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Reporte zur Charge 066F21 A

Verknuepft ueber VAERS_ID mit VAERSDATA, Vax und Symptoms

290Reporte angezeigt
7Todesfaelle
24Hospitalisiert
3Lebensbedrohlich
9Bleibende Schaeden
CA 79 ID 47 CO 20 KY 18 NJ 16 WA 9 OH 9 NY 6 FL 6 IN 4 TN 4 MI 4

VAERS 2603969

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

kritisch
Staat
-
Alter
68,0
Geschlecht
F
Eingang
27.03.2023
Impfdatum
05.11.2021
Beginn
13.02.2023
Tage bis Beginn
465,0
Dosis
3
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Acute respiratory failure Angiogram pulmonary abnormal Asthenia Brain natriuretic peptide increased COVID-19 COVID-19 pneumonia Cough Dyspnoea Echocardiogram normal Endotracheal intubation Gastrointestinal haemorrhage Lung opacity Mental status changes Physical deconditioning SARS-CoV-2 test positive Seizure Shock haemorrhagic

Symptomtext

Patient is a 70 y.o. female with a history of Afib,HTN, L MCA stroke s/p NIR for TICI 2c reperfusion, Asthma and morbid obesity who was admitted 2/6/23 for AMS , Seizure and found to have hemorrhagic shock due to GIB and acute respiratory failure requiring intubation. She was just discharged home with HHC after she refused facility and represented RMH 2/13/2023 with cough and increased SOB. She was found to have positive COVID-19. CTPA without PE, noted b/l GGO. Discharged to home w/ HHC 2/17/23. 1. COVID-19 Pneumonia: Vaccinated. Test positive 2/13/23. CTPA as above. Of not pt was intubated from 2/6-2/9/23 and weaned to room air prior to discharge. Hypoxia noted and initiated decadron and remdesivir 2/15/23. Improved. 2. Acute Hypoxic Respiratory Failure: due to COVID-19. BNP 7000s. TTE 02/2023 with EF 50-55%. On room air and not overloaded on exam. Given IV Lasix x1. Did not qualify for home O2. Resolved. 3. Generalized weakness: due to recent critical admission and deconditioning. Reportedly pt refused SNF on prior admission and dc with HHC. Therapies followed

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute respiratory failure
Hospital-Tage
4,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2578871

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

kritisch
Staat
KY
Alter
73,0
Geschlecht
M
Eingang
09.02.2023
Impfdatum
23.06.2022
Beginn
08.10.2022
Tage bis Beginn
107,0
Dosis
3
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Death Infection

Symptomtext

Patient had a breakthrough infection and passes away.

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

VAERS 2552660

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

kritisch
Staat
SD
Alter
75,0
Geschlecht
M
Eingang
06.01.2023
Impfdatum
04.11.2021
Beginn
05.10.2022
Tage bis Beginn
335,0
Dosis
3
Route/Site
SYR / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Acute kidney injury COVID-19 Death Dehydration Fall Lumbar vertebral fracture Respiratory symptom SARS-CoV-2 test positive Spinal compression fracture Vaccine breakthrough infection

Symptomtext

This is an instance of breakthrough COVID-19 after which death occurred. The individual was vaccinated with the Moderna product on 02/17/2021, 03/17/2021, and 11/04/2021. They had recently been hospitalized 09/14/2022-09/30/2022 after suffering complications of a L1 compression fracture after a fall. They were discharged to a skilled nursing facility after this hospitalization. They tested positive for COVID-19 on 10/05/2022, when they were admitted to the hospital for dehydration and management of respiratory symptoms. The individual had many underlying medical conditions. They were found to have an acute kidney injury. They were discharged back to skilled nursing facility on 10/08/2022. They died on 10/15/2022. I see no indication they were hospitalized closer to the death date.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
3,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Chronic Respiratory Failure, Congestive Heart Failure, A-Fib, Chronic Kidney Disease, Diabetes Mellitus, Hypertension, COPD, Alzheimer's Dementia (with frequent falls, failure to thrive, confusion, and hallucinations), Hyperlipidemia. Osteoarthritis
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2290270

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

kritisch
Staat
NY
Alter
71,0
Geschlecht
M
Eingang
23.05.2022
Impfdatum
08.11.2021
Beginn
09.12.2021
Tage bis Beginn
31,0
Dosis
3
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Anticoagulant therapy COVID-19 COVID-19 pneumonia Chest X-ray abnormal Death Dysphagia Dyspnoea Hypoxia Lung infiltration Nothing by mouth order Positive airway pressure therapy SARS-CoV-2 test positive Ventricular tachycardia White blood cell count normal

Symptomtext

12/9/2021 - Sent to ER from Oncology for SOB/hypoxia and immunocompromised due to 3/5 chemo completed for stage IV lung Ca. POC Covid test positive. On arrival temp 37, RR 18, SpO2 94 on supp O2, BP 131/87, WBC 7.7. Chest xray revealed bilateral infiltrates concerning for Covid 19. Admitted to Telemetry for covid pneumonia. Started on Vancomycin, Cefepime, Decadron, Lovenox, and Remdesivir. 12/10 - Baricitinib added to treatment. On high flow NC for O2, FiO2 65% with 40L flow. BP 152/95, HR 123. 12/11 - having asymptomatic runs of V tach and dissiculty swallowing. Kept NPO. O2 requirements not improving but not worsening. Changed steriod to Solu-medrol on 12/12. mech diet initiated 12/14- 5 day course Remdesivir complete. Baricitinib d/c 12/13 - WBC trending down. increasing hypoxia/HR - Hypoxia/tachycardia increasing -placed on BiPAP 100% FiO 12/15 - Decision for Palliative /comfort care vs aggressive treatment. 12/18 - Patient expired @1220.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
9,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
HTN, BPH, Hypothyroid, Hyperlipidemia, diabetes, OSA on CPAP, Lung Ca-IV, Bone Mets, fatigue
Andere Medikamente
-
Allergien
NKA
Vorherige Impfungen
-

VAERS 2260192

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

kritisch
Staat
-
Alter
85,0
Geschlecht
M
Eingang
02.05.2022
Impfdatum
08.11.2021
Beginn
01.01.2022
Tage bis Beginn
54,0
Dosis
3
Route/Site
- / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
COVID-19 Death Dyspnoea General physical health deterioration Hypoxia Oxygen saturation decreased Pneumonia Respiratory disorder SARS-CoV-2 test positive

Symptomtext

pt presents to ED with worsening SOB; pt states he's had trouble with pneumonia over the past month and has been on multiple ABX; was seen at an urgent care a few days ago, was tested for COVID but unsure of the results; pt found to be positive for COVID in ED; hypoxic with O2 sats in low 80s%; O2 supplementation; baricitinib and dexamethasone; pt's respiratory status worsened; status changed to DNR/DNI; pt desaturates with minimal exertion; pt continued to worsen and he passed away in the hospital

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
9,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
LYMPHOMA
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2047919

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

kritisch
Staat
CA
Alter
76,0
Geschlecht
F
Eingang
19.01.2022
Impfdatum
14.12.2021
Beginn
25.12.2021
Tage bis Beginn
11,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Activated partial thromboplastin time Acute myocardial infarction Alanine aminotransferase normal Antimicrobial susceptibility test sensitive Aspartate aminotransferase normal Back pain Bacteraemia Bacterial infection Bacterial test positive Bandaemia Bilirubin urine Blood alkaline phosphatase normal Blood bilirubin increased Blood chloride decreased Blood creatinine increased Blood culture positive Blood gases Blood glucose increased

Symptomtext

76/F pt with obesity (current BMI 33), DM, diabetic CKD (baseline creatinine 1.01-1.07), HTN, HLD, asthma, fully vaccinated for COVID including booster, was in USOH until diagnosed with COVID on 12/21. She was having dysuria for 2 days prior, had a TAV as she started having fever and vomiting x 1. On AM of admit she woke up with shaking chills, and dyspnea -> called EMS and came to ED where she was noted to be hypoxic to 90% and hence was placed on 2 L of O2. She was given LR due to UTI + COVID. ROS on admit positive for back pain, and nausea. She lives with her family at home, independent for ADL's, daughter and grand daughter both had tested + for covid (12/20 and 12/17 respectively), her husband is negative. Vitals on arrival T-101.4, 84, 23, 96-99 % on 2 L, BP 115/56. Labs notable for cr of 1.28 (bl 1.0-1.07, GFR in CKD 3a range), elevated lactate at 2.0 (improved to 1.5 with LR total of 500 cc), CRP of 10.3, Covid positive, WBC normal on admit but with bandemia, d-dimer 1.71, UA was positive and CXR negative for focal infiltrates or congestion. She met criteria for severe sepsis on admit. UTI with pyelonephritis Keflex given in ED, changed to Ceftriaxone on admit. 2/2 blood cx's growing E Coli. Urine cx also with E.Coli (sensitive to cefazolin, no prior positive urine cx's in the system) - Continue Ctx per d/w ID through today, will change to Cipro at discharge to complete 14 day course. Covid positive status. Brief hypoxia to 90% on RA on arrival. Brief dry cough per history. Was started on dexamethasone (received total of 2 doses 12/25 and 12/26). Had brief hypoxia of 90% in ED (while febrile), since then recovered. Currently on RA saturating 98%. Also has negative CXR. - Stopped steroids per d/w ID, given she has active bacteremia and underlying DM. - Not given Remdesivir d/t elevated creatinine. Also hypoxia was brief. Enhanced isolation to continue for total of 10 days through 1/1/22, considered mild infection. D/W Dr./ID. - CRP up from 10.3->13.8 but could be from bacterial infection. - LFT's are normal. D-dimer 1.71->1.55. Elevated troponin No EKG changes. Likely type 2 MI in the setting of severe sepsis. PTA ASA/statin continued. Telemetry monitoring for now Troponin peaked at 0.40 (0.08-> 0.40-> 0.21). Pt had no exertional symptoms prior to getting sick, hence no out pt ischemia w/u recommended per Dr./Cardiology. Mild persistent asthma On Wixela and prn Albuterol. DM2 with CKD stage 3A. Glipizide and Metformin on hold NPH (7 units BID new) with SSI started on admit. Current FS values in 200-300's, from steroid use in the setting of DM. Last A1C was 7.2 in 10/2021 (prior was 10.3 in 01/2021). - Increased NPH to 10 U BID AC for elevated blood sugars while here. - Resume home regimen on discharge. HTN/HLD On PTA Amlodipine and statin. ACEi held on admission d/t rise in creatinine. Reason for Hospital Admission (Admitting Diagnosis): SOB and UTI

Weitere VAERSDATA-Felder
Praegender Schweregrund
Acute myocardial infarction
Hospital-Tage
3,0
Labordaten
Recent Labs 12/25/21 1029 NA 132* K 3.7 CO2 25 CL 96* BUN 24 CR 1.28* RBS 112 CBC Recent Labs 12/25/21 1029 WBC 4.1 HGB 12.0 HCT 36.1 PLT DECREASE* | 141 | NORMAL MCV 96 NEUT 69 Cardiac Recent Labs 12/25/21 1050 TROP 0.08* LFTs Recent Labs 12/25/21 1029 AST 32 ALT 20 ALKP 88 TBILI 1.3* LIPASE 17 Coags No results for input(s): PT, INR, PTT in the last 72 hours. ABG No results for input(s): PH, PO2, PCO2 in the last 72 hours. Anti-XA No results for input(s): HEPUNFR, FACTXAINHIB in the last 72 hours. Lab Results Component Value Date Lactate, ser/plas 1.5 12/25/2021 Lactate, ser/plas 2.0 (AA) 12/25/2021 Lab Results Component Value Date Cholesterol 150 10/18/2021 Triglyceride 119 01/19/2021 HDL 67 10/18/2021 Low density lipoprotein calculated 60 01/19/2021 LDL CALCULATED, NONFASTING 70 10/18/2021 TRIGLYCERIDE, NONFASTING 67 10/18/2021 Lab Results Component Value Date Hgb A1c % 7.2 (H) 10/18/2021 Lab Results Component Value Date TSH 4.7 10/18/2021 Recent Labs 12/25/21 1050 UPH 5.0 USG 1.012 UAGLU NEGATIVE UKET NEGATIVE UABILI NEGATIVE UPROTEIN >500* ULEUKESTER MODERATE* UNITRITE POSITIVE* URBC 8* UWBC 180* UBACT 1+*
Aktuelle Erkrankungen
-
Vorgeschichte
obesity (current BMI 33), DM, diabetic CKD (baseline creatinine 1.01-1.07), HTN, HLD, asthma
Andere Medikamente
Outpatient Medications: confirmed with Patient Prior to Admission Medications Outpatient Home Medications Taking? Albuterol (PROAIR/PROVENTIL/VENTOLIN) 90 mcg/actuation Inhl HFAA Takes Occasionally Sig: Inhale 2 Puffs by mouth every 4 hours
Allergien
nkda
Vorherige Impfungen
-

VAERS 1971729

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

kritisch
Staat
MO
Alter
57,0
Geschlecht
M
Eingang
22.12.2021
Impfdatum
12.02.2021
Beginn
27.11.2021
Tage bis Beginn
288,0
Dosis
3
Route/Site
IM / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Death

Symptomtext

Death

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

VAERS 1873668

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

kritisch
Staat
MA
Alter
59,0
Geschlecht
M
Eingang
16.11.2021
Impfdatum
13.11.2021
Beginn
13.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Anticoagulant therapy Chest pain Computerised tomogram thorax abnormal Deep vein thrombosis Dyspnoea Pulmonary embolism

Symptomtext

Presented with chest pain and acute shortness of breath, found to have bilateral sub-segmental PE with LLE DVT, treated with UF Heparin. Hospitalization ongoing (day 3).

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pulmonary embolism
Hospital-Tage
-
Labordaten
11/14: CTPE positive for bilateral sub-segmental PE
Aktuelle Erkrankungen
-
Vorgeschichte
HFpEF T2DM Hyperlipidemia Acquired hypothyroidism Morbid obesity MDD Essential hypertension Chronic L foot ulcer/ osteomyelitis Chronic coronary artery disease Peripheral neuropathy Psoriasis CKD stage 3b Seborrheic dermatitis OSA Aortic Stenosis s/p pbAVR COVID-19 Pneumonia
Andere Medikamente
Acetaminophen Ascorbic acid with rose hips aspirin atorvastatin buspirone calcium citrate clonazepam docusate famotidine ferrous sulfate insulin glargine ketoconazole 2% cream levothyroxine melatonin metformin metoprolol succinate multivita
Allergien
surgical tape
Vorherige Impfungen
-

VAERS 1869327

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

kritisch
Staat
IN
Alter
101,0
Geschlecht
F
Eingang
15.11.2021
Impfdatum
11.11.2021
Beginn
12.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / LA
Tod: ja Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Aspiration Death General physical health deterioration

Symptomtext

On 11/12/21 @ approximately 1:11 pm resident 02 saturation decreased to 84%. rebounded after breathing treatment to 91% but residents overall condition continued to decline. 02 increased to 3 liters with orders to titrate up to 6 liters. This resident was a hospice patient and had been having recent episodes of aspiration. Condition continued to decline and resident expired on 11/15/21 @ approximately 9:44 am

Weitere VAERSDATA-Felder
Praegender Schweregrund
Death
Hospital-Tage
-
Labordaten
None due to hospice status
Aktuelle Erkrankungen
HEART FAILURE, HOSPICE/PALLATIVE CARE, PROTEIN CALORIE MALNUTRION, PAIN, ANXIETY DISORDER, DRY EYE SYNDROME, SHORTNESS OF BREATH, DEMEMTIA WITHOUT BEHAVIORAL DISTURBANCE, ESSENTIAL HYPERTENSION, HYPOTHYROIDISM, GLAUCOMA, MACULAR DEGENERATION, CONSTIPATION, MAJOR DEPRESSIVE DISORDER, DEPENCE ON SUPPLEMENTAL 02, HEARING LOSS, BILATERAL
Vorgeschichte
HEART FAILURE, MACULAR DEGENERATION , 02 DEPENDANCE WITH SOB, HTN, GLAUCOMA AND MACULAR DEGENERATION
Andere Medikamente
Lorazepam 0.5mg q4hrs prn restlessness/anxiety, Morphine sulfate concentrate solution 20 mg/ml- give 0.25 ml q 30 minutes PRN breakthrough pain/air hunger and 0.5 ml q 4hr prn pain, air hunger.
Allergien
PCN and calamine
Vorherige Impfungen
-

VAERS 2306846

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066f21a

schwer
Staat
KY
Alter
59,0
Geschlecht
F
Eingang
02.06.2022
Impfdatum
06.11.2021
Beginn
01.04.2022
Tage bis Beginn
146,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Bell's palsy Tinnitus

Symptomtext

Patient reports having developed Bell's Palsy and ringing in the ears about 5 months after receiving the vaccine

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bell's palsy
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
No
Vorgeschichte
Diabetes, Hypertension
Andere Medikamente
Metformin, Amlodipine
Allergien
No
Vorherige Impfungen
-

VAERS 2289818

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

schwer
Staat
KY
Alter
66,0
Geschlecht
F
Eingang
21.05.2022
Impfdatum
02.11.2021
Beginn
03.11.2021
Tage bis Beginn
1,0
Dosis
UNK
Route/Site
SYR / -
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: ja ER: ja Erholt: nein
Angina pectoris Bell's palsy Cardiomyopathy Chest pain Computerised tomogram Feeling abnormal Headache Injection site pain Laboratory test Magnetic resonance imaging Neoplasm malignant Pain Psychotic disorder Pyrexia Rash

Symptomtext

11/02/2021 date I had the Moderna booster vaccine. 11/03/2021 date I started feeling kind of weird then a couple days later , after continuing to feel bad each day after I was hospitalized due to myocardial, bell's palsy, psychosis, severe headaches, body aches, pain in my heart/chest, rash on my neck, fever, my arm I had the shot in has felt like it's constantly burning,fire,like rope burns since then. Since Nov 2nd 2021 that I received the Moderna booster Vaccine my health has went from completely healthy to being hospitalized again with Cancer. All due to this booster vaccine I took.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Bell's palsy
Hospital-Tage
-
Labordaten
MRIs ,CT scans, labs, I have have so much done, been to family dr after dr begging for referrals, been hospitalized twice. There is so much Medically since I got the Moderna booster vaccine it's unbelievable. I was completely healthy before taking that booster. 11/2021 til April 25th,2022 when I was hospitalized a second time and found out I have Cancer
Aktuelle Erkrankungen
No
Vorgeschichte
No
Andere Medikamente
No
Allergien
Muscle relaxers
Vorherige Impfungen
-

VAERS 2254702

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

schwer
Staat
CA
Alter
43,0
Geschlecht
M
Eingang
27.04.2022
Impfdatum
24.11.2021
Beginn
22.04.2022
Tage bis Beginn
149,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
COVID-19 Cough Fatigue Heart rate increased Influenza like illness Pain Pain in extremity Pyrexia Respiratory disorder SARS-CoV-2 test positive Thrombosis Weight bearing difficulty White blood cell count increased

Symptomtext

He started with a cough, and it progressed to being very fatigue and the cough got stronger. On Saturday, he went to Urgent Care and he tested positive for COVID-19. He was experiencing flu like symptoms. He then started to experience body aches especially in his legs. He started to have a fever of 100.4. By 04/25/2022, he was so fatigued he was having trouble carrying his weight. He also started experiencing respiratory issues and an increase heartrate of 119. He went to the emergency room. The doctor said his white blood cell count was high. They admitted into the hospital and are treating for the elevated white blood cells and blood clots. His fever has resolved, and his cough sounds better.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Thrombosis
Hospital-Tage
3,0
Labordaten
-
Aktuelle Erkrankungen
Common Cold
Vorgeschichte
Sleep Apnea, High Cholesterol
Andere Medikamente
Multivitamin, Lipitor 80mg once daily, Prilosec 20mg once daily.
Allergien
None
Vorherige Impfungen
-

VAERS 2058989

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

schwer
Staat
CA
Alter
58,0
Geschlecht
F
Eingang
24.01.2022
Impfdatum
05.01.2022
Beginn
06.01.2022
Tage bis Beginn
1,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Bell's palsy Eye pain Facial paralysis Swelling face

Symptomtext

Bell's Palsy Left eyelid has been drooping closed x 2 wk. Pain in eye is inside eye, feels like something pulling from inside. Face on left also swollen.

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

VAERS 1951504

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

schwer
Staat
-
Alter
27,0
Geschlecht
M
Eingang
15.12.2021
Impfdatum
08.12.2021
Beginn
08.12.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Dizziness Hyperhidrosis Pallor Presyncope

Symptomtext

5mins post vaccination pt reported that he was lightheaded, pale, and diaphoretic. Denies CP, palp, SOB, or LOC. Vitals: 11:35 110/63, 58, 18, 98% RA -- > 11:45 125/56, 73, 98% RA -- > 11:47 128/66, 68, 20, 99% RA -- > 129/64, 61, 98% RA Pt observed an additional 20mins. Most likely s/sx were associated w/ a vaso-vagal reaction. After ambulation, pt denies symptoms. Pt stable and released from the vaccination site.

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

VAERS 1948146

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

schwer
Staat
-
Alter
54,0
Geschlecht
M
Eingang
14.12.2021
Impfdatum
07.12.2021
Beginn
07.12.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: unbekannt
Affective disorder Angina pectoris Anticoagulant therapy Back pain Bed rest Catheterisation cardiac abnormal Chest pain Chronic left ventricular failure Coronary artery disease Coronary artery occlusion Diabetic nephropathy Diastolic dysfunction Echocardiogram Echocardiogram abnormal Electrocardiogram abnormal Glycosylated haemoglobin Injection site pain Left atrial dilatation

Symptomtext

5 mins post vaccination pt c/o chest pain. He describes it as sharp, constant, radiating to his left chest and back as well as his left shoulder. He states that it is unremitting, not improved with several of his own nitroglycerin. 911 was called @19:35 Pt then had 3 episodes of vomiting. When EMS arrived, pt was given NTG and ASA and transferred to the ED. Pt reports that morphine helps with the pain. Pt was admitted for further care. Symptoms due to ongoing underlying conditions. Per Discharge Note 12/11 Hospital Problems: 54 y.o. male with ho DM2, HLD, HTN, HFrEF EF 45% and diastolic dysfx 11/2021 at RMC, last nuclear stress test negative 6/2021, CAD s/p DES x 5 (RCA s/p PTCA and thrombectomy of prox RCA stent in 2011 at SCVMC stents in the past with chronic angina who presents with chest pain # Acute on Chronic angina with CAD, challenging case, with innumerable visits for chest pain, negative troponins, refused repeat stress last month; had refused cath in the past as his most recent stent 2019 didn't help his chronic chest pain. Trop flat at 24, EKG non ischemic. LDL 68, HbA1c 8.7. - Cont Aspirin, Plavix, Coreg. - resumed imdur 30 mg daily and ranexa 500mg BID - Cardiology consulted, TTE 12/9: Normal LV systolic function, mild diastolic dysfunction Grade I, severely dilated LA, , - Cardiology recommended stress test but patient refused to have stress test, hence cardiology performed cardiac cath on 12/10 that showed Chronic total occlusion of proximal-Mid RCA with good collaterals, otherwise no obstructive CAD, patent LAD stent -Cardiology recommended: S/p cardiac catheterization -Total occlusion of RCA (chronic) with multiple collaterals -Strict bedrest for 3 hours -No strenuous activity or heavy lifting (>20 lbs) for 1 week -Continue renexa 500mg BID -Continue imdur 30mg daily -Continue PTA aspirin 81mg, plavix 75mg, coreg 25mg -Follow-up in outpatient cardiology clinic with cardiology - pt continued to request morphine solution or norco pills for chest pain, despite educating him that this is not the standard of care for angina and that he needs to take anginal meds per cardiology -No opioids were given at discharge # chronic systolic and diastolic HF, no acute HF symptoms now # HTN - resumed lisinopril, and coreg # DM2 with neuropathy - on gabapentin - LISS and prandial insulin # Mood disorder, - taking wellbutrin and duloxetine Consults Obtained: Cardiology 12/10 Patient is a 54 y/o M with extensive cardiac history (with multiple reported PCIs in the past) along with multiple cardiac RF: DM2, HTN, HLD) and h/o HFrEF (EF 45% and diastolic dysfx 11/2021 at RMC) who presents with acute on chronic angina. He has been seen and RMC 2-3 times in the past month for the same. Low concern for ACS at this time given very low troponin elevation which is stable and no new acute ischemic EKG changes. Suspect his worsening anginal symptoms are in the setting of not taking his appropriate home meds of ranexa and imdur - though his symptoms persist depsite medical managment. Given his symptoms, HEART score of 5 and known CAD/multiple cardiac RF, and relatively unremarkable TTE - he warranted inpatient stress test, though he adamantly refused (stating he almost died), therefore we proceeded with LHC. LHC showed proximal-mid chronic total occlusion at proximal stent edge (multiple stents noted), grade 1 right to right bridging collaterals and grade 2 left to right collaterals. Per cath lab: Patient noted to have vasovagal reaction after access (no sedation given, so not a reaction to sedation). This responded well to normal saline IV bolus, IV phenylephrine, and IV atropine. He reportedly denies any further chest pain s/p catheterization. At this time, plan will be continue aggressive medical management of CAD RF and continue with anti-anginal therapy. Recommendations: -S/p cardiac catheterization today: -Total occlusion of RCA (chronic) with multiple collaterals -Strict bedrest for 3 hours -No strenuous activity or heavy lifting (>20 lbs) for 1 week -Continue renexa 500mg BID -Continue imdur 30mg daily -Continue PTA aspirin 81mg, plavix 75mg, coreg 25mg -Follow-up in outpatient cardiology clinic with cardiology

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
4,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
PMH: DM2, Obesity, Depression, HLD, HTN, HFrEF EF 45% and diastolic dysfx 11/2021 at RMC, last nuclear stress test negative 6/2021, CAD s/p DES x 5, s/p PTCA and thrombectomy of prox RCA stent in 2011 at SCVMC stents in the past with chronic angina. MI 2 weeks prior to vaccination with 8 stents placed in past
Andere Medikamente
? aspirin 81 MG EC tablet Take 1 tablet by mouth daily. ? atorvastatin (LIPITOR) 40 MG tablet Take 1 tablet by mouth at bedtime. ? blood sugar (FREESTYLE LITE STRIPS) test strip check blood sugars 3 times a day VMC(TI) ? blood-glucose meter
Allergien
ondansetron
Vorherige Impfungen
-

VAERS 1931468

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

schwer
Staat
-
Alter
78,0
Geschlecht
F
Eingang
08.12.2021
Impfdatum
03.11.2021
Beginn
01.11.2021
Tage bis Beginn
-
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Pulmonary thrombosis

Symptomtext

Patient ended in the hospital whit blood clots in both of her lungs; This spontaneous case was reported by a consumer and describes the occurrence of PULMONARY THROMBOSIS (Patient ended in the hospital whit blood clots in both of her lungs) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) for COVID-19 vaccination. The patient's past medical history included Clot blood (Patient had a blood clot 16 yeas ago after a 40hs flight.). Concurrent medical conditions included Allergy. Concomitant products included LEVOTHYROXINE SODIUM (SYNTHROID) and ACETYLSALICYLIC ACID (BABY ASPIRIN) for an unknown indication. On 03-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In November 2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced PULMONARY THROMBOSIS (Patient ended in the hospital whit blood clots in both of her lungs) (seriousness criteria hospitalization and medically significant). The patient was treated with HEPARIN for Adverse event, at a dose of 1 dosage form and APIXABAN (ELIQUIS) for Adverse event, at a dose of 1 dosage form. At the time of the report, PULMONARY THROMBOSIS (Patient ended in the hospital whit blood clots in both of her lungs) had not resolved. Patient was prescribed many blood thinners at the hospital. It was reported that patient was taking an unspecified allergy pill and some herbal medications. Patient has profuse spouts of coffin. Company comment: This case concerns a 78-year-old, female patient with no relevant medical history, who experienced the unexpected event of lung thrombosis, which required hospitalization. The events occurred approximately two weeks after the third dose of mRNA-1273. The rechallenge was not applicable as events occurred after second dose and no further dosing was reported or planned, based on information provided. The medical history of prior blood clots remains a confounder. The benefit-risk relationship of mRNA-1273 is not affected by this report. Most recent FOLLOW-UP information incorporated above includes: On 30-Nov-2021: New serious event (thrombosis)added, seriousness criteria upgraded, patient demographics, vaccination date, batch/lot number, treatment, concomitant medication added, narrative updated; Sender's Comments: Company comment: This case concerns a 78-year-old, female patient with no relevant medical history, who experienced the unexpected event of lung thrombosis, which required hospitalization. The events occurred approximately two weeks after the third dose of mRNA-1273. The rechallenge was not applicable as events occurred after second dose and no further dosing was reported or planned, based on information provided. The medical history of prior blood clots remains a confounder. The benefit-risk relationship of mRNA-1273 is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pulmonary thrombosis
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Allergy
Vorgeschichte
Medical History/Concurrent Conditions: Clot blood (Patient had a blood clot 16 yeas ago after a 40hs flight.)
Andere Medikamente
SYNTHROID; BABY ASPIRIN
Allergien
-
Vorherige Impfungen
-

VAERS 1921169

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

schwer
Staat
CA
Alter
38,0
Geschlecht
F
Eingang
03.12.2021
Impfdatum
29.11.2021
Beginn
30.11.2021
Tage bis Beginn
1,0
Dosis
UNK
Route/Site
SYR / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Anxiety Arthralgia Arthritis Bone pain Chills Electric shock sensation Eye pain Fall Fatigue Feeling abnormal Feeling cold Feeling hot Headache Nausea Pain Paraesthesia Poor quality sleep Somnolence

Symptomtext

I got out of bed the morning after the vaccine after having slept/laid down for 12 hours. During that time I was extremely hot but could not break a sweat. My face felt like lava and all my joints were inflamed. There were moments through the night where I'd feel an intense pain in a specific area, it felt like my bone being struck with a hammer. Other times I'd shiver as if my nerves were vibrating. I could feel a throbbing/pulse in my head and ibuprofen seemed to do nothing. My entire body was wrenched in pain, even my eyeballs felt injured. Upon getting out of bed after such a miserable night of supposed rest, I walked up a flight of stairs and had to sit down towards the top because I suddenly felt nauseous. I quickly went back down the stairs hoping I would make it to the bathroom in time. As I lifted up the toilet seat I took a seat on the edge of the bathtub. All I wanted was to wipe off the rim of the bowl with a Clorox towel but even that small task seemed too daunting as I knew my body was starting to turn on me. Throughout my whole being I could feel a wave travel through me as if an electric current had zapped me. Nausea was no longer my concern but rather a dread like something was about to happen but I didn't know what. A pulse hit me which felt similar to when a limb falls asleep and slowly regains circulation however this was all over. The pulse happened twice then my sight started to blur, tunnel vision, as I began to fall backwards into the tub. I never lost consciousness but as I began to feel normal again I instantly felt cold all over. My head felt like I had stuck it in the freezer and chilled me to the bone. As I got out of the tub and snuck a glance in the mirror I was pure white, there was absolutely no color in my face. I went to the living room to rest on the couch and focus on my breathing so as not to have the nausea return. As I did this my whole body felt like it had been asleep, similar to my limb reference earlier, and caused me pain as it regained blood flow. Within 5 minutes I felt normal again but proceeded to have joint pain and fatigue for the rest of the day. On Wednesday I resumed work and my body felt like it had been through an ordeal much like a day of snowboarding and the soreness that comes with it.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Electric shock sensation
Hospital-Tage
-
Labordaten
None taken
Aktuelle Erkrankungen
No
Vorgeschichte
None known
Andere Medikamente
New Chapter Estrotone (Herbal Hormonal Supplement) No meds
Allergien
None known
Vorherige Impfungen
-

VAERS 1921010

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

schwer
Staat
CA
Alter
32,0
Geschlecht
F
Eingang
03.12.2021
Impfdatum
26.11.2021
Beginn
26.11.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Presyncope

Symptomtext

Patient had near syncope episode and felt dizzy 2 minutes after first dose of primary series.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
Wolff Parkinson White Syndrome
Andere Medikamente
None
Allergien
No known allergies
Vorherige Impfungen
-

VAERS 1894707

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

schwer
Staat
-
Alter
26,0
Geschlecht
M
Eingang
23.11.2021
Impfdatum
16.11.2021
Beginn
16.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Syncope

Symptomtext

10 minutes post vaccination, patient had a syncopal event. Vitals: 133/83, 66, 100%. Patient stable and released to his mother. Patient walked to exit w/RN. Declined wheelchair. Patient had steady gait and left in stable condition at 20:21.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
PMH: Fainting after blood draws, MGD, s/p pterygium excision and autograft to the left eye.
Andere Medikamente
None known
Allergien
NKA
Vorherige Impfungen
-

VAERS 1894340

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

schwer
Staat
CA
Alter
76,0
Geschlecht
F
Eingang
23.11.2021
Impfdatum
05.11.2021
Beginn
06.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Extra dose administered Loss of consciousness Syncope

Symptomtext

Pt. states that after receiving the 3rd Booster dose of Moderna 11/05/2021, started experiencing symptoms 11/06/2021 of fainting (shortly after waking, fainted resulting in 3 hours unconsciousness). Unknown status of symptom. No noted Primary visit/communications.

