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Reporte zur Charge 045C21A

Verknuepft ueber VAERS_ID mit VAERSDATA, Vax und Symptoms

491Reporte angezeigt
18Todesfaelle
49Hospitalisiert
2Lebensbedrohlich
4Bleibende Schaeden
WA 120 AZ 37 TN 28 OH 27 TX 24 FL 23 AK 22 GA 18 PA 16 CA 16 MI 15 MN 13

VAERS 2708201

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
TN
Alter
69,0
Geschlecht
F
Eingang
01.11.2023
Impfdatum
27.10.2021
Beginn
01.09.2023
Tage bis Beginn
674,0
Dosis
3
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Aspiration pleural cavity Atrial fibrillation Bone sarcoma Condition aggravated Critical illness Death Debridement Dyspnoea Femur resection General physical health deterioration Infection Pelvic resection Pleomorphism Procedural complication Respiratory failure Sepsis Wound dehiscence

Symptomtext

She remained critically ill throughout the majority of her hospitalization. She required ongoing oxygen support. She had recurrent episodes of dyspnea and underwent thoracentesis on September 27th. She had intermittent episodes of atrial fibrillation with rapid ventricular response. She had recurrent sepsis with concern of ongoing infection in the wound the prompted her admission due to dehiscence. As she continued to fail to make any progress and actually continued to decline with recurrent sepsis and respiratory failure her family eventually decided for comfort care. She died on October 2nd at 5:36 a.m.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bone sarcoma
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Pleomorphic sarcoma of the left femur status post surgical resection January 2023 - status post left hemipelvectomy July 24th complicated by wound dehiscence and infection requiring multiple debridements Acute hypoxemic respiratory failure, improved Pneumonia, improved Acute blood loss anemia OSA Polymicrobial wound infection Pneumonia, improved Severe protein calorie malnutrition Chronic pain
Vorgeschichte
Atrial fibrillation Hypertension Obesity Chronic congestive heart failure OSA GERD Cholecystectomy Hysterectomy Gastric bypass Hip replacement Tumor resection Watchman
Andere Medikamente
-
Allergien
codeine
Vorherige Impfungen
-

VAERS 2635540

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
-
Alter
55,0
Geschlecht
M
Eingang
23.05.2023
Impfdatum
13.12.2021
Beginn
15.03.2022
Tage bis Beginn
92,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Deep vein thrombosis Hypotension Pulmonary embolism

Symptomtext

PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN HYPOTENSION ACUTE PULMONARY EMBOLISM

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

VAERS 2629493

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
WA
Alter
27,0
Geschlecht
M
Eingang
09.05.2023
Impfdatum
20.10.2021
Beginn
20.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Aortic valve incompetence Cerebral septic infarct Death Endocarditis Mitral valve incompetence Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration. In light of this, patient elected to receive additional dose of Moderna vaccine on Feb 1, 2022. On March 6, 2022 he was admitted to the hospital with infective endocarditis complicated by aortic and mitral valve failure and septic cerebral infarcts. On March 19, 2022, he passed away. He had risk factors for developing endocarditis and we don't believe there is an association between the improperly stored vaccine or revaccination.

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

VAERS 2566654

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

kritisch
Staat
IN
Alter
94,0
Geschlecht
M
Eingang
24.01.2023
Impfdatum
10.11.2021
Beginn
18.01.2023
Tage bis Beginn
434,0
Dosis
4
Route/Site
SYR / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Alanine aminotransferase normal Anion gap Anticoagulant therapy Aspartate aminotransferase normal Atrial fibrillation Bacterial disease carrier Bacterial test positive Base excess Basophil count decreased Basophil percentage decreased Benign prostatic hyperplasia Bilirubin urine Bladder scan Blood albumin normal Blood alkaline phosphatase normal Blood bicarbonate increased Blood bilirubin normal Blood calcium normal

Symptomtext

Document Type: History and Physical Document Subject: History & Physical Note Performed By: DO on January 19, 2023 06:30 Verified By: DO on January 19, 2023 06:30 Encounter Info: Hospital, Inpatient, 01/18/23 - * Final Report * Chief Complaint flu-like symptoms History of Present Illness/Subjective A 95 year old male w/ hx of atrial fibrillation, dementia, stroke, recurrent/chronic UTI presents to the ED via EMS from assisted living facility c/o cough, fever, and generalized pain. Patient denies any dyspnea, chest pain, vomiting or diarrhea. In the ED he was found to be Influenza A positive and have evidence of uti on U/A, with recent hx of ESBL. HPI limited due to the patient being a poor historian, given it is difficult to determine if he is having urinary symptoms will cont treatment with Merrem and consider obtaining ID consult to help ascertain if this more likely represents colonization vs recurrent uti. Review of Systems unable to obtain ros due to the patient dementia. Physical Exam/Objective Vital Signs (most recent and range for last 24 hours) Temp (CEL) 37.8 (36.9-37.8) Temp (FAHR) 100.0 (98.4-100.0), BP 135/64 (95-135)/(54-70), HR 103 (103-115), RR 18 (18-18), O2Sat 93 (91-93) Neurologic (most recent and range for last 24 hours) GCS 14(14-14) Patient Weight Current Daily Weight: 86.5 kg 01/19/23 Patient Height Constitutional: No acute distress, ill appearing, elderly male Eyes: no scleral icterus, no conjunctival injection HENT: no edema, atraumatic Neck: normal ROM Cardiovascular: tachycardic, regular rhythm, No edema Pulmonary: no respiratory distress, overall poor tidal volume, scattered fine crackles Abdomen: nondistended, no tenderness, no rebound, no guarding MSK: atraumatic, no deformities, no cyanosis Neurologic: motor function grossly intact, sensation grossly intact Skin: dry, warm Psych: calm and cooperative Assessment/Plan 1. Sepsis A41.9 2. Influenza A J10.1 3. BPH with obstruction/lower urinary tract symptoms N40.1 4. Recurrent UTI N39.0 most likely 2/2 influenza however cannot rule out acute on chronic UTI 2/2 esbl cover with merrem and tamiflu for now as symptoms began on day of presentation according to NH follow pancx maintain map >65 bladder scans prn monitor urine output supplemental O2 prn nebulizers prn 5. Atrial fibrillation I48.91 cont rate control patient is not on anticoag, possibly due to his age and risks of ich in the event of a fall 6. GERD (gastroesophageal reflux disease) K21.9 cont ppi 7. Hyperlipemia, mixed E78.2 cont statin 8. Dementia F03.90 cont home meds Orders: acetaminophen, 650 mg, Orally, Tablet, Q4H, PRN, Pain, Mild PO (1-3 out of 10)/Fever, 01/18/23 23:13:00 albuterol-ipratropium, 3 mL, Neb Inhal, Inhalation SOLN, Aerosol Treatment, Q6H, PRN, Shortness of Breath/Wheezing, 01/18/23 23:13:00 aspirin, 325 mg, Orally, Tab, Delayed Rel, Daily, 01/19/23 9:00:00 atenolol, 12.5 mg, Orally, Tablet, BID, 01/19/23 9:00:00 cetirizine, 10 mg, Orally, Tablet, QAM, PRN, Allergy Symptoms, 01/19/23 6:05:00 Dextrose 5% in Water 500 mL, Total Volume (mL) = 500, IV, 01/19/23 1:12:00, Other - See Comments, Clinical Weight finasteride, 5 mg, Orally, Tablet, Daily, 01/19/23 9:00:00 heparin, 5,000 Units, Subcutaneous, Injection, Q12, 01/19/23 6:00:00 Lactated Ringers 1,000 mL, Total Volume (mL) = 1,000, IV, 01/18/23 23:13:00, 50 mL/hr, Clinical Weight meropenem, 500 mg, IVPB, Injection, Q6H, Indication: Sepsis (ESBL or MDR History), 01/19/23 1:00:00, 200 mL/hr, Infuse Over 30 minutes, Total Volume (mL) = 100 mirtazapine, 7.5 mg, Orally, Tablet, At Bedtime, 01/19/23 21:00:00 morphine, 2 mg, IV Push, Injection, Q4H, PRN, Pain Moderate IV (4-6 out of 10), 01/18/23 23:13:00 ondansetron, 4 mg, IV Push, Injection, Q6H, PRN, Nausea/Vomiting IV - Use First, 01/18/23 23:13:00 oseltamivir, 30 mg, Orally, Capsule, BID, 01/19/23 9:00:00 pantoprazole, 20 mg, Orally, Tab, Delayed Rel, Daily, 01/19/23 9:00:00 polyethylene glycol 3350, 17 GM, Orally, Powder, Daily, 01/19/23 9:00:00 pravastatin, 40 mg, Orally, Tablet, At Bedtime, 01/19/23 21:00:00 Sodium Chloride 0.9% 250 mL, Total Volume (mL) = 250, IV, 01/19/23 1:12:00, Other - See Comments, Clinical Weight Sodium Chloride 0.9% 500 mL, Total Volume (mL) = 500, IV, 01/19/23 1:12:00, Other - See Comments, Clinical Weight 2000 mg Sodium, 225 gm Carb, 20 gm Saturated Fat Diet Admit to Inpatient Aspiration Precautions Auto Diff Call Blood Glucose Call Diastolic Blood Pressure Call Heart Rate Call Mental Status Changes Call O2 Saturation Call Respiratory Distress Call Respiratory Rate Call Systolic Blood Pressure Call Temperature Call Urine Output CBC w/Differential Comp Metabolic Panel DC SIRS Alert and Sepsis Screen Do Not (Specify) Dysphagia Screen by RN Fall Precautions Hgb A1C HPLC Bld QN Initiate IV Care Protocols As Appropriate Initiate Mobility Protocol Initiate Protocol Initiate Skin and Wound Care Protocol Intake + Output Strict Intermittent Catheterization Lactate Pl Venous QN Level of Care Magnesium SerPl QN Medical Service Meropenem Pharmacy Dosing Consult OT Evaluation and Treatment Patient Isolation Peripheral IV Insertion Procalcitonin PT Evaluation and Treatment Resp Evaluation or Assessment Resuscitation Status Sequential Compression Device Single Oxygen Saturation Telemetry Class III 24hr Recommendation Titrate FiO2 to Keep O2 Sat TSH w FreeT4 reflex Vital Signs Weight Weight Code Status Resuscitation Status - Ordered -- 01/18/23 23:13:00, Full Code Chronic Problem List Atherosclerosis of native artery of right lower extremity with rest pain Atrial fibrillation Balanoposthitis Bladder neck contracture BPH with obstruction/lower urinary tract symptoms Cholelithiasis Chronic UTI Colon polyps Critical lower limb ischemia Dementia Dysuria Exudative age-related macular degeneration of left eye with active choroidal neovascularization GERD (gastroesophageal reflux disease) History of stroke in adulthood Hyperlipemia, mixed Incomplete bladder emptying Lumbosacral disc disease Neurogenic bladder OSA (obstructive sleep apnea) Osteoarthritis Psoriasis PVC (premature ventricular contraction) Recurrent UTI Spondylolisthesis Tobacco use Urinary retention Procedure/Surgical History ?TURP (11/2018) ?Rt knee peroneal nerve release (07/22/2015) ?Bone density scan (06/24/2014) ?Colonoscopy (12/18/2012) ?Rt TKA (2000) ?Colonoscopy ?Dental implants ?EGD- bleeding ulcer with clamp ?Hemorroid surgery ?Inguinal Hernia Repair Surgical History Internal 09/11/2019 Bladder Neck Repair MD 11/28/2018 TUR Prostate MD 07/22/2015 Nerve Repair Peroneal (Right) MD Medications Home Medications (14) Active aspirin 325 mg oral delayed release tablet 325 mg = 1 Tablet, Orally, Daily atenolol 25 mg oral tablet 0.5 Tablet, Orally, BID cetirizine 10 mg oral tablet 10 mg = 1 Tablet, PRN, Orally, QAM Cranberry oral capsule 300 mg, Orally, BID finasteride 5 mg oral tablet See Instructions, Take 1 tablet by mouth once daily lactobacillus acidophilus oral capsule 1 Capsule, Orally, Daily mirtazapine 7.5 mg oral tablet 7.5 mg = 1 Tablet, Orally, At Bedtime Misc Supplement See Instructions, Australian Dream Cream for his back, uses PRN family sts it is an antihistamine and has herbs. From Pharmacy multivitamin Multiple Vitamins oral tablet 1 Tablet, Orally, Daily omeprazole 20 mg oral delayed release capsule 1 Capsule, Orally, Daily polyethylene glycol 3350 oral powder for reconstitution 17 GM, Orally, Daily pravastatin 40 mg oral tablet See Instructions, TAKE 1 TABLET BY MOUTH AT BEDTIME PreserVision AREDS 2 1 Capsule, Orally, BID triamcinolone 0.1% topical cream 1 App, Topical, TID, apply a thin film Active Scheduled Inpatient Medications aspirin, Tab, Delayed Rel, 325 mg, Orally, Daily, Start: 01/19/23 09:00:00 atenolol, Tablet, 12.5 mg, Orally, BID, Start: 01/19/23 09:00:00 finasteride, Tablet, 5 mg, Orally, Daily, Start: 01/19/23 09:00:00 heparin (heparin 5,000 units/0.5 mL injectable solution), Injection, 5,000 Units, Subcutaneous, Q12, Start: 01/19/23 06:00:00 meropenem, Injection, 500 mg, IVPB, Q6H, Indication: Sepsis (ESBL or MDR History), Start: 01/19/23 01:00:00 mirtazapine, Tablet, 7.5 mg, Orally, At Bedtime, Start: 01/19/23 21:00:00 oseltamivir (Tamiflu), Capsule, 30 mg, Orally, BID, Start: 01/19/23 09:00:00 pantoprazole, Tab, Delayed Rel, 20 mg, Orally, Daily, Start: 01/19/23 09:00:00 polyethylene glycol 3350 (polyethylene glycol 3350 oral powder for reconstitution), Powder, 17 GM, Orally, Daily, Start: 01/19/23 09:00:00 pravastatin, Tablet, 40 mg, Orally, At Bedtime, Start: 01/19/23 21:00:00 Lactated Ringers 1,000 mL IV 50 mL/hr Sodium Chloride 0.9% 500 mL IV Other - See Comments Dextrose 5% in Water 500 mL IV Other - See Comments Sodium Chloride 0.9% 250 mL IV Other - See Comments One-Time Medications Given 01/18/23 00:00:00 TO 01/19/23 06:29:39 None Reported PRN Medications (0600 - 0559) from 01/18 - 01/19 acetaminophen, 650 mg, Orally, Q4H, 0 Dose(s) albuterol-ipratropium, 3 mL, Neb Inhal, Q6H, 0 Dose(s) cetirizine, 10 mg, Orally, QAM, 0 Dose(s) morphine, 2 mg, IV Push, Q4H, 0 Dose(s) ondansetron, 4 mg, IV Push, Q6H, 0 Dose(s) Allergies Restoril (Difficulty Breathing) codeine (breathing difficulty, Vomiting) lovastatin (weakness) Social History Alcohol Current, Daily Electronic Cigarette/Vaping E-Cigarette Use Never. Home/Environment Lives with Spouse. Living situation: Home with assistance. Home equipment: Walker/Cane. Family/Friends available for support: Yes. Major illness in household: Yes. Substance Abuse Denies Tobacco Tobacco Use: Never (less than 100 in lifetime). Family History High blood pressure..: Father. Stroke: Father. Lab Results All Labs Last 24 hours (No Micro or Pathology) Hematology: WBC: 7.4 k/cumm (01/19/23 06:07:00) RBC: 4.44 million/cumm (01/19/23 06:07:00) Hgb: 13.7 GM/dL (01/19/23 06:07:00) Hct: 41.3 % (01/19/23 06:07:00) MCV: 93 fL (01/19/23 06:07:00) MCH: 30.8 pg (01/19/23 06:07:00) MCHC: 33.1 GM/dL (01/19/23 06:07:00) RDW: 14.2 % (01/19/23 06:07:00) Platelet: 209 k/cumm (01/19/23 06:07:00) MPV: 8 fL (01/19/23 06:07:00) Neutrophils %: 73 % (01/19/23 06:07:00) Lymphocytes %: 14 % (01/19/23 06:07:00) Monocytes %: 12 % (01/19/23 06:07:00) Eosinophils %: 1 % (01/19/23 06:07:00) Basophils %: 0 % (01/19/23 06:07:00) Absolute Neutrophil: 5.4 k/cumm (01/19/23 06:07:00) Absolute Lymphocyte: 1 k/cumm (01/19/23 06:07:00) Absolute Monocyte: 0.9 k/cumm (01/19/23 06:07:00) Absolute Eosinophil: 0.1 k/cumm (01/19/23 06:07:00) Absolute Basophil: 0 k/cumm (01/19/23 06:07:00) Chemistry: Sodium SerPl QN: 141 mmol/L (01/18/23 18:55:00) Potassium SerPl QN: 3.8 mmol/L (01/18/23 18:55:00) Chloride SerPl QN: 102 mmol/L (01/18/23 18:55:00) Carbon Dioxide SerPl QN: 30 mmol/L High (01/18/23 18:55:00) Anion Gap: 9 mmol/L (01/18/23 18:55:00) BUN SerPl QN: 12 mg/dL (01/18/23 18:55:00) Creatinine SerPl QN: 0.97 mg/dL (01/18/23 18:55:00) Estimated GFR (CKD-EPI, no race): 72 mL/min/1.73m2 (01/18/23 18:55:00) Estimated CRCL (CG): 50 mL/min Low (01/18/23 18:55:00) Glucose SerPl QN: 152 mg/dL High (01/18/23 18:55:00) Calcium Total SerPl QN: 10 mg/dL (01/18/23 18:55:00) Alkaline Phos SerPl QN: 76 Units/L (01/18/23 18:55:00) ALT SerPl QN: 20 Units/L (01/18/23 18:55:00) AST SerPl QN: 23 Units/L (01/18/23 18:55:00) Bilirubin Total SerPl QN: 0.4 mg/dL (01/18/23 18:55:00) Total Protein SerPl QN: 7.4 GM/dL (01/18/23 18:55:00) Albumin SerPl QN: 4 GM/dL (01/18/23 18:55:00) Troponin-I High Sensitivity: 8 ng/L (01/18/23 20:00:00) BNP Pl QN: 68 pg/mL (01/18/23 18:55:00) Lactate Venous Pl QN: 3.1 mmol/L High (01/18/23 22:10:00) pH Bld Venous QN: 7.38 (01/18/23 18:55:00) PCO2 Bld Venous QN: 49 mmHg (01/18/23 18:55:00) PO2 Bld Venous QN: <34 Low (01/18/23 18:55:00) Base Excess Bld Venous: 3 mmol/L High (01/18/23 18:55:00) Bicarb Bld Venous Calc: 29 mmol/L (01/18/23 18:55:00) O2 Sat Bld Venous Calc: 41 % (01/18/23 18:55:00) Patient Temperature: 37 DegC (01/18/23 18:55:00) Urine Studies: Color: Yellow (01/18/23 19:32:00) Clarity: Clear (01/18/23 19:32:00) Specific Gravity: 1.020 (01/18/23 19:32:00) pH: 6.0 (01/18/23 19:32:00) Protein: TRACE. Abnormal (01/18/23 19:32:00) Glucose: NEGATIVE (01/18/23 19:32:00) Ketones: NEGATIVE (01/18/23 19:32:00) Bilirubin: NEGATIVE (01/18/23 19:32:00) Hgb Ur: TRACE. Abnormal (01/18/23 19:32:00) Nitrite: POSITIVE Abnormal (01/18/23 19:32:00) Urobilinogen: NormalUro (01/18/23 19:32:00) Leukocyte Esterase Ur: MODERATE. Abnormal (01/18/23 19:32:00) WBC: 11-20 Abnormal (01/18/23 19:32:00) RBC: 3-5 Abnormal (01/18/23 19:32:00) Bacteria: Many Abnormal (01/18/23 19:32:00) Squamous Epithelial: Few (01/18/23 19:32:00) All Other Labs: COVID 19 Specimen Source: Nasopharyngeal (01/18/23 18:55:00) Coronavirus SARS-CoV2 Rapid: Not Detected (01/18/23 18:55:00) Micro - Last 7 days Rapid Influenza Method: PCR - Liat (01/18/23 18:55:00) Rapid Influenza A PCR: Detected Abnormal (01/18/23 18:55:00) Rapid Influenza B PCR: Not Detected (01/18/23 18:55:00) Urine CX: POS Critical (01/14/23 15:58:00) Diagnostics Radiology Results - Last 24 hours Across Visits 01/18/2023 19:31 - XR Chest PA or AP Portable IMPRESSION: No acute findings.Thank you for consulting with Radiology. Healthcare providerswishing to discuss this case further can contact the ER Reading Room. Signature Line Electronically Signed on 01/19/23 06:30 ________________________________________________________ DO

Weitere VAERSDATA-Felder
Praegender Schweregrund
Coma scale
Hospital-Tage
-
Labordaten
Molecular Diagnostic Tests COVID 19 Specimen Source Nasopharyngeal Nasopharyngeal Coronavirus SARS-CoV2 Rapid * Not Detected * Not Detected Candida auris DNA PCR Not Detected Candida auris DNA PCR Interp * Candida auris DNA PCR Interp Viral FS Rapid Influenza Method PCR - Liat Rapid Influenza A PCR * (A) Detected Rapid Influenza B PCR * Not Detected
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2447684

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
-
Alter
62,0
Geschlecht
F
Eingang
16.09.2022
Impfdatum
16.09.2021
Beginn
01.01.2022
Tage bis Beginn
107,0
Dosis
2
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Death General physical health deterioration SARS-CoV-2 test positive

Symptomtext

pt lives at facility; pt had a positive COVID test on 1/21/22 in the facility; pt recovered from COVID; DNR; pt's overall condition continued to decline; hospice referral; pt passed away in the facility on 3/11/22

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
CVA with Right sided weakness, COPD, GERD, IBS, DMT2, PVD, PAD, HLD, HTN
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2335944

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
TN
Alter
63,0
Geschlecht
F
Eingang
27.06.2022
Impfdatum
19.10.2021
Beginn
09.02.2022
Tage bis Beginn
113,0
Dosis
2
Route/Site
SYR / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Acute respiratory failure Arthralgia Brain oedema COVID-19 Cerebral artery occlusion Cerebrovascular accident Computerised tomogram head abnormal Death Endotracheal intubation Intensive care Mechanical ventilation Neck pain Pain in extremity SARS-CoV-2 test positive Skull X-ray

Symptomtext

Patient was admitted on 02/18/2022 with ventilator dependent acute resp failure d/t stroke. On 02/02/2022 patient noted to be Covid Positive. Since then patient had lingering neck shoulder and arm pain. Patient was intubated and admitted to ICU. Admitted with acute CVA due to left MCA occlusion complicated by malignant cerebral edema and acute hypoxic respiratory failure. Patient was transitioned to comfort care and expired on 02/27/2022.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute respiratory failure
Hospital-Tage
9,0
Labordaten
CT brain 02/18/2022 proximal left MCA occlusion with changes in grey white differentiation consistent with acute stroke. Xray 02/18/2022: foreign body projecting over the hypopharynx likely representing dental hardware.
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2325371

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
MI
Alter
62,0
Geschlecht
M
Eingang
21.06.2022
Impfdatum
27.09.2021
Beginn
13.02.2022
Tage bis Beginn
139,0
Dosis
2
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Acute kidney injury Asymptomatic COVID-19 Chest X-ray abnormal Computerised tomogram abdomen abnormal Culture urine positive Escherichia test positive Hypotension Intensive care Lung infiltration Pyelonephritis SARS-CoV-2 test positive Septic shock Urinary tract infection Urine output decreased

Symptomtext

Patient was admitted 2/13 with hypotension, decreased urine output, found to have UTI & septic shock, given 4 L fluid bolus & started on pressors. He was also found to be COVID-19 positive. CT scan of the abdomen and pelvis revealed no evidence of obstructive uropathy but was suggestive of pyelonephritis/left perinephric and perivesicular stranding. Chest x-ray showed mild interstitial infiltrates. Patient received vancomycin, cefepime and azithromycin in the emergency room and was admitted to ICU. he patient was weaned off dopamine and vasopressin drips and transferred out of ICU on 02/16/2022. Urine culture grew E coli, pansensitive, and pt discharged on 7 day course of ciprofloxacin Patient's AKI also improved. Pt continued to be asymptomatic from COVID-19 and wanted to go home.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Septic shock
Hospital-Tage
4,0
Labordaten
Positive COVID 19 test on 02/13/2022
Aktuelle Erkrankungen
-
Vorgeschichte
Date Unknown Arthritis 5/20/22 Benign prostatic hyperplasia with urinary obstruction Date Unknown Bladder cancer (HCC) Date Unknown CAD (coronary artery disease) Date Unknown CKD (chronic kidney disease) stage 3, GFR 30-59 ml/min (HCC) Date Unknown COPD (chronic obstructive pulmonary disease) (HCC) Date Unknown Coronary atherosclerosis Date Unknown GERD (gastroesophageal reflux disease) Date Unknown High cholesterol Date Unknown Hypertension Date Unknown MI (myocardial infarction) (HCC) Date Unknown Renal mass
Andere Medikamente
albuterol (VENTOLIN HFA) 108 (90 BASE) MCG/ACT HFA inhaler amLODIPine (NORVASC) 2.5 MG tablet aspirin (HALFPRIN) 81 MG tablet atorvastatin (LIPITOR) 20 MG tablet clopidogrel (PLAVIX) 75 MG tablet Cyanocobalamin (VITAMIN B-12) 1000 MCG
Allergien
no known drug allergies
Vorherige Impfungen
-

VAERS 2313973

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
TN
Alter
90,0
Geschlecht
M
Eingang
09.06.2022
Impfdatum
12.10.2021
Beginn
22.02.2022
Tage bis Beginn
133,0
Dosis
3
Route/Site
SYR / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Death Hypophagia Mental status changes Pneumonia Renal failure Therapy non-responder

Symptomtext

Patient admitted 03/08/2022 after he stopped eating and drinking after having contracted Covid-19 at home. He was admitted to the hospitalist service and he was in renal failure as well as having an AMS and PNA. His renal function worsened and he was not responding to therapy, family decided to make him DNR/Comfort care. Patient expired on 03/11/2022.

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

VAERS 2211464

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
SD
Alter
74,0
Geschlecht
F
Eingang
01.04.2022
Impfdatum
23.03.2021
Beginn
01.02.2022
Tage bis Beginn
315,0
Dosis
3
Route/Site
SYR / RA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Asymptomatic COVID-19 Death SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

This is an instance of breakthrough COVID-19 disease after which death occurred. The individual was vaccinated with the Moderna product on 02/10/2021, 03/10/2021, and 09/23/2021. They first tested positive via antigen test on 02/01/2022 as a part of assisted living facility outbreak testing. At that time, they were described as "asymptomatic." They tested positive for COVID-19 again on 02/13/2022 and 02/24/2022 when being admitted to hospital. They remained hospitalized until their death on 03/04/2022. The individual had listed allergies to Measles Vaccine, Mumps Vaccine, Rubella Vaccine, MMR Vaccine, and Zoster Vaccine but the nature/reaction of these allergies was not listed in the health link system.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
8,0
Labordaten
Positive COVID-19 tests x3 despite being vaccinated.
Aktuelle Erkrankungen
-
Vorgeschichte
Peripheral Edema, Congestive Heart Failure, Diabetes Mellitus, previous kidney transplant The individual was a resident of an assisted living facility at the time of the adverse event.
Andere Medikamente
-
Allergien
Reported allergies to penicillin (reaction: unknown); Measles Vaccine (reaction: unknown); Rubella Vaccine (Reaction: unknown); Mumps Vaccine (reaction: Unknown); Vancomycin (Reaction: hives); Zoster Vaccine (reaction: unknown); MMR Vaccine (reaction: unknown/other);
Vorherige Impfungen
Reported allergies to the following vaccines: Measles; Mumps; Rubella; MMR; and Zoster. The nature/reaction to these allergies i

VAERS 2199211

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
SD
Alter
75,0
Geschlecht
F
Eingang
25.03.2022
Impfdatum
20.09.2021
Beginn
14.02.2022
Tage bis Beginn
147,0
Dosis
3
Route/Site
SYR / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Acute myocardial infarction Acute respiratory distress syndrome COVID-19 Death Dehydration Diarrhoea Ischaemic stroke Pneumonia bacterial SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

This is an instance of breakthrough COVID-19 after which death occurred. The individual was vaccinated with the Moderna product on 03/04/2021, 04/01/2021, and 09/20/2021. They tested positive for COVID-19 on 02/14/2022 and again on 02/21/2022. They were admitted to hospital 02/14/2022 and transferred to a different hospital on 02/19/2022 for a higher level of care. They experienced multiple complications, including ARDS, secondary bacterial pneumonia, dehydration due to acute diarrhea, acute ST elevation myocardial infarction of anterior wall, and acute stroke due to ischemia. The individual was transitioned to comfort care only on 03/04/2022 and they died later on the same day on 03/04/2022. This individual was immunosuppressed due to medication use.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute myocardial infarction
Hospital-Tage
18,0
Labordaten
Positive COVID-19 tests x2 on 02/14/2022 and 02/21/2022 despite being vaccinated.
Aktuelle Erkrankungen
Acute diarrhea with dehydration (C. Diff negative)
Vorgeschichte
Hypertension, Rheumatic Lung Disease, Immunodeficiency due to medication
Andere Medikamente
Rituxan
Allergien
-
Vorherige Impfungen
-

VAERS 2168543

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
-
Alter
41,0
Geschlecht
F
Eingang
15.03.2022
Impfdatum
30.08.2021
Beginn
15.10.2021
Tage bis Beginn
46,0
Dosis
2
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Anticoagulant therapy COVID-19 COVID-19 pneumonia Cardiac arrest Chest X-ray abnormal Death Dyspnoea Fibrosis Diarrhoea Dyspnoea exertional General physical health deterioration Positive airway pressure therapy SARS-CoV-2 test positive Insulin therapy Intensive care Myalgia Pancreatic failure Pyrexia

Symptomtext

Pt presented to hospital via EMS with sob and dyspnea on exertion; pmh of renal and pancreas transplant on immunosuppression, dm, htn, hld, gerd; pt visited urgent care for diarrhea and muscle aches and found to be COVID positive on 10/15 and told to isolate; sob got progressively worse which brought her to the hospital; initial O2 sat was in 50s; pt was febrile at 39.1 C, bp 128/74, hr 117, rr 28 and satting low 90s hfnc 40 L at 100% FiO2. Dx?d with pneumonia due to COVID-19; former smoker; allergies: flagyl; treatments dexamethasone, baricitnib, guifenesin codeine cough syrup; pancreas began to fail; pt started on insulin; pt was sent to icu, proned; required bipap and vaptherm and put on anticoagulation; pt continued to decline and CXR worsened; bipap removed 11/09 after discussion with family and pt became asystole shortly after; pt passed away the afternoon of 11/09/21

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
20,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2131991

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
OK
Alter
70,0
Geschlecht
M
Eingang
22.02.2022
Impfdatum
03.11.2021
Beginn
17.11.2021
Tage bis Beginn
14,0
Dosis
3
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Death

Symptomtext

Patient's wife had a virtual provider with APRN on 022222 and reported that her husband (patient) "passed away three weeks after getting the booster". The patient reportedly had no other chronic health problems but reportedly took doxazosin according to what was reported to the virtual provider. No autopsy was performed.

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

VAERS 2035903

JANSSEN · COVID19 (COVID19 (JANSSEN)) · Charge 045C21A

kritisch
Staat
MN
Alter
62,0
Geschlecht
F
Eingang
10.02.2022
Impfdatum
02.04.2021
Beginn
05.01.2022
Tage bis Beginn
278,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Acute myocardial infarction COVID-19 Lung opacity Pneumonia SARS-CoV-2 test SARS-CoV-2 test positive

Symptomtext

ACUTE MYOCARDIAL INFARCTION; PNEUMONIA; LUNG OPACITY; SARS-COV-2 TEST POSITIVE; COVID-19; This spontaneous report received from a health care professional via a Regulatory Authority Vaccine Adverse Event Reporting System (VAERS) (VAERS ID 2035903) on 28-JAN-2022 and concerned a 62 year old female of unspecified race and ethnicity. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient previously received covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration, batch number: 041A21A expiry: unknown) dose was not reported, dose number in series was 01, 01 in total administered on 02-APR-2021 for unknown indication. On an unspecified date, following vaccination with covid-19 vaccine ad26.cov2.s, it was unknown whether patient had any adverse events (dose number in series was 01). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient additionally received non-company suspect vaccine MRNA 1273 ( form and route of administration were not reported, batch number: 045C21A expiry: unknown) dose was not reported, dose number in series was 02, administered on 02-NOV-2021 for an unspecified indication. On 05-JAN-2022, the patient experienced severe acute respiratory syndrome coronavirus (SARS-CoV-2) infection. On the same day, coronavirus disease (Covid-19) polymerase chain reaction (PCR) test result was positive. On 09-JAN-2022, the patient had acute myocardial infarction, pneumonia, lung opacity. The patient was admitted on 11-JAN-2022 and she was discharged on 14-JAN-2022. She was hospitalized for 4 days. Patient was hospitalized for non-ST-elevation myocardial infarction (NSTEMI) suspected pneumonia in the anterior right upper lobe accounted for consolidative opacities. She consulted for positive COVID-19 and recommendations included a three day course of remdesivir (dose number in series was 02). The outcome of the acute myocardial infarction, covid-19, lung opacity, pneumonia and SARS-CoV-2 test positive was not reported. This report was serious (Hospitalization Caused / Prolonged). This report was associated with product quality complaint: 90000214995. The suspected product quality complaint has been confirmed to be the reported allegation could not be determined. a manufacturing related root cause could not be identified. based on the PQC evaluation/investigation performed. Additional information was received from Central Complaint Vigilance Department on 03-FEB-2022. The following information was updated and incorporated into case narrative: Product Quality Complaint investigation result.; Sender's Comments: V2: Follow up information in this version updated Product quality complaint investigation result. The follow up information does not change the causality of the previous report 20220156997 - covid-19 vaccine ad26.cov2.s - acute myocardial infarction, pneumonia, covid-19, lung opacity, and SARS-CoV-2 test positive. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute myocardial infarction
Hospital-Tage
4,0
Labordaten
Test Date: 20220105; Test Name: COVID-19 PCR test; Result Unstructured Data: positive
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2035903

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
MN
Alter
62,0
Geschlecht
F
Eingang
10.02.2022
Impfdatum
02.04.2021
Beginn
05.01.2022
Tage bis Beginn
278,0
Dosis
2
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Acute myocardial infarction COVID-19 Lung opacity Pneumonia SARS-CoV-2 test SARS-CoV-2 test positive

Symptomtext

ACUTE MYOCARDIAL INFARCTION; PNEUMONIA; LUNG OPACITY; SARS-COV-2 TEST POSITIVE; COVID-19; This spontaneous report received from a health care professional via a Regulatory Authority Vaccine Adverse Event Reporting System (VAERS) (VAERS ID 2035903) on 28-JAN-2022 and concerned a 62 year old female of unspecified race and ethnicity. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient previously received covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration, batch number: 041A21A expiry: unknown) dose was not reported, dose number in series was 01, 01 in total administered on 02-APR-2021 for unknown indication. On an unspecified date, following vaccination with covid-19 vaccine ad26.cov2.s, it was unknown whether patient had any adverse events (dose number in series was 01). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient additionally received non-company suspect vaccine MRNA 1273 ( form and route of administration were not reported, batch number: 045C21A expiry: unknown) dose was not reported, dose number in series was 02, administered on 02-NOV-2021 for an unspecified indication. On 05-JAN-2022, the patient experienced severe acute respiratory syndrome coronavirus (SARS-CoV-2) infection. On the same day, coronavirus disease (Covid-19) polymerase chain reaction (PCR) test result was positive. On 09-JAN-2022, the patient had acute myocardial infarction, pneumonia, lung opacity. The patient was admitted on 11-JAN-2022 and she was discharged on 14-JAN-2022. She was hospitalized for 4 days. Patient was hospitalized for non-ST-elevation myocardial infarction (NSTEMI) suspected pneumonia in the anterior right upper lobe accounted for consolidative opacities. She consulted for positive COVID-19 and recommendations included a three day course of remdesivir (dose number in series was 02). The outcome of the acute myocardial infarction, covid-19, lung opacity, pneumonia and SARS-CoV-2 test positive was not reported. This report was serious (Hospitalization Caused / Prolonged). This report was associated with product quality complaint: 90000214995. The suspected product quality complaint has been confirmed to be the reported allegation could not be determined. a manufacturing related root cause could not be identified. based on the PQC evaluation/investigation performed. Additional information was received from Central Complaint Vigilance Department on 03-FEB-2022. The following information was updated and incorporated into case narrative: Product Quality Complaint investigation result.; Sender's Comments: V2: Follow up information in this version updated Product quality complaint investigation result. The follow up information does not change the causality of the previous report 20220156997 - covid-19 vaccine ad26.cov2.s - acute myocardial infarction, pneumonia, covid-19, lung opacity, and SARS-CoV-2 test positive. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute myocardial infarction
Hospital-Tage
4,0
Labordaten
Test Date: 20220105; Test Name: COVID-19 PCR test; Result Unstructured Data: positive
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2035903

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
MN
Alter
62,0
Geschlecht
F
Eingang
10.02.2022
Impfdatum
02.04.2021
Beginn
05.01.2022
Tage bis Beginn
278,0
Dosis
2
Route/Site
SYR / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Acute myocardial infarction COVID-19 Lung opacity Pneumonia SARS-CoV-2 test SARS-CoV-2 test positive

Symptomtext

ACUTE MYOCARDIAL INFARCTION; PNEUMONIA; LUNG OPACITY; SARS-COV-2 TEST POSITIVE; COVID-19; This spontaneous report received from a health care professional via a Regulatory Authority Vaccine Adverse Event Reporting System (VAERS) (VAERS ID 2035903) on 28-JAN-2022 and concerned a 62 year old female of unspecified race and ethnicity. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient previously received covid-19 vaccine ad26.cov2.s (suspension for injection, route of administration, batch number: 041A21A expiry: unknown) dose was not reported, dose number in series was 01, 01 in total administered on 02-APR-2021 for unknown indication. On an unspecified date, following vaccination with covid-19 vaccine ad26.cov2.s, it was unknown whether patient had any adverse events (dose number in series was 01). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient additionally received non-company suspect vaccine MRNA 1273 ( form and route of administration were not reported, batch number: 045C21A expiry: unknown) dose was not reported, dose number in series was 02, administered on 02-NOV-2021 for an unspecified indication. On 05-JAN-2022, the patient experienced severe acute respiratory syndrome coronavirus (SARS-CoV-2) infection. On the same day, coronavirus disease (Covid-19) polymerase chain reaction (PCR) test result was positive. On 09-JAN-2022, the patient had acute myocardial infarction, pneumonia, lung opacity. The patient was admitted on 11-JAN-2022 and she was discharged on 14-JAN-2022. She was hospitalized for 4 days. Patient was hospitalized for non-ST-elevation myocardial infarction (NSTEMI) suspected pneumonia in the anterior right upper lobe accounted for consolidative opacities. She consulted for positive COVID-19 and recommendations included a three day course of remdesivir (dose number in series was 02). The outcome of the acute myocardial infarction, covid-19, lung opacity, pneumonia and SARS-CoV-2 test positive was not reported. This report was serious (Hospitalization Caused / Prolonged). This report was associated with product quality complaint: 90000214995. The suspected product quality complaint has been confirmed to be the reported allegation could not be determined. a manufacturing related root cause could not be identified. based on the PQC evaluation/investigation performed. Additional information was received from Central Complaint Vigilance Department on 03-FEB-2022. The following information was updated and incorporated into case narrative: Product Quality Complaint investigation result.; Sender's Comments: V2: Follow up information in this version updated Product quality complaint investigation result. The follow up information does not change the causality of the previous report 20220156997 - covid-19 vaccine ad26.cov2.s - acute myocardial infarction, pneumonia, covid-19, lung opacity, and SARS-CoV-2 test positive. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute myocardial infarction
Hospital-Tage
4,0
Labordaten
Test Date: 20220105; Test Name: COVID-19 PCR test; Result Unstructured Data: positive
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2096699

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
WA
Alter
78,0
Geschlecht
M
Eingang
08.02.2022
Impfdatum
27.10.2021
Beginn
07.02.2022
Tage bis Beginn
103,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Acute kidney injury Acute respiratory failure COVID-19 Inappropriate schedule of product administration Leukocytosis Pulmonary embolism SARS-CoV-2 test positive

Symptomtext

Patient received Moderna COVID-19 vaccine on 2/5/2021 (batch/lot# 013M20A), 3/6/2021 (batch/lot# 029A21A) and 10/27/2021 (batch/lot# 045C21A). On 1/24/2022, patient had an external positive result for COVID-19. On 2/7/2022, patient admitted to our inpatient facility with acute respiratory failure with hypoxia, acute pulmonary embolism, leukocytosis, acute kidney injury and COVID-19 positive result. As of today (2/8/2022), patient still admitted in the med/surgery unit.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute respiratory failure
Hospital-Tage
1,0
Labordaten
COVID-19 status positive 1/24/2022 (external result) and 2/7/2022 (internal result).
Aktuelle Erkrankungen
-
Vorgeschichte
Right renal cell carcinoma s/p partial nephrectomy, HTN, OSA, metastatic colon cancer near obstructing cecal mass (focal invasion, omental carcinomatosis, focal peritoneal implant in the low pelvis, liver lesion), on FOLFOX regimen
Andere Medikamente
Acetaminophen, Dronabinol, Duloxetine, Loperamide, Lorazepam, Metoprolol ER, Ondansetron, Prochlorperazine
Allergien
Hydrochlorothiazide
Vorherige Impfungen
-

VAERS 2088486

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
TX
Alter
58,0
Geschlecht
U
Eingang
04.02.2022
Impfdatum
23.09.2021
Beginn
27.01.2022
Tage bis Beginn
126,0
Dosis
3
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
COVID-19 COVID-19 pneumonia Death Endotracheal intubation Renal impairment SARS-CoV-2 test positive Serratia infection Stenotrophomonas infection Unresponsive to stimuli Urinary tract infection

Symptomtext

Moderna COVID Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Moderna Vaccines on 01/29/21, 3/6/2021 and 9/23/2021. COVID + on 1/11/22. Presented to ED on 1/16/2022, intubated and sedated after being found unresponsive at home with O2 in 50s. Recently discharged on 2.5L NC from outside facility for COVID PNA (1/11 - 1/15). Treated with solumedrol, rocephin, and remdesivir at outside facility. Once admitted, found to have complicated UTI with stenotrophomonas maltophilia and Serratia rubidaea. treated with cefepime then ceftriaxone. Renal function continued to worsen despite treatments and supportive measures. DNAR. Expired 1/27/22.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
11,0
Labordaten
1/16/22 Covid + : nasophayrnx
Aktuelle Erkrankungen
-
Vorgeschichte
HFpEF, COPD, CKD4, HTN, HLD, DM2, renal transplant
Andere Medikamente
amlodpine, cyclosporine, furosemide, mirabegron, mycophenolate mofetil
Allergien
Bactrim, aspirin, ceftazidime, gemfibrozol, metformmin, NSAIDS tolmentin
Vorherige Impfungen
-

VAERS 2059046

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
IN
Alter
96,0
Geschlecht
F
Eingang
24.01.2022
Impfdatum
30.11.2021
Beginn
01.12.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / AR
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Agitation Blood test COVID-19 COVID-19 pneumonia Chest X-ray Confusional state Cough Death Fatigue General physical health deterioration Patient restraint Renal failure Renal function test SARS-CoV-2 test positive

Symptomtext

starting day after booster shot: extreme fatigue with cough for two days, on the third day 12/03/2021 was tested positive for CoVid 19. Went to the ER on 12/06/2021 with renal failure and CoVid pneumonia. Was administered Remdesivir for two days and became confused and agitated to the point of being restrained. Remdesivir was stopped. Released from the hospital on 12/16/2021, tested negative for CoVid 19 on 12/31/2021. Continual decline until death on Jan. 7, 2021.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
8,0
Labordaten
chest X-rays, maybe CT scan, kidney function tests, blood tests
Aktuelle Erkrankungen
None
Vorgeschichte
multiple myeloma in remission, no symptoms COPD, minimal symptoms
Andere Medikamente
Norvasc, Calcium/Vitamin D3, senior multi-vitamin, Lexipro, vitamin C gummies, Miralax, probiotic, zinc tablet, Tylenol as needed, compazine as needed
Allergien
None
Vorherige Impfungen
-

VAERS 1954383

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
OH
Alter
44,0
Geschlecht
M
Eingang
16.12.2021
Impfdatum
10.11.2021
Beginn
13.12.2021
Tage bis Beginn
33,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Computerised tomogram thorax Deep vein thrombosis Pulmonary embolism Ultrasound Doppler abnormal

Symptomtext

Patient developed left lower extremity DVT and subsequent PE. He has no other risk factors for thrombosis. No recent surgeries or immobilizations. No chronic medical conditions. Of note, the patient also developed a Bell's Palsy after the first dose of his Moderna Vaccine which was given on 10/13/2021.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pulmonary embolism
Hospital-Tage
-
Labordaten
CT PE on 12/15 showing large, but nonocclusive, pulmonary embolism burden bilaterally, lower extremity duplex ultrasound showing DVT in the left lower extremity involving the peroneal veins as well as the popliteal veins
Aktuelle Erkrankungen
Bell's Palsy (thought to be related to first dose of vaccine)
Vorgeschichte
None
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
Bell's Palsy after first dose of Moderna vaccine on 10/13/21

