VAERS Reports 077C21B

VAERS 2728736

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: -
Alter: 78,0
Geschlecht: M
Eingang: 29.12.2023
Impfdatum: 13.12.2021
Beginn: 09.11.2023
Tage bis Beginn: 696,0
Dosis: 3
Route/Site: - / -

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

Acute kidney injury Acute respiratory failure Ammonia Anaemia Arthralgia Asthenia Back pain Bladder catheterisation Blood creatinine normal Blood culture Blood lactic acid Blood pressure increased Brain natriuretic peptide increased COVID-19 Chest X-ray abnormal Chest X-ray normal Computerised tomogram head abnormal Culture urine

Symptomtext

Patient is an 80 year old gentleman with a past medical history of Parkinson's disease and dementia, T2DM, hypertension, lower extremity edema, impaired mobility, falls, BPH, OSA who has been admitted to Hospital 11/9/2023 with weakness and lethargy, COVID-19 infection. Sepsis Possible aspiration pneumonia Present on admission: no Etiology: Unclear etiology, possible aspiration pneumonia SIRS criteria: Temperature greater than 100.4 or less than 96.8, Heart rate greater than 90 Cautious IV fluids due to volume status. Check blood and urine cultures Check x-ray of the chest showed new bibasilar infiltrates. Lactic acid 1.0 Start vancomycin and Zosyn Obtain CT brain due to worsening encephalopathy Check CBC, CMP, and ammonia Mental status back to baseline, continue course of antibiotics on discharge Patient stable for discharge with close outpatient follow-up Acute metabolic encephalopathy, improving Weakness Lethargy Falls History of dementia and Parkinson's, see below; acute encephalopathy likely exacerbated by COVID-19 PT/OT/CM following We will need SNF placement Acute hypoxemic respiratory failure, now resolved Covid-19 Virus Infection, resolved Possible covid Encephalopathy Date of onset of symptoms: 11/7/2023 Date of covid positive test: 11/9/2023 Vaccination status: vaccinated Imaging: CXR 11/9 no acute findings Medical therapy: Remdesivir, finishing 11/13; IV steroids. Discontinue steroids since he is on room air BNP was elevated at 1351, s/p IV diuresis Symptoms of COVID resolved and the patient can come out of isolation Mechanical Fall Low back pain Knee pain Images reviewed , no fracture or dislocation Pain control Avoid narcotics given the patient's altered mental status PRN Tylenol PT/OT Acute kidney injury, resolved Baseline Cr appears to be ~0.8-1 Of note patient did receive IV diuresis on admission, now stopped Holding losartan as below Hypertension Elevated blood pressure on admission Holding losartan due to AKI. Can resume on discharge and will need to follow-up kidney functions as an outpatient. Hydralazine 10 mg IV as needed every 6 hours for elevated blood pressure BP well controlled at this time Parkinsonism Dementia Continue carbidopa levodopa, donepezil Dysphagia Noted per SLP evaluation Follow dietary recommendations NIDDM2 Diet controlled Keep BG between 140 and 180 Last A1c x3 less than 6 BPH Tamsulosin Foley Anemia Continue to monitor Outpatient evaluation and management

Weitere VAERSDATA-Felder

Praegender Schweregrund: Acute respiratory failure
Hospital-Tage: 13,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2722233

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: MI
Alter: 76,0
Geschlecht: F
Eingang: 08.12.2023
Impfdatum: 18.11.2021
Beginn: 24.11.2023
Tage bis Beginn: 736,0
Dosis: 3
Route/Site: IM / UN

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

Acute respiratory failure Anion gap Blood creatinine decreased Blood glucose normal Blood urea increased Blood urea nitrogen/creatinine ratio COVID-19 Carbon dioxide Chest X-ray abnormal Cough Decreased appetite Diarrhoea Dyspnoea Echocardiogram abnormal Ejection fraction Hypoxia Left ventricular failure Lung disorder

Symptomtext

Pt is a 78 YO female with PMHx of AFib, HLD, coronary artery disease, depression and anxiety, chronic obstructive pulmonary disease that presented to the ED with c/o difficulty breathing. Patient reports progressively worsening cough for the past week. She reports associated shortness of breath and difficulty laying flat. Patient is chronically on home 2.5 liters of oxygen. Patient reports increasing oxygen to 3 liters without any relief hence the ER visit. Patient reports decrease in appetite. She reports chronic leg swelling. Patient reports diarrhea for the past two days. She denies recent abx use. Patient denies changes in weight. Patient denies sick contacts. Patient denies chest pain, shortness of breath, abdominal pain, nausea, vomiting, headache, dizziness or lightheadedness. Patient is urinating without difficulty or pain and bowels are moving appropriately. In the ED, patient is tachycardic. Labs reviewed and notes glucose 192, creatinine 0.4, BUN/Cr ratio 43, CO2 43, anion gap 4, BNP 638, up trending troponin. Chest x-ray notes new hazy density at the level of the right mid lung may reflect progressive fluid collection along with the fissure versus developing pneumonia, otherwise stable appearance of the chest diffusely prominent interstitial opacities likely reflecting changes Principal Problem:Acute hypoxic respiratory failure likely multifactorial. Patient is COVID positive, history of chronic obstructive pulmonary disease vs CHF exacerbation. Last echo in 2022 noted HFpEF with EF at 60-65%. Patient is chronically on 2.5 liters of oxygen at home. Bilateral lower extremity pitting edema. Chest x-ray notes new hazy density at the level of the right mid lung may reflect progressive fluid collection along with the fissure versus developing pneumonia, otherwise stable appearance of the chest diffusely prominent interstitial opacities likely reflecting changes. Hypoxic in the ER and en route. Discharged to Skilled Nursing Facility.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Acute respiratory failure
Hospital-Tage: 15,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2659298

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: MI
Alter: 83,0
Geschlecht: F
Eingang: 21.07.2023
Impfdatum: 18.11.2021
Beginn: 11.07.2023
Tage bis Beginn: 600,0
Dosis: 3
Route/Site: IM / -

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

COVID-19 Cerebrovascular accident

Symptomtext

CVA, COVID-19 incidental finding at discharge

Weitere VAERSDATA-Felder

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

VAERS 2610161

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: MN
Alter: 84,0
Geschlecht: F
Eingang: 05.04.2023
Impfdatum: 03.11.2021
Beginn: 28.12.2022
Tage bis Beginn: 420,0
Dosis: 1
Route/Site: UN / UN

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

Acute respiratory failure COVID-19 COVID-19 pneumonia Cardiac failure acute Dyspnoea Fatigue Hypoxia Left ventricular failure Pneumonia bacterial SARS-CoV-2 test positive Superinfection

Symptomtext

Patient was recently admitted to the hospital for acute decompensated heart failure and discharged and then subsequent to home. On 12/28/22, patient was brought to the ED by EMS as family was concerned about patient's progressive fatigue. She was also found to be hypoxic on room air to the 80s, and so EMS administered supplemental O2. Patient reported she has been feeling short of breath. Notably, she had tested positive for COVID approximately a week prior. Repeat COVID PCR test performed on that day also resulted positive. Patient was admitted 12/28/22 - 1/4/23 for acute hypoxic respiratory failure secondary to COVID-19 pneumonia with superimposed bacterial pneumonia and acute on chronic diastolic heart failure. She initially required 2L O2, but was able to be weaned to room air.

Weitere VAERSDATA-Felder

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

VAERS 2607847

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: -
Alter: 63,0
Geschlecht: M
Eingang: 31.03.2023
Impfdatum: 22.12.2021
Beginn: 25.02.2023
Tage bis Beginn: 430,0
Dosis: 2
Route/Site: - / -

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

Acute respiratory failure Agitation Anticoagulant therapy Aspiration Blood alcohol increased Blood culture negative Body temperature decreased COVID-19 Chronic obstructive pulmonary disease Cold exposure injury Condition aggravated Endotracheal intubation Hypothermia Intensive care Lactic acidosis Leukocytosis Metabolic encephalopathy Pneumonia

Symptomtext

64-year-old male with heavy prior smoking history and COPD as well as alcohol dependence, presented with hypothermia after being found out on the lake clean into a kayak. Blood alcohol levels were elevated on intake. He was intubated for respiratory protection and presumed lake water was reported to be aspirated to a moderate amount from the lungs. He was admitted to the ICU. He was treated with rewarming protocols, and empiric IV antibiotic coverage and steroids for aspiration pneumonitis and possible early pneumonia. He slowly improved with treatments and was able to be extubated couple days after admission, with further subsequent improvements and decrease of oxygen requirements. He completed 7-day course of empiric IV Rocephin for possible aspiration pneumonia. Due to slow improvement, COVID test was checked several days after admission, and was positive. He was started on remdesivir and steroids changed to Decadron, however after further discussion and being aware that his family was reportedly all positive for COVID the past 1 to 2 weeks, though he had no testing at that time, it is presumed that his COVID positivity is not likely acute and just an ongoing residual from previous likely asymptomatic infection. COVID was not checked on intake given circumstances of presentation being intoxicated and found with overt nonsterile water aspiration. Today, patient is further improved and down to minimal oxygen. Still has increased oxygen demands with any ambulation and home O2 eval completed and qualifying him for oxygen at home. We will continue steroid wean after discharge however no additional antibiotics as complete course was finished here in house. Advised to follow-up with PCP and request pulmonology referral as well as PFTs when he is improved back to his baseline. He does state that prior to all these events occurring, he noted that home O2 sats do drop into the low to mid 80s on room air at baseline. Pulmonology was consulted this admission and reviewed imaging suggest that his baseline COPD is severe. He does still smoke a couple cigarettes a day and he was advised to work towards complete cessation. He was covered with CIWA protocols during this admission given intoxication and chronic alcohol dependence but had no complications from withdrawal. He is stable for discharge today with home health services. Assessment and Plan Patient is a 64 y.o. male patient of DO with history of smoker, alcohol abuse presented to the local Hospital with hypothermia. Acute respiratory failure hypoxia and hypercapnia Septic shock, resolved Lactic acidosis, resolved Patient pulled from Lake clinging to kayak Extubated 2/27 Recurrent fever <24hrs, source likely aspiration pneumonitis versus pneumonia Chest imaging without evidence of acute pathology Blood cultures NGTD Pulmonology consulted Cont IV Rocephin empirically, completed full course during stay, no abx on DC Continues minimal O2 at rest, requiring 3 L nasal cannula with ambulation Current leukocytosis likely secondary to steroids New COVID-19 positivity versus prior residual ongoing positivity Reportedly family members tested positive the week prior to admission but patient never tested himself He is fully vaccinated and booster x1 On intake, COVID was not checked due to situation of his presentation COVID test 3/1 positive Higher suspicion that his positive testing is residual rather than new infection, pulmonology agrees DC remdesivir Continue decadron taper on discharge COPD in exacerbation Likely aspiration pneumonitis Possbile aspiration pneumonia Stridor s/p extubation Pulmonology following Steroids taper on discharge Cont Symbicort Wean O2 as tolerated to goal 88-92% Will DC with home O2 3L for ambulation Hypothermia, resolved Secondary to cold water exposure Admission temperature 85.6, now normalized Metabolic encephalopathy, resolved Secondary to severe hypothermia Combined with alcohol abuse/intoxication Was agitated in ED, requiring sedation and intubation Resolved and extubated Alcohol abuse/alcohol intoxication Continue on folic/thiamine on DC SW consulted for etoh cessation resources CAD Atelectatic changes in the CTA chest from 8/2019 Prior nuclear test from 10/2019 with possible prior infarct Continue ASA/statin

Weitere VAERSDATA-Felder

Praegender Schweregrund: Acute respiratory failure
Hospital-Tage: 6,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2580052

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: -
Alter: 73,0
Geschlecht: M
Eingang: 12.02.2023
Impfdatum: 11.11.2021
Beginn: 24.01.2023
Tage bis Beginn: 439,0
Dosis: 3
Route/Site: - / -

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

Acute kidney injury Acute respiratory failure Adult failure to thrive Anxiety Aortic aneurysm Asthenia Blood creatinine increased Blood lactic acid COVID-19 Cardiac arrest Chest X-ray Cholangiocarcinoma Computerised tomogram abdomen abnormal Computerised tomogram head normal Death Depression Diabetes mellitus Diarrhoea

Symptomtext

Patient is a 73 y.o. male patient with history of hypertension, now presented after a fall at home. Patient became acutely hypoxic on 1/26/2023 morning. Transferred to ICU where he developed asystole and passed away at 12:09 PM Acute hypoxic respiratory failure PEA cardiac arrest COVID-19 infection became acutely hypoxic on 1/26/2023. Stat chest x-ray, troponin, proBNP, lactic acid ordered Discussed with patient's wife on the phone and she confirmed that patient is DNR CCA/DNI, also reviewed docs in chart Patient developed PEA cardiac arrest at 12:09 PM on 1/26/2023 Fall, initial encounter Weakness and fatigue Failure to thrive CT head with no intracranial injury Scalp wound stapled in ER Metastatic liver cancer Large liver mass at the hepatic hilum Cholangiocarcinoma Followed with Dr. Acute kidney injury Likely prerenal from diarrhea Admission creatinine 1.7; baseline creatinine 0.85 Diarrhea on admission Rectal bleeding Acute infectious/inflammatory colitis of unclear etiology Cause unknown; suspect colitis of unclear etiology. CT abdomen pelvis on admission showed nonspecific colonic wall thickening could reflect portal hypertensive colopathy, infectious/inflammatory colitis or incomplete distention Diabetes Hypertension AAA Followed with Dr. Anxiety and depression Obesity BMI: 36.32. History of tobacco abuse

Weitere VAERSDATA-Felder

Praegender Schweregrund: Acute respiratory failure
Hospital-Tage: 2,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2567845

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: KY
Alter: 87,0
Geschlecht: M
Eingang: 25.01.2023
Impfdatum: 01.12.2021
Beginn: 28.08.2022
Tage bis Beginn: 270,0
Dosis: 3
Route/Site: IM / LA

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

COVID-19 Death SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Patient had a breakthrough infection and passed away.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Death
Hospital-Tage: -
Labordaten: Positive COVID test on 8/4/2022.
Aktuelle Erkrankungen: Unknown
Vorgeschichte: Unknown
Andere Medikamente: Unknown
Allergien: Unknown
Vorherige Impfungen: -

VAERS 2535165

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: MI
Alter: 73,0
Geschlecht: M
Eingang: 16.12.2022
Impfdatum: 09.11.2021
Beginn: 05.12.2022
Tage bis Beginn: 391,0
Dosis: 3
Route/Site: - / -

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

Acute respiratory failure Angiogram pulmonary abnormal Atrial tachycardia COVID-19 Cardiac failure Cardiac monitoring abnormal Cardiac stress test normal Cardiac telemetry abnormal Chest X-ray abnormal Condition aggravated Cough Diuretic therapy Dyspnoea Dyspnoea exertional Echocardiogram abnormal Ejection fraction decreased Electrocardiogram abnormal Hypervolaemia

Symptomtext

"Patient with 3 COVID vaccines who admitted to hospital with COVID detected PCR. Provider d/c note: ""74yoF ho coronary artery disease, there is stenosis, hypertension, dm 2, HLD, BPH, MI 2003, paroxysmal SVT presenting on 12/05 for progressive shortness of breath. Three day duration, never had the past, exacerbated by exertion, relieved with rest, denies chest discomfort, endorses nonproductive cough. Found to be in atrial tachycardia with rate exceeding 140, CXR suggesting volume overload versus pulmonary edema. Initial blood pressure 172/113 and hypoxic to 80% on room air. CTA negative for PE revealed bilateral effusions and ground-glass opacities with mosaic attenuation consistent with pulmonary edema. Also found be COVID positive. Troponin/EKG unremarkable for ischemia. Blood pressure and hypoxia improved with IV diuretics and rate control. Echo revealed reduced EF 20% with severe global hypokinesis. Compared to 2021 echo EF 55%. Cardiology consulted and recommend LifeVest on discharge with repeat echo as NM stress test on 12/01 was negative for ischemia. Patient discharged without requirements for therapy or home oxygen. Acute hypoxic respiratory failure due to new HFrEF exacerbation -transition IV Lasix to oral, GDMT valsartan and beta-blocker. Selected tartrate for rate control and patient could not afford Entresto. Life vest given on discharge. Close cardiology follow-up. Consider SGLT2. Multifocal atrial tachycardia with history SVT -SVT seen on outpatient cardiac monitor and MATseen on tele/EKG while inpatient, amiodarone 400mg q12h 10 days, 200mg daily thereafter, metoprolol tartrate COVID-19 infection -likely minimal contribution, respiratory status improved with control of HR, BP, and volume status, continue supportive care outpatient"""

Weitere VAERSDATA-Felder

Praegender Schweregrund: Acute respiratory failure
Hospital-Tage: 4,0
Labordaten: COVID Detected PCR on 12/05/2022
Aktuelle Erkrankungen: -
Vorgeschichte: Cardiovascular Essential hypertension CAD (coronary artery disease) Aortic stenosis Paroxysmal SVT (supraventricular tachycardia) Hyperlipidemia HFrEF (heart failure with reduced ejection fraction) Acute systolic CHF (congestive heart failure) Multifocal atrial tachycardia Endocrine Type 2 diabetes mellitus Other Chest pain Obese Hypokalemia Elevated troponin COVID-19 Prostate cancer Elevated LFTs
Andere Medikamente: -
Allergien: NKA
Vorherige Impfungen: -

VAERS 2503446

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: -
Alter: 84,0
Geschlecht: M
Eingang: 09.11.2022
Impfdatum: 29.11.2021
Beginn: 04.10.2022
Tage bis Beginn: 309,0
Dosis: 3
Route/Site: IM / LA

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

Acute respiratory failure Anaemia of chronic disease Angiogram pulmonary abnormal Asthenia Atelectasis Blood culture Blood magnesium COVID-19 COVID-19 pneumonia Chills Culture urine negative Dyspnoea Fatigue Full blood count Haematuria Incentive spirometry Inflammatory marker test Legionella test

Symptomtext

The patient is a 85 y.o. male patient of doctor with history of hypertension, hyperlipidemia, colon cancer with subtotal colectomy with ileorectal anastomosis in 4/2000, skin cancer, diffuse large B-cell lymphoma stage IV, DJD, right subclavian thrombosis, follicular lymphoma involving the T10 vertebral body and abdominal lymph nodes s/p T10 kyphoplasty, chemotherapy, and radiotherapy, and recent admission for SBO s/p exploratory laparotomy with partial small bowel resection and release of internal hernia on 9/18/2022 who presents to the ED with a chief complaint of SOB and weakness. He also reported productive cough, chills, and low-grade fever. Work-up in the ED was significant for bilateral lower lobe atelectasis versus infiltrate. Acute hypoxemic respiratory failure Hospital-acquired pneumonia Covid-19 Virus Infection/pneumonia Date of onset of symptoms: 10/3/2022 Symptoms present on admission: SOB, fatigue Date of covid positive test: 10/4/2022 Vaccination status: vaccinated Imaging: CTPA bilateral basilar infiltrates Oxygen requirements on admission: none done 2 L Current oxygen requirements: Room air Medical therapy: remdesivir and steroids and IV antibiotics Consultants following: ID Anticipated special isolation end date: 10/12/2022 Incentive spirometry Follow inflammatory markers Daily CBC CMP magnesium. Sputum and blood culture unremarkable, reviewed daily Strep pneumonia urine Legionella unremarkable Recent history of small bowel obstruction status postsurgical intervention 9/18/22. Currently tolerating diet Acute UTI Microscopic hematuria Broad-spectrum IV antibiotics then p.o. antibiotics and discharge Urine culture unremarkable Follow-up UA as an outpatient Normocytic anemia Likely anemia of chronic disease. No evidence of blood loss at this time. Outpatient evaluation and management. Continue to monitor while inpatient.