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

VAERS 1888304

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

schwer
Staat
ID
Alter
21,0
Geschlecht
M
Eingang
20.11.2021
Impfdatum
16.11.2021
Beginn
19.11.2021
Tage bis Beginn
3,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Blood test Chest pain Dyspepsia Hypoaesthesia oral C-reactive protein Electrocardiogram abnormal Myocarditis Troponin

Symptomtext

Constant numbing/dull chest pain. occasional sharp pains in all areas of chest, occasional heart burn feelings as well as sharp pain in the heart.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Myocarditis
Hospital-Tage
-
Labordaten
Blood drawn and examined to look for a specific enzyme in the blood.
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 1886442

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

schwer
Staat
-
Alter
35,0
Geschlecht
F
Eingang
19.11.2021
Impfdatum
12.11.2021
Beginn
12.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Dizziness Flushing Hyperhidrosis Syncope

Symptomtext

1min post vaccination, pt was feeling dizzy on walk over to observation. Pt was assissted to the ground and had a syncopal episode. Pt was flushed and sweating. Pt assissted to wheelchair once alert and taken to medical tent. Syncopal episode only lasted seconds. Pt given juice and crackers remains clammy and flushed but states that she is feeling much better. Pt states that her BP normally runs low. After 15mins of observation, Vital signs and pt states that she feels better and is comfortable going home. Pt stable w/ strong/steady gait upon leaving. Vitals: 95/53, 68, 14 -- > 97/57, 74

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
PMH: Generalized anxiety disorder, hx of eating disorder, atopic dermatitis/eczema
Andere Medikamente
Medications: Mirena IUD Triamcinolone 0.1% cream BID for eczema flares Fluoxetine 60mg daily
Allergien
Allergies: PCN
Vorherige Impfungen
-

VAERS 1876472

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

schwer
Staat
CA
Alter
32,0
Geschlecht
F
Eingang
17.11.2021
Impfdatum
13.11.2021
Beginn
16.11.2021
Tage bis Beginn
3,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Pain in extremity Thrombosis Ultrasound scan abnormal

Symptomtext

Blood clot in left arm. Woke up with arm pain in the same arm the shot was given 3 days after the shot. The pain was on the underside of my arm. Went to the drs and had an ultrasound done and a blood clot was found. They started me on blood thinners.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Thrombosis
Hospital-Tage
-
Labordaten
An ultrasound was performed on 11/16/2021 which found the blood clot in my left arm.
Aktuelle Erkrankungen
None
Vorgeschichte
Factor II gene mutation
Andere Medikamente
None
Allergien
Amoxicillin and shellfish
Vorherige Impfungen
-

VAERS 1861608

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

schwer
Staat
MA
Alter
66,0
Geschlecht
F
Eingang
11.11.2021
Impfdatum
08.11.2021
Beginn
09.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Dysstasia Fatigue Headache Influenza like illness Pain in extremity Syncope

Symptomtext

As with 2nd dose, the day of was fine, following day horrible. Could not stand because of extreme dizziness. Fainted both for 2nd and 3rd doses. Lasted all day. Second day like having mild flu. Third day better, still some arm pain, fatigue, headache.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
Hypothyroidism
Andere Medikamente
Levothyroxine .088mcg Alendronate 70mg Calcium citrate 900 mg Vitamin D 1500 IU Zinc 7 mg Copper .75 mg Manganese 2 mg
Allergien
Ampicillin Nickel
Vorherige Impfungen
Moderna 2nd dose, 3/29/21, age 65. Same adverse event as previously described

VAERS 1855544

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

schwer
Staat
OH
Alter
60,0
Geschlecht
M
Eingang
09.11.2021
Impfdatum
09.11.2021
Beginn
09.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Head injury Syncope Vomiting

Symptomtext

Spouse called to report vomiting, the patient had told her he had fainted, and hit his head.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Answered no to the screening question, though when spouse called to report event stated he had been sick for about a week.
Vorgeschichte
Presumed COPD
Andere Medikamente
Unknown
Allergien
None known
Vorherige Impfungen
-

VAERS 1849535

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

schwer
Staat
VA
Alter
60,0
Geschlecht
F
Eingang
07.11.2021
Impfdatum
07.11.2021
Beginn
07.11.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Asthenia Cold sweat Feeling hot Posture abnormal Presyncope

Symptomtext

The patient's husband motioned for me to come out to the post vaccination area. This was about 10 minutes after the patient received her first Moderna Covid 19 vaccine. Patient's husband motioned for me to come out and help with his wife who had received a COVID vaccine about 10 minutes earlier. He said she's about to pass out. He said we knew this was going to happen that's why I came with her. He said she always passes out. Said she did every time she received a flu shot and therefore she was expecting it. Technician announced code white and another tech brought an ice pack out for us. He held her head and I held her torso up in the chair so she wouldn't slump down in the chair and slide out. She felt a little clammy so we got an ice pack for the back of her neck and we asked her if she felt hot and she said yes. She had her eyes closed but she would always respond when we spoke to her. She slumped over again and them came back to but was just too weak to really open her eyes or hold herself up. She responded to us whenever we would ask her any questions. Her husband asked her if she wanted a drink of water so we gave her an unopened bottle of water and she could hold it herself and drink herself. She started perking up after that and even started eating her hot balls from her purse. She stayed with us for about 30 to 45 minutes and said she felt okay now. Two associates in the store (-claims associate) walked out with the patient and her husband to make sure didn't have any spells on the way to the car. The patient hugged me before she left and said that was the best shot she ever got and said she really appreciated us tending to her and she would be back to get her 2nd shot here.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Presyncope
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
Patient stated she has no other illnesses at the time of vaccination.
Vorgeschichte
NO chronic or long-standing health conditions per patient and husband.
Andere Medikamente
Patient stated she doesn't take any medication of any kind
Allergien
No known drug allergies
Vorherige Impfungen
Patient said she passed out after every flu shot she had ever gotten. Her last flu shot was 10 years ago.

VAERS 1847165

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

schwer
Staat
CA
Alter
54,0
Geschlecht
F
Eingang
05.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
N/A
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Asthenia Decreased appetite Fatigue Hemiparesis Immediate post-injection reaction Interchange of vaccine products Movement disorder Syncope

Symptomtext

Member previously received Jansen as first dose. Member requested and Received Moderna booster at 1206. Immediately after vaccination, member complains of being very tired and weak. RN was called to station. Patient says she cannot get up and she needed to just sit there. Suddenly she went limp and was held up by the RN. Member always remained conscious and oriented, just weak. Nurse assessed function and strength of each limp before wheelchair was brought over. Patient was able to pivot to wheelchair. Member was then able to transfer from wheelchair to gurney. 1210 Vitals 143/93 (77) BP 120 HR sat 99 Member's husband was called to the bedside and stated that she has not eaten anything that day. Pt drank 8oz juice and a few pieces of graham crackers. Upon reassessment of limbs, starting with toes, patients started having decreased movement in left toes, feet, and arm. Right side had full strength. 1213 MD Stat (Hospital Urgent Response team consisting of RNs, MD, and Security) 1216 MD stat arrived and conducted a full assessment. Dr. Recommended patient go to the the ER because the members left sided weakness. 2L o2 started for high BP 1217 ED called 1230 RN started PIV 1232 EMS called Member transferred out at 1240

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
Hx of High Blood Pressure and Depression
Andere Medikamente
None
Allergien
Phenergen
Vorherige Impfungen
-

VAERS 2692841

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
ID
Alter
30,0
Geschlecht
M
Eingang
09.10.2023
Impfdatum
17.11.2021
Beginn
01.01.2022
Tage bis Beginn
45,0
Dosis
1
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Breakthrough COVID-19 Dyspnoea Feeling abnormal Feeling of despair Hypersensitivity Insomnia Insurance issue Loss of employment Loss of personal independence in daily activities Malaise Paranasal sinus inflammation Rhinorrhoea Sinus disorder Sleep disorder

Symptomtext

I had Covid before being vaccinated, it was mild, felt like a small cold or allergic reaction. After getting both doses of the vaccine, I later got Covid and was sicker than I had ever been in my life, to the point where I literally thought I was going to die. At this time is when the allergy and sinus problem came into play in a severe manner. Allergy pills, Dayquil, pseudoephedrine, Mucinex, vitamins, nothing helps anymore. It seems to get worse; I suffer daily and half the time I lose sleep because I either cannot breathe, or I have to lay in the weirdest positions just to be able to breathe or not have not run down my face and soak my pillow. Half of my days consist of toilet paper up my nostrils just so I can get through my day without stopping to blow my nose. I was working remotely, and now laid off and desperately looking for work, and this has affected my life so badly I do not think I can find an On-site job due to the fact I will not be able to blow my nose every 2 minutes or walk around appropriately with toilet paper shoved up my nose. I am miserable daily and have no hope for my future. This is no way to live life.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
I went to the doctor once about a year ago and they said to just take over the counter allergy medication to fight the inflammation in my sinus. I had already been taking it daily with little to no relief. I have no insurance anymore because of being laid off so I cannot get testing. Nothing in my life, diet, or otherwise has changed. Only thing different is that I was vaccinated and got Covid 10 times worse after along with severe allergy and sinus issues.
Aktuelle Erkrankungen
None.
Vorgeschichte
None.
Andere Medikamente
Vitamin D3
Allergien
MILD allergies to some cats and dogs and overwhelming amounts of pollen.
Vorherige Impfungen
-

VAERS 2602251

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
TN
Alter
61,0
Geschlecht
F
Eingang
23.03.2023
Impfdatum
10.11.2021
Beginn
01.03.2022
Tage bis Beginn
111,0
Dosis
3
Route/Site
SYR / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Ageusia COVID-19 Infusion Malaise Migraine Pyrexia SARS-CoV-2 test positive Sinusitis Taste disorder

Symptomtext

My COVID-19 symptoms started on 03/2022 in the morning, I had sinus infection, fever, loss of taste, and migraine headaches. Then next morning I took a home COVID-19 test which was positive. I called my doctor and informed him about the test. He scheduled an appointment to the hospital to get an infusion because of my heart condition. Now I have a loss of taste. Sometimes it's too sweet and sometimes I don't even feel anything. It's been happening for the last 12 months. I can't feel any taste it's so different now. It comes and goes. Sometimes the taste will come on and sometimes its completely gone. The sweet and salty taste is so dominant.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Migraine
Hospital-Tage
-
Labordaten
MAR2022 COVID-19 test positive
Aktuelle Erkrankungen
N/A
Vorgeschichte
High Cholesterol; Heart Disease
Andere Medikamente
Rosuvastatin; aspirin; FLONASE
Allergien
Seasonal allergies
Vorherige Impfungen
-

VAERS 2544321

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
CA
Alter
27,0
Geschlecht
F
Eingang
27.12.2022
Impfdatum
16.01.2021
Beginn
09.04.2021
Tage bis Beginn
83,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: unbekannt Erholt: unbekannt
Burning sensation Electromyogram normal Magnetic resonance imaging normal Magnetic resonance imaging spinal normal Nerve conduction studies normal Pain in extremity Paraesthesia

Symptomtext

Bil burning tingling pain of both plantar surface of both feet starting in April. Symptoms worsened after 4th injection on 10/01/2022 of the Pfizer bivalent vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
NCV and EMG ruled out large fiber neuropathy on 11/30/2022. MRI of lumbar and bil ankles on 11/23/2022 and 11/28/2022 also ruled out lumbar radiculopathy and tarsal tunnel syndrome
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Microgestin (Hailey) 1.5/30
Allergien
Bactrim, tree nuts, cat dander
Vorherige Impfungen
-

VAERS 2523046

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
CA
Alter
31,0
Geschlecht
M
Eingang
05.12.2022
Impfdatum
04.12.2021
Beginn
17.09.2022
Tage bis Beginn
287,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
COVID-19 Dyspnoea Fatigue Illness Pyrexia SARS-CoV-2 test negative SARS-CoV-2 test positive

Symptomtext

I received my first Moderna booster for COVID-19 on 12/04/2021. In the early morning of 9/17/2022, I had a fever of about 100 degrees. I then took a PCR test and got a positive result. I was abroad at the time, so I went to a website that provides medical guidance to travelers. The doctor I spoke to advised me to treat my symptoms with paracetamol. I took the paracetamol regularly from then on. Whenever I took it, my fever was reduced to about 98 degrees. However, whenever the medicine wore off, the fever would reach about 99 again. This pattern lasted for about 4 days before I stopped getting the fevers. Around 9/21/2022, I started developing fatigue and shortness of breath. The fatigue and shortness of breath lasted until around 9/21/2022. I tested myself regularly with antigen tests during my illness and had a positive result every day until 9/24/2022, which is when I finally got a negative result. On 9/29/2022, I took a PCR test and got a negative result. I didn't feel fully recovered until 10/3/2022, because I still have residual fatigue.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
9/17/2022 PCR test positive result; 9/18/2022-9/23/2022 home antigen tests positive results; 9/24/2022 home antigen test negative result; 9/29/2022 PCR test negative result.
Aktuelle Erkrankungen
None.
Vorgeschichte
None.
Andere Medikamente
None.
Allergien
None.
Vorherige Impfungen
After each of my Moderna injections for COVID-19, I developed a fever of 100. The fevers lasted for about 24 hours before they s

VAERS 2499243

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
MI
Alter
59,0
Geschlecht
M
Eingang
04.11.2022
Impfdatum
04.02.2021
Beginn
09.09.2022
Tage bis Beginn
582,0
Dosis
3
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Dyspnoea Laboratory test abnormal SARS-CoV-2 test positive

Symptomtext

09/09/22 presents to ED for "abnormal labs, shortness of breath". PMHx of ", cardiac arrest, anoxic brain injury"

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
09/09/22 SARS-CoV-2 (COVID-19) by NAA detected
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2465196

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
TN
Alter
48,0
Geschlecht
F
Eingang
30.09.2022
Impfdatum
04.11.2021
Beginn
04.12.2021
Tage bis Beginn
30,0
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arrhythmia Arteriospasm coronary Axillary pain Blood pressure measurement Breast inflammation Cardiac disorder Constipation Coronary artery occlusion Dizziness Dyspnoea Enzyme level test Gastrointestinal disorder Hypertension Inflammation Lipids Lymphadenitis Lymphadenopathy Mammogram

Symptomtext

A year-round of hearth problems; Vertigo; Cannot bend over or look up; Uterus was 6 times bigger than normal; Prolapse; Fibroids; inflammation of her left breast; pain; Gastrointestinal problems; Major constipation; Dizziness; Armpit hurts; Swelling of the lymph nodes in her armpit and neck; She also had an inflammation of the lymph nodes on her face on the left side; 4 types Arrhythmias (PAC, PVC, SVT and VTac); 50% right coronary blockage related with inflammation; Quivering in arteries; High Blood Pressure; Shortness of breath; 50% right coronary blockage related with inflammation, Inflammation in the cartilage between her ribs.; This spontaneous case was reported by a patient and describes the occurrence of ARRHYTHMIA (4 types Arrhythmias (PAC, PVC, SVT and VTac)), CORONARY ARTERY OCCLUSION (50% right coronary blockage related with inflammation) and ARTERIOSPASM CORONARY (Quivering in arteries) in a 48-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below. Concomitant products included METOPROLOL for Arrhythmia and Shortness of breath, LOSARTAN for Blood pressure high, CARISOPRODOL (MIO RELAX [CARISOPRODOL]), SODIUM PICOSULFATE (DULCOLAX [SODIUM PICOSULFATE]) and SENNOSIDE A+B (SENOKOT) for Constipation. On 04-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Dec-2021, the patient experienced ARRHYTHMIA (4 types Arrhythmias (PAC, PVC, SVT and VTac)) (seriousness criterion medically significant), CORONARY ARTERY OCCLUSION (50% right coronary blockage related with inflammation) (seriousness criterion medically significant), ARTERIOSPASM CORONARY (Quivering in arteries) (seriousness criterion medically significant), HYPERTENSION (High Blood Pressure), DYSPNOEA (Shortness of breath) and INFLAMMATION (50% right coronary blockage related with inflammation, Inflammation in the cartilage between her ribs.). On an unknown date, the patient experienced CARDIAC DISORDER (A year-round of hearth problems), VERTIGO (Vertigo), MOBILITY DECREASED (Cannot bend over or look up), UTERINE ENLARGEMENT (Uterus was 6 times bigger than normal), PROLAPSE (Prolapse), UTERINE LEIOMYOMA (Fibroids), BREAST INFLAMMATION (inflammation of her left breast), PAIN (pain), GASTROINTESTINAL DISORDER (Gastrointestinal problems), CONSTIPATION (Major constipation), DIZZINESS (Dizziness), AXILLARY PAIN (Armpit hurts), LYMPHADENOPATHY (Swelling of the lymph nodes in her armpit and neck) and LYMPHADENITIS (She also had an inflammation of the lymph nodes on her face on the left side). The patient was treated with DOXYCYCLINE for Pain, at an unspecified dose and frequency. At the time of the report, ARRHYTHMIA (4 types Arrhythmias (PAC, PVC, SVT and VTac)), ARTERIOSPASM CORONARY (Quivering in arteries), HYPERTENSION (High Blood Pressure), DYSPNOEA (Shortness of breath), INFLAMMATION (50% right coronary blockage related with inflammation, Inflammation in the cartilage between her ribs.), CARDIAC DISORDER (A year-round of hearth problems), VERTIGO (Vertigo), MOBILITY DECREASED (Cannot bend over or look up) and DIZZINESS (Dizziness) had not resolved and CORONARY ARTERY OCCLUSION (50% right coronary blockage related with inflammation), UTERINE ENLARGEMENT (Uterus was 6 times bigger than normal), PROLAPSE (Prolapse), UTERINE LEIOMYOMA (Fibroids), BREAST INFLAMMATION (inflammation of her left breast), PAIN (pain), GASTROINTESTINAL DISORDER (Gastrointestinal problems), CONSTIPATION (Major constipation), AXILLARY PAIN (Armpit hurts), LYMPHADENOPATHY (Swelling of the lymph nodes in her armpit and neck) and LYMPHADENITIS (She also had an inflammation of the lymph nodes on her face on the left side) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 04-Dec-2021, Blood pressure measurement: High. On an unknown date, Enzyme level test: Elevated. On an unknown date, Lipids: Elevated. On an unknown date, Mammogram: Inflammation in the cartilage between ribs.. On an unknown date, White blood cell count: Elevated. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Did a stress test, echocardiogram and arteriogram. He said this blockage was not due to build up in the artery. A lipid control specialist who gave her 2 medications and is about to give her a 3rd one. Also, after the booster she had perimenopausal ultrasound and had to perform a hysterectomy. Performed the surgery on 17Aug2022. Uterus weighted 300 grams instead of 60 grams. Patient had no myocarditis or pericarditis previously and also never tested positive for COVID 19: No Company Comment: This is a spontaneous case concerning a 48-year-old female patient with no reported medical history, who experienced the unexpected, serious (medically significant) adverse event of special interest of Arrhythmia and the unexpected, serious (medically significant) events of Coronary artery occlusion and Arteriospasm coronary, 30 days after receiving the third dose of mRNA-1273 vaccine. The patient developed shortness of breath and underwent stress test, echocardiogram and arteriogram which showed 4 different types of Arrhythmias (PAC, PVC, SVT and VTac), quivering of arteries and 50% right coronary blockage. The patient was treated with Metoprolol and medications for lipid control. The outcome of the events unknown at the time of the report. The benefit-risk relationship of mRNA-1273 is not affected by this report. This case was linked to MOD-2022-649984, MOD-2022-649986 (Patient Link). Sender's Comments: This is a spontaneous case concerning a 48-year-old female patient with no reported medical history, who experienced the unexpected, serious (medically significant) adverse event of special interest of Arrhythmia and the unexpected, serious (medically significant) events of Coronary artery occlusion and Arteriospasm coronary, 30 days after receiving the third dose of mRNA-1273 vaccine. The patient developed shortness of breath and underwent stress test, echocardiogram and arteriogram which showed 4 different types of Arrhythmias (PAC, PVC, SVT and VTac), quivering of arteries and 50% right coronary blockage. The patient was treated with Metoprolol and medications for lipid control. The outcome of the events unknown at the time of the report. The benefit-risk relationship of mRNA-1273 is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arrhythmia
Hospital-Tage
-
Labordaten
Test Date: 20211204; Test Name: Blood Pressure; Result Unstructured Data: High; Test Name: liver enzymes; Result Unstructured Data: Elevated; Test Name: Lipids; Result Unstructured Data: Elevated; Test Name: mammogram; Result Unstructured Data: Inflammation in the cartilage between ribs.; Test Name: White blood cells count; Result Unstructured Data: Elevated.
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
LOSARTAN; METOPROLOL; MIO RELAX [CARISOPRODOL]; DULCOLAX [SODIUM PICOSULFATE]; SENOKOT
Allergien
-
Vorherige Impfungen
-

VAERS 2419408

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
KY
Alter
89,0
Geschlecht
M
Eingang
24.08.2022
Impfdatum
02.12.2021
Beginn
02.02.2022
Tage bis Beginn
62,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthropathy Condition aggravated Gait disturbance Impaired self-care Loss of personal independence in daily activities Mobility decreased Vertigo Wheelchair user

Symptomtext

He got his vaccine, exactly 2 months later he was lying in bed, opened his eyes and felt like he was in a cement mixer. The whole room was moving from left to right. He closed his eyes and the feeling went away, but as soon as he opened his eyes again the room was spinning again. He had to stay in bed for a while, he was alone and had no family to take care of him. He then had some healthcare workers come and he was not able to take care of himself and do his chores. The spinning stopped after about a year, and took him a while to adapt to it. He had to use a wheelchair to get around, he can walk some but cannot walk for long. His knee issue he had as a child then started up again due to his loss of not using his leg. He can get down 6 steps to get to his truck, but has to be very careful.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
None.
Aktuelle Erkrankungen
None.
Vorgeschichte
High blood pressure, high cholesterol, prostate cancer, multiple surgeries.
Andere Medikamente
5 pills in the morning and 6 in the afternoon.
Allergien
Penicillin.
Vorherige Impfungen
-

VAERS 2373925

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066f21a

moderat
Staat
FL
Alter
88,0
Geschlecht
M
Eingang
19.07.2022
Impfdatum
08.11.2021
Beginn
15.07.2022
Tage bis Beginn
249,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 pneumonia Dehydration Diabetes mellitus inadequate control Fall

Symptomtext

Pt presented with covid pneumonia, uncontrolled diabetes, dehydration and multiple falls. Pt given iv fluids and labs monitored. pt discharged home.

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19 pneumonia
Hospital-Tage
3,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
DM, dementia, Htn, bph, glaucoma,
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2311637

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
NC
Alter
46,0
Geschlecht
M
Eingang
07.06.2022
Impfdatum
01.11.2021
Beginn
23.04.2022
Tage bis Beginn
173,0
Dosis
3
Route/Site
- / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Activated partial thromboplastin time shortened Atelectasis Blood chloride increased Blood urea nitrogen/creatinine ratio Chest X-ray abnormal Chest pain Differential white blood cell count Dyspnoea Electrocardiogram ST segment elevation Fatigue Full blood count International normalised ratio Lung infiltration Metabolic function test Mycoplasma test positive Procalcitonin Prothrombin time Speech disorder

Symptomtext

On April 23, 2022 started having shortness of breath and fatigue. By the 25th chest pain and tachycardia throughout week. Being followed by PCP who ordered cardiac monitor. Symptoms became emergent on April 30, 2022. Severe shortness of breath led to calling EMS. From April 23rd to April 30th all symptoms included shortness of breath, chest pain, tachycardia, fatigue, and trouble speaking sentences due to shortness of breath.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
CMP 4/30/22-BUN/Creatinine Ration 13 APTT 4/30/22-21.8 Procalcitonin 4/30/22-0.07 CBC w/ Diff 4/30/22 WBC's 10.9 Protime-INR 4/30/22 INR 1/01 Chest Xray 4/30/2022 Left basilar atelectasis versus infiltrate BMP 5/1/22 Chloride 108 Mycoplasma Pneumoniae Positive on 5/1/22 EKG 5/3/22 slight ST elevation
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Pepcid over the counter
Allergien
Aspirin, chocolate, tree nuts, MSG
Vorherige Impfungen
-

VAERS 2261859

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
OH
Alter
83,0
Geschlecht
M
Eingang
03.05.2022
Impfdatum
03.11.2021
Beginn
23.03.2022
Tage bis Beginn
140,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
COVID-19 Chest X-ray normal Cough Dyspnoea Fatigue Hypophagia Inappropriate schedule of product administration SARS-CoV-2 test positive

Symptomtext

COVID related hospitalization after vaccination with Moderna vaccine series + booster (11/3/2021, 2/20/2021, 1/22/2021). Moderna given 11/3/2021 left arm, lot 066F21A 2/20/2021 lot 006M20A 1/22/2021 lot 029L20A Admitted 3/23/22 Discharged 3/26/22 Positive covid test 3/23/22 Presented with generalized fatigue, cough and shortness of breath for 7-8 days prior to admission. Was treated outpatient with Levaquin 10-day therapy (suppose to finish in 2 days), but continued to have reduced oral intake and worsening fatigue and cough so came to hospital. Chest X-ray with no acute abnormalities On room air on admission 3/23/22. Overnight required oxygen and dexamethasone (Decadron) 6mg daily was started 3/24/22. Weaned back to room air in the afternoon on 3/24/22 but then required oxygen overnight. Off of oxygen for 24hrs prior to discharge. Last dose of Decadron 3/26. No steroids after discharge. Given guaifenesin 600mg for 7 days of therapy after discharge.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dyspnoea
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Coronary artery disease Diabetes mellitus Hypertension Peptic ulcer disease NSTEMI Neurogenic bladder BPH
Andere Medikamente
Cyanocobalamin 1000mcg Acetaminophen 500mg prn Albuterol inhaler prn Allopurinol Amlodipine Aspirin 81mg Atorvastatin 80mg Cephalexin 250mg daily Vitamin D3 5,000 unit Cranberry 500mg Donepezil 10mg Ferrous gluconate 240mg Finas
Allergien
nitrofurantoin, imiquimod
Vorherige Impfungen
-

VAERS 2260578

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
VA
Alter
64,0
Geschlecht
F
Eingang
02.05.2022
Impfdatum
30.10.2021
Beginn
23.01.2022
Tage bis Beginn
85,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Ageusia Anosmia COVID-19 Condition aggravated Exposure to SARS-CoV-2 Pyrexia Rhinorrhoea SARS-CoV-2 test negative SARS-CoV-2 test positive Throat irritation Transient global amnesia

Symptomtext

On day 10 after vaccine I had an episode of Trans global Amnesia. These are usually triggered by elevated heart rate or intense physical activity. This episode lasted about 15 minutes. COVID-19 infection was due to exposure to daughter and grandson, they were symptomatic in the few days prior to my testing positive. Day 1 I had a scratchy throat. Within 24 hours I had a fever 99.6 at the highest and a runny nose. The fever lasted 3 days. On the 8th day I lost my sense of smell and taste, but they returned after 2 days.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
On 1/22 PCR was negative, at COVID-19 test 1/25 positive.
Aktuelle Erkrankungen
No
Vorgeschichte
Episodes of Trans Global Amnesia
Andere Medikamente
Restasis, Spironolactone, Aspirin, R-Alpha Lipolic Acid, Berberine, Chromium Colinate, D Complex, Omega3 Inflammation Balance, Plant Spiral, Multivitamin
Allergien
Sulfa; Gluten Intolerant; Nickel
Vorherige Impfungen
-

VAERS 2204163

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
OH
Alter
57,0
Geschlecht
F
Eingang
29.03.2022
Impfdatum
11.11.2021
Beginn
11.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Arthritis Axillary pain Blood urine present Condition aggravated Fatigue Haemorrhage Headache Malaise Pain Pyrexia Sinusitis Urinary tract infection Urine analysis abnormal Vaccination site erythema Vaccination site swelling Vaccination site warmth

Symptomtext

I had a significant headache that evening. Vaccination site was red raised and warm to the touch. I also had fever chills during all of this. It was more than 5 inches in diameter I had significant underarm pain that radiated, and it lasted for 5-7 days which was shocking. I had fatigue and overall pain that was so much more than dose 1 & 2. I just wasn't well at all. Sunday after going through all this I go to urgent care, and I was diagnosed UTI and a sinus infection. Blood in my urine (significant amount) and they both hit me sudden. I told them at the urgent care, and they couldn't tell me anything. What's been long standing is inflammation in my joints no breathing issues, but all my joints were in so much pain. So much inflammation I must now see a rheumatologist and I have never had these issues before. Less than a month 6 weeks max I had to go back my PCP and I was bleeding again. They did a culture and the finding wasn't bacterial. My doctor then put me on something else did work and I was in fact healed.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
Urine test results stated nonbacterial
Aktuelle Erkrankungen
None
Vorgeschichte
Insulin resistance; Asthma
Andere Medikamente
Metformin 750 ER; Aldactone; LIVALO; Magnesium; Omega 3; Vitamin D3; B12; FLONASE; Zinc
Allergien
Peanuts; Sulfa; Seasonal Allergies
Vorherige Impfungen
-

VAERS 2173915

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
CA
Alter
59,0
Geschlecht
M
Eingang
11.03.2022
Impfdatum
22.12.2021
Beginn
05.01.2022
Tage bis Beginn
14,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: ja Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Atrial fibrillation Cardiac monitoring Injection site pain Injection site swelling Insomnia Paraesthesia

Symptomtext

On the first 3 days had swelling and pain in right deltoid (no erythema or fluctuance) making it very difficult to sleep. Things calmed down but starting 1/5/22 developed paresthesias in my right arm and hand. On 2/15/22 I had an episode of new-onset AFib which prompted an ED visit and which resolved with metoprolol. The question of vaccine-induced myocarditis was raised; on a Zio and will have an echo soon

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
See above, Zio and pending echo
Aktuelle Erkrankungen
-
Vorgeschichte
thyroid nodule/parathyroid adenoma
Andere Medikamente
-
Allergien
Flu vaccine ADR, NSAIDs
Vorherige Impfungen
Flu vaccine, multi-dermatomal neuritis

VAERS 2173615

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
KY
Alter
76,0
Geschlecht
F
Eingang
11.03.2022
Impfdatum
11.11.2021
Beginn
16.02.2022
Tage bis Beginn
97,0
Dosis
3
Route/Site
IM / -
Tod: ja Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 COVID-19 pneumonia SARS-CoV-2 test positive

Symptomtext

hospitalized on 2-16-22 for COVID pneumonia

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19 pneumonia
Hospital-Tage
16,0
Labordaten
tested positive for COVID-19 on 2-16-22
Aktuelle Erkrankungen
unknown
Vorgeschichte
Hypertension, COPD, Diabetes, Cardiovascular Disease
Andere Medikamente
unknown
Allergien
unknown
Vorherige Impfungen
-

VAERS 2148460

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
NJ
Alter
41,0
Geschlecht
F
Eingang
28.02.2022
Impfdatum
06.01.2022
Beginn
06.01.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chest X-ray normal Chest discomfort Chest pain Electrocardiogram normal Fatigue Hypertension Loss of personal independence in daily activities

Symptomtext

About little over a week (1/18/2022) after 3rd dose of moderna, I started experiencing chest pains, tightness, heaviness in the chest, very tired on days that symptoms are more prevelant. Feeling of high blood pressure, lightheaded, sometimes little dizzy. The symptoms also come in waves, some days its much lighter and some days its very painful to the point I feel shooting aches in other parts of the body. It is now over 7 weeks from vaccine and about 6 weeks from first symptoms and nothing is improving to the point I used to function.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
1/31/22 Blood pressure check normal, ecg normal, 1/24/22 chest xray normal
Aktuelle Erkrankungen
None
Vorgeschichte
-
Andere Medikamente
Birthcontrol
Allergien
None
Vorherige Impfungen
-

VAERS 2091818

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
CA
Alter
59,0
Geschlecht
F
Eingang
06.02.2022
Impfdatum
09.11.2021
Beginn
09.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chest discomfort Dyspnoea Nausea

Symptomtext

Client reported pressure on her chest and shortness of breath to EMT. RN responded. At 4:50PM the client reported feeling nausea and pressure on her chest. Vitals obtained at 4:51PM were as follows: BP 146/86, HR 79, O2 99%. At 4:52PM the client was provided juice and stated she still felt pressure on her chest. The client began drinking the juice. The client stated she last ate at 8:00 AM. The client reported a history of gastritis. Vitals obtained at 5:00PM were as follows: BP 146/90, HR 85, O2 98%. The client stated the pressure on her chest was improving and denied any current nausea. The client declined an warmness on her chest. The client denied any allergies or current medications. Vitals obtained at 5:10PM were as follows: BP 130/86, HR 80, O2 99%. The client reported less pressure on her chest, denied any shortness of breath, chest pain. Client ate two crackers, finished the juice, and began drinking water provided by staff. The client reported that she experienced body aches, a headache, and fever the day after she received her second COVID vaccine Moderna. The client stated those symptoms lasted one day and improved with taking Tylenol. Vitals obtained at 5:20PM were as follows: BP 136/84, HR 72, O2 99%. The client stated the pressure was almost gone, denied any nausea, chest pain, or warmness. RN educated the client regarding s/s of anaphylaxis and when to seek EMS, the client voiced understanding of this education. The client ambulated out of the vaccination site at 5:24PM unassisted with a steady gait.

