VAERS Reports 002F21A no ex

VAERS 2670911

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

kritisch

Staat: MI
Alter: 80,0
Geschlecht: F
Eingang: 14.08.2023
Impfdatum: 18.08.2021
Beginn: 25.11.2021
Tage bis Beginn: 99,0
Dosis: 2
Route/Site: - / -

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

Breakthrough COVID-19 Death SARS-CoV-2 test positive

Symptomtext

Breakthrough case admission /patient expired after 2 vaccines Moderna 7/21/21 Lot# 078C21A; Moderna 8/18/21 Lot# 002F21A

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

VAERS 2628444

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

kritisch

Staat: MI
Alter: 66,0
Geschlecht: M
Eingang: 08.05.2023
Impfdatum: 26.10.2021
Beginn: 17.04.2023
Tage bis Beginn: 538,0
Dosis: 3
Route/Site: - / -

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

Acute kidney injury Acute respiratory failure Blood glucose normal Blood sodium decreased COVID-19 Cardiac failure congestive Cardiomegaly Chest X-ray abnormal Computerised tomogram thorax abnormal Condition aggravated Diuretic therapy Dyspnoea Echocardiogram Ejection fraction Fibrin D dimer Human metapneumovirus test positive Hyponatraemia Hypotension

Symptomtext

Discharge Provider: DO Primary Care Provider: MD Admission Date: 4/17/2023 Discharge Date: Apr 22, 2023 PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC) [J96.01] Acute congestive heart failure, unspecified heart failure type (HCC) [I50.9] AKI (acute kidney injury) (HCC) [N17.9] HOSPITAL COURSE: Patient is a 67 y.o. who presented to ED via EMS for shortness of breath. Upon arrival to the ED, He required 2L nasal cannula after sats dropped down to 87% on room air. Significant lab work included mild hyponatremia of 133 and glucose of 138. Procal was WNL at 0.07 and proBNP was 119. D-dimer was mildly elevated at 530. Viral PCR was negative. Chest X-ray showed mild cardiomegaly and pulmonary vascular congestion without acute cardiopulmonary pathology. While in the ED patient received a 1x dose of IV lasix 40 mg. Patient was admitted to internal medicine service for further workup and treatment of acute hypoxic respiratory failure. Patient did become hypotensive with acute kidney injury with diuretic therapy. He underwent an echocardiogram which showed preserved ejection fraction. He had normal NT proBNP arguing against CHF. He underwent a CT of the thorax which revealed a multifocal pneumonia. Viral testing revealed COVID-19 as well as metapneumovirus. Given his low blood pressures he was also covered empirically for bacterial pneumonia. Patient was started on 6 mg of dexamethasone and albuterol for wheezing. He will complete 5 days of Augmentin and azithromycin to cover community-acquired pneumonia. He clinically improved and was weaned off of oxygen. Patient underwent a swallow evaluation he was found have significant esophageal dysmotility. He is tolerating diet and will follow-up with Gastroenterology as an outpatient as well as undergo a video swallow as an outpatient speech-language therapy. He did exhibit desaturations at night, with sleep apnea suspected, outpatient sleep study recommended, he will discharge on supplemental oxygen to wear at night only. In regards to his hypertension, patient had significant hypotension during hospitalization. This has resolved, will hold metoprolol XL as well as losartan and continue hydrochlorothiazide at discharge. Blood pressure medications can be resumed as tolerated as an outpatient. Patient is clinically improved and is medically stable for transfer back to his adult foster care facility. He was needing 2 L O2 at night at time of discharge.

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Praegender Schweregrund: Acute respiratory failure
Hospital-Tage: 5,0
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: Class 3 severe obesity in adult Parkinsons disease Essential hypertension Hand arthritis Chronic right shoulder pain Mixed hyperlipidemia Slow transit constipation Restless legs syndrome (RLS) Chronic cough Type 2 diabetes mellitus without complication, without long-term current use of insulin Ulcer of right lower extremity with fat layer exposed Avulsion of toenail of right foot Intertrigo Acute respiratory failure with hypoxia Esophageal dysphagia with severe esophageal dysmotility Pneumonia due to human metapneumovirus COVID-19
Andere Medikamente: albuterol HFA (PROVENTIL HFA, VENTOLIN HFA, PROAIR HFA) 108 (90 Base) MCG/ACT inhaler atorvastatin (LIPITOR) 40 MG tablet benzonatate (TESSALON) 100 MG capsule calcium carbonate (TUMS) 500 MG chewable tablet carbidopa-levodopa (SINEMET) 25-
Allergien: None
Vorherige Impfungen: -

VAERS 2584762

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

kritisch

Staat: -
Alter: 81,0
Geschlecht: M
Eingang: 21.02.2023
Impfdatum: 14.11.2021
Beginn: 11.01.2023
Tage bis Beginn: 423,0
Dosis: 3
Route/Site: - / -

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

Acute kidney injury Acute respiratory failure Anticoagulant therapy Atrial fibrillation Atrial flutter Blood creatinine increased Blood glucose decreased COVID-19 Echocardiogram abnormal Ejection fraction normal Electrocardiogram abnormal Left ventricular hypertrophy Malaise Pulmonary hypertension SARS-CoV-2 test positive Sepsis Systemic inflammatory response syndrome

Symptomtext

Patient is a 82 y.o. male with history of DM2, HTN, HLD, COPD, prior DVT, prior lower GI bleed presented to the Medical Center as a transfer from another facility with COVID 19 infection and atrial fib/flutter with RVR. Acute respiratory failure with hypoxia COVID-19 Severe Sepsis (POA) Date of onset of symptoms: 1/6/23 (+) test on 1/9/23 Special isolation end date: 1/16/23 Met SIRS on admission; presumed viral Vaccinated, boosted (last booster >1yr ago) O2 needs; RA on admit, has needed HFNC since -- did briefly tolerate oxymizer on 1/21 Medical therapy: decadron (last dose 1/19) IV lasix changed to oral Pulm started another course of steroids on 1/22, currently on a wean and plan to taper down over next 5 days on discharge. Home O2 eval- qualified and staff assisting in arranging home O2. A flutter RVR History of PAF s/p watchman Tachycardia, 140s EKG with A flutter RVR H/O ablation 2014 for PAF Echo repeated; moderate LVH, normal EF,mild pHTN Weaned off cardizem gtt On metoprolol and amiodarone Continue eliquis HTN BP stable Continue increased dose of metoprolol Hold home valsartan/hydrochlorothiazide 2/2 AKI, resume outpatient after PCP follow up if needed Diuresis as above NIDDM2 Hold home glyburide Cover with SSI, lantus Lantus decreased further due to low glucose AKI on CKD Baseline Cr around 1.3 Cr 1.8 on 1/13 Improved, Cr 1.2 on 1/28

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Praegender Schweregrund: Acute respiratory failure
Hospital-Tage: 19,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2569924

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

kritisch

Staat: FL
Alter: 50,0
Geschlecht: F
Eingang: 28.01.2023
Impfdatum: 18.09.2022
Beginn: 01.09.2022
Tage bis Beginn: -
Dosis: 1
Route/Site: SYR / LA

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

Chest pain Myocardial infarction

Symptomtext

My mother had chest pain and eventually had a heart attack never having heart issues before

Weitere VAERSDATA-Felder

Praegender Schweregrund: Myocardial infarction
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: none
Andere Medikamente: none
Allergien: sulfa
Vorherige Impfungen: -

VAERS 2306871

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

kritisch

Staat: TN
Alter: 71,0
Geschlecht: F
Eingang: 02.06.2022
Impfdatum: 24.08.2021
Beginn: 08.03.2022
Tage bis Beginn: 196,0
Dosis: 3
Route/Site: SYR / -

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

Angiogram pulmonary abnormal COVID-19 pneumonia Death Dyspnoea Endotracheal intubation Intensive care Lung infiltration Tachypnoea

Symptomtext

Patient presented to ED with SOB while at a skilled nursing facility. The patient had a previous hospitalization with COVID PNA where she was treated on the COVID protocol, discharged on 1 L of oxygen PRN. Patient stated since discharged she ahs always been short of breath. In the ED CTA of chest had scattered infiltrates suggestive of worsening covid infiltrates. The patient was placed on 4.5 L of oxygen, saturation at 92% and tachypneic. The patient was admitted to ICU and was eventually intubated, she required multiple sedatives which also affected her blood pressure. She continued to require higher FiO2 until family decided to withdraw care. Patient expired on 04/26/2022.

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

VAERS 2198809

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

kritisch

Staat: MO
Alter: 60,0
Geschlecht: M
Eingang: 25.03.2022
Impfdatum: 25.09.2021
Beginn: 01.03.2022
Tage bis Beginn: 157,0
Dosis: 1
Route/Site: IM / LA

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

Cerebrovascular accident

Symptomtext

hospitalized with a stroke and related symptoms

Weitere VAERSDATA-Felder

Praegender Schweregrund: Cerebrovascular accident
Hospital-Tage: -
Labordaten: unknown
Aktuelle Erkrankungen: unknown
Vorgeschichte: unknown
Andere Medikamente: unknown
Allergien: unknown
Vorherige Impfungen: -

VAERS 2192347

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

kritisch

Staat: SD
Alter: 82,0
Geschlecht: M
Eingang: 22.03.2022
Impfdatum: 13.08.2021
Beginn: 03.01.2022
Tage bis Beginn: 143,0
Dosis: 2
Route/Site: SYR / UN

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

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 07/16/2021 and 08/13/2021. It is not known if the individual had a specific symptom onset, but tested positive via antigen test on 01/03/2022 at the skilled nursing facility at which they were a resident. The individual died on 01/07/2022.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Death
Hospital-Tage: -
Labordaten: Positive COVID-19 antigen test x2 despite being vaccinated.
Aktuelle Erkrankungen: -
Vorgeschichte: The individual was a resident of a skilled nursing facility at the time of the adverse event. They had underlying medical conditions of peripheral arterial disease, DOPD, vascular dementia, coronary artery disease, congestive heart failure, and spinal stenosis.
Andere Medikamente: -
Allergien: Documented severe penicillin allergy (reaction was swelling of face, eyes, and tongue)
Vorherige Impfungen: -

VAERS 2173233

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

kritisch

Staat: KY
Alter: 78,0
Geschlecht: M
Eingang: 11.03.2022
Impfdatum: 19.08.2021
Beginn: 17.01.2022
Tage bis Beginn: 151,0
Dosis: 2
Route/Site: IM / UN

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

Acute respiratory failure Anticoagulant therapy Atrial flutter COVID-19 Cardiac failure Cardioversion Death Endotracheal intubation General physical health deterioration Hypotension Intensive care Left ventricular failure Mechanical ventilation Pneumonia Positive airway pressure therapy SARS-CoV-2 test positive Septic shock Shock

Symptomtext

**PLEASE NOTE VACCINE SITE INFORMATION IS NOT AVAILABLE IN THE EHR** Patient presented in acute on chronic respiratory failure and found to be COVID+. MICU was consulted for admission 1/18, as the patient required BiPAP and levophed gtt for hypotension. He was placed on dexamethasone, vancomycin, and zosyn upon admission. Ultimately, he was weaned from BiPAP and placed on HFNC, but his O2 requirements continued to increase. He ultimately required intubation on 1/19. Healso had persistent atrial flutter with RVR, ultimately requiring electrical cardioversion on 1/20. Given this, cardiology was consulted and he was placed on a heparin drip. Per cardiology, he was started on dronedarone as HFrEF thought due to tachyarrhythmia with thought rate control would resolve systolic function, as well as metoprolol. He required esmolol drip initiation and was then taken off dronedarone due to systolic failure. He was in periodic episodes of shock, ultimately found to have septic shock 2/2 pseudomonas UTI and pneumonia requiring cefepime. Multiple goals of care discussions were had with NOK and grandson, with ultimate decision to withdraw care due to inability to wean ventilator, continued decompensation and patient's wishes not to live on life support. Hospice was consulted with plan for discharge to hospice, however, grandson chose to withdraw care prior to transfer to hospice with patient peacefully passing at 1601 on 2/1/22.

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Praegender Schweregrund: Acute respiratory failure
Hospital-Tage: 13,0
Labordaten: COVID PCR confirmed positive on 1/17/22
Aktuelle Erkrankungen: N/A
Vorgeschichte: Past Medical History: Diagnosis Date ? CHF (congestive heart failure) ? Hyperlipidemia ? Hypertensive heart disease without congestive heart failure
Andere Medikamente: albuterol 108 (90 Base) MCG/ACT inhaler= apixaban (Eliquis) 5 MG tablet Ascorbic Acid (VITAMIN C PO) atorvastatin (Lipitor) 40 MG tablet bumetanide (Bumex) 2 MG tablet Cholecalciferol (VITAMIN D3 PO) Cyanocobalamin (B-12 PO) hydrocort
Allergien: tetracycline - shortness of breath, swelling codeine - itching
Vorherige Impfungen: -

VAERS 2110352

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

kritisch

Staat: LA
Alter: 73,0
Geschlecht: M
Eingang: 14.02.2022
Impfdatum: 28.08.2021
Beginn: 07.02.2022
Tage bis Beginn: 163,0
Dosis: 2
Route/Site: IM / LA

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

Acute kidney injury Acute respiratory failure Asymptomatic COVID-19 Blood creatinine increased Blood pH increased Bradycardia COVID-19 pneumonia Chest X-ray abnormal Dyspnoea Leukocytosis Lung infiltration PO2 increased Pneumonia bacterial SARS-CoV-2 test positive Superinfection Type 2 diabetes mellitus White blood cell count

Symptomtext

As per admissions, "Patient is a vaccinated 74 y.o. male who tested (+) for Covid-19 infection this evening and developed worsening SOB soon after. He is on 3L at home but it is not enough now. He is found to be hypoxic on 3L with pH 7.48 and pO2 54. He has been admitted for treatment". Acute on chronic respiratory failure with hypoxia Acute on Chronic Hypoxic Respiratory Failure - due to COVID-19 Pneumonia, Bacterial pneumonia superimposed. Patient presented with shortness of breath, COVID-19 positive with infiltrates on CXR. He was started on remdesivir and steroids and received 4 days of treatment. He improved and was stable on his baseline requirement of 3L O2. He was also treated with antibiotics for bacterial pneumonia given leukocytosis; WBCs improved. He will complete Omnicef and Decadron taper on discharge. AKI - Creatinine elevated to 1.6 on arrival, improved with IVFs. Resolved. Bradycardia - chronic. Cardiology evaluated, no indication for pacemaker. Asymptomatic. Mobitz 1 block, DM2.

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Praegender Schweregrund: Acute respiratory failure
Hospital-Tage: 5,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: DM
Andere Medikamente: NovoLog, lantus, Isordil, ASA, Zyloprim, Wellbutrin, Lasix, Crestor, Zoloft, Lyrica, Glucophage, Prilosec, Claritin, Flomax
Allergien: NKA
Vorherige Impfungen: Got sick following a pneumonia vaccine.

VAERS 2110273

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

kritisch

Staat: TN
Alter: 77,0
Geschlecht: F
Eingang: 14.02.2022
Impfdatum: 09.08.2021
Beginn: 11.02.2022
Tage bis Beginn: 186,0
Dosis: 3
Route/Site: IM / -

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

COVID-19 Death SARS-CoV-2 test positive

Symptomtext

Fully vaccinated with Covid vaccine x 3. Tested positive for Covid on 02/11/22. Admitted to Hospital on 02/10/2022. Expired on 02/14/2022 while still hospitalized.

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

VAERS 2002391

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

kritisch

Staat: TX
Alter: 28,0
Geschlecht: F
Eingang: 04.01.2022
Impfdatum: 09.09.2021
Beginn: 24.10.2021
Tage bis Beginn: 45,0
Dosis: 2
Route/Site: IM / UN

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

Beta-2 glycoprotein antibody negative Blood creatinine normal Blood fibrinogen decreased Blood thyroid stimulating hormone normal Cardiolipin antibody negative Chronic villitis of unknown etiology Culture positive Delivery Drug screen negative Exposure during pregnancy Fibrin D dimer Foetal death Full blood count abnormal Gardnerella test positive Glycosylated haemoglobin Haematocrit decreased Haemoglobin decreased Haemorrhage

Symptomtext

was only given one moderna on 9/9/2021 Patient had her first vaccine 8/12/21, Second 9/9/21 (moderna, same location lot 002F21A) without any acute complications or severe side effects. She was a 28 year old healthy G3P2 without any significant prior or current obstetric concerns who presented to L&D in active labor and was found to have a fetal demise at 35 6/7 weeks. EDC was 11/22/2021, She presented on 10/24 and delivered on 10/25/2021 a 2440 female without any significant obvious fetal malformations. fluid was adequate, but bloody. She did have some spotting on 9/1; however, her follow up sonogram was normal and this never recurred. She delivered vaginally without complications; however, she represented with active bleeding 10/29 requiring an emergent D&C and transfusion of 3 units with a hg of 5. fetal anatomy scan at 28/31 weeks were both normal.

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Praegender Schweregrund: Foetal death
Hospital-Tage: 2,0
Labordaten: Declined autopsy. Gross exam normal but slighly thickened NF, 2 simean creases. Placental culture (prob contaminated) grew gardenerella and peptostreptococcus; however no fever, elevated wbc or foul smelling amniotic fluid. Kleinhaur betke negative for fetal/maternal bleeding. CBC normal except mild thrombocytopenia Fibrinogen low c/w abruption. Preeclampsia labs normal. Rapid placental delivery also c/w abruption - small, very abnormal placenta sent to pathologist. However, demise probably not secondary to abruption as mom was not anemic. I suspect abruption was involved but probably not the main cause. Placenta -- massive perivillous fibrin deposition with infarcted villi and occasional histiocytic intervillositis, small for gestational age - 334 grams, multifocal basal chronic villitis , slightly increased fetal nucleated red cells, meconium exposure, Immunostain for SARS-CoV-2 negative. this was done by doctor at clinic. drug screen neg. anticardiolipin antibodies neg TSH 3.3 Cr .5 D-dimer 1.8 fibrinogen 171, wbc 11, hct 33.8, plts 137, ANC 2.75, ALC 2.75, beta2glycoprotein antibodies neg , hgA1C 4.2
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: prenatal vitamins
Allergien: sulfa
Vorherige Impfungen: -

VAERS 1782866

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

kritisch

Staat: OR
Alter: 58,0
Geschlecht: F
Eingang: 13.10.2021
Impfdatum: 28.08.2021
Beginn: 07.09.2021
Tage bis Beginn: 10,0
Dosis: 2
Route/Site: SYR / LA

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

Anticoagulant therapy Balance disorder Brain stem thrombosis Cerebrovascular accident Computerised tomogram head abnormal Diplopia Dizziness Dysarthria Echocardiogram Magnetic resonance imaging head normal Nausea Ultrasound scan normal

Symptomtext

On the afternoon of Tuesday, Sept 7, 2021, 10 days after my second dose of the COVID vaccine, I started feeling dizzy, nausea, slurred speech, was taken to ER by ambulance, cat scan was done and a blood clot was found at the base of the brain stem. Was given tPA and admitted into the hospital. I was diagnosed as having a stroke. I was in the hospital for 2 weeks, for observation and therapy. I was discharged on Sept 21 and currently continuing outpatient, physical and occupational therapy. The stroke effected my balance and have double vision.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Cerebrovascular accident
Hospital-Tage: 14,0
Labordaten: Sept 7 CAT scan, found blood clot. Sept 8 MRI, no signs of additional clots. Sept 9 or 10 ultra sound of heart, heart and surrounding area looks good.
Aktuelle Erkrankungen: None
Vorgeschichte: High cholesterol, maintained by medication
Andere Medikamente: Atorvastatin 10mg Escitalopram 20mg Euthyrox 25mg Multivitamin 1 tablet Calcium w/ vitamin D 1 table
Allergien: Latex
Vorherige Impfungen: -

VAERS 1753893

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

kritisch

Staat: AL
Alter: 55,0
Geschlecht: F
Eingang: 03.10.2021
Impfdatum: 11.08.2021
Beginn: 21.08.2021
Tage bis Beginn: 10,0
Dosis: 1
Route/Site: - / -

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

Abdominal pain Anticoagulant therapy Chest pain Computerised tomogram thorax abnormal Death Dyspnoea Endotracheal intubation Mechanical ventilation Diverticulitis Hepatic failure Multiple organ dysfunction syndrome Nausea Positive airway pressure therapy Pulmonary embolism Vena cava filter insertion Renal failure Respiratory failure Thrombectomy

Symptomtext

Pt received the Moderna vaccine on 8/11/21. About 7 days later, she developed N/V & abdominal pain, followed about 10 days later by worsening SOB. She was admitted to Hospital on 8/22/21 and found to have acute diverticulitis and bilateral pulmonary emboli. She was treated with antibiotics for diverticulitis and with heparin (and later Eliquis) for PE. She was discharged on 8/26/21. She was readmitted to Hospital on 8/29/21 with worsening SOB and R sided CP. CT showed persistent PE, and she underwent thrombectomy on 8/29/21. Despite improvement in thrombus burden, she developed worsening respiratory failure, followed by multiorgan failure (kidneys, liver). She did not improve despite maximal supportive care. Her family decided to transition her to comfort measures only on 9/28/21, and she expired on 9/29/21.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pulmonary embolism
Hospital-Tage: -
Labordaten: See above. She was hospitalized at Huntsville Hospital 8/22/21 - 8/26/21 and 8/28/21 - 9/29/21.
Aktuelle Erkrankungen: Rheumatoid arthritis, diabetes, HTN, chronic diastolic heart failure, hypothyroidism, chronic respiratory failure on home O2, morbid obesity.
Vorgeschichte: See #11.
Andere Medikamente: Albuterol, Biaxin, Keflex, Decadron, Humulin insulin, Trulicity, ivermectin, Lipitor, metformin, Nexium, Percocet
Allergien: Penicillin, ciprofloxacin
Vorherige Impfungen: -

VAERS 1569301

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

kritisch

Staat: CO
Alter: 43,0
Geschlecht: M
Eingang: 15.08.2021
Impfdatum: 15.08.2021
Beginn: 15.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Blood pressure increased Dizziness Hyperhidrosis Loss of consciousness Respiratory arrest Skin discolouration Unresponsive to stimuli

Symptomtext

The patient came in to receive his first dose of moderna vaccine, he stated a history of fainting. We watched him after his dose of Moderna and about 5 minutes later(3:55pm) he became sweaty and stated he was light headed. I gave him a cold compress and he proceeded to lose consciousness. we had him on the floor with his legs up however the patient did stop breathing and turn purple. At this point I gave a dose of epipen. the patient did wake up after the epipen. He was out for about 15 seconds but unresponsive for a couple of minutes until after the epipen dose. (given at 4:00pm) we had 911 on the line and the paramedics were here by 4:08pm and his blood pressure was at 142/82. he left with the paramedics.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Respiratory arrest
Hospital-Tage: -
Labordaten: blood pressure 142/82
Aktuelle Erkrankungen: na
Vorgeschichte: na
Andere Medikamente: na
Allergien: na
Vorherige Impfungen: fainted from a flu shot in the past. he was not sure on when

VAERS 2581980

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: NC
Alter: 74,0
Geschlecht: M
Eingang: 15.02.2023
Impfdatum: -
Beginn: 03.01.2023
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / -

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

Ischaemic stroke

Symptomtext

Suffered ischemic stroke; This spontaneous case was reported by a patient and describes the occurrence of ISCHAEMIC STROKE (Suffered ischemic stroke) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 002F21A, 016M20A and 013L20A) for COVID-19 prophylaxis. The patient's past medical history included Bypass surgery (Heart bypass) in November 2012. Concurrent medical conditions included Type 2 diabetes mellitus and Drug allergy (Had allergic reaction to unspecified drug). On an unknown date, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form and first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 03-Jan-2023 at 10:00 AM, the patient experienced ISCHAEMIC STROKE (Suffered ischemic stroke) (seriousness criteria hospitalization and medically significant). The patient was hospitalized for 1 day due to ISCHAEMIC STROKE. At the time of the report, ISCHAEMIC STROKE (Suffered ischemic stroke) was resolving. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication was reported. On 29-Dec-2022 at 09:30am, patient took co-suspect dose 5, Pfizer bivalent in left arm. Patient received co-suspect dose 4 from Pfizer tris-sucrose (12+) SARS-COV-2 (batch number: FP4554) in arm. The patient did not received any other vaccines within 4 weeks prior to the COVID vaccine. The adverse event result in Emergency room/department or urgent care. Patient had CT scan, MRI, EKG, neurology visit, heart monitor. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient not had been tested for COVID-19. No treatment medication was reported. Company comment-This spontaneous case concerns a male patient aged 74 years with relevant medical history of Type 2 Diabetes reported, who experienced the unexpected serious (Medically significant/Hospitalization) AESI event of Ischaemic stroke that occurred in the context of a dose of mRNA-1273 vaccination in covid -19 vaccination series. Latency cannot be assessed since date of vaccination was not disclosed. Patient had received initial 3 doses of mRNA-1273 and two doses Pfizer vaccines. It was reported that patient was hospitalized for one day, underwent CT, MRI, neurology review, EKG and heart monitor, details not reported. No further information on risk factors, concurrent illness, detailed clinical course, investigations results, treatment of the event was available in the report. Outcome of the event was resolving at the time of report. The relevant medical history remains as confounder and advancing age of the patient a risk factor to the event. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Ischaemic stroke
Hospital-Tage: 1,0
Labordaten: -
Aktuelle Erkrankungen: Drug allergy (Had allergic reaction to unspecified drug); Type 2 diabetes mellitus
Vorgeschichte: Medical History/Concurrent Conditions: Bypass surgery (Heart bypass)
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2390966

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

schwer

Staat: KS
Alter: 18,0
Geschlecht: F
Eingang: 26.07.2022
Impfdatum: 11.08.2021
Beginn: 11.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Loss of consciousness Somnolence Unresponsive to stimuli

Symptomtext

Patient became unresponsive and passed out on the floor. Mother laid her down on the floor, Could not determine between fainting incident or allergic reaction, therefore epi-pen 0.3mg was administered in the left thigh. Patient became aware, but groggy after about 30 seconds following the epi-pen administration. She continued to feel groggy for the next 10 to 15 minutes, we provided her with water, an ice pack, and she laid down. EMS arrived and completed an assessment. They determined that the correct action was taken and the patient was fine. She was monitored for 30 minutes following the incident. She left after the 30 minute waiting period. Total time taken was 1 hour from time of injection.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Loss of consciousness
Hospital-Tage: -
Labordaten: EMS vital sign assessment 08/11/21 Blood pressure assessment 08/11/21 Pulse assessment 08/11/21
Aktuelle Erkrankungen: None to report
Vorgeschichte: None to report
Andere Medikamente: None to report
Allergien: None to report
Vorherige Impfungen: -

VAERS 2151167

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: TX
Alter: 24,0
Geschlecht: F
Eingang: 01.03.2022
Impfdatum: 19.08.2021
Beginn: 19.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Syncope Unresponsive to stimuli

Symptomtext

Systemic: Fainting / Unresponsive-Moderate

Weitere VAERSDATA-Felder

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

VAERS 1659340

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: WA
Alter: 38,0
Geschlecht: F
Eingang: 17.11.2021
Impfdatum: 30.08.2021
Beginn: 31.08.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / RA

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

Abdominal pain upper Chills Electrocardiogram Electroencephalogram Insomnia Blood magnesium normal Blood thyroid stimulating hormone normal Computerised tomogram head normal Electrocardiogram normal Extra dose administered Fibrin D dimer normal Full blood count normal Human chorionic gonadotropin normal Immunosuppression Influenza like illness Laboratory test Malaise Seizure

Symptomtext

Several hours after receiving my booster vaccination and I began to feel ill. I could not sleep, had chills, and a stomach ache. I got out of bed to go to the bathroom and began to feel like I was going to throw up. I sat on the floor. Later my husband woke up and said it appeared that I was having a seizure. It took me several minutes to come to and then after coming to, another several minutes to understand what had happened. The after hours nurse we called told me to go straight to the ER.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Syncope
Hospital-Tage: -
Labordaten: ER overnight 8/31/2021 with EKG and other tests performed Neurology appt 9/2/2021 EEG 10/04/2021
Aktuelle Erkrankungen: None
Vorgeschichte: Rheumatoid arthritis
Andere Medikamente: Prednisone, sertraline, IUD
Allergien: None
Vorherige Impfungen: -

VAERS 1843115

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: MN
Alter: 63,0
Geschlecht: M
Eingang: 04.11.2021
Impfdatum: 16.09.2021
Beginn: 12.10.2021
Tage bis Beginn: 26,0
Dosis: 2
Route/Site: SYR / LA

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

Blood test Cardiac failure Computerised tomogram Pulmonary thrombosis Thrombectomy Thrombosis

Symptomtext

saddle blood clot in both lungs, blood clots in legs, heart failure

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pulmonary thrombosis
Hospital-Tage: 4,0
Labordaten: CT scans, blood tests, emergency surgery to remove blood clots
Aktuelle Erkrankungen: None
Vorgeschichte: high blood pressure
Andere Medikamente: triamterene
Allergien: penicillin
Vorherige Impfungen: flu shot

VAERS 1832315

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: FL
Alter: 50,0
Geschlecht: M
Eingang: 31.10.2021
Impfdatum: 11.08.2021
Beginn: 03.10.2021
Tage bis Beginn: 53,0
Dosis: 3
Route/Site: IM / UN

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

Angiogram normal Bell's palsy Computerised tomogram head normal Facial paralysis Facial paresis Full blood count normal Laboratory test normal Magnetic resonance imaging normal Scan with contrast normal

Symptomtext

DIAGNOSED WITH BELLS PALSY ON DISCHARGE FROM HOSPITAL ON 06 OCT 2021. ON 05 OCT 2021, PRESENTED TO E.R. WITH ONSET OF L SIDED FACIAL WEAKNESS/PARALYSIS THAT STARTED ON 03 OCT 2021. GIVEN RX PREDNISONE 60 MG X 7 DAYS. AS OF THIS WRITING (31 OCT 2021) SIGNS / SX'S HAVE RESOLVED ABOUT 70%.. ***NOTE. THE MODERNA DOSE ABOVE WAS ADDITIONAL DOSE AFTER COMPLETION OF 2 DOSE PFIZER REGIMEN ADMINISTERED 02 FEB / 24 FEB 2021 RESPECTIVELY. *** ADDITIONALLY, I ALSO RECEIVED 1ST DOSE OF SHINGRIX ZOSTER RECOMBINANT ON 23 JUN 2021 AND QUADRIVALENT INFLUENZA ON 15 SEP 2021.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Bell's palsy
Hospital-Tage: 3,0
Labordaten: MULTIPLE E.R. TEST INCLUDING CBC, CHEM, CAT SCAN OF THE BRAIN, MRI, MRA WITH AND WITHOUT CONTRAST TO R/O CVA. ALL NEGATIVE.
Aktuelle Erkrankungen: NONE
Vorgeschichte: HTN, OSA, CERVICAL DISK DISEASE C6-C7, RHINITIS, SINUSITIS
Andere Medikamente: MVI, LISINOPRIL
Allergien: NKDA
Vorherige Impfungen: -

VAERS 1795488

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: CT
Alter: 35,0
Geschlecht: M
Eingang: 18.10.2021
Impfdatum: 08.09.2021
Beginn: 10.09.2021
Tage bis Beginn: 2,0
Dosis: 1
Route/Site: SYR / -

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

Blood creatine phosphokinase MB Blood test C-reactive protein normal Chest pain Chills Cough Diarrhoea Dizziness Echocardiogram abnormal Electrocardiogram Fatigue Fibrin D dimer increased Hyperhidrosis International normalised ratio increased Lymphocyte count decreased Migraine Myocarditis N-terminal prohormone brain natriuretic peptide increased

Symptomtext

Common cold symptoms (cough, runny nose, etc.) within 48 hours of vaccine. Symptoms continued to worsen over the next two weeks; migraines, high fever, chills, sweats, fatigue, dizziness, diarrhea etc. Week 5 (October 5th) symptoms significantly increased - vomiting, diarrhea, high fever, dizziness, chills, sweats, etc. October 16th - symptoms continued, but severe chest pain started. Went to the hospital at 7pm with a 103 fever. 10/16 - Troponin I level tested three times: 1.83 on 10/16, 4.50 on 10/17, & 3.66 on 10/17. Vomiting, diarrhea, high fever, dizziness, chill, and sweats continued for entire hospital visit. Antibiotics given on 10/17; no change. Both Covid tests negative. Echocardiogram done on 10/18 - myocarditis confirmed. Sent home on 10/19 with anti-inflammatory drugs to take for 10-14 days.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Myocarditis
Hospital-Tage: 4,0
Labordaten: Blood tests (10/16, 10/17, 10/18, 10/19) Echocardiogram (10/18) Troponin I - (10/16) 1.83, (10/17) 4.50, & (10/17) 3.66 D-Dimer - 304 PROTIME-INR - 14.2 ECG 12-LEAD - Abnormal Abs Lymphocytes - 0.87 Erythrocyte Sediment Rate - 31 CKMB - 10.4 Sedimentation Rate - 55 C-Reactive - 9.94 proBNP, N-terminal - 161 Sinus tachycardia
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: Flu shot - pneumonia

VAERS 1764070

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: FL
Alter: 34,0
Geschlecht: F
Eingang: 06.10.2021
Impfdatum: 02.09.2021
Beginn: -
Tage bis Beginn: -
Dosis: 2
Route/Site: OT / LA

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

Cardiomegaly Chest X-ray Chest discomfort Chest pain Cough Dyspnoea Haemoptysis Lethargy Lymphadenopathy Pulmonary oedema Vaccination site induration Vaccination site infection Vaccination site pain Vaccination site swelling Vomiting

Symptomtext

water in the lung; chest pain; enlarged heart/cardiomegaly; lethargic after 2-3 days; coughing really hard to the point of throwing up; stated that a little bit of blood came out from the coughing; shortness of breath; tight chest on the right side; infection; swallon lymph node; 2nd dose hurt; right arm was tight and swollen; right arm was tight and swollen; threw up few times; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PULMONARY OEDEMA (water in the lung), CHEST PAIN (chest pain) and CARDIOMEGALY (enlarged heart/cardiomegaly) in a 34-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concomitant products included ETHINYLESTRADIOL, NORGESTIMATE (TRI-SPRINTEC) for Birth control, THYROID (ARMOUR THYROID) for Thyroid disorder, HYDROCHLOROTHIAZIDE, LOSARTAN POTASSIUM (LOSARTAN/HCTZ), FUROSEMIDE (LASIX [FUROSEMIDE]), POTASSIUM CHLORIDE and DOXAZOSIN MESILATE (CARDURA) for an unknown indication. On 02-Sep-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PULMONARY OEDEMA (water in the lung) (seriousness criterion medically significant), CHEST PAIN (chest pain) (seriousness criterion medically significant), CARDIOMEGALY (enlarged heart/cardiomegaly) (seriousness criterion medically significant), LETHARGY (lethargic after 2-3 days), COUGH (coughing really hard to the point of throwing up), HAEMOPTYSIS (stated that a little bit of blood came out from the coughing), DYSPNOEA (shortness of breath), CHEST DISCOMFORT (tight chest on the right side), VACCINATION SITE INFECTION (infection), LYMPHADENOPATHY (swollen lymph node), VACCINATION SITE PAIN (2nd dose hurt), VACCINATION SITE INDURATION (right arm was tight and swollen), VACCINATION SITE SWELLING (right arm was tight and swollen) and VOMITING (threw up few times). The patient was treated with DOXYCYCLINE at a dose of 1 dosage form. At the time of the report, PULMONARY OEDEMA (water in the lung), CHEST PAIN (chest pain), CARDIOMEGALY (enlarged heart/cardiomegaly), LETHARGY (lethargic after 2-3 days), COUGH (coughing really hard to the point of throwing up), HAEMOPTYSIS (stated that a little bit of blood came out from the coughing), DYSPNOEA (shortness of breath), CHEST DISCOMFORT (tight chest on the right side), VACCINATION SITE INFECTION (infection), LYMPHADENOPATHY (swollen lymph node), VACCINATION SITE PAIN (2nd dose hurt), VACCINATION SITE INDURATION (right arm was tight and swollen), VACCINATION SITE SWELLING (right arm was tight and swollen) and VOMITING (threw up few times) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Cardiomegaly: abnormal (abnormal) enlarged heart. In 2021, Chest X-ray: abnormal (abnormal) water on the lungs on the right lobe side. Lab data was not provided After the 1st dose - The patient stated that after her 1st dose of moderna vaccine, she experienced a covid arm reaction and a lump. The patient stated that she did not even feel the needle go in. After the 2nd dose - The patient reported 6 days later, she had to go to a ER walk in for chest pain but did not have hospital stays yet. The patient reported swollen lymph nodes as all lymph nodes were swollen on the right side and had an infection. The patient stated that the 2nd dose hurt as if something was in there. The chest X-ray revealed water on the lungs on the right lobe side, heart had cardiomegaly and an enlarged heart. The patient stated that the cat scan revealed that enlarged heart started to go down after the antibiotic (doxycycline). The patient stated that she was lethargic after 2-3 days from receiving the 2nd dose and was coughing really hard to the point of throwing up. She stated that a little bit of blood came out from the coughing but coughed hard and threw up few times. She also reported experiencing shortness of breath, tight chest on the right side, right arm was tight and swollen. The patient stated that she is glad that the heart is not enlarged now and does not have blood clots. The patient stated that she has a follow up with the pulmonologist and ID for lymph nodes. The patient is also has a future PET scan scheduled and stated that CAT scan found a node Company Comment: This case concerns a 34 year old female with no relevant medical history who experienced serious unexpected event of pulmonary edema and nonserious unexpected event of cardiomegaly on unknown date after the second shot of the Moderan covid 19 vaccine. Rechallenge was not applicable. The benefit-risk relationship is not affected by this report. This case was linked to MOD-2021-331411 (Patient Link).; Sender's Comments: This case concerns a 34 year old female with no relevant medical history who experienced serious unexpected event of pulmonary edema and nonserious unexpected event of cardiomegaly on unknown date after the second shot of the Moderan covid 19 vaccine. Rechallenge was not applicable. The benefit-risk relationship is not affected by this report.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pulmonary oedema
Hospital-Tage: -
Labordaten: Test Date: 2021; Test Name: cardiomegaly; Result Unstructured Data: enlarged heart; Test Date: 2021; Test Name: Chest X-ray; Result Unstructured Data: water on the lungs on the right lobe side.
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: Armour Thyroid; Losartan/HCTZ; Lasix [Furosemide]; Potassium Chloride; Cardura; Tri-Sprintec
Allergien: -
Vorherige Impfungen: -

VAERS 1737026

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

schwer

Staat: AR
Alter: 21,0
Geschlecht: F
Eingang: 27.09.2021
Impfdatum: 08.09.2021
Beginn: 24.09.2021
Tage bis Beginn: 16,0
Dosis: 1
Route/Site: IM / RA

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

Computerised tomogram head Ear pain Electrocardiogram Facial paralysis Full blood count Headache Hypoaesthesia oral Magnetic resonance imaging

Symptomtext

Facial Droop, numb tongue, headache, ear pain

Weitere VAERSDATA-Felder

Praegender Schweregrund: Facial paralysis
Hospital-Tage: -
Labordaten: CBC with differental 09/25/2021 MRI W W/o Contrast CT Head W/o Contrast EKG
Aktuelle Erkrankungen: PCOS/Endometrosis/ Insulin Resistance/
Vorgeschichte: See item 11
Andere Medikamente: LexaPro Sumatriptan
Allergien: Codeine, Mirtazapine , Penicillins
Vorherige Impfungen: -

VAERS 1730976

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: NC
Alter: 33,0
Geschlecht: M
Eingang: 24.09.2021
Impfdatum: 20.09.2021
Beginn: 21.09.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: IM / LA

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

Asthenia C-reactive protein Chest X-ray Chest discomfort Chest pain Blood magnesium Blood phosphorus Chest X-ray normal Chills Echocardiogram Electrocardiogram Full blood count Influenza like illness Dyspnoea Echocardiogram normal Electrocardiogram normal Lipase Metabolic function test

Symptomtext

Pt developed flu-like symptoms approximately 12 hr after vaccine which included, chills, rigors, emesis x4-5, weakness, near syncope, and chest pain. His pain was initially mild but then became moderate, was centrally located, sharp and tight. He presented to the ER dur to the degree of pain.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Myocarditis
Hospital-Tage: 1,0
Labordaten: Observation admission on 9/23-9/24 for chest pain w/detectable troponin. He had CBC, BMP, echo, cxr, ekg completed in the ER. As well as sed rate and CRP. He troponin quickly trended down and chest pain felt second to probable myocarditis presumed from Covid vaccine.
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 1730976

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: NC
Alter: 33,0
Geschlecht: M
Eingang: 24.09.2021
Impfdatum: 20.09.2021
Beginn: 21.09.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: IM / UN

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

Asthenia C-reactive protein Chest X-ray Chest discomfort Chest pain Blood magnesium Blood phosphorus Chest X-ray normal Chills Echocardiogram Electrocardiogram Full blood count Influenza like illness Dyspnoea Echocardiogram normal Electrocardiogram normal Lipase Metabolic function test

Symptomtext

Pt developed flu-like symptoms approximately 12 hr after vaccine which included, chills, rigors, emesis x4-5, weakness, near syncope, and chest pain. His pain was initially mild but then became moderate, was centrally located, sharp and tight. He presented to the ER dur to the degree of pain.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Myocarditis
Hospital-Tage: 1,0
Labordaten: Observation admission on 9/23-9/24 for chest pain w/detectable troponin. He had CBC, BMP, echo, cxr, ekg completed in the ER. As well as sed rate and CRP. He troponin quickly trended down and chest pain felt second to probable myocarditis presumed from Covid vaccine.
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 1711206

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: UT
Alter: 22,0
Geschlecht: M
Eingang: 18.09.2021
Impfdatum: 26.08.2021
Beginn: 26.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / LA

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

Asthenia Feeling cold Feeling of despair Motor dysfunction Pallor Syncope

Symptomtext

Patient was feeling faint, fainted in chair; Despondent, cold to touch, weak and pale; Cold to touch; Weak; Pale; Difficulty in muscle control; This spontaneous case was reported by a pharmacist and describes the occurrence of SYNCOPE (Patient was feeling faint, fainted in chair), FEELING OF DESPAIR (Despondent, cold to touch, weak and pale), FEELING COLD (Cold to touch), ASTHENIA (Weak) and PALLOR (Pale) in a 22-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 26-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Aug-2021, the patient experienced SYNCOPE (Patient was feeling faint, fainted in chair), FEELING OF DESPAIR (Despondent, cold to touch, weak and pale), FEELING COLD (Cold to touch), ASTHENIA (Weak), PALLOR (Pale) and MOTOR DYSFUNCTION (Difficulty in muscle control). At the time of the report, SYNCOPE (Patient was feeling faint, fainted in chair), FEELING OF DESPAIR (Despondent, cold to touch, weak and pale), FEELING COLD (Cold to touch), ASTHENIA (Weak), PALLOR (Pale) and MOTOR DYSFUNCTION (Difficulty in muscle control) 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. Concomitant product use was not provided by the reporter. Treatment information was not provided. Company comment: This concerns a case of a 22 year old Male with no relevant medical history who experienced unexpected events of syncope, feeling of despair, feeling cold, asthenia, pallor, and motor dysfunction. The events happened 1 day after receiving the first dose of the vaccine. The event syncope was upgraded to serious , however it is downgraded to non serious due to the lack of evidence of seriousness from a regulatory or clinical standpoint. The benefit-risk relationship of Moderna Covid-19 vaccine is not affected by this report. This case was linked to US-MODERNATX, INC.-MOD-2021-315343, US-MODERNATX, INC.-MOD-2021-141984, US-MODERNATX, INC.-MOD-2021-141984, US-MODERNATX, INC.-MOD-2021-141758, US-MODERNATX, INC.-MOD-2021-142081, US-MODERNATX, INC.-MOD-2021-142219 (E2B Linked Report).; Sender's Comments: This concerns a case of a 22 year old Male with no relevant medical history who experienced unexpected events of syncope, feeling of despair, feeling cold, asthenia, pallor, and motor dysfunction. The events happened 1 day after receiving the first dose of the vaccine. The event syncope was upgraded to serious , however it is downgraded to non serious due to the lack of evidence of seriousness from a regulatory or clinical standpoint. The benefit-risk relationship of Moderna Covid-19 vaccine is not affected by this report. US-MODERNATX, INC.-MOD-2021-315343:Same report US-MODERNATX, INC.-MOD-2021-141984: US-MODERNATX, INC.-MOD-2021-141984: US-MODERNATX, INC.-MOD-2021-141758: US-MODERNATX, INC.-MOD-2021-142081: US-MODERNATX, INC.-MOD-2021-142219:

Weitere VAERSDATA-Felder

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

VAERS 1695764

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: AK
Alter: 26,0
Geschlecht: F
Eingang: 13.09.2021
Impfdatum: 13.09.2021
Beginn: 13.09.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

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

Fall Injury Syncope Tooth fracture

Symptomtext

patient fainted for seated position and fell face forward onto the floor 5 minutes after receiving vaccine. hit chin and chipped tooth. patient cleared by EMS to leave with her mom and seek medical treatment on their own.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Syncope
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: NONE
Vorgeschichte: TYPE 2 DIABETES
Andere Medikamente: METFORMIN ER
Allergien: NKA
Vorherige Impfungen: -

VAERS 1693510

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: MS
Alter: 29,0
Geschlecht: M
Eingang: 12.09.2021
Impfdatum: 15.08.2021
Beginn: 15.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / AR

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

Anaphylactic reaction Dyspnoea

Symptomtext

Patient experienced a mild/moderate anaphylactic rxn (SOB) for approximately 24 hrs post vaccine administration. Patient was monitored for 15 minutes post administration, per pharmacy's protocol. The rxn started after the pt had left the pharmacy.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Anaphylactic reaction
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: N/A- Per patient
Vorgeschichte: N/A- Per patient
Andere Medikamente: N/A- Per patient's RX profile
Allergien: NO- Per patient's RX profile
Vorherige Impfungen: -

VAERS 1653837

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: FL
Alter: 59,0
Geschlecht: M
Eingang: 29.08.2021
Impfdatum: 29.08.2021
Beginn: 29.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

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

Hyperhidrosis Nausea Syncope Vomiting

Symptomtext

fainted for a minute. Sweating, nausea and vomiting

Weitere VAERSDATA-Felder

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

VAERS 1636744

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: CT
Alter: 19,0
Geschlecht: M
Eingang: 26.08.2021
Impfdatum: 26.08.2021
Beginn: 26.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Fall Skin laceration Syncope

Symptomtext

After receiving vaccination, patient was sitting in post-vaccination waiting area. After approximately 2-3 minutes, patient fainted and fell forward and lacerated forehead and nose on the floor. Patient was taken out of the facility via ambulance.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Syncope
Hospital-Tage: -
Labordaten: none known
Aktuelle Erkrankungen: no
Vorgeschichte: psoriasis
Andere Medikamente: none
Allergien: no known allergies
Vorherige Impfungen: -

VAERS 1628863

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: ID
Alter: 40,0
Geschlecht: F
Eingang: 24.08.2021
Impfdatum: 16.07.2021
Beginn: 21.08.2021
Tage bis Beginn: 36,0
Dosis: 1
Route/Site: IM / LA

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

Bell's palsy

Symptomtext

Bells Palsy

Weitere VAERSDATA-Felder

Praegender Schweregrund: Bell's palsy
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Unknown
Allergien: No known allergies
Vorherige Impfungen: -

VAERS 1628101

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

schwer

Staat: AR
Alter: 18,0
Geschlecht: M
Eingang: 24.08.2021
Impfdatum: 17.08.2021
Beginn: 20.08.2021
Tage bis Beginn: 3,0
Dosis: 1
Route/Site: IM / LA

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

Angiogram abnormal Blood culture negative Brain natriuretic peptide Brain natriuretic peptide increased C-reactive protein increased Chills Headache Malaise Myocarditis COVID-19 pneumonia Cardiovascular evaluation Chest pain Computerised tomogram thorax abnormal Echocardiogram abnormal Ejection fraction decreased Electrocardiogram ST segment abnormal Electrocardiogram abnormal Fibrin D dimer increased

Symptomtext

Patient presented to Medical Center with chest pain, rapid heart rate, fever, chills, and body aches. Cardiovascular exam revealed tachycardia, regular rhythm, no gallops, no murmurs. He as admitted for pneumonia, suspicious for covid-19 pneumonia, and myocarditis. He received azythromycin and rocephin for pneumonia. He received motrin, toradol, and colchicine for myocarditis.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Myocarditis
Hospital-Tage: 2,0
Labordaten: Received covid vaccine on 8/17. Admit with myocarditis and pneumonia on 8/20. Chest CTA revealed multifocal areas of pneumonia Echocardiogram revealed an EF of 53%, normal tricuspid valve, mild tricuspid regurgitation. EKG on 8/20 showed sinus tachycardia, with left axis deviation, left ventricular hypertrophy, ST changes in multiple leads. White blood cell count 11.8 D-dimer 409 Troponins trended: 1.520, 1.250, and 0.956 C-Reactive protein 24.1 NT-Pro-B Natriuretic Peptide 2530 SARS Cov-2 RNA PCR negative x3 Blood cultures without growth x4 days
Aktuelle Erkrankungen: NA
Vorgeschichte: Obstructive sleep apnea, seasonal allergies Diagnosed with covid-10 on 5/3/21
Andere Medikamente: Singular 10mg po hs Lansoprazole 30mg po hs Ventolin 2 puffs inhale q4h prn Zyrtec 10mg po daily
Allergien: No known allergies
Vorherige Impfungen: -

VAERS 1624825

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: KY
Alter: 20,0
Geschlecht: F
Eingang: 23.08.2021
Impfdatum: 23.08.2021
Beginn: 23.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Seizure Syncope

Symptomtext

SYNCOPE W/ CONVULSION

Weitere VAERSDATA-Felder

Praegender Schweregrund: Seizure
Hospital-Tage: -
Labordaten: VITALS CHECKED VIA EMT
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: N/A
Allergien: N/A
Vorherige Impfungen: -

VAERS 1623410

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: FL
Alter: 48,0
Geschlecht: F
Eingang: 23.08.2021
Impfdatum: 23.08.2021
Beginn: 23.08.2021
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 Dizziness Nausea Syncope Vomiting

Symptomtext

Pt came in to get her 2nd Moderna vaccine; dose was administered by my tech. 15-min timer goes off then I went to check on the pt and pt stated that she was dizzy and about to throw up. Pt collapsed and threw up. I asked her if she wanted a some water, she said yes. Pt did not want us to call 911. After about 10 min, pt stated that her lungs 'were on fire.' I advised her that I think it is in her best interest to seek medical attention and my tech called 911. Paramedics took pt's vitals and BP was 130/80 and O2 sat was 99. Paramedics took pt to Health facility.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Syncope
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: n/a
Vorgeschichte: n/a
Andere Medikamente: Levothyroxine 50 mcg, citalopram 20 mg
Allergien: n/a
Vorherige Impfungen: -

VAERS 1602600

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: AL
Alter: 48,0
Geschlecht: F
Eingang: 21.08.2021
Impfdatum: 01.08.2021
Beginn: 20.08.2021
Tage bis Beginn: 19,0
Dosis: 2
Route/Site: SYR / LA

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

Dizziness Syncope

Symptomtext

Dizziness, Light Headed, Faint

Weitere VAERSDATA-Felder

Praegender Schweregrund: Syncope
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: Heart
Andere Medikamente: Aspirin, Lipitor, Plavix, Lisinopril
Allergien: NKA
Vorherige Impfungen: -

VAERS 1595950

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: CA
Alter: 33,0
Geschlecht: M
Eingang: 21.08.2021
Impfdatum: 20.08.2021
Beginn: 20.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Asthenia Dizziness Flushing Hyperhidrosis Syncope Tremor Unresponsive to stimuli

Symptomtext

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild

Weitere VAERSDATA-Felder

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

VAERS 1592982

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: HI
Alter: 23,0
Geschlecht: M
Eingang: 20.08.2021
Impfdatum: 20.08.2021
Beginn: 20.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Seizure

Symptomtext

Patient already received the vaccine and was in the pharmacy waiting area for observation when he developed a seizure. Area was clear to give him space and EMS arrived on the scene within 15 minutes. Patient was conscious again after about a minute of seizing. Patient was transported via EMS to ER for further evaluation.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Seizure
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: -
Vorgeschichte: No chronic conditions
Andere Medikamente: Unknown
Allergien: No allergies
Vorherige Impfungen: -

VAERS 1592327

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

schwer

Staat: LA
Alter: 40,0
Geschlecht: M
Eingang: 20.08.2021
Impfdatum: 20.08.2021
Beginn: 20.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Anxiety Condition aggravated Fall Loss of consciousness Musculoskeletal stiffness Posture abnormal Skin warm Unresponsive to stimuli

Symptomtext

Administered Moderna vaccine to patient and wife. Patient sat for approximately 8 minutes after receiving vaccine and the wife alerted pharmacy that her husband was having an issue. I ran out to check on the patient. The patient sliding out of chair with head hanging back. I asked the patient questions to assess and did a pulse check. He was hot to touch and unresponsive; however his eyes were open and his limbs were stiff. It looked as though he may have had a seizure, but he denied having seizures in the past. My technician dialed 911 and I ran to get an epi pen in case he was having an anaphylactic reaction. When I came back out he was becoming more alert. We got both of them bottled water and assessed the patient to make a sure he was feeling ok before leaving. He admitted he suffers from anxiety at times and faints. He said after getting the vaccine he began to read the vaccine informational, became anxious, and blacked out. The ambulance was cancelled after the patient became alert.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Loss of consciousness
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: No, per patient
Vorgeschichte: No, per patient
Andere Medikamente: Unknown
Allergien: No, per patient
Vorherige Impfungen: -

VAERS 1592054

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

schwer

Staat: CO
Alter: 21,0
Geschlecht: M
Eingang: 20.08.2021
Impfdatum: 20.08.2021
Beginn: 20.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Posture abnormal Syncope

Symptomtext

Patient had an event of syncope while waiting in IMZ chair post COVID moderna dose #1. Caught patient before patient fell, protected his head and neck area and slowly lowered him to ground and elevated his legs on chair. Store management was notified and observed. Gave patient an instant cold compress. Told patient to wait in chair and observed patient for roughly 20 additional minutes. patient stated he was ok and he faints with blood draws and IMZ sometimes and that he is ok. Patient and friend left.