Weitere VAERSDATA-Felder

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

VAERS 2469680

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: TN
Alter: 82,0
Geschlecht: M
Eingang: 05.10.2022
Impfdatum: 03.01.2021
Beginn: 14.09.2022
Tage bis Beginn: 619,0
Dosis: 3
Route/Site: IM / -

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

COVID-19 Death SARS-CoV-2 test positive

Symptomtext

Death S/P COVID-19 vaccination

Weitere VAERSDATA-Felder

Praegender Schweregrund: Death
Hospital-Tage: 4,0
Labordaten: Positive COVID-19 test 09/14/22
Aktuelle Erkrankungen: -
Vorgeschichte: coronary artery disease Dyslipidemia Hypothyroidism Dementia history of aortic stenosis history of prostate cancer
Andere Medikamente: Aricept tablet (donepezil) 10 MG PO DAILY ASA Chewable Tab (Aspirin Chewable Tab) 81 MG PO DAILY Atorvastatin Tab (Lipitor Tab) 20 MG PO BEDTIME Bactrim DS 800 mg-160 mg tablet (sulfamethoxazole-trimethoprim) 1 TAB PO BID cholecalcifero
Allergien: benzoin (Mild - Allergy) Benzoin (UNKNOWN) soap (UNKNOWN)
Vorherige Impfungen: -

VAERS 2455954

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: OH
Alter: 97,0
Geschlecht: F
Eingang: 23.09.2022
Impfdatum: 24.11.2021
Beginn: 31.08.2022
Tage bis Beginn: 280,0
Dosis: 3
Route/Site: IM / RA

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

Acute kidney injury Acute myocardial infarction Anticoagulant therapy Asthenia Bedridden COVID-19 Chest X-ray Death Dehydration Delirium Electrocardiogram abnormal Encephalopathy Hyponatraemia Hypophagia Mental status changes Productive cough Pyrexia SARS-CoV-2 test positive

Symptomtext

97 w/history of atrial fibrillation on anticoagulation, dementia, coronary artery disease, chronic right-sided heart failure pulmonary hypertension, who presented to the emergency department with weakness in the setting of COVID infection. Patient daughter and wife present at bedside, patient has baseline dementia, he is oriented to self at baseline, he is able to ambulate, also able to feed himself which is usually prepared by family, he is unable to hold conversation at baseline. Since Monday, patient has a productive cough, progressive weakness, currently bedbound, also decreased oral intake. Patient was tested positive for COVID today. Patient transition to inpatient hospice on 8/31 Continue comfort measures Titrate comfort medications as needed Palliative care consult Weakness and Fever likely 2/2 COVID infection In the setting of dehydration and viral infection Tylenol as needed for fever Ensure 3 times daily No change in management Patient was seen by palliative care and transition to inpatient hospice Continue comfort measures Patient expired at 3:48 PM, 9/4/2022 Encephalopathy, likely related to hospital-acquired delirium. Advanced dementia Baseline mental status oriented to name, waxing waning mental status, trying to get out of bed Continue comfort measures Hyponatremia,, resolved AKI, improved started on IV hydration Improved Covid-19 Virus Infection Date of onset of symptoms: August 15 Symptoms present on admission: Cough, phlegm,weakness, fever Date of covid positive test: August 21 Vaccination status: vaccinated Imaging: Chest x-ray, personally reviewed Oxygen requirements on admission: Room air Current oxygen requirements: room air (was on 2L prior) Medical therapy: IV steroids and remdesevir Consultants following: ID consult Anticipated special isolation end date: 8/30/22 Elevated troponin Non-STEMI type II Remains chest pain free EKG -right bundle changes in V1 V2 similar to EKG from 2019 Trend troponin Continue home aspirin Atrial fibrillation continue Eliquis 2.5 mg twice daily Hypertension Holding lisinopril given borderline BP

Weitere VAERSDATA-Felder

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

VAERS 2440982

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: MI
Alter: 83,0
Geschlecht: M
Eingang: 12.09.2022
Impfdatum: 08.11.2021
Beginn: 06.09.2022
Tage bis Beginn: 302,0
Dosis: 3
Route/Site: - / -

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

Acute respiratory failure Bradycardia COVID-19 COVID-19 pneumonia Cardiac failure congestive Cardiac telemetry abnormal Condition aggravated Cough Echocardiogram abnormal Ejection fraction Hyperglycaemia Hypoxia Left ventricular dysfunction Left ventricular failure Polyuria

Symptomtext

Discharge Provider: MD Primary Care Provider at Discharge: MD Admission Date: 9/6/2022 Discharge Date: 9/8/2022 PRESENTING PROBLEM: Hypoxia [R09.02] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 83 y.o. male who presented to hospital on 9/6/2022. The patients symptoms started 1-week prior to admission the coughing got worse 3 days prior to admission and decided to go to the ER he was found to Have COVID-19 viral pneumonia with a mild diastolic CHF-exacerbation and acute hypoxic respiratory failure. The patient required supplemental oxygen which has since been weaned off. The patient received 3 days of remdesivir and decadron while hospitalization. Will continue decadron for an additional 4 days to complete a total of 7 days of treatment. The patient has mild steroid induced hyperglycemia. He will continue his home dose of insulin, he has been receiving a reduced dose of long-acting insulin since admission. The patient has a known history of A-fib, he has recurrent bradycardia on telemetry. Will plan for a zio patch at discharge and have him follow up with cardiology for the results. He is not currently on any rate controlling medications. An echocardiogram was completed and shows a left ventricular ejection fraction is 59% and grade II diastolic dysfunction, Grade II (pseudonormalization pattern). He was diuresed with 1 day of IV lasix and will be switched to his home dose of oral furosemide 40 mg BID. Recommend outpatient follow-up with PCP for post-hospitalization follow-up and coordination of care.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Acute respiratory failure
Hospital-Tage: 2,0
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: Carotid artery stenosis CAD (coronary artery disease) Hyperlipidemia Essential hypertension PVD (peripheral vascular disease) (HCC) Pulmonary histoplasmosis (HCC) Edema Atrial fibrillation (HCC) CHF (congestive heart failure) (HCC) Diabetic autonomic neuropathy associated with type 2 diabetes mellitus (HCC) Mild single current episode of major depressive disorder (HCC) Renal insufficiency Hypervolemia, unspecified hypervolemia type Morbid (severe) obesity due to excess calories (HCC) Pulmonary HTN (HCC) COPD, mild (HCC) Nodule of upper lobe of right lung Mediastinal adenopathy OSA (obstructive sleep apnea) Ataxia Diabetic polyneuropathy associated with type 2 diabetes mellitus (HCC) Hypothyroidism Long term current use of insulin (HCC) Impotence Vitamin D deficiency Acute otalgia, right Bradycardia S/P TKR (total knee replacement), right Status post total knee replacement using cement, right COVID-19 Type 2 diabetes mellitus with hyperglycemia (HCC)
Andere Medikamente: Accu-Chek FastClix Lancets acetaminophen (TYLENOL) 500 MG tablet amLODIPine (NORVASC) 5 MG tablet apixaban (ELIQUIS) 5 MG tablet atorvastatin (LIPITOR) 40 MG tablet Cinnamon 500 MG CAPS citalopram (CELEXA) 10 MG tablet dexamethasone (DECADR
Allergien: Ace InhibitorsCough Metformin Sulfa Drugs
Vorherige Impfungen: -

VAERS 2366129

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: IL
Alter: 75,0
Geschlecht: F
Eingang: 12.07.2022
Impfdatum: 04.11.2021
Beginn: 03.01.2022
Tage bis Beginn: 60,0
Dosis: 3
Route/Site: IM / -

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

Acute respiratory failure Anticoagulant therapy Anxiety Atrial fibrillation Blood test normal COVID-19 COVID-19 pneumonia Chest X-ray abnormal Condition aggravated Dyspnoea Dyspnoea exertional Nervousness Pneumonia Respiratory failure SARS-CoV-2 test positive

Symptomtext

Moderna Dose 1 2/16/21 (lot NA) Moderna Dose 2 3/19/21 (lot NA) Moderna Dose 3 11/4/21 (077C21B) COVID Positive 1/6/22 1/6/22: The patient is 75-year-old female with a past medical history of O2 dependent COPD and follows with Dr., HTN, severe anxiety and follows with a psychologist on Prozac and Xanax, hypothyroid, and RA. She presents to the ER with c/o increasing shortness of breath for last 3 days. Patient is fully vaccinated against COVID-19 and has received her booster. X-ray showing bilateral pneumonia and has a pending COVID-19 test. Patient was treated with Rocephin, DuoNeb, Solu-Medrol and IV fluid. She also reported increased anxiety and was treated with Xanax in ER. During my examination in ER patient was resting comfortably in her bed and denies fevers, chills, nausea, vomiting, chest pain, headaches, abdominal pain, palpitation, headaches numbness and tingling. She is from home with her husband who is her primary caretaker. Patient uses 2 L at rest and 3 L activities and sleep. ED blood work unremarkable and she is currently 4 L O2 with sats around 91%. Patient will be admitted into the medical unit will be treated for community-acquired pneumonia. Explained plan of care with the patient she is agreeable to stay in hospital for further management. Per patient's request will call her husband for updates. 1/11/22: Patient is a 75-year-old female with history of severe anxiety, hypertension, rheumatoid arthritis, and chronic hypoxic respiratory failure secondary to advanced COPD who was admitted on 1/6/2022 with bilateral COVID pneumonia and acute on chronic hypoxic respiratory failure. She was also noted to have intermittent AFib RVR which quickly transitioned back to sinus rhythm. The patient was admitted to the medical floor and was started on Remdesivir, Azithromycin, Rocephin, and dexamethasone. She has slowly improved over the last several days. She is back to her home oxygen need which is 3 L at rest and with activity. The patient was evaluated by Physical therapy and they felt as though she would be able to safely go home with VNA services. The patient was agreeable to palliative care and an Alternatives referral for extra help at home. These were both sent yesterday. The patient this morning reports that she is feeling much better. She is a little nervous about going home, but after discussing it, she will take it slow and steady. She denies shortness of breath at rest, but does still report some dyspnea on exertion. She denies chest pain or palpitations. She is currently in sinus rhythm. The patient was started on Toprol XL and Eliquis for her AFib. She should follow-up with her cardiologist in 1-2 weeks and we have discussed this.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Acute respiratory failure
Hospital-Tage: 6,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: COPD HTN anxiety hypothyroidism RA
Andere Medikamente: APAP 1000 mg PO PRN albuterol 2 puffs QID PRN amlodipine 10 mg PO QD apixaban 5 mg PO BID aspirin 81 mg PO QD calcium-vitamin D 1 cap PO QD ezetimibe 10 mg PO QD fluozetine 10 mg PO QD Guaifenesin 1200 mg PO HS hydrochlorothiazide-valsartan
Allergien: NKA
Vorherige Impfungen: -

VAERS 2283013

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: -
Alter: 77,0
Geschlecht: M
Eingang: 18.05.2022
Impfdatum: 04.11.2021
Beginn: 14.11.2021
Tage bis Beginn: 10,0
Dosis: 3
Route/Site: - / -

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

Acute respiratory failure COVID-19 Death Endotracheal intubation Extubation Mental status changes Pneumonia Positive airway pressure therapy SARS-CoV-2 test positive Urinary tract infection

Symptomtext

COVID Moderna #1 given 1/13/21, lot #025L20A; COVID Moderna #2 given 2/10/21, lot #030L20A; pt had a positive COVID test on 11/9/21; pt presented to the Hospital 1/14/22 with altered mental status, O2 sats 51% on 2L O2; placed on BiPAP; pt had a DNR/DNI but family overturned that and pt was intubated in ED; pneumonia, UTI, AHRF; pt given ABX; admitted to inpatient hospice where he was extubated on 1/16/22 and he passed away on 1/19/22; death certificate and medical records sent to info@vaers.org per VAERS request

Weitere VAERSDATA-Felder

Praegender Schweregrund: Acute respiratory failure
Hospital-Tage: 5,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: HTN, HLD, CKD stage III, CVA, multi-infarct dementia, peripheral ocular disease, DVT, COPD
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2267358

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: KY
Alter: 77,0
Geschlecht: F
Eingang: 09.05.2022
Impfdatum: 08.11.2021
Beginn: 22.04.2022
Tage bis Beginn: 165,0
Dosis: 3
Route/Site: IM / LA

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

Abnormal behaviour Asthenia COVID-19 Confusional state Dehydration Fall Hypernatraemia Hypersomnia Hypophagia Metabolic encephalopathy Muscular weakness Pneumonia SARS-CoV-2 test positive Sepsis Septic shock Tearfulness Urine output decreased

Symptomtext

Resident had no po intake or urinary output on 4/21-22/2022. Resident unable to comprehend using a straw or chewing food. Slept for over 24 hours and unable to hold up her head. Resident was transported to hospital at that time where she was diagnosed with Covid, pneumonia and sepsis. Discharge noted septic shock, hyernatremia, dehydration, weakness & metabolic encphalopathy overlying advance dementia. Prior to be sent to hospital on 4/22/2022, resident was having increased confusion and tearfulness. Increased behaviors noted on 4/4/22, with increase in Depakote. Fall on 3/30/22.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Septic shock
Hospital-Tage: -
Labordaten: Covid test completed by Hospital on 4/22/22 was positive.
Aktuelle Erkrankungen: Was sent out to the hospital on 4/22/22. Dx. with Covid, Pneumonia and sepsis during hospitalization.
Vorgeschichte: Alzheimer's (unspecified), Mixed hyperlipidemia, lower back pain, primary hypertension, gastritis without bleeding, pyogenic granuloma, Osteoporosis, anxiety, dementia with behavioral disturbances.
Andere Medikamente: see attached
Allergien: NKA
Vorherige Impfungen: -

VAERS 2252296

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: -
Alter: 88,0
Geschlecht: M
Eingang: 26.04.2022
Impfdatum: 04.11.2021
Beginn: 31.12.2021
Tage bis Beginn: 57,0
Dosis: 3
Route/Site: - / -

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

Abdominal pain Acute respiratory failure COVID-19 Chronic obstructive pulmonary disease Computerised tomogram abnormal Death Dyspnoea exertional Emphysema Fibrosis Hepatobiliary scan Oxygen saturation decreased SARS-CoV-2 test positive

Symptomtext

pt had a previous hospitalization at Medical Center with a positive COVID test on 12/31/21; was treated and sent to a nursing home; 1/28/22 pt presents to ED (at the Medical Center) with c/o abdominal pain and SOB with exertion; desaturating on room air (mid 80s); admitted for evaluation; evaluated for gallbladder and HIDA scan came back negative; pt was a high risk candidate for any type of surgery; AHRF; fibrosis on CT perhaps sequela of COVID infection vs COPD/Emphysema; discussed condition with family; 2/1/22 pt dc'd to home with Home Health; pt dc'd to home where he passed away

Weitere VAERSDATA-Felder

Praegender Schweregrund: Acute respiratory failure
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: AAA s/p repair, hypothyroidism, HTN, HLD, probable CKD 3a, OA, paroxysmal A Fib
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2252011

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: OH
Alter: 71,0
Geschlecht: F
Eingang: 26.04.2022
Impfdatum: 12.11.2021
Beginn: 02.03.2022
Tage bis Beginn: 110,0
Dosis: UNK
Route/Site: IM / LA

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

Abdominal pain Asthenia COVID-19 COVID-19 pneumonia Computerised tomogram thorax abnormal Death Fatigue Fluid intake reduced General physical health deterioration Hypophagia Mobility decreased Rash Skin lesion Thrombocytopenia

Symptomtext

Patient hospitalized after vaccination with Moderna series + booster (11/12/2021, 4/1/2021, 3/1/2021)-COVID related. At admission patient had complaints of generalized weakness, fatigue and generalized abdominal pain. Patient had a rash all over her body, not gotten out of bed, not been eating/drinking, and had sores on her lower legs. Admitted 3/2/2022 for thrombocytopenia secondary to COVID-19 infection. Also had asymptomatic covid pneumonia shown by CT of the chest-on room air, no cough, chest pain, fever or shortness of breath. Patient continued to decline and was put on hospice. Expired 3/10/2022.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Death
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Parkinson's dementia Type 2 diabetes with chronic kidney disease Hypothyroidism Hyperlipidemia Hypertension Anemia Severe hypoalbuminemia/protein malnutrition
Andere Medikamente: Acetaminophen 325mg Aspirin 81mg Atorvastatin 20mg Furosemide 40mg Levothyroxine 75mcg Mirtazapine 7.5mg Multivitamin Ondansetron 4mg
Allergien: No known allergies
Vorherige Impfungen: -

VAERS 2218108

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: TN
Alter: 97,0
Geschlecht: M
Eingang: 06.04.2022
Impfdatum: 08.11.2021
Beginn: 01.01.2022
Tage bis Beginn: 54,0
Dosis: 3
Route/Site: - / -

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

COVID-19 Death SARS-CoV-2 test positive

Symptomtext

pt passed away in the nursing home; had a positive COVID test on 1/16/22; per death certificate, COVID 19 was a condition contributing to cause of death

Weitere VAERSDATA-Felder

Praegender Schweregrund: Death
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: dementia, anxiety and depressive disorders, osteoarthritis
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2209133

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: -
Alter: 56,0
Geschlecht: M
Eingang: 31.03.2022
Impfdatum: 26.10.2021
Beginn: 07.12.2021
Tage bis Beginn: 42,0
Dosis: 3
Route/Site: - / -

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

Acute respiratory failure Cardiac failure congestive Dyspnoea Hypoxia Lung infiltration Metabolic encephalopathy Multiple organ dysfunction syndrome Sepsis Wheezing

Symptomtext

Severe sepsis with acute organ dysfunction - acute respiratory failure, metabolic encephalopathy;he developed a LLL infiltrate and was treated for possible bacterial pneumonia with Rocephin, doxycycline and continued on Solu-Medrol and nebulizer treatments. He had evidence of CHF so he was given IV Lasix during his hospitalization and his oral dose will be increased from 40 to 60 mg daily until his follow-up appointment to address any further adjustments necessary. He had slow improvement in his symptoms of wheezing, dyspnea and hypoxia and by the time of discharge he only required 1 liter supplemental O2. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Acute respiratory failure
Hospital-Tage: 7,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2201768

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: -
Alter: 72,0
Geschlecht: F
Eingang: 28.03.2022
Impfdatum: 23.11.2021
Beginn: 04.01.2022
Tage bis Beginn: 42,0
Dosis: 3
Route/Site: IM / UN

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

Angina unstable Death

Symptomtext

Patient presented to the ED and was subsequently hospitalized for unstable angina within 6 weeks of receiving covid vaccination. She died on 2/8/2022.

Weitere VAERSDATA-Felder

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

VAERS 2193056

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: MI
Alter: 88,0
Geschlecht: M
Eingang: 22.03.2022
Impfdatum: 11.11.2021
Beginn: 12.03.2022
Tage bis Beginn: 121,0
Dosis: 1
Route/Site: IM / AR

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

Blood culture Blood pressure abnormal Brain natriuretic peptide increased COVID-19 COVID-19 pneumonia Chest X-ray abnormal Chronic obstructive pulmonary disease Condition aggravated Cough Death Dyspnoea Fall Hypoxia Leukocytosis Lung disorder Pneumonia Procalcitonin increased SARS-CoV-2 test positive

Symptomtext

Patient is now DECEASED (3.19.22). Hospitalized 3.12.22 - 3.17.22. COVID-19 positive (3.12.22). Fully vaccinated PLUS booster. Admission Date: 3/12/2022 Discharge Date: Mar 17, 2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia Pneumonia of both lower lobes due to infectious organism Sepsis without acute organ dysfunction, due to unspecified organism (HCC) HOSPITAL COURSE: Patient is a 88 y.o. male who presented to the ED with shortness of breath. He was hospitalized at Hospital at the end of January with COVID pneumonia and again hospitalized at Hospital 3/2-3/5 for a fall and pneumonia. His admission CXR showed right lower lobe and ligula pneumonia. He was treated with a 5 day course of rocephin/azithro as well as PO prednisone for COPD exacerbation. At discharge he was sent to other facility for SAR and his lasix was held due to soft blood pressures. Over the last 3 days he had been feeling worse with increased cough and shortness of breath. In the ED the patient had labs showing leukocytosis, elevated procalcitonin at 0.37, an elevated BNP at 8989. He was hypoxic on arrival and required supplemental oxygen at 2L. He had a CXR showing severe airspace disease in the right lung and left lower lobe concerning for pneumonia. The patient had blood cultures obtained and was started on vanco, cefepime and azithro due to his recent IV antibiotic treatment. He was admitted to the hospitalist team for admission and further management. Broad spectrum antibiotics were continued. Patient was evaluated by Medical nutrition and recommendations were followed. PT/OT evaluated advised SNF. SLP evaluated and recommended close supervision but did not advise any dietary adjustments. Discussed with daughter regarding clinical picture and patient has expressed not wanting further treatment. Daughter/MD advised transition patient to comfort care. On board arrange for discharge back to Assisted Living and life circles to navigate hospice and outpatient equipment. Patient clinically improved and hemodynamically stable for discharge. Patient and daughter voiced understanding was agreeable with plan of care discharge. She also expressed the desire for him to have no further testing or returns to the ED or hospital. We reviewed his home medications and discontinued any medications which did not directly result in symptom management.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Death
Hospital-Tage: 5,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Biventricular cardiac pacemaker in situ End of life care Chronic atrial fibrillation (HCC) Coronary artery disease involving native coronary artery of native heart without angina pectoris Ischemic cardiomyopathy Dementia (HCC) Chronic diastolic congestive heart failure (HCC) Stage 3b chronic kidney disease (HCC) COPD (chronic obstructive pulmonary disease) (HCC) CLL (chronic lymphocytic leukemia) (HCC) Iron deficiency anemia
Andere Medikamente: bisacodyl (DULCOLAX) 10 MG suppository budesonide/formoterol (SYMBICORT) 160-4.5 MCG/ACT inhaler moisturizing mouth (MOI-STIR) SOLN nystatin (MYCOSTATIN) cream ondansetron (ZOFRAN-ODT) 4 MG disintegrating tablet
Allergien: NKDA
Vorherige Impfungen: -