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

VAERS 2021146

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
CA
Alter
59,0
Geschlecht
F
Eingang
10.01.2022
Impfdatum
17.11.2021
Beginn
17.11.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Headache Neck pain Pain in extremity Paraesthesia

Symptomtext

The client did not report any symptoms during the 30 minute observation period. As the client was leaving the vaccination site, the client reported, "tingling in my genitals, headache, arm ache, and a neck ache" to RN.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Unknown
Vorgeschichte
diverticulitis and alopecia
Andere Medikamente
Vitamin D
Allergien
allergy to penicillin but did not know the reaction that occurred, panic attacks with Vicodin and "feeling worse" after taking sulfa medications
Vorherige Impfungen
The client received the 1st COVID vaccine Moderna (Lot #011F21A and expiration date 01/19/2022) on 10/17/21. The client notified

VAERS 2001442

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
TN
Alter
34,0
Geschlecht
M
Eingang
04.01.2022
Impfdatum
04.12.2021
Beginn
07.12.2021
Tage bis Beginn
3,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Blood test normal Chest pain Chills Electrocardiogram normal Fatigue Pain Palpitations X-ray normal

Symptomtext

Heart Palpitations, fatigue and chest pain starting after 4 hour stint of severe chills and body aches 3 nights after administration of the 3rd shot (moderna). Chest pain and heart palpitations have remained constant over the past four weeks. Seeking follow up with cardiologist next week.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
Emergency room EKG, blood work and xray appear normal after emergency room visit on 12/29/2021
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
Montelukast Axelastine nasal Spray Sublingual Allergy Drop Therapy Cetirizine
Allergien
none
Vorherige Impfungen
-

VAERS 1995952

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066f21a

moderat
Staat
IN
Alter
74,0
Geschlecht
F
Eingang
31.12.2021
Impfdatum
21.12.2021
Beginn
21.12.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Aphasia Blood test Confusional state Eye pain Hypertension Magnetic resonance imaging head Muscle spasms

Symptomtext

Bad leg cramps on 12 -21 then on 12-22 could not get my words out and was very confused. Blood pressure was 202 /78 12-23 still confused and went to Emergency room. Left eye aches and blood pressure high. Still can't get my words out.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Hypertension
Hospital-Tage
-
Labordaten
They did MRI of my brain did bloodwork checked my eyes.
Aktuelle Erkrankungen
-
Vorgeschichte
Diabetes
Andere Medikamente
Metformin. Preservision vitamins cardillo baby aspirin crestor synthroid. Insulin vitamin d
Allergien
Zocor
Vorherige Impfungen
-

VAERS 1992248

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
-
Alter
45,0
Geschlecht
F
Eingang
30.12.2021
Impfdatum
22.12.2021
Beginn
22.12.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: unbekannt
Anxiety Chest pain Cough

Symptomtext

@9:47 Pt reported chest pain5/10, anxiety and coughing. V/S 115/71, 78, 15, 97.9F 100% MAR called at 9:51 am for patient complaining of chest pain 2/10 after receiving Moderna Booster vaccine at 0905 am. V/S: BP-113/75, HR- 78, RR-20. O2sat- 100%, MD ordered to place patient on trendelenburg position for 15 minutes, patient tolerated trendelenburg position well, continued to observed patient, patient is A/Ox4, MAE, talking in full sentences, no signs and symptoms of sob or discomfort, patient denies any dizziness, V/S 9:56 am: BP-107/67, HR-76, RR-20, O2 sat-100% RA 9:57 am: patient denies any chest pain, chest pain, 0/10. 10:08 am: Patient stable, discharged home. MD recommends pt lay down for next vaccination.

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

VAERS 1990189

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
CO
Alter
32,0
Geschlecht
F
Eingang
29.12.2021
Impfdatum
26.11.2021
Beginn
26.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Crying Injected limb mobility decreased Injection site pain Loss of personal independence in daily activities Pain Product administered at inappropriate site

Symptomtext

Both shots were given too high on each shoulder. The flu shot/left arm injection missed the deltoid muscle and went far too high, into the joint. Severe pain moving the arm within hours, leaving patient in tears and unable to perform regular household tasks. Over time, symptoms improve somewhat then return. One month later, patient still has difficulty bathing and dressing. Anything requiring the shoulder to rotate forward and apply pressure to lift or pull causes severe pain. The arm cannot be lifted all the way overhead.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injected limb mobility decreased
Hospital-Tage
-
Labordaten
None yet, seeking medical care within the week
Aktuelle Erkrankungen
N/A
Vorgeschichte
Generalized anxiety
Andere Medikamente
Escitalopram Propranolol Focalin Allegra
Allergien
N/A
Vorherige Impfungen
-

VAERS 1952254

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066f21a

moderat
Staat
CA
Alter
48,0
Geschlecht
M
Eingang
15.12.2021
Impfdatum
30.11.2021
Beginn
14.12.2021
Tage bis Beginn
14,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chills Condition aggravated Hyperhidrosis Malaise Pyrexia Rash Urticaria

Symptomtext

Full body rash / hives that has moved around the body from head to toe. Progressing throughout the time period.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
Visual Exam
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
N/A
Allergien
N/A
Vorherige Impfungen
Chills, sweats, fever, malaise after 2nd and 3rd doses

VAERS 1944468

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
WA
Alter
33,0
Geschlecht
F
Eingang
13.12.2021
Impfdatum
21.11.2021
Beginn
22.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood test normal Chest X-ray normal Chest discomfort Chest pain Electrocardiogram normal Headache Palpitations

Symptomtext

Tightness and pain (dull and sharp) in chest. Racing heart. 3 weeks so far and still going. Headache for 10 days straight.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
EKG, x ray of lung, and blood work all appeared normal.
Aktuelle Erkrankungen
-
Vorgeschichte
None
Andere Medikamente
Vitamin D, IUD (Mirena)
Allergien
Bactrim, Amoxicillin, Flonase
Vorherige Impfungen
-

VAERS 1935724

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
KY
Alter
77,0
Geschlecht
F
Eingang
09.12.2021
Impfdatum
03.12.2021
Beginn
04.12.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Asthenia Blood pressure abnormal Diarrhoea Headache Mobility decreased Nausea Pyrexia

Symptomtext

Symptoms began 12/4/2021. Headache for 5 days, Tylenol did not help, Nausea, Diarrhe for 5 days, too weak to get out of bed, , fever, Came to local Health Dept 12/8/2021 Bp 170/110. I referred to her Primary care Dr.. I called to check on her today 12/9/2021. She said Dr said her bp was wnl now and did no changes to her meds.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mobility decreased
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
Hypertension
Andere Medikamente
Blood pressure med (pt. unsure of name).
Allergien
NKDA
Vorherige Impfungen
-

VAERS 1935694

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
IN
Alter
47,0
Geschlecht
F
Eingang
09.12.2021
Impfdatum
01.12.2021
Beginn
01.12.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chills Condition aggravated Fear Feeling abnormal Migraine Mobility decreased Pain Sitting disability

Symptomtext

SEVERE aches and chilling. Severe migraines. I have never felt this bad in my life. Seriously contemplated going to ER and I have not been to an ER for 25 years. The only reason I didn't go is because I was unable to sit up for that long of a period to get there and get checked in. I am scared if I have to get another booster at some point. This lasted for 48 hours. I was unable to get out of bed except to occasionally going to bathroom.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Synthroid
Allergien
sulfa
Vorherige Impfungen
Ran 103 fever for 3 days after second moderna dose. Aches and pains but no where near this.

VAERS 1925319

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
CA
Alter
29,0
Geschlecht
F
Eingang
06.12.2021
Impfdatum
02.12.2021
Beginn
02.12.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Hypoaesthesia oral Paraesthesia oral Somnolence

Symptomtext

Approximately 10 minutes after vaccination,(2:20 PM on 12/2/21) patient began experiencing lip tingling and tongue began to feel numb. 2:35 PM Dr. notified and checked patient, MD ordered Benadryl 50 mg which was given at 2:38 PM orally. 2:48 PM patient notes tongue still feels swollen but is feeling better, 2:55 PM vital signs taken - breathing fine, feeling like tongue is less swollen. Lips are not tingling. T 97.2, BP 119/68, P-72, R-16, 02 97% r/a. 3:00 PM DR. advised patient to wait an additional 20 minutes. 3:15 PM patient feeling a little better, though sleepy. 3:20 Vital signs taken: R -20, 02 96% on ra, P-71, BP 119/72. Tongue less swollen, feeling sleepy. Patient was allowed to go home, accompanied by mother who will drive them. Encouraged to call back if further problems. Patient was contacted the following day and states she is doing OK. Per Dr. advice, patient instructed to be sure to take 50 mg Benadryl PO 1/2 hour prior to coming in for second Moderna vaccination.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia oral
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
Not known
Vorgeschichte
Irritable bowel syndrome, Ulcerative colitis, Hyperprolactinemia
Andere Medikamente
Nitroglycerin topical 2%, KCL 8 MEQ, Albuterol, Paroxetine HCL 30 mg., Metoclopramide HC 5 mg, Loperamide HCL 2 mg. prn, Ondansetron, HCL 8 mg. Norethin-Ace-Eth Estrad-FE1-20 Cyclobenzaprine HCL 10 mg at HS PRN, Tizanidine HCL 4 mg. PRN
Allergien
Aspirin, Propranool HCL, Bactrim, Ketorolac, Zoloft, Sulfa, Latex, Toradol, Brand Spray, Milk, Coconut, Sulphasalazine, Zaleplon, Omeprazole, Flu vaccine, Plastic tape
Vorherige Impfungen
Flu vaccinations are listed in allergies for this patient -

VAERS 1921197

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
CA
Alter
52,0
Geschlecht
F
Eingang
03.12.2021
Impfdatum
02.12.2021
Beginn
02.12.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dysgeusia Pharyngeal paraesthesia Throat irritation

Symptomtext

Pt c/o metallic taste and tingling/itchy throat 3 mins after vaccination. Given Benadryl 25mg @ 10:20. Pt stable and released from vaccination site.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pharyngeal paraesthesia
Hospital-Tage
-
Labordaten
BP 164/101 HR 80 RR 16 96% RA @ 10:19 BP 145/102 HR 73 RR 16 95% O2 RA @10:22 BP 136/90 HR 75 RR 16 99% O2 RA @ 10:25
Aktuelle Erkrankungen
Unknown
Vorgeschichte
Unknown
Andere Medikamente
Unknown
Allergien
Not on file
Vorherige Impfungen
-

VAERS 1897271

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
WA
Alter
75,0
Geschlecht
F
Eingang
24.11.2021
Impfdatum
12.11.2021
Beginn
12.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: unbekannt Erholt: nein
Arthralgia Blood test Burning sensation Chills Fatigue Flushing Mobility decreased Musculoskeletal stiffness Pain in extremity Pyrexia Sensory disturbance Weight decreased

Symptomtext

I got the vaccine at 10 AM, at 5 AM I had a stiff neck. At 8 PM I had chills and fever. At 12 AM my upper body was throbbing, and my temperature was 99.6, it should be noted my temperature is 97.4. At 4 AM my wrists were burning. At 5 my shoulders, hips and knees were sore. At 8 AM the fever broke, and at 1 PM my left arm was still in pain. I have continued limiting movement in my shoulders. My shoulders, hips and knees. I have continuing flushes every 2-3 hours every night. My fever continues to go up to 99.8 and I have fatigue. I have also lost weight. On 11/17 I saw my doctor and they prescribed me prednisone. My symptoms are still continuing.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mobility decreased
Hospital-Tage
-
Labordaten
Blood work
Aktuelle Erkrankungen
No
Vorgeschichte
No
Andere Medikamente
Thyroid medication
Allergien
Codeine Iodine
Vorherige Impfungen
-

VAERS 1896538

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
CA
Alter
36,0
Geschlecht
F
Eingang
24.11.2021
Impfdatum
19.11.2021
Beginn
19.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dizziness Palpitations

Symptomtext

Client reported feeling dizzy and heart palpitations. Lasted for 15 minutes.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Palpitations
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None reported
Vorgeschichte
Reports no chronic conditions
Andere Medikamente
First time taking probiotic, Rae. Otherwise, no other medications.
Allergien
Reports no allergies
Vorherige Impfungen
-

VAERS 1891238

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
AZ
Alter
59,0
Geschlecht
F
Eingang
22.11.2021
Impfdatum
17.11.2021
Beginn
18.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Blood test Chills Electrocardiogram Palpitations Supraventricular extrasystoles

Symptomtext

WOKE UP SHIVERING UNCONTROLLABLY, MY HEART WENT INTO SOME WEIRD RYTHM, CALLED AMBULANCE AROUND 8AM. TAKEN TO ER FOR THE DAY, TOLD I HAVE PACS TO GO ALONG WITH MY PVCS. GIVEN FLECAINIDE WHICH REALLY HASN'T DONE MUCH, STILL HAVING WEIRD PALPATIONS NEARLY A WEEK LATER.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Palpitations
Hospital-Tage
-
Labordaten
ECGS, BLOOD TESTS,
Aktuelle Erkrankungen
-
Vorgeschichte
IBS INTERSTITIAL CYSTITIS PVCS CHRONIC PANCREATITIS
Andere Medikamente
CLONIDINE, ATENOLOL,LISINOPRIL, GABAPENTIN, PROMETHAZINE
Allergien
-
Vorherige Impfungen
-

VAERS 1890055

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
CA
Alter
55,0
Geschlecht
F
Eingang
22.11.2021
Impfdatum
19.11.2021
Beginn
20.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Axillary pain Condition aggravated Fatigue Interchange of vaccine products Limb discomfort Oedema peripheral Pyrexia

Symptomtext

Moderna COVID?19 Vaccine EUA Vaccine received as booster; prior vaccination doses were BioNTech /Pfizer vaccine with second dose received 24 April 2021. Woke up feeling exhausted ~ 18 hours of booster dose. Slight fever noted ~ 1:00 PM (~ 101 deg). 3 x 81 mg chewable low dose aspirin taken. Pain started in left under arm area, same side as injection. Fever resolved by ~ 6:00 PM. Pain improved but remains under left arm and feels uncomfortable -- swelling under arm present on morning of 3rd day after receiving booster.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Condition aggravated
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None.
Vorgeschichte
None.
Andere Medikamente
Pepcid, as needed, but not taken morning of vaccination.
Allergien
Moxifloxacin
Vorherige Impfungen
Following initial COVID vaccination (Pfizer/BioNTech Lot ER8737( on 3 april 2021), fever (~100 - 101 deg) beginning ~ 5 days aft

VAERS 1885931

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
CA
Alter
46,0
Geschlecht
F
Eingang
19.11.2021
Impfdatum
17.11.2021
Beginn
19.11.2021
Tage bis Beginn
2,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Hypoaesthesia Pain in extremity Paraesthesia

Symptomtext

This was a booster shot. Left foot pain, numbness and tingling at base of left leg, top of foot and wrapping around front of toes. Began around 36 hours after booster was given.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Paraesthesia
Hospital-Tage
-
Labordaten
Exam by MD at a facility. No evidence of blood clot, no swelling. Monitor for swelling or increased pain.
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Amerge for migraines
Allergien
Aspirin, cephalexin, imitrex
Vorherige Impfungen
-

VAERS 1861183

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066f21a

moderat
Staat
NY
Alter
74,0
Geschlecht
M
Eingang
11.11.2021
Impfdatum
05.11.2021
Beginn
06.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
Abdominal pain Atrial fibrillation Blood pressure decreased Cardiac disorder Diarrhoea Hypotension Laboratory test Tachycardia Vomiting

Symptomtext

Systemic: Abdominal Pain-Severe, Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Diarrhea-Severe, Systemic: Hypotension-Severe, Systemic: Tachycardia-Severe, Systemic: Vomiting-Medium, Additional Details: colostomy patient, explosive diarrhea started within 15 hours of vaccine, continued and turned to vomiting, primary md said use immodium, than then said go to hospital, at hospital was diagnoised with tachycardia/AFib, and blood pressure dropped very low. Hospital ran tests and could not find a cause other than combo of flu and covid vaccine administration.

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

VAERS 1849414

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

moderat
Staat
CA
Alter
70,0
Geschlecht
F
Eingang
07.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chills Extra dose administered Headache Pyrexia Tremor

Symptomtext

Typical side effects including fever, chills, headache, etc. I also had a non typical response which included uncontrollable shaking of my hands and forearms. All of this subsided within a day or two.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Tremor
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
Crohn's Disease has been in remission for many years. I have high calcium levels in my arteries and high cholesterol.
Andere Medikamente
No medications taken at the time of vaccination. I take cholesterol meds 5 mg Rosuvastatin every other day. I take baby aspirin nightly. I take Vitamin B, C, D3, E. I take Fish Oil, Co-Q-10, Vitamin K2, Lutein, Zeaxanthin
Allergien
Allergic to nickel and latex
Vorherige Impfungen
Typical side effects on first and second Moderna vaccine

VAERS 2714284

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CT
Alter
-
Geschlecht
M
Eingang
15.11.2023
Impfdatum
17.11.2021
Beginn
-
Tage bis Beginn
-
Dosis
3
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Arthralgia Lethargy

Symptomtext

Patient had a sore shoulder and was lethargic for a couple of hours; Patient had a sore shoulder and was lethargic for a couple of hours; This spontaneous case was reported by a patient and describes the occurrence of LETHARGY (Patient had a sore shoulder and was lethargic for a couple of hours) and ARTHRALGIA (Patient had a sore shoulder and was lethargic for a couple of hours) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) for COVID-19 prophylaxis. Previously administered products included for Product used for unknown indication: Pfizer (en6201, no expiration date was provided.) on 10-Feb-2021 and Pfizer. Past adverse reactions to the above products included Adverse drug reaction with Pfizer and Pfizer. On 17-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced LETHARGY (Patient had a sore shoulder and was lethargic for a couple of hours) and ARTHRALGIA (Patient had a sore shoulder and was lethargic for a couple of hours). At the time of the report, LETHARGY (Patient had a sore shoulder and was lethargic for a couple of hours) and ARTHRALGIA (Patient had a sore shoulder and was lethargic for a couple of hours) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medication use information was not provided by reporter. The patient reported side effects to his one Moderna Covid-19 vaccine which was his third Covid-19 vaccine. The other vaccines including his fourth vaccine were all Pfizer vaccines. The patient received a Pfizer Covid -19 vaccine on the February 10, 2021, no expiration date was provided. Patient did not remember arm. Patient had a sore shoulder but did not have anything beyond that. Patient may had been lethargic for a couple of hours after the vaccine. The patient did drive himself home. The patient had the Pfizer Covid-19 for his first and second doses. The patient received first Moderna vaccine was November 17, 2021, expiration date was not known. Arm of injection was not known. Patient had a sore shoulder and was lethargic for a couple of hours. The patient thought that he had a Moderna vaccine for his fourth dose however at the end of the telephone interview the patient realized that he had a Pfizer vaccine for his fourth Covid-19 dose. Treatment medication use information was not provided by reporter.

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

VAERS 2680953

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
GA
Alter
51,0
Geschlecht
F
Eingang
11.09.2023
Impfdatum
11.09.2021
Beginn
01.11.2021
Tage bis Beginn
51,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: unbekannt Erholt: nein
Amenorrhoea Menopause Musculoskeletal disorder Pain in extremity

Symptomtext

No soreness or issue at first dose, no symptoms at all including no soreness at injection site, no swelling or bruising. 2nd dose resulted in extreme pain in arm for approximately 7 days with pain throughout arm to fingers. Unable to use left hand with confidence for this period. Patient was not yet in menopause confirming regular periods every 28 days for 3 to 4 days in length. No heat flashes, no symptoms of pre menopause. Following second dose patient did not menstruate again. Patient has not experience any pre or premeno symptoms and is now in menopause.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain in extremity
Hospital-Tage
-
Labordaten
Blood tests are available upon full scale health evaluation indication no medical issues cardiovascular or otherwise in October 2019. Again, in 2020 through health care. Dr. indicating optimal health, no concerns cardiovascular or otherwise.
Aktuelle Erkrankungen
None.
Vorgeschichte
None physical performed October 2019 indicated optimal, no negative health indication.
Andere Medikamente
Methylphenadate 10mg daily, Escitalopram 20mg daily.
Allergien
no allergies.
Vorherige Impfungen
-

VAERS 2500916

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
MA
Alter
37,0
Geschlecht
F
Eingang
07.11.2022
Impfdatum
06.11.2021
Beginn
15.11.2021
Tage bis Beginn
9,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Mechanical urticaria Pruritus Rash papular Skin irritation Skin warm Urticaria

Symptomtext

After getting my COVID-19 vaccine about 14 days later I started having hives and was itchy. It was so bad that that if you touched my skin it would leave a mark as if you could draw on me. Anything touching me would leave this raised rash on my skin as well. I reached out to my dermatologist and did a telehealth visit with them on November 22nd, 2021. They diagnosed me with Acute Urticaria and Dermographism. I was told to try a combination of ALLEGRA, ZYRTEC, and BENADRYL. I try to avoid BENADRYL and it did not work but I was given a prescription for triamcinolone acetonide cream. The cream made the rash manageable, but it did not resolve or eliminate the rash. The rash lasted for about 6 to 8 weeks but for that duration anything that contacted my skin would create that raised rash and irritation and if I scratched it created heat as well.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mechanical urticaria
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
Escitalopram; vitamin D3; probiotic; women's daily vitamin; vitamin B complex; VITA LF; magnesium bisglycinate
Allergien
Morphine; gluten sensitive; gabapentin; I V NEXIVA
Vorherige Impfungen
-

VAERS 2422033

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
66,0
Geschlecht
M
Eingang
27.08.2022
Impfdatum
22.12.2021
Beginn
01.05.2022
Tage bis Beginn
130,0
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Lymphadenopathy Pain in extremity Product administered at inappropriate site Throat cancer

Symptomtext

severe limp nodes, swelling/had 3 lymph nodes, and an other that can't be seen; his arm got sore; HE THINKS THE SHOT WAS GIVING TO HIGH, AT THE PLACE OF INJECTION AND ALL AROUND AREA; on May2022 he got cancer in the throat.; This spontaneous case was reported by a patient and describes the occurrence of THROAT CANCER (on May2022 he got cancer in the throat.) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 049L21A and 066F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Food allergy, Dairy intolerance, Food allergy and Food allergy. On 22-Dec-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 02-May-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In May 2022, the patient experienced THROAT CANCER (on May2022 he got cancer in the throat.) (seriousness criterion medically significant). On an unknown date, the patient experienced LYMPHADENOPATHY (severe limp nodes, swelling/had 3 lymph nodes, and an other that can't be seen), PAIN IN EXTREMITY (his arm got sore) and PRODUCT ADMINISTERED AT INAPPROPRIATE SITE (HE THINKS THE SHOT WAS GIVING TO HIGH, AT THE PLACE OF INJECTION AND ALL AROUND AREA). At the time of the report, THROAT CANCER (on May2022 he got cancer in the throat.), LYMPHADENOPATHY (severe limp nodes, swelling/had 3 lymph nodes, and an other that can't be seen) and PAIN IN EXTREMITY (his arm got sore) had not resolved and PRODUCT ADMINISTERED AT INAPPROPRIATE SITE (HE THINKS THE SHOT WAS GIVING TO HIGH, AT THE PLACE OF INJECTION AND ALL AROUND AREA) outcome was unknown. No concomitant medication was reported. It was reported that symptoms had progressively worsened. Patient reported that lymph nodes were going to look cancerous and could be a false positive; they had not found any cancer cells in. No treatment medication was reported; it was mentioned that he was getting ready for chemotherapy and radiation. Company Comment: This spontaneous case reported by a patient concerns a 66-year-old male patient, with no relevant medical history, who experienced unexpected, serious (medically significant) event throat cancer, on the same month as vaccination with a fourth dose of mRNA-1273. He also reported severe lymph node swelling that were going to look cancerous but could be a false positive as cancer cells have not been found in them. Further clinical course of the throat cancer, diagnostic evaluation, and concomitant medications were not reported. No treatment reported; it was mentioned that he was getting ready for chemotherapy and radiation. The benefit risk relationship of mRNA-1273 is not affected by this report. This case was linked to MOD-2021-186718, MOD-2021-186664 (Patient Link).; Sender's Comments: This spontaneous case reported by a patient concerns a 66-year-old male patient, with no relevant medical history, who experienced unexpected, serious (medically significant) event throat cancer, on the same month as vaccination with a fourth dose of mRNA-1273. He also reported severe lymph node swelling that were going to look cancerous but could be a false positive as cancer cells have not been found in them. Further clinical course of the throat cancer, diagnostic evaluation, and concomitant medications were not reported. No treatment reported; it was mentioned that he was getting ready for chemotherapy and radiation. The benefit risk relationship of mRNA-1273 is not affected by this report.

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

VAERS 2305304

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066f21A

mild
Staat
FL
Alter
72,0
Geschlecht
F
Eingang
01.06.2022
Impfdatum
16.11.2021
Beginn
27.05.2022
Tage bis Beginn
192,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Back pain Nausea Vomiting

Symptomtext

patient presented to hospital with nausea vomiting and back pain. treated with neausea medications and pain medication. Discharged home the following day.

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

VAERS 2290847

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
39,0
Geschlecht
F
Eingang
23.05.2022
Impfdatum
19.11.2021
Beginn
01.12.2021
Tage bis Beginn
12,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Alopecia Laboratory test abnormal Pruritus

Symptomtext

I was very itchy and noticed my hair volume had decreased. I received treatment from a dermatologist; I was told my gluten levels were high.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
N/a
Aktuelle Erkrankungen
N/a
Vorgeschichte
Migraines; GERD; Neuropathy; COPD
Andere Medikamente
Vitamin D Lexapro Wellbutrin Trazadone Loratadine Montelukast Breo Ellipta
Allergien
Penicillin; amoxicillin; PERCOCET
Vorherige Impfungen
-

VAERS 2273555

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
NY
Alter
29,0
Geschlecht
F
Eingang
12.05.2022
Impfdatum
06.11.2021
Beginn
06.05.2022
Tage bis Beginn
181,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia COVID-19 Ear pain Fatigue Lacrimation increased Respiratory tract congestion Rhinorrhoea SARS-CoV-2 test positive Sinus pain Throat irritation Vaccine breakthrough infection

Symptomtext

Breakthrough Case of COVID, So I started feeling a scratch in my throat, and then the next day my nose was running, my eyes were running, I was congested, my sinuses were hurting and my ears were hurting and I was very fatigued. Symptoms are starting to wear off, my chest is not as congested and the other symptoms are starting to wear down, also my joint hurt all over.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
COVID Test, PCR and Rapid.
Aktuelle Erkrankungen
None
Vorgeschichte
Depression, ADHD, Ovarian Cyst.
Andere Medikamente
Multi-Vitamin, Junel Fe 1/20 (Birth Control)
Allergien
None
Vorherige Impfungen
-

VAERS 2260277

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
56,0
Geschlecht
F
Eingang
02.05.2022
Impfdatum
11.11.2021
Beginn
11.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness

Symptomtext

CLT reported, not observed. CLT received Booster 1 on 11/11/2021 Moderna. Three hours after vaccination client experienced intermittent dizziness for three-four hours and then it was gone. Clt did not report it to Provider and did not seek any treatment.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
HTN
Andere Medikamente
-
Allergien
Kiwi, and animals
Vorherige Impfungen
-

VAERS 2245846

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
PA
Alter
66,0
Geschlecht
F
Eingang
21.04.2022
Impfdatum
08.11.2021
Beginn
09.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood test normal Dizziness Feeling abnormal Headache Rhinorrhoea SARS-CoV-2 test negative Sluggishness

Symptomtext

With first and second shot I got sick that lasted 2-3 days, I felt tired and ached all over and had a headache. On the third dose, I came home, the next day I felt brain foggy and felt sluggish. I had a headache, and I took Motrin, and it went away. So, what happened ever since then I have been foggy, almost like my brain is closed in, it is so hard to explain. And dizziness, it is not getting better, I said to myself I thought I had COVID-19, but I have never been sick. I had the sniffles, and it was from flowers in the house and tested for COVID-19 twice and they came back negative. I got all the shots within the recommended schedule. I saw my doctor and I had bloodwork that came back great, I even changed my diet thinking it was something I ate. But everything came back great no diabetes, cholesterol everything was good. My doctor sent me to an ENT and I have an appointment on 04/28/2022 to see if it is vertigo.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
Bloodwork - negative
Aktuelle Erkrankungen
None
Vorgeschichte
GI issues
Andere Medikamente
Dicyclomine 20mg QHS, Vitamin E, D3; Low Dose Bayer Aspirin 81mg
Allergien
Iodine; Shellfish
Vorherige Impfungen
Influenza, I get tired and achy all over and I rest for 2-3 days, last flu shot was 2020. I have not taken it since I started th

VAERS 2238157

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
67,0
Geschlecht
M
Eingang
17.04.2022
Impfdatum
14.03.2021
Beginn
22.03.2021
Tage bis Beginn
8,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Alanine aminotransferase Angiogram cerebral Blood creatinine Blood potassium Blood sodium Blood thyroid stimulating hormone Computerised tomogram head Full blood count Glycosylated haemoglobin Headache Lipids Magnetic resonance imaging head Red blood cell sedimentation rate

Symptomtext

Continuous headache left side between temple and ear

Weitere VAERSDATA-Felder
Praegender Schweregrund
Headache
Hospital-Tage
-
Labordaten
See contiuation page 5/21/2021, CT HEAD WITHOUT CONTRAST, M.D., Sep 10, 2021, LANINE AMINOTRANSFERASE (ALT), M.D. Sep 10, 2021, LIPID PANEL, M.D. HEMOGLOBIN A1C, M.D. ERYTHROCYTE SEDIMENTATION RATE (ESR), M.D. THYROID STIMULATING HORMONE (TSH), M.D. CBC (COMPLETE BLOOD COUNT), M.D. SODIUM AND POTASSIUM, M.D. CREATININE, M.D. Oct 23, 2021, MRI BRAIN AND BRAINSTEM, M.D., Feb 3, 2022, MR ANGIOGRAM HEAD, M.D.,
Aktuelle Erkrankungen
None
Vorgeschichte
OSTEOARTHRITIS OF RIGHT FIRST WRIST JOINT
Andere Medikamente
See contiuation page 800 mg ibuprophin, 1/day One a Day Mens 50+ Multivitamin, 1/day Airbourne Gummy, 1/day Triamcinolone Acetonide Inj 40 mg (KENALOG), 1/3 months
Allergien
None
Vorherige Impfungen
-

VAERS 2223696

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
TX
Alter
36,0
Geschlecht
F
Eingang
08.04.2022
Impfdatum
11.11.2021
Beginn
09.01.2022
Tage bis Beginn
59,0
Dosis
3
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Cough Exposure to SARS-CoV-2 Fatigue Headache Oropharyngeal pain Respiratory tract congestion SARS-CoV-2 test positive

Symptomtext

01/09/2022: I started to have a sore throat and headache. My son contracted COVID from his preschool and so decided to test and the tests were coming back negative. On 01/12/2022 I tested positive for COVID. I stopped having a sore throat and fatigue around 10 days after. I still experience a bad cough and congestion.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
Rapid COVID test: 01/12/2022: Positive
Aktuelle Erkrankungen
None
Vorgeschichte
Fibromyalgia; Chronic Migraines; Asthma
Andere Medikamente
Levothyroxine 50mcg once daily, Wellbutrin 200mg once daily, Deplin 15mg once daily, Cymbalta 125mg once daily, Horizont 600mg three times daily, Trazadone 50mg once daily, Lunesta 2mg once daily, Gabapentin 600mg once daily, Emgality once
Allergien
Aspirin; Nature Throid
Vorherige Impfungen
-

VAERS 2213026

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
WA
Alter
52,0
Geschlecht
F
Eingang
02.04.2022
Impfdatum
20.11.2021
Beginn
20.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chills Dizziness Fatigue Headache

Symptomtext

fatigue; dizziness; chills; headache; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (fatigue), DIZZINESS (dizziness), CHILLS (chills) and HEADACHE (headache) in a 52-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) for COVID-19 vaccination. Previously administered products included for Product used for unknown indication: Pfizer vaccine (The patient received the Pfizer vaccine for her primary vaccination series). Past adverse reactions to the above products included No adverse event with Pfizer vaccine. On 20-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Nov-2021, the patient experienced FATIGUE (fatigue), DIZZINESS (dizziness), CHILLS (chills) and HEADACHE (headache). At the time of the report, FATIGUE (fatigue), DIZZINESS (dizziness), CHILLS (chills) and HEADACHE (headache) had resolved. No concomitant drug details were reported. No treatment details were reported.

