenosis, TIA, GERD
- Andere Medikamente
- metoprolol, buspirone, hydrocodone-APAP, clopidogrel, glimeperide, gabapentin, metoclopramide, potassium chloride, Flonase, omeprazole, levothyroxine, atorvastatin, baclofen, aripiprazole, albuterol, trazodone, velafaxine
- Allergien
- PCN, MORPHINE
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 23,0
- Geschlecht
- F
- Eingang
- 09.03.2022
- Impfdatum
- 09.03.2022
- Beginn
- 09.03.2022
- 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
Symptomtext
Patient came in for Covid-19 Vaccine with reviewing vaccine card with drawing up 2nd Dose. Patient was administered .50 mL of Moderna Vaccine for 2nd Dose. The Patient had already received 2nd Dose at a pharmacy in 02/2022. Patient should have received Booster Vaccine after 5 mos of primary series administration.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- GU
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 07.03.2022
- 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: unbekannt
Incorrect dose administered
No adverse event
Symptomtext
Patient inadvertently administered 0.25 mL of COVID-19 Moderna vaccine. Patient monitored for 30 minutes after dose administered ; no reactions noted. Patient released home and instructed to report to the emergency room if experiencing any difficulty breathing, generalized swelling, nausea or vomiting.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- SHELLFISH
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 07.03.2022
- Impfdatum
- 02.03.2022
- Beginn
- 02.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product administered to patient of inappropriate age
Symptomtext
Patient signed up for Pfizer booster Covid appt. Parent and patient checked in for appt and completed paperwork. Moderna was incorrectly noted as the vaccine to be administered. Pt was then administered moderna. Error was discovered upon billing when received error message that booster can't be administered for pt under 18. Message left with parent, but no response at this time
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 49,0
- Geschlecht
- F
- Eingang
- 05.03.2022
- Impfdatum
- 31.01.2022
- Beginn
- 28.02.2022
- 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
Symptomtext
Expired 2nd dose administered after 30-day Use By Date; This spontaneous case was reported by a medical assistant and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired 2nd dose administered after 30-day Use By Date) in a 49-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 007J21-2A and 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 31-Jan-2022, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 28-Feb-2022, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 28-Feb-2022, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired 2nd dose administered after 30-day Use By Date). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired 2nd dose administered after 30-day Use By Date) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No Concomitant medication reported The vial was initially stored in the refrigerator on 27JAN2022 and first removed from the Freezer on 27JAN2022. The 30 day use by date expiration was reached on 27FEB2022. No Treatment medication reported
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NM
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 05.03.2022
- Impfdatum
- 28.01.2022
- Beginn
- 27.02.2022
- Tage bis Beginn
- 30,0
- Dosis
- 1
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Tinnitus
Symptomtext
she had severe tinnitus; This spontaneous case was reported by a consumer and describes the occurrence of TINNITUS (she had severe tinnitus) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 083J21A and 007J212A) for COVID-19 vaccination. No Medical History information was reported. On 28-Jan-2022, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Feb-2022, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 27-Feb-2022, the patient experienced TINNITUS (she had severe tinnitus). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. At the time of the report, TINNITUS (she had severe tinnitus) was resolving. No concomitant medications were reported. It was reported that patient had severe tinnitus after twenty eight hours on 27-Feb-2022. She states that she has tinnitus generally, but it's mild. She took Benadryl to sleep and she was feeling better on 28-Feb-2022.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Tinnitus
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 04.03.2022
- Impfdatum
- 04.02.2022
- Beginn
- 04.02.2022
- 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
Twelve-year-old patient was inadvertently given Moderna which is indicated for ages 18 and up.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 04.03.2022
- 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: unbekannt
Product administered to patient of inappropriate age
Symptomtext
Twelve-year-old patient was inadvertently given Moderna which is indicated for ages 18 and up.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- Twelve-year-old patient was inadvertently given Moderna which is indicated for ages 18 and up.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 25,0
- Geschlecht
- U
- Eingang
- 04.03.2022
- Impfdatum
- 26.02.2022
- Beginn
- 26.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Inappropriate schedule of product administration
Symptomtext
Booster administered early.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 03.03.2022
- Impfdatum
- 28.02.2022
- Beginn
- 28.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Product administered to patient of inappropriate age
Symptomtext
Patient received Moderna COVID-19 vaccine and is only 17yrs old. No adverse events noted. Clinic spoke with mother of patient and stated that the patient felt better with the Moderna booster than she did when receiving the Pfizer primary series. Mother was not concerned.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 22,0
- Geschlecht
- F
- Eingang
- 02.03.2022
- 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
Inappropriate schedule of product administration
Symptomtext
Pt was administered booster dose of covid-19 Moderna vaccine too early. Earliest due was 3/6/22