VAERS 1944152

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
PA
Alter
42,0
Geschlecht
M
Eingang
13.12.2021
Impfdatum
27.10.2021
Beginn
30.10.2021
Tage bis Beginn
3,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: ja Erholt: ja
Blood test Catheterisation cardiac abnormal Chest pain Chills Coronary angioplasty Coronary arterial stent insertion Coronary artery thrombosis Cough Electrocardiogram Myocardial infarction Nasopharyngitis

Symptomtext

I received the Covid 19 Booster dose on Wednesday 10-27-21. The next morning I had minor cold like symptoms that started with chills and turned into a cough by Saturday 10-30-21. My chest began to hurt on that date and I presumed it was because of the cough. The chest pain and cough continued to get worse so I went to Urgent care on Tuesday 11-2-21. They performed an EKG and provided a cough medicine. The chest pain continued to get worse until finally on 11-8-21 I was convinced that I was having a heart attack. I went to the ER at Hospital. They had to perform a heart catherization and put in a stint because of a blood clot in my LAD artery. Dr said that there wasn't any plaque or buildup, but rather a bloodclot that caused the heart attack.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Myocardial infarction
Hospital-Tage
4,0
Labordaten
11-8-21 bloodwork, EKG, Heart catherization and Angioplasty
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 1925187

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
NJ
Alter
35,0
Geschlecht
M
Eingang
06.12.2021
Impfdatum
29.10.2021
Beginn
29.11.2021
Tage bis Beginn
31,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Catheterisation cardiac Chest pain Coronary arterial stent insertion Electrocardiogram abnormal Impaired work ability Myocardial infarction

Symptomtext

I started having chest pains early in the morning. On November 29, 2021 at about 7:30pm I went to the ER. I had severe chest pains. The doctor said I was having a heart attack. I had stents punt in, and they did a cardio catherization. I was then hospitalized for 2 days. I was prescribed Atorvastatin 40mg 1xday, Aspirin 81mg 1xday, Carvedilol 3.125mg 2xday, and Brilinta 90mg 2xday. I am still out of work and recovering from this.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Myocardial infarction
Hospital-Tage
2,0
Labordaten
EKG- showed I was having a heart attack (November 2021)
Aktuelle Erkrankungen
none
Vorgeschichte
History of Heart Disease (Present) History Gout
Andere Medikamente
Alopurinol 100mg 1xday
Allergien
None
Vorherige Impfungen
-

VAERS 1921249

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
MI
Alter
68,0
Geschlecht
M
Eingang
03.12.2021
Impfdatum
07.09.2021
Beginn
23.11.2021
Tage bis Beginn
77,0
Dosis
2
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Death Endotracheal intubation Intensive care SARS-CoV-2 test positive Unresponsive to stimuli

Symptomtext

Patient presented from skilled nursing facility on 11/23/2021 with unresponsiveness. He was diagnosed with COVID-19 infection on 11/18/2021. Patient was intubated and admitted to intensive care unit. Patient remained in critical condition during admission and was changed to comfort measures only. He expired on 11/30/2021.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
7,0
Labordaten
COVID-19 test positive 11/23/2021.
Aktuelle Erkrankungen
None known
Vorgeschichte
Arthritis, congestive heart failure, COPD, hypertension, hyperlipidemia, insomnia, mental disorder, obesity, peripheral vascular disease
Andere Medikamente
acetaminophen (TYLENOL) 325 MG tablet albuterol (VENTOLIN HFA) 108 (90 BASE) MCG/ACT HFA inhaler atorvastatin (LIPITOR) 20 MG tablet bisacodyl (DULCOLAX) 10 MG suppository bumetanide (BUMEX) 2 MG tablet docusate sodium (COLACE) 100 MG capsu
Allergien
Dilaudid, flagyl, morphine
Vorherige Impfungen
-

VAERS 1917536

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
IL
Alter
33,0
Geschlecht
M
Eingang
02.12.2021
Impfdatum
21.10.2021
Beginn
12.11.2021
Tage bis Beginn
22,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Blindness unilateral Cerebrovascular accident Cognitive disorder Computerised tomogram normal Dysarthria Dyspnoea Heart rate irregular Hemiparesis Hypertension Vomiting

Symptomtext

Events: Vision loss in right eye, loss of muscle function on right side, slurred speech, slow comprehension, high blood pressure, irregular heart beat, difficulty breathing, and vomiting. Taken to ER at 8 pm and given Zofran . Syptoms remained. Life flighted. Ct scan ran and normal. Released two days later with follow up to neurologist for stroke.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
Complex migraine at age of 15, ADHD, head trauma at 21.
Andere Medikamente
Ritalin 10 mg
Allergien
None
Vorherige Impfungen
-

VAERS 1913317

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
KY
Alter
65,0
Geschlecht
M
Eingang
01.12.2021
Impfdatum
09.09.2021
Beginn
30.11.2021
Tage bis Beginn
82,0
Dosis
1
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Death

Symptomtext

Patient was dx with COVID-19, was hospitalized and exipred.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
45,0
Labordaten
-
Aktuelle Erkrankungen
COVID-19, PE.
Vorgeschichte
CHF, morbid obesity, DM.
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1821184

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
KY
Alter
79,0
Geschlecht
M
Eingang
27.10.2021
Impfdatum
21.06.2021
Beginn
22.10.2021
Tage bis Beginn
123,0
Dosis
2
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
COVID-19 Death SARS-CoV-2 test positive

Symptomtext

Pt died after testing positive for COVID-19 on 10/4/2021

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
18,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Sever history of pulmonary HTN, ILD, chronic hypoxia on 8L NC as baseline, HTN, T2 DM on insulin, afib, and CKD.
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1919927

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
AZ
Alter
67,0
Geschlecht
M
Eingang
02.09.2021
Impfdatum
26.08.2021
Beginn
27.08.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Cerebrovascular accident Dyslipidaemia Minimal residual disease Thymectomy

Symptomtext

Left doctors office two weeks after 2nd vaccine. Does have factors tobacco use, HTN, dilarid and not a ASA. Thymectomy and minimal.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Hypertension Tobacco use Hyperlipidemia
Andere Medikamente
Benezepril Atorvesatin
Allergien
NKDA
Vorherige Impfungen
-

VAERS 1464208

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

kritisch
Staat
TX
Alter
77,0
Geschlecht
F
Eingang
12.07.2021
Impfdatum
07.07.2021
Beginn
12.07.2021
Tage bis Beginn
5,0
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Cardiac arrest Extra dose administered

Symptomtext

Patient unknowingly received 4 doses of covid vaccine and had a cardiac arrest on 7/12/21

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

VAERS 2680701

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

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

Symptomtext

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

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

VAERS 2635439

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

schwer
Staat
-
Alter
46,0
Geschlecht
F
Eingang
23.05.2023
Impfdatum
12.11.2021
Beginn
18.03.2022
Tage bis Beginn
126,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Deep vein thrombosis Symptom recurrence

Symptomtext

PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE DVT OF RIGHT LEG, UNSPECIFIED VEIN ACUTE DVT OF LEFT LEG, UNSPECIFIED VEIN ACUTE DVT, UNSPECIFIED VEIN 3/19/2022 -- RECURRENCE OF SAME SYMPTOMS

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

VAERS 2595487

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

schwer
Staat
MI
Alter
82,0
Geschlecht
M
Eingang
13.03.2023
Impfdatum
08.10.2021
Beginn
27.02.2023
Tage bis Beginn
507,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
COVID-19 SARS-CoV-2 test positive Seizure like phenomena

Symptomtext

hospitalized for 5 days for seizure-like activity, incidentally found to be positive for COVID

Weitere VAERSDATA-Felder
Praegender Schweregrund
Seizure like phenomena
Hospital-Tage
5,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
CAD, HTN, NPH s/o VP shunt
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2418337

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

schwer
Staat
KY
Alter
77,0
Geschlecht
F
Eingang
23.08.2022
Impfdatum
26.01.2021
Beginn
25.06.2022
Tage bis Beginn
515,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Asthenia Blood sodium decreased COVID-19 Hyperglycaemia Hypertension Hyponatraemia Intensive care Oedema

Symptomtext

Diagnosed with covid on 6/12. Received Paxlovid. Admitted on 6/25/22 for hyponatremia, weakness, edema, hyperglycemia, hypertension. Sent to ICU from the ED sodium level 119. Sent back to floor 6/26 and was discharged on 7/5/22. Readmitted on 8/18/22 for hypertension and is still currently in the hospital.

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

VAERS 2266920

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

schwer
Staat
GA
Alter
64,0
Geschlecht
F
Eingang
07.05.2022
Impfdatum
27.10.2021
Beginn
30.10.2021
Tage bis Beginn
3,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Blindness Chest pain Cold sweat Diarrhoea Dyspnoea Fatigue Pain Paralysis Speech disorder

Symptomtext

I woke up paralyzed. I couldn't move, see or talk. I had extreme pain in my body, particularly in my chest. I had difficulty breathing. I thought I was going to die. Then, I'm guessing 20 minutes later, I was finally able to move and I made my way to the bathroom where I had a lot of diarrhea. When I got back to bed I was having cold sweats. I was exhausted and all I could do was get back into bed. I realized now that my husband should have taken me to the emergency room. But he didn't think of it and I was too exhausted to do anything other than sleep.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paralysis
Hospital-Tage
-
Labordaten
Did not go to the hospital.
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2038882

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

schwer
Staat
IN
Alter
24,0
Geschlecht
M
Eingang
17.01.2022
Impfdatum
16.08.2021
Beginn
17.09.2021
Tage bis Beginn
32,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Myocarditis Troponin

Symptomtext

symptoms were numbness in his left arm and pain in the chest / Myocarditis; This spontaneous case was reported by a consumer and describes the occurrence of MYOCARDITIS (symptoms were numbness in his left arm and pain in the chest / Myocarditis) in a 29-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 050F21A and 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 16-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 13-Sep-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 17-Sep-2021, the patient experienced MYOCARDITIS (symptoms were numbness in his left arm and pain in the chest / Myocarditis) (seriousness criteria hospitalization and medically significant). The patient was hospitalized from 17-Sep-2021 to 19-Sep-2021 due to MYOCARDITIS. The patient was treated with IBUPROFEN at an unspecified dose and frequency. On 18-Nov-2021, MYOCARDITIS (symptoms were numbness in his left arm and pain in the chest / Myocarditis) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In September 2021, Troponin: high (High) Troponin elevated. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication information was provided. Treatment medications included unspecified blood thinner. The patient called to report that he had myocarditis after getting the second dose of the Moderna Covid-19 vaccine. His symptoms were pain in the chest, numbness in his left arm.. Lab results included, troponin elevated. He was told that he has myocarditis when the lab results came in. Patient was hospitalized from 17-Sep-2021 to 19-Sep-2021. Company Comment: This case refers to a 29-year-old male patient with no known medical history who experienced the expected event of Myocarditis approximately 4 days after the second dose of mRNA-1273 vaccine. No causality assessment was provided by the reporter. The benefit-risk relationship of mRNA-1273 is not affected by this report.; Sender's Comments: This case refers to a 29-year-old male patient with no known medical history who experienced the expected event of Myocarditis approximately 4 days after the second dose of mRNA-1273 vaccine. No causality assessment was provided by the reporter. The benefit-risk relationship of mRNA-1273 is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Myocarditis
Hospital-Tage
3,0
Labordaten
Test Date: 202109; Test Name: Troponin; Result Unstructured Data: Troponin elevated
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1995805

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

schwer
Staat
MI
Alter
64,0
Geschlecht
F
Eingang
31.12.2021
Impfdatum
05.11.2021
Beginn
02.12.2021
Tage bis Beginn
27,0
Dosis
1
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Asymptomatic COVID-19 Fall SARS-CoV-2 test positive Syncope

Symptomtext

Patient presented to emergency department on 12/2/2021 following a fall and syncope episode at home. She was found to be COVID-19 positive during admission screening. She remained asymptomatic during admission and did not require treatment. She was discharged home on 12/3/2021.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
1,0
Labordaten
COVID-19 test positive on 12/2/2021
Aktuelle Erkrankungen
-
Vorgeschichte
Hypertension, seizure, COPD, multiple sclerosis, arthritis, angina, hyperlipidemia,
Andere Medikamente
acetaminophen (TYLENOL) 325 MG tablet albuterol (VENTOLIN HFA) 108 (90 BASE) MCG/ACT HFA inhaler aspirin (HALFPRIN) 81 MG tablet atorvastatin (LIPITOR) 40 MG tablet HYDROcodone-acetaminophen (NORCO) 5-325 MG tablet lamoTRIgine (LAMICTAL) 10
Allergien
Morphine, Sulfa
Vorherige Impfungen
-

VAERS 1754075

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

schwer
Staat
OH
Alter
46,0
Geschlecht
F
Eingang
01.10.2021
Impfdatum
03.09.2021
Beginn
27.09.2021
Tage bis Beginn
24,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Chest X-ray Echocardiogram Electrocardiogram Fibrin D dimer Full blood count Pericarditis Troponin

Symptomtext

9/3/21 vaccine received. 9/27/21 pt developed a CP, went to ED 9/28/21. Pt says she was told she had pericarditis. Pt was treated with Ibuprofen, Pt states she is improving as of today 10/1/21.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pericarditis
Hospital-Tage
-
Labordaten
ED did echo, D Dimer, CXR, EKG, troponin and CBC
Aktuelle Erkrankungen
HTN, migraine, tachycardia, peripartum cardiomyopathy,
Vorgeschichte
HTN, migraine, tachycardia, peripartum cardiomyopathy,
Andere Medikamente
Medication cyclobenzaprine 10 mg tablet take 1 tablet by oral route every bedtime as needed Flonase Allergy Relief 50 mcg/actuation nasal spray,suspension spray 1 - 2 spray by intranasal route every day in each nostril as needed hydroch
Allergien
NKA
Vorherige Impfungen
-

VAERS 1744743

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

schwer
Staat
KY
Alter
32,0
Geschlecht
F
Eingang
29.09.2021
Impfdatum
09.09.2021
Beginn
27.09.2021
Tage bis Beginn
18,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Bell's palsy Facial paralysis Speech disorder

Symptomtext

Developed Bells Palsy facial dropping and difficulty speaking started on 9/22/2021

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bell's palsy
Hospital-Tage
-
Labordaten
unknown
Aktuelle Erkrankungen
UNKNOWN
Vorgeschichte
UNKNOWN
Andere Medikamente
-
Allergien
UNKNOWN
Vorherige Impfungen
-

VAERS 1737226

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

schwer
Staat
KY
Alter
44,0
Geschlecht
F
Eingang
27.09.2021
Impfdatum
13.08.2021
Beginn
21.08.2021
Tage bis Beginn
8,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Deep vein thrombosis Pain in extremity Ultrasound Doppler

Symptomtext

Patient received the first dose of the COVID-19 Moderna vaccine. One week later developed left calf pain. At the time was in a boot for tendonitis. Described pain as new and aggravated by ambulation or pressure. No alleviating factors. She was sent by podiatrist for vascular study which was positive for DVT to the left distal popliteal vein and posterior tibial veins. Patient was seen at the ED and prescribed rivaroxaban.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Deep vein thrombosis
Hospital-Tage
-
Labordaten
Duplex US positive for DVT on 8/21/21
Aktuelle Erkrankungen
Tendonitis (in walking boot), history of COVID infection in January 2021
Vorgeschichte
Prothrombin gene mutation (heterozygous), depression, hypothyroidism
Andere Medikamente
Albuterol inhaler, aspirin 81 mg, cholecalciferol, citalopram, fish oil, fluticasone nasal spray, fluticasone-salmeterol oral inhalation, levothyroxine, melatonin, multivitamin
Allergien
Ciprofloxacin
Vorherige Impfungen
-

VAERS 1730946

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

schwer
Staat
PA
Alter
59,0
Geschlecht
M
Eingang
24.09.2021
Impfdatum
02.09.2021
Beginn
02.09.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Blood pressure measurement Chest discomfort Chest pain Dizziness Hypotension Influenza like illness Myalgia Presyncope

Symptomtext

Tightness in the chest; Chest hurt really bad; Very dizzy; blood pressure was extremely low at 95/57; Almost past out 2 times; flu like symptoms; Arm was very sore; This spontaneous case was reported by a consumer and describes the occurrence of PRESYNCOPE (Almost past out 2 times), INFLUENZA LIKE ILLNESS (flu like symptoms), CHEST DISCOMFORT (Tightness in the chest), CHEST PAIN (Chest hurt really bad) and DIZZINESS (Very dizzy) in a 59-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COVID-19 in March 2021. On 02-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 02-Sep-2021, the patient experienced INFLUENZA LIKE ILLNESS (flu like symptoms) and MYALGIA (Arm was very sore). On 03-Sep-2021, the patient experienced PRESYNCOPE (Almost past out 2 times), CHEST DISCOMFORT (Tightness in the chest), CHEST PAIN (Chest hurt really bad), DIZZINESS (Very dizzy) and HYPOTENSION (blood pressure was extremely low at 95/57). On 04-Sep-2021, PRESYNCOPE (Almost past out 2 times), INFLUENZA LIKE ILLNESS (flu like symptoms), CHEST DISCOMFORT (Tightness in the chest), CHEST PAIN (Chest hurt really bad), DIZZINESS (Very dizzy) and HYPOTENSION (blood pressure was extremely low at 95/57) had resolved. On 06-Sep-2021, MYALGIA (Arm was very sore) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 03-Sep-2021, Blood pressure measurement: 95/57 (Low) 95/57. 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 same day after vaccination, patient felt flu like symptoms that lasted till 04-Sep-2021 and their arm was very sore till 05 or 06Sep2021. Around 8pm on 03-Sep2-021 patient felt tightness in the chest, their chest hurt bad, patient was very dizzy and almost passed out 2 times, all these till 04Sep2021. Patient blood pressure was extremely low at 95/57 till 04-Sep-2021. Patient has no previous or current myocarditis or pericarditis diagnose. Patient had covid-19 back in March 2021, and tested positive on 29Mar2021, about 5 days after the symptoms started. Patient was not hospitalized for this and the treatment received was antibiotic and a z-pack. Caller state the covid-19 infection symptoms were mainly upper respiratory. Company comment: This case concerns a 59-year-old male patient with no relevant medical history, who experienced the unexpected non-serious event of Presyncope. The event occurred 1 day after first dose of Spikevax. The rechallenge was not applicable, as the events happened after the first dose. The benefit-risk relationship of Spikevax is not affected by this report. Case seriousness downgraded due to lack of evidence of seriousness from a regulatory or clinical standpoint according to source document.; Sender's Comments: This case concerns a 59-year-old male patient with no relevant medical history, who experienced the unexpected non-serious event of Presyncope. The event occurred 1 day after first dose of Spikevax. The rechallenge was not applicable, as the events happened after the first dose. The benefit-risk relationship of Spikevax is not affected by this report. Case seriousness downgraded due to lack of evidence of seriousness from a regulatory or clinical standpoint according to source document.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
Test Date: 20210903; Test Name: Blood pressure; Result Unstructured Data: 95/57.
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: COVID-19.
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1715227

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

schwer
Staat
MS
Alter
69,0
Geschlecht
F
Eingang
20.09.2021
Impfdatum
04.08.2021
Beginn
04.08.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Electric shock sensation Headache Hyperhidrosis Myalgia Renal pain Sluggishness

Symptomtext

Severe all over muscle pain, concentrated mostly in the kidney area. Shooting electrical type pains in head. Sweating. Headache. Ongoing sluggishness.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Electric shock sensation
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
High blood pressure, high cholesterol, a-fib
Andere Medikamente
D3, Zinc, Magnesium, Asprin 81mg, Eliquis 10mg, Potassium Cholride ER 8meq, HCTZ 12.25mg, Simvastatin 20mg, Losartan Potassium tab 100mg, Amlodipine besylate tab 2.5mg, Carvedilol 6.25mg
Allergien
NKA
Vorherige Impfungen
-

VAERS 1710052

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

schwer
Staat
AZ
Alter
82,0
Geschlecht
M
Eingang
17.09.2021
Impfdatum
16.08.2021
Beginn
12.09.2021
Tage bis Beginn
27,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Bell's palsy

Symptomtext

Bell's Palsy

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bell's palsy
Hospital-Tage
-
Labordaten
Confirmed by Ophthalmologist
Aktuelle Erkrankungen
Rheumatoid Arthritis Atrial Fib
Vorgeschichte
See Above
Andere Medikamente
warfarin metropolol methotraxate folic acid
Allergien
hexachlorophene
Vorherige Impfungen
-

VAERS 1694467

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

schwer
Staat
FL
Alter
67,0
Geschlecht
F
Eingang
13.09.2021
Impfdatum
06.07.2021
Beginn
06.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Alanine aminotransferase increased Blood glucose Carbon dioxide decreased Diarrhoea Epistaxis Liver function test abnormal Metabolic function test Metabolic function test abnormal Nausea Thrombosis

Symptomtext

1) About 10:45am July 6, 2021 - Severe Nausea and Diahrea folowing Vaccination 2) Continued Diahrea July 7, july 8, July 9, ranging from watery stool to dark loose stool 3) july 9 at 6am - awoke with NOSEBLEED in Left Nostril, dark red blood with clots 4) July 9 about 7am, NOSEBLEED in Left Nostril, dark red blood with stringy clots 5) July 9 about 8 am NOSEBLEED in Left Nostril, bright red blood with clots 6) July 9 2pm, Was able to see Nurse Practioner at my Drs. Office who confirmed bleeding in both nostrils and ordered blood testing. 6) July 10 and July 11, continued Diahrea with Black, Dark Stool, with urgency.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Thrombosis
Hospital-Tage
-
Labordaten
Blood Test Results Liver Function Test shows elevated ALT levels (38U/L) Basic Metabolic Panel shows HIGH GLUCOSE (106) level and LOW CARBON DIOXIDE Levels (19 mmol/L) and
Aktuelle Erkrankungen
NONE
Vorgeschichte
SCIATICA
Andere Medikamente
400 MG IBUPROFEN TAKEN ABOUT 12 HRS PRIOR
Allergien
NONE
Vorherige Impfungen
-

VAERS 1523019

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

schwer
Staat
NE
Alter
29,0
Geschlecht
M
Eingang
03.08.2021
Impfdatum
03.08.2021
Beginn
03.08.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Hyperhidrosis Presyncope

Symptomtext

Lightheaded, sweating, feeling faint, almost fainted

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

VAERS 1494196

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

schwer
Staat
MD
Alter
21,0
Geschlecht
M
Eingang
22.07.2021
Impfdatum
20.07.2021
Beginn
22.07.2021
Tage bis Beginn
2,0
Dosis
2
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Arteriogram coronary normal C-reactive protein increased Cardiac ventriculogram left abnormal Catheterisation cardiac normal Chest crushing Chest discomfort Chest pain Hyperdynamic left ventricle Myalgia Myocarditis Painful respiration Pleuritic pain Pyrexia Red blood cell sedimentation rate increased Troponin increased White blood cell count increased

Symptomtext

presented to the emergency room with symptoms of chest pain. He received Moderna covid vaccine on Tuesday and since then he has been having symptoms of myalgias and chest pain. He mentions that the chest pain is substernal, gets worse with deep breaths. It gets worse when he lays on his back. And feels better when he sits up. He also had subjective fevers. When he presented to the emergency room he was having crushing chest discomfort with a troponin level at 10 and was referred for an emergent coronary angiography with concerns for acute coronary syndrome. Diagnosis/Impression: Acute myocarditis after Covid vaccination: Based on positional changes and pleuritic nature of the chest pain. Given troponin level left hand and ongoing crushing chest discomfort he was emergently taken to the Cath Lab where he does not have any significant coronary artery disease or thrombotic occlusions. LV gram shows hyperdynamic LV systolic function. At this time his symptoms are consistent with myocarditis.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Myocarditis
Hospital-Tage
-
Labordaten
7/22/2021: WBC- 14.5, Sed Rate 25, Troponin 18.70, CRP 108.69,
Aktuelle Erkrankungen
None
Vorgeschichte
Asthma, Depression
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 1490052

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

schwer
Staat
NY
Alter
20,0
Geschlecht
M
Eingang
21.07.2021
Impfdatum
20.07.2021
Beginn
20.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Dizziness Flushing Hyperhidrosis Nausea Paraesthesia Syncope Unresponsive to stimuli

Symptomtext

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild

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

VAERS 1487517

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

schwer
Staat
AL
Alter
85,0
Geschlecht
M
Eingang
20.07.2021
Impfdatum
20.07.2021
Beginn
20.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Asthenia Loss of consciousness

Symptomtext

Patient received 1st dose covid vaccine and at the 13 minute mark slumped over in chair. We promptly went out to keep him from falling and within 10 seconds he regained consciousness and was able to tell us his name, where he was and was alert. He said he was feeling very weak all over but no other symptoms. We called 911 and while paramedics were on the way he lost consciousness another 2 times each time for about 10 seconds. He was alert when paramedics arrived and they took blood sugar, blood pressure, oxygen levels and applied leads to his chest. From what I could tell all those tests came back normal. While they were evaluating him, he lost consciousness again and they were able to revive him with sternal rub. They transported the patient to the ER for further evaluation.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
none that I have results from
Aktuelle Erkrankungen
None noted on consent form
Vorgeschichte
Previous throat cancer but cancer free since February
Andere Medikamente
none that I'm aware of
Allergien
None noted on consent form
Vorherige Impfungen
-

VAERS 1487013

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

schwer
Staat
NE
Alter
23,0
Geschlecht
M
Eingang
20.07.2021
Impfdatum
19.07.2021
Beginn
19.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Hyperhidrosis Loss of consciousness Pallor

Symptomtext

pt passed out, yet remained sitting, we helped get him to the floor to lie him down, he was very pale and profusely sweating. He stated he had not eaten or drank anything and had worked outside as well. Took his BP which was 105/63, placed an ice pack on his back of his neck and forehead. He remained awake during all of this and was alert. Quickly regained. Had paramedics come as well to double check status.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
BP, HR
Aktuelle Erkrankungen
none
Vorgeschichte
n/a
Andere Medikamente
n/a
Allergien
none
Vorherige Impfungen
-

VAERS 1478566

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

schwer
Staat
WI
Alter
33,0
Geschlecht
M
Eingang
16.07.2021
Impfdatum
16.07.2021
Beginn
16.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Fall Head injury Hyperhidrosis Loss of consciousness Palpitations Paraesthesia Syncope Unresponsive to stimuli Urinary incontinence

Symptomtext

About 2 minutes after receiving vaccine patient was seated on bench outside pharmacy, fainted and fell forward onto cement floor hitting his jaw. Patient was unresponsive for about 20 seconds while being attended to. Once he regained consciousness, he was helped to sit back on bench. He was diaphoretic and claimed to have a racing heart and right hand tingling. He lost consciousness on the bench again and lost bladder control. EMS was summoned and was on scene in 5 minutes. Patient did not claim to have difficulty breathing. Pharmacist called patient about 3 hours after the event and he was still in hospital with apparent problems keeping his blood pressure adequate.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
n/a
Vorgeschichte
past smoker
Andere Medikamente
ventolin inhaler
Allergien
no known drug allergies
Vorherige Impfungen
-

VAERS 1461993

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

schwer
Staat
TX
Alter
47,0
Geschlecht
F
Eingang
10.07.2021
Impfdatum
10.07.2021
Beginn
10.07.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
- / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Dyspnoea Nausea Seizure Vomiting

Symptomtext

patient was administered moderna covid 19 vaccine and with 10 minutes developed shortness of breath, nausea and vomiting, and seizures X3. ems was dispatched and patient was taken to hospital for further evaluation

Weitere VAERSDATA-Felder
Praegender Schweregrund
Seizure
Hospital-Tage
-
Labordaten
we checked patient's pulse rate and o2 saturation with a pulse oximeter. pulse was 109 and o2 sats were 100
Aktuelle Erkrankungen
diabetes, rheumatoid arthritis, thyroid deficiency, GERD, depression
Vorgeschichte
diabetes, rheumatoid arthritis, thyroid deficiency, GERD, depression
Andere Medikamente
none
Allergien
nka
Vorherige Impfungen
-

VAERS 2663023

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
TN
Alter
57,0
Geschlecht
F
Eingang
30.07.2023
Impfdatum
21.09.2021
Beginn
01.10.2021
Tage bis Beginn
10,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: ja Erholt: nein
Cardiac disorder Cerebral disorder Condition aggravated Eye disorder Impaired driving ability Impaired work ability Pneumonia Ventricular extrasystoles

Symptomtext

After I took the first vaccine shot at Facility I started having issues with my heat having PVC's after I took the second shot I got pneumonia and was out of work for several days. Later I started having issues driving and found out that the shot has caused my eyes and brain not to connect so I am unable to drive up and down hills. I have been under a doctor's care since July of 2022.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
I went to the ER at Facility and having been going to the Vision since July 2022 with my eyes.
Aktuelle Erkrankungen
Heart Issues
Vorgeschichte
Heart issues
Andere Medikamente
Thyroid Medication Heart Medication
Allergien
penicillin and sulfa drugs
Vorherige Impfungen
-

VAERS 2655970

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
-
Alter
72,0
Geschlecht
F
Eingang
13.07.2023
Impfdatum
26.08.2021
Beginn
18.04.2023
Tage bis Beginn
600,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Acute kidney injury Anticoagulant therapy Atypical pneumonia Blood creatinine increased COVID-19 Cardiac telemetry Catheterisation cardiac abnormal Chronic respiratory failure Computerised tomogram thorax abnormal Condition aggravated Cough Dry eye Dysphagia Dyspnoea Echocardiogram normal Electrocardiogram ambulatory normal Hypophagia Lung consolidation

Symptomtext

Patient is a 74 y.o. female with a PMH of multiple VTE's (PE and DVT) s/p Greenfield filter and remote pulmonary embolectomy at CCF maintained on anticoagulation (Xarelto), CTEPH followed by the pulmonary hypertension clinic, chronic hypoxemic respiratory failure maintained on 2 L NC, reactive airway disease, OSA (on CPAP), morbid obesity who presented from home on 4/18/2023 with shortness of breath, cough, fever, myalgias. Referred to the ED by her pulmonologist. Found to be positive for SARS-CoV-2 on admission. Initiated on dexamethasone and remdesivir. Assessment and Plan COVID-19 - Presented with: Shortness of breath, cough, fevers, myalgias - Symptom onset: 4/12/23 - Positive COVID-19: 4/17/23 - Vaccination status: Vaccinated with Moderna and boosted with Moderna with booster dose on 8/26/21 - CT Chest on admission showed: Ill-defined scattered ground-glass consolidations with a lower lobe predominance, suggestive of atypical pneumonia. Main pulmonary artery enlargement, a nonspecific finding which can be seen with pulmonary hypertension. - Oxygen status: 2 L NC (baseline) - Decadron: Yes. Expected end date 4/27/23 - Remdesivir: Yes - DVT prophylaxis: Currently on full anticoagulation - S/p 40 mg IV Lasix on 4/20 and 4/21 . Resume home Lasix on discharge Chronic hypoxemic respiratory failure - At baseline oxygen requirements of 2 L NC, continue CTEPH History of multiple VTE's (PE and DVT) status post Greenfield filter and remote pulmonary embolectomy at CCF maintained on anticoagulation (Xarelto), chronic thromboembolic pulmonary hypertension followed by the pulmonary hypertension clinic. RHC 6/20 showed improved PA pressures with mPAP 24, PVR 3.4 WU, preserved CI - Cardiology consulted on admission. Unlikely will recommend RHC this admission during acute COVD-19 infection - Continue home Xarelto, riociguiat and Opsumit as per home regimen - Pulmonology consulted (patient known to Dr.) AKI SCr 1.28 on admission; baseline ~0.7-0.8. Suspect prerenal in the setting of recent poor PO intake - Held home Lasix - S/p 1 liter LR bolus, gentle hydration - Renally-dose medications as indicated - Resolved Reactive airway disease Prior PFTs without obstruction. Maintained on Symbicort, Duonebs q6h, prn albuterol - Continue Symbicort, prn albuterol - Substitute scheduled Duonebs with Spiriva (avoid nebulizers given +COVID-19) - On Decadron for COVID-19 infection Dysphagia History of esophageal stricture - Continue daily PPI Abnormal finding on imaging CT on admission demonstrated: "Hyperattenuating foci in the right atrium are nonspecific, but consider correlation with echocardiogram to assess for right atrial thrombus." - Echocardiogram this admission unremarkable - The patient is on anticoagulation with Xarelto, continue History of tachycardia Follows with Heart and Vascular. Previous 48-hour Holter monitor did not show any sustained arrhythmias - Continue home Toprol 50 mg daily - Monitor on telemetry CAD Mild nonobstructive coronary artery disease defined by LHC in 3/2012 with subsequent negative stress testing and historically preserved LV systolic function. Most recent nuclear stress test on 3/30/23 without evidence of inducible myocardial ischemia. Follows with cardiology - Continue statin therapy OSA - Continue nocturnal CPAP (endorses compliance at home). Hospital order placed Chronic pain - Has been prescribed recent bursts of steroid per OP review Dry eyes - Continue prednisolone drops as per home regimen Morbid obesity BMI 44.62 - Encourage weight loss through aggressive lifestyle modifications

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

VAERS 2613243

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
-
Alter
80,0
Geschlecht
M
Eingang
11.04.2023
Impfdatum
04.11.2021
Beginn
08.03.2023
Tage bis Beginn
489,0
Dosis
1
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Angiopathy Asthenia Biopsy kidney abnormal Blood creatinine increased Blood glucose fluctuation Colitis Computerised tomogram abdomen abnormal Cough Decreased appetite Diarrhoea COVID-19 COVID-19 pneumonia Chest X-ray abnormal Chronic respiratory failure Clostridium test negative Hypertension Iron deficiency anaemia Lung opacity

Symptomtext

81-year-old male patient of MD who presented with poor appetite, weakness, diarrhea and cough. He tested positive for COVID-19. His background history include CKD stage IV/V, diabetes mellitus, CAD, chronic anemia, BPH, hyperlipidemia and skin cancer. Diarrhea resolved Colitis resolving Noncontrast CT of the abdomen/pelvis with diffuse colonic thickening suggestive of colitis. In the setting of COVID-19 infection. C. difficile testing neg Loose stool is improved. He was on Zosyn, now discontinued. Imodium as needed. Covid-19 Virus Infection COVID pneumonia Chronic respiratory failure - 2L Date of onset of symptoms: 2-26-2023 Symptoms present on admission: Cough, weakness, poor appetite. Date of covid positive test: 3-8-2023 Vaccination status: 2 shots and 1 booster Imaging: CXR with left lower interstitial opacities. Current oxygen requirements: 2 liters Medical therapy: steroids stop dexamethasone Consultants following:ID Anticipated special isolation end date: 3/8/23 - d/w ID - now off Isolation. CXR on 3/8 with left lower lobe interstitial opacities suspicious for pneumonia. Repeat CXR today. . Discussed with ID. No need for further antibiotics CKD stage IV/V Had renal biopsy in 9/2022 with finding of advanced chronic changes in the setting of severe vascular disease with obliterative microvascular changes. No need for renal replacement therapy at present. Cr improved to 2.60 Nephrology following.as an OP Generalized weakness Consult PT/OT and CM Anemia of CKD and iron deficiency Follows with hematology and receives Venofer. Monitor Hb closely. HTN He has a history of left renal artery stenosis status post stent. Also history of right subclavian stenosis. BP is now higher. Repeat CXR BP remains persistently elevated. Continue Norvasc and Coreg, increase dose of lisinopril. Increasing amlodipine to 10 mg Hydralazine as needed Diabetes mellitus II Fluctuations in BG since yesterday. Likely component of IV steroid. Adjusted Lantus and SSI. Continue to monitor, avoid hypoglycemia. Chronic respiratory failure Continue O2 support and bronchodilators. He uses O2 at home. Currently on 2 L.

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19 pneumonia
Hospital-Tage
6,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2603173

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
FL
Alter
71,0
Geschlecht
F
Eingang
15.03.2023
Impfdatum
01.11.2021
Beginn
01.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Arthralgia Bone pain Complex regional pain syndrome Condition aggravated Fibula fracture Pain in extremity Tibia fracture

Symptomtext

I have had Complex Regional Pain Syndrome (CRPS) for 20 years (in remission for 18 years) until a broken tibia and fibula in my left ankle/leg in the late 1990's. I have a Medtroinic Pain Pump 24/7 to deal with the pain. Following my second COVID-19 vaccine, my body interpreted the shot as an injury which it reacted to by triggering my CRPS to kick back in. In the right arm where the vaccine was given, I had tremndous pain that traveled to my right shoulder and this pain has not gone away since that vaccine on 02/11/2021. I sought medical advise about whether or Not to take the BOOSTER given my reaction to the second vaccine. It was determined that the risks of getting COVID were greater than taking the BOOSTER,

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
Lumber sympathetic block on 11/23/2021
Aktuelle Erkrankungen
-
Vorgeschichte
Complex Regional Pain Syndrome; COPD
Andere Medikamente
-
Allergien
Demerol. Gabipantin, Lyrica, levo-flaxin, bee/wasp stings
Vorherige Impfungen
-

VAERS 2576375

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

moderat
Staat
-
Alter
94,0
Geschlecht
M
Eingang
06.02.2023
Impfdatum
10.11.2021
Beginn
03.02.2023
Tage bis Beginn
450,0
Dosis
3
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Alanine aminotransferase normal Anion gap increased Aspartate aminotransferase increased Bacterial test positive Basophil count decreased Basophil percentage decreased Bilirubin urine Blood albumin normal Blood alkaline phosphatase normal Blood bilirubin normal Blood calcium normal Blood chloride increased Blood creatinine normal Blood glucose normal Blood lactic acid decreased Blood pH normal Blood potassium normal Blood sodium normal