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

VAERS 2195156

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
46,0
Geschlecht
F
Eingang
23.03.2022
Impfdatum
10.11.2021
Beginn
15.01.2022
Tage bis Beginn
66,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
COVID-19 Headache Impaired work ability Nasopharyngitis Oropharyngeal pain Rhinorrhoea SARS-CoV-2 test negative SARS-CoV-2 test positive

Symptomtext

01/15/2022 I started to have a little bit of a sore throat. On 01/16/2022 I decided to take a PCR test and tested negative for COVID. I felt like I had cold like symptoms. A runny nose, a headache. My symptoms were not too bad. I did take ibuprofen. I took another rapid test on 01/21/2022 and it was still positive. I went back to work on 01/26/2022. I did another rapid test on 01/27/2022 and it was negative.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Headache
Hospital-Tage
-
Labordaten
01/16/2022: PCR Test: Negative; 01/21/2022: Rapid Test: Positive; 01/27/2022 Rapid Test: Negative
Aktuelle Erkrankungen
-
Vorgeschichte
High Blood pressure
Andere Medikamente
Lisinopril 5mg once daily; Biotin
Allergien
Acetophenone
Vorherige Impfungen
-

VAERS 2189160

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
42,0
Geschlecht
F
Eingang
19.03.2022
Impfdatum
23.11.2021
Beginn
24.11.2021
Tage bis Beginn
1,0
Dosis
UNK
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: unbekannt Erholt: nein
Asthenia Joint range of motion decreased Motor dysfunction Musculoskeletal stiffness Pain Pain in extremity Swelling

Symptomtext

Pain, swelling, stiffness, decreased range of motion, progressive weakness, pain shooting down arm (sometimes into hand), decrease of motor control. Symptoms continue after four months and physical therapy.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
High cholesterol, low weight
Andere Medikamente
Claritin, omega 3, magnesium
Allergien
Shellfish, aspirin, naproxen, amoxicillin
Vorherige Impfungen
-

VAERS 2163283

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
ID
Alter
59,0
Geschlecht
M
Eingang
07.03.2022
Impfdatum
02.12.2021
Beginn
09.12.2021
Tage bis Beginn
7,0
Dosis
3
Route/Site
SYR / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Asthenia Back pain Myalgia Pain Pain in extremity Polymyalgia rheumatica Rheumatoid factor increased

Symptomtext

After a week post vaccination, I started experiencing muscle pain in my neck and back. Then it slowly crept down to my biceps and triceps including the joints in my elbows. It got to the point where I was getting pain in my thighs and calves. Around the 26th of December, the pain had progressed to all over the body. It was debilitating. I was then being diagnosed with polymyalgia rheumatica and was prescribed hydrocodone and 10mg of prednisone. By the next day muscle pain was gone and joint pain was gone. Since then I have been treated with prednisone, and am now adjusting medications to keep it under the control. Symptoms are still there if I do not get treatment and take prednisone.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
Blood test verified diagnosis of polymyalgia rheumatica Level on blood was 80 which has a baseline of 0-12. After prednisone my levels went back down.
Aktuelle Erkrankungen
N/A
Vorgeschichte
Hypertension
Andere Medikamente
Ramipril 10mg daily
Allergien
N/A
Vorherige Impfungen
-

VAERS 2131215

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
72,0
Geschlecht
F
Eingang
22.02.2022
Impfdatum
16.11.2021
Beginn
18.11.2021
Tage bis Beginn
2,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Blood pressure decreased Rash

Symptomtext

BLOOD PRESSURE DROPPED FULL BODY RASH

Weitere VAERSDATA-Felder
Praegender Schweregrund
Rash
Hospital-Tage
-
Labordaten
NONE
Aktuelle Erkrankungen
NONE
Vorgeschichte
NONE
Andere Medikamente
ONE A DAY VITAMIN TUMERIC FISH OIL CALCIUM VITAMIN D
Allergien
SULFU NITROFULANTERNON VACCINES SHELL FISH ALLERGY BEE STING
Vorherige Impfungen
SHINGLES VACCINE RASH

VAERS 2117099

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
OH
Alter
31,0
Geschlecht
M
Eingang
16.02.2022
Impfdatum
05.11.2021
Beginn
15.11.2021
Tage bis Beginn
10,0
Dosis
3
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood thyroid stimulating hormone Chronic spontaneous urticaria Dyspepsia Full blood count normal Metabolic function test Pruritus Sleep disorder Urticaria

Symptomtext

2 weeks following the 3rd Moderna I developed some pruritis. That night I woke up with severe heart burn and hives throughout my body. I was seen at an urgent care and started taking 20 mg of pepcid twice daily, 20 mg of zyrtec twice daily and benadryl for breakthrough. I also took Omeprazole for 1 week. The heartburn resolved, but the hives continued and did not resolve. I had tried different antihistamines. Eventually I was seen by an allergist who diagnosed me with chronic spontaneous urticaria. Currently I am taking zyrtec 20 mg twice daily, pepcid 20 mg twice daily, and singulair 10 mg. the hives have persisted.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chronic spontaneous urticaria
Hospital-Tage
-
Labordaten
CBC, CMP, TSH - all normal
Aktuelle Erkrankungen
No
Vorgeschichte
No
Andere Medikamente
No
Allergien
No
Vorherige Impfungen
-

VAERS 2116884

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
33,0
Geschlecht
M
Eingang
16.02.2022
Impfdatum
07.12.2021
Beginn
18.12.2021
Tage bis Beginn
11,0
Dosis
3
Route/Site
SC / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Antinuclear antibody negative Blood cholesterol increased Chlamydia test Full blood count HIV test negative Hepatitis B surface antigen negative Laboratory test normal Low density lipoprotein increased Metabolic function test normal Neisseria test negative Treponema test negative Urticaria

Symptomtext

11 days after 3rd Moderna shot I broke out in hives, that are ongoing despite famotidine and montelukast. Was supposed to take Allegra also, but has not picked it up.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Urticaria
Hospital-Tage
-
Labordaten
Lab corp. done 1/4/22 Has hi LDL and cholesterol 246 on 1/4/22, CBC, CMP neg, chlamydia, Neisseria gonorrhoeae. Neg, ANA neg RPR neg, HIV neg, Foods neg HbsAg neg. No thyroid tests done because patient seemed to be improving.
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
None
Allergien
none
Vorherige Impfungen
-

VAERS 2113917

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
WA
Alter
38,0
Geschlecht
M
Eingang
15.02.2022
Impfdatum
01.12.2021
Beginn
02.12.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Ammonia normal Chills Influenza Influenza virus test positive Pyrexia SARS-CoV-2 test negative

Symptomtext

24 hours after booster I started having a real high fever and chills. After 3 days it didn't go away and my temperature was 104 so I went to the hospital and discovered that I had the flu. I'm not sure if this was coming on at the time of the booster shot.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
I was tested at the hospital for the flu, Covid and ammonia. Discovered that I had the flu.
Aktuelle Erkrankungen
No
Vorgeschichte
None
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
I have flu symptoms regularly after vaccines, but not this bad or for how long.

VAERS 2109756

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CO
Alter
26,0
Geschlecht
M
Eingang
14.02.2022
Impfdatum
16.01.2022
Beginn
26.01.2022
Tage bis Beginn
10,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Rash Urticaria

Symptomtext

Systemic: Allergic: Rash Generalized-Medium, Systemic: Full Body Hives-Medium, Additional Details: Patient reported onset of full body hives about 10 days after booster dose of Moderna covid vaccination. Patient reports consulting with physician to confirm delayed onset allergy. Patient has been taking famotidine, benadryl, cetirizine, and steroid to treat hives. As of date of this report, patient is still experiencing hives, with slow recovery after antihistamine and steroid treatment.

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

VAERS 2096489

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
NJ
Alter
35,0
Geschlecht
F
Eingang
08.02.2022
Impfdatum
29.12.2021
Beginn
29.12.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Asthenia Fatigue Feeling cold Headache Hot flush Impaired driving ability Loss of personal independence in daily activities

Symptomtext

1st Dosage: Same day, received headaches, tiredness, fatigue, weakness whole body, coldness in body, hot flashes. Next morning-have slept for around 12 hours. Following few days: Same symptoms for the first 4 days, the 5th day finally feeling better Did not take any other medications over the counter or prescriptive medications. Naturally recovered from sickness side effects of the medications. 2nd Dosage: Same as above. 3rd Dosage: 1st Day immediately, fatigue, tired, weakness. 2nd Day: could not drive at all. 3rd Day: could not drive at all. Did not drive for 5 days from 12/29/2021 Booster Shot Moderna Vaccine Terrible feeling of fatgiue, tiredness, weakness and coldness at times. Muscular function could not allow me to do daily activities such as basic local driving or even any type of driving at all. I was basically bedridden every time I had these vaccines. I hope your future Covid-19 vaccines, especially Moderna will improve with time without adverse side effects at all.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
Unknown.
Aktuelle Erkrankungen
No.
Vorgeschichte
No.
Andere Medikamente
No.
Allergien
Xiidra Dro 5% Prescription Eye Drops Latex Material: gloves Unnatural and natural foods allergic reaction to: 1) Any hints of artificial coloring 2) Cooking spices: pepper in salt and pepper; black pepper, paprika, cayenne 3) Herbal spices: Dill 4) Hot spices: in certain food; jalapeno peppers, chili, wasabi, capsaicin and allyl isothiocyanate 5) Any chemical based food products that are laboratory made foods such as PLANT BASED foods
Vorherige Impfungen
-

VAERS 2088912

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CO
Alter
25,0
Geschlecht
M
Eingang
04.02.2022
Impfdatum
02.12.2021
Beginn
13.12.2021
Tage bis Beginn
11,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dyspepsia Mechanical urticaria Pruritus Urticaria

Symptomtext

Hives and heartburn. The first few days were most severe. Taking prednisone 20mg eliminated symptoms until stopped taking after 5 days. Heartburn and hives returned. Heartburn went away in a few days thereafter. Hives turned into dermatographia and itchiness, which has lasted since. Antihistamines reduce itchiness.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mechanical urticaria
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
IBS-D, Asthma
Andere Medikamente
Flonase
Allergien
Peanut, Zithromax, seasonal allergies
Vorherige Impfungen
-

VAERS 2069163

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CO
Alter
65,0
Geschlecht
F
Eingang
27.01.2022
Impfdatum
06.11.2021
Beginn
12.11.2021
Tage bis Beginn
6,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Arthralgia Malaise Pain in extremity

Symptomtext

Malaise, joint aches, sore arm x 30 hour

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
none
Allergien
Azo-Sulfisoxazole, Demerol, Flexeril, Morphine, Pcn, Vicodin
Vorherige Impfungen
-

VAERS 2054197

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066f21a

mild
Staat
-
Alter
64,0
Geschlecht
F
Eingang
21.01.2022
Impfdatum
13.11.2021
Beginn
13.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Injection site nodule

Symptomtext

Patient had a small knot at site of injection. Size of pinky fingernail. There was no pain or bleeding. Applied cold compress to injection site and monitored the site for 30 minutes. Instructed patient to continue with cold compress for next 48 hours. If the site became larger or worse with redness/fever told patient to seek medical attention. Patient notified us 1-21-22 that she had issues with site and she did see a Dr for treatment.

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

VAERS 2048019

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
34,0
Geschlecht
F
Eingang
19.01.2022
Impfdatum
-
Beginn
-
Tage bis Beginn
-
Dosis
3
Route/Site
- / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Discomfort Ear discomfort Erythema Pruritus Rash Urticaria

Symptomtext

9 days after my Moderna booster I got itchy on my hands and feet. It got worse to full blown hives and a rash. I went to urgent care and got on a steroid. The hives got better but not gone after the steroid. Approx Day 2 after steroid hives came back. Very uncomfortable . I also had burning and really red ears. Saw a doctor and allergist and am currently on Zyrtec and Allegra.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Zoloft 50 mg Fish oil Probiotic Cranberry Digestive enzyme Adrenal support Vitamin D and K Two a day multi vitamin Curcumin Iron
Allergien
None
Vorherige Impfungen
-

VAERS 2044639

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
38,0
Geschlecht
M
Eingang
18.01.2022
Impfdatum
24.11.2021
Beginn
05.12.2021
Tage bis Beginn
11,0
Dosis
3
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Rash Urticaria

Symptomtext

Urticaria and rash x 6+ weeks. Treated with Hydroxyzine, Pepcid, and Triamcinolone cream.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Rash
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None.
Vorgeschichte
Hypertension.
Andere Medikamente
Ramipril 5mg daily.
Allergien
None.
Vorherige Impfungen
-

VAERS 2042119

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066f21A

mild
Staat
WA
Alter
40,0
Geschlecht
F
Eingang
18.01.2022
Impfdatum
20.11.2021
Beginn
29.11.2021
Tage bis Beginn
9,0
Dosis
3
Route/Site
SYR / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Urticaria

Symptomtext

chronic hives

Weitere VAERSDATA-Felder
Praegender Schweregrund
Urticaria
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Hashimotos
Andere Medikamente
Levothyroxine
Allergien
-
Vorherige Impfungen
Moderna - covid arm

VAERS 2038134

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
47,0
Geschlecht
M
Eingang
16.01.2022
Impfdatum
23.11.2021
Beginn
01.12.2021
Tage bis Beginn
8,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: ja Erholt: nein
Burning sensation Rash Urticaria

Symptomtext

Severe chronic uticaria, wheals, non stop burning, rashes, welts. Severe for 14 days, and is now ongoing and intermittent

Weitere VAERSDATA-Felder
Praegender Schweregrund
Rash
Hospital-Tage
-
Labordaten
Urgent care visit. 12/3/21
Aktuelle Erkrankungen
None
Vorgeschichte
Severe chronic disabling spine condition
Andere Medikamente
Oxycontin, oxycodone, carisoprodol, rosuvastatin, docusate sodium, Calcium complex, fish oil, b-complex, vit-d, tumeric, astaxanthin, vit-c, b-12, dry mushrooms complex. Acacia fiber, collagen protein.
Allergien
Certain NSAIDS. Some processed nuts.
Vorherige Impfungen
-

VAERS 1999644

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
85,0
Geschlecht
F
Eingang
03.01.2022
Impfdatum
08.11.2021
Beginn
09.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Back pain Chills Headache Nausea Neck pain Pain Pain in extremity Pyrexia

Symptomtext

She got her vaccine, had severe backaches, her legs were aching and there was not a part of her that did not hurt. She felt nauseous, her neck hurt, her head hurt. She had fever and chills. They lasted for about 24 hours and they left. She did not take anything for her symptoms.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Back pain
Hospital-Tage
-
Labordaten
None.
Aktuelle Erkrankungen
None.
Vorgeschichte
Thyroid disease, lung scarring (bronchiectasis), three lobectomy of thyroid.
Andere Medikamente
Synthroid, Estradiol, Vitamin D3, Vitamin C, fish oil, multivitamin.
Allergien
Multiple antibiotic allergies (testing this month). Latex, adhesive tape.
Vorherige Impfungen
-

VAERS 1996860

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
39,0
Geschlecht
F
Eingang
31.12.2021
Impfdatum
05.11.2021
Beginn
15.11.2021
Tage bis Beginn
10,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Allergy test negative Blood immunoglobulin M increased C-reactive protein normal Full blood count normal Mechanical urticaria Pruritus Rash Thyroid function test normal Urticaria

Symptomtext

Severe itchy hives and rashes, dermatographia

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mechanical urticaria
Hospital-Tage
-
Labordaten
CBC, Thyroid panel, CRP, food allergies panel - all normal IGMs came back high
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
None known
Vorherige Impfungen
-

VAERS 1996320

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
67,0
Geschlecht
F
Eingang
31.12.2021
Impfdatum
05.11.2021
Beginn
01.11.2021
Tage bis Beginn
-
Dosis
UNK
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Laboratory test Neck pain Pain in extremity Sensory disturbance

Symptomtext

patient reports neck pain, legs pain, sensory abnormalities starting about 2 weeks after her latest coronavirus booster. She states she cannot think of any other factor or change to attribute to - prior to developing these symptoms

Weitere VAERSDATA-Felder
Praegender Schweregrund
Neck pain
Hospital-Tage
-
Labordaten
Labs and further evaluation performed in the ER
Aktuelle Erkrankungen
liver disease hypertension heart disease
Vorgeschichte
liver disease hypertension heart disease history of silicone toxicity antiphospholipid abnormality
Andere Medikamente
aspirin pepcid losartan metoprolol pravastatin sucralfate
Allergien
contrast media
Vorherige Impfungen
-

VAERS 1982108

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
38,0
Geschlecht
F
Eingang
27.12.2021
Impfdatum
24.11.2021
Beginn
10.12.2021
Tage bis Beginn
16,0
Dosis
UNK
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Burning sensation Pruritus Urticaria

Symptomtext

Itchy palms and foot soles in the morning (for about 15 minutes). After a few days added: - intense itching/burning sensation on hands, wrists, feet (upper surface), sometimes on scalp, torso and thighs, lasting for about 15 minutes a few times a day (not occurred during the sleep) - itching and hives in the same areas for 5-30 minutes when walking outdoors or being nervous. Doctor prescribed Benadryl 25mg 2 times a day for 4 days to see if it stops the condition. It alleviated the symptoms when taken, except for morning itchy palms and foot soles. Progress TBD after stopping the medicine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Irritable bowel syndrome, eczema (or eczema-like dermatitis)
Andere Medikamente
Centrum Women multivitamins, Vit. D 400 UI
Allergien
Seasonal pollen allergy during springtime until moving 7 years ago, no allergy at present time
Vorherige Impfungen
-

VAERS 1981083

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
40,0
Geschlecht
F
Eingang
25.12.2021
Impfdatum
06.12.2021
Beginn
15.12.2021
Tage bis Beginn
9,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Mechanical urticaria Pruritus Urticaria

Symptomtext

Hives and dermatographia started 9 days after Modern booster. I have been taking 2 types of antihistamines to control the hives and itch. If I skip a dose, the hives immediately appear. It has been 10 days and the hives are still appearing.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mechanical urticaria
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Hair and nail vitamins
Allergien
Ibuprofen, shellfish
Vorherige Impfungen
-

VAERS 1974849

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
TN
Alter
56,0
Geschlecht
F
Eingang
23.12.2021
Impfdatum
06.12.2021
Beginn
17.12.2021
Tage bis Beginn
11,0
Dosis
3
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Pruritus Rash Urticaria

Symptomtext

Itchy hives (rash) over entire body; took Benadryl and received steroid shot by healthcare provider. Itching resolved, then returned.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None.
Vorgeschichte
None.
Andere Medikamente
Regular daily medications.
Allergien
Penicillin.
Vorherige Impfungen
-

VAERS 1974137

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
28,0
Geschlecht
M
Eingang
23.12.2021
Impfdatum
16.11.2021
Beginn
27.11.2021
Tage bis Beginn
11,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood test normal Mechanical urticaria

Symptomtext

11 days after I got my Moderna shot, I started having severe dermatographism after having a seafood dinner. Went to urgent care to get this checked out, and the recommended me to go see an allergist. I conducted a blood test through an allergist (because I cannot do a skin prick test) and I am not allergic to shellfish based on the results. I saw online other patients who received the vaccine booster and also have dermatographism - so I feel suspicious this is strongly related. After seeing my allergist, I am taking Zyrtec daily, and it has helped reduce the symptoms, but I still continue to have dermatographism when the medicine effect wears off.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Mechanical urticaria
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None.
Vorgeschichte
-
Andere Medikamente
None
Allergien
None known.
Vorherige Impfungen
-

VAERS 1971405

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
-
Alter
41,0
Geschlecht
F
Eingang
22.12.2021
Impfdatum
30.11.2021
Beginn
30.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Erythema Interchange of vaccine products Pruritus

Symptomtext

Pfizer primary series; Moderna Booster Itchiness and Redness. PT reports no shortness of breath or throat swelling. No difficulty breathing noticed. Respirations equal and full. Redness noted on PTs back and itchiness throughout torso. PT did not mention to clinical and non clinical staff that she had a reaction in the past. PT reports the same reaction after the second covid vaccine. PT failed to mention any health issues/allergies to clinical reviewer or vaccinating nurse. Clinical Manager notified immediately and facility physician notified by facility staff. MD present in the room at 1005 11/30/21. Pt given Benadryl 50mg PO @09:55. Pt stable and released from the vaccination site. Recommended f/u w/ PCP and avoid mRNA vaccines in the future.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Unknown
Andere Medikamente
Unknown
Allergien
Pfizer Covid vaccine, otherwise unknown to this writer.
Vorherige Impfungen
-

VAERS 1962213

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
NY
Alter
89,0
Geschlecht
F
Eingang
19.12.2021
Impfdatum
13.11.2021
Beginn
20.11.2021
Tage bis Beginn
7,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site erythema Injection site rash Insomnia Pruritus

Symptomtext

After developing a bright red rash at the injection site(upper left arm) a week after receiving the booster shot, the rash got better, but I started itching at constantly changing spots on my body. I still have these terrible ,itches (without outward signs) which are preventing me from sleep and are terrible during the day. This is now 5 weeks after the vaccination, and

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site erythema
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
No
Vorgeschichte
Have Marfan?s syndrome
Andere Medikamente
Pantroprazole 40 mg, eye drops: Dorzolamide HCI/Timolol, Ketoralac, Nortriptyline Hydro 20 md, Hydrochloride Nortriptalyne 20 mg , Paroxitine 20 mg
Allergien
Tree nuts, milk (lactose intolerant)
Vorherige Impfungen
-

VAERS 1961849

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
49,0
Geschlecht
F
Eingang
18.12.2021
Impfdatum
17.11.2021
Beginn
24.11.2021
Tage bis Beginn
7,0
Dosis
3
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Urticaria

Symptomtext

Hives onset 1 week later.

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

VAERS 1959217

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
OH
Alter
32,0
Geschlecht
F
Eingang
17.12.2021
Impfdatum
19.11.2021
Beginn
30.11.2021
Tage bis Beginn
11,0
Dosis
3
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Erythema Mechanical urticaria Pruritus Urticaria

Symptomtext

On the 30th I started getting a full body itching, My scalp legs and feet and my whole body. that lasted a week and I went to see the dermatologist about a week a go and she diagnosed me with Dermatographism and Hives. Now my skin it'll leave red marks like I scratch my skin. She said this is potentially from the vaccination. The itching went but the red patches is still there. She also gave me Zyrtec until the problem resolve so I'm still taking it.

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

VAERS 1957827

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
34,0
Geschlecht
F
Eingang
17.12.2021
Impfdatum
20.11.2021
Beginn
01.12.2021
Tage bis Beginn
11,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Flushing Pruritus Urticaria

Symptomtext

Hives (urticaria) randomly appearing all over body, sometimes spontaneously but sometimes in reaction to skin pressure. Hives seem to recur mostly in the morning, in the evening, and in the middle of the night. Hives mostly appear on legs, trunk, armpits, neck, scalp. Other symptoms include itchy palms and flushing in and around the ears. Managing symptoms successfully with Benadryl or 24-hr Zyrtec, usually taken before bed, and hydrocortisone cream.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
Mirena intrauterine device, topical tacrolimus ointment for perioral dermatitis
Allergien
stannous fluoride
Vorherige Impfungen
fatigue and swollen lymph nodes from flu vaccines (annually), flu-like symptoms from second Moderna vaccine on 04/07/2021 at age

VAERS 1955164

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
-
Alter
61,0
Geschlecht
F
Eingang
16.12.2021
Impfdatum
05.12.2021
Beginn
05.12.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Dizziness Interchange of vaccine products

Symptomtext

Pt received Janssen Primary series and Moderna Booster 2mins post vaccination pt reported dizziness Vitals: 137/88, 76, 16 Placed in a recovery position, VSS Pt stable and released from the vaccination site.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
PMH: hx gall bladder removal, DM2, HTN, HLD, Hypothyroidism
Andere Medikamente
Medications: Acarbose 100mg PO daily Bupropion 75mg PO daily ergocalciferol 50000 units PO Qweek fenofibrate 48mg daily glimepiride 4mg PO Daily Levothyroxine 50mcg PO daily Lisinopril 20mg PO daily Simvastatin 20mg PO QHS
Allergien
NKA
Vorherige Impfungen
-

VAERS 1955113

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
-
Alter
-
Geschlecht
F
Eingang
16.12.2021
Impfdatum
06.12.2021
Beginn
06.12.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Anxiety Dizziness

Symptomtext

25mins post vaccination pt reported dizziness and anxiety. Vitals: 147/80, 71, 20, 100% -- > 155/79, 57 Pt stable and released from the vaccination site. Recommended f/u w/ PCP if sx continue tomorrow

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
PMH: Varicose veins of both lower extremities with complications Increased BMI Hypothyroidism Radial styloid tenosynovitis (de quervain) Carpal tunnel syndrome Anxiety Anemia
Andere Medikamente
Medications: Ibuprofen 600mg daily
Allergien
NKA
Vorherige Impfungen
-

VAERS 1944030

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
51,0
Geschlecht
M
Eingang
13.12.2021
Impfdatum
08.11.2021
Beginn
25.11.2021
Tage bis Beginn
17,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia

Symptomtext

I have chronic joint pain and my hips hurt constantly. I never had any hip joint pain prior to vaccination.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
N?A
Aktuelle Erkrankungen
N/a
Vorgeschichte
N/A
Andere Medikamente
Klonopin
Allergien
Penicillin, prednisone, Flu Shot
Vorherige Impfungen
Flu Vaccine

VAERS 1939658

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
IN
Alter
34,0
Geschlecht
F
Eingang
10.12.2021
Impfdatum
08.12.2021
Beginn
09.12.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Axillary pain Injection site nodule Injection site warmth Neck pain Nodule Spinal pain

Symptomtext

Large knot and soreness in armpit, soreness in neck and upper spine. Knot at injection site, very warm.

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

VAERS 1936124

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
44,0
Geschlecht
M
Eingang
09.12.2021
Impfdatum
17.11.2021
Beginn
17.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Abdominal pain Rash Urticaria

Symptomtext

I experienced hives, rash and abdominal pain.

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

VAERS 1935831

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
NJ
Alter
76,0
Geschlecht
F
Eingang
09.12.2021
Impfdatum
01.12.2021
Beginn
02.12.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Insomnia Pruritus Skin warm Urticaria

Symptomtext

Patient's husband reports hives, warm skin, insomnia, itching - called PCP dr who prescribed OTC benadryl. Reports symptoms persist and getting worse as of today 12/9/2021. Advised to physically see a provider either PCP or urgent care for further evaluation and diagnostics.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
None reported
Aktuelle Erkrankungen
None
Vorgeschichte
Coronary Artery Disease
Andere Medikamente
4 medications (including blood thinners)
Allergien
None
Vorherige Impfungen
-

VAERS 1929463

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
-
Alter
78,0
Geschlecht
F
Eingang
07.12.2021
Impfdatum
15.11.2021
Beginn
15.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Asthenia Blood pressure increased Computerised tomogram head Dizziness Electrocardiogram Headache Hypertensive urgency Laboratory test

Symptomtext

dizzy, weak and having headache, elevated blood pressures - hypertensive urgency/emergency - required urgent care and then ER evaluation.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
ECG, full lab panel, CT scan of the head
Aktuelle Erkrankungen
none
Vorgeschichte
hyperlipidemia
Andere Medikamente
losartan, simvastatin
Allergien
sulfa abx - hives
Vorherige Impfungen
-

VAERS 1924997

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
GA
Alter
61,0
Geschlecht
F
Eingang
06.12.2021
Impfdatum
19.11.2021
Beginn
19.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
- / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: ja Erholt: nein
Adverse reaction Discomfort Feeling hot Immediate post-injection reaction Pain Pain in extremity Peripheral swelling Sleep disorder

Symptomtext

Left arm immediately felt a sharp hot pain traveling down arm; within hours arm began to swell, throb; Tylenol was taken for discomfort. During night pain kept patient awake and was unable to find a comfortable position for arm. Next day information was sought for adverse reaction ad was told symptoms were ?normal? . Within 48 hours patient had to be rushed to ER for adverse reaction to vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain
Hospital-Tage
-
Labordaten
Tests were done on: 11/21/2021 Regular doctor was seen on: 11/22/2021 Rex?s were prescribed but patient has no income and could not afford treatment = home care is all patient can do at this point
Aktuelle Erkrankungen
None
Vorgeschichte
HBP
Andere Medikamente
High blood pressure meds: lisinopril; hydrochlorothiazide Allergies:: Loratadine Multivitamins otc
Allergien
Oral antibiotics, cholesterol meds = deadly reaction
Vorherige Impfungen
-

VAERS 1923615

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
32,0
Geschlecht
F
Eingang
05.12.2021
Impfdatum
02.12.2021
Beginn
02.12.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chills Feeling abnormal Feeling hot Injection site erythema Injection site induration Injection site pruritus Injection site swelling Injection site warmth Pallor Peripheral nerve injury Sensory disturbance Vaccination site reaction

Symptomtext

In the first 15 minutes after the vaccination, I experienced reduced nerve sensation in the arm of the vaccination site. Following, I experienced short term heat in my ears. At 17 minutes or so, my right arm nerves became amplified. The sensations passed and I continued on with my day. At some point, I noticed itching at the injection site. At 7:30 pm I arrived home from work and experienced chills. I took a hot bath for hours as hot as I could make it I was woosy and pale. After tylenol and food I went to bed. Friday morning, my arm was hot, hard, and swollen at the injection site. At nearly 10 pm 12/4 the red circle around injection site (2.5 inches in diameter or so) is still present

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
significant sinus congestion (sinusitis) and lethargy Sunday November 28th
Vorgeschichte
mold allergies panic disorder nerve discomfort in upper back
Andere Medikamente
Prozac 25 mg Rainbow Light Prenatal One Multivitamin SSS Tonic 3 Tablespoons Fluticasone Propionate nasal spray (50 mcg) Azelastine HCl nasal spray (137 mcg)
Allergien
Zpak
Vorherige Impfungen
Moderna 80777-273-99, 32, feeling unwell day after shot missed work- no injection site reaction

VAERS 1923248

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
54,0
Geschlecht
F
Eingang
04.12.2021
Impfdatum
01.12.2021
Beginn
02.12.2021
Tage bis Beginn
1,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Oral herpes Pyrexia

Symptomtext

Fever of 102.4, treated with Acetaminophen resolved after 18 hours. Development of cold sore on Dec 4, 7am, treated with acyclovir.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pyrexia
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
allergy induced asthma, probable Marfans syndrome
Andere Medikamente
none
Allergien
penicillin tree nut allergies
Vorherige Impfungen
-

VAERS 1922512

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
46,0
Geschlecht
F
Eingang
04.12.2021
Impfdatum
12.11.2021
Beginn
24.11.2021
Tage bis Beginn
12,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Extra dose administered Pruritus Rash Rhinorrhoea Urticaria

Symptomtext

Nov 12 booster Moderna #3 Nov 20-27 was in SoCal for Thanksgiving Nov 22 started to get runny nose, took Claritin at night and the next day was fine Nov 25-26 noticed itchiness on the tops of the feet, resolved Nov 27 drove back, that night had itchy scalp Nov 28 experienced full body itching (not on face, palms, bottom of fee)t. Itchiness would start. Hives (urticaria) rash throughout my body. Notably on arms, legs, back, neck, scalp, behind ears, etc. The rash would last 30 - 60 min and resolve, and then appear at a different body part. Nov 29, 30 took 2 cap of benadryl to sleep, which helped Dec 1 stopped medication, itchiness started again. Dec 2 - prescribed cetirizine (ZYRTEC) 10mg Tab; hydrOXYzine HCl (ATARAX) 25mg Tab, REFERRAL TO ALLERGY, INT

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
None performed. Video visit with a nurse practitioner occurred on December 2nd.
Aktuelle Erkrankungen
None
Vorgeschichte
None / Recovering from a hamstring pull/tear from June 2021
Andere Medikamente
Vitafusion Women's Multi daily vitamin, Vitafusion Calcium 500 mg
Allergien
Gentamycin Olive tree extract Dust mites
Vorherige Impfungen
-

VAERS 1917103

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
WA
Alter
37,0
Geschlecht
F
Eingang
02.12.2021
Impfdatum
13.11.2021
Beginn
24.11.2021
Tage bis Beginn
11,0
Dosis
3
Route/Site
SC / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Erythema Pruritus Sensitive skin Skin discomfort Urticaria

Symptomtext

This was my booster shot for Moderna. I did not experience the following symptoms for my first two doses. I began itching on my stomach the evening reported. This itching progressed and became intense on the palms of my hands and my feet for the next several days. On 11/28/21 I noticed that when I itched my torso or neck, white/red welts/hives appeared where I itched. This has continued. The itching on my hands and feet as gotten better but has not completely gone away. I have not changed anything, to my knowledge that would have brought on this type of reaction; no change in diet, clothes, detergents, etc. I have also found that my skin feel sensitive to clothing that I have previous worn and has never caused me discomfort. Hot showers also irritate my skin and aggravate the itching.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
Have not gotten care as it seems to maybe be getting better. However, if it gets worse or not 100% I will likely seek medical care.
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 1916660

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
KY
Alter
72,0
Geschlecht
M
Eingang
02.12.2021
Impfdatum
23.11.2021
Beginn
24.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Erythema Fatigue Headache Hypersensitivity Malaise Pain Urticaria

Symptomtext

Patient reported waking on 11/24/2021 approximately 0800 with severe fatigue/malaise, headache, body aches. Pt spouse later entered and stated pt appeared to be having allergic reaction. Pt spouse noticed welps on skin and generalized redness across face and chest. Pt took Benadryl 50mg PO and symptoms resolved. Pt states that on 11/25/2021, he felt better with minimal fatigue remaining.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
hypertension, hypercholesterolemia, hypothyroidism
Andere Medikamente
bumex, aspirin, synthroid, cymbalta, lipitor, atenolol,
Allergien
none
Vorherige Impfungen
-

VAERS 1916554

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
OH
Alter
31,0
Geschlecht
F
Eingang
02.12.2021
Impfdatum
30.11.2021
Beginn
02.12.2021
Tage bis Beginn
2,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Ageusia Chills Decreased appetite Pyrexia Rash Rash macular SARS-CoV-2 test negative

Symptomtext

Spotted Rash developed over whole body when receiving booster dose of Moderna. Lot: 066F21A; Exp: 02/03/2022 Administered 11/30 at 1200; 10-12 hours later: fever, chills, loss appetite, loss taste; 36 hours later: fever persists, loss appetite, spotted rash across chest/legs now present. At home COVID test taking 12/1 and is negative. 1st DOSE Moderna: 12/31/20; 2nd DOSE Moderna: 1/28/21.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
At home covid test negative
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
None
Vorherige Impfungen
-

VAERS 1913825

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
-
Alter
31,0
Geschlecht
F
Eingang
01.12.2021
Impfdatum
24.11.2021
Beginn
24.11.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Dizziness Interchange of vaccine products

Symptomtext

Pt previously received Janssen COVID vaccine 5mins post vaccination pt reported dizziness. Vitals: 119/74, 82, 18 Pt stable and released from the vaccination site.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
PMH: CHRONIC LOW BACK PAIN 05/14/2021 CERVICAL HIGH RISK HPV TEST POSITIVE 02/05/2021 GENERALIZED ANXIETY DISORDER 11/15/2017 FHX OF BREAST CANCER 08/29/2013 FHX OF DM 07/13/2012 MAJOR DEPRESSIVE DISORDER, RECURRENT EPISODE 10/19/2011
Andere Medikamente
Medications: Apri 0.15-0.03mg tab PO daily Venlafaxine 75mg PO daily
Allergien
NKA
Vorherige Impfungen
-

VAERS 1900360

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
42,0
Geschlecht
F
Eingang
25.11.2021
Impfdatum
11.11.2021
Beginn
20.11.2021
Tage bis Beginn
9,0
Dosis
3
Route/Site
- / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Lip swelling Pain in extremity Tendonitis Urticaria

Symptomtext

Hives for several days over abdomen, back, arms, hands and feet. Tendon swelling and pain in hands and feet, and marked lip swelling.