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 26,0
- Geschlecht
- M
- Eingang
- 01.03.2022
- Impfdatum
- 27.02.2022
- Beginn
- 28.02.2022
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Joint swelling
Symptomtext
Red swollen knuckles, bilaterally
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Erythema
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- -
- Geschlecht
- U
- Eingang
- 26.02.2022
- Impfdatum
- 16.02.2022
- Beginn
- 16.02.2022
- 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
Product storage error
Symptomtext
Moderna in the fridge was stored for 31,32, and 33 days; vaccinated a couple of patients and realized the Moderna in the fridge was stored for 31, 32, and 33 days; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (vaccinated a couple of patients and realized the Moderna in the fridge was stored for 31, 32, and 33 days) and PRODUCT STORAGE ERROR (Moderna in the fridge was stored for 31,32, and 33 days) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 16-Feb-2022, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Feb-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (vaccinated a couple of patients and realized the Moderna in the fridge was stored for 31, 32, and 33 days). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Moderna in the fridge was stored for 31,32, and 33 days). At the time of the report, EXPIRED PRODUCT ADMINISTERED (vaccinated a couple of patients and realized the Moderna in the fridge was stored for 31, 32, and 33 days) and PRODUCT STORAGE ERROR (Moderna in the fridge was stored for 31,32, and 33 days) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. The vial was initially stored in the refrigerator on 15-Jan-2022. The vial did not undergo any temperature excursions. No treatment medications were reported. Most recent FOLLOW-UP information incorporated above includes: On 23-Feb-2022: Follow up received include No new information.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- -
- Geschlecht
- U
- Eingang
- 26.02.2022
- Impfdatum
- 15.02.2022
- Beginn
- 15.02.2022
- 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
Product storage error
Symptomtext
Moderna in the fridge was stored for 31,32, and 33 days; The Moderna in the fridge was stored for 31, 32, and 33 days; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (The Moderna in the fridge was stored for 31, 32, and 33 days) and PRODUCT STORAGE ERROR (Moderna in the fridge was stored for 31,32, and 33 days) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 15-Feb-2022, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Feb-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (The Moderna in the fridge was stored for 31, 32, and 33 days). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Moderna in the fridge was stored for 31,32, and 33 days). At the time of the report, EXPIRED PRODUCT ADMINISTERED (The Moderna in the fridge was stored for 31, 32, and 33 days) and PRODUCT STORAGE ERROR (Moderna in the fridge was stored for 31,32, and 33 days) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. The vial was initially stored in the refrigerator on 15-Jan-2022. The vial did not undergo any temperature excursions. No treatment medications were reported. This case was linked to MOD-2022-493666, MOD-2022-493669 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 23-Feb-2022: Follow up received include no new information.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 20,0
- Geschlecht
- F
- Eingang
- 26.02.2022
- Impfdatum
- 05.02.2022
- Beginn
- 18.02.2022
- Tage bis Beginn
- 13,0
- Dosis
- 1
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Inappropriate schedule of product administration
Symptomtext
Received 2nd dose 2 weeks after the first dose; This spontaneous case was reported by an other health care professional and describes the occurrence of INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Received 2nd dose 2 weeks after the first dose) in a 20-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 059H21A and 007J212A) for COVID-19 vaccination. No Medical History information was reported. On 05-Feb-2022, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 18-Feb-2022, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 18-Feb-2022, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Received 2nd dose 2 weeks after the first dose). At the time of the report, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Received 2nd dose 2 weeks after the first dose) 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 information was provided.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MT
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 25.02.2022
- Impfdatum
- 25.02.2022
- Beginn
- 25.02.2022
- 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 given Moderna vaccine at an age not authorized. Given full dose of primary series 0.5mL.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 25.02.2022
- Impfdatum
- 25.02.2022
- Beginn
- 25.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Symptomtext
Patient was given given Moderna Booster instead of pfizer Booster . Patient doing fine and no adverse event reported so far.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 25.02.2022
- Impfdatum
- 24.02.2022
- Beginn
- 24.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Product administered to patient of inappropriate age
Symptomtext
Patient received Moderna 0.25 mL instead of Pfizer - no reported adverse effects reported
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 51,0
- Geschlecht
- M
- Eingang
- 24.02.2022
- Impfdatum
- 26.01.2022
- Beginn
- 29.01.2022
- Tage bis Beginn
- 3,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Blepharospasm
Hypoaesthesia
Muscle twitching
Symptomtext
Saturday patient started having twitching in eyes and lips and numbness in left leg. Comes and goes intermittently since then.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Blepharospasm
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Overactive thyroid
- Andere Medikamente
- Methimazole 5mg d, ondansetron 8mg bid, propranolol 10mg tid prn anxiety or tremors, metoprolol tartrate 25mg bid, trazodone 50mg hs.