Weitere VAERSDATA-Felder

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

VAERS 1587459

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

schwer

Staat: WI
Alter: 59,0
Geschlecht: F
Eingang: 19.08.2021
Impfdatum: 16.08.2021
Beginn: 17.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / RA

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

Peripheral embolism Ultrasound Doppler

Symptomtext

24 hours after the shot, patient had a blood clot in her foot. she went to a walk in clinic and was then sent to the hospital to get her foot scanned. patient was released and told to monitor for any additional symptoms

Weitere VAERSDATA-Felder

Praegender Schweregrund: Peripheral embolism
Hospital-Tage: -
Labordaten: scan at the hospital
Aktuelle Erkrankungen: non
Vorgeschichte: fibermyalgia and arthritis
Andere Medikamente: loratadine and cetirizine
Allergien: pantoprazole, latex, codeine, benadryl, NSAIDS
Vorherige Impfungen: -

VAERS 1587149

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: LA
Alter: 56,0
Geschlecht: M
Eingang: 19.08.2021
Impfdatum: 18.08.2021
Beginn: 18.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Cold sweat Fall Hyperhidrosis Loss of consciousness Pallor

Symptomtext

Patient lost consciousness momentarily approximately five minutes after receiving the vaccination. Fell to the floor from seated position whereupon we immediately called 911, went to him and tried to verbally arousing him, which was immediately successful. We then assisted patient to a seated position and assessed him. Patient was profusely perspiring , had a strong pulse, was still seemingly out-of-it. His skin was pale and clammy and respirations slowed as he seemed to lose consciousness. A sheriff deputy happened to be on-site and she assisted patient as retrieved an Epi-Pen. Upon the arrival of Epi, patient had made a significant improvement - he became lucid and respiration increased with improved consciousness. Patient said he was hot, wanted cold water which we gave him. Patient was alert and asking questions as EMS arrived after approximately 5-10 minutes and performed assessment and checked vitals - which were apparently in normal ranges at that point. Patient answered EMS questions and stayed for a short while before driving himself home. We requested he call the pharmacy when he arrived at home - which he did, saying he felt ok, but was sore apparently from the fall from his seat.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Loss of consciousness
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None known
Vorgeschichte: Hypertension
Andere Medikamente: Incomplete list: Propranolol
Allergien: NKA
Vorherige Impfungen: -

VAERS 1583382

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: FL
Alter: 23,0
Geschlecht: M
Eingang: 18.08.2021
Impfdatum: 18.08.2021
Beginn: 18.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Hyperhidrosis Immediate post-injection reaction Loss of consciousness

Symptomtext

AS SOON AS I GAVE THE VACCINE TO THE PATIENT HE PASSOUT WITH IN SECONDS,AFTER 1 MINUTE HE BACAME NORMAL BUT HE WAS SWEATING REAL BAD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Loss of consciousness
Hospital-Tage: -
Labordaten: NONE
Aktuelle Erkrankungen: NO
Vorgeschichte: NO
Andere Medikamente: NO
Allergien: NO
Vorherige Impfungen: -

VAERS 1575476

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

schwer

Staat: GA
Alter: 61,0
Geschlecht: F
Eingang: 16.08.2021
Impfdatum: 15.08.2021
Beginn: 15.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

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

Asthenia Syncope

Symptomtext

I was alerted that patient was fainting and feeling weak after giving Moderna vaccine. I had my store manager call 911 immediately. I kept talking to patient to keep her conscious. Patient breathing was fine, no anaphylactic shock persent. I placed an ice bag behind her head. I took her blood pressure, 90/48 and pulse of 60. Paramedics arrived and took over. Patient got better and refused to go to hospital.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Syncope
Hospital-Tage: -
Labordaten: n/a
Aktuelle Erkrankungen: n/a
Vorgeschichte: graves disease, eliquix factor 5
Andere Medikamente: n/a
Allergien: nka
Vorherige Impfungen: -

VAERS 1570765

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: -
Alter: 26,0
Geschlecht: F
Eingang: 15.08.2021
Impfdatum: 15.08.2021
Beginn: 15.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Dizziness Loss of consciousness Nausea Pallor Tremor

Symptomtext

Patient was nervous before the shot. She felt fine after the shot but a few minutes later started feeling lightheaded and turned pale. Patient then lost consciousness for a few seconds and was shaking but regained consciousness. She was pale and nauseated. We gave her an ice pack and just had her remain sitting in her chair. 911 was called and we were told not to move her. The EMTs arrived within 10 minutes of the incident and took over patient's care.

Weitere VAERSDATA-Felder

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

VAERS 1554124

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

schwer

Staat: MA
Alter: 22,0
Geschlecht: M
Eingang: 13.08.2021
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: ja

Syncope Unresponsive to stimuli Vomiting

Symptomtext

Systemic: Fainting / Unresponsive-Medium, Systemic: vomiting-Medium, Systemic: Vomiting-Medium, Additional Details: pt passed out after sitting in our waiting area about 2 seconds after taking a seat. passed out for about 2 minutes. sat up and started vomiting

Weitere VAERSDATA-Felder

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

VAERS 1905102

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: MS
Alter: 23,0
Geschlecht: F
Eingang: 12.08.2021
Impfdatum: 11.08.2021
Beginn: 11.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Fatigue Feeling hot Somnolence Syncope

Symptomtext

Client complained of feeling hot, sleepy and tired after about 1 hr and 30 minutes of receiving injection. Client sat in chair and exhibited an episode of syncope. Client aroused with ice pack to forehead; Epinephrine 0.3ml administered IM to the right deltoid. Client's T 97.6 R 18 Pulse 100 and BP 148/107. 911 dialed et EMS arrival at approx. 5:30pmet transported client to another medical facility.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Syncope
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: none
Allergien: no allergies
Vorherige Impfungen: -

VAERS 1550413

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21a

schwer

Staat: TX
Alter: 19,0
Geschlecht: M
Eingang: 12.08.2021
Impfdatum: 12.08.2021
Beginn: 12.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Loss of consciousness Syncope

Symptomtext

Patient experienced syncopy (faintness) after 5 minutes of getting the vaccine and was unconscious for roughly 1 minute. No other symptoms.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Loss of consciousness
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1549650

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: TX
Alter: 38,0
Geschlecht: M
Eingang: 12.08.2021
Impfdatum: 12.08.2021
Beginn: 12.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Confusional state Head injury Hypotension Syncope

Symptomtext

Shortly after the patient received the vaccination, the patient stated that he felt something. He ended up fainting and hitting his head on the floor. We were able to get him up and he regained consciousness within the minute. He seemed confused initially. We had him sit for observation and monitored his blood pressure. The results of his blood pressure was significantly low. His status (consciousness) seemed to have improved, but due to precautions and his blood pressure, we recommended that he gets seen by a professional. His significant other that was present with him said that they will be heading to an urgent care.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Syncope
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: n/a
Allergien: none
Vorherige Impfungen: -

VAERS 1545235

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: OH
Alter: 29,0
Geschlecht: M
Eingang: 11.08.2021
Impfdatum: 11.08.2021
Beginn: 11.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Dizziness Loss of consciousness Syncope

Symptomtext

The patient received his 1st COVID-19/Moderna vaccine around 12:00pm, scheduled his 2nd dose, and was instructed to stay 15min for observation. He was later walking around the store and felt dizzy and fainted. We were alerted to his passing out by an associated on the floor around 12:55.

Weitere VAERSDATA-Felder

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

VAERS 1544866

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

schwer

Staat: OK
Alter: 38,0
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

Syncope Unresponsive to stimuli

Symptomtext

Systemic: Fainting / Unresponsive-Medium, Additional Details: patient passed out from getting shot. he stated he always does due to anxiety with needles. he was up and feeling fine after a couple of minutes

Weitere VAERSDATA-Felder

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

VAERS 1541642

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

schwer

Staat: LA
Alter: 38,0
Geschlecht: M
Eingang: 10.08.2021
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

Eye movement disorder Fall Hyperhidrosis Seizure Unresponsive to stimuli

Symptomtext

Immediately upon injecting patient, patient fell over and started having convulsions. Patient was not responding to our questions but was breathing. Patient could not open eyes and was sweating. After about 10 minutes patient came thru with no intervention needed. EMS was called, but patient refused to go with them.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Seizure
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: High blood pressure, chronic pain
Andere Medikamente: -
Allergien: Iodine
Vorherige Impfungen: -

VAERS 1536254

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

schwer

Staat: TX
Alter: 28,0
Geschlecht: F
Eingang: 09.08.2021
Impfdatum: 08.08.2021
Beginn: 08.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Cold sweat Dizziness Flushing Hyperhidrosis Hypoaesthesia Hypotension Paraesthesia Syncope Unresponsive to stimuli

Symptomtext

Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: ~10 min after covid vax, pt reports she believes briefly passed out, as she dropped her phone, and then felt very dizzy and "out of it". She was able to walk to the pharmacy. We had her sit, gave her Orange juice, and checked her BP (72/50). Pt stated both of her hands felt numb. She said she had no trouble breathing, no itching, no facial numbness. Pt looked flushed and said she felt warm/sweaty/clammy. EMS was called to check on patient at patient's request. All vitals were normal at that time

Weitere VAERSDATA-Felder

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

VAERS 1535465

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

schwer

Staat: IL
Alter: 43,0
Geschlecht: F
Eingang: 08.08.2021
Impfdatum: 07.08.2021
Beginn: 07.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Dizziness Heart rate increased Injection site paraesthesia Loss of consciousness Muscular weakness Nausea Palpitations Paraesthesia

Symptomtext

Patient had tingling at injection site left side, hand, leg, and face immediately, followed by 15-20 later dizziness, pass out, pounding heart, extremity weakness (loss of function), nauseous, increased heart rate, lowered blood pressure- patient went to ED for monitoring of blood pressure, heart rate, oxygen. Took around 90 minutes to start to normalize. Patient was then able to walk and returned home. 30 hours later was still experiencing increased heart rate and low blood oxygenation. Patient then was returning to normal.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Loss of consciousness
Hospital-Tage: -
Labordaten: blood pressure, heart rate, oxygen
Aktuelle Erkrankungen: cyclic vomiting syndrome
Vorgeschichte: cyclic vomiting syndrome
Andere Medikamente: ortho tri-cyclen, pantoprazole 40mg, amitriptyline 25mg, co-q 10
Allergien: sulfa, contrast dye
Vorherige Impfungen: -

VAERS 1534983

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

schwer

Staat: AZ
Alter: 19,0
Geschlecht: F
Eingang: 07.08.2021
Impfdatum: 07.08.2021
Beginn: 07.08.2021
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 Loss of consciousness

Symptomtext

The patient lost consciousness 6 minutes after receiving the vaccine. She fell from her chair that she was sitting on and hit her head on the ground. The patient was still breathing and we called 911 immediately. She regained consciousness a few minutes later, the paramedics arrived, and the patient was taken to the hospital by paramedics.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Loss of consciousness
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: Oxycodone
Vorherige Impfungen: -

VAERS 2561471

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: CA
Alter: 28,0
Geschlecht: M
Eingang: 17.01.2023
Impfdatum: 01.09.2021
Beginn: 01.10.2021
Tage bis Beginn: 30,0
Dosis: 1
Route/Site: SYR / LA

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

Arthralgia Chest pain Dyspnoea Heart rate irregular Inflammation Palpitations

Symptomtext

joint paint inflammation chest pain irregular heartbeat shortness of breath palpitations

Weitere VAERSDATA-Felder

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

VAERS 2539029

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: MI
Alter: 56,0
Geschlecht: F
Eingang: 21.12.2022
Impfdatum: 18.03.2021
Beginn: 25.09.2022
Tage bis Beginn: 556,0
Dosis: 3
Route/Site: - / -

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

COVID-19 Confusional state Constipation Dizziness Ear discomfort Feeling abnormal Hypercalcaemia Magnetic resonance imaging head abnormal Migraine SARS-CoV-2 test positive Urinary retention White matter lesion

Symptomtext

She presented with dizziness and confusion. Her dizziness and migraine are improved but occ symptoms -we did not find a discrete etiology for fogginess and dizziness, likely multifactorial She will follow with neuro and ENT and psychiatry Of note her MRI did not have clear stroke but there are some similar white matter changes in the cerebellum compared to previous studies - there were no signs of acute stroke. Her MRI have variable mentioned stroke in the past but not always. Aspirin and statin will be continued at this point -COVID may have been a cause of her more recent dizziness and fogginess and ear fullness -ENT did see her -she will follow cardiology OP -she is considering to see a new psychiatrist -she wants to stay off the prozac, of note she is still on trazodone and topamax is on too -she did have constipation this admit(?from hypercalcemia but that is better) and responded to meds -she had intermittent urinary retention - it improved with bowel program -she was seen by urology and will follow with them OP She will be DC home with home care

Weitere VAERSDATA-Felder

Praegender Schweregrund: Migraine
Hospital-Tage: 10,0
Labordaten: 9/25 SARS-CoV-2 (COVID-19) by Nucleic Acid Amplification, POC
Aktuelle Erkrankungen: unknown
Vorgeschichte: unknown
Andere Medikamente: unknown
Allergien: unknown
Vorherige Impfungen: -

VAERS 2414426

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: IL
Alter: 72,0
Geschlecht: F
Eingang: 18.08.2022
Impfdatum: 27.08.2021
Beginn: -
Tage bis Beginn: -
Dosis: 3
Route/Site: OT / RA

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

Atrial fibrillation Diverticulitis Hypotension Rash Vaccination site erythema

Symptomtext

Post operative atrial fibrillation; Diverticulitis has been worsening; blood pressure very low; Red spot at the injection site; fine rash from waist up, started on right arm, a lot of different spots in body including chin, left thumb, hairline on the right side, knee, belly, and 5 spots around waist, 105 spots of rashes appeared on legs.; This spontaneous case was reported by a consumer and describes the occurrence of ATRIAL FIBRILLATION (Post operative atrial fibrillation) and DIVERTICULITIS (Diverticulitis has been worsening) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Diverticulitis (Diverticulitis which had been worsening for the last 5 years.) and Surgery (diverticulitis surgery which was successfully done). Concomitant products included CALCIUM for an unknown indication. On 27-Aug-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On an unknown date, the patient experienced ATRIAL FIBRILLATION (Post operative atrial fibrillation) (seriousness criterion medically significant), DIVERTICULITIS (Diverticulitis has been worsening) (seriousness criterion medically significant), HYPOTENSION (blood pressure very low), VACCINATION SITE ERYTHEMA (Red spot at the injection site) and RASH (fine rash from waist up, started on right arm, a lot of different spots in body including chin, left thumb, hairline on the right side, knee, belly, and 5 spots around waist, 105 spots of rashes appeared on legs.). The patient was treated with METOPROLOL for Atrial fibrillation, at an unspecified dose and frequency; PARACETAMOL (TYLENOL) at an unspecified dose and frequency and Surgery (Diverticulitis surgery) for Diverticulitis. At the time of the report, ATRIAL FIBRILLATION (Post operative atrial fibrillation), DIVERTICULITIS (Diverticulitis has been worsening), HYPOTENSION (blood pressure very low) and VACCINATION SITE ERYTHEMA (Red spot at the injection site) outcome was unknown and RASH (fine rash from waist up, started on right arm, a lot of different spots in body including chin, left thumb, hairline on the right side, knee, belly, and 5 spots around waist, 105 spots of rashes appeared on legs.) had not resolved. Company comment: This spontaneous case concerns an elderly female patient aged 72 years with relevant medical history of Diverticulitis reported, who experienced the unexpected serious (medically significant) events of Atrial fibrillation (AESI) and Diverticulitis (reported as Diverticulitis has been worsening) on unknown dates after third dose of mRNA-1273 vaccination. Patient had aggravation of Diverticulitis for the past 5 years for which she underwent surgery. She developed post operative atrial fibrillation, treated with blood thinners and metaprolol. As she developed hypotension metaprolol was stopped. Patient had generalized rash two weeks after surgery for which dermatologist consultation was done and awaiting a patch test result for diagnosis. No further information on risk factors, detailed clinical course and investigations was available in the report. Outcome of the events was not known at the time of report. Patient had received 1st and 2nd dose of mRNA-1273 vaccine at an interval of 28 days. Relevant medical history remains a confounder to the event Diverticulitis(aggravation) and elderly age of the patient remains a risk factor to the event Atrial fibrillation. The benefit-risk relationship of mRNA-1273 Vaccine is not affected by this report. Event seriousness assessed as per medical judgement and available information. It was unknown if patient had allergies to medications, food and other products. It was unknown if patient had COVID positive test or diagnosis. The patient did not receive other vaccines within 1 month prior to Moderna COVID-19 vaccine. The patient had some wild reactions to the three doses of the Moderna COVID-19 Vaccine. The patient did not get a COVID arm. The patient did not remember how long symptoms lasted for. Additionally, the patient had a history of diverticulitis which had been worsening for the last 5 years. Recently, she had to go for a diverticulitis surgery which was successfully done. However, she ended up with post operative atrial fibrillation. The patient had to stop the Metoprolol as that was making blood pressure very low. Two weeks after the surgery she started getting a fine rash from waist up. It started on right arm and was in a lot of different spots in body including chin, left thumb, hairline on the right side, knee, belly, and 5 spots around waist as well. This all occurred in the first round of rashes. A few days later the rashes seemed to be all gone. However, soon after another 105 spots of rashes appeared on legs. The patient seeing a dermatologist for this and was still waiting on results of patch test for a diagnosis. The patient mentioned that drug reaction was still a possibility for these rashes. The event redness and rash did not caused patient to seek medical care office visit, Urgent care, ER, hospitalized. The patient did not experience similar event in past. The event redness recovered in reasonable amount of time. The outcome of event rash was residual effect. Treatment also included Blood thinners for atrial fibrillation and Tylenol for side effects related to the vaccine. This case was linked to MOD-2022-628837, MOD-2022-628835 (Patient Link).; Sender's Comments: This spontaneous case concerns an elderly female patient aged 72 years with relevant medical history of Diverticulitis reported, who experienced the unexpected serious (medically significant) events of Atrial fibrillation (AESI) and Diverticulitis (reported as Diverticulitis has been worsening) on unknown dates after third dose of mRNA-1273 vaccination. Patient had aggravation of Diverticulitis for the past 5 years for which she underwent surgery. She developed post operative atrial fibrillation, treated with blood thinners and metaprolol. As she developed hypotension metaprolol was stopped. Patient had generalized rash two weeks after surgery for which dermatologist consultation was done and awaiting a patch test result for diagnosis. No further information on risk factors, detailed clinical course and investigations was available in the report. Outcome of the events was not known at the time of report. Patient had received 1st and 2nd dose of mRNA-1273 vaccine at an interval of 28 days. Relevant medical history remains a confounder to the event Diverticulitis(aggravation) and elderly age of the patient remains a risk factor to the event Atrial fibrillation. The benefit-risk relationship of mRNA-1273 Vaccine is not affected by this report. Event seriousness assessed as per medical judgement and available information.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Hypotension
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Medical History/Concurrent Conditions: Diverticulitis (Diverticulitis which had been worsening for the last 5 years.); Surgery (diverticulitis surgery which was successfully done)
Andere Medikamente: CALCIUM
Allergien: -
Vorherige Impfungen: -

VAERS 2367714

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: -
Alter: 87,0
Geschlecht: F
Eingang: 13.07.2022
Impfdatum: 25.10.2021
Beginn: 30.04.2022
Tage bis Beginn: 187,0
Dosis: 3
Route/Site: UN / UN

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

Cough Dyspnoea Headache Nausea Pain

Symptomtext

cough, sob, headaches, body aches, nausea

Weitere VAERSDATA-Felder

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

VAERS 2257074

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: TX
Alter: 46,0
Geschlecht: F
Eingang: 28.04.2022
Impfdatum: 27.10.2021
Beginn: 25.11.2021
Tage bis Beginn: 29,0
Dosis: 3
Route/Site: IM / AR

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

Aphasia Magnetic resonance imaging Memory impairment Migraine Therapeutic product ineffective

Symptomtext

Around the holidays, my migraines started coming back. By the end of February early March, the medication I was given to stop them is no longer working. I am also having a hard time with my memory and finding the appropriate words. I go back to my doctors next week to get the results of my test.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Migraine
Hospital-Tage: -
Labordaten: I had an MRI done and am awaiting the test results.
Aktuelle Erkrankungen: No
Vorgeschichte: Asthma
Andere Medikamente: Duloxetine 60mg 1 po qd, Linzess 200mg 1 po qd, Multivitamin 1 po qd, Vitamin C 1 po qd, Calcium 1 po qd, Droboxes
Allergien: No
Vorherige Impfungen: -

VAERS 2206651

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: AZ
Alter: 47,0
Geschlecht: F
Eingang: 30.03.2022
Impfdatum: 24.09.2021
Beginn: 24.09.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

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

Angioedema Dental care Hypoaesthesia Injected limb mobility decreased Ligament pain Loss of personal independence in daily activities Myalgia Pain in extremity Peripheral swelling Tenderness

Symptomtext

Sometime in the afternoon several hours after receiving the vaccine, the veins in the forearm of the injection arm (left) were noted to be engorgedfrom about mid-forearm through the hand in only this left arm. At various points along the veins, there was ballooning of the blood vessels. It is unclear when exactly this began. The most extreme engorgement was only noted for a few minutes and then began to decrease, though some engorgement was still noted. Shortly thereafter, numbess on the back of the forearm to middle of back of wrist and slightly up into the Left (inject side) hand was noted. This was soon mirrored on the right arm. The side of the left face then became numb. The numbness in the right forearm lasted through the following day. Numbness in the left forearm (injection arm) lasted for a number of days (3 or more). Numbness in the left face, though improved over time, persists to this day. In approximately early November of 2021, the muscles and ligaments of the left upper arm became tender and painful to use, limiting range of motion and ability to carry out regular acts of daily living, with this issue persisting to this day. In December of 2021, a dental procedure was performed with use of a short term numbing agent on the left upper side. Instead of fully wearing off shortly after the procedure, as this medicaiton should, the left sided numbing injury from the vaccine was exasperted, and overall sesation of numbness persisted for much longer. Although, th eoverall sensation of numbness of the side of the left face has overall decreased since both events, it has never returned to 100% normal.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injected limb mobility decreased
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: no infectious disease in month prior nor at time
Vorgeschichte: Hashimotos Thyroiditis with nodular goiter (autoimmune disease), NonCeliac Gluten Sensitivity w/ suspicion of Celiac
Andere Medikamente: levoxyl, NuvaRung, vit C, vit D3, B complex, Quercetin, Calciu
Allergien: Penicilin, Erythromycin, Tetracyclin, Chlorhexadine, Eggs, +, Latex, Adhesive, Gluten, Egg plant, Tomato, All Citrus fruit, Strawberries, Mango, Raspberries, Sunflower Seeds, Various unknown chemicals found in detergents ( including: ALL free & clear laundry, Ecos laundry, Liquid laundry)
Vorherige Impfungen: -

VAERS 2196971

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: VA
Alter: 46,0
Geschlecht: M
Eingang: 24.03.2022
Impfdatum: 08.10.2021
Beginn: 11.10.2021
Tage bis Beginn: 3,0
Dosis: 1
Route/Site: SYR / RA

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

Cardiac stress test normal Chest X-ray normal Chest discomfort Chest pain Dizziness Echocardiogram normal Electrocardiogram normal Immunisation reaction Troponin normal

Symptomtext

Assessment/Differential Diagnosis: Patient is a 46 y.o. male. Patient presents with chest tightness. He states his symptoms started after his second Covid shot on Friday. Patient states the last 2 to 3 days he has had chest tightness and lightheadedness. He states its worse with exertion and after eating. Patient denies any history of cardiac issues. He states he was told he had a murmur as a child. Patient states all of his symptoms are since he had his Covid shot. Differential dx to include: MI, angina, unstable angina, ACS, pneumonia, PE, PTX, rib fx, endo/pericarditis, dissection, effusion, GERD, PUD Given the fact that symptoms started after his moderna Covid shot, suspect this is all Covid shot related. Suspect medication side effect from the Covid vaccine. Time of Arrival: 10/11/21 2028 - Observation Course Summary: Patient remained stable in the emergency department. He had serial EKGs and troponins which were both negative for any sign of acute injury or ischemia. Patient received Toradol and he had resolution of his symptoms and was comfortable during the night with no recurrent chest pain. He had a stress echo done this morning which was read as normal by Doctor. At this time, the patient is appropriate for discharge to follow-up with his primary care physician. He is also given referral to private primary care if he chooses. We will treat his pain with an NSAID and have him return here if he has recurrent symptoms or any other concerns otherwise he will follow up with his doctors as an outpatient. ED Course/Medical Decision Making: 5:09 PM Patient's heart score is 2. He is cardiac risk is low but is not 0. This is a second visit to the emergency department for chest pain and patient is concerned that this is a cardiac issue. Discussed treatment options with him and he is elected to be admitted to ED observation for serial cardiac enzymes and EKGs with plan stress echocardiogram in the morning. If the stress echocardiogram is negative the patient can be safely discharged home and we will treat for possible chest wall discomfort with anti-inflammatories if the stress test is positive then patient would require admission to the hospital for further evaluation and treatment. Did not repeat the chest x-ray today since he had one last night that was normal.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chest pain
Hospital-Tage: 2,0
Labordaten: Family History Problem Arrhythmia (Mother) Results for orders placed or performed during the hospital encounter of 10/12/21 EKG 12 LEAD UNIT PERFORMED LAECB-LAE, consider biatrial enlargement-P>80mS <-.15mV V1&>.25mV limb lds Discharge Assessment & Plan: Chest pain with negative stress echo. We will discharge home for out patient follow-up
Aktuelle Erkrankungen: NONE
Vorgeschichte: HEART MURMUR SINCE CHILDHOOD
Andere Medikamente: NONE
Allergien: NONE
Vorherige Impfungen: -

VAERS 2189768

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: FL
Alter: 70,0
Geschlecht: M
Eingang: 21.03.2022
Impfdatum: 24.08.2021
Beginn: 30.12.2021
Tage bis Beginn: 128,0
Dosis: 3
Route/Site: IM / RA

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

Arthralgia Asthenia Blood test normal Injection site muscle weakness Injection site pain Muscle atrophy Muscle tightness Myalgia Pain Pain in extremity Paraesthesia

Symptomtext

3rd in series of shots (Booster) administered at Pharmacy on 8/24/21. First 2 shots 2/4/21 and 3/4/21 administered at Pharmacy. Normal reactions to vaccines immediately after administered. In late December 2021 I began to notice pain and weakness in the area of shot injection sites. I received 1st shot in left arm and second 3 in right arm. Pain began in tight bicep area and after a few day the left bicep area began to hurt. Over the next several weeks the pain continued to worsen with muscle weakness and loss of muscle mass in biceps area. The pain started to radiate from the shoulders to the hands over the next several weeks. Overall weakness, tinging and pain continue at this time.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Paraesthesia
Hospital-Tage: -
Labordaten: Bloodwork has been completed and shows no obvious causes for the continued symptoms.
Aktuelle Erkrankungen: none
Vorgeschichte: Controlled Diabetic
Andere Medikamente: 1.Metformin HCL- 1000mg 2/day 2.Actos-Pioglitzazone HCL -15mg-1/day-AM 3.Lovastatin -20 mg- 1/day PM 4.Nateglinide 120mg- 3X/day with Meals 5.Doxazosin-4mg 1/day AM 6.Sildenafil 100mg ?As NEEDED 7Januvia 50mgv 1/day pm Over the Counte
Allergien: penicillin,
Vorherige Impfungen: -

VAERS 2182269

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: VA
Alter: 68,0
Geschlecht: F
Eingang: 16.03.2022
Impfdatum: 13.09.2021
Beginn: 12.01.2022
Tage bis Beginn: 121,0
Dosis: 3
Route/Site: IM / LA

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

Chest X-ray normal Electrocardiogram Hypertension Palpitations Troponin increased

Symptomtext

High blood pressure and palpitations. Prescribed Toprol xl 25mg.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Hypertension
Hospital-Tage: -
Labordaten: EKG. 1/30/2022. Normal, Troponin. 7. Then 6, Chest x-ray normal.
Aktuelle Erkrankungen: RA. Hypercholesteremia. Hypothyroid
Vorgeschichte: RA. High cholesterol. Low thyroid
Andere Medikamente: Orencia Synthroid, Crestor, Ultracet fish oil, CoQ10, Vit D 50,000, Vit B 12.
Allergien: Sulfa. IVP dye. Quinolones
Vorherige Impfungen: -

VAERS 2157840

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: NJ
Alter: 31,0
Geschlecht: F
Eingang: 04.03.2022
Impfdatum: 28.02.2022
Beginn: 01.03.2022
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: SYR / LA

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

Axillary pain Breast pain Chest pain Lymph node pain Lymphadenopathy Musculoskeletal chest pain

Symptomtext

I received the booster at 5pm on Monday 2/28. Tuesday afternoon 3/1 I noticed an intermittent pain in the inner side of my left breast / rib cage. Tuesday evening 3/1 I noticed my armpit was hurting me and I went to look in the mirror to see that the lymph node(s) in my armpit were extremely swollen and a bit painful. It is now Friday 3/4 at 2:30 and the pain in my armpit has went down but it is still a bit swollen and still a bit painful to touch. The pain in my chest? (not sure what to call the location) has been intermittent ever since

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: None.
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: Tretinoin .5
Allergien: N/A
Vorherige Impfungen: -

VAERS 2095893

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: AZ
Alter: 44,0
Geschlecht: F
Eingang: 08.02.2022
Impfdatum: 19.08.2021
Beginn: 20.08.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / AR

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

Arthralgia Autoimmune disorder Computerised tomogram pancreas abnormal Computerised tomogram thorax abnormal Condition aggravated Cough Malaise Migraine Musculoskeletal stiffness Oxygen saturation decreased Painful respiration Pancreatitis Pneumonitis SARS-CoV-2 test negative Scan with contrast normal

Symptomtext

In August, my autoimmune stuff flared. So suddenly I was having more joint pain and stiffness than usual. My pancreas was inflamed via CT scan. That was within the first 2 weeks of the vaccine. Starting the 1st week of September, I developed a nasty cough. And it was thought that I had bronchitis and a sinus infection. And it would clear up then come back several times. And I tested negative for COVID twice on those weeks. And I was on steroids which seemed to help. Then on October 25 I had a migraine and I went to the hospital and my O2 was in the 60s and they said my lungs looked bad. They ran bunch of tests and tested negative for everything and I seemed to be improving and sent me home. Then the week of the holiday, I plateaued, I got sick again, rather it came back. I noticed that even pushing the oxygen, I couldn't maintain over 90. I went back to the hospital. They did a CT scan for my 2nd time around, and my lungs looked worse than they did in October. And it really hurt to breathe. They ran panels for everything, and everything came back negative. They did a CT with contrast two days later despite of the allergy and medicated me. They were looking for blood clots in the lungs and they didn't find any. But my lungs got worse in the two days I was in the hospital. So they took me off the antibiotics and put me on high dose steroids and they worked. And they realized it was inflammation related. They sent me home with high dose steroids and step-down instructions and oxygen. I followed the instructions and managed to stay out of the hospital for December. 2 weeks from tomorrow, I noticed that I was dropping into the low 80s just going to the bathroom. So I reached out to my doctors and no body got back to me. Wednesday morning, I went to the ER because it was early comparatively, and they only kept me 5 days instead of 7 days. I'm still struggling to maintain 90 on o2 and during the night as well. All they know is that it is inflammation, and it responds well to steroids. Timing wise, they took me off the Taltz initially, then took me off the 2nd trip. After the 3rd trip, they are taking me off the Belsomra and they seem to be shooting in the dark. Just the timing and they can't rule one way or the other. But the vaccine is still on the list of possible causes. Hospitalization: 1 week in October; 1 week in November; 5 days in January.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Condition aggravated
Hospital-Tage: 19,0
Labordaten: 4 CT Scans - showed lungs were in bad condition; O2 tests were low
Aktuelle Erkrankungen: None
Vorgeschichte: Asthma; extensive allergies; anemia; sleep apnea; insomnia; vitamin D deficiency; migraines; endometriosis; high blood pressure; high cholesterol; ankylosing spondylitis; seronegative rheumatoid arthritis; dysthymia; generalized anxiety disorder
Andere Medikamente: Vitamin D3; Fenofibrate; Symbicort; Claritin; Singular; L Methyl Folate; Tramadol; Tylenol Arthritis ER; Wellbutrin; Orilissa; Losartan; Hydrochlorothiazide; Flonase; Benadryl; Magnesium; Potassium Gluconate; B12; Iron; Maxalt; Botox inje
Allergien: Codeine; Aspirin; Naproxen; NutraSweet; Toradol; Prozac; Effexor; Zoloft; Darvocet; Erythromycin; Diclofenac; Contrast medium - Iodine based; Benzoin Pincher; strawberries; avocado; bell pepper; mushrooms; pineapple; coconut; coconut oil; bananas; fish; cabbage
Vorherige Impfungen: 1st & 2nd Moderna vaccines

VAERS 2647091

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: MO
Alter: 61,0
Geschlecht: F
Eingang: 03.02.2022
Impfdatum: 19.08.2021
Beginn: 20.08.2021
Tage bis Beginn: 1,0
Dosis: UNK
Route/Site: - / LA

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

Amnesia Asthma Brain fog Dizziness Dyspnoea Fatigue Lymphadenopathy Secretion discharge

Symptomtext

Developed asthma Difficulty breathing Constant flow of mucus down throat Glands in throat periodically swell to a concerning level Fatigue Brain Fog Memory Loss Dizziness/Light headedness

Weitere VAERSDATA-Felder

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

VAERS 2051371

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: -
Alter: 51,0
Geschlecht: M
Eingang: 20.01.2022
Impfdatum: 30.03.2021
Beginn: 17.01.2022
Tage bis Beginn: 293,0
Dosis: 3
Route/Site: IM / LA

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

Ageusia Anosmia Blood creatinine increased Blood glucose normal Blood potassium normal Blood sodium decreased Blood urea increased COVID-19 Carbon dioxide decreased Cough Decreased appetite Diarrhoea Dyspnoea Fatigue Haemoglobin decreased Laboratory test abnormal Pyrexia Renal impairment

Symptomtext

Patient is a 52 y/o man with a PMHx of liver cirrhosis s/p transplant, CKD IV, and HTN. He presented to the ED today due to worsening renal function noted on routine labs. He was notified by clinic of worsening labs and was instructed to come to the ED. The labs were collected on 1/14 at a routine appt. He has labs every 2 months with his nephrologist, Dr. His Cr was 3.3 back in Nov 2021 and is now up to 5.0. He has a h/o cryptogenic cirrhosis s/p liver transplant back in 2019. He has had steadily worsening renal function since that time. He has had a preliminary meeting with transplant group at hospital to discuss possible kidney transplant. He is on tacrolimus and mycophenolate. He reports mild cough, fever, loss of appetite, and loss of taste & smell about 2 weeks ago. He was not tested for COVID at that time because the line was very long. He had difficulty acquiring an at home test but finally had a friend give him one 2 days ago. He tested negative at home on 1/15. He reports ongoing fatigue, intermittent cough, and mild shortness of breath. He denies N/V. Reports mild diarrhea and decreased urine output. No significant abdominal pain. In the ED his BP is stable, HR normal, afebrile. O2 sat 100% on RA. Labs with WBC 8.01, Hgb 12, Na 134, K 5.0, CO2 16, BUN 80.9, Cr. 5.0 , glucose 123. COVID positive. ED physician contacted nephrology & hospital admission recommended. Non-contrast CT of A/P recommended for further evaluation. Test pending at this time. CXR pending. Hospitalist service contacted for admission. PT IS INPATIENT AT THIS TIME.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: 4,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2001080

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: NJ
Alter: 71,0
Geschlecht: F
Eingang: 04.01.2022
Impfdatum: 14.08.2021
Beginn: 02.01.2022
Tage bis Beginn: 141,0
Dosis: 3
Route/Site: IM / -

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

Asthenia COVID-19 Chest X-ray normal Dizziness Dyspnoea Hyperhidrosis Laboratory test normal Nausea Oropharyngeal pain SARS-CoV-2 antibody test SARS-CoV-2 test positive

Symptomtext

71-year-old female with a PMH significant for COPD (3 L NC O2 dependent in HS/w activity), emphysema of the lung, L-VATS s/p emphyema, hyperthyroidism, former tobacco dependence, vaccinated x2 Moderna who presented to the ER for evaluation of worsening SOB, 89%/2L NC O2 sat last HS, sore throat and generalized weakness onset 12/31. Yesterday 1/1, she began taking Cipro and increased prednisone to 10 mg-per Pulmonary. This morning she felt nauseous, sweaty, "like I was passing out" with O2 sat 90-92% at rest down to 89% w activity an HR in the 150s. Denies any sick contacts but she is "active in the community" has been socializing without a mask at times. In the ER, her O2 saturations have been ranging between 92-100% on RA. HR better controlled 80-90s, afebrile. CXR read as negative for acute cardiopulmonary disease. Labs unremarkable, inflammatory markers pending

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: 2,0
Labordaten: 01/02/2022 - SARS-CoV-2 Antigen (++) 01/03/2022 - SARS-COV-2 IgM 0.24; IgG 0.02; IgG2 QT-SPIKE >25,000
Aktuelle Erkrankungen: -
Vorgeschichte: COPD (3 L NC O2 dependent in HS) EFV1 - 35% emphysema of the lung influenza A Bronchiectasis -- > smart vest in am 15 min hyperthyroidism former tobacco dependence . Significant Surg Hx As Listed Addt'l Surgical History L-VATS w CT s/p emphyema R-elbow repair . Smoking Status Former Smoker
Andere Medikamente: budesonide-glycopyr-formoterol (Breztri Aerosphere) 160 mcg-9 mcg-4.8 mcg/actuation HFA Aerosol Inhaler Directions: 2 puff by inhalation twice a day (Active) cholecalciferol (vitamin D3) 50 mcg (2,000 unit) Tablet Directions: 1 tablet oral
Allergien: albuterol, percocet, vancomycin
Vorherige Impfungen: -

VAERS 1943861

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: MO
Alter: 42,0
Geschlecht: F
Eingang: 13.12.2021
Impfdatum: 28.08.2021
Beginn: 10.09.2021
Tage bis Beginn: 13,0
Dosis: 2
Route/Site: IM / LA

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

Injected limb mobility decreased Pain in extremity

Symptomtext

PT CAME WORKS IN THE STORE AND STOPPED BY TO TELL US HER ARM IS SO SORE SHE CAN NOT LIFT. IT STARTED 2-3 WEEKS AFTER SHOT AND IS GETTING WORSE. SHE SHOWED ME WHERE SHE GOT THE SHOT AND IT SEEMS FAR ENOUGH DOWN TO NOT CAUSE PROBLEMS IN THE SHOULDER. SHE IS GOING TO SEE THE DOCTOR AND LET US KNOW

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injected limb mobility decreased
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: NONE ON PAPER SCHEET
Vorgeschichte: NONE ON PAPER SHEET
Andere Medikamente: UNKNOWN
Allergien: UNKNOWN
Vorherige Impfungen: -

VAERS 1936397

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: CA
Alter: 78,0
Geschlecht: M
Eingang: 09.12.2021
Impfdatum: 20.08.2021
Beginn: 21.08.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

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

Chills Tachycardia Tremor

Symptomtext

I had the same thing happen as 2nd dose. I went to bed at 8:00 that night and 3:30 AM I woke up with tachycardia at 130 and shaking and chills, but no cramps. This time I wasn't going to the ER so I toughed it out for 36 hours with Gatorade and Jello. No fever, and in 36 hours I was back to normal. No EKG this time.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Tachycardia
Hospital-Tage: -
Labordaten: None.
Aktuelle Erkrankungen: None
Vorgeschichte: Ore myelodysplasia; status post colectomy (2013)
Andere Medikamente: Intestinal medications, diarrhea medications 3x a day, Metamucil capsules, Uroxatral 10 mg once a day.
Allergien: Remicade, Humira, Methotrexate
Vorherige Impfungen: -

VAERS 1877676

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: GA
Alter: 53,0
Geschlecht: F
Eingang: 17.11.2021
Impfdatum: 08.08.2021
Beginn: 09.08.2021
Tage bis Beginn: 1,0
Dosis: UNK
Route/Site: SYR / RA

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

Blood test abnormal Chest X-ray Chills Computerised tomogram thorax Dyspnoea Fatigue Fibrin D dimer increased Impaired work ability Oxygen saturation decreased Pain

Symptomtext

I had a case of Covid in the summer of 2020 which resulted in admission to a hospital, so I expected a strong reaction to the vaccine. I had chills, body aches, fatigue and elevated responses that one would expect from the vaccine; however, I also experienced extreme shortness of breath with pulse oxygen levels dropping consistently in the days following the injection. The lowest that it measured was about 74% and the lowest it measured that I was able to document was 79%. It was almost like having covid again. I ended up in the ER, where blood tests revealed elevated D-dimers which resulted in a chest x-ray followed by a chest CT was to rule out any embolism. The rest of the week was miserable. I also missed work. Clearly, I already have a strong response to covid and don't think taking the second shot will result in a benefit that outweighs the risk, so I do not want to have to get the second shot. How can I seek an exemption from a second shot? Can I be considered fully vaccinated with one shot since I also had Covid and studies indicate people who had double Covid pneumonia have extremely low rates of reinfection. If I have to get a second shot who will cover my medical bills and missed work?

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: 8/29/2021 Hospital Blood test, Chest X-ray, CT of the chest
Aktuelle Erkrankungen: None
Vorgeschichte: Covid in July 2020
Andere Medikamente: Multivitamins
Allergien: -
Vorherige Impfungen: -

VAERS 1818606

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: NV
Alter: 59,0
Geschlecht: F
Eingang: 26.10.2021
Impfdatum: 03.10.2021
Beginn: 04.10.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

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

Dyspnoea Fatigue Headache Influenza like illness Malaise

Symptomtext

I felt terrible, like I had the flu, with extreme fatigue and a headache. This lasted for 4 days. I also couldn't take a deep breath.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: COPD, hypertension, high cholesterol, essential tremor, bipolar disorder diabetes
Vorgeschichte: COPD, hypertension, high cholesterol, essential tremor, bipolar disorder diabetes
Andere Medikamente: Depakote, Venlafaxine, Seroquel, Buspar, Levothyroxine, Xtampza, Oxycodone, Zanaflex, Metformin, Nexium, Coreg, Lisinopril, Atorvastatin, baby Aspirin, Gabapentin, Multivitamin, Vitamin D, B-Complex
Allergien: E-mycin, sulfa
Vorherige Impfungen: 2nd COVID-19 shot, flu-like symptoms, from Moderna vaccine, age 58, first vaccine on 3/2/2021; second one 4/3/2021.

VAERS 1815306

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

moderat

Staat: GA
Alter: 47,0
Geschlecht: F
Eingang: 25.10.2021
Impfdatum: 13.08.2021
Beginn: 15.08.2021
Tage bis Beginn: 2,0
Dosis: 1
Route/Site: IM / LA

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

Dyspnoea Fatigue Headache Illness Lower respiratory tract infection Pain Pyrexia SARS-CoV-2 test Vaccine positive rechallenge

Symptomtext

Severe chest cold. Fever. Headache. Tired. Achy. Lasted approximately3 weeks.Got a steroid shot. Did mucinex and all vitamins. Felt some better. Got 2nd shot sick 2 days later. Sick with same symptoms for approximately3 weeks again. Did not go to dr. Took mucinex and all vitamins. Felt some better for about 2 weeks sick again same symptoms. Dr again. Got prednisone 40 mg and augmentin 875 mg. Feeling some better but my breathing is really heavy. Using my inhaler a lot more than normal.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: covid tests
Aktuelle Erkrankungen: n/a
Vorgeschichte: asthma
Andere Medikamente: Lexapro 10mg, albuterol inhaler, losartan 100mg, singulair 10mg, omeprazole 40 mg, hydroxyzine 25 mg, HCTZ 25 mg,
Allergien: keflex. Ceftin
Vorherige Impfungen: -

VAERS 1797692

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

moderat

Staat: FL
Alter: 40,0
Geschlecht: F
Eingang: 19.10.2021
Impfdatum: 13.08.2021
Beginn: 16.08.2021
Tage bis Beginn: 3,0
Dosis: 1
Route/Site: IM / LA

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

Blood pressure increased Chest pain Chills Dehydration Nausea SARS-CoV-2 test negative Vomiting

Symptomtext

3 days after patient received first dose she was dehydrated due to nausea and vomiting, she had chest pain and chills. She went to hospital 1 week later and they gave her IV fluids and sent her home. Blood Pressure was elevated but no treatment administered.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: Negative COVID test at the time of going to the hospital. No other treatment.
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: NKA
Vorherige Impfungen: -

VAERS 1788539

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: VA
Alter: 53,0
Geschlecht: F
Eingang: 15.10.2021
Impfdatum: 30.09.2021
Beginn: 11.10.2021
Tage bis Beginn: 11,0
Dosis: 1
Route/Site: SYR / LA

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

Chest pain Chills Dizziness Headache Injection site reaction Pruritus Rash Rash erythematous SARS-CoV-2 test Vision blurred

Symptomtext

Monday, 10/11/2021, I noticed a big red rash on both of my legs and my arms, then two days later I noticed a circular red rash on my upper left arm around the injection site. Then, the next day I started with itching all over my body and inside my mouth, upper roof, tongue and throat. I called the pharmacist, and told her what was happening, which I confirmed that Zyrtec would be considered an Antihistamine and I already had a bottle of this in my cabinet, so I took one Zyrtec pill around 2:00 pm. Around 4:00 pm, i realized it wasn?t subsiding and some different symptoms started, like blurred vision, headache, cold chills and light headedness. So, I called my mother to come to my home and pick me up to take me to Urgent Care. While there I started with Chest Pains.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: A COVID 19 Test was given and one bottle of Prednisone and one bottle of Hydroxyzine.
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: Penicillin and all forms of Cillins, Bee Stings, Pollen, Ragweed and COVID 19 Vaccine, but this is all that?s known at this time.
Vorherige Impfungen: -

VAERS 1774994

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: GA
Alter: 40,0
Geschlecht: F
Eingang: 09.10.2021
Impfdatum: 21.08.2021
Beginn: 27.08.2021
Tage bis Beginn: 6,0
Dosis: 1
Route/Site: SYR / RA

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

Blood test normal Chills Computerised tomogram normal Decreased appetite Headache Middle ear effusion Migraine Tinnitus Upper-airway cough syndrome

Symptomtext

On the sixth day following the Covid 19 vaccine I awoke with a severe migraine which felt like my brain was swelling inside my brain, which no pain meds would relieve. I called my doctor to get further directions on course of action but my doctor told me to take Tylenol or Ibuprofen to help with the pain which did not help. I made an apponintment for August 31st for symptoms. I also had chills, lack of appeitie, and I am still suffering from headaches on an off depending on the day or what I eat. After several weeks of having migraines they still are not going away. I went to the Urgent Care on September 14th which the doctor stated I had some fluid in my ears and drainage in my throat. He prescribed me a course of antibiotics and diclofenac with a toradol shot IM which helped with the migraines. After completing my course of antibotics the signs and symptoms continued. Migraines came back. I was unable to focus on work or daily activities. Not knowing what was going on I went to the Er on September 20th for severe migraines. Told them I had the vaccine in August and started having migraines ever since. They gave me a Ct scan and bloowork. All came back negative within normal range they gave me Iv fluids with decadron and Toradol Iv. As of today October 9th, still suffering from headaches and have been in the doctor office several time continuous. I have ringing in my ears now which I never had a problem with Before this vaccine I was completly healthy never went to the doctor.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Migraine
Hospital-Tage: -
Labordaten: Ct scan, blood work, 09/20/2021 Negative within normal range for all test.
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: Tylenol sinus
Allergien: Bactrim
Vorherige Impfungen: -

VAERS 1771118

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: -
Alter: -
Geschlecht: M
Eingang: 08.10.2021
Impfdatum: 01.08.2021
Beginn: -
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / -

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

Abnormal dreams Condition aggravated Discomfort Dyspnoea Fatigue Feeling abnormal Impaired quality of life Muscle discomfort Nasal discomfort Paranasal sinus discomfort Polydipsia Sleep disorder

Symptomtext

brain fog; tiredness,fatigued 24/7; his whole body feels like he worked out 24/7; muscles felt like a full body workout; his whole sinus is stuffed for 10 minutes at a time; cannot breath out his nose and only can breathe from mouth; goes to bathroom everyone 30 minutes and can't sleep,sleep pattern is off and evening is off; drinking more fluids; dreams are very vivid; none of the symptoms are going away,It's getting worse, progressively worse.; cannot breathe and cannot do anything; cannot do anything; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 01-Oct-2021 and was forwarded to Moderna on 01-Oct-2021. This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (brain fog), FATIGUE (tiredness,fatigued 24/7), DISCOMFORT (his whole body feels like he worked out 24/7), MUSCLE DISCOMFORT (muscles felt like a full body workout) and PARANASAL SINUS DISCOMFORT (his whole sinus is stuffed for 10 minutes at a time) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 01-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced FEELING ABNORMAL (brain fog), FATIGUE (tiredness,fatigued 24/7), DISCOMFORT (his whole body feels like he worked out 24/7), MUSCLE DISCOMFORT (muscles felt like a full body workout), PARANASAL SINUS DISCOMFORT (his whole sinus is stuffed for 10 minutes at a time), NASAL DISCOMFORT (cannot breath out his nose and only can breathe from mouth), SLEEP DISORDER (goes to bathroom everyone 30 minutes and can't sleep,sleep pattern is off and evening is off), POLYDIPSIA (drinking more fluids), ABNORMAL DREAMS (dreams are very vivid), CONDITION AGGRAVATED (none of the symptoms are going away,It's getting worse, progressively worse.), DYSPNOEA (cannot breathe and cannot do anything) and IMPAIRED QUALITY OF LIFE (cannot do anything). At the time of the report, FEELING ABNORMAL (brain fog), FATIGUE (tiredness,fatigued 24/7), DISCOMFORT (his whole body feels like he worked out 24/7), MUSCLE DISCOMFORT (muscles felt like a full body workout), PARANASAL SINUS DISCOMFORT (his whole sinus is stuffed for 10 minutes at a time), NASAL DISCOMFORT (cannot breath out his nose and only can breathe from mouth), SLEEP DISORDER (goes to bathroom everyone 30 minutes and can't sleep,sleep pattern is off and evening is off), POLYDIPSIA (drinking more fluids), ABNORMAL DREAMS (dreams are very vivid), CONDITION AGGRAVATED (none of the symptoms are going away,It's getting worse, progressively worse.), DYSPNOEA (cannot breathe and cannot do anything) and IMPAIRED QUALITY OF LIFE (cannot do anything) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication was reported. No treatment medication was reported.

Weitere VAERSDATA-Felder

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

VAERS 1758908

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: GA
Alter: 30,0
Geschlecht: F
Eingang: 04.10.2021
Impfdatum: 01.09.2021
Beginn: 01.09.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / LA

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

Dizziness Dyspnoea Headache Nausea Oropharyngeal pain Rhinorrhoea Sleep disorder

Symptomtext

AFTER TAKING THE VACCINE IN THE AFTERNOON, THE NEXT DAY I HAD A HEADACHE AND MY NOSE STARTED DRIPPING, SO I WENT TO THE BATHROOM. IMMEDIATELY WHEN I STOOD UP, I FELT FAINT AND NAUSEOUS. CONSTANT SYMPTOMS THAT HAVE DISSIPATED : SHORTNESS OF BREATH (I FIND MYSELF WAKING UP B/C I LOSE MY BREATH IN THE NIGHT WHEN I SLEEP AND/OR WHEN AWAKE, I'M HAVING TROUBLE BREATHING) I'VE BEEN TERRIFIED TO SLEEP, NOT KNOWING IF I'LL WAKE UP THE NEXT DAY. MY PARTNER STAYS ON THE PHONE WITH ME AND CALLS ME IF HE DOESN'T HEAR ME BREATHING/SNORING. I ALSO HAVE A PAINFUL SORE THROAT (PHARYNX) . BOTH ISSUES I AM STRUGGLING WITH FOR THE PAST THREE WEEKS WITHOUT RELIEF. I'VE TRIED TAKING A VITAMIN FOR THE SORE THROAT, BUT IT HAS NOT HELPED SINCE.

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Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: NONE
Vorgeschichte: NONE
Andere Medikamente: NONE
Allergien: UNKNOWN
Vorherige Impfungen: -

VAERS 1757153

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

moderat

Staat: FL
Alter: 35,0
Geschlecht: M
Eingang: 03.10.2021
Impfdatum: 13.08.2021
Beginn: 15.08.2021
Tage bis Beginn: 2,0
Dosis: 1
Route/Site: SYR / LA

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

Condition aggravated Gout

Symptomtext

1st shot I got gout (1st time ever) in my left big toe. 2nd shot I got gout in my right big toe.

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Praegender Schweregrund: Condition aggravated
Hospital-Tage: -
Labordaten: Went to my doctor she gave me steroids to clear it up.
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Allegra
Allergien: None
Vorherige Impfungen: -

VAERS 1756919

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: FL
Alter: 46,0
Geschlecht: M
Eingang: 02.10.2021
Impfdatum: 11.08.2021
Beginn: 12.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / LA

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

Heart rate increased Palpitations

Symptomtext

Patient reports increased resting heart rate from 60-70bpm consistently prior to vaccination to 100-120bpm consistently since vaccination. Patient also reports feeling "heart palpitations."