VAERS 2178442

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: SD
Alter: 87,0
Geschlecht: M
Eingang: 14.03.2022
Impfdatum: 28.10.2021
Beginn: 07.02.2022
Tage bis Beginn: 102,0
Dosis: 3
Route/Site: - / AR

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

Asthenia COVID-19 Cough Death General physical health deterioration Hallucination, visual Hypoxia Malaise SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

This is an instance of breakthrough COVID-19 disease after which death occurred. The individual was vaccinated with the Moderna product on 01/28/2021, 02/25/2021, and 10/28/2021. The first two doses were administered at the facility specified above, but the third dose administered on 10/28/2021 was administered at a different location: a pharmacy. The individual also received a flu vaccine on 10/28/2021. The individual presented to emergency department on 02/07/2022 with primary complaints of general weakness and visual hallucinations which had been going on for approx. 2 weeks. The individual was admitted to hospital due to the combination of complex medical conditions and these concerns. They tested positive for COVID-19 on 02/07/2022. The individual seemed to have minimal COVID-19 symptoms, with occasional cough and minimal oxygen needs until 02/14/2022, when their conditions suddenly worsened and they became hypoxic unexpectedly. The individual was transitioned to comfort care only and died on 02/15/2022.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Death
Hospital-Tage: 8,0
Labordaten: Positive COVID-19 test on 02/07/2022 despite being vaccinated.
Aktuelle Erkrankungen: -
Vorgeschichte: Coronary Artery Disease, Congestive Heart Failure, Stage 3 Chronic Kidney Disease, Recurrent Cellulitis in lower extremity, Obesity, Mild aortic stenosis, hypothyroidism,
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2151578

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: MO
Alter: 69,0
Geschlecht: F
Eingang: 02.03.2022
Impfdatum: 30.10.2021
Beginn: 25.01.2022
Tage bis Beginn: 87,0
Dosis: 3
Route/Site: UN / UN

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

Acute respiratory failure COVID-19 Cardiac failure Cardiomegaly Chest X-ray abnormal Condition aggravated Cough Dyspnoea Echocardiogram Echocardiogram abnormal Hypertension Hypoxia Left ventricular hypertrophy Magnetic resonance imaging heart Myalgia Polyuria Positive airway pressure therapy Pulmonary oedema

Symptomtext

Date of Admission 01/25/2022 Date of Discharge 01/28/2022 Reason for Hospitalization Pt to ED for nonproductive cough and SOB x6 days. Hospital Course Patient is a 69 year old female with medical history of hypertension, concentric LVH with dynamic LVOT gradient, hypothyroidism who presents to the emergency department with cough and shortness of breath of 1 week duration. She was noted to be COVID positive 1/25. She also had signs of heart failure exacerbation on admission with CXR revealing bilateral interstitial edema and cardiomegaly. She was in AHRF requiring bipap. She received IV Lasix and initially was placed on a nitroglycerin drip. She responded very well to Lasix diuresis and was weened down to room air with improved feelings of dyspnea and improved functional status. A TTE was obtained revealing EF 55%, no regional wall motion abnormalities, severe LVH with apical sparing concerning for cardiac amyloidosis. A cardiac MRI was completed to further evaluate this amyloidosis, results are pending at the time of discharge. The patient was instructed to follow up in cardiology clinic for further management of possible cardiac amyloidosis. Otherwise she was transitioned to PO Lasix 40 mg daily, which she will continue at discharge. For her COVID, she was given PRN benzonatate for cough and acetaminophen for myalgias. Held off on starting high intensity statin in the setting of myalgias, consider in the outpatient setting. Follow up with cardiology and PCP. Acute Hypoxic Respiratory Failure- resolved COVID + (1/25) -s/p Bipap, improved resp status with IV Lasix - likely 2/2 HF exacerbation vs less likely COVID - PRN benzonatate for cough - PRN acetaminophen for myalgias - diuresis as below HFpEF exacerbation LVH with apical sparing- concerning for cardiac amyloidosis Hypertension - Continue Lasix 40 PO qday - Lisinopril 20mg daily - Metoprolol succinate 25 mg qday - TTE: EF 55%, no regional wall motion abnormalities, severe LVH with apical sparing concerning for cardiac amyloidosis - Cardiac MRI pending - Patient will need f/u in cardiology clinic to further workup cardiac amyloid Elevated ASCVD - start high intensity statin when myalgias improve Discharge Diagnoses Hypoxia Pulmonary edema Heart Failure Exacerbation Hypertension LVH with apical sparing- concerning for cardiac amyloidosis COVID positive state Other Diagnoses Ongoing Abnormal echocardiogram Anxiety Benign essential hypertension BMI 30.0-30.9,adult Cervical paraspinous muscle spasm Cervical radicular pain Chronic migraine without aura Degenerative arthritis Degenerative cervical disc Depression HTN (hypertension) Knee pain Language barrier Lower extremity edema Neck pain Obesity Osteoarthritis of left glenohumeral joint Scapular dyskinesis Shoulder pain Stenosis of cervical spine with myelopathy Historical Pancreatitis, acute Peptic ulcer disease Discharge Disposition Home Medications New, Changed, or Refilled Medications acetaminophen (acetaminophen 500 mg) 1,000 mg, 2 Tablet(s), Oral, q6h, PRN: as needed for pain, 50 Tablet(s), 0 Refill(s) benzonatate (benzonatate 100 mg) 100 mg, 1 capsule(s), Oral, tid, PRN: Cough, 30 capsule(s), 0 Refill(s) furosemide (Lasix 40 mg) 40 mg, 1 Tablet(s), Oral, Daily, 30 Tablet(s), 0 Refill(s) lisinopril (lisinopril 20 mg) 20 mg, 1 Tablet(s), Oral, Daily, 30 Tablet(s), 0 Refill(s) metoprolol (Metoprolol Succinate ER 25 mg , extended relea 25 mg, 1 Tablet(s), Oral, Daily, 30 Tablet(s), 0 Refill(s) Medications to be Continued DULoxetine (Cymbalta 30 mg oral delayed release capsule) 30 mg, 1 capsule(s), Oral, bid, Take 1 cap bid. May cause sedation., 60 capsule(s), 2 Refill(s) Instructions:Take 1 cap bid. May cause sedation. baclofen (baclofen 10 mg) 10 mg, 1 Tablet(s), Oral, bid, PRN: Muscle Spasm cholecalciferol (Vitamin D3 1250 mcg (50,000 intl units)) 1,250 mcg, 1 capsule(s), Oral, qWeek, 5 capsule(s), 0 Refill(s) diclofenac topical (diclofenac 1% topical gel) 2 g, Topical, qid diphenhydrAMINE-zinc acetate topical (Benadryl Extra Stren See Instructions, Topical as needed at Emgality injection site, 14 g, 0 Refill(s) Instructions:Topical as needed at Emgality injection site gabapentin (gabapentin 300 mg) 600 mg, 2 capsule(s), Oral, tid, for 30 day(s), 180 capsule(s), 5 Refill(s) galcanezumab (Emgality Prefilled Pen 120 mg/mL subcutaneou 120 mg, Subcutaneous, qMonth, for 30 day(s), 1 Each, 11 Refill(s) ibandronate (ibandronate 150 mg) 150 mg, 1 Tablet(s), Oral, qMonth levothyroxine (Synthroid 50 mcg (0.05 mg)) 50 mcg, 1 Tablet(s), Oral, Daily, 30 Tablet(s), 4 Refill(s) omeprazole (omeprazole 40 mg oral delayed release capsule) 40 mg, 1 capsule(s), Oral, bid, for 90 day(s), 180 capsule(s), 3 Refill(s) teriparatide (Forteo 620 mcg/2.48 mL subcutaneous solution 20 mcg, Subcutaneous, Daily, 1 Each, 11 Refill(s) topiramate (topiramate 25 mg) 50 mg, 2 Tablet(s), Oral, bid traMADol (traMADol 50 mg) 50 mg, 1 Tablet(s), Oral, tid, PRN: as needed for pain Discontinued Medications carvedilol (carvedilol 6.25 mg) 6.25 mg, 1 Tablet(s), Oral, bid, 60 Tablet(s), 3 Refill(s) Physical Exam at Discharge Vitals & Measurements T: 36.5 ?C TMIN: 36.5 ?C TMAX: 37 ?C HR: 77 RR: 15 BP: 128/68 SpO2: 98% WT: 77.2 kg BMI: 31.3 General: a well appearing female in no acute distress HEENT: no icterus, no conjunctivitis, hearing grossly normal Cardiovascular: Normal S1 and S2 with normal rate and rhythm. No murmurs, rubs or gallops are heard. Pulmonary: Lungs are clear to auscultation in all lung fields without crackles or wheezes. GI: Abdomen is soft and non-tender with normal bowel sounds. Musculoskeletal: Normal strength throughout. No deformity. Neuro: EOM intact. Able to move all extremities spontaneously. Psychiatric: Appropriate mood and affect. Follow Up Appointments Follow Up Appt Family Medicine, Clinic Name/Phone: Provider Name: MD, Within 7 Days, No tests Follow Up Appt Cardiology, Clinic Name/Phone: Provider Name: NO , PREFERENCE, Within 14 Days, No tests, Reason for Follow Up Clin f/u HF and c/f cardiac amyloid Appointment Type When With Where Contact Information Status 02/08/2022 08:30 AM CST MD, Ophthalmology 02/15/2022 09:15 AM CST MD, Spine 03/10/2022 08:40 AM CST FNP, Bone Health 03/17/2022 08:30 AM CDT PA, Interventional Pain 03/29/2022 08:40 AM CDT AHCNS, Neurology GI Lab 04/27/2022 10:20 AM CDT MD, Digestive Health Nursing/Other Orders Heart Healthy (4gm NA, low fat). Ordered on 01/25/22 23:49:00 CST, Meal Start Time Supper 1615 to 1745, Diet Modifications Sodium, 2 gram, Fluid Restriction 2000 ml = 960ml Kitchen/1040ml Nsg Intake and Output (I&O). 01/25/22 23:49:00 CST, Continuous Order, total every 24 hours Activity As Tolerated. 01/25/22 23:49:00 CST, Continuous Order, Advance as tolerated Code Status. Code Status Description: Full Code Addendum by MD, on January 28, 2022 14:20:11 CST (Verified) I performed the history and examination of the patient and discussed the patient?s management with the resident 1/28/2022. I reviewed the note by the resident and agree with those documented findings and plan of

Weitere VAERSDATA-Felder

Praegender Schweregrund: Acute respiratory failure
Hospital-Tage: 3,0
Labordaten: see adverse note
Aktuelle Erkrankungen: Problem List/Past Medical History Ongoing Abnormal echocardiogram Anxiety Benign essential hypertension Cervical paraspinous muscle spasm Cervical radicular pain Chronic migraine without aura Degenerative arthritis Degenerative cervical disc Depression HTN (hypertension) Knee pain Language barrier Lower extremity edema Neck pain Osteoarthritis of left glenohumeral joint Scapular dyskinesis Shoulder pain Stenosis of cervical spine with myelopathy Historical Pancreatitis, acute Peptic ulcer disease
Vorgeschichte: Problem List/Past Medical History Ongoing Abnormal echocardiogram Anxiety Benign essential hypertension Cervical paraspinous muscle spasm Cervical radicular pain Chronic migraine without aura Degenerative arthritis Degenerative cervical disc Depression HTN (hypertension) Knee pain Language barrier Lower extremity edema Neck pain Osteoarthritis of left glenohumeral joint Scapular dyskinesis Shoulder pain Stenosis of cervical spine with myelopathy Historical Pancreatitis, acute Peptic ulcer disease
Andere Medikamente: Home Arthritis Pain (diclofenac) 1 % topical gel, See Instructions baclofen 10 mg oral tablet, See Instructions, PRN, 2 refills Belsomra 5 mg oral tablet, 2.5 mg= 0.5 Tablet(s), Oral, At Bedtime, 3 refills Benadryl Extra Strength 2%-0.1
Allergien: Allergies Contrast Dye (ITCHING) Bactrim Septra ciprofloxacin meloxicam
Vorherige Impfungen: -

VAERS 2134383

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: -
Alter: 81,0
Geschlecht: M
Eingang: 23.02.2022
Impfdatum: 09.11.2021
Beginn: 14.11.2021
Tage bis Beginn: 5,0
Dosis: 3
Route/Site: - / -

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

Acute myocardial infarction Catheterisation cardiac

Symptomtext

Patient presented with NSTEMI. Cardiology was consulted and he underwent a left heart cath. He remained hemodynamically stable and is being discharged back to his assisted living with skilled nursing. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.

Weitere VAERSDATA-Felder

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

VAERS 2131352

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: -
Alter: 79,0
Geschlecht: F
Eingang: 22.02.2022
Impfdatum: 08.11.2021
Beginn: 08.12.2021
Tage bis Beginn: 30,0
Dosis: 2
Route/Site: - / -

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

Abdominal pain COVID-19 Cardiac arrest Cerebrovascular accident Death Embolism Endotracheal intubation Hypertension Interventional procedure Loss of consciousness SARS-CoV-2 test positive

Symptomtext

per pt's family, pt c/o abdominal pain before sudden loss of consciousness; EMS arrived; pt in asystole; after interventions; intubated; brought to ED where pt passed away; there had been a recent hospitalization at another hospital with diagnosis of CVA and COVID infection ( tested positive 12/8/21); per death certificate pt died in the ED with cause of death: CVA, COVID 19, thromboembolism, HTN.

Weitere VAERSDATA-Felder

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

VAERS 1954384

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: MN
Alter: 74,0
Geschlecht: F
Eingang: 22.02.2022
Impfdatum: 22.11.2021
Beginn: 23.11.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / AR

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

Anaphylactic shock Blood test Chest X-ray Computerised tomogram Dyspnoea Heart rate decreased Loss of consciousness Hypersensitivity Pruritus Feeling abnormal Heart rate Mobility decreased Nausea Magnetic resonance imaging Oxygen saturation decreased Rash Speech disorder Wheezing

Symptomtext

Pt. states that after receiving the 3rd dose of Moderna 11/22/2021, started experiencing symptoms 11/23/2021 of a rash developing on both legs (self-treated with Cortisone Cream Steroid) lasting 1 hr. 12/2021 estimated 2 weeks after initial dose experienced shortness of breath, nausea, and loss of consciousness. Emergency Room visit 12/2021, O2 low, pulse low reading, kept for observation.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Anaphylactic shock
Hospital-Tage: -
Labordaten: MRI 12/2021 Chest X-Ray 12/2021 Blood Panel 12/2021
Aktuelle Erkrankungen: N/A
Vorgeschichte: Asthma
Andere Medikamente: Advair, Hydrochlorothiazide
Allergien: Sulpha, Tetracycline, Mold
Vorherige Impfungen: -

VAERS 1954384

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: MN
Alter: 74,0
Geschlecht: F
Eingang: 22.02.2022
Impfdatum: 22.11.2021
Beginn: 23.11.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: OT / LA

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

Anaphylactic shock Blood test Chest X-ray Computerised tomogram Dyspnoea Heart rate decreased Loss of consciousness Hypersensitivity Pruritus Feeling abnormal Heart rate Mobility decreased Nausea Magnetic resonance imaging Oxygen saturation decreased Rash Speech disorder Wheezing

Symptomtext

Pt. states that after receiving the 3rd dose of Moderna 11/22/2021, started experiencing symptoms 11/23/2021 of a rash developing on both legs (self-treated with Cortisone Cream Steroid) lasting 1 hr. 12/2021 estimated 2 weeks after initial dose experienced shortness of breath, nausea, and loss of consciousness. Emergency Room visit 12/2021, O2 low, pulse low reading, kept for observation.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Anaphylactic shock
Hospital-Tage: -
Labordaten: MRI 12/2021 Chest X-Ray 12/2021 Blood Panel 12/2021
Aktuelle Erkrankungen: N/A
Vorgeschichte: Asthma
Andere Medikamente: Advair, Hydrochlorothiazide
Allergien: Sulpha, Tetracycline, Mold
Vorherige Impfungen: -

VAERS 1954384

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: MN
Alter: 74,0
Geschlecht: F
Eingang: 22.02.2022
Impfdatum: 22.11.2021
Beginn: 23.11.2021
Tage bis Beginn: 1,0
Dosis: UNK
Route/Site: IM / LA

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

Anaphylactic shock Blood test Chest X-ray Computerised tomogram Dyspnoea Heart rate decreased Loss of consciousness Hypersensitivity Pruritus Feeling abnormal Heart rate Mobility decreased Nausea Magnetic resonance imaging Oxygen saturation decreased Rash Speech disorder Wheezing

Symptomtext

Pt. states that after receiving the 3rd dose of Moderna 11/22/2021, started experiencing symptoms 11/23/2021 of a rash developing on both legs (self-treated with Cortisone Cream Steroid) lasting 1 hr. 12/2021 estimated 2 weeks after initial dose experienced shortness of breath, nausea, and loss of consciousness. Emergency Room visit 12/2021, O2 low, pulse low reading, kept for observation.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Anaphylactic shock
Hospital-Tage: -
Labordaten: MRI 12/2021 Chest X-Ray 12/2021 Blood Panel 12/2021
Aktuelle Erkrankungen: N/A
Vorgeschichte: Asthma
Andere Medikamente: Advair, Hydrochlorothiazide
Allergien: Sulpha, Tetracycline, Mold
Vorherige Impfungen: -

VAERS 2095482

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: -
Alter: 79,0
Geschlecht: U
Eingang: 08.02.2022
Impfdatum: 16.02.2021
Beginn: 07.02.2022
Tage bis Beginn: 356,0
Dosis: 3
Route/Site: - / -

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

Pulmonary embolism

Symptomtext

Hospitalized with pulmonary emboli.

Weitere VAERSDATA-Felder

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

VAERS 2092412

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: -
Alter: 72,0
Geschlecht: M
Eingang: 07.02.2022
Impfdatum: 01.11.2021
Beginn: 09.11.2021
Tage bis Beginn: 8,0
Dosis: 3
Route/Site: IM / LA

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

Cardiac arrest

Symptomtext

Cardiac arrest within 60 days of receiving the COVID vaccine.

Weitere VAERSDATA-Felder

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

VAERS 2058577

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: MN
Alter: 64,0
Geschlecht: M
Eingang: 24.01.2022
Impfdatum: 29.11.2021
Beginn: 20.01.2022
Tage bis Beginn: 52,0
Dosis: 3
Route/Site: IM / RA

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

Acute respiratory failure COVID-19 Chest X-ray Chronic respiratory failure Fibrin D dimer Mental status changes Respiratory failure

Symptomtext

Confirmed COVID-19 infection/chronic hypercarbic respiratory failure. # Acute Hypoxic Respiratory Failure secondary to COVID-19 infection Oxygen: continue current support with 2 L nasal cannula; titrate to keep SpO2 between 90-96% - Labs: See below - Imaging: Chest x-ray - January 20, 2022 - Breathing treatments: Scheduled Combivent - IV fluids: not indicated at this time - Antibiotics: not indicated - COVID-Focused Medications: Dexamethasone 12 mg x 10 days or until hospital discharge, started on January 20, 2022 and Remdesivir x 5 days or until hospital discharge, started on January 20, 2022. - DVT Prophylaxis: at high risk of thrombotic complications due to COVID-19 (DDimer = N/A ). - PROPHYLACTIC dosing: lovenox 40mg daily - consider anticoag on discharge for 30 days & until return to normal mobility Patient presented with altered mental status.