- Allergien
- Penicillin
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 61,0
- Geschlecht
- F
- Eingang
- 23.02.2022
- Impfdatum
- 17.02.2022
- Beginn
- 17.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Product storage error
Symptomtext
Vaccine was administered after the beyond use date. It should only be stored in the fridge for 30 days, and it had been in the fridge for 33 days when we administered it.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 63,0
- Geschlecht
- M
- Eingang
- 23.02.2022
- Impfdatum
- 17.02.2022
- Beginn
- 17.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Product storage error
Symptomtext
Vaccine was administered after the beyond use date. It should only be stored in the fridge for 30 days, and it had been in the fridge for 33 days when we administered it.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 23.02.2022
- 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: unbekannt
Expired product administered
Product storage error
Symptomtext
Vaccine was given 2 days past the beyond use date. It is only supposed to be stored in the fridge 30 days, and it was given on day 32.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 54,0
- Geschlecht
- M
- Eingang
- 23.02.2022
- Impfdatum
- 15.02.2022
- Beginn
- 15.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product storage error
Symptomtext
Vaccine was given one day after the BUD. It had been stored in the fridge for 31 days, and should have been pulled after 30 days in fridge.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 58,0
- Geschlecht
- F
- Eingang
- 23.02.2022
- Impfdatum
- 21.02.2022
- Beginn
- 21.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
aministered 1 day after expiration date
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 63,0
- Geschlecht
- M
- Eingang
- 23.02.2022
- Impfdatum
- 21.02.2022
- Beginn
- 21.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
administered 1 day after expiration date
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 27,0
- Geschlecht
- M
- Eingang
- 23.02.2022
- Impfdatum
- 21.02.2022
- Beginn
- 21.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product storage error
Symptomtext
administered vaccine 1 day past expiration
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- unknown
- Allergien
- nka
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 38,0
- Geschlecht
- F
- Eingang
- 23.02.2022
- Impfdatum
- 21.02.2022
- Beginn
- 21.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
administered vaccine 1 day past expiration date
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- unknown
- Allergien
- nka
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 21.02.2022
- Impfdatum
- 28.01.2022
- Beginn
- 21.02.2022
- Tage bis Beginn
- 24,0
- Dosis
- 1
- 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
No ADR, patient should have gotten Pfizer instead due to her age.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 46,0
- Geschlecht
- M
- Eingang
- 21.02.2022
- Impfdatum
- 19.02.2022
- Beginn
- 19.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Inappropriate schedule of product administration
Interchange of vaccine products
Symptomtext
Patient received Janssen (J&J) vaccine on 1/12/22 and received Moderna booster on 02/19/22. Booster shot was less than 60 days from initial J&J shot. Per patient, he had mild symptoms on 2/20/22 (temperature 99 degrees) that was the same as when he received the J&J vaccine. He feels 100% on 2/21/22 with no symptoms.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 74,0
- Geschlecht
- M
- Eingang
- 19.02.2022
- Impfdatum
- 09.02.2021
- Beginn
- 25.10.2021
- Tage bis Beginn
- 258,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
SARS-CoV-2 test positive
Vaccine breakthrough infection
Symptomtext
Event occurred after 2nd vaccine; breakthrough case admission
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- 10/25/21 COVID +
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 17.02.2022
- Impfdatum
- 17.02.2022
- Beginn
- 17.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
Patient received moderna booster, but was 16 years of age.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 17.02.2022
- Impfdatum
- 20.01.2022
- Beginn
- 20.01.2022
- 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
Seventeen-year-old patient was 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
- -
- Staat
- MD
- Alter
- 73,0
- Geschlecht
- F
- Eingang
- 16.02.2022
- Impfdatum
- 16.02.2022
- Beginn
- 16.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Inappropriate schedule of product administration
Interchange of vaccine products
Wrong product administered
Symptomtext
Pt. came in for flu vaccine. I had several patients waiting for vaccination and even though I confirmed with pt that she was getting the flu shot, I grabbed a Moderna syringe I had there for another patient. Immediately I realized my error and told patient. I then gave her the flu shot. The patients daughter contacted her physician who advised watching her closely for 2 days. She then told me the patient had a Pfizer vaccine on 2/2/22 in another country. The patient was fine at the time of vaccination and waiting time. I will contact daughter in 2 days to determine if patient suffered any side effects or problems.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- diabetes, blood disorder
- Andere Medikamente
- terbinafine, alendronate, atorvastatin, Janumet, losartan, hctz
- Allergien
- none listed on consent
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 54,0
- Geschlecht
- M
- Eingang
- 16.02.2022
- 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: unbekannt
Incorrect dose administered
No adverse event
Symptomtext
Patient received full dose (100mcg) of Moderna for booster shot on 2/15/22. As of 2/15/22 10AM, no adverse events observed/reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 15.02.2022
- Impfdatum
- 02.02.2022
- Beginn
- 02.02.2022
- 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
Product administered to patient of inappropriate age