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

VAERS 1898470

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066f21a

mild
Staat
CA
Alter
67,0
Geschlecht
F
Eingang
24.11.2021
Impfdatum
02.11.2021
Beginn
24.11.2021
Tage bis Beginn
22,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Pain in extremity

Symptomtext

pt came in today claiming her arm that got the moderna vaccine is still sore/painful about 3 on pain scale and pt asked if that is normal. Told the patient people do not usually have pain for that long and to see her doctor as soon as she can. She said she has an appointment on 12/2/21 and she is not too worried. pt has some pain on her arm that got the moderna vaccine and the pt is going to see the doctor on 12/2/21 and she was not concerned just asking for our advice on what to do.

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

VAERS 1897388

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
OH
Alter
40,0
Geschlecht
F
Eingang
24.11.2021
Impfdatum
05.11.2021
Beginn
15.11.2021
Tage bis Beginn
10,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Urticaria

Symptomtext

10 days after Moderna booster, I developed widespread hives over my head, neck and torso. The hives and hyper-reactivity of my skin have persisted now through at least 19 days after my booster (today, 11/24) despite a Prednisone taper and daily Zyrtec.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Urticaria
Hospital-Tage
-
Labordaten
Not at this time. I have an appointment with an allergist on 12/6/21.
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
Prenatal vitamin, Vit D supplement
Allergien
Codeine, penicillin, sulfa
Vorherige Impfungen
Delayed localized hive (10 days post vaccine) at injection site for initial Moderna Covid vaccine. Lasted ~1 hour.

VAERS 1895711

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066f21a

mild
Staat
NE
Alter
58,0
Geschlecht
F
Eingang
23.11.2021
Impfdatum
22.11.2021
Beginn
22.11.2021
Tage bis Beginn
0,0
Dosis
N/A
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Chills Headache Vomiting

Symptomtext

Chills, headache, vomiting for 24 hours after booster shot.

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

VAERS 1894125

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CO
Alter
32,0
Geschlecht
M
Eingang
23.11.2021
Impfdatum
22.11.2021
Beginn
22.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dysgeusia Fatigue Injection site pain Nausea Pain in extremity

Symptomtext

Metallic taste in mouth, mild fatigue, mild nausea, injection site tenderness, sore left arm.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Anxiety
Andere Medikamente
Sertraline
Allergien
Penicillin
Vorherige Impfungen
Sore arm

VAERS 1890761

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
-
Alter
37,0
Geschlecht
F
Eingang
22.11.2021
Impfdatum
14.11.2021
Beginn
14.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Dizziness Flushing Hyperhidrosis

Symptomtext

10mins post vaccination pt c/o flushing/sweating and dizziness Vitals: 09:38 132/72, 103, 20, 100% -- > 09:50 134/81, 106, 18, 100% 09:55 Pt is standing and states that she is feeling better. Symptoms resolved.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Recent referral to Uro for blood in the urine
Vorgeschichte
PMH: Crohn's, Persistent blood in the urine
Andere Medikamente
Medications: cyanocobalamin PO Daily additional medications unknown
Allergien
Allergies: Cephalexin, Ciprofloxacin (leg numbness), Ciprocinonide (Rash, Numbness)
Vorherige Impfungen
-

VAERS 1890321

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
KY
Alter
36,0
Geschlecht
F
Eingang
22.11.2021
Impfdatum
05.11.2021
Beginn
15.11.2021
Tage bis Beginn
10,0
Dosis
3
Route/Site
- / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Blood iron decreased Blood test abnormal Diarrhoea Fatigue Peripheral swelling Vomiting

Symptomtext

Prior to the adverse event. Patient experienced Diaherrea, Fatigue, and Vomitting. Period, lasted 2 days longer than normal. Prior to the Vaccine, Patient experienced swelling, on both legs from the 2nd dose. It was ruled out that it was not a Bloof Cot

Weitere VAERSDATA-Felder
Praegender Schweregrund
Diarrhoea
Hospital-Tage
-
Labordaten
Blood Test (Monday, November 15th, 2021) Iron Levels were incredible low
Aktuelle Erkrankungen
On Period
Vorgeschichte
Asthma
Andere Medikamente
Abuterol, Vitamin D, 6 mg Melatonin, Senna Cot, Colace, Flovent
Allergien
Pollen
Vorherige Impfungen
-

VAERS 1888441

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CO
Alter
35,0
Geschlecht
F
Eingang
20.11.2021
Impfdatum
18.11.2021
Beginn
19.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chills Injection site erythema Injection site pain Injection site pruritus Injection site warmth Pain Pyrexia Urticaria

Symptomtext

November 19th at 10:00 a.m. whole body aches, chills, fever of 100.1, substantial pain as injection site. 11:00 p.m. 2 inch red, welt, hot November 20th 9:00 a.m. Welt had increased by a quarter of an inch. Still very red & hot November 20th 8:00 p.m. whilst head increased by an additional quarter of an inch. Still red and hot and now itchy

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
Migraines
Andere Medikamente
300 mg of Wellbutrin, vegan vanilla Shakeology, biotics research bioprotect
Allergien
None
Vorherige Impfungen
-

VAERS 1886192

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
60,0
Geschlecht
F
Eingang
19.11.2021
Impfdatum
13.11.2021
Beginn
13.11.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Injection site infection No adverse event

Symptomtext

60 year old male client arrives to vaccination site requesting 2nd dose in Moderna series. Client reports that approximately 1 week after receiving his 1st dose of Moderna vaccine, that he experienced a localized infection at the injection site on his right arm. Client reports seeing Primary Care Provider who provided treatment of antibiotics for a few days. Client reports that infection resolved after completion of antibiotics. Elevated issue to Clinical Supervisor, who received approval from Dr. to proceed with administration of 2nd dose in Moderna series, with administration in left arm. Second Moderna dose was administered by RN on 11/13/21 at approximately 11:00 AM. Lot # 066F21A. Explained emergency precautions to client who verbalized understanding. No adverse symptoms reported during observation period.

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

VAERS 1880766

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
62,0
Geschlecht
M
Eingang
18.11.2021
Impfdatum
15.11.2021
Beginn
16.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Lymphadenopathy Pain in extremity

Symptomtext

Swelling and soreness in armpit

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain in extremity
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
No
Vorgeschichte
No
Andere Medikamente
Lisinopril 10 MG-Hydrochlorothiazide 12.5mg
Allergien
No
Vorherige Impfungen
-

VAERS 1879522

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
33,0
Geschlecht
M
Eingang
17.11.2021
Impfdatum
04.11.2021
Beginn
11.11.2021
Tage bis Beginn
7,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dizziness Electrocardiogram Vertigo Vitamin B12

Symptomtext

Onset of dizziness/vertigo. At approximately 8 days after booster vaccination, dizziness persisted through the entire day. 13 days later, dizziness is still intermittently reoccurring.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
EKG, Blood pressure, B12 blood test.
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1874634

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
MN
Alter
40,0
Geschlecht
F
Eingang
16.11.2021
Impfdatum
14.11.2021
Beginn
15.11.2021
Tage bis Beginn
1,0
Dosis
UNK
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Abdominal pain Back pain Discomfort Groin pain Sleep disorder

Symptomtext

I woke up almost 12 hours from the time I received the booster shot. I had extreme pain in my right abdomen/groin as well as the right lower side of my back. Pain so bad that it reminded me of child birth labor. I could not get comfortable standing, walking, lying down. I took 2 ibuprofen and it did do anything. Finally at 7:30-8am it settled down so I could sleep. I woke up again at 10:30 with the horrible pain again. It last another hour or so and then stopped. I have had kidney stones before. So possibility it was that and just a coincidence. However, I have never felt that bad from a kidney stone before. It has now been 36 hours since it stopped and I have not seen a passed stone in the toilet. I only called my Drs office but never went in as the pain stopped. Too much longer and they told me to just go to the ER.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Abdominal pain
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
No illnesses.
Vorgeschichte
None
Andere Medikamente
40mg Fluoxotine, 150mg generic Wellbutrin XL, Vitamin D, Iron, Magnesium
Allergien
Potential allergy to Penicillin when I was a kid.
Vorherige Impfungen
-

VAERS 1869781

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
NY
Alter
31,0
Geschlecht
F
Eingang
15.11.2021
Impfdatum
11.11.2021
Beginn
12.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Arthralgia Fatigue Pain Pyrexia

Symptomtext

I woke up in the morning with a fever. The fever was 100.4. I felt very achy. My joints really hurt, and I was tired. I stayed in bed most of the day and by 5pm I was feeling better.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
Norlyda Vitamin D Postnatal Vitamin
Allergien
Codeine
Vorherige Impfungen
-

VAERS 1869490

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
50,0
Geschlecht
F
Eingang
15.11.2021
Impfdatum
10.11.2021
Beginn
12.11.2021
Tage bis Beginn
2,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site erythema Injection site swelling Type IV hypersensitivity reaction

Symptomtext

3 days after injections left upper arm erythema and swelling without clear demarcation and no systemic signs of infections diagnosed as delayed hypersensitivity reaction. Prescribed oral antihistamine, acetaminophen, topical steroid, icing to area.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site erythema
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
diabetes type 2, asthma hypertension, hyperlipidemia, migraines
Andere Medikamente
acetaminophen
Allergien
penicillin
Vorherige Impfungen
-

VAERS 1865750

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
VA
Alter
63,0
Geschlecht
F
Eingang
12.11.2021
Impfdatum
09.11.2021
Beginn
09.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Arthralgia Chills Fatigue Headache Joint range of motion decreased Muscular weakness Musculoskeletal stiffness Nausea Pyrexia Vomiting

Symptomtext

(approximately same for shot 2 and 3...1st vacc produced only a slightly red lump at injection site) For #2 injection Chills started 9 hours post vaccine. Fever of 103.3 degrees F began shortly thereafter and remained at that temp for 36 hours. Severe "splitting"headache (front to back). Nausea. Vomited once the following morning. Fatigue, stiffness, weakness in legs and arms. Worst adverse events from vax 3. Chills began 8 hrs post vax, fever ran from 101 to 102.5 thought the next54 hours. Severe pain in right shoulder joint to point of immobility for24 hours. Nausea , vomiting twice at 24 hrs post vax and 32 hours post vax. Nausea remains but comes and goes. Too weak to walk down steps until48 hours post vax. Severe pain in hip joints for 48 hours post vax. Severe fatigue for 72 hours post vax.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Arthralgia
Hospital-Tage
-
Labordaten
None. I slept the entire time except when I woke up to take Tylenol and drink a glass of water, so I was actually too sick to have any tests done
Aktuelle Erkrankungen
None
Vorgeschichte
Idiopathic Hypersomnia, hypothyroidism
Andere Medikamente
Wellbutrin, escitolapram, thyroxine, multivitamin, Sunosi, zolpidem ( too sick to take any of these for 3 days afterwards)
Allergien
None
Vorherige Impfungen
-

VAERS 1864945

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
MN
Alter
47,0
Geschlecht
F
Eingang
12.11.2021
Impfdatum
10.11.2021
Beginn
11.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
- / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Injection site erythema Injection site pain Injection site swelling Injection site warmth Peripheral swelling

Symptomtext

Moderna COVID-19 Vaccine EUA" Sx: Tenderness, Swelling, Erythema, elevated temperature at injection site (Right Deltoid). Swelling spread down right extremity to the hands/fingers.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site erythema
Hospital-Tage
-
Labordaten
Refered to Urgent Care provider for follow-up
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1863813

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
32,0
Geschlecht
M
Eingang
12.11.2021
Impfdatum
09.11.2021
Beginn
11.11.2021
Tage bis Beginn
2,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site reaction Rash

Symptomtext

Exanthematous rash around site of injection that was noticed 2 days after administration of the third dose of Moderna. No rash was noticed after the first two doses of Moderna.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site reaction
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
Penicillin
Vorherige Impfungen
-

VAERS 1858370

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
79,0
Geschlecht
M
Eingang
10.11.2021
Impfdatum
03.11.2021
Beginn
04.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Erythema Pruritus Swelling

Symptomtext

Redness, swelling, itching that has continued for one week since administration of vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pruritus
Hospital-Tage
-
Labordaten
11/7 examination by physician. Ordered ibuprofen, benadryl ointment/spray and icing. 11/8 examination by physician who saw improvement and ordered continuation of above regimen.
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Atorvastatin, metropolol, B12, D3, low-dose aspirin, metamucil
Allergien
-
Vorherige Impfungen
-

VAERS 1857687

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
29,0
Geschlecht
F
Eingang
10.11.2021
Impfdatum
09.11.2021
Beginn
09.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chills Extra dose administered Fatigue Myalgia Pain in extremity Pyrexia

Symptomtext

Pt. states that after receiving the 3rd Booster of Moderna 11/09/2021, started experiencing symptoms that evening of pain in the left arm, fever (101.3), body chills, muscle aches, and fatigue. No noted Primary visit/communications.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
N/A
Allergien
Penicillin, Strawberries, Shellfish
Vorherige Impfungen
-

VAERS 1857413

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
NC
Alter
64,0
Geschlecht
M
Eingang
10.11.2021
Impfdatum
09.11.2021
Beginn
09.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site pain

Symptomtext

Sore arm at injection site (left only). Treated with analgesics (night-time only, ibuprofen)

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site pain
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
obesity
Andere Medikamente
-
Allergien
none
Vorherige Impfungen
Moderna, COVID-19 Vaccine 2nd shot. Minor sore arm at inj. site

VAERS 1854319

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
41,0
Geschlecht
F
Eingang
09.11.2021
Impfdatum
05.11.2021
Beginn
08.11.2021
Tage bis Beginn
3,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Pain Pyrexia Urticaria

Symptomtext

24 hours after 2nd shot fever of 101.9 for 24 hrs and extreme body aches. 4 days later hives on face, neck, both arms, hands, and chest.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pain
Hospital-Tage
-
Labordaten
11/8/2021 no test just prescribed predniSONE, Benadryl, PEPCID
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1849409

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
IL
Alter
80,0
Geschlecht
F
Eingang
07.11.2021
Impfdatum
04.11.2021
Beginn
04.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Erythema Injection site erythema Injection site pruritus Injection site swelling Joint swelling Vaccine positive rechallenge

Symptomtext

Patient reporting itching, redness, and swelling on left upper arm around injection site extending toward her elbow. She received the booster on 11/4/21. The swelling and redness was localized to the injection site until 11/6/21. On the morning of 11/7/21 she noticed that the redness and swelling had moved down to her elbow. She had the same reaction with her 2nd Moderna vaccine as well. I instructed her to use ice, Benadryl and Tylenol to help her be more comfortable and decrease the irritation and swelling, as well as to watch the area and seek medical attention if it got worse.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site erythema
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
None
Vorgeschichte
Atrial Fibrillation
Andere Medikamente
Unknown
Allergien
None
Vorherige Impfungen
Moderna 2nd vaccine.

VAERS 1848955

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
-
Alter
35,0
Geschlecht
M
Eingang
06.11.2021
Impfdatum
06.11.2021
Beginn
06.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Feeling hot Hyperhidrosis Nausea Tunnel vision

Symptomtext

Patient received 3rd dose, booster Moderna. Within 30 seconds , patient felt very hot and diaphoretic, tunnel vision and nauseated. Patient transported from chair to wheelchair, then to gurney. Vitals signs taken: BP: 112/69, heart rate 18, O2 sat 97%, temp: 36.7. Patient symptoms started to subside upon lying on gurney for 5 to 10 minutes. Patient given apple juice and tolerated it well. VS taken again upon sitting up. BP: 113/71, heart rate 18, O2 sat 96-97%. Patient verbalized feeling better. Patient symptoms subsided after 40 minutes of observation. Patient able to walk out of the clinic without any problems.

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

VAERS 1848931

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
CA
Alter
67,0
Geschlecht
M
Eingang
06.11.2021
Impfdatum
03.11.2021
Beginn
04.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Arthralgia Disturbance in attention Fatigue Injection site pain Nausea Pain

Symptomtext

Joint and body pain, pain at injection site, fatigue, loss of mental focus, nausea.

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

VAERS 1840061

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
OK
Alter
78,0
Geschlecht
F
Eingang
03.11.2021
Impfdatum
02.11.2021
Beginn
03.11.2021
Tage bis Beginn
1,0
Dosis
N/A
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Influenza like illness Injection site swelling

Symptomtext

visible 4+ inch swollen area around injection site; mild flu-like symptoms

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

VAERS 1834456

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

mild
Staat
TX
Alter
67,0
Geschlecht
F
Eingang
01.11.2021
Impfdatum
30.10.2021
Beginn
01.11.2021
Tage bis Beginn
2,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Axillary pain Skin swelling

Symptomtext

PATIENT REPORTS HAVING PAIN IN LEFT ARMPIT AND A BUMP UNDER THE SKIN IN THE SAME LEFT ARM AS VACCINE WAS GIVEN. PATIENT SAID IT STARTED MONDAY MORNING AROUND 9:30AM AND HAS NOT TAKEN ANY MEDICATION OVER THE COUNTER.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Axillary pain
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
unknown
Vorgeschichte
diabetes
Andere Medikamente
glipizide
Allergien
Quinolones
Vorherige Impfungen
-

VAERS 2648384

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
FL
Alter
85,0
Geschlecht
F
Eingang
22.06.2023
Impfdatum
12.11.2021
Beginn
17.05.2023
Tage bis Beginn
551,0
Dosis
3
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Asthenia COVID-19 Mental status changes SARS-CoV-2 test positive

Symptomtext

Hospitalization: 5/17/2023 - 5/20/2023 (3 days) Presentation to the ED: weakness and AMS COVID + date: 5/17/2023 Treatment: antiviral remdesivir, bronchodilator therapy and oxygen therapy Discharge to: SNF. 011J20A 1/12/2021 028L20A 2/9/2021 066F21A 11/12/2021

Weitere VAERSDATA-Felder
Praegender Schweregrund
Asthenia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
CVA, elevated TSH, acute kidney injury, elevated CK
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2627743

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
WA
Alter
49,0
Geschlecht
F
Eingang
05.05.2023
Impfdatum
07.04.2021
Beginn
22.09.2022
Tage bis Beginn
533,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 immunisation SARS-CoV-2 test Suspected COVID-19

Symptomtext

SUSPECTED COVID-19 INFECTION; REVACCINATION WITH DIFFERENT COVID-19 VACCINE; This spontaneous report received from a patient via other company (Pfizer Inc.) concerned a 50 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included: scleroderma, gastroesophageal reflux disease (GERD), and allergy, and other pre-existing medical conditions included: The patient was not pregnant at the time of vaccination and had no history of past drug. The patient stated she was taking other medication or products within 2 weeks of starting covid-19 treatment (Paxlovid). The patient received first dose with covid-19 vaccine ad26.cov2.s (Dose number in series 1) (suspension for injection, route of admin not reported, batch number: 041A21A expiry: UNKNOWN) dose was not reported,1 total was administered on 07-APR-2021 to left arm for covid-19 prophylaxis. Age at time of vaccination 49 years old. Concomitant medications included amlodipine, hydroxychloroquine, and xantofyl (Lutein). It was unknown whether patient had any adverse events following vaccination with covid-19 vaccine ad26.cov2.s (Dose number in series 1). The patient additionally received 2 doses (second and third dose) with non-company suspect vaccine Moderna covid-19 vaccine, (elasomeran),(Dose number in series 2), (batch number: 066F21A expiry: UNKNOWN, form of admin, route of admin were not reported) dose was not reported, administered on 06-NOV-2021 to left arm, and (batch number: 065F21A expiry: UNKNOWN, form of admin, route of admin, and were not reported) dose was not reported, administered on 03-DEC-2021 to left arm for covid-19 prophylaxis. It was unknown whether patient had any adverse events following vaccination with 2 doses of Moderna covid-19 vaccine (elasomeran) (Dose number in series 2). The patient also received fourth dose with non-company suspect vaccine Pfizer biontech covid-19 vaccine (tozinameran) (Dose number in series 3) (form of admin, route of admin, and were not reported, batch number: FM7553 expiry: UNKNOWN) dose was not reported, administered on 26-MAY-2022 to left arm for covid-19 prophylaxis. It was unknown whether patient had any adverse events following vaccination with Pfizer biontech covid-19 vaccine (tozinameran) (Dose number in series 3). The patient also received fifth dose with non-company suspect vaccine Pfizer biontech covid-19 vaccine (tozinameran) (Dose number in series 4) (form of admin, route of admin, and batch number were not reported) dose was not reported, administered on 22-SEP-2022 for covid-19 prophylaxis which was associated with revaccination with different covid-19 vaccine (Dose number in series 4). On an unspecified date, the patient experienced suspected covid-19 infection (Dose number in series 4). The patient started taking treatment with non-company suspect drug Paxlovid (nirmatrelvir/ritonavir) (form of admin, route of admin, batch number and expiry date were not reported) dose and frequency were not reported from 17-APR-2023 to 22-APR-2023 for treatment of covid-19. On 23-APR-2023, (6 days after first dose of treatment with Paxlovid) and on 25-APR-2023 (8 days after first dose of treatment with Paxlovid), the patient was tested negative for rapid tests (COVID-19 rapid POC tests). On 28-APR-2023, (11 days after first dose of treatment with Paxlovid), symptoms had returned again (covid-19 rebound infection). The action taken with covid-19 vaccine ad26.cov2.s, elasomeran, tozinameran, and tozinameran was not applicable; and action taken with nirmatrelvir/ritonavir was not reported. The outcome of the suspected covid-19 infection and revaccination with different covid-19 vaccine was not reported. This report was non-serious.

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19 immunisation
Hospital-Tage
-
Labordaten
Test Date: 20230423; Test Name: COVID-19 RAPID TEST; Test Result: Negative ; Test Date: 20230425; Test Name: COVID-19 RAPID TEST; Test Result: Negative
Aktuelle Erkrankungen
Allergy; GERD; Scleroderma
Vorgeschichte
Comments: The patient was not pregnant at the time of vaccination and had no history of past drug. The patient stated she was taking other medication or products within 2 weeks of starting covid-19 treatment (Paxlovid).
Andere Medikamente
AMLODIPINE; HYDROXYCHLOROQUINE; LUTEIN [XANTOFYL]; PAXLOVID
Allergien
-
Vorherige Impfungen
-

VAERS 2539506

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
FL
Alter
89,0
Geschlecht
M
Eingang
21.12.2022
Impfdatum
07.11.2022
Beginn
04.12.2022
Tage bis Beginn
27,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Encephalopathy SARS-CoV-2 test positive

Symptomtext

Hospitalization: 12/4/2022 - 12/7/2022 (3 days) Presentation to the ED: acute encephalopathy. COVID + date: 12/4/2022 Treatment: IV dexamethasone and Remdesivir Discharge to: Home. 1. Moderna Lot # 030L20A 1/26/2021 2. Moderna Lot # 013M20A 2/23/2021 3. Moderna Lot # 066F21A 11/15/2021 4. Moderna Lot # 056M21A 4/24/2022 5. Moderna BiValent booster Lot # GH9702 11/7/2022

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
dementia, hypertension, afib, pacemaker, malignant neoplasm of the large intestine.
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2521354

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
-
Alter
-
Geschlecht
U
Eingang
02.12.2022
Impfdatum
09.03.2021
Beginn
30.10.2021
Tage bis Beginn
235,0
Dosis
2
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 COVID-19 immunisation SARS-CoV-2 test Vaccination failure

Symptomtext

CONFIRMED CLINICAL VACCINATION FAILURE; CONFIRMED COVID-19 INFECTION; REVACCINATION WITH DIFFERENT COVID-19 VACCINE; This spontaneous report received from a consumer via Pfizer concerned a patient of unspecified age, sex, race and ethnicity. Initial information was processed along with additional information on 30-NOV-2022. The patient's height, and weight were not reported. The patient's concurrent conditions included: drug allergy (tincture of benzoin). The patient received covid-19 vaccine ad26.cov2.s (Dose number in series 1) (suspension for injection, route of admin not reported, batch number: 1805020 expiry: UNKNOWN) dose was not reported, 1 total, administered to right arm on 09-MAR-2021 13:00 for covid-19 prophylaxis. Concomitant medications included simvastatin for an unknown indication The patient additionally received non-company suspect covid-19 vaccine (Moderna, Spikevax) elasomeran (Dose number in series 2) (form of admin, route of admin were not reported, batch number: 066F21A, expiry: UNKNOWN) dose was not reported, administered to right arm on 30-OCT-2021 16:00 for covid-19 prophylaxis, which was revaccination with different covid-19 vaccine (Dose number in series 2). It was unknown whether patient had any adverse event post covid-19 vaccine (Moderna, Spikevax) (Dose number in series 2). The patient additionally received non-company suspect covid-19 vaccine (Pfizer biontech covid-19 vaccine) tozinameran (Dose number in series 3) (form of admin, route of admin were not reported, batch number: FP7139 expiry: UNKNOWN) dose was not reported, administered to left arm on 08-AUG-2022 16:00 for covid-19 prophylaxis. On an unspecified date, the patient experienced covid-19 (confirmed covid-19 infection) (Dose number in series 3) and hence confirmed clinical vaccination failure (Dose number in series 1). The patient received non-company suspect Paxlovid (Nirmatrelvir/ritonavir) (form of admin, route of admin were not reported, batch number: unknown, expiry: UNKNOWN) dose was not reported, administered from 29-OCT-2022 to 02-NOV-2022 for covid-19 treatment. On 04-NOV-2022, 2 days after completion of Paxlovid, the patient tested negative for covid via Home Binax Now test. On 05-NOV-2022, Laboratory data included: COVID-19 virus test Negative. On 06-NOV-2022, Laboratory data included: COVID-19 virus test Negative. On 07-NOV-2022, Laboratory data included: COVID-19 virus test Negative. On 08-NOV-2022, at 07:00 the patient tested positive and symptoms returned, symptoms included headache, chills, congestion, tightness in chest and cough. Laboratory data included: COVID-19 virus test Positive. The action taken with covid-19 vaccine ad26.cov2.s, elasomeran, and tozinameran was not applicable and with paxlovid treatment discontinued. The patient had not recovered from confirmed covid-19 infection, and the outcome of confirmed clinical vaccination failure and revaccination with different covid-19 vaccine was not reported. This report was serious (Other Medically Important Condition). This report was associated with product quality complaint: 90000261269.; Sender's Comments: V0: 20221163593-confirmed clinical vaccination failure. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event. Specifically: SPECIAL SITUATIONS. Therefore, this event is considered inconsistent with vaccine administration.