Weitere VAERSDATA-Felder

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

VAERS 1992465

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: IN
Alter: 53,0
Geschlecht: M
Eingang: 30.12.2021
Impfdatum: 09.11.2021
Beginn: 25.11.2021
Tage bis Beginn: 16,0
Dosis: UNK
Route/Site: IM / LA

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

Cerebrovascular accident

Symptomtext

Patient suffered a stroke (left side of brain) on 11/25/2021. Patient was hospitalized for 12 days. Pt was discharged to inpatient rehab for 2 weeks. Pt continues with outpatient physical and occupational therapy currently. Vaccine history: J& J first dose on 3/17/21 Moderna booster on 11/9/21

Weitere VAERSDATA-Felder

Praegender Schweregrund: Cerebrovascular accident
Hospital-Tage: 12,0
Labordaten: Please see records at Hospital for further information regarding treatments.
Aktuelle Erkrankungen: none
Vorgeschichte: elevated blood pressure but not medicated (approximately 160/100)
Andere Medikamente: multi vitamin
Allergien: shrimp
Vorherige Impfungen: -

VAERS 1947651

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

kritisch

Staat: MN
Alter: 76,0
Geschlecht: M
Eingang: 14.12.2021
Impfdatum: 09.11.2021
Beginn: 01.11.2021
Tage bis Beginn: -
Dosis: 3
Route/Site: IM / RA

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

Activated partial thromboplastin time Angiogram C-reactive protein Dyspnoea Electrocardiogram ST-T segment abnormal Fatigue Fibrin D dimer increased Hypotension International normalised ratio Malaise Pneumonia Procalcitonin Prothrombin time Pulmonary embolism SARS-CoV-2 test Troponin X-ray

Symptomtext

76yr old male presents to the ED from the clinic with complaints of shortness of breath, fatigue and not feeling well. Has been to the clinic 3 times in the last 2 weeks. Patient denies having any pain. Diagnosis: pneumonia, bilateral pulmonary embolism with suspected right ventricular strain, positive d-dimer, hypotensiontransferred via helicopter.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pulmonary embolism
Hospital-Tage: -
Labordaten: CRP, troponin, COVID, procalcitonin, PT/INR, PTT, cTA chest, xray, EKG
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1909675

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

kritisch

Staat: NE
Alter: 74,0
Geschlecht: M
Eingang: 30.11.2021
Impfdatum: 15.11.2021
Beginn: 16.11.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / RA

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

Abdominal discomfort Abdominal distension Abdominal pain upper Aspiration Colectomy Colostomy Death Diarrhoea Exploratory operation Gastrointestinal inflammation Volvulus

Symptomtext

Son states: 11/15/21: Both father and mother received Moderna booster. They both started having stomach issues and diarrhea some time later. The wife's symptoms resolved in about 3 days. The husband's symptoms continued. 11/22 or 11/23/21 His father was complaining of intense stomach pain and his abdomen was distended, so his wife took him to the ER. He was admitted to Medical Center and stayed for 5 days They performed exploratory surgery on his father and it was decided they would remove his colon because his small intestine was swollen and twisted on itself. He had the surgery and a colostomy. 11/26/21: The surgery did not resolve his symptoms and his GI system continued to swell until he aspirated on his stomach contents. 11/27/21: Date of death.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Death
Hospital-Tage: 5,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1868855

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

kritisch

Staat: LA
Alter: 50,0
Geschlecht: M
Eingang: 15.11.2021
Impfdatum: 29.10.2021
Beginn: 08.11.2021
Tage bis Beginn: 10,0
Dosis: 3
Route/Site: IM / -

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

Abdominal pain Acute myocardial infarction Anticoagulant therapy Antiplatelet therapy Chest pain Coronary arterial stent insertion Diarrhoea Electrocardiogram abnormal Painful respiration Palpitations Percutaneous coronary intervention Troponin increased

Symptomtext

Patient is a 50 y.o. male with a history of end-stage renal disease on hemodialysis. His normal dialysis days are Mondays, Wednesdays and Fridays at the clinic where he is followed by Dr. He was transferred from the hospital in the late evening on 11/13/2021 with a non-ST elevated myocardial infarction. He apparently had coronary stenting done on 11/11/2021. He did have coronary artery bypass x 2 grafting done 8/18/2021 by Dr. He was transferred to this facility for further recommendations from a cardiology standpoint. He is on a heparin infusion. Apparently has been compliant with his antiplatelet drugs. Did have a Covid booster vaccine 2 weeks ago. On exam he denies any chest pain or overt shortness of breath. Does complain of abdominal pain and some diarrhea which appears to be a chronic issue for him. Flagyl and Cipro has been started by the primary care physician. From our standpoint we will plan dialysis tomorrow per his schedule. We will await further recommendations per cardiology. Other pertinent medical history includes coronary artery disease, type 2 diabetes, hypertension, hypothyroidism, congestive heart failure, pleural effusion requiring chest tube placement and anemia secondary to chronic kidney disease. MD note per renal MD

Weitere VAERSDATA-Felder

Praegender Schweregrund: Acute myocardial infarction
Hospital-Tage: -
Labordaten: 11/14/2021 -History of Present Illness: Patient is a 50 y.o. male with h/o CAD s/p CABG s/p LAA excision, s/p PCI, HTN, hypothyoid, ESRD on HD who presented to ER on 11/11/21 with chest pain and underwent PCI to proximal and distal RCA and proximal OM1. Pt was discharged home and presented back to the ER with chest pain and diarrhea. Troponin elevated at 7. Telemedicine with CIS recommended starting heparin gtt and transfer to facility with interventional cardiology. Pt states post PCI his chest pain did not resolve. He reports intermittent chest pain that increases with inspiration and palpitation. No exertional chest pain. Troponin trending down. EKG sinus rhythm with lateral STT abnormality (no change from last admission). Currently in bed, NAD. On heparin gtt. No chest pain at this time. Internal medicine has seen/evaluated him and started abx and flagyl for enteritis. -Note per Cardiology
Aktuelle Erkrankungen: cab x2 8/18/21, end stage renal disease with hd m-w-f, dm, htn, hld, cad
Vorgeschichte: chronic kidney disease
Andere Medikamente: aspirin and effient post cab
Allergien: morphine
Vorherige Impfungen: -

VAERS 2726845

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

schwer

Staat: MI
Alter: 63,0
Geschlecht: F
Eingang: 22.12.2023
Impfdatum: 23.11.2021
Beginn: 18.12.2021
Tage bis Beginn: 25,0
Dosis: 3
Route/Site: IM / LA

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

Abdominal pain Back pain Decreased appetite Diarrhoea Dizziness postural Feeling abnormal Flank pain Hypotension Malaise Nausea Pain Syncope Vomiting Weight decreased

Symptomtext

Admit date: 12/18/2023 Discharge date: 12/21/23 Admitting Physician: DO Attending Physician at the Time of Discharge: MD Primary Care Physician: DO Reason for Admission: Evaluation for hypotension Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) Pt is a 65 YO female with PMHx of ESRD on peritoneal dialysis, hx of T2DM, HLD, HTN that presented to the ED with c/o hypotension. Patient reports she has not been feeling good for the past 3 weeks. She has had intermittent diarrhea, nausea and vomiting. Patient reports checking blood pressure today and systolic was in the 70's. Patient called her nephrologist and was told to come to ED to be evaluated. Patient reports she has been managing diarrhea with imodium which usually controls it for about a day or two and it comes back. Patient denies recent abx use. Son at bedside reports patient discussed this with pcp and is supposed to follow up with GI. Patient reports she has been keeping up with her dialysis however skipped today's due to not feeling well. Patient reports syncopal episode last week. She woke up on the floor. She denies hitting head. Patient reports she continues to be dizzy with position changes. Patient reports intermittent associated sharp shooting pain on her left side that radiates to her back. Denies any aggravating or relieving factors. Patient reports associated abdominal soreness mostly on the left lower abdomen. Patient reports decreased appetite for the past week. She reports a 5 lb weight loss. Patient denies fever or chills. She denies sick contacts. Patient denies abdominal pain. Patient denies chest pain, shortness of breath, headache. Patient reports she still makes urine and denies any associated urinary symptoms. Patient is on iron and reports dark stools. Discharged to home.

Weitere VAERSDATA-Felder

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

VAERS 2405602

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

schwer

Staat: MI
Alter: 79,0
Geschlecht: M
Eingang: 09.08.2022
Impfdatum: 06.01.2022
Beginn: 13.01.2022
Tage bis Beginn: 7,0
Dosis: 3
Route/Site: IM / -

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

Asthenia C-reactive protein increased COVID-19 COVID-19 pneumonia Chest pain Dyspnoea Fatigue Fibrin D dimer increased Lethargy Procalcitonin increased Productive cough Respiratory distress Respiratory failure SARS-CoV-2 test positive

Symptomtext

The patient is a 79 y male presenting to the ED via EMS with complaints of shortness of breath for the past week that has worsened today. EMS report the patient was 72% on room air and they placed him on a nonrebreather. He reports a productive cough with chest pain. He denies any radiation of his chest pain to his arm or back. The patient reports previously smoking 3-4 cigarettes daily. Patient was diagnosed by infectious disease specialist with pneumonia due to COVID-19 with elevated CRP. Patient's D-dimers are elevated. Patient's procalcitonin is also elevated. Patient continues to be very weak lethargic and fatigued as. Patient continues to have respiratory distress and insufficiency. , placed in isolation. ID consulted and started on IV abx , cefepime, micafungin, and solu medrol, he was also receiving supplemental oxygen, on nasal cannula 6L 1/18 weaned down to 4L NC 1/20.. Pt stable and will be discharged back to AFC.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Respiratory distress
Hospital-Tage: 11,0
Labordaten: CRP 14.7 Procalciton 0.21 Positive COVID 19 test 01/13/22
Aktuelle Erkrankungen: -
Vorgeschichte: Date Unknown Anxiety Date Unknown Arthropathy, unspecified, site unspecified Date Unknown Atrial fib/flutter, transient Date Unknown Dementia (HCC) Date Unknown Epilepsy (HCC) Date Unknown Essential hypertension Date Unknown ETOH abuse Date Unknown Mental disorder Date Unknown Neurological disorder Date Unknown Osteoarthritis Date Unknown Tuberculosis Date Unknown Ulcer Date Unknown Vitamin B 12 deficiency
Andere Medikamente: alendronate (FOSAMAX) 10 MG tablet aspirin (HALFPRIN) 81 MG tablet atorvastatin (LIPITOR) 40 MG tablet calcium-vitamin D (OSCAL 500/200 D-3) 500-200 MG-UNIT tablet diclofenac (VOLTAREN) 1 % GEL GEL digoxin (LANOXIN) 0.125 MG tablet di
Allergien: -
Vorherige Impfungen: -

VAERS 2263023

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

schwer

Staat: MN
Alter: 61,0
Geschlecht: M
Eingang: 04.05.2022
Impfdatum: 21.11.2021
Beginn: 03.05.2022
Tage bis Beginn: 163,0
Dosis: UNK
Route/Site: IM / -

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

COVID-19 SARS-CoV-2 test positive Syncope

Symptomtext

Positive COVID-19 and syncope.

Weitere VAERSDATA-Felder

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

VAERS 2085113

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

schwer

Staat: CO
Alter: 52,0
Geschlecht: F
Eingang: 03.02.2022
Impfdatum: 02.12.2021
Beginn: 20.12.2021
Tage bis Beginn: 18,0
Dosis: 3
Route/Site: SYR / LA

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

Anticoagulant therapy Imaging procedure abnormal Thrombosis

Symptomtext

Extensive blood clots in left leg. Doctor prescribed XARELTO 15MG 2 times a day for 21 days, then 20 MG once a day for 21 days.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Thrombosis
Hospital-Tage: -
Labordaten: Imaging showing extensive blood clots, no history of blood clots or any medical issues
Aktuelle Erkrankungen: None
Vorgeschichte: none
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 2019736

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

schwer

Staat: MO
Alter: 32,0
Geschlecht: M
Eingang: 09.01.2022
Impfdatum: 08.12.2021
Beginn: 09.12.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: SYR / LA

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

Abdominal pain Chest pain Dyspnoea Echocardiogram Electrocardiogram Heart rate increased Laboratory test Myocarditis Pericarditis

Symptomtext

After receiving my second dose of the MRNA Covid19 Vaccine on December 8 2021 I received intense chest pains/ fast heart rate/ shortness of breathe and abdominal pain. Went to the ER two days later when symptoms increased. EKG, Echocardiogram and blood work was performed and the diagnosis of myocarditis was given. Went to primary care provider once released from ER care the following week. Was then given a referral to cardiology. Cardiologist performed EKG and concurred the diagnosis with an addition of pericarditis as well on January 6 2022. Was given an order to have labs done at Medical Center and had those performed on January 7 2022. Currently waiting on those results. Follow-up MRI on 31 January 2022. Currently still injured one month after vaccine was administered.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Myocarditis
Hospital-Tage: -
Labordaten: Echocardiogram December 11, 2021 EKG December 11,2021 Labs December 11,2021 Follow-up EKG January 6, 2022 Follow-up Labs January 7,2022
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: -
Vorherige Impfungen: -

VAERS 1925299

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

schwer

Staat: GA
Alter: 73,0
Geschlecht: M
Eingang: 06.12.2021
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: ja

Blood magnesium normal Lipids normal Metabolic function test Seizure

Symptomtext

SEIZURE INITIAL EPISODE - NO HISTORY,

Weitere VAERSDATA-Felder

Praegender Schweregrund: Seizure
Hospital-Tage: -
Labordaten: LABS FOR CMP, MG, LIPID ON 12/1/2021 RESULTS NORMAL PER NP
Aktuelle Erkrankungen: NONE
Vorgeschichte: CHRONIC OBSTRUCTIVE PULMONARY DISEASE, UNSPECIFIED, TYPE 2 DIABETES MELLITUS WITH UNSPECIFIED COMPLICATIONS, PRIMARY FOCAL HYPERHIDROSIS, SOLES, HYPO-OSMOLALITY AND HYPONATREMIA, HYPOKALEMIA, ESSENTIAL (PRIMARY) HYPERTENSION, HYPERLIPIDEMIA, UNSPECIFIED
Andere Medikamente: Claritin Tablet 10 MG, amLODIPine Besylate Tablet 10 MG, Carvedilol Tablet 6.25 MG, Pepcid Tablet 40 MG, Vitamin D3 Tablet 2000 UNIT, Cymbalta Capsule Delayed Release Particles 30 MG, metFORMIN HCl Tablet 1000 MG, Sodium Chloride Tablet 1 G
Allergien: Penicillins, Tetanus Toxoids
Vorherige Impfungen: -

VAERS 1909525

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21B

schwer

Staat: TN
Alter: 65,0
Geschlecht: F
Eingang: 30.11.2021
Impfdatum: 01.11.2021
Beginn: 24.11.2021
Tage bis Beginn: 23,0
Dosis: 3
Route/Site: IM / LA

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

Bell's palsy Brain scan normal

Symptomtext

I developed Bell?s Palsey on the (L) side of my face on 11/24/2021, 6 days after receiving the injection. I went to the ER and received a 6 day course of Prednisone 15mg initially then 5 mg daily for 5 days. The Bells Palsey is still present on 11/30/2021

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Praegender Schweregrund: Bell's palsy
Hospital-Tage: -
Labordaten: The ER did a brain scan on 11/24/2021 to rule out a possible stroke which was negative and I was diagnosed with the Bells Palsey
Aktuelle Erkrankungen: None
Vorgeschichte: High Blood Pressure, IDDM, Chronic Reflux, Degenerative Joint Disease
Andere Medikamente: Cozaar, Hydrazaline, Prilosec, Duloxetine, Tizanidine, Januvia, Trulicity, Doxepine, Potassium Chloride, Cardizem ER, Lyrica, Glimeperide, Lantaus Insulin, Multivitamin, Percocet Prn, Zofran Prn
Allergien: Loratab
Vorherige Impfungen: -

VAERS 1897524

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

schwer

Staat: AZ
Alter: 66,0
Geschlecht: M
Eingang: 24.11.2021
Impfdatum: 02.11.2021
Beginn: 09.11.2021
Tage bis Beginn: 7,0
Dosis: 3
Route/Site: - / -

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

Acute pulmonary oedema Acute respiratory distress syndrome Catheterisation cardiac normal Dyspnoea Ejection fraction decreased Electrocardiogram ST segment elevation Endotracheal intubation Myocarditis Troponin normal

Symptomtext

I believe patient developed myocarditis after COVID booster shot.

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Praegender Schweregrund: Acute pulmonary oedema
Hospital-Tage: 6,0
Labordaten: Patient received booster on 11/2. 1 week later on 11/9 presents to ED with shortness of breath found to have flash pulmonary edema/ ARDS requiring intubation. He was transferred catheterization was negative. Trops were negative. EKG demonstrated diffuse st elevations. EF was 10% and improved to 35% prior to discharge on 11/15. Patient with no evidence for decompensated
Aktuelle Erkrankungen: diabetes not on insulin
Vorgeschichte: -
Andere Medikamente: none
Allergien: aspirin
Vorherige Impfungen: -

VAERS 1880660

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

schwer

Staat: VA
Alter: 49,0
Geschlecht: F
Eingang: 18.11.2021
Impfdatum: 17.11.2021
Beginn: 17.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Balance disorder Cold sweat Dizziness Loss of consciousness Nausea Tachypnoea Unresponsive to stimuli

Symptomtext

Patient received her vaccine, approximately 10 minutes into her waiting time afterwards she became nauseas, dizzy and slid off the couch onto the floor and passed out. She became tachypnic, clammy, unresponsive although later she said she never went completely unconscious as she could still "hear your voices". After the Physician assessed her and confirmed patient was not recovering in a satisfactory way as she remained nauseas and unsteady and our clinic does not offer long term monitoring as we are a walk in clinic. Patient agreed to be transferred to the hospital for a higher level of car.

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Praegender Schweregrund: Loss of consciousness
Hospital-Tage: -
Labordaten: NONE AT OUR FACILITY
Aktuelle Erkrankungen: HIGH BLOOD PRESSURE
Vorgeschichte: UNKNOWN
Andere Medikamente: BP MEDICATION
Allergien: NKDA
Vorherige Impfungen: Apparently she had the same reaction to the MODERNA COVID vaccine when she received them in February but she did not alert us pr

VAERS 1869383

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

schwer

Staat: OH
Alter: 63,0
Geschlecht: F
Eingang: 15.11.2021
Impfdatum: 04.11.2021
Beginn: 06.11.2021
Tage bis Beginn: 2,0
Dosis: 2
Route/Site: IM / LA

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

Deep vein thrombosis Pain in extremity Peripheral swelling Ultrasound Doppler abnormal

Symptomtext

Blood clot in calf which began 2 days after my Moderna booster. It was officially found to be DVT with Doppler ultrasound on 11/9/21. I fractured my tibial plateau on 9/29/21 and have been non weight bearing on the affected leg since the accident. No illness, but I fractured my tibial plateau on 09/29/2021. I have had limited mobility (crutches and non weight bearing). I was on a dose of Xarelto, 10mg, one time daily for 30 days which ended on 11/2/21. On 11/6/21 I began experiencing pain in my calf and swelling. On 11/9/21 an ultrasound was completed showing DVT in my calf. I was put back on Xarelto 15mg, twice daily. I have no idea if this is even related to the vaccine booster but I was told to report it.

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Praegender Schweregrund: Deep vein thrombosis
Hospital-Tage: -
Labordaten: 11/9/21 Doppler ultrasound. Acute DVT, deep tibia Perone all vein thrombosis. Acute deep calf muscle vein thrombosis (DVT).
Aktuelle Erkrankungen: -
Vorgeschichte: None
Andere Medikamente: Creator, Multi-Vitamin, Calcium & Vitamin D, Tumeric/Curcumin, Probiotic
Allergien: None
Vorherige Impfungen: -

VAERS 1851340

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

schwer

Staat: MT
Alter: 70,0
Geschlecht: F
Eingang: 08.11.2021
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: ja

Amnesia Dizziness Extra dose administered Syncope

Symptomtext

Moderna booster given at 11:00 AM, 11/03/2021. At approximately 8:00 AM, 11/04/2021 had dizziness while returning to bed. Experienced 6-10 second syncopal episode with up to 30 seconds of antegrade amnesia. During syncope, respirations were unlabored and the return to consciousness was prompt. Pulse was regular (approx 80 beats/min) immediately after awakening. (Observant of the episode was a retired physician.)

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Praegender Schweregrund: Syncope
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Hypothyroidism
Andere Medikamente: Levothyroxine 50mcg Aspirin 81mg Multivitamin Calcium with vitamin D Preservision
Allergien: E-mycin Bactrim
Vorherige Impfungen: -

VAERS 1850785

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

schwer

Staat: KY
Alter: 38,0
Geschlecht: F
Eingang: 08.11.2021
Impfdatum: 01.11.2021
Beginn: 03.11.2021
Tage bis Beginn: 2,0
Dosis: 2
Route/Site: IM / RA

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

Facial paralysis Pain Paraesthesia Tongue discomfort

Symptomtext

Moderna COVID-19 Vaccine EUA Shot was given 11/1/2021. Experienced tingling and soreness of the body starting 11/02/2021. On 11/04/2021 my tongue felt like it had been burned by scalded coffed. By 11/05/2021 my upper lip felt different and by 11/07/2021 I had facial paralysis on my right side, affecting the eye, cheek, and lip areas.

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Praegender Schweregrund: Facial paralysis
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Obese
Andere Medikamente: Tylenol 500mg
Allergien: None
Vorherige Impfungen: -

VAERS 1848956

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

schwer

Staat: PA
Alter: 52,0
Geschlecht: F
Eingang: 06.11.2021
Impfdatum: 04.11.2021
Beginn: 05.11.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: - / LA

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

Dizziness Loss of consciousness Mobility decreased Nausea Syncope

Symptomtext

Fainted and lost consciousness in bathroom overnight. Had felt slight dizziness from 6:30 pm onward on date of injection. Subsequent to incident, continued to feel severe nausea / dizziness and could not make it back to bed from floor initially. Unsure of duration of state of unconsciousness. However, made it back to bed at 4:47 am.