Symptomtext
14 Year Old Female Patient Was Administered A Moderna Vaccine Rather Than A Pfizer Vaccine. No Signs, Symptoms or Adverse Reaction Reported Day of Administration. Patient's Father Contacted & Patient Followed Up Multiple Times. No Signs, Symptoms or Adverse Effects Reported To Date. 2/15/2022
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- No Known Allergies
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 15.02.2022
- Impfdatum
- 14.02.2022
- Beginn
- 14.02.2022
- 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
Product administered to patient of inappropriate age
Symptomtext
Moderna was given to a 17 year old patient. Moderna is only approved for 18 years of age and older. Patient contacted and no issues reported. Patient's Doctor was also notified of the incident. Based on CDC recommendation patient to receive Pfizer 28 days post Moderna administration
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- No adverse reaction was reported by the patient
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 14.02.2022
- Impfdatum
- 11.02.2022
- Beginn
- 11.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Wrong product administered
Symptomtext
Patient got Moderna 0.25ml instead of Pfizer.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 37,0
- Geschlecht
- F
- Eingang
- 13.02.2022
- Impfdatum
- 21.01.2022
- Beginn
- 28.01.2022
- Tage bis Beginn
- 7,0
- Dosis
- 1
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Oligomenorrhoea
Symptomtext
Menstruated for around 13 to 14 days. I've never had a cycle last over 7 days. My period is usually between 5 and 6 days.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Oligomenorrhoea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- Penicillin
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 46,0
- Geschlecht
- F
- Eingang
- 11.02.2022
- Impfdatum
- 06.02.2022
- Beginn
- 07.02.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Peripheral swelling
Swelling of eyelid
Symptomtext
Left eye lid swelling and upper arm (including arm pit) x 5 days
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Peripheral swelling
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 77,0
- Geschlecht
- M
- Eingang
- 11.02.2022
- Impfdatum
- 10.02.2022
- Beginn
- 10.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect dose administered
Symptomtext
pt is immunocompromised and requested 4th dose (booster) of moderna vaccine. pt was given 0.5ml instead of 0.25 ml. we were not aware of correct dosage prior to vaccination despite researching. dose seemed appropriate.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 77,0
- Geschlecht
- F
- Eingang
- 11.02.2022
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Accidental overdose
Symptomtext
Patient received wrong doses of the Moderna COVID 19 vaccine; This spontaneous case was reported by an other health care professional and describes the occurrence of ACCIDENTAL OVERDOSE (Patient received wrong doses of the Moderna COVID 19 vaccine) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ACCIDENTAL OVERDOSE (Patient received wrong doses of the Moderna COVID 19 vaccine). At the time of the report, ACCIDENTAL OVERDOSE (Patient received wrong doses of the Moderna COVID 19 vaccine) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No Concomitant product use was reported. The reporter stated that seven patients received wrong doses of the Moderna COVID 19 vaccine. Five of the seven patients received a 3rd dose instead of the booster dose, while two of the patients received a double dose of the 3rd dose. No treatment information was provided.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Accidental overdose
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 75,0
- Geschlecht
- M
- Eingang
- 11.02.2022
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Accidental overdose
Symptomtext
Patients received wrong doses of the Moderna COVID 19 vaccine; This spontaneous case was reported by an other health care professional and describes the occurrence of ACCIDENTAL OVERDOSE (Patients received wrong doses of the Moderna COVID 19 vaccine) in a 75-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ACCIDENTAL OVERDOSE (Patients received wrong doses of the Moderna COVID 19 vaccine). At the time of the report, ACCIDENTAL OVERDOSE (Patients received wrong doses of the Moderna COVID 19 vaccine) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. It was reported that five of the seven patients received a 3rd dose instead of the booster dose, while two of the patients received a double dose of the 3rd dose. No treatment information was reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Accidental overdose
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 11.02.2022
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Accidental overdose
Symptomtext
seven patients received wrong doses of the Moderna COVID 19 vaccine; This spontaneous case was reported by an other health care professional and describes the occurrence of ACCIDENTAL OVERDOSE (seven patients received wrong doses of the Moderna COVID 19 vaccine) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ACCIDENTAL OVERDOSE (seven patients received wrong doses of the Moderna COVID 19 vaccine). At the time of the report, ACCIDENTAL OVERDOSE (seven patients received wrong doses of the Moderna COVID 19 vaccine) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. No treatment medications were provided. It was reported that five of the seven patients received a 3rd dose instead of the booster dose, while two of the patients received a double dose of the 3rd dose.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Accidental overdose
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 76,0
- Geschlecht
- F
- Eingang
- 11.02.2022
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Accidental overdose
Symptomtext