Symptomtext

Document Type: History and Physical Document Subject: History & Physical Note Performed By: MD on February 03, 2023 16:33 Verified By: MD on February 03, 2023 16:33 Encounter Info: Hospital, Inpatient, 02/03/23 - * Final Report * History of Present Illness/Subjective Chief complaint: Altered mental state HPI: Patient is a 95-year-old male patient with history of atrial fibrillation not on anticoagulation, dementia, history of stroke in adulthood, hyperlipidemia, incomplete bladder emptying, chronic urinary tract infections, obstructive sleep apnea and bladder Contracted presented to emergency department via EMS from extended-care facility for altered mental status. History was obtained from daughter who was at bedside and this history is from emergency room chart due to patient's altered mental state which is quite altered from his baseline dementia. Patient was apparently recently discharged from our facility on January 28 where he had been treated for flu. At that time patient was septic septic from influenza a. As per the reports from family patient has gotten progressively worse since and has been out of it for past 3 days. Patient also complains of having cough which is blamed on influenza A infection recently. Patient has never used oxygen at home and apparently was having low oxygen today when he presented to the emergency room as low as 87% on room air. Upon evaluation in the emergency room laboratory data was fairly benign with normal white count normal kidney function glucose elevated at 120 normal liver enzymes troponin at 27 BNP 45 lactate 1.6 urinalysis showing large amount of hemoglobin positive nitrites many bacteria flu negative COVID-positive patient was not COVID-positive at his last hospitalization. A chest x-ray was obtained that failed to show any pneumonia and CT abdomen pelvis was done that showed no acute findings in the abdomen or pelvis chronic findings which remain unchanged CT head without IV contrast shows advanced microvascular ischemic changes and generalized atrophy if clinical suspicion for acute ischemia persists consider further evaluation with brain MRI no CT evidence of acute intracranial hemorrhage. Patient is full code which has been confirmed with the family by emergency room doctor. Since patient was requiring oxygen it was decided to bring inpatient for treatment of COVID. Review of Systems All 13 point review of systems were reviewed with the patient and are negative except as specified in the HPI Physical Exam/Objective Vital Signs (most recent and range for last 24 hours) None reported this timeframe Patient Weight Patient Height None Reported General: Alert but not oriented Eye: Pupils are equal, round and reactive to light HEENT: Normocephalic Neck: Supple, normal range of motion Oropharynx: No erythema or drainage. Respiratory: Lungs are clear to auscultation. Cardiovascular: Normal rate, Regular rhythm. Gastrointestinal: Soft, Non-tender. Musculoskeletal: Normal range of motion, No focal tenderness Integumentary: Warm, Dry, No rash Neurologic: No focal weakness. Sensation intact. Normal mood and affect Assessment/Plan 1. COVID U07.1 New diagnosis of COVID 19 likely acquired from nursing home. -We will start patient on remdesivir since symptoms are fairly new and patient is requiring oxygen. -Dexamethasone 6 mg IV daily -Check procalcitonin levels and other appropriate labs as ordered in order set. -Oxygen as needed. -Keep patient isolated. 2. Hypoxia R09.02 Oxygen as above -Hypoxia resulting from COVID-19 infection. 3. Altered mental state R41.82 Altered mental status likely due to current infection by COVID-19 and hypoxia. -Oxygen as needed. -Monitor for falls. 4. Dementia F03.90 Noted. 5. Recurrent UTI N39.0 Patient will be given ceftriaxone for his urinary tract infection and we will look for cultures and if cultures are negative we will discontinue antibiotics. He may just be having colonization due to having recurrent urinary tract infections and incomplete bladder emptying. Urine cultures from last visit were negative but 1 urine cultures from January 14 showed ESBL positive E. coli. -We will treat with cefepime 6. Atrial fibrillation I48.91 Patient is rate controlled on atenolol. -I do not see any anticoagulation for this patient likely due to advanced age and risk of falls. -Continue to monitor for now. 7. BPH with obstruction/lower urinary tract symptoms N40.1 Noted resume home medications 8. GERD (gastroesophageal reflux disease) K21.9 Patient will be on Protonix. 9. Hyperlipemia, mixed E78.2 Resume home medications Orders: acetaminophen, 650 mg, Orally, Tablet, Q4H, PRN, Pain, Mild PO (1-3 out of 10)/Fever, 02/03/23 15:59:00 albuterol, 2.5 mg, Neb Inhal, Inhalation SOLN, Aerosol Treatment, Q4H, PRN, Shortness of Breath/Wheezing, 02/03/23 15:59:00, RT Care Assessment and Protocol per Policy labetalol, 10 mg, IV Push, Injection, Q6H, PRN, Systolic Blood Pressure, 02/03/23 15:59:00 ondansetron, 4 mg, IV Push, Injection, Q6H, PRN, Nausea/Vomiting IV - Use First, 02/03/23 15:59:00 polyethylene glycol 3350, 17 GM, Orally, Powder, Daily, 02/04/23 9:00:00 promethazine, 12.5 mg, IVPB, Injection, Q6H, PRN, Nausea/Vomiting IV - Use First, 02/03/23 15:59:00, 300 mL/hr, Infuse Over 10 minutes, Total Volume (mL) = 50 Sodium Chloride 0.9% 1,000 mL, Total Volume (mL) = 1,000, IV, 02/03/23 15:59:00, 60 mL/hr, Clinical Weight 2000 mg Sodium, 20 gm Saturated Fat Diet Admit to Inpatient Basic Metabolic Panel Call Blood Glucose Call Diastolic Blood Pressure Call Heart Rate Call Mental Status Changes Call O2 Saturation Call Oxygen Need Greater Than Call Respiratory Distress Call Respiratory Rate Call Systolic Blood Pressure Call Temperature CBC w/Differential CK SerPl QN Comp Metabolic Panel CRP SerPl QN D-Dimer Pl QN Ferritin SerPl QN Fibrinogen Initiate IV Care Protocols As Appropriate Initiate Mobility Protocol Initiate Skin and Wound Care Protocol L pneumophila Ag Ur QL LDH SerPl QN Level of Care Magnesium SerPl QN Medical Service OT Evaluation and Treatment Phosphorus SerPl QN Procalcitonin PT Evaluation and Treatment Resuscitation Status Strep pneumoniae Ag Urine Troponin-I High Sensitivity Vital Signs Weight Code Status None Recorded Chronic Problem List Atherosclerosis of native artery of right lower extremity with rest pain Atrial fibrillation Balanoposthitis Bladder neck contracture BPH with obstruction/lower urinary tract symptoms Cholelithiasis Chronic UTI Colon polyps Critical lower limb ischemia Dementia Dysuria Exudative age-related macular degeneration of left eye with active choroidal neovascularization GERD (gastroesophageal reflux disease) History of stroke in adulthood Hyperlipemia, mixed Incomplete bladder emptying Lumbosacral disc disease Malnutrition Neurogenic bladder OSA (obstructive sleep apnea) Osteoarthritis Psoriasis PVC (premature ventricular contraction) Recurrent UTI Spondylolisthesis Tobacco use Urinary retention Procedure/Surgical History ?TURP (11/2018) ?Rt knee peroneal nerve release (07/22/2015) ?Bone density scan (06/24/2014) ?Colonoscopy (12/18/2012) ?Rt TKA (2000) ?Colonoscopy ?Dental implants ?EGD- bleeding ulcer with clamp ?Hemorroid surgery ?Inguinal Hernia Repair Surgical History Internal 09/11/2019 Bladder Neck Repair MD 11/28/2018 TUR Prostate MD 07/22/2015 Nerve Repair Peroneal (Right) MD Medications Home Medications (15) Active aspirin 325 mg oral delayed release tablet 325 mg = 1 Tablet, Orally, Daily atenolol 25 mg oral tablet 0.5 Tablet, Orally, BID cetirizine 10 mg oral tablet 10 mg = 1 Tablet, PRN, Orally, QAM Cranberry oral capsule 300 mg, Orally, BID finasteride 5 mg oral tablet See Instructions, Take 1 tablet by mouth once daily lactobacillus acidophilus oral capsule 1 Capsule, Orally, Daily miconazole 2% topical powder 1 App, Topical, BID, to affected area mirtazapine 7.5 mg oral tablet 7.5 mg = 1 Tablet, Orally, At Bedtime Misc Supplement See Instructions, Australian Dream Cream for his back, uses PRN family sts it is an antihistamine and has herbs. From Pharmacy multivitamin Multiple Vitamins oral tablet 1 Tablet, Orally, Daily omeprazole 20 mg oral delayed release capsule 1 Capsule, Orally, Daily polyethylene glycol 3350 oral powder for reconstitution 17 GM, Orally, Daily pravastatin 40 mg oral tablet See Instructions, TAKE 1 TABLET BY MOUTH AT BEDTIME PreserVision AREDS 2 1 Capsule, Orally, BID triamcinolone 0.1% topical cream 1 App, Topical, TID, apply a thin film Active Scheduled Inpatient Medications Sodium Chloride 0.9% 1,000 mL IV 60 mL/hr One-Time Medications Given 02/02/23 00:00:00 TO 02/03/23 16:33:54 None Reported PRN Medications (0600 - 0559) from 02/02 - 02/03 None Reported Allergies Restoril (Difficulty Breathing) codeine (breathing difficulty, Vomiting) lovastatin (weakness) Social History Alcohol Current, Daily Electronic Cigarette/Vaping E-Cigarette Use Never. Home/Environment Lives with Spouse. Living situation: Home with assistance. Home equipment: Walker/Cane. Family/Friends available for support: Yes. Major illness in household: Yes. Substance Abuse Denies Tobacco Tobacco Use: Never (less than 100 in lifetime). Family History High blood pressure..: Father. Stroke: Father. Lab Results All Labs Last 24 hours (No Micro or Pathology) Hematology: WBC: 7.8 k/cumm (02/03/23 10:23:00) RBC: 4.87 million/cumm (02/03/23 10:23:00) Hgb: 14.6 GM/dL (02/03/23 10:23:00) Hct: 45 % (02/03/23 10:23:00) MCV: 92 fL (02/03/23 10:23:00) MCH: 29.9 pg (02/03/23 10:23:00) MCHC: 32.4 GM/dL (02/03/23 10:23:00) RDW: 14.4 % (02/03/23 10:23:00) Platelet: 323 k/cumm (02/03/23 10:23:00) MPV: 8.4 fL (02/03/23 10:23:00) Neutrophils %: 66 % (02/03/23 10:23:00) Lymphocytes %: 19 % (02/03/23 10:23:00) Monocytes %: 15 % (02/03/23 10:23:00) Eosinophils %: 0 % (02/03/23 10:23:00) Basophils %: 0 % (02/03/23 10:23:00) Absolute Neutrophil: 5.1 k/cumm (02/03/23 10:23:00) Absolute Lymphocyte: 1.4 k/cumm (02/03/23 10:23:00) Absolute Monocyte: 1.1 k/cumm (02/03/23 10:23:00) Absolute Eosinophil: 0 k/cumm (02/03/23 10:23:00) Absolute Basophil: 0 k/cumm (02/03/23 10:23:00) Chemistry: Sodium SerPl QN: 144 mmol/L (02/03/23 10:23:00) Potassium SerPl QN: 4 mmol/L (02/03/23 10:23:00) Chloride SerPl QN: 108 mmol/L (02/03/23 10:23:00) Carbon Dioxide SerPl QN: 23 mmol/L (02/03/23 10:23:00) Anion Gap: 13 mmol/L High (02/03/23 10:23:00) BUN SerPl QN: 19 mg/dL (02/03/23 10:23:00) Creatinine SerPl QN: 0.81 mg/dL (02/03/23 10:23:00) Estimated GFR (CKD-EPI, no race): 81 mL/min/1.73m2 (02/03/23 10:23:00) Estimated CRCL (CG): 58 mL/min Low (02/03/23 10:23:00) Glucose SerPl QN: 120 mg/dL High (02/03/23 10:23:00) Calcium Total SerPl QN: 9.6 mg/dL (02/03/23 10:23:00) Alkaline Phos SerPl QN: 65 Units/L (02/03/23 10:23:00) ALT SerPl QN: 24 Units/L (02/03/23 10:23:00) AST SerPl QN: 49 Units/L High (02/03/23 10:23:00) Bilirubin Total SerPl QN: 0.4 mg/dL (02/03/23 10:23:00) Total Protein SerPl QN: 7.7 GM/dL (02/03/23 10:23:00) Albumin SerPl QN: 3.7 GM/dL (02/03/23 10:23:00) Lipase SerPl QN: 39 Units/L (02/03/23 10:23:00) Troponin-I High Sensitivity: 27 ng/L High (02/03/23 10:23:00) BNP Pl QN: 45 pg/mL (02/03/23 10:23:00) Lactate Venous Pl QN: 1.6 mmol/L (02/03/23 10:23:00) pH Bld Venous QN: 7.37 (02/03/23 10:23:00) PCO2 Bld Venous QN: 47 mmHg (02/03/23 10:23:00) PO2 Bld Venous QN: 71 mmHg High (02/03/23 10:23:00) Base Excess Bld Venous: 1 mmol/L (02/03/23 10:23:00) Bicarb Bld Venous Calc: 27 mmol/L (02/03/23 10:23:00) O2 Sat Bld Venous Calc: 94 % (02/03/23 10:23:00) Patient Temperature: 37 DegC (02/03/23 10:23:00) Urine Studies: Color: Yellow (02/03/23 10:34:00) Clarity: Clear (02/03/23 10:34:00) Specific Gravity: >=1.030 (02/03/23 10:34:00) pH: 6.0 (02/03/23 10:34:00) Protein: 30 Abnormal (02/03/23 10:34:00) Glucose: NEGATIVE (02/03/23 10:34:00) Ketones: NEGATIVE (02/03/23 10:34:00) Bilirubin: NEGATIVE (02/03/23 10:34:00) Hgb Ur: LARGE. Abnormal (02/03/23 10:34:00) Nitrite: POSITIVE Abnormal (02/03/23 10:34:00) Urobilinogen: NormalUro (02/03/23 10:34:00) Leukocyte Esterase Ur: NEGATIVE (02/03/23 10:34:00) WBC: 6-10 Abnormal (02/03/23 10:34:00) RBC: 11-20 Abnormal (02/03/23 10:34:00) Bacteria: Many Abnormal (02/03/23 10:34:00) Squamous Epithelial: Few (02/03/23 10:34:00) All Other Labs: COVID 19 Specimen Source: Nasopharyngeal (02/03/23 10:34:00) Coronavirus SARS-CoV2 Rapid: Detected Abnormal (02/03/23 10:34:00) Micro - Last 7 days Rapid Influenza Method: PCR - Liat (02/03/23 10:34:00) Rapid Influenza A PCR: Not Detected (02/03/23 10:34:00) Rapid Influenza B PCR: Not Detected (02/03/23 10:34:00) Diagnostics Radiology Results - Last 24 hours Across Visits 02/03/2023 10:54 - XR Chest PA or AP Portable IMPRESSION:1. No acute findings in the chest.Thank you for consulting our team of subspecialty radiologists at Radiology. Please contact us with any questions. 02/03/2023 11:32 - CT Abd/Pelvis W/IV Contrast IMPRESSION:1. No acute findings in the abdomen or pelvis.2. Chronic findings as described.Thank you for consulting our team of subspecialty radiologists at Radiology. Please contact us with any questions. 02/03/2023 11:32 - CT Head W/o IV Contrast IMPRESSION: 1. Advanced microvascular ischemic changes and generalized atrophy.If clinical suspicion for acute ischemia persists, consider furtherevaluation with brain MR.2. No CT evidence of acute intracranial hemorrhage.Thank you for consulting our team of subspecialty neuroradiologists at Radiology. Health careproviders wishing to discuss this case further can contact the Neuroradiology Reading Room. Signature Line Electronically Signed on 02/03/23 16:33 ________________________________________________________ MD

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
Molecular Diagnostic Tests COVID 19 Specimen Source Nasopharyngeal Coronavirus SARS-CoV2 Rapid * (A) Detected Microbiology Studies - Bacterial Urine CX (+) POS In Progress Bacterial L pneumo Urine Ag QL Not Detected L pneumo Urine Ag QL Interp L pneumo Urine Ag QL Interp Strep pneumo Ag Ur Not Detected Strep pneumo Ag Ur Interp Negative Viral FS Rapid Influenza Method PCR - Liat Rapid Influenza A PCR * Not Detected Rapid Influenza B PCR * Not Detected
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2557430

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
GA
Alter
69,0
Geschlecht
F
Eingang
11.01.2023
Impfdatum
01.12.2021
Beginn
01.01.2022
Tage bis Beginn
31,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Asthma Bronchitis Chest pain Chills Dyspnoea Fatigue Headache Nausea Oropharyngeal pain Pain Respiratory tract congestion Sinusitis X-ray abnormal

Symptomtext

Chills, body aches, chest conjestion/pain, fatigue, sore throat, headache, nausea ,short of breath Sinusitis, bronchitis ,asthma shortness of breath. Now using nebulizer albuterolsul 2.5 mg/3 prn , wixela 2 x Da

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
Urgent Care had an X Ray, diagnosed sinusitisand bronchitis at Urgent Care ( practice Manager) to a Asthma Dr, To a Ear, Nose and Throat Dr. Short of breath and called 911 they evaluated
Aktuelle Erkrankungen
Chronic pelvic bad cramps bone deterioration, rt hip, back pain Chronic sinus , nasal mucus, always cold
Vorgeschichte
CABG Asthma, HTN, vertebrobasilar artery syn Mixed hyperlipidemia , sinus
Andere Medikamente
Winelands 500-50 1 puff am and pm Oxybutynin 5mg 3x da Lisinopril 20 mg 2x da Atenolol 50 mg 1 xda Amlodipine 10mg 1x da Fluticisone prop 50 nadal 2 ea nostril Aspirin 80 mg 1 x da Cerrizine hcl 10mg 1 x da Albuterol hfa prn 2 puffs q 4-6 h
Allergien
Sulfur, iodine iv dye Pcn, dairy, shellfish
Vorherige Impfungen
-

VAERS 2511852

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
MN
Alter
85,0
Geschlecht
M
Eingang
18.11.2022
Impfdatum
20.11.2021
Beginn
17.11.2022
Tage bis Beginn
362,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Fall Mobility decreased SARS-CoV-2 test positive

Symptomtext

Patient had a fall and was on the floor for approx one day. Tested positive for covid on hospital admission. Treatment includes supportive care with benzonatate, robitussin, and pulmonary toilet.

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

VAERS 2465386

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
GA
Alter
40,0
Geschlecht
F
Eingang
30.09.2022
Impfdatum
02.09.2021
Beginn
07.10.2021
Tage bis Beginn
35,0
Dosis
2
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Discomfort Hypoaesthesia Limb discomfort Paraesthesia Sensory disturbance

Symptomtext

I chose my left arm for the vaccine because I heard it would leave the arm sore for a while and i use my right arm. After getting the 1st vaccine a week later my right arm started tingling and feeling kind of weird. I ignored it and went on to get the 2nd vaccine. Around a week after that vaccine i noticed the same feeling in my right arm but it was more intense. The feeling it gives off is like my arm is asleep but it is the most uncomfortable feeling ever. It starts pretty much from the right side of my face all the way down to my finger tips. The arm feels heavy at times, numb and tingly at times, and harm to rest on anything or hold up. This is an everyday thing now. It did go away for months and months but somehow has come back.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
NO test have been done but it has been mentioned to my primary care doctor several times.
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
none
Allergien
none
Vorherige Impfungen
-

VAERS 2412334

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
PA
Alter
50,0
Geschlecht
F
Eingang
16.08.2022
Impfdatum
13.09.2021
Beginn
17.09.2021
Tage bis Beginn
4,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Back pain Blood lactic acid increased Blood test Computerised tomogram normal Condition aggravated Headache Intervertebral disc degeneration Migraine Occipital neuralgia Psoriasis Seborrhoeic dermatitis Sinus headache Sinusitis Spinal X-ray abnormal White blood cell count increased X-ray abnormal

Symptomtext

On 09/17/2021, 3 days after receiving my third dose of Moderna, I had a sinus infection. I went to my family doctor who referred me to an allergy specialist who I saw on October 5th. I had x-rays done October 11th. I was then referred to a neurologist. On October 26th, I saw a doctor for back pain. I had x-rays done in the beginning of November. They found some degenerative issues and diagnosed degenerative disc disease. November 16th, I received dose 2 of my Shingles vaccine, which triggered a severe headache. On November 20th, I went to an urgent care clinic at my local hospital because my headaches had gotten so bad and was given prednisone. December 16th, I was finally able to see a neurologist who diagnosed me with multiple forms of chronic headaches: Migraines, Occipital Neuralgia, and sinus headaches. I'm taking magnesium, riboflavin, and baclofen for the headaches. The headaches have subsided with the medication. The Occipital headache is still there constantly but has gotten better with the medication. On 01/03/2022, I went to see a dermatologist for the psoriasis and seborrheic dermatitis which I already suffer from but had gotten worse. I didn't have it on my face before and at that point it had spread to my face. The dermatologist prescribed ketoconazole shampoo and cream which has helped the issue. 02/02/2022 I saw my rheumatologist due to increased joint pain and fatigue and ended up doubling my dosage of HUMIRA which I now take weekly as opposed to biweekly. On 02/14/2022, I received my fourth dose of Moderna. Things, health wise, were quiet until 06/24/2022 when I ended up in the emergency room for severe vomiting where they discovered that my platelets had been increasing severely over time and were at over 700,000 per micro liter of blood. They referred me to a hematologist who I saw 08/08/2022. I am scheduled for blood tests tomorrow on 08/17/2022.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
10/11/2021 cat scan of sinuses-nothing found; 11/2021-x-rays degenerative disc diagnosis; 06/24/2022 blood panel, high white blood cell count-hi lactate in the blood
Aktuelle Erkrankungen
None
Vorgeschichte
Psoriatic Arthritis; Chronic Headaches; Thrombocytosis
Andere Medikamente
HUMIRA; ZYRTEC; FLONASE; LEXAPRO; azelastine; betamethasone cream
Allergien
Latex; walnuts; acetaminophen
Vorherige Impfungen
-

VAERS 2359837

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
MD
Alter
55,0
Geschlecht
F
Eingang
06.07.2022
Impfdatum
04.01.2022
Beginn
10.05.2022
Tage bis Beginn
126,0
Dosis
3
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Abdominal discomfort Amnesia Anxiety Aphasia COVID-19 Chills Contusion Depression Feeling abnormal Irritability Mood altered Nausea Neuropathy peripheral Oedema Pain Paraesthesia Rash macular Salt craving

Symptomtext

I got COVID-19. I had chills for about 3 days then I had brain fog and memory loss and difficulty finding words. I went to the doctor and they said had paresthesia and neuropathy in arms and legs and it was intense pain. I also had nausea and upset stomach. I had bruising splotchy skin. I had salt cravings, edema, and I and a mood shift. I was anxious, irritable, and depressed.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
Unknown
Aktuelle Erkrankungen
N/A
Vorgeschichte
Musculoskeletal injuries
Andere Medikamente
Adderall XR; Ambien ER; Lexapro
Allergien
Sulpha Drugs
Vorherige Impfungen
Shingles

VAERS 2324162

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
-
Alter
74,0
Geschlecht
M
Eingang
20.06.2022
Impfdatum
18.04.2022
Beginn
22.04.2022
Tage bis Beginn
4,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: unbekannt Erholt: nein
Blood test Dysstasia Hypoaesthesia Injected limb mobility decreased Injection site pain Nerve conduction studies Pain Pain in extremity Paraesthesia Peripheral swelling

Symptomtext

Approx. 4 days after receiving the 4th Moderna vaccine (booster), patient began experiencing significant left arm pain, swollen left hand, numbness in his hand, continued pain at the injection site, could not raise left arm above his shoulder. He also started experiencing numbness and tingling in both legs, shooting pains down both legs, and difficulty getting up after sitting. Prior to this patient was very active (exercising, yard-work, traveling)

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injected limb mobility decreased
Hospital-Tage
-
Labordaten
- Patient went to his Primary Care Doctor to discuss these symptoms, and his Primary Care said "it sounds like you need more exercise" - Patient then went to another Physician to discuss his hand symptoms, and he wanted a nerve conduction test performed in his hand - Nerve conduction test was performed on 5/18/22 - When these results were discussed with this doctor on 6/10/22, he wanted more follow up based on a Physical Exam. He ordered bloodwork and wants a nerve conduction test performed on his back and legs. This will be on 7/5/2022.
Aktuelle Erkrankungen
None
Vorgeschichte
COPD, High BP, High Cholesterol, Sick sinus syndrome (has a pacemaker)
Andere Medikamente
Medications for GERD, high cholesterol, high bloodpressure, Multi-vitamin, Fish Oil, Aspirin, Saw Palmetto, Vitamin C
Allergien
None
Vorherige Impfungen
-

VAERS 2292648

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
MA
Alter
74,0
Geschlecht
F
Eingang
24.05.2022
Impfdatum
19.02.2022
Beginn
26.02.2022
Tage bis Beginn
7,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Anticoagulant therapy Atrial fibrillation Blood test Cardiac monitoring abnormal Echocardiogram abnormal Electrocardiogram abnormal Heart rate irregular Palpitations

Symptomtext

I started getting that feeling that my heart was racing and the erratic heartbeat. It would come and go for 2-3 weeks. I noticed it was positional and I would notice it more at night when I was lying down at night or in the morning and it would happen during the course of the day as well. I was thinking that it would go away, but it just stayed. I was scheduled for a procedure for my bladder. On April 13, I went in for the that procedure and was going to get a filler and they put me on a heart monitor, and I was having a fib, at 110-140 beats per minute and spiking at 150-160. The surgeon said he wouldn't do the surgery with a fib. They said I needed to go to the ER, and I was discharged on 4/15 from the hospital. They did an EKG and echocardiogram. They diagnosed me with A fib and scheduled me with a doctor. They also put me on medication in the hospital and didn't release me until the heart rate was down to regular rate. I was put on metoprolol 50mg twice daily. They also put me on blood thinner Eliquis 5mg twice daily as well. I went to see the doctor and he did a cardiogram and I'm still in a fib but he suggested having a cardioversion. He told me to think about it. I'm on the medication and I have a follow up in 6 months. He said I can decide when I want to get this procedure done and to follow up if I don't want to, or if it gets worse. I'm still in a fib but I can still do whatever I was doing prior to this event according to the doctor. From the doctor at the hospital and from the other doctor as well, both indicated that my heart did look healthy.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Palpitations
Hospital-Tage
2,0
Labordaten
EKG-indicated a fib; Echocardiogram-indicated a fib; Cardiogram-indicated a fib; Blood work
Aktuelle Erkrankungen
COVID towards the beginning of January of 2022
Vorgeschichte
Bladder incontinence; Cycle of Upper Respiratory Infections at least once a year
Andere Medikamente
Oxybutynin 10mg OTC Aleve as needed
Allergien
Sensitivities to pain medication PERCOCET, etc.
Vorherige Impfungen
-

VAERS 2289200

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
MD
Alter
53,0
Geschlecht
F
Eingang
21.05.2022
Impfdatum
15.11.2021
Beginn
01.12.2021
Tage bis Beginn
16,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Chest X-ray normal Laboratory test normal Magnetic resonance imaging spinal normal Mobility decreased Pain Pain in extremity X-ray limb normal

Symptomtext

Ever since I got the booster shot I have had unrelenting pain in all of my joints. I have pain in my wrists, elbows, fingers, knees, and ankles and random shooting pains in other parts of my body. Every time I go to a Dr. and mention this new pain since I got the booster nobody listens to me. Every morning I wake up like monster. I can't even bend my limps for several minutes. This is horrible. I will never, ever get another booster or Covid shot .

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mobility decreased
Hospital-Tage
-
Labordaten
Xray of hands and chest May, 2022 MRI cervical spine May, 2022 Labs done in Dr. office March 2022 / results normal
Aktuelle Erkrankungen
N/A
Vorgeschichte
NECK STINOSIS
Andere Medikamente
Benicar 40/12.5 mg Vyvanse 40 mg Duloxetine DR 60 mg Acyclovir 400 mg
Allergien
NKDA
Vorherige Impfungen
-

VAERS 2286942

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
PA
Alter
57,0
Geschlecht
F
Eingang
20.05.2022
Impfdatum
01.10.2021
Beginn
13.12.2021
Tage bis Beginn
73,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Arrhythmia Blood test Cardiac ablation Cardiac stress test Dizziness Electrocardiogram Heart rate irregular Magnetic resonance imaging heart Ventricular extrasystoles

Symptomtext

Dec 13 th irregular heart beat d. with PVCs. Never had this arrhythmia before no history of high blood pressure. Dizzy and lightheaded periods of feeling faint .Medications to treat were no successful due to reaction to medication. May 17 2022 had successful cardiac ablation

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arrhythmia
Hospital-Tage
1,0
Labordaten
Stress test, cardiac MRI, blood work , EKG and Cardiac ablation
Aktuelle Erkrankungen
None
Vorgeschichte
Asthma and GERD Sleep apnea
Andere Medikamente
Ventolin inhaler Qvar inhaler as needed Vit D Singular daily
Allergien
Narcotics and anesthesia
Vorherige Impfungen
-

VAERS 2209372

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
IL
Alter
68,0
Geschlecht
F
Eingang
31.03.2022
Impfdatum
24.10.2021
Beginn
25.10.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dyspnoea Pain

Symptomtext

I have a lot of aches and pains and I noticed it a little bit more than normal the next day. Also, I have COPD and I noticed it was harder to breath when I laid down.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
Diabetic Type 2; COPD; High Cholesterol
Andere Medikamente
Tramadol; Lovastatin; Metformin; Albuterol; Generic Antihistamine
Allergien
I had a reaction to a Z-pak once.
Vorherige Impfungen
-

VAERS 2173461

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
GA
Alter
67,0
Geschlecht
M
Eingang
11.03.2022
Impfdatum
26.10.2021
Beginn
15.01.2022
Tage bis Beginn
81,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
COVID-19 Cough Discomfort Fatigue Feeling abnormal Mobility decreased Oropharyngeal pain Pain Pyrexia SARS-CoV-2 test positive

Symptomtext

I developed a sore throat in mid Jan 2022 accompanied with fatigue and discomfort. After a week, I took a self-test and tested positive. At that point I was feeling really bad. I went to the Health Clinic and received an anti-body drug. I was in bed for a week with a fever, dry cough, fatigue and soreness. After another two weeks I began to feel like I was back to normal.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mobility decreased
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Synthroid, Atorvastatin, Adoctripine, Exaltapine, Zaleplon
Allergien
None
Vorherige Impfungen
-

VAERS 2144323

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
LA
Alter
53,0
Geschlecht
M
Eingang
26.02.2022
Impfdatum
22.07.2021
Beginn
23.07.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Abdominal distension Anxiety Decreased appetite Panic attack Tachyphrenia Tremor

Symptomtext

Panic attack; Body shaky; Mind is racing; Stomach in knots; Lot of anxiety; Does not want to eat; This spontaneous case was reported by a consumer and describes the occurrence of PANIC ATTACK (Panic attack), TREMOR (Body shaky), TACHYPHRENIA (Mind is racing), ABDOMINAL DISTENSION (Stomach in knots) and ANXIETY (Lot of anxiety) in a 53-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 22-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Jul-2021, the patient experienced PANIC ATTACK (Panic attack), TREMOR (Body shaky), TACHYPHRENIA (Mind is racing), ABDOMINAL DISTENSION (Stomach in knots), ANXIETY (Lot of anxiety) and DECREASED APPETITE (Does not want to eat). At the time of the report, PANIC ATTACK (Panic attack), TREMOR (Body shaky), TACHYPHRENIA (Mind is racing), ABDOMINAL DISTENSION (Stomach in knots), ANXIETY (Lot of anxiety) and DECREASED APPETITE (Does not want to eat) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant product use was provided by the reporter. No treatment medication was provided.

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

VAERS 2139919

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
MN
Alter
66,0
Geschlecht
M
Eingang
25.02.2022
Impfdatum
29.10.2021
Beginn
19.02.2022
Tage bis Beginn
113,0
Dosis
3
Route/Site
- / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Asthenia Chest pain Cough Dyspnoea Oropharyngeal pain Pain Pulmonary congestion Pyrexia Respiratory symptom

Symptomtext

ADMITTED W/ SORE THROAD, CHEST CONGESTION/PAIN, DRY COUGH, FEVERS, BODY ACHES, URI SYMPTOMS, SOB, GENERALIZED WEAKNESS FOR 3 DAYS PTA.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
3,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
COPD, POLYSUBSTANCE USE, CHRONIC PAIN, SCHIZOAFFECTIVE DISORDER, HTN, PERIPHERAL NEUROPATHY
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1865203

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
MD
Alter
31,0
Geschlecht
F
Eingang
12.01.2022
Impfdatum
01.11.2021
Beginn
01.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Discomfort Hypersensitivity Mouth swelling Paraesthesia Injection site pain Joint range of motion decreased Lip swelling Muscle spasms Musculoskeletal stiffness Myositis Neck pain Pain

Symptomtext

Patient called the clinic around 10 minutes after receiving her vaccine to report that she was driving back because she was experiencing symptoms of an allergic reaction. Clinic staff readied an emergency bag and evaluated whether patient should head to the emergency room. When patient arrived back at clinic, she described tingling and heaviness in her face and some swelling in her mouth. She was given Benadryl and water and seated in the observation area for 30 minutes. Patient then reported feeling better and drove herself home.

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

VAERS 1999449

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
GA
Alter
30,0
Geschlecht
F
Eingang
03.01.2022
Impfdatum
14.12.2021
Beginn
21.12.2021
Tage bis Beginn
7,0
Dosis
UNK
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Chest pain Palpitations

Symptomtext

Heart palpitations, chest pain approximately one week from receiving booster. Made worse when laying down. Sent to ER by Urgent Care clinic

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

VAERS 1940121

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
FL
Alter
67,0
Geschlecht
F
Eingang
10.12.2021
Impfdatum
25.10.2021
Beginn
25.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: unbekannt Erholt: nein
Back pain Computerised tomogram thorax abnormal Fatigue Injection site pain Lymphadenopathy Musculoskeletal chest pain Musculoskeletal pain Pain in extremity Pericardial effusion Pericardial fibrosis

Symptomtext

Sore arm, fatigue, pain at shoulder blade, rib cage , and back on the right side, pain in left shoulder at injection site, pericardial thickening, vs a trace pericardial effusion (fluid and inflation around heart), mildly enlarged lymph node

Weitere VAERSDATA-Felder
Praegender Schweregrund
Musculoskeletal chest pain
Hospital-Tage
-
Labordaten
CT scan without contrast of chest
Aktuelle Erkrankungen
None
Vorgeschichte
High blood pressure, Type 2 diabetes, High cholesterol (under control with medicine), Anxiety
Andere Medikamente
Losartan 50 mg 2x daily, Carvedilol 12.5 mg 2x daily, Glipzide 10mg 3x daily, Zescipa 1 g 2x daily, Alprazolpam 1 mg 3x daily or as needed, Vitamin D 50,000 mg 2x weekly, Amalodapine 1x daily
Allergien
None
Vorherige Impfungen
-

VAERS 1936603

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
TX
Alter
49,0
Geschlecht
M
Eingang
09.12.2021
Impfdatum
23.11.2021
Beginn
23.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chest X-ray Chest pain Electrocardiogram Laboratory test Myalgia

Symptomtext

patient reports having muscle aches. also with left-sided chest pain.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
presented for evaluation 12/9/2021. labs, EKG and chest xray ordered
Aktuelle Erkrankungen
none known
Vorgeschichte
dyslipidemia, hypertension, history of hepatitis b
Andere Medikamente
losartan, rouvastatin
Allergien
lisinopril, simvastatin, trazodone
Vorherige Impfungen
history of muscle aches after 1st and 2nd dose of moderna covid vaccinations

VAERS 1925607

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
OH
Alter
37,0
Geschlecht
M
Eingang
06.12.2021
Impfdatum
31.10.2021
Beginn
30.11.2021
Tage bis Beginn
30,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blister Herpes zoster Paraesthesia Rash vesicular

Symptomtext

Roughly 30 days after receiving a booster shot of Moderna mRNA COVID 19 vaccine, I developed shingles in the T10 dermatome on the right. Symptoms were at first slow to develop and included change in sensation of the skin the in the affected area, followed several days later by a blistering rash with vesicles in a very dermatomal distribution. My primary care physician confirmed the diagnosis of shingles. I am an otherwise healthy 37yo male with no medical problems.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
Primary care visit on 12/3/2021.
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Mens Multivitamin
Allergien
None
Vorherige Impfungen
-

VAERS 1883125

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
MI
Alter
27,0
Geschlecht
F
Eingang
18.11.2021
Impfdatum
18.11.2021
Beginn
18.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Chills Exposure during pregnancy Hot flush Joint range of motion decreased Pain in extremity Tinnitus Tremor

Symptomtext

28 weeks pregnant Arm so sore I cannot move, along with chills causing shaking uncontrollably and hot flashes. Hearing ringing or whispering around 10pm

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

VAERS 1880362

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
GA
Alter
50,0
Geschlecht
F
Eingang
18.11.2021
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Hypoaesthesia Injection site pain Pain in extremity Paraesthesia

Symptomtext

When the nurse gave me the injection, I felt it go down the nerve in my arm. I assumed the pain would go away, but it has not. It hurts all of the time from my elbow and down into my hand and sometimes it hurts up my arm and into my shoulder. There is also a tingle similar to my hand and arm being "asleep" most of the time. In the past couple of days I have also had the feeling of numbness in my hand.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
On 11/11/21 I emailed my PC doctor to see if this was a normal reaction since any pain from my past 2 shots went away fairly quickly. She told me to make an appointment since it was not getting better. I could not get an appointment with her, so I saw one of her partners on 11/12/21. He said it was the nerves in my arm and has referred me to Neurology. I have an appointment with Neurology on December 6, 2021 for further evaluation.
Aktuelle Erkrankungen
none
Vorgeschichte
high blood pressure, obese
Andere Medikamente
hydrochlorothiazide 25 mg tablet
Allergien
none
Vorherige Impfungen
-

VAERS 1873254

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

moderat
Staat
VA
Alter
65,0
Geschlecht
M
Eingang
18.11.2021
Impfdatum
19.10.2021
Beginn
20.10.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood pressure fluctuation Hypertension

Symptomtext

Patient states fluctuating high blood pressure after vaccination. Patient stated typical blood pressure did not exceed 130/90 prior to vaccination, but since vaccination has stated that his blood pressure is routinely elevated up to 170's/90's.

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

VAERS 1860904

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
AZ
Alter
54,0
Geschlecht
F
Eingang
11.11.2021
Impfdatum
01.11.2021
Beginn
11.11.2021
Tage bis Beginn
10,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Tachycardia

Symptomtext

Pt has hx of heart transplant and is followed by Clinic Pt experienced tachycardia post COVID-19 third dose requiring hospitalization. Patient reported this to our office post hospitalization.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Tachycardia
Hospital-Tage
-
Labordaten
Unknown. Pt reported she was seen at Clinic for adverse reaction of tachycardia and was hospitalized and reported this to our office post hospitalization.
Aktuelle Erkrankungen
Pt has hx of heart transplant and followed by Clinic. All questions regarding patient's medical conditions, allergies, treatment, medications, routine vaccinations should be requested from Clinic.
Vorgeschichte
Pt has hx of heart transplant and followed by Clinic. All questions regarding patient's medical conditions, allergies, treatment, medications, routine vaccinations should be requested from Clinic.
Andere Medikamente
Clinic has this information.
Allergien
Pt has hx of heart transplant and followed by Clinic. All questions regarding patient's medical conditions, allergies, treatment, medications, routine vaccinations should be requested from Clinic.
Vorherige Impfungen
-

VAERS 1849490

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
OH
Alter
58,0
Geschlecht
M
Eingang
07.11.2021
Impfdatum
23.09.2021
Beginn
23.09.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Condition aggravated Dyspnoea Fatigue Hypertension Irritable bowel syndrome Pain in extremity Pyrexia

Symptomtext

Fever of 100 for 2 days/nights. Soreness in left arm. Persistent shortness of breath and fatigue after minor exertions since the vaccination. Telehealth visit on 10/22/2021 with HCP. She recommended C/D/Zinc supplement, but this makes my IBS and BPH worse. She also said exercise could help. Symptoms have not gotten worse but have not improved either.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
n/a
Aktuelle Erkrankungen
None.
Vorgeschichte
IBS and BPH.
Andere Medikamente
Tadalafil 5mg
Allergien
Penicillin
Vorherige Impfungen
-

VAERS 1826311

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
PA
Alter
45,0
Geschlecht
M
Eingang
28.10.2021
Impfdatum
01.10.2021
Beginn
04.10.2021
Tage bis Beginn
3,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood thyroid stimulating hormone Cardiac flutter Dyspnoea Palpitations

Symptomtext

Palpitations, fluttering, shortness of breath for 7 days

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
Cardiologist only ordered a TSH blood test on 10/11/2021, drawn on 10/12/2021
Aktuelle Erkrankungen
None
Vorgeschichte
Atrial septal defect, secundum; Aortic valve insufficiency; Bicuspid aortic valve
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 1740975

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
OH
Alter
31,0
Geschlecht
F
Eingang
28.09.2021
Impfdatum
30.07.2021
Beginn
31.07.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Adverse reaction Dyskinesia Influenza like illness Migraine Muscle twitching Myoclonus

Symptomtext

About an hour after my first vaccine, I had an excruciating migraine (took tylenol). Around 3 am (12 hours after vaccine), I woke up with flu like symptoms and began to have myoclonic jerks. I had full body "twitches" for four plus hours. I would have a jerk/twitch 4-5 times in a minute. For example, my right leg would jerk, then my arm, then my neck, etc. It was not a whole body twitch, it was different parts of my body one after another.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Migraine
Hospital-Tage
-
Labordaten
Prior to my vaccination, I had CBC, TSH and cholesterol blood drawn. I met with physician after my vaccine and adverse reactions occurred to discuss what happened. My physician was worried I had a neurological adverse reaction. He requested me to do further research, meet with neurologist and infectious disease physicians.
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
zoloft
Allergien
none
Vorherige Impfungen
-

VAERS 1726550

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
TX
Alter
44,0
Geschlecht
M
Eingang
23.09.2021
Impfdatum
10.09.2021
Beginn
10.09.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: ja Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Blood cholesterol increased Dizziness Drug screen negative Dyspnoea Full blood count abnormal Hypertension Palpitations Paraesthesia Sexually transmitted disease test Vaccination complication Vitamin D decreased

Symptomtext

Within five minutes I suffered an adverse reaction to the vaccine. I experienced heart palpitations, high blood pressure, dizziness, shortness of breath, and tingling sensation in my hands. Lasted approximately 2 hours.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
A complete bloodwork was conducted on me. Results only showed low on vitamin D and slightly high cholesterol. Everything else was normal. Drug screen was negative as well as STDs.
Aktuelle Erkrankungen
None.
Vorgeschichte
None.
Andere Medikamente
None.
Allergien
Codeine. Adverse reaction, diaphragm goes into spasms.
Vorherige Impfungen
-

VAERS 1724451

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
GA
Alter
46,0
Geschlecht
F
Eingang
23.09.2021
Impfdatum
20.09.2021
Beginn
21.09.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dyspnoea Fear Panic attack Sleep disorder Swollen tongue

Symptomtext

Panic attack induced by throat, soft pallet, tongue swelling causing shortness of breath and inability to sleep due to fear. Did take aspirin and ibuprofen to attempt to reduce swelling and monitored for approximately 12 hours before feeling relief

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
sleep apnea not properly treated and possible tooth infection, also untreated tinnitus in left ear
Vorgeschichte
Anxiety, sleep apnea, left ear tinnitus
Andere Medikamente
Sporadic use of Paroxetine HCL 20MG prescription for 2x daily, but do not have health insurance so still using same bottle filled 03/21/2021 by taking approximately half tablet per day, sometimes half tablet every other day
Allergien
None
Vorherige Impfungen
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VAERS 1708678

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
PA
Alter
59,0
Geschlecht
M
Eingang
17.09.2021
Impfdatum
02.09.2021
Beginn
02.09.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chest discomfort Chest pain Dizziness Hypotension Influenza like illness Injection site pain

Symptomtext

Flu like symptoms, soreness at injection sight, chest pains and tightness in chest, dizziness, blood pressure was extremely low, almost passed out twice

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Valsartan 160mg (once daily)
Allergien
None
Vorherige Impfungen
-

VAERS 1708626

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
TN
Alter
35,0
Geschlecht
F
Eingang
17.09.2021
Impfdatum
16.09.2021
Beginn
16.09.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Dizziness Erythema Feeling abnormal Heart rate increased Palpitations Rash macular

Symptomtext

Patient drove to clinic at 1400 and received vaccine at 1410. Patient was instructed to wait in her vehicle for 15 minutes and to honk if she needed medical care. At 1420, patient comes out of car and walks to vaccine table to alert nurses that she felt ?like her heart was racing and I feel spacey?. Patient was sat down and vitals were taken. Vitals appeared within normal limits. Patient?s cheeks and chest were red and splotchy. Patient given cold water and was instructed to wait with nurse for an additional 30 minutes. Patient continued to have complaints of racing heart and lightheadedness. Vitals taken again and pulse increased from 100s to 120s. EMS called and arrived at 1450. EMS took vitals and patient?s heart rate was increasing to 130s. EMS took patient by ambulance.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Palpitations
Hospital-Tage
-
Labordaten
1420 vitals: 141/79, pulse: 99, RR: 18, O2: 100 1445 vitals: 145/75, pulse: 120, RR: 18, O2:100 1450 vitals: 138/70, pulse: 130, RR: 18, 02:100
Aktuelle Erkrankungen
None reported
Vorgeschichte
Adult asthma
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 1700663

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
GA
Alter
51,0
Geschlecht
F
Eingang
15.09.2021
Impfdatum
15.09.2021
Beginn
15.09.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Paraesthesia oral Pruritus

Symptomtext

After receiving vaccine, patient reported an "odd feeling" in her tongue and itching all over.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia oral
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
osteoporosis, neuropathy, chronic pain syndrome, bipolar disorder, fibromyalgia
Andere Medikamente
singulair, gabapentin, hydrocodone, xolair, estradiol
Allergien
penicillin, azithromycin
Vorherige Impfungen
-

VAERS 1693179

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

moderat
Staat
WA
Alter
40,0
Geschlecht
F
Eingang
11.09.2021
Impfdatum
10.09.2021
Beginn
10.09.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Blood pressure decreased Cough Dizziness Dyspnoea Hypoaesthesia Paraesthesia Peripheral coldness Somnolence Visual impairment

Symptomtext

Drop in blood pressure, trouble breathing, cough, numb and tingling cold hands, headache, seeing black spots, feeling light headed. Started a few minutes after vaccination, needed to sit with feet elevated, lasted an hour and needed with falling asleep like narcoleptic.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
None. I self-treated and waited, nearly used epi-pen.
Aktuelle Erkrankungen
-
Vorgeschichte
Asthma, allergies, eczema, possible mcas, chronic Lyme, h. Pylori
Andere Medikamente
Nystatin, singulair, Zyrtec, ketotifen, nac, vitamins, probiotics, citrus line, ornithine, yucca, xopenex inhaler as needed, Flovent as needed, chromodynamics sodium nebulizer as needed, black seed oil, molybdenum, PEA, ox bile, nad+.
Allergien
Sulfa, erythromycin, Zithromax, legumes, dairy, wheat/gluten, hemp, pumpkin, buckwheat, cilantro
Vorherige Impfungen
-

VAERS 1674722

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21a

moderat
Staat
OH
Alter
40,0
Geschlecht
F
Eingang
04.09.2021
Impfdatum
01.09.2021
Beginn
01.09.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chest pain Eye pruritus Eye swelling Injection site mass

Symptomtext

Following vaccination patient experienced itching and swelling of her eyes which she self treated with antihistamines. The following day she developed a large lump at the site of injection . Today she called complaining of unusual sternum pain .

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

VAERS 1670805

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

moderat
Staat
NY
Alter
45,0
Geschlecht
F
Eingang
03.09.2021
Impfdatum
03.09.2021
Beginn
03.09.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Dyspnoea Erythema

Symptomtext

The Patient presented to our pharmacy after making an appointment for a booster dose of her Moderna vaccine. The patient stated they had a compromised immune system and their last dose was administered on 2/8/21. Consistent with the law we administered a booster for the patient. Within several minutes the patient's face became red and they stated they had difficulty breathing. it was at this moment I as the pharmacist made used my clinical judgement to administer an Epipen dose to the patient. I asked my staff call emergency services. within moments their face came back to normal coloring and they were able to breath better. they did state their heartbeat was racing consistent with administration of the Epipen. I remained with the patient and counseled to focus on breathing. emergency services arrived several minutes later and took the patient in the ambulance with them. they then went to the hospital.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Patient has a "compromised immune system". she was unable to verify which one.
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1666974

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
FL
Alter
38,0
Geschlecht
F
Eingang
02.09.2021
Impfdatum
01.09.2021
Beginn
02.09.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Hypoaesthesia Paraesthesia Vaginal haemorrhage

Symptomtext

- Vaginal bleeding started about 0600 on 09/02/2021; not menstrual bleeding. Consistency and color not typical of my monthly menstrual bleeding. Currently monitoring. - Also experiencing mild joint pain (elbow, wrist) in injection arm - started evening of vaccination date (9/1/21) and not yet resolved; experienced mild numbness and tingling in hand on injection arm early morning of 09/02/2021.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Pre-natal vitamins by VitaFusion.
Allergien
None
Vorherige Impfungen
-

VAERS 1632627

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
CA
Alter
47,0
Geschlecht
F
Eingang
25.08.2021
Impfdatum
25.08.2021
Beginn
25.08.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Dyspnoea Hypopnoea Nausea Respiratory rate increased Tremor

Symptomtext

? 9:37AM ? 2nd dose of Moderna vaccine administered IM into right arm ? Patient waited 15 minutes for observation ? 9:52 AM - Patient checked out with technician at 9:52AM and reported nausea and trembling ? 9:53 AM ? BP was measured 176/90mmHg ? 10:01 AM ? BP reassessed 151/94mmHg; Patient reported that symptoms did not improve so 10mL of diphenhydramine 12.5mg/5mL (total 25mg) administered to patient and emergency number was called. Continued to observe patient. ? 10:06AM ? Patient reported difficulty breathing and no improvement in symptoms. Observed rapid shallowing breathing, so 1 dose (0.3mg) of epinephrine auto-injector was administered IM into left outer thigh ? ~10:08-10:15AM ? Ambulance arrived, reported incident to paramedics, and patient was taken to hospital

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Prediabetic
Vorgeschichte
None reported
Andere Medikamente
Zquil
Allergien
Amoxicillin
Vorherige Impfungen
-

VAERS 1577985

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
TX
Alter
25,0
Geschlecht
F
Eingang
17.08.2021
Impfdatum
16.08.2021
Beginn
16.08.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Nausea Pain Pyrexia Tremor

Symptomtext

9 hours after the shot I got a fever , my body started shaking uncontrollably, my whole body hurt everywhere , I was nauseated and dizzy .