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19
Hospital-Tage
-
Labordaten
Test Date: 20221104; Test Name: HOME BINAX NOW TEST; Test Result: Negative ; Test Date: 20221105; Test Name: COVID-19 VIRUS TEST; Test Result: Negative ; Test Date: 20221106; Test Name: COVID-19 VIRUS TEST; Test Result: Negative ; Test Date: 20221107; Test Name: COVID-19 VIRUS TEST; Test Result: Negative ; Test Date: 20221108; Test Name: COVID-19 VIRUS TEST; Test Result: Positive
Aktuelle Erkrankungen
Drug allergy (TINCTURE OF BENZOIN)
Vorgeschichte
-
Andere Medikamente
ZOCOR
Allergien
-
Vorherige Impfungen
-

VAERS 2517092

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CA
Alter
59,0
Geschlecht
F
Eingang
26.11.2022
Impfdatum
23.11.2021
Beginn
-
Tage bis Beginn
-
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Biopsy COVID-19 immunisation Interchange of vaccine products Magnetic resonance imaging Melanoma recurrent

Symptomtext

I received the Moderna booster, then 2 months later was noted on surveillance MRI of another local recurrence; Interchange of vaccine products; Revaccination with different COVID-19 vaccine; This spontaneous case was reported by a physician and describes the occurrence of MELANOMA RECURRENT (I received the Moderna booster, then 2 months later was noted on surveillance MRI of another local recurrence) in a 59-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below. Co-suspect product included non-company product TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) for an unknown indication. Patient medical history, concomitant disease, risk factor included melanoma, s/p resection x2. Was treated with Inhibitors of the immune checkpoint inhibitor concomittantly The patient did not had any additional medical history, concomitant disease or risk factor. There were no additional lab data/results available. Concurrent medical conditions included Melanoma. On 23-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On an unknown date, the patient received dose of TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) (unknown route) 1 dosage form. On an unknown date, received dose of TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced MELANOMA RECURRENT (I received the Moderna booster, then 2 months later was noted on surveillance MRI of another local recurrence) (seriousness criterion medically significant), INTERCHANGE OF VACCINE PRODUCTS (Interchange of vaccine products) and COVID-19 IMMUNISATION (Revaccination with different COVID-19 vaccine). On 21-Feb-2022, MELANOMA RECURRENT (I received the Moderna booster, then 2 months later was noted on surveillance MRI of another local recurrence) had resolved. At the time of the report, INTERCHANGE OF VACCINE PRODUCTS (Interchange of vaccine products) and COVID-19 IMMUNISATION (Revaccination with different COVID-19 vaccine) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Biopsy: Inconclusive. On an unknown date, Magnetic resonance imaging: Inconclusive. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No Concomitant medications were provided. Patient was a physician and received two initial doses of Pfizer 2 months later, patient was found to had a local recurrence of melanoma. It was removed 6 months later. Patient received the Moderna booster, then 2 months later was noted on surveillance MRI of another local recurrence. Medication Details and reason for taking the medicine included surgical resection. Company Comment: This spontaneous case of Interchange of vaccine products concerns a 59-year-old female patient, with relevant medical history of Melanoma, who experienced the unexpected serious (medically significant) event of Melanoma recurrent. The event occurred approximately 2 months after receiving the third dose of mRNA-1273 Vaccine. It was reported that patient received two initial doses of Pfizer. Two months later, patient was found to have a local recurrence of melanoma that was removed 6 months later. After booster dose of Moderna, patient was noted on surveillance MRI to have another local recurrence. Diagnostic tests - MRI and Biopsy were reported as inconclusive. Treatment included surgical resection. The outcome of the event was reported as resolved. The patient's medical history of Melanoma (with recurrence after Pfizer vaccination) remain as a confounder for the occurrence of the event. The benefit-risk relationship of mRNA-1273 Vaccine is not affected by this report.; Sender's Comments: This spontaneous case of Interchange of vaccine products concerns a 59-year-old female patient, with relevant medical history of Melanoma, who experienced the unexpected serious (medically significant) event of Melanoma recurrent. The event occurred approximately 2 months after receiving the third dose of mRNA-1273 Vaccine. It was reported that patient received two initial doses of Pfizer. Two months later, patient was found to have a local recurrence of melanoma that was removed 6 months later. After booster dose of Moderna, patient was noted on surveillance MRI to have another local recurrence. Diagnostic tests - MRI and Biopsy were reported as inconclusive. Treatment included surgical resection. The outcome of the event was reported as resolved. The patient's medical history of Melanoma (with recurrence after Pfizer vaccination) remain as a confounder for the occurrence of the event. The benefit-risk relationship of mRNA-1273 Vaccine is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Biopsy
Hospital-Tage
-
Labordaten
Test Name: Biopsy test; Test Result: Inconclusive ; Test Name: MRI; Test Result: Inconclusive
Aktuelle Erkrankungen
Melanoma
Vorgeschichte
Comments: Patient medical history, concomitant disease, risk factor included melanoma, s/p resection x2. Was treated with Inhibitors of the immune checkpoint inhibitor concomittantly The patient did not had any additional medical history, concomitant disease or risk factor. There were no additional lab data/results available.
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2503431

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
64,0
Geschlecht
M
Eingang
09.11.2022
Impfdatum
03.12.2021
Beginn
15.01.2022
Tage bis Beginn
43,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: unbekannt Erholt: nein
Amyotrophic lateral sclerosis Electromyogram Limb immobilisation Magnetic resonance imaging Muscular weakness Peripheral nerve decompression

Symptomtext

Weakness in left index finger and thumb, followed by complete immobiliy of left hand, followed by no improvement for months, followed by EMG and cubital tunnel release on 8-16-2022 with no improvement in hand mobility, followed by patient of Neurosciences Clinic 10-5-22, followed by MRI and EMG at Univ. Utah on 10-28-22, followed by diagnosis of probable ALS, sent to Neurosciences ALS Clinic 11-30-2022.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Amyotrophic lateral sclerosis
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
type 1 diabetes for 48 years
Andere Medikamente
novolog, tresiba, quinapril, levothyroxin, B12 complex, omega3
Allergien
-
Vorherige Impfungen
-

VAERS 2501927

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066f21a

gering
Staat
KY
Alter
83,0
Geschlecht
M
Eingang
08.11.2022
Impfdatum
22.11.2021
Beginn
27.10.2022
Tage bis Beginn
339,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Unevaluable event

Symptomtext

Admitted to hospital

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

VAERS 2483633

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CA
Alter
30,0
Geschlecht
M
Eingang
20.10.2022
Impfdatum
19.11.2021
Beginn
19.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: unbekannt Erholt: nein
COVID-19 immunisation Interchange of vaccine products Rheumatoid arthritis

Symptomtext

Seronegative rheumatoid arthritis; Revaccination with different COVID-19 vaccine; Interchange of vaccine products; This spontaneous case was reported by a physician and describes the occurrence of RHEUMATOID ARTHRITIS (Seronegative rheumatoid arthritis) in a 30-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) for COVID-19. The occurrence of additional non-serious events is detailed below. Previously administered products included for Product used for unknown indication: Pfizer (Dose Number: 1 Batch/Lot No: EK5730 Anatomical location: Left arm Route of Administration: Intramuscular) on 21-Dec-2020 and Pfizer (Dose Number: 2 Batch/Lot No: EL3246 Anatomical location: Left arm Route of Administration: Intramuscular) on 11-Jan-2021. Past adverse reactions to the above products included No adverse event with Pfizer and Pfizer. Concurrent medical conditions included Drug allergy (Unknown historical drug). On 19-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Nov-2021, the patient experienced COVID-19 IMMUNISATION (Revaccination with different COVID-19 vaccine) and INTERCHANGE OF VACCINE PRODUCTS (Interchange of vaccine products). On 25-Jan-2022, the patient experienced RHEUMATOID ARTHRITIS (Seronegative rheumatoid arthritis) (seriousness criteria disability and medically significant). The patient was treated with METHOTREXATE at an unspecified dose and frequency and PREDNISONE at an unspecified dose and frequency. On 19-Nov-2021, COVID-19 IMMUNISATION (Revaccination with different COVID-19 vaccine) and INTERCHANGE OF VACCINE PRODUCTS (Interchange of vaccine products) had resolved. At the time of the report, RHEUMATOID ARTHRITIS (Seronegative rheumatoid arthritis) had not resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medication information was provided. Events Arthritis and Hand deformity subsumed under the event Rheumatoid arthritis The patient was not diagnosed with COVID-19. It was unknown the patient had been tested for COVID-19 since the vaccination Device Date : 13-Oct-2022 Company Comment: This is a spontaneous case concerning a 30 year-old, male patient with no reported medical history, who experienced the serious (due to medically important condition and disability) unexpected, AESI of Rheumatoid arthritis, which occurred approximately 2 months after the mRNA-1273 vaccine, received as the third dose of COVID-19 vaccination schedule. Patient reported Inflammatory joints and hand deformities and was diagnosed as seronegative rheumatoid arthritis. He received treatment with Methotrexate and Prednisone. The outcome was reported as not recovered. Additionally, Interchange of vaccine products and Revaccination with different COVID-19 vaccine (vaccination with two doses of COVID-19 vaccine Tozinameran) was noted in the case. No further clinical information was available for medical review. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.; Sender's Comments: This is a spontaneous case concerning a 30 year-old, male patient with no reported medical history, who experienced the serious (due to medically important condition and disability) unexpected, AESI of Rheumatoid arthritis, which occurred approximately 2 months after the mRNA-1273 vaccine, received as the third dose of COVID-19 vaccination schedule. Patient reported Inflammatory joints and hand deformities and was diagnosed as seronegative rheumatoid arthritis. He received treatment with Methotrexate and Prednisone. The outcome was reported as not recovered. Additionally, Interchange of vaccine products and Revaccination with different COVID-19 vaccine (vaccination with two doses of COVID-19 vaccine Tozinameran) was noted in the case. No further clinical information was available for medical review. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.

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Praegender Schweregrund
COVID-19 immunisation
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Drug allergy (Unknown historical drug)
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2448840

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066f21a

gering
Staat
KY
Alter
81,0
Geschlecht
M
Eingang
17.09.2022
Impfdatum
17.09.2021
Beginn
05.09.2022
Tage bis Beginn
353,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Unevaluable event

Symptomtext

Admitted to hospital.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Unevaluable event
Hospital-Tage
4,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2440972

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
-
Alter
82,0
Geschlecht
U
Eingang
12.09.2022
Impfdatum
16.11.2021
Beginn
07.09.2022
Tage bis Beginn
295,0
Dosis
4
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: ja
COVID-19

Symptomtext

HOSPITALIZED WITH COVID

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Praegender Schweregrund
COVID-19
Hospital-Tage
3,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2360916

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CA
Alter
73,0
Geschlecht
M
Eingang
07.07.2022
Impfdatum
27.11.2021
Beginn
27.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: unbekannt
COVID-19

Symptomtext

Patient developed COVID-19 post vaccinations.

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

VAERS 2356018

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
-
Alter
44,0
Geschlecht
M
Eingang
03.07.2022
Impfdatum
08.04.2021
Beginn
14.11.2021
Tage bis Beginn
220,0
Dosis
2
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 Interchange of vaccine products Nucleic acid test SARS-CoV-2 test

Symptomtext

Experienced COVID-19 symptoms/COVID -19 infection; Interchange of vaccine products; This spontaneous case was reported by a patient and describes the occurrence of COVID-19 (Experienced COVID-19 symptoms/COVID -19 infection) in a 44-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) for Prophylactic vaccination. The occurrence of additional non-serious events is detailed below. Co-suspect product included non-company product COVID-19 VACCINE NRVV AD26 (JNJ 78436735) (JANSSEN COVID-19 VACCINE) for Prophylactic vaccination. Concurrent medical conditions included Allergy. On 08-Apr-2021, the patient received first dose of COVID-19 VACCINE NRVV AD26 (JNJ 78436735) (JANSSEN COVID-19 VACCINE) (unknown route) 1 dosage form. On 14-Nov-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Nov-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced INTERCHANGE OF VACCINE PRODUCTS (Interchange of vaccine products). On 10-May-2022, the patient experienced COVID-19 (Experienced COVID-19 symptoms/COVID -19 infection) (seriousness criterion medically significant). The patient was treated with NIRMATRELVIR, RITONAVIR (PAXLOVID) from 11-May-2022 to 16-May-2022 for COVID-19 treatment, at an unspecified dose and frequency. At the time of the report, COVID-19 (Experienced COVID-19 symptoms/COVID -19 infection) had not resolved and INTERCHANGE OF VACCINE PRODUCTS (Interchange of vaccine products) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 11-May-2022, Nucleic acid test: positive (Positive) Positive. On 20-May-2022, SARS-CoV-2 test: negative (Negative) Negative. On 23-May-2022, SARS-CoV-2 test: positive (Positive) Positive. The age at the time of COVID-19 vaccine Janssen was 43 years. The date of birth of patient was reported as unknown date Jun-1977. No concomitant medication was provided by reporter. On 10-May-2022 approximately 13 months after Janssen vaccine, clinical vaccine failure happened. For Janssen, reporter causality was possible, causality as per Mfr. was possible. This report was associated with product quality complaint: 90000234197 Company comment-This spontaneous case concerns a male patient aged 44 years with no relevant medical history reported, who experienced the unexpected serious medically significant AESI of Covid 19 approximately 177 days after receiving a dose (2nd dose) of mRNA-1273 vaccine in the covid 19 vaccination series. Additionally Interchange of vaccine products was noted as patient had received a dose of vaccination with co suspect JANSSEN COVID-19 VACCINE 220 days prior to current vaccination. Patient had initial covid -19 symptoms, next day Nucleic acid amplification test was positive, started treatment with Paxlovid for 6 days. Outcome of the event Covid 19 was not resolved at the time of report. The current pandemic situation of COVID 19 may remain as confounder to the event Covid-19. The benefit-risk relationship of mRNA-1273 Vaccine is not affected by this report. Event seriousness assessed as per medical judgement.; Sender's Comments: This spontaneous case concerns a male patient aged 44 years with no relevant medical history reported, who experienced the unexpected serious medically significant AESI of Covid 19 approximately 177 days after receiving a dose (2nd dose) of mRNA-1273 vaccine in the covid 19 vaccination series. Additionally Interchange of vaccine products was noted as patient had received a dose of vaccination with co suspect JANSSEN COVID-19 VACCINE 220 days prior to current vaccination. Patient had initial covid -19 symptoms, next day Nucleic acid amplification test was positive, started treatment with Paxlovid for 6 days. Outcome of the event Covid 19 was not resolved at the time of report. The current pandemic situation of COVID 19 may remain as confounder to the event Covid-19. The benefit-risk relationship of mRNA-1273 Vaccine is not affected by this report. Event seriousness assessed as per medical judgement.

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19
Hospital-Tage
-
Labordaten
Test Date: 20220511; Test Name: Nucleic acid amplification tests; Test Result: Positive ; Result Unstructured Data: Positive; Test Date: 20220520; Test Name: COVID-19 antigen test; Test Result: Negative ; Result Unstructured Data: Negative; Test Date: 20220523; Test Name: COVID-19 antigen test; Test Result: Positive ; Result Unstructured Data: Positive
Aktuelle Erkrankungen
Allergy
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2318849

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
FL
Alter
80,0
Geschlecht
M
Eingang
14.06.2022
Impfdatum
07.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered No adverse event

Symptomtext

Lot # expiration date had been extended. Vaccine had remained in the freezer until date of administration but was given 4 days past expiration date. Moderna was consulted and they deemed the vaccine viable so revaccination was not necessary. No adverse side effects were reported by the patient.

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

VAERS 2317632

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
70,0
Geschlecht
M
Eingang
13.06.2022
Impfdatum
05.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered No adverse event

Symptomtext

Expiration date for the lot# had been extended, vaccine remained frozen until date of administration. Vaccine was given 2 days past expiration date. Moderna consulted and deemed the vaccine viable so revaccination is not necessary. No adverse side effects were reported by patient.

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

VAERS 2317630

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
77,0
Geschlecht
M
Eingang
13.06.2022
Impfdatum
05.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered No adverse event

Symptomtext

Lot # had extended expiration date and vaccine had remained frozen until date of administration but was given 2 days past expiration date. Moderna consulted and deemed the vaccine viable so revaccination was not necessary. No adverse side effects were reported from patient.

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

VAERS 2317627

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
69,0
Geschlecht
M
Eingang
13.06.2022
Impfdatum
05.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered

Symptomtext

Lot # expiration date had been extended and vaccine remained frozen until date of administration. Vaccine was given 2 days past expiration date. Moderna consulted and deemed the vaccine viable so revaccination was not necessary. No adverse side effects were reported by patient.

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

VAERS 2317623

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
66,0
Geschlecht
F
Eingang
13.06.2022
Impfdatum
05.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered No adverse event

Symptomtext

Expiration date for lot # had been extended and vaccine had remained frozen until date of administration. Vaccine was given 2 days past expiration date. Moderna consulted and deemed the vaccine viable so revaccination is not necessary. No adverse side effects were reported by patient.

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

VAERS 2317620

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
61,0
Geschlecht
F
Eingang
13.06.2022
Impfdatum
05.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered No adverse event

Symptomtext

Expiration for that lot # had been extended and vaccine remained frozen until date of administration but vaccine was given 2 days past expiration date. Moderna consulted and deemed the vaccine viable so revaccination was not necessary. No adverse side effects were reported from patient.

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

VAERS 2317616

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
WY
Alter
69,0
Geschlecht
M
Eingang
13.06.2022
Impfdatum
05.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered No adverse event

Symptomtext

Expiration date for vaccine lot 3 had been extended and vaccine remained frozen until date of administration. Vaccine was given 2 days past expiration date. Moderna consulted and deemed the vaccine viable so revaccination was not necessary. No adverse effects were reported by patient.

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

VAERS 2317477

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
90,0
Geschlecht
M
Eingang
13.06.2022
Impfdatum
05.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered No adverse event

Symptomtext

Lot 3 expiration had been extended and vaccine had remained in freezer until date of administration. Vaccine was given 2 days past expiration date. Moderna was consulted and deemed the vaccine viable so revaccination was not necessary. No adverse side effects were reported by patient.

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

VAERS 2317471

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
83,0
Geschlecht
F
Eingang
13.06.2022
Impfdatum
05.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered No adverse event

Symptomtext

Vaccine had extended lot # and had remained frozen until date of administration. vaccine was given 2 days past expiration date. Moderna consulted and deemed the vaccine viable so revaccination was not necessary. No adverse side effects were reported by patient.

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

VAERS 2317467

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
73,0
Geschlecht
M
Eingang
13.06.2022
Impfdatum
05.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered No adverse event

Symptomtext

Expiration date for lot # had been extended and vaccine had remained in the freezer until date of administration but was administered 2 days past expiration date. Moderna consulted and deemed the vaccine viable so revaccination was not necessary. No adverse side effects were reported by the patient.

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

VAERS 2317402

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
88,0
Geschlecht
F
Eingang
13.06.2022
Impfdatum
05.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
4
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered No adverse event

Symptomtext

Lot # exp had been extended and vaccine remained frozen until date of administration but was given 2 days past exp date. Moderna consulted and deemed the vaccine viable so no revaccination was needed. No adverse side effects were reported by patient.

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

VAERS 2317387

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21 A

gering
Staat
ID
Alter
82,0
Geschlecht
M
Eingang
13.06.2022
Impfdatum
05.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered No adverse event

Symptomtext

Vaccine lot # had been extended and vaccine had remained frozen until date of administration but was given 2 days after expiration date. Moderna consulted and deemed the vaccine viable so revaccination was not necessary. no adverse side effects were reported by patient.

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

VAERS 2317378

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
WY
Alter
69,0
Geschlecht
M
Eingang
13.06.2022
Impfdatum
05.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
4
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered No adverse event

Symptomtext

Lot # expiration had been extended and vaccine had remained frozen until date of administration but was given 2 days past expiration date. Moderna consulted and deemed the vaccine viable so revaccination was not necessary. No adverse side effects reported by Patient.

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

VAERS 2317372

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
70,0
Geschlecht
M
Eingang
13.06.2022
Impfdatum
05.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered

Symptomtext

Lot # exp date had been extended and vaccine remained frozen until date of administration. Vaccine was given 2 days past expiration date. Modena consulted and they deemed the vaccine viable so revaccination was not needed. No adverse side effects were reported by Patient.

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

VAERS 2317363

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
84,0
Geschlecht
U
Eingang
13.06.2022
Impfdatum
05.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered No adverse event

Symptomtext

Lot # had been extended and vaccine had remained in freezer until date of administration. Vaccine was given 2 days after exp. date. Moderna consulted and deemed the vaccine still viable so revaccination was not neccesary. No adverse effects reported by patient.

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

VAERS 2317356

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
71,0
Geschlecht
M
Eingang
13.06.2022
Impfdatum
05.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered No adverse event

Symptomtext

Lot # expiration had been extended and vaccine had remained in freezer until day of administration. Vaccine was given 2 days past expiration date, Moderna consulted and they deemed the vaccine viable so revaccination was not required. No adverse effects reported by patient.

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

VAERS 2317347

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
66,0
Geschlecht
M
Eingang
13.06.2022
Impfdatum
05.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered No adverse event

Symptomtext

Lot # expiration had been extended. Vaccine remained frozen until date of administration but accidentally given 2 days past expiration. Moderna was consulted and they deemed the vaccine still viable so revaccination was not necessary. No adverse side effects were reported by patient.

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

VAERS 2317229

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
70,0
Geschlecht
F
Eingang
13.06.2022
Impfdatum
05.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered No adverse event

Symptomtext

Vaccine lot # had been extended and had remained frozen until date of administration. Was given 2 days post expiration date. Moderna consulted and they deemed the vaccine still viable so revaccination was not required. Patient did not report any adverse side effects.

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

VAERS 2317195

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
IA
Alter
92,0
Geschlecht
M
Eingang
13.06.2022
Impfdatum
05.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered No adverse event

Symptomtext

Vaccine lot # had been extended and had remained frozen until date of administration but was administered 2 days past expiration date. Moderna consulted and they deemed the vaccine still viable so no revaccination was required. Pt did not report any adverse side effects.

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

VAERS 2317183

UNKNOWN MANUFACTURER · VACCINE NOT SPECIFIED (NO BRAND NAME) · Charge 066F21A

gering
Staat
FL
Alter
75,0
Geschlecht
F
Eingang
13.06.2022
Impfdatum
07.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
4
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered No adverse event

Symptomtext

Vaccine expiration date was extended to 4/3/22 and had been kept frozen up until date of administration which was 4/7/22. Moderna contacted and Moderna advised that vaccine was still viable and no revaccination was necessary. No adverse side effects were reported from patient.

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

VAERS 2316407

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
F
Eingang
11.06.2022
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

Symptomtext

Expired vaccine administered; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) 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 EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medication was not reported. Expired vaccine was administered to total of 24 patients including 15 males and 9 females. It was reported administrations were mostly for booster shots. No side effects were reported. Treatment medication was not provided.

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

VAERS 2316404

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
M
Eingang
11.06.2022
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

Symptomtext

Expired vaccine administered; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) 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 EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.* No concomitant medication was reported. It was reported that vaccine was administered to total of 24 patients including 15 males and 9 females. HCP reported administrations were mostly for booster shots. No side effects reported. No treatment information were reported.

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

VAERS 2315194

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
F
Eingang
10.06.2022
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

Symptomtext

Expired vaccine administered; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) 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 EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No Concomitant medications were reported. HCP reported vial with lot(066F21A) which was expired on 3-Apr-2022.was administered to total of 24 patients including 15 males and 9 females. HCP reports administrations were mostly for booster shots. No side effects was 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 2315192

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
M
Eingang
10.06.2022
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

Symptomtext

Expired vaccine administered; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) 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 EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication was reported. It was reported that the administrations were done mostly for booster shots. No side effects 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 2315191

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
M
Eingang
10.06.2022
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

Symptomtext

Vial which was expired on 3Apr2022 was administered to patients; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Vial which was expired on 3Apr2022 was administered to patients) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) 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 EXPIRED PRODUCT ADMINISTERED (Vial which was expired on 3Apr2022 was administered to patients). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Vial which was expired on 3Apr2022 was administered to patients) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medication information was provided by the reporter. Expired vaccine was administered to total of 24 patients including 15 males and 9 females. It was reported administrations were mostly for booster shots. No side effects were reported for the patient. No treatment information was provided by the reporter.

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

VAERS 2315190

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
M
Eingang
10.06.2022
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

Symptomtext

Expired vaccine administered; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) 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 EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No Concomitant medications were provided. It was reported that total of 24 patients including 15 males and 9 females were administered expired vaccine which were mostly for booster shots. No other side effects were reported. No treatment medications were provided.

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

VAERS 2315188

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
M
Eingang
10.06.2022
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

Symptomtext

Expired vaccine administered; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) 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 EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant product was provided by the reporter. Reported that no side effects was reported . No treatment medication was provided.

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

VAERS 2314992

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
F
Eingang
10.06.2022
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

Symptomtext

Expired vaccine administered; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) 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 EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication was reported. No side effects was reported. No treatment medication was reported.

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

VAERS 2314991

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
F
Eingang
10.06.2022
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

Symptomtext

Expired vaccine administered; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) 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 EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications was reported. No treatment information was reported It was reported that vaccine administered to total of 24 patients including 15 males and 9 females. HCP reports administrations were mostly for booster shots. No side effects was reported. .

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

VAERS 2314990

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
F
Eingang
10.06.2022
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

Symptomtext

Expired vaccine administered; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) 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 EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medication was not reported. Expired vaccine was administered to total of 24 patients including 15 males and 9 females. It was reported administrations were mostly for booster shots. No side effects 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 2314989

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
F
Eingang
10.06.2022
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

Symptomtext

Expired vaccine administered; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) 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 EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. It was reported that vaccine was administered to total of 24 patients including 15 males and 9 females and were mostly for booster shots. No side effects was reported 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 2314988

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
F
Eingang
10.06.2022
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

Symptomtext

Expired vaccine administered; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) 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 EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No Concomitant product use was reported. The reporter stated that the patient was administered booster shot from the vial which was expired on 3-Apr-2022. No side effects 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 2314987

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
F
Eingang
10.06.2022
Impfdatum
-
Beginn
-
Tage bis Beginn
-
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered

Symptomtext

vial with lot(066F21A) which was expired on 3-Apr-2022 was administered; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (vial with lot(066F21A) which was expired on 3-Apr-2022 was administered) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced EXPIRED PRODUCT ADMINISTERED (vial with lot(066F21A) which was expired on 3-Apr-2022 was administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (vial with lot(066F21A) which was expired on 3-Apr-2022 was administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. No treatment details were reported. No side effects were reported after vaccination.

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

VAERS 2314986

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
F
Eingang
10.06.2022
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

Symptomtext

Expired vaccine administered; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) 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 EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant drugs were not reported. It was reported that total of 24 patients including 15 males and 9 females were administered expired vaccine which were mostly for booster shots. No other side effects were reported. Treatment medications were not provided.

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

VAERS 2314985

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
M
Eingang
10.06.2022
Impfdatum
03.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
UNK
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered

Symptomtext

Expired vaccine administered; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) for COVID-19 vaccination. No Medical History information was reported. On 03-Apr-2022, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were provided by the reporter. It was reported that vaccine expired on 3 Apr 2022 was administered to total of 24 patients including 15 males and 9 females. The administrations were mostly for booster shots. No side effects was reported. No treatment information was provided by the reporter.

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

VAERS 2314982

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
M
Eingang
10.06.2022
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

Symptomtext

Expired vaccine administered; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) 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 EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. Vaccine was administered to total of 24 patients including 15 males and 9 females. HCP reported administrations were mostly for booster shots. No side effects 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 2314975

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
M
Eingang
10.06.2022
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

Symptomtext

Expired vaccine administered; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) 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 EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. Expired vaccine was administered to total 24 patients including 15 males and 9 females. It was reported that administrations were mostly for booster shots. No side effects were reported for the patient. 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 2314972

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
M
Eingang
10.06.2022
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

Symptomtext

Expired vaccine administered; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) 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 EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. It was reported that vaccine administered to total 24 patients including 15 males and 9 females, mostly for booster shots. No side effects was reported. No concomitant medications was reported. No treatment medications was reported.

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

VAERS 2314970

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
M
Eingang
10.06.2022
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

Symptomtext

This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) 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 EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. It was reported that vaccine administered to total 24 patients including 15 males and 9 females. No concomitant medications was reported. HCP reported administrations were mostly for booster shots. No treatment medications was reported. No side effects was reported.

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

VAERS 2314968

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
M
Eingang
10.06.2022
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

Symptomtext

Expired vaccine administered; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) 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 EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. It was reported that vaccine administered to total of 24 patients including 15 males and 9 females, mostly for booster shots. No side effects was reported No concomitant medication was reported. No treatment medication was reported.

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

VAERS 2314967

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
M
Eingang
10.06.2022
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

Symptomtext

vial which was expired on 3-Apr-2022 was administered; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (vial which was expired on 3-Apr-2022 was administered) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) 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 EXPIRED PRODUCT ADMINISTERED (vial which was expired on 3-Apr-2022 was administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (vial which was expired on 3-Apr-2022 was administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter. It was reported that a vial which had expired on 03-Apr-2022 was administered to total of 24 patients which included 15 males and 9 females, the administrations were mostly for booster shots and no side effects were reported. Treatment information was not provided.

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

VAERS 2314966

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
M
Eingang
10.06.2022
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

Symptomtext

Expired vaccine administered; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) 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 EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant drug was reported. It was reported that vial that was expired on 03-Apr-2022 was administered to total of 24 patients including 15 males and 9 females. Health care professional reported administrations were mostly for booster shots. No side effects was reported. No treatment drug was reported.

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

VAERS 2314965

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
M
Eingang
10.06.2022
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

Symptomtext

Expired vaccine administered; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) 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 EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medication of the patient was not reported. Expired vaccine was administered to total of 24 patients including 15 males and 9 females. It was reported administrations were mostly for booster shots. No side effects were reported for the patient. No treatment information was provided by the reporter.

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

VAERS 2314962

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
-
Geschlecht
M
Eingang
10.06.2022
Impfdatum
-
Beginn
-
Tage bis Beginn
-
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered

Symptomtext

Expired vaccine administered; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication was reported. It was reported that vaccine was administered to total of 24 patients including 15 males and 9 females. HCP reported administrations were mostly for booster shots. No side effects reported. No treatment information were reported.

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

VAERS 2314519

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
89,0
Geschlecht
M
Eingang
09.06.2022
Impfdatum
07.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
4
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered No adverse event Product storage error

Symptomtext

Vaccine had expiration date of 4/3/22 but was kept frozen until date of administration. Moderna contacted and deemed the vaccine viable and repeat dose not needed. No adverse event to report.

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

VAERS 2314514

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
80,0
Geschlecht
F
Eingang
09.06.2022
Impfdatum
07.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered

Symptomtext

Vaccine had expired on 4/3/22. Moderna was contacted and since vaccine had been frozen up until date of administration, it was deemed viable and redosing was not needed.

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

VAERS 2314378

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
AS
Alter
33,0
Geschlecht
M
Eingang
09.06.2022
Impfdatum
07.04.2022
Beginn
-
Tage bis Beginn
-
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Expired product administered

Symptomtext

Vaccine had expired on 4/3/22. Moderna was contacted and since vaccine had been frozen up until date of administration, it was deemed viable and redosing was not needed.