Received wrong doses of the Moderna COVID 19 vaccine; This spontaneous case was reported by an other health care professional and describes the occurrence of ACCIDENTAL OVERDOSE (Received wrong doses of the Moderna COVID 19 vaccine) in a 76-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ACCIDENTAL OVERDOSE (Received wrong doses of the Moderna COVID 19 vaccine). At the time of the report, ACCIDENTAL OVERDOSE (Received wrong doses of the Moderna COVID 19 vaccine) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. It was reported that five of the seven patients received a 3rd dose instead of the booster dose, while two of the patients received a double dose of the 3rd dose. No treatment information was reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Accidental overdose
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 66,0
- Geschlecht
- M
- Eingang
- 11.02.2022
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Accidental overdose
Symptomtext
Seven patients received wrong doses of the Moderna COVID 19 vaccine; This spontaneous case was reported by an other health care professional and describes the occurrence of ACCIDENTAL OVERDOSE (Seven patients received wrong doses of the Moderna COVID 19 vaccine) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ACCIDENTAL OVERDOSE (Seven patients received wrong doses of the Moderna COVID 19 vaccine). At the time of the report, ACCIDENTAL OVERDOSE (Seven patients received wrong doses of the Moderna COVID 19 vaccine) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications are provided. Office manager stated that five of the seven patients received a 3rd dose instead of the booster dose, while two of the patients received a double dose of the 3rd dose. No treatment medications are provided.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Accidental overdose
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 73,0
- Geschlecht
- M
- Eingang
- 11.02.2022
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Accidental overdose
Symptomtext
seven patients received wrong doses of the Moderna COVID 19 vaccine; This spontaneous case was reported by an other health care professional and describes the occurrence of ACCIDENTAL OVERDOSE (seven patients received wrong doses of the Moderna COVID 19 vaccine) in a 73-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ACCIDENTAL OVERDOSE (seven patients received wrong doses of the Moderna COVID 19 vaccine). At the time of the report, ACCIDENTAL OVERDOSE (seven patients received wrong doses of the Moderna COVID 19 vaccine) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. It was reported that five of the seven patients received a 3rd dose instead of the booster dose, while two of the patients received a double dose of the 3rd dose. No treatment information was reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Accidental overdose
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 29,0
- Geschlecht
- F
- Eingang
- 11.02.2022
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Accidental overdose
Symptomtext
patient received wrong dose of the Moderna COVID 19 vaccine; This spontaneous case was reported by an other health care professional and describes the occurrence of ACCIDENTAL OVERDOSE (patient received wrong dose of the Moderna COVID 19 vaccine) in a 29-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ACCIDENTAL OVERDOSE (patient received wrong dose of the Moderna COVID 19 vaccine). At the time of the report, ACCIDENTAL OVERDOSE (patient received wrong dose of the Moderna COVID 19 vaccine) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medication of the patient was not reported. No treatment information was provided by the reporter. The reporter reported that, five of the seven patients received a 3rd dose instead of the booster dose, while two of the patients received a double dose of the 3rd dose.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Accidental overdose
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 10.02.2022
- 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: nein
No adverse event
Product administered to patient of inappropriate age
Symptomtext
Patient age 13 years old, received Moderna booster vaccination in error upon patient request. Patient was notified of error once discovered by pharmacist. Patient and patient's mother reported no signs of adverse events at this time, and are aware of notifying the pharmacy if any adverse events are seen in the future.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- None applicable
- Aktuelle Erkrankungen
- None applicable
- Vorgeschichte
- None applicable
- Andere Medikamente
- None applicable
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 77,0
- Geschlecht
- F
- Eingang
- 10.02.2022
- Impfdatum
- 08.02.2022
- Beginn
- 08.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
Symptomtext
Patient received 200 mcg of Moderna vaccine instead of 100 mcg Patient notified and advised to call our office if adverse events occur
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 10.02.2022
- Impfdatum
- 08.02.2022
- Beginn
- 08.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
Symptomtext
patient received 100 mcg of moderna vaccine instead of booster dose of 50 mcg Patient was contacted and advised to call our office if any adverse events occur
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 10.02.2022
- Impfdatum
- 08.02.2022
- Beginn
- 08.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
Symptomtext
Patient received 100 mcg of moderna vaccine instead of the booster dose of 50 mcg Patient was notified and advised to call our office if any adverse events occur
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 76,0
- Geschlecht
- F
- Eingang
- 10.02.2022
- Impfdatum
- 08.02.2022
- Beginn
- 08.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
Symptomtext
Patient received 200 mcg of vaccine instead of 100 mcg Patient was notified and advised to contact our office with ant adverse reactions
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 66,0
- Geschlecht
- M
- Eingang
- 10.02.2022
- Impfdatum
- 08.02.2022
- Beginn
- 08.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
No adverse event
