VAERS Reports 076C21A-B

VAERS 2137002

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 076C21A-B

mild

Staat: GA
Alter: 61,0
Geschlecht: F
Eingang: 24.02.2022
Impfdatum: 20.11.2021
Beginn: 27.11.2021
Tage bis Beginn: 7,0
Dosis: 3
Route/Site: IM / LA

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

Pruritus Urticaria

Symptomtext

About 7 days after receiving Moderna Booster dosage og .25mg, notice extreme itching, welps and hives on torso, legs and bilateral arms starting around 6:00 pm.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: DX on Jan 19, 2022, with complex hives due to vaccine booster.
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Vitamin C, D3, mulit-vitamin and 250mg Biotin
Allergien: Coedine
Vorherige Impfungen: -

VAERS 1833096

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 076C21A-B

mild

Staat: GA
Alter: 66,0
Geschlecht: F
Eingang: 01.11.2021
Impfdatum: 28.10.2021
Beginn: 28.10.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

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

Arthralgia Bone pain Joint range of motion decreased Pain in extremity

Symptomtext

Within two hours of receiving vaccination in the left arm I had extreme pain in my left shoulder in the bone on the left side. I was unable to lift my arm without screaming. I called my doctors office and they told me to take Tylenol and apply ice on my arm. I told them it was my shoulder and not injection site. Today is four days after the injection and I can use the left arm some but I cannot lift my left arm without excruciating pain.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: Diabetes Mellitus 2 Hypothyroidism Arthritis Hypertension Low back pain status lumbar laminectomy Spinal stenosis Lumbar radicular pain Hypercholesterol Spondylolisthesis of lumbar spine Thyroid cancer Weakness right lower extremity Memory loss of unknown cause Cervical and thoracic spinal stenosis
Vorgeschichte: DM II Hypertension
Andere Medikamente: Humalog mix 50-50 Gabapentin 300 mg Atenolol 50 mg Atorvastatin 80 mg Levothyroxine 125 mcg Losartan 50 mg Metformin 1000 mg Verapamil 240 mg B complex vitamins Ibuprofen 200 mg Vitamin D 2000 units Aspirin 325 mg Magnesium Oxide 400 mg Hy
Allergien: Penicillin
Vorherige Impfungen: -

VAERS 1846409

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 076C21A-B

gering

Staat: GA
Alter: 65,0
Geschlecht: F
Eingang: 05.11.2021
Impfdatum: 30.10.2021
Beginn: 30.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / -

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

Extra dose administered No adverse event

Symptomtext

The vaccination card disclosed dosage 1 and 2 and was not updated to reflect vaccination status in GRITS (dosage 1, 2 and Booster 8/2021) when guest (patient) was administered the Moderna Booster dosage of 0.25 ML on 10/30/2021. GRITS may have been down the morning when this event occurred in Pre-Vaccination Area after consent form was completed by the guest (patient) and vaccination card by Pre-Vaccination team. Guest was routed to the Clinical Area and the nurse reviewed the consent form, and noted vaccinations 1 and 2 on the vaccination card. Nurse proceeded to administer the Moderna Booster dosage 0.25 ML as it was next dosage in the series. Patient was escorted to Post Vaccination for adverse reaction monitoring for 15 minutes. During which time no symptoms or discomfort was observed by the monitoring nurse. Corrective Action is in place to confirm dosages administered in a series for guests (patients) in GRITS before the guest is routed to the Clinical area.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Extra dose administered
Hospital-Tage: -
Labordaten: None - Agency followed up with patient via phone and no adverse symptoms reported
Aktuelle Erkrankungen: None reported
Vorgeschichte: None reported
Andere Medikamente: None reported or noted on DPH Covid-19 Vaccine Information and Consent form
Allergien: None reported or noted on DPH Covid-19 Vaccine Information and Consent form
Vorherige Impfungen: -