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

VAERS 1754030

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: AK
Alter: 34,0
Geschlecht: F
Eingang: 01.10.2021
Impfdatum: 07.09.2021
Beginn: 07.09.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Computerised tomogram Dizziness Electrocardiogram normal Feeling abnormal Flushing Full blood count normal Head discomfort Headache Hypoaesthesia Metabolic function test Muscular weakness Nausea Paraesthesia Peripheral coldness X-ray normal

Symptomtext

Full body flushing & tingles, numbness in face, feeling faint, dizzy, weak legs and arms, cold feet, head felt heavy, felt spacy, headaches, slight nausea. Normal heart rate, normal breathing. Lasted 1 day post first vaccination on August 9, 2021 and lasted 3 days post second vaccination on September 7th, 2021. Then ALL the same symptoms returned exactly 2 weeks post 2nd vaccination and lasted for 8 days ( September 20th - 27th, 2021). Patient is still dealing with headaches, some flushing and dizziness today Oct 1st, 2021

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Praegender Schweregrund: Paraesthesia
Hospital-Tage: -
Labordaten: During 8 days of symptoms ( September 20th - 27th, 2021) Patient visited emergency room twice, with no abnormal findings. Diagnostics included,: Radiograph of Thorax, EKG, CBC & Chemistry, CT scan with and without contrast.
Aktuelle Erkrankungen: none
Vorgeschichte: GERD
Andere Medikamente: esomeprazole, Vitamin C, Daily multivitamin
Allergien: Elimination diet for Wheat and Milk due to eosinophilic esophagitis (resolved at time of vaccination)
Vorherige Impfungen: -

VAERS 1751885

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: FL
Alter: 50,0
Geschlecht: M
Eingang: 01.10.2021
Impfdatum: 07.08.2021
Beginn: 18.09.2021
Tage bis Beginn: 42,0
Dosis: 1
Route/Site: OT / RA

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

Chills Fatigue Hyperhidrosis Inappropriate schedule of product administration Lymphadenopathy Nausea Tremor Vomiting

Symptomtext

More than 35 days between Moderna Covid-19 vaccinations.; fatigued; swollen lymph node under his lymph node; vomited; chills; nausea; shaking; sweating; This spontaneous case was reported by a consumer and describes the occurrence of TREMOR (shaking), HYPERHIDROSIS (sweating), INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (More than 35 days between Moderna Covid-19 vaccinations.), CHILLS (chills) and NAUSEA (nausea) in a 50-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 048F21A and 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 07-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 18-Sep-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 18-Sep-2021, the patient experienced TREMOR (shaking), HYPERHIDROSIS (sweating), CHILLS (chills) and NAUSEA (nausea). On 20-Sep-2021, the patient experienced VOMITING (vomited). On an unknown date, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (More than 35 days between Moderna Covid-19 vaccinations.), FATIGUE (fatigued) and LYMPHADENOPATHY (swollen lymph node under his lymph node). At the time of the report, TREMOR (shaking), HYPERHIDROSIS (sweating), CHILLS (chills), NAUSEA (nausea), FATIGUE (fatigued), VOMITING (vomited) and LYMPHADENOPATHY (swollen lymph node under his lymph node) outcome was unknown and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (More than 35 days between Moderna Covid-19 vaccinations.) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was not applicable No concomitant medications reported. No treatment reported On an unknown date lab data includes Bloodwork and an Ultrasound results were pending. This case was linked to MOD-2021-327904 (Patient Link).

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

VAERS 1747725

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: IL
Alter: 67,0
Geschlecht: F
Eingang: 30.09.2021
Impfdatum: 18.08.2021
Beginn: 19.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: OT / -

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

Paraesthesia

Symptomtext

Tingle in tips in both finger and toes in both; This spontaneous case was reported by a consumer and describes the occurrence of PARAESTHESIA (Tingle in tips in both finger and toes in both) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. Concurrent medical conditions included Heart disorder. Concomitant products included FLECAINIDE for Heart disorder, COLECALCIFEROL (VIT D3) for an unknown indication. On 18-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 19-Aug-2021, the patient experienced PARAESTHESIA (Tingle in tips in both finger and toes in both). On 20-Aug-2021, PARAESTHESIA (Tingle in tips in both finger and toes in both) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No Treatment information was provided. This case was linked to MOD-2021-324280 (Patient Link).

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Praegender Schweregrund: Paraesthesia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Heart disorder
Vorgeschichte: -
Andere Medikamente: VIT D3; FLECAINIDE
Allergien: -
Vorherige Impfungen: -

VAERS 1745190

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: NH
Alter: 30,0
Geschlecht: F
Eingang: 29.09.2021
Impfdatum: 30.08.2021
Beginn: 01.09.2021
Tage bis Beginn: 2,0
Dosis: 2
Route/Site: IM / LA

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

Asthma Chest discomfort Cough Discomfort Dyspnoea SARS-CoV-2 test negative Throat irritation

Symptomtext

I had a hard time breathing, started coughing and had rasp and scratchiness in my throat. The next day, my breathing got worse and had a hard time breathing really. I went to go to urgent care on 9/15/2021 and they said I was pretty having like asthma attacks. The gave me some prednisone 20mg but it is a week later and I am still coughing and having a hard time breathing. My chest and lungs feel heavy and they said I was at risk for pneumonia.

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Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: Covid test - negative - 9/14/2021
Aktuelle Erkrankungen: None
Vorgeschichte: Asthma; Cavernoma in head
Andere Medikamente: Albuterol Inhaler; SINGULAIR; ZOLOFT
Allergien: Penicillin
Vorherige Impfungen: -

VAERS 1722222

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: FL
Alter: -
Geschlecht: F
Eingang: 22.09.2021
Impfdatum: 17.08.2021
Beginn: -
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / LA

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

Chest discomfort Dyspnoea Nasal discomfort

Symptomtext

issues breathing; pressure in the chest; I have to breath through my mouth because I feel like I don't get enough oxygen when breathing through my nose; This spontaneous case was reported by a consumer and describes the occurrence of DYSPNOEA (issues breathing), CHEST DISCOMFORT (pressure in the chest) and NASAL DISCOMFORT (I have to breath through my mouth because I feel like I don't get enough oxygen when breathing through my nose) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 17-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced DYSPNOEA (issues breathing), CHEST DISCOMFORT (pressure in the chest) and NASAL DISCOMFORT (I have to breath through my mouth because I feel like I don't get enough oxygen when breathing through my nose). At the time of the report, DYSPNOEA (issues breathing), CHEST DISCOMFORT (pressure in the chest) and NASAL DISCOMFORT (I have to breath through my mouth because I feel like I don't get enough oxygen when breathing through my nose) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient does had COVID-19 history, nor myocarditis/pericarditis history. No concomitant medication was provided. No treatment information was provided.

Weitere VAERSDATA-Felder

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

VAERS 1722156

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: NJ
Alter: 46,0
Geschlecht: F
Eingang: 22.09.2021
Impfdatum: -
Beginn: 08.09.2021
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / LA

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

Abdominal discomfort Abdominal pain upper Ageusia Body temperature Cardiac flutter Chills Choking Diarrhoea Dizziness Dysgeusia Dyspepsia Dysphagia Feeling abnormal Flushing Headache Hypersensitivity Lethargy Limb discomfort

Symptomtext

felt foggy and dizzy/felt identical to food allergy reactions she has had in past.; very thirsty; trouble swallowing, was choking on rice; throat closed up felt identical to food allergy reactions she has had; stuffy nosy congestion, nose normally runs in AM and did not today; Flushed face; sore throat; Whole left hand hurts and is stiff; random pinches in random spots like something biting under skin; lips were tingling; felt foggy and dizzy; beyond lethargic; which was itchy; limbs feel exaggerated and heavy; whole left hand hurts and is stiff; rapid heart flutter; can feel fine but her digestion is not; I believe it was allergic reaction; nausea; headache; Chills; Muscles ache; tongue swelled and felt too big for mouth; Diarrhea; upset stomach; Stomach Hurts; Tongue's light, not the usual color; metallic sensation taste in mouth; Lost her taste; choked on rice; Metallic taste on mouth; This spontaneous case was reported by a consumer and describes the occurrence of SWOLLEN TONGUE (tongue swelled and felt too big for mouth), CARDIAC FLUTTER (rapid heart flutter), CHOKING (choked on rice), FEELING ABNORMAL (felt foggy and dizzy/felt identical to food allergy reactions she has had in past.) and THIRST (very thirsty) in a 46-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Brain injury, Arrhythmia and Postural orthostatic tachycardia syndrome. Concurrent medical conditions included Food allergy. Concomitant products included PROBIOTICS NOS, CANNABIS SATIVA (CBD COMPLEX), ERGOCALCIFEROL (VITAMIN D2), VITAMIN B COMPLEX and MAGNESIUM for an unknown indication. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 08-Sep-2021, the patient experienced CHOKING (choked on rice), DYSGEUSIA (Metallic taste on mouth), DYSGEUSIA (metallic sensation taste in mouth) and AGEUSIA (Lost her taste). On 10-Sep-2021, the patient experienced SWOLLEN TONGUE (tongue swelled and felt too big for mouth), ABDOMINAL DISCOMFORT (upset stomach), ABDOMINAL PAIN UPPER (Stomach Hurts), TONGUE DISCOLOURATION (Tongue's light, not the usual color), DIARRHOEA (Diarrhea), CHILLS (Chills) and MYALGIA (Muscles ache). On an unknown date, the patient experienced CARDIAC FLUTTER (rapid heart flutter), FEELING ABNORMAL (felt foggy and dizzy/felt identical to food allergy reactions she has had in past.), THIRST (very thirsty), DYSPHAGIA (trouble swallowing, was choking on rice), THROAT TIGHTNESS (throat closed up felt identical to food allergy reactions she has had), NASAL CONGESTION (stuffy nosy congestion, nose normally runs in AM and did not today), FLUSHING (Flushed face), OROPHARYNGEAL PAIN (sore throat), PAIN IN EXTREMITY (Whole left hand hurts and is stiff), SKIN DISCOMFORT (random pinches in random spots like something biting under skin), PARAESTHESIA ORAL (lips were tingling), DIZZINESS (felt foggy and dizzy), LETHARGY (beyond lethargic), PRURITUS (which was itchy), LIMB DISCOMFORT (limbs feel exaggerated and heavy), MUSCULOSKELETAL STIFFNESS (whole left hand hurts and is stiff), DYSPEPSIA (can feel fine but her digestion is not), HYPERSENSITIVITY (I believe it was allergic reaction), NAUSEA (nausea) and HEADACHE (headache). On 09-Sep-2021, DYSGEUSIA (metallic sensation taste in mouth) and AGEUSIA (Lost her taste) had resolved. At the time of the report, SWOLLEN TONGUE (tongue swelled and felt too big for mouth) had not resolved and CARDIAC FLUTTER (rapid heart flutter), CHOKING (choked on rice), FEELING ABNORMAL (felt foggy and dizzy/felt identical to food allergy reactions she has had in past.), THIRST (very thirsty), DYSPHAGIA (trouble swallowing, was choking on rice), THROAT TIGHTNESS (throat closed up felt identical to food allergy reactions she has had), NASAL CONGESTION (stuffy nosy congestion, nose normally runs in AM and did not today), FLUSHING (Flushed face), OROPHARYNGEAL PAIN (sore throat), PAIN IN EXTREMITY (Whole left hand hurts and is stiff), SKIN DISCOMFORT (random pinches in random spots like something biting under skin), PARAESTHESIA ORAL (lips were tingling), DIZZINESS (felt foggy and dizzy), LETHARGY (beyond lethargic), PRURITUS (which was itchy), LIMB DISCOMFORT (limbs feel exaggerated and heavy), DYSGEUSIA (Metallic taste on mouth), MUSCULOSKELETAL STIFFNESS (whole left hand hurts and is stiff), ABDOMINAL DISCOMFORT (upset stomach), ABDOMINAL PAIN UPPER (Stomach Hurts), TONGUE DISCOLOURATION (Tongue's light, not the usual color), DYSPEPSIA (can feel fine but her digestion is not), DIARRHOEA (Diarrhea), HYPERSENSITIVITY (I believe it was allergic reaction), CHILLS (Chills), MYALGIA (Muscles ache), NAUSEA (nausea) and HEADACHE (headache) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 08-Sep-2021, Body temperature: high (High) At the time of vaccination patient was having slight fever (99.5).. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter considered THROAT TIGHTNESS (throat closed up felt identical to food allergy reactions she has had) to be possibly related. No further causality assessments were provided for SWOLLEN TONGUE (tongue swelled and felt too big for mouth), CARDIAC FLUTTER (rapid heart flutter), CHOKING (choked on rice), FEELING ABNORMAL (felt foggy and dizzy/felt identical to food allergy reactions she has had in past.), THIRST (very thirsty), DYSPHAGIA (trouble swallowing, was choking on rice), NASAL CONGESTION (stuffy nosy congestion, nose normally runs in AM and did not today), FLUSHING (Flushed face), OROPHARYNGEAL PAIN (sore throat), PAIN IN EXTREMITY (Whole left hand hurts and is stiff), SKIN DISCOMFORT (random pinches in random spots like something biting under skin), PARAESTHESIA ORAL (lips were tingling), DIZZINESS (felt foggy and dizzy), LETHARGY (beyond lethargic), PRURITUS (which was itchy), LIMB DISCOMFORT (limbs feel exaggerated and heavy), DYSGEUSIA (Metallic taste on mouth), MUSCULOSKELETAL STIFFNESS (whole left hand hurts and is stiff), ABDOMINAL DISCOMFORT (upset stomach), ABDOMINAL PAIN UPPER (Stomach Hurts), TONGUE DISCOLOURATION (Tongue's light, not the usual color), DYSGEUSIA (metallic sensation taste in mouth), DYSPEPSIA (can feel fine but her digestion is not), DIARRHOEA (Diarrhea), AGEUSIA (Lost her taste), HYPERSENSITIVITY (I believe it was allergic reaction), CHILLS (Chills), MYALGIA (Muscles ache), NAUSEA (nausea) and HEADACHE (headache). Concomitant medications reported included Omega supplements. Treatment received was children's liquid Benadryl, resting, drinking fluids . It was reported that patient had existing things such as poor digestion including POTS. and patient stated that she will not have second dose. Most recent FOLLOW-UP information incorporated above includes: On 10-Sep-2021: Folllow up document received on 14/09/20201 contains narrative updated, events were added. On 14-Sep-2021: Significant follow up received on 14 Sep 2021,event added; Sender's Comments: This case concerns a 46 year-old, female patient with a history of food allergy and brain injury, who experienced non-serious expected event of hypersensitivity and multiple expected and unexpected non-serious events after receiving the first dose of mRNA-1273 vaccine. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Paraesthesia oral
Hospital-Tage: -
Labordaten: Test Date: 20210908; Test Name: fever; Result Unstructured Data: At the time of vaccination patient was having slight fever (99.5).
Aktuelle Erkrankungen: Food allergy
Vorgeschichte: Medical History/Concurrent Conditions: Arrhythmia; Brain injury; Postural orthostatic tachycardia syndrome
Andere Medikamente: PROBIOTICS NOS; CBD COMPLEX; VITAMIN D2; VITAMIN B COMPLEX; MAGNESIUM
Allergien: -
Vorherige Impfungen: -

VAERS 1721606

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

moderat

Staat: FL
Alter: 81,0
Geschlecht: F
Eingang: 22.09.2021
Impfdatum: 13.08.2021
Beginn: 01.08.2021
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / LA

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

Chills Dyspnoea Erythema Fear Feeling abnormal Feeling cold Headache Illness Lymphadenopathy Mobility decreased Pain in extremity Peripheral swelling Tremor

Symptomtext

Her arm hurt/Soreness in her arm; Hard time breathing/Gasping for air; Feeling cold; Bones were shaking; Feeling she got COVID19 all over again; Extremely ill; Stayed in bed for 5 days/A tight rubber band under her skin squeezing her arm; Bad chills/Teeth was shuddering; A ball of fluids that moved over with the size of a big orange under her arm; Scared; Her arm became red swollen and hot; Her arm became red swollen and hot; On and off headaches; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Her arm hurt/Soreness in her arm), DYSPNOEA (Hard time breathing/Gasping for air), FEELING COLD (Feeling cold), TREMOR (Bones were shaking) and FEELING ABNORMAL (Feeling she got COVID19 all over again) in an 81-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002f21a) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COVID-19 (during taking "BAM infusion" as treatment patient got infected.) in January 2021. Concurrent medical conditions included Asthma (stated that it was usually under control). Concomitant products included ACETYLSALICYLIC ACID (BABY ASPIRIN) for an unknown indication. On 13-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Aug-2021, the patient experienced PAIN IN EXTREMITY (Her arm hurt/Soreness in her arm), DYSPNOEA (Hard time breathing/Gasping for air), FEELING COLD (Feeling cold), TREMOR (Bones were shaking), FEELING ABNORMAL (Feeling she got COVID19 all over again), ILLNESS (Extremely ill), MOBILITY DECREASED (Stayed in bed for 5 days/A tight rubber band under her skin squeezing her arm) and CHILLS (Bad chills/Teeth was shuddering). In August 2021, the patient experienced FEAR (Scared), ERYTHEMA (Her arm became red swollen and hot), PERIPHERAL SWELLING (Her arm became red swollen and hot), HEADACHE (On and off headaches) and LYMPHADENOPATHY (A ball of fluids that moved over with the size of a big orange under her arm). The patient was treated with NAPROXEN SODIUM (ALEVE) ongoing since an unknown date for Adverse event, at a dose of 1 dosage form and Manual therapy (Ice on her arm) for Pain in extremity. On 15-Aug-2021, DYSPNOEA (Hard time breathing/Gasping for air) had resolved. At the time of the report, PAIN IN EXTREMITY (Her arm hurt/Soreness in her arm), FEELING COLD (Feeling cold), TREMOR (Bones were shaking), FEELING ABNORMAL (Feeling she got COVID19 all over again), ILLNESS (Extremely ill), MOBILITY DECREASED (Stayed in bed for 5 days/A tight rubber band under her skin squeezing her arm), FEAR (Scared), ERYTHEMA (Her arm became red swollen and hot), PERIPHERAL SWELLING (Her arm became red swollen and hot), CHILLS (Bad chills/Teeth was shuddering) and LYMPHADENOPATHY (A ball of fluids that moved over with the size of a big orange under her arm) had resolved and HEADACHE (On and off headaches) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment medications included a puffer for breathing difficulty, and cold compression with ice to her arm. Patient was stay in bed for five days following the appearance of adverse events she experienced after taking the COVID-19 vaccine. Most recent FOLLOW-UP information incorporated above includes: On 15-Sep-2021: Follow up document contain no new information.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Asthma (stated that it was usually under control)
Vorgeschichte: Medical History/Concurrent Conditions: COVID-19 (during taking "BAM infusion" as treatment patient got infected.)
Andere Medikamente: BABY ASPIRIN
Allergien: -
Vorherige Impfungen: -

VAERS 1721583

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: UT
Alter: 19,0
Geschlecht: F
Eingang: 22.09.2021
Impfdatum: 20.08.2021
Beginn: -
Tage bis Beginn: -
Dosis: UNK
Route/Site: OT / LA

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

Cyanosis Dizziness Feeling of despair Hyperhidrosis Paraesthesia

Symptomtext

Ten minutes after injection patient started feeling faint/despondenet; Ten minutes after injection patient started feeling faint/despondenet; Cold to the touch, lips were blue; Cold to the touch, lips were blue; Sweating profusely; This spontaneous case was reported by a pharmacist and describes the occurrence of DIZZINESS (Ten minutes after injection patient started feeling faint/despondenet), FEELING OF DESPAIR (Ten minutes after injection patient started feeling faint/despondenet), PARAESTHESIA (Cold to the touch, lips were blue), CYANOSIS (Cold to the touch, lips were blue) and HYPERHIDROSIS (Sweating profusely) in a 19-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 20-Aug-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced DIZZINESS (Ten minutes after injection patient started feeling faint/despondenet), FEELING OF DESPAIR (Ten minutes after injection patient started feeling faint/despondenet), PARAESTHESIA (Cold to the touch, lips were blue), CYANOSIS (Cold to the touch, lips were blue) and HYPERHIDROSIS (Sweating profusely). At the time of the report, DIZZINESS (Ten minutes after injection patient started feeling faint/despondenet), FEELING OF DESPAIR (Ten minutes after injection patient started feeling faint/despondenet), PARAESTHESIA (Cold to the touch, lips were blue), CYANOSIS (Cold to the touch, lips were blue) and HYPERHIDROSIS (Sweating profusely) 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 concomitant medication were reported. No treatment medication were reported.

Weitere VAERSDATA-Felder

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

VAERS 1707624

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: HI
Alter: 62,0
Geschlecht: M
Eingang: 17.09.2021
Impfdatum: 23.08.2021
Beginn: 26.08.2021
Tage bis Beginn: 3,0
Dosis: 1
Route/Site: IM / LA

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

Chest discomfort Chest pain

Symptomtext

Systemic: Chest Tightness / Heaviness / Pain-Medium

Weitere VAERSDATA-Felder

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

VAERS 1704803

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: AR
Alter: 49,0
Geschlecht: F
Eingang: 16.09.2021
Impfdatum: 01.09.2021
Beginn: 11.09.2021
Tage bis Beginn: 10,0
Dosis: 2
Route/Site: IM / LA

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

Blood ketone body Chest X-ray Electrocardiogram Electrocardiogram ambulatory Hyperhidrosis Inflammatory marker test Night sweats Palpitations

Symptomtext

EXTREME NIGHT SWEATS (OCCURRED DURING DAY ALSO) HEART PALPITATIONS

Weitere VAERSDATA-Felder

Praegender Schweregrund: Palpitations
Hospital-Tage: -
Labordaten: EKG CHEST XRAY LABS (BH, RA MARKERS) HEART HOLTER MONITER
Aktuelle Erkrankungen: NONE
Vorgeschichte: Hypertension
Andere Medikamente: Armour Thyroid 60mg Lisinopril 25mg/12.5mg Venlafaxine 150mg
Allergien: NONE
Vorherige Impfungen: -

VAERS 1697928

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: TX
Alter: 57,0
Geschlecht: F
Eingang: 14.09.2021
Impfdatum: 11.08.2021
Beginn: 19.08.2021
Tage bis Beginn: 8,0
Dosis: 1
Route/Site: SYR / LA

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

Angina pectoris Blood pressure increased Chest pain Dizziness Dyspnoea

Symptomtext

Sudden increase in blood pressure to over 172/122 one week after taking 1st dose of Moderna and has persisted for over three weeks now. Dizziness, shortness of breath momentarily and inconsistent heart/chest pain. Treatment: Attempting different blood pressure medication, stress test, and in process on some lab tests and Echocardiogram ordered by my PCP. Outcome: Medication ineffective.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: Pls check with my PCP.
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 1694466

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

moderat

Staat: FL
Alter: 40,0
Geschlecht: F
Eingang: 13.09.2021
Impfdatum: 10.09.2021
Beginn: 10.09.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: SYR / LA

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

Chills Condition aggravated Cough Fatigue Headache Heart rate increased Injection site pain Malaise Oropharyngeal pain Pain Pyrexia Respiratory tract congestion SARS-CoV-2 test negative Tremor Wheezing

Symptomtext

My 1st shot was at the Walmart on 8/12/21. The minor side effects I experienced were soreness at the injection site for a couple days as well as exhaustion for a couple days. On August 20th I came down with Covid symptoms. Dry cough, congestion, head ache, sore throat, exhaustion, wheezing, I drove out and took a rapid test and was negative. I would have gone for a PCR test but they are pretty hard to come by in our area. Pharmacy was booked 5 days out at the time. 4 days later, while I was on the mend, my 16 year old daughter came down with symptoms and we were able to borrow a Binax test from a friend and test very and she was positive, so I am quite certain what I had was Covid and I had given it to her. My symptoms gradually improved and I was able to resume normal activity but my resting heart rate stayed elevated by 6-10 beats per mintute, started on a downward tend 8 days out from onset of symptoms, and then began to rise back to an elevation of 8 bpm. I researched Fitbit data at this time and found out that this is a common heart trend for health activity tracker wearers. I got my second shot on 9/10. I went home and began to work on a Spanish course I am taken and had to take a nap. 8 hours later I was stuck in bed with a fever of 102.5, shakes, chills, body aches, and a heart rate that was stuck at 125. Ibuprofren and Tylenol helped some, We were able to get the fever to break, and my resting heart rate over night was 90 bpm. Heart rate is still elevated in the 90s.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Condition aggravated
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: I had Covid starting August 20. My symptoms were better about 6 days later but my resting heart rate (64 bpm) was still elevated anywhere from 6 to 9 bpm.
Vorgeschichte: None. Recently diagnosed with hypothyroidism due to symptoms and an elevated reverse t3 level likely caused by prolonged stress and extremely low ferritin levels.
Andere Medikamente: 105 mg Armour Thyroid; daily vitamin; magnesium malate/glycinate/citrate; vitamin B complex, Thyroid support vitamin; 5HTP, St. John Wort; curcumin; NAC; Cod liver oil; Vitamin C with Quercitin; Iron
Allergien: None
Vorherige Impfungen: -

VAERS 1689595

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: VA
Alter: 51,0
Geschlecht: F
Eingang: 10.09.2021
Impfdatum: 19.08.2021
Beginn: 27.08.2021
Tage bis Beginn: 8,0
Dosis: 1
Route/Site: IM / RA

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

Anxiety Dizziness Injection site erythema Injection site inflammation Injection site nodule Injection site pain Injection site swelling Mobility decreased

Symptomtext

On day 8 after the vaccine, I woke up and it felt like a bee stinging my arm. I looked in the mirror and it looked red and inflamed. It was knotted and about the size of a regular band aid. As the day went on, it went bigger and redder. I took pictures too if needed. By Saturday it was about two inches tall and two inches wide. And so Sunday, it started going down but then on Monday morning, I was so busy I could not get up. It took me like three tries to try and get up out of bed. I could not even look upwards, I was so dizzy. I went to the DR that evening. He just said it was a reaction to the vaccine. He didn't really do anything, he gave me some Xanax for the anxiety part it was causing me.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mobility decreased
Hospital-Tage: -
Labordaten: N/a
Aktuelle Erkrankungen: n/a
Vorgeschichte: PCOS, Diabetes type 2, High Cholesterol, anxiety
Andere Medikamente: Aspirin 81MG, Claritin, Simvastatin, Melatonin, Metformin, Cold and Sinus Medication, Glucosamine, Vitamin D, Multivitamin, Calcium, D3, Airborne
Allergien: Biaxin, Azithromycin
Vorherige Impfungen: -

VAERS 1679380

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: AR
Alter: 56,0
Geschlecht: M
Eingang: 07.09.2021
Impfdatum: 01.08.2021
Beginn: 11.08.2021
Tage bis Beginn: 10,0
Dosis: 1
Route/Site: IM / LA

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

Burning sensation Chest pain Oral discomfort Pyrexia Vision blurred Visual impairment

Symptomtext

Patient stated he started having fever the day after vaccine. Highest temperature was 101 degrees, Deep chest pain that lasted 3 days with a 6/10 on pain scale that was worse in the evenings. Experienced burning in his head, feet and lips. Patient does work outside, but did have a sunburn before vaccine. Also, described visual disturbances that included blurry vision. Patient did have Covid 1/21.

Weitere VAERSDATA-Felder

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

VAERS 1677226

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: UT
Alter: 70,0
Geschlecht: F
Eingang: 07.09.2021
Impfdatum: 20.08.2021
Beginn: 20.08.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: OT / -

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

Blood pressure measurement Fatigue Feeling cold Insomnia Pain in extremity Peripheral coldness Tachycardia

Symptomtext

for a fewhours she had a really icy feet; Over cold, was really icy cold the whole time; Sore arm; Could not sleep; Next day she was just really tired, has been really tired for a fewdays, she's still tired; Heart rumbling and beating really fast, a fast heart beating; This spontaneous case was reported by a consumer and describes the occurrence of TACHYCARDIA (Heart rumbling and beating really fast, a fast heart beating), PERIPHERAL COLDNESS (for a fewhours she had a really icy feet), FEELING COLD (Over cold, was really icy cold the whole time), PAIN IN EXTREMITY (Sore arm) and INSOMNIA (Could not sleep) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 20-Aug-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Aug-2021, the patient experienced TACHYCARDIA (Heart rumbling and beating really fast, a fast heart beating). On an unknown date, the patient experienced PERIPHERAL COLDNESS (for a fewhours she had a really icy feet), FEELING COLD (Over cold, was really icy cold the whole time), PAIN IN EXTREMITY (Sore arm), INSOMNIA (Could not sleep) and FATIGUE (Next day she was just really tired, has been really tired for a fewdays, she's still tired). On 20-Aug-2021, TACHYCARDIA (Heart rumbling and beating really fast, a fast heart beating) had resolved. At the time of the report, PERIPHERAL COLDNESS (for a fewhours she had a really icy feet), FEELING COLD (Over cold, was really icy cold the whole time), PAIN IN EXTREMITY (Sore arm) and INSOMNIA (Could not sleep) outcome was unknown and FATIGUE (Next day she was just really tired, has been really tired for a fewdays, she's still tired) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure measurement: high (High) blood pressure was really high and then it lower up a little bit.. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medication included mild hormone. Treatment information was not provided.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Tachycardia
Hospital-Tage: -
Labordaten: Test Name: Blood pressure; Result Unstructured Data: blood pressure was really high and then it lower up a little bit.
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1669648

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: FL
Alter: 31,0
Geschlecht: M
Eingang: 03.09.2021
Impfdatum: 10.08.2021
Beginn: 10.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / LA

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

Anxiety Feeling cold Feeling hot Hot flush Limb discomfort Mobility decreased Myalgia Nasopharyngitis Poor quality sleep Tremor Vaccination complication

Symptomtext

last 2 days have been difficult; cold; Hot flashes; really bad shake; was so cold felt like his heart will come out of his chest; arm where the vaccine was administered is heavy/can't sleep on arm because it is uncomfortable; wakes up in the middle of night because he can't sleep, tossing and turning,; really hot; so worried because he does not know what this mean; can't even lift his arm; arm hurts; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (last 2 days have been difficult), NASOPHARYNGITIS (cold), HOT FLUSH (Hot flashes), TREMOR (really bad shake) and FEELING COLD (was so cold felt like his heart will come out of his chest) in a 31-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 10-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Aug-2021, the patient experienced VACCINATION COMPLICATION (last 2 days have been difficult), NASOPHARYNGITIS (cold), HOT FLUSH (Hot flashes), TREMOR (really bad shake), FEELING COLD (was so cold felt like his heart will come out of his chest), LIMB DISCOMFORT (arm where the vaccine was administered is heavy/can't sleep on arm because it is uncomfortable), POOR QUALITY SLEEP (wakes up in the middle of night because he can't sleep, tossing and turning,), FEELING HOT (really hot), ANXIETY (so worried because he does not know what this mean), MOBILITY DECREASED (can't even lift his arm) and MYALGIA (arm hurts). At the time of the report, VACCINATION COMPLICATION (last 2 days have been difficult), NASOPHARYNGITIS (cold), HOT FLUSH (Hot flashes), TREMOR (really bad shake), FEELING COLD (was so cold felt like his heart will come out of his chest), LIMB DISCOMFORT (arm where the vaccine was administered is heavy/can't sleep on arm because it is uncomfortable), POOR QUALITY SLEEP (wakes up in the middle of night because he can't sleep, tossing and turning,), FEELING HOT (really hot), ANXIETY (so worried because he does not know what this mean), MOBILITY DECREASED (can't even lift his arm) and MYALGIA (arm hurts) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. No treatment information was provided.

Weitere VAERSDATA-Felder

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

VAERS 1667729

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: AK
Alter: 42,0
Geschlecht: F
Eingang: 02.09.2021
Impfdatum: 27.08.2021
Beginn: 01.09.2021
Tage bis Beginn: 5,0
Dosis: 1
Route/Site: IM / LA

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

Asthenia Chest pain Dizziness Dyspnoea

Symptomtext

Moderna COVID-19 Vaccine EUA. Dizziness and weakness; Chest pain, persistent; Difficulty breathing.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: contraceptive implant
Allergien: none
Vorherige Impfungen: -

VAERS 1666501

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: WA
Alter: 72,0
Geschlecht: F
Eingang: 02.09.2021
Impfdatum: 12.08.2021
Beginn: 15.08.2021
Tage bis Beginn: 3,0
Dosis: 1
Route/Site: SYR / LA

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

Dizziness Dyspnoea Lethargy

Symptomtext

Shortness of breath, lightheadedness, lethargy

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: None to date. Have appt with cardiologist on Sept. 29th, 2021
Aktuelle Erkrankungen: None but had a heart ablation on June 8th, 2021
Vorgeschichte: Have been fighting AFib since November 2020.
Andere Medikamente: Eliquis 5 mg, Sotalol 80 mg, Furosemide 20 mg, Ocuvite eye health gummies, Womens once a day vitamins
Allergien: Latex adhesive and Streptomycin
Vorherige Impfungen: -

VAERS 1666235

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: KY
Alter: 64,0
Geschlecht: M
Eingang: 02.09.2021
Impfdatum: 18.08.2021
Beginn: 22.08.2021
Tage bis Beginn: 4,0
Dosis: 2
Route/Site: IM / LA

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

Blood culture negative Blood lactic acid increased Brain natriuretic peptide COVID-19 Chest X-ray abnormal Chronic obstructive pulmonary disease Computerised tomogram thorax Condition aggravated Continuous positive airway pressure Cough Diuretic therapy Dysphagia Dyspnoea Dyspnoea exertional Hypertension Laboratory test Lung opacity Orthostatic hypotension

Symptomtext

History Of Present Illness (8/22/21) Patient is a 64 y.o. male with a past medical history of CAD s/p PCI x2 (last in 2019), hypertension, COPD, and HCV who initially presented to the hospital with chief complaint of SOA. Patient is a poor historian. He reports have SOA ongoing for several months but progressively worse over the past 3 months. Was just discharged from hospital yesterday (admitted on 19th and treated for CAP and COPD exacerbation) and states that he still had SOA so severe that "I thought I was going to die." He has not taken any meds since his discharge though reports being discharged on Augmentin. He walks around 10 feet before requiring rest to catch his breath and is unable to climb flight of stairs due to SOA. Has been having to sit up at night to breath as well. Finally reports having sensation that throat is "closing up" when he exerts himself and is better with rest. He states that he was diagnosed with a PE 1 month ago; treated with heparin gtt and not sent home with anticoagulation. Has occasional breathing treatments for COPD at home but has not been compliant with medications. Has 2 stents done (last stent in Dec 2019 and has not followed up with a cardiologist since. He was told he has HF in 2011 and was placed on lasix but self discontinued. Reports that his BP usually SBP in 200s and has not been to a PCP in 4 years. Otherwise, he admits to cough, SOA and denies fever, chills, CP, palpitations, abdominal pain, or syncope. In the ED, he was HD. O2 sats 94% and he was hypertensive. Basic labs, BNP, trops, CXR and CT PE obtained with concerns for PNA vs pulmonary edema. He received IV lasix 40mg, duonebs, and dexamethasone. Cardiology consulted for admission. Sepsis In Setting of COVID+ and Recent CAP (8/22/21); Hemodynamic stabile and afebrile; Blood cultures Ordered; CXR Obtained and showing Right basilar opacity; Most recent WBC: WBC 13.96 (H) 08/22/2021; lactate 3.1, procal 0.32; Reports receiving COVID vaccines x2 this year; Started on Vancomycin and Ceftriaxone in ED; s/p dexamethasone 10mg x1 in ED; sats appropriate on RA PLAN: BCxs x2, UA, respiratory panel and MRSA PCR pending; repeat lactate pending will consider continuing abx vs supportive therapy; Shortness of Breath complicated by COPD, COVID Infection, and Recent Pneumonia (8/27/21) CXR obtained and showing Right basilar opacity as above. Initially meeting sepsis criteria with labs revealing lactate 3.1 -> 2.2, procal 0.32. UA, respiratory panel and MRSA PCR negative. BCxs NGTD on day of discharge. Reports receiving COVID vaccines x2 this year though tested positive on this admission. S/p Vancomycin and Ceftriaxone in ED; s/p dexamethasone 10mg x1 in ED though stopped on admission. It is likely that current COVID infection and recent PNA largely contributing to his presentation of SOA. He was provided Duo nebs q4hrs and responded to treatment well. He is not on home 02. During an episode of hypotension that occurred after standing up to get dressed, patient became SOA. O2 sats and physical exam were unchanged, apart from subjective SOA. CXR revealed no acute pulmonary findings. Patient was started on CPAP at night and Dexamethasone x10 days. Pulmonology was consulted and recommended restarting symbicort and ellipta and doing additional workup for his dysphagia and possible sleep apnea outpatient. He would likely benefit from PFTs outpatient as none were found on file. Will need to follow up with Pulmonology and Sleep clinic outpatient. Discharged to home 8/27/21

Weitere VAERSDATA-Felder

Praegender Schweregrund: Condition aggravated
Hospital-Tage: 5,0
Labordaten: 8/22/21: SARS CoV-2/COVID-19 RNA PCR result: detected; CXR Obtained and showed right basilar opacity; WBC 13.96 (H); lactate 3.1, procal 0.32
Aktuelle Erkrankungen: -
Vorgeschichte: CAD s/p PCI x2 (last in 2019), CHF, GERD, COPD, hyperlipidemia, hypertension, nicotine dependence, alcohol use disorder, obesity, HCV
Andere Medikamente: albuterol, aspirin
Allergien: NKDA
Vorherige Impfungen: -

VAERS 1659089

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: AR
Alter: 68,0
Geschlecht: F
Eingang: 31.08.2021
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: ja Erholt: ja

Tongue disorder Tremor

Symptomtext

Patient contacted me stating after she arrived home from receiving her vaccine that her "tongue felt thick and legs were shaking uncontrollably." She called her primary doctor and they sent her to the ER. Patient stated that she didn't receive any treatment at the ER ,but her primary doctor advised her to not receive 2nd vaccine.

Weitere VAERSDATA-Felder

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

VAERS 1655818

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: CA
Alter: 50,0
Geschlecht: M
Eingang: 30.08.2021
Impfdatum: 18.08.2021
Beginn: 27.08.2021
Tage bis Beginn: 9,0
Dosis: 1
Route/Site: IM / LA

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

Chest discomfort Chest pain Heart rate increased Hypopnoea Pain in extremity Pain in jaw Toothache

Symptomtext

Extreme chest restriction for 2 hours. Pain in molars, jaw, arms and chest area. Rapid heart rate, rapid shallow breathing. Never experienced the severity of these symptoms in my life.

Weitere VAERSDATA-Felder

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

VAERS 1653930

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

moderat

Staat: CT
Alter: 26,0
Geschlecht: F
Eingang: 29.08.2021
Impfdatum: 23.08.2021
Beginn: 24.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / LA

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

Chest discomfort Chest pain

Symptomtext

Systemic: Chest Tightness / Heaviness / Pain-Medium

Weitere VAERSDATA-Felder

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

VAERS 1645392

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: GA
Alter: 44,0
Geschlecht: F
Eingang: 28.08.2021
Impfdatum: 09.08.2021
Beginn: 09.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / RA

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

Blood pressure measurement Cardiac disorder Cardiac flutter Chest discomfort Feeling abnormal Palpitations

Symptomtext

2 days ago 21Aug2021 she had to stop her walk / she did not feel correct, she did not feel right/she has had unusual effects/; since the vaccine, it is messing with her heart/having heart symptoms right now.; Heart fluttering; Heart palpitations; tightening in the middle of the chest; This spontaneous case was reported by an other health care professional and describes the occurrence of CARDIAC FLUTTER (Heart fluttering), PALPITATIONS (Heart palpitations), CHEST DISCOMFORT (tightening in the middle of the chest), FEELING ABNORMAL (2 days ago 21Aug2021 she had to stop her walk / she did not feel correct, she did not feel right/she has had unusual effects/) and CARDIAC DISORDER (since the vaccine, it is messing with her heart/having heart symptoms right now) in a 44-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 09-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Aug-2021, the patient experienced CARDIAC FLUTTER (Heart fluttering) (seriousness criteria medically significant and life threatening), PALPITATIONS (Heart palpitations) (seriousness criteria medically significant and life threatening), CHEST DISCOMFORT (tightening in the middle of the chest) (seriousness criteria medically significant and life threatening) and CARDIAC DISORDER (since the vaccine, it is messing with her heart/having heart symptoms right now.) (seriousness criterion life threatening). On 21-Aug-2021, the patient experienced FEELING ABNORMAL (2 days ago 21Aug2021 she had to stop her walk / she did not feel correct, she did not feel right/she has had unusual effects/) (seriousness criteria medically significant and life threatening). At the time of the report, CARDIAC FLUTTER (Heart fluttering), PALPITATIONS (Heart palpitations), CHEST DISCOMFORT (tightening in the middle of the chest), FEELING ABNORMAL (2 days ago 21Aug2021 she had to stop her walk / she did not feel correct, she did not feel right/she has had unusual effects/) and CARDIAC DISORDER (since the vaccine, it is messing with her heart/having heart symptoms right now.) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 21-Aug-2021, Blood pressure measurement (70-90-120): 150/90 (High) patient BP was 150/90 (baseline usually 120/70-90). The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications reported by reporter. Treatment medication not reported. Company comment: Very limited information regarding this event/s has been provided at this time. Further information has been requested.; Sender's Comments: Very limited information regarding this event/s has been provided at this time. Further information has been requested.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Palpitations
Hospital-Tage: -
Labordaten: Test Date: 20210821; Test Name: Blood pressure measurement; Result Unstructured Data: patient BP was 150/90 (baseline usually 120/70-90).
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1641590

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: TX
Alter: 32,0
Geschlecht: F
Eingang: 27.08.2021
Impfdatum: 20.08.2021
Beginn: 21.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / RA

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

Anosmia Dyspnoea Myalgia Oropharyngeal pain Pyrexia SARS-CoV-2 test negative

Symptomtext

Muscle pain, Shortness of Breath, sore throat, loss of smell, low fever starting the day following vaccination leading to ER visit on 08/25/2021

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: Negative Covid test, patient told by ER that it was likely just a severe adverse reaction 08/25/2021
Aktuelle Erkrankungen: -
Vorgeschichte: Transplant recipient, diabetic
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1637322

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: AL
Alter: 43,0
Geschlecht: F
Eingang: 26.08.2021
Impfdatum: 07.08.2021
Beginn: 07.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: SYR / LA

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

Alopecia Chills Erythema Feeling hot Feeling of body temperature change Hypoaesthesia Influenza like illness Injection site nodule Myalgia Nausea Pain in extremity Paraesthesia

Symptomtext

After receiving the vaccination patient had to wait 20 to 25. Her arm was sore and red. The muscle became tender. She received a numb and tingly feeling. Where the injection was entered arm started to knot up. The inside of body felt hot. Patient developed chills and developed chills. Felt nausea. Started feeling flu like symptoms that lasted four days. The next day hair was coming out from the roots. The hair dresser called it shedding.

Weitere VAERSDATA-Felder

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

VAERS 1637151

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: LA
Alter: 45,0
Geschlecht: F
Eingang: 26.08.2021
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: nein

Diarrhoea Dizziness Dyspnoea Headache Hyperhidrosis Injection site erythema Injection site reaction Pain in extremity Pyrexia

Symptomtext

1st day sore arm, diarrhea 2nd day fever 3rd day shortness of breath when working out 4th day shortness of breath when working out 5th day headache 6th day large red raise circle at injection site 7th day injection site reaction still there 8th day injection site reaction still there 9th day injection site reaction still there, also that night sweating and felt faint

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: Contacted primary but not in till next week, nurse suggested I have covid and to go to ER
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: Estrada Maxalt Doxycycline
Allergien: Spironolactone
Vorherige Impfungen: -

VAERS 1636847

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: TX
Alter: 39,0
Geschlecht: F
Eingang: 26.08.2021
Impfdatum: 26.08.2021
Beginn: 26.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Dizziness Dysphagia Dyspnoea Injection site pruritus Throat tightness

Symptomtext

Site: Itching at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Abdominal Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Additional Details: Given epipen after allergic response in waiting area in pharmacy 0.3 mg dose called 911 pt was consious when left , she gave medical history to rep that she is diabetic

Weitere VAERSDATA-Felder

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

VAERS 1632963

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: FL
Alter: 49,0
Geschlecht: F
Eingang: 25.08.2021
Impfdatum: 18.08.2021
Beginn: 19.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / LA

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

Dizziness Dyspnoea Headache Rash

Symptomtext

PATIENT REPORTS SHE WOKE UP DAY AFTER VACCINE 8/19/21 WITH HEADACHE/LIGHT HEADEDNESS THAT WENT AWAY AFTER 3 HOURS BUT RECURRED OFF AND ON SINCE VACCINE; PATIENT ALSO REPORTS SHORTNESS OF BREATH DAY AFTER VACCINE 8/19/21 AND THAT GOT NOTICEABLY WORSE 4 DAYS POST VACCINE AND HAS BEEN CONSISTENT SINCE "CANNOT GET A FULL CLEANSING BREATH;" PATIENT ALSO REPORTS RASH DESCRIBED AS DOTS ON TRUNK OF BODY, CHEST, BACK, HIPS, NECK STARTED 8/20/21 AND LASTED UNTIL 8/22/21 GRADUALLY FADING AWAY. THE SHORTNESS OF BREATH IS MOST CONCERNING AS SHE IS A RUNNER AND HAVING TROUBLE WITH CATCHING HER BREATH WITH REGULAR ACTIVITIES.

Weitere VAERSDATA-Felder

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

VAERS 1632768

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: TX
Alter: 39,0
Geschlecht: F
Eingang: 25.08.2021
Impfdatum: 06.08.2021
Beginn: 06.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: SYR / RA

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

Chest pain Dizziness Dysphagia Dyspnoea Full blood count Headache Hypoaesthesia Paraesthesia oral

Symptomtext

Hand and feet went numb. Tongue tingling and hard to swallow and short of breath. Felt faint. Took Benadryl and Tylenol. Next were headaches, chest pain, shortness of breath and dizziness. Went to doctor 2 weeks after vaccine and received and anti inflammatory shot.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: CBC bloodwork 8/24/2021
Aktuelle Erkrankungen: No
Vorgeschichte: No
Andere Medikamente: Synthroid, Zinc, Vitamins D and C and Biotin.
Allergien: No
Vorherige Impfungen: -

VAERS 1629300

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

moderat

Staat: GA
Alter: 35,0
Geschlecht: F
Eingang: 24.08.2021
Impfdatum: 14.08.2021
Beginn: 15.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / LA

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

Chest pain Dizziness Headache Lymphadenopathy Rash Urticaria

Symptomtext

pt had 1st moderna vaccine on 8/14/21 L arm and reported to rx on 8/24/21 that the day after the shot she developed rash, welps, had chest pain, headache, dizziness and swollen lymph nodes. pt instructed to follow up with dr.

Weitere VAERSDATA-Felder

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

VAERS 1624356

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: -
Alter: 42,0
Geschlecht: M
Eingang: 23.08.2021
Impfdatum: 19.08.2021
Beginn: 20.08.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: IM / LA

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

Hypotension

Symptomtext

Hypotensive event that required emergency room visit 12 hours after vaccine. Patient administered fluids and reported systolic BP of 60. Patient has recovered with current BP readings of about 100/60.

Weitere VAERSDATA-Felder

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

VAERS 1617468

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: MO
Alter: 28,0
Geschlecht: F
Eingang: 22.08.2021
Impfdatum: 17.08.2021
Beginn: 17.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Hypoaesthesia Paraesthesia

Symptomtext

Patient reports approximately 30 minutes after leaving pharmacy she felt a tingling and numbness in vaccinated arm (left). During the next several days the paresthesia like tingling went into both arms and both feet. No pain or itching reported. No inflammation or heat near injection.

Weitere VAERSDATA-Felder

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

VAERS 1602711

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: KS
Alter: 58,0
Geschlecht: M
Eingang: 21.08.2021
Impfdatum: 19.08.2021
Beginn: 21.08.2021
Tage bis Beginn: 2,0
Dosis: 2
Route/Site: IM / RA

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

Condition aggravated Rash

Symptomtext

The patient presented 8/12/21 (vaccinated 8/19/21) with a rash around the upper chest/neck area. The patient stated it started forming this morning. He mentioned he has a history of rashes similar in appearance, but has not had one in several years. The rash did not itch "yet" he stated. I recommended the patient take benadryl and monitor the rash for worsening. I also directed the patient to seek immediate medical attention if began to feel like he could not breathe. The patient is feeling okay, but wanted to make sure the rash was documented as he feels it is related to his second dose of Moderna.

Weitere VAERSDATA-Felder

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

VAERS 1595968

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: CA
Alter: 40,0
Geschlecht: F
Eingang: 21.08.2021
Impfdatum: 20.08.2021
Beginn: 20.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Blood pressure increased Chest discomfort Dizziness Dyspnoea Headache Heart rate increased Hypoaesthesia Pain Paraesthesia

Symptomtext

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Additional Details: Patient has history of anxiety, and admitted to being anxious before vaccine. Shortly after vaccine pt started to feel chest tightness, headache, tingling/numbness and increased heartrate/bp. I took bp was 165/104. Called and ambulance for pt since sx didnt improve and pt went to hospital. Per friend, shes feeling better but still has some chest tightness.

Weitere VAERSDATA-Felder

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

VAERS 1592325

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

moderat

Staat: TN
Alter: 41,0
Geschlecht: F
Eingang: 20.08.2021
Impfdatum: 20.08.2021
Beginn: 20.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

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

Dyspnoea Feeling jittery Nausea

Symptomtext

Patient stated she couldn't breathe and wanted her Epipen. She then gave herself a shot in her right thigh. After this, she started to feel better, then worse. She said it hurt to breathe and she was very jittery and nauseous. I called 911 and they came and took her to the hospital. The gentleman paramedic told me the patient was likely jittery and nauseous due to the epinephrine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: Patient was taken to hospital.
Aktuelle Erkrankungen: Asthma
Vorgeschichte: -
Andere Medikamente: Unknown
Allergien: patient reported morphine, sulfa drugs, cephalexin, and protonix
Vorherige Impfungen: Patient told me she had a bad reaction, she described it as anaphylaxis, to the first flu shot she had ever received. She then

VAERS 1587457

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: MN
Alter: 52,0
Geschlecht: F
Eingang: 19.08.2021
Impfdatum: 12.08.2021
Beginn: 12.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: SYR / LA

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

Chest discomfort Dyspnoea Heart rate decreased

Symptomtext

1st night my heart felt like it was flipping out, my watch health monitor could not determine if it was afib, but was not sinus rhythm (undetermined). Additionally it is showing Lower than average heart rate and I have the feeling of heaviness in my chest making it harder to breath. I have shortness of breath from normal walking, normal activities.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Multi Vitamin & Probiotic not consistent
Allergien: Sulfur, Latex
Vorherige Impfungen: -

VAERS 1586801

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: KY
Alter: 56,0
Geschlecht: M
Eingang: 19.08.2021
Impfdatum: 16.08.2021
Beginn: 17.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / LA

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

Dyspnoea Hypotension Swelling face Swollen tongue

Symptomtext

Facial swelling, tongue swelling, trouble breathing, hypotension began approximately 24 hours after vaccine administration. Pt was treated in emergency department.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: none
Vorgeschichte: Diabetes mellitus, Hypertension, Hypercholesterolemia
Andere Medikamente: amlodipine, rosuvastatin, hydrochlorothiazide, segluromet, losartan, metoprolol succinate er, paroxetine,
Allergien: None known, prior anaphylaxis but cause unknown.
Vorherige Impfungen: -

VAERS 1546153

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: FL
Alter: 51,0
Geschlecht: F
Eingang: 19.08.2021
Impfdatum: 10.08.2021
Beginn: 11.08.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: IM / -

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

Blepharospasm Blood glucose increased Cellulitis Chills Dyspnoea Injection site erythema Injection site swelling Injection site warmth Oedema Pain Pruritus Pyrexia Skin warm Vaccination site discolouration

Symptomtext

I had excess edema, extreme pain, hot to touch, itching on my left arm diagnosed with Cellulitis. I experienced right eye twitching around 5 mins after vaccine for 5 days. On 8/12 my left arm got bigger, hotter to touch, chills, with a fever of 102 and breathing was off. My sugar level has been high when checked since the vaccine. Before the vaccine it was 98 maybe high as 120 and now ranges high to 150. As of today my arm is still discolored.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: No.
Aktuelle Erkrankungen: No
Vorgeschichte: Type 2 Diabetes, History of breast cancer, Pulmonary Embolism, Hypertension, Neuropathy, Lymphoma, Bipolar, Anxiety, Osteoporosis, Osteoarthritis, Complex Migraines, TIA, Obesity.
Andere Medikamente: Metformin, Anastrozole, Vit D.
Allergien: Cipro, Sulfa, Augmentin, Bactrim, IV contrast, Latex.
Vorherige Impfungen: Dose 1 Moderna (metallic taste in my mouth for couple of days).

VAERS 1546153

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: FL
Alter: 51,0
Geschlecht: F
Eingang: 19.08.2021
Impfdatum: 10.08.2021
Beginn: 11.08.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: IM / LA

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

Blepharospasm Blood glucose increased Cellulitis Chills Dyspnoea Injection site erythema Injection site swelling Injection site warmth Oedema Pain Pruritus Pyrexia Skin warm Vaccination site discolouration

Symptomtext

I had excess edema, extreme pain, hot to touch, itching on my left arm diagnosed with Cellulitis. I experienced right eye twitching around 5 mins after vaccine for 5 days. On 8/12 my left arm got bigger, hotter to touch, chills, with a fever of 102 and breathing was off. My sugar level has been high when checked since the vaccine. Before the vaccine it was 98 maybe high as 120 and now ranges high to 150. As of today my arm is still discolored.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: No.
Aktuelle Erkrankungen: No
Vorgeschichte: Type 2 Diabetes, History of breast cancer, Pulmonary Embolism, Hypertension, Neuropathy, Lymphoma, Bipolar, Anxiety, Osteoporosis, Osteoarthritis, Complex Migraines, TIA, Obesity.
Andere Medikamente: Metformin, Anastrozole, Vit D.
Allergien: Cipro, Sulfa, Augmentin, Bactrim, IV contrast, Latex.
Vorherige Impfungen: Dose 1 Moderna (metallic taste in my mouth for couple of days).