Symptomtext
patient received 0.5 mcg instead of booster dose of 0.25 mcg Patient has been notified and advised to contact office if adverse reactions occur
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 73,0
- Geschlecht
- M
- Eingang
- 10.02.2022
- Impfdatum
- 08.02.2022
- Beginn
- 08.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
Symptomtext
Patient received 0.5 mg instead of the booster dose of 0.25 mg
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 29,0
- Geschlecht
- F
- Eingang
- 10.02.2022
- Impfdatum
- 08.02.2022
- Beginn
- 08.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
Symptomtext
Patient received 0.5 mg instead of the booster dose 0.25 mg
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 08.02.2022
- Impfdatum
- 03.02.2022
- Beginn
- 07.02.2022
- Tage bis Beginn
- 4,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product administered to patient of inappropriate age
Symptomtext
patient got in line to discuss booster with the provider and was signed off for a Moderna booster when he was age to receive the pfizer booster. Follow up with family 4 days after the vaccine and no ill effects or reaction to the vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 07.02.2022
- Impfdatum
- 04.02.2022
- Beginn
- 04.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product administered to patient of inappropriate age
Symptomtext
No adverse reaction. Patient is under 18 years old. Patient is 17 years old and this vaccine is indicated for 18 years and over.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- unknown
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 71,0
- Geschlecht
- M
- Eingang
- 04.02.2022
- Impfdatum
- 04.02.2022
- Beginn
- 04.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect dose administered
Symptomtext
client was inadvertently given a full 0.5 ml dose for a booster instead of a 0.25 ml dose. Right product but wrong dose amount.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- aspirin
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 52,0
- Geschlecht
- F
- Eingang
- 04.02.2022
- Impfdatum
- 25.01.2022
- Beginn
- 25.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
Symptomtext
Expired dose was administered/received dose from vial punctured for more than 12 hours; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired dose was administered/received dose from vial punctured for more than 12 hours) in a 52-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007J21-2A) for COVID-19 vaccination. No Medical History information was reported. On 25-Jan-2022 at 1:30 PM, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 25-Jan-2022 at 1:30 PM, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired dose was administered/received dose from vial punctured for more than 12 hours). On 25-Jan-2022 at 1:30 PM, EXPIRED PRODUCT ADMINISTERED (Expired dose was administered/received dose from vial punctured for more than 12 hours) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Date the vial was initially stored in the refrigerator was on 13Jan2022. Date and time vial was first punctured was on 09:15 hrs on 24Jan2022. Post puncture the vial was refrigerated. The vial did not undergo any temperature excursions. Total amount of time the vial was exposed to room temperature range (8 to 25 degrees C= 46 to 77 degrees F) was Less than 24 hours. No concomitant medications were reported. No treatment medications were reported. Most recent FOLLOW-UP information incorporated above includes: On 28-Jan-2022: Follow up received includes Added patient details, Lot number of suspect, updated i narrative with product information. On 28-Jan-2022: Follow up received includes no new information.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 29,0
- Geschlecht
- M
- Eingang
- 03.02.2022
- Impfdatum
- 02.02.2022
- Beginn
- 02.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Wrong product administered
Symptomtext
Patient requested to recieve a flu vaccination but instead was given a booster dose of COVID-19
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None reported
- Vorgeschichte
- None reported
- Andere Medikamente
- -
- Allergien
- None Reported
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 26,0
- Geschlecht
- M
- Eingang
- 02.02.2022
- Impfdatum
- 02.02.2022
- Beginn
- 02.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Inappropriate schedule of product administration
Symptomtext
Patient received booster dose of 0.25mL on 2/2/22 prior to being eligible (after 5 months) having received Moderna first shot 9/15/21 and second shot 10/13/21. Patient waited fifteen minutes post vaccination no reaction, patient was not upset, was apologetic for doing appointment.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 73,0
- Geschlecht
- M
- Eingang
- 01.02.2022
- Impfdatum
- 01.02.2022
- Beginn
- 01.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
Symptomtext
PATIENT RECIEVED 7TH DOSE OF COVID-19 VACCINE TODAY (MODERNA). PREVIOUSLY RECEIVED ON 02/13/21 (PFIZER), 03/06/21 (PFIZER), 07/31/21 (MODERNA), 08/28/21 (MODERNA), 09/25/21 (PFIZER), AND 10/29/21 (J&J).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- ASTHMA, DIABETES, HEART DISEASE, TOBACCO SMOKER
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 01.02.2022
- Impfdatum
- 01.02.2022
- Beginn
- 01.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Product administered to patient of inappropriate age
Symptomtext
nothing was reported
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 01.02.2022
- Impfdatum
- 01.02.2022
- Beginn
- 01.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Symptomtext
Nothing was reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 37,0
- Geschlecht
- M
- Eingang
- 31.01.2022
- Impfdatum
- 31.01.2022
- Beginn
- 31.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Inappropriate schedule of product administration
No adverse event
Symptomtext
Patient received a booster dose 1 week after second dose. Patient did not have an adverse reaction nd will be followed.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- -