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Praegender Schweregrund: Loss of consciousness
Hospital-Tage: -
Labordaten: None at present
Aktuelle Erkrankungen: None
Vorgeschichte: Hashimoto?s thyroiditis; migraines; Raynaud?s
Andere Medikamente: Synthroid 112 mcg; Zyrtec (OTC); multivitamin,; vitamin D3; vitamin B12; vitamin C; probiotic; lutein. Imitrex only as needed and not taken on day of vaccination.
Allergien: No allergies per se. However, intolerance to sulfa due to Raynaud?s.
Vorherige Impfungen: -

VAERS 1846214

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

schwer

Staat: IN
Alter: 68,0
Geschlecht: F
Eingang: 05.11.2021
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

Extra dose administered Fatigue Syncope Vomiting

Symptomtext

Pt. states that after receiving the 3rd Booster of Moderna 11/03/2021, started experiencing symptoms 11/04/2021 of fainting after awaking and vomiting. Fatigued throughout the day lasting 24hrs. 11/05/2021 still fatigued but symptoms have subsided. No noted Primary visit/communications.

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Praegender Schweregrund: Syncope
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: Cilostazol, Losartin Potassium, Formamide, Buspirone, Gabapentin, Levothriyxm
Allergien: N/A
Vorherige Impfungen: -

VAERS 1839918

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

schwer

Staat: AL
Alter: 77,0
Geschlecht: M
Eingang: 03.11.2021
Impfdatum: 01.11.2021
Beginn: 02.11.2021
Tage bis Beginn: 1,0
Dosis: UNK
Route/Site: IM / LA

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

Chills Dizziness Headache Loss of consciousness Myalgia Nausea Pyrexia

Symptomtext

Severe generalized muscle pain, headaches, chills, fever, nausea, dizzy with passing out for short time.

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Praegender Schweregrund: Loss of consciousness
Hospital-Tage: -
Labordaten: NA
Aktuelle Erkrankungen: None
Vorgeschichte: Osteoporosis, post CABG,
Andere Medikamente: Losartan, Lipitor, Calcium, MVI, levothyroxine, Metoprolol,
Allergien: NKA
Vorherige Impfungen: -

VAERS 1836419

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

schwer

Staat: MT
Alter: 80,0
Geschlecht: M
Eingang: 02.11.2021
Impfdatum: 19.02.2021
Beginn: 26.08.2021
Tage bis Beginn: 188,0
Dosis: 3
Route/Site: IM / LA

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

Acute respiratory distress syndrome COVID-19 COVID-19 pneumonia SARS-CoV-2 test positive

Symptomtext

After case was given primary series of Moderna, he was hospitalized 6 months later for treatment of Covid pneumonia and acute respiratory distress syndrome for 8 days.

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Praegender Schweregrund: Acute respiratory distress syndrome
Hospital-Tage: 8,0
Labordaten: Ordered Test: SARS-CoV-2 RNA Resp Ql NAA+probe Ordered Test Codes: 94500-6 (LN LOINC)/ Status: Final Accession Number: 827350048 Specimen Source: SOFT TISSUE SAMPLE Specimen Site: Nasopharynx(Nasopharynx) Specimen Collection Date/Time: 2021-08-21 16:47:00.0 * Resulted Test: Lab test method Coded Result: Abbott ID Now (NAAT) - 00811877010616 Numeric Result: Units: Text Result: Positive Reference Range From: Negative Reference Range To: Performing Facility Details: Date/Time: 2021-08-21 16:47:00.0 Performing Facility: Facility ID: Interpretation: Result Method: Status: Final Test Code: 85069-3 (LN LOINC)/ Result Code: 00811877010616 (L LOCAL)/
Aktuelle Erkrankungen: Atrial fibrillation persistent ? Benign prostatic hypertrophy urinary retention ? CAD (coronary artery disease) 11/12/2013 Non-obstructive ? Calculus of gallbladder without cholecystitis without obstruction 8/3/2018 7/25/18 - CT study - also R pleural effusion ? Cancer (HCC) 2009 anal ca ? Chronic right-sided heart failure 3/30/2018 ? Colon cancer 7-8 years ago. "small tumor taken out" ? Depression ? Diabetes type 2, controlled ? Erectile dysfunction ? H/O heart surgery 07/2018 artery and valve replacement ? Head injury ? Heme positive stool 12/29/2014 12/14-schedule EGD, ? Hypercholesterolemia ? Hypertension ? Hypertension, essential 3/1/2007 ? Hypoxia 10/18/2018 10/17/18?room air oxygenation 93%. With exercise reduction 86%. With 2 L nasal cannula oxygen saturations 96% ? Non-rheumatic tricuspid valve insufficiency 7/5/2018 07/13/2018 TVR with #31 mm tissue valve ? Right L3-4 degenerative disc disease with inflammatory endplate changes on SPECT CT 9/26/2017 Consult 2017 9/2018 Reconsult 10/2018 Repeat Spect CT ? Sleep apnea CPAP ? Thoracic compression fractures, multiple, closed, initial encounter 11/13/2018 11/2018 NM Spect scan - T8,9,11,12, L5, Possible fracture R anterior 5th rib 11/2018 SPEP, CBC negative. IFE negative. ? Thyroid disease ? Urinary tract infection ? Vasovagal syncope 7/20/2021 7/2021?emergency department ?EKG, CMP, CBC, troponin, CT brain, chest x-ray ?Move Flomax to nighttime. Be certain to drink plenty of fluids. Consider physical therapy program ? Ventricular tachycardia Symptoms occurring following a car accident. Possibly due to cardiac contusion ? Weight loss 12/19/2018 12/2018?noted
Vorgeschichte: Atrial fibrillation persistent ? Benign prostatic hypertrophy urinary retention ? CAD (coronary artery disease) 11/12/2013 Non-obstructive ? Calculus of gallbladder without cholecystitis without obstruction 8/3/2018 7/25/18 - CT study - also R pleural effusion ? Cancer 2009 anal ca ? Chronic right-sided heart failure 3/30/2018 ? Colon cancer 7-8 years ago. "small tumor taken out" ? Depression ? Diabetes type 2, controlled ? Erectile dysfunction ? H/O heart surgery 07/2018 artery and valve replacement ? Head injury ? Heme positive stool 12/29/2014 12/14-schedule EGD, ? Hypercholesterolemia ? Hypertension ? Hypertension, essential 3/1/2007 ? Hypoxia 10/18/2018 10/17/18?room air oxygenation 93%. With exercise reduction 86%. With 2 L nasal cannula oxygen saturations 96% ? Non-rheumatic tricuspid valve insufficiency 7/5/2018 07/13/2018 TVR with #31 mm tissue valve ? Right L3-4 degenerative disc disease with inflammatory endplate changes on SPECT CT 9/26/2017 Consult 2017 9/2018 Reconsult 10/2018 Repeat Spect CT ? Sleep apnea CPAP ? Thoracic compression fractures, multiple, closed, initial encounter 11/13/2018 11/2018 NM Spect scan - T8,9,11,12, L5, Possible fracture R anterior 5th rib 11/2018 SPEP, CBC negative. IFE negative. ? Thyroid disease ? Urinary tract infection ? Vasovagal syncope 7/20/2021 7/2021?emergency department ?EKG, CMP, CBC, troponin, CT brain, chest x-ray ?Move Flomax to nighttime. Be certain to drink plenty of fluids. Consider physical therapy program ? Ventricular tachycardia Symptoms occurring following a car accident. Possibly due to cardiac contusion ? Weight loss 12/19/2018 12/2018?noted
Andere Medikamente: aspirin 81 mg EC tablet Take 81 mg by mouth Daily. atorvaSTATin (LIPITOR) 80 MG tablet TAKE ONE TABLET BY MOUTH EVERY DAY Patient taking differently: Take 80 mg by mouth Daily . buPROPion (WELLBUTRIN XL) 300 mg 24 hr tablet TAKE ONE TABLET
Allergien: NKA
Vorherige Impfungen: -

VAERS 1832062

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

schwer

Staat: CO
Alter: 39,0
Geschlecht: F
Eingang: 31.10.2021
Impfdatum: 30.10.2021
Beginn: 31.10.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / RA

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

Blood test normal Bundle branch block right Chest X-ray normal Dehydration Electrocardiogram Extra dose administered Headache Hypoaesthesia Injection site pain Loss of consciousness Maternal exposure during breast feeding Nausea Pain Tunnel vision Urine analysis normal

Symptomtext

Got 3rd moderna vaccine on 10/30/21 around 4pm. Had headache, body aches, chills, sore arm at injection site most of the night. I got up to pump around 5am (I have a 5mo daughter) and while pumping I stared to feel nauseous, walked to the bathroom to vomit, tunnel vision started and I passed out. Unsure how long unconscious. Woke up with numbness in arms, face which did not improve with lying down and feet propped up. Called paramedics? vital signs were WNL, EKG showed right bundle branch block, numbness decreased so I told paramedics I would take myself to the ER. Arrived at ER around 6:30am; had urine/blood work, chest X-ray, another EKG. Per ER doctor, all is normal. No treatment, was discharged around 8:45am

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Praegender Schweregrund: Loss of consciousness
Hospital-Tage: -
Labordaten: 10/31/21 - urine/blood work - slightly dehydrated, EKG - normal sinus rhythm. Chest X-ray - normal
Aktuelle Erkrankungen: None
Vorgeschichte: Sciatica.
Andere Medikamente: Zyrtec, Zoloft, sunflower lecithin, prenatal vitamin, calcium and vitamin D, vitamin C, Tylenol or Motrin PRN
Allergien: Macrobid, adhesives
Vorherige Impfungen: -

VAERS 2725386

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: KY
Alter: 20,0
Geschlecht: F
Eingang: 19.12.2023
Impfdatum: 03.11.2021
Beginn: 13.11.2021
Tage bis Beginn: 10,0
Dosis: 3
Route/Site: IM / LA

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

Condition aggravated Eczema Eye pruritus Nasal pruritus Rash Streptococcus test negative Urticaria

Symptomtext

Moderna Booster shot. Developed hives and rash 10 days later. Started on the neck and moved to everywhere on the body. Bulls eye rings on palms of the hands developed. Contact dermatitis symptoms and Itchy eyes and nose as well. Antibiotics and steroid from urgent care gave no relief. Hives waxed and waned for month and turned into eczema patches all over body. Started dupixent. Still have breakthrough eczema.

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Praegender Schweregrund: Condition aggravated
Hospital-Tage: -
Labordaten: Strep Test rapid- negative Strep Test culture-abnormal Don't have tonsils.
Aktuelle Erkrankungen: None
Vorgeschichte: Eczema when i was very little (8-10 yrs. old). No eczema since until I broke out into hives 10 days after the moderna booster and hives developed into severe atopic dermatitis.
Andere Medikamente: Junel birth control (taken since i was 16), sprionlactone for acne.
Allergien: None
Vorherige Impfungen: Moderna second shot. Injection site reaction. Resolved within a few days.

VAERS 2609993

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: -
Alter: 76,0
Geschlecht: M
Eingang: 05.04.2023
Impfdatum: 09.11.2021
Beginn: 31.03.2023
Tage bis Beginn: 507,0
Dosis: 3
Route/Site: - / -

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

COVID-19 Condition aggravated Magnetic resonance imaging spinal abnormal Muscular weakness Orthosis user SARS-CoV-2 test positive Spinal compression fracture

Symptomtext

Patient with history of COVID vaccines who admitted to the hospital with COVID detected PCR. Provider d/c note: "Patient was admitted to hospital for intractable back pain with new onset of proximal right leg weakness on Friday, 3/31/2023. He had been followed by Neurosurgery for previous kyphoplasties performed at L2 then at L1. He had little relief after his last kyphoplasty and a new compression fracture noted at L3. He was treated with TLSO bracing but unfortunately, his pain worsened with right leg weakness developing three days before his admission. Cervical, thoracic and lumbar spine MRIs were performed investigating both his weakness and pain. No significant canal or foraminal stenosis is noted on lumbar spine though new compression fracture present at L4. He was offered kyphoplasties at these segments."

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Praegender Schweregrund: Condition aggravated
Hospital-Tage: 3,0
Labordaten: COVID-19 detected PCR on 4/2/23
Aktuelle Erkrankungen: -
Vorgeschichte: History of prostate cancer Kidney stones (Chronic) Primary osteoarthritis of left hip DM type 2 with diabetic mixed hyperlipidemia Poor balance Frequent falls Hyper reflexia Cervical stenosis of spinal canal Acute midline low back pain without sciatica Age-related osteoporosis with current pathological fracture Intractable back pain History of pulmonary embolism (Chronic) History of nephrolithiasis (Chronic) Proximal leg weakness on the right Hx of radiation therapy for prostate cancer (Chronic)
Andere Medikamente: -
Allergien: Basaglar Kwikpen U-100 Insulin [insulin Glargine] Levaquin [levofloxacin] Penicillins Trulicity [dulaglutide] Zocor [simvastatin]
Vorherige Impfungen: -

VAERS 2586283

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 78,0
Geschlecht: F
Eingang: 23.02.2023
Impfdatum: 18.11.2021
Beginn: 12.01.2023
Tage bis Beginn: 420,0
Dosis: 3
Route/Site: - / -

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

Anaemia COVID-19 Cardiac failure Cardiac failure congestive Condition aggravated Diarrhoea Dizziness Dyspnoea Echocardiogram normal Ejection fraction normal Fatigue Hypoxia Laboratory test normal Myelosuppression Nasopharyngitis Oedema Pyrexia SARS-CoV-2 test positive

Symptomtext

"Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR. Provider d/c note: ""79 YO female with history of CAD, DM type 2 IR, CKD and anemia of chronic disease who presented with increased fatigue, SOB, dizziness. This started a couple of days ago. She was seen today at the infusion clinic where she goes monthly for Aranesp injections. She was noted to have worsening anemia, requiring blood transfusion, so she was sent to the ER. Patient states that she had a very bad cold for 2 weeks and had gotten better from that when this new SOB occurred. She did have vomiting and diarrhea with that episode as well. Currently she denies a cough, chest pain, fevers, or chills. She states that she is having a little more edema. She was hypoxic at home as well which caused her to come in as well. She had a MI in September and had 3 stents placed at that time. Hospital Course: She received transfusion for her acute on chronic anemia with appropriate response and stabilization of Hb. This acute on chronic anemia seems likely to be driven by viral infection (confirmed COVID +) leading to bone marrow suppression in an otherwise at risk patient with chronic EPO deficiency and pre-existing anemia of chronic disease in the setting of advanced CKD. She has been on Aranesp for anemia and this will be continued after discharge. Repeat CBC next week is planned for re-evaluation and for future Aranesp dosing guidance. She did exhibit mild CHF exacerbation (preserved EF) for which she received IV furosemide with good response and no supplemental oxygen requirement. She has been instructed to take double dose of her home torsemide for 3 days (through 1/16/23) then resume her home dosing. Her ECHO appears stable and her EF is normal, however diastolic function could not be assessed fully on available images. Instructions were given to both the patient and her daughter on day of discharge. Of note, she is still having intermittent fever, felt to be related to current COVID infection, resolves with tylenol. She had workup for potential superimposed bacterial infection but there were no signs on lab testing or clinical exam to suggest presence of bacterial infection or need for antibiotic therapy at this time but she has been told to monitor for any changing or new symptoms that would be suggestive of this potential. She was offered additional time in the hospital to monitor fever curve but she opted to go home home and declined additional hospital stay and this was also in collaboration with her daughter. She reports she will follow up with her PCP and nephrologist as well as the infusion clinic for follow up CBC and Aranesp. She understands that appointments could not be made on her behalf due to the offices being closed on the weekend and she will plan to make appointments when offices open again on Tuesday after the holiday weekend. In regards to her other chronic medical conditions, they were noted to be stable and no changes were made in her medications. The noted ""modified medications"" list below indicates a change in her Lantus, however, this was only because there were duplicate orders present on her list. No changes were made to her insulin regimen this admission."

Weitere VAERSDATA-Felder

Praegender Schweregrund: Condition aggravated
Hospital-Tage: 2,0
Labordaten: Covid PCR detected on 01/12/2023
Aktuelle Erkrankungen: -
Vorgeschichte: Cardiovascular Coronary artery disease involving native coronary artery of native heart without angina pectoris Essential hypertension Pure hypercholesterolemia Chronic heart failure with preserved ejection fraction Endocrine Type 2 diabetes mellitus with hyperglycemia, with long-term current use of insulin Urinary Chronic kidney disease (CKD), stage IV (severe) Anemia in stage 4 chronic kidney disease Other History of total left hip arthroplasty - 1990s Osteopenia DNR (do not resuscitate) Dyslipidemia
Andere Medikamente: amLODIPine (NORVASC) 10 mg tablet Take 1 tablet by mouth daily. aspirin (LOW DOSE ASA) 81 mg chewable tablet Take 1 tablet by mouth daily. atorvastatin (LIPITOR) 40 mg tablet Take 1 tablet by mouth nightly. clopidogreL (PLAVIX) 75 mg ta
Allergien: LisinoprilAngioedema
Vorherige Impfungen: -

VAERS 2576483

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 70,0
Geschlecht: F
Eingang: 06.02.2023
Impfdatum: 01.11.2021
Beginn: 05.01.2023
Tage bis Beginn: 430,0
Dosis: 3
Route/Site: - / -

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

COVID-19 Dyspnoea SARS-CoV-2 test positive

Symptomtext

01/05/23 presents to ED for "shortness of breath". PMHx of "chronic hypoxic respiratory failure due to COPD" "atrial fibrillation on sotalol, HTN" "anxiety/depression, morbid obesity with OSA, CKD stage II, hyperlipidemia, gastric banding, history of DVT, and chronic HFpEF"

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: 01/05/23 SARS-CoV-2 (COVID-19) detected
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2576376

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 89,0
Geschlecht: M
Eingang: 06.02.2023
Impfdatum: 18.04.2022
Beginn: 03.01.2023
Tage bis Beginn: 260,0
Dosis: 3
Route/Site: - / -

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

COVID-19 Dyspnoea SARS-CoV-2 test positive

Symptomtext

01/03/23 presents to ED for "breathing problem". PMHx of "HTN, CAD, CHF, recent hip fracture sp repair"

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: 01/03/23 SARS-CoV-2 (COVID-19) by NAA detected
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2539091

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 72,0
Geschlecht: M
Eingang: 21.12.2022
Impfdatum: 03.02.2021
Beginn: 04.10.2022
Tage bis Beginn: 608,0
Dosis: 3
Route/Site: - / -

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

Acute kidney injury COVID-19 Dyspnoea Fatigue Hypotension SARS-CoV-2 test positive

Symptomtext

This is a 74y.o. male with a PMH of CAD s/p PCI to LAD, HFrEF 20%, atrial fibrillation on Eliquis, ICD s/p BiV, DM type 2, OSA, CKD stage 3, who presents to WBH-RO for evaluation of two days of shortness of breath and fatigue. Was found to be covid +. Started on tx by ID for 3 days. Was also hypotensive so we held his entresto and bumex. Pt still hypotensive sometimes. He was also found to be in AKI with creatinine 1.57 (baseline ~1.3-1.5). AKI- resolved upon discharge. We kept holding his Bumex and Entresto given low BP. On daily assessment patient was euvolemic. His urine output was good and daily weight was not concerning for fluid retention. We decided to discharge him with instruction not to take his

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: 10/4 SARS-CoV-2 -COVID-19 by NAA, Micro - detected
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2537869

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: CO
Alter: 70,0
Geschlecht: F
Eingang: 20.12.2022
Impfdatum: 02.11.2021
Beginn: 12.11.2021
Tage bis Beginn: 10,0
Dosis: 3
Route/Site: SYR / LA

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

Atrial fibrillation Dizziness Heart rate irregular Hypertension Nausea

Symptomtext

Woke up with very high blood pressure, racing pulse, a bit of afib, nausea and dizziness; I thought I was having a heart attack, so I went to the emergency

Weitere VAERSDATA-Felder

Praegender Schweregrund: Hypertension
Hospital-Tage: -
Labordaten: ER confirmed the blood pressure and pulse, gave medication to stabilize, but didn't venture cause of the conditions.
Aktuelle Erkrankungen: none
Vorgeschichte: asthma, high blood pressure (under control)
Andere Medikamente: Atorvastatin, metoprolol, montelukast sodium, vitamin B complex, vision formula, low-dose aspirin, tramadol 27 mg/day, vitamin D
Allergien: none
Vorherige Impfungen: -

VAERS 2526733

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 65,0
Geschlecht: F
Eingang: 08.12.2022
Impfdatum: 11.11.2021
Beginn: 01.12.2022
Tage bis Beginn: 385,0
Dosis: 3
Route/Site: - / -

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

Alcohol abuse Alcohol poisoning Alcoholic Balance disorder Blood alcohol increased COVID-19 Chills Condition aggravated Confusional state Cough Depression Dyspnoea Insomnia Oropharyngeal pain Pain SARS-CoV-2 test positive Somnolence Tobacco user

Symptomtext

"Patient with COVID vaccine with positive COVID PCR and admission to hospital with dyspnea. Provider d/c note: ""Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) 66 YO-year-old female with h/o anxiety/depression, hypertension (not on home meds), and alcohol abuse who presented to the emergency department with complaints of shortness of breath and concern for altered mental status. Patient reports she started experiencing chills, cough, increased shortness of breath, sore throat, and generalized body aches day after holiday. Patient was worried about possible exposures during holiday and subsequently tested positive for COVID-19 via home test kit November 25th. Patient reports she has had COVID before however did not require hospitalization and it was not to the extent that it required any supplemental oxygen. Patient recently has been describing being increasingly ""sleepy"" during the day and per reports by husband patient seemed confused at times. Patient spoke with her PCP who prescribed Paxlovid however patient reports that for after reading the black box label she refused to start it. Patient otherwise has received COVID vaccinations and boosters however did not receive the most recent booster. Patient reports that over the past few days she has been having difficulty sleeping and that over the past year has been increasingly depressed so patient began to self medicate with alcohol. Patient reports last night she drank an entire bottle of brandy to ?help her sleep.? Patient reports she wants to quit and that it was only a 1 time thing. Patient otherwise denied any fevers, chest pain, abdominal pain or any nausea/vomiting/diarrhea.(HPI per Dr.) Hospital Course: No notes on file- Patient is a 66yr old female with a histoyr of HTN, Anxiety/Depression, ETOH abuse who presented with SOB and was found to have COVID. She says symptoms started the day after holiday and have progressively worsened. She quit smoking a couple of years ago though she sneaks a cigarrette every now and then. She drinks pretty heavily, says she is trying to get rehab and came in intoxicated with an ETOH level of 0.369. She was quite unsteady initially on presentation but has since improved as she has sobered up a bit. Today she feels a lot better and is breathing better. Her oxygen saturation is stable off oxygen and she would like to go home. Husband felt she should stay a bit but she insists that she will do better at home."