VAERS 1583607

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

moderat

Staat: FL
Alter: 25,0
Geschlecht: F
Eingang: 18.08.2021
Impfdatum: 18.08.2021
Beginn: 18.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Abdominal pain upper Dyspnoea Hyperhidrosis Injection site paraesthesia Muscle spasms Paraesthesia

Symptomtext

Patient had a reaction to the Moderna vaccine 5 minutes after administration. Symptoms include cramping of the hands and stomach, sweating, tingling of the face/injection site and difficulty breathing.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: unknown
Aktuelle Erkrankungen: Asthma
Vorgeschichte: lower back pain after accident
Andere Medikamente: -
Allergien: NKA to medications. Allergic to environmental factors such as pollen
Vorherige Impfungen: faint

VAERS 1583606

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: FL
Alter: 63,0
Geschlecht: M
Eingang: 18.08.2021
Impfdatum: 18.08.2021
Beginn: 18.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Burning sensation Dyspnoea Pruritus

Symptomtext

Covid Moderna vaccine administer in the am, pt called pharmacy at 7pm stating that he has an itch/burning on his cheek and buttocks'. When asked if he had any trouble breathing patient said he felt a little out of breath. Told patient to take Benadryl and go to the hospital to get check and rule out delayed allergic reaction. Will follow up with pt 08/18/2021

Weitere VAERSDATA-Felder

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

VAERS 1582416

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: SD
Alter: 18,0
Geschlecht: M
Eingang: 18.08.2021
Impfdatum: 18.08.2021
Beginn: 18.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Dizziness Hypotension Immediate post-injection reaction Incoherent Pallor

Symptomtext

RIGHT AFTER THE PATIENT RECIEVED HIS SHOT, HIS COLOR TURNED PALE AND WAS UNCOHERENT FOR A FEW SECONDS. ALMOST PASSED OUT AND HE WAS TOO HOT WE CHECKED HIS BLOOD PRESSURE IT WAS TOO LOW . AFTER A WHILE AND AFTER GIVING HIM SOME WATER AND COOLING HIM DOWN WITH A SMALL FAN , HE STARTED TO FEEL BETTER

Weitere VAERSDATA-Felder

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

VAERS 1582403

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

moderat

Staat: WA
Alter: 43,0
Geschlecht: F
Eingang: 18.08.2021
Impfdatum: 16.08.2021
Beginn: 16.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: SYR / RA

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

Arthralgia Asthenia Bone pain Chills Fatigue Impaired self-care Impaired work ability Injection site swelling Injection site warmth Lymph node pain Lymphadenopathy Mobility decreased Myalgia Pyrexia

Symptomtext

Began feeling weak, fatigued within 3 hours of injection. At 5 hours began running a fever of 105 degrees F; full body chills, severe muscle, joint and bone pain. Fever would not respond to OTC medications until about 24 hours post injection. Still feverish (but does respond to OTC) at nearly 48 hours post injection. Could not get out of bed the first 24 hours; unable to work or perform self care activities. Injection site very swollen, hot to the touch. Numerous lymph nodes adjacent to the injection site are swollen and painful.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mobility decreased
Hospital-Tage: -
Labordaten: I called my local doctor's office and they suggested just "waiting it out."
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: none
Allergien: none
Vorherige Impfungen: -

VAERS 1549273

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

moderat

Staat: GA
Alter: 22,0
Geschlecht: M
Eingang: 12.08.2021
Impfdatum: 12.08.2021
Beginn: 12.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

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

Hypoaesthesia Injection site rash Nausea Nervousness Paraesthesia

Symptomtext

Patient was extremely nervous about the vaccine. He immediately started to feel tingling/numbness of the RA, following a localized rash at the injection site. After 15 minutes the rash subsided and patient states he is feeling nauseous and still having numbness.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Paraesthesia
Hospital-Tage: -
Labordaten: n/a
Aktuelle Erkrankungen: n/a
Vorgeschichte: no hx
Andere Medikamente: n/a
Allergien: n/a
Vorherige Impfungen: -

VAERS 1544968

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

moderat

Staat: FL
Alter: 34,0
Geschlecht: F
Eingang: 11.08.2021
Impfdatum: 11.08.2021
Beginn: 11.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Dyspnoea Lip swelling Swollen tongue

Symptomtext

Patient experienced swelling of lips and tongue was having trouble breathing. Pharmacy called 911 and administered one 0.3 mg EpiPen to right thigh. 911 arrived and took over-patient did not go to ER via EMS but was going to go to hospital on her own (mom was with her)

Weitere VAERSDATA-Felder

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

VAERS 1532897

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

moderat

Staat: MS
Alter: 22,0
Geschlecht: F
Eingang: 06.08.2021
Impfdatum: 06.08.2021
Beginn: 06.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

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

Chest discomfort Dizziness Dyspnoea Hypoaesthesia

Symptomtext

Patient complained of feeling faint and them numbness in her limbs. Patient then started complaining of not being able to breathe and heaviness in her chest. The patient started having symptoms about 25 minutes after receiving vaccine.

Weitere VAERSDATA-Felder

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

VAERS 2567322

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: KY
Alter: 67,0
Geschlecht: M
Eingang: 24.01.2023
Impfdatum: 20.08.2021
Beginn: 22.09.2021
Tage bis Beginn: 33,0
Dosis: 1
Route/Site: IM / LA

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

COVID-19 Endotracheal intubation Leukocytosis Pneumomediastinum Pyrexia Respiratory failure SARS-CoV-2 test positive

Symptomtext

ADMITTED TO HOSPITAL ON 9/3/2021 FOR HYPOXEMIC RESPIRATORY FAILURE WITH PROGRESSIVELY INCREASING OXYGEN REQUIREMENTS. INTUBATED ON 9/12/2021 AND DEVELOPED PNEUMOADIASTINUM. FEVER AND LEUKOCYTOSIS ON 9/18/2021. AFTER 11 DAYS, FAMILY DISCUSSED COMFORT MEASURES DUE TO FAILURE TO IMPROVE.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pyrexia
Hospital-Tage: 12,0
Labordaten: 8/29/2021 TESTED POSITIVE FOR COVID-19 INFECTION.
Aktuelle Erkrankungen: UNKNOWN
Vorgeschichte: UNKNOWN
Andere Medikamente: UNKNOWN
Allergien: UNKNOWN
Vorherige Impfungen: -

VAERS 2387859

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: OK
Alter: 53,0
Geschlecht: F
Eingang: 24.07.2022
Impfdatum: 06.08.2021
Beginn: 04.07.2022
Tage bis Beginn: 332,0
Dosis: 1
Route/Site: IM / LA

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

Injection site pain

Symptomtext

Severe burning at injection site.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: N/A
Vorgeschichte: The past few weeks I've been experiencing an extreme burning sensation at the injection site approximately 2 times a day.
Andere Medikamente: N/A
Allergien: Sulfa; Butalbital; Penicillin; Cleocin
Vorherige Impfungen: -

VAERS 2270993

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: NY
Alter: 48,0
Geschlecht: F
Eingang: 11.05.2022
Impfdatum: 20.09.2021
Beginn: 20.09.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

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

Back pain Gait disturbance Lethargy Myalgia Pain Pain in extremity Pyrexia

Symptomtext

Rapid onset of shooting pain in lower back to limbs. Fever chills, muscle pains for 6weeks, Difficulty ambulating, lethargy

Weitere VAERSDATA-Felder

Praegender Schweregrund: Back pain
Hospital-Tage: -
Labordaten: n/a
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: nonde
Allergien: none
Vorherige Impfungen: flu

VAERS 2196252

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: PR
Alter: 33,0
Geschlecht: F
Eingang: 24.03.2022
Impfdatum: 26.08.2021
Beginn: 17.03.2022
Tage bis Beginn: 203,0
Dosis: 3
Route/Site: IM / LA

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

Chills Diarrhoea Headache Injection site discomfort Injection site muscle weakness Nasal congestion Pain in extremity Pyrexia

Symptomtext

About 4 hours after getting the vaccine that day I felt severe pain in my arm, chills, headache and fever. The next day I had more pain in my arm and at night I had an episode of diarrhea, nasal congestion for a week, and over the months the pain has intensified and is more frequent. I got COVID on January 20, 2022 and the headaches were bad. Now in my left arm I feel like ants and it feels weak.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: None.
Aktuelle Erkrankungen: None
Vorgeschichte: Systemic Lupus Erythematosus. Adenomatous Polyposis. Endometriosis.
Andere Medikamente: Prepmisona 5mg daily, Laquenil 200 mg daily, Propanorol 10 mg twice a day, Participant is under a fertility treatment too.
Allergien: Fish
Vorherige Impfungen: allergy vaccine - 14 yrs

VAERS 2151458

UNKNOWN MANUFACTURER · VACCINE NOT SPECIFIED (NO BRAND NAME) · Charge 002f21a

mild

Staat: MO
Alter: 55,0
Geschlecht: F
Eingang: 01.03.2022
Impfdatum: 31.07.2021
Beginn: 30.01.2022
Tage bis Beginn: 183,0
Dosis: 2
Route/Site: SYR / LA

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

COVID-19 Computerised tomogram Cough Fatigue Influenza Influenza A virus test positive Painful respiration Pneumothorax Pyrexia SARS-CoV-2 test positive X-ray

Symptomtext

1/30/21 Severe chest pain when breathing in. The lobe of my right lunng partially collapsed. 1/31/21 Went to ER. On 2/22/22 went to ER again due coughing and being tired with 1 day of low grade fever and tested positive for COVID and Influenza A. I did get the flu shot a work.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: CAT Scan, XRay, Covid and Influenza nose swab.
Aktuelle Erkrankungen: None.
Vorgeschichte: BRONCHITIS.
Andere Medikamente: None.
Allergien: None.
Vorherige Impfungen: -

VAERS 2150891

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: 71,0
Geschlecht: M
Eingang: 01.03.2022
Impfdatum: 26.10.2021
Beginn: 27.10.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / RA

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

Arthralgia Pain Pain in extremity

Symptomtext

The next day after vaccine, I woke up that morning and my joints ached. It hurt in my hands then radiated to my knees and other joints in my body. This lasted strong for 4-5 hrs., then subsided some. I still felt pain in my hands, elbows, and shoulders. The pain comes and goes and it flares up at times, then gets better as I continue moving.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Borderline diabetic, Spinal stenosis
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 2145891

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: IL
Alter: 67,0
Geschlecht: F
Eingang: 26.02.2022
Impfdatum: 18.08.2021
Beginn: 15.09.2021
Tage bis Beginn: 28,0
Dosis: 1
Route/Site: OT / LA

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

Asthenia Dizziness Fatigue Hyperhidrosis Influenza like illness Joint lock Pyrexia

Symptomtext

sweating ( required her to change pajamas); dizziness; joints were locked; weak; all symptoms of the flu (cold and hot); fever; really tired; This spontaneous case was reported by a consumer and describes the occurrence of HYPERHIDROSIS (sweating ( required her to change pajamas)), DIZZINESS (dizziness), JOINT LOCK (joints were locked), ASTHENIA (weak) and INFLUENZA LIKE ILLNESS (all symptoms of the flu (cold and hot)) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 048F21A and 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history information was reported. Concomitant products included FLECAINIDE for Cardiac disorder, COLECALCIFEROL (VIT D3) for an unknown indication. On 18-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Sep-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 15-Sep-2021, the patient experienced HYPERHIDROSIS (sweating ( required her to change pajamas)), DIZZINESS (dizziness), JOINT LOCK (joints were locked), ASTHENIA (weak), INFLUENZA LIKE ILLNESS (all symptoms of the flu (cold and hot)), PYREXIA (fever) and FATIGUE (really tired). The patient was treated with PARACETAMOL (TYLENOL) for Fever, at a dose of taken 1 dosage form. On 18-Sep-2021, HYPERHIDROSIS (sweating ( required her to change pajamas)), DIZZINESS (dizziness), JOINT LOCK (joints were locked), ASTHENIA (weak), INFLUENZA LIKE ILLNESS (all symptoms of the flu (cold and hot)), PYREXIA (fever) and FATIGUE (really tired) had resolved. This case was linked to MOD-2021-324276 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 18-Oct-2021: Follow-up received. Contact information Updated.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Comments: No medical history information was reported.
Andere Medikamente: VIT D3; FLECAINIDE
Allergien: -
Vorherige Impfungen: -

VAERS 2145706

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: 28,0
Geschlecht: M
Eingang: 26.02.2022
Impfdatum: 06.08.2021
Beginn: 06.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / LA

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

Abdominal pain Diarrhoea Pain Vaccination site pain

Symptomtext

He also has abdominal cramping along with diarrhea; He also started with diarrhea that started next day/He still has diarrhea; The pain was going up and down on the left side of the body for about a day & half; He had soreness in the injected left arm on that day; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (The pain was going up and down on the left side of the body for about a day & half), DIARRHOEA (He also started with diarrhea that started next day/He still has diarrhea), ABDOMINAL PAIN (He also has abdominal cramping along with diarrhea) and VACCINATION SITE PAIN (He had soreness in the injected left arm on that day) in a 28-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 06-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-Aug-2021, the patient experienced PAIN (The pain was going up and down on the left side of the body for about a day & half) and VACCINATION SITE PAIN (He had soreness in the injected left arm on that day). On 07-Aug-2021, the patient experienced DIARRHOEA (He also started with diarrhea that started next day/He still has diarrhea). On an unknown date, the patient experienced ABDOMINAL PAIN (He also has abdominal cramping along with diarrhea). At the time of the report, PAIN (The pain was going up and down on the left side of the body for about a day & half) and VACCINATION SITE PAIN (He had soreness in the injected left arm on that day) outcome was unknown and DIARRHOEA (He also started with diarrhea that started next day/He still has diarrhea) and ABDOMINAL PAIN (He also has abdominal cramping along with diarrhea) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications were reported. No treatment medications were reported.

Weitere VAERSDATA-Felder

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

VAERS 2131485

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21A

mild

Staat: TX
Alter: 36,0
Geschlecht: F
Eingang: 22.02.2022
Impfdatum: 27.08.2021
Beginn: 04.02.2022
Tage bis Beginn: 161,0
Dosis: 3
Route/Site: IM / LA

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

COVID-19 Cough Dysphonia Fatigue SARS-CoV-2 test negative SARS-CoV-2 test positive Throat irritation Wheezing

Symptomtext

My symptoms started with a tickle in my throat and my voice became super hoarse. I tested myself regularly every 2 weeks and I tested negative. I went to get tested on Sunday and it was positive. I had general fatigue and I got a little wheezy with a cough. I was given an albuterol inhaler RX, benzonatate, and dexamethasone. My symptoms took a full 14 days to completely resolve.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: COVID test
Aktuelle Erkrankungen: none
Vorgeschichte: obesity
Andere Medikamente: Ozempic escitalopram Femynor
Allergien: none
Vorherige Impfungen: -

VAERS 2113065

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: AR
Alter: 23,0
Geschlecht: M
Eingang: 15.02.2022
Impfdatum: 13.08.2021
Beginn: 20.08.2021
Tage bis Beginn: 7,0
Dosis: 2
Route/Site: SYR / LA

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

Arterial rupture Blood test abnormal Computerised tomogram Electrocardiogram Internal haemorrhage Pain Pain in extremity Vomiting

Symptomtext

After the vaccination he threw up and had sore arm and at night the whole body was aching. A couple of days later he went to the hospital and the doctors said his arteries are ruptured and they ran a couple of tests but couldn't find anything wrong. The blood pressure was really bad and they kept him 3 days and two days later he dropped again and we went to the emergency again and they ran a couple of tests and found out he was bleeding internal his blood cell count was really low and that's when they did a treatment on him.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain
Hospital-Tage: -
Labordaten: EKG, blood test, CT Scan
Aktuelle Erkrankungen: none
Vorgeschichte: tumors
Andere Medikamente: two heart and blood pressure medicine
Allergien: demoral, sulpha
Vorherige Impfungen: -

VAERS 2027865

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: MI
Alter: 75,0
Geschlecht: F
Eingang: 12.01.2022
Impfdatum: 06.08.2021
Beginn: 17.11.2021
Tage bis Beginn: 103,0
Dosis: 2
Route/Site: - / -

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

Acute kidney injury Ageusia Anosmia Arthropathy Asthenia Bladder scan COVID-19 Cough Decreased appetite Diarrhoea Fall Feeling abnormal Headache Hyponatraemia Myalgia Refusal of treatment by patient Renal failure SARS-CoV-2 test positive

Symptomtext

Patient is COVID + 11/17/2021. Patient is fully vaccinated. Admitted dx: Hyponatremia, AKI, COVID urinary retention. Presented for generalized weakness.Patient reports a "few days ago" she began feeling under the weather. She admitted to having a headache, myalgias, diarrhea, decreased appetite, cough, loss of taste/smell. Additionally she endorses increased generalized weakness. At day of hospitalization, she felt too weak and her legs gave out and she fell on carpet. Denied that she hit her head/loss consciousness. Patient reports she then crawled to her phone and then called emergency to be taken to the hospital. Decadron and SQ heparin were ordered and patient declined these. Spoke to patient at length about these medications and she made the informed decision to refuse them. On bladder scan she was found to have >1L urine and patient declined straight catheterization despite being informed that urinary retention could be contributing to her kidney failure. She was eventually able to urinate by herself, however, and her kidney function improved.Remdesivir was ordered however patient was able to go back to her baseline oxygen requirements prior to it being administered. Given that she was at her baseline O2 requirements and that her kidney function had improved, she was deemed stable for discharge.

Weitere VAERSDATA-Felder

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

VAERS 2020913

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: MI
Alter: 85,0
Geschlecht: M
Eingang: 10.01.2022
Impfdatum: 26.11.2021
Beginn: 29.12.2021
Tage bis Beginn: 33,0
Dosis: 3
Route/Site: UN / UN

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

Asthenia COVID-19 Chills Respiratory tract congestion SARS-CoV-2 test positive

Symptomtext

chills, congestion, weakness + COVID test

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: 10,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2004667

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: KS
Alter: 21,0
Geschlecht: F
Eingang: 05.01.2022
Impfdatum: 19.08.2021
Beginn: 26.08.2021
Tage bis Beginn: 7,0
Dosis: 1
Route/Site: IM / AR

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

Abdominal pain upper Blood urine present Hepatic enzyme abnormal Laboratory test Nausea Pruritus Pyrexia Somnolence Vomiting Weight decreased

Symptomtext

Started with itchy hands and feet progressed to stomach pain vomiting nausea. Fever 103. Drowsiness weight loss. Liver enzymes escalated severely. Blood in urine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Abdominal pain upper
Hospital-Tage: -
Labordaten: Lab work for the next 3 weeks slowly trending downwards. I can try to get all paperwork if needed and send it.
Aktuelle Erkrankungen: Asthma
Vorgeschichte: Asthma Gallbladder removed
Andere Medikamente: Pamelor Tylenol Zyrtec Benadryl
Allergien: Lactose
Vorherige Impfungen: -

VAERS 1927815

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: NJ
Alter: 67,0
Geschlecht: F
Eingang: 07.12.2021
Impfdatum: 05.11.2021
Beginn: 06.11.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: OT / LA

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

Diplopia Dizziness Head discomfort Impaired driving ability Nausea Nervous system disorder Vaccination complication

Symptomtext

This spontaneous case was reported by a consumer and describes the occurrence of DIPLOPIA (Double Vision), NERVOUS SYSTEM DISORDER (Neurological medical condition), VACCINATION COMPLICATION (adverse reaction to the booster shot), HEAD DISCOMFORT (when she tried to hold her head up, she felt the room going around) and IMPAIRED DRIVING ABILITY (could not drive a car for 5 days) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Double vision and Cataract operation (Summer 2021) in 2021. Concurrent medical conditions included Diabetes and Hypothyroidism. Concomitant products included METFORMIN for Diabetes, LEVOTHYROXINE SODIUM (SYNTHROID) for Hypothyroidism, INSULIN GLARGINE (LANTUS) for an unknown indication. On 05-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-Nov-2021, the patient experienced DIPLOPIA (Double Vision), NERVOUS SYSTEM DISORDER (Neurological medical condition), HEAD DISCOMFORT (when she tried to hold her head up, she felt the room going around), IMPAIRED DRIVING ABILITY (could not drive a car for 5 days), DIZZINESS (She was very Dizzy) and NAUSEA (Nauseous). On an unknown date, the patient experienced VACCINATION COMPLICATION (adverse reaction to the booster shot). On 11-Nov-2021, HEAD DISCOMFORT (when she tried to hold her head up, she felt the room going around), IMPAIRED DRIVING ABILITY (could not drive a car for 5 days), DIZZINESS (She was very Dizzy) and NAUSEA (Nauseous) had resolved. At the time of the report, DIPLOPIA (Double Vision) had not resolved and NERVOUS SYSTEM DISORDER (Neurological medical condition) and VACCINATION COMPLICATION (adverse reaction to the booster shot) outcome was unknown.No treatment medications were reported. This case was linked to MOD-2021-404053, MOD-2021-404058 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 02-Dec-2021: Added the medical history (Cataract Surgery, Diabetes, Hypothyroidism, double vision),events (Dizzy, Nauseous, Double Vision, head discomfort, impaired driving ability, Neurological disorder NOS), Concomitant medications (Metformin 1000mg BID, Synthroid, Lantus insulin.)

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Diabetes; Hypothyroidism.
Vorgeschichte: Medical History/Concurrent Conditions: Cataract operation (Summer 2021); Double vision.
Andere Medikamente: METFORMIN; SYNTHROID; LANTUS.
Allergien: -
Vorherige Impfungen: -

VAERS 1916411

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: -
Alter: 64,0
Geschlecht: F
Eingang: 02.12.2021
Impfdatum: 16.08.2021
Beginn: 17.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / LA

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

Asthenia Dizziness Heart rate increased Nausea

Symptomtext

Dizziness , nausea , rapid heartbeat, lightheaded, weakness

Weitere VAERSDATA-Felder

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

VAERS 1910084

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: 91,0
Geschlecht: F
Eingang: 30.11.2021
Impfdatum: 27.08.2021
Beginn: 08.09.2021
Tage bis Beginn: 12,0
Dosis: 3
Route/Site: SYR / LA

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

Arthralgia Pain Pain in extremity

Symptomtext

In the evening, I was in pain by the elbow and the inside of my arm and it would go down to my hand and it would last from 15 min to 45 min maybe. I thought it was connected to my heart that's why I went to go see the cardiologist. After a month of pain, it gradually got worse. Doctor said he did not think it was the heart and he asked if I had gotten my booster vaccination and I replied yes, he assured that it was not connected to my heart.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: N/A
Vorgeschichte: Heart problems Kidney problems
Andere Medikamente: Plavix 75 mg once a day Crestor 10 mg once a day Euthyrox 50 mg once a day Lisinopril 2.5 mg once a day Myrbetriq 50 mg once a day Tolterodine 2 mg once a day Metoprolol 75 mg once a day
Allergien: Latex
Vorherige Impfungen: -

VAERS 1897062

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: VA
Alter: 42,0
Geschlecht: F
Eingang: 24.11.2021
Impfdatum: 24.08.2021
Beginn: 29.08.2021
Tage bis Beginn: 5,0
Dosis: 2
Route/Site: SYR / RA

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

Blood follicle stimulating hormone increased Blood luteinising hormone increased Blood prolactin normal Fatigue Feeling abnormal Heavy menstrual bleeding Human chorionic gonadotropin Intermenstrual bleeding Menstruation irregular

Symptomtext

I had a heavy period 7 days that was from 8/29/2021 through 9/4/2021. I did not have my period for months afterwards and bloodwork showed hormones fine. During this time I was tired, foggy and on edge. Had my period finally on 11/12/2021 and it stopped on 11/18/2021. My period was heavy with blood clots and it made me really tired. I am still tired. On 11/21/2021 I lost some dark blood and have spotted some since then.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: 10/28/2021 with family doctor at clinic. FSH 6.8, LH 7.2. HCG, Total, QN less than 3. Prolactin 9.6. TSH With/Reflex to FT4 3.03.
Aktuelle Erkrankungen: No illnesses
Vorgeschichte: None
Andere Medikamente: Vitamin C, K, D
Allergien: Allergic to Penicillin medicines and anti-inflammatories
Vorherige Impfungen: -

VAERS 1885930

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: TX
Alter: 42,0
Geschlecht: F
Eingang: 19.11.2021
Impfdatum: 18.11.2021
Beginn: 18.11.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Dry mouth Feeling abnormal Interchange of vaccine products Throat irritation Tongue pruritus

Symptomtext

Patient originally received Janssen vaccine and was here for Moderna booster. The vaccine was administered and she developed ?itchy tongue and throat.? She didn?t have trouble breathing just very dry mouth and ?weird? feeling. I gave her diphenhydramine 25mg and symptoms did not progress. She sat here for 45 minutes and she started feeling better. No other side effects were found.

Weitere VAERSDATA-Felder

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

VAERS 1876813

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: ID
Alter: 63,0
Geschlecht: M
Eingang: 17.11.2021
Impfdatum: 02.10.2021
Beginn: 02.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Headache Nausea Product storage error

Symptomtext

Patient was notified that the vaccine used was drawn up longer than 12 hours. Patient notified by MD. patient offered revaccination and declined. patient had headache and nausea.

Weitere VAERSDATA-Felder

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

VAERS 1853670

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: NJ
Alter: 52,0
Geschlecht: M
Eingang: 09.11.2021
Impfdatum: 19.09.2021
Beginn: 21.09.2021
Tage bis Beginn: 2,0
Dosis: 1
Route/Site: SYR / LA

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

Arthralgia Fatigue Muscular weakness Pain in extremity

Symptomtext

Leg weakness, joint pain all over, sharp foot pain, severe fatigue

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none
Vorgeschichte: heart disease
Andere Medikamente: atorvastatin, omeprazole, bupropion hcl xl, vitamin c, bayer low dose, elderberry, magnesium
Allergien: none
Vorherige Impfungen: -

VAERS 1849816

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: KS
Alter: 21,0
Geschlecht: F
Eingang: 08.11.2021
Impfdatum: 19.08.2021
Beginn: 01.08.2021
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / -

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

Abdominal pain upper Alanine aminotransferase Aspartate aminotransferase Blood phosphorus Computerised tomogram Feeding disorder Hepatic function abnormal Illness Lymphadenopathy Nausea Pruritus Weight loss poor

Symptomtext

enlarged lymph node; nauseous; Her hands became itchy; unable to eat solid food/not able to hold down food; pain (stomach); lost 10 pounds; liver not functioning properly; A little sick/immune system was not liking it very much; This spontaneous case was reported by a consumer and describes the occurrence of ILLNESS (A little sick/immune system was not liking it very much), PRURITUS (Her hands became itchy), FEEDING DISORDER (unable to eat solid food/not able to hold down food), ABDOMINAL PAIN UPPER (pain (stomach)) and WEIGHT LOSS POOR (lost 10 pounds) in a 21-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 19-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In August 2021, the patient experienced ILLNESS (A little sick/immune system was not liking it very much). In September 2021, the patient experienced PRURITUS (Her hands became itchy), FEEDING DISORDER (unable to eat solid food/not able to hold down food), ABDOMINAL PAIN UPPER (pain (stomach)), WEIGHT LOSS POOR (lost 10 pounds), HEPATIC FUNCTION ABNORMAL (liver not functioning properly) and NAUSEA (nauseous). On 24-Sep-2021, the patient experienced LYMPHADENOPATHY (enlarged lymph node). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) in September 2021 for Nausea, at an unspecified dose and frequency; ONDANSETRON in September 2021 for Nausea, at an unspecified dose and frequency and DICYCLOVERINE HYDROCHLORIDE (BENTYL) in September 2021 for Nausea, at an unspecified dose and frequency. At the time of the report, ILLNESS (A little sick/immune system was not liking it very much), PRURITUS (Her hands became itchy), FEEDING DISORDER (unable to eat solid food/not able to hold down food), ABDOMINAL PAIN UPPER (pain (stomach)), WEIGHT LOSS POOR (lost 10 pounds) and NAUSEA (nauseous) outcome was unknown, HEPATIC FUNCTION ABNORMAL (liver not functioning properly) was resolving and LYMPHADENOPATHY (enlarged lymph node) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In September 2021, Alanine aminotransferase: high (High) Alanine aminotransferase was high. In September 2021, Aspartate aminotransferase: high (High) Aspartate aminotransferase was high. In September 2021, Blood phosphorus: high (High) Blood phosphorus was high. On 24-Sep-2021, Computerised tomogram: abnormal (abnormal) Computerised tomogram scan with contrast finding an enlarged lymph node in the lower right quadrant of her stomach region where her liver is located. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. The patient's enzyme levels were returning to normal and her lymph node has returned to normal size.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Abdominal pain upper
Hospital-Tage: -
Labordaten: Test Date: 202109; Test Name: ALT; Result Unstructured Data: Alanine aminotransferase was high; Test Date: 202109; Test Name: AST; Result Unstructured Data: Aspartate aminotransferase was high; Test Date: 202109; Test Name: Phosphate level test; Result Unstructured Data: Blood phosphorus was high; Test Date: 20210924; Test Name: CT Scan; Result Unstructured Data: Computerised tomogram scan with contrast finding an enlarged lymph node in the lower right quadrant of her stomach region where her liver is located
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1846330

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: IL
Alter: 24,0
Geschlecht: F
Eingang: 05.11.2021
Impfdatum: 28.10.2021
Beginn: 29.10.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / RA

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

Abdominal pain upper Chills Diarrhoea Fatigue Pyrexia SARS-CoV-2 test

Symptomtext

I got the shot on Thursday night, and I felt fine and then the next day I started to feel a little more tired. That night, I started to get chills and the normal affects you would get after a shot. Saturday, I woke up and felt a little bit worse with chills, tiredness and fatigue. Sunday night, I got a 100 fever, so I drank a lot of fluids. Then Monday I went to go get a COVID-19 test just in case, I didn't feel as bad but I had diarrhea and stomach pain from Monday to Wednesday and then I felt better on Thursday.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Abdominal pain upper
Hospital-Tage: -
Labordaten: COVID-19 test - results have not come in
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: ELY Ring (birth control) Flonase Fiber supplement
Allergien: Tree nuts
Vorherige Impfungen: -

VAERS 1845321

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: NY
Alter: 98,0
Geschlecht: M
Eingang: 05.11.2021
Impfdatum: 11.08.2021
Beginn: -
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / RA

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

Pyrexia

Symptomtext

Slight Fever; This spontaneous case was reported by a nurse and describes the occurrence of PYREXIA (Slight Fever) in a 98-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. The patient's past medical history included COVID-19. Concurrent medical conditions included Pneumonia, Diabetes, Dysphagia, Cognitive impairment (Mild Cognitive Impairment) and BPH. Concomitant products included RIVASTIGMINE (EXELON PATCH 10) for Dementia, INSULIN GLARGINE (LANTUS) for Diabetes, HYDROCHLOROTHIAZIDE (HYDROCHLOROTHIAZIDE SAR) for Hypertension, OXYCODONE HYDROCHLORIDE (OXYCODONE ACCORD LP) for Pain, CARBIDOPA, LEVODOPA (SINEMET DEPOT) for Parkinson's disease. On 11-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PYREXIA (Slight Fever). The patient was treated with IBUPROFEN for Adverse event, at an unspecified dose and frequency and PARACETAMOL (TYLENOL [PARACETAMOL]) for Adverse event, at an unspecified dose and frequency. At the time of the report, PYREXIA (Slight Fever) outcome was unknown. Not Provided 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. This case was linked to MOD-2021-315627 (Patient Link).

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pyrexia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: BPH; Cognitive impairment (Mild Cognitive Impairment); Diabetes
Vorgeschichte: Medical History/Concurrent Conditions: COVID-19; Dysphagia; Pneumonia
Andere Medikamente: HYDROCHLOROTHIAZIDE SAR; OXYCODONE ACCORD LP; LANTUS; SINEMET DEPOT; EXELON PATCH 10
Allergien: -
Vorherige Impfungen: -

VAERS 1843786

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: PA
Alter: 61,0
Geschlecht: M
Eingang: 04.11.2021
Impfdatum: 27.10.2021
Beginn: 28.10.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / LA

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

Fatigue Pain Tinnitus

Symptomtext

It has been constantly ringing in both of my ears, High-pitched and it is constantly on both ears, I felt very tired when I came home around 8PM, that was very unusual for me, a couple days I was achy, and it lasted about 40 hours and since this has happen, I made an appointment with a doctor and we'll see if we can get some labs done.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: N/A
Vorgeschichte: Diabetic Sleep apnea
Andere Medikamente: Victoza 1.8MG Once a day Humulin 50 Units twice a day Meterman 1000MG twice a day Atorvastatin 40MG once a day Gabapentin 800MG three times a day Enalapril 40MG once a day
Allergien: N/A
Vorherige Impfungen: -

VAERS 1836567

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: KS
Alter: 43,0
Geschlecht: M
Eingang: 02.11.2021
Impfdatum: 29.10.2021
Beginn: 30.10.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / LA

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

Arthralgia Influenza like illness Loss of personal independence in daily activities Myalgia Nausea Pyrexia Vomiting

Symptomtext

Severe muscle pain, flu like symptoms, fever, nausea, vomiting, joint pain, inability to function that day.

Weitere VAERSDATA-Felder

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

VAERS 1800244

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: AR
Alter: 77,0
Geschlecht: F
Eingang: 20.10.2021
Impfdatum: 12.08.2021
Beginn: 12.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / LA

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

Body temperature Chills Insomnia Myalgia Neck pain Pyrexia

Symptomtext

Didn't sleep hardly any; Neck hurt; Chills in the night; Arm was sore; Fever of 101.7; This spontaneous case was reported by a consumer and describes the occurrence of INSOMNIA (Didn't sleep hardly any), NECK PAIN (Neck hurt), CHILLS (Chills in the night), MYALGIA (Arm was sore) and PYREXIA (Fever of 101.7) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 12-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Aug-2021, the patient experienced INSOMNIA (Didn't sleep hardly any), NECK PAIN (Neck hurt), CHILLS (Chills in the night), MYALGIA (Arm was sore) and PYREXIA (Fever of 101.7). At the time of the report, INSOMNIA (Didn't sleep hardly any), NECK PAIN (Neck hurt), CHILLS (Chills in the night), MYALGIA (Arm was sore) and PYREXIA (Fever of 101.7) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 101.7 (High) 101.7. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications were provided by the reporter. No treatment information was provided by the reporter.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: Test Name: Body temperature; Result Unstructured Data: 101.7
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1798703

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: DC
Alter: 35,0
Geschlecht: F
Eingang: 19.10.2021
Impfdatum: 12.10.2021
Beginn: 18.10.2021
Tage bis Beginn: 6,0
Dosis: 1
Route/Site: IM / LA

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

Injection site pruritus Injection site reaction Injection site swelling Injection site warmth

Symptomtext

injection site reaction after 7 days ( arm swollen hot to touch and itchy per patient)

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site pruritus
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: none
Allergien: none
Vorherige Impfungen: -

VAERS 1798059

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: MS
Alter: 54,0
Geschlecht: F
Eingang: 19.10.2021
Impfdatum: 14.08.2021
Beginn: 23.08.2021
Tage bis Beginn: 9,0
Dosis: 1
Route/Site: SYR / RA

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

Blood test Chills Influenza like illness Odynophagia Oropharyngeal pain Pain Pyrexia Thyroid mass Thyroiditis subacute Ultrasound scan

Symptomtext

Sore throat to swallow surrounding esophagus approximately August 23rd, about three weeks after the first vaccine. Mild flu-like symptoms in the evenings at the onset of sore throat. After a visit to my primary physician, an ultrasound showed multiple nodes on my thyroid gland, and was prescribed four days of prednisone to "calm it down". Felt good for about 6 days and then the soreness returned in my throat/neck area. I was referred to an endocrinologist to have a closer look at the largest node of 1.6 cm. I was unable to see the endocrinologist until October 12th. I was scheduled to take my second shot on September 11, 2021, and I took it on September 12, 2021. I have typical second covid-19 vaccine symptoms that lasted only about 12 hours. However, the days following my throat became more and more tender, sore and at times throbbed. I began to have evening flu-like symptoms to the point of taking medication to mitigate fever, aches, and chills. I began researching thyroid symptoms from the website and felt that maybe I was suffering from Subacute Thyroiditis. The treatment was high doses of aspirin or ibuprofen. On October 4th I began taking 600 mg of ibuprofen each day at 1:00 p.m. I discontinued this Sunday, October 10, 2021, and was surprised that my symptoms did not return. I saw the endocrinologist on October 12th, where I underwent blood testing and ultrasound to determine what might be going on. The endocrinologist confirmed that I indeed had Subacute Thyroiditis. Due to the fact that I have no family history and no previous history of thyroid issues, he diagnosis was that it was related to me taking the covid-19 vaccine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: blood tests and ultrasound and manual examination
Aktuelle Erkrankungen: fluid on ears
Vorgeschichte: none
Andere Medikamente: Vitamin D, multi-vitamin and low dose aspirin
Allergien: none
Vorherige Impfungen: -

VAERS 1772221

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: UT
Alter: 23,0
Geschlecht: F
Eingang: 08.10.2021
Impfdatum: 10.09.2021
Beginn: 11.09.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: SYR / RA

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

Burning sensation Cardiac flutter Chills Fatigue Inflammation Pain Pain in extremity Piloerection Pyrexia

Symptomtext

The evening of Sept 10, I began to feel achy and tired, with my right arm being very painful to move. The next day, I had a slight fever in the morning and the achiness was worse, but I expected it. By around 12:30 pm, the effects hit me like a truck. My fever spiked even more, and the achiness turned into a burning ache all along my spine and into my lower ribs that was torturous, since I couldn't make it stop or get away from it. I was prescribed 5mg of prednisone twice a day to help calm down the inflammation and reaction in my body. The next day, my fever was broken and the ache was lessened. It had returned to just the fatigue and heart flutter. However, for about a week after Sept 10, I would get a sensation primarily on my neck and down onto my chest. It felt like the chills running through my body, except it was like needles stabbing me all over in a wave across those areas. It sometimes just randomly happen, but if something caused me to get what normally would've been the chills or goose bumps, I felt that sensation instead.

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Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: Sore throat because of smoke/poor air quality.
Vorgeschichte: None
Andere Medikamente: None
Allergien: Cephalexin
Vorherige Impfungen: -

VAERS 1771115

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: NY
Alter: 65,0
Geschlecht: F
Eingang: 08.10.2021
Impfdatum: 25.09.2021
Beginn: 25.09.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / LA

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

Ageusia Body temperature Headache Nausea Oral mucosal erythema Pyrexia Stomatitis Vaccination site movement impairment Vaccination site pain

Symptomtext

I had no taste. It was like when I had Covid, but it was different.; I have sections of mouth that have sores; On the bottom of my mouth I see, like a red line; fever of 102?F; headache; I was nauseous; My arm, it hurt so much; My arm was like it was paralyzed, I could barely move it - it hurt so much; This spontaneous case was reported by a health care professional and describes the occurrence of VACCINATION SITE MOVEMENT IMPAIRMENT (My arm was like it was paralyzed, I could barely move it - it hurt so much), AGEUSIA (I had no taste. It was like when I had Covid, but it was different.), STOMATITIS (I have sections of mouth that have sores), ORAL MUCOSAL ERYTHEMA (On the bottom of my mouth I see, like a red line) and PYREXIA (fever of 102?F) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COVID-19 on 26-May-2021. On 25-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 25-Sep-2021, the patient experienced VACCINATION SITE MOVEMENT IMPAIRMENT (My arm was like it was paralyzed, I could barely move it - it hurt so much), PYREXIA (fever of 102?F), HEADACHE (headache), NAUSEA (I was nauseous) and VACCINATION SITE PAIN (My arm, it hurt so much). On 27-Sep-2021, the patient experienced AGEUSIA (I had no taste. It was like when I had Covid, but it was different.), STOMATITIS (I have sections of mouth that have sores) and ORAL MUCOSAL ERYTHEMA (On the bottom of my mouth I see, like a red line). The patient was treated with ETHANOL, THYMOL (LISTERINE ANTISEPTIC) for Adverse event, at an unspecified dose and frequency. At the time of the report, VACCINATION SITE MOVEMENT IMPAIRMENT (My arm was like it was paralyzed, I could barely move it - it hurt so much), AGEUSIA (I had no taste. It was like when I had Covid, but it was different.), STOMATITIS (I have sections of mouth that have sores), ORAL MUCOSAL ERYTHEMA (On the bottom of my mouth I see, like a red line), PYREXIA (fever of 102?F), HEADACHE (headache), NAUSEA (I was nauseous) and VACCINATION SITE PAIN (My arm, it hurt so much) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 25-Sep-2021, Body temperature: 102?f (High) 102?F. 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 provided by reporter. Patient has used sea salt for the treatment.; Sender's Comments: This case concerns a 65 year-old, female patient with no relevant medical history, who experienced the non serious unexpected adverse event of special interest of Ageusia. The event occurred approximately 3 days after the first dose of Moderna COVID-19 vaccine. The rechallenge was unknown since the event occurred after the first dose. The benefit-risk relationship of Moderna COVID-19 vaccine is not affected by this report.

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Praegender Schweregrund: Headache
Hospital-Tage: -
Labordaten: Test Date: 20210925; Test Name: Body temperature; Result Unstructured Data: 102?F
Aktuelle Erkrankungen: -
Vorgeschichte: Medical History/Concurrent Conditions: COVID-19
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1765341

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: NC
Alter: 26,0
Geschlecht: F
Eingang: 06.10.2021
Impfdatum: 21.09.2021
Beginn: 22.09.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: SYR / RA

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

Chest discomfort Chills Oesophageal achalasia Pyrexia

Symptomtext

Chills, Fever, Achy, Small amount of chest discomfort

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Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: N/a
Aktuelle Erkrankungen: No
Vorgeschichte: No
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 1764038

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: CT
Alter: 24,0
Geschlecht: F
Eingang: 06.10.2021
Impfdatum: 13.08.2021
Beginn: 11.09.2021
Tage bis Beginn: 29,0
Dosis: 1
Route/Site: OT / LA

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

Hemiparesis Limb discomfort Pain

Symptomtext

This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of HEMIPARESIS (The left side of her body was not functioning.) in a 24-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 002F21A and 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 13-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 10-Sep-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 11-Sep-2021, the patient experienced HEMIPARESIS (The left side of her body was not functioning.) (seriousness criterion medically significant), LIMB DISCOMFORT (She could not use her arm/She kept her arm at a 50 degree angle) and LIMB DISCOMFORT (She could not use her leg). On 16-Sep-2021, the patient experienced PAIN (Had a shooting pain from her fingertips to the very beginning of her neck). At the time of the report, HEMIPARESIS (The left side of her body was not functioning.), PAIN (Had a shooting pain from her fingertips to the very beginning of her neck) and LIMB DISCOMFORT (She could not use her arm/She kept her arm at a 50 degree angle) outcome was unknown and LIMB DISCOMFORT (She could not use her leg) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication was given. Laboratory data was mentioned as patient done the bloodwork on 24 Sep 2021 but results were not given. No treatment medication was given. It was reported that on 11 Sep 2021, the left side of her body was not functioning. She could not use her leg or arm. She kept her arm at a 50 degree angle because if she moved it, she had a shooting pain from her fingertips to the very beginning of her neck. The leg got better around 16 Sep 2021. She saw her doctor on 24 Sep 2021 and would have bloodwork done and was being sent to a neurologist to see if a nerve was hit. Date of end of reaction/event for the event the left side of her body was not functioning and she could not use her leg was reported as 16 Sep 2021. Company Comment: This case concerns a 24-year-old, female patient with no previous relevant medical history reported, who experienced the unexpected event of hemiparesis. The event occurred 1 days after the second dose of mRNA-1273. The rechallenge was not applicable since the event happened after the second dose. The benefit-risk relationship of mRNA-1273 is not affected by this report. Further information was requested.; Sender's Comments: This case concerns a 24-year-old, female patient with no previous relevant medical history reported, who experienced the unexpected event of hemiparesis. The event occurred 1 days after the second dose of mRNA-1273. The rechallenge was not applicable since the event happened after the second dose. The benefit-risk relationship of mRNA-1273 is not affected by this report. Further information was requested.

Weitere VAERSDATA-Felder

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

VAERS 1759665

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: CO
Alter: 43,0
Geschlecht: M
Eingang: 04.10.2021
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

Fatigue Inappropriate schedule of product administration

Symptomtext

PT RECEIVED VACCINE AT DAY 22 INSTEAD OF DAY 28. PT REPORTS ONLY FATIGUE

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Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: NO
Vorgeschichte: NO
Andere Medikamente: NO
Allergien: NO
Vorherige Impfungen: -

VAERS 1757114

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: HI
Alter: 54,0
Geschlecht: M
Eingang: 03.10.2021
Impfdatum: 21.08.2021
Beginn: 02.09.2021
Tage bis Beginn: 12,0
Dosis: 1
Route/Site: IM / RA

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

Arthralgia Chills Inflammation Pain Pyrexia Swelling

Symptomtext

Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Fever-Medium, Systemic: Joint Pain-Medium, Additional Details: Reports low grade fever (temp>99.8) & chills on Day 12 after 1st dose, lasting 3 days. Reports swelling/inflammation on Day 14, lasting til 10/1. Started with right knee, then right foot (big toe & ankle), then left wrist and ring finger. Pt alternated APAP 500mg BID and Motrin 800mg TID to help with pain/body aches/swelling. Pt does not take any maintenance medication, has history of gout (1-2 flares per year, not treated with meds).

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

VAERS 1751882

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: 50,0
Geschlecht: M
Eingang: 01.10.2021
Impfdatum: 07.08.2021
Beginn: 07.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / RA

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

Vaccination site pain

Symptomtext

sore right injection site arm; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (sore right injection site arm) in a 50-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 07-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Aug-2021, the patient experienced VACCINATION SITE PAIN (sore right injection site arm). At the time of the report, VACCINATION SITE PAIN (sore right injection site arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. No treatment medications were reported. This case was linked to MOD-2021-327938 (Patient Link).

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

VAERS 1747775

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: GA
Alter: 54,0
Geschlecht: F
Eingang: 30.09.2021
Impfdatum: 05.08.2021
Beginn: 17.09.2021
Tage bis Beginn: 43,0
Dosis: 1
Route/Site: OT / -

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

Arthralgia Body temperature Headache Illness Muscle spasms Myalgia Nausea Vaccination complication

Symptomtext

we're still sick from that shot; she has terrible muscle pain; nausea; headache; joint pain; we had a real adverse reaction to it; spasms; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (we had a real adverse reaction to it), ILLNESS (we're still sick from that shot), MYALGIA (she has terrible muscle pain), MUSCLE SPASMS (spasms) and NAUSEA (nausea) in a 54-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 051E21A and 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter . Concomitant products included PAROXETINE for an unknown indication. On 05-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-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 VACCINATION COMPLICATION (we had a real adverse reaction to it), MYALGIA (she has terrible muscle pain), MUSCLE SPASMS (spasms), NAUSEA (nausea), HEADACHE (headache) and ARTHRALGIA (joint pain). On 20-Sep-2021, the patient experienced ILLNESS (we're still sick from that shot). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency. At the time of the report, VACCINATION COMPLICATION (we had a real adverse reaction to it), ILLNESS (we're still sick from that shot), MYALGIA (she has terrible muscle pain), MUSCLE SPASMS (spasms), NAUSEA (nausea), HEADACHE (headache) and ARTHRALGIA (joint pain) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 17-Sep-2021, Body temperature: 102 (High) Patient had highest temperature she recorded was 102 degrees Fahrenheit.. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: Test Date: 20210917; Test Name: Body temperature; Result Unstructured Data: Patient had highest temperature she recorded was 102 degrees Fahrenheit.
Aktuelle Erkrankungen: -
Vorgeschichte: Comments: No medical history was provided by the reporter
Andere Medikamente: PAROXETINE
Allergien: -
Vorherige Impfungen: -

VAERS 1747733

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: NJ
Alter: 28,0
Geschlecht: F
Eingang: 30.09.2021
Impfdatum: 20.08.2021
Beginn: 01.09.2021
Tage bis Beginn: 12,0
Dosis: 1
Route/Site: OT / -

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

Vaccination site erythema Vaccination site pain Vaccination site rash

Symptomtext

a rash underneath the arm pit where she got the shot; is burning; bright red; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE RASH (a rash underneath the arm pit where she got the shot), VACCINATION SITE PAIN (is burning) and VACCINATION SITE ERYTHEMA (bright red) in a 28-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 058E21A and 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 20-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 17-Sep-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 2 dosage form. In September 2021, the patient experienced VACCINATION SITE RASH (a rash underneath the arm pit where she got the shot), VACCINATION SITE PAIN (is burning) and VACCINATION SITE ERYTHEMA (bright red). The patient was treated with ZINC OXIDE (BALMEX [ZINC OXIDE]) for Adverse event, at an unspecified dose and frequency. At the time of the report, VACCINATION SITE RASH (a rash underneath the arm pit where she got the shot), VACCINATION SITE PAIN (is burning) and VACCINATION SITE ERYTHEMA (bright red) outcome was unknown. Patient was not allergic to any component of the vaccine. Patient had used cold compresses and lotion. Patient stopped using the remedies because it was burring. Concomitant medication use was unknown

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

VAERS 1734588

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: 67,0
Geschlecht: F
Eingang: 25.09.2021
Impfdatum: 14.09.2021
Beginn: 14.09.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: - / -

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

Abdominal discomfort Extra dose administered Headache Interchange of vaccine products

Symptomtext

Patient inadvertently received 4 doses of covid vaccines. She completed series of Pfizer in January and then received a complete series of Moderna (8/16/21 and 9/14/21). Patient reported only minor side effects (mild headache and upset stomach)

Weitere VAERSDATA-Felder

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

VAERS 1733869

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: WA
Alter: 70,0
Geschlecht: F
Eingang: 25.09.2021
Impfdatum: 25.08.2021
Beginn: 02.09.2021
Tage bis Beginn: 8,0
Dosis: 1
Route/Site: OT / RA

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

Myalgia Pain in extremity Peripheral swelling Scab Vaccination site mass Vaccination site pruritus Vaccination site rash Vaccination site reaction Vaccination site warmth

Symptomtext

tiny scab; Right arm swollen; sore arm; Red rash (4" x 5") on Injection Site; Itchy Injection Site; Warm to touch Injection Site; lumpy Injection Site; Pain in the right arm; COVID Arm (Right arm); This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (Warm to touch Injection Site), VACCINATION SITE MASS (lumpy Injection Site), PAIN IN EXTREMITY (Pain in the right arm), VACCINATION SITE REACTION (COVID Arm (Right arm)) and SCAB (tiny scab) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Pre-diabetes (Improved by 07/2021 from 6.2-5.8 A1C) since August 2020, High cholesterol since August 2019, AFib since 2019, Diverticulosis (Hospitalized 11/2020 - no surgery. Antibiotics & Prednisone) since February 2021, GERD since 1995, Flu vaccination (DIZZINESS for a couple of days (stopped having flu vaccines after this)) in October 2018, Drug allergy (Allergic to drug COMPAZINE ("TEXTBOOK REACTION" - Drug given for vomiting during pregnancy - antidote given in ER)) in May 1975 and Drug allergy (Allergic to augmentin) in November 2020. Concomitant products included APIXABAN (ELIQUIS) and METOPROLOL for AFib, ATORVASTATIN CALCIUM TRIHYDRATE (ATORVASTATIN [ATORVASTATIN CALCIUM TRIHYDRATE]) for Cholesterol, OMEPRAZOLE SODIUM (OMEPRAZOLE [OMEPRAZOLE SODIUM]) and PANTOPRAZOLE for GERD, MATURE MULTIVITAMINS, CALCIUM, CYANOCOBALAMIN, FOLIC ACID (VITAMIN B12 & FOLIC ACID), VITAMIN D3 and PSYLLIUM HYDROPHILIC MUCILLOID (METAMUCIL [PSYLLIUM HYDROPHILIC MUCILLOID]) for Gastroenterologist consultation. On 25-Aug-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 VACCINATION SITE WARMTH (Warm to touch Injection Site), VACCINATION SITE MASS (lumpy Injection Site), PAIN IN EXTREMITY (Pain in the right arm), VACCINATION SITE REACTION (COVID Arm (Right arm)), VACCINATION SITE RASH (Red rash (4" x 5") on Injection Site) and VACCINATION SITE PRURITUS (Itchy Injection Site). On an unknown date, the patient experienced SCAB (tiny scab), PERIPHERAL SWELLING (Right arm swollen) and MYALGIA (sore arm). The patient was treated with ETHANOL (ALCOHOL RUBBING) from 02-Sep-2021 to 06-Sep-2021 at a dose of UNK, bid. On 05-Sep-2021, VACCINATION SITE MASS (lumpy Injection Site) and VACCINATION SITE RASH (Red rash (4" x 5") on Injection Site) had resolved. On 11-Sep-2021, SCAB (tiny scab) had resolved. At the time of the report, VACCINATION SITE WARMTH (Warm to touch Injection Site), PAIN IN EXTREMITY (Pain in the right arm), VACCINATION SITE REACTION (COVID Arm (Right arm)), PERIPHERAL SWELLING (Right arm swollen), VACCINATION SITE PRURITUS (Itchy Injection Site) and MYALGIA (sore arm) 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. Treatment included Warm Packs & Alcohol Rub for 2 days. On NOV-2020 the patient diagnosed with heat rash and ER result was unknown and also COVID ARM diagnosis was made through conversations. The patient has given Warm Packs treatment from 02-sep-2021 to 06-sep-2021 two times per day. Most recent FOLLOW-UP information incorporated above includes: On 17-Sep-2021: Added new events, medical history and concomitant products On 18-Sep-2021: Significant follow up received on 18-SEP-2021. Consumer consent form attached. HCP contact details updated.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Myalgia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: AFib; Diverticulosis (Hospitalized 11/2020 - no surgery. Antibiotics & Prednisone); GERD; High cholesterol; Pre-diabetes (Improved by 07/2021 from 6.2-5.8 A1C).
Vorgeschichte: Medical History/Concurrent Conditions: Drug allergy (Allergic to drug COMPAZINE ("TEXTBOOK REACTION" - Drug given for vomiting during pregnancy - antidote given in ER)); Drug allergy (Allergic to augmentin); Flu vaccination (DIZZINESS for a couple of days (stopped having flu vaccines after this)).
Andere Medikamente: Eliquis; Metoprolol; Atorvastatin [Atorvastatin Calcium Trihydrate]; Omeprazole [Omeprazole Sodium]; Pantoprazole; Mature Multivitamins; Calcium; Vitamin B12 & Folic Acid; Vitamin D3; Metamucil [Psyllium Hydrophilic Mucilloid]
Allergien: -
Vorherige Impfungen: -

VAERS 1733309

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: FL
Alter: 39,0
Geschlecht: F
Eingang: 25.09.2021
Impfdatum: 09.09.2021
Beginn: 17.09.2021
Tage bis Beginn: 8,0
Dosis: 2
Route/Site: SYR / LA

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

Blood test normal Burning sensation Pain SARS-CoV-2 test negative

Symptomtext

Extreme burning sensation starting over a week after second dose and has continued throughout the entire body and has increased in intensity. It feels like a sunburn under the skin or as if I had shingles all over my body. Pain level 8/9.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain
Hospital-Tage: -
Labordaten: Blood tests resulted in nothing. Covid test was done and was negative. Brain MRI is pending.
Aktuelle Erkrankungen: Asthma
Vorgeschichte: Neck and back pain
Andere Medikamente: Albuterol, percocet, tizanidine, temazepam, lorazapam, gabipentin, imitrex
Allergien: Sulfa, Chantix, lidocaine, excedrine
Vorherige Impfungen: Hepatitis B series during early teens. Was home sick in bed for a week during each vaccine.