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

VAERS 1569056

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
-
Alter
48,0
Geschlecht
F
Eingang
15.08.2021
Impfdatum
13.08.2021
Beginn
13.08.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Arthralgia Dizziness Dyspnoea Headache Lip swelling Myalgia Pain Pruritus Pyrexia Rash Tongue ulceration Wheezing

Symptomtext

patient had high fever a few hours later (about 4 hours after shot) and it lasted for 24 hours+, severe headache, body aches (muscle and joints), SOB and wheezing on 8/14 for which she used rescue inhaler, bumps on right shoulder, itchy arms, woke up 8/15 lips double size, tongue ulcerated and swollen - today 8/15 is dizzy, has been taking Benadryl and prescribed oral steroid therapy

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

VAERS 1481622

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
AL
Alter
22,0
Geschlecht
F
Eingang
17.07.2021
Impfdatum
17.07.2021
Beginn
17.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Dyspnoea Heart rate increased Hypoaesthesia oral

Symptomtext

Patient administered First Dose Covid Vaccine. 10 minutes into observation period, patient states she is having shortness of breath, increased heart rate, tongue numbness, and lip and mouth numbness. RPH Administered 25mg of liquid bendaryl to patient and called 911 for EMS/Paramedics. Patient was taken on stretcher to ER with father. Patient was alert and able to respond/talk to staff/paramedics at time of departure

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

VAERS 1464487

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
MO
Alter
57,0
Geschlecht
F
Eingang
12.07.2021
Impfdatum
12.07.2021
Beginn
12.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Paraesthesia Paraesthesia oral

Symptomtext

PATIENT REPORTED FEELING A TINGLING SENSATION ON SKIN WITHIN 1 HOUR OF RECEIVING SHOT -- SENSATION MAY HAVE DEVELOPED TOWARD END OF ONSITE OBSERVATION PERIOD BUT PATIENT BELIEVED IT WAS GOOSEBUMPS FROM A/C. PATIENT REPORTED THAT OVER THE NEXT HOUR (BY APPROXIMATELY 12:30PM) SHE HAD FULL-BODY ITCHING INCLUDING TONGUE AND IMMEDIATELY WENT TO URGENT CARE. SHE WAS GIVEN A STEROID INJECTION AND SUPPLIED WITH DIPHENHYDRAMINE WHICH CONTROLLED HER REACTION. SHE HAS BEEN ADVISED THAT SHE NEEDS TO KEEP LIQUID DIPHENHYDRAMINE ON HAND AND WATCH FOR ANY RETURN OF SYMPTOMS OVER THE NEXT SEVERAL DAYS, AND IF SYMPTOMS RETURN TAKE BENADRYL IMMEDIATELY AND SEEK IMMEDIATE EMERGENT CARE.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
NONE REPORTED TO US
Aktuelle Erkrankungen
EPILEPSY (CONTROLLED ON LAMICTAL)
Vorgeschichte
EPILEPSY
Andere Medikamente
LAMICTAL
Allergien
NSAIDS CARBAPLATIN IMITREX
Vorherige Impfungen
-

VAERS 1460404

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

moderat
Staat
VA
Alter
68,0
Geschlecht
F
Eingang
09.07.2021
Impfdatum
09.07.2021
Beginn
09.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dyspnoea exertional Ear pain Headache Hypoaesthesia Hypoaesthesia oral Pruritus Respiratory tract congestion

Symptomtext

Shortly after patient recieved vaccine she started complaing about itching in the lower forarm area on the same side of the vaccination site. a few hours later I called patient to check on her and she informed me that she had started to get numbness in her tongue and lower face, she had congestion and a headache and felt like when she was walking ar doing things around the house that her breathing was labered. she also stated that he had pain in her (R) ear for about an hour

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea exertional
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
lantanoprost
Allergien
Tetanous, quinolones, oxycodone, tetracyclines, morphine, sulfa, penicillins
Vorherige Impfungen
-

VAERS 2612997

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
IL
Alter
73,0
Geschlecht
F
Eingang
11.04.2023
Impfdatum
13.09.2022
Beginn
24.03.2023
Tage bis Beginn
192,0
Dosis
3
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Cough Dizziness Fatigue Headache Pyrexia SARS-CoV-2 test positive Sacroiliac joint dysfunction

Symptomtext

Tested positive for Covid - 19 on March 24, 2023. Cough, Sore throat, head ache, fever, tiredness Tested negative with BinaxNow Test on 3/31/2023 Still have coughing , headache and or light-headedness, and sore throat occassionaly during each day.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
OnGo Home test tested positive 3/24/2023 Tested negative with BinaxNow Test on 3/31/2023
Aktuelle Erkrankungen
None
Vorgeschichte
GERDS
Andere Medikamente
Pantoprozole Sodium 40 mg twice a day, Calcium 600 mg D3 20 mcg
Allergien
Demerol
Vorherige Impfungen
-

VAERS 2581543

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
MI
Alter
68,0
Geschlecht
F
Eingang
14.02.2023
Impfdatum
13.07.2022
Beginn
03.01.2023
Tage bis Beginn
174,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Bacterial translocation Blood culture negative COVID-19 Cholecystitis chronic Cyst Diarrhoea Escherichia bacteraemia Fatigue Infection Influenza Leukocytosis Nausea Pyrexia SARS-CoV-2 test positive Sepsis Vomiting

Symptomtext

Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR. Provider d/c note: "69 year old female with a history of ESRD on HD secondary to PCKD, paroxymal Afib, hypertension, hyperlipidemia, hypothyroidism, and seizure disorder who presented to facility on 1/2/23 with a two week history of nausea, vomiting, diarrhea, and fatigue. During the hospitalization she was found to be septic with fever and a leukocytosis. She was found to have COVID-19, Influenza A, and an Escherichia coli bacteremia. She was started on IV Ceftriaxone while workup began to investigate the etiology behind the the bacteremia. Patient has many sources of infection: GI translocation vs chronic cholecystitis vs infected cyst. ID was consulted - believe the source of infection is related to chronic cholecystitis. Patient was recommended in the past to have a cholecystectomy done at a tertiary care center, but patient refused. This time patient continues to resist surgery, as she does not believe the operation will prolong her overall prognosis as it relates to PCKD. She would like to forgo surgery at this time. Repeat blood cultures were drawn and were negative for 48 years - she will be discharge on (renally-dosed) Ciprofloxacin 500 mg daily with instructions to complete a 14-day course of antibiotics. "

Weitere VAERSDATA-Felder
Praegender Schweregrund
Diarrhoea
Hospital-Tage
4,0
Labordaten
Covid PCR detected. 01/02/2023
Aktuelle Erkrankungen
-
Vorgeschichte
Cardiovascular Hypertension Paroxysmal atrial fibrillation Digestive Intractable nausea and vomiting Polycystic liver disease Biliary dyskinesia Choledocholithiasis on MRCP Acute pancreatitis without infection or necrosis Perforation of the intestines GERD (gastroesophageal reflux disease) Endocrine Hypothyroid Hypoparathyroidism Urinary ESRD on dialysis Gross hematuria Dysuria Acute cystitis AKI (acute kidney injury) Other Seizure disorder (*) Hypocalcemia Abdominal pain, generalized Anemia of chronic disease Hyperphosphatemia Metabolic acidosis with increased anion gap and accumulation of organic acids Metabolic encephalopathy Palliative care encounter Right upper quadrant abdominal pain SIRS (systemic inflammatory response syndrome) Chronic back pain
Andere Medikamente
acetaminophen (TYLENOL) 500 MG tablet Take 2 tablets by mouth every 6 (six) hours as needed for Pain. amLODIPine (NORVASC) 10 MG tablet Take 1 tablet by mouth every morning. apixaban (ELIQUIS) 2.5 mg tab tablet Take 1 tablet by mouth 2 (two
Allergien
CodeineNausea Only Statins-hmg-coa Reductase InhibitorsMuscle Symptoms Keflex [Cephalexin]Hives, Itching, Rash
Vorherige Impfungen
-

VAERS 2495157

MODERNA · COVID19 (COVID19 (MODERNA BIVALENT)) · Charge 045c21a

mild
Staat
NJ
Alter
62,0
Geschlecht
M
Eingang
01.11.2022
Impfdatum
21.09.2021
Beginn
01.04.2022
Tage bis Beginn
192,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Fibrosis Pain

Symptomtext

fibrocystic lump that did not go away. he thought ut will go away but started paining for last 2 weeks

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
no
Vorgeschichte
no
Andere Medikamente
no
Allergien
no
Vorherige Impfungen
-

VAERS 2495065

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
IL
Alter
74,0
Geschlecht
F
Eingang
01.11.2022
Impfdatum
27.04.2022
Beginn
11.08.2022
Tage bis Beginn
106,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Arthralgia COVID-19 Chills Headache Myalgia Nasal congestion Oropharyngeal pain SARS-CoV-2 test positive

Symptomtext

Started on Aug. 11 at 3:00a.m. Woke up with plugged up head and terrible headache. Took a home Covid test and tested positive for Covid. Called pulmonologist that morning and he wanted me on Paxlovid. I called my doctor and she called in a prescription for Paxlovid. Started it on the 12th of August. I did a home rest every other day and they were positive until Aug. 16 when it was negative. I tested negative every other day for 8 days. My symptoms were an extremely congested head and a headache. I also had chills but no fever. Sore muscles and joints and a sore throat. I never did get a cough. Was able to work in yard and do the usual things I have to do. Rested as much as possible.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
Just did home tests and took Paxlovid.
Aktuelle Erkrankungen
None
Vorgeschichte
COPD
Andere Medikamente
Calcium, Vit.D, daily multivitamin, probiotic, Anoro Ellipta inhaler
Allergien
Hydrocodone
Vorherige Impfungen
-

VAERS 2480300

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
IL
Alter
56,0
Geschlecht
F
Eingang
17.10.2022
Impfdatum
21.09.2021
Beginn
21.09.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Headache Vomiting

Symptomtext

Vomiting x4 times, headache. Given Tylenol 650mg and Zofran 4mg x1. PT went home to rest.

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

VAERS 2478533

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
GA
Alter
48,0
Geschlecht
F
Eingang
14.10.2022
Impfdatum
08.10.2022
Beginn
09.10.2022
Tage bis Beginn
1,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blister Herpes zoster Pain Rash Sensitive skin

Symptomtext

Rashes developed on chest one day after the Modern bivalent Covid booster shot. Doctor confirmed shingles due to reduced immunity. All symptoms of shingles developed after the doctor visit including clusters of rashes on one side of upper body, painful blisters filled with liquid, sensitive skin, stabbing pain etc. Now on medication, Valacyclovir 1 gm, for the fourth day.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain
Hospital-Tage
-
Labordaten
Shingles diagnosis on 10/14/2022.
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Birth control pill (Camilla)
Allergien
None
Vorherige Impfungen
Fever.

VAERS 2405606

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
MI
Alter
77,0
Geschlecht
M
Eingang
09.08.2022
Impfdatum
06.10.2021
Beginn
10.01.2022
Tage bis Beginn
96,0
Dosis
3
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Abdominal pain Abdominal pain upper Alanine aminotransferase increased Arteriogram coronary abnormal Aspartate aminotransferase increased Back pain Bilirubin conjugated increased Blood albumin decreased Blood alkaline phosphatase increased Blood bilirubin increased Blood ethanol Blood iron decreased Blood lactic acid C-reactive protein increased COVID-19 Chest X-ray normal Haemoglobin decreased Laboratory test

Symptomtext

Pt presented to the ED on 1/10 with CC of abdominal pain. Pt was seen in ED a month ago for similar abd pain and had CTA that showed endovascular leak. Pt was discharged home at that point. Pt having RUQ pain radiating to his back. Pain is sharp, stabbing. He reported it was the worse pain he ever had. Has had cholecystectomy in 5/2020. He reported some N/V with this. In ED pt with VS of temp of 98, heart rate 69, respiration rate 18, blood pressure 132/72, and sats 97% on room air. Labs with hemoglobin low at 12.4, albumin low at 3.0, direct bilirubin elevated at 3.0, total bilirubin elevated at 3.6 alk-phos elevated at 292, AST elevated at 251, ALT elevated at 420, lipase of 36, lactate is 0.7, CRP elevated at 6.67, iron level low at 32, serum ethanol level less than 3, UA negative, COVID-19 PCR positive . Ultrasound abdomen was negative. MRCP with no evidence of biliary obstruction or compelling evidence of hepatic parenchymal disease. A left simple renal cysts noted. Pt was placed in observation. He got 1 L of normal saline, thiamine IV, Solu-Medrol IV, Dilaudid IV, and IV benadryl. GI was consulted and ordered MRCP that was negative for any choledocholithiasis. Recommended follow up in 2-4 weeks to discuss endoscopy. Felt abdominal pain may be related to COVID as well. As COVID 19 test came back positive pt was admitted for further workup. Troponin x 3 negative. CXR with no acute process.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Abdominal pain
Hospital-Tage
2,0
Labordaten
See above
Aktuelle Erkrankungen
-
Vorgeschichte
02/09/2021 Abdominal aortic aneurysm (AAA) without rupture 1996 MI (myocardial infarction) Date Unknown Arthritis Date Unknown Barrett's esophagus Date Unknown CAD (coronary artery disease) Date Unknown Gastrointestinal disorder Date Unknown GERD (gastroesophageal reflux disease) Date Unknown Heart disease Date Unknown HTN (hypertension) Date Unknown Hyperlipidemia Date Unknown Sensory disorder
Andere Medikamente
aspirin (HALFPRIN) 81 MG tablet ferrous sulfate (FEOSOL, 65 FE,) 325 (65 FE) MG tablet gabapentin (NEURONTIN) 300 MG capsule losartan (COZAAR) 50 MG tablet metoprolol succinate (TOPROL XL) 25 MG SR tablets omega-3 fatty acids (FISH OIL
Allergien
-
Vorherige Impfungen
-

VAERS 2305287

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
VA
Alter
58,0
Geschlecht
F
Eingang
01.06.2022
Impfdatum
03.05.2022
Beginn
31.05.2022
Tage bis Beginn
28,0
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Fatigue Headache Malaise Nasal congestion Pain Respiratory tract congestion SARS-CoV-2 test positive Sneezing

Symptomtext

Covid symptoms started on 05/31/2022 with nasal stuffiness and congestion, and that was the biggest symptom apart from a slight headache that I thought was from a lack of caffeine. Last night I had a little fatigue and I still have the nasal congestion and sneezing but other than that I feel pretty good. I am still waiting on the PCR results but home test showed positive. I think by tomorrow I will feel better. I was a bit fatigued and a bit achy but not much.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
Covid Positive 05/31/22
Aktuelle Erkrankungen
None
Vorgeschichte
High Cholesterol, Sleep Apnea
Andere Medikamente
Crestor, Vitamin D, Zyrtec
Allergien
None
Vorherige Impfungen
-

VAERS 2635856

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
OH
Alter
57,0
Geschlecht
F
Eingang
19.05.2022
Impfdatum
25.04.2022
Beginn
06.05.2022
Tage bis Beginn
11,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Pityriasis rosea Rash Skin lesion

Symptomtext

Booster shot was administered on 4/25/2022 at 10:45 am. Rash occurred on 5/6/2022. Initially an annular lesion appeared on the left forearm (Harold Patch). The rash then spread to the arms, neck, chest, back, abdomen, and upper thighs. The rash consisted of oval lesions following the lines of cleavage. The diagnosis is Pityriasis Rosea. Patient was misdiagnosed by her PCP and given a Medrol dose pack prior to her visit at my Dermatology office on 5/19/2022.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Rash
Hospital-Tage
-
Labordaten
Blood test to rule out syphilis was ordered.
Aktuelle Erkrankungen
No illnesses
Vorgeschichte
No chronic illnesses or long-standing health conditions
Andere Medikamente
vitamin D3, black elderberry, Alive Multivitamin
Allergien
No known allergies
Vorherige Impfungen
-

VAERS 2283154

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
AZ
Alter
29,0
Geschlecht
F
Eingang
18.05.2022
Impfdatum
16.11.2021
Beginn
18.11.2021
Tage bis Beginn
2,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood urine present Chromaturia Computerised tomogram Fatigue Headache Pain Urine analysis abnormal

Symptomtext

After 24 hours after getting booster I started getting fatigue, headache, aches and pains in shoulders, arms, upper legs, and fever. I had to take off work then the next day my urine was dark and a reddish color. I went to the doctor get urine tested and it tested positive for blood in urine. Urine blood went day in 3 days. And that's still an ongoing issue since I got COVID.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
Urine test, CT scan, UTI test.
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
Tri-Estarylla
Allergien
N/A
Vorherige Impfungen
-

VAERS 2265937

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
PA
Alter
78,0
Geschlecht
F
Eingang
06.05.2022
Impfdatum
22.10.2021
Beginn
18.04.2022
Tage bis Beginn
178,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Headache Malaise Oropharyngeal pain SARS-CoV-2 test positive Sinus congestion

Symptomtext

COVID-19 symptoms started on 04/18/22, tested positive the same day with home test. First symptom was sore throat and that was followed by a mild headache and then congestion. The congestion was limited to my head and it didn't extend to my lungs at all. Then, the sore throat diminished and the headache got to be severe and the congestion continued. I called the Doctor and she ordered Paxlovid which I started taking on April 19. I took the full course of the Paxlovid and by the time it was finished after 5 days I was feeling pretty much normal. I never had a cough, shortness of breath, muscle weakness, or extra pains. The major symptoms were the congestion and the headache.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Headache
Hospital-Tage
-
Labordaten
COVID-19 04/18/22 Positive.
Aktuelle Erkrankungen
None
Vorgeschichte
Grave's Disease ITP
Andere Medikamente
Levothyroxine 80 mcg dose
Allergien
None
Vorherige Impfungen
-

VAERS 2258647

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
IL
Alter
41,0
Geschlecht
F
Eingang
29.04.2022
Impfdatum
27.10.2021
Beginn
18.12.2021
Tage bis Beginn
52,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Anti-cyclic citrullinated peptide antibody negative Antibody test negative Arthralgia Burning sensation Dry eye Dry skin Ear pain Erythema Exercise tolerance decreased Eye pain Fatigue Hepatitis B test negative Hepatitis C test negative Laboratory test Nail disorder Red blood cell sedimentation rate normal Rheumatoid arthritis Rheumatoid factor negative

Symptomtext

Joint pain involving all joints, burning sensation in my feet and toes, dry eyes causing pain and blurred vision, large oozing sores on the face that dry to red, flaky areas over 24-48 hours, fatigue, decreased exercise tolerance, left ear pain, fingernails ripping. Had seen my primary care Dr. 12-23-21 and started Medrol Pak. Saw rheumatologist Dr. 2/24/22 and 4/8/22. Planning to see eye doctor, Dr. in May and Dr. again in June. Given a diagnosis of Rheumatoid arthritis with lupus-like characteristics and possibility of Sjogren's as well. Have been treated with a course of Prednisone for 7 wks without relief, given a shot of kenalog 60mg 4/8/22, now on hydroxychloroquine for 3 wks. Skin symptoms have mostly resolved since early March. Joint pain is still present but reduced after Kenalog injection. Dry eye symptoms are unchanged. Many of these symptoms had been present in milder forms prior to receiving the vaccine. I just happened to get a big flare up since.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
2/24/22-U/A-wnl, hand x-ray (Norgaard views)-wnl, labs: ANA (1.1, had been 3.82 in 2018), Rheumatoid factor (neg, had been above 33 in past), CCP (15.6), Hep B &C (neg), SS-A/Ro & SS-B/La (neg), CH50 (51), ESR (11).
Aktuelle Erkrankungen
N/A
Vorgeschichte
Arthritis; sciatica
Andere Medikamente
Acetaminophen; Diphenhydramine; Fluticasone; Cyclobenzaprine
Allergien
NSAIDS; Lyrica; Ethynil estradiol; Norgestimate; bee stings
Vorherige Impfungen
-

VAERS 2182322

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
FL
Alter
66,0
Geschlecht
F
Eingang
16.03.2022
Impfdatum
07.09.2021
Beginn
11.01.2022
Tage bis Beginn
126,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
COVID-19 Cough Influenza virus test negative Pyrexia Rhinorrhoea SARS-CoV-2 test positive

Symptomtext

I went to the ER at Clinic where I had the kidney transplant done on August 6, 2021. In January 2022 I had caught COVID. I had a fever, runny nose, and a cough. I had the monoclonal antibody infusion on January 14, 2022.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pyrexia
Hospital-Tage
-
Labordaten
COVID test- positive (January 12, 2022); Flu Test- negative
Aktuelle Erkrankungen
Kidney Transplant
Vorgeschichte
Kidney Transplant; Breast Cancer
Andere Medikamente
Tacrolimus 3mg 2xday, CoQ 10 200mg, Nifedipine 30mg 2xday, Sulfamethoxazole-Trimethoprim 400mg, Prednisone 10mg, Pantoprazole 40mg, Multivitamin, Mycophenolate 250mg 6xday, Letrozole 2.5mg, Allopurinol 100mg 2xday, Aspirin 81mg, Carvedilol
Allergien
Some statin medications; Percocet; Levofloxacin
Vorherige Impfungen
-

VAERS 2155097

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
AZ
Alter
23,0
Geschlecht
F
Eingang
03.03.2022
Impfdatum
01.11.2021
Beginn
15.11.2021
Tage bis Beginn
14,0
Dosis
2
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Rash

Symptomtext

I had rashes all over my body. It started just only at night then it keep getting worst. I went my doctor because it was not getting any better. He prescribed me medicine to take for it. It is getting a little better now.

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

VAERS 2145571

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
VA
Alter
70,0
Geschlecht
F
Eingang
26.02.2022
Impfdatum
09.07.2021
Beginn
06.08.2021
Tage bis Beginn
28,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Body temperature Headache Nodule Pain in extremity Pyrexia

Symptomtext

A knot on her one arm; Achy arm; Fever; Headache; This spontaneous case was reported by a consumer and describes the occurrence of NODULE (A knot on her one arm), PAIN IN EXTREMITY (Achy arm), PYREXIA (Fever) and HEADACHE (Headache) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 006D21A and 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 09-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Aug-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 06-Aug-2021, the patient experienced NODULE (A knot on her one arm), PAIN IN EXTREMITY (Achy arm), PYREXIA (Fever) and HEADACHE (Headache). The patient was treated with PARACETAMOL (TYLENOL) at a dose of 1 dosage form. At the time of the report, NODULE (A knot on her one arm), PAIN IN EXTREMITY (Achy arm), PYREXIA (Fever) and HEADACHE (Headache) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 06-Aug-2021, Body temperature: 106 f (High) 106 F. Concomitant- A medication for migraine This case was linked to MOD21-128456 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Headache
Hospital-Tage
-
Labordaten
Test Date: 20210806; Test Name: Body temperature; Result Unstructured Data: 106 F
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2144399

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
TX
Alter
44,0
Geschlecht
M
Eingang
26.02.2022
Impfdatum
25.07.2021
Beginn
26.07.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Back pain Hypokinesia Neck pain Pain in extremity

Symptomtext

Pain on the Left arm, entire upper back , legs, and both side of the neck; Can not move neck to the left or right/"The vaccine Paralyzed my neck"; Pain on the Left arm, entire upper back , legs, and both side of the neck; Pain on the Left arm, entire upper back , legs, and both side of the neck; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Pain on the Left arm, entire upper back , legs, and both side of the neck), HYPOKINESIA (Can not move neck to the left or right/"The vaccine Paralyzed my neck"), BACK PAIN (Pain on the Left arm, entire upper back , legs, and both side of the neck) and NECK PAIN (Pain on the Left arm, entire upper back , legs, and both side of the neck) in a 44-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 25-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Jul-2021, the patient experienced PAIN IN EXTREMITY (Pain on the Left arm, entire upper back , legs, and both side of the neck), HYPOKINESIA (Can not move neck to the left or right/"The vaccine Paralyzed my neck"), BACK PAIN (Pain on the Left arm, entire upper back , legs, and both side of the neck) and NECK PAIN (Pain on the Left arm, entire upper back , legs, and both side of the neck). The patient was treated with IBUPROFEN at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (Pain on the Left arm, entire upper back , legs, and both side of the neck), HYPOKINESIA (Can not move neck to the left or right/"The vaccine Paralyzed my neck"), BACK PAIN (Pain on the Left arm, entire upper back , legs, and both side of the neck) and NECK PAIN (Pain on the Left arm, entire upper back , legs, and both side of the neck) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication was provided. Treatment information was not provided.

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

VAERS 2143313

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
FL
Alter
62,0
Geschlecht
F
Eingang
26.02.2022
Impfdatum
11.07.2021
Beginn
12.06.2021
Tage bis Beginn
-
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Myalgia Oral herpes

Symptomtext

sore right arm; cold sore on her lips; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (sore right arm) and ORAL HERPES (cold sore on her lips) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. Concomitant products included METOPROLOL and CYANOCOBALAMIN (VITAMIN B12 [CYANOCOBALAMIN]) for an unknown indication. On 11-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Jun-2021, the patient experienced MYALGIA (sore right arm) and ORAL HERPES (cold sore on her lips). At the time of the report, MYALGIA (sore right arm) and ORAL HERPES (cold sore on her lips) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Treatment Applied Abreva Cream

Weitere VAERSDATA-Felder
Praegender Schweregrund
Myalgia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
METOPROLOL; VITAMIN B12 [CYANOCOBALAMIN]
Allergien
-
Vorherige Impfungen
-

VAERS 2101371

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
MI
Alter
29,0
Geschlecht
F
Eingang
10.02.2022
Impfdatum
29.10.2021
Beginn
27.12.2021
Tage bis Beginn
59,0
Dosis
3
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
COVID-19 Exposure during pregnancy Malaise SARS-CoV-2 test positive

Symptomtext

Patient presented to labor and delivery unit on 12/28/2021 for treatment with COVID-19 monoclonal antibodies due to testing positive for COVID-19 infection on 12/27/2021 and experiencing symptoms. She was 29 weeks pregnant at presentation. During infusion, patient experience an anaphylactic response to the infusion and was kept for observation. Patient's status improved and she was able to be discharged home on 12/29/2021.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Malaise
Hospital-Tage
1,0
Labordaten
COVID-19 PCR test positive on 12/27/2021
Aktuelle Erkrankungen
-
Vorgeschichte
Anemia, polycystic ovarian syndrome
Andere Medikamente
Aspirin, pantoprazole, prenatal vitamin
Allergien
Bamlanivimab/etesevimab
Vorherige Impfungen
-

VAERS 2088227

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
TX
Alter
31,0
Geschlecht
F
Eingang
04.02.2022
Impfdatum
29.12.2020
Beginn
30.12.2020
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dizziness Headache Laboratory test Lymph node pain Lymphadenitis Lymphadenopathy Pain in extremity Skin warm

Symptomtext

Within 24 hours, had headache and was dizzy. Arm was hot to touch and sore. Within 48 hours, swollen lymph nodes started. Lymph nodes were inflamed, and the size of a lemon after the 1st dose. PCP recommended benadryl prior to the second dose to prevent unpleasant reaction; swollen lymph nodes still occurred. Same for the booster/3rd dose. All swelling had taken at least 3 months to resolve after each booster. The first time, antibiotics were prescribed by PCP. It has been abuot 2 months since the booster, and lymph nodes are still incredibly swollen and sore. PCP is not sure what else to do, except an ultrasound to see why lymph nodes are swollen and will not go down to normal size.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
labs multiple times for each dose. If booster dose not resolve, will then need ultrasound to closely examine the lymph nodes.
Aktuelle Erkrankungen
none, just reaction to vaccine.
Vorgeschichte
none known
Andere Medikamente
multivitamin (daily.)
Allergien
latex
Vorherige Impfungen
-

VAERS 2085372

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
OH
Alter
61,0
Geschlecht
F
Eingang
03.02.2022
Impfdatum
12.11.2021
Beginn
13.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Asthenia Blood test Chest X-ray Cough Eye pruritus Feeling abnormal Influenza virus test Lacrimation increased Malaise Pain Pyrexia Respiratory tract congestion SARS-CoV-2 test Sinus congestion

Symptomtext

I Woke Up and I Felt Achy All Over, My Eyes Were Watery & Itchy, I Had A Fever Of 101.2, I Felt Awful So I Stayed In Bed All Day. I Took Tylenol & I Noticed My Sinuses Were Feeling Really Stuffy & My Eyes Were Watery. I Kept A Low Grade Fever For The Next Few Days & Then I Started Feeling Sinusey I Was Getting Real Congested & I Had Started To Cough A Lot, I Went To Work Monday & I Was Coughing So Bad I Had To Go Home. I Called My Dr. & He Told Me To Go Home & Get Some Rest. By Monday Night I Was Really Feeling Sick. I Was Told I Should Be Feeling Better By Wednesday But I Was Actually Feeling Worse. I Had No Energy I'm Still Really Congested & I Still Cough Often. I Have An Inhaler Now That I Use When Needed.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Eye pruritus
Hospital-Tage
-
Labordaten
COVID-19 TEST, FLU TEST, CHEST X-RAY, BLOODWORK.
Aktuelle Erkrankungen
NONE
Vorgeschichte
HIGH BLOOD PRESSURE, ARTHRITIS, OBSTRUCTIVE SLEEP APNEA
Andere Medikamente
HYZAAR, METOPROLOL TARTRATE, CRESTOR, ASPIRIN, ESTROGEN PATCH, ALEVE
Allergien
EGGS, VASOTEC, DEMEROL, INFLUENZA VACCINE, ADULT TETANUS
Vorherige Impfungen
INFLUENZA VACCINE.

VAERS 2079306

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
WV
Alter
62,0
Geschlecht
M
Eingang
01.02.2022
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Fatigue Incorrect dose administered Pain in extremity

Symptomtext

Patient received the immunocompromised dose of Moderna COVID vaccine at 0.5 mL, instead of the standard 0.25 mL (patient is not severely immunocompromised as currently defined by the CDC). Pt reported that he had a sore arm and felt slightly worn down the next day. After this, patient reports no adverse reactions.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Barrett's esophagus body mass index 30+ - obesity chronic obstructive lung disease complaining of erectile dysfunction coronary arteriosclerosis depressive disorder eczema essential hypertension gastro-esophageal reflux disease with esophagitis hiatal hernia history of operative procedure on shoulder hyperlipidemia multiple nodules of lung polyp of colon vitamin D deficiency
Vorgeschichte
Barrett's esophagus body mass index 30+ - obesity chronic obstructive lung disease complaining of erectile dysfunction coronary arteriosclerosis depressive disorder eczema essential hypertension gastro-esophageal reflux disease with esophagitis hiatal hernia history of operative procedure on shoulder hyperlipidemia multiple nodules of lung polyp of colon vitamin D deficiency
Andere Medikamente
albuterol sulfate Aspir-81 atorvastatin Atrovent HFA Dulera lisinopril-hydrochlorothiazide metoprolol tartrate nitroglycerin Symbicort
Allergien
NKDA
Vorherige Impfungen
-

VAERS 2079186

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
TX
Alter
45,0
Geschlecht
F
Eingang
01.02.2022
Impfdatum
28.10.2021
Beginn
01.11.2021
Tage bis Beginn
4,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Anti-thyroid antibody Anti-thyroid antibody increased Arthralgia Autoimmune thyroiditis Lethargy Myalgia Somnolence Temperature intolerance

Symptomtext

Diagnosed with Hashimoto's Disease - treatment is to stay on levothyroxine and continue to monitor levels - symptoms are joint pain, lethargy, sleepiness, muscle aches, sensitive to cold

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
Blood tests: Thyroid Peroxidase (TPO) - 167 - previous result of 17 on 05/25/18 Thyroglobulin Antibody - 406
Aktuelle Erkrankungen
Type 1 Diabetes
Vorgeschichte
Type 1 Diabetes
Andere Medikamente
Lyumjev, Medroxyprogesterone, Levothyroxine, Atorvastatin, Valsartan/HCTZ, Potassium Cl, Calcium, Magnesium, Zyrtec, Flonase, Omeprazole
Allergien
NKA
Vorherige Impfungen
-

VAERS 2071973

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
TN
Alter
67,0
Geschlecht
F
Eingang
28.01.2022
Impfdatum
03.11.2021
Beginn
13.01.2022
Tage bis Beginn
71,0
Dosis
3
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
COVID-19 Cough Headache Oropharyngeal pain Pain Pyrexia SARS-CoV-2 test positive

Symptomtext

I was on a mission trip and started having achiness, sore throat, severe headache, fever and cough. On Jan 12 & 13. I took home test and it was positive. On the 15th I got tested and it was positive. On, the 17th I traveled home, with a letter stating I could with an N95 mask. On the 18th when I was back home, I took another in home test and it was positive. On the 19th my symptoms began to get better. However, I still have a cough. Though a lingering cough is not unusual for me. I only took Tylenol. On Dec 15th I received Hep B and Typhoid vaccinations so I could go on my mission trip.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Headache
Hospital-Tage
-
Labordaten
Covid test 3x - positive
Aktuelle Erkrankungen
none
Vorgeschichte
Hypothyroidism, High Blood pressure
Andere Medikamente
Losartan 150/12.5mg daily PM, Levothyroxine 1.37mcg daily AM, Tylenol 500mg prn every 3 hours
Allergien
Penicillin, Anti-inflammatories
Vorherige Impfungen
-

VAERS 2035706

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
WA
Alter
31,0
Geschlecht
F
Eingang
14.01.2022
Impfdatum
09.12.2021
Beginn
19.12.2021
Tage bis Beginn
10,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Antinuclear antibody negative Blood thyroid stimulating hormone normal Full blood count normal Pruritus Rash Thyroxine normal Urticaria

Symptomtext

Full body hives and rash developed that required me to seek urgent care 5 times in the span of a week, and required a high dose of antihistamines and prednisone to manage symptoms. Nearly one month later, still dealing with suppressing the extremely itchy hives although not as bad as before.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
CBC-normal ANA-negative/normal TSH-slightly high at 4.7 T4-normal (Never have had any allergy, rash, or hives before).
Aktuelle Erkrankungen
None
Vorgeschichte
N/A
Andere Medikamente
Ortho-cyclen birth control, spironolactone-100 mg/day, Fluoxetine-20 mg/day, Adderall 10/mg as-needed
Allergien
Probable Pramoxine allergy.
Vorherige Impfungen
Swollen, red and inflamed, extremely painful arm after 1st Moderna shot

VAERS 2025214

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
PA
Alter
56,0
Geschlecht
F
Eingang
11.01.2022
Impfdatum
16.11.2021
Beginn
18.11.2021
Tage bis Beginn
2,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Erythema Lymphadenopathy Pain in extremity Peripheral swelling

Symptomtext

Approx 2 days after receiving the vaccine patient reports that her left arm became very reddened, swollen, and painful. She also states she had swelling of her left axillary lymph nodes. Symptoms resolved over a period of 7-10 days.

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

VAERS 2018785

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

mild
Staat
WA
Alter
33,0
Geschlecht
F
Eingang
08.01.2022
Impfdatum
24.10.2021
Beginn
01.11.2021
Tage bis Beginn
8,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Antinuclear antibody Blood thyroid stimulating hormone Differential white blood cell count Dysphagia Erythema Full blood count Mechanical urticaria Metabolic function test Oesophageal disorder Pruritus Rash Urinary tract infection Urine analysis Urticaria

Symptomtext

1 week post 1/2 booster dose of moderna I developed a full body rash. Initially focused in ?hot areas? of the body (thighs, underarms, scalp, neck) In the acute phase this was extremely itchy and anywhere I scratched would develop raised welts. Treated myself with Benadryl and hydrocortisone cr?me with little improvement. I also developed esophageal tightness and a feeling like food is stuck. This is not heartburn. I have difficulty swallowing at times including liquids. Approx 1/7 I had a virtual urgent care visit and was prescribed prednisone 20mg BID x 5 days with non improvement and no worsening. 1/12 I had an in person visit, UA with culture, and was prescribed macrobid for UTI and another 7 days of prednisone. I finished the antibiotics but the prednisone made me very nauseous. I did not complete the course of prednisone. 12/9 I returned for another in person visit. Itchiness has improved however I am still experiencing redness and dermatographia. Started OTC fexofenadine and referral made to dermatologist. At the time of this report 1/8/22, nearly 10 weeks after onset, the esophageal tightness (?stuck food?) and difficulty swallowing persists as well as the dermatographia

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mechanical urticaria
Hospital-Tage
-
Labordaten
11/12- UA with culture (positive for UTI) 12/9- ANA, TSH panel, CBC with diff, CMP? all results normal
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Multivitamin
Allergien
No known allergies
Vorherige Impfungen
-

VAERS 2001665

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
CA
Alter
49,0
Geschlecht
F
Eingang
04.01.2022
Impfdatum
24.10.2021
Beginn
31.10.2021
Tage bis Beginn
7,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Arthralgia Gait disturbance Joint swelling

Symptomtext

All the joints in my body swelled. I had issues walking because it hurt my joints to much. It lasted about 7 days and then started to reduce.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
-
Vorgeschichte
Obesity, anxiety, hypothyroidism, high blood pressure
Andere Medikamente
Trileptal - Oxcarbazepine - 600 mg night -anxiety Lexapro - Escitalopram - 20mg night - anxiety Seroquel - Quetiapine - 12.5 mg night - anxiety Lisinopril - 10 mg night - blood pressure Vitamin D3 - 2000 iu night Vitamin C - 500 mg - nig
Allergien
Meds I have had issues with: Prednisone- started my period early Alleve - face got itchy Amoxicillin- nipple started to leak Phmb antibiotic - joint pain over whole body Cephalexin - Keflex - Cephalosporins - Joint pain and headache - Arthralgia Meloxicam - rare symptom - puffy eye lids, face Lyrica - made vision do weird things Inactive Ingredient Microcrystalline Cellulose - derived from wood pulp - puffy eye lids and face Inactive Ingredient Cellulose - derived from animal or plant - puffy eye lids and face Medical Grade Honey
Vorherige Impfungen
The first two doses of Moderna, age 48, 03/11/2021, 04/06/201. First dose, all over body rash, Second dose, 4" rash and knot a

VAERS 1981261

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
NJ
Alter
26,0
Geschlecht
M
Eingang
26.12.2021
Impfdatum
15.12.2021
Beginn
22.12.2021
Tage bis Beginn
7,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Dysphagia Urticaria

Symptomtext

Severe uticarial reaction that developed over the course of 3 or 4 days that began to cause difficulty swallowing. I was driven to the ER where I was treated with IV steroids and Benadryl. I was prescribed a 6 day oral steroid treatment and pepcid to take mornings and nights

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

VAERS 1959202

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
GA
Alter
50,0
Geschlecht
F
Eingang
17.12.2021
Impfdatum
17.12.2021
Beginn
17.12.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Anxiety Burning sensation Rash

Symptomtext

Moderna Covid booster was given 0.25 mL IM at 1350. Symptoms started at 1355. EE stated she started feeling a "burning sensation internally" and said there was a "lace rash on arms and middle of chest.." EE states she started feeling "very anxious" and kept saying "something isn't right." VS taken were 118/71 and HR 64 BPM. Gave Benadryl 12.5 mg oral suspension and monitored EE for another thirty minutes. EE elected to go to the ED. Escorted to ED by RN. VS upon leaving EHS were: BP 137/87 and HR 73 BPM.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Rash
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
no
Vorgeschichte
no
Andere Medikamente
Lexapro, Pepcid
Allergien
Sulfa
Vorherige Impfungen
-

VAERS 1952668

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
OH
Alter
28,0
Geschlecht
F
Eingang
15.12.2021
Impfdatum
03.11.2021
Beginn
05.11.2021
Tage bis Beginn
2,0
Dosis
3
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Loss of personal independence in daily activities Pain Pain in extremity

Symptomtext

(11/5/2021-ongoing) Sudden onset sharp pain in upper right arm with movement, rotation, daily activities, etc. Unable to keep arm elevated for more than a few seconds as the pain does not go away. When movement/activity is discontinued, residual pain is still present. Pain has disrupted daily life, unable to perform some activities due to fear of pain. No new or strenuous activities were started before or after onset, and no injuries. Pain scale ranges between 7-9 out of 10. PCP was contacted 11/15/2021, I was told to monitor pain and take ibuprofen As needed and make appointment after one month if pain persists. PCP was seen on 12/7/2021. Ibuprofen 600mg 3/day with meals for 5 days and flexeril 10mg at night. This did not help with pain and pain is still ongoing with no improvements.

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

VAERS 1951312

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

mild
Staat
OH
Alter
53,0
Geschlecht
M
Eingang
15.12.2021
Impfdatum
24.11.2021
Beginn
24.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Influenza like illness Injection site pain

Symptomtext

Severe pain at injection site severe flu like symptoms

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site pain
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Zyrtec Ibuprofen
Allergien
No known
Vorherige Impfungen
-

VAERS 1942559

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
OH
Alter
49,0
Geschlecht
M
Eingang
12.12.2021
Impfdatum
30.10.2021
Beginn
29.11.2021
Tage bis Beginn
30,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Herpes zoster Rash

Symptomtext

Shingles - Right T1 dermatome Pain began 11/29/21. Rash erupted 12/3/21. I also have a 39 yo healthy colleague who received both his Influenza Vaccine and Moderna Booster within days of me, and also developed shingles on almost the exact same day I did.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Rash
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Organ-confined Gleason 7 Prostate Cancer s/p Robotic Prostatectomy 2/19/2021 with negative lymph nodes and PSA undetectable since surgery
Andere Medikamente
Lexapro 5 mg PO QD
Allergien
None
Vorherige Impfungen
-

VAERS 1939500

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
GA
Alter
60,0
Geschlecht
F
Eingang
10.12.2021
Impfdatum
10.12.2021
Beginn
10.12.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Headache Injection site warmth Nausea Retching

Symptomtext

Approx. 2 minutes after receiving the Moderna Booster (0.25ml) in left arm, she complained of nausea. Given emesis bag and bottle of water. Denied shortness of breath, denied feeling the her throat was closing, no itching, no hives. I examined injection site, warm to touch, no swelling or redness. She states she hasn't eaten today--given small bag of peanuts. She was still feeling nauseous 8 minutes later. Still sitting in office being observed by nurse. Inquired if she wanted to be checked out in emergency room--she refused. After being observed for another 10 minutes she stated she was feeling less nauseous but says she now has a headache from dry heaving. She decided to return back to her worksite--denied feeling lightheaded or dizzy. Advised to go to Emergency Room if she continues to feel bad.

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

VAERS 1920375

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

mild
Staat
-
Alter
61,0
Geschlecht
M
Eingang
03.12.2021
Impfdatum
29.11.2021
Beginn
29.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Hyperhidrosis Lymphadenopathy Neck pain Pain

Symptomtext

swollen lymph nodes, neck ache, sweating, body ache

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

VAERS 1912147

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

mild
Staat
MD
Alter
43,0
Geschlecht
M
Eingang
01.12.2021
Impfdatum
27.10.2021
Beginn
14.11.2021
Tage bis Beginn
18,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Urticaria

Symptomtext

Hives, started in hands and feet and has become full body. Comes and goes

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

VAERS 1909191

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
GA
Alter
60,0
Geschlecht
F
Eingang
30.11.2021
Impfdatum
29.11.2021
Beginn
29.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Fatigue Nausea Pain

Symptomtext

Fatigue, nausea, and pain began 11/30/2021; Took arthritis strength Tylenol and Toradol

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
RSV with pneumonia
Vorgeschichte
arthritis, fibromyalgia, asthma, hypertension
Andere Medikamente
Wellbutrin 200 mg, Topamax 50mg, losartan 25mg, Singulair 10 mg, estradiol 0.5 mg, Nexium 40mg, Tylenol extra strength sinus and congestion.
Allergien
tegretol, codine, hydrocodone, oxycodone, tramadol, sulfa drugs, augmentin, ventyl, penicillin, flonaze, pequin, levaquin, seroquel, ancef, benadryl.
Vorherige Impfungen
-

VAERS 1904831

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
NY
Alter
31,0
Geschlecht
M
Eingang
29.11.2021
Impfdatum
13.03.2021
Beginn
20.11.2021
Tage bis Beginn
252,0
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Headache Inappropriate schedule of product administration Lethargy Nausea Pain

Symptomtext

10 out of 10 pain/pain in every part of body from head to toe; lethargy; severe nausea; headache; inappropriate schedule of vaccine administered; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (10 out of 10 pain/pain in every part of body from head to toe), LETHARGY (lethargy), NAUSEA (severe nausea), HEADACHE (headache) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (inappropriate schedule of vaccine administered) in a 31-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. Co-suspect product included non-company product TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) for an unknown indication. No Medical History information was reported. On 13-Mar-2021, the patient received first dose of TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) (unknown route) 1 dosage form. On 03-Apr-2021, received second dose of TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) (unknown route) dosage was changed to 1 dosage form. On 20-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Nov-2021, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (inappropriate schedule of vaccine administered). On an unknown date, the patient experienced PAIN (10 out of 10 pain/pain in every part of body from head to toe), LETHARGY (lethargy), NAUSEA (severe nausea) and HEADACHE (headache). The patient was treated with ACETAMINOPHEN for Adverse event, at a dose of 650 milligram. On 20-Nov-2021, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (inappropriate schedule of vaccine administered) had resolved. At the time of the report, PAIN (10 out of 10 pain/pain in every part of body from head to toe), LETHARGY (lethargy), NAUSEA (severe nausea) and HEADACHE (headache) outcome was unknown. No concomitants medications was reported. This case was linked to MOD-2021-395725 (Patient Link).