Weitere VAERSDATA-Felder

Praegender Schweregrund: Condition aggravated
Hospital-Tage: 1,0
Labordaten: COVID Detected PCR on 12/1/2022
Aktuelle Erkrankungen: -
Vorgeschichte: Cardiovascular Hypertension Rule out TIA /Stroke Integumentary Milia Other Anxiety Tobacco abuse ETOH abuse COVID
Andere Medikamente: -
Allergien: NKA
Vorherige Impfungen: -

VAERS 2524251

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 70,0
Geschlecht: F
Eingang: 06.12.2022
Impfdatum: 03.05.2021
Beginn: 28.10.2022
Tage bis Beginn: 543,0
Dosis: 3
Route/Site: - / -

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

COVID-19 Dyspnoea SARS-CoV-2 test positive

Symptomtext

10/29/22 presents to ED for "shortness of breath". PMHx of " CHF, HTN, HLD, PUD, Cerebral palsy, ESRD (MWF), and CAD s/p CABG"

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: 10/29/22 SARS-CoV-2 (COVID-19) by NAA detected
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2508362

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 82,0
Geschlecht: M
Eingang: 15.11.2022
Impfdatum: 18.11.2021
Beginn: 09.11.2022
Tage bis Beginn: 356,0
Dosis: 3
Route/Site: - / -

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

Asthenia Atrial fibrillation COVID-19 Computerised tomogram abnormal Confusional state Hypertension Magnetic resonance imaging head normal Orthostatic hypotension Pollakiuria SARS-CoV-2 test positive Thyroid mass

Symptomtext

"Patient with 3 COVID vaccines who admitted to hospital with positive COVID PCR. Provider d/c note: ""83 YO male with recent COVID diagnosis presented to ED with acute weakness and confusion. Evaluated for stroke, which was negative. He has recovered with supportive care and will return home with family. Declines inpatient rehab evaluation, plans to resume outpatient PT when out of covid isolation. Paxlovid prescribed. Problem list: Transient weakness and confusion -MRI negative for stroke, suspect generalized weakness from covid -Resume outpatient therapies COVID without hypoxia -Prescribed paxlovid, started 11/10 Increased urinary frequency, history of stricture -unremarkable post-void residual -Has Urology appointment 11/23 Paroxysmal atrial fibrillation -not on chronic anticoagulation related to falls Thyroid nodules seen on CT -Known to family, has followed with Endocrine Hypertension -home amlodipine Chronic orthostatic hypotension -fall precautions, avoid over-treatment of hypertension """

Weitere VAERSDATA-Felder

Praegender Schweregrund: Hypertension
Hospital-Tage: 2,0
Labordaten: COVID Detected PCR on 11/09/2022
Aktuelle Erkrankungen: -
Vorgeschichte: Cardiovascular Essential hypertension Pure hypercholesterolemia Mild aortic insufficiency Integumentary Skin lesion Urinary CKD (chronic kidney disease) Other Atypical syncope Frequent falls Pacemaker Anemia of unknown etiology S/P cholecystectomy S/P TURP COVID-19 Aphasia of unknown origin
Andere Medikamente: -
Allergien: Ciprofloxacin
Vorherige Impfungen: -

VAERS 2496571

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: OH
Alter: 41,0
Geschlecht: F
Eingang: 02.11.2022
Impfdatum: 29.10.2021
Beginn: 18.09.2022
Tage bis Beginn: 324,0
Dosis: 3
Route/Site: SYR / LA

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

Ageusia Anosmia COVID-19 Cough Dyspnoea Fatigue Pyrexia Rhinorrhoea SARS-CoV-2 test positive

Symptomtext

On 09/18/2022 around 8:00PM I had fever, loss of taste/smell, cough, runny nose, shortness of breath, and fatigue. On 09/19/2022 since I work at the hospital, I went to the health department to check for COVID-19 and, the result was positive. I stayed home for about 7 days. I didn't see a doctor. I treated symptoms at home as like a cold. I still have a lingering loss of taste and smell but all the other symptoms are gone.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: 02NOV22 COVID-19 test positive
Aktuelle Erkrankungen: None
Vorgeschichte: Diabetics
Andere Medikamente: Metformin; PRILOSEC
Allergien: Epidural; tape
Vorherige Impfungen: -

VAERS 2493940

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 39,0
Geschlecht: F
Eingang: 31.10.2022
Impfdatum: 26.02.2021
Beginn: 06.09.2022
Tage bis Beginn: 557,0
Dosis: 3
Route/Site: - / -

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

COVID-19 Gestational hypertension Labour induction Maternal exposure before pregnancy SARS-CoV-2 test positive

Symptomtext

09/06/22 presents to FBC triage for "scheduled induction" "gestational hypertension" "38w2d". PMHx of "Hypothroidism" "cesarean section"

Weitere VAERSDATA-Felder

Praegender Schweregrund: Gestational hypertension
Hospital-Tage: -
Labordaten: 09/06/22 SARS-CoV-2 (COVID-19) detected
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2491413

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: OH
Alter: 74,0
Geschlecht: F
Eingang: 27.10.2022
Impfdatum: 18.11.2021
Beginn: 01.12.2021
Tage bis Beginn: 13,0
Dosis: 3
Route/Site: IM / LA

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

Laboratory test Tachycardia

Symptomtext

Patient reports experiencing tachycardia approximately 2 weeks after receiving Moderna COVID-19 Vaccine booster dose. She reports her resting heart rate was approximately 150. The patient consulted with her healthcare provider and had additional testing. No further details about tests or results are available to pharmacist.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Tachycardia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: atorvastatin 20mg. irbesartan 75mg, omeprazole 20mg, hydrochlorothiazide 25mg, metoprolol ER 100mg
Allergien: No known allergies.
Vorherige Impfungen: -

VAERS 2436374

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MN
Alter: 89,0
Geschlecht: F
Eingang: 09.09.2022
Impfdatum: 28.02.2021
Beginn: 02.09.2022
Tage bis Beginn: 551,0
Dosis: 3
Route/Site: - / -

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

COVID-19 Cough Dyspnoea SARS-CoV-2 test positive

Symptomtext

SOB, COUGH,

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: 3,0
Labordaten: POSITIVE COVID TEST 09/03/2022
Aktuelle Erkrankungen: -
Vorgeschichte: ? Asthma ? Chronic bronchitis (HCC) ? Diabetes mellitus (HCC) ? Dyslipidemia E78.5 ? Peripheral Neuropathy G60.9 ? Diverticulitis K57.92 ? Osteopenia M85.80 ? Ventral hernia K43.9 ? Diabetes mellitus type 2, controlled, without complications (HCC) E11.9 ? Idiopathic acute pancreatitis K85.00 ? Asthma J45.909 ? Type 2 diabetes mellitus with diabetic chronic kidney disease (HCC) E11.22 ? Anxiety disorder, unspecified type F41.9 ? Type 2 diabetes mellitus with hyperglycemia (HCC) E11.65 ? Health care home, active care coordination Z78.9 ? Acute hypoxemic respiratory failure (HCC) J96.01 ? Acute respiratory failure with hypoxia (HCC) J96.01
Andere Medikamente: ? albuterol HFA (PROVENTIL;VENTOLIN HFA) 90 mcg/actuation Inhl inhaler Inhale 2 puffs every 4 (four) hours as needed for shortness of breath or Wheezing. ? albuterol, conc: 2.5 mg/3 mL, (PROVENTIL, VENTOLIN) Inhl nebulizer solution Nebulize
Allergien: Azithromycin Glimepiride Montelukast Penicillins Prednisone
Vorherige Impfungen: -

VAERS 2433653

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 80,0
Geschlecht: F
Eingang: 08.09.2022
Impfdatum: 29.01.2021
Beginn: 29.08.2022
Tage bis Beginn: 577,0
Dosis: 3
Route/Site: - / -

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

COVID-19 Dyspnoea Oedema peripheral SARS-CoV-2 test positive

Symptomtext

08/29/22 presents to ED for "shortness of breath and bilateral lower extremity edema". PMHx of "atrial fibrillation, hypertension, congestive heart failure"

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: 08/30/22 SARS-CoV-2 (COVID-19) by NAA detected
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2409958

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 70,0
Geschlecht: M
Eingang: 12.08.2022
Impfdatum: 20.05.2021
Beginn: 25.07.2022
Tage bis Beginn: 431,0
Dosis: 3
Route/Site: UN / UN

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

Asthenia Bed rest COVID-19 Dyspnoea Dyspnoea exertional Gait disturbance Infection Necrosis Peripheral swelling SARS-CoV-2 test positive Surgery Ulcer

Symptomtext

Pt to ED 7/25 with cc of bilateral leg swelling x2 week and trouble walking. Pt COVID+ 7/25, a&o x4, non-ambulatory. 7/26 Patient is A&Ox4, 3 liters of O2. 7/26 Pt underwent procedure on infected necrotic right gluteal ulcer. 7/27 2L nasal cannula maintained, will start remdesivir and Decadron for COVID. 7/28 Pt oriented x4, denies any pain or sob, 3L nasal cannula maintained, no distress noted. 7/29 pt denies pain, mild SOB with exertion. 7/30 Pt remains A&Ox4, but experiencing generalized weakness. 7/31 pt is A&Ox4, but remains generally weak. 8/1-2 pt is A&Ox4, showing no s/s of distress, no SOB. 8/3 pt is A&O x 4, on bedrest, with no signs of distress noted. 8/4 Patient is A&ox4, vss. 8/5 pt discharged.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: 12,0
Labordaten: see above
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Aspirin Low Dose 81 MG PO Tablet Delayed Aspirin Low Dose 81 MG PO Tablet Delayed Response atorvastatin (LIPITOR) 40 MG PO Tab collagenase (SANTYL) 250 UNIT/GM EXTERNAL Ointment finasteride (PROSCAR) 5 MG PO Tab levoFLOXacin (LEVAQUIN) 500
Allergien: None
Vorherige Impfungen: -

VAERS 2404262

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 86,0
Geschlecht: F
Eingang: 08.08.2022
Impfdatum: 27.10.2021
Beginn: 31.07.2022
Tage bis Beginn: 277,0
Dosis: 3
Route/Site: - / -

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

COVID-19 COVID-19 pneumonia Dehydration Dyspnoea Fatigue Hypoxia Laboratory test normal

Symptomtext

Discharge Provider: MD Primary Care Provider: MD Admission Date: 7/31/2022 Discharge Date: Aug 4, 2022 PRESENTING PROBLEM: Hypoxia COVID-19 Pneumonia due to COVID-19 virus HOSPITAL COURSE: Patient is an 87-year-old female with a past medical history with rheumatoid arthritis on methotrexate comes in with shortness of breath and fatigue. She was found to have COVID-19, she was not hypoxic but very dehydrated. She was started on low-dose Decadron and remdesivir and responded well. She worked with PT/OT and did if finding. Recommendation was home physical therapy which was set up. Patient's septic workup was negative. She tolerated diet well. Hemodynamically stable for discharge

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19 pneumonia
Hospital-Tage: 4,0
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: Encounter for long-term (current) use of other medications Osteoarthritis Coronary artery disease Hyperlipidemia Primary osteoarthritis involving multiple joints Other specified rheumatoid arthritis, multiple sites (HCC) Extensor intersection syndrome of both wrists Other synovitis and tenosynovitis, right upper arm Other synovitis and tenosynovitis, left upper arm Right tibialis tenosynovitis Horseshoe tenosynovitis of left hand Long term current use of systemic steroids Primary osteoarthritis of both knees Other specified rheumatoid arthritis, left hand (HCC) Other specified rheumatoid arthritis, right hand (HCC) Other specified rheumatoid arthritis, left wrist (HCC) Other specified rheumatoid arthritis, right wrist (HCC) Other specified rheumatoid arthritis, left elbow (HCC) Primary generalized hypertrophic osteoarthrosis Encounter for long-term (current) drug use Encounter for long-term (current) use of non-steroidal anti-inflammatories Pulmonary embolus (HCC) Transient ischemic attack (TIA) Cardiac pacemaker in situ Chronic diastolic heart failure (HCC) Complete heart block (HCC) Paroxysmal atrial fibrillation (HCC) Acute on chronic diastolic heart failure (HCC) Chest pain Rheumatoid arthritis (HCC) Essential hypertension Dyslipidemia Iron deficiency anemia, unspecified Pneumonia due to COVID-19 virus
Andere Medikamente: Acetaminophen (TYLENOL ARTHRITIS EXT RELIEF PO) aspirin 81 MG tablet benzonatate (TESSALON) 100 MG capsule carvedilol (COREG) 12.5 MG tablet cholecalciferol (VITAMIN D, CHOLECALCIFEROL,) 25 MCG (1000 UT) tablet citalopram (CELEXA) 20 M
Allergien: PenicillinsOther Sulfa DrugsOther
Vorherige Impfungen: -

VAERS 2374741

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 92,0
Geschlecht: F
Eingang: 20.07.2022
Impfdatum: 16.11.2021
Beginn: 01.07.2022
Tage bis Beginn: 227,0
Dosis: 3
Route/Site: - / -

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

Agitation COVID-19 COVID-19 pneumonia Chest X-ray normal Computerised tomogram abdomen normal Delirium Dyspnoea Dyspnoea exertional Haematemesis Haemoptysis Hypoxia Laboratory test normal Mental status changes Nausea Productive cough SARS-CoV-2 test positive Vomiting

Symptomtext

Patient with 3 Moderna COVID vaccinations who admitted to the hospital with hypoxia and COVID detected PCR. Provider d/c note below: "93-year-old female with history of peripheral artery disease, osteoporosis, anxiety, who presented to the emergency department on 07/01/2022 with intractable nausea and vomiting. There were also some concerns hemoptysis/hematemesis at home, which was about the size of a half-dollar. In the emergency department, vital signs were stable. Lab workup was reassuring. Chest x-ray and CT abdomen pelvis were all reassuring. She was initially admitted to the emergency department under observation status for nausea. On the emergency department, patient developed hypoxia on ambulation requiring 2 L of oxygen. She tested positive for COVID, she was noted to have some shortness of breath and productive cough. She was admitted to inpatient status for further evaluation. Patient was started on remdesivir and Decadron for treatment of COVID pneumonia. Patient became agitated with altered mental status a few days into her treatment. This was thought to be secondary to steroid induced delirium, Decadron was stopped and she was continued on remdesivir. Patient's mental status and agitation improved 1-2 days after stopping steroids. Patient's highest oxygen requirement was 4 L, and she continue to wean down with time and remdesivir treatment. PT/OT recommended skilled nursing facility. Patient was accepted at a Hospital for continue rehabilitation. On day of discharge, patient was at her baseline level of mentation and was satting well on 2 L nasal cannula. She was discharged in stable medical condition and transported out of facility."

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19 pneumonia
Hospital-Tage: 10,0
Labordaten: COVID detected PCR on 07/02/22
Aktuelle Erkrankungen: -
Vorgeschichte: COPD (chronic obstructive pulmonary disease) (*) Glaucoma Anxiety History of breast cancer Osteoporosis Vitamin D deficiency Zenker diverticula Essential hypertension Peripheral arterial disease (*) GERD (gastroesophageal reflux disease) Iron deficiency anemia secondary to inadequate dietary iron intake Adrenal mass, right (*) Mild cognitive impairment
Andere Medikamente: Proair HFA Feosol Advair Xalatan eye drops Melatin Prilosec Senna Preservision
Allergien: Norco Duratuss
Vorherige Impfungen: -

VAERS 2364276

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 55,0
Geschlecht: M
Eingang: 11.07.2022
Impfdatum: 11.11.2021
Beginn: 15.02.2022
Tage bis Beginn: 96,0
Dosis: 1
Route/Site: IM / -

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

Abdominal discomfort Anuria COVID-19 Dialysis Diarrhoea Hypotension Nausea SARS-CoV-2 test positive

Symptomtext

Pt presented due to hypotension during dialysis session. He reported having diarrhea over the last week and is unsure if he has had fevers as he has not been checking his temperatures. Unsure if he has any blood in the stool. States that he does not produce any urine. Complains of nausea and slight abdominal discomfort but no vomiting. He was found to be COVID positive upon arrival.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Hypotension
Hospital-Tage: -
Labordaten: Positive COVID 19 test on 2/15/20222.
Aktuelle Erkrankungen: -
Vorgeschichte: 02/01/2017- History of open heart surgery; 12/26/2016- Sepsis associated hypotension (HCC);12/26/2016- Small bowel obstruction, partial (HCC); 1/6/2016- Confusion; 7/31/2015- Seizure (HCC); 07/09/2015; Ulcer 3/12/2015; Anemia 10/27/2014; AKI (acute kidney injury) (HCC) 5/19/2013; DVT, lower extremity, distal, acute (HCC) Date Unknown Blood disorder Date Unknown; Chronic kidney disease (CKD), stage III (moderate) (HCC) Date Unknown; Congestive heart failure, unspecified Date Unknown; Diabetes Date Unknown Dialysis patient Date Unknown; Glaucoma Date Unknown; HTN (hypertension) Date Unknown; Hyperlipemia Date Unknown; Obesity Date Unknown; Pneumonia, organism unspecified(486) Date Unknown; Skin disease.
Andere Medikamente: acetaminophen (TYLENOL); Acidophillus/Lactobacillus (FLORANEX); Aspirin low dose; Atorvastatin (LIPITOR); Bisacodyl (DULCOLAX);Carvedilol (COREG);Famotidine (PEPCID); Ferrous sulfate (FEOSOL, 65 FE,); Gabapentin (NEURONTIN); Levetiracetam
Allergien: Hydrocodone Nausea and Vomiting; Lactose Intolerance Unknown; Morphine Nausea and Vomiting; Motrin [Ibuprofen]Nausea and Vomiting; Tomatoes - Dietary Other (Add Comment); Augmentin Nausea and Vomiting; Penicillin Nausea and Vomiting; Unasyn [Ampicillin-sulbactam Sodium]Nausea and Vomiting; Vancomycin Nausea and Vomiting.
Vorherige Impfungen: -

VAERS 2362607

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MN
Alter: 67,0
Geschlecht: F
Eingang: 08.07.2022
Impfdatum: 10.03.2021
Beginn: 09.06.2022
Tage bis Beginn: 456,0
Dosis: 3
Route/Site: - / -

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

COVID-19 Chills Cough Dyspnoea Fatigue Pain Pyrexia SARS-CoV-2 test positive

Symptomtext

breathing problems, cough, fever, chills, body aches, fatigue, shortness of breath

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: 2,0
Labordaten: Positive COVID test 6/11/22
Aktuelle Erkrankungen: -
Vorgeschichte: DVT Hypertension Hyperlipidemia PONV Kidney stones Complicated UTI
Andere Medikamente: atenolol (TENORMIN) 50 mg Oral Tab atorvastatin (LIPITOR) 40 mg Oral Tab cholecalciferol, Vitamin D3, 1,000 unit oral tablet ELIQUIS 2.5 mg oral tablet Fish Oil 340-1,000 mg Oral Cap FLUOCINOLONE ACETO
Allergien: Aspirin Ciprofloxacin Clarithromycin Clindamycin Dicloxacillin Dilaudid [Hydromorphone (Bulk)] Gentamicin Lisinopril Vancomycin
Vorherige Impfungen: -