VAERS 1730719

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: CA
Alter: 33,0
Geschlecht: F
Eingang: 24.09.2021
Impfdatum: 20.08.2021
Beginn: 20.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / -

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

Abdominal pain upper Appendicitis Bedridden Crying Dysstasia Pain Vaccination site pain Vaccination site swelling

Symptomtext

appendix was rotting really quickly / It was super inflammed but getting to the point of bursting; She was in bed for a week; Crying; couldn't stand up straight; I was getting extreme pain in the lower right quadrant of my stomach; tried to sleep and ignore the pain but it got worse/it was hard to lay on the side/was hard to lay down; her arm was a little sore; there was a bump in it; This spontaneous case was reported by a consumer and describes the occurrence of APPENDICITIS (appendix was rotting really quickly / It was super inflammed but getting to the point of bursting) in a 34-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Appendectomy (Patient appendix was rotting really quickly, so underwent emergency surgery.). Concomitant products included ZINC, VITAMIN D NOS, VITAMIN B12 NOS, VITAMIN C [ASCORBIC ACID] and FEXOFENADINE HYDROCHLORIDE (ALLEGRA) for an unknown indication. On 20-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Aug-2021, the patient experienced VACCINATION SITE PAIN (her arm was a little sore) and VACCINATION SITE SWELLING (there was a bump in it). On 21-Aug-2021, the patient experienced ABDOMINAL PAIN UPPER (I was getting extreme pain in the lower right quadrant of my stomach) and PAIN (tried to sleep and ignore the pain but it got worse/it was hard to lay on the side/was hard to lay down). On 22-Aug-2021, the patient experienced DYSSTASIA (couldn't stand up straight) and CRYING (Crying). On an unknown date, the patient experienced APPENDICITIS (appendix was rotting really quickly / It was super inflammed but getting to the point of bursting) (seriousness criteria hospitalization prolonged and medically significant) and BEDRIDDEN (She was in bed for a week). At the time of the report, APPENDICITIS (appendix was rotting really quickly / It was super inflammed but getting to the point of bursting), ABDOMINAL PAIN UPPER (I was getting extreme pain in the lower right quadrant of my stomach), PAIN (tried to sleep and ignore the pain but it got worse/it was hard to lay on the side/was hard to lay down), DYSSTASIA (couldn't stand up straight) and CRYING (Crying) had resolved and VACCINATION SITE PAIN (her arm was a little sore), VACCINATION SITE SWELLING (there was a bump in it) and BEDRIDDEN (She was in bed for a week) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No treatment medication information was mentioned by reporter. Her physician doesn't think appendicitis was related to the vaccine. Company Comment: This case concers a 34 year old female patient with no medical history reported, who experience the unexpected event of appendicitis after firs dose of mRNA-1273. The rechallenge was not applicable, as the event happened after the first dose. The event was considered not related to the product as per her physician. The benefit-risk relationship of Spikevax is not affected by this report.; Sender's Comments: This case concers a 34 year old female patient with no medical history reported, who experience the unexpected event of appendicitis after firs dose of mRNA-1273. The rechallenge was not applicable, as the event happened after the first dose. The event was considered not related to the product as per her physician. The benefit-risk relationship of Spikevax is not affected by this report.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Abdominal pain upper
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Medical History/Concurrent Conditions: Appendectomy (Patient appendix was rotting really quickly, so underwent emergency surgery.)
Andere Medikamente: ZINC; VITAMIN D NOS; VITAMIN B12 NOS; VITAMIN C [ASCORBIC ACID]; ALLEGRA
Allergien: -
Vorherige Impfungen: -

VAERS 1730225

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: UT
Alter: 55,0
Geschlecht: F
Eingang: 24.09.2021
Impfdatum: 25.08.2021
Beginn: 29.08.2021
Tage bis Beginn: 4,0
Dosis: 1
Route/Site: OT / LA

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

Arthralgia Inflammation Pain in extremity Rash

Symptomtext

shooting pain from shoulder down to hand; rash is inflamed; shooting pain from shoulder down to hand; developed a rash on her left arm extending from arm to elbow and upto shoulder; This spontaneous case was reported by a pharmacist and describes the occurrence of PAIN IN EXTREMITY (shooting pain from shoulder down to hand), INFLAMMATION (rash is inflamed), RASH (developed a rash on her left arm extending from arm to elbow and upto shoulder) and ARTHRALGIA (shooting pain from shoulder down to hand) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 25-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 29-Aug-2021, the patient experienced RASH (developed a rash on her left arm extending from arm to elbow and upto shoulder). On an unknown date, the patient experienced PAIN IN EXTREMITY (shooting pain from shoulder down to hand), INFLAMMATION (rash is inflamed) and ARTHRALGIA (shooting pain from shoulder down to hand). The patient was treated with SULFAMETHOXAZOLE, TRIMETHOPRIM (BACTRIM DS) at an unspecified dose and frequency and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (shooting pain from shoulder down to hand), INFLAMMATION (rash is inflamed) and ARTHRALGIA (shooting pain from shoulder down to hand) outcome was unknown and RASH (developed a rash on her left arm extending from arm to elbow and upto shoulder) 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. Patient used Ice for treatment medication. No Concomitant medication has been provided by reporter.

Weitere VAERSDATA-Felder

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

VAERS 1727012

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: NC
Alter: 65,0
Geschlecht: F
Eingang: 23.09.2021
Impfdatum: 12.08.2021
Beginn: 03.09.2021
Tage bis Beginn: 22,0
Dosis: 1
Route/Site: SYR / RA

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

Gingival pain Herpes zoster Pain Pruritus Skin lesion

Symptomtext

The left side of my face beside my nose started itching on Friday Morning around 2:30 am and I had lesions by the time I was able to be a walk-in patient at doctor office on Tuesday, September 7, 2021. (Closed Monday Labor Day). Dr. diagnose me with shingles and prescribed Valacyclovir HCL to be taken 3 times a d day for 14 days. My second dose was to be on 9/9/21, but was not done due to full blown shingles on the left side of my face, lips, and hairline.. On September 16, 2021, I was given the second dose. On Saturday morning, 9/18/21, my gums on the left side of my face started aching with a stabbing pain like a tooth ache. After contacting. my local dentist to find that the office was closed and five other local dentist, I found another dentist that would see me at 1:30 Monday Morning. 9/20.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Gingival pain
Hospital-Tage: -
Labordaten: Shingles- No cavities- Nerves from Shingles
Aktuelle Erkrankungen: Type 2 Diabetes,
Vorgeschichte: none
Andere Medikamente: Janumet, Jardiance, Tresiba, Atenolol, Ramipril, Rosuvastatin, CoQ10, Tylenol
Allergien: Niacin
Vorherige Impfungen: -

VAERS 1726889

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: CA
Alter: 73,0
Geschlecht: F
Eingang: 23.09.2021
Impfdatum: 04.09.2021
Beginn: 05.09.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / RA

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

Arthralgia Decreased appetite Extra dose administered Fatigue Food intolerance Fungal infection Influenza like illness Pain Pruritus

Symptomtext

After getting the 3rd dose, within a couple of hours, I had flu like symptoms, no appetite, tired and achy. This lasted for a few days. Then I started getting itching on my scalp and under my breast. My joints started hurting everywhere followed by extreme fatigue and no appeitite. The itching worsen especially on my scalp. I did go see my doctor. The doctor says it looks like yeast and I was prescribed medication for my scalp and a cream to apply under my breast. I now notice that I can not tolerate food with yeast, for example, wine, beer, baked goods, and breads.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none
Vorgeschichte: Sclerderma
Andere Medikamente: Valsartan; Estradiol; Flaxseed oil; Levothyroxine; Valcyclovir; Diclofenac, Pravastatin; Medimmune; amlodipine; metoprolol; tumeric, Lutein eye vitamins; Zyrtec
Allergien: none
Vorherige Impfungen: -

VAERS 1722796

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: VA
Alter: 31,0
Geschlecht: F
Eingang: 22.09.2021
Impfdatum: 09.08.2021
Beginn: 09.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / -

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

Abortion spontaneous Exposure during pregnancy Fatigue Foetal growth restriction Ultrasound antenatal screen abnormal

Symptomtext

I was pregnant, due date was March 31,2022. I got the vaccine on August 9, 2021 when I was almost 7 weeks pregnant. I felt no symptoms, just tired. Then a few days later I no longer felt pregnant. I had lost all of my pervious pregnancy symptoms. My first prenatal appointment was August 30, 2021. The midwife performed an ultrasound to determine approximately how far along I was and discovered that the sack was empty. It appeared that based on the size of the sack the baby stopped growing at approximately 7 weeks. I had had a silent miscarriage.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: August 30, 2021 - ultrasound
Aktuelle Erkrankungen: Na
Vorgeschichte: Na
Andere Medikamente: One a day prenatal pills
Allergien: Na
Vorherige Impfungen: -

VAERS 1719117

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: TN
Alter: 34,0
Geschlecht: F
Eingang: 21.09.2021
Impfdatum: 14.08.2021
Beginn: 21.08.2021
Tage bis Beginn: 7,0
Dosis: 1
Route/Site: - / LA

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

Injection site erythema Injection site pruritus Injection site swelling

Symptomtext

reported swelling redness and itch at injection site for 3 days occurred 1 week after vaccination

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: unknown
Vorgeschichte: unknown
Andere Medikamente: unknown
Allergien: no
Vorherige Impfungen: -

VAERS 1713976

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: -
Alter: 44,0
Geschlecht: F
Eingang: 19.09.2021
Impfdatum: 15.09.2021
Beginn: 16.09.2021
Tage bis Beginn: 1,0
Dosis: UNK
Route/Site: UN / -

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

Feeling abnormal Headache Memory impairment Pain

Symptomtext

Overall body aches headache memory issues brain fog

Weitere VAERSDATA-Felder

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

VAERS 1709669

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: NJ
Alter: 46,0
Geschlecht: F
Eingang: 17.09.2021
Impfdatum: 08.09.2021
Beginn: 08.09.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: - / -

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

Ageusia Dysgeusia Hypersensitivity Peripheral swelling Pharyngeal swelling Pruritus

Symptomtext

Arm swelled up 2 hours after shot. Sense of taste lost, metallic taste in the evening of the day of vaccination. Fingertips and throat swollen a day after. Patient also reports felt itchy all over. Patient reports having used Benadryl which helped but was allergic to that also as she experienced a feeling of welling in the throat. Patient reports has EpiPen but expired but didn't need to use it. Patient also reports has consulted with multiple doctors to see what the issue is and felt that it might have been PEG polyethylene glycol

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: none reported by patient
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: None reported by patient and none filled at pharmacy
Allergien: aspirin, codeine, penicillins, PEG, and possibly more per patient. Patient reported allergies to Benadryl thereafter, having used it after the allergic reaction to Moderna
Vorherige Impfungen: -

VAERS 1708821

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: LA
Alter: 38,0
Geschlecht: F
Eingang: 17.09.2021
Impfdatum: 20.08.2021
Beginn: 17.09.2021
Tage bis Beginn: 28,0
Dosis: 1
Route/Site: IM / RA

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

Arthralgia Pain in extremity

Symptomtext

Patient came in for her 2nd dose and said her arm has shooting pain down to her wrist when I asked how her 1st dose went. She said it started after she got her 1st dose.

Weitere VAERSDATA-Felder

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

VAERS 1707626

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: TX
Alter: 65,0
Geschlecht: F
Eingang: 17.09.2021
Impfdatum: 24.08.2021
Beginn: 24.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Injection site pain Pain

Symptomtext

Site: Pain at Injection Site-Severe, Additional Details: Pt said she have been experiencing a throbbing pain on her arm after receiving the vaccine that doesn't go away. It's has been more than 3 weeks and she is experiencing the pain and would like to be contacted.

Weitere VAERSDATA-Felder

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

VAERS 1707360

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: KY
Alter: 49,0
Geschlecht: M
Eingang: 17.09.2021
Impfdatum: 15.08.2021
Beginn: 16.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: OT / LA

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

Fatigue Myalgia

Symptomtext

sore arm; felt tired; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (sore arm) and FATIGUE (felt tired) in a 49-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 15-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Aug-2021, the patient experienced MYALGIA (sore arm) and FATIGUE (felt tired). On 18-Aug-2021, FATIGUE (felt tired) had resolved. On 19-Aug-2021, MYALGIA (sore arm) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications were provided by reporter. No treatment details were provided by reporter.

Weitere VAERSDATA-Felder

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

VAERS 1707082

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: MS
Alter: 55,0
Geschlecht: F
Eingang: 17.09.2021
Impfdatum: 19.08.2021
Beginn: 19.08.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / -

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

Inappropriate schedule of product administration Myalgia

Symptomtext

A little sore arm after third dose; Second dose on 07-APR-2021 and the third dose on 19-AUG-2021; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (A little sore arm after third dose) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Second dose on 07-APR-2021 and the third dose on 19-AUG-2021) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. Concurrent medical conditions included Psoriasis and Autoimmune disorder. Concomitant products included RISANKIZUMAB RZAA (SKYRIZI [RISANKIZUMAB RZAA]) for an unknown indication. On 19-Aug-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 19-Aug-2021, the patient experienced MYALGIA (A little sore arm after third dose) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Second dose on 07-APR-2021 and the third dose on 19-AUG-2021). On 19-Aug-2021, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Second dose on 07-APR-2021 and the third dose on 19-AUG-2021) had resolved. On 21-Aug-2021, MYALGIA (A little sore arm after third dose) had resolved. Patient took Skyrizi injection in Feb 2021 (600mg) and May 2021 (300mg) and she was scheduled to have another Skyrizi injection in Sep 2021. Treatment Information was not provided. This case was linked to MOD-2021-307186, MOD-2021-307235 (Patient Link).

Weitere VAERSDATA-Felder

Praegender Schweregrund: Myalgia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Autoimmune disorder; Psoriasis
Vorgeschichte: -
Andere Medikamente: SKYRIZI
Allergien: -
Vorherige Impfungen: -

VAERS 1704461

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: AK
Alter: 20,0
Geschlecht: M
Eingang: 16.09.2021
Impfdatum: 07.09.2021
Beginn: 14.09.2021
Tage bis Beginn: 7,0
Dosis: 1
Route/Site: SYR / LA

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

Injection site erythema Injection site swelling

Symptomtext

Red and kind of puffy around injection site and injection site hole is still not entirely healed.

Weitere VAERSDATA-Felder

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

VAERS 1700559

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: LA
Alter: 44,0
Geschlecht: F
Eingang: 15.09.2021
Impfdatum: 14.08.2021
Beginn: 19.08.2021
Tage bis Beginn: 5,0
Dosis: 1
Route/Site: - / LA

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

Blood creatine phosphokinase increased C-reactive protein increased Chest X-ray normal Electrocardiogram normal Fatigue Feeling abnormal Glomerular filtration rate decreased Muscle rigidity Muscle spasms Myalgia Pain Pain in extremity

Symptomtext

Reports two hours after vaccination began having arm pain which progressed to full body aches, muscle spasms, muscle pain/tenderness, fatigue the following day. Was seen in the ED on 8/29/21; received 2 L NS in ED, KCL 40 mEq PO x1, and plan was to continue NS with KCL supp however patient went home early due to impending storm. She continued to feel poorly. Followed up with PCP (me) with continued complaints; labs repeated, not improved, patient now complaining of rigidity; was sent back to ER for further management.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: 8/29/21 - CPK 3331, Cr 1.3, eGFR 58, K 3.1; CXR WNL, ECG: NSR 9/13/21 - CPK 3420, Cr 1.46, eGFR 50
Aktuelle Erkrankungen: None reported
Vorgeschichte: Graves disease, acquired hypothyroidism (noncompliant with Synthroid) Hypertension (reported noncompliance with lisinopril-hctz)
Andere Medikamente: None
Allergien: NKDA
Vorherige Impfungen: -

VAERS 1696070

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: TX
Alter: 45,0
Geschlecht: F
Eingang: 14.09.2021
Impfdatum: 31.08.2021
Beginn: 01.09.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: IM / LA

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

Arthralgia Back pain Headache Pain Pain in extremity

Symptomtext

Daily several head aches that are quite severe , and my legs and joints are always aching very painful to move around! My knees and elbows and lower back seem to be hurting now. I?ve never had these issues in the past and if so it would have been from exercise or something else. And would go away, but these symptoms are not going away. Also this second shot made me so awful sick the next day after it. Whereas the first shot I had no adverse effects none whatsoever except a sore arm and a little bit dizzy and mild headaches a few days.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: Have not seen anyone yet. No health insurance.
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 1695322

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: TX
Alter: 69,0
Geschlecht: F
Eingang: 13.09.2021
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

Myalgia Peripheral swelling Pruritus Rash erythematous Tenderness Vaccination site erythema Vaccination site pain

Symptomtext

swelling in the arm; tenderness; Moderna red rash\started experiencing a red rash on my arm; soreness; still experiencing pain at the injection site.; redness at the injection site that was about 2 inch big,redness at the injection site that got bigger about 4 inch; iitching on hand ,tching on arm,itching on leg,itching on foot; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (swelling in the arm), TENDERNESS (tenderness), PRURITUS (iitching on hand ,tching on arm,itching on leg,itching on foot), RASH ERYTHEMATOUS (Moderna red rash\started experiencing a red rash on my arm) and VACCINATION SITE ERYTHEMA (redness at the injection site that was about 2 inch big,redness at the injection site that got bigger about 4 inch) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The medical history was not provided by the reporter. Concomitant products included IBUPROFEN for Headache, PARACETAMOL (TYLENOL) and ACETYLSALICYLIC ACID (BABY ASPIRIN) for an unknown indication. On 11-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In August 2021, the patient experienced PRURITUS (iitching on hand ,tching on arm,itching on leg,itching on foot) and VACCINATION SITE ERYTHEMA (redness at the injection site that was about 2 inch big,redness at the injection site that got bigger about 4 inch). On an unknown date, the patient experienced PERIPHERAL SWELLING (swelling in the arm), TENDERNESS (tenderness), RASH ERYTHEMATOUS (Moderna red rash\started experiencing a red rash on my arm), MYALGIA (soreness) and VACCINATION SITE PAIN (still experiencing pain at the injection site.). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) ongoing since an unknown date for Itching, at an unspecified dose and frequency. At the time of the report, PERIPHERAL SWELLING (swelling in the arm), TENDERNESS (tenderness), MYALGIA (soreness) and VACCINATION SITE PAIN (still experiencing pain at the injection site.) had not resolved, PRURITUS (iitching on hand ,tching on arm,itching on leg,itching on foot) and VACCINATION SITE ERYTHEMA (redness at the injection site that was about 2 inch big,redness at the injection site that got bigger about 4 inch) had resolved and RASH ERYTHEMATOUS (Moderna red rash\started experiencing a red rash on my arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment includes ice patch patient states that she was scheduled to receive her second vaccine on 08Sept2021 and does not know if she should based on the symptoms that she experienced with the first. Most recent FOLLOW-UP information incorporated above includes: On 01-Sep-2021: Event outcome & additional event is added

Weitere VAERSDATA-Felder

Praegender Schweregrund: Myalgia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Comments: The medical history was not provided by the reporter
Andere Medikamente: TYLENOL; IBUPROFEN; BABY ASPIRIN
Allergien: -
Vorherige Impfungen: -

VAERS 1694616

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: AR
Alter: 63,0
Geschlecht: F
Eingang: 13.09.2021
Impfdatum: 11.08.2021
Beginn: 25.08.2021
Tage bis Beginn: 14,0
Dosis: 1
Route/Site: IM / LA

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

Cardiac flutter Heart rate increased Rash Rash erythematous

Symptomtext

Huge red rash down left arm, heart flutter with fast heart rate

Weitere VAERSDATA-Felder

Praegender Schweregrund: Rash
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: High Blood Pressure Heart Conditions
Vorgeschichte: High Blood Pressure Heart Conditions
Andere Medikamente: Synthroid 125mcg (one daily) Potassium Chloride 20mg (3 times daily) Valsarten HCT 160/25 mg (once daily) Metapropol 50mg (3 times daily)
Allergien: Codeine Erythromycin
Vorherige Impfungen: -

VAERS 1691683

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: 43,0
Geschlecht: F
Eingang: 11.09.2021
Impfdatum: 20.08.2021
Beginn: 01.08.2021
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / LA

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

Erythema Hypersensitivity Myalgia Pruritus Rash Urticaria Vaccination site pruritus

Symptomtext

Whole area on the arm is very itchy; Rash; Arm has been sore for the past couple of days; hives; it was very itchy at the injection site; allergic reaction; very red; This spontaneous case was reported by a consumer and describes the occurrence of HYPERSENSITIVITY (allergic reaction), ERYTHEMA (very red), PRURITUS (Whole area on the arm is very itchy), URTICARIA (hives) and VACCINATION SITE PRURITUS (it was very itchy at the injection site) in a 43-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 20-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In August 2021, the patient experienced HYPERSENSITIVITY (allergic reaction), ERYTHEMA (very red), URTICARIA (hives) and VACCINATION SITE PRURITUS (it was very itchy at the injection site). On 28-Aug-2021, the patient experienced PRURITUS (Whole area on the arm is very itchy), RASH (Rash) and MYALGIA (Arm has been sore for the past couple of days). At the time of the report, HYPERSENSITIVITY (allergic reaction) had not resolved and ERYTHEMA (very red), PRURITUS (Whole area on the arm is very itchy), URTICARIA (hives), VACCINATION SITE PRURITUS (it was very itchy at the injection site), RASH (Rash) and MYALGIA (Arm has been sore for the past couple of days) 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. No treatment medication information was provided. No concomitant medication information was provided. Most recent FOLLOW-UP information incorporated above includes: On 28-Aug-2021: Follow up report contains additional events were added. On 03-Sep-2021: Follow-up document received on 03-SEP-2021. It contains no new information.

Weitere VAERSDATA-Felder

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

VAERS 1691634

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: -
Geschlecht: F
Eingang: 11.09.2021
Impfdatum: 14.08.2021
Beginn: 22.08.2021
Tage bis Beginn: 8,0
Dosis: 1
Route/Site: OT / -

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

Arthralgia Back pain Body temperature Chills Fatigue Headache Nasal congestion Oropharyngeal pain Pyrexia Rhinorrhoea SARS-CoV-2 test Vaccination complication

Symptomtext

almost every symptom except for loss of taste and smell; nasal congestion; back aches; runny nose; sore throat; extreme fatigue; chills; Fever; joint pain/the pain was even in my knuckles; headache; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (almost every symptom except for loss of taste and smell), NASAL CONGESTION (nasal congestion), BACK PAIN (back aches), RHINORRHOEA (runny nose) and OROPHARYNGEAL PAIN (sore throat) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included COPD. On 14-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Aug-2021, the patient experienced NASAL CONGESTION (nasal congestion), BACK PAIN (back aches), RHINORRHOEA (runny nose), OROPHARYNGEAL PAIN (sore throat), FATIGUE (extreme fatigue), CHILLS (chills), PYREXIA (Fever), ARTHRALGIA (joint pain/the pain was even in my knuckles) and HEADACHE (headache). On an unknown date, the patient experienced VACCINATION COMPLICATION (almost every symptom except for loss of taste and smell). The patient was treated with IBUPROFEN (MOTRIN [IBUPROFEN]) for Adverse event NOS, at a dose of 800 mg; PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency; VITAMIN D NOS for Adverse event, at a dose of 5000 unit; HYDROXYCHLOROQUINE for Adverse event, at an unspecified dose and frequency and GUAIFENESIN (MUCINEX) for Sinusitis, at an unspecified dose and frequency. On 25-Aug-2021, NASAL CONGESTION (nasal congestion), BACK PAIN (back aches), RHINORRHOEA (runny nose), OROPHARYNGEAL PAIN (sore throat), FATIGUE (extreme fatigue), CHILLS (chills), PYREXIA (Fever), ARTHRALGIA (joint pain/the pain was even in my knuckles) and HEADACHE (headache) had resolved. At the time of the report, VACCINATION COMPLICATION (almost every symptom except for loss of taste and smell) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 100.4f (High) Increased. On an unknown date, SARS-CoV-2 test: neagtive (Negative) Negative. 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. Concomitant product use was not provided by the reporter. Patient reported that her doctor prescribed antibiotics. And also patient stated that she had using mucinex and something for her sinuses.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: Test Name: Body Temperature; Result Unstructured Data: Increased; Test Name: Rapid covid test; Test Result: Negative ; Result Unstructured Data: Negative
Aktuelle Erkrankungen: COPD
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1691529

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: NJ
Alter: 26,0
Geschlecht: M
Eingang: 11.09.2021
Impfdatum: 15.08.2021
Beginn: 01.08.2021
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / -

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

Chest discomfort Feeling abnormal Injection site pruritus Muscle spasms Muscle twitching Vaccination site erythema Vaccination site rash Vaccination site swelling

Symptomtext

A bit pink; Chest tightness; Weird sensation initially on the left arm then it resolved and moved to his right leg; Right leg started twitching; Feels like cramping and constantly present from the knee down to the right calf area.; Itchy (area of the injection); Rash at the area of the injection; Swelling at the area of the injection (left arm); This spontaneous case was reported by a consumer and describes the occurrence of CHEST DISCOMFORT (Chest tightness), FEELING ABNORMAL (Weird sensation initially on the left arm then it resolved and moved to his right leg), MUSCLE TWITCHING (Right leg started twitching), MUSCLE SPASMS (Feels like cramping and constantly present from the knee down to the right calf area.) and VACCINATION SITE ERYTHEMA (A bit pink) in a 26-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Asthmatic attack. On 15-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Aug-2021, the patient experienced CHEST DISCOMFORT (Chest tightness). In August 2021, the patient experienced FEELING ABNORMAL (Weird sensation initially on the left arm then it resolved and moved to his right leg), MUSCLE TWITCHING (Right leg started twitching), MUSCLE SPASMS (Feels like cramping and constantly present from the knee down to the right calf area.), INJECTION SITE PRURITUS (Itchy (area of the injection)), VACCINATION SITE RASH (Rash at the area of the injection) and VACCINATION SITE SWELLING (Swelling at the area of the injection (left arm)). On an unknown date, the patient experienced VACCINATION SITE ERYTHEMA (A bit pink). At the time of the report, CHEST DISCOMFORT (Chest tightness), MUSCLE TWITCHING (Right leg started twitching), MUSCLE SPASMS (Feels like cramping and constantly present from the knee down to the right calf area.), VACCINATION SITE ERYTHEMA (A bit pink), INJECTION SITE PRURITUS (Itchy (area of the injection)), VACCINATION SITE RASH (Rash at the area of the injection) and VACCINATION SITE SWELLING (Swelling at the area of the injection (left arm)) had not resolved and FEELING ABNORMAL (Weird sensation initially on the left arm then it resolved and moved to his right leg) was resolving. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product use was not provided by the reporter. No treatment information was provided. Patient reported that symptom started, few hours after the vaccination on the same day (15Aug2021).

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site pruritus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Asthmatic attack
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1683055

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: NC
Alter: 73,0
Geschlecht: F
Eingang: 08.09.2021
Impfdatum: 03.09.2021
Beginn: 04.09.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

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

Blister Erythema Pain in extremity Peripheral swelling

Symptomtext

SWOLLEN, RED, PAINFUL ARM, MINOR BLISTERING THAT DEVELOPED WITHIN 3 DAYS OF DOSE. PATIENT APPLIED ICE AND TOOK IBUPROFEN. AGREED WITH TREATMENT, ADVISED PT COULD ALSO TAKE BENADRYL

Weitere VAERSDATA-Felder

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

VAERS 1682893

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: CA
Alter: 43,0
Geschlecht: F
Eingang: 08.09.2021
Impfdatum: 03.09.2021
Beginn: 03.09.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: SYR / RA

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

Ageusia Diarrhoea Headache Pruritus Pyrexia

Symptomtext

itching all over body, headaches, fever, lost taste in mouth and diarrhea

Weitere VAERSDATA-Felder

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

VAERS 1682886

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: UT
Alter: 55,0
Geschlecht: F
Eingang: 08.09.2021
Impfdatum: 25.08.2021
Beginn: 25.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Injection site pain Injection site rash Injection site warmth Pain in extremity

Symptomtext

PATIENT RETURNED TO THE PHARMACY TODAY TO INFORM US OF AN ADVERSE REACTION TO THE MODERNA COVID SHOT. SHE SAID AFTER GETTING THE SHOT HER ARM WAS VERY SORE. ON THE 4TH DAY AFTER THE SHOT SHE DISCOVERED A RASH HAD DEVELOPED AROUND THE INJECTION SITE. IT HAS BEEN WARM AND PAINFUL AND NOW 2 WEEKS LATER IT IS GROWING. PATIENT WAS INSTRUCTED TO GO SEE THEIR PRIMARY DOCTOR TO OBTAIN TREATMENT AND MANAGEMENT OF THEIR REACTION.

Weitere VAERSDATA-Felder

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

VAERS 1682662

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: CA
Alter: 66,0
Geschlecht: F
Eingang: 08.09.2021
Impfdatum: 27.08.2021
Beginn: 28.08.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: SYR / LA

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

Amnesia Chills Depression Fatigue Feeling abnormal Heart rate irregular Injection site pain Malaise Nausea Pyrexia Tinnitus

Symptomtext

After the first dose, I had extreme pain in my left arm, had foggy brain and fatigue. Nothing major although I did notice the onset of irregular heartbeat which is why I added Aspirin to my supplements before the 2nd dose. The 2nd dose was a nightmare. I am NEVER sick. Nausea/vomiting, chills, fever, memory loss, increased tinnitus, hearing a radio that wasn't playing for 3 days mostly in the middle of the night; major fatigue, depression, and general malaise for days.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: I have to be dying to get tested and I wasn't dying but the reaction was sudden onset, overwhelming and disconcerting.
Aktuelle Erkrankungen: None whatsoever.
Vorgeschichte: Mal-de-barquement (head rocking)
Andere Medikamente: 324 mg aspirin; 6 grams chlorella; 6 grams spirulina; 500 mg Quercetin; 5,000 mg Vit C; NAC-1200 mg; Zinc 44mg; Selenium 300mcg; B-complex 100mg; Homeopathic remedies: Traumeel, Biocell Salts, Arnica.
Allergien: doxyclycoline, versed, hydrocodon
Vorherige Impfungen: -

VAERS 1682435

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: TN
Alter: 35,0
Geschlecht: M
Eingang: 08.09.2021
Impfdatum: 20.08.2021
Beginn: 02.09.2021
Tage bis Beginn: 13,0
Dosis: 3
Route/Site: SYR / LA

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

Pruritus Skin warm Urticaria

Symptomtext

Frequent and recurring hives, appearing throughout body, not just at injection site. They come and go rapidly and seem to be more frequent at night and early morning, but do come less severely throughout the day. Intensely itchy and warm when an outbreak occurs. Appearing on neck, arms, trunk, legs. Had a doctors appointment the night before filling out this form, and will attempt high dose antihistamines and pepcid, per doctor's recommendation, and if not improved after a few weeks, will start on steroids. Doctor thinks hives could have been triggered by vaccine, as no other changes in environment have occurred. No history of allergies other than occasional mild seasonal allergies.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Daily multivitamin, Vitamin D daily
Allergien: None
Vorherige Impfungen: -

VAERS 1681545

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: AR
Alter: 20,0
Geschlecht: F
Eingang: 08.09.2021
Impfdatum: 12.08.2021
Beginn: 12.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / LA

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

Abdominal distension Abdominal pain upper Feeding disorder Headache Illness Nausea

Symptomtext

Headache; Nauseated; can hardly eat anything/can only eat a little bit at a time; feel bloated; she got sick gain/got really sick in her stomach; her stomach hurt/had stomach ache/her stomach was hurting really bad; Nauseous; This spontaneous case was reported by a consumer and describes the occurrence of FEEDING DISORDER (can hardly eat anything/can only eat a little bit at a time), ABDOMINAL DISTENSION (feel bloated), ILLNESS (she got sick gain/got really sick in her stomach), ABDOMINAL PAIN UPPER (her stomach hurt/had stomach ache/her stomach was hurting really bad) and NAUSEA (Nauseous) in a 20-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Food poisoning (Chick-fil-a). On 12-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Aug-2021, the patient experienced FEEDING DISORDER (can hardly eat anything/can only eat a little bit at a time), ABDOMINAL DISTENSION (feel bloated), ILLNESS (she got sick gain/got really sick in her stomach), ABDOMINAL PAIN UPPER (her stomach hurt/had stomach ache/her stomach was hurting really bad) and NAUSEA (Nauseous). On an unknown date, the patient experienced HEADACHE (Headache) and NAUSEA (Nauseated). The patient was treated with PARACETAMOL (TYLENOL) for Headache, at an unspecified dose and frequency. At the time of the report, FEEDING DISORDER (can hardly eat anything/can only eat a little bit at a time), ABDOMINAL DISTENSION (feel bloated), ILLNESS (she got sick gain/got really sick in her stomach), ABDOMINAL PAIN UPPER (her stomach hurt/had stomach ache/her stomach was hurting really bad), NAUSEA (Nauseous), HEADACHE (Headache) and NAUSEA (Nauseated) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. The patient had Chick-fil-A. Daughter has not seen a doctor or received any treatment for it. Daughter has headache on and off and takes Tylenol for her headache, but her headache is not related to the vaccine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Abdominal pain upper
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Food poisoning (Chick-fil-a)
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1681203

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: 40,0
Geschlecht: F
Eingang: 08.09.2021
Impfdatum: 11.08.2021
Beginn: 11.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / LA

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

Injection site erythema Lymphadenopathy Vaccination site pain Vaccination site swelling Vaccination site warmth

Symptomtext

injection site was about 1.5 degrees warmer than the rest of her body. / temperature difference is now .7 degrees; Swelling red spot in arm and swelling lymph node; Swelling red spot in arm and swelling lymph node / swelling of lymph nodes just below the front left shoulder blade / Both sites had accompanying pain.; Both sites had accompanying pain./Injection site redness & pain; Swelling red spot in arm and swelling lymph node; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE SWELLING (Swelling red spot in arm and swelling lymph node), VACCINATION SITE WARMTH (injection site was about 1.5 degrees warmer than the rest of her body. / temperature difference is now .7 degrees), INJECTION SITE ERYTHEMA (Swelling red spot in arm and swelling lymph node), LYMPHADENOPATHY (Swelling red spot in arm and swelling lymph node / swelling of lymph nodes just below the front left shoulder blade / Both sites had accompanying pain.) and VACCINATION SITE PAIN (Both sites had accompanying pain./Injection site redness & pain) in a 40-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. Concomitant products included DESOGESTREL, ETHINYLESTRADIOL (DESOGESTREL & ETHINYL ESTRADIOL) from 31-Jul-2021 to an unknown date for Birth control, COLECALCIFEROL (D3) from 01-Jan-2020 to an unknown date for General symptom NOS, VALACYCLOVIR [VALACICLOVIR] from 08-Jun-2021 to an unknown date for Human papilloma virus immunization, LEVOTHYROXINE from 10-Jun-2021 to an unknown date for Thyroid disorder. On 11-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-Aug-2021, the patient experienced VACCINATION SITE SWELLING (Swelling red spot in arm and swelling lymph node), INJECTION SITE ERYTHEMA (Swelling red spot in arm and swelling lymph node), LYMPHADENOPATHY (Swelling red spot in arm and swelling lymph node / swelling of lymph nodes just below the front left shoulder blade / Both sites had accompanying pain.) and VACCINATION SITE PAIN (Both sites had accompanying pain./Injection site redness & pain). On an unknown date, the patient experienced VACCINATION SITE WARMTH (injection site was about 1.5 degrees warmer than the rest of her body. / temperature difference is now .7 degrees). On 23-Aug-2021, VACCINATION SITE SWELLING (Swelling red spot in arm and swelling lymph node), INJECTION SITE ERYTHEMA (Swelling red spot in arm and swelling lymph node) and LYMPHADENOPATHY (Swelling red spot in arm and swelling lymph node / swelling of lymph nodes just below the front left shoulder blade / Both sites had accompanying pain.) had resolved. At the time of the report, VACCINATION SITE WARMTH (injection site was about 1.5 degrees warmer than the rest of her body. / temperature difference is now .7 degrees) outcome was unknown and VACCINATION SITE PAIN (Both sites had accompanying pain./Injection site redness & pain) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. The patient was in the middle of in vitro fertilization, and the fertilized embryo is ready to insert into her uterus, but patient does not want the insertion until after she has the second Covid-19 injection. No Treatment information was provided. Most recent FOLLOW-UP information incorporated above includes: On 24-Aug-2021: Significant follow up was received on 24 Aug 2021 includes facility details

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: DESOGESTREL & ETHINYL ESTRADIOL; VALACYCLOVIR [VALACICLOVIR]; LEVOTHYROXINE; D3
Allergien: -
Vorherige Impfungen: -

VAERS 1679940

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: KY
Alter: 48,0
Geschlecht: F
Eingang: 07.09.2021
Impfdatum: 28.08.2021
Beginn: 29.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / RA

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

Injection site erythema Injection site pruritus

Symptomtext

red spot that itches at the injection site- no course of action has been taken yet

Weitere VAERSDATA-Felder

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

VAERS 1679728

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: NC
Alter: 37,0
Geschlecht: F
Eingang: 07.09.2021
Impfdatum: 01.08.2021
Beginn: 01.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Injection site erythema Injection site pruritus Injection site rash Injection site warmth

Symptomtext

Patient reported a small red spot at injection site (left arm) after receiving her first dose of the Moderna COVID-19 vaccine. This red spot grew in size over the course of that week and became red, hot, and itchy. Since that time, the redness and swelling has decreased into a scaly, irregular red rash that is itchy and warm to the touch. Patient reports that the symptoms worsen with exercise.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Patient reports several skin conditions, but lack of access to medical care.
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1677227

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: 53,0
Geschlecht: F
Eingang: 07.09.2021
Impfdatum: 13.08.2021
Beginn: 23.08.2021
Tage bis Beginn: 10,0
Dosis: 1
Route/Site: OT / RA

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

Pain in extremity Vaccination site erythema Vaccination site mass Vaccination site pruritus

Symptomtext

She had her arm a little sore for the first couple of days; a little bump size of a quarter appeared; Last night her arm started itching at the injection site; a red spot; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (She had her arm a little sore for the first couple of days), VACCINATION SITE MASS (a little bump size of a quarter appeared), VACCINATION SITE PRURITUS (Last night her arm started itching at the injection site) and VACCINATION SITE ERYTHEMA (a red spot) in a 53-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No medical history was provided. Concomitant products included DULOXETINE, CLONAZEPAM, GABAPENTIN and AMOXICILLIN for an unknown indication. On 13-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 23-Aug-2021, the patient experienced VACCINATION SITE MASS (a little bump size of a quarter appeared), VACCINATION SITE PRURITUS (Last night her arm started itching at the injection site) and VACCINATION SITE ERYTHEMA (a red spot). On an unknown date, the patient experienced PAIN IN EXTREMITY (She had her arm a little sore for the first couple of days). At the time of the report, PAIN IN EXTREMITY (She had her arm a little sore for the first couple of days) and VACCINATION SITE PRURITUS (Last night her arm started itching at the injection site) had resolved, VACCINATION SITE MASS (a little bump size of a quarter appeared) had not resolved and VACCINATION SITE ERYTHEMA (a red spot) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Relevant concomitant medication also includes Inhaler. It was stated that pharmacist recommended Benadryl cream which she could not use

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain in extremity
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Comments: No medical history was provided
Andere Medikamente: DULOXETINE; CLONAZEPAM; GABAPENTIN; AMOXICILLIN
Allergien: -
Vorherige Impfungen: -

VAERS 1677175

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: 40,0
Geschlecht: F
Eingang: 07.09.2021
Impfdatum: 11.08.2021
Beginn: 11.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / LA

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

Limb mass Lymphadenopathy Pain in extremity Peripheral swelling Vaccination site erythema Vaccination site pain Vaccination site warmth

Symptomtext

arm was a little swollen; red spot about 2 inches in diameter at the injection site /At the injection site, she developed a 2 inch diameter red spot; swelling of lymph nodes just below the front left shoulder blade. / Both sites had accompanying pain.; Both sites had accompanying pain.; arm hurt; injection site was hot, hotter than the rest of her arm / 1.5 degrees warmer than the rest of her body at the injection site, / temperature difference is now .7 degrees.; on the same side of her body a little bump up on her shoulder/collarbone; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (arm hurt), VACCINATION SITE WARMTH (injection site was hot, hotter than the rest of her arm / 1.5 degrees warmer than the rest of her body at the injection site, / temperature difference is now .7 degrees.), LIMB MASS (on the same side of her body a little bump up on her shoulder/collarbone), PERIPHERAL SWELLING (arm was a little swollen) and VACCINATION SITE ERYTHEMA (red spot about 2 inches in diameter at the injection site /At the injection site, she developed a 2 inch diameter red spot) in a 40-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 11-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-Aug-2021, the patient experienced PAIN IN EXTREMITY (arm hurt), VACCINATION SITE WARMTH (injection site was hot, hotter than the rest of her arm / 1.5 degrees warmer than the rest of her body at the injection site, / temperature difference is now .7 degrees.), LIMB MASS (on the same side of her body a little bump up on her shoulder/collarbone), VACCINATION SITE ERYTHEMA (red spot about 2 inches in diameter at the injection site /At the injection site, she developed a 2 inch diameter red spot), LYMPHADENOPATHY (swelling of lymph nodes just below the front left shoulder blade. / Both sites had accompanying pain.) and VACCINATION SITE PAIN (Both sites had accompanying pain.). On 19-Aug-2021, the patient experienced PERIPHERAL SWELLING (arm was a little swollen). At the time of the report, PAIN IN EXTREMITY (arm hurt), LIMB MASS (on the same side of her body a little bump up on her shoulder/collarbone) and PERIPHERAL SWELLING (arm was a little swollen) outcome was unknown and VACCINATION SITE WARMTH (injection site was hot, hotter than the rest of her arm / 1.5 degrees warmer than the rest of her body at the injection site, / temperature difference is now .7 degrees.), VACCINATION SITE ERYTHEMA (red spot about 2 inches in diameter at the injection site /At the injection site, she developed a 2 inch diameter red spot), LYMPHADENOPATHY (swelling of lymph nodes just below the front left shoulder blade. / Both sites had accompanying pain.) and VACCINATION SITE PAIN (Both sites had accompanying pain.) was resolving. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Additional information reported was that the patient was in the process of fertilization and have a healthy fertilized embryo frozen in the laboratory and decided they won't be attempting implantation until after the second shot. No concomitant medications were reported. No treatment information was provided by the reporter. This case was linked to US-irms-MOD21-134161, US-irms-MOD21-134162, US-irms-MOD21-134163 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 23-Aug-2021: Event and Contact information updated

Weitere VAERSDATA-Felder

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

VAERS 1676641

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: CA
Alter: 73,0
Geschlecht: F
Eingang: 06.09.2021
Impfdatum: 17.08.2021
Beginn: 18.08.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / RA

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

Arthralgia Fatigue Headache Inappropriate schedule of product administration Myalgia

Symptomtext

Fatigue, headache, muscle and joint ache

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: CIDP
Andere Medikamente: L-Thyroxine -b75 mcg AM Misoprostol - 200 mcg AM and PM Naproxyn - 500 mg AM and PM Trazadone - 50 mg PM Privigen 60 grams by infusion every 4 weeks Align probiotics Vitamin C Biotin
Allergien: None
Vorherige Impfungen: Headache for 9 days after 2nd Moderna Covid vaccine on 03/03/2021

VAERS 1675617

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: CA
Alter: 84,0
Geschlecht: F
Eingang: 06.09.2021
Impfdatum: 01.09.2021
Beginn: 04.09.2021
Tage bis Beginn: 3,0
Dosis: UNK
Route/Site: - / LA

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

Chills Diarrhoea Fatigue Headache Pain

Symptomtext

Headache, body aches, fatigue 4 hours after til 45 hours after; chills 28 hours after til 32 hours after; diarrhea 40 hours after til 45 hours after

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: Recovering cancer, 3 years; heart valve disease, no treatment needed yet; macular degeneration, stable;
Andere Medikamente: Centrun Silver vitamins; probiotics; magnesium; glusosamine; chrondrotin
Allergien: None
Vorherige Impfungen: -

VAERS 1675560

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: TX
Alter: 50,0
Geschlecht: F
Eingang: 06.09.2021
Impfdatum: 23.08.2021
Beginn: 24.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / LA

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

Axillary pain Limb discomfort Lymphadenopathy Peripheral swelling

Symptomtext

Had the typical reactions that are said to be expected. However, by 3rd day, glands swelled up, especially the one under my arm pit on the arm where I received the shot. It became the size of a golf ball and was so painful. Then the rest of my glands became swollen. A week later, my right foot/ankle/leg is giving me problems. It swells up pretty bad. I keep it propped up which to help, but I can't live in bed as I have to work and function. Everyone is saying I should get checked for a blood clot, but this seems lymphatic in nature. I don't know what to do or who to see for it and have no desire to wait 8 hours at the ER, then pay a $600.00 copay.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Axillary pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: Estradiol
Allergien: Sulfa drugs, yellow dye, bees
Vorherige Impfungen: -

VAERS 1675145

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: AZ
Alter: 44,0
Geschlecht: M
Eingang: 05.09.2021
Impfdatum: 03.09.2021
Beginn: 04.09.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: SYR / -

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

Dizziness

Symptomtext

Severe and prolonged dizziness.

Weitere VAERSDATA-Felder

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

VAERS 1675090

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: TX
Alter: 31,0
Geschlecht: F
Eingang: 05.09.2021
Impfdatum: -
Beginn: -
Tage bis Beginn: -
Dosis: 1
Route/Site: SYR / LA

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

Injection site pain Injection site pruritus Injection site reaction Injection site swelling Skin discolouration

Symptomtext

Skin reaction at injection sight, raised and itchy for the first week. Now it?s not raised or itchy but the discoloration seems to be permanently on my arm. Sometimes it aches in the exact a lot and it hasn?t gone away. It seems to be a permanent reaction. Second dose has not been taken.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 1674790

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: KS
Alter: 61,0
Geschlecht: F
Eingang: 04.09.2021
Impfdatum: 04.09.2021
Beginn: 04.09.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Headache

Symptomtext

patient said a few minutes after getting moderna covid 2nd dose the right side of her head hurt then went away shortly after, checked blood pressure at 12 pm 147/94, patient said usually runs high, bottom number usually in the 80s, said she wanted walk around, stopped back to fill an emergency fill of her blood pressure medication at 12:35pm and said felt okay

Weitere VAERSDATA-Felder

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

VAERS 1674763

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: KY
Alter: 28,0
Geschlecht: F
Eingang: 04.09.2021
Impfdatum: 27.08.2021
Beginn: 04.09.2021
Tage bis Beginn: 8,0
Dosis: 1
Route/Site: IM / LA

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

Injection site erythema Injection site pruritus Injection site swelling

Symptomtext

Patient called on 09/04/21 and stated she had redness and swelling at the injection site and itching around the site

Weitere VAERSDATA-Felder

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

VAERS 1673119

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: MI
Alter: 61,0
Geschlecht: F
Eingang: 04.09.2021
Impfdatum: 14.08.2021
Beginn: 14.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / -

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

Asthenia Chills Euphoric mood Feeling abnormal Nausea

Symptomtext

feels weak; nausea; wasn't feeling right; chills; within 15 minutes of shot felt high for about an hour after; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (feels weak), EUPHORIC MOOD (within 15 minutes of shot felt high for about an hour after), NAUSEA (nausea), CHILLS (chills) and FEELING ABNORMAL (wasn't feeling right) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 14-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Aug-2021, the patient experienced EUPHORIC MOOD (within 15 minutes of shot felt high for about an hour after). On 16-Aug-2021, the patient experienced ASTHENIA (feels weak), NAUSEA (nausea) and CHILLS (chills). 16-Aug-2021, the patient experienced FEELING ABNORMAL (wasn't feeling right). On 14-Aug-2021, EUPHORIC MOOD (within 15 minutes of shot felt high for about an hour after) had resolved. At the time of the report, ASTHENIA (feels weak), NAUSEA (nausea), CHILLS (chills) and FEELING ABNORMAL (wasn't feeling right) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product was not provided by the reporter. Treatment information was not provided.

Weitere VAERSDATA-Felder

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

VAERS 1673066

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: 51,0
Geschlecht: F
Eingang: 04.09.2021
Impfdatum: 11.08.2021
Beginn: -
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / LA

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

Pruritus Urticaria Vaccination site urticaria Vaccination site warmth

Symptomtext

itchiness, very itchy; warm and hot; Hives; Like large hives (they were not small), like a know in the injection site; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (itchiness, very itchy), VACCINATION SITE WARMTH (warm and hot), URTICARIA (Hives) and VACCINATION SITE URTICARIA (Like large hives (they were not small), like a know in the injection site) in a 51-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No medical history was reported. Concomitant products included TRAZODONE, MELOXICAM, ASPIRIN [ACETYLSALICYLIC ACID], OMEPRAZOLE and METOPROLOL for an unknown indication. On 11-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PRURITUS (itchiness, very itchy), VACCINATION SITE WARMTH (warm and hot), URTICARIA (Hives) and VACCINATION SITE URTICARIA (Like large hives (they were not small), like a know in the injection site). At the time of the report, PRURITUS (itchiness, very itchy), VACCINATION SITE WARMTH (warm and hot), URTICARIA (Hives) and VACCINATION SITE URTICARIA (Like large hives (they were not small), like a know in the injection site) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment details were reported. Patient noticed the itchiness a few days ago. But the previous night, it was particularly itchy, and patient noticed she had like a knot in the injection site, like large hives (which were not small), it was warm and hot.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Comments: No medical history was reported.
Andere Medikamente: TRAZODONE; MELOXICAM; ASPIRIN [ACETYLSALICYLIC ACID]; OMEPRAZOLE; METOPROLOL
Allergien: -
Vorherige Impfungen: -

VAERS 1672524

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: TX
Alter: 37,0
Geschlecht: F
Eingang: 04.09.2021
Impfdatum: 10.08.2021
Beginn: 10.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / LA

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

Chills Erythema Feeling hot Influenza like illness Mass Pain Peripheral swelling Pyrexia Vaccination site erythema Vaccination site swelling

Symptomtext

red in colour; knot that keeps getting bigger; hot to the touch; redness and swelling started at the injection site and grew from there; redness and swelling started at the injection site and grew from there; swelling of the left upper arm; fever; chills; flu-like symptoms; body aches; This spontaneous case was reported by an other health care professional and describes the occurrence of PYREXIA (fever), CHILLS (chills), INFLUENZA LIKE ILLNESS (flu-like symptoms), PAIN (body aches) and ERYTHEMA (red in colour) in a 37-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 10-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 10-Aug-2021, the patient experienced PYREXIA (fever), CHILLS (chills), INFLUENZA LIKE ILLNESS (flu-like symptoms) and PAIN (body aches). On 11-Aug-2021, the patient experienced ERYTHEMA (red in colour), MASS (knot that keeps getting bigger), FEELING HOT (hot to the touch), VACCINATION SITE ERYTHEMA (redness and swelling started at the injection site and grew from there), VACCINATION SITE SWELLING (redness and swelling started at the injection site and grew from there) and PERIPHERAL SWELLING (swelling of the left upper arm). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency. On 10-Aug-2021, PYREXIA (fever), CHILLS (chills), INFLUENZA LIKE ILLNESS (flu-like symptoms) and PAIN (body aches) had resolved. At the time of the report, ERYTHEMA (red in colour), MASS (knot that keeps getting bigger), FEELING HOT (hot to the touch), VACCINATION SITE ERYTHEMA (redness and swelling started at the injection site and grew from there), VACCINATION SITE SWELLING (redness and swelling started at the injection site and grew from there) and PERIPHERAL SWELLING (swelling of the left upper arm) 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. It was reported that the patient was not on any concomitant medication. It was reported that the next day 11 Aug 2021after the vaccine was administered the patient had swelling of the left upper arm, a knot that keeps getting bigger, it is hot to the touch, red in color, and measures 3x3. The patient described the redness and swelling started at the injection site and grew from there.

Weitere VAERSDATA-Felder

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

VAERS 1666007

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: AZ
Alter: 28,0
Geschlecht: M
Eingang: 02.09.2021
Impfdatum: 31.08.2021
Beginn: 31.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Dizziness Fall Joint injury

Symptomtext

Systemic: Dizziness / Lightheadness-Severe, Systemic: Patient fell and bumped knee-Mild

Weitere VAERSDATA-Felder

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

VAERS 1663089

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21a

mild

Staat: CA
Alter: 33,0
Geschlecht: M
Eingang: 01.09.2021
Impfdatum: 24.08.2021
Beginn: 24.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Injection site erythema Injection site mass Injection site rash Injection site swelling

Symptomtext

Patient received the vaccine on 8/24/21. He came back on 9/1/21 complaining of swelling and redness at the injection site. No rash was reported. The rash size was about 2 inch diameter. He said the area was swelling and had a lump like for about a week. Advised patient to take Benadryl liquid 20ml (50mg) , use compress, and possibly take ibuprofen or Tylenol if he has pain.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: Patient stated that he does not have a primary care prescriber
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: none
Allergien: none
Vorherige Impfungen: -

VAERS 1663057

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: IA
Alter: 69,0
Geschlecht: F
Eingang: 01.09.2021
Impfdatum: 30.08.2021
Beginn: 30.08.2021
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 Immediate post-injection reaction Injection site erythema Injection site inflammation Injection site pain Injection site warmth

Symptomtext

Patient said she had immediate pain once injection was given. She noticed it was given too low, in the subcutaneous tissue, not in the deltoid. The pain was severe immediately after the injection. The injection site and tissue on lower upper arm towards elbow is red, inflamed, painful and hot-to-touch. This occurred gradually over the last 30 hours post-injection. She denied any reaction after first 2 doses other than sore muscle.