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

VAERS 1903976

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
WA
Alter
36,0
Geschlecht
M
Eingang
27.11.2021
Impfdatum
30.10.2021
Beginn
11.11.2021
Tage bis Beginn
12,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Inappropriate schedule of product administration Injection site swelling Rash

Symptomtext

Client received Flucelvax PF on 10/23/21 at The Clinic and developed a mild injection site reaction (swelling of deltoid) lasting for less than two days; resolved completely. Client received Moderna booster dose 0.25 ml on 10/30/21 with no immediate reports of side effects to his parents. 11 days after receiving his booster, on 11/11/21, he broke out in a rash throughout his body.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site swelling
Hospital-Tage
-
Labordaten
He was seen at The walk-in clinic on 11/14/21 and was prescribed a 8-day tapered course of oral prednisone. He had also been treated with oral antihistamines. At this time, there is no noticeable improvement in his generalized rash - which "comes and goes" - and he will be seen by allergist on 11/29/21. (When seen at the walk-in clinic, it was uncertain whether or not the rash was related to his prior vaccinations. He was told that he might have a skin infection and to wash with Selsun Blue as a precaution, with future consideration for antibiotics.)
Aktuelle Erkrankungen
Parents tested positive for breakthrough Covid-19 at the end of September 2021 after receiving both doses of Pfizer greater than two weeks prior; client himself tested negative and never developed any symptoms of infection (fully vaccinated with two doses of Moderna greater than two weeks prior)
Vorgeschichte
Anxiety disorder, serious congenital defects, resides at home with parental supervision and care
Andere Medikamente
Escitalopram, krill oil, vitamin D - krill oil had been inadvertently doubled by his mother in the interim
Allergien
Topiramate (panic attack), dog / cat allergies
Vorherige Impfungen
-

VAERS 1903925

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
MN
Alter
43,0
Geschlecht
F
Eingang
27.11.2021
Impfdatum
23.11.2021
Beginn
24.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
SYR / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Chills Dizziness Feeling abnormal Headache Musculoskeletal stiffness Oedema peripheral Spinal pain

Symptomtext

10 am brain fog first. Notable dizziness. Then stiffness in neck. Headache started. Then pain in joints and along spine. Chills sometimes severe. No fever. Was hesitant to take Advil but did at 6pm. Then kept up. Symptoms started to ease overnight. Lingering symptoms next day but not severe. Sore arm severe day following vaccine and lasted 3 days. Under arm swelling (arm pit) is bad and still present on Saturday 11/27. No improvement in that. Maybe getting worse. That is the only side effect remaining at this time.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
Chronic migraine ,
Andere Medikamente
Valtrex, WERA (birth control), Emgality (last injection 11/20/2021, levocetirizine
Allergien
None
Vorherige Impfungen
-

VAERS 1888950

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
WA
Alter
61,0
Geschlecht
F
Eingang
21.11.2021
Impfdatum
17.10.2021
Beginn
18.10.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Blood test normal Fatigue Feeling cold Nausea Photophobia

Symptomtext

The next day I was fatigued, cold, and nauseous. I had joint pains and extreme sensitivity to light. Since the vaccine I have still been fatigued every single day. I called my doctor, and she gave me Zofran for the nausea and advised me to rest and drink fluids.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
Blood work was normal
Aktuelle Erkrankungen
None
Vorgeschichte
Cushing's disease Addison's disease Diabetes High Blood Pressure
Andere Medikamente
Hydrocortisone pills 25mg daily Fludrocortisone 0.1 mg daily Levothyroxine 112mcg daily Nexium 40 mg daily Singulair 10mg daily Crestor 20mg daily Genotropin 0.5mg daily Humalog insulin 3 units with each meal Cymbalta 60mg daily Combi p
Allergien
Codeine Penicillin Iodine Sulfa drugs Horses Tetracycline Corn Peanut Butter
Vorherige Impfungen
-

VAERS 1873182

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
WV
Alter
30,0
Geschlecht
F
Eingang
16.11.2021
Impfdatum
12.11.2021
Beginn
12.11.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site erythema Injection site pain Injection site swelling Injection site warmth

Symptomtext

Patient states her right deltoid is red, painful, swollen, and hot posterior to injection site several hours after receiving second dose Moderna covid vaccine. Patient states the area is size of large egg. Patient marked area w/ marker to monitor if area worsens. Patient took Benadryl / Tylenol as needed.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site erythema
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
no
Vorgeschichte
no
Andere Medikamente
zyrtec 10 mg daily, tranex PRN,
Allergien
NKDA
Vorherige Impfungen
-

VAERS 1869963

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
WI
Alter
39,0
Geschlecht
F
Eingang
15.11.2021
Impfdatum
03.11.2021
Beginn
04.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Chills Eosinophil percentage increased Fatigue Feeling abnormal Headache Injection site erythema Injection site inflammation Injection site pain Laboratory test abnormal Malaise Pain Pyrexia Ultrasound Doppler normal Vaccination complication

Symptomtext

approx 12 hrs after receiving the booster I developed what I expected to be normal side effects, fever/chills/ injection site soreness/Headache; approx 16 hrs post booster I developed head to toe body aches, and the headed continued to increase in intensity; I finally took Tylenol approx 20 hrs after receiving the booster, it did alleviate the excruciating headache and body aches, but not the fever; malaise set in approx 24 hrs after receiving the booster and still continues to today. By the 4th day- I still had a fever ranging from 99-102.7 despite 9,000mg of Ibuprofen and Tylenol. My injection site was very sore/inflamed and red. Telemedicine consult told me to report to the E.D. for labs. There they were concerned about my arm. They checked for cellulitis and an abscess. They determined it to be an reaction to the booster. My fever was 99.0 at the E.D. They told me to cont with NSAIDs and to use warm compresses on my arm. I followed up with my PCP 8 days post booster. Labs were completed and I was shown to have elevated Eosinophils (8.3%) I am now 12 days post booster and I still feel very fatigued and a little bit of 'brain fog'

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
11/6/2021ultrasound of right arm- no cellulitis no abscess 11/11/2021 CBB labs elevated eosinophils 8.3%
Aktuelle Erkrankungen
none
Vorgeschichte
polycystic ovarian syndrome tachycardia
Andere Medikamente
Metformin ( for polycystic ovarian syndrome) metropolol
Allergien
Penicillin
Vorherige Impfungen
-

VAERS 1868377

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

mild
Staat
WA
Alter
63,0
Geschlecht
F
Eingang
14.11.2021
Impfdatum
03.11.2021
Beginn
06.11.2021
Tage bis Beginn
3,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Balance disorder Computerised tomogram head Computerised tomogram neck Laboratory test Magnetic resonance imaging Nausea Nystagmus Vertigo Vestibular neuronitis Vomiting

Symptomtext

Sudden onset extreme vertigo, nausea, vomiting, balance difficulties, nystagmus. Taken to hospital for Sroke Protocol. Stroke ruled out by CT and MRI. 3 days in hospital diagnosed with vestibular neuritis

Weitere VAERSDATA-Felder
Praegender Schweregrund
Nausea
Hospital-Tage
3,0
Labordaten
Many lab tests, MRI, CT of head and neck, neuro assessments, telemetry, physical therapy. Ruled out ?crystals?. (Benign paroxysmal something something)
Aktuelle Erkrankungen
None
Vorgeschichte
Celiac disease
Andere Medikamente
Estradiol, Flonase, D3, B12, doxycycline, omeprazole, baclofen, Benadryl, Allerclear
Allergien
Gluten
Vorherige Impfungen
-

VAERS 1867158

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
OH
Alter
72,0
Geschlecht
M
Eingang
13.11.2021
Impfdatum
02.11.2021
Beginn
02.11.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Arthralgia Fatigue Headache Hypersomnia Influenza like illness Muscle spasms Nausea Somnolence

Symptomtext

Joint muscle cramps in his legs; like a mild case of the flu; pretty much slept; Tired; Sleepy; Joint pain; Low grade nausea; Headache; This spontaneous case was reported by a consumer and describes the occurrence of SOMNOLENCE (Sleepy), MUSCLE SPASMS (Joint muscle cramps in his legs), INFLUENZA LIKE ILLNESS (like a mild case of the flu), HYPERSOMNIA (pretty much slept) and ARTHRALGIA (Joint pain) in a 72-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 02-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 02-Nov-2021, the patient experienced SOMNOLENCE (Sleepy), ARTHRALGIA (Joint pain), NAUSEA (Low grade nausea) and HEADACHE (Headache). On 03-Nov-2021, the patient experienced HYPERSOMNIA (pretty much slept) and FATIGUE (Tired). On an unknown date, the patient experienced MUSCLE SPASMS (Joint muscle cramps in his legs) and INFLUENZA LIKE ILLNESS (like a mild case of the flu). At the time of the report, SOMNOLENCE (Sleepy), MUSCLE SPASMS (Joint muscle cramps in his legs), INFLUENZA LIKE ILLNESS (like a mild case of the flu), HYPERSOMNIA (pretty much slept), ARTHRALGIA (Joint pain), NAUSEA (Low grade nausea), HEADACHE (Headache) and FATIGUE (Tired) had resolved. No Concomitant product use was reported. No treatment information was provided. The patient just got the booster of the Moderna vaccine and on that same day the patient had headache, joint pain, was sleepy and had low grade nausea but nothing serious. The next day they pretty much slept, and was tired, but now nothing. Reportedly, the patient also had joint muscle cramps in their legs. The patient was also confused if these effects came from the shot or not it would be like a mild case of the flu. This case concerns a 72-year-old male patient with no relevant medical history who experienced non-serious unexpected events of Somnolence, Muscle spasms, Hypersomnia, Influenza like illness, and non-serious expected events of Arthralgia, Nausea, Headache and Fatigue. The events occurred on the same day or the day after the third dose of Moderna COVID-19 vaccine. Temporal relationship for the events Muscle spasms and Influenza like illness is unknown as start date of the events was not provided. The rechallenge was not applicable as the events occurred following the third dose. Very limited information regarding clinical course of the events has been provided at this time. The benefit-risk relationship of Moderna COVID-19 vaccine is not affected by this report.; Sender's Comments: This case concerns a 72-year-old male patient with no relevant medical history who experienced non-serious unexpected events of Somnolence, Muscle spasms, Hypersomnia, Influenza like illness, and non-serious expected events of Arthralgia, Nausea, Headache and Fatigue. The events occurred on the same day or the day after the third dose of Moderna COVID-19 vaccine. Temporal relationship for the events Muscle spasms and Influenza like illness is unknown as start date of the events was not provided. The rechallenge was not applicable as the events occurred following the third dose. Very limited information regarding clinical course of the events has been provided at this time. The benefit-risk relationship of Moderna COVID-19 vaccine is not affected by this report.

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

VAERS 1865625

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
MN
Alter
54,0
Geschlecht
F
Eingang
12.11.2021
Impfdatum
11.11.2021
Beginn
12.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Erythema Pain Pain in extremity Skin warm Tenderness

Symptomtext

15cm reddened area to arm, red and warm to touch, pain in arm when moving or touching

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
none
Vorgeschichte
Morbid Obesity, Major Depressive disorder, Chronic pain, GERD, OSA, chronic kidney disease stage 3, Hypothyroidism, Chronic respiratory failure with hypoxia, chronic respiratory failure with hypercapnia
Andere Medikamente
Belbuca film, Bupropion HCI ER, Trazadone, Famotidine, Furosemide, Gabapentin, Levothyroxine Sodium, Melatonin, Methocarbamol, Oxycodone, Sertraline
Allergien
Clindamycin, Codeine, Ferrous Sulfate, Ibuprofen, Imipenem, Sulfamethoxazole/Trimethoprim, Cephalosporins, Penicillins, Sulfa Antibiotics, Honey, Walnuts, Neomycin, adhesive tape, silicones, ag mesh, cilastatin, honey bee venom, latex, nystatin, orange extract, Tegaderm, trimethoprim
Vorherige Impfungen
-

VAERS 1864732

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
WI
Alter
47,0
Geschlecht
F
Eingang
12.11.2021
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Asthenia Chills Fatigue Hyperhidrosis Muscle spasms Myalgia Nausea Pain Pyrexia

Symptomtext

11/03/2021 - 10am - received shot; 8pm - fatigued & chills; 10pm - severe chills & severe muscle aches/cramping; 12am - nausea, continued chills & muscle aches. 11/04/2021 - 6am - fever 103.1, chills, nausea, body aches; 10am -fever broke and body/clothes drenched in sweat; 11am -4pm - fatigued and chills; 7pm - fever returns at 101.1 with chills and body aches; 9pm - nausea with chills throughout the night. 11/05-2021 - 7am - fatigued, slight muscle aches, no energy continued all day through 11/06/2021.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Buproprion, Escitalopram, Claritin
Allergien
None
Vorherige Impfungen
03/03/2021 - Covid (Moderna) with same symptoms

VAERS 1851171

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
OH
Alter
52,0
Geschlecht
M
Eingang
08.11.2021
Impfdatum
07.07.2021
Beginn
08.07.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Pain Pain in extremity

Symptomtext

Per patient had local pain at injection site after first dose. Was told that it should resolve in a couple of days. Was still advised to complete the series with a second dose a month later. Since then patient says has been having throbbing pain in the injection arm( left arm) of about 2-3 on a scale of 10 and at times pain is up to 5 on 10. Considering when patient had his second dose of moderna, i counseled the patient to seek medical attention further consultation.

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

VAERS 1848780

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
IN
Alter
62,0
Geschlecht
F
Eingang
06.11.2021
Impfdatum
04.11.2021
Beginn
05.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Body temperature increased Chills Fatigue Pain Pain in extremity

Symptomtext

18 hours after vaccination woken up with chills . Temp 100.8, severe body aches, sore arm, fatigue. Treatment : ibuprofen, ice , fluids, sleep. 60% improved 48 hours after vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
Hypothyroid, restless legs, migraine, anxiety
Andere Medikamente
Levothyroxine, pramioaxole, citalipram
Allergien
Fire ant anaphylaxis
Vorherige Impfungen
-

VAERS 1836557

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
AZ
Alter
20,0
Geschlecht
F
Eingang
02.11.2021
Impfdatum
07.10.2021
Beginn
07.10.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Rash

Symptomtext

Patient states that she experience rash on her upper right arm and underarm on following vaccination.

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

VAERS 1833429

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
WA
Alter
34,0
Geschlecht
F
Eingang
01.11.2021
Impfdatum
28.10.2021
Beginn
01.11.2021
Tage bis Beginn
4,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Rash

Symptomtext

Rash across abdomen

Weitere VAERSDATA-Felder
Praegender Schweregrund
Rash
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none known
Vorgeschichte
none
Andere Medikamente
Magnesium supplement (Calm)
Allergien
penicillin
Vorherige Impfungen
-

VAERS 1832326

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
MD
Alter
26,0
Geschlecht
F
Eingang
31.10.2021
Impfdatum
31.10.2021
Beginn
31.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Arthropod bite Erythema Pruritus Rash

Symptomtext

Patient vaccinated approximately 2:10 and left observation area after 15 minutes. She returned to observation @2:35pm complaining of rash, redness, and itching on right inner arm, opposite arm of injection site. Patient states bitten by mosquito earlier and noticed some itching on right arm, after leaving observation she developed a rash, redness, and itching on right arm. Obtained vitals signs and administered 25mg of benadryl by mouth. Continuedto observe until 3:05pm, symptoms decreased significantly. No acute distess noted. Advised to seek medical attention for worsening/returning symptoms.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
10/31/21 BP 140/82, Pulse 84, RR 16, Pulse Ox 98%
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
NKA
Vorherige Impfungen
-

VAERS 1821468

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
AZ
Alter
82,0
Geschlecht
F
Eingang
27.10.2021
Impfdatum
18.10.2021
Beginn
18.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered Injection site reaction

Symptomtext

Patient was given .5ml of moderna instead of .25ml Patient complained of local reaction at the injection site.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site reaction
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
atrial fibrillation arthralgia of the lower leg dilated cardiomyopathy HTN
Andere Medikamente
Unknown
Allergien
unknown
Vorherige Impfungen
-

VAERS 1821210

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
AZ
Alter
52,0
Geschlecht
M
Eingang
27.10.2021
Impfdatum
18.10.2021
Beginn
18.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chills Incorrect dose administered Malaise Pyrexia

Symptomtext

Patient was given .5ml of moderna instead of the .25ml Patient complained of fever, chills, malaise.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
none
Vorgeschichte
None- patient did not indicate. Works @ a school
Andere Medikamente
none
Allergien
none
Vorherige Impfungen
-

VAERS 1967182

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
FL
Alter
-
Geschlecht
F
Eingang
21.10.2021
Impfdatum
03.09.2021
Beginn
04.09.2021
Tage bis Beginn
1,0
Dosis
UNK
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Computerised tomogram head normal Headache Impaired work ability

Symptomtext

Headaches/Frontal started 9/4/21 day after vaccine # 1, After vaccine #2 headaches now severe, Intolerable, had to call in sick for work today, 10-7-21. Had to take Florcet for pain-No prior migraines

Weitere VAERSDATA-Felder
Praegender Schweregrund
Headache
Hospital-Tage
-
Labordaten
Cat Scan Head-Negative
Aktuelle Erkrankungen
-
Vorgeschichte
Chronic tachycardia, depression,
Andere Medikamente
Zoloft, Metoprolol,
Allergien
-
Vorherige Impfungen
-

VAERS 1801028

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
PA
Alter
40,0
Geschlecht
F
Eingang
20.10.2021
Impfdatum
21.09.2021
Beginn
23.09.2021
Tage bis Beginn
2,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Pain in extremity Rash pruritic

Symptomtext

arm soreness, itchy w/bumps

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain in extremity
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
none
Allergien
sulfamethoxazole-trimethoprim macrodantin bactrim DS Benadryl
Vorherige Impfungen
-

VAERS 1795232

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

mild
Staat
LA
Alter
59,0
Geschlecht
F
Eingang
18.10.2021
Impfdatum
18.07.2021
Beginn
01.10.2021
Tage bis Beginn
75,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Headache Loss of personal independence in daily activities Muscle twitching

Symptomtext

Over the past several weeks, I have had uncontrollable 'twitching' in my left hand. Primarily between thumb and index finger. Thought it may be a side effect of perscribed med I took for a short time. but I have stopped all perscriptions as none of them were working to help headaches. Twitiching has not continued, but has become somewhat bothersome. I have dropped a cup and have a lot of trouble carring bags and such.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Headache
Hospital-Tage
-
Labordaten
NA. I have a 5K deductable and have already spent several hundred dollars and nothing has brought relief so far.
Aktuelle Erkrankungen
NA
Vorgeschichte
NA
Andere Medikamente
oxybutin, allipuronol, lisonopril, multi vit, herbal headache, 2 other herbal supplement (cant recall names)
Allergien
NA
Vorherige Impfungen
-

VAERS 1785512

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
ND
Alter
65,0
Geschlecht
F
Eingang
14.10.2021
Impfdatum
28.09.2021
Beginn
08.10.2021
Tage bis Beginn
10,0
Dosis
1
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dysphagia Lymphadenopathy Oropharyngeal pain Stomatitis

Symptomtext

11 days after the shot big sores grew on my palate. Throat is sore glands are inflamed and its hard to eat because of the sores. After six days with no change I called the clinic and have an appt next week. never had this in my life

Weitere VAERSDATA-Felder
Praegender Schweregrund
Oropharyngeal pain
Hospital-Tage
-
Labordaten
will do next week
Aktuelle Erkrankungen
none
Vorgeschichte
migraines
Andere Medikamente
bupropion, zolmetriptan
Allergien
ciproflaxin, rag weed, blue dye
Vorherige Impfungen
flu vax

VAERS 1778881

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
TN
Alter
27,0
Geschlecht
F
Eingang
12.10.2021
Impfdatum
08.10.2021
Beginn
08.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Rash Rash erythematous

Symptomtext

LARGE WARM RED RASH ON LEFT ARM

Weitere VAERSDATA-Felder
Praegender Schweregrund
Rash
Hospital-Tage
-
Labordaten
NONE
Aktuelle Erkrankungen
UNKNOWN
Vorgeschichte
NONE
Andere Medikamente
UNKNOWN
Allergien
NO KNOWN
Vorherige Impfungen
-

VAERS 1776846

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
-
Alter
36,0
Geschlecht
F
Eingang
11.10.2021
Impfdatum
13.09.2021
Beginn
07.10.2021
Tage bis Beginn
24,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Abdominal pain Cough Diarrhoea Headache Nausea Pyrexia Rhinorrhoea Vomiting

Symptomtext

fever, runny nose, headache, cough, nausea, vomiting, diarrhea, abdominal pain

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

VAERS 1775804

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
CA
Alter
32,0
Geschlecht
F
Eingang
10.10.2021
Impfdatum
30.09.2021
Beginn
07.10.2021
Tage bis Beginn
7,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Discomfort Erythema Induration Peripheral swelling Pruritus Skin warm

Symptomtext

On the evening of October 7, 2020, I developed a firm bump in my left arm where I received the vaccine. It was itchy and uncomfortable. The next morning I woke up with a 3inch red circle that was slightly raised, firm, warm to the touch, and itchy. October 10, the circle is no longer raised or warm to the touch but still visible, itchy, and uncomfortable.

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

VAERS 1775260

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
OH
Alter
49,0
Geschlecht
M
Eingang
09.10.2021
Impfdatum
11.09.2021
Beginn
12.09.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Pain in extremity

Symptomtext

Patient reports soreness in his vaccinated arm, which started the next day and lingered for two weeks.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain in extremity
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
NKA
Vorherige Impfungen
-

VAERS 1772334

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
PA
Alter
23,0
Geschlecht
F
Eingang
08.10.2021
Impfdatum
07.10.2021
Beginn
07.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chest discomfort Nasal oedema Urticaria

Symptomtext

Patient reports hives, facial, lip and nose edema, and chest pressure. Took allergy med and Tylenol and all resolved today except for some nose edema. Of note she has had dermal fillers in her face and nose 6 years ago,

Weitere VAERSDATA-Felder
Praegender Schweregrund
Urticaria
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
dermal fillers 6 years ago
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 1765484

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

mild
Staat
PA
Alter
51,0
Geschlecht
M
Eingang
06.10.2021
Impfdatum
05.10.2021
Beginn
05.10.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Decreased appetite Diarrhoea Fatigue Headache Nausea Neck pain Pain in extremity

Symptomtext

continual mild headache, fatigue, nausea, soreness in arm/shoulder/neck, loss of appetite, diarrhea; all lasting first 24 hours after shot

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

VAERS 1759784

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

mild
Staat
MO
Alter
14,0
Geschlecht
M
Eingang
04.10.2021
Impfdatum
01.10.2021
Beginn
01.10.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Headache Product administered to patient of inappropriate age Somnolence

Symptomtext

Patient was inadvertently administered the vaccine. The patient is currently too young to receive the Moderna Covid-19 vaccine under the current Emergency Use Authorization. Patient has not experienced any symptoms out of the ordinary. He has a headache and slept most of the next day following vaccination.

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

VAERS 1759003

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
MA
Alter
71,0
Geschlecht
F
Eingang
04.10.2021
Impfdatum
29.09.2021
Beginn
30.09.2021
Tage bis Beginn
1,0
Dosis
UNK
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Asthenia Chills Dizziness Feeding disorder Feeling cold Headache Illness Lymphadenopathy Myalgia Pyrexia

Symptomtext

I received the first shot March 6, 2021. I was sick the whole next day. I received my second shot on April 3, 2021. I was sick for 3 days after that one. I had swollen glands that lasted for 2-3 weeks. I got my third shot on September 29, 2021 and I was sick for just over 3 days. I had severe muscle aches starting in early morning after the shot that lasted about 2 days. I had swollen glands on the collarbone on the injection side. I had chills , fevers and weakness for almost 4 days during that time I slept in my winter coat under my bedcovers. When I got out of bed I felt dizzy. I couldn?t eat for the first 3 days. I had severe headaches for the first 2 days after the shot.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
-
Vorgeschichte
Rheumatoid arthritis
Andere Medikamente
Methotrexate, Celebrex, folic acid, hydrochlorothiazide, atorvastatin, multi-vitamin, vitamin D, Calcium
Allergien
-
Vorherige Impfungen
Shingles, flu vaccine and every covid vaccine

VAERS 1755973

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
PA
Alter
46,0
Geschlecht
F
Eingang
02.10.2021
Impfdatum
20.01.2021
Beginn
23.09.2021
Tage bis Beginn
246,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Lymphadenopathy Pyrexia Vaccination site pain Vaccination site swelling

Symptomtext

Fever; Joint pain in arms and legs; arm is very sore and swollen on the top (injection site); arm is very sore and swollen on the top (injection site); Supraclavicular swelling, a lymph node is swollen; This spontaneous case was reported by an other health care professional and describes the occurrence of PYREXIA (Fever), ARTHRALGIA (Joint pain in arms and legs), VACCINATION SITE PAIN (arm is very sore and swollen on the top (injection site)), VACCINATION SITE SWELLING (arm is very sore and swollen on the top (injection site)) and LYMPHADENOPATHY (Supraclavicular swelling, a lymph node is swollen) in a 46-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 013M20A and 012L20A) for COVID-19 vaccination. The patient's past medical history included Viral infection NOS in March 2020. Concurrent medical conditions included Viral myocarditis (Cardiomyopathy) in June 2020 and Sleep disorder. Concomitant products included HYDROXYCHLOROQUINE, VITAMIN D NOS, FAMOTIDINE, VITAMIN B12 NOS (VITAMIN B 12 [VITAMIN B12 NOS]), FISH OIL and LEVOTHYROXINE SODIUM (SYNTHROID) for an unknown indication. On 20-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 22-Sep-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 23-Sep-2021, the patient experienced PYREXIA (Fever), ARTHRALGIA (Joint pain in arms and legs), VACCINATION SITE PAIN (arm is very sore and swollen on the top (injection site)), VACCINATION SITE SWELLING (arm is very sore and swollen on the top (injection site)) and LYMPHADENOPATHY (Supraclavicular swelling, a lymph node is swollen). The patient was treated with HYDROXYCHLOROQUINE SULFATE (PLAQUENIL [HYDROXYCHLOROQUINE SULFATE]) for Tendinitis, at an unspecified dose and frequency and SULFASALAZINE ongoing from March 2021 for Tendinitis, at an unspecified dose and frequency. At the time of the report, PYREXIA (Fever), ARTHRALGIA (Joint pain in arms and legs), VACCINATION SITE PAIN (arm is very sore and swollen on the top (injection site)), VACCINATION SITE SWELLING (arm is very sore and swollen on the top (injection site)) and LYMPHADENOPATHY (Supraclavicular swelling, a lymph node is swollen) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Patients concomitant medications include Medication for sleep disorder. Lot number for 3rd dose of the vaccine reported as 0 (4 or 7) (5 or S) C21A. The patient used ice. This case was linked to MOD-2021-331260, MOD-2021-331212 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Sleep disorder
Vorgeschichte
Medical History/Concurrent Conditions: Viral infection NOS; Viral myocarditis (Cardiomyopathy).
Andere Medikamente
Hydroxychloroquine; Vitamin D Nos; Famotidine; Vitamin B 12 [Vitamin B12 Nos]; Fish Oil; Synthroid
Allergien
-
Vorherige Impfungen
-

VAERS 1751837

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
TN
Alter
58,0
Geschlecht
F
Eingang
01.10.2021
Impfdatum
16.09.2021
Beginn
16.09.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Chills Contusion Diarrhoea Headache Illness Pyrexia Vaccination site reaction

Symptomtext

Magnet stuck to her arm on injection site; still has a bruise on her arm; Just plumb sick/sick as a dog; Diarrhea for 2 days; Two hours after the shot, she was on the couch with chills; Two hours after the shot, she was on the couch with fever; Two hours after the shot, she was on the couch with headache; This spontaneous case was reported by a consumer and describes the occurrence of CONTUSION (still has a bruise on her arm), ILLNESS (Just plumb sick/sick as a dog), VACCINATION SITE REACTION (Magnet stuck to her arm on injection site), DIARRHOEA (Diarrhea for 2 days) and CHILLS (Two hours after the shot, she was on the couch with chills) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 16-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Sep-2021, the patient experienced ILLNESS (Just plumb sick/sick as a dog), DIARRHOEA (Diarrhea for 2 days), CHILLS (Two hours after the shot, she was on the couch with chills), PYREXIA (Two hours after the shot, she was on the couch with fever) and HEADACHE (Two hours after the shot, she was on the couch with headache). On 21-Sep-2021, the patient experienced CONTUSION (still has a bruise on her arm). On an unknown date, the patient experienced VACCINATION SITE REACTION (Magnet stuck to her arm on injection site). On 18-Sep-2021, DIARRHOEA (Diarrhea for 2 days) had resolved. At the time of the report, CONTUSION (still has a bruise on her arm) had not resolved and ILLNESS (Just plumb sick/sick as a dog), VACCINATION SITE REACTION (Magnet stuck to her arm on injection site), CHILLS (Two hours after the shot, she was on the couch with chills), PYREXIA (Two hours after the shot, she was on the couch with fever) and HEADACHE (Two hours after the shot, she was on the couch with headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication was not provided. the patient saw a doctor who put her on antibiotics and ruled out Covid and the flu Most recent FOLLOW-UP information incorporated above includes: On 28-Sep-2021: Follow-up include no new information.

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

VAERS 1747894

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
GA
Alter
-
Geschlecht
F
Eingang
30.09.2021
Impfdatum
20.09.2021
Beginn
20.09.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chills Fatigue Headache Myalgia Pyrexia

Symptomtext

started experiencing a headache while waiting in the observation room for 15 minutes; fever; chills; body ache; fatigue; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (started experiencing a headache while waiting in the observation room for 15 minutes), PYREXIA (fever), CHILLS (chills), MYALGIA (body ache) and FATIGUE (fatigue) in a 52-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. Concurrent medical conditions included Blood pressure abnormal and Asthma. Concomitant products included BUDESONIDE, FORMOTEROL FUMARATE (SYMBICORT) for Asthma, HYDROCHLOROTHIAZIDE for Blood pressure. On 20-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Sep-2021, the patient experienced HEADACHE (started experiencing a headache while waiting in the observation room for 15 minutes), PYREXIA (fever), CHILLS (chills), MYALGIA (body ache) and FATIGUE (fatigue). The patient was treated with PARACETAMOL (TYLENOL) for Fever, at an unspecified dose and frequency. At the time of the report, HEADACHE (started experiencing a headache while waiting in the observation room for 15 minutes), PYREXIA (fever), CHILLS (chills), MYALGIA (body ache) and FATIGUE (fatigue) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. The patient reported that the fever comes back as soon as the effect of the Tylenol wears off.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Asthma; Blood pressure abnormal
Vorgeschichte
-
Andere Medikamente
HYDROCHLOROTHIAZIDE; SYMBICORT
Allergien
-
Vorherige Impfungen
-

VAERS 1745370

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

mild
Staat
TN
Alter
55,0
Geschlecht
F
Eingang
29.09.2021
Impfdatum
24.09.2021
Beginn
25.09.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Ageusia Anosmia Fatigue Feeling abnormal Headache Impaired work ability Pain SARS-CoV-2 test negative

Symptomtext

Took shot on Friday, 9/24/2021. Woke up 9/25/2021 unable to smell or taste and with headache, body ache and fatigue. Progressively got worse. Unable to go to work. Took home test for Covid on 9/28/2021 and was negative. Talked to nurse through my insurance company who said if I still had symptoms the next day to follow up with a doctor. I did that today, 9/29/2021. Tested negative at dr office with rapid test. Still feel like crap, no smell or taste and headache, extreme fatigue, body aches.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
9/28/2021 at home Covid test negative 9/29/2021 rapid test at dr office negative
Aktuelle Erkrankungen
N/A
Vorgeschichte
Pacemaker for sick sinus syndrome Hypertension
Andere Medikamente
Levothyroxine, Estradiol, Trintellex, magnesium, Iron, multi vitamin, cranberry
Allergien
N/A
Vorherige Impfungen
-

VAERS 1745075

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

mild
Staat
NV
Alter
55,0
Geschlecht
F
Eingang
29.09.2021
Impfdatum
28.09.2021
Beginn
29.09.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
SYR / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood glucose increased Blood pressure increased Pain in extremity Stress Swollen tongue

Symptomtext

tongue swelling, arm pain, elevated blood sugar, elevated blood pressure, stress about vaccine

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain in extremity
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
-
Vorgeschichte
Nervous; Carpal tunnel syndrome Cerebrovascular accident (CVA) due to thrombosis of cerebral artery Chronic pain of right knee Left shoulder pain Stroke (From Hx)Circulatory; Diabetes mellitus with coincident hypertension; Hypertension; Hypertension, uncontrolled Digestive; Class 3 severe obesity in adult; Fatty liver; Endocrine/Metabolism; High cholesterol; Hyperlipidemia (Resolved); 12/21/2017; Pure hypercholesterolemia (Resolved); 06/29/2020; Type 2 diabetes mellitus with hyperlipidemia Immune Allergic Drug-induced lupus erythematosus (Resolved) 01/17/2019 Other Abnormal LFTs Abnormal serum protein test
Andere Medikamente
amLODIPine (NORVASC) 10 mg tablet atorvastatin (LIPITOR) 10 mg tablet baclofen (GABLOFEN) 10 mg tablet butalbital-acetaminophen-caffeine (FIORICET) 50-325-40 mg per tablet clopidogreL (PLAVIX) 75 mg tablet ERGOCALCIFEROL, VITAMIN D2, (
Allergien
Penicillin G Rash Aspirin
Vorherige Impfungen
-

VAERS 1732201

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
TX
Alter
70,0
Geschlecht
F
Eingang
24.09.2021
Impfdatum
07.09.2021
Beginn
11.09.2021
Tage bis Beginn
4,0
Dosis
3
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Extra dose administered Injection site pain Injection site pruritus Injection site rash Injection site swelling Rash

Symptomtext

approx. 4 days following this 3rd dose of the Moderna vaccine, an itchy rash appeared at the injection site (upper right arm) which had been painful/swollen for 3-4 days. Shortly thereafter, the rash appeared on my upper right thigh (inner and outer) as well as right buttock. It also appeared to a lesser extent on my right ankle, as well as on my lower back. The rash also occurred on my outer and inner left thigh. Saw the dermatologist today and he suggested either a shot of Kenalog (which i declined) or topical cream to apply 2X/day. I don't know the cream name, but will pick it up tomorrow. Note: i've had no changes to diet, supplements, or lotions. . On 08/26/21, recvd cortisone shot in left shoulder joint

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site pain
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
no acute illnesses (rotator-cuff tendinitis for months)
Vorgeschichte
cough-variant asthma, depression, GERD, osteoporosis, and RA
Andere Medikamente
citalopram; Asmanex; omeprazole; Prolia; methotrexate
Allergien
sulfa, zithromax
Vorherige Impfungen
-

VAERS 1720305

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21a

mild
Staat
OH
Alter
50,0
Geschlecht
F
Eingang
21.09.2021
Impfdatum
16.09.2021
Beginn
16.09.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood culture Culture urine Fatigue Headache Influenza A virus test negative Influenza virus test negative Pain Pyrexia SARS-CoV-2 test negative

Symptomtext

Received vaccine on Thursday and by evening, fatigue, achy, headaches and fever. Friday was worsening of those symptoms. Continued through Monday when I went to Emergency room with temp 103.9 and headaches.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
Emergency room visit Monday 9/20/21 Covid test negative Flu A and B negative Blood Cultures pending Urine Culture pending
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Vitamin D3 B12 Iron 325mg Dandelion Capsule 450mg Multi Vitamin
Allergien
none
Vorherige Impfungen
-

VAERS 1713479

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
MS
Alter
37,0
Geschlecht
F
Eingang
18.09.2021
Impfdatum
17.09.2021
Beginn
17.09.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site rash Injection site swelling Injection site warmth Vaccine positive rechallenge

Symptomtext

Patient had swelling "like an egg" , rash, and fever in arm at site starting the night she received vaccination. Patient said she had same with the first dose (opposite arm) that lasted at least a week. Pharmacist recommended tylenol and benadryl for "COVID arm" symptoms.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site rash
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
none
Allergien
none
Vorherige Impfungen
same reaction with previous dose of covid

VAERS 1708401

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
GA
Alter
78,0
Geschlecht
F
Eingang
17.09.2021
Impfdatum
09.09.2021
Beginn
10.09.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Extra dose administered Fatigue Injection site warmth Myalgia Pruritus

Symptomtext

Pt. states that after receiving the 3rd Booster dose of Moderna 09/09/2021, started experiencing symptoms 09/10/2021 of fatigue, muscle pain, and itchiness. Injection site hot to the touch. No noted Primary visit. Still experiencing symptoms.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
N/A
Vorgeschichte
HBP
Andere Medikamente
Tramadol, Trazodone, Esterdiol, Lisinopril, Benadryl, Nasacort
Allergien
N/A
Vorherige Impfungen
-

VAERS 1696090

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
TX
Alter
47,0
Geschlecht
F
Eingang
14.09.2021
Impfdatum
09.09.2021
Beginn
10.09.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Pain in extremity Sleep disorder

Symptomtext

Severe pain in arm and shoulder starting the day after vaccination. This occurred after the "booster" dose was administered. Hot pads, OTC lidocaine, ice packs, massage therapy, and OTC Tylenol have been given to relieve the pain but nothing seems to work. Wakes patient up at night due to severity of pain.

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

VAERS 1694966

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
PA
Alter
36,0
Geschlecht
F
Eingang
13.09.2021
Impfdatum
13.08.2021
Beginn
13.08.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Lip swelling Pain in extremity

Symptomtext

During screening process for second dose, was reviewing any reactions to first dose and pt stated had sore arm and experienced lip swelling. Did not state how long experienced for nor did she state that she took any OTC medications for treatment. Pt did not experience swealling of mouth or throat or difficulty breathing.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain in extremity
Hospital-Tage
-
Labordaten
none - pt did not seek medical attnetion
Aktuelle Erkrankungen
none known
Vorgeschichte
none known
Andere Medikamente
none known
Allergien
none known
Vorherige Impfungen
-

VAERS 1694413

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
IN
Alter
66,0
Geschlecht
F
Eingang
13.09.2021
Impfdatum
08.09.2021
Beginn
10.09.2021
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 pain Injection site pruritus Injection site swelling

Symptomtext

Patient presented to the clinic with complaints of itching, soreness and swelling at the injection site. Symptoms appeared localized and patient was instructed to use benadryl cream and ice packs through resolution of symptoms. Contacted patient 9/13 for follow-up: Soreness has resolved. Itching still remains - placing benadryl three times daily to site. Patient has an appointment with NP on wednesday. If not resolved by then, patient will review with NP

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site pain
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
Not Assessed
Vorgeschichte
Not Assessed
Andere Medikamente
Vancomycin PO
Allergien
PCN, Morphine, Erythromycin
Vorherige Impfungen
-

VAERS 1693162

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

mild
Staat
FL
Alter
29,0
Geschlecht
F
Eingang
11.09.2021
Impfdatum
03.09.2021
Beginn
11.09.2021
Tage bis Beginn
8,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Rash erythematous Rash pruritic

Symptomtext

Itchy circular red rash

Weitere VAERSDATA-Felder
Praegender Schweregrund
Rash erythematous
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
N/a
Vorgeschichte
No
Andere Medikamente
Multivitamin, zinc, iron, bcaas, preworkout, vit d, calcium
Allergien
No
Vorherige Impfungen
-

VAERS 1691907

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
IN
Alter
70,0
Geschlecht
M
Eingang
11.09.2021
Impfdatum
30.08.2021
Beginn
30.08.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Cold sweat Dizziness Feeling cold Rash

Symptomtext

almost passed out; body is cold; He's having a cold sweat, body is cold; He has a rash underneath both armpits; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (almost passed out), FEELING COLD (body is cold), COLD SWEAT (He's having a cold sweat, body is cold) and RASH (He has a rash underneath both armpits) in a 70-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 30-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 30-Aug-2021, the patient experienced DIZZINESS (almost passed out), FEELING COLD (body is cold), COLD SWEAT (He's having a cold sweat, body is cold) and RASH (He has a rash underneath both armpits). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at a dose of 1 dosage form. At the time of the report, DIZZINESS (almost passed out) outcome was unknown and FEELING COLD (body is cold), COLD SWEAT (He's having a cold sweat, body is cold) and RASH (He has a rash underneath both armpits) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication was reported. No treatment medications was reported. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

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

VAERS 1691707

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
CA
Alter
25,0
Geschlecht
F
Eingang
11.09.2021
Impfdatum
15.08.2021
Beginn
15.08.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Myalgia Papule Peripheral swelling

Symptomtext

a little bit pink\ raised\ tiny bumps starting to appear on top of my shoulder; sore arm; swelling; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (swelling), PAPULE (a little bit pink\ raised\ tiny bumps starting to appear on top of my shoulder) and MYALGIA (sore arm) in a 25-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 15-Aug-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Aug-2021, the patient experienced PERIPHERAL SWELLING (swelling) and MYALGIA (sore arm). On 17-Aug-2021, the patient experienced PAPULE (a little bit pink\ raised\ tiny bumps starting to appear on top of my shoulder). At the time of the report, PERIPHERAL SWELLING (swelling), PAPULE (a little bit pink\ raised\ tiny bumps starting to appear on top of my shoulder) and MYALGIA (sore arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Concomitant and Treatment medications were reported.

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

VAERS 1685395

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
HI
Alter
31,0
Geschlecht
F
Eingang
09.09.2021
Impfdatum
07.09.2021
Beginn
08.09.2021
Tage bis Beginn
1,0
Dosis
UNK
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Decreased appetite Extra dose administered Feeling cold Headache Hot flush Influenza like illness Interchange of vaccine products Malaise Pain

Symptomtext

Hot/ cold flashes, headache, body aches, not hungry. I felt like I had the 24hr flu after my second dose of Pfizer, but this booster dose of Moderna has been way worse. Still sick and unsure how long this will last.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Headache
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
Scoliosis
Andere Medikamente
Acyclovir
Allergien
Sensitive to gluten, dairy, and latex
Vorherige Impfungen
I was 30yrs old when I received my second dose of Pfizer COVID-19 vaccine on 1/29/21. I had hot/ cold flashes, body aches, nause

VAERS 1684801

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
PA
Alter
42,0
Geschlecht
F
Eingang
09.09.2021
Impfdatum
08.09.2021
Beginn
08.09.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chills Cough Eye irritation Fatigue Headache Nasal congestion Pain Pollakiuria Pyrexia

Symptomtext

chills, fever, body aches, coughing, stuffy nose, headache, burning eyes, fatigue, frequent urination

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
NONE
Vorgeschichte
-
Andere Medikamente
ANASTROZOLE, RIBOCICLIB
Allergien
SULFA, PENICILLIAN, LEVOQUIN
Vorherige Impfungen
-

VAERS 1683222

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
CT
Alter
26,0
Geschlecht
F
Eingang
08.09.2021
Impfdatum
11.08.2021
Beginn
12.08.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Blood cholesterol increased Blood test normal Dizziness Dizziness postural Dry mouth Ear pain Feeling abnormal Feeling hot Impaired work ability Labyrinthitis Malaise Nausea Otitis externa Polydipsia Thirst

Symptomtext

The day after the vaccine, 08/12/2021 at 04:30 PM, I was out of town, I was totally fine the whole morning, I had an overwhelming feeling dizziness and nausea. I was hot, and thirsty. I was drinking lot of water. I couldn't get rid of the thirst. I had an extremely dry mouth. I was only feeling well if I was laying down, I couldn't be sitting or standing. A few days after I had extreme pain on my right ear. I was taking ibuprofen and it wasn't helping. I went to the clinic , on 08/16/2021 for my ear. and I ended up having a double infection in my inner and outer ear. With my ear infection I was prescribed Amoxicillin antibiotic, she prescribed 7 days worth , at the 7 day mark it still didn't feel completely right. I called my doctor yesterday to see if it was ok to get the 2nd dose, She said its probably something in my inner ear that's causing the nausea and to go ahead and get the 2nd dose tomorrow, 09/09/2021. This Tues. 08/31/2021 around 1:00 pm I had another spell of dizziness and nausea and had to leave early from work because I felt like I was going to pass out. I still have the dry mouth and excessive thirst. The last time I felt bad was last Thursday ,09/02/2021, At work at school, the motion of the kids walking in different directions made me nausea. Same for Friday, picking up something up from the floor makes me feel dizzy. I still have dizziness a little but I am extremely thirsty, more than usual. I have a telehealth appointment with my doctor on Monday.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
blood work done after the ear infection- everything was normal except my cholesterol was a little bit high
Aktuelle Erkrankungen
no
Vorgeschichte
no
Andere Medikamente
Lexapro 30 mg od
Allergien
Sulfa
Vorherige Impfungen
-

VAERS 1939126

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
TN
Alter
53,0
Geschlecht
M
Eingang
07.09.2021
Impfdatum
02.09.2021
Beginn
03.09.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: unbekannt
Urticaria

Symptomtext

Urticaria Started Day After Vaccine. Received Medrol Dose Pak, Famotidine And Benadryl from ER

Weitere VAERSDATA-Felder
Praegender Schweregrund
Urticaria
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Diabetes, HTN, Smoker
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1665581

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
TX
Alter
51,0
Geschlecht
F
Eingang
02.09.2021
Impfdatum
11.08.2021
Beginn
01.08.2021
Tage bis Beginn
-
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Anosmia Headache Nausea Pain in extremity Tenderness

Symptomtext

there was a sewer smell and she couldn't smell it; tender; when she is laying down on her side, it hurts/her left arm is still sore and still aggravates her; nausea; had a headache every day for almost a whole week since vaccination; This spontaneous case was reported by a consumer and describes the occurrence of ANOSMIA (there was a sewer smell and she couldn't smell it), TENDERNESS (tender), PAIN IN EXTREMITY (when she is laying down on her side, it hurts/her left arm is still sore and still aggravates her), NAUSEA (nausea) and HEADACHE (had a headache every day for almost a whole week since vaccination) in a 51-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. The patient's past medical history included Heart failure. Concurrent medical conditions included Diabetes, Blood pressure high and Neuropathy. Concomitant products included METFORMIN, GLIMEPIRIDE, LISINOPRIL, GABAPENTIN (NEURONTIN) and DULOXETINE HYDROCHLORIDE (CYMBALTA) for an unknown indication. On 11-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In August 2021, the patient experienced ANOSMIA (there was a sewer smell and she couldn't smell it). August 2021, the patient experienced TENDERNESS (tender), PAIN IN EXTREMITY (when she is laying down on her side, it hurts/her left arm is still sore and still aggravates her), NAUSEA (nausea) and HEADACHE (had a headache every day for almost a whole week since vaccination). The patient was treated with PARACETAMOL (TYLENOL) for Headache, at a dose of 220 mg. At the time of the report, ANOSMIA (there was a sewer smell and she couldn't smell it), TENDERNESS (tender), PAIN IN EXTREMITY (when she is laying down on her side, it hurts/her left arm is still sore and still aggravates her), NAUSEA (nausea) and HEADACHE (had a headache every day for almost a whole week since vaccination) outcome was unknown. mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) dosing remained unchanged.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Headache
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Blood pressure high; Diabetes; Neuropathy
Vorgeschichte
Medical History/Concurrent Conditions: Heart failure
Andere Medikamente
METFORMIN; GLIMEPIRIDE; LISINOPRIL; NEURONTIN; CYMBALTA
Allergien
-
Vorherige Impfungen
-

VAERS 1657835

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
PA
Alter
50,0
Geschlecht
F
Eingang
31.08.2021
Impfdatum
17.08.2021
Beginn
18.08.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Headache Inflammation Pain Pain in extremity

Symptomtext

Left arm hurts more than when they got the second dose; Pain feels muscular and inflamed and has spread across the chest, mostly over the left breast area; The pain feels muscular and inflamed; Headache; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Left arm hurts more than when they got the second dose), PAIN (Pain feels muscular and inflamed and has spread across the chest, mostly over the left breast area), INFLAMMATION (The pain feels muscular and inflamed) and HEADACHE (Headache) in a 50-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. Concomitant products included HYDROXYCHLOROQUINE SULFATE (PLAQUENIL S), PREGABALIN, PREDNISONE, MYCOPHENOLATE MOFETIL HYDROCHLORIDE (CELLCEPT [MYCOPHENOLATE MOFETIL HYDROCHLORIDE]), CELECOXIB (CELEBREX), VITAMIN B12 NOS, BELIMUMAB, LANSOPRAZOLE, IRON and RIBOFLAVIN for an unknown indication. On 17-Aug-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 18-Aug-2021, the patient experienced HEADACHE (Headache). On an unknown date, the patient experienced PAIN IN EXTREMITY (Left arm hurts more than when they got the second dose), PAIN (Pain feels muscular and inflamed and has spread across the chest, mostly over the left breast area) and INFLAMMATION (The pain feels muscular and inflamed). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency. On 18-Aug-2021, HEADACHE (Headache) had resolved. At the time of the report, PAIN IN EXTREMITY (Left arm hurts more than when they got the second dose), PAIN (Pain feels muscular and inflamed and has spread across the chest, mostly over the left breast area) and INFLAMMATION (The pain feels muscular and inflamed) outcome was unknown. This case was linked to MOD-2021-290856 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Headache
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: No Medical History information was reported.
Andere Medikamente
PLAQUENIL S; PREGABALIN; PREDNISONE; CELLCEPT [MYCOPHENOLATE MOFETIL HYDROCHLORIDE]; CELEBREX; VITAMIN B12 NOS; BELIMUMAB; LANSOPRAZOLE; IRON; RIBOFLAVIN
Allergien
-
Vorherige Impfungen
-

VAERS 1644593

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
TX
Alter
53,0
Geschlecht
F
Eingang
28.08.2021
Impfdatum
06.07.2021
Beginn
07.08.2021
Tage bis Beginn
32,0
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Axillary pain Injection site pain Lymph node pain Nodule Peripheral swelling

Symptomtext

2 little balls or nodules very close together on her left clavicle that were painful to touch; Left arm pit was swollen; Next to her chest beside her breast was painful; Under her arm was painful; Left Arm hurt; This spontaneous case was reported by a consumer and describes the occurrence of NODULE (2 little balls or nodules very close together on her left clavicle that were painful to touch), PERIPHERAL SWELLING (Left arm pit was swollen), LYMPH NODE PAIN (Next to her chest beside her breast was painful), INJECTION SITE PAIN (Left Arm hurt) and AXILLARY PAIN (Under her arm was painful) in a 53-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 045C21A and 045C21A) for COVID-19 vaccination. Concurrent medical conditions included Menopause. On 06-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-Aug-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 07-Aug-2021, the patient experienced INJECTION SITE PAIN (Left Arm hurt). On 09-Aug-2021 at 6:00 PM, the patient experienced NODULE (2 little balls or nodules very close together on her left clavicle that were painful to touch), PERIPHERAL SWELLING (Left arm pit was swollen), LYMPH NODE PAIN (Next to her chest beside her breast was painful) and AXILLARY PAIN (Under her arm was painful). At the time of the report, NODULE (2 little balls or nodules very close together on her left clavicle that were painful to touch) was resolving and PERIPHERAL SWELLING (Left arm pit was swollen), LYMPH NODE PAIN (Next to her chest beside her breast was painful), INJECTION SITE PAIN (Left Arm hurt) and AXILLARY PAIN (Under her arm was painful) outcome was unknown. No concomitant medications were reported. No treatment medications were reported.