VAERS 2305267

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 85,0
Geschlecht: F
Eingang: 23.06.2022
Impfdatum: 04.11.2021
Beginn: 24.05.2022
Tage bis Beginn: 201,0
Dosis: 3
Route/Site: - / -

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

Alanine aminotransferase normal Anion gap Appetite disorder Arthralgia Aspartate aminotransferase normal Atrial fibrillation Blood albumin decreased Blood alkaline phosphatase normal Blood bicarbonate decreased Blood bilirubin normal COVID-19 COVID-19 pneumonia Chest X-ray abnormal Cough Blood calcium normal Blood chloride normal Blood creatinine normal Blood glucose normal

Symptomtext

Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/24/2022 Discharge Date: May 25, 2022 PRESENTING PROBLEM: Atrial fibrillation with RVR [I48.91] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: Pt. is an 85 year old female with PMH of HTN, permanent afib on eliquis, COPD baseline 2L nocturnal requirement. Pt. presented to the ED with SOB and admitted to the hospital. Labs show COVID positive for which she reports her husband at home had a known COVID infection. Upon presentation she was also found to by tachycardic with EKG showing A-fib. IV cardizem was given and HR remained controlled on her home oral cardizem throughout the rest of her stay. Patient did require 2L supplemental O2 throughout her stay, but her SOB resolved with decadron. Patient has home oxygen and will continue with 2L supplemental O2 and complete a ten day course of decadron. She will follow up with her PCP outpatient. PT/OT recommended home with home PT. She is discharging in improved and stable condition. Discharge Provider: * Primary Care Provider: MD Admission Date: 6/15/2022 Discharge Date: Jun 17, 2022 PRESENTING PROBLEM: Atrial fibrillation with rapid ventricular response [I48.91] Pneumonia of left lower lobe due to infectious organism [J18.9] Community acquired pneumonia of left lower lobe of lung [J18.9] HOSPITAL COURSE: Patient is a 85-year-old female with medical history of COPD on 2L home O2, HTN, afib on eliquis. She came to the ER for shortness of breath. Patient recently had a COVID infection and had to increase her home use of O2. Normally she used 2 L at nighttime only. However after her infection, she has required 2 L during the day and with activity. However, patient was having some fevers some cough and some shortness of breath when she presented to the ER. Patient was noted to have a leukocytosis and infiltrate in the left lower lobe on chest x-ray. She was treated with IV Rocephin and IV azithromycin for community-acquired pneumonia. Patient was treated for a few days and improved significantly. Pulmonary rehab was consulted to clarify patient's home O2 requirements. Patient was to use 2 L of O2 at nighttime and with activity and did not require O2 at rest. Patient was medically stable for discharge

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19 pneumonia
Hospital-Tage: 2,0
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: Essential (primary) hypertension Permanent atrial fibrillation Coronary artery calcification Overweight (BMI 25.0-29.9) DJD (degenerative joint disease), multiple sites DJD (degenerative joint disease), lumbosacral Menopausal syndrome (hot flashes) Thoracic aortic atherosclerosis Abdominal aortic atherosclerosis Helicobacter pylori infection Allergic rhinitis Osteopenia of the elderly Vitamin D deficiency disease Tobacco abuse, in remission Chronic right shoulder pain Rotator cuff syndrome of right shoulder and allied disorders Personal history of gastric ulcer Dry mouth Gastric erosion determined by endoscopy Bilateral chronic knee pain Thoracic aortic aneurysm without rupture Leukocytosis Iron deficiency anemia due to chronic blood loss Near syncope AVM (arteriovenous malformation) of colon, acquired AVM (arteriovenous malformation) of duodenum, acquired Hiatal hernia Gastro-esophageal reflux disease with esophagitis History of non-ST elevation myocardial infarction (NSTEMI) Hypoalbuminemia Left atrial dilatation MGUS (monoclonal gammopathy of unknown significance) Essential (hemorrhagic) thrombocythemia Presbyopia Dyslipidemia Hypertensive heart disease without heart failure Moderate mitral stenosis Diverticulosis large intestine w/o perforation or abscess w/o bleeding High risk medication use Nonexudative age-related macular degeneration, right eye, advanced atrophic with subfoveal involvement History of macular degeneration COPD (chronic obstructive pulmonary disease) COVID Community acquired pneumonia of left lower lobe of lung UTI (urinary tract infection) Multiple lung nodules on CT
Andere Medikamente: acetaminophen (TYLENOL) 500 MG tablet albuterol (PROVENTIL) (2.5 MG/3ML) 0.083% nebulization albuterol HFA (PROVENTIL HFA, VENTOLIN HFA, PROAIR HFA) 108 (90 Base) MCG/ACT inhaler amitriptyline (ELAVIL) 25 MG tablet apixaban (ELIQUIS) 5
Allergien: DemerolNausea and Vomiting TetracyclineOther
Vorherige Impfungen: -

VAERS 2305267

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 85,0
Geschlecht: F
Eingang: 23.06.2022
Impfdatum: 04.11.2021
Beginn: 24.05.2022
Tage bis Beginn: 201,0
Dosis: 3
Route/Site: IM / LA

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

Alanine aminotransferase normal Anion gap Appetite disorder Arthralgia Aspartate aminotransferase normal Atrial fibrillation Blood albumin decreased Blood alkaline phosphatase normal Blood bicarbonate decreased Blood bilirubin normal COVID-19 COVID-19 pneumonia Chest X-ray abnormal Cough Blood calcium normal Blood chloride normal Blood creatinine normal Blood glucose normal

Symptomtext

Discharge Provider: MD Primary Care Provider: MD Admission Date: 5/24/2022 Discharge Date: May 25, 2022 PRESENTING PROBLEM: Atrial fibrillation with RVR [I48.91] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: Pt. is an 85 year old female with PMH of HTN, permanent afib on eliquis, COPD baseline 2L nocturnal requirement. Pt. presented to the ED with SOB and admitted to the hospital. Labs show COVID positive for which she reports her husband at home had a known COVID infection. Upon presentation she was also found to by tachycardic with EKG showing A-fib. IV cardizem was given and HR remained controlled on her home oral cardizem throughout the rest of her stay. Patient did require 2L supplemental O2 throughout her stay, but her SOB resolved with decadron. Patient has home oxygen and will continue with 2L supplemental O2 and complete a ten day course of decadron. She will follow up with her PCP outpatient. PT/OT recommended home with home PT. She is discharging in improved and stable condition. Discharge Provider: * Primary Care Provider: MD Admission Date: 6/15/2022 Discharge Date: Jun 17, 2022 PRESENTING PROBLEM: Atrial fibrillation with rapid ventricular response [I48.91] Pneumonia of left lower lobe due to infectious organism [J18.9] Community acquired pneumonia of left lower lobe of lung [J18.9] HOSPITAL COURSE: Patient is a 85-year-old female with medical history of COPD on 2L home O2, HTN, afib on eliquis. She came to the ER for shortness of breath. Patient recently had a COVID infection and had to increase her home use of O2. Normally she used 2 L at nighttime only. However after her infection, she has required 2 L during the day and with activity. However, patient was having some fevers some cough and some shortness of breath when she presented to the ER. Patient was noted to have a leukocytosis and infiltrate in the left lower lobe on chest x-ray. She was treated with IV Rocephin and IV azithromycin for community-acquired pneumonia. Patient was treated for a few days and improved significantly. Pulmonary rehab was consulted to clarify patient's home O2 requirements. Patient was to use 2 L of O2 at nighttime and with activity and did not require O2 at rest. Patient was medically stable for discharge

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19 pneumonia
Hospital-Tage: 2,0
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: Essential (primary) hypertension Permanent atrial fibrillation Coronary artery calcification Overweight (BMI 25.0-29.9) DJD (degenerative joint disease), multiple sites DJD (degenerative joint disease), lumbosacral Menopausal syndrome (hot flashes) Thoracic aortic atherosclerosis Abdominal aortic atherosclerosis Helicobacter pylori infection Allergic rhinitis Osteopenia of the elderly Vitamin D deficiency disease Tobacco abuse, in remission Chronic right shoulder pain Rotator cuff syndrome of right shoulder and allied disorders Personal history of gastric ulcer Dry mouth Gastric erosion determined by endoscopy Bilateral chronic knee pain Thoracic aortic aneurysm without rupture Leukocytosis Iron deficiency anemia due to chronic blood loss Near syncope AVM (arteriovenous malformation) of colon, acquired AVM (arteriovenous malformation) of duodenum, acquired Hiatal hernia Gastro-esophageal reflux disease with esophagitis History of non-ST elevation myocardial infarction (NSTEMI) Hypoalbuminemia Left atrial dilatation MGUS (monoclonal gammopathy of unknown significance) Essential (hemorrhagic) thrombocythemia Presbyopia Dyslipidemia Hypertensive heart disease without heart failure Moderate mitral stenosis Diverticulosis large intestine w/o perforation or abscess w/o bleeding High risk medication use Nonexudative age-related macular degeneration, right eye, advanced atrophic with subfoveal involvement History of macular degeneration COPD (chronic obstructive pulmonary disease) COVID Community acquired pneumonia of left lower lobe of lung UTI (urinary tract infection) Multiple lung nodules on CT
Andere Medikamente: acetaminophen (TYLENOL) 500 MG tablet albuterol (PROVENTIL) (2.5 MG/3ML) 0.083% nebulization albuterol HFA (PROVENTIL HFA, VENTOLIN HFA, PROAIR HFA) 108 (90 Base) MCG/ACT inhaler amitriptyline (ELAVIL) 25 MG tablet apixaban (ELIQUIS) 5
Allergien: DemerolNausea and Vomiting TetracyclineOther
Vorherige Impfungen: -

VAERS 2316753

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 94,0
Geschlecht: F
Eingang: 12.06.2022
Impfdatum: 14.11.2021
Beginn: 19.01.2022
Tage bis Beginn: 66,0
Dosis: 3
Route/Site: - / -

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

Atelectasis Atrial fibrillation COVID-19 Chest X-ray abnormal Cough Decreased appetite Dyspnoea Pleural effusion Procalcitonin SARS-CoV-2 test positive

Symptomtext

because of worsening shortness of breath for last 24 hours. The patient had recent diagnosis of atrial fibrillation with RVR. She was tested positive for COVID- 19 in January 2022. The patient reported poor appetite lately, intermittent dry cough, but no fever, no chills. In the ER, her O2 saturation was 100% on 2 L nasal cannula. Chest x-ray showed worsening left-sided pleural effusion. The patient was admitted for further evaluation. atelectasis, small pleural effusion. She has recent COVID-19 infection 1/19/22 Repeated covid test 2/5 is still positive Procalcitonin 0.1. She was discharged on 02/07/22 in stable condition.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: 2,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Date Unknown Blood disorder Date Unknown Breast cancer Date Unknown CKD (chronic kidney disease) stage 3, GFR 30-59 ml/min Date Unknown CLL (chronic lymphocytic leukemia) Date Unknown Diabetes Date Unknown HTN (hypertension) Date Unknown Hyperlipidemia Date Unknown Low back pain Date Unknown Pneumonia, unspecified organism
Andere Medikamente: ascorbic acid (VITAMIN C) 250 MG tablet ASPIRIN 81 PO atorvastatin (LIPITOR) 10 MG tablet calcium citrate (CALCITRATE) 950 MG tablet Cholecalciferol (VITAMIN D3) 1000 UNIT CAPS ferrous sulfate (FEOSOL, 65 FE,) 325 (65 FE) MG tablet fu
Allergien: Bee stings, metformin, ultram, adhesive tape
Vorherige Impfungen: -

VAERS 2303574

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 64,0
Geschlecht: M
Eingang: 31.05.2022
Impfdatum: 18.03.2021
Beginn: 12.05.2022
Tage bis Beginn: 420,0
Dosis: 3
Route/Site: IM / LA

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

Angiogram cerebral abnormal Arteriogram carotid abnormal Ataxia COVID-19 Chest X-ray normal Computerised tomogram head normal Cough Dizziness Dyspnoea Headache Nausea Vertebral artery occlusion Vision blurred Vomiting

Symptomtext

Patient admitted 5/12 for ataxia since 5/9 after he was initiated on Trulicity. He has been dizzy with some blurred vision. Reports a headache and has had some shortness of breath, coughing, nausea and vomiting with dizziness. During dizziness work-up, the patient found to have unremarkable CXR and head CT without acute changes, but was noted to have chronic multifocal occlusions of the cervical and intracranial portions of the right vetebral atery on CTA head/neck. Patient was incidentally found to have COVID infection on 5/12 while inpatient. Given that his infection was not causing respiratory symptoms and the patient felt well after blood administration, COVID was not actively treated. Discharged on 5/14/22.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: 3,0
Labordaten: see above
Aktuelle Erkrankungen: None
Vorgeschichte: Obstructive sleep apnea syndrome ... Benign neoplasm of cecum Prolapsed, intestine Polyposis syndrome, familial Hyperplastic polyps of stomach Open fracture of tooth Enterocolitis Gastroesophageal reflux disease without esophagitis Gastrointestinal hemorrhage Juvenile polyposis syndrome Gastroenteritis Vomiting Chronic GI bleeding Endocrine Severe hypothyroidism Type 2 diabetes mellitus with diabetic polyneuropathy, with long-term current use of insulin Anemia, chronic disease Dyspnea on exertion Obesity (BMI 30-39.9) Essential hypertension Depression Chronic low back pain Umbilical hernia without obstruction and without gangrene Orthostatic hypotension Pre-operative cardiovascular examination Colostomy in place History of hemicolectomy Coronary artery disease involving native coronary artery of native heart without angina pectoris Scrotal skin lesion Left hemiparesis Obesity, morbid CKD (chronic kidney disease) stage 3, GFR 30-59 ml/min Atherosclerosis of native coronary artery of native heart History of CVA (cerebrovascular accident) Iron deficiency anemia due to chronic blood loss Anticardiolipin antibody positive Anxiety Astigmatism of both eyes with presbyopia B12 deficiency Back injury Balance problem Brainstem infarct, acute Cataract Cerebral infarction CVA, old, hemiparesis Family history of smoking Fibromyalgia Gait difficulty H/O falling Hearing loss Hemiparesis affecting dominant side as late effect of cerebrovascular accident (CVA Mixed hyperlipidemia Lumbar facet joint syndrome Lumbar radiculopathy, chronic Memory problem Neuropathy Nystagmus Osteoarthrosis Poor venous access Protein-calorie malnutrition, moderate Renal cyst Stented coronary artery TIA (transient ischemic attack) Vertebral artery dissection Lumbosacral radiculopathy at L4 Benign prostatic hyperplasia Chronic pain of left knee Skin lesions Anterior cervical lymphadenopathy SI (sacroiliac) joint dysfunction Frequent falls Environmental allergies Acute left ankle pain Encounter for care related to vascular access port Primary osteoarthritis of left knee Impingement syndrome of left shoulder Left cervical radiculopathy Closed nondisplaced fracture of fourth cervical vertebra Low vitamin D level Elevated parathyroid hormone Hypomagnesemia Status post laparoscopic cholecystectomy Chronic diastolic congestive heart failure PFO (patent foramen ovale) Hallux valgus (acquired), right foot Chronic gout involving toe of right foot without tophus DDD (degenerative disc disease), cervical Acute abdominal pain in right lower quadrant Ventral hernia with bowel obstruction Hypotension due to hypovolemia NSTEMI (non-ST elevated myocardial infarction) Restenosis of arterial stent S/P angioplasty with stent History of creation of ostomy Presence of stent in coronary artery Poor compliance with medication Nipple pain COVID-19 virus infection Hyponatremia Acute on chronic blood loss anemia Depression, recurrent Coronary artery disease involving native coronary artery of native heart with angina pectoris Wrist pain, acute, right
Andere Medikamente: acetaminophen (TYLENOL), allopurinol (ZYLOPRIM)... aspirin 81 MG PO Chew Tab atorvastatin (LIPITOR) 80 MG PO Tab BD Pen Needle Nano U/F 32G X 4 MM XX Misc carvedilol (COREG) 12.5 MG PO Tab cetirizine (ZyrTEC) 10 MG PO tablet Continuous Bloo
Allergien: Aztreonam, Penicillins, Brilinta [Ticagrelor]
Vorherige Impfungen: -

VAERS 2298700

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: AZ
Alter: 78,0
Geschlecht: F
Eingang: 27.05.2022
Impfdatum: 02.11.2021
Beginn: 18.05.2022
Tage bis Beginn: 197,0
Dosis: 3
Route/Site: IM / UN

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

Blood bicarbonate decreased Blood creatinine increased Blood glucose normal Blood lactic acid Blood potassium normal Blood sodium decreased Blood urea increased COVID-19 COVID-19 pneumonia Cardiac failure congestive Chest X-ray abnormal Cough Dyspnoea Haemoglobin normal Hypoxia Lung infiltration Platelet count decreased White blood cell count normal

Symptomtext

COVID-19 pneumonia Hypoxia 79 year old woman with COPD on chronic home O2 at 1L NC presented to the ER with worsening cough and dyspnea. Per daughter, it started Monday this week. It progressed as the week went on . There was no productive sputum. The patient was found with COVID-19 infection, but the CXR showed possible fluid overload. Pt recovered from COVID in January (she was flown and spent some time admitted for her COVID - 20d at Facility). Her current oxygen requirement was around 2L NC. She usually uses 1L NC at home.

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19 pneumonia
Hospital-Tage: 3,0
Labordaten: Facility vitals: RA sat: 83% on arrival (5/18/2022). HR: 101. BP: 134/70 Labs: Na: 133, K: 4.7 HCO3: 32 BUN: 31 Cr: 4.5 Gluc: 132 WBC: 8.2 Hgb: 14.2 Plt: 141 LA: 1.2 Imaging: CXR: CHF with likely additional LL infiltrate.
Aktuelle Erkrankungen: unknown
Vorgeschichte: pulmonary hypertension coronary artery calcification cardiomegaly compression fracture of L2 vertebrae morbid obesity hearing loss R ear dependence on supplemental oxygen hypothyroidism anemia of chronic disease hyperlipidemia type 2 diabetes (controlled) end stage renal disease, on hemodialysis hypertension proteinuria
Andere Medikamente: unknown
Allergien: azatadine - unknown rxn dolobid - unknown rxn metformin - unknown rxn tetracycline - unknown rxn
Vorherige Impfungen: -

VAERS 2266042

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 90,0
Geschlecht: F
Eingang: 06.05.2022
Impfdatum: 03.11.2021
Beginn: 29.04.2022
Tage bis Beginn: 177,0
Dosis: 3
Route/Site: IM / -

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

Blood electrolytes normal COVID-19 Cardiac failure acute Cardiac failure congestive Chest X-ray abnormal Condition aggravated Dyspnoea Echocardiogram normal Ejection fraction Hypoxia Influenza A virus test negative Influenza B virus test Metabolic function test abnormal Pleural effusion Polyuria Post-acute COVID-19 syndrome Renal function test normal SARS-CoV-2 test positive

Symptomtext

Discharge Provider: MD, MPH Primary Care Provider: DO Admission Date: 4/29/2022 Discharge Date: 5/1/2022 PRESENTING PROBLEM: Hypoxia Acute on chronic diastolic (congestive) heart failure (HCC) COVID-19 long hauler HOSPITAL COURSE: Patient is a 90 y.o. female who presented with shortness of breath . Pmh chronic diastolic chf , mod pulm htn, osa, cva ( see list below) now presenting with several day history of worsening sob . Presenting with increased sob, wt gain , increased bmp from 4/1 141 ->2656 today cxr with new small bilateral pleural effusions Echo 1/22 levf 54% Hypoxia to 88% transiently now on room air . Possibly exacerbated by recent covid infection . Following admission oral lasix held and was diuresed with iv lasix . Quickly removed from supplemental oxygen. She diuresed well more than 2.5 l with subjective improvement in breathing . Electrolytes and renal function monitored and remained stable . Tested neg for influ AB, pos for covid though 3 wks prior also testing positive and this is likely residual . She was evaluated by pt/ot and felt safe to return to home with hhc that is established already. Home with spouse, resume SHVNA and Tandem365 services. On day of dc was feeling improved , tolerating oral diet , ambulating at baseline .