Weitere VAERSDATA-Felder

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

VAERS 1662824

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: UT
Alter: 26,0
Geschlecht: F
Eingang: 01.09.2021
Impfdatum: 01.09.2021
Beginn: 01.09.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: SYR / LA

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

Dizziness Hyperhidrosis Pallor Peripheral coldness Visual impairment

Symptomtext

THE PATIENT RECEIVED THE MODERNA SHOT AND WAS TOLD TO WAIT FOR 15 MINUTES FOR OBSERVATION. HER HUSBAND WAS WITH HER AND HELPED KEEP AN EYE ON HER. APPROXIMATELY 10 MINUTES AFTER RECEIVING THE SHOT SHE STARTED TO FEEL LIGHT HEADED, VISION BEGAN TO FADE, HER FACE WAS WHITE, SHE WAS COLD TO THE TOUCH, AND SHE WAS SWEATING PROFUSELY. THE PATIENT LAID DOWN AND AFTER ABOUT 10 MORE MINUTES SEEMED TO BE FEELING BETTER AND COLOR WAS RETURNING TO HER FACE. THE PARAMEDICS ARRIVED AND CHECKED HER. SHE LEFT WITH HER HUSBAND.

Weitere VAERSDATA-Felder

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

VAERS 1662127

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: AR
Alter: 48,0
Geschlecht: F
Eingang: 01.09.2021
Impfdatum: 13.08.2021
Beginn: 13.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

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

Body temperature increased Chills Headache Myalgia Vomiting

Symptomtext

12 hours after injection, I began to have chills and rigors with elevated temp to 101.9 and dull headache. Approximately 16 hours after injection, I began to forcefully vomit, fever/chills/ rigors continued, and pounding headache developed. For the next 24 hours the fever, headache, nausea any myalgia continued.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: NA
Aktuelle Erkrankungen: None
Vorgeschichte: Hypertension
Andere Medikamente: Dyazide 37.5/25, Omeprazole 20mg, ASA 81mg, Evening Primrose Oil, Atorvastatin 10mg, Losartan 100mg, Melatonin 5mg, Claritin 10mg, Biotin, MVI, CO Q 10, Black Elderberry
Allergien: Penicillin, Keflex
Vorherige Impfungen: -

VAERS 1661850

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: 44,0
Geschlecht: F
Eingang: 01.09.2021
Impfdatum: 17.08.2021
Beginn: 17.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: SYR / LA

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

Muscular weakness Pain in extremity

Symptomtext

Arm was sore, but not able tonuse for 3 days. There was no strength for any movement.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain in extremity
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: Demerol
Vorherige Impfungen: -

VAERS 1659929

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: AK
Alter: 49,0
Geschlecht: F
Eingang: 31.08.2021
Impfdatum: 22.08.2021
Beginn: 30.08.2021
Tage bis Beginn: 8,0
Dosis: 1
Route/Site: SYR / RA

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

Injection site erythema Injection site swelling Injection site warmth

Symptomtext

PATIENT HAD INJECTION SWELLING AND REDNESS AND HEAT ONE WEEK AFTER INJECTION

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: NONE
Vorgeschichte: NA
Andere Medikamente: NA
Allergien: NONE
Vorherige Impfungen: -

VAERS 1659264

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: 20,0
Geschlecht: F
Eingang: 31.08.2021
Impfdatum: 31.08.2021
Beginn: 31.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

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

Injection site haemorrhage

Symptomtext

BLEEDING AT THE INJECTION SITE

Weitere VAERSDATA-Felder

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

VAERS 1658881

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: VA
Alter: 78,0
Geschlecht: F
Eingang: 31.08.2021
Impfdatum: 25.08.2021
Beginn: 30.08.2021
Tage bis Beginn: 5,0
Dosis: 3
Route/Site: IM / LA

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

Injection site haemorrhage

Symptomtext

Patient Was injected in left Deltoid on August 25,2021 and 1 week later her deltoid had hemorrhaging that larger than a silver dollar around the deltoid on the site of the injection. It is resolving.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site haemorrhage
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none known
Vorgeschichte: none known
Andere Medikamente: none known
Allergien: none known
Vorherige Impfungen: -

VAERS 1657787

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: MO
Alter: 88,0
Geschlecht: F
Eingang: 31.08.2021
Impfdatum: 13.08.2021
Beginn: -
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / -

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

Erythema Pruritus Rash Vaccination complication

Symptomtext

2 places that are in the size of a silver dollar that are red, the spot on her back was getting larger; a reaction on her body; very itchy, or itchy like crazy; looks like rash; This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (2 places that are in the size of a silver dollar that are red, the spot on her back was getting larger), VACCINATION COMPLICATION (a reaction on her body), PRURITUS (very itchy, or itchy like crazy) and RASH (looks like rash) in an 88-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. Concurrent medical conditions included Drug allergy. Concomitant products included CITALOPRAM HYDROBROMIDE (CELEXA [CITALOPRAM HYDROBROMIDE]) and CLONAZEPAM for Product used for unknown indication, LEVOTHYROXINE SODIUM (SYNTHROID) and ESOMEPRAZOLE MAGNESIUM (NEXIUM [ESOMEPRAZOLE MAGNESIUM]) for an unknown indication. On 13-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ERYTHEMA (2 places that are in the size of a silver dollar that are red, the spot on her back was getting larger), VACCINATION COMPLICATION (a reaction on her body), PRURITUS (very itchy, or itchy like crazy) and RASH (looks like rash). At the time of the report, ERYTHEMA (2 places that are in the size of a silver dollar that are red, the spot on her back was getting larger), VACCINATION COMPLICATION (a reaction on her body), PRURITUS (very itchy, or itchy like crazy) and RASH (looks like rash) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. The patient had a lot of allergy to medications (unspecified). The patient put on an itch cream (unspecified) to help treat. The spot on back was getting larger. The patient said spot was not very large in the morning, but it got larger in the afternoon.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Drug allergy
Vorgeschichte: Comments: No Medical History information was reported.
Andere Medikamente: CELEXA [CITALOPRAM HYDROBROMIDE]; CLONAZEPAM; SYNTHROID; NEXIUM [ESOMEPRAZOLE MAGNESIUM]
Allergien: -
Vorherige Impfungen: -

VAERS 1644874

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: TX
Alter: 66,0
Geschlecht: F
Eingang: 28.08.2021
Impfdatum: 11.08.2021
Beginn: 12.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: OT / LA

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

Diarrhoea Nausea

Symptomtext

a terrible diarrhea; nauseated/nausea; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (a terrible diarrhea) and NAUSEA (nauseated/nausea) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 11-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Aug-2021, the patient experienced NAUSEA (nauseated/nausea). On 14-Aug-2021, the patient experienced DIARRHOEA (a terrible diarrhea). The patient was treated with LOPERAMIDE HYDROCHLORIDE (IMODIUM) for Diarrhea, at a dose of 1 dosage form, 2 tablets. On 15-Aug-2021, DIARRHOEA (a terrible diarrhea) had resolved. At the time of the report, NAUSEA (nauseated/nausea) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient mentioned of taking 2 tablets of Imodium that was given by a nurse from her doctor's office, and it helped to treat her diarrhea. Patient took doctor pepper and another medication for nausea. Patient is on some concomitant medications like: Medication for Epilepsy. Most recent FOLLOW-UP information incorporated above includes: On 16-Aug-2021: additional info received with updated event information

Weitere VAERSDATA-Felder

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

VAERS 1644826

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: 80,0
Geschlecht: F
Eingang: 28.08.2021
Impfdatum: 10.08.2021
Beginn: 11.08.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: OT / -

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

Erythema Feeling hot Myalgia Peripheral swelling

Symptomtext

her arm felt hot; arm swollen; red; very sore; This spontaneous case was reported by a consumer and describes the occurrence of FEELING HOT (her arm felt hot), PERIPHERAL SWELLING (arm swollen), ERYTHEMA (red) and MYALGIA (very sore) in an 80-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 10-Aug-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Aug-2021, the patient experienced FEELING HOT (her arm felt hot), PERIPHERAL SWELLING (arm swollen), ERYTHEMA (red) and MYALGIA (very sore). At the time of the report, FEELING HOT (her arm felt hot), PERIPHERAL SWELLING (arm swollen) and MYALGIA (very sore) outcome was unknown and ERYTHEMA (red) had resolved. No concomitant medication was provided No treatment received by the patient

Weitere VAERSDATA-Felder

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

VAERS 1644782

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: -
Alter: 21,0
Geschlecht: F
Eingang: 28.08.2021
Impfdatum: 06.08.2021
Beginn: 01.08.2021
Tage bis Beginn: -
Dosis: 2
Route/Site: OT / -

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

Cough Dizziness Fatigue Feeling cold Headache Nausea

Symptomtext

light headed; Felt very cold; Every time they coughed they had a pain in their head; Nauseous; Extremely tired; Headache was stronger were they couldn't open their eyes; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (light headed), FEELING COLD (Felt very cold), COUGH (Every time they coughed they had a pain in their head), NAUSEA (Nauseous) and FATIGUE (Extremely tired) in a 21-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 06-Aug-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In August 2021, the patient experienced DIZZINESS (light headed), FEELING COLD (Felt very cold), COUGH (Every time they coughed they had a pain in their head), NAUSEA (Nauseous), FATIGUE (Extremely tired) and HEADACHE (Headache was stronger were they couldn't open their eyes). At the time of the report, DIZZINESS (light headed), FEELING COLD (Felt very cold), COUGH (Every time they coughed they had a pain in their head), NAUSEA (Nauseous), FATIGUE (Extremely tired) and HEADACHE (Headache was stronger were they couldn't open their eyes) outcome was unknown. No concomitant medication information was provided. After the second dose patient couldn't lay on their side. No treatment medication were provided. This case was linked to MOD-2021-283875 (Patient Link).

Weitere VAERSDATA-Felder

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

VAERS 1644758

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: MS
Alter: 62,0
Geschlecht: F
Eingang: 28.08.2021
Impfdatum: 10.08.2021
Beginn: 11.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: OT / LA

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

Bone pain SARS-CoV-2 test

Symptomtext

Bones were aching,especially at my joints; This spontaneous case was reported by a consumer and describes the occurrence of BONE PAIN (Bones were aching,especially at my joints) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. The patient's past medical history included COVID-19 in April 2021. On 10-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Aug-2021, the patient experienced BONE PAIN (Bones were aching,especially at my joints). At the time of the report, BONE PAIN (Bones were aching,especially at my joints) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In April 2021, SARS-CoV-2 test: positive (Positive) had COVID-19. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Bone pain
Hospital-Tage: -
Labordaten: Test Date: 202104; Test Name: COVID-19; Test Result: Positive ; Result Unstructured Data: had COVID-19
Aktuelle Erkrankungen: -
Vorgeschichte: Medical History/Concurrent Conditions: COVID-19
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1642496

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: KS
Alter: 79,0
Geschlecht: F
Eingang: 27.08.2021
Impfdatum: 19.08.2021
Beginn: 21.08.2021
Tage bis Beginn: 2,0
Dosis: 3
Route/Site: IM / RA

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

Injection site erythema Injection site swelling Injection site warmth

Symptomtext

Red warm swelling spot in injection side arm (right) that is warm to the touch and has traveled from injection site area.

Weitere VAERSDATA-Felder

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

VAERS 1641836

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: AR
Alter: 74,0
Geschlecht: F
Eingang: 27.08.2021
Impfdatum: 21.08.2021
Beginn: 21.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

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

Injection site erythema Injection site swelling Pruritus

Symptomtext

Patient stated having covid like symptoms with intense swelling /redness in the injection arm. on 8/27 pt presented with red patch of swelling on the arm down to about the elbow. pt stated itching but was improving from the day of injection.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: NONE
Vorgeschichte: NONE
Andere Medikamente: ESTRADIOL, HYDROCHLOROTHIAZIDE
Allergien: n/a
Vorherige Impfungen: -

VAERS 1641329

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: 60,0
Geschlecht: M
Eingang: 27.08.2021
Impfdatum: 13.08.2021
Beginn: 23.08.2021
Tage bis Beginn: 10,0
Dosis: UNK
Route/Site: IM / -

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

COVID-19 Chest X-ray Diarrhoea Malaise SARS-CoV-2 test positive

Symptomtext

Pt came to ER stated he had all the covid symptoms including diarrhea. Stated he recieved his 1st moderna dose on 8/13/21.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Diarrhoea
Hospital-Tage: -
Labordaten: Covid test-positive, chest xray.
Aktuelle Erkrankungen: -
Vorgeschichte: None
Andere Medikamente: -
Allergien: Morphine
Vorherige Impfungen: -

VAERS 1641320

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: 57,0
Geschlecht: F
Eingang: 27.08.2021
Impfdatum: 13.08.2021
Beginn: 23.08.2021
Tage bis Beginn: 10,0
Dosis: UNK
Route/Site: IM / -

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

COVID-19 Head discomfort Malaise Pain SARS-CoV-2 test positive

Symptomtext

Pt came to ER, said she received first Moderna dose on 8/13/21 and she is not feeling well, head congestion, body aches.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Malaise
Hospital-Tage: -
Labordaten: Covid test-positive.
Aktuelle Erkrankungen: -
Vorgeschichte: DM, HTN, Ovarian CA, seizure.
Andere Medikamente: -
Allergien: Lisinopril, dilaudid, dilantin, PCN.
Vorherige Impfungen: -

VAERS 1638049

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: NC
Alter: 58,0
Geschlecht: F
Eingang: 26.08.2021
Impfdatum: 24.08.2021
Beginn: 25.08.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: IM / RA

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

Erythema Headache Injection site discomfort Injection site erythema Injection site pain Injection site rash Injection site warmth Malaise Myalgia Pyrexia

Symptomtext

(DOB 10/21/1962) - received second Moderna COVID-19 vaccine on 8/24/2021. Pt came to the pharmacy on the evening of 8/25/2021 to let the pharmacist look at a red rash at the right arm injection site of the second vaccine dose. The area was red and she said it was hot to the touch and sore to the touch. She was advised to take Tylenol and use a cold compress to help with the discomfort. She was also experiencing low grade fever, headache and general malaise. On 8/26/2021, Pt returned to the pharmacy to let the pharmacist look at the injection site. On 8/26/2021, the red area had increased in size moving both up and down the arm and expanding toward the inner and outer portions of the upper arm. She stated the muscle was also very sore. Pt was advised to take Tylenol, apply a cold compress and monitor for additional spreading of the red area. She was advised that if the area did not improve, she should seek medical attention.

Weitere VAERSDATA-Felder

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

VAERS 1637812

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: UT
Alter: 19,0
Geschlecht: F
Eingang: 26.08.2021
Impfdatum: 20.08.2021
Beginn: 20.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: SYR / LA

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

Asthenia Cyanosis Dizziness Feeling cold Feeling of despair Hyperhidrosis Pallor

Symptomtext

APPROXIMATELY 10 MINUTES AFTER RECEIVING THE SHOT THE PATIENT BEGAN TO FEEL FAINT. SHE QUICKLY PROGRESSED TO BECOME DISPONDENT, COLD TO THE TOUCH, WEAK, SWEATING PROFUSELY, AND FACE WAS PALE WITH BLUE LIPS. AFTER LYING DOWN SHE BEGAN TO REGAIN HER COLOR AND BECAME MORE COHERENT. PARAMEDICS ARRIVED AND CHECKED HER AND ALL VITALS WERE OK AT THAT POINT.

Weitere VAERSDATA-Felder

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

VAERS 1637627

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: UT
Alter: 22,0
Geschlecht: M
Eingang: 26.08.2021
Impfdatum: 26.08.2021
Beginn: 26.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: SYR / LA

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

Asthenia Discouragement Dizziness Feeling cold Hyperhidrosis Pallor

Symptomtext

APPROXIMATELY 10 MINUTES AFTER RECEIVING THE SHOT THE PATIENT BEGAN TO FEEL FAINT. HE QUICKLY PROGRESSED TO BECOME DISPONDENT, COLD TO THE TOUCH, WEAK, SWEATING PROFUSELY, AND FACE WAS PALE. AFTER LYING DOWN HE BEGAN TO REGAIN HIS COLOR AND BECAME MORE COHERENT. PARAMEDICS ARRIVED AND CHECKED HIM AND ALL VITALS WERE OK AT THAT POINT.

Weitere VAERSDATA-Felder

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

VAERS 1637339

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: MO
Alter: 51,0
Geschlecht: F
Eingang: 26.08.2021
Impfdatum: 17.08.2021
Beginn: 26.08.2021
Tage bis Beginn: 9,0
Dosis: 1
Route/Site: IM / LA

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

Injection site erythema Injection site pain Injection site pruritus Injection site rash Injection site swelling Injection site warmth

Symptomtext

Itchy rash at injection site began 8 days afyer injection. Injection site feels slightly achy and hot, and skin is raised, and red.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: N/a
Allergien: Medical adhesive
Vorherige Impfungen: -

VAERS 1633585

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: AR
Alter: 42,0
Geschlecht: F
Eingang: 25.08.2021
Impfdatum: 24.08.2021
Beginn: 25.08.2021
Tage bis Beginn: 1,0
Dosis: UNK
Route/Site: IM / LA

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

Chills Feeling cold Headache Injection site erythema Injection site swelling Pain Pain in extremity

Symptomtext

Woke up cold chills and shivering, full body aches, shooting pains in legs, headache, unable to move both arms without excruciating pain, redness and swollen injection site. Wet cold washcloth on injection site, 600 mg ibuprofen, icepack on head for throb, added covering to bed for chills. Multiple hours later, chills and shooting pains subsided. Still have headache and swollen injection site, body aches continue but are minor.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: NA
Vorgeschichte: NA
Andere Medikamente: Wellbutrin, Klonopin, Adderall
Allergien: NA
Vorherige Impfungen: -

VAERS 1633062

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: MO
Alter: 25,0
Geschlecht: F
Eingang: 25.08.2021
Impfdatum: 16.08.2021
Beginn: 17.08.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: IM / LA

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

Influenza like illness Pyrexia

Symptomtext

patient is ran a high fever and had flu like symptoms

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pyrexia
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none listed
Vorgeschichte: none listed
Andere Medikamente: none listed
Allergien: none listed
Vorherige Impfungen: -

VAERS 1633052

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: MO
Alter: 68,0
Geschlecht: F
Eingang: 25.08.2021
Impfdatum: 16.08.2021
Beginn: 18.08.2021
Tage bis Beginn: 2,0
Dosis: 2
Route/Site: IM / LA

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

Fatigue Injection site erythema Injection site swelling Pain

Symptomtext

Injection site swelling and red. patient was tired and achy

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: none listed
Allergien: macrodantin
Vorherige Impfungen: -

VAERS 1628839

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: VA
Alter: 38,0
Geschlecht: F
Eingang: 24.08.2021
Impfdatum: 24.08.2021
Beginn: 24.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Ageusia Anxiety Dizziness Pain in jaw Retching Trismus

Symptomtext

became lightheaded feel a little off, dizziness, jaw starting to lock and hurt, started dry heaving, feeling of anxiety, has no taste

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: no
Vorgeschichte: asthma, blood clots in both lungs
Andere Medikamente: multi vit, biotin
Allergien: blue dye
Vorherige Impfungen: first vaccine shot area became extremely hot and injection site she had a red big bubble, dizzy and headache

VAERS 1628625

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: MO
Alter: 77,0
Geschlecht: M
Eingang: 24.08.2021
Impfdatum: 18.08.2021
Beginn: 23.08.2021
Tage bis Beginn: 5,0
Dosis: 2
Route/Site: IM / LA

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

Injection site erythema Injection site pruritus Injection site swelling

Symptomtext

Patient returned to pharmacy today with a very large red, itchy, raised area on his left upper arm at the vaccine location for Moderna vaccine, dose #2. He said he noticed it last night, 8/23. He was immunized on 8/18. I informed him to take antihistamines/ use an ice pack/ treat with tylenol and advil. Also advised him to take a photo or trace around the area to track if it worsens and to contact his PCP if it worsens at all. Calling his PCP today.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: none up to this point in time.
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: none known to pharmacy
Allergien: none
Vorherige Impfungen: -

VAERS 1628451

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: VA
Alter: 25,0
Geschlecht: F
Eingang: 24.08.2021
Impfdatum: 20.08.2021
Beginn: 20.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / AR

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

Arthralgia Injection site erythema Injection site pain Injection site swelling Lymphadenopathy

Symptomtext

Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Joint Pain-Medium, Systemic: Lymph Node Swelling-Medium

Weitere VAERSDATA-Felder

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

VAERS 1628398

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: CA
Alter: 43,0
Geschlecht: F
Eingang: 24.08.2021
Impfdatum: 20.08.2021
Beginn: 21.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: SYR / LA

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

Abdominal pain lower Appendix disorder Computerised tomogram abnormal Dysstasia Nausea Sleep disorder

Symptomtext

After receiving the vaccine the next night I woke up in the middle of the night and extreme pain and extreme nausea the pain was in my lower right abdomen area. I could not stand up straight or lay down I constantly felt the need to vomit I went to the ER

Weitere VAERSDATA-Felder

Praegender Schweregrund: Abdominal pain lower
Hospital-Tage: 2,0
Labordaten: August 21, 2021 I went to the ER I was admitted they performed a CAT scan and the doctor advised me that my appendix needed to be removed. I asked him if this was some thing that had been ongoing and lead up to it he said no it had rotted pretty quickly
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: Season allergies and cats
Vorherige Impfungen: -

VAERS 1628282

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: CA
Alter: 31,0
Geschlecht: M
Eingang: 24.08.2021
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: ja

Inappropriate schedule of product administration Malaise

Symptomtext

SECOND DOSE OFCOVID-19 MODERNA VACCINE WAS ADMINISTERED 10 DAYS AFTER FIRST DOSE. ( 18 DAYS TOO EARLY) PATIENT RECALLS FEELING ILL DUE TO THIS.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Malaise
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: NONE
Vorgeschichte: NONE
Andere Medikamente: UNK
Allergien: NONE
Vorherige Impfungen: -

VAERS 1625267

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: ID
Alter: 77,0
Geschlecht: F
Eingang: 23.08.2021
Impfdatum: 11.08.2021
Beginn: 19.08.2021
Tage bis Beginn: 8,0
Dosis: 1
Route/Site: IM / LA

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

Abdominal pain Abnormal faeces Asthenia Dizziness Headache

Symptomtext

Patient reports having a headache since the day of the vaccine on 8/11 and reports has not resolved. Reported that on 8/17 she received her IV iron infusion and on 8/19 she experienced severe abdominal cramping which was a 10 on the pain scale, light headed ness, a large quantity of coffee ground looking bowel movements, and was very weak. She noted that she usually feels much better after her iron infusions and she was feeling well and had increased energy on the day after the iron infusion on 8/18, but the symptoms above started on 8/19.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Abdominal pain
Hospital-Tage: -
Labordaten: None performed
Aktuelle Erkrankungen: Iron level was low, which is normal for the patient. But no other illness at the time of vaccine or the month prior.
Vorgeschichte: History of a long standing GI bleed, has been going on for many years, reports that provider is unable to locate location of the bleed. Gets IV iron infusions routinely to help with blood loss (approximately every 2 months)
Andere Medikamente: atorvastatin, pantoprazole, metoprolol, ferrous sulfate, carafate, tumeric, aspirin, miralax, tylenol
Allergien: NDKA
Vorherige Impfungen: -

VAERS 1623759

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: CO
Alter: 60,0
Geschlecht: F
Eingang: 23.08.2021
Impfdatum: 13.08.2021
Beginn: 21.08.2021
Tage bis Beginn: 8,0
Dosis: 1
Route/Site: SYR / LA

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

Injection site erythema Injection site pain Injection site pruritus Injection site swelling

Symptomtext

8 days after the vaccine was received injection site became tender to touch, visibly swollen and red. redness and swelling approximately 5 inches in circumference. Some itching currently not severe. Notified my PCP via email.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Bicuspid Aortic Valve
Andere Medikamente: Multivitamin, D3, Biotin, Losartin and Hydrochlorothizide
Allergien: None
Vorherige Impfungen: -

VAERS 1623326

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: 42,0
Geschlecht: M
Eingang: 23.08.2021
Impfdatum: 17.08.2021
Beginn: 20.08.2021
Tage bis Beginn: 3,0
Dosis: 1
Route/Site: - / LA

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

Laboratory test Pyrexia Rash Rash erythematous Rash maculo-papular Rash vesicular

Symptomtext

Fever (101F) x3 days and maculopapular rash wide spread over abdomen and chest, red with small vesicle looking eruption that involves multiple dermatomes and crosses midlines on more than one dermatome.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pyrexia
Hospital-Tage: -
Labordaten: All labs are currently pending
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Multi-vitamins
Allergien: No
Vorherige Impfungen: -

VAERS 1617751

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: MS
Alter: 44,0
Geschlecht: M
Eingang: 22.08.2021
Impfdatum: 20.08.2021
Beginn: 22.08.2021
Tage bis Beginn: 2,0
Dosis: 1
Route/Site: IM / RA

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

Pyrexia

Symptomtext

Patient was FIRST immunized 2 days ago on 08/20/2021. Wife called on 08/22/2021 and indicated that patient has 101.3 degree fever. Advised wife to have husband get a COVID test and/or seek medical attention immediately. Counseled wife on possibility of recent exposure to actual COVID virus and the timing of effectiveness of vaccination.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pyrexia
Hospital-Tage: -
Labordaten: Wife indicated that she will take husband to hospital.
Aktuelle Erkrankungen: Unknown
Vorgeschichte: Unknown
Andere Medikamente: Unknown
Allergien: Unknown
Vorherige Impfungen: -

VAERS 1617663

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: MO
Alter: 44,0
Geschlecht: M
Eingang: 22.08.2021
Impfdatum: 20.08.2021
Beginn: 20.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

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

Body temperature increased Decreased appetite Fatigue Headache Loss of personal independence in daily activities Pain

Symptomtext

Patient developed symptoms following vaccination late in the evening of the same day but did not specify exactly when. Symptoms continued through the following day and began to subside the second day following vaccination (Sunday the 22nd). Patient had body aches and pain, headache, loss of apatite, fatigue which interfered with ADL, and a body temperature of 103 F at highest measured point. They did not seek clinical care.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: None performed
Aktuelle Erkrankungen: None known
Vorgeschichte: Hypertension Acid Indigestion
Andere Medikamente: Hydrochlorothyazide 12.5mg daily Hydralazine 10mg three times daily Lisinopril 40mg daily Omeprazole 30mg daily
Allergien: None known
Vorherige Impfungen: -

VAERS 1617577

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: SC
Alter: 44,0
Geschlecht: F
Eingang: 22.08.2021
Impfdatum: 14.08.2021
Beginn: 21.08.2021
Tage bis Beginn: 7,0
Dosis: UNK
Route/Site: IM / RA

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

Injection site erythema Injection site swelling Injection site warmth Pyrexia

Symptomtext

RIGHT ARM REDNESS, SWELLING, AND HEAT SYMPTOMS NOT STARTING UNTIL 7 DAYS AFTER IMMUNIZATION. PATIENT ALSO HAS SLIGHT FEVER OF 100.5. RECOMMENDED THE USE OF TYLENOL, DIPHENHYDRAMINE, AND ICE. ALSO REFERRED HER TO HER MD TO SEE IF COVID TEST WOULD BE APPROPRIATE.

Weitere VAERSDATA-Felder

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

VAERS 1609867

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: AZ
Alter: 40,0
Geschlecht: F
Eingang: 22.08.2021
Impfdatum: 13.08.2021
Beginn: 15.08.2021
Tage bis Beginn: 2,0
Dosis: 1
Route/Site: IM / LA

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

Injection site erythema Injection site pain

Symptomtext

Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Additional Details: pain and redness getting worse with time.

Weitere VAERSDATA-Felder

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

VAERS 1592765

PFIZER\BIONTECH · COVID19 (COVID19 (PFIZER-BIONTECH)) · Charge 002F21a

mild

Staat: TN
Alter: 61,0
Geschlecht: F
Eingang: 20.08.2021
Impfdatum: 19.08.2021
Beginn: 20.08.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: IM / LA

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

Chills Headache Pain Pyrexia

Symptomtext

CHILLS, BODYACHES, FEVER, MILD HEADACHE, SYMPTOMS STATRED @0100. LASTED 20HOURS

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: NONE
Aktuelle Erkrankungen: None
Vorgeschichte: HTN, High cholesterol, Bronchitis
Andere Medikamente: Candasartan/HCTZ, Rosuvastatin, EC ASA
Allergien: Allegra
Vorherige Impfungen: -

VAERS 1591391

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: LA
Alter: 31,0
Geschlecht: F
Eingang: 20.08.2021
Impfdatum: 19.08.2021
Beginn: 19.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Hypersensitivity Mouth swelling Pruritus Rash Swollen tongue

Symptomtext

Patient reported rash and itching about 2 hour after vaccination. She took Diphenhydramine 50mg to help with the allergy. Rash started with both arms and eventually spread throughout body. 08/19/2021 from 2:00pm to 4:30pm, shot give at approximate 2:15pm. Patient last called around 4:30 pm to ask about reporting and commented that mouth and tongue felt swollen. Pharmacist referred patient hospital or urgent care if symptoms worsened.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: lexapro
Allergien: penicillin
Vorherige Impfungen: -

VAERS 1591245

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: GA
Alter: 30,0
Geschlecht: F
Eingang: 20.08.2021
Impfdatum: 19.08.2021
Beginn: 19.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: SYR / LA

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

Muscle spasms Pain in extremity Skin warm

Symptomtext

Arm warm to the touch, severe soreness, muscle cramping

Weitere VAERSDATA-Felder

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

VAERS 1588751

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: KS
Alter: 67,0
Geschlecht: F
Eingang: 19.08.2021
Impfdatum: 17.08.2021
Beginn: 18.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / RA

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

Erythema Injection site swelling Pyrexia

Symptomtext

redness , swelling at site, fever

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site swelling
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1587034

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: -
Alter: 24,0
Geschlecht: M
Eingang: 19.08.2021
Impfdatum: 14.08.2021
Beginn: 15.08.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: IM / LA

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

Rash Rash pruritic Rash vesicular Skin burning sensation

Symptomtext

Per patient wife ; Rash with blisters associated with burning and itching on butt, arm , back

Weitere VAERSDATA-Felder

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

VAERS 1586802

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: AL
Alter: 71,0
Geschlecht: F
Eingang: 19.08.2021
Impfdatum: 17.08.2021
Beginn: 19.08.2021
Tage bis Beginn: 2,0
Dosis: 2
Route/Site: IM / RA

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

Diarrhoea Fatigue Injection site rash Peripheral swelling Skin warm

Symptomtext

patient's arm is swollen and hot to touch. she called for help and used a compress on it.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Diarrhoea
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: none
Vorgeschichte: depression diabetic high blood pressure.
Andere Medikamente: neurontin, nexium, norco, prozac, plavix crestor
Allergien: contrast dye
Vorherige Impfungen: -

VAERS 1583834

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: GA
Alter: 59,0
Geschlecht: F
Eingang: 18.08.2021
Impfdatum: 17.08.2021
Beginn: 17.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Pain in extremity Swelling

Symptomtext

The patient received her 2nd dose of Moderna COVID vaccine on 8/17/2021 at around 11AM. The patient called us the following day on 8/18/2021 to let us know she was having arm pain and swelling. The patient stated that the symptoms were not immediate and began on the evening of 8/17/2021. We asked the patient if she had tried anything to help her with side effects. The patient said that she had not taken or tried anything at the time of her phone call. We counseled the patient to use a cold compress, ice packs, and/or analgesic medications to help her with the pain and swelling. The patient did not mention needing to seek any additional medical attention.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain in extremity
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: none
Vorgeschichte: diabetes, high blood pressure, high cholesterol, allergic rhinitis
Andere Medikamente: Loratadine, atorvastatin, ezetimibe, farxiga, hydrochlorothiazide, losartan, metoprolol ER
Allergien: Aspirin
Vorherige Impfungen: -

VAERS 1583393

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: KS
Alter: 23,0
Geschlecht: F
Eingang: 18.08.2021
Impfdatum: 13.08.2021
Beginn: 13.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Peripheral swelling Rash Vaccination site reaction

Symptomtext

Patient returned to pharmacy on 8/17 to pick up a medication and informed the pharmacy that after she received her vaccinations on 8/13 she developed a rash on her arm that then became swollen on her arm. She stated she researched it on the internet and said she read about "covid arm." She thought that is what she had. She stated she iced the area, took ibuprofen, and took only one benedryl. She stated that her arm was getting better after a couple of days since the vaccination.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Rash
Hospital-Tage: -
Labordaten: none specified by patient
Aktuelle Erkrankungen: -
Vorgeschichte: asthma
Andere Medikamente: adderall, hydroxychloroquine, zoloft
Allergien: -
Vorherige Impfungen: -

VAERS 1582823

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: CO
Alter: 56,0
Geschlecht: F
Eingang: 18.08.2021
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: nein

Dizziness Fatigue Injection site pain

Symptomtext

Was dizzy that evening after injection. Very fatigued next morning and still fatigued and sore at injection site. These side effects are not bad, just thought I should report. I was very nervous about getting this shot due to my sensitivity to medicines and other allergies, so these side effects are better than I was expecting.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Epilepsy, narcolepsy,
Andere Medikamente: Keppra, fluoxetine, armodafinil
Allergien: Wasp, deer flies, sulfa, codeine, iodine, benadryl and many others
Vorherige Impfungen: Influenza, hepatitis A&B,

VAERS 1578960

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: FL
Alter: 63,0
Geschlecht: F
Eingang: 18.08.2021
Impfdatum: 15.08.2021
Beginn: 16.08.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / RA

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

Axillary pain Erythema Rash Rash erythematous Rash papular

Symptomtext

Rash under right arm pit with redness and pain

Weitere VAERSDATA-Felder

Praegender Schweregrund: Axillary pain
Hospital-Tage: -
Labordaten: unknown
Aktuelle Erkrankungen: unknown
Vorgeschichte: unknown
Andere Medikamente: Unknown
Allergien: Quinolones and sulfa antibiotics
Vorherige Impfungen: -

VAERS 1578960

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: 63,0
Geschlecht: F
Eingang: 18.08.2021
Impfdatum: 15.08.2021
Beginn: 16.08.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / RA

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

Axillary pain Erythema Rash Rash erythematous Rash papular

Symptomtext

Rash under right arm pit with redness and pain

Weitere VAERSDATA-Felder

Praegender Schweregrund: Axillary pain
Hospital-Tage: -
Labordaten: unknown
Aktuelle Erkrankungen: unknown
Vorgeschichte: unknown
Andere Medikamente: Unknown
Allergien: Quinolones and sulfa antibiotics
Vorherige Impfungen: -

VAERS 1579222

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: 47,0
Geschlecht: F
Eingang: 17.08.2021
Impfdatum: 17.08.2021
Beginn: 17.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Dizziness Pruritus

Symptomtext

Patient received the vaccine and about 10 min or so waiting in the chair she approached the counter saying she felt itchy all over her body and dizzy. She was provided with liquid Benadryl 25 mg at 4:50 PM and observed she continue with the itchiness so I gave her a second dose 25 mg at 5:17 PM. After a few minutes she started to feel better, itchiness and dizziness disappeared. Advice patient to go to hospital if symptoms come back or get worse.

Weitere VAERSDATA-Felder

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

VAERS 1578617

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: PA
Alter: 55,0
Geschlecht: F
Eingang: 17.08.2021
Impfdatum: 14.08.2021
Beginn: 14.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Erythema Malaise Pruritus Urticaria

Symptomtext

Pt was nervous about getting vaccinated. Before administering the shot, the pt was told that she had to wait 30 mins after the injection to make sure she doesn't have any reactions to the vaccine. 20 mins after the vaccination, the pharmacy technician told the pharmacist that the pt did not look well while waiting with her husband. The pharmacist then spoke with the patient and husband. The pt was seated and said she had an itchy red hive on her left forearm ( the same arm of the vaccination). She said she had benadryl and would take them if she needed to. The pharmacist observed the 2 inch hive, asked the pt to check for more hives on her body and if she had any other symptoms. Pt did not. Pt sat for 25 minutes more. The hive was fading away at that time (45 mins post vaccination). The pt was told to go to another facility with emergency services if MD clears her for further doses. MD was informed on the next business day (2 days later). The MD office left a voicemail stating for the next dose the pt needs to go to a facility capable of treating anaphylaxis on site.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Malaise
Hospital-Tage: -
Labordaten: unknown
Aktuelle Erkrankungen: Antiphospholipid syndrome (APS)
Vorgeschichte: Antiphospholipid syndrome (APS)
Andere Medikamente: UNKNOWN
Allergien: PENICILLIN, BACTRIM, ONION, GARLIC
Vorherige Impfungen: unknown which vaccine, felt dizzy as child

VAERS 1578376

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: TN
Alter: 49,0
Geschlecht: F
Eingang: 17.08.2021
Impfdatum: 09.08.2021
Beginn: 17.08.2021
Tage bis Beginn: 8,0
Dosis: 1
Route/Site: SYR / LA

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

Erythema Mass Pruritus Tenderness

Symptomtext

Redness, lumpy, itching, tenderness, I went to the school nurse where I work and they gave me 25mg Benadryl.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Duloxetine, Oxcarbazepine
Allergien: None
Vorherige Impfungen: -

VAERS 1575261

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: SC
Alter: 34,0
Geschlecht: F
Eingang: 16.08.2021
Impfdatum: 16.08.2021
Beginn: 16.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Cold sweat Dizziness Immediate post-injection reaction Nausea

Symptomtext

Immediately following administration of vaccine patient reported symptoms of light headedness, nausea and clamminess.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: Blood pressure at start of reaction 92/53. Blood pressure 15 minutes after start of reaction 128/77.
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1574591

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: AL
Alter: 74,0
Geschlecht: F
Eingang: 16.08.2021
Impfdatum: 13.08.2021
Beginn: 13.08.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Cyanosis Extra dose administered Feeling abnormal Interchange of vaccine products Ligament disorder Nausea Somnolence Toothache Vision blurred Wrong product administered

Symptomtext

Patient was fully vaccinated with the Pfizer vaccine. She came into get her second Shingrix vaccination but was given a Moderna Covid vaccine in error. Patient reports feeling bad, running temp, excessive sleepiness for most of Saturday and Sunday following the immunization. Pt also complained of nausea, blurred vision, hurting teeth, ligaments in wrist extending with the skin blue around these area and thumb pads. She has seen a Physician and the Dr. ordered labs. She is waiting the results.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Nausea
Hospital-Tage: -
Labordaten: I am unaware
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1574571

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: WI
Alter: 21,0
Geschlecht: F
Eingang: 16.08.2021
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

Arthralgia Back pain

Symptomtext

Patient hade severe pain in back shoulder area that radiated to neck, head and upper arm. Six hours later pain is persistent.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: Oral Contraceptives
Allergien: none
Vorherige Impfungen: -

VAERS 1574520

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: GA
Alter: 30,0
Geschlecht: F
Eingang: 16.08.2021
Impfdatum: 16.08.2021
Beginn: 16.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Anxiety Dizziness Hyperventilation Panic attack

Symptomtext

PT ALMOST PASSED OUT WITHIN 5 MINUTES OF RECEIVING MODERNA COVID-19 VACCINE. PER EMS SHE WAS HYPERVENTILATED DUE TO PANIC/ANXIETY ATTACKS. PT WAS FINE AFTER 15 TO 20 MINUTES. PT HAS LEFT THE FACILITY.

Weitere VAERSDATA-Felder

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

VAERS 1574190

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: NC
Alter: 56,0
Geschlecht: F
Eingang: 16.08.2021
Impfdatum: 13.08.2021
Beginn: 16.08.2021
Tage bis Beginn: 3,0
Dosis: 1
Route/Site: - / LA

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

Injection site erythema Injection site rash Injection site warmth Pruritus

Symptomtext

3 days following vaccine patient called stating she was itchy all over her body and felt like bugs had bit her. She also stated she did not have a red warm rash on injection site but about 8" lower had a linear rash. Advised patient should go to urgent care or hospital to have it looked at.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: unknown as of right now
Aktuelle Erkrankungen: unknown
Vorgeschichte: unknown
Andere Medikamente: unknown
Allergien: none - never had allergic reaction previously
Vorherige Impfungen: -

VAERS 1569155

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: KS
Alter: 51,0
Geschlecht: F
Eingang: 15.08.2021
Impfdatum: 12.08.2021
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

Cold sweat Dizziness Heart rate increased Hyperhidrosis Nausea Throat tightness

Symptomtext

PER PATIENT- AFTER SHE LEFT THE STORE SHE FELT DIZZINESS, RAPID HEARTRATE, ESOPHAGUS STIFFENED UP, NAUSEA, SWEATING, CLAMMY

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: NO TESTS OR LABS DONE IN RELATION TO REACTION- SHE TOOK BENADRY WHICH HELPED AND NOTIFIED HER PRIMARY CARE PROVIDER. HE TOLD HER TO COME TO THE PHARMACY AND HAVE A REPORT FILED.
Aktuelle Erkrankungen: UNAVAILABLE
Vorgeschichte: IBS, HYPERTENSION, ANXIETY, NEUROPATHY, PAYNAUD'S SYNDROME, CHRONIC ARTHRITIS (PER PATIENT)
Andere Medikamente: TAKES PRESCRIPTION MEDICATION FROM HER DOC TOR- DID NOT WANT TO GIVE LIST. NO OVER-THE-COUNTER, DIETARY SUPPLEMENTS, OR HERBAL REMEDIES.
Allergien: ALLERGY TO HYDROCODONE AND HEPATITIS B VACCINE
Vorherige Impfungen: HEPATITIS B VACCINE

VAERS 1569113

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: 49,0
Geschlecht: F
Eingang: 15.08.2021
Impfdatum: 14.08.2021
Beginn: 14.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Chills Pain in extremity Pyrexia

Symptomtext

Developed a 102 degree fever 12 hours after vaccine. also chills and a very very sore arm.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: back injury. herniated discs. recent finding.
Vorgeschichte: HTN, menopause.
Andere Medikamente: Verapamil, Vesicare, Biotin, Magnesium, HCTZ.
Allergien: Ace Inhibitors
Vorherige Impfungen: -

VAERS 1558337

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: IA
Alter: 39,0
Geschlecht: M
Eingang: 14.08.2021
Impfdatum: 13.08.2021
Beginn: 13.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Injection site pain Pyrexia

Symptomtext

Pain at injection site, mild fever (100F), treating with Ibprofen.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 1558335

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: FL
Alter: 50,0
Geschlecht: M
Eingang: 14.08.2021
Impfdatum: 14.08.2021
Beginn: 14.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Abdominal discomfort Dizziness

Symptomtext

patient's family member called after couple hours after receiving the vaccine,mentioning that the patient was feeling dizzy which might be also due to his upset stomach for which he had taken immidium. Pharmacist called the patient in a few hours and patient was feeling ok.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none reported
Vorgeschichte: none reported
Andere Medikamente: none reported
Allergien: none reported
Vorherige Impfungen: -

VAERS 1555595

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: AZ
Alter: 37,0
Geschlecht: F
Eingang: 14.08.2021
Impfdatum: 12.08.2021
Beginn: 13.08.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: SYR / LA

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

Arthralgia Chills Hyperhidrosis Lip swelling Pain Pyrexia

Symptomtext

8/12 12:30pm sweating 8/12 6:00pm body aches 8/12 fever and chills start over night 8/13 fever and chills continue and moderate joint pain through lout day 8/13 3:30pm Swollen bottom lip starts 8/13 9:30pm swelling of bottom lip increases and fever and chills and moderate joint pain

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: Asthma, anemia
Andere Medikamente: B12, Vitamin D and Iron
Allergien: Cantaloupe & Honeydew
Vorherige Impfungen: -

VAERS 1555213

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: GA
Alter: 45,0
Geschlecht: F
Eingang: 13.08.2021
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: nein

Dysphagia Dysphonia Erythema Feeling jittery Pruritus Taste disorder Throat irritation

Symptomtext

A few minutes after receiving her 1st moderna shot, patient complained of an itchy throat and bad taste in her mouth. She had visible redness all over her face, neck and shoulders. She stated she had intense itching all on her neck and face and her voice was sounding a little hoarse. She did tell me that she had experienced something like this with her asthma allergies but not with a vaccine. She had her albuterol inhaler with her and took t 2 puffs. She did state that it was a little hard to swallow, but did not feel like her throat was closing up. She stated she did not feel like she was having shortness of breath, but was felt jittery and didn't know if was from the inhaler or her nerves. I had her lie on the floor. The intense itching did not seem to be subsiding for her. Aske her if she would like me to call the EMTs to asses her and she said yes. I called the EMTs. Once they arrived , they took an assessment and her vitals. After about 20 minutes , she decided she was feeling a little better. She did not go to the ER , they did wheel her out in a wheel chair and advised her to take some Benadryl.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none
Vorgeschichte: Asthma allergies
Andere Medikamente: Albuterol
Allergien: Sulfa, Codeine, morphine, robitussin, pepper
Vorherige Impfungen: -

VAERS 1554494

UNKNOWN MANUFACTURER · VACCINE NOT SPECIFIED (NO BRAND NAME) · Charge 002F21A

mild

Staat: AL
Alter: 23,0
Geschlecht: F
Eingang: 13.08.2021
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: ja

Vomiting

Symptomtext

Patient got her first Moderna COVID 19 vaccination and then did not want to wait 15 min in pharmacy area, but to walk around the store. Patient returned 5 minutes later, reporting she vomited in the bathroom. Patient states she didn't know if it was due to the vaccination or due to the anxiety of getting the shot. Vital signs assessed: 126/100, P 120, Resp - normal, skin- warm, dry, pt was anxious while receiving the vaccine, tensing up her arm, did relax it prior to getting vaccine. Pt was monitored for 10 minutes, then felt fine and left with family.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Vomiting
Hospital-Tage: -
Labordaten: Vital signs assessed: 126/100, P 120, Resp - normal, skin- warm, dry, pt was anxious while receiving the vaccine, tensing up her arm, did relax it prior to getting vaccine.
Aktuelle Erkrankungen: N/A
Vorgeschichte: HIV/AIDS
Andere Medikamente: UNKNOWN
Allergien: NKDA
Vorherige Impfungen: -

VAERS 1554467

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: FL
Alter: 33,0
Geschlecht: F
Eingang: 13.08.2021
Impfdatum: 10.08.2021
Beginn: 12.08.2021
Tage bis Beginn: 2,0
Dosis: 1
Route/Site: SYR / RA

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

Dizziness Fatigue Gastrooesophageal reflux disease Hallucination Headache Pyrexia

Symptomtext

The night I got the shot I felt mostly fine, I started getting a headache about an hour later, otherwise good until about 5am. I work nights so I?m normally good staying up. Then I started feeling drained and getting body aches. By the time I got home from work it was worse. I started feeling dizzy and went to lay down. I spiked a high fever but was able to get it down at home with Tylenol and ice and staying hydrated. This cycle continued until yesterday afternoon when my fever finally broke. Then last night I started hallucinating. I was aware that I was hallucinating but couldn?t make it stop for what felt like at least an hour. I kept seeing lights that I knew weren?t really there and felt like the lights were talking to each other and also became paranoid that if I turned to look directly at the source of the lights some unknown terrible thing would happen. I have never had hallucinations before. I?ve had panic attacks before but this was very different. I knew it wasn?t really but I couldn?t stop seeing it and I was definitely awake, but too afraid to even move. Once it stopped I felt ok. I haven?t had

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: High blood pressure, asthma, arthritis, ADHD, Anxiety, PCOS, Dextrocardia
Andere Medikamente: Gabapentin, amlodopine, hydrochlorothiazide, Robaxin, Celebrex, iron supplements, progesterone
Allergien: Cactus, peptobismol
Vorherige Impfungen: -

VAERS 1554369

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: MN
Alter: 51,0
Geschlecht: M
Eingang: 13.08.2021
Impfdatum: 11.08.2021
Beginn: 13.08.2021
Tage bis Beginn: 2,0
Dosis: 2
Route/Site: IM / LA

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

Angiogram Asthenia Computerised tomogram head abnormal Computerised tomogram head normal Computerised tomogram neck Dizziness Eye pain Gait disturbance Headache Leukopenia Lymphadenopathy mediastinal Lymphocyte count decreased Neutrophil count decreased Sarcoidosis Vision blurred White blood cell count decreased

Symptomtext

Symptoms began at 0900 on 8/13/21. Patient was at home and became dizzy and weak with complaints of blurred vision. Then developed occipital headache and pain behind his right eye. Was having difficulty ambulating during this event. Patient presented to the emergency department at 0930, no neurological symptoms were noted, patient only complaining of the headache at this time. Head CT was performed to rule out hemorrhage, then head CT/neck with contrast was performed. Acute vascular findings were ruled out, but incidental findings of mediastinal lymphadenopathy as well as nodular and interstitial change at the lung apices were found. Chest CTA was then performed which found mediastinal and bilateral hilar lymphadenopathy and pulmonary findings that were strongly suggestive of sarcoidosis, or possibly lymphoma but less likely. Patient was able to discharge home with diagnosis of sarcoidosis and leukopenia.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: White blood cell count of 3.0, lymph # 0.6, and neutrophils # 1.6 were notable results.
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1553453

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: IA
Alter: 22,0
Geschlecht: F
Eingang: 13.08.2021
Impfdatum: 12.08.2021
Beginn: 12.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Dizziness Vomiting

Symptomtext

Systemic: Dizziness / Lightheadness-Mild, Systemic: Vomiting-Mild

Weitere VAERSDATA-Felder

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

VAERS 1549962

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: 20,0
Geschlecht: F
Eingang: 12.08.2021
Impfdatum: 12.08.2021
Beginn: 12.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Dizziness Hyperhidrosis

Symptomtext

After receiving Moderna Covid-19 vaccine patient felt dizzy while waiting in the post vaccination area and was about to fall from the chair. Pharmacy team rushed to help. Patient was sweating and felt dizzy. She was asked to lie a on the floor facing comfortably. Patient did not had any difficulty breathing or any other symptoms. 911/Paramedics were called right away, who came and took her vitals which came out normal. They suggested that patient do not have to be taken to the hospital. Patiet's sister came and picked up the patient. Pharmacist followed up on patient's condition latwer in the afternoon, patient mentioned that she was doing fine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: n/a
Aktuelle Erkrankungen: None
Vorgeschichte: ADHD
Andere Medikamente: None reported
Allergien: None
Vorherige Impfungen: -

VAERS 1549659

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: GA
Alter: 43,0
Geschlecht: F
Eingang: 12.08.2021
Impfdatum: 09.08.2021
Beginn: 11.08.2021
Tage bis Beginn: 2,0
Dosis: 1
Route/Site: IM / LA

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

Rash

Symptomtext

Patient reported rash on back, chest and neck Advised to take Benadryl and go to ER if symptoms worsen

Weitere VAERSDATA-Felder

Praegender Schweregrund: Rash
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: Asthma Depression hyperlipidemia
Vorgeschichte: Asthma
Andere Medikamente: Montelukast 10mg - 1 tablet daily Fenofibrate 160mg - 1 tablet daily Bupropion ER 150mg - 1 tablet twice daily Proventil inhaler - 2 puffs every 4 - 6 hours as needed
Allergien: Sulfa medications
Vorherige Impfungen: -

VAERS 1549455

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: 43,0
Geschlecht: F
Eingang: 12.08.2021
Impfdatum: 10.08.2021
Beginn: 10.08.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: - / LA

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

Fatigue Feeling hot Pain in extremity Pyrexia Rash Rash erythematous Vulvovaginal rash

Symptomtext

Patient reported that she started with fever and soreness to the arm, she as felt very tied... as going to the next day her fever become very high and she has rash on breast thighs and virginial area... she stated that the rash is red and hot to the touch

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: n/a
Aktuelle Erkrankungen: no
Vorgeschichte: no
Andere Medikamente: Phenpermine Calcium Multi Vitamin Omega 3 Fiber
Allergien: Cinnamon
Vorherige Impfungen: -

VAERS 1545748

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: MI
Alter: 48,0
Geschlecht: F
Eingang: 11.08.2021
Impfdatum: 07.08.2021
Beginn: 10.08.2021
Tage bis Beginn: 3,0
Dosis: 1
Route/Site: SYR / LA

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

Arthralgia Asthenia Chills Decreased appetite Dizziness Ear pain Fatigue Headache Heart rate increased Hot flush Neck pain Piloerection Pyrexia Sleep disorder Taste disorder

Symptomtext

Day 3 shoulder, neck aches, moderate to severe headache, ear pain, taste issues, sleep issues, extremely tired, dizzy, chills with goosebumps, feverish, hot flashes, very weak. No appreciate, very tachy heart beat!

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: N/a
Aktuelle Erkrankungen: None
Vorgeschichte: Common severe seasonal allergies, faliciulities, alopecia areta, severe aniety, episodes of depression, restless leg syndrome, chronic pain, bladder cystitis, GERD, ADHD COMBINATION
Andere Medikamente: Adderall 20mg twice per day, 5hr energy shots ?2 per day, cetirizine hcl oral tablet 10 mg
Allergien: Sulfa
Vorherige Impfungen: -

VAERS 1541618

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: FL
Alter: 29,0
Geschlecht: M
Eingang: 10.08.2021
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

Cold sweat Dizziness Heart rate decreased Hyperhidrosis Pallor

Symptomtext

About 1 min after injection the pt became pale and clammy. He started sweating. His heart rate dropped and he said he felt like he was going to pass out. 911 was called.