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

VAERS 1577867

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
OH
Alter
41,0
Geschlecht
F
Eingang
17.08.2021
Impfdatum
16.08.2021
Beginn
16.08.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Abdominal pain Dysgeusia Headache Nausea Pain

Symptomtext

Patient pretreated with diphenhydramine. Patient expressed nausea and abdominal cramping along with need to vomit. Cramping and nausea subsided by 09:29am. Patient treated with diphenhydramine 25mg/10ml cup. Patient ate package of graham crackers to subside nausea. Expressed metallic taste in mouth. Patient notes GI side effects have subsided but now has headache at 9:33am- pain at a 5 on a scale of 1-10 with 10 being worst. Patient monitored until 9:46am with no other noted effects. Patient provided 4x10ml diphenhydramine cups (25mg/10ml, NDC 68084-0024-59, Lot 502935, EXP 02/28/22)upon discharge from clinic

Weitere VAERSDATA-Felder
Praegender Schweregrund
Abdominal pain
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
None noted
Vorgeschichte
None noted
Andere Medikamente
None noted
Allergien
None noted
Vorherige Impfungen
COVID first dose

VAERS 1549296

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

mild
Staat
FL
Alter
56,0
Geschlecht
F
Eingang
12.08.2021
Impfdatum
30.07.2021
Beginn
31.07.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site erythema

Symptomtext

4-5 inches of redness around injections site

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

VAERS 1534838

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

mild
Staat
OK
Alter
41,0
Geschlecht
F
Eingang
07.08.2021
Impfdatum
09.07.2021
Beginn
10.07.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Fatigue Headache

Symptomtext

Patient experienced fatigue and headache for 3 days after immunization that went away, but has had a recurring headache also ever since that feels different from headache she may have had prior to vaccination, and was not having recurring headaches prior to vaccination

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
acetaminophen, penicillin, morphine
Vorherige Impfungen
-

VAERS 1531943

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

mild
Staat
CT
Alter
39,0
Geschlecht
M
Eingang
06.08.2021
Impfdatum
06.08.2021
Beginn
06.08.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dizziness Dysgeusia Hyperhidrosis

Symptomtext

patient experienced immediate dizziness, sweating and strange metallic taste in the back of his mouth

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
none at this tim
Aktuelle Erkrankungen
Shortness of Breath. Was scene by Pulmonologist .
Vorgeschichte
none
Andere Medikamente
Unknown
Allergien
None
Vorherige Impfungen
-

VAERS 1529874

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
TX
Alter
57,0
Geschlecht
F
Eingang
05.08.2021
Impfdatum
16.07.2021
Beginn
16.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site rash

Symptomtext

Rashes on the inner left arm close to injectiion site and patient has being using rubbing alcohol

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site rash
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
NONE
Vorgeschichte
-
Andere Medikamente
BENADRYL AND RUBBING ALCOHOL PER PT
Allergien
NONE
Vorherige Impfungen
-

VAERS 1519714

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

mild
Staat
MS
Alter
30,0
Geschlecht
M
Eingang
02.08.2021
Impfdatum
29.07.2021
Beginn
30.07.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Blood test Dizziness Dysarthria Headache Magnetic resonance imaging Vision blurred

Symptomtext

Patient called pharmacy 07/30/21 with dizziness, headache, slurred speech and blurred vision. Pharmacy technician was on phone with patient while the pharmacist called 911. He was then hospitalized.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
Patient stated he had blood work and MRI's
Aktuelle Erkrankungen
he stated no previous illness
Vorgeschichte
diabetic heart disease
Andere Medikamente
Zanaflex 4mg, Jardiance 10mg, Tresiba 200mg, Losartan 100mg, prozac 20mg, metformin 1000mg, amlodipine 10mg, coreg 12.5mg, ibuprofen 800mg,
Allergien
nkda
Vorherige Impfungen
-

VAERS 1512599

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
TN
Alter
67,0
Geschlecht
F
Eingang
29.07.2021
Impfdatum
21.07.2021
Beginn
22.07.2021
Tage bis Beginn
1,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Anticoagulant therapy Fatigue Heart rate increased

Symptomtext

Patient stated that the day after the shot she had extreme fatigue and she went to take a breathing treatment her pulse started going up. Patient was transferred to hospital by Ambulance. She was given blood thinners.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
2,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Asthma COPD
Andere Medikamente
Nexium Azo bladder control sodium Patient has other medication. could not understand what she was saying .
Allergien
Peniclin Iodine Sulfur Morphine Latex
Vorherige Impfungen
-

VAERS 1490648

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
CA
Alter
61,0
Geschlecht
M
Eingang
28.07.2021
Impfdatum
29.06.2021
Beginn
30.06.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Abdominal pain lower Dyspepsia Injection site erythema

Symptomtext

Site: Redness at Injection Site-Mild

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

VAERS 1479063

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

mild
Staat
MO
Alter
35,0
Geschlecht
F
Eingang
16.07.2021
Impfdatum
16.07.2021
Beginn
16.07.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dizziness Nausea

Symptomtext

pt has dizziness and nausea

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

VAERS 1471821

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
AR
Alter
25,0
Geschlecht
F
Eingang
14.07.2021
Impfdatum
13.07.2021
Beginn
13.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site haemorrhage

Symptomtext

Pt reports arm still bleeding a small amount at injection site 24 hours post injection

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

VAERS 1471500

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
OR
Alter
54,0
Geschlecht
F
Eingang
14.07.2021
Impfdatum
14.07.2021
Beginn
14.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Immediate post-injection reaction Nausea

Symptomtext

Pt received 1st dose of moderna vaccine and immediately reported nausea. Patient reported feeling dizziness after previous vaccinations so pharmacist was planning for observation time of 30 minutes regardless. After current vaccination, pt immediately reported nausea and then shortly after dizziness, pt was sitting down for observation time of 30 minutes and reported feeling ok before going home with her partner.

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

VAERS 1471496

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
OR
Alter
35,0
Geschlecht
M
Eingang
14.07.2021
Impfdatum
14.07.2021
Beginn
14.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Body temperature decreased Feeling hot Hyperhidrosis Nausea

Symptomtext

About 2 seconds after Moderna vaccine was given to patient, pt reported he was going to vomit. Pt was provided with a bucket to vomit if needed but did not end up doing so. Pt experienced physical sweating and was given some paper towels at his request. Pt denied ice pack at this time. About 3 minutes passed, symptoms subsided and patient was able to articulate what happened. Patient states he felt a major drop in temp. to freezing and then all of a sudden to boiling thus experiencing nausea. Pharmacist kept pt on observation for a 30 minute waiting time.

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

VAERS 1467986

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

mild
Staat
NJ
Alter
34,0
Geschlecht
M
Eingang
13.07.2021
Impfdatum
25.06.2021
Beginn
25.06.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Pain Urticaria

Symptomtext

Extreme soreness throughout body, 3 days duration Hives I'm multiple areas, unresolved with over the counter allergy medicine, 2 week duration (ongoing)

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Buspar, 30 mg per day Trileptal, 900 mg per day
Allergien
N/A
Vorherige Impfungen
-

VAERS 1467218

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
AR
Alter
65,0
Geschlecht
M
Eingang
13.07.2021
Impfdatum
13.07.2021
Beginn
13.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Asthenia Dizziness Nausea

Symptomtext

Patient became dizzy, weak and woozy/nauseous. He reported that he may have passed out for a quick moment.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
Blood pressure taken 115/78 on 7/13/2021
Aktuelle Erkrankungen
None given
Vorgeschichte
None given
Andere Medikamente
None given
Allergien
None given
Vorherige Impfungen
-

VAERS 1467077

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

mild
Staat
AR
Alter
21,0
Geschlecht
M
Eingang
13.07.2021
Impfdatum
12.07.2021
Beginn
13.07.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Pruritus Rash macular Urticaria

Symptomtext

Patient called this morning. He said he had raised red, itchy blotches all over. He said he had some benadryl at home and was going to take some. I followed up with him just now at 3pm. he said the welts have gone down and he's not as itchy.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
seasonal allergies worse this year- runny nose, sneezing, cough
Vorgeschichte
none
Andere Medikamente
none
Allergien
none
Vorherige Impfungen
-

VAERS 2725881

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TN
Alter
66,0
Geschlecht
F
Eingang
20.12.2023
Impfdatum
13.09.2021
Beginn
25.10.2023
Tage bis Beginn
772,0
Dosis
2
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Breakthrough COVID-19

Symptomtext

Covid-19 Breakthrough Infection

Weitere VAERSDATA-Felder
Praegender Schweregrund
Breakthrough COVID-19
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Unknown
Vorgeschichte
Syncope, HTN, DM, Renal Artery Stenosis, Coronary Artery Disease. AFIB
Andere Medikamente
Acetaminophen, Aspirin, Buspirone, Carvedilol, Cholestyramine, Duloxetine, Levetiracetam, Lisinopril, Melatonin, Nirmatrelvir-ritonavir, Ondansetron, Pantoprazole, Sotalol, Spironolactone, Sucralfate
Allergien
Codeine, PCN
Vorherige Impfungen
-

VAERS 2721169

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
73,0
Geschlecht
M
Eingang
05.12.2023
Impfdatum
22.07.2021
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Autoimmune thyroiditis Dyspepsia Hypothyroidism

Symptomtext

hypothyroidism; Hashimotos; Digestive issues; This spontaneous case was reported by a patient and describes the occurrence of HYPOTHYROIDISM (hypothyroidism) and AUTOIMMUNE THYROIDITIS (Hashimotos) in a 73-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 052E21A and 045C21A) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 22-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 18-Aug-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In 2021, the patient experienced HYPOTHYROIDISM (hypothyroidism) (seriousness criterion medically significant), AUTOIMMUNE THYROIDITIS (Hashimotos) (seriousness criterion medically significant) and DYSPEPSIA (Digestive issues). At the time of the report, HYPOTHYROIDISM (hypothyroidism), AUTOIMMUNE THYROIDITIS (Hashimotos) and DYSPEPSIA (Digestive issues) had not resolved. 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. Treatment information was not provided. Patient got two shots. They have had health problems ever since they got the vaccines. Caller has Hashimotos, hypothyroidism, digestive issues. Hashimotos was an autoimmune disease and it's destroyed his immune system. Caller says it was about a month later after their second dose, they had their usual 6 month check ups and they had all kinds of new stuff. Company comment: This spontaneous case concerns a 73-year-old male patient, with no medical history reported, who experienced the unexpected, serious (medically significant) events of autoimmune thyroiditis (AESI) and hypothyroidism after receiving the dose of mRNA-1273 vaccine which was described as 2nd dose in Covid-19 vaccination schedule. Latency cannot be calculated due to events onset dates unknown. 1st dose of Covid vaccination schedule was performed with mRNA-1273 with interval between 1st and 2nd dose of 27 days apart. It was reported that events were diagnosed app. a month after the second dose during the usual biannual health check-up. No further details regarding clinical course, etiologic and diagnostic work-up and treatment are available for the review. Events outcome was not resolved at the time of the report. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.

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

VAERS 2676114

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MN
Alter
68,0
Geschlecht
M
Eingang
24.08.2023
Impfdatum
05.05.2023
Beginn
23.08.2023
Tage bis Beginn
110,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 SARS-CoV-2 test positive

Symptomtext

Patient vaccinated against and then tested positive for COVID19

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

VAERS 2667683

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TN
Alter
85,0
Geschlecht
F
Eingang
08.08.2023
Impfdatum
07.09.2021
Beginn
08.01.2023
Tage bis Beginn
488,0
Dosis
3
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Breakthrough COVID-19

Symptomtext

Breakthrough Covid Infection

Weitere VAERSDATA-Felder
Praegender Schweregrund
Breakthrough COVID-19
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Unknown
Vorgeschichte
Documentation not provided
Andere Medikamente
Not listed
Allergien
Not listed
Vorherige Impfungen
-

VAERS 2647863

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MI
Alter
73,0
Geschlecht
M
Eingang
21.06.2023
Impfdatum
11.09.2021
Beginn
07.06.2022
Tage bis Beginn
269,0
Dosis
3
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Breakthrough case admission after 3 vaccines Moderna 3/7/21 lot 015M20A; Moderna 4/5/21 lot 025B21A; Moderna 9/11/21 lot 045C21A.

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

VAERS 2644371

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MI
Alter
78,0
Geschlecht
F
Eingang
13.06.2023
Impfdatum
28.09.2021
Beginn
05.12.2021
Tage bis Beginn
68,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Breakthrough case admission after 2 vaccines Moderna 8/23/21 lot# 007B21A; Moderna 9/28/21 lot# 045C21A

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

VAERS 2590726

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
33,0
Geschlecht
M
Eingang
02.03.2023
Impfdatum
02.11.2021
Beginn
02.11.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2589432

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
72,0
Geschlecht
M
Eingang
01.03.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2589427

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
65,0
Geschlecht
M
Eingang
01.03.2023
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2589425

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
55,0
Geschlecht
F
Eingang
01.03.2023
Impfdatum
27.10.2021
Beginn
27.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2589418

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
53,0
Geschlecht
F
Eingang
01.03.2023
Impfdatum
08.11.2021
Beginn
08.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2589411

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
26,0
Geschlecht
M
Eingang
01.03.2023
Impfdatum
21.10.2021
Beginn
21.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2589359

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
33,0
Geschlecht
M
Eingang
01.03.2023
Impfdatum
02.11.2021
Beginn
02.11.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2589351

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
48,0
Geschlecht
F
Eingang
01.03.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2589348

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
31,0
Geschlecht
F
Eingang
01.03.2023
Impfdatum
19.10.2021
Beginn
19.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2589345

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
43,0
Geschlecht
M
Eingang
01.03.2023
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588949

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
47,0
Geschlecht
F
Eingang
28.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588948

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
61,0
Geschlecht
M
Eingang
28.02.2023
Impfdatum
08.11.2021
Beginn
08.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588947

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
33,0
Geschlecht
M
Eingang
28.02.2023
Impfdatum
22.10.2021
Beginn
22.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588946

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
70,0
Geschlecht
F
Eingang
28.02.2023
Impfdatum
22.10.2021
Beginn
22.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588945

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
54,0
Geschlecht
F
Eingang
28.02.2023
Impfdatum
19.10.2021
Beginn
19.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588764

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
33,0
Geschlecht
M
Eingang
28.02.2023
Impfdatum
19.10.2021
Beginn
19.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588762

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
31,0
Geschlecht
F
Eingang
28.02.2023
Impfdatum
01.11.2021
Beginn
01.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588761

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
60,0
Geschlecht
F
Eingang
28.02.2023
Impfdatum
28.10.2021
Beginn
28.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588759

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
82,0
Geschlecht
F
Eingang
28.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588757

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
87,0
Geschlecht
M
Eingang
28.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588748

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
55,0
Geschlecht
F
Eingang
28.02.2023
Impfdatum
22.10.2021
Beginn
22.10.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588742

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
29,0
Geschlecht
F
Eingang
28.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588735

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
24,0
Geschlecht
F
Eingang
28.02.2023
Impfdatum
19.10.2021
Beginn
19.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588716

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
69,0
Geschlecht
F
Eingang
28.02.2023
Impfdatum
27.10.2021
Beginn
27.10.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588713

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
72,0
Geschlecht
M
Eingang
28.02.2023
Impfdatum
27.10.2021
Beginn
27.10.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588630

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
58,0
Geschlecht
F
Eingang
28.02.2023
Impfdatum
22.10.2021
Beginn
22.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588623

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
23,0
Geschlecht
F
Eingang
28.02.2023
Impfdatum
08.11.2021
Beginn
08.11.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588618

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
60,0
Geschlecht
M
Eingang
28.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588612

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
40,0
Geschlecht
F
Eingang
28.02.2023
Impfdatum
22.10.2021
Beginn
22.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588606

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
63,0
Geschlecht
M
Eingang
28.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588132

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
24,0
Geschlecht
M
Eingang
27.02.2023
Impfdatum
21.10.2021
Beginn
21.10.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588131

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
53,0
Geschlecht
F
Eingang
27.02.2023
Impfdatum
22.10.2021
Beginn
22.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588095

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
68,0
Geschlecht
F
Eingang
27.02.2023
Impfdatum
21.10.2021
Beginn
21.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2588094

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
22,0
Geschlecht
F
Eingang
27.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587964

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
20,0
Geschlecht
F
Eingang
27.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587959

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
79,0
Geschlecht
M
Eingang
27.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587957

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
78,0
Geschlecht
F
Eingang
27.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587947

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
39,0
Geschlecht
F
Eingang
27.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587945

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
71,0
Geschlecht
F
Eingang
27.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587942

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
60,0
Geschlecht
F
Eingang
27.02.2023
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587940

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
63,0
Geschlecht
M
Eingang
27.02.2023
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587885

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
46,0
Geschlecht
M
Eingang
27.02.2023
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587880

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
68,0
Geschlecht
F
Eingang
27.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587876

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
53,0
Geschlecht
M
Eingang
27.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587870

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
51,0
Geschlecht
F
Eingang
27.02.2023
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587869

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
100,0
Geschlecht
F
Eingang
27.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587866

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
50,0
Geschlecht
M
Eingang
27.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587862

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
32,0
Geschlecht
F
Eingang
27.02.2023
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587858

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
25,0
Geschlecht
M
Eingang
27.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587856

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
45,0
Geschlecht
M
Eingang
27.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587853

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
34,0
Geschlecht
F
Eingang
27.02.2023
Impfdatum
19.10.2021
Beginn
19.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587277

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
61,0
Geschlecht
M
Eingang
24.02.2023
Impfdatum
04.11.2021
Beginn
04.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration.

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

VAERS 2587276

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
21,0
Geschlecht
F
Eingang
24.02.2023
Impfdatum
21.10.2021
Beginn
21.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587219

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
58,0
Geschlecht
M
Eingang
24.02.2023
Impfdatum
27.10.2021
Beginn
27.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587218

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
41,0
Geschlecht
M
Eingang
24.02.2023
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587214

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
53,0
Geschlecht
M
Eingang
24.02.2023
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587207

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
65,0
Geschlecht
F
Eingang
24.02.2023
Impfdatum
22.10.2021
Beginn
22.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587203

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
34,0
Geschlecht
F
Eingang
24.02.2023
Impfdatum
28.10.2021
Beginn
28.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587201

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
47,0
Geschlecht
F
Eingang
24.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587200

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
22,0
Geschlecht
F
Eingang
24.02.2023
Impfdatum
27.10.2021
Beginn
27.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587060

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
56,0
Geschlecht
F
Eingang
24.02.2023
Impfdatum
22.10.2021
Beginn
22.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587041

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
36,0
Geschlecht
F
Eingang
24.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587038

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
38,0
Geschlecht
M
Eingang
24.02.2023
Impfdatum
22.10.2021
Beginn
22.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587023

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
37,0
Geschlecht
F
Eingang
24.02.2023
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587017

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
28,0
Geschlecht
M
Eingang
24.02.2023
Impfdatum
20.10.2021
Beginn
20.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587008

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
70,0
Geschlecht
M
Eingang
24.02.2023
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2587003

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
32,0
Geschlecht
F
Eingang
24.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586998

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
31,0
Geschlecht
F
Eingang
24.02.2023
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586996

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
32,0
Geschlecht
M
Eingang
24.02.2023
Impfdatum
19.10.2021
Beginn
19.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586988

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
65,0
Geschlecht
M
Eingang
24.02.2023
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586984

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
68,0
Geschlecht
F
Eingang
24.02.2023
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586977

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
74,0
Geschlecht
M
Eingang
24.02.2023
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586975

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
69,0
Geschlecht
F
Eingang
24.02.2023
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586974

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
62,0
Geschlecht
F
Eingang
24.02.2023
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586971

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
35,0
Geschlecht
F
Eingang
24.02.2023
Impfdatum
28.10.2021
Beginn
28.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586968

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
51,0
Geschlecht
M
Eingang
24.02.2023
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586967

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
51,0
Geschlecht
F
Eingang
24.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586962

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
50,0
Geschlecht
M
Eingang
24.02.2023
Impfdatum
27.10.2021
Beginn
27.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586944

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
80,0
Geschlecht
F
Eingang
24.02.2023
Impfdatum
27.10.2021
Beginn
27.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586941

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
69,0
Geschlecht
U
Eingang
24.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586939

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
31,0
Geschlecht
U
Eingang
24.02.2023
Impfdatum
01.11.2021
Beginn
01.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586935

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
48,0
Geschlecht
F
Eingang
24.02.2023
Impfdatum
27.10.2021
Beginn
27.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586709

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
48,0
Geschlecht
F
Eingang
23.02.2023
Impfdatum
27.10.2021
Beginn
27.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586707

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
54,0
Geschlecht
F
Eingang
23.02.2023
Impfdatum
22.10.2021
Beginn
22.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586394

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
43,0
Geschlecht
M
Eingang
23.02.2023
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586393

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
38,0
Geschlecht
M
Eingang
23.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586391

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
18,0
Geschlecht
F
Eingang
23.02.2023
Impfdatum
20.10.2021
Beginn
20.10.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586388

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
65,0
Geschlecht
F
Eingang
23.02.2023
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586386

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
36,0
Geschlecht
F
Eingang
23.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586385

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
71,0
Geschlecht
M
Eingang
23.02.2023
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586384

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
60,0
Geschlecht
F
Eingang
23.02.2023
Impfdatum
04.11.2021
Beginn
04.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586367

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
61,0
Geschlecht
U
Eingang
23.02.2023
Impfdatum
04.11.2021
Beginn
04.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586365

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
18,0
Geschlecht
U
Eingang
23.02.2023
Impfdatum
20.10.2021
Beginn
20.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586362

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
59,0
Geschlecht
U
Eingang
23.02.2023
Impfdatum
02.11.2021
Beginn
02.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2586357

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
36,0
Geschlecht
U
Eingang
23.02.2023
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2583813

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
36,0
Geschlecht
M
Eingang
17.02.2023
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2583573

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
24,0
Geschlecht
M
Eingang
17.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2583568

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
34,0
Geschlecht
M
Eingang
17.02.2023
Impfdatum
19.10.2021
Beginn
19.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2583564

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
62,0
Geschlecht
M
Eingang
17.02.2023
Impfdatum
22.10.2021
Beginn
22.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2583558

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
60,0
Geschlecht
M
Eingang
17.02.2023
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2583556

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
56,0
Geschlecht
F
Eingang
17.02.2023
Impfdatum
22.10.2021
Beginn
22.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2583159

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
56,0
Geschlecht
F
Eingang
16.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2582965

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
37,0
Geschlecht
F
Eingang
16.02.2023
Impfdatum
03.11.2021
Beginn
03.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2582960

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
39,0
Geschlecht
M
Eingang
16.02.2023
Impfdatum
27.10.2021
Beginn
27.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of the vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2582955

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
58,0
Geschlecht
M
Eingang
16.02.2023
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of the vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2582945

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
63,0
Geschlecht
F
Eingang
16.02.2023
Impfdatum
22.10.2021
Beginn
22.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Accidental improper storage of vaccine leading to temperature excursion prior to vaccine administration

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

VAERS 2549512

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
72,0
Geschlecht
M
Eingang
03.01.2023
Impfdatum
11.11.2021
Beginn
21.12.2022
Tage bis Beginn
405,0
Dosis
3
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Hypoxia Metabolic encephalopathy SARS-CoV-2 test positive Sepsis

Symptomtext

Patient received Moderna COVID vaccine on 3/17/21 (lot # 008B21-2A), 4/14/21 (lot # 036B21A), and 11/11/21 (lot # 045C21A). On 12/21/22, patient admitted to our inpatient facility (med/surg unit) with sepsis (HCC) due to COVID infection and possible aspiration pneumonia, hypoxia due to COVID-19 infection, and acute metabolic encephalopathy in setting of infection. Patient was discharged home on 12/25/22.

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19
Hospital-Tage
4,0
Labordaten
COVID status positive 12/22/22.
Aktuelle Erkrankungen
-
Vorgeschichte
history of baseline right eye blindness and right-sided weakness due to primary CNS lymphoma (2019) s/p chemotherapy, NIDDM2, HTN, and HLD
Andere Medikamente
baby aspirin, atorvastatin, cetirizine, vitamin d3, finasteride, metformin, metoprolol er, tamsulosin
Allergien
NKDA
Vorherige Impfungen
-

VAERS 2543678

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MN
Alter
32,0
Geschlecht
F
Eingang
27.12.2022
Impfdatum
10.02.2022
Beginn
27.12.2022
Tage bis Beginn
320,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 SARS-CoV-2 test positive

Symptomtext

Patient vaccinated against then tested positive for COVID-19

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

VAERS 2543255

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
-
Geschlecht
U
Eingang
27.12.2022
Impfdatum
20.09.2021
Beginn
20.09.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
No adverse event Product administration interrupted

Symptomtext

No adverse event; Patient had original Moderna Covid 19 vaccination on 20-Sep-2021 (O4SC21A), want to inquire if patient need a second dose or just a booster/was told the 2nd dose of Moderna Covid vaccine is no longer available; This spontaneous case was reported by a consumer and describes the occurrence of PRODUCT ADMINISTRATION INTERRUPTED (Patient had original Moderna Covid 19 vaccination on 20-Sep-2021 (O4SC21A), want to inquire if patient need a second dose or just a booster/was told the 2nd dose of Moderna Covid vaccine is no longer available) and NO ADVERSE EVENT (No adverse event) in an adult patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 prophylaxis. No Medical History information was reported. On 20-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Sep-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced PRODUCT ADMINISTRATION INTERRUPTED (Patient had original Moderna Covid 19 vaccination on 20-Sep-2021 (O4SC21A), want to inquire if patient need a second dose or just a booster/was told the 2nd dose of Moderna Covid vaccine is no longer available). On an unknown date, the patient experienced NO ADVERSE EVENT (No adverse event). At the time of the report, PRODUCT ADMINISTRATION INTERRUPTED (Patient had original Moderna Covid 19 vaccination on 20-Sep-2021 (O4SC21A), want to inquire if patient need a second dose or just a booster/was told the 2nd dose of Moderna Covid vaccine is no longer available) and NO ADVERSE EVENT (No adverse event) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter considered NO ADVERSE EVENT (No adverse event) to be not related. No further causality assessment was provided for PRODUCT ADMINISTRATION INTERRUPTED (Patient had original Moderna Covid 19 vaccination on 20-Sep-2021 (O4SC21A), want to inquire if patient need a second dose or just a booster/was told the 2nd dose of Moderna Covid vaccine is no longer available). No concomitant medication information was provided. No treatment medication were provided.

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

VAERS 2422600

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
88,0
Geschlecht
M
Eingang
29.08.2022
Impfdatum
25.01.2022
Beginn
25.01.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered No adverse event

Symptomtext

This spontaneous case was reported by a nursing assistant and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (1 patient expired Moderna dose/2 patients expired Moderna dose) and NO ADVERSE EVENT (No adverse event) in an 88-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 prophylaxis. No Medical History information was reported. On 25-Jan-2022 at 2:00 PM, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On 25-Jan-2022 at 2:00 PM, the patient experienced EXPIRED PRODUCT ADMINISTERED (1 patient expired Moderna dose/2 patients expired Moderna dose). On an unknown date, the patient experienced NO ADVERSE EVENT (No adverse event). At the time of the report, EXPIRED PRODUCT ADMINISTERED (1 patient expired Moderna dose/2 patients expired Moderna dose) and NO ADVERSE EVENT (No adverse event) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered NO ADVERSE EVENT (No adverse event) to be not related and EXPIRED PRODUCT ADMINISTERED (1 patient expired Moderna dose/2 patients expired Moderna dose) to have an unknown relationship. It was unknown whether patient took over the counter medications, dietary supplements, or herbal remedies being taken at time of vaccination and/or at the time of the adverse event. It was unknown whether the patient ever been diagnosed with tested/positive for Covid-19. It was unknown whether the patient had acute illnesses at the time of vaccination and up to one month before. It was unknown whether the patient had chronic or long standing health conditions. The event did not cause the patient to seek medical care. It was unknown whether the patient had any other potential cause. It was unknown whether the patient experienced a similar event in the past. No treatment medication was provided. This case was linked to US-MODERNATX, INC.-MOD-2022-635425, US-MODERNATX, INC.-MOD-2022-635428 (E2B Linked Report). Most recent FOLLOW-UP information incorporated above includes: On 25-Aug-2022: Significant follow-up received included updated report type, reporter details added, patient details added, dosage information updated, event onset date added, narrative updated. Sender's Comments: US-MODERNATX, INC.-MOD-2022-635425:88 year old male. US-MODERNATX, INC.-MOD-2022-635428.

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

VAERS 2407124

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
KY
Alter
89,0
Geschlecht
M
Eingang
10.08.2022
Impfdatum
20.08.2021
Beginn
28.04.2022
Tage bis Beginn
251,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
COVID-19

Symptomtext

Patient was hospitalized with COVID-19

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19
Hospital-Tage
3,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
hypertension, urinary retention
Andere Medikamente
lisinopril, flomax, proscar
Allergien
NKDA
Vorherige Impfungen
-

VAERS 2398887

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
OH
Alter
35,0
Geschlecht
M
Eingang
02.08.2022
Impfdatum
29.09.2021
Beginn
12.11.2021
Tage bis Beginn
44,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Inappropriate schedule of product administration

Symptomtext

Patient received First vaccine dose of the Moderna COVID-19 on the 29 Sep 2021 and second dose on 12 Nov 2021; This spontaneous case was reported by an other health care professional and describes the occurrence of INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Patient received First vaccine dose of the Moderna COVID-19 on the 29 Sep 2021 and second dose on 12 Nov 2021) in a 35-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 076C21A and 045C21A) for COVID-19 prophylaxis. The patient had no allergies to medications, food and other products. The patient had no medical history related to mentioned adverse event and both acute and chronic illnesses at the time of vaccination. The patient had not received any other vaccine within 1 month prior to administration of Moderna COVID-19 vaccine. It was unknown whether the patient was ever tested positive or diagnosed with COVID-19 or not. On 29-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Nov-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 12-Nov-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Patient received First vaccine dose of the Moderna COVID-19 on the 29 Sep 2021 and second dose on 12 Nov 2021). At the time of the report, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Patient received First vaccine dose of the Moderna COVID-19 on the 29 Sep 2021 and second dose on 12 Nov 2021) 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 medications were reported. This case was linked to MOD-2022-615335 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: The patient had no allergies to medications, food and other products. The patient had no medical history related to mentioned adverse event and both acute and chronic illnesses at the time of vaccination. The patient had not received any other vaccine within 1 month prior to administration of Moderna COVID-19 vaccine. It was unknown whether the patient was ever tested positive or diagnosed with COVID-19 or not.
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2398883

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
OH
Alter
-
Geschlecht
M
Eingang
02.08.2022
Impfdatum
29.09.2021
Beginn
27.07.2022
Tage bis Beginn
301,0
Dosis
2
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered Product storage error

Symptomtext

Vial initially stored on 01-Jun-2022 and then administered on 27-Jul-2022; administer the vaccine from a vial that was open on 1Jun2022 to patient; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (administer the vaccine from a vial that was open on 1Jun2022 to patient) and PRODUCT STORAGE ERROR (Vial initially stored on 01-Jun-2022 and then administered on 27-Jul-2022) in a 35-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 046L21A, 045C21A and 076C21A) for COVID-19 prophylaxis. No Medical History information was reported. On 29-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Nov-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 27-Jul-2022, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 27-Jul-2022, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced EXPIRED PRODUCT ADMINISTERED (administer the vaccine from a vial that was open on 1Jun2022 to patient). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Vial initially stored on 01-Jun-2022 and then administered on 27-Jul-2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (administer the vaccine from a vial that was open on 1Jun2022 to patient) and PRODUCT STORAGE ERROR (Vial initially stored on 01-Jun-2022 and then administered on 27-Jul-2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Patient did not tested positive for COVOD-19. No medical history reported relating to mentioned AE and both Acute and Chronic illnesses at the time of vaccination. No other vaccines given within 1 month prior to Moderna COVID-19 vaccine. Dose administered after 30-day Use By Date or after manufacturer date of expiry. No concomitant medication was reported. Date the vial was initially stored in the refrigerator on 1-Jun-2022. HCP administered the vaccine from a vial that was open on 1-Jun-2022 to 6 patients. The vial did not undergo any temperature excursions. No treatment information was reported. This case was linked to MOD-2022-615628 (Patient Link).

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

VAERS 2397703

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TN
Alter
87,0
Geschlecht
F
Eingang
31.07.2022
Impfdatum
23.11.2021
Beginn
30.06.2022
Tage bis Beginn
219,0
Dosis
3
Route/Site
SYR / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Aphasia COVID-19 Gastrointestinal sounds abnormal Hypokinesia Oedema peripheral Pallor Rales SARS-CoV-2 test positive Skin warm Terminal state

Symptomtext

Patient tested positive for Covid-19 on 06/30/2022 at the Hospital. Patient was then accepted to hospice on 07/02/2022. Patient arrived to hospital via ambulance from hospital accompanied by EMT's. Patient presented nonverbal, decreased, negative purposeful movement, lungs with rales throughout, abdomen soft with hypoactive bowel sounds, skin hot to the touch and pale, left and right hands with 3+ edema, 4LNC of O2. Patient presented actively dying. Terminal diagnosis at facility was Covid-19.

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

VAERS 2315196

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MD
Alter
34,0
Geschlecht
M
Eingang
10.06.2022
Impfdatum
20.11.2021
Beginn
-
Tage bis Beginn
-
Dosis
3
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
COVID-19 SARS-CoV-2 test

Symptomtext

COVID-19; This spontaneous case was reported by a patient and describes the occurrence of COVID-19 (COVID-19) in a 34-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. Concomitant products included DIPHENHYDRAMINE HYDROCHLORIDE, PARACETAMOL (TYLENOL SEVERE ALLERGY) from 17-May-2022 to 24-May-2022 for an unknown indication. On 20-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced COVID-19 (COVID-19). In May 2022, COVID-19 (COVID-19) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In May 2022, SARS-CoV-2 test: negative (Negative) Negative. The patient was taking other medications/products within 2 weeks of starting COVID-19 treatment. The patient previously received a COVID-19 Vaccine. Patient received treatment for COVID-19 with unspecified Pfizer drug from 19-May-2022 to 24-May-2022. It was reported that patient had COVID Rebound on 06-Jun-2022 (12 days after testing negative of COVID). Device Date :06-Jun-2022. Company Comment: This spontaneous case reported by a patient concerns a 34-year-old male patient, with no reported medical history, who experienced unexpected, non-serious AESI Covid19 on an unknown date after vaccination with a third dose of mRNA-1273. Approximately 6 months post-vaccination, he received treatment for Covid19 with an unspecified Pfizer drug. Around 12 days later, he had rebound Covid infection. The ongoing Covid19 pandemic could be a contributory factor. The benefit risk relationship of mRNA-1273 is not affected by this report.; Sender's Comments: This spontaneous case reported by a patient concerns a 34-year-old male patient, with no reported medical history, who experienced unexpected, non-serious AESI Covid19 on an unknown date after vaccination with a third dose of mRNA-1273. Approximately 6 months post-vaccination, he received treatment for Covid19 with an unspecified Pfizer drug. Around 12 days later, he had rebound Covid infection. The ongoing Covid19 pandemic could be a contributory factor. The benefit risk relationship of mRNA-1273 is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19
Hospital-Tage
-
Labordaten
Test Date: 202205; Test Name: COVID-19 test; Test Result: Negative ; Result Unstructured Data: Negative
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
TYLENOL SEVERE ALLERGY
Allergien
-
Vorherige Impfungen
-

VAERS 2267190

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
GA
Alter
21,0
Geschlecht
F
Eingang
09.05.2022
Impfdatum
01.12.2021
Beginn
05.05.2022
Tage bis Beginn
155,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered Inappropriate schedule of product administration

Symptomtext

2nd dose was administered more than 42 days after the first dose; Expired 2nd dose administered to patient/patient received expired 2nd dose of Moderna; This spontaneous case was reported by a nurse and describes the occurrence of INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (2nd dose was administered more than 42 days after the first dose) and EXPIRED PRODUCT ADMINISTERED (Expired 2nd dose administered to patient/patient received expired 2nd dose of Moderna) in a 21-year-old female patient who received mRNA-1273 (Spikevax) (batch nos. 012F21A and 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 01-Dec-2021, the patient received first dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form. On 05-May-2022, received second dose of mRNA-1273 (Spikevax) (unknown route) dosage was changed to 1 dosage form. On 05-May-2022, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (2nd dose was administered more than 42 days after the first dose) and EXPIRED PRODUCT ADMINISTERED (Expired 2nd dose administered to patient/patient received expired 2nd dose of Moderna). At the time of the report, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (2nd dose was administered more than 42 days after the first dose) and EXPIRED PRODUCT ADMINISTERED (Expired 2nd dose administered to patient/patient received expired 2nd dose of Moderna) outcome was unknown. For mRNA-1273 (Spikevax) (Unknown), the reporter did not provide any causality assessments. No concomitant medications was reported. The reporter stated that the expiration date was from CDC. According to CDC expiration date 19 Mar 2022 was the last updated on this lot. No treatment medications was reported. Reporter did not allow further contact

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

VAERS 2258497

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

gering
Staat
TN
Alter
80,0
Geschlecht
M
Eingang
29.04.2022
Impfdatum
27.08.2021
Beginn
01.01.2022
Tage bis Beginn
127,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
COVID-19 Nasopharyngitis SARS-CoV-2 test positive

Symptomtext

I had COVID-19 in 01/2022 and it was similar to a bad cold. I took Tylenol and my doctor prescribed me steroids and I was feeling better after that. I didn't actually see my doctor.

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19
Hospital-Tage
-
Labordaten
COVID-19 test (01/2022)
Aktuelle Erkrankungen
None
Vorgeschichte
COPD Arthritis
Andere Medikamente
Trulicity 3mg/0.5 Lisinopril 30mg Glimepiride 4mg Folic Acid 1mg Lovastatin 20mg Indapamide 1.25mg Methotrexate 2.5mg Diltiazem 180mg75mg Clopidogrel 0.75mg Loratadine 10mg Aspirin 81mg Metformin 1000mg Trazodone 50mg Trelegy 100mg/62.5 Al
Allergien
None
Vorherige Impfungen
-

VAERS 2226126

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
CA
Alter
34,0
Geschlecht
M
Eingang
11.04.2022
Impfdatum
09.11.2021
Beginn
09.11.2021
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

covid Booster vaccine was given earlier before change in CDC guidance.

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

VAERS 2226102

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
CA
Alter
47,0
Geschlecht
F
Eingang
11.04.2022
Impfdatum
09.11.2021
Beginn
09.11.2021
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

covid Booster vaccine was given earlier before change in CDC guidance.

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

VAERS 2226015

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
CA
Alter
30,0
Geschlecht
F
Eingang
11.04.2022
Impfdatum
09.11.2021
Beginn
09.11.2021
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

covid Booster vaccine was given 5 days earlier before change in CDC guidance.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Type 2 Diabetes, liver function abnormality, gallstones ,Hyperthyroidism
Andere Medikamente
metformin HCI ER 500mg
Allergien
-
Vorherige Impfungen
-

VAERS 2223099

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
CA
Alter
32,0
Geschlecht
F
Eingang
08.04.2022
Impfdatum
16.11.2021
Beginn
16.11.2021
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

COVID-19 booster vaccine given 5 days earlier before change in guidance.

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

VAERS 2199600

UNKNOWN MANUFACTURER · VACCINE NOT SPECIFIED (NO BRAND NAME) · Charge 045C21A

gering
Staat
CA
Alter
35,0
Geschlecht
M
Eingang
25.03.2022
Impfdatum
20.01.2022
Beginn
20.01.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Expired product administered

Symptomtext

Patient received the Moderna booster from this lot 045C21A 15 days after the lot was expired. Patient was advised to return to the clinic for repeat booster as soon as possible.

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

VAERS 2199598

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
CA
Alter
38,0
Geschlecht
F
Eingang
25.03.2022
Impfdatum
19.01.2022
Beginn
19.01.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product storage error

Symptomtext

Patient received a vaccine from a lot that had expired 15 days previously. Patient advised to RTC ASAP for repeat booster.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product storage error
Hospital-Tage
-
Labordaten
na
Aktuelle Erkrankungen
NA
Vorgeschichte
NA
Andere Medikamente
NA
Allergien
NA
Vorherige Impfungen
-

VAERS 2196684

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
40,0
Geschlecht
F
Eingang
24.03.2022
Impfdatum
30.09.2021
Beginn
16.10.2021
Tage bis Beginn
16,0
Dosis
3
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Metabolic encephalopathy Speech disorder

Symptomtext

Patient presented to the ED and was subsequently hospitalized for speech disturbance, metabolic encephalopathy within 6 weeks of receiving covid vaccination.

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

VAERS 2165986

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
17,0
Geschlecht
U
Eingang
08.03.2022
Impfdatum
08.12.2021
Beginn
-
Tage bis Beginn
-
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

There were no adverse events. The patient wasn't in the approved age group for Moderna booster.

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

VAERS 2143179

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
FL
Alter
34,0
Geschlecht
M
Eingang
26.02.2022
Impfdatum
07.07.2021
Beginn
08.07.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Vaccination site erythema Vaccination site swelling

Symptomtext

Redness at injection site; swelling at injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE ERYTHEMA (Redness at injection site) and VACCINATION SITE SWELLING (swelling at injection site) in a 34-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included LISINOPRIL for ACE inhibitor fetopathy. On 07-Jul-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Jul-2021, the patient experienced VACCINATION SITE ERYTHEMA (Redness at injection site) and VACCINATION SITE SWELLING (swelling at injection site). At the time of the report, VACCINATION SITE ERYTHEMA (Redness at injection site) and VACCINATION SITE SWELLING (swelling at injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment medications were provided

Weitere VAERSDATA-Felder
Praegender Schweregrund
Vaccination site erythema
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Comments: No medical history was provided by the reporter.
Andere Medikamente
LISINOPRIL
Allergien
-
Vorherige Impfungen
-

VAERS 2134562

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
ID
Alter
16,0
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: nein
Product administered to patient of inappropriate age

Symptomtext

We gave 1 shot of Moderna 3rd dose to a 16 year old. Moderna is only approved for 18 and above.