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

VAERS 2306276

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
-
Alter
-
Geschlecht
U
Eingang
02.06.2022
Impfdatum
18.11.2021
Beginn
25.05.2022
Tage bis Beginn
188,0
Dosis
3
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dysgeusia

Symptomtext

Bad / metallic taste for a few hours after taking a dose; This spontaneous case was reported by a consumer and describes the occurrence of DYSGEUSIA (Bad / metallic taste for a few hours after taking a dose) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) for COVID-19 vaccination. Co-suspect product included non-company product NIRMATRELVIR, RITONAVIR (PAXLOVID) for COVID-19 treatment. Previously administered products included for Product used for unknown indication: Pfizer / BioNTech (Dose Number: 2 Batch/Lot No: EW0153 Location of injection: Arm Left) on 07-Apr-2021 and Pfizer / BioNTech (Dose Number: 1 Batch/Lot No: EP7534 Location of injection: Arm Left) on 17-Mar-2022. Past adverse reactions to the above products included No adverse event with Pfizer / BioNTech and Pfizer / BioNTech. Concurrent medical conditions included Allergy (No product reported). On 18-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 25-May-2022, the patient started NIRMATRELVIR, RITONAVIR (PAXLOVID) (unknown route) at an unspecified dose. On 25-May-2022, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced DYSGEUSIA (Bad / metallic taste for a few hours after taking a dose). At the time of the report, DYSGEUSIA (Bad / metallic taste for a few hours after taking a dose) outcome was unknown. No concomitant medications were reported. Patient was not taking any other medications/products within 2 weeks of starting COVID-19 treatment. Device Date was reported as 27-May-2022 No treatment medications were reported.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dysgeusia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Allergy (No product reported.)
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2303099

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CA
Alter
44,0
Geschlecht
M
Eingang
31.05.2022
Impfdatum
14.11.2021
Beginn
11.05.2022
Tage bis Beginn
178,0
Dosis
2
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
COVID-19 Nucleic acid test SARS-CoV-2 test

Symptomtext

Initial covid symptoms 5/10 (positive NAAT (Cue) test 5/11), started paxlovid on 5/11. Symptom free by 5/14/ Mild cold-like symptoms starting again 5/22, positive antigen test 5/23.; This spontaneous case was reported by a patient and describes the occurrence of COVID-19 (Initial covid symptoms 5/10 (positive NAAT (Cue) test 5/11), started paxlovid on 5/11. Symptom free by 5/14/ Mild cold-like symptoms starting again 5/22, positive antigen test 5/23.) in a 44-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) for COVID-19 vaccination. Previously administered products included for Product used for unknown indication: Janssen (Dose No 1; Batch No 201A21A; Location Arm Left.) on 08-Apr-2021. Past adverse reactions to the above products included No adverse event with Janssen. Concurrent medical conditions included Allergy. Concomitant products included NIRMATRELVIR, RITONAVIR (PAXLOVID) from 11-May-2022 to 16-May-2022 for COVID-19 treatment. On 14-Nov-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-May-2022, the patient experienced COVID-19 (Initial covid symptoms 5/10 (positive NAAT (Cue) test 5/11), started paxlovid on 5/11. Symptom free by 5/14/ Mild cold-like symptoms starting again 5/22, positive antigen test 5/23.). On 14-May-2022, COVID-19 (Initial covid symptoms 5/10 (positive NAAT (Cue) test 5/11), started paxlovid on 5/11. Symptom free by 5/14/ Mild cold-like symptoms starting again 5/22, positive antigen test 5/23.) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 11-May-2022, Nucleic acid test: positive (Positive) positive. On 20-May-2022, SARS-CoV-2 test: negative (Negative) Negative. On 23-May-2022, SARS-CoV-2 test: positive (Positive) positive. No treatment information was reported. The patient had initial COVID symptoms on 10-May. He was symptom free on 14-May. Mild cold-like symptoms started again on 22-May. Company comment: This spontaneous case concerns a 44 year-old male patient, with no medical history reported, who experienced the unexpected, non-serious Adverse Event of Special Interest of COVID-19, which occurred 178 days after a dose of mRNA-1273 vaccine administration, given as the second dose. Patient was previously vaccinated with a dose of Janssen COVID-19 vaccine, with no adverse events reported, 220 days prior to the administration of mRNA-1273 as second dose (Interchange of vaccine products). Patient was started on Paxlovid and was symptom-free after 3 days. Eight days later, mild cold-like symptoms were reported by the patient. Patient again test positive for Sars-CoV-2 the day after. The ongoing COVID-19 pandemic could be a confounder for the event. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.; Sender's Comments: This spontaneous case concerns a 44 year-old male patient, with no medical history reported, who experienced the unexpected, non-serious Adverse Event of Special Interest of COVID-19, which occurred 178 days after a dose of mRNA-1273 vaccine administration, given as the second dose. Patient was previously vaccinated with a dose of Janssen COVID-19 vaccine, with no adverse events reported, 220 days prior to the administration of mRNA-1273 as second dose (Interchange of vaccine products). Patient was started on Paxlovid and was symptom-free after 3 days. Eight days later, mild cold-like symptoms were reported by the patient. Patient again test positive for Sars-CoV-2 the day after. The ongoing COVID-19 pandemic could be a confounder for the event. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19
Hospital-Tage
-
Labordaten
Test Date: 20220511; Test Name: NAAT (Cue) test; Test Result: Positive ; Result Unstructured Data: positive; Test Date: 20220520; Test Name: Antigen test; Test Result: Negative ; Result Unstructured Data: Negative; Test Date: 20220523; Test Name: Antigen test; Test Result: Positive ; Result Unstructured Data: positive
Aktuelle Erkrankungen
Allergy
Vorgeschichte
-
Andere Medikamente
PAXLOVID
Allergien
-
Vorherige Impfungen
-

VAERS 2294395

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066f21a

gering
Staat
CA
Alter
58,0
Geschlecht
F
Eingang
25.05.2022
Impfdatum
01.11.2021
Beginn
20.02.2022
Tage bis Beginn
111,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Blood iron decreased Full blood count Haemoglobin decreased Iron deficiency anaemia Serum ferritin decreased

Symptomtext

Iron deficiency anemia. HGB dropped from 13.1 to 9.9 Ferritin level 5

Weitere VAERSDATA-Felder
Praegender Schweregrund
Blood iron decreased
Hospital-Tage
-
Labordaten
2/20/22 CBC, Fe and Ferritin
Aktuelle Erkrankungen
mild gastritis
Vorgeschichte
Peripheral neuropathy
Andere Medikamente
estradiol patch, progesterone , Omeprazole, Vit D, Elderberry
Allergien
Flexeril
Vorherige Impfungen
-

VAERS 2289015

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
-
Alter
38,0
Geschlecht
M
Eingang
21.05.2022
Impfdatum
12.11.2021
Beginn
12.05.2022
Tage bis Beginn
181,0
Dosis
3
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
COVID-19 SARS-CoV-2 test

Symptomtext

COVID-19; Experienced rebound symptoms positive antigen test 4 days after completing Paxlovid treatment; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (Experienced rebound symptoms positive antigen test 4 days after completing Paxlovid treatment) and COVID-19 (COVID-19) in a 38-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) for COVID-19 vaccination. Concurrent medical conditions included Allergy NOS (unknown historical drug). On 12-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-May-2022, the patient experienced COVID-19 (Experienced rebound symptoms positive antigen test 4 days after completing Paxlovid treatment). On an unknown date, the patient experienced COVID-19 (COVID-19). The patient was treated with NIRMATRELVIR, RITONAVIR (PAXLOVID) from 03-May-2022 to 08-May-2022 for COVID-19 treatment, at an unspecified dose and frequency. At the time of the report, COVID-19 (Experienced rebound symptoms positive antigen test 4 days after completing Paxlovid treatment) and COVID-19 (COVID-19) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 05-May-2022, SARS-CoV-2 test: negative (Negative) Tested antigen negative 2 days after beginning Paxlovid treatment.. On 12-May-2022, SARS-CoV-2 test: positive (Positive) Positive. On an unknown date, SARS-CoV-2 test: positive (Positive) Positive. No concomitant medications was provided by the reporter. No treatment medications was provided by the reporter. the patient did not take any other medications/products within 2 weeks of starting COVID-19 treatment and the patient previously received a COVID-19 Vaccine. Device Date: 14 May 2022 Company comment: This spontaneous case concerns a 38 year old male patient with no reported medical history who experienced the unexpected, non-serious adverse event of special interest of COVID-19 (reported twice- 1. LLT of COVID-19 and 2. LLT of COVID-19 Recurrent). The event COVID-19 (LLT COVID-19) occurred at an unspecified date after receiving a dose of mRNA1273 as third dose of COVID-19 vaccine, the second event of COVID-19 (LLT COVID-19 recurrent) occurred 6 months post vaccination. The patient tested positive on the COVID-19 antigen test (at an unknown date) and was treated with Nirmatrelvir and Ritonavir (Paxlovid) for 5 days at an unspecified dose and frequency. He experienced rebound symptoms and tested positive for COVID-19 antigen 4 days after completing Paxlovid treatment. The patient did not take any other medications or products within 2 weeks of starting COVID-19 treatment. The events are not yet resolved at the time of this report. The benefit-risk relationship of mRNA-1273 is not affected by this report.; Sender's Comments: This spontaneous case concerns a 38 year old male patient with no reported medical history who experienced the unexpected, non-serious adverse event of special interest of COVID-19 (reported twice- 1. LLT of COVID-19 and 2. LLT of COVID-19 Recurrent). The event COVID-19 (LLT COVID-19) occurred at an unspecified date after receiving a dose of mRNA1273 as third dose of COVID-19 vaccine, the second event of COVID-19 (LLT COVID-19 recurrent) occurred 6 months post vaccination. The patient tested positive on the COVID-19 antigen test (at an unknown date) and was treated with Nirmatrelvir and Ritonavir (Paxlovid) for 5 days at an unspecified dose and frequency. He experienced rebound symptoms and tested positive for COVID-19 antigen 4 days after completing Paxlovid treatment. The patient did not take any other medications or products within 2 weeks of starting COVID-19 treatment. The events are not yet resolved at the time of this report. The benefit-risk relationship of mRNA-1273 is not affected by this report.

Weitere VAERSDATA-Felder
Praegender Schweregrund
COVID-19
Hospital-Tage
-
Labordaten
Test Name: COVID-19 antigen test; Test Result: Positive ; Result Unstructured Data: Positive; Test Date: 20220505; Test Name: COVID-19 antigen test; Test Result: Negative ; Result Unstructured Data: Tested antigen negative 2 days after beginning Paxlovid treatment.; Test Date: 20220512; Test Name: COVID-19 antigen test; Test Result: Positive ; Result Unstructured Data: Positive
Aktuelle Erkrankungen
Allergy NOS (unknown historical drug)
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2284528

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
-
Alter
29,0
Geschlecht
U
Eingang
19.05.2022
Impfdatum
15.04.2022
Beginn
15.04.2022
Tage bis Beginn
0,0
Dosis
3
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered Product storage error

Symptomtext

Manufacture date of expiry 3-apr-2022 , Vial stored in the refrigerator 15-Apr-2022 .; I administered 2 doses of expired Moderna Covid-19 vaccine on 15Apr2022.; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (I administered 2 doses of expired Moderna Covid-19 vaccine on 15Apr2022.) and PRODUCT STORAGE ERROR (Manufacture date of expiry 3-apr-2022 , Vial stored in the refrigerator 15-Apr-2022 .) in a 29-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) for COVID-19 vaccination. No Medical History information was reported. On 15-Apr-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) .25 milliliter. On 15-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (I administered 2 doses of expired Moderna Covid-19 vaccine on 15Apr2022.). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Manufacture date of expiry 3-apr-2022 , Vial stored in the refrigerator 15-Apr-2022 .). At the time of the report, EXPIRED PRODUCT ADMINISTERED (I administered 2 doses of expired Moderna Covid-19 vaccine on 15Apr2022.) and PRODUCT STORAGE ERROR (Manufacture date of expiry 3-apr-2022 , Vial stored in the refrigerator 15-Apr-2022 .) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant product was provided by the reporter. No treatment medication was provided. The vial did not undergo any temperature excursion.

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

VAERS 2284526

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
55,0
Geschlecht
U
Eingang
19.05.2022
Impfdatum
15.04.2022
Beginn
15.04.2022
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered Product storage error

Symptomtext

manufacturer date of expiry 3-apr-2022 and vail initialy stored in refrigerator on 15-apr-2022; I administered 2 doses of expired Moderna Covid-19 vaccine on 15Apr2022.; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (I administered 2 doses of expired Moderna Covid-19 vaccine on 15Apr2022.) and PRODUCT STORAGE ERROR (manufacturer date of expiry 3-apr-2022 and vail initialy stored in refrigerator on 15-apr-2022) in a 55-year-old patient of an unknown gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) for COVID-19 vaccination. No Medical History information was reported. On 15-Apr-2022, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) .25 milliliter. On 15-Apr-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (I administered 2 doses of expired Moderna Covid-19 vaccine on 15Apr2022.). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (manufacturer date of expiry 3-apr-2022 and vail initialy stored in refrigerator on 15-apr-2022). At the time of the report, EXPIRED PRODUCT ADMINISTERED (I administered 2 doses of expired Moderna Covid-19 vaccine on 15Apr2022.) and PRODUCT STORAGE ERROR (manufacturer date of expiry 3-apr-2022 and vail initialy stored in refrigerator on 15-apr-2022) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication was reported. The vial did not undergone any temperature excursion. No treatment medication was reported. It was unknown if patient had allergies to medications, food and other products. It was unknown if patient ever had COVID positive test or diagnosis. It was unknown if patient had history relating to mentioned AE and both Acute and Chronic illnesses at the time of vaccination.Other vaccines given within 1 month prior to Moderna COVID-19 vaccine were unknown.

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

VAERS 2267322

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
MI
Alter
39,0
Geschlecht
F
Eingang
09.05.2022
Impfdatum
03.12.2021
Beginn
05.05.2022
Tage bis Beginn
153,0
Dosis
3
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: unbekannt
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 positive test 05/07/2022
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2259948

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066f21a

gering
Staat
WA
Alter
47,0
Geschlecht
F
Eingang
01.05.2022
Impfdatum
01.02.2021
Beginn
01.03.2021
Tage bis Beginn
28,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Lymphadenopathy

Symptomtext

swollen lymph nodes R axilla,

Weitere VAERSDATA-Felder
Praegender Schweregrund
Lymphadenopathy
Hospital-Tage
-
Labordaten
mammograms, ultrasound and punch biopsy in L axilla, next follow up mammogram due in 6 months
Aktuelle Erkrankungen
-
Vorgeschichte
HTN, eczema
Andere Medikamente
HCTZ, Kelnor, Zyrtec, Women's MVI
Allergien
Latex
Vorherige Impfungen
-

VAERS 2245203

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CA
Alter
68,0
Geschlecht
F
Eingang
21.04.2022
Impfdatum
11.11.2021
Beginn
11.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Unevaluable event

Symptomtext

Client presented at the vaccination site on 11.11.21. Client reported she received 1st dose Moderna COVID vaccine on 04.14.21 and 2nd dose Moderna COVID vaccine on 05.12.21, both are from vaccination site without any symptoms for both doses. Client is requesting to receive her Moderna COVID booster vaccine today one day earlier than she is qualifies for the Moderna COVID booster vaccine. Client reported she doesn?t have any known allergies or have any chronic illnesses. Client told she is not taking any medications. PHN submitted a medical consult via text message to clinical project coordinator, requesting to proceed with the Moderna COVID booster vaccine. Per the doctor, approval to proceed with Moderna COVID booster vaccine was obtained from medical consult team via text message from clinical project coordinator. Client received Moderna COVID booster vaccine, LOT #: 066F21A on 11.11.21 at 1511 by RN. The client did not report any symptoms during the 30-minute observation period. PHN educated client on possible adverse reactions and when to seek EMS. Client verbalized understanding. Client left vaccination site at 1541 unassisted and with a steady gait.

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

VAERS 2178299

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066f21a

gering
Staat
CA
Alter
52,0
Geschlecht
M
Eingang
14.03.2022
Impfdatum
03.11.2021
Beginn
04.11.2021
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Herpes zoster Varicella virus test positive

Symptomtext

Shingles

Weitere VAERSDATA-Felder
Praegender Schweregrund
Herpes zoster
Hospital-Tage
-
Labordaten
VARICELLA ZOSTER VIRUS DNA, PCR POSITIVE Collected: 11/09/2021 5:00 PM
Aktuelle Erkrankungen
nothing worth remembering
Vorgeschichte
blood pressure, obesity
Andere Medikamente
daily: atenolol 50mg, aspirin 81mg, calcium 1000mg, vitamin d 2000 IU
Allergien
none
Vorherige Impfungen
-

VAERS 2134751

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
-
Alter
78,0
Geschlecht
M
Eingang
23.02.2022
Impfdatum
17.11.2021
Beginn
20.11.2021
Tage bis Beginn
3,0
Dosis
3
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
Antiplatelet therapy Embolic cerebral infarction

Symptomtext

COVID-19 booster vaccination on 11/17/2021. Admitted to hospital 11/20/2021 with multiple embolic infarcts. Treated with anti-platelet therapy.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Antiplatelet therapy
Hospital-Tage
2,0
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
-
Andere Medikamente
DULoxetine (CYMBALTA) Metoprolol Tartrate (LOPRESSOR) 25 mg Aspirin 325 mg Gabapentin (NEURONTIN) 100 mg Tamsulosin (FLOMAX) 0.4 mg Atorvastatin (LIPITOR) 80 mg
Allergien
Lisinopril
Vorherige Impfungen
-

VAERS 2134596

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CA
Alter
49,0
Geschlecht
F
Eingang
23.02.2022
Impfdatum
22.11.2021
Beginn
20.12.2021
Tage bis Beginn
28,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Burning sensation Discomfort Hepatic enzyme increased Insomnia Liver function test increased Magnetic resonance imaging Metabolic function test

Symptomtext

On 12/20/2021 I thought that I may have had acid reflux because I had a light burning pain in the diaphragm area that lasted for about 2 days. I noticed the sensation again on 1/15/2022, and I made an appointment to see my Doctor on 1/18/2022 because I was unable to sleep that night due to the burning sensation, and pressure feeling in the same area. My doctor ordered blood work that showed I had elevated Liver enzymes. I am still being treated for this condition.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Burning sensation
Hospital-Tage
-
Labordaten
CMP- Liver function elevated CT scan- waiting to see specialist for results Liver MRI- waiting to see specialist for results
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
none
Allergien
shell fish shrimp
Vorherige Impfungen
-

VAERS 2130045

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
-
Alter
67,0
Geschlecht
F
Eingang
21.02.2022
Impfdatum
24.11.2021
Beginn
24.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Interchange of vaccine products Medication error

Symptomtext

RN wrongly administered a Moderna vaccine to a patient scheduled to receive a high-dose flu vaccine. After discovering this medication error just occurred, staff quickly approached the patient and her relative regarding the situation. Previous two doses were Pfizer (this acted like an unintentional 3rd COVID-19 dose). No harm done to patient.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Interchange of vaccine products
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2119491

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CA
Alter
63,0
Geschlecht
F
Eingang
17.02.2022
Impfdatum
08.11.2021
Beginn
09.02.2022
Tage bis Beginn
93,0
Dosis
3
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 Vaccine breakthrough infection

Symptomtext

BREAKTHROUGH COVID INFECTION

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

VAERS 2109378

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
NJ
Alter
8,0
Geschlecht
M
Eingang
12.02.2022
Impfdatum
10.12.2021
Beginn
10.12.2021
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

MODERNA ADULT DOSE WAS GIVEN TO PATIENT UNDER 18 YEARS OLD

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product administered to patient of inappropriate age
Hospital-Tage
-
Labordaten
NONE
Aktuelle Erkrankungen
NONE
Vorgeschichte
NONE
Andere Medikamente
NONE
Allergien
NKA
Vorherige Impfungen
-

VAERS 2083269

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CO
Alter
76,0
Geschlecht
M
Eingang
02.02.2022
Impfdatum
09.11.2021
Beginn
09.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

Received full dose of Moderna booster I/O half dose

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
PROSTATE CANCER HYPERLIPIDEMIA CKD STAGE 3 (GFR 30-59). BLINDNESS ONE EYE HX OF ATRIAL FIBRILLATION HX OF CHF LUMBAR DISC DEGENERATION
Andere Medikamente
PEPOGEST OMEGA 3-DHA-EPA-FISH OIL MULTIVITAMIN WITH MINERALS COENZYME Q10 MAGNESIUM
Allergien
Codeine And Opiate Derivatives
Vorherige Impfungen
-

VAERS 2083061

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CO
Alter
57,0
Geschlecht
F
Eingang
02.02.2022
Impfdatum
06.11.2021
Beginn
06.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

Received full dose of Moderna booster I/O half dose

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
ASTHMA, UNSPECIFIED HTN (HYPERTENSION) HYPERLIPIDEMIA HYPOTHYROIDISM GERD (GASTROESOPHAGEAL REFLUX DISEASE) BILAT SHOULDER JOINT PAIN POSTMENOPAUSAL HORMONE REPLACEMENT THERAPY HX OF TOTAL HYSTERECTOMY
Andere Medikamente
predniSONE CELEBREX Lisinopril Simvastatin NORVASC Estradiol Omeprazole Sertraline Levothyroxine Diltiazem BUSPAR Gabapentin Levothyroxine CALCIUM CARBONATE-VITAMIN D3
Allergien
Chlorothiazide, Sulfa
Vorherige Impfungen
-

VAERS 2083050

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CO
Alter
54,0
Geschlecht
F
Eingang
02.02.2022
Impfdatum
06.11.2021
Beginn
06.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

Received full dose of Moderna booster I/O half dose

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
MAJOR DEPRESSIVE DISORDER, RECURRENT EPISODE, IN PARTIAL REMISSION HYPERLIPIDEMIA REFLUX ESOPHAGITIS POSTABLATIVE HYPOTHYROIDISM GRAVES DISEASE TRANSIENT CEREBRAL ISCHEMIA MITRAL VALVE REGURGITATION DYSPHAGIA MENOPAUSE HX OF COLONIC POLYP HX OF TOTAL HYSTERECTOMY PELVIC ENDOMETRIOSIS STAGE 3/4
Andere Medikamente
LOPRESSOR PROZAC Liothyronine SYNTHROID Pantoprazole Multivitamin-Minerals Cholecalciferol, Vitamin D3, Aspirin
Allergien
Adhesive Tape Gabapentin Gluten No Latex Allergy Shellfish Derived Products
Vorherige Impfungen
-

VAERS 2082736

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CO
Alter
42,0
Geschlecht
F
Eingang
02.02.2022
Impfdatum
06.11.2021
Beginn
06.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

Received full dose of Moderna booster I/O half dose

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
1. Cellulitis of great toe of right foot 2. Avulsion of toenail, initial encounter 3. Acute nonintractable headache, unspecified headache type 4. Elevated blood pressure reading
Vorgeschichte
DM 1, POLYNEUROPATHY, ANXIETY LOWER ABDOMINAL PAIN FATTY LIVER MAJOR DEPRESSIVE DISORDER, RECURRENT EPISODE W ASSOCIATED FEATURES PRURITUS VULVAE ABNL MAMMOGRAPHY
Andere Medikamente
Humalog, insulin pump, Neurontin, Celexa
Allergien
Phenergan, Pregabalin
Vorherige Impfungen
-

VAERS 2082713

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CO
Alter
62,0
Geschlecht
F
Eingang
02.02.2022
Impfdatum
06.11.2021
Beginn
06.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered

Symptomtext

Received full dose of Moderna booster I/O half dose

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
Hypothyroidism, Migraine, HTN, Hyperlipidemia, DM1 w/hypoglycemia unawareness, Insulin pump, Autosomal dominant adult polycystic kidney disease, Occipital neuralgia, Schwannoma leg, Fibromyalgia, Vitamin D Deficiency, Bilateral sensorineural hearing loss
Andere Medikamente
Neurontin, Hyzaar, Humalog, Humulin NPG, Levothyroxine, Amerge, Zofran,
Allergien
lisinopril, Penicillins Class
Vorherige Impfungen
-

VAERS 2072119

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CO
Alter
47,0
Geschlecht
M
Eingang
28.01.2022
Impfdatum
06.11.2021
Beginn
06.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered No adverse event

Symptomtext

Received full dose of Moderna booster- I/O half dose, no adverse RX of patient.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
-
Vorgeschichte
Rheumatoid arthritis, abnormal pap, tobacco user
Andere Medikamente
Pepcid, Methotrexate, Folic Acid
Allergien
Codeine
Vorherige Impfungen
-

VAERS 2072093

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CO
Alter
55,0
Geschlecht
M
Eingang
28.01.2022
Impfdatum
06.11.2021
Beginn
06.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered No adverse event

Symptomtext

Received full dose of Moderna booster I/O half dose, no adv rx for pt

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
Microzide, Mobix, Xanax, Protonix, Zocor, Desyrel, Astelin, Norvasc. Lamictal, Inderal, Patanol
Allergien
Bee Venom, Pcn
Vorherige Impfungen
-

VAERS 2072052

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CO
Alter
60,0
Geschlecht
F
Eingang
28.01.2022
Impfdatum
06.11.2021
Beginn
06.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered No adverse event

Symptomtext

Received full dose of Moderna booster I/O half dose, no adv rx to pt

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
Atopic dermatitis, Hashimoto thyroiditis, hyperlipidemia, ADHA, bilat tinnitus
Andere Medikamente
Desyrel, Levoxyl
Allergien
Atorvastatin, Synthroid
Vorherige Impfungen
-

VAERS 2072024

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CO
Alter
60,0
Geschlecht
M
Eingang
28.01.2022
Impfdatum
06.11.2021
Beginn
06.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered No adverse event

Symptomtext

Received full dose of Moderna booster I/O half dose, no adv rx

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
Rheumatoid arthritis, GERD, Long term immunosuppression therapy, Prediabetes, Leukocytosis, Chromic back pain, osteopenia, erectile dysfunction
Andere Medikamente
Synthroid, Celebrex, Roxicodone, Baclofen, Enbrel, Fosamax, Deltasone, Prilosec, Astelin, claritan
Allergien
Methotrexate
Vorherige Impfungen
-

VAERS 2071934

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CO
Alter
69,0
Geschlecht
M
Eingang
28.01.2022
Impfdatum
06.11.2021
Beginn
06.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered No adverse event

Symptomtext

Received full dose of Moderna booster I/O half dose, no adverse rx

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
Bronchitis
Vorgeschichte
A-fib, Oxygen use, Humoral Immunoglobulin, Diastolic heart failure, Pulm Htn, atherosclerosis of Aorta, CKD
Andere Medikamente
Protonix, Viagra, Astelin
Allergien
NKDA
Vorherige Impfungen
-

VAERS 2069197

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CO
Alter
57,0
Geschlecht
F
Eingang
27.01.2022
Impfdatum
06.11.2021
Beginn
06.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect dose administered No adverse event

Symptomtext

No adverse rx, but pt received full Moderna dose and not half dose for booster

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
Asthma, HTN, Anxiety, DM2, Migraine, Depression, long term opioid therapy, chronic diarrhea, chronic pain syndrome, Fibromyalgia, interstitial cystitis
Andere Medikamente
Keflex, zanaflex, oxycodone, cymbalta, prozac, amaryl, lopressor,
Allergien
Percocet, Macrodantin, Morphine, PCN, Sulfa, Hydrocodone, Nortriptyline
Vorherige Impfungen
-

VAERS 2062333

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CO
Alter
84,0
Geschlecht
F
Eingang
25.01.2022
Impfdatum
06.11.2021
Beginn
06.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Incorrect dose administered

Symptomtext

Member received 0.25 ml Moderna vaccine IM: according to CDC guidelines should have received 0.5 ml Moderna vaccine

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
Frailty, Osteoporosis, HTN, Rheumatoid Arthritis, Raynauds Syndrome, Osteoarthritis
Andere Medikamente
Nizoral, Plaquenil, Procardia XL, Tylenol, Zestril, Arthritis Pain Relief, Lisinopril, Catapres, Calcium Carbonate, Senna Lax, Magnesium Oxide, Preservision, Cholecalciferol, Vitamin D 3
Allergien
Sulfa
Vorherige Impfungen
-

VAERS 2059362

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CO
Alter
68,0
Geschlecht
M
Eingang
24.01.2022
Impfdatum
06.11.2021
Beginn
06.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Underdose

Symptomtext

Member received 0.25 ml Moderna vaccine IM: according to CDC guidelines should have received 0.5 ml Moderna vaccine

Weitere VAERSDATA-Felder
Praegender Schweregrund
Underdose
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
DM2, Adult OSA Moderate, Hyperlipidemia, HTN, Osteoarthritis
Andere Medikamente
Metformin, Tacrolimus, Lisinopril-HCTZ, Toprol XL, Lipitor, Fish oil
Allergien
NKDA, NKFA
Vorherige Impfungen
-

VAERS 2047687

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
-
Alter
42,0
Geschlecht
F
Eingang
19.01.2022
Impfdatum
30.12.2020
Beginn
08.01.2022
Tage bis Beginn
374,0
Dosis
UNK
Route/Site
IM / OT
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 2047671

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
-
Alter
43,0
Geschlecht
M
Eingang
19.01.2022
Impfdatum
21.01.2021
Beginn
08.01.2022
Tage bis Beginn
352,0
Dosis
UNK
Route/Site
IM / UN
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 2043329

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
ID
Alter
57,0
Geschlecht
F
Eingang
18.01.2022
Impfdatum
10.11.2021
Beginn
11.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Lymphadenopathy Tenderness Tinnitus

Symptomtext

The day after I received my Moderna booster shot on 11/10/2021, I began to hear ringing or buzzing in my left ear on the same side I had my shot. I also had a swollen lymph node on my collarbone and it was tender. That improved, but I have had the ringing/buzzing in my left ear ever since the booster shot. I went to an ENT specialist. She looked in my ear and did not see anything wrong. She recommended a hearing test and or possible MRI. I am interested to understand if this will go away, or if I need a hearing test and MRI. Can I be reimbursed for this cost and the cost to visit the ENT doctor? I have not had this issue before.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Lymphadenopathy
Hospital-Tage
-
Labordaten
Televisit with family doctor on 12/8/2021 and visited an ENT specialist in December.
Aktuelle Erkrankungen
None
Vorgeschichte
Type II diabetes, controlled A1C is 6.3
Andere Medikamente
Vitamin E; Rosuvastatin 10mg 1 daily; Glipizide 10mg 1 daily; Candesartan 16mg 1 daily; 18 units of Levemir insulin injection daily and .50 Ozempic injection (once per week)
Allergien
None known
Vorherige Impfungen
-

VAERS 2038209

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
KY
Alter
53,0
Geschlecht
F
Eingang
16.01.2022
Impfdatum
12.11.2021
Beginn
07.01.2022
Tage bis Beginn
56,0
Dosis
3
Route/Site
IM / UN
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 SARS-CoV-2 test positive

Symptomtext

Tested Positive for Covid

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

VAERS 2025015

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
KY
Alter
51,0
Geschlecht
M
Eingang
11.01.2022
Impfdatum
17.11.2021
Beginn
21.12.2021
Tage bis Beginn
34,0
Dosis
UNK
Route/Site
- / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 SARS-CoV-2 test positive

Symptomtext

Covid positive contact unknown

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

VAERS 1975441

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CA
Alter
65,0
Geschlecht
F
Eingang
23.12.2021
Impfdatum
21.12.2021
Beginn
21.12.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Interchange of vaccine products

Symptomtext

Pt was vaccinated outside (country) with COVISHIELD (4/23/21 - lot #4121Z054; 3/10/21 lot #4120Z011). Pt was accidentally given Moderna booster

Weitere VAERSDATA-Felder
Praegender Schweregrund
Interchange of vaccine products
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1974966

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
-
Alter
37,0
Geschlecht
F
Eingang
23.12.2021
Impfdatum
21.12.2021
Beginn
21.12.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Sensation of foreign body Throat irritation

Symptomtext

25mins post vaccination, pt reports that she has a lump in her throat but she was able to swallow. Called at 12:12 pm for patient complaining of scratchy throat and unable to clear throat after receiving Moderna Booster vaccine. Patient's V/S: BP-109/69, HR-86, RR-18, O2 sat on RA-100%. Continued to observe patient. Patient states, she can swallow without problems, encouraged patient to drink water. Per patient, she is allergic to peanuts and shellfish, NKDA. At 12:18 pm, Benadryl 50 mg PO administered by RN. Patient was able to swallow Benadryl 50 mg capsule without any problem. Continued to monitor patient. 12:19; V/S: BP-117/68, HR-89, RR- 19, O2 sat on RA -99%, patient is talking in full sentences, denies any sob or itching, no rashes, per patient, her mom is waiting in the car, her mom is driving, encouraged patient to drink more water and ambulate around the hallway. Patient will ambulate with RN and will go home when stable. Patient was able to drink more water without any problem. 12:27 V/S: BP-118/71, HR- 83, RR- 18, O2 sat- 99%RA. At 12:50, patient is stable and discharged home. Pt had a scratchy throat w/ prior Moderna vaccinations. Was not reported at the time of booster vaccination.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Sensation of foreign body
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
PMH: Carpal Tunnel syndrome, Depression, substance use in remission, suicide attempt, hx of Child abuse
Andere Medikamente
Medications: ferrous sulfate 325 mg (65 mg iron) tablet Take 1 tablet by mouth daily. norethindrone (ORTHO MICRONOR) 0.35 mg tablet Take 1 tablet by mouth daily. sertraline (ZOLOFT) 100 MG tablet Take 1.5 tablets (150 mg total) by mouth dai
Allergien
Allergies: peanuts (hives), shellfish (anaphylaxis), Moderna Vaccine (itchy throat)
Vorherige Impfungen
-

VAERS 1963448

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
-
Alter
23,0
Geschlecht
F
Eingang
20.12.2021
Impfdatum
14.12.2021
Beginn
14.12.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Feeling hot Flushing

Symptomtext

20mins post vaccination, pt reported feeling hot/flushed in the face. Vitals: 11:36 108/71, 97, 18-20, 100% -- > 106/69, 92, 18-20, 100% Pt stable and released from the vaccination site @11:46. Pt states she feels better. Pt wishes to go home.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Feeling hot
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
PMH: IBS-Mixed, Anxiety, Migraines, HX of Covid-19 infection Dec 2020 w/ lost of taste/smell.
Andere Medikamente
Medications: levonorgestrel-ethinyl Estrada 0.15-0.03 mg per tablet- Take 1 Tablet by mouth daily; cetirizine (ZYRTEC) 10 mg tablet; Indications: Urticaria- Take 1 Tablet by mouth once daily; hydrocortisone 2.5 % cream; Indications: Urticar
Allergien
NKA
Vorherige Impfungen
-

VAERS 1962989

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
KY
Alter
17,0
Geschlecht
F
Eingang
17.12.2021
Impfdatum
24.11.2021
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
No adverse event Product administered to patient of inappropriate age

Symptomtext

pt given this vaccine at age 17 when authorized only age 18+ no reported ADE

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
mental health only
Andere Medikamente
lamotrigine & sertraline
Allergien
pcn allergy
Vorherige Impfungen
-

VAERS 1955562

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CA
Alter
81,0
Geschlecht
M
Eingang
16.12.2021
Impfdatum
15.12.2021
Beginn
15.12.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
No adverse event Underdose

Symptomtext

Pt was due for his second dose of Moderna COVID vaccine primary series which should have been a 0.5 mL dose. However the medical assistant who administered this dose unintentionally administered 0.25 mL instead (lower than authorized dose). This incident occurred on 12/15/21. The medical assistant involved notified me of this incident today, 12/16/21. No adverse effect has occurred.