Weitere VAERSDATA-Felder

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

VAERS 1536367

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: MS
Alter: 81,0
Geschlecht: F
Eingang: 09.08.2021
Impfdatum: 05.08.2021
Beginn: 06.08.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: IM / LA

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

Erythema Injection site pruritus Injection site warmth

Symptomtext

REDNESS, HEAT, AND ITCHING AT INJECTION SITE, TREATED SUCESSFULLY WITH BENADRYL

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site pruritus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: HTN, DM, Malignant neoplasm right breast, hyperlipidemia
Vorgeschichte: HTN, DM, hyperlipidemia
Andere Medikamente: aspirin 81mg, atorvastatin 20mg, Plavix 75mg, losartan potassium 100mg, metformin 500mg, preservision, Tylenol 650mg, bensonatate 100mg, levemir, anastrozole 1mg, Norco 7.5-325mg, Zoloft 25 mg
Allergien: NKA
Vorherige Impfungen: -

VAERS 1536339

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: MS
Alter: 55,0
Geschlecht: M
Eingang: 09.08.2021
Impfdatum: 05.08.2021
Beginn: 06.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / LA

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

Body temperature increased Haematemesis Productive cough Vomiting

Symptomtext

Received vaccine on 8/5, noted non productive cough and temp on 8/6. Sent to hospital for vomiting coffee ground emesis on 8/7.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Vomiting
Hospital-Tage: -
Labordaten: Admitted to hospital
Aktuelle Erkrankungen: hematemesis, cva, htn, gastritis, gerd
Vorgeschichte: htn, gerd, illicit drug use
Andere Medikamente: quetiapine fumarate 12.5mg, minoxidil 5mg, reglan 5mg, Lipitor 40mg, metoprolol tartrate 100mg, amlodipine beslyate 10mg, Tylenol 650mg, pantoprazole 40mg
Allergien: NKA
Vorherige Impfungen: -

VAERS 1534977

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: FL
Alter: 30,0
Geschlecht: F
Eingang: 07.08.2021
Impfdatum: 07.08.2021
Beginn: 07.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Disorientation Dizziness Mydriasis Pallor Peripheral coldness

Symptomtext

Dizziness, Pale skin, pupils Dilated, Disorientation, cold hands

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: NOT KNOWN
Vorgeschichte: OK
Andere Medikamente: NOT KNOWN
Allergien: SULFA
Vorherige Impfungen: -

VAERS 1534957

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

mild

Staat: AL
Alter: 41,0
Geschlecht: M
Eingang: 07.08.2021
Impfdatum: 07.08.2021
Beginn: 07.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Dizziness Hyperhidrosis

Symptomtext

after 5-6 minutes after receiving vaccine pt started sweating and feeling dizzy. got pt water and cold compresses. had pt to lie down and put compresses on face and neck. after several minutes pt started feeling better so had pt sit up but pt started feeling dizzy again so pt lied down again. went through this process several times until pt was able to remain upright without feeling dizzy. pt remained in pharmacy for around 40-45 minutes.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: unknown
Allergien: none
Vorherige Impfungen: -

VAERS 1534930

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

mild

Staat: CA
Alter: 37,0
Geschlecht: F
Eingang: 07.08.2021
Impfdatum: 06.08.2021
Beginn: 07.08.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: IM / LA

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

Diarrhoea Discomfort Dizziness Fatigue Feeling hot Headache Impaired work ability Myalgia Nausea Pyrexia

Symptomtext

Some muscle sorness and fatigue and mild headche with dizzyness along wit mild diareiah same day. Next day ( 8/7/21) I started being nuasious when i woke up for work at 4:30 Am. I took the better safe then sorry route and called out from work. I got home, asked my eldest to watch thier younger sibling so i could grab a nap becuase i was very nasious by about 11 am or so. I was also feeling very hot but with living in a 5th wheel i thought it was just usual too hot even with AC running type hot. I awoke about 12:27 feeling extremly hot and uncomfratable, so i knew then i had a fever so i grabbed a luke warm shower nad then took my tempture. It was 99.8 so very mild. My diarieah as turned into almost watery poop so i am staying well hydrated as of 8/7/21 1:22 PM

Weitere VAERSDATA-Felder

Praegender Schweregrund: Diarrhoea
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: None
Vorgeschichte: Type 2 diabetic, in 2018 i had a TIA attack or minor stroke
Andere Medikamente: I am type 2 diabetic. I take the Besiglar injection pen. I also on occasion take another brand zertec for allergies and asprin as needed for headaces etc etc.
Allergien: None
Vorherige Impfungen: Moderna lot 052c21a on 07/9/2021 Exprience mild arm soreness, fatigue, headches off on and with little diareah for about 3 day

VAERS 2724771

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: MO
Alter: 59,0
Geschlecht: F
Eingang: 17.12.2023
Impfdatum: 18.09.2021
Beginn: 01.10.2021
Tage bis Beginn: 13,0
Dosis: 1
Route/Site: SYR / LA

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

Tinnitus

Symptomtext

Ears stared ringing shortly afterwards though possibly could have been allergies, buy haven't gone away still continued ringing daily.

Weitere VAERSDATA-Felder

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

VAERS 2719495

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: TN
Alter: 70,0
Geschlecht: M
Eingang: 30.11.2023
Impfdatum: 18.08.2021
Beginn: 05.01.2022
Tage bis Beginn: 140,0
Dosis: 2
Route/Site: - / -

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

Breakthrough COVID-19 Gait disturbance Skin ulcer

Symptomtext

Covid-19 Breakthrough Infection

Weitere VAERSDATA-Felder

Praegender Schweregrund: Breakthrough COVID-19
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Unknown
Vorgeschichte: Ischemic Cardiomyopathy, Ambulatory Dysfunction, CKD, Gout, Obesity, Iron Deficiency Anemia, Vitamin D. Deficiency, HLD, HTN, BLE Ulcerations, PVD
Andere Medikamente: Aspirin, Carvedilol, Cholecalciferol, Duloxetine, Famotidine, Furosemide, Omega 3 Fatty Acids, Tylenol.
Allergien: Tamsulosin, Morphine.
Vorherige Impfungen: -

VAERS 2677127

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: TN
Alter: 70,0
Geschlecht: M
Eingang: 28.08.2023
Impfdatum: 15.09.2021
Beginn: 07.12.2022
Tage bis Beginn: 448,0
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: CHF, HTN, HLD, PVD, Atherosclerosis of coronary artery, AFIB, Renal Disease, CAD
Andere Medikamente: Atorvastatin, Digoxin, Entresto, Furosemide, Warfarin,
Allergien: NKDA
Vorherige Impfungen: -

VAERS 2626929

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: FL
Alter: 30,0
Geschlecht: F
Eingang: 05.05.2023
Impfdatum: 02.09.2021
Beginn: 01.04.2022
Tage bis Beginn: 211,0
Dosis: 1
Route/Site: OT / -

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

Inappropriate schedule of product administration No adverse event

Symptomtext

No adverse event; Dose 1 and Dose 2 and administered on 2-Sep-2021 and 1-Apr-2022; beyond 35 days apart; This spontaneous case was reported by a pharmacist and describes the occurrence of INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Dose 1 and Dose 2 and administered on 2-Sep-2021 and 1-Apr-2022; beyond 35 days apart) and NO ADVERSE EVENT (No adverse event) in a 30-year-old female patient who received mRNA-1273 (Spikevax) (batch nos. 002M21A and 002F21A) for COVID-19 prophylaxis. No Medical History information was reported. On 02-Sep-2021, the patient received first dose of mRNA-1273 (Spikevax) (Intramuscular) 1 dosage form. On 01-Apr-2022, received second dose of mRNA-1273 (Spikevax) (Intramuscular) dosage was changed to 1 dosage form. On 01-Apr-2022, after starting mRNA-1273 (Spikevax), the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Dose 1 and Dose 2 and administered on 2-Sep-2021 and 1-Apr-2022; beyond 35 days apart). On an unknown date, the patient experienced NO ADVERSE EVENT (No adverse event). At the time of the report, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Dose 1 and Dose 2 and administered on 2-Sep-2021 and 1-Apr-2022; beyond 35 days apart) and NO ADVERSE EVENT (No adverse event) outcome was unknown. For mRNA-1273 (Spikevax) (Intramuscular), the reporter considered NO ADVERSE EVENT (No adverse event) to be not related. No further causality assessment was provided for INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Dose 1 and Dose 2 and administered on 2-Sep-2021 and 1-Apr-2022; beyond 35 days apart). Concomitant medications were not reported. Treatment information was not reported. This case was linked to MOD-2023-722085 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 02-May-2023: Live followup received with no new information.

Weitere VAERSDATA-Felder

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

VAERS 2617592

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 83,0
Geschlecht: F
Eingang: 19.04.2023
Impfdatum: 11.08.2022
Beginn: 11.08.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / -

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

No adverse event

Symptomtext

No adverse events

Weitere VAERSDATA-Felder

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

VAERS 2617590

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 76,0
Geschlecht: F
Eingang: 19.04.2023
Impfdatum: 11.08.2022
Beginn: 11.08.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / -

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

No adverse event

Symptomtext

No adverse events

Weitere VAERSDATA-Felder

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

VAERS 2617586

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 63,0
Geschlecht: F
Eingang: 19.04.2023
Impfdatum: 11.08.2022
Beginn: 11.08.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / -

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

No adverse event

Symptomtext

No adverse events

Weitere VAERSDATA-Felder

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

VAERS 2615688

MODERNA · COVID19 (COVID19 (MODERNA BIVALENT)) · Charge 002F21A

gering

Staat: -
Alter: -
Geschlecht: U
Eingang: 15.04.2023
Impfdatum: -
Beginn: -
Tage bis Beginn: -
Dosis: UNK
Route/Site: OT / -

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

Expired product administered No adverse event

Symptomtext

expired vaccine used; no adverse event; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (expired vaccine used) and NO ADVERSE EVENT (no adverse event) in a patient of an unknown age and gender who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 002F21A) for COVID-19 prophylaxis. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On an unknown date, the patient experienced EXPIRED PRODUCT ADMINISTERED (expired vaccine used) and NO ADVERSE EVENT (no adverse event). At the time of the report, EXPIRED PRODUCT ADMINISTERED (expired vaccine used) and NO ADVERSE EVENT (no adverse event) outcome was unknown. For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. It was reported that expired vaccine was given to the patients past the expiration date. After being vaccinated, there were no complaints regarding any of the patient's health. No treatment medications were reported. On 14-Apr-2023, case was made as invalid due to other patients involved without particular patient identifier.

Weitere VAERSDATA-Felder

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

VAERS 2613872

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 48,0
Geschlecht: M
Eingang: 12.04.2023
Impfdatum: 11.08.2022
Beginn: 11.08.2022
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

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613870

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 69,0
Geschlecht: F
Eingang: 12.04.2023
Impfdatum: 11.08.2022
Beginn: 11.08.2022
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

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613867

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 73,0
Geschlecht: M
Eingang: 12.04.2023
Impfdatum: 11.08.2022
Beginn: 11.08.2022
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

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613864

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 87,0
Geschlecht: F
Eingang: 12.04.2023
Impfdatum: 11.08.2022
Beginn: 11.08.2022
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

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613860

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 70,0
Geschlecht: F
Eingang: 12.04.2023
Impfdatum: 11.08.2022
Beginn: 11.08.2022
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

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613845

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 50,0
Geschlecht: F
Eingang: 12.04.2023
Impfdatum: 12.05.2022
Beginn: 12.05.2022
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

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613843

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 67,0
Geschlecht: F
Eingang: 12.04.2023
Impfdatum: 12.05.2022
Beginn: 12.05.2022
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

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613838

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 70,0
Geschlecht: M
Eingang: 12.04.2023
Impfdatum: 12.05.2022
Beginn: 12.05.2022
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

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613837

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 76,0
Geschlecht: F
Eingang: 12.04.2023
Impfdatum: 12.05.2022
Beginn: 12.05.2022
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

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613833

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 64,0
Geschlecht: F
Eingang: 12.04.2023
Impfdatum: 12.05.2022
Beginn: 12.05.2022
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

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613832

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 59,0
Geschlecht: M
Eingang: 12.04.2023
Impfdatum: 12.05.2022
Beginn: 12.05.2022
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

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613829

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 85,0
Geschlecht: M
Eingang: 12.04.2023
Impfdatum: 12.05.2022
Beginn: 12.05.2022
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

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613825

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 69,0
Geschlecht: F
Eingang: 12.04.2023
Impfdatum: 12.05.2022
Beginn: 12.05.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / -

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

Unevaluable event

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613822

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 80,0
Geschlecht: F
Eingang: 12.04.2023
Impfdatum: 12.05.2022
Beginn: 12.05.2022
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

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613821

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 80,0
Geschlecht: M
Eingang: 12.04.2023
Impfdatum: 12.05.2022
Beginn: 12.05.2022
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

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613818

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 79,0
Geschlecht: F
Eingang: 12.04.2023
Impfdatum: 11.08.2022
Beginn: 11.08.2022
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

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613815

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 79,0
Geschlecht: F
Eingang: 12.04.2023
Impfdatum: 12.05.2022
Beginn: 12.05.2022
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

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613812

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 84,0
Geschlecht: M
Eingang: 12.04.2023
Impfdatum: 12.05.2022
Beginn: 12.05.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / -

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

Unevaluable event

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613810

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 65,0
Geschlecht: F
Eingang: 12.04.2023
Impfdatum: 12.05.2022
Beginn: 12.05.2022
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

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613807

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 70,0
Geschlecht: M
Eingang: 12.04.2023
Impfdatum: 11.08.2022
Beginn: 11.08.2022
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

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613806

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 70,0
Geschlecht: F
Eingang: 12.04.2023
Impfdatum: 12.05.2022
Beginn: 12.05.2022
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

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613783

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 68,0
Geschlecht: M
Eingang: 12.04.2023
Impfdatum: 17.03.2022
Beginn: 17.03.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / -

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

Unevaluable event

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613778

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 63,0
Geschlecht: F
Eingang: 12.04.2023
Impfdatum: 17.03.2022
Beginn: 17.03.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / -

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

Unevaluable event

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613773

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 79,0
Geschlecht: F
Eingang: 12.04.2023
Impfdatum: 17.03.2022
Beginn: 17.03.2022
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

Symptomtext

None.

Weitere VAERSDATA-Felder

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

VAERS 2613772

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 69,0
Geschlecht: M
Eingang: 12.04.2023
Impfdatum: 17.03.2022
Beginn: 17.03.2022
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

Symptomtext

None

Weitere VAERSDATA-Felder

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

VAERS 2613769

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 69,0
Geschlecht: F
Eingang: 12.04.2023
Impfdatum: 17.03.2022
Beginn: 17.03.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / -

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

No adverse event

Symptomtext

No adverse events

Weitere VAERSDATA-Felder

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

VAERS 2613767

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 33,0
Geschlecht: M
Eingang: 12.04.2023
Impfdatum: 17.03.2022
Beginn: 17.03.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / -

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

No adverse event

Symptomtext

No adverse events

Weitere VAERSDATA-Felder

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

VAERS 2613766

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 81,0
Geschlecht: F
Eingang: 12.04.2023
Impfdatum: 17.03.2022
Beginn: 17.03.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / -

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

No adverse event

Symptomtext

No adverse events

Weitere VAERSDATA-Felder

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

VAERS 2613764

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 60,0
Geschlecht: M
Eingang: 12.04.2023
Impfdatum: 17.03.2022
Beginn: 17.03.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / -

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

No adverse event

Symptomtext

No adverse events

Weitere VAERSDATA-Felder

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

VAERS 2611399

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: AR
Alter: 45,0
Geschlecht: M
Eingang: 07.04.2023
Impfdatum: 15.08.2021
Beginn: 01.04.2023
Tage bis Beginn: 594,0
Dosis: 2
Route/Site: IM / RA

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

hospitalized with covid; fully vaccinated

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: 3,0
Labordaten: positive covid pcr 4/1/23
Aktuelle Erkrankungen: unknown
Vorgeschichte: Diabetes, Hypertension and Reflux
Andere Medikamente: unknown
Allergien: penicillins, metformin
Vorherige Impfungen: -

VAERS 2610763

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: FL
Alter: 27,0
Geschlecht: M
Eingang: 06.04.2023
Impfdatum: 10.09.2021
Beginn: 05.04.2023
Tage bis Beginn: 572,0
Dosis: 1
Route/Site: IM / LA

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

Unevaluable event

Symptomtext

patient hospitalized

Weitere VAERSDATA-Felder

Praegender Schweregrund: Unevaluable event
Hospital-Tage: 1,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2567654

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: MI
Alter: 80,0
Geschlecht: F
Eingang: 25.01.2023
Impfdatum: 18.08.2021
Beginn: 15.11.2021
Tage bis Beginn: 89,0
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 7/21/21 Lot# 078C21A; Moderna 8/18/21 Lot# 002F21A

Weitere VAERSDATA-Felder

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

VAERS 2505173

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: NC
Alter: 64,0
Geschlecht: F
Eingang: 11.11.2022
Impfdatum: 14.08.2021
Beginn: -
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / -

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

No adverse event Product administration interrupted

Symptomtext

Patient never received the second primary dose; No adverse event; This spontaneous case was reported by a pharmacist and describes the occurrence of PRODUCT ADMINISTRATION INTERRUPTED (Patient never received the second primary dose) and NO ADVERSE EVENT (No adverse event) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 14-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On an unknown date, the patient experienced PRODUCT ADMINISTRATION INTERRUPTED (Patient never received the second primary dose) and NO ADVERSE EVENT (No adverse event). At the time of the report, PRODUCT ADMINISTRATION INTERRUPTED (Patient never received the second primary 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. No further causality assessment was provided for PRODUCT ADMINISTRATION INTERRUPTED (Patient never received the second primary dose). HCP was unaware if patient was taking other medication. Pharmacist stated the patient had received her first Moderna dose about 2 years ago. Now patient wanted to get the second dose. Patient's HCP was aware that patient did not receive the second dose. No treatment medications were reported. Reporter did not allow further contact

Weitere VAERSDATA-Felder

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

VAERS 2504307

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: CA
Alter: 69,0
Geschlecht: F
Eingang: 10.11.2022
Impfdatum: 21.08.2021
Beginn: 21.08.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / -

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

Biopsy skin abnormal Dermatitis bullous Pemphigoid Scar

Symptomtext

COVID 19 Moderna Booster Develope severe Bullous pemphigoid patient had 3rd COVID 19 vaccine 3rd shot Booster developed within days Bullous lesions on hands Abdomen Arms with residual scars & needed a Biopsy steroids & Antibodies

Weitere VAERSDATA-Felder

Praegender Schweregrund: Biopsy skin abnormal
Hospital-Tage: -
Labordaten: Biopsy (+) Bullous pemphigoid required steroids Doxycline
Aktuelle Erkrankungen: N/A
Vorgeschichte: History of Hypertension
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2431096

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: AR
Alter: 56,0
Geschlecht: F
Eingang: 07.09.2022
Impfdatum: 11.08.2021
Beginn: 01.09.2022
Tage bis Beginn: 386,0
Dosis: 1
Route/Site: IM / OT

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

Tinnitus

Symptomtext

TINNITUS - NOTED RINGING IN EARS BUT ATTRIBUTED TO POSSIBLE ALLERGIES (EVEN THOUGH IT WAS NOT NORMAL TIMING.) A FEW DAYS AFTER RECEIVING MY SECOND VACCINATION ON 09/08/2021 I NOTED THE RINGING HAD INTENSIFIED. STILL DID NOT ATTRIBUTE TO A REACTION OF THE VACCINE, BUT DID NOTE THE TIMING WAS CLOSELY RELATED TO DATES OF VACCINE ADMINISTRATION.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Tinnitus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: levothyroxine, amlodipine, multi vitamin, iron, Vit D3, Calcium
Allergien: Hydrocodone, Percocet, Sulfa, PCN
Vorherige Impfungen: -

VAERS 2422844

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21A

gering

Staat: FL
Alter: 37,0
Geschlecht: F
Eingang: 29.08.2022
Impfdatum: 29.08.2021
Beginn: 01.08.2021
Tage bis Beginn: -
Dosis: 2
Route/Site: - / LA

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

Amnesia Feeling abnormal

Symptomtext

(Short turn)Memory loss Drained/ tried Brain fog

Weitere VAERSDATA-Felder

Praegender Schweregrund: Amnesia
Hospital-Tage: -
Labordaten: None that I can remember
Aktuelle Erkrankungen: Not that I know of.
Vorgeschichte: Migraines Anxiety Depression
Andere Medikamente: Premarin 1.25mg Progesterone 100mg Singular 10mg Dicyclomine 10mg
Allergien: -
Vorherige Impfungen: -

VAERS 2414667

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: 46,0
Geschlecht: M
Eingang: 18.08.2022
Impfdatum: 24.03.2021
Beginn: 17.08.2022
Tage bis Beginn: 511,0
Dosis: 3
Route/Site: IM / -

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

Patient diagnosed with COVID 19 after completing vaccine series

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: COVID + on 8/17/22
Aktuelle Erkrankungen: -
Vorgeschichte: Pancreas Transplant, DM
Andere Medikamente: -
Allergien: NKDA
Vorherige Impfungen: -

VAERS 2367454

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: MO
Alter: 81,0
Geschlecht: M
Eingang: 13.07.2022
Impfdatum: 20.08.2021
Beginn: 28.06.2022
Tage bis Beginn: 312,0
Dosis: 2
Route/Site: IM / LA

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

patient Covid-19 + 6/28/2022, hospitalized at local Hospital

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: 5,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2282698

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: AL
Alter: 57,0
Geschlecht: F
Eingang: 18.05.2022
Impfdatum: 11.08.2021
Beginn: 17.09.2021
Tage bis Beginn: 37,0
Dosis: 2
Route/Site: OT / -

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

Alanine aminotransferase Antinuclear antibody Aspartate aminotransferase Autoimmune hepatitis Hepatic enzyme Inappropriate schedule of product administration

Symptomtext

Diagnosed with autoimmune hepatitis; Date of 1st Moderna dose: 11Aug2021 Lot # 002F21A Date of 2nd Moderna dose: 17Sep2021 Lot # 047621A; This spontaneous case was reported by a health care professional and describes the occurrence of AUTOIMMUNE HEPATITIS (Diagnosed with autoimmune hepatitis) in a 57-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 002F21A and 047621A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. There were no other vaccines given within 1 month prior to Moderna COVID-19 vaccine. It was unknown if patient ever had COVID positive test or diagnosis. Previously administered products included for Product used for unknown indication: shingrix vaccine (Reaction in either 2017 or 2018 shingrix vaccine). Past adverse reactions to the above products included Reaction to previous exposure to any vaccine with shingrix vaccine. Concurrent medical conditions included Hypertension, Seizure, Sulfonamide allergy and Atopic dermatitis. On 11-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-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, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Date of 1st Moderna dose: 11Aug2021 Lot # 002F21A Date of 2nd Moderna dose: 17Sep2021 Lot # 047621A). In January 2022, the patient experienced AUTOIMMUNE HEPATITIS (Diagnosed with autoimmune hepatitis) (seriousness criterion medically significant). At the time of the report, AUTOIMMUNE HEPATITIS (Diagnosed with autoimmune hepatitis) had not resolved and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Date of 1st Moderna dose: 11Aug2021 Lot # 002F21A Date of 2nd Moderna dose: 17Sep2021 Lot # 047621A) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In October 2021, Alanine aminotransferase: 700-800 (High) Test Result: Liver enzymes AST, ALT 700-800. Diagnosed with autoimmune hepatitis.. In October 2021, Aspartate aminotransferase: 700-800 (High) Test Result: Liver enzymes AST, ALT 700-800. Diagnosed with autoimmune hepatitis.. In October 2021, Hepatic enzyme: 200-300 (High) Test Result: Liver enzymes elevated to 200-300. Diagnosed with autoimmune hepatitis.. On an unknown date, Antinuclear antibody: positive (Positive) Test Result: Positive ANA. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medication was reported. It was reported that there was ongoing waves of nausea, fatigue, right quadrant pain over liver. After 2 weeks of 2nd dose patient had severe nausea and was in bed for 2 weeks. In Oct-2021, patient went to doctor and liver enzymes went out the roof elevated to 200-300 then by end of Oct-2021 liver enzymes AST, ALT 700-800. It was diagnosed with autoimmune hepatitis around Jan-2022. States she had a positive ANA lab test and plans to see rheumatologist to determine cause of positive ANA , states liver enzymes were now back to normal. Patient had constant fatigue, waves of nausea and still had right quadrant pain says most likely from liver. No treatment medication information provided. Company comment: This spontaneous case concerns a 57-year-old, female patient with no relevant medical history reported, who experienced the unexpected, serious (medically significant) adverse event of special interest Autoimmune hepatitis, with symptoms of persistent nausea, fatigue and right quadrant pain. Inappropriate schedule of product administration was reported as an additional event wherein dosing interval of the mRNA-1273 primary series was 37 days - more than the recommended vaccination window. The event was diagnosed approximately 4 months after receiving the second dose of mRNA-1273. The patient initially presented with severe nausea 2 weeks post-vaccination. She sought medical consult wherein liver enzymes were reportedly elevated, AST and ALT at 700-800 values (unspecified unit), and positive ANA test. Treatment details were not provided in the case; but the liver enzymes reportedly went back to normal on an unspecified date. The patient is yet to schedule a rheumatologist consult for further etiologic investigations. The benefit-risk relationship of mRNA-1273 is not affected by this report.; Sender's Comments: This spontaneous case concerns a 57-year-old, female patient with no relevant medical history reported, who experienced the unexpected, serious (medically significant) adverse event of special interest Autoimmune hepatitis, with symptoms of persistent nausea, fatigue and right quadrant pain. Inappropriate schedule of product administration was reported as an additional event wherein dosing interval of the mRNA-1273 primary series was 37 days - more than the recommended vaccination window. The event was diagnosed approximately 4 months after receiving the second dose of mRNA-1273. The patient initially presented with severe nausea 2 weeks post-vaccination. She sought medical consult wherein liver enzymes were reportedly elevated, AST and ALT at 700-800 values (unspecified unit), and positive ANA test. Treatment details were not provided in the case; but the liver enzymes reportedly went back to normal on an unspecified date. The patient is yet to schedule a rheumatologist consult for further etiologic investigations. The benefit-risk relationship of mRNA-1273 is not affected by this report.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Alanine aminotransferase
Hospital-Tage: -
Labordaten: Test Date: 202110; Test Name: ALT; Result Unstructured Data: Test Result: Liver enzymes AST, ALT 700-800. Diagnosed with autoimmune hepatitis.; Test Name: ANA; Test Result: Positive ; Result Unstructured Data: Test Result: Positive ANA; Test Date: 202110; Test Name: AST; Result Unstructured Data: Test Result: Liver enzymes AST, ALT 700-800. Diagnosed with autoimmune hepatitis.; Test Date: 202110; Test Name: liver enzymes; Result Unstructured Data: Test Result: Liver enzymes elevated to 200-300. Diagnosed with autoimmune hepatitis.
Aktuelle Erkrankungen: Atopic dermatitis; Hypertension; Seizure; Sulfonamide allergy
Vorgeschichte: Comments: There were no other vaccines given within 1 month prior to Moderna COVID-19 vaccine. It was unknown if patient ever had COVID positive test or diagnosis.
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2240836

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: MN
Alter: 71,0
Geschlecht: M
Eingang: 19.04.2022
Impfdatum: 02.11.2021
Beginn: 18.04.2022
Tage bis Beginn: 167,0
Dosis: 3
Route/Site: IM / LA

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

COVID-19 Vaccine breakthrough infection

Symptomtext

admitted/hospitalized with breakthrough COVID infection

Weitere VAERSDATA-Felder

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

VAERS 2225728

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

gering

Staat: MI
Alter: 74,0
Geschlecht: F
Eingang: 11.04.2022
Impfdatum: 02.10.2021
Beginn: 08.04.2022
Tage bis Beginn: 188,0
Dosis: 1
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

COVID BREAKTHROUGH CASE

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: COVID+ 4/8/22
Aktuelle Erkrankungen: -
Vorgeschichte: Alzheimer's, Postconcussion syndrome, Tobacco user, bilateral carotid stenosis, brain cancer status post surgery
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2177379

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: FL
Alter: 46,0
Geschlecht: F
Eingang: 13.03.2022
Impfdatum: 11.08.2021
Beginn: -
Tage bis Beginn: -
Dosis: 2
Route/Site: IM / -

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

Heart rate increased

Symptomtext

Patient reported that after she received her Moderna vaccine last Aug (8/11/2021) that she developed a rapid heart beat. She is being treated by a cardiologist with metoprolol.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Heart rate increased
Hospital-Tage: -
Labordaten: Unknown
Aktuelle Erkrankungen: unknown
Vorgeschichte: unknown
Andere Medikamente: unknown
Allergien: NKDA
Vorherige Impfungen: -

VAERS 2157848

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: MO
Alter: 54,0
Geschlecht: M
Eingang: 04.03.2022
Impfdatum: 19.07.2021
Beginn: 01.03.2022
Tage bis Beginn: 225,0
Dosis: 2
Route/Site: IM / LA

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

Unevaluable event

Symptomtext

unknown

Weitere VAERSDATA-Felder

Praegender Schweregrund: Unevaluable event
Hospital-Tage: -
Labordaten: unknown
Aktuelle Erkrankungen: unknown
Vorgeschichte: -
Andere Medikamente: unknown
Allergien: unknown
Vorherige Impfungen: -

VAERS 2116486

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: AR
Alter: 83,0
Geschlecht: F
Eingang: 16.02.2022
Impfdatum: 19.08.2021
Beginn: 14.02.2022
Tage bis Beginn: 179,0
Dosis: 3
Route/Site: IM / RA

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

hospitalized with covid; fully vaccinated with booster

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: positive covid pcr 2/14/22
Aktuelle Erkrankungen: unknown
Vorgeschichte: COPD, Hyperlipidemia, Hypertension, Reflux and Other (Diverticulosis, DDD with previous steroids injections to her back, Syncope, osteoporosis)
Andere Medikamente: unknown
Allergien: codeine
Vorherige Impfungen: -

VAERS 2115838

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: TX
Alter: 67,0
Geschlecht: F
Eingang: 16.02.2022
Impfdatum: 26.08.2021
Beginn: 26.08.2021
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

Symptomtext

Error: Wrong dose of vaccine - too high.

Weitere VAERSDATA-Felder

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

VAERS 2115837

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

gering

Staat: TX
Alter: 76,0
Geschlecht: M
Eingang: 16.02.2022
Impfdatum: 26.08.2021
Beginn: 26.08.2021
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

Error: Wrong Dose of Vaccine - Too High-

Weitere VAERSDATA-Felder

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

VAERS 2104454

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: MD
Alter: 48,0
Geschlecht: F
Eingang: 11.02.2022
Impfdatum: 24.08.2021
Beginn: -
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / -

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

Influenza Product dose omission issue

Symptomtext

Flu; Did not get the 2nd dose / Greater than 42 days after first dose; This spontaneous case was reported by a consumer and describes the occurrence of INFLUENZA (Flu) and PRODUCT DOSE OMISSION ISSUE (Did not get the 2nd dose / Greater than 42 days after first dose) in a 48-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 24-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced INFLUENZA (Flu) and PRODUCT DOSE OMISSION ISSUE (Did not get the 2nd dose / Greater than 42 days after first dose). At the time of the report, INFLUENZA (Flu) outcome was unknown and PRODUCT DOSE OMISSION ISSUE (Did not get the 2nd dose / Greater than 42 days after first dose) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No Concomitant medication reported. The patient experienced flu (confirmed as not COVID disease). It was reported that the patient did not take the 2nd dose and stated that had to restart the series as per physician recommendation. No Treatment medication reported.

Weitere VAERSDATA-Felder

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

VAERS 2092380

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: MI
Alter: 84,0
Geschlecht: M
Eingang: 07.02.2022
Impfdatum: 02.12.2021
Beginn: 06.02.2022
Tage bis Beginn: 66,0
Dosis: 3
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

COVID BREAKTHROUGH CASE

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: COVID+ 2/6/22
Aktuelle Erkrankungen: -
Vorgeschichte: TIA/CVA approx 11yrs ago, bladder cancer s/p neobladder 10yrs ago, HLD
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2085443

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 62,0
Geschlecht: F
Eingang: 03.02.2022
Impfdatum: 26.07.2021
Beginn: 20.12.2021
Tage bis Beginn: 147,0
Dosis: UNK
Route/Site: IM / LA

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

COVID

Weitere VAERSDATA-Felder

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

VAERS 2082749

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 66,0
Geschlecht: F
Eingang: 02.02.2022
Impfdatum: 25.08.2021
Beginn: 28.12.2021
Tage bis Beginn: 125,0
Dosis: UNK
Route/Site: IM / RA

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

COVID-19

Symptomtext

COVID

Weitere VAERSDATA-Felder

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

VAERS 2069151

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: KY
Alter: 21,0
Geschlecht: M
Eingang: 27.01.2022
Impfdatum: 27.08.2021
Beginn: 19.01.2022
Tage bis Beginn: 145,0
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. Not due booster

Weitere VAERSDATA-Felder

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

VAERS 2058990

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: MN
Alter: 62,0
Geschlecht: M
Eingang: 24.01.2022
Impfdatum: 16.08.2021
Beginn: 23.01.2022
Tage bis Beginn: 160,0
Dosis: 3
Route/Site: IM / LA

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Hospitalized with breakthrough COVID

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: 1/9/22- SARS CoV-2 RNA, TMA detected
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2058943

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: KY
Alter: 48,0
Geschlecht: M
Eingang: 24.01.2022
Impfdatum: -
Beginn: -
Tage bis Beginn: -
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 2031399

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 42,0
Geschlecht: M
Eingang: 13.01.2022
Impfdatum: 18.07.2021
Beginn: 28.12.2021
Tage bis Beginn: 163,0
Dosis: UNK
Route/Site: IM / RA

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

COVID

Weitere VAERSDATA-Felder

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

VAERS 2028522

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: MI
Alter: 56,0
Geschlecht: M
Eingang: 12.01.2022
Impfdatum: 26.11.2021
Beginn: 11.01.2022
Tage bis Beginn: 46,0
Dosis: 3
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

COVID-19 breakthrough case.

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: COVID-19 positive on 1/11/2022.
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1955046

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: MN
Alter: 60,0
Geschlecht: M
Eingang: 16.12.2021
Impfdatum: 15.08.2021
Beginn: 11.12.2021
Tage bis Beginn: 118,0
Dosis: 2
Route/Site: SYR / RA

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

COVID-19 Chronic obstructive pulmonary disease SARS-CoV-2 test positive

Symptomtext

Moderna vaccines on 7/17/21, 8/15/21 Tested positive for COVID by PCR on 12/11/21 Hospitalized 12/11-12/12/21 at medical center for COPD exacerbation

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: 2,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1951250

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 56,0
Geschlecht: M
Eingang: 15.12.2021
Impfdatum: 02.09.2021
Beginn: 06.10.2021
Tage bis Beginn: 34,0
Dosis: 2
Route/Site: - / -

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

Unevaluable event

Symptomtext

Patient was hospitalized 34 days after receiving second covid vaccine shot,

Weitere VAERSDATA-Felder

Praegender Schweregrund: Unevaluable event
Hospital-Tage: 13,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1942410

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: CA
Alter: 59,0
Geschlecht: M
Eingang: 11.12.2021
Impfdatum: 11.12.2021
Beginn: 11.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Extra dose administered Interchange of vaccine products Tinnitus

Symptomtext

Tinnitus started by the time I arrived at car after leaving pharmacy. this is first moderna, had two prior pfizer shots with no reaction whatsoever. this VAERS entry within 45 minutes of the shot. Can't yet accurately fill out item 21 below (outcome).

Weitere VAERSDATA-Felder

Praegender Schweregrund: Extra dose administered
Hospital-Tage: -
Labordaten: TBD
Aktuelle Erkrankungen: none.
Vorgeschichte: historical high blood pressure and elevated cholesterol
Andere Medikamente: omega3 fish oil; centrum silver multivitamin; broad spectrum polyphenol; vitamin D3, vitamin A.
Allergien: contact allergy to cat dander and an unidentified desert wildflower
Vorherige Impfungen: -

VAERS 1897113

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: CA
Alter: 49,0
Geschlecht: F
Eingang: 24.11.2021
Impfdatum: 01.11.2021
Beginn: 06.11.2021
Tage bis Beginn: 5,0
Dosis: 3
Route/Site: IM / LA

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

Extra dose administered Heavy menstrual bleeding

Symptomtext

The next day after the Moderna Booster, I experienced a heavy period that lasted 9 days. Today, 11/24/21 I started again heavy period bleeding.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Extra dose administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 1894585

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 73,0
Geschlecht: F
Eingang: 23.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

Pt. recieved vaccine past 12 hours expiration. No adverse event. MD contacted pt. Pt. wants to get booster in December.

Weitere VAERSDATA-Felder

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

VAERS 1894575

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 75,0
Geschlecht: M
Eingang: 23.11.2021
Impfdatum: 23.09.2021
Beginn: 23.09.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

No adverse event noted. Pt. recieved vaccine past 12 hours expiration. MD contacted pt. Pt. chooses to recieve repeat dose, done on 10/23.

Weitere VAERSDATA-Felder

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

VAERS 1894564

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 89,0
Geschlecht: F
Eingang: 23.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Expired product administered No adverse event

Symptomtext

Pt. recieved vaccine past 12 hour expiration. No adverse event. MD contacted pt. Declines revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1894213

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 60,0
Geschlecht: F
Eingang: 23.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

Pt. received vaccine 12 hours past expiration. No adverse event. MD contacted pt. pt. declines revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1894202

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 66,0
Geschlecht: M
Eingang: 23.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Expired product administered No adverse event

Symptomtext

Pt. recieved vaccine 12 hours past expiration. MD contacted pt. Pt. may want another booster in December. No adverse event

Weitere VAERSDATA-Felder

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

VAERS 1894189

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 31,0
Geschlecht: M
Eingang: 23.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

Pt. recieved vaccine 12 hours past expiration. MD contacted pt. No adverse event. pt. declined revaccination

Weitere VAERSDATA-Felder

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

VAERS 1894177

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 81,0
Geschlecht: M
Eingang: 23.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

Pt. receieved vaccine 12 hours past expiration. No adverse event. MD contacted pt. Pt. declined revaccination

Weitere VAERSDATA-Felder

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

VAERS 1894161

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 52,0
Geschlecht: F
Eingang: 23.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Expired product administered No adverse event

Symptomtext

Pt. recieved vaccine 12 hours past expiration. MD contacted pt. No adverse event. Pt. declined revaccination

Weitere VAERSDATA-Felder

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

VAERS 1894154

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 78,0
Geschlecht: M
Eingang: 23.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

No adverse event Product storage error

Symptomtext

Pt. recieved vaccine 12 hours past expiration. MD contacted pt. No adverse event. Pt. chooses to be revaccinated which is scheduled for 11/18/21

Weitere VAERSDATA-Felder

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

VAERS 1894140

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 28,0
Geschlecht: F
Eingang: 23.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

Pt. recieved vaccine 12 hours past expiration. No adverse event. Pt. declined revaccination

Weitere VAERSDATA-Felder

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

VAERS 1894082

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 67,0
Geschlecht: F
Eingang: 23.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

pt. recieved vaccine 12 hours past expiration. MD contacted pt. No adverse event. Pt. declined revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1894072

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 22,0
Geschlecht: F
Eingang: 23.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Expired product administered

Symptomtext

Pt. recieved vaccine 12 hours past expiration. unable to contact pt.

Weitere VAERSDATA-Felder

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

VAERS 1894059

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 80,0
Geschlecht: F
Eingang: 23.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

Pt. recieved vaccine past 12 hours expiration. MD contacted pt. No adverse event. Pt. declined revaccination

Weitere VAERSDATA-Felder

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

VAERS 1894045

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 69,0
Geschlecht: M
Eingang: 23.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Expired product administered No adverse event

Symptomtext

Pt. recieved vaccine past 12 hours expiration. MD contacted pt. No adverse event. Pt. declined revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1894008

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 55,0
Geschlecht: F
Eingang: 23.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered

Symptomtext

Pt. recieved vaccine 12 hours past expiration. No adverse event. MD contacted pt. Pt. declined revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1893999

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 69,0
Geschlecht: M
Eingang: 23.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

No adverse event Product storage error

Symptomtext

Pt. recieved vaccine 12 hours past expiration. No adverse event. MD contacted pt. Pt. declined revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1893989

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 79,0
Geschlecht: F
Eingang: 23.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

Pt. recieved vaccine past 12 hour expiration. No adverse event. MD contacted pt. Pt. declined revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1893976

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 65,0
Geschlecht: F
Eingang: 23.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

Patient received vaccine past 12 hours expiration. No adverse event. MD contacted patient, but she declined revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1893955

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 87,0
Geschlecht: M
Eingang: 23.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

Pt. recieved vaccine 12 hours past expiration. No adverse event. MD contacted pt. Pt. declined revaccination

Weitere VAERSDATA-Felder

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

VAERS 1893932

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 44,0
Geschlecht: F
Eingang: 23.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

Pt. recieved vaccine past 12 hour expiration. No adverse event. MD contacted pt. Pt. declined revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1893923

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: CA
Alter: 86,0
Geschlecht: F
Eingang: 23.11.2021
Impfdatum: 06.10.2021
Beginn: 06.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

Pt. recieved vaccine past 12 hour expiration. No adverse event. MD contacted pt. Pt. declined revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1893914

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: CA
Alter: 65,0
Geschlecht: M
Eingang: 23.11.2021
Impfdatum: 02.10.2021
Beginn: 02.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Expired product administered No adverse event

Symptomtext

Pt. recieved vaccine past 12 hours expiration. No adverse event. MD notified pt. Pt. declined revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1881201

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 65,0
Geschlecht: M
Eingang: 18.11.2021
Impfdatum: 02.10.2021
Beginn: 02.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

pt. recieved vaccine past 12 expiration. No adverse event. MD contacted. Denies wanting revaccinated.

Weitere VAERSDATA-Felder

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

VAERS 1881190

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 31,0
Geschlecht: M
Eingang: 18.11.2021
Impfdatum: 02.10.2021
Beginn: 02.10.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

pt. recieved vaccine past 12 hours expiration. No adverse events. MD contacted pt. Pt. finished 2 dose in primary series.

Weitere VAERSDATA-Felder

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

VAERS 1881181

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 74,0
Geschlecht: M
Eingang: 18.11.2021
Impfdatum: 02.10.2021
Beginn: 02.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Expired product administered No adverse event

Symptomtext

pt. recieved the vaccine past the 12 hour expiration. No adverse events. would like revaccinated in December or January.

Weitere VAERSDATA-Felder

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

VAERS 1881173

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 72,0
Geschlecht: M
Eingang: 18.11.2021
Impfdatum: 02.10.2021
Beginn: 02.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

pt. received vaccine past the 12 hour expiration. MD contacted pt. no adverse events. Pt. declined revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1881132

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 80,0
Geschlecht: M
Eingang: 18.11.2021
Impfdatum: 02.10.2021
Beginn: 02.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Expired product administered No adverse event

Symptomtext

pt. received vaccine past the 12 hour expiration. No adverse event. MD contacted pt. pt. refuses revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1881108

SANOFI PASTEUR · DT ADSORBED (NO BRAND NAME) · Charge 002F21A

gering

Staat: ID
Alter: 55,0
Geschlecht: F
Eingang: 18.11.2021
Impfdatum: 02.10.2021
Beginn: 02.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

No adverse event

Symptomtext

pt. recieved vaccine greater than 12 hours after beign drawn up. no adverse events.

Weitere VAERSDATA-Felder

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

VAERS 1881095

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 72,0
Geschlecht: M
Eingang: 18.11.2021
Impfdatum: 02.10.2021
Beginn: 02.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Expired product administered No adverse event

Symptomtext

pt. received the vaccine greater than 12 hours after it was drawn up. No adverse event. Declined revaccination. MD contacted pt.

Weitere VAERSDATA-Felder

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

VAERS 1881075

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 60,0
Geschlecht: F
Eingang: 18.11.2021
Impfdatum: 02.10.2021
Beginn: 02.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

Pt. recieved vaccine greater than 12 hours after being drawn up. No adverse events. MD contacted pt. pt. declines revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1880749

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 55,0
Geschlecht: M
Eingang: 18.11.2021
Impfdatum: 23.09.2021
Beginn: 23.09.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

pt. recieved vaccine greater than 12 hours after being drawn up. MD contacted pt. no adverse event. Pt. declines revaccination

Weitere VAERSDATA-Felder

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

VAERS 1880716

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: FL
Alter: 69,0
Geschlecht: F
Eingang: 18.11.2021
Impfdatum: 08.09.2021
Beginn: 08.09.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

Pt. recieved vaccine greater than 12 hours after being drawn up. No adverse event. Md contacted pt. pt. declines revaccination

Weitere VAERSDATA-Felder

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

VAERS 1880705

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 37,0
Geschlecht: M
Eingang: 18.11.2021
Impfdatum: 14.10.2021
Beginn: 14.10.2021
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

Symptomtext

No adverse events

Weitere VAERSDATA-Felder

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

VAERS 1880689

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 50,0
Geschlecht: M
Eingang: 18.11.2021
Impfdatum: 13.10.2021
Beginn: 13.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Product storage error

Symptomtext

Pt. recieved vaccine greater than 12 hours after being drawn up. No adverse event. MD contacted pt. declines revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1880678

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 67,0
Geschlecht: M
Eingang: 18.11.2021
Impfdatum: 13.10.2021
Beginn: 13.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Expired product administered No adverse event

Symptomtext

pt. recieved vaccine greater than 12 hours after being drawn up. MD contacted pt. no adverse event. pt. wanted antibody test which was ordered.

Weitere VAERSDATA-Felder

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

VAERS 1880658

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 54,0
Geschlecht: F
Eingang: 18.11.2021
Impfdatum: 13.10.2021
Beginn: 13.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

No adverse event Product storage error

Symptomtext

pt. recieved vaccine greater than 12 hours after being drawn up. MD contacted pt. no adverse event. pt. will do revaccination but not at this time.

Weitere VAERSDATA-Felder

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

VAERS 1880640

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 64,0
Geschlecht: M
Eingang: 18.11.2021
Impfdatum: 13.10.2021
Beginn: 13.10.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

pt. received vaccine greater than 12 hours after being drawn up. No adverse event

Weitere VAERSDATA-Felder

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

VAERS 1880616

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 21,0
Geschlecht: F
Eingang: 18.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

Pt. recieved vaccine greater than 12 hours after being drawn up. MD contacted pt. pt. declines revaccination. no adverse event

Weitere VAERSDATA-Felder

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

VAERS 1880604

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 60,0
Geschlecht: F
Eingang: 18.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

Pt. recieved vaccine greater than 12 hours after being drawn up. MD contacted pt. no adverse event. pt. declines revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1880597

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 75,0
Geschlecht: F
Eingang: 18.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

No adverse event Product storage error

Symptomtext

Pt. recieved vaccine greater than 12 hours after being drawn up. MD contacted pt. no adverse event. no need for revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1880585

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 32,0
Geschlecht: F
Eingang: 18.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

No adverse event Product storage error

Symptomtext

Pt. recieved vaccine greater than 12 hours after drawn up. MD contacted. plans to finish series. No adverse event.

Weitere VAERSDATA-Felder

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

VAERS 1880554

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 63,0
Geschlecht: M
Eingang: 18.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

No adverse event Product storage error

Symptomtext

Pt. recieved vaccine greater than 12 hours after drawn up. MD contacted pt. No adverse event. pt. declines revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1880542

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 68,0
Geschlecht: M
Eingang: 18.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

No adverse event Product storage error

Symptomtext

Pt. recieved vaccine greater than 12 hours after being drawn up. No adverse event.

Weitere VAERSDATA-Felder

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

VAERS 1880535

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 45,0
Geschlecht: M
Eingang: 18.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

No adverse event Product storage error

Symptomtext

Pt. recieved vaccine greater than 12 hours after drawn up. Contacted by MD. No adverse event. Pt. declines revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1880510

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 34,0
Geschlecht: M
Eingang: 18.11.2021
Impfdatum: 09.10.2021
Beginn: 09.10.2021
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 No adverse event

Symptomtext

Pt. recieved vaccine greater than 12 hours after being drawn up. No adverse event. MD contacted pt. Pt. recieved 2nd dose 11/6/21.

Weitere VAERSDATA-Felder

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

VAERS 1880495

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 71,0
Geschlecht: F
Eingang: 18.11.2021
Impfdatum: 06.10.2021
Beginn: 06.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

No adverse event Product storage error

Symptomtext

Pt. received vaccine after 12 hours of being drawn up. No adverse event.

Weitere VAERSDATA-Felder

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

VAERS 1880478

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 82,0
Geschlecht: F
Eingang: 18.11.2021
Impfdatum: 06.10.2021
Beginn: 06.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

Pt. recieved vaccine greater than 12 hours after drawn up. No adverse event. MD contacted pt. Pt. declined revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1880473

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 75,0
Geschlecht: F
Eingang: 18.11.2021
Impfdatum: 06.10.2021
Beginn: 06.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Expired product administered No adverse event

Symptomtext

Patient received vaccine greater than 12 hours after being drawn up. No adverse event. MD contacted pt. Pt. chose to be revaccinated.

Weitere VAERSDATA-Felder

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

VAERS 1880456

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 74,0
Geschlecht: M
Eingang: 18.11.2021
Impfdatum: 06.10.2021
Beginn: 06.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

No adverse event Product storage error

Symptomtext

Pt. received vaccine that was used greater than 12 hours after drawn up. MD notified. No adverse event. Pt. chose to get revaccinated.

Weitere VAERSDATA-Felder

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

VAERS 1877547

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 79,0
Geschlecht: M
Eingang: 17.11.2021
Impfdatum: 06.10.2021
Beginn: 06.10.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / RA

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

Expired product administered No adverse event

Symptomtext

Pt. recieved vaccine that was drawn up greater than 12 hours. MD notified pt. of issure. No adverse event. pt. declined revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1877540

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 74,0
Geschlecht: M
Eingang: 17.11.2021
Impfdatum: 06.10.2021
Beginn: 06.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

Pt. recieved vaccine that was drawn up for more than 12 hours. No adverse event.

Weitere VAERSDATA-Felder

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

VAERS 1877533

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 84,0
Geschlecht: M
Eingang: 17.11.2021
Impfdatum: 06.10.2021
Beginn: 06.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered

Symptomtext

Pt. recieved vaccine drawn up greater than 12 hours. MD notified pt. no adverse event. Pt. declined revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1877521

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 73,0
Geschlecht: F
Eingang: 17.11.2021
Impfdatum: 06.10.2021
Beginn: 06.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

No adverse event Product storage error

Symptomtext

Pt. recieved vaccine drawn up greater than 12 hours. MD notified pt. of issue. No c/o adverse event. Pt. declined revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1877513

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 81,0
Geschlecht: F
Eingang: 17.11.2021
Impfdatum: 06.10.2021
Beginn: 06.10.2021
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 No adverse event Product storage error

Symptomtext

Patient recieved vaccine greater than 12 hours drawn up. MD notified pt. no c/o adverse event. declines revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1877505

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 58,0
Geschlecht: F
Eingang: 17.11.2021
Impfdatum: 06.10.2021
Beginn: 06.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Expired product administered No adverse event

Symptomtext

Pt. recieved vaccine that had been drawn up greater than 12 hours. MD notified pt. regarding issue. No adverse events . Pt. declines revaccination.

Weitere VAERSDATA-Felder

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

VAERS 1876837

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 42,0
Geschlecht: F
Eingang: 17.11.2021
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: unbekannt

No adverse event Product storage error

Symptomtext

Patient notified of vaccine used drawn up greater than 12 hours. Notified by MD and no advers events. Patient will get 2nd vaccine as scheduled.

Weitere VAERSDATA-Felder

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

VAERS 1876758

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 80,0
Geschlecht: M
Eingang: 17.11.2021
Impfdatum: 02.10.2021
Beginn: 02.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Expired product administered Product storage error

Symptomtext

Patient notified that the vaccine used was drawn up for more than 12 hours.

Weitere VAERSDATA-Felder

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

VAERS 1876737

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 84,0
Geschlecht: M
Eingang: 17.11.2021
Impfdatum: 02.10.2021
Beginn: 02.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Expired product administered No adverse event

Symptomtext

No patient adverse event. Notified patient that the vaccine used was drawn up for more thatn 12 hours.

Weitere VAERSDATA-Felder

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

VAERS 1876719

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 52,0
Geschlecht: F
Eingang: 17.11.2021
Impfdatum: 02.10.2021
Beginn: 02.10.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Expired product administered No adverse event

Symptomtext

No patient adverse effects. Patient was notified that the covid vaccine used was drawn up for more than 12 hours. Patient offered to recieve another dose and refused.

Weitere VAERSDATA-Felder

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

VAERS 1869601

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

gering

Staat: WA
Alter: 44,0
Geschlecht: F
Eingang: 15.11.2021
Impfdatum: 22.10.2021
Beginn: 22.10.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Product storage error

Symptomtext

Vaccine was given 18 hours after the vial was punctured. Vial was kept in refrigerator.Local Health Department was contacted.Response from Moderna was was received and vaccine is considered usable and has activity against COvid-19 infection. Provider discreation is advised for post vaccine management. Pt was not contacted per provider as vaccine is not compromised.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: none None none
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1861618

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 79,0
Geschlecht: M
Eingang: 11.11.2021
Impfdatum: 23.09.2021
Beginn: 23.09.2021
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

No complaint of adverse event. Patient notified COVID-19 vaccine used after being drawn up for more than 12 hours.

Weitere VAERSDATA-Felder

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

VAERS 1861575

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 74,0
Geschlecht: F
Eingang: 11.11.2021
Impfdatum: 23.09.2021
Beginn: 23.09.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / -

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

No adverse event Product storage error

Symptomtext

Covid vaccine drawn up in syringe was not wasted after 12 hours and was kept in the fridge for 24 hours and used. No patient complaint of adverse events.

Weitere VAERSDATA-Felder

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

VAERS 1861541

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: ID
Alter: 86,0
Geschlecht: F
Eingang: 11.11.2021
Impfdatum: 23.09.2021
Beginn: 23.09.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

No adverse event Product storage error

Symptomtext

No adverse effects. Patient was contacted by MD notifying patient that vaccine used was in fridge for 24 hours and was not discarded after 12 hours from being drawn up. Patient had no complaint of adverse reactions.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1843081

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: -
Geschlecht: F
Eingang: 04.11.2021
Impfdatum: 12.10.2021
Beginn: -
Tage bis Beginn: -
Dosis: 2
Route/Site: - / -

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

Expired product administered

Symptomtext

Stored beyond use date. Moderna analysis showed vaccine viable.

Weitere VAERSDATA-Felder

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

VAERS 1843069

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: -
Geschlecht: F
Eingang: 04.11.2021
Impfdatum: 07.10.2021
Beginn: -
Tage bis Beginn: -
Dosis: 1
Route/Site: - / -

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

Product storage error

Symptomtext

Stored beyond use date. Moderna analysis showed vaccine viable.

Weitere VAERSDATA-Felder

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

VAERS 1843057

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: -
Geschlecht: F
Eingang: 04.11.2021
Impfdatum: 07.10.2021
Beginn: -
Tage bis Beginn: -
Dosis: 1
Route/Site: - / -

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

Product storage error

Symptomtext

Stored beyond use date. Moderna analysis showed vaccine viable.

Weitere VAERSDATA-Felder

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

VAERS 1843045

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: 40,0
Geschlecht: M
Eingang: 04.11.2021
Impfdatum: 06.10.2021
Beginn: -
Tage bis Beginn: -
Dosis: 2
Route/Site: - / -

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

Expired product administered

Symptomtext

Stored beyond use date. Moderna analysis showed vaccine viable.