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

VAERS 2119476

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
CA
Alter
70,0
Geschlecht
F
Eingang
17.02.2022
Impfdatum
12.11.2021
Beginn
24.01.2022
Tage bis Beginn
73,0
Dosis
3
Route/Site
IM / UN
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Vaccine breakthrough infection

Symptomtext

BREAKTHROUGH COVID INFECTION

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

VAERS 2104981

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MI
Alter
17,0
Geschlecht
F
Eingang
11.02.2022
Impfdatum
18.10.2021
Beginn
18.10.2021
Tage bis Beginn
0,0
Dosis
1
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

Moderna Covid-19 vaccine administered to unauthorized age group. Patient was only 17 years of age. No reactions or symptoms to report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
Gonorrhea
Vorgeschichte
None
Andere Medikamente
Rocephin, Pyridoxine, Prenatal Plus
Allergien
Delsuym
Vorherige Impfungen
-

VAERS 2104686

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
49,0
Geschlecht
F
Eingang
11.02.2022
Impfdatum
09.09.2021
Beginn
18.01.2022
Tage bis Beginn
131,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 SARS-CoV-2 test positive

Symptomtext

Positive for COVID-19.

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

VAERS 2102101

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
30,0
Geschlecht
F
Eingang
10.02.2022
Impfdatum
21.09.2021
Beginn
01.02.2022
Tage bis Beginn
133,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 SARS-CoV-2 test positive

Symptomtext

Positive COVID-19

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

VAERS 2099164

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
FL
Alter
79,0
Geschlecht
M
Eingang
09.02.2022
Impfdatum
14.09.2021
Beginn
05.02.2022
Tage bis Beginn
144,0
Dosis
3
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Anticoagulant therapy COVID-19 Cardiac assistance device user Fall Infection SARS-CoV-2 test positive Wheelchair user Wheezing

Symptomtext

Came to ED 2/5/22 Patient was attempting to transfer from the toilet to his wheelchair when he fell. Patient denies dizziness, syncope, headache, nausea or vomiting. He states that the wheelchair slipped out from under him. He denies hitting his head. Patient has a LifeVest in place and states he is waiting an internal defibrillator however he "keeps getting infections. ". Patient is anticoagulated on Eliquis. Patient tested positive for COVID prior to hospitalization, wheezing noted bilaterally. Discharged 2/9/22 - remained on room air and did not require steriods. Previously vacc Moderna 1/7/21, 2/5/21, 9/14/21

Weitere VAERSDATA-Felder
Praegender Schweregrund
Anticoagulant therapy
Hospital-Tage
4,0
Labordaten
COVID PCR + 02/05/2021
Aktuelle Erkrankungen
-
Vorgeschichte
Stage 3 kidney disease, a-fib, CAD, diabetes, DVT, MI, HLD, HTN, multiple myeloma on chemotherapy, anemia
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2079344

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WV
Alter
82,0
Geschlecht
F
Eingang
01.02.2022
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered No adverse event

Symptomtext

Per the CDC definition, patient is not severely immunocompromised. Patient received a third Moderna COVID vaccine dose of 0.5 mL, instead of the standard 0.25 mL. Patient contacted PCP on 1/28/2022; no adverse reactions were reported.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
chronic bronchitis heart murmur history of malignant neoplasm of colon hypertensive disorder neuropathic pain premature atrial contraction ventricular premature beats
Vorgeschichte
chronic bronchitis heart murmur history of malignant neoplasm of colon hypertensive disorder neuropathic pain premature atrial contraction ventricular premature beats
Andere Medikamente
albuterol sulfate aspirin digoxin diltiazem HCl doxycycline hyclate gabapentin lorazepam Symbicort Trelegy Ellipta
Allergien
penicillins
Vorherige Impfungen
-

VAERS 2079328

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WV
Alter
57,0
Geschlecht
F
Eingang
01.02.2022
Impfdatum
23.11.2021
Beginn
23.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered No adverse event

Symptomtext

Patient was given her third COVID vaccine and received 0.5 mL (dose given to severely immunocompromised patients, as defined by CDC), instead of the standard 0.25 mL dose. No adverse reactions noted.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
cellulitis of lower limb (right) cirrhosis of liver congestive heart failure diabetes mellitus gastroesophageal reflux disease nicotine dependence obesity wound
Vorgeschichte
cellulitis of lower limb (right) cirrhosis of liver congestive heart failure diabetes mellitus gastroesophageal reflux disease nicotine dependence obesity wound
Andere Medikamente
Accu-Chek Guide Me Glucose Mtr Accu-Chek Guide test strips Accu-Chek Softclix Lancets amoxicillin aripiprazole atorvastatin Augmentin BD Ultra-Fine Short Pen Needle benazepril carisoprodol cephalexin Chantix Starting Month Box clobetasol cl
Allergien
sulfa; plastic tape; milk; eggs
Vorherige Impfungen
-

VAERS 2074583

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
PR
Alter
58,0
Geschlecht
F
Eingang
29.01.2022
Impfdatum
07.09.2021
Beginn
12.10.2021
Tage bis Beginn
35,0
Dosis
2
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Major depression Treponema test Treponema test false positive Treponema test negative

Symptomtext

Major depression. I suffered through a false positive syphilis result from the covid vaccine. I tested positive for syphilis on Oct 12, 2021 . Reactive (STS) 1:16 DILS. Test result was reported to the health department on October 15, 2021. I was not informed of this lab result January 14, 2022 when I reported to the Department of Health to repeat the syphilis blood test. I had the blood test done on January 14, 2022 I had a FTA-ABs syphilis biological test done which gave a negative result: Non Reactive FTA-ABS. NON-Reactive. Test result was on January 20, 2022

Weitere VAERSDATA-Felder
Praegender Schweregrund
Major depression
Hospital-Tage
-
Labordaten
Blood serology test for syphilis October 12, 2021 Positive reactive test reported October 15, 2021 to the Health Department FTA-ABS blood test done January 14, 2022 Negative syphilis test reported on January 20, 2022
Aktuelle Erkrankungen
High blood pressure High cholesterol Hypothyroidism Fatty liver Pre diabetic Osteoarthritis Migraine Stenosis carotid artery
Vorgeschichte
High blood pressure, High cholesterol Carotid artery stenosis Hypothyroidism
Andere Medikamente
Diovan 320/25 Synthriod 100 Crestor 40 Lamictal 100 twice a day Buscar 10 Aspirin 82 Vitamin D 5000 Maxalt Azulfadine 500
Allergien
Demerol Phelnelgan Morphine
Vorherige Impfungen
-

VAERS 2068900

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
KY
Alter
26,0
Geschlecht
M
Eingang
27.01.2022
Impfdatum
17.09.2021
Beginn
25.01.2022
Tage bis Beginn
130,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 SARS-CoV-2 test positive

Symptomtext

Covid positive through work contact. Not due for booster

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

VAERS 2051004

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MN
Alter
64,0
Geschlecht
F
Eingang
20.01.2022
Impfdatum
11.08.2021
Beginn
17.01.2022
Tage bis Beginn
159,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Productive cough Rhinorrhoea SARS-CoV-2 test positive

Symptomtext

PRODUCTIVE COUGH, RHINORRHEA

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19
Hospital-Tage
-
Labordaten
POSITIVE COVID TEST 1/17/2022
Aktuelle Erkrankungen
7/15/21 FAILURE TO THRIVE IN ADULT. WEAKNESS, BLOOD SUGAR PROBLEM
Vorgeschichte
Anemia in chronic renal disease CKD (chronic kidney disease) stage 4, GFR 15-29 ml/min Depression ESRD (end stage renal disease) on dialysis Failure to thrive in adult Gout Hypocalcemia Hypertension Immunosuppression Methamphetamine abuse Organ transplant- kidney, liver Tobacco abuse Type II diabetes mellitus Vitamin D deficiency
Andere Medikamente
Carvedilol (Coreg) 25 Mg Tablet Cholecalciferol (Vitamin D3) 25 Mcg (1000 Units) Capsule Insulin Pen Needle 31G X 8 Mm Insulin Aspart (Novolog) 100 Units/Ml Subcutaneous Flexpen Metformin (Glucophage-xr) 500 Mg 24 Hr Tablet Mycophe
Allergien
Ibuprofen Nsaids (Non-Steroidal Anti-Inflammatory Drug)
Vorherige Impfungen
-

VAERS 2042888

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MI
Alter
54,0
Geschlecht
F
Eingang
18.01.2022
Impfdatum
06.11.2021
Beginn
17.01.2022
Tage bis Beginn
72,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Unevaluable event

Symptomtext

HOSPITALIZATION

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

VAERS 2037968

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
KY
Alter
77,0
Geschlecht
F
Eingang
15.01.2022
Impfdatum
10.09.2021
Beginn
22.12.2021
Tage bis Beginn
103,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 SARS-CoV-2 test positive

Symptomtext

Tested Positive for Covid

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

VAERS 2001305

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
KY
Alter
83,0
Geschlecht
F
Eingang
04.01.2022
Impfdatum
21.07.2021
Beginn
29.12.2021
Tage bis Beginn
161,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 SARS-CoV-2 test positive

Symptomtext

Covid positive contact unknown.

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

VAERS 1995904

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MA
Alter
39,0
Geschlecht
F
Eingang
31.12.2021
Impfdatum
19.07.2021
Beginn
29.12.2021
Tage bis Beginn
163,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Cough Nasal congestion SARS-CoV-2 test positive

Symptomtext

Tested positive with mild symptoms, stuffy nose and cough.

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

VAERS 1994818

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
-
Geschlecht
F
Eingang
31.12.2021
Impfdatum
27.10.2021
Beginn
27.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product storage error

Symptomtext

She received her booster of the Moderna vaccine/ received a dose from a lot that might have been improperly stored; This spontaneous case was reported by a consumer and describes the occurrence of PRODUCT STORAGE ERROR (She received her booster of the Moderna vaccine/ received a dose from a lot that might have been improperly stored) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 27-Oct-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 27-Oct-2021, the patient experienced PRODUCT STORAGE ERROR (She received her booster of the Moderna vaccine/ received a dose from a lot that might have been improperly stored). On 27-Oct-2021, PRODUCT STORAGE ERROR (She received her booster of the Moderna vaccine/ received a dose from a lot that might have been improperly stored) had resolved. No relevant concomitant medications were reported. No treatment information was provided.

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

VAERS 1994706

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
56,0
Geschlecht
F
Eingang
31.12.2021
Impfdatum
27.10.2021
Beginn
27.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product temperature excursion issue

Symptomtext

given shots during excursions; This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT TEMPERATURE EXCURSION ISSUE (given shots during excursions) in a 56-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 27-Oct-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .25 milliliter. On 27-Oct-2021, the patient experienced PRODUCT TEMPERATURE EXCURSION ISSUE (given shots during excursions). On 27-Oct-2021, PRODUCT TEMPERATURE EXCURSION ISSUE (given shots during excursions) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medication information was provided. No treatment information was provided.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product temperature excursion issue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1980652

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
55,0
Geschlecht
F
Eingang
25.12.2021
Impfdatum
29.10.2021
Beginn
29.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product temperature excursion issue

Symptomtext

Product temperature excursion issue; This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT TEMPERATURE EXCURSION ISSUE (Product temperature excursion issue) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 29-Oct-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .25 milliliter. On 29-Oct-2021, the patient experienced PRODUCT TEMPERATURE EXCURSION ISSUE (Product temperature excursion issue). On 29-Oct-2021, PRODUCT TEMPERATURE EXCURSION ISSUE (Product temperature excursion issue) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were provided. No treatment information was provided.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product temperature excursion issue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1980645

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
85,0
Geschlecht
M
Eingang
25.12.2021
Impfdatum
12.10.2021
Beginn
09.11.2021
Tage bis Beginn
28,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product temperature excursion issue

Symptomtext

Patients were given shots during excursions; This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT TEMPERATURE EXCURSION ISSUE (Patients were given shots during excursions) in an 85-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 065F21A and 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 12-Oct-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 ml. On 09-Nov-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .5 ml. On 09-Nov-2021, the patient experienced PRODUCT TEMPERATURE EXCURSION ISSUE (Patients were given shots during excursions). On 09-Nov-2021, PRODUCT TEMPERATURE EXCURSION ISSUE (Patients were given shots during excursions) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medication reported. No treatment information provided.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product temperature excursion issue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1980644

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
80,0
Geschlecht
F
Eingang
25.12.2021
Impfdatum
28.10.2021
Beginn
28.10.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product temperature excursion issue

Symptomtext

patients were given shots during excursions; This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT STORAGE ERROR (patients were given shots during excursions) in an 80-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 28-Oct-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .25 milliliter. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 28-Oct-2021, the patient experienced PRODUCT STORAGE ERROR (patients were given shots during excursions). On 28-Oct-2021, PRODUCT STORAGE ERROR (patients were given shots during excursions) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant drugs were reported. No treatment drugs were reported.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product temperature excursion issue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1980628

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
58,0
Geschlecht
F
Eingang
25.12.2021
Impfdatum
02.11.2021
Beginn
02.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product temperature excursion issue

Symptomtext

patients were given shots during excursions.; This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT TEMPERATURE EXCURSION ISSUE (patients were given shots during excursions.) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 02-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .25 ml. On 02-Nov-2021, the patient experienced PRODUCT TEMPERATURE EXCURSION ISSUE (patients were given shots during excursions.). On 02-Nov-2021, PRODUCT TEMPERATURE EXCURSION ISSUE (patients were given shots during excursions.) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant products were not provided. Treatment medication were not reported.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product temperature excursion issue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1980627

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
74,0
Geschlecht
M
Eingang
25.12.2021
Impfdatum
27.10.2021
Beginn
27.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product temperature excursion issue

Symptomtext

patients were given shots during excursions; This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT TEMPERATURE EXCURSION ISSUE (patients were given shots during excursions) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 27-Oct-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .25 milliliter. On 27-Oct-2021, the patient experienced PRODUCT TEMPERATURE EXCURSION ISSUE (patients were given shots during excursions). On 27-Oct-2021, PRODUCT TEMPERATURE EXCURSION ISSUE (patients were given shots during excursions) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medication information was reported. No treatment medications were provided This case was linked to MOD-2021-423303 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product temperature excursion issue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1980615

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
68,0
Geschlecht
F
Eingang
25.12.2021
Impfdatum
16.11.2021
Beginn
16.11.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product temperature excursion issue

Symptomtext

Patients were given shots during excursions.; This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT TEMPERATURE EXCURSION ISSUE (Patients were given shots during excursions.) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 16-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .25 ml. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 16-Nov-2021, the patient experienced PRODUCT TEMPERATURE EXCURSION ISSUE (Patients were given shots during excursions.). On 16-Nov-2021, PRODUCT TEMPERATURE EXCURSION ISSUE (Patients were given shots during excursions.) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications information was not reported No treatment medications were provided

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product temperature excursion issue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1980613

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
79,0
Geschlecht
F
Eingang
25.12.2021
Impfdatum
02.11.2021
Beginn
02.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product temperature excursion issue

Symptomtext

Product temperature excursion issue; This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT TEMPERATURE EXCURSION ISSUE (Product temperature excursion issue) in a 79-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 02-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Nov-2021, the patient experienced PRODUCT TEMPERATURE EXCURSION ISSUE (Product temperature excursion issue). On 02-Nov-2021, PRODUCT TEMPERATURE EXCURSION ISSUE (Product temperature excursion issue) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No Concomitant Drug details were reported. No Treatment information was provided

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product temperature excursion issue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1980612

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
66,0
Geschlecht
M
Eingang
25.12.2021
Impfdatum
28.10.2021
Beginn
28.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product temperature excursion issue

Symptomtext

patients were given shots during excursions.; This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT TEMPERATURE EXCURSION ISSUE (patients were given shots during excursions.) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 28-Oct-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .25 milliliter. On 28-Oct-2021, the patient experienced PRODUCT TEMPERATURE EXCURSION ISSUE (patients were given shots during excursions.). On 28-Oct-2021, PRODUCT TEMPERATURE EXCURSION ISSUE (patients were given shots during excursions.) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications reported by reporter No treatment medications provided by the reporter. This case was linked to MOD-2021-423403 (Patient Link).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product temperature excursion issue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1980611

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
93,0
Geschlecht
M
Eingang
25.12.2021
Impfdatum
28.10.2021
Beginn
28.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product temperature excursion issue

Symptomtext

Product temperature excursion issue/patients were given shots during excursions; This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT TEMPERATURE EXCURSION ISSUE (Product temperature excursion issue/patients were given shots during excursions) in a 93-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 28-Oct-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .25 milliliter. On 28-Oct-2021, the patient experienced PRODUCT TEMPERATURE EXCURSION ISSUE (Product temperature excursion issue/patients were given shots during excursions). On 28-Oct-2021, PRODUCT TEMPERATURE EXCURSION ISSUE (Product temperature excursion issue/patients were given shots during excursions) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications information was reported. No treatment medications were provided.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product temperature excursion issue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1980610

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
32,0
Geschlecht
M
Eingang
25.12.2021
Impfdatum
29.09.2021
Beginn
29.10.2021
Tage bis Beginn
30,0
Dosis
2
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product temperature excursion issue

Symptomtext

Patients were given shots during excursions; This spontaneous case was reported by a health care professional and describes the occurrence of PRODUCT TEMPERATURE EXCURSION ISSUE (Patients were given shots during excursions) in a 32-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 29-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 ml. On 29-Oct-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .5 ml. On 29-Oct-2021, the patient experienced PRODUCT TEMPERATURE EXCURSION ISSUE (Patients were given shots during excursions). On 29-Oct-2021, PRODUCT TEMPERATURE EXCURSION ISSUE (Patients were given shots during excursions) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant products were not provided. Treatment medications were not reported.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product temperature excursion issue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1980607

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
65,0
Geschlecht
F
Eingang
25.12.2021
Impfdatum
27.10.2021
Beginn
27.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product temperature excursion issue

Symptomtext

Patient was given shots during excursions; This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT TEMPERATURE EXCURSION ISSUE (Patient was given shots during excursions) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 27-Oct-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .25 milliliter. On 27-Oct-2021, the patient experienced PRODUCT TEMPERATURE EXCURSION ISSUE (Patient was given shots during excursions). On 27-Oct-2021, PRODUCT TEMPERATURE EXCURSION ISSUE (Patient was given shots during excursions) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Excursion date was given as 27 Oct 2021. No concomitant drug details were reported. No treatment information was provided.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product temperature excursion issue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1978944

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
67,0
Geschlecht
F
Eingang
24.12.2021
Impfdatum
29.10.2021
Beginn
29.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product storage error

Symptomtext

patients were given shots during excursions; This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT STORAGE ERROR (patients were given shots during excursions) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 29-Oct-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .25 ml. On 29-Oct-2021, the patient experienced PRODUCT STORAGE ERROR (patients were given shots during excursions). On 29-Oct-2021, PRODUCT STORAGE ERROR (patients were given shots during excursions) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No Concomitant medications were reported. No treatment medications were reported. Excursion dates were reported as 27 October 2021.

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

VAERS 1967657

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
GA
Alter
17,0
Geschlecht
F
Eingang
21.12.2021
Impfdatum
21.12.2021
Beginn
21.12.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product administered to patient of inappropriate age

Symptomtext

Given moderna booster at age 17

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Loestrin
Allergien
NKDA
Vorherige Impfungen
-

VAERS 1927913

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MI
Alter
55,0
Geschlecht
M
Eingang
07.12.2021
Impfdatum
03.12.2021
Beginn
03.12.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Accidental underdose

Symptomtext

patient received half dose of the Moderna vaccine as 1st dose; This spontaneous case was reported by a pharmacist and describes the occurrence of ACCIDENTAL UNDERDOSE (patient received half dose of the Moderna vaccine as 1st dose) in a 55-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. Concomitant products included FLUTICASONE PROPIONATE, SALMETEROL XINAFOATE (ADVAIR), GLIMEPIRIDE, METFORMIN HYDROCHLORIDE (GLUCOPHAGE), MODAFINIL, MONTELUKAST SODIUM (SINGULAIR), SEMAGLUTIDE (RYBELSUS) and BUMETANIDE for an unknown indication. On 03-Dec-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Dec-2021, the patient experienced ACCIDENTAL UNDERDOSE (patient received half dose of the Moderna vaccine as 1st dose). On 03-Dec-2021, ACCIDENTAL UNDERDOSE (patient received half dose of the Moderna vaccine as 1st dose) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No treatment details were reported.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Accidental underdose
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
ADVAIR; GLIMEPIRIDE; GLUCOPHAGE; MODAFINIL; SINGULAIR; RYBELSUS; BUMETANIDE
Allergien
-
Vorherige Impfungen
-

VAERS 1909341

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
KY
Alter
21,0
Geschlecht
F
Eingang
30.11.2021
Impfdatum
20.08.2021
Beginn
24.11.2021
Tage bis Beginn
96,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 SARS-CoV-2 test positive

Symptomtext

Tested Positive for Covid.

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

VAERS 1904062

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
IL
Alter
56,0
Geschlecht
F
Eingang
27.11.2021
Impfdatum
22.10.2021
Beginn
22.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

None, patient received 0.25ml dose instead of 0.5ml dose since she is immunocompromised. She called backed 3 weeks after dose. Per CDC guidelines we recommended patient come back and receive 0.5ml dose. Patient has not returned to receive dose.

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

VAERS 1899593

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
FL
Alter
-
Geschlecht
U
Eingang
25.11.2021
Impfdatum
01.11.2021
Beginn
01.11.2021
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

administered with the vaccine from a vial punctured for more than 12 hours; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (administered with the vaccine from a vial punctured for more than 12 hours) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 01-Nov-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 01-Nov-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (administered with the vaccine from a vial punctured for more than 12 hours). On 01-Nov-2021, EXPIRED PRODUCT ADMINISTERED (administered with the vaccine from a 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. No Concomitant medications were reported. No Treatment medications were reported.

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

VAERS 1894542

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
IL
Alter
12,0
Geschlecht
M
Eingang
23.11.2021
Impfdatum
11.11.2021
Beginn
11.11.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product administered to patient of inappropriate age Product administration error

Symptomtext

Vaccine Administration Error: The Moderna COVID-19 vaccine is currently authorized under Emergency Use Authorization (EUA) for individuals 18 years and older. The parents registered their 12 year old son to receive a Moderna vaccine at the drive through clinic. The registration form requires individuals to confirm they are 18 years or older, but no hard stops prevent registration if the age requirement is not met. The mother provided consent for the vaccination at the clinic and Moderna vaccine was given to the child in the adult dose of 100 micrograms, 0.5 ml. After the vaccination was given, the staff member recognized an error had been made and that the child was not eligible for the vaccination given.

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
No known drug allergies
Vorherige Impfungen
-

VAERS 1958451

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AK
Alter
64,0
Geschlecht
M
Eingang
18.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
- / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

IM given in left arm 3rd dose. Moderna COVID-19 vaccine lot 045C21A given was removed from freezer on 10/6/2021 at 11:45 AM. Given on 11/5/2021, out of range. Patient contacted that evening. Moderna manufacturer called. Patients called the following Monday letting them know that Moderna was looking into this and would be getting back to us. Also let them know I would be following up with them once we heard back from them. Called patient today 11/17/21 and let him know that Moderna let us know the vaccine was viable, no additional booster vaccine is required.

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

VAERS 1958449

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AK
Alter
47,0
Geschlecht
M
Eingang
18.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

IM given in left arm 3rd dose (Booster). Moderna Covid-19 Vaccine Lot 045C21A given was removed from freezer on 10/6/21 @ 11:45 am. Given on 11/5/21, out of time range. Patient contacted that evening. Moderan manufacturer called. Patients called the following Monday letting them know that Moderna was looking into this and would be getting back to us. Also let them know I would be following up with them once we heard bak from them. Called patient today 11/17/21 and let him know that oderan let us know the vacine was viable, no additional booster vaccine is required.

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

VAERS 1958448

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AK
Alter
40,0
Geschlecht
F
Eingang
18.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered

Symptomtext

IM given in left arm 3rd dose. (Booster). Moderna Covid-19 Vaccine Lot 045C21 given was removed from freezer on 10/6/2021 @ 11:45am, Given on 11/5/2021, out of time range. Patient contacted that evening. Moderan manufacturer called. Patients called the following Monday letting them know that Moderna was looking into this and would be getting back to us. Also let them know I would be following up with them once we heard back from them. Called patient today 11/17/21 and let him know that Moderan let us know the vaccine was viable, no additional booster vaccine is required.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
11
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1958446

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AK
Alter
58,0
Geschlecht
F
Eingang
18.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

IM given in left arm 3rd dose. Moderna COVID-19 vaccine Lot 045C21A given was removed from freezer on 10/6/2021 at 11:45 am. Given on 11/5/2021, out of range. Patient contacted that evening. Moderna manufacturer called. Patients called the following Monday letting them know that Moderna was looking into this and would be getting back to us. Also let them know I would be following up with them once we heard back from them. Called patient today 11/17/2021 and let him know that Moderna let us know the vaccine was viable, no additional booster vaccine is required.

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

VAERS 1958444

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AK
Alter
51,0
Geschlecht
M
Eingang
18.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
JET / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered

Symptomtext

IM given in left arm 3rd dose. (Booster). Moderna Covid-19 Vaccine Lot 045C21A given was removed from freezer on 10/6/21 @ 11:45 am. Given on 11/5/21, out of time range. Patient contacted that evening. Moderan manufacturer called. Patients called the following Monday letting them know that Moderna was looking into this and would be getting back to us. Also let them know I would be following up with them once we heard back from them. Called patient today 11/17/21 and let him know that Moderan let us know the vaccine was viable, no additional booster vaccine is required.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
11
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1958443

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AK
Alter
54,0
Geschlecht
F
Eingang
18.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

IM given in left arm 3rd dose. (Booster). Moderna COVID-19 Vaccine Lot 045C21A given was removed from freezer on 10/6/2021 @ 11:45AM. Given on 11/5/2021, out of time range. Patient contacted that evening. Moderan manufacturer called. Patients called the following Monday letting them know that MODERNA was looking into this and would be getting back to us. Also let them know I would be following up on them once we heard back from them. Called patient today 11/17/2021 and let him know that Moderan let us know the vaccine was viable, no additional booster vaccine is required.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product storage error
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
11
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1958441

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AK
Alter
42,0
Geschlecht
F
Eingang
18.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered

Symptomtext

IM given in left arm 3rd dose. (Booster). Moderna COVID-19 Vaccine Lot 045C21A given was removed from freezer on 10/6/2021 @ 11:45AM. Given on 11/5/2021, out of time range. Patient contacted that evening. Moderan manufacturer called. Patients called the following Monday letting them know that Moderna was looking into this and would be getting back to us. Also let them know I would be following up on them once we heard back from them. Called patient today 11/17/2021 and let him know that Moderan let us know the vaccine was viable, no additional booster vaccine is required.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
11
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1958440

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AK
Alter
27,0
Geschlecht
M
Eingang
18.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

IM given in left arm 3rd dose. (Booster). Moderna Covid-19 Vaccine Lot 045C21A given was removed from freezer on 10/6/21 at 11:45 am. Given on 11/5/21, out of time range. Patient contacted that evening. Moderan manufacturer called. Patients called the following Monday letting them know that Moderna was looking into this and would be getting back to us. Also let them know I would be following up with them once we heard back from them. Called patient today 11/17/21 and let him know that Moderan let us know the vaccine was viable, no additional booster vaccine is required.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product storage error
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
11
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1958439

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AK
Alter
52,0
Geschlecht
M
Eingang
18.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered Product storage error

Symptomtext

IM given in left arm 3rd dose. (Booster). Moderna Covid-19 Vaccine Lot 045C21A given was removed from freezer on 10/6/21 @ 11:45 am. Given on 11/5/21, out of time range. Patient contacted that evening. Moderan manufacturer called. Patients called the following Monday letting them know that Moderna was looking into this and would be getting back to us. Also let them know I would be following up with them once we heard back from them. Called patient today 11/17/2021 and let him know that Moderan let us know the vaccine was viable, no additional booster vaccine is required.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
11
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1958438

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AK
Alter
35,0
Geschlecht
M
Eingang
18.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered

Symptomtext

IM given in left arm 3rd dose. (Booster). Moderna Covid-19 Vaccine Lot 045C21A given was removed from freezer on 10/6/21 @ 11:45am. Given on 11/5/21, out of time range. Patient contacted that evening. Moderan manufacturer called. Patients called the following Monday letting them know that Moderna was looking into this and would be getting back to us. Also let them know I would be following up with them once we heard back from them. Called patient today 11/17/21 and let him know that Moderan let us know the vaccine was viable, no additional booster vaccine is required.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
11
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1958437

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AK
Alter
55,0
Geschlecht
F
Eingang
18.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered Product storage error

Symptomtext

IM given in left arm 3rd dose. (Booster). Moderna Covid-19 Vaccine Lot 045C21A given was removed from freezer on 10/6/201 @ 11:45 am. Given on 11/5/21, out of time range. Patient contacted that evening. Moderan manufacturer called. Patients called the following Monday letting them know ow that Moderna was looking into this and would be getting back to us. Also let them know I would be following up with them once we heard back from them. Called patient today 11/17/21 and let him know that Moderan let us know the vaccine was viable, no additional booster vaccine is required.

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

VAERS 1958436

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AK
Alter
40,0
Geschlecht
F
Eingang
18.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered

Symptomtext

IM given in left arm 3rd dose. Moderna COVID-19 vaccine lot 045C21A given was removed from freezer on 10/6/2021 at 11:45 am. Given on 11/5/2021, out of time range. Patient contacted that evening. Moderna manufacturer called. Patients called the following Monday letting them know that Moderna was looking into this and would be getting back to us. Also let them know I would be following up with them once we heard back from them. Called patient today 11/17/2021 and let him know that Moderna let us know the vaccine was viable, no additional booster vaccine is required.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
11
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1958435

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AK
Alter
66,0
Geschlecht
M
Eingang
18.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
JET / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered

Symptomtext

IM given in left arm 3rd dose. (Booster). Moderna Covid-19 Vaccine Lot 045C21A given was removed from freezer on 10/6/21 @ 11:45 am. Given on 11/5/21, out of time range. Patient contacted that evening. Moderan manufacturer called. Patients called the following Monday letting them know that Moderna was looking into this and would be getting back to us. Also let them know I would be following up with them once we heard back from them. Called patient today 11/17/21 and let him know that Moderan let us know the vaccine was viable, no additional booster vaccine is required.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
11
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1958433

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AK
Alter
39,0
Geschlecht
F
Eingang
18.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered

Symptomtext

IM given in left arm 3rd dose. (Booster) Moderna Covid-19 Vaccine Lot 045C21A given was removed from freezer on 10/6/2021 @ 11:45 am. Given on 11/5/2021, out of time range. Patient contacted that evening. Moderan manufacturer called. Patients called the following Monday letting them know that Moderna was looking into this and would be getting back to us. Also let them know I would be following up on them once we heard back from them. Called patient today 11/17/2021 and let him know that Moderan let us know the vaccine was viable, no additional booster vaccine is required.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
11
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1958432

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AK
Alter
54,0
Geschlecht
M
Eingang
18.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

IM given in left arm 3rd dose. (Booster). Moderna Covid-19 Vaccine Lot 045C21A given was removed from freezer on 10/6/21 at 11:45 am. Given on 11/5/21, out of time range. Patient contacted that evening. Moderan manufacturer called. Patients called the following Monday letting them know that Moderna was looking into this and would be getting back to us. Also let them know I would be following up with them once we heard back from them. Called patient today 11/17/21 and let him know that Moderan let us know the vaccine was viable, no additional booster vaccine is required.

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

VAERS 1958431

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AK
Alter
20,0
Geschlecht
M
Eingang
18.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Extra dose administered Product storage error

Symptomtext

IM given in left arm 3rd dose. (Booster) Moderna Covid-19 Vaccine Lot 045C21A given was removed from freezer on 10/6/2021 @ 11:45 am. Given on 11/5/2021, out of time range. Patient contacted that evening. Moderan manufacturer called. Patients called the following Monday letting them know that Moderna was looking into this and would be getting back to us. Also let them know I would be following up on them once we heard back from them. Called patient today 11/17/2021 and let him know that Moderan let us know the vaccine was viable, no additional booster vaccine is required.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
11
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1958428

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AK
Alter
82,0
Geschlecht
F
Eingang
18.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

IM given in left arm 3rd dose. (Booster) Moderna Covid-19 Vaccine Lot 045C21A given was removed from freezer on 10/6/2021 @ 11:45 am. Given on 11/5/2021, out of time range. Patient contacted that evening. Moderan manufacturer called. Patients called the following Monday letting them know that Moderna was looking into this and would be getting back to us. Also let them know I would be following up on them once we heard back from them. Called patient today 11/17/2021 and let him know that Moderan let us know the vaccine was viable, no additional booster vaccine is required.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product storage error
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
11
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1958427

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AK
Alter
37,0
Geschlecht
F
Eingang
18.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered

Symptomtext

IM given in left arm 3rd dose. (Booster). Moderna Covid-19 Vaccine Lot 045C21A given was removed from freezer on 10/6/21 @ 11:45 am. Given on 11/5/21, out of time range. Patient contacted that evening. Moderan manufacturer called. Patients called the following Monday letting them know that Moderna was looking into this and would be getting back to us. Also let them know that Moderna was looking into this and would be getting back to us. Also let them know I would be following up with them once we heard back from them. Called patient today 11/17/21 and let him know that Moderan let us know the vaccine was viable, no additional booster vaccine required.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
11
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1958425

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AK
Alter
45,0
Geschlecht
M
Eingang
18.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

IM given in left arm 3rd dose. (Booster). Moderna Covid-19 Vaccine Lot 045C21A given was removed from freezer on 10/6/21 at 11:45 am. Given on 11/5/21, out of time range. Patient contacted that evening. Moderan manufacturer called. Patients called the following Monday letting them know that Moderna was looking into this and would be getting back to us. Also let them know I would be following up with them once we heard back from them. Called patient today 11/17/21 and let him know that Moderan let us know the vaccine was viable, no additional booster vaccine is required.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product storage error
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
11
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1958424

PFIZER\BIONTECH · COVID19 (COVID19 (PFIZER-BIONTECH)) · Charge 045C21A

gering
Staat
AK
Alter
55,0
Geschlecht
F
Eingang
18.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered

Symptomtext

IM given in left arm 3rd dose. (Booster). Moderna Covid-19 vaccine Lot 05C21A given was removed from freezer on 10/6/21 @ 11:45 am. Given on 11/5/21,out of time range. Patient contacted that evening. Moderna manufacturer called. Patients called the following Monday letting them know that Moderna was looking into this and would be getting back to us. Also let them know I would be following up with them once we heard back from them. Called patient today 11/17/21 and let her know that Moderna let us know the vaccine was viable, no additional booster vaccine is required.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
11
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1958422

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AK
Alter
25,0
Geschlecht
M
Eingang
18.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IN / NS
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

IM given in left arm 3rd dose, (Booster). Moderna Covid-19 Vaccine Lot 045C21A given was removed from freezer on 10/6/21 @ 11:45 am. Given on 11/5/21, out of time range. Patient contacted that evening. Moderan manufacturer called. Patients called the following Monday letting them know that Moderna was looking into this and would be getting back to us. Also let them know I would be following up with them once we heard back from them. Called patient today 11/17/21 and let him know that Moderan let us know the vaccine was vlable, no additional booster vaccine is required.

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

VAERS 1880584

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
38,0
Geschlecht
F
Eingang
18.11.2021
Impfdatum
14.11.2021
Beginn
14.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dry mouth Swollen tongue

Symptomtext

Pt received her Moderna booster along with influenza vaccine at the Vaccine event on Sunday 11/14. About 8 minutes after her vaccinations, pt reported feeling dryness of her buccal mucosa, along with sensation of her tongue swelling. Physical exam WNL, airway patent. HR ranging from 60-70's. Lungs clear to auscultation. No signs of respiratory distress or compromise. Pt agreed to taking Benadryl 25mg PO and drinking water. About 10 minutes after Benadryl, pt reported feeling much better, but still with some mucosal dryness. All VSS. Patient alert and oriented. We agreed that pt would seek medical attention if any symptoms worsened.

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

VAERS 1873462

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
IL
Alter
40,0
Geschlecht
F
Eingang
16.11.2021
Impfdatum
02.09.2021
Beginn
09.10.2021
Tage bis Beginn
37,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Intermenstrual bleeding Menstruation irregular

Symptomtext

After receiving my first covid vaccination I started my regular menses that lasted approximately 7 days. I then spotted off and on for a week after that. After my 2nd vaccination I started my next scheduled menses which lasted approximately 7 days. A week later, I started another menses that lasted another 7 days. I've never had this happen in 40 years. My menses average about 5 days every 32 days. I feel its directly related to the vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Intermenstrual bleeding
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Reactive Airway, Sciatica pain
Andere Medikamente
Multi-vitamin, Tumeric, Vitamin C, Vitamin B12, Gabapentin, and Singular
Allergien
Ceclor, Vancomycin, Macrobid, corn, mosquitos
Vorherige Impfungen
-

VAERS 1873462

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
IL
Alter
40,0
Geschlecht
F
Eingang
16.11.2021
Impfdatum
02.09.2021
Beginn
09.10.2021
Tage bis Beginn
37,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Intermenstrual bleeding Menstruation irregular

Symptomtext

After receiving my first covid vaccination I started my regular menses that lasted approximately 7 days. I then spotted off and on for a week after that. After my 2nd vaccination I started my next scheduled menses which lasted approximately 7 days. A week later, I started another menses that lasted another 7 days. I've never had this happen in 40 years. My menses average about 5 days every 32 days. I feel its directly related to the vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Intermenstrual bleeding
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Reactive Airway, Sciatica pain
Andere Medikamente
Multi-vitamin, Tumeric, Vitamin C, Vitamin B12, Gabapentin, and Singular
Allergien
Ceclor, Vancomycin, Macrobid, corn, mosquitos
Vorherige Impfungen
-

VAERS 1873170

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MA
Alter
55,0
Geschlecht
M
Eingang
16.11.2021
Impfdatum
12.02.2021
Beginn
10.11.2021
Tage bis Beginn
271,0
Dosis
UNK
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Syringe issue

Symptomtext

Our pharmacy used Mini-Spice Dispending Pin (Braun 412012) to draw up Moderna Vaccine Boosters from 7.5 mL vial After contacting with the manufacturer, we have learned that the 20 dose limit was enacted because puncturing the vial more than 20 times could create an open microbiological pass of the contents of the vial. However, our dispensing pin is sterile . We have punctured the vial only once., thus sterility was not compromised. Having said that, we are submitting this report to alert other hospitals NOT to use Mini-Spike Dispensing Pin to draw up extra doses of vaccine from the same vial. Moderna Guidelines: a vial should not be punctured more than 20 times. Therefore, no more than 20 doses should be obtained form one vial

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syringe issue
Hospital-Tage
-
Labordaten
NONE
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1869520

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
28,0
Geschlecht
F
Eingang
15.11.2021
Impfdatum
24.09.2021
Beginn
28.09.2021
Tage bis Beginn
4,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

BREAKTHROUGH COVID INFECTION. PATIENT TESTED POSITIVE ON 09/28/2021. PATIENT WAS FULLY VACCINATED ON 09/24/2021

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

VAERS 1867166

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AK
Alter
-
Geschlecht
F
Eingang
13.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
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

Symptomtext

20 expired booster doses(exp date 4 nov 2021) on 5NOV2021; This spontaneous case was reported by a physician and describes the occurrence of EXPIRED PRODUCT ADMINISTERED on 5NOV2021 in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 05-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 05-Nov-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED on 5NOV2021. On 05-Nov-2021, EXPIRED PRODUCT ADMINISTERED on 5NOV2021 had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medications were not reported. Most recent FOLLOW-UP information incorporated above includes on 08-Nov-2021 the follow up received contains non significant information, added patient demographics.

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

VAERS 1867034

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
FL
Alter
85,0
Geschlecht
M
Eingang
13.11.2021
Impfdatum
01.11.2021
Beginn
01.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Expired product administered Product storage error

Symptomtext

vaccinated past the 12 hour time frame; a bottle and opened it on 27Oct2021. They left it open in the refrigerator and gave it to possibly 2 patients on 01Nov2021; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED and PRODUCT STORAGE ERROR. They left it open in the refrigerator and gave it to possibly 2 patients on 01Nov2021 in an 85-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. Previously administered products included for COVID-19 vaccination of Pfizer vaccine (first PFIZER COVID-19 vaccination intramuscularly with lot number EN6199) on 09-Mar-2021 and Pfizer vaccine (second PFIZER COVID-19 vaccination with Lot number ER8727) on 25-Mar-2021. Past adverse reactions to the above products included No adverse event with Pfizer vaccine and Pfizer vaccine. Concomitant products included OMEPRAZOLE, LEVOTHYROXINE, LISINOPRIL, and SILDENAFIL for an unknown indication. On 01-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 01-Nov-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED and PRODUCT STORAGE ERROR (a bottle and opened it on 27Oct2021. They left it open in the refrigerator and gave it to possibly 2 patients on 01Nov2021). On 01-Nov-2021, EXPIRED PRODUCT ADMINISTERED and PRODUCT STORAGE ERROR on 27Oct2021. They left it open in the refrigerator and gave it to possibly 2 patients on 01Nov2021 had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Treatment medications was not specified This case was linked to MOD-2021-370117 (Patient Link).

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

VAERS 1867018

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
FL
Alter
86,0
Geschlecht
F
Eingang
13.11.2021
Impfdatum
01.11.2021
Beginn
01.11.2021
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

Symptomtext

vaccinated past the 12 hour time frame; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (vaccinated past the 12 hour time frame) in an 86-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 01-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 01-Nov-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (vaccinated past the 12 hour time frame). On 01-Nov-2021, EXPIRED PRODUCT ADMINISTERED (vaccinated past the 12 hour time frame) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications was reported. No treatment drug details was reported. This case was linked to MOD-2021-370117 (Patient Link).

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

VAERS 1865247

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
OH
Alter
57,0
Geschlecht
F
Eingang
12.11.2021
Impfdatum
12.11.2021
Beginn
12.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
No adverse event Product storage error

Symptomtext

Vial expired on 11/4/2021. Notified Pharmacist, no recommendations at this time. No adverse reactions noted from patient.

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
n/a
Vorgeschichte
Dementia, Down's syndrome, Type 2 diabetes, obesity, hyperlipidemia, hypothyroidism, depression, GERD, PVD, Osteoarthritis, Hearing loss, chronic sinusitis, Ulcerative colitis, Allergic rhinitis, bronchitis, dysphagia, falls
Andere Medikamente
Acetaminophen, Aripiprazole 2 mg, Vitamin D3 25mcg, Vitamin B-12, Fluticasone, Levothyroxine 112mcg, Melatonin 5mg, Mesalamine 0.375 gram, MVI, Protonix 20mg, Rosuvastatin 5mg, Tramadol 50mg, Tums, Vitamin A.
Allergien
Benadryl, Codeine, Penicillin, Sulfonamides
Vorherige Impfungen
-

VAERS 1859976

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
FL
Alter
86,0
Geschlecht
F
Eingang
11.11.2021
Impfdatum
01.11.2021
Beginn
01.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Expired product administered

Symptomtext

Moderna vaccine was administered from a vial having been opened for over 12 hours; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Moderna vaccine was administered from a vial having been opened for over 12 hours) in an 86-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 01-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .25 milliliter once. On 01-Nov-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Moderna vaccine was administered from a vial having been opened for over 12 hours). On 01-Nov-2021, EXPIRED PRODUCT ADMINISTERED (Moderna vaccine was administered from a vial having been opened for over 12 hours) had resolved. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were provided. No treatment information was provided by the reporter.