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
none needed
Aktuelle Erkrankungen
N/A
Vorgeschichte
Chronic: Afib, aortic stenosis, CAD with STEMI s/p 4v CABG, CKD, hypertension
Andere Medikamente
Eliquis 2.5 mg twice daily, aspirin 81 mg once daily, atorvastatin 80 mg once daily, fish oil 1000 mg once daily, furosemide 40 mg: 1.5 tabs twice daily, lisinopril 5 mg twice daily, metoprolol tartrate 25 mg twice daily, Centrum Silver onc
Allergien
No known allergies
Vorherige Impfungen
-

VAERS 1952659

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
MA
Alter
14,0
Geschlecht
F
Eingang
15.12.2021
Impfdatum
12.11.2021
Beginn
12.11.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Exposure during pregnancy Prenatal care Staphylococcal infection Staphylococcus test positive

Symptomtext

Patient is a 14 year old and 18 weeks 1 day of gestation at the time of event was erroneously counseled and given the Moderna Covid vaccine on 11/12/21 at 9:58 am on left arm. This was done during her initial prenatal intake where she presented as a new arrival, late to care and counseled by Certified Nurse Midwife who also administered the vaccine.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Exposure during pregnancy
Hospital-Tage
-
Labordaten
None at the time.
Aktuelle Erkrankungen
UTI (urinary tract infection) during pregnancy (Greater than 100,000 CFU/mL of Staphylococcus saprophyticus); diagnosed 11/24/21; treated
Vorgeschichte
None to report
Andere Medikamente
Pyridoxine HCl (VITAMIN B-6) 25 MG Tablet; 1 tablet by mouth, 3 times daily as needed (nausea/vomiting) Doxylamine Succinate, Sleep, (UNISOM SLEEPTABS) 25 MG Tablet; 1 tablet by mouth at night if needed (nausea/vomiting) ondansetron hcl (ZO
Allergien
No known allergies
Vorherige Impfungen
-

VAERS 1950940

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
IL
Alter
42,0
Geschlecht
F
Eingang
15.12.2021
Impfdatum
07.11.2021
Beginn
07.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Underdose

Symptomtext

Error: Wrong Dose of Vaccine - Too Low-

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

VAERS 1947955

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
-
Alter
13,0
Geschlecht
F
Eingang
14.12.2021
Impfdatum
04.12.2021
Beginn
04.12.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / AR
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
No adverse event Product administered to patient of inappropriate age

Symptomtext

Underage person received vaccine - no adverse event

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

VAERS 1947853

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
-
Alter
62,0
Geschlecht
F
Eingang
14.12.2021
Impfdatum
04.12.2021
Beginn
04.12.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Incorrect dose administered No adverse event

Symptomtext

Pt received full dose Moderna instead of Moderna Booster dose. No adverse effects noted at the time of vaccination or after observation. Pt stable and released from the vaccination site.

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

VAERS 1944077

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
-
Alter
34,0
Geschlecht
F
Eingang
13.12.2021
Impfdatum
02.12.2021
Beginn
02.12.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Feeling hot

Symptomtext

20mins post vaccination, pt reported feeling hot while sitting in observation and clamminess on forhead noted. No dizziness reported. Taken to back med room. NO other adverse symptoms reported. Vitals: 14:17 107/69, 52, 20, 97.9F, 100% O2 Sat -- > 14:27 106/69, 63, 20, 100% Pt given orange juice and water. pt ambulated on her own. no dizziness reported. Pt reported feeling better after dinking fluids. Pt educated to eat and drink beofre needlesticks in future as pt reported that she did not have lunch before coming. Pt reported feeling back to normal before leaving facility @14:30. Pt had steady gait and no s/s of distress. Pt stable and released from the vaccination site.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Feeling hot
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
PMH: Infertility
Andere Medikamente
Medication: Prenatal vitamin
Allergien
NKA
Vorherige Impfungen
-

VAERS 1932778

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
KY
Alter
44,0
Geschlecht
F
Eingang
08.12.2021
Impfdatum
08.12.2021
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Inappropriate schedule of product administration

Symptomtext

Vaccine administered at 20 days instead of 28 days between doses.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
-
Andere Medikamente
-
Allergien
NKA
Vorherige Impfungen
-

VAERS 1932778

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
KY
Alter
44,0
Geschlecht
F
Eingang
08.12.2021
Impfdatum
08.12.2021
Beginn
-
Tage bis Beginn
-
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Inappropriate schedule of product administration

Symptomtext

Vaccine administered at 20 days instead of 28 days between doses.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None
Vorgeschichte
-
Andere Medikamente
-
Allergien
NKA
Vorherige Impfungen
-

VAERS 1932762

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
KY
Alter
21,0
Geschlecht
F
Eingang
08.12.2021
Impfdatum
08.12.2021
Beginn
-
Tage bis Beginn
-
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Inappropriate schedule of product administration

Symptomtext

Vaccine administered at 20 days instead of 28 days from 1st dose.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
NA
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
NKA
Vorherige Impfungen
-

VAERS 1932762

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
KY
Alter
21,0
Geschlecht
F
Eingang
08.12.2021
Impfdatum
08.12.2021
Beginn
-
Tage bis Beginn
-
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Inappropriate schedule of product administration

Symptomtext

Vaccine administered at 20 days instead of 28 days from 1st dose.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
NA
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
NKA
Vorherige Impfungen
-

VAERS 1928896

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CA
Alter
66,0
Geschlecht
F
Eingang
07.12.2021
Impfdatum
02.12.2021
Beginn
03.12.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Heart rate increased

Symptomtext

Patient has been experienced increased heart rate up to 135 for the last 4-5 days after getting her booster dose. Patient called pharmacy on 12/6/2021 at around 3pm stating that she has been experienced increased heart rate up to 135 for the last 4-5 days after getting her booster dose. Patient had history of heart surgery. Pharmacist recommended patient to see her cardiologist as soon as possible.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Heart rate increased
Hospital-Tage
-
Labordaten
NONE
Aktuelle Erkrankungen
NONE
Vorgeschichte
HEART DISEASE
Andere Medikamente
-
Allergien
NKA
Vorherige Impfungen
-

VAERS 1921026

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
GA
Alter
43,0
Geschlecht
F
Eingang
03.12.2021
Impfdatum
01.12.2021
Beginn
03.12.2021
Tage bis Beginn
2,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Lymphadenopathy

Symptomtext

Client presented to HD on 12/3/2021. She complains of swollen lymph node to axilla region right arm. Injection site is free of swelling or redness.

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

VAERS 1917763

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CA
Alter
51,0
Geschlecht
M
Eingang
02.12.2021
Impfdatum
02.12.2021
Beginn
02.12.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

Our patient received a Moderna booster dose that was in room temperature less than 24 hours, but longer than the recommended time from initial puncture. He was informed of the incident and stated that he feels well, with no rash, fever, SOB, or any unusual symptoms. Reported incident to Moderna , and waiting response on the validity of the booster dose given.

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

VAERS 1909406

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
-
Alter
52,0
Geschlecht
F
Eingang
30.11.2021
Impfdatum
21.01.2021
Beginn
27.11.2021
Tage bis Beginn
310,0
Dosis
UNK
Route/Site
IM / UN
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 1906171

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
-
Alter
58,0
Geschlecht
F
Eingang
29.11.2021
Impfdatum
20.11.2021
Beginn
20.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Pharyngeal swelling

Symptomtext

Pt received Pfizer Primary Series w/ Moderna Booster 20mins post vaccination pt c/o throat swelling. No tongue or lip swelling noted or reported Vitals: 143/85, 70, 20, 99% Pt declined benadryl stating " I have allergy meds at home". Vitals remained stable, O2 above 98% throughout observation. pt talking and breathing normally. Pt released to husband and daughter in stable condition w/ instructions to f/u w/ PCP and ER precautions.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Pharyngeal swelling
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
PMH: Fibromyalgia 11/14/2021 Primary generalized (osteo)arthritis 11/14/2021 Cervical spondylosis 11/14/2021 Shoulder impingement syndrome, right 11/14/2021 Elevated antibody levels 11/14/2021
Andere Medikamente
Medications: Amitriptyline 25mg PO QHS Lisinopril 40mg Daily Metformin 500mg daily meloxicam 15mg PO PRN Daily
Allergien
Allergies: Morphine ("pt felt like she was going to die"), Sulfa (hives, urticaria), black sesame seeds
Vorherige Impfungen
-

VAERS 1906078

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CA
Alter
43,0
Geschlecht
F
Eingang
29.11.2021
Impfdatum
20.11.2021
Beginn
20.11.2021
Tage bis Beginn
0,0
Dosis
N/A
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered Interchange of vaccine products

Symptomtext

Patient (passenger) was registered for Pfizer booster and was in the same car as her husband (driver) who was registered for Moderna. They were sent to the Moderna lane and were correctly checked in for their respective boosters. However, the vaccinator administered the Moderna booster for both patients instead of the Pfizer booster for the passenger. Nurse informed her lead and pharmacist of the error. Patient was informed of the error by the pharmacist and addressed all her questions & concerns.

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

VAERS 1906065

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
NJ
Alter
46,0
Geschlecht
M
Eingang
29.11.2021
Impfdatum
23.11.2021
Beginn
23.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Inappropriate schedule of product administration

Symptomtext

Booster given prior to recommended due date

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

VAERS 1906059

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
NJ
Alter
62,0
Geschlecht
M
Eingang
29.11.2021
Impfdatum
23.11.2021
Beginn
23.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Inappropriate schedule of product administration

Symptomtext

Booster given prior to recommended due date.

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

VAERS 1906056

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
NJ
Alter
38,0
Geschlecht
M
Eingang
29.11.2021
Impfdatum
23.11.2021
Beginn
23.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Inappropriate schedule of product administration

Symptomtext

Booster given prior to recommended due date

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

VAERS 1906049

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
NJ
Alter
35,0
Geschlecht
M
Eingang
29.11.2021
Impfdatum
23.11.2021
Beginn
23.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Inappropriate schedule of product administration

Symptomtext

Booster given prior to recommended due date.

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

VAERS 1906046

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
NJ
Alter
49,0
Geschlecht
M
Eingang
29.11.2021
Impfdatum
23.11.2021
Beginn
23.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Inappropriate schedule of product administration

Symptomtext

Booster given prior to recommended due date

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

VAERS 1906044

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
NJ
Alter
31,0
Geschlecht
M
Eingang
29.11.2021
Impfdatum
23.11.2021
Beginn
23.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Inappropriate schedule of product administration

Symptomtext

Booster given prior to recommended due date

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

VAERS 1906030

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
NJ
Alter
20,0
Geschlecht
M
Eingang
29.11.2021
Impfdatum
23.11.2021
Beginn
23.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Inappropriate schedule of product administration

Symptomtext

Booster given prior to recommended due date

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

VAERS 1906028

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
NJ
Alter
36,0
Geschlecht
M
Eingang
29.11.2021
Impfdatum
23.11.2021
Beginn
23.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered Incorrect dose administered

Symptomtext

Booster given prior to recommended due date

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

VAERS 1906020

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
NJ
Alter
37,0
Geschlecht
M
Eingang
29.11.2021
Impfdatum
23.11.2021
Beginn
23.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Inappropriate schedule of product administration

Symptomtext

Booster given prior to recommended due date

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

VAERS 1906008

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
NJ
Alter
30,0
Geschlecht
M
Eingang
29.11.2021
Impfdatum
23.11.2021
Beginn
23.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered Inappropriate schedule of product administration

Symptomtext

Booster given prior to recommended due date

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

VAERS 1906002

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
NJ
Alter
40,0
Geschlecht
M
Eingang
29.11.2021
Impfdatum
23.11.2021
Beginn
23.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Extra dose administered Inappropriate schedule of product administration

Symptomtext

Booster given prior to recommended due date

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

VAERS 1905995

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
NJ
Alter
26,0
Geschlecht
F
Eingang
29.11.2021
Impfdatum
23.11.2021
Beginn
23.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Inappropriate schedule of product administration

Symptomtext

Booster given prior to due date

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

VAERS 1898198

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
-
Alter
70,0
Geschlecht
F
Eingang
24.11.2021
Impfdatum
19.11.2021
Beginn
19.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: unbekannt
Swollen tongue

Symptomtext

Pt finished her 20 minute observation time and left. She was sitting in her car watching videos when she noticed her tongue started to swell. We brought her back in via wheelchair to Medical Bay for further assessment. Vitals stable A&Ox4 no rep distress, no difficulty swallowing. 75mins post vaccination pt reported tongue swelling. Pt reported that she had no previous reaction to 1st or 2nd Dose Moderna Vitals: 127/70, 86, 18, 97% on RA Pt given Benadryl 50mg PO @10:50 and 0.3mg IM Epi @11:20 to Right lateral thigh. Patient observed longer and no change in size of tongue swelling. EMS was called at 12:10 due to persistent symptoms and need for additional observation. Pt taken to the ER @12:23. NO additional information available to this writer

Weitere VAERSDATA-Felder
Praegender Schweregrund
Swollen tongue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
PMH: PRIMARY GENERALIZED (OSTEO)ARTHRITIS OTHER CHRONIC PAIN FIBROMYALGIA RHEUMATOID ARTHRITIS, UNSPECIFIED OTHER SPECIFIED ANXIETY DISORDERS POLYCYSTIC KIDNEY, ADULT TYPE HYPERTENSIVE CHRONIC KIDNEY DISEASE W STG 1-4/UNSP CHR KDNY CHRONIC KIDNEY DISEASE, STAGE 3 UNSPECIFIED GOUT DUE TO RENAL IMPAIRMENT, UNSPECIFIED SITE MILD PERSISTENT ASTHMA, UNCOMPLICATED SJOGREN SYNDROME, UNSPECIFIED OBSTRUCTIVE SLEEP APNEA (ADULT) (PEDIATRIC) MORBID (SEVERE) OBESITY DUE TO EXCESS CALORIES HISTORY OF FALLING PROBLEMS RELATED TO LIVING ALONE LONG TERM (CURRENT) USE OF ANTICOAGULANTS PRESENCE OF ARTIFICIAL KNEE JOINT, BILATERAL PRESENCE OF ARTIFICIAL HIP JOINT, BILATERAL BODY MASS INDEX [BMI] 36.0-36.9, ADULT PERSONAL HISTORY OF PULMONARY EMBOLISM PERSONAL HISTORY OF OTHER VENOUS THROMBOSIS AND EMBOLISM
Andere Medikamente
Medications: clotrimazole-betamethasone 1 %-0.05 % topical cream Per instructions ONE TIME PER DAY (route: topical) desonide 0.05 % topical ointment Per instructions ONE TIME PER DAY (route: topical) albuterol sulfate HFA 90 mcg/actuati
Allergien
Allergies: Codeine (vomiting), Lactose, lactase
Vorherige Impfungen
-

VAERS 1898190

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CA
Alter
66,0
Geschlecht
M
Eingang
24.11.2021
Impfdatum
24.11.2021
Beginn
24.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Interchange of vaccine products

Symptomtext

Patient presented to the vaccination site on 11/13/21. The client notified RN that he received a complete series of COVID vaccine first dose on 12/22/2O and second dose on 1/20/21. RN submitted a medical consult via text message to Vaccine Operations Leads, requesting to proceed with the COVID vaccine Moderna booster. Per CDC guidance, approval to proceed with COVID vaccine Moderna was obtained from medical consult team via text message from , Vaccine Operations Lead . Client received COVID vaccine Moderna Lot#066F21A on 11/13/21. The client did not report any symptoms during the 15 minute observation period. Vaccinator educated client on possible adverse reactions and when to seek medical care. Client reported no symptoms.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Interchange of vaccine products
Hospital-Tage
-
Labordaten
NONE
Aktuelle Erkrankungen
unknown
Vorgeschichte
unknown
Andere Medikamente
unknown
Allergien
unknown
Vorherige Impfungen
-

VAERS 1893749

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
KY
Alter
60,0
Geschlecht
F
Eingang
23.11.2021
Impfdatum
12.11.2021
Beginn
20.11.2021
Tage bis Beginn
8,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
COVID-19 SARS-CoV-2 test positive

Symptomtext

Tested Positive for Covid

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

VAERS 1892885

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
OH
Alter
49,0
Geschlecht
F
Eingang
23.11.2021
Impfdatum
12.11.2021
Beginn
01.11.2021
Tage bis Beginn
-
Dosis
3
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Inappropriate schedule of product administration Lymphadenopathy

Symptomtext

Inappropriate schedule of vaccine administered; Lymph nodes swelling/ Lymph node of the size of a grape fruit; This spontaneous case was reported by a consumer and describes the occurrence of LYMPHADENOPATHY (Lymph nodes swelling/ Lymph node of the size of a grape fruit) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Inappropriate schedule of vaccine administered) in a 49-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) for COVID-19 vaccination. Previously administered products included for Product used for unknown indication: PFIZER BIONTECH COVID-19 VACCINE (The patient received the 1st and 2nd dose of Pfizer). Past adverse reactions to the above products included No adverse event with PFIZER BIONTECH COVID-19 VACCINE. Concomitant products included DULOXETINE HYDROCHLORIDE (CYMBALTA) for an unknown indication. On 12-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Nov-2021, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Inappropriate schedule of vaccine administered). In November 2021, the patient experienced LYMPHADENOPATHY (Lymph nodes swelling/ Lymph node of the size of a grape fruit). The patient was treated with IBUPROFEN (ADVIL [IBUPROFEN]) for Adverse event, at an unspecified dose and frequency. On 12-Nov-2021, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Inappropriate schedule of vaccine administered) had resolved. At the time of the report, LYMPHADENOPATHY (Lymph nodes swelling/ Lymph node of the size of a grape fruit) outcome was unknown. Other concomitant medications included Birth control pill. The patient received the 1st and 2nd dose of Pfizer and the booster shot of Moderna. The patient got lymph nodes swelling and lymph node of the size of a grape fruit. To treat the symptoms, the patient took Advil last night and this morning.

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

VAERS 1891623

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CA
Alter
42,0
Geschlecht
F
Eingang
22.11.2021
Impfdatum
18.11.2021
Beginn
18.11.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Dysgeusia Parosmia Throat irritation

Symptomtext

Client received 2nd Moderna COVID vaccine at 1:12 pm in left deltoid, while sitting in zero gravity chair. At 1:15 pm, client reports to EMT she has an itchy feeling in throat, with a metallic taste in her mouth. Client also reports she perceives a "sense of perfume smell in air" as another client passed by. Client reports she is allergic to perfume. Client denies shortness of breath, no trouble breathing, no trouble swallowing, or chest tightening. RN offers client Benadryl IM, client declines, states Benadryl is not for itchy throat and is concerned it will interfere with the efficacy of COVID vaccine. Client states she would like to wait and see if symptoms resolve as she believes they are related to the perfume she smelled in the air. Vital signs are stable. EMT continues to maintain conversation with client, client reports sensation of "perfume smell" has gone away. At 1:35 pm, client reports throat itchiness is improving, declines Benadryl once again. At 1:38 pm, client reports no more throat itchiness. At 1:40 pm, Client reports throat sensation and itchiness have completely resolved, reports slight headache because of perfume noted earlier. Client educated on ER precautions. Client left observation area at 1:50 pm, walking with steady gait.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dysgeusia
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
bee stings, spiders, fleas, eggs, fructose, potatoes, nuts, peppers, morphine, opiates, anti-nausea medications
Vorherige Impfungen
-

VAERS 1888650

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
WA
Alter
36,0
Geschlecht
M
Eingang
21.11.2021
Impfdatum
01.11.2021
Beginn
20.11.2021
Tage bis Beginn
19,0
Dosis
1
Route/Site
SYR / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Deafness unilateral Diplacusis SARS-CoV-2 test negative

Symptomtext

Went home felt fine, took a nap, woke up with significant hearing loss in one ear, about 18 hours after injection loss is near total, loud metallic sounding echo when people talk.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Deafness unilateral
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
Persistent cough lasting 3 or 4 months, tested for covid, negative for that and pneumonia.
Vorgeschichte
Hypertension
Andere Medikamente
lisinopril - 25mg daily
Allergien
None
Vorherige Impfungen
The first round of Moderna vaccines caused anosmia (loss of taste) after the second dose.

VAERS 1884447

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
MI
Alter
8,0
Geschlecht
F
Eingang
19.11.2021
Impfdatum
11.11.2021
Beginn
11.11.2021
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Product administered to patient of inappropriate age

Symptomtext

This spontaneous case was reported by a pharmacist and describes the occurrence of PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (9 year old received full dose of Moderna) in a 9-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 066F21A) for COVID-19 vaccination. No Medical History information was reported. On 11-Nov-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-Nov-2021, the patient experienced PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (9 year old received full dose of Moderna). On 11-Nov-2021, PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (9 year old received full dose of Moderna) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No Concomitant medication information was reported. No Treatment medications were provided

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

VAERS 1880056

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066f21a

gering
Staat
PA
Alter
67,0
Geschlecht
F
Eingang
18.11.2021
Impfdatum
15.11.2021
Beginn
15.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Cellulitis Infection

Symptomtext

Error: Infection / Cellulitis (diagnosed by MD)-

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

VAERS 1850140

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
MN
Alter
64,0
Geschlecht
F
Eingang
18.11.2021
Impfdatum
01.11.2021
Beginn
02.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Incorrect route of product administration

Symptomtext

RN administered the Moderna COVID booster in the low on the arm, not in the deltoid.

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

VAERS 1877030

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CA
Alter
42,0
Geschlecht
M
Eingang
17.11.2021
Impfdatum
16.11.2021
Beginn
17.11.2021
Tage bis Beginn
1,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Electrocardiogram No adverse event

Symptomtext

Client reported to vaccinator RN that he experienced chest pain and SOB after his 2nd dose Moderna COVID vaccine on 04/11/2021 that resulted in hospitalization for approximately 48 hours. Client reported onset of adverse reactions was about 24 hours after receiving his 2nd dose Moderna COVID vaccine. Client reported he recieved pain medication for treatment in the hospital and was advised by PCP to proceed with receiving Moderna Booster. Lead RN submitted a medical consult via test message to Vaccine Operations Leads, requesting to proceed with the COVID vaccine Moderna Booster. RN received approval from MD to proceed with Moderna Booster. Client received COVID vaccine Moderna Booster (lot# 066F21A) at approximately 0315 in the R deltoid and was instructed to be observed 30 minutes and f/u with PCP. No adverse reactions reported during observation. Client left vaccine site with steady and symmetrical gait.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Electrocardiogram
Hospital-Tage
-
Labordaten
EKG
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
None
Allergien
Anaphylactic allergy to Penicillin
Vorherige Impfungen
-

VAERS 1868614

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CA
Alter
27,0
Geschlecht
F
Eingang
14.11.2021
Impfdatum
09.11.2021
Beginn
09.11.2021
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

Symptomtext

The patient was presented to the vaccination site on 11/09/21. The client notified RN that after her first dose of the COVID Moderna vaccine on 1/16/21 client reported feeling dizzy after an hour from getting vaccine. Client stated that the dizziness lasted about an hour. Client also stated that after her second dose of the COVID Moderna vaccine on 2/13/21 she also experienced the same symptom of dizziness but this time it was only for 30 minutes. RN submitted a medical consult via text message to Vaccine Operations Leads, requesting to proceed with the COVID vaccine Moderna booster dose. Approval to proceed with COVID vaccine Moderna booster dose was obtained from medical consult team, Vaccine Operations Lead , RN via text message. Client received COVID vaccine Moderna booster dose Lot# 066F21A on 11/09/2021. The client did not report any symptoms during the 30 minute observation period. The client left the vaccination site at 1505 unassisted with a steady gait. Clients boyfriend stated that he would drive her home. RN educated client on worsening signs and symptoms of receiving booster Moderna COVID vaccine and when to seek EMS, urgent care, or go to the ED. Client verbalized understanding.

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

VAERS 1867922

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CA
Alter
52,0
Geschlecht
F
Eingang
13.11.2021
Impfdatum
13.11.2021
Beginn
13.11.2021
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 Interchange of vaccine products

Symptomtext

Client presented to the vaccintaion site on 11/13/21. The client notified RN that she received a single dose of Pfizer COVID vaccine on 03/05/21. Submitted medical consult via text to Vaccine Operations Leads, requesting to proceed with the COVID vaccine of Moderna. Per CDC guidance, approval to proceed with COVID vaccine Moderna Lot#066F21A was obtained from MD via text message from, Vaccine Operations Lead. The client did not report any symptoms during the 30 minute observation period. RN educated client on possible adverse reactions and when to seek medical care. The client left the vaccination site at 1430 hours and stated that they were "good" and appeared to be wnl at time of departure.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
hypertension
Andere Medikamente
Cozaar, scopalomine, hormone replacement therapy.
Allergien
Mango, erythromycin, demerol, flagyl.
Vorherige Impfungen
Client had a reaction to first dose Pfizer on 03/05/2021. S/S n/v for 10 days and vertigo beginning on day 3. MD prescribed sc

VAERS 1865548

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CA
Alter
55,0
Geschlecht
F
Eingang
12.11.2021
Impfdatum
11.11.2021
Beginn
12.11.2021
Tage bis Beginn
1,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Extra dose administered Interchange of vaccine products

Symptomtext

Client presented to the vaccination site on 11/11/2021. The client notified RN that he she received a single dose of Sputnik COVID vaccine on 06/05/21 and Moderna First dose 08/28/2021. RN submitted a medical consult via phone number to Vaccine Operations Leads, requesting to proceed with the COVID vaccine Moderna second dose. Per CDC guidance, approval to proceed with COVID vaccine Moderna was obtained from medical consult team via phone by Vaccine Operations Lead. Client received COVID vaccine Moderna Lot#066F21A on 11/11/21. The client did not report any symptoms during the 15 minute observation period. RN educated client on possible adverse reactions and when to seek medical care. The client left the vaccination site in a steady gait

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

VAERS 1864878

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
OH
Alter
38,0
Geschlecht
F
Eingang
12.11.2021
Impfdatum
10.11.2021
Beginn
12.11.2021
Tage bis Beginn
2,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Cellulitis

Symptomtext

Per pt, she saw an urgent care doctor and she is on antibiotics. Per pt she said MD told her she has cellulitis due to Covid injection

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cellulitis
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
Blood Dyscrasia
Vorgeschichte
n/a
Andere Medikamente
not available
Allergien
NKDA
Vorherige Impfungen
-

VAERS 1862168

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
MI
Alter
8,0
Geschlecht
F
Eingang
11.11.2021
Impfdatum
11.11.2021
Beginn
11.11.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Interchange of vaccine products

Symptomtext

Nothing at the moment (5 hours have passed). Patient came in for the Pfizer kids shot but received a dose of a booster shot of Moderna.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Interchange of vaccine products
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1861568

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CO
Alter
46,0
Geschlecht
M
Eingang
11.11.2021
Impfdatum
06.11.2021
Beginn
06.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Incorrect dose administered

Symptomtext

Received full dose of Moderna booster instead of half dose

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
None
Vorgeschichte
Hyperlipidemia, Sever Obesity, OSA, Alopecia, Gout
Andere Medikamente
Adderall, Trazadone, Crestor, Allopurinol
Allergien
Beta Adrenergic blockers, Celecoxib, Promethazine Hydrochloride, Sulfa drugs
Vorherige Impfungen
-

VAERS 1861460

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CA
Alter
52,0
Geschlecht
M
Eingang
11.11.2021
Impfdatum
08.11.2021
Beginn
08.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Extra dose administered

Symptomtext

Pt presented to the vaccination site on 11/08/21. The client notified RN after 1-2 hours after receiving his second dose he felt like his heart was racing. The client went to the emergency room and they kept him in observation for 4-5 hours. They did not give him any medications. Client stated that he was then sent home. Client stated that the next day he felt the same symptom of his heart racing and returned to the hospital. Client stayed at the hospital in observation from 1100-2100 that day. Client stated that he felt his hear racing on and off the entire time. Client was sent home after staying in observation for 10 hours. Client was not given any medications. RN submitted a medical consult via text message to Vaccine Operations Leads, requesting to proceed with the COVID Moderna booster vaccine. Approval to proceed with COVID vaccine Moderna booster with 15 minute observation was obtained from medical consult team, Vaccine Operations Lead, RN via text message. Client received COVID Moderna booster vaccine Lot# 066F21A on 11/08/2021. The client did not report any symptoms during the observation period. RN educated client on worsening signs and symptoms of COVID vaccine and when to seek EMS, urgent care or when to return to ED if symptoms return. Client verbalized understanding. The client left the vaccination site at 1415.

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

VAERS 1858466

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066f21a

gering
Staat
NC
Alter
27,0
Geschlecht
F
Eingang
10.11.2021
Impfdatum
10.11.2020
Beginn
10.11.2021
Tage bis Beginn
365,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Feeling abnormal

Symptomtext

Patient complained of throat "feeling funny" about 5 -10 minutes post vaccine admin but did not complain of problems breathing or swallowing. Administered 25mg of diphenhydramine by mouth. Continued to closely monitor. Patient was alert and continued to improve after administration of diphenhydramine over the course of approximately 30 minutes after admin.

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

VAERS 1849155

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CA
Alter
66,0
Geschlecht
M
Eingang
06.11.2021
Impfdatum
11.03.2021
Beginn
30.07.2021
Tage bis Beginn
141,0
Dosis
3
Route/Site
SYR / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Magnetic resonance imaging head Scan with contrast Tinnitus

Symptomtext

Tinnitus in ears appeared approximately 3 months after the second injection.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Magnetic resonance imaging head
Hospital-Tage
-
Labordaten
10/13/2021: MR BRAIN INTERNAL AUDITORY CANAL TEMPORAL BONE W AND WO IV CONTRAST
Aktuelle Erkrankungen
None
Vorgeschichte
Hay fever
Andere Medikamente
Allopurinol, amlopidine
Allergien
Statins
Vorherige Impfungen
-

VAERS 1847626

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
NC
Alter
66,0
Geschlecht
F
Eingang
05.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
No adverse event Wrong product administered

Symptomtext

patient was expecting to get pfizer booster and instead moderna booster (0.25ml) was administered to the patient. no adverse reaction noted after giving moderna

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

VAERS 1847394

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CA
Alter
49,0
Geschlecht
M
Eingang
05.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
2
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Interchange of vaccine products No adverse event

Symptomtext

Patient was in clinic today to receive booster shot of Janssen vaccine. Patient received first Janssen vaccine on 5/28/21. Patient requested a Janssen booster shot but was given a Moderna booster shot instead. Moderna booster was given before the 6 month period dictated by Moderna manufacturer and CDC. No adverse events reported by patient. No follow on care needed for patient.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Interchange of vaccine products
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
none
Andere Medikamente
none
Allergien
none
Vorherige Impfungen
-

VAERS 1847167

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
CA
Alter
65,0
Geschlecht
F
Eingang
05.11.2021
Impfdatum
05.11.2021
Beginn
05.11.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Inappropriate schedule of product administration Product administration error

Symptomtext

Administration error: Booster vaccine at 3 months, instead of recommended 6 month interval. Hx of Heart disease. Pt monitored for 1.5 hours after administration, no side effects noted. VS Stable.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Inappropriate schedule of product administration
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
AV Block s/p pacemaker HTN Overweight
Vorgeschichte
As above
Andere Medikamente
Isosorbide Dinitrate tab 30mg qD Metoprolol Succinate ER 100mg qD
Allergien
Allergic to Lisinopril
Vorherige Impfungen
-

VAERS 1832339

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066F21A

gering
Staat
WV
Alter
66,0
Geschlecht
M
Eingang
31.10.2021
Impfdatum
31.10.2021
Beginn
31.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Incorrect dose administered

Symptomtext

PATIENT WAS A TRANSPLANT PATIENT AND SHOULD HAVE RECEIVED AN ADDITIONAL DOSE 0.5ML, INSTEAD IN ERROR RECEIVED A BOOSTER 0.25ML.

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

VAERS 1828883

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 066f21a

gering
Staat
NY
Alter
51,0
Geschlecht
M
Eingang
29.10.2021
Impfdatum
29.10.2021
Beginn
29.10.2021
Tage bis Beginn
0,0
Dosis
3
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Extra dose administered

Symptomtext

Did not qualify for booster

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