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 52,0
- Geschlecht
- F
- Eingang
- 31.01.2022
- Impfdatum
- 25.01.2022
- Beginn
- 25.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SYR / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
Symptomtext
Moderna vial opened on 1/24 at 09:20 am. dose from same vial was inadvertently given on 1/25/22 at 13:30 pm. Vial had been stored at refrigerated temps since first puncture and had not experienced any excursions. Moderna was contacted for stability info.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 29.01.2022
- Impfdatum
- 29.01.2022
- Beginn
- 29.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product administered to patient of inappropriate age
Symptomtext
A 16-year-old received Moderna as his booster shot (3rd dose) at the request of his grandmother, who is also his guardian. The age was missed at the time of check-in. Consent form was picked up by the nurse and vaccine administered before the RPh had a chance to check it. The nurse also missed the birthday/age of the patient. Patient is fine. No adverse reactions reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unknown
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 53,0
- Geschlecht
- F
- Eingang
- 29.01.2022
- Impfdatum
- 28.01.2022
- Beginn
- 28.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Underdose
Symptomtext
Some dose leaked out of the injection site after given. Moderna was contacted and the recommendation is to repeat the dose when less then authorized dose was given for any reason (syringe malfunction, patient pulled out, etc.) for the booster (0.25ml). Patient was consulted by both pharmacist and Moderna with the recommendation and decided to repeat the dose, so it was given.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Underdose
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 28.01.2022
- Impfdatum
- 28.01.2022
- Beginn
- 28.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Symptomtext
I was working with my partner an EMT as mobile vaccinators, we drive to patients houses to administer vaccines. I was trained by the agency that the EMTs duties is the person verifying the patients vaccines in the ALERT system and helping the patient with paperwork and monitoring for reactions. The duties for the LVN as trained was vaccine withdrawal, administration and temp recording of vaccine cooler. The roster for the day stated 5 Moderna booster vaccines were scheduled for the address where patient was. Upon arrival, my partner received vaccine cards from all the patients, signatures, and verified vaccines in the ALERT system giving me the green light to vaccinate. Moderna booster 0.25 mL was given to patient of 15 years of age on 01/28/2022 without me realizing the patient was under 18 years of age as I sign the paper authorization after vaccine administration. Mom was notified of event and had no concerns or questions for me. I advised to monitor for any changes, reactions, or side effects and report them to patients physician.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Nothing reported by patient/mother
- Vorgeschichte
- Not reported.
- Andere Medikamente
- Not reported.
- Allergien
- Nothing reported by patient and mother.
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 27.01.2022
- Impfdatum
- 27.01.2022
- Beginn
- 27.01.2022
- 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
Product administered to patient of inappropriate age
Symptomtext
Accidentally gave Moderna to patient who is 17 years old, while it is not indicated until 18 years of age. No adverse effects patient well
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 24,0
- Geschlecht
- M
- Eingang
- 26.01.2022
- Impfdatum
- 26.01.2022
- Beginn
- 26.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Dysphagia
Heart rate increased
Hypoaesthesia
Pallor
Pharyngeal swelling
Throat tightness
Symptomtext
About 5 minutes after he received the vaccine, the patient reported feeling tightness and swelling in his throat. We called the emergency number. I had him sit down. He further complained of having rapid heart rate and no feeling in his hands. I have him 1 shot of epinephrine 0.3mg in his left thigh and gave him 2 tablets of diphenhydramine 25mg, which he said he swallowed with difficulty. His face became ashen colored. I asked him to lie on his back on the floor and raised his feet. I acquired a wet compress and placed it on his forehead and supported him until EMTs arrived. They supported him and transported him to the ER. Later around 4:00pm we learned he was doing fine and had left the hospital.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dysphagia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None reported
- Vorgeschichte
- none
- Andere Medikamente
- unknown
- Allergien
- none known
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 26.01.2022
- Impfdatum
- 22.01.2022
- Beginn
- 22.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- SC / 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 booster administered to 15 year old male Currently no adverse events reported
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- None to date
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unknown
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 24.01.2022
- Impfdatum
- 22.01.2022
- Beginn
- 22.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Symptomtext
wrong age group for vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 43,0
- Geschlecht
- M
- Eingang
- 24.01.2022
- Impfdatum
- 19.01.2022
- Beginn
- 19.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Mydriasis
Symptomtext