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

VAERS 1859975

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
FL
Alter
85,0
Geschlecht
M
Eingang
11.11.2021
Impfdatum
01.11.2021
Beginn
01.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Expired product administered Product storage error

Symptomtext

Moderna vaccine was administered from a vial having been opened for over 12 hours.; Moderna vaccine was administered from a vial having been opened for over 12 hours.; This spontaneous case was reported by a nurse and describes the occurrence of PRODUCT STORAGE ERROR (Moderna vaccine was administered from a vial having been opened for over 12 hours.) and EXPIRED PRODUCT ADMINISTERED (Moderna vaccine was administered from a vial having been opened for over 12 hours.) in an 85-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. The patient's past medical history included Erectile dysfunction, Hypothyroidism, Colon operation, Wrist fracture and Gastric ulcer (Over 20 years ago.). Concurrent medical conditions included Hypertension, Diabetes, Hyperlipidemia, Obesity, GERD, Insomnia, Lipoma, After-cataract and Diverticulosis. On 01-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .25 milliliter once. On 01-Nov-2021, the patient experienced PRODUCT STORAGE ERROR (Moderna vaccine was administered from a vial having been opened for over 12 hours.) and EXPIRED PRODUCT ADMINISTERED (Moderna vaccine was administered from a vial having been opened for over 12 hours.). On 01-Nov-2021, PRODUCT STORAGE ERROR (Moderna vaccine was administered from a vial having been opened for over 12 hours.) and EXPIRED PRODUCT ADMINISTERED (Moderna vaccine was administered from a vial having been opened for over 12 hours.) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medication was reported by the reporter. No treatment information provided. Patient age over 65, Immunocompromised

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
After-cataract; Diabetes; Diverticulosis; GERD; Hyperlipidemia; Hypertension; Insomnia; Lipoma; Obesity
Vorgeschichte
Medical History/Concurrent Conditions: Colon operation; Erectile dysfunction; Gastric ulcer (Over 20 years ago.); Hypothyroidism; Wrist fracture
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1859974

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
FL
Alter
73,0
Geschlecht
F
Eingang
11.11.2021
Impfdatum
29.10.2021
Beginn
29.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Expired product administered

Symptomtext

Was administered Moderna vaccine from a vial having been opened for over 12 hours; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Was administered Moderna vaccine from a vial having been opened for over 12 hours) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. Concurrent medical conditions included Anxiety disorder and Impaired fasting glucose. On 29-Oct-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .25 milliliter. On 29-Oct-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Was administered Moderna vaccine from a vial having been opened for over 12 hours). On 29-Oct-2021, EXPIRED PRODUCT ADMINISTERED (Was administered Moderna vaccine from a vial having been opened for over 12 hours) had resolved. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant product use 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
Anxiety disorder; Impaired fasting glucose
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1859973

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
FL
Alter
74,0
Geschlecht
M
Eingang
11.11.2021
Impfdatum
27.10.2021
Beginn
27.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered

Symptomtext

Moderna vaccine was administered from open vial of over 12 hours being opened.; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Moderna vaccine was administered from open vial of over 12 hours being opened.) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. The patient's past medical history included Esophageal varices, Pancreatic cancer and Esophagitis. Concurrent medical conditions included Anemia. On 27-Oct-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .25 milliliter once. On 27-Oct-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Moderna vaccine was administered from open vial of over 12 hours being opened.). On 27-Oct-2021, EXPIRED PRODUCT ADMINISTERED (Moderna vaccine was administered from open vial of over 12 hours being opened.) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medication information was not reported Treatment information was not reported

Weitere VAERSDATA-Felder
Praegender Schweregrund
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: Anemia; Esophageal varices; Esophagitis; Pancreatic cancer
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1851063

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
FL
Alter
84,0
Geschlecht
F
Eingang
08.11.2021
Impfdatum
14.09.2021
Beginn
30.09.2021
Tage bis Beginn
16,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Inappropriate schedule of product administration No adverse event

Symptomtext

second dose of Moderna was administered sooner than the recommended minimum timeframe of 28days. It was administered on day 15. Dose 1 given on 9/14/2021 Dose 2 given on 9/30/2021

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
none at this time. MD reviewed resident for any adverse events and none were identified at time of evaluation.
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
Bactrim
Vorherige Impfungen
-

VAERS 1844526

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MA
Alter
29,0
Geschlecht
F
Eingang
04.11.2021
Impfdatum
04.11.2021
Beginn
04.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

received 0.5ml dose of vaccine instead of the 0.25ml recommended

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

VAERS 1844361

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MA
Alter
25,0
Geschlecht
U
Eingang
04.11.2021
Impfdatum
04.11.2021
Beginn
04.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered

Symptomtext

received 0.5ml dose instead of 0.25ml recommended dose

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

VAERS 1844358

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MA
Alter
29,0
Geschlecht
F
Eingang
04.11.2021
Impfdatum
04.11.2021
Beginn
04.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered Incorrect dose administered

Symptomtext

received 0.5ml dose instead of 0.25ml dose recommended

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

VAERS 1844355

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MA
Alter
58,0
Geschlecht
F
Eingang
04.11.2021
Impfdatum
04.11.2021
Beginn
04.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

received 0.5ml dose instead of 0.25ml recommended dose

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

VAERS 1843749

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MA
Alter
38,0
Geschlecht
F
Eingang
04.11.2021
Impfdatum
04.11.2021
Beginn
04.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered Incorrect dose administered

Symptomtext

0.5ml of the vaccine was administered instead of the 0.25ml recommended dose

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

VAERS 1843697

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
16,0
Geschlecht
F
Eingang
04.11.2021
Impfdatum
04.11.2021
Beginn
04.11.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
No adverse event Product administered to patient of inappropriate age

Symptomtext

Patient was given Moderna vaccine 0.5cc in the right deltoid and she is only 16 years old. Per CDC guidelines, Moderna is administered to individuals age 18 or older. No adverse events after injection. Patient was monitored for 20 minutes.

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 1840542

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

gering
Staat
IL
Alter
65,0
Geschlecht
F
Eingang
03.11.2021
Impfdatum
29.10.2021
Beginn
30.10.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Lymphadenopathy

Symptomtext

lymph node swelling

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

VAERS 1840475

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
57,0
Geschlecht
F
Eingang
03.11.2021
Impfdatum
12.10.2021
Beginn
12.10.2021
Tage bis Beginn
0,0
Dosis
N/A
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Wrong product administered

Symptomtext

Patient received Moderna booster dose (0.25 mL) and was found to have only received one dose in series (Pfizer). Patient was given additional (0.25 mL) Moderna to make full dose.

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

VAERS 1836989

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MI
Alter
17,0
Geschlecht
F
Eingang
02.11.2021
Impfdatum
02.11.2021
Beginn
02.11.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product administered to patient of inappropriate age

Symptomtext

Patient came in with 2 other female relatives for first covid vaccine dose. Brother acted as interpreter; All women requested Moderna first dose. Brother was required to leave room prior to women being able to expose their arms per family. Pt was vaccinated, however she was discovered to be 17 yrs old after, even though she presented with the paperwork for an adult of age 18.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
Unknown; No underlying health conditions
Vorgeschichte
No underlying health conditions
Andere Medikamente
Unknown
Allergien
No medication allergies
Vorherige Impfungen
-

VAERS 1825649

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
60,0
Geschlecht
M
Eingang
28.10.2021
Impfdatum
19.10.2021
Beginn
19.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered

Symptomtext

Patient was given .5ml instead of the recommended .25ml of moderna.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
HTN degenerative Disc
Andere Medikamente
Unknown
Allergien
None
Vorherige Impfungen
-

VAERS 1825119

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
30,0
Geschlecht
M
Eingang
28.10.2021
Impfdatum
19.10.2021
Beginn
19.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

Patient was given .5ml instead of the recommended dose of .25ml of moderna

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

VAERS 1825102

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
38,0
Geschlecht
M
Eingang
28.10.2021
Impfdatum
19.10.2021
Beginn
19.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered Incorrect dose administered

Symptomtext

Patient was given .5ml instead of the recommended .25ml of moderna

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
None recorded
Andere Medikamente
Unknown
Allergien
None
Vorherige Impfungen
-

VAERS 1825091

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
62,0
Geschlecht
F
Eingang
28.10.2021
Impfdatum
19.10.2021
Beginn
19.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered Incorrect dose administered

Symptomtext

Patient was given .5ml instead of the .25ml of moderna

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
None recorded. Lives with immunosuppress partner.
Andere Medikamente
Unknown
Allergien
NKA
Vorherige Impfungen
-

VAERS 1825081

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
62,0
Geschlecht
F
Eingang
28.10.2021
Impfdatum
19.10.2021
Beginn
19.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

Patient was given .5ml instead of the recommended dose of .25ml of moderna

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
hypercholesterolemia hypothyroidism
Andere Medikamente
unknown
Allergien
NKA
Vorherige Impfungen
-

VAERS 1825070

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
55,0
Geschlecht
M
Eingang
28.10.2021
Impfdatum
19.10.2021
Beginn
19.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered Incorrect dose administered

Symptomtext

Patient was given .5ml instead of the recommended .25ml of moderna

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
hypertensive disorder hyperuricemia knee pain (bilateral) low back pain microscopic hematuria mixed hyperlipidemia osteoarthritis of knee osteoarthritis of left foot osteoarthritis of right knee joint
Andere Medikamente
Unknown
Allergien
NKA
Vorherige Impfungen
-

VAERS 1825052

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
72,0
Geschlecht
M
Eingang
28.10.2021
Impfdatum
19.10.2021
Beginn
19.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

Patient was given .5ml instead of the recommended .25ml of moderna

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

VAERS 1825041

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
65,0
Geschlecht
F
Eingang
28.10.2021
Impfdatum
19.10.2021
Beginn
19.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

Patient was given .5ml instead of the recommended .25ml

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
None
Vorgeschichte
None recorded
Andere Medikamente
Unknown
Allergien
Sulfa (Sulfonamide Antibiotics)
Vorherige Impfungen
-

VAERS 1825028

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
89,0
Geschlecht
M
Eingang
28.10.2021
Impfdatum
19.10.2021
Beginn
19.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

Patient was given .5ml instead of the recommended .25ml

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

VAERS 1825008

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
68,0
Geschlecht
F
Eingang
28.10.2021
Impfdatum
19.10.2021
Beginn
19.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

Patient was given .5ml instead of the recommended .25ml

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
environmental allergy fatigue mixed hyperlipidemia multiple environmental allergies pain in right hip joint
Andere Medikamente
Unknown
Allergien
cat dander dog dander horse dander Water Babies Spf 30
Vorherige Impfungen
-

VAERS 1821828

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
85,0
Geschlecht
M
Eingang
27.10.2021
Impfdatum
18.10.2021
Beginn
18.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

Patient was given .5ml instead of the recommended .25ml of moderna.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
chronic atrial fibrillation hypertensive disorder
Andere Medikamente
Unknown
Allergien
NKA
Vorherige Impfungen
-

VAERS 1821816

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
67,0
Geschlecht
F
Eingang
27.10.2021
Impfdatum
18.10.2021
Beginn
18.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered Incorrect dose administered

Symptomtext

Patient was given .5ml instead of the .25ml of moderna

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
None
Vorgeschichte
unknown
Andere Medikamente
Unknown
Allergien
Unknown
Vorherige Impfungen
-

VAERS 1821765

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
41,0
Geschlecht
F
Eingang
27.10.2021
Impfdatum
18.10.2021
Beginn
18.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered Incorrect dose administered

Symptomtext

Patient was given .5ml instead of the .25ml of moderna

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
-
Vorgeschichte
DM
Andere Medikamente
Unknown
Allergien
glyburine
Vorherige Impfungen
-

VAERS 1821747

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
64,0
Geschlecht
F
Eingang
27.10.2021
Impfdatum
18.10.2021
Beginn
18.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered Incorrect dose administered

Symptomtext

Patient was given .5ml instead of .25ml of the moderna vaccine

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
None
Vorgeschichte
DM HTN
Andere Medikamente
Unknown
Allergien
NKA
Vorherige Impfungen
-

VAERS 1821726

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
28,0
Geschlecht
M
Eingang
27.10.2021
Impfdatum
18.10.2021
Beginn
18.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

Patient received .5ml instead of the recommended .25ml of moderna

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

VAERS 1821691

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
68,0
Geschlecht
M
Eingang
27.10.2021
Impfdatum
18.10.2021
Beginn
18.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

Patient given .5ml instead of the recommended .25ml of moderna

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
benign essential hypertension hypothyroidism Type 2 diabetes mellitus without complication
Andere Medikamente
Unknown
Allergien
None
Vorherige Impfungen
-

VAERS 1821658

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
65,0
Geschlecht
M
Eingang
27.10.2021
Impfdatum
18.10.2021
Beginn
18.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered

Symptomtext

Patient was given .5ml instead of the recommended .25ml of moderna

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
Unknown
Andere Medikamente
Unknown
Allergien
Unknown
Vorherige Impfungen
-

VAERS 1821633

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
64,0
Geschlecht
M
Eingang
27.10.2021
Impfdatum
18.10.2021
Beginn
18.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

Patient was given .5ml instead of the recommended .25ml of moderna

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
dysthymia bilateral tinnitus
Andere Medikamente
unknown
Allergien
Flonase
Vorherige Impfungen
-

VAERS 1821609

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
87,0
Geschlecht
F
Eingang
27.10.2021
Impfdatum
18.10.2021
Beginn
18.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

Patient was given .5ml instead of the recommended .25ml of moderna

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
none
Vorgeschichte
acquired hypothyroidism hypertensive disorder
Andere Medikamente
unknown
Allergien
nka
Vorherige Impfungen
-

VAERS 1821584

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
76,0
Geschlecht
F
Eingang
27.10.2021
Impfdatum
18.10.2021
Beginn
18.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

Patient was given . 5ml instead of the recommended .25ml of moderna

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
carotid artery stenosis congestive heart failure chronic kidney disease stage 3 disorder due to type 2 diabetes mellitus
Andere Medikamente
Unknown
Allergien
codeine
Vorherige Impfungen
-

VAERS 1821555

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
79,0
Geschlecht
M
Eingang
27.10.2021
Impfdatum
18.10.2021
Beginn
18.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered Incorrect dose administered

Symptomtext

Patient was given .5ml of moderna instead of the recommended .25ml

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
acute congestive heart failure chronic obstructive lung disease degeneration of lumbar intervertebral disc hypertensive disorder
Andere Medikamente
Unknown
Allergien
Unknown
Vorherige Impfungen
-

VAERS 1821527

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
OK
Alter
31,0
Geschlecht
M
Eingang
27.10.2021
Impfdatum
26.10.2021
Beginn
26.10.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Product administration error Underdose

Symptomtext

MODERNA COVID-19 VACCINE EUA: The patient was given Moderna 0.25mL IM x 1 instead of Moderna 0.5mL IM x 1 as dose #1 of the primary series. The patient was immediately called in an attempt to inform him of the administration error once it had been identified and also to have the patient return to the clinic for a repeat dose. However, the patient was not able to be contacted, and a voicemail was left requesting call back.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administration error
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
NKDA
Vorherige Impfungen
-

VAERS 1821512

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
63,0
Geschlecht
F
Eingang
27.10.2021
Impfdatum
18.10.2021
Beginn
18.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered Incorrect dose administered

Symptomtext

Patient was given .5ml instead of the recommended .25ml

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
none
Vorgeschichte
Diabetes Hypertension
Andere Medikamente
unknown
Allergien
unknown
Vorherige Impfungen
-

VAERS 1821494

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
69,0
Geschlecht
F
Eingang
27.10.2021
Impfdatum
18.10.2021
Beginn
18.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered Incorrect dose administered

Symptomtext

Patient was given .5ml instead of the recommended .25ml.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
Unknown
Andere Medikamente
Unknown
Allergien
Unknown
Vorherige Impfungen
-

VAERS 1821445

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
68,0
Geschlecht
F
Eingang
27.10.2021
Impfdatum
18.10.2021
Beginn
18.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

Patient was given .5ml instead of .25ml

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

VAERS 1821262

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
71,0
Geschlecht
M
Eingang
27.10.2021
Impfdatum
18.10.2021
Beginn
18.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Extra dose administered Incorrect dose administered

Symptomtext

Patient was given .5ml of the moderna vaccine instead of .25ml

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
unknown
Vorgeschichte
Chronic pain
Andere Medikamente
unknown
Allergien
unknown
Vorherige Impfungen
-

VAERS 1821174

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
68,0
Geschlecht
M
Eingang
27.10.2021
Impfdatum
18.10.2021
Beginn
18.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

Patient was given .5ml of booster instead of .25ml

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

VAERS 1818685

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
OK
Alter
68,0
Geschlecht
F
Eingang
26.10.2021
Impfdatum
26.10.2021
Beginn
26.10.2021
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

PATIENT RECEIVED BOOSTER DOSE OF MODERNA COVID-19 VACCINE 2 MONTHS EARLY. LAST DOSE OF MODERNA COVID-19 VACCINE WAS 070821 AND BOOSTER DOSE WAS GIVEN 102621.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
CHRONIC KIDNEY DISEASE, HTN, HYPERLIPIDEMIA, OBESITY
Andere Medikamente
-
Allergien
TRAZADONE
Vorherige Impfungen
-

VAERS 1816321

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
49,0
Geschlecht
M
Eingang
25.10.2021
Impfdatum
25.10.2021
Beginn
25.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered No adverse event

Symptomtext

No adverse event. Pt received 0.5ml instead 0.25ml for booster dose.

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

VAERS 1815480

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MO
Alter
73,0
Geschlecht
F
Eingang
25.10.2021
Impfdatum
25.10.2021
Beginn
25.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Extra dose administered

Symptomtext

Upon arriving at the facility for a COVID booster clinic I was told that Pt needed her 2nd Moderna vaccine. There was only 1 shot documented in the facility's ER. Upon filling out the patient's card (the card could not be located when I started the clinic; it was brought to me towards the end of the clinic), I realized she had already received her 2nd dose on 08/24/2021. Because the patient does not qualify as immunocompromised, giving the 0.5ml of Moderna 2 months after her second shot was an error.

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

VAERS 1803574

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
-
Geschlecht
U
Eingang
21.10.2021
Impfdatum
11.10.2021
Beginn
11.10.2021
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

Symptomtext

received dose after more than 30 days refrigerated; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (received dose after more than 30 days refrigerated) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 11-Oct-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-Oct-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (received dose after more than 30 days refrigerated). On 11-Oct-2021, EXPIRED PRODUCT ADMINISTERED (received dose after more than 30 days refrigerated) 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.

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

VAERS 1794305

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
OH
Alter
17,0
Geschlecht
M
Eingang
17.10.2021
Impfdatum
03.09.2021
Beginn
03.09.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
No adverse event Product administered to patient of inappropriate age

Symptomtext

event: Patient present for Covid vaccine and LPN correctly asked patient if he was getting a Moderna vaccine today and he answered, ?yes.? Mom stated to nurse ?I want him to get the Moderna.? Moderna vaccine given and when scheduling for second vaccine, it was noted that he was 17 years old and this vaccine was not indicated. The Director spoke with mom and patient, informing them of error. No adverse reaction noted. Encouraged family to call with any concerns or possible reactions. Also let them know that patient could receive second Moderna vaccine at appropriate time if they so wished. Shared that this is recommendation of CDC. Mom and patient agreed to second Moderna vaccine. Director instructed patient and mom to call with any questions or concerns.

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
none needed
Aktuelle Erkrankungen
unknown
Vorgeschichte
obesity, GERD, Dysphagia, poor hygiene, mild asthma, hisotry of cardiac murmur
Andere Medikamente
none known
Allergien
NKA
Vorherige Impfungen
-

VAERS 1790237

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MO
Alter
14,0
Geschlecht
F
Eingang
16.10.2021
Impfdatum
01.10.2021
Beginn
01.10.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product administered to patient of inappropriate age

Symptomtext

1st dose administered to 14 year old; This spontaneous case was reported by a pharmacist and describes the occurrence of PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (1st dose administered to 14 year old) in a 14-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 01-Oct-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Oct-2021, the patient experienced PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (1st dose administered to 14 year old). On 01-Oct-2021, PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (1st dose administered to 14 year old) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were provided. No treatment medications were provided. Pharmacy accidentally administered a 1st Moderna dose to a 14 year old

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

VAERS 1782521

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
-
Alter
55,0
Geschlecht
M
Eingang
13.10.2021
Impfdatum
03.09.2021
Beginn
04.09.2021
Tage bis Beginn
1,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 SARS-CoV-2 test positive

Symptomtext

COVID 19

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

VAERS 1778880

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21A

gering
Staat
TN
Alter
17,0
Geschlecht
M
Eingang
12.10.2021
Impfdatum
12.10.2021
Beginn
12.10.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Product administered to patient of inappropriate age

Symptomtext

Patient was given a Moderna vaccine and was only 17

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

VAERS 1776027

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
CA
Alter
29,0
Geschlecht
M
Eingang
11.10.2021
Impfdatum
01.10.2021
Beginn
01.10.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Expired product administered

Symptomtext

Administration of expired vaccine/vaccine vial that was in the fridge for more than 30 days; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Administration of expired vaccine/vaccine vial that was in the fridge for more than 30 days) in a 29-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 01-Oct-2021 at 2:30 PM, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 01-Oct-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Administration of expired vaccine/vaccine vial that was in the fridge for more than 30 days). On 01-Oct-2021, EXPIRED PRODUCT ADMINISTERED (Administration of expired vaccine/vaccine vial that was in the fridge for more than 30 days) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication were reported. No treatment information was provided by the reporter. The patient was monitored after Moderna COVID vaccine was administered for 15 min. Pt was ok and left home after 15 min observation. Most recent FOLLOW-UP information incorporated above includes: On 07-Oct-2021: Non- Significant Follow-up received on 07-OCT-2021 contains patient condition (patient was monitored after Moderna Covid vaccine was administered for 15 min. Pt was ok and left home after 15 min observation).

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

VAERS 1771846

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
66,0
Geschlecht
F
Eingang
08.10.2021
Impfdatum
22.09.2021
Beginn
22.09.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Extra dose administered No adverse event

Symptomtext

Patient first received Moderna COVID vaccine on 2/11/21 and 3/11/21. On 9/22/21, patient received Moderna COVID vaccine dose #3 even though she's not moderately/severely immune suppressed and the criteria used for rationale of giving the patient a third dose was age>65. This is an error as we are not yet giving third booster doses to non immune suppressed patients and Moderna has not been approved for booster doses. No adverse event to the patient.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
benign essential hypertension, h/o psoriasis, restless leg syndrome, raynaud disease
Andere Medikamente
Premarin, hydrochlorothiazide, Provera, nifedipine ER
Allergien
Bee venom protein
Vorherige Impfungen
-

VAERS 1919955

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MN
Alter
92,0
Geschlecht
M
Eingang
07.10.2021
Impfdatum
15.09.2021
Beginn
15.09.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Platelet count increased Unresponsive to stimuli White blood cell count increased

Symptomtext

Unresponsive episode, transferred to local ED via Ambulance. Increased WBC, Platelets Inpatient hospital stay.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Platelet count increased
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
N/A
Vorgeschichte
C-H-F See List
Andere Medikamente
Lovastatin, mvl, miralax, Prednisone, Torsemide, warfarin
Allergien
Latex
Vorherige Impfungen
-

VAERS 1762279

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
GA
Alter
16,0
Geschlecht
F
Eingang
05.10.2021
Impfdatum
04.10.2021
Beginn
04.10.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Interchange of vaccine products No adverse event

Symptomtext

Moderna COVID-19 Vaccine EUA inadvertently given instead of Pfizer BioNTech COVID-19 Vaccine EUA. No symptoms appeared during the 15 minute wait time after vaccine administered and currently no other symptoms at this time.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Interchange of vaccine products
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Unknown
Allergien
None
Vorherige Impfungen
-

VAERS 1758696

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
CA
Alter
38,0
Geschlecht
F
Eingang
04.10.2021
Impfdatum
03.09.2021
Beginn
04.09.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: unbekannt
Asthenopia Computerised tomogram normal Laboratory test normal Magnetic resonance imaging normal Ultrasound Doppler Vasodilatation Vision blurred

Symptomtext

Per Patient Report - 'Blurry vision, tired eyes, blood vessles slighty(sic) protruding. Went to urgent care. Sent to ER from urgent care. Had lab work, CT, MRI, All normal results. Followed up with Doctor (sic) and optimatrist (sic) next day. All results normal. Had ultrasound of caritated (sic) arteries. Results normal."

Weitere VAERSDATA-Felder
Praegender Schweregrund
Asthenopia
Hospital-Tage
-
Labordaten
Per Patient Report - "labs, CT & MRI 9/7/21, caritarted (sic) arteries ultrasound 9/14/21."
Aktuelle Erkrankungen
n/a
Vorgeschichte
n/a
Andere Medikamente
n/a
Allergien
n/a
Vorherige Impfungen
-

VAERS 1754016

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TN
Alter
65,0
Geschlecht
M
Eingang
01.10.2021
Impfdatum
10.09.2021
Beginn
11.09.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Swelling of eyelid

Symptomtext

Upper eye lid began to swell.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Swelling of eyelid
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
High blood pressure
Andere Medikamente
-
Allergien
Codeine
Vorherige Impfungen
-

VAERS 1740061

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
PA
Alter
40,0
Geschlecht
F
Eingang
28.09.2021
Impfdatum
10.09.2021
Beginn
19.09.2021
Tage bis Beginn
9,0
Dosis
1
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Menstruation delayed

Symptomtext

period delayed for 4 days; This spontaneous case was reported by a consumer and describes the occurrence of MENSTRUATION DELAYED (period delayed for 4 days) in a 40-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. Concurrent medical conditions included Drug allergy (Allergic to Sulfa). On 10-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Sep-2021, the patient experienced MENSTRUATION DELAYED (period delayed for 4 days). At the time of the report, MENSTRUATION DELAYED (period delayed for 4 days) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitants medication were provided. No treatment medication were provided. Second dose is scheduled on 8-Oct-2021.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Menstruation delayed
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Drug allergy (Allergic to Sulfa)
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1737480

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TN
Alter
40,0
Geschlecht
F
Eingang
27.09.2021
Impfdatum
24.09.2021
Beginn
24.09.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered Product storage error

Symptomtext

There was an opened unlabeled vial of Moderna in the VFC fridge. There had not been any mentions on the group chat of an open Moderna vial (as when we open each vial we let everyone in the chat know) . I grabbed the open vial along with an unopened vial of Moderna and proceeded to the Covid clinic. There were 7 doses of this vaccine given to patients. As of 9/27 we were off on our counts and now realize that the vial that was used on 9/24 to those 7 patients was an expired vial. The vial had originally been opened on 9/23 by RN. These 7 patients have been located and will be contacted once recommendations from CDC are reviewed.

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

VAERS 1737475

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TN
Alter
37,0
Geschlecht
F
Eingang
27.09.2021
Impfdatum
24.09.2021
Beginn
24.09.2021
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

Symptomtext

There was an opened unlabeled vial of Moderna in the VFC fridge. There had not been any mentions on the group chat of an open Moderna vial (as when we open each vial we let everyone in the chat know) . I grabbed the open vial along with an unopened vial of Moderna and proceeded to the Covid clinic. There were 7 doses of this vaccine given to patients. As of 9/27 we were off on our counts and now realize that the vial that was used on 9/24 to those 7 patients was an expired vial. The vial had originally been opened on 9/23 by RN. These 7 patients have been located and will be contacted once recommendations from CDC are reviewed.

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

VAERS 1737470

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TN
Alter
55,0
Geschlecht
F
Eingang
27.09.2021
Impfdatum
24.09.2021
Beginn
24.09.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered

Symptomtext

There was an opened unlabeled vial of Moderna in the VFC fridge. There had not been any mentions on the group chat of an open Moderna vial (as when we open each vial we let everyone in the chat know) . I grabbed the open vial along with an unopened vial of Moderna and proceeded to the Covid clinic. There were 7 doses of this vaccine given to patients. As of 9/27 we were off on our counts and now realize that the vial that was used on 9/24 to those 7 patients was an expired vial. The vial had originally been opened on 9/23 by RN. These 7 patients have been located and will be contacted once recommendations from CDC are reviewed.

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

VAERS 1737463

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TN
Alter
20,0
Geschlecht
F
Eingang
27.09.2021
Impfdatum
24.09.2021
Beginn
27.09.2021
Tage bis Beginn
3,0
Dosis
1
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered Product storage error

Symptomtext

There was an opened unlabeled vial of Moderna in the fridge. There had not been any mentions of an open Moderna vial . I grabbed the open vial along with an unopened vial of Moderna and proceeded to the Covid clinic. There were 7 doses of this vaccine given to patients. As of 9/27 we were off on our counts and now realize that the vial that was used on 9/24 to those 7 patients was an expired vial. The vial had originally been opened on 9/23 by RN. These 7 patients have been located and will be contacted once recommendations from CDC are reviewed.

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

VAERS 1737456

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TN
Alter
69,0
Geschlecht
M
Eingang
27.09.2021
Impfdatum
27.09.2021
Beginn
24.09.2021
Tage bis Beginn
-
Dosis
2
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Expired product administered

Symptomtext

There was an opened unlabeled vial of Moderna in the fridge. There had not been any mentions on the group chat of an open Moderna vial (as when we open each vial we let everyone in the chat know) . I grabbed the open vial along with an unopened vial of Moderna and proceeded to the Covid clinic. There were 7 doses of this vaccine given to patients. As of 9/27 we were off on our counts and now realize that the vial that was used on 9/24 to those 7 patients was an expired vial. The vial had originally been opened on 9/23 by RN. These 7 patients have been located and will be contacted once recommendations from agency are reviewed.

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

VAERS 1737252

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TN
Alter
21,0
Geschlecht
F
Eingang
27.09.2021
Impfdatum
24.09.2021
Beginn
24.09.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Product storage error

Symptomtext

There was an opened unlabeled vial of Moderna in the VFC fridge. There had not been any mentions on the group chat of an open Moderna vial (as when we open each vial we let everyone in the chat know) . I grabbed the open vial along with an unopened vial of Moderna and proceeded to the Covid clinic. There were 7 doses of this vaccine given to patients. As of 9/27 we were off on our counts and now realize that the vial that was used on 9/24 to those 7 patients was an expired vial. The vial had originally been opened on 9/23 by RN. These 7 patients have been located and will be contacted once recommendations from CDC are reviewed.

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

VAERS 1737236

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TN
Alter
28,0
Geschlecht
F
Eingang
27.09.2021
Impfdatum
24.09.2021
Beginn
24.09.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Product storage error

Symptomtext

There was an opened unlabeled vial of Moderna in the fridge. There had not been any mentions of an open Moderna vial (as when we open each vial we let everyone know . I grabbed the open vial along with an unopened vial of Moderna and proceeded to the clinic. There were 7 doses of this vaccine given to patients. As of 9/27 we were off on our counts and now realize that the vial that was used on 9/24 to those 7 patients was an expired vial. The vial had originally been opened on 9/23 by an RN. These 7 patients have been located and will be contacted once recommendations from CDC are reviewed.

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

VAERS 1737225

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TN
Alter
71,0
Geschlecht
F
Eingang
27.09.2021
Impfdatum
24.09.2021
Beginn
24.09.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered

Symptomtext

There was an opened unlabeled vial of Moderna in the fridge. There had not been any mentions on the group chat of an open Moderna vial (as when we open each vial we let everyone in the chat know) . I grabbed the open vial along with an unopened vial of Moderna and proceeded to the Covid clinic. There were 7 doses of this vaccine given to patients. As of 9/27 we were off on our counts and now realize that the vial that was used on 9/24 to those 7 patients was an expired vial. The vial had originally been opened on 9/23 by RN. These 7 patients have been located and will be contacted once recommendations from CDC are reviewed.

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

VAERS 1737221

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MN
Alter
30,0
Geschlecht
M
Eingang
27.09.2021
Impfdatum
24.09.2021
Beginn
24.09.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Interchange of vaccine products

Symptomtext

Patients first dose of Covid vaccine was Pfizer. This nurse mistakenly gave a Moderna vaccine. Patient monitored for required amount of time, no adverse effects noted. MD aware of event as well as supervisor.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Interchange of vaccine products
Hospital-Tage
-
Labordaten
NA
Aktuelle Erkrankungen
None
Vorgeschichte
Chronic alcohol abuse
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 1730761

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
WA
Alter
64,0
Geschlecht
M
Eingang
24.09.2021
Impfdatum
09.09.2021
Beginn
09.09.2021
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 was administered a dose of the Moderna COVID 19 vaccine that was beyond 12 hours post punctured.; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 17-Sep-2021 and was forwarded to Moderna on 17-Sep-2021. This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient was administered a dose of the Moderna COVID 19 vaccine that was beyond 12 hours post punctured.) in a 64-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 045C21A) for COVID-19 vaccination. No Medical History information was reported. On 09-Sep-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Sep-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Patient was administered a dose of the Moderna COVID 19 vaccine that was beyond 12 hours post punctured.). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Patient was administered a dose of the Moderna COVID 19 vaccine that was beyond 12 hours post punctured.) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant 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
-

VAERS 1728797

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

gering
Staat
FL
Alter
36,0
Geschlecht
M
Eingang
23.09.2021
Impfdatum
03.09.2021
Beginn
14.09.2021
Tage bis Beginn
11,0
Dosis
2
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Lymphadenopathy

Symptomtext

Severely swollen lymph node in groin area (almost the size of an egg) currently on Day 7

Weitere VAERSDATA-Felder
Praegender Schweregrund
Lymphadenopathy
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
ALL Leukemia pH+
Vorgeschichte
Bone Marrow recipient (10/2020)
Andere Medikamente
Sprycell / Dysatnib 50 mg daily
Allergien
Premedications are given when getting blood transfusions
Vorherige Impfungen
-

VAERS 1727307

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TN
Alter
80,0
Geschlecht
M
Eingang
23.09.2021
Impfdatum
21.09.2021
Beginn
21.09.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Asthenia Dysstasia Fall

Symptomtext

Onset of weakness approximately 4 hrs post vaccination. Unable to stand. Fell to the floor on 4 different occasion over 2 days time. This required calling EMS and neighbors for assistance. Weakness has continued through today. Ordinarily this individual has no problems standing or walking. To ER today for evaluation.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Asthenia
Hospital-Tage
-
Labordaten
Individual was at the hospital at the time of report.
Aktuelle Erkrankungen
None
Vorgeschichte
HTN
Andere Medikamente
BP med (unknown name)
Allergien
NKA
Vorherige Impfungen
-

VAERS 1713278

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
OH
Alter
13,0
Geschlecht
M
Eingang
18.09.2021
Impfdatum
23.08.2021
Beginn
23.08.2021
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

13 Year-old administered the Moderna vaccine. No side effects reported by patients mother or patient

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
N?A
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
NKDA
Vorherige Impfungen
-

VAERS 1708835

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
OH
Alter
78,0
Geschlecht
F
Eingang
17.09.2021
Impfdatum
09.09.2021
Beginn
09.09.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Hypoaesthesia Muscular weakness

Symptomtext

Patient states that shes noticed some numbness and less dexterity in 2 fingers on the arm that got the vaccine.

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

VAERS 1704791

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
AZ
Alter
88,0
Geschlecht
F
Eingang
16.09.2021
Impfdatum
09.09.2021
Beginn
11.09.2021
Tage bis Beginn
2,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Erythema

Symptomtext

left arm turn red a streak down front of her arm

Weitere VAERSDATA-Felder
Praegender Schweregrund
Erythema
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
no
Vorgeschichte
chronic leukemia
Andere Medikamente
no
Allergien
penicillin, grass, dust, perfumes
Vorherige Impfungen
-

VAERS 1704499

PFIZER\BIONTECH · COVID19 (COVID19 (PFIZER-BIONTECH)) · Charge 045C21A

gering
Staat
TN
Alter
35,0
Geschlecht
M
Eingang
16.09.2021
Impfdatum
16.09.2021
Beginn
16.09.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Muscle tightness

Symptomtext

neck tightness

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

VAERS 1704499

PFIZER\BIONTECH · COVID19 (COVID19 (PFIZER-BIONTECH)) · Charge 045C21A

gering
Staat
TN
Alter
35,0
Geschlecht
M
Eingang
16.09.2021
Impfdatum
16.09.2021
Beginn
16.09.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Muscle tightness

Symptomtext

neck tightness

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

VAERS 1701322

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MN
Alter
24,0
Geschlecht
F
Eingang
15.09.2021
Impfdatum
09.09.2021
Beginn
09.09.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Oral discomfort Skin burning sensation

Symptomtext

Patient described burning sensation on skin and lips. She reported that it felt like a bad sunburn on her skin and her lips felt very chapped.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Oral discomfort
Hospital-Tage
-
Labordaten
Unknown
Aktuelle Erkrankungen
NONE
Vorgeschichte
UNKNOWN
Andere Medikamente
MEDROXYPROGESTERONE, METFORMIN, LETROZOLE, SIMETHICONE,
Allergien
NONE
Vorherige Impfungen
-

VAERS 1697386

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
OH
Alter
17,0
Geschlecht
F
Eingang
14.09.2021
Impfdatum
14.09.2021
Beginn
14.09.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Product administered to patient of inappropriate age

Symptomtext

Gave moderna to 17yr old patient

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1694401

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MO
Alter
48,0
Geschlecht
M
Eingang
13.09.2021
Impfdatum
09.08.2021
Beginn
09.08.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Pharyngeal hypoaesthesia

Symptomtext

I noticed that my esophagus would go numb. It doesn't happen all the time, but when I does, I can't feel anything in my throat from the base of my head down to the top of my chest. I can breath and swallow fine, but, for instance, if I'm drinking something, I feel it enter my mouth and start down my throat, but then it disappears until it hits my chest area. It also always feels like there is a lump in my throat right where you start to swallow. That's been pretty common and it makes me want to cough all the time. Again, I've never had trouble breathing or eating.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pharyngeal hypoaesthesia
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
No illness
Vorgeschichte
Diabetes, Allergies.
Andere Medikamente
Vitamin C, Fish Oil, Aspirin, Metformin, Vitamin, Glimepiride, Tradjenta, Atorvastatin
Allergien
None that I'm aware
Vorherige Impfungen
-

VAERS 1694077

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

gering
Staat
NY
Alter
71,0
Geschlecht
F
Eingang
13.09.2021
Impfdatum
13.09.2021
Beginn
13.09.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Extra dose administered Interchange of vaccine products No adverse event

Symptomtext

Patient came in for her booster shot as she is immunocompromised. Patient completed her two dose series of the Pfizer Vaccine on dates 02/22/2021 and 03/15/2021. Patient was incorrectly administered the Moderna COVID-19 Vaccine as her 3rd shot. Patient did not report of any adverse side effects and was monitored for 16 minutes after injection.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/a
Andere Medikamente
N/A
Allergien
No allergies
Vorherige Impfungen
-

VAERS 1693037

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
CA
Alter
28,0
Geschlecht
M
Eingang
11.09.2021
Impfdatum
10.09.2021
Beginn
10.09.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Unevaluable event

Symptomtext

N/A

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

VAERS 1682186

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
OH
Alter
17,0
Geschlecht
F
Eingang
08.09.2021
Impfdatum
11.08.2021
Beginn
11.08.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
No adverse event Product administered to patient of inappropriate age

Symptomtext

given to 17 year old - no adverse signs or symptoms

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
diclofenec nikki
Allergien
none
Vorherige Impfungen
-

VAERS 1679312

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TX
Alter
12,0
Geschlecht
M
Eingang
07.09.2021
Impfdatum
12.08.2021
Beginn
03.09.2021
Tage bis Beginn
22,0
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

PATIENT UNDER AGE

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

VAERS 1679306

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TX
Alter
13,0
Geschlecht
M
Eingang
07.09.2021
Impfdatum
12.08.2021
Beginn
03.09.2021
Tage bis Beginn
22,0
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

PATIENT UNDER AGE

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

VAERS 1679299

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TX
Alter
12,0
Geschlecht
M
Eingang
07.09.2021
Impfdatum
12.08.2021
Beginn
03.09.2021
Tage bis Beginn
22,0
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

PATIENT UNDER AGE

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

VAERS 1679275

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TX
Alter
16,0
Geschlecht
F
Eingang
07.09.2021
Impfdatum
04.08.2021
Beginn
03.09.2021
Tage bis Beginn
30,0
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

PATIENT UNDER AGE

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

VAERS 1679269

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TX
Alter
13,0
Geschlecht
M
Eingang
07.09.2021
Impfdatum
04.08.2021
Beginn
03.09.2021
Tage bis Beginn
30,0
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

PATIENT UNDER AGE

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

VAERS 1679263

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TX
Alter
15,0
Geschlecht
F
Eingang
07.09.2021
Impfdatum
03.08.2021
Beginn
03.09.2021
Tage bis Beginn
31,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product administered to patient of inappropriate age

Symptomtext

PATIENT UNDER AGE

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

VAERS 1679252

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TX
Alter
14,0
Geschlecht
F
Eingang
07.09.2021
Impfdatum
03.08.2021
Beginn
03.09.2021
Tage bis Beginn
31,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product administered to patient of inappropriate age

Symptomtext

PATIENT UNDER AGE

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

VAERS 1679234

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TX
Alter
16,0
Geschlecht
F
Eingang
07.09.2021
Impfdatum
02.08.2021
Beginn
03.09.2021
Tage bis Beginn
32,0
Dosis
1
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product administered to patient of inappropriate age

Symptomtext

PATIENT UNDER AGE

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

VAERS 1671157

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
OH
Alter
17,0
Geschlecht
M
Eingang
03.09.2021
Impfdatum
03.09.2021
Beginn
03.09.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product administered to patient of inappropriate age

Symptomtext

Vaccine not approved to be given under the age of 18, patient is only 17 years old and was given this vaccine

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

VAERS 1656447

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
OH
Alter
17,0
Geschlecht
F
Eingang
30.08.2021
Impfdatum
11.08.2021
Beginn
11.08.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
No adverse event Product administered to patient of inappropriate age

Symptomtext

PATIENT AGE WAS 17 YEARS. . MOM HAD MARKED MODERNA ON PAPER AND HAD VERBALLY REQUESTED THAT AND VACCINATOR DID NOT CATCH THAT THE PATIENT WAS ONLY 17. MODERNA VACCINE WAS ADMINISTERED. DISCUSSIONS HAVE TAKEN PLACE WITH MOM MAKING HER AWARE SHE SHOULD NOT HAVE BEEN GIVEN MODERNA. SHE HAS NOT HAD ANY REPORTED SIDE EFFECTS.

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

VAERS 1656229

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
CA
Alter
39,0
Geschlecht
F
Eingang
30.08.2021
Impfdatum
28.08.2021
Beginn
28.08.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered Inappropriate schedule of product administration Interchange of vaccine products No adverse event

Symptomtext

This patient received Pfizer for her 1st and 2nd ( 12/22/2020 and 01/10/2021) , but she received Moderna for her booster shot on 08/28/2021. She requested Moderna as a booster shot while she was looking for her vaccine card. It turned out to be Pfizer that she received but she believed Moderna would work better as a booster since she is MD herself. She did not present any side effects or adverse reactions though.

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

VAERS 1553966

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

gering
Staat
FL
Alter
36,0
Geschlecht
F
Eingang
13.08.2021
Impfdatum
16.07.2021
Beginn
30.07.2021
Tage bis Beginn
14,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dysmenorrhoea Oligomenorrhoea

Symptomtext

Severe menstrual cramps and delayed period

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

VAERS 1549722

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
OH
Alter
65,0
Geschlecht
M
Eingang
12.08.2021
Impfdatum
12.08.2021
Beginn
12.08.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Inappropriate schedule of product administration

Symptomtext

immunization was administered 5 days early (day 23)

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

VAERS 1545452

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
KY
Alter
61,0
Geschlecht
M
Eingang
11.08.2021
Impfdatum
30.07.2021
Beginn
07.08.2021
Tage bis Beginn
8,0
Dosis
UNK
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19

Symptomtext

COVID-19

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

VAERS 1545242

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
FL
Alter
17,0
Geschlecht
M
Eingang
11.08.2021
Impfdatum
10.08.2021
Beginn
10.08.2021
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

A 17 YEAR OLD CAME TO GET MODERNA VACCINE. PHARMACIST DID NOT REALIZE PATIENT WAS NOT OF AGE FOR MODERNA VACCINE. PATIENT AND HIS FATHER WERE CONTACTED. NO SIDE EFFECTS AS OF NOW HAVE BEEN REPORTED BY PATIENT OR FATHER. PATIENT WOULD LIKE TO STILL RECEIVE 2ND DOSE .

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

VAERS 1540353

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
KY
Alter
13,0
Geschlecht
M
Eingang
10.08.2021
Impfdatum
09.08.2021
Beginn
01.08.2021
Tage bis Beginn
-
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

Patient did not have any adverse symptoms. Provider and associate notified and performed outreach to notify patient/parent.

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

VAERS 1528925

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
MI
Alter
43,0
Geschlecht
M
Eingang
05.08.2021
Impfdatum
05.08.2021
Beginn
05.08.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Inappropriate schedule of product administration

Symptomtext

Administered immunization prior to the recommended administer date.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
n/a
Aktuelle Erkrankungen
n/a
Vorgeschichte
Tremor, Depression
Andere Medikamente
Zoloft
Allergien
Latex, Sulfamethoxazole, Trimethoprim
Vorherige Impfungen
-

VAERS 1462127

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TX
Alter
36,0
Geschlecht
M
Eingang
10.07.2021
Impfdatum
10.07.2021
Beginn
10.07.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Hyperhidrosis Pallor

Symptomtext

Paleness, sweating

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hyperhidrosis
Hospital-Tage
-
Labordaten
NA
Aktuelle Erkrankungen
HIGH BLOOD PRESSURE
Vorgeschichte
HIGH BLOOD PRESSURE
Andere Medikamente
NA
Allergien
NA
Vorherige Impfungen
-

VAERS 1460413

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045c21a

gering
Staat
FL
Alter
67,0
Geschlecht
F
Eingang
09.07.2021
Impfdatum
06.07.2021
Beginn
09.07.2021
Tage bis Beginn
3,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Epistaxis

Symptomtext

Nosebleeds

Weitere VAERSDATA-Felder
Praegender Schweregrund
Epistaxis
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
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VAERS 1458131

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 045C21A

gering
Staat
TX
Alter
62,0
Geschlecht
F
Eingang
08.07.2021
Impfdatum
06.07.2021
Beginn
07.07.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Erythema

Symptomtext

Pt had red circle develop on her arm.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Erythema
Hospital-Tage
-
Labordaten
NA
Aktuelle Erkrankungen
NA
Vorgeschichte
NA
Andere Medikamente
NA
Allergien
NA
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