Weitere VAERSDATA-Felder

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

VAERS 1842830

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: MA
Alter: 27,0
Geschlecht: F
Eingang: 04.11.2021
Impfdatum: 27.10.2021
Beginn: 29.10.2021
Tage bis Beginn: 2,0
Dosis: 3
Route/Site: IM / LA

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

Bone swelling Nodule

Symptomtext

A couple days after the vaccine I noticed a huge bump possibly a lymph node had appeared on the top of my collar bone and a little behind it about the size of a large to medium marble size. I had an appointment already scheduled with my Dr so I advised her upon that visit of the knot and was advised it could possibly be the immune system beefing up it antibioties and to monitor and if it didn't disappear within a little while to reach back out. To date its still there but getting smaller by the day

Weitere VAERSDATA-Felder

Praegender Schweregrund: Bone swelling
Hospital-Tage: -
Labordaten: No
Aktuelle Erkrankungen: No
Vorgeschichte: Asthma
Andere Medikamente: Azelastine HCL Nasal Spray Fluticasone Propionate Nasal Spray Loratadine Vitamin D3
Allergien: Bactrim Cats Trees Grass Mold Fungi
Vorherige Impfungen: -

VAERS 1842083

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: WA
Alter: 44,0
Geschlecht: F
Eingang: 04.11.2021
Impfdatum: 02.09.2021
Beginn: 02.09.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: OT / -

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

Expired product administered Inappropriate schedule of product administration Maternal exposure during pregnancy

Symptomtext

Received dose of Moderna from a vial that was opened for 18 hours; Second dose >35 days from first dose; Patient was pregnant at the time of administration; This spontaneous prospective pregnancy case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Received dose of Moderna from a vial that was opened for 18 hours), INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Second dose >35 days from first dose) and MATERNAL EXPOSURE DURING PREGNANCY (Patient was pregnant at the time of administration) in a 44-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 002F21A and 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 02-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 22-Oct-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. The patient's last menstrual period was on an unknown date and the estimated date of delivery was 26-Oct-2021. On 02-Sep-2021, the patient experienced MATERNAL EXPOSURE DURING PREGNANCY (Patient was pregnant at the time of administration). On 22-Oct-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Received dose of Moderna from a vial that was opened for 18 hours) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Second dose >35 days from first dose). On 02-Sep-2021, MATERNAL EXPOSURE DURING PREGNANCY (Patient was pregnant at the time of administration) had resolved. On 22-Oct-2021, EXPIRED PRODUCT ADMINISTERED (Received dose of Moderna from a vial that was opened for 18 hours) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Second dose >35 days from first dose) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Patient was pregnant at the time of administration, and was getting a cesarean today. No concomitant and treatment medication were reported. Company Comment: This case concerns a 44-year-old, female patient with no relevant medical history, who experienced the unexpected events of maternal exposure during pregnancy, expired product administered and inappropriate schedule of product administration. The patient received dose of Moderna from a vial that was opened for 18 hours and was pregnant at the time. The patient received the second dose 50 days after first dose. The patient was scheduled to and was get a cesarean, as reported. The benefit-risk relationship of Spikevax in not affected by this report. Most recent FOLLOW-UP information incorporated above includes: On 26-Oct-2021: Significant Follow-Up received on 26-Oct-2021 contains updated patient initial and Pregnancy status.; Sender's Comments: This case concerns a 44-year-old, female patient with no relevant medical history, who experienced the unexpected events of maternal exposure during pregnancy, expired product administered and inappropriate schedule of product administration. The patient received dose of Moderna from a vial that was opened for 18 hours and was pregnant at the time. The patient received the second dose 50 days after first dose. The patient was scheduled to and was get a cesarean, as reported. The benefit-risk relationship of Spikevax in not affected by this report.

Weitere VAERSDATA-Felder

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

VAERS 1839063

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: 67,0
Geschlecht: F
Eingang: 03.11.2021
Impfdatum: 07.09.2021
Beginn: 07.09.2021
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

318 patients received dose from vials beyond 30-day use by date; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 07-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 07-Sep-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date). On 07-Sep-2021, EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications was provided by the reporter. No treatment was provided by the reporter. It was stated that the date of refrigeration was 06 Aug 2021. This case was linked to MOD-2021-365136 (Patient Link).

Weitere VAERSDATA-Felder

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

VAERS 1839038

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: 57,0
Geschlecht: F
Eingang: 03.11.2021
Impfdatum: 14.09.2021
Beginn: 14.09.2021
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

318 patients received dose from vials beyond 30-day use by date; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date) in a 57-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 14-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Sep-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date). On 14-Sep-2021, EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. No treatment medications were reported. Date of refrigeration reported as 06-Aug-2021. This case was linked to MOD-2021-365047 (Patient Link).

Weitere VAERSDATA-Felder

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

VAERS 1839019

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: -
Geschlecht: M
Eingang: 03.11.2021
Impfdatum: 09.09.2021
Beginn: 09.09.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: OT / -

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

Expired product administered

Symptomtext

318 patients received dose from vials beyond 30-day use by date; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date) in a 49-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 09-Sep-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Sep-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date). On 09-Sep-2021, EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Date of refrigeration: 06-Aug-2021 No concomitant medications reported. No treatment reported.

Weitere VAERSDATA-Felder

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

VAERS 1838987

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: 63,0
Geschlecht: F
Eingang: 03.11.2021
Impfdatum: 14.09.2021
Beginn: 14.09.2021
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

Symptomtext

patients received dose from vials beyond 30-day use by date; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (patients received dose from vials beyond 30-day use by date) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 14-Sep-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Sep-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (patients received dose from vials beyond 30-day use by date). On 14-Sep-2021, EXPIRED PRODUCT ADMINISTERED (patients received dose from vials beyond 30-day use by date) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant and treatment information were reported by the reporter Date of Refrigeration was 06-Aug-2021 This case was linked to MOD-2021-363730, MOD-2021-364245, MOD-2021-364699 (Patient Link).

Weitere VAERSDATA-Felder

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

VAERS 1838978

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: 18,0
Geschlecht: F
Eingang: 03.11.2021
Impfdatum: 08.09.2021
Beginn: 08.09.2021
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

318 patients received dose from vials beyond 30-day use by date; This spontaneous case was reported by a health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date) in an 18-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 08-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 08-Sep-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date). On 08-Sep-2021, EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. date of refrigeration is given as 6-Aug-2021. no concomitant and treatment medications are provided by the reporter.

Weitere VAERSDATA-Felder

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

VAERS 1838966

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: 32,0
Geschlecht: M
Eingang: 03.11.2021
Impfdatum: 14.09.2021
Beginn: 14.09.2021
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

patients received dose from vials beyond 30-day use by date; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (patients received dose from vials beyond 30-day use by date) in a 32-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 14-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Sep-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (patients received dose from vials beyond 30-day use by date). On 14-Sep-2021, EXPIRED PRODUCT ADMINISTERED (patients received dose from vials beyond 30-day use by date) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant and treatment information were reported by the reporter This case was linked to MOD-2021-364770, MOD-2021-363753 (Patient Link).

Weitere VAERSDATA-Felder

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

VAERS 1838952

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: 83,0
Geschlecht: M
Eingang: 03.11.2021
Impfdatum: 14.09.2021
Beginn: 14.09.2021
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

318 patients received dose from vials beyond 30-day use by date; 318 patients received dose from vials beyond 30-day use by date (In Refrigeration : 06-AUG-2021); This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date) and PRODUCT STORAGE ERROR (318 patients received dose from vials beyond 30-day use by date (In Refrigeration : 06-AUG-2021)) in an 83-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 14-Sep-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Sep-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date) and PRODUCT STORAGE ERROR (318 patients received dose from vials beyond 30-day use by date (In Refrigeration : 06-AUG-2021)). On 14-Sep-2021, EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date) and PRODUCT STORAGE ERROR (318 patients received dose from vials beyond 30-day use by date (In Refrigeration : 06-AUG-2021)) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Additional information reported for date of refrigeration as 8/6/2021 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: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1838931

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: 67,0
Geschlecht: F
Eingang: 03.11.2021
Impfdatum: 14.09.2021
Beginn: 14.09.2021
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

318 patients received dose from vials beyond 30-day use by date; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 14-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Sep-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date). On 14-Sep-2021, EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No Concomitant Medications details were provided. No Treatment Medications details were provided. This case was linked to MOD-2021-364598 (Patient Link).

Weitere VAERSDATA-Felder

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

VAERS 1838927

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: 75,0
Geschlecht: F
Eingang: 03.11.2021
Impfdatum: 07.09.2021
Beginn: 07.09.2021
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 Product storage error

Symptomtext

The patient received dose from vial beyond 30-day use by date; The patient received dose from vial beyond 30-day use by date; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (The patient received dose from vial beyond 30-day use by date) and PRODUCT STORAGE ERROR (The patient received dose from vial beyond 30-day use by date) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 07-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 07-Sep-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (The patient received dose from vial beyond 30-day use by date) and PRODUCT STORAGE ERROR (The patient received dose from vial beyond 30-day use by date). On 07-Sep-2021, EXPIRED PRODUCT ADMINISTERED (The patient received dose from vial beyond 30-day use by date) and PRODUCT STORAGE ERROR (The patient received dose from vial beyond 30-day use by date) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported No treatment information was provided This case was linked to MOD-2021-364543 (Patient Link).

Weitere VAERSDATA-Felder

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

VAERS 1838868

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: 51,0
Geschlecht: M
Eingang: 03.11.2021
Impfdatum: 15.09.2021
Beginn: 15.09.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: OT / -

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

Expired product administered Product storage error

Symptomtext

318 patients received dose from vials beyond 30-day use by date; 318 patients received dose from vials beyond 30-day use by date ( In Refrigeration on 06-Aug-2021); This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date) and PRODUCT STORAGE ERROR (318 patients received dose from vials beyond 30-day use by date ( In Refrigeration on 06-Aug-2021)) in a 51-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 15-Sep-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Sep-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date) and PRODUCT STORAGE ERROR (318 patients received dose from vials beyond 30-day use by date ( In Refrigeration on 06-Aug-2021)). On 15-Sep-2021, EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date) and PRODUCT STORAGE ERROR (318 patients received dose from vials beyond 30-day use by date ( In Refrigeration on 06-Aug-2021)) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medication was not provided. Treatment information was not provided. This case was linked to MOD-2021-363782 (Patient Link).

Weitere VAERSDATA-Felder

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

VAERS 1838860

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: 40,0
Geschlecht: M
Eingang: 03.11.2021
Impfdatum: 09.08.2021
Beginn: 09.08.2021
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

Expired vaccine used; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine used) in a 40-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 09-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Aug-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired vaccine used). On 09-Aug-2021, EXPIRED PRODUCT ADMINISTERED (Expired vaccine used) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medication information not provided. Treatment information not provided. This case was linked to MOD-2021-363771 (Patient Link).

Weitere VAERSDATA-Felder

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

VAERS 1838854

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: 79,0
Geschlecht: F
Eingang: 03.11.2021
Impfdatum: 14.09.2021
Beginn: 14.09.2021
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

Symptomtext

318 patients received dose from vials beyond 30-day use by date; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date) in a 79-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 14-Sep-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Sep-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date). On 14-Sep-2021, EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Date of refrigeration: 06-Aug-2021. No concomitant medications were reported. No treatment information was provided.

Weitere VAERSDATA-Felder

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

VAERS 1838844

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: 29,0
Geschlecht: F
Eingang: 03.11.2021
Impfdatum: 14.09.2021
Beginn: 14.09.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: OT / -

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

Expired product administered

Symptomtext

Patients received dose from vials beyond 30-day use by date; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patients received dose from vials beyond 30-day use by date) in a 29-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 14-Sep-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Sep-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Patients received dose from vials beyond 30-day use by date). On 14-Sep-2021, EXPIRED PRODUCT ADMINISTERED (Patients received dose from vials beyond 30-day use by date) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. The date of refrigeration was on 06-Aug-2021. No concomitant medications are provided. No treatment medications are provided This case was linked to MOD-2021-363756 (Patient Link).

Weitere VAERSDATA-Felder

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

VAERS 1838831

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: 59,0
Geschlecht: F
Eingang: 03.11.2021
Impfdatum: 14.09.2021
Beginn: 14.09.2021
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

318 patients received dose from vials beyond 30-day use by date; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date) in a 59-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 14-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Sep-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date). On 14-Sep-2021, EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant and treatment medication reported date of refrigeration 8/6/2021 This case was linked to MOD-2021-363737 (Patient Link).

Weitere VAERSDATA-Felder

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

VAERS 1838756

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: -
Geschlecht: U
Eingang: 03.11.2021
Impfdatum: -
Beginn: -
Tage bis Beginn: -
Dosis: UNK
Route/Site: OT / -

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

Expired product administered

Symptomtext

Received doses from vials that had been in the refrigerator past the 30 day use by date; Based on the current case data, this case has been classified as invalid. This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Received doses from vials that had been in the refrigerator past the 30 day use by date) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced EXPIRED PRODUCT ADMINISTERED (Received doses from vials that had been in the refrigerator past the 30 day use by date). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Received doses from vials that had been in the refrigerator past the 30 day use by date) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medication was reported. No treatment information was reported. It was reported that, dosage administered on 13-Oct-2021, 14-Oct-2021 and 19-Oct-2021 from lot 020F21A. This case was linked to MOD-2021-364962, MOD-2021-364355, MOD-2021-364754, MOD-2021-364515, MOD-2021-364819, MOD-2021-364949, MOD-2021-364896, MOD-2021-365131, MOD-2021-364840, MOD-2021-364950, MOD-2021-365067, MOD-2021-364825, MOD-2021-365177, MOD-2021-365189 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 27-Oct-2021: Follow Up received and added information in narrative

Weitere VAERSDATA-Felder

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

VAERS 1835943

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: 53,0
Geschlecht: M
Eingang: 02.11.2021
Impfdatum: 07.09.2021
Beginn: 07.09.2021
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

318 patients received dose from vials beyond 30-day use by date; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date) in a 53-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 07-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 07-Sep-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date). On 07-Sep-2021, EXPIRED PRODUCT ADMINISTERED (318 patients received dose from vials beyond 30-day use by date) 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. Date of refrigeration was reported as 6-Aug-2021.

Weitere VAERSDATA-Felder

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

VAERS 1835339

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: 59,0
Geschlecht: F
Eingang: 02.11.2021
Impfdatum: 09.09.2021
Beginn: 09.09.2021
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

patient received dose from vial beyond 30-day use by date; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (patient received dose from vial beyond 30-day use by date) in a 59-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 09-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Sep-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (patient received dose from vial beyond 30-day use by date). On 09-Sep-2021, EXPIRED PRODUCT ADMINISTERED (patient received dose from vial beyond 30-day use by date) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. Date of refrigeration of vaccine was 06-AUG-2021 No treatment information was reported. This case was linked to MOD-2021-363775 (Patient Link).

Weitere VAERSDATA-Felder

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

VAERS 1833471

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 51,0
Geschlecht: M
Eingang: 01.11.2021
Impfdatum: 14.09.2021
Beginn: 14.09.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: - / -

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

Product storage error

Symptomtext

Vaccine administered beyond storage guidelines

Weitere VAERSDATA-Felder

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

VAERS 1833468

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 29,0
Geschlecht: F
Eingang: 01.11.2021
Impfdatum: 14.09.2021
Beginn: 14.09.2021
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

Vaccine administered beyond storage guidelines

Weitere VAERSDATA-Felder

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

VAERS 1833458

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 31,0
Geschlecht: M
Eingang: 01.11.2021
Impfdatum: 14.09.2021
Beginn: 14.09.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / AR

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

Expired product administered

Symptomtext

Vaccine administered beyond storage guidelines.

Weitere VAERSDATA-Felder

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

VAERS 1833451

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 57,0
Geschlecht: F
Eingang: 01.11.2021
Impfdatum: 14.09.2021
Beginn: 14.09.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / AR

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

Expired product administered

Symptomtext

Vaccine administered beyond storage guidelines

Weitere VAERSDATA-Felder

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

VAERS 1833448

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 59,0
Geschlecht: F
Eingang: 01.11.2021
Impfdatum: 14.09.2021
Beginn: 14.09.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / AR

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

Expired product administered

Symptomtext

Vaccine administered beyond storage guidelines

Weitere VAERSDATA-Felder

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

VAERS 1833417

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 63,0
Geschlecht: F
Eingang: 01.11.2021
Impfdatum: 14.09.2021
Beginn: 14.09.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / AR

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

Expired product administered

Symptomtext

Vaccine administered beyond storage guidelines

Weitere VAERSDATA-Felder

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

VAERS 1833412

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 67,0
Geschlecht: F
Eingang: 01.11.2021
Impfdatum: 14.09.2021
Beginn: 14.09.2021
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

Vaccine administered beyond storage guidelines

Weitere VAERSDATA-Felder

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

VAERS 1833266

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: 79,0
Geschlecht: F
Eingang: 01.11.2021
Impfdatum: 14.09.2021
Beginn: 14.09.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / AR

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

Expired product administered

Symptomtext

Vaccine administered beyond storage guidelines

Weitere VAERSDATA-Felder

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

VAERS 1833264

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: 83,0
Geschlecht: M
Eingang: 01.11.2021
Impfdatum: 14.09.2021
Beginn: 14.09.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / AR

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

Expired product administered

Symptomtext

Vaccine administered beyond storage guidelines

Weitere VAERSDATA-Felder

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

VAERS 1833137

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 49,0
Geschlecht: M
Eingang: 01.11.2021
Impfdatum: 09.09.2021
Beginn: 09.09.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / AR

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

Expired product administered

Symptomtext

Vaccine administered beyond storage guidelines

Weitere VAERSDATA-Felder

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

VAERS 1833136

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 59,0
Geschlecht: F
Eingang: 01.11.2021
Impfdatum: 09.09.2021
Beginn: 09.09.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / AR

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

Expired product administered

Symptomtext

Vaccine administered beyond storage guidelines

Weitere VAERSDATA-Felder

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

VAERS 1833075

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: 18,0
Geschlecht: F
Eingang: 01.11.2021
Impfdatum: 08.09.2021
Beginn: 08.09.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / AR

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

Expired product administered

Symptomtext

Vaccine administered beyond storage guidelines

Weitere VAERSDATA-Felder

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

VAERS 1833071

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: 40,0
Geschlecht: M
Eingang: 01.11.2021
Impfdatum: 08.09.2021
Beginn: 08.09.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / AR

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

Expired product administered

Symptomtext

Vaccine administered beyond storage guidelines

Weitere VAERSDATA-Felder

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

VAERS 1833056

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 53,0
Geschlecht: M
Eingang: 01.11.2021
Impfdatum: 07.09.2021
Beginn: 07.09.2021
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

Vaccine administered beyond storage guidelines

Weitere VAERSDATA-Felder

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

VAERS 1833036

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: 67,0
Geschlecht: F
Eingang: 01.11.2021
Impfdatum: 07.09.2021
Beginn: 07.09.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / AR

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

Expired product administered

Symptomtext

Vaccine administered beyond storage guidelines

Weitere VAERSDATA-Felder

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

VAERS 1833028

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IN
Alter: 75,0
Geschlecht: F
Eingang: 01.11.2021
Impfdatum: 07.09.2021
Beginn: 07.09.2021
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

Vaccine administered beyond storage guidelines

Weitere VAERSDATA-Felder

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

VAERS 1810378

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: -
Alter: -
Geschlecht: U
Eingang: 23.10.2021
Impfdatum: 24.08.2021
Beginn: -
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / -

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

Expired product administered

Symptomtext

Doses were administered from syringes and left at room temperature for 24 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 (Doses were administered from syringes and left at room temperature for 24 hours) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 24-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced EXPIRED PRODUCT ADMINISTERED (Doses were administered from syringes and left at room temperature for 24 hours). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Doses were administered from syringes and left at room temperature for 24 hours) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Health care professional states patients had received doses of vaccine and did not had information for the patients at that time, number of doses/vials: around 100 doses were administered /from 14 dose vials, not sure how many vials were affected.the vial was initially stored in the refrigerator: HCP did not have the exact information but stated vials were stored frozen and move to the refrigerator conditions daily. The doses were draw up from the vial all at once (emptying the vial) and the syringes were left at room temperature and used for up to 24 hours. The vial doesn't undergo any temperature excursions . Total amount of time the vial was exposed to room temperature range (8? to 25?C= 46? to 77?F). Syringes were exposed to room temperature for up to 24hours Concomitant medication use was unknown Treatment information was unknown.

Weitere VAERSDATA-Felder

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

VAERS 1782703

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

gering

Staat: IL
Alter: 12,0
Geschlecht: F
Eingang: 13.10.2021
Impfdatum: 07.10.2021
Beginn: 07.10.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Product administered to patient of inappropriate age

Symptomtext

Patient received Moderna dose that was not given an emergency use approval for this age group.

Weitere VAERSDATA-Felder

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

VAERS 1775709

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: TX
Alter: 30,0
Geschlecht: F
Eingang: 10.10.2021
Impfdatum: 09.09.2021
Beginn: 07.09.2021
Tage bis Beginn: -
Dosis: 1
Route/Site: IM / LA

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

Menstruation delayed

Symptomtext

Last menstrual period 8/22/2021. It is now October 10th, day 49 of my cycle. My cycles usually last 29-33 days. I am not and have never been pregnant.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Menstruation delayed
Hospital-Tage: -
Labordaten: None.
Aktuelle Erkrankungen: None.
Vorgeschichte: None.
Andere Medikamente: N/A. Never been on birth control, no IUD.
Allergien: Cephalexin
Vorherige Impfungen: -

VAERS 1725348

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge #002F21A

gering

Staat: FL
Alter: -
Geschlecht: M
Eingang: 23.09.2021
Impfdatum: 13.09.2021
Beginn: -
Tage bis Beginn: -
Dosis: 3
Route/Site: OT / -

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

Off label use

Symptomtext

non-immunocompromised patient received 3 doses of MOderna vaccine; This spontaneous case was reported by a pharmacist and describes the occurrence of OFF LABEL USE (non-immunocompromised patient received 3 doses of MOderna vaccine) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. #002F21A) for COVID-19 vaccination. No Medical History information was reported. On 13-Sep-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced OFF LABEL USE (non-immunocompromised patient received 3 doses of MOderna vaccine). At the time of the report, OFF LABEL USE (non-immunocompromised patient received 3 doses of MOderna vaccine) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medication was reported. No treatment medication was reported. Patient was not immunocompromised. HCP did not have info on first 2 doses.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Off label use
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1719463

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: CA
Alter: 42,0
Geschlecht: M
Eingang: 21.09.2021
Impfdatum: 14.08.2021
Beginn: 17.08.2021
Tage bis Beginn: 3,0
Dosis: 1
Route/Site: IM / AR

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

Enlarged uvula Pharyngeal swelling

Symptomtext

Patient developed swelling of throat and uvula about 2-3days after the first dose was administered. The first dose was administered 8/14/21 and the uvula swelling occurred in the morning of 8/17/21 and lasted approximately 24hrs. Patient did not report going to the hospital for this incident.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Enlarged uvula
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: none listed
Vorgeschichte: none listed
Andere Medikamente: lisinopril 40mg 1po qd
Allergien: none listed
Vorherige Impfungen: -

VAERS 1718093

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: UT
Alter: 26,0
Geschlecht: F
Eingang: 21.09.2021
Impfdatum: 01.09.2021
Beginn: 01.09.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / LA

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

Feeling cold Hyperhidrosis Pallor

Symptomtext

Patient was cold to the touch; Sweating profusely; Became pale; This spontaneous case was reported by a pharmacist and describes the occurrence of FEELING COLD (Patient was cold to the touch), HYPERHIDROSIS (Sweating profusely) and PALLOR (Became pale) in a 26-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 01-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Sep-2021, the patient experienced FEELING COLD (Patient was cold to the touch), HYPERHIDROSIS (Sweating profusely) and PALLOR (Became pale). At the time of the report, FEELING COLD (Patient was cold to the touch) and HYPERHIDROSIS (Sweating profusely) outcome was unknown and PALLOR (Became pale) was resolving. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were reported. No treatment medications were reported.

Weitere VAERSDATA-Felder

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

VAERS 1715758

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: LA
Alter: 69,0
Geschlecht: F
Eingang: 20.09.2021
Impfdatum: 18.08.2021
Beginn: 18.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / -

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

Localised infection

Symptomtext

Pt had infected arm requiring antibiotic.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Localised infection
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: N/A
Allergien: N/A
Vorherige Impfungen: -

VAERS 1715726

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

gering

Staat: FL
Alter: 35,0
Geschlecht: F
Eingang: 20.09.2021
Impfdatum: 15.08.2021
Beginn: 15.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Ocular hyperaemia

Symptomtext

Patient had chief complaint of red eye right after receiving the vaccine and it lasted for a couple of days afterwards.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Ocular hyperaemia
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: N/A
Allergien: N/A
Vorherige Impfungen: -

VAERS 1714700

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

gering

Staat: TX
Alter: 26,0
Geschlecht: F
Eingang: 20.09.2021
Impfdatum: 19.09.2021
Beginn: 19.09.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Product storage error

Symptomtext

Error: Improper Storage (temperature)-

Weitere VAERSDATA-Felder

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

VAERS 1707207

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: TX
Alter: -
Geschlecht: U
Eingang: 17.09.2021
Impfdatum: -
Beginn: -
Tage bis Beginn: -
Dosis: UNK
Route/Site: OT / -

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

Product contamination physical

Symptomtext

9 doses administered out of a vial that has a particulate; 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 PRODUCT CONTAMINATION PHYSICAL (9 doses administered out of a vial that has a particulate) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PRODUCT CONTAMINATION PHYSICAL (9 doses administered out of a vial that has a particulate). At the time of the report, PRODUCT CONTAMINATION PHYSICAL (9 doses administered out of a vial that has a particulate) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No Concomitant medication was reported. No treatment medications were reported

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product contamination physical
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1685581

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

gering

Staat: CA
Alter: 55,0
Geschlecht: M
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: ja

Interchange of vaccine products Wrong product administered

Symptomtext

Error: Wrong Vaccine Formulation (ex. different Manu fact. initial and booster)-

Weitere VAERSDATA-Felder

Praegender Schweregrund: Wrong product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1685581

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21A

gering

Staat: CA
Alter: 55,0
Geschlecht: M
Eingang: 17.09.2021
Impfdatum: 09.09.2021
Beginn: 09.09.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: SYR / LA

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

Interchange of vaccine products Wrong product administered

Symptomtext

Error: Wrong Vaccine Formulation (ex. different Manu fact. initial and booster)-

Weitere VAERSDATA-Felder

Praegender Schweregrund: Wrong product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1700481

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: FL
Alter: 67,0
Geschlecht: M
Eingang: 15.09.2021
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 Wrong product administered

Symptomtext

Pt got a Moderna shot instead of flu shot in error. Pt has already received 2 doses of Moderna on 3/19/21 & 4/14/2021.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Extra dose administered
Hospital-Tage: -
Labordaten: Unknown
Aktuelle Erkrankungen: None
Vorgeschichte: Diabetes
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 1697364

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21a

gering

Staat: KY
Alter: 29,0
Geschlecht: M
Eingang: 14.09.2021
Impfdatum: 18.08.2021
Beginn: -
Tage bis Beginn: -
Dosis: 1
Route/Site: IM / RA

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

Heart rate increased

Symptomtext

Patient arrived at the pharmacy on 9/14/2021 wanting to receive his 2nd moderna vaccination. Before he filled out his vaccination questionaire he mentioned that after the firs shot he had a rapid heart rate/heartbeat after receiving the shot. He did mention that he worked out, but with his apple watch he said it was 152 and never been that high before. Upon hearing this I told him that it was possible to experience this with Moderna and that side effect was listed under the Myocarditis side effects. I told him that I wanted to be on the side of caution. I explained that before we give the second dose that it would best to be on the side of caution and have this checked out by his family physician before we proceed. I explained that this may not be Myocarditis. However I cant rule it out either. And it would be best to just check things out to make sure, and if he is cleared by his dr then come back for his second dose. The patient had no issue with this suggestion and knows it is being done on the side of caution. I explained that we will also call his family dr to let him know of the situation as well. Patient has been instructed to follow up with his family dr as a side of caution and he agreed.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Heart rate increased
Hospital-Tage: -
Labordaten: unknown at this time
Aktuelle Erkrankungen: unknown
Vorgeschichte: asthma
Andere Medikamente: unknown
Allergien: unknown
Vorherige Impfungen: -

VAERS 1675412

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: MI
Alter: 42,0
Geschlecht: F
Eingang: 06.09.2021
Impfdatum: 15.08.2021
Beginn: 03.09.2021
Tage bis Beginn: 19,0
Dosis: 1
Route/Site: SYR / LA

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

Menstruation irregular

Symptomtext

Irregular menstrual cycle; initially short and light and now bleeding in between cycle with cramping

Weitere VAERSDATA-Felder

Praegender Schweregrund: Menstruation irregular
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: Seasonal allergies
Vorgeschichte: Hypothyroidism, hypertension
Andere Medikamente: Levothyroxine 75 mcg, Lisinopril 40 mg, vitamin d 1.25 mg, Zyrtec 10 mg
Allergien: Augmentin, keflex
Vorherige Impfungen: -

VAERS 1673031

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: FL
Alter: 79,0
Geschlecht: F
Eingang: 04.09.2021
Impfdatum: 20.08.2021
Beginn: 21.08.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: OT / RA

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

Arthritis Erythema Fall Hypokinesia Wheezing

Symptomtext

My arm is red; having arthritis in the arms and legs; I couldn't get up from the bed, my legs and arms couldn't move; feeling a little whizzy; I fall in my family room and couldn't get up; This spontaneous case was reported by a consumer and describes the occurrence of WHEEZING (feeling a little whizzy), HYPOKINESIA (I couldn't get up from the bed, my legs and arms couldn't move), ERYTHEMA (My arm is red), FALL (I fall in my family room and couldn't get up) and ARTHRITIS (having arthritis in the arms and legs) in a 79-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. Concurrent medical conditions included Arthritis. Concomitant products included HYDROXYCARBAMIDE (HYDROXYUREA), PRAVASTATIN, DOXEPIN and LEVOTHYROXINE for an unknown indication. On 20-Aug-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Aug-2021, the patient experienced WHEEZING (feeling a little whizzy) and FALL (I fall in my family room and couldn't get up). On 22-Aug-2021, the patient experienced HYPOKINESIA (I couldn't get up from the bed, my legs and arms couldn't move). On an unknown date, the patient experienced ERYTHEMA (My arm is red) and ARTHRITIS (having arthritis in the arms and legs). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency. At the time of the report, WHEEZING (feeling a little whizzy), HYPOKINESIA (I couldn't get up from the bed, my legs and arms couldn't move), ERYTHEMA (My arm is red), FALL (I fall in my family room and couldn't get up) and ARTHRITIS (having arthritis in the arms and legs) outcome was unknown. Patient was taking an unspecified medication for arthritis.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthritis
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Arthritis
Vorgeschichte: -
Andere Medikamente: HYDROXYUREA; PRAVASTATIN; DOXEPIN; LEVOTHYROXINE.
Allergien: -
Vorherige Impfungen: -

VAERS 1669649

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: AR
Alter: -
Geschlecht: U
Eingang: 03.09.2021
Impfdatum: 12.08.2021
Beginn: 12.08.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: OT / -

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

Device connection issue Underdose

Symptomtext

Some of the dose was lost and not administered; Malfunction of syringe and needle; This spontaneous case was reported by a consumer and describes the occurrence of UNDERDOSE (Some of the dose was lost and not administered) and DEVICE CONNECTION ISSUE (Malfunction of syringe and needle) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 12-Aug-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Aug-2021, the patient experienced UNDERDOSE (Some of the dose was lost and not administered) and DEVICE CONNECTION ISSUE (Malfunction of syringe and needle). At the time of the report, UNDERDOSE (Some of the dose was lost and not administered) and DEVICE CONNECTION ISSUE (Malfunction of syringe and needle) 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. No concomitant medications were provided No treatment medications were provided.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Device connection issue
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1657819

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: MI
Alter: 61,0
Geschlecht: M
Eingang: 31.08.2021
Impfdatum: 14.08.2021
Beginn: 14.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / -

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

Euphoric mood

Symptomtext

15 minutes after shot, felt high for about an hour; This spontaneous case was reported by a consumer and describes the occurrence of EUPHORIC MOOD (15 minutes after shot, felt high for about an hour) in a 61-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 14-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Aug-2021, the patient experienced EUPHORIC MOOD (15 minutes after shot, felt high for about an hour). At the time of the report, EUPHORIC MOOD (15 minutes after shot, felt high for about an hour) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication or treatment information was provided. Reporter did not allow further contact

Weitere VAERSDATA-Felder

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

VAERS 1657813

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: FL
Alter: 47,0
Geschlecht: F
Eingang: 31.08.2021
Impfdatum: 05.04.2021
Beginn: 17.08.2021
Tage bis Beginn: 134,0
Dosis: 1
Route/Site: OT / LA

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

Interchange of vaccine products

Symptomtext

She received her first 2 doses from Pfizer and her 3rd dose from Moderna; This spontaneous case was reported by a consumer and describes the occurrence of INTERCHANGE OF VACCINE PRODUCTS (She received her first 2 doses from Pfizer and her 3rd dose from Moderna) in a 47-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. Co-suspect product included non-company product TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) for COVID-19 vaccination. No Medical History information was reported. On 05-Apr-2021, the patient received first dose of TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) (unknown route) 1 dosage form. On 25-Apr-2021, received second dose of TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) (unknown route) dosage was changed to 1 dosage form. On 17-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 17-Aug-2021, the patient experienced INTERCHANGE OF VACCINE PRODUCTS (She received her first 2 doses from Pfizer and her 3rd dose from Moderna). At the time of the report, INTERCHANGE OF VACCINE PRODUCTS (She received her first 2 doses from Pfizer and her 3rd dose from Moderna) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication were provided by the reporter. No treatment medication were provided by the reporter.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Interchange of vaccine products
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1656206

JANSSEN · COVID19 (COVID19 (JANSSEN)) · Charge 002F21A

gering

Staat: KY
Alter: 36,0
Geschlecht: F
Eingang: 30.08.2021
Impfdatum: 20.08.2021
Beginn: 26.08.2021
Tage bis Beginn: 6,0
Dosis: 2
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

Covid 19 positive 08/25/21 with onset of symptoms 08/26/2021

Weitere VAERSDATA-Felder

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

VAERS 1645133

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: TX
Alter: 42,0
Geschlecht: F
Eingang: 28.08.2021
Impfdatum: 13.08.2021
Beginn: 13.08.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: OT / LA

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

Expired product administered

Symptomtext

Vaccine administered after it was stored beyond 12 hours at room temperature; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Vaccine administered after it was stored beyond 12 hours at room temperature) in a 42-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 13-Aug-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Aug-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Vaccine administered after it was stored beyond 12 hours at room temperature). On 13-Aug-2021, EXPIRED PRODUCT ADMINISTERED (Vaccine administered after it was stored beyond 12 hours at room temperature) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were reported. No treatment medications were reported.

Weitere VAERSDATA-Felder

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

VAERS 1645036

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: TX
Alter: 45,0
Geschlecht: M
Eingang: 28.08.2021
Impfdatum: 13.08.2021
Beginn: 13.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / LA

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

Expired product administered

Symptomtext

vaccine administered after it was stored beyond 12 hours at room temperature; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (vaccine administered after it was stored beyond 12 hours at room temperature) in a 45-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 13-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Aug-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (vaccine administered after it was stored beyond 12 hours at room temperature). At the time of the report, EXPIRED PRODUCT ADMINISTERED (vaccine administered after it was stored beyond 12 hours at room temperature) 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 concomitant medications were reported. No treatment medications were provided by the reporter.

Weitere VAERSDATA-Felder

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

VAERS 1645006

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: AL
Alter: 43,0
Geschlecht: F
Eingang: 28.08.2021
Impfdatum: 11.08.2021
Beginn: 12.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: OT / RA

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

Eye swelling Irritability Nasal congestion Pharyngeal swelling

Symptomtext

Also congested from an allergy; It's annoying; Right eye swell up/in the beginning looked like a bug bite; Throat swell up; This spontaneous case was reported by a consumer and describes the occurrence of IRRITABILITY (It's annoying), NASAL CONGESTION (Also congested from an allergy), EYE SWELLING (Right eye swell up/in the beginning looked like a bug bite) and PHARYNGEAL SWELLING (Throat swell up) in a 43-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. Concurrent medical conditions included Multiple sclerosis and Systemic lupus erythematosus. On 11-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Aug-2021, the patient experienced IRRITABILITY (It's annoying). 12-Aug-2021, the patient experienced EYE SWELLING (Right eye swell up/in the beginning looked like a bug bite) and PHARYNGEAL SWELLING (Throat swell up). On an unknown date, the patient experienced NASAL CONGESTION (Also congested from an allergy). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Adverse event, at an unspecified dose and frequency and MONTELUKAST SODIUM (SINGULAIR) for Adverse event, at an unspecified dose and frequency. At the time of the report, IRRITABILITY (It's annoying) and NASAL CONGESTION (Also congested from an allergy) outcome was unknown, EYE SWELLING (Right eye swell up/in the beginning looked like a bug bite) was resolving and PHARYNGEAL SWELLING (Throat swell up) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medication included Gesimppa, once a month injection, a new drug to treat multiple sclerosis and lupus.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Eye swelling
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Multiple sclerosis; Systemic lupus erythematosus
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1644630

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: AR
Alter: 50,0
Geschlecht: F
Eingang: 28.08.2021
Impfdatum: 10.08.2021
Beginn: 10.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / -

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

Device connection issue

Symptomtext

needle disconnected from the syringe during administration; This spontaneous case was reported by a consumer and describes the occurrence of DEVICE CONNECTION ISSUE (needle disconnected from the syringe during administration) in a 50-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002F21A) for COVID-19 vaccination. No Medical History information was reported. On 10-Aug-2021 at 5:15 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Aug-2021, the patient experienced DEVICE CONNECTION ISSUE (needle disconnected from the syringe during administration). At the time of the report, DEVICE CONNECTION ISSUE (needle disconnected from the syringe during administration) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Concomitant medications were reported. No Treatment information was reported.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Device connection issue
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1637239

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: AR
Alter: 16,0
Geschlecht: F
Eingang: 26.08.2021
Impfdatum: 11.08.2021
Beginn: 11.08.2021
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

Patient came in as a walk in to receive a Covid Vaccine with her father. She spoke English, but he spoke Spanish. She was translating to her father as I was counseling them regarding the vaccine. I asked the patient if she was 18 and she said, "yes." Her paperwork stated a 01 birthday. They were talking to each other as I was preparing vaccine and I am not sure what they were discussing. She stated that she understood all of the information. She waited the required 15 minutes and left with her father. As we were entering her vaccine into Web IZ we noticed her birthday was changed to a 04.

Weitere VAERSDATA-Felder

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

VAERS 1632914

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: CA
Alter: 60,0
Geschlecht: M
Eingang: 25.08.2021
Impfdatum: 15.08.2021
Beginn: 24.08.2021
Tage bis Beginn: 9,0
Dosis: 1
Route/Site: IM / LA

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

Erythema Limb discomfort Peripheral swelling Skin warm

Symptomtext

Patient received first dose of moderna vaccine on 8/15/21 in her left arm. She came in on 8/24/21 in the evening stating that her arm had no redness or swelling, but then as of yesterday was red, swollen and felt warm to touch. I recommended otc options to help her with the discomfort. But I told her if it continues, gets worse or shows signs of infection she should visit her doctor. She was satisfied with this response

Weitere VAERSDATA-Felder

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

VAERS 1632559

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: WA
Alter: 66,0
Geschlecht: F
Eingang: 25.08.2021
Impfdatum: 24.08.2021
Beginn: 24.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

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

Inappropriate schedule of product administration No adverse event

Symptomtext

? 08/10/2021 o The patient received first Covid Moderna Vaccine and was scheduled for 2nd vaccine 2 weeks later on 8/24/2021. ? 08/24/2021 o The patient came for second dose Moderna. She did not bring her immunization card with her. o Vaccine was administered after verifying correct patient name and dob. Prior vaccine date not verified by medical assistant prior to injection. o Medical Assistant gave patient a new covid vaccine card with vaccine administration dates, and at that time noticed that the first dose was administered 2 weeks prior. This was administered before the 24 day minimum interval between doses 1 and 2. o Patient was notified of vaccine administration error and was told that CDC does not recommend she get an additional dose at this time even though vaccine was administered early. Pt notified of VAERS reporting. Patient not reporting any adverse symptoms at time of phone call several hours after vaccine administration.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Inappropriate schedule of product administration
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: No known illnesses
Vorgeschichte: Depression, Anxiety, Hypothyroidism, Fibromyalgia, Hypertriglyceridemia, DM type 2, Obstructive sleep apnea syndrome, Hep C, arthritis, multiple nodules of lung, fatty liver, stage 3 chronic kidney disease, back pain, temporomandibular disorder, hiatal hernia, diastolic CHF
Andere Medikamente: acetaminophen (TYLENOL) 325 mg tablet 120 tablet aluminum & magnesium hydroxide-simethicone (MAALOX PLUS REGULAR STRENGTH) 200-200-20 mg/5 mL suspension 0 baclofen (LIORESAL) 10 mg tablet calcium carbonate (TUMS) 500 mg chewable t
Allergien: Bee Venom Topiramate Aspirin Bupivacaine Codeine Hydrocodone Ketorolac Lidocaine Morphine Penicillins Tramadol Adhesive and Tape Lasix
Vorherige Impfungen: -

VAERS 1624156

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

gering

Staat: AL
Alter: 17,0
Geschlecht: F
Eingang: 23.08.2021
Impfdatum: 18.08.2021
Beginn: 18.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

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

Product administered to patient of inappropriate age

Symptomtext

Patient received moderna and is under the minimum age of 18.

Weitere VAERSDATA-Felder

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

VAERS 1623710

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: AR
Alter: 44,0
Geschlecht: M
Eingang: 23.08.2021
Impfdatum: 20.08.2021
Beginn: 21.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: SYR / LA

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

Oral herpes

Symptomtext

About 23 hours after my injection, I started noticing fever blisters/cold sores on my upper lip. I cannot ever remember having any fever blisters/cold sores in my life. Sunday morning I began using Campho Phenique approximately hourly as treatment. So far I have not seen any improvement,. I will continue this treatment today and contact my PCP if I do not have success.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Oral herpes
Hospital-Tage: -
Labordaten: None yet
Aktuelle Erkrankungen: None
Vorgeschichte: -
Andere Medikamente: Irbesartin 300mg, Fish Oil 2000mg, Allign Probiotic, Men's Multi Vitamin
Allergien: Penicillin Allergy
Vorherige Impfungen: -

VAERS 1603046

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: LA
Alter: 27,0
Geschlecht: M
Eingang: 21.08.2021
Impfdatum: 19.08.2021
Beginn: 21.08.2021
Tage bis Beginn: 2,0
Dosis: 1
Route/Site: IM / LA

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

Ageusia

Symptomtext

Patient was immunized 2 days ago on 08/19/2021. Today, 08/21/2021, wife indicates patient has one issue, loss of taste. No loss of smell. No fever.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Ageusia
Hospital-Tage: -
Labordaten: Advised wife to have patient get COVID tested.
Aktuelle Erkrankungen: Unknown.
Vorgeschichte: Unknown.
Andere Medikamente: Unknown.
Allergien: Unknown.
Vorherige Impfungen: -

VAERS 1602692

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: IA
Alter: 27,0
Geschlecht: F
Eingang: 21.08.2021
Impfdatum: 06.08.2021
Beginn: 06.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

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

Unevaluable event

Symptomtext

Patient's arm was magnetic for 24 hour following the vaccination. Patient showed me a video of the arm that she was vaccinated in and she held a magnetic pocket knife up to her arm and it stuck to her arm.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Unevaluable event
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: Paroxetine, progestin only birth control Patient is nursing at the time of vaccination
Allergien: -
Vorherige Impfungen: -

VAERS 1587195

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

gering

Staat: LA
Alter: 39,0
Geschlecht: F
Eingang: 19.08.2021
Impfdatum: 13.08.2021
Beginn: 16.08.2021
Tage bis Beginn: 3,0
Dosis: 1
Route/Site: IM / LA

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

Decreased appetite Insomnia

Symptomtext

no appetite, no sleeping

Weitere VAERSDATA-Felder

Praegender Schweregrund: Decreased appetite
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: allergies
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1582929

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

gering

Staat: CA
Alter: 72,0
Geschlecht: M
Eingang: 18.08.2021
Impfdatum: 18.08.2021
Beginn: 18.08.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: - / -

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

Extra dose administered

Symptomtext

Patient came to pharmacy for his 9am covid vaccine appointment and attested to the fact that he never had a covid vaccine before. My CAIRs access needed to be renewed so while I was calling the HELP desk, I checked the patient's profile and mHealthKordinator - both of which has shown no records of him receiving the vaccine before. After being able to login to CAIRs to double check after giving the vaccine, it was shown that the patient had previously received the MRNA vaccine on 1/29/21, and 2/27/21 respectively.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Extra dose administered
Hospital-Tage: -
Labordaten: unknown ; no reported adverse effects for now. VAERS report submitted under recommendation from corporate.
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1578672

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

gering

Staat: AR
Alter: 17,0
Geschlecht: F
Eingang: 17.08.2021
Impfdatum: 16.08.2021
Beginn: 16.08.2021
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

Patient mistakenly received Moderna Vaccine and is 17 years and 6 months of age. Moderna is used for 18 years and up

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: none
Vorherige Impfungen: -

VAERS 1575092

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: KS
Alter: 58,0
Geschlecht: M
Eingang: 16.08.2021
Impfdatum: 14.08.2021
Beginn: 14.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

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

Extra dose administered

Symptomtext

Patient was already up to date on shingrix and tdap, and we administered them again (shingrix series complete, tdap given in 2018)

Weitere VAERSDATA-Felder

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

VAERS 1574564

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: AL
Alter: 38,0
Geschlecht: F
Eingang: 16.08.2021
Impfdatum: 01.08.2021
Beginn: 14.08.2021
Tage bis Beginn: 13,0
Dosis: 1
Route/Site: IM / LA

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

Heavy menstrual bleeding Menstrual disorder

Symptomtext

Caused abnormal menstruation. Period came 2 weeks early and was so extremely heavy, I nearly went to the ER for fear of bleeding out. Period is always regular and normally somewhat light.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Heavy menstrual bleeding
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 1574529

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: OR
Alter: 25,0
Geschlecht: F
Eingang: 16.08.2021
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: ja

Inappropriate schedule of product administration

Symptomtext

PT RECEIVED VACCINE AT 3 WEEKS INSTEAD OF 4 WEEKS

Weitere VAERSDATA-Felder

Praegender Schweregrund: Inappropriate schedule of product administration
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1574458

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: KY
Alter: 19,0
Geschlecht: M
Eingang: 16.08.2021
Impfdatum: 16.08.2021
Beginn: 16.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: - / LA

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

Head titubation

Symptomtext

Patient started nodding off a couple minutes after his shot. Went out to check on him and checked his blood pressure and pulse which was 91/58 and 68 respectively. The patient did tell us that he has an aversion to needles and did not eat anything in the morning. The ambulance was called but the patient denied service.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Head titubation
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: N/A patient does not regularly fill at this pharmacy
Allergien: N/A
Vorherige Impfungen: -

VAERS 1569238

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: LA
Alter: 56,0
Geschlecht: F
Eingang: 15.08.2021
Impfdatum: 13.08.2021
Beginn: 15.08.2021
Tage bis Beginn: 2,0
Dosis: 2
Route/Site: IM / RA

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

Gait disturbance

Symptomtext

HER LEG IS DRAGGING. WHEN SHE HOLDS BOTH UP, THEY ARE UNEVEN. HER WALK IS UNSTEADY

Weitere VAERSDATA-Felder

Praegender Schweregrund: Gait disturbance
Hospital-Tage: -
Labordaten: NONE TO MY KNOWLEDGE
Aktuelle Erkrankungen: NONE TO MY KNOWLEDGE
Vorgeschichte: HYPERTENSION
Andere Medikamente: N/A
Allergien: PENICILLIN, MACROLIDE,PHENOTHIAZINES
Vorherige Impfungen: -

VAERS 1569173

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

gering

Staat: AZ
Alter: 60,0
Geschlecht: F
Eingang: 15.08.2021
Impfdatum: 13.08.1921
Beginn: 14.08.2021
Tage bis Beginn: 36.526,0
Dosis: 2
Route/Site: IM / LA

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

Heart rate increased

Symptomtext

per patient she experienced and increased heartrate of 90-100 for 8-9 hours only relieved by laying down which decreased her heart rate to 80-90bpm

Weitere VAERSDATA-Felder

Praegender Schweregrund: Heart rate increased
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: none
Allergien: none
Vorherige Impfungen: -

VAERS 1558353

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

gering

Staat: IL
Alter: 23,0
Geschlecht: F
Eingang: 14.08.2021
Impfdatum: 14.08.2021
Beginn: 14.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Incorrect dose administered Syringe issue

Symptomtext

during administration the syringe tip leaked vaccination. The needle was fully penetrated into arm and dose leaked out from the base of the syringe tip/ base i.e. where the needle screws onto the syringe base. Syringe was sealed and a single unit package with the tip and base already together but obviously it wasnt completly secured. Pt did not receive full 0.5ml dose as a result. No other incident/details to report

Weitere VAERSDATA-Felder

Praegender Schweregrund: Incorrect dose administered
Hospital-Tage: -
Labordaten: n/a
Aktuelle Erkrankungen: na
Vorgeschichte: na
Andere Medikamente: na
Allergien: nkda
Vorherige Impfungen: -

VAERS 1555208

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: CA
Alter: 70,0
Geschlecht: M
Eingang: 13.08.2021
Impfdatum: 11.08.2021
Beginn: 11.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Interchange of vaccine products No adverse event

Symptomtext

Patient's daughter came in at drop off asking for first dose of Moderna for her dad, she told our technician that she made appointment online for Moderna vaccine and answered questions for her Dad already. And our technician asked the daughter that is it the first dose of Covid vaccine and daughter said yes. Then we processed, gave patient vaccines and appointment card for the next dosage while the daughter went shopping. When patient was waiting for 15 minutes and pharmacist gave him his CDC card for first dosage of Moderna, patient told pharmacist that this is the second dose not the first dose, then we asked and he said he got Covid vaccines Pfizer begin of 2021 and he did not get the second dose because they had to wait for 4 hours and his daughter didn't like it so they left . Then when daughter came back to pick him up today, our pharmacists and technician went out to verify which her. And she told her dad that " why you told them that?". And she admitted that she didn't told us earlier , she just wanted her Dad to get another vaccine and she told rudely to our both pharmacists that " It doesnt matter which Covid vaccines, I don't care" . Then the daughter asked about second dose of Moderna Covid vaccine, so we told patient that 3rd dose of Covid vaccine is not approved yet, pay attention to her Dad next couple days for any reactions. We watched patient for over 30 minutes and no reaction.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Interchange of vaccine products
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: NONE
Vorgeschichte: DID NOT DISCLOSE
Andere Medikamente: NONE
Allergien: NONE
Vorherige Impfungen: -

VAERS 1554799

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

gering

Staat: LA
Alter: 40,0
Geschlecht: M
Eingang: 13.08.2021
Impfdatum: 13.08.2021
Beginn: 13.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

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

Haemorrhage Swelling

Symptomtext

bleeding and swelling outside of normal reaction to vaccine

Weitere VAERSDATA-Felder

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

VAERS 1554441

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: AL
Alter: 42,0
Geschlecht: F
Eingang: 13.08.2021
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: ja

Dry skin Pharyngeal swelling Skin warm

Symptomtext

Patient had her 1st Moderna COVID 19 shot in left deltoid. About 25 min later, patient complained of left sided throat swelling. Vital signs: BP 150/92, P90, respirations - WNL, patient denied shortness of breath, skin- warm, dry. Pt did not want to go to hospital Pt was given Benadryl PO (suspension). Patient waited with adult children 15 more minutes. Pt reports she felt a little better, still felt like swelling was there, but wanted to go with family home. Verbalized understanding to seek medical attention if she felt worse.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dry skin
Hospital-Tage: -
Labordaten: 8/13/21 at 15:30 Vital signs: BP 150/92, P90, respirations - WNL, patient denied shortness of breath, skin- warm, dry
Aktuelle Erkrankungen: N/A
Vorgeschichte: ASTHMA
Andere Medikamente: UNKNOWN
Allergien: SEAFOOD, PEANUTS, CYMBALTA, FASRNA - CAUSE HIVES, DOES NOT HAVE EPI-PEN, NEVER HAD ANAPHYLAXIS REACTION OR DIFFICULTY BREATHING.
Vorherige Impfungen: -

VAERS 1553424

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

gering

Staat: TX
Alter: 36,0
Geschlecht: M
Eingang: 13.08.2021
Impfdatum: 09.08.2021
Beginn: 09.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

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

Inappropriate schedule of product administration

Symptomtext

Error: Booster Given Too Early-

Weitere VAERSDATA-Felder

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

VAERS 1549799

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: AR
Alter: 50,0
Geschlecht: M
Eingang: 12.08.2021
Impfdatum: 12.08.2021
Beginn: 12.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Syringe issue

Symptomtext

Was administering vaccine and the screw tip of syringe and needle made a popped sound. After the "pop" the rest of the medication ran down the patients arm. I don't know how much the patient received. Patient stated he felt the liquid go in his arm and knows he got it.

Weitere VAERSDATA-Felder

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

VAERS 1549584

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002f21a

gering

Staat: MO
Alter: 82,0
Geschlecht: M
Eingang: 12.08.2021
Impfdatum: 12.08.2021
Beginn: 12.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Extra dose administered Interchange of vaccine products

Symptomtext

Patient presented asking for Moderna vaccination and stated it would be his first dose. Vaccine was billed to medicare which paid with no issues. Pharmacy gave patient first Moderna dose. Afterwards, patient disclosed that he had received 2 doses of Pfizer vaccine previously. Patient had no issue with vaccine.

Weitere VAERSDATA-Felder

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

VAERS 1546523

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 002F21A

gering

Staat: CA
Alter: 81,0
Geschlecht: M
Eingang: 11.08.2021
Impfdatum: 11.08.2021
Beginn: 11.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

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

Inappropriate schedule of product administration

Symptomtext

The 2nd moderna vaccine was given 1 week early.

Weitere VAERSDATA-Felder

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