- Patient requested second COVID shot. Within minutes of administration return to exam room to find patient sitting and in a rocking motion on exam table, muttering words and clenching left forearm with right arm, with gaze fixed towards ceiling. Pt initially not following commands, with dilated pupils to 5-6 mm. Preserved consciousness. But within 15-30 seconds, squeezes my hands and releases, changes position on own accord and makes eye contact with ability to talk. Over next 5 min patient continues to bob head, but is ambulatory and demonstrating fine motor function (drinking out of a cup, picking up pen off counter) and verbally appropriate. - Patient has a history of pseudoseizures with multiple repeat presentations to ED for episodes. Pt has had multiple Head CTs, MRI brain and ambulatory EEG monitoring negative for epileptic or seizure activity. Neurology tapered patient off of Keppra in April of last year, initiated SSRI for anxiety and referred to psychiatry for further assistance with management strategies for anxiety.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Mydriasis
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- Essential HTN, Seizures, Stroke, Allergic rhinitis, Anxiety, Lateral Epicondylitis of left elbow
- Andere Medikamente
- Hydroxyzine HCL, Trazodone, Citalopram, Lisinopril, Meloxicam
- Allergien
- NKDA
- Vorherige Impfungen
- hx of seizure after first COVID-19 vaccine. Was received at different clinic and denied any adverse event to any vaccines in the
- Staat
- WA
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 22.01.2022
- Impfdatum
- 22.01.2022
- Beginn
- 22.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product administered to patient of inappropriate age
Symptomtext
patient got moderna vaccine (both dose 1 and 2) even though he is not 18 years old yet. he showed no signs of symptoms or adverse effects.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 37,0
- Geschlecht
- F
- Eingang
- 21.01.2022
- Impfdatum
- 18.01.2022
- Beginn
- 18.01.2022
- 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
Patient received 0.25 ml instead of 0.5 ml for second dose
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 82,0
- Geschlecht
- F
- Eingang
- 21.01.2022
- Impfdatum
- 21.01.2022
- Beginn
- 21.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Inappropriate schedule of product administration
Symptomtext
received booster just shy of 90 days from monoclonal antibody shot.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 26,0
- 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: unbekannt
Inappropriate schedule of product administration
Symptomtext
Booster administered within 5 months since last dose in series (Pfizer doses on 8/26/21 and 9/21/21)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 41,0
- Geschlecht
- F
- Eingang
- 20.01.2022
- 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
Tinnitus
Symptomtext
About 2 hours after the dose administration, constant tinnitus started. It has not stopped since it began that day.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Tinnitus
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- X-linked hypophosphatemia
- Andere Medikamente
- Aripiprazole 5mg, Bupropion 300mg, Buspirone 15mg (2xday), Lamotrigine 200mg, Vitamin B-complex, Vitamin D3, Iron
- Allergien
- Morphine, Tramadol, Gluten
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 67,0
- Geschlecht
- M
- Eingang
- 18.01.2022
- Impfdatum
- 18.01.2022
- Beginn
- 18.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- SYR / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Underdose
Symptomtext
PATIENT RECEIVED 0.25ML FOR SECOND DOSE. PATIENT INFORMED AND WILL RETURN AS SOON AS HE CAN FOR CORRECT DOSE
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Underdose
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 18.01.2022
- Impfdatum
- 08.01.2022
- Beginn
- 08.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Product administered to patient of inappropriate age
Symptomtext
This 14-year-old patient inadvertently received 0.25mL of Moderna approved for 18+. Patient observed for 15 minutes with no adverse reactions. This was the third dose for the patient. The first 2 doses were Pfizer (purple cap) for 12+.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 18.01.2022
- Impfdatum
- 08.01.2022
- Beginn
- 08.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Product administered to patient of inappropriate age
Symptomtext
This 17-year-old patient inadvertently received 0.25 mL of Moderna which is approved for 18+. Patient was observed for 15 minutes with no adverse reactions. This was the third dose for the patient; the first 2 doses were the Pfizer (purple cap) for 12+.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- LA
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 17.01.2022
- Impfdatum
- 17.01.2022
- Beginn
- 17.01.2022
- 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
Moderna Booster given to patient that is not 18 years old
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- n/a
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 14,0
- Geschlecht
- M
- Eingang
- 17.01.2022
- 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: unbekannt
Product administered to patient of inappropriate age
Symptomtext
Incorrect vaccine was administered to patient. Patient is only 14 years old and received the Moderna vaccine 1st dose.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 16,0
- 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: unbekannt
Erholt: nein
Interchange of vaccine products
Symptomtext
patient was one of several waiting for vaccine. nurse who went to get next patient asked for patient to come to vaccine area. teenager stood up and came to nurse. teenager was not who the nurse called but another pt (Pt 2). Pt 2 was given the original pt's Moderna vaccine. Pharmacist noticed the original pt was still waiting for vaccine. Asked Nurse why the original pt was waiting- and nurse said no that is pt 2 there- and I told nurse no that is pt 1. So pt 2 got MOderna not pfizer. we will follow up with pt in few days. SHe received 0.25 ml of moderna
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Interchange of vaccine products
- Hospital-Tage
- -
- Labordaten
- none known so far
- Aktuelle Erkrankungen
- None known
- Vorgeschichte
- none known
- Andere Medikamente
- unknown
- Allergien
- NKA
- Vorherige Impfungen
- -