Weitere VAERSDATA-Felder

Praegender Schweregrund: Condition aggravated
Hospital-Tage: 2,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Insomnia Periodic limb movement disorder Mediastinal lymphadenopathy Chronic anemia Moderate to severe pulmonary hypertension (HCC) Generalized weakness SOB (shortness of breath) Stage 3a chronic kidney disease (HCC) Sleep apnea Essential hypertension Hypothyroidism mild persistent Asthma GI bleed due to NSAIDs S/P TAVR (transcatheter aortic valve replacement) Chronic diastolic heart failure (HCC) Exudative age-related macular degeneration of both eyes with inactive choroidal neovascularization (HCC) Sciatica of right side History of CVA (cerebrovascular accident) Heat syncope Fall Dizziness Hyperlipidemia Anosmia Extravasation injury of intravenous catheter site with other complication, sequela Dyspnea and respiratory abnormality Mild persistent asthma with (acute) exacerbation Hyponatremia Chronic respiratory failure with hypoxia (HCC) Advanced care planning/counseling discussion Chronic cough REM sleep behavior disorder Psychophysical visual disturbance Acute on chronic diastolic (congestive) heart failure (HCC) COVID-19 virus infection
Andere Medikamente: acetaminophen (TYLENOL) 500 MG tablet ascorbic acid (VITAMIN C) 500 MG tablet atorvastatin (LIPITOR) 40 MG tablet benzonatate (TESSALON) 200 MG capsule budesonide (PULMICORT) 1 MG/2ML nebulizer suspension bumetanide (BUMEX) 1 MG tablet
Allergien: Bee VenomSwelling CodeineConfusion Tetanus ToxoidSwelling
Vorherige Impfungen: Tetanus Toxoid Allergy; Unknown injection date

VAERS 2266014

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 89,0
Geschlecht: M
Eingang: 06.05.2022
Impfdatum: 03.11.2021
Beginn: 29.04.2022
Tage bis Beginn: 177,0
Dosis: 3
Route/Site: IM / -

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

Acute kidney injury Asthenia Blood creatine increased Blood lactic acid increased Blood potassium increased COVID-19 Candida infection Cough Decreased appetite Dehydration Dizziness Exposure to SARS-CoV-2 Fatigue Hyperhidrosis Hypophagia Infusion Respiratory symptom SARS-CoV-2 test positive

Symptomtext

Admission Date: 4/29/2022 Discharge Date: 4/30/2022 PRESENTING PROBLEM: Dehydration [E86.0] SIRS (systemic inflammatory response syndrome) (HCC) [R65.10] AKI (acute kidney injury) (HCC) [N17.9] COVID-19 virus detected [U07.1] HOSPITAL COURSE: Admission history:A 90 y.o. male who presented with weakness. pmh htn, bph,ckd 3 . States wife dx with covid 3 weeks ago and has been required to take care of her . Notes he had uri ss shortly following and was tested for covid at Atrium and told was neg . 4 days ago with onset cough non productive of sputum . Has progressively become increasingly fatigued and generally weak . Notes decreased appetite and po intake though feels has kept up on liquids . Denies fever or chills, n,v, no myalgia,no co diarrhea , melena or hematochezia. Brought wife into ed today due to her sob. While in ed experienced light headedness , became diaphoretic . Bp on eval noted at 60's/40's . In ed given x3 l ns with improved subjective ss . Lactic level elevated to 2.5 , k elevated to 5.5 . Baseline creat near 1.3 found to be 1.7 on admit . Following infusions felt much improved with resolved light headedness and felt much stronger . For aki was gently hydrated over night , ace i was held. Creat improved to baseline 1.19 . He did test positive for covid 19 however with no pulmonary co or hypoxia . On day of dc was ambulating in halls without assist , bp readings at goal with no orthostatics . He was making good amount of urine , taking oral intake well And requesting dc. In instructed him to self isolate for 5 more days . He is to call for follow up pcp appointment to be seen following isolation period or with concerns or questions . To resume lisinopril on 5/1/22

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dehydration
Hospital-Tage: 1,0
Labordaten: -
Aktuelle Erkrankungen: Thrush; 4/16/2022-4/18/2022
Vorgeschichte: Essential hypertension Spinal stenosis Osteoarthritis, hip, bilateral Anemia due to stage 3a chronic kidney disease (HCC) Zenker's (hypopharyngeal) diverticulum Dysphagia Shortness of breath Gastroesophageal reflux disease without esophagitis Bilateral shoulder pain Thoracic aortic ectasia (HCC) Stage 3a chronic kidney disease (HCC) Type 2 diabetes mellitus with hyperglycemia (HCC) Advanced care planning/counseling discussion Thrush, oral Benign prostatic hyperplasia with urinary frequency COVID-19 virus infection AKI (acute kidney injury) (HCC)
Andere Medikamente: acetaminophen (TYLENOL) 500 MG tablet BMX compounded suspension doxazosin (CARDURA) 8 MG tablet finasteride (PROSCAR) 5 MG tablet lisinopril (PRINIVIL,ZESTRIL) 10 MG tablet meloxicam (MOBIC) 7.5 MG tablet Multiple Vitamins-Iron (ONE-D
Allergien: Lovastatin Statins
Vorherige Impfungen: -

VAERS 2260436

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: TN
Alter: 49,0
Geschlecht: M
Eingang: 02.05.2022
Impfdatum: 29.10.2021
Beginn: 25.04.2022
Tage bis Beginn: 178,0
Dosis: UNK
Route/Site: IM / RA

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

COVID-19 Dyspnoea Dyspnoea exertional Fatigue Myalgia Oropharyngeal pain Pulmonary congestion Pyrexia Rhinorrhoea SARS-CoV-2 test positive Upper-airway cough syndrome

Symptomtext

I went out of town for a conference and flew back on Friday. I started having symptoms Monday night. The symptoms were fatigue, sore throat, muscle aches and a low grade fever. The fever increased to 100.5. I had runny nose along with post nasal drip and chest congestion. I did a rapid home test on Tuesday which was positive. I went to a drive thru health center and also tested positive. I contacted my healthcare provider who provided a prescription for fluoxetine. I did not fill the prescription instead I took OTC Mucinex and Tylenol. My symptoms have improved but I am still easily fatigued, winded and have chest congestion. I am no longer running a fever. I have been taking index fever reads of my O2 levels and it has fluctuated between 95 and 99 but never lower than 95. I have not recovered. I cannot walk upstairs without getting winded.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: None, Covid-19 test
Aktuelle Erkrankungen: None
Vorgeschichte: High Blood Pressure, High Cholesterol
Andere Medikamente: Atorvastatin Benazepril Metamucil
Allergien: None
Vorherige Impfungen: -

VAERS 2252548

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: CO
Alter: 29,0
Geschlecht: F
Eingang: 26.04.2022
Impfdatum: 10.12.2021
Beginn: 12.12.2021
Tage bis Beginn: 2,0
Dosis: 1
Route/Site: SYR / LA

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

Immobile Mobility decreased Musculoskeletal pain Neck pain

Symptomtext

Sunday morning following my booster shot, I awoke to severe neck pain and immobility. The pain was from the base of my skull down to my shoulder blade and only on the left side of my spine (the side I received my booster). I could not lift my head up off of my pillow and had to roll sideways out of bed to get up. I could not turn my head left or right, and I couldn?t look up or down.

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Praegender Schweregrund: Mobility decreased
Hospital-Tage: -
Labordaten: No tests done
Aktuelle Erkrankungen: I had a migraine the morning of my booster shot appointment.
Vorgeschichte: Chronic lower back pain from a torn/herniated disc
Andere Medikamente: None
Allergien: Allergic to sulfa meds and gluten
Vorherige Impfungen: Pfizer, first COVID vax, 04/05/2021, Lot# ER8737, whole left arm was immobile and in pain with numbness down to my fingers.

VAERS 2238184

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 60,0
Geschlecht: M
Eingang: 17.04.2022
Impfdatum: 03.11.2021
Beginn: 15.12.2021
Tage bis Beginn: 42,0
Dosis: UNK
Route/Site: UN / RA

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

Ear pain Hyperacusis Paraesthesia Tinnitus

Symptomtext

After approximately 3 weeks tinnitus levels increased significantly. Also hearing is sensitive to sounds. I have on and off earaches. Tingling in my ears. Sinnutus comes and goes. Symptoms are ongoing as of this date.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Paraesthesia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: High blood pressure
Andere Medikamente: Amlodipine Besylate tablet 10mg Omeprazole caplet 20mg
Allergien: None
Vorherige Impfungen: -

VAERS 2216153

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: -
Alter: 75,0
Geschlecht: F
Eingang: 05.04.2022
Impfdatum: 11.11.2021
Beginn: 09.12.2021
Tage bis Beginn: 28,0
Dosis: 3
Route/Site: IM / UN

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

Pneumonia

Symptomtext

Patient presented to the ED on 12/9 for pneumonia of both lungs due. Patient presented to the ED on 12/20 and was subsequently hospitalized for aspiration pneumonia of left lower lobe. These visits are within 6 weeks of receiving covid vaccination.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pneumonia
Hospital-Tage: 5,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2214492

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MN
Alter: 22,0
Geschlecht: F
Eingang: 04.04.2022
Impfdatum: 10.11.2021
Beginn: 11.11.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / RA

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

Chest pain Chills Headache Influenza like illness Lethargy Pain Pyrexia

Symptomtext

Sharp, shooting, searing chest pain alongside flu-like symptoms (lethargy, body aches, headache, chills/fever).

Weitere VAERSDATA-Felder

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

VAERS 2155377

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

moderat

Staat: IL
Alter: 53,0
Geschlecht: M
Eingang: 03.03.2022
Impfdatum: 01.11.2021
Beginn: 01.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Dysstasia Hypoaesthesia Injection site erythema Mobility decreased

Symptomtext

pt states that he has has weakness and "dead arm" feeling since receiving the vaccine on 11/1/21. he said he felt the initial month was just normal reaction but it has now lasted 3 months more of the same issues. he stated he has had trouble getting up from chairs and had an issue closing his car door. he has had no redness at injection site. he stated he went to his primary doctor a few weeks back and brought it up but the doctor didnt do anything and didnt refer him anywhere.

Weitere VAERSDATA-Felder

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

VAERS 2155021

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 69,0
Geschlecht: M
Eingang: 03.03.2022
Impfdatum: 01.11.2021
Beginn: 18.01.2022
Tage bis Beginn: 78,0
Dosis: 3
Route/Site: IM / LA

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

COVID-19 Chest X-ray abnormal Decreased appetite Dyspnoea Dyspnoea exertional Lung disorder SARS-CoV-2 test positive Treatment noncompliance Troponin Ventricular tachycardia White blood cell count normal

Symptomtext

Attending Physician: DO Date of Admission: 1/21/2022 Chief Complaint Patient presents with ? Shortness of Breath COVID+ as of 1/18. arrived via EMS on NRB, described exertional dyspnea on scene. A&O x4 upon arrival. Source of Information: Patient and Available medical record History of Present Illness: This is a 69y.o. male with pmh of Renal transplant ckd since transplant Cad,s/p cabg x 2 Cardiomyopath,ischemic and non ischemic paf Pad Brought in by EMS after he was recently tested positive for covid on 1/18 and for sob,since tested positive for covid,wife states patient has poor appetite,has sob,and not taking his medication.evaluatedd in ed and admitted. Patient is vaccinated for covid,per medical record Work up in ed shows V tach for more than 18 beats,for which cardiology recommend to resume his home medication of coreg Chest xray -- patchy bilateral air space disease c/w infectious etiology Wbc 5.7 Troponin 0.14,0.14 When seen in ed patient awake and alert,but not able to tell the reason for coming to the ed and at this time denies any complaints and using o2 per nasal canula,looks slightly sob.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: 13,0
Labordaten: + Covid At outside facility per H & P, no labs here at Healthcare facility
Aktuelle Erkrankungen: ? Acute systolic congestive heart failure 4/12/2016 ? Arrhythmia ? Atherosclerosis of artery of both lower extremities ? Cardiomyopathy, nonischemic 3/6/2016 ? Cerebrovascular accident 2009 ? Chronic renal failure ? Chronic systolic congestive heart failure 4/12/2016 ? Coronary artery disease involving native coronary artery of native heart without angina pectoris 3/31/2016 ? Dialysis ? GERD (gastroesophageal reflux disease) ? Heart murmur ? Hypertension ? Hyperthyroidism ? Malignant neoplasm without specification of site ? Prostate cancer 04/2020 cryoablation 8/2020 ? Renal failure ? Right sided cerebral infarction ? S/P kidney transplant ? Shingles few weeks ago ? Type II diabetes mellitus
Vorgeschichte: ? Acute systolic congestive heart failure 4/12/2016 ? Arrhythmia ? Atherosclerosis of artery of both lower extremities ? Cardiomyopathy, nonischemic 3/6/2016 ? Cerebrovascular accident 2009 ? Chronic renal failure ? Chronic systolic congestive heart failure 4/12/2016 ? Coronary artery disease involving native coronary artery of native heart without angina pectoris 3/31/2016 ? Dialysis ? GERD (gastroesophageal reflux disease) ? Heart murmur ? Hypertension ? Hyperthyroidism ? Malignant neoplasm without specification of site ? Prostate cancer 04/2020 cryoablation 8/2020 ? Renal failure ? Right sided cerebral infarction ? S/P kidney transplant ? Shingles few weeks ago ? Type II diabetes mellitus
Andere Medikamente: acetaminophen (TYLENOL) 325 MG PO Tab take 2 Tablets by mouth every 6 hours. Unknown Unknown time allopurinol (ZYLOPRIM) 100 MG PO Tab take 1 Tablet by mouth once daily. Patient taking differently: take 100 mg by mouth twice daily. Past W
Allergien: ? Hydralazine Chest Pain ? No Known Drug Allergy
Vorherige Impfungen: -

VAERS 2119000

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: KY
Alter: 61,0
Geschlecht: M
Eingang: 17.02.2022
Impfdatum: 12.11.2021
Beginn: 27.12.2021
Tage bis Beginn: 45,0
Dosis: 2
Route/Site: IM / LA

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

Blood beta-D-glucan negative COVID-19 COVID-19 pneumonia Chest X-ray abnormal Chest discomfort Chills Cough Decreased appetite Dizziness Dyspnoea Fatigue Headache Legionella test Lung opacity Pleural thickening Pyrexia Respiratory tract congestion SARS-CoV-2 test positive

Symptomtext

presented to ED today with chief complaint of cough, shortness of breath, fatigue, loss of appetite, congestion, headache, dizziness, and fever. Review of Systems Constitutional: Positive for activity change, appetite change, chills, fatigue and fever. Negative for unexpected weight change. HENT: Positive for congestion. Negative for ear pain, hearing loss, sinus pressure, sore throat and trouble swallowing. Eyes: Negative for visual disturbance. Respiratory: Positive for cough, chest tightness, shortness of breath and wheezing. Cardiovascular: Negative for chest pain and palpitations. Gastrointestinal: Negative for abdominal pain, blood in stool, constipation, diarrhea, nausea and vomiting. COVID 19 pneumonia - CXR with several nodular opacities within the right lung, interstitial thickening within the left lower lobe. - urine strep pneumo and legionella negative. Beta glucan was negative. - Titrate O2 to keep sats 92%-96% - Started on Remdesivir and Dexamethasone 12/28/21. Finished remdesivir on 1/3/21 and dexamethasone on 1/8/21. - albuterol nebs prn, ICS - continue mucinex - Still requiring 2 L of oxygen via nasal cannula but relatively stable. Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19 pneumonia
Hospital-Tage: 11,0
Labordaten: COVID PCR positive on 12/27/21
Aktuelle Erkrankungen: N/A
Vorgeschichte: Past Medical History: Diagnosis Date ? Acute kidney failure, unspecified AKI (acute kidney injury) ? Allergic contact dermatitis, unspecified cause Allergic dermatitis ? Cardiomyopathy, unspecified Cardiomyopathy ? Chest pain, unspecified ? Coronary artery disease ? Dizziness and giddiness Dizziness and giddiness ? Edema, unspecified Edema ? End stage renal disease End stage renal disease ? Essential (primary) hypertension Benign essential hypertension ? Essential (primary) hypertension Essential (primary) hypertension ? Frequency of micturition ? Gastro-esophageal reflux disease without esophagitis ? Hyperlipidemia, unspecified Hyperlipidemia ? Impacted cerumen, unspecified ear Excessive ear wax ? Low back pain Low back pain ? Metatarsalgia, unspecified foot Metatarsalgia ? Obesity, unspecified Obese ? Other forms of angina pectoris Angina effort ? Other injury of unspecified body region, initial encounter Sprain ? Other specified diabetes mellitus without complications Diabetes mellitus following renal transplant ? Type 2 diabetes mellitus ? Unspecified kidney failure Renal failure ? Urinary tract infection, site not specified Acute UTI
Andere Medikamente: aspirin atorvastatin famotidine fluoxetine fluticasone glipizide januvia mycophenolate novolog 70/30 oxybutynin sildenafil tacrolimus carvedilol metolazone
Allergien: Latex
Vorherige Impfungen: -

VAERS 2116070

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: CA
Alter: 72,0
Geschlecht: F
Eingang: 16.02.2022
Impfdatum: 28.10.2021
Beginn: 29.10.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / LA

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

Asthenia Blood sodium decreased Blood test Feeling abnormal Haemoglobin decreased Infection Memory impairment Mobility decreased Sepsis Urinary tract infection Urine analysis

Symptomtext

I was really weak the day after the vaccine, and I had a hard time carrying some vegetables from the building to the car, which is about 100 meters. I was so weak in between halfway that I had to rest before I made it to the car. I do not remember the next 2 days, they are kind of a blank, then on Sunday the 31st of October I fell and was taken to the hospital. I was trying to move but couldn't. I could not get up and the lower I went the more I could not get up. They drew blood and urine analysis and eventually I got a bed and was held there for 4 days. I was on the fall list so if I got up someone was there. They kept drawing my blood, and they realized that my sodium and my hemoglobin were off, they were both very low and had no energy. They claim that it was a urine infection that went into my blood. And I did not understand why or how it happened. It took me a few weeks to be back to normal. I also had home health to come draw blood for 2 weeks and a physical therapist to help me get strength back. My head was foggy and then it cleared it up as well.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mobility decreased
Hospital-Tage: -
Labordaten: Urine test and blood tests, determined I had low sodium and low hemoglobin.
Aktuelle Erkrankungen: None
Vorgeschichte: Cancer
Andere Medikamente: Letrozole; atenolol; lisinopril; gabapentin; fish oil; biotin; calcium; vitamin E; evening primrose; Pradaxa
Allergien: None that I know of.
Vorherige Impfungen: -

VAERS 2109972

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 89,0
Geschlecht: F
Eingang: 14.02.2022
Impfdatum: 03.11.2021
Beginn: 31.12.2021
Tage bis Beginn: 58,0
Dosis: 3
Route/Site: UN / OT

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

COVID-19 Confusional state Dyspnoea Haemodialysis Influenza A virus test negative Influenza B virus test Respiratory syncytial virus test negative SARS-CoV-2 test positive Therapy interrupted

Symptomtext

Patient is a89y.o. year old female with a h/o anemia, ESRD on HD presented to facility on 1/1/2022 from HD secondary to shortness of breath halfway through her session with pulse ox of 74%. Patient confused and unable to provide further history. Reportedly tested positive for COVID recently, however there is no record of positive testing in our system or other system. Last negative test recorded 11/6/2021. Attempts to reach family to clarify unsuccessful .

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: 5,0
Labordaten: HEALTH SYSTEM LABORATORY Chart Review Copy Patient PT CLASS: Inpatient DEPT: EMERGENCY DEPARTMENT PATIENT STATUS: Discharged GENDER: female BED ORD DR AUTH DR Results Covid-19, Flu, RSV by NAA (Order number) Contains abnormal data Covid-19, Flu, RSV by NAA Order: number Status: Final result Visible to patient: No (inaccessible in system) Next appt: None Specimen Information: Nasopharyngeal; Swab 0 Result Notes Component Ref Range & Units Influenza A Not Detected Not Detected Influenza B Not Detected Not Detected RSV Not Detected Not Detected SARS-CoV-2 (COVID-19) by NAA, Micro Not Detected Detected Abnormal Narrative Methodology: Nucleic Acid Amplification(NAA)/Polymerase Chain Reaction(PCR) The SARS-CoV-2 (COVID-19) test is for in vitro diagnostic use under the FDA Emergency Use Authorization (EUA) for laboratories certified under regulations to perform high complexity testing. This test has not been FDA cleared or approved. Specimen Collected: 01/01/22 5:23 PM Last Resulted: 01/01/22 6:16 PM
Aktuelle Erkrankungen: ? Anemia ? Chronic kidney disease
Vorgeschichte: ? Anemia ? Chronic kidney disease
Andere Medikamente: acetaminophen (TYLENOL) tablet 650 mg 650 mg Oral Once ? atorvastatin (LIPITOR) tablet 10 mg 10 mg Oral Q HS ? dexamethasone (DECADRON) injection 6 mg 6 mg Intravenous DAILY Or ? dexamethasone (DECADRON,HEXADROL) tablet 6 mg 6 mg Ora
Allergien: ? Codeine Unable to specify PT is confused ? Motrin [Ibuprofen] Unable to specify PT confused ? Nexium [Esomeprazole] Unable to specify PT confused ? Norvasc [Amlodipine] Other PT confused ? Paxil [Paroxetine] Other PT confused ? Prilosec [Omeprazole] Other PT confused
Vorherige Impfungen: -

VAERS 2105453

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: ID
Alter: 58,0
Geschlecht: F
Eingang: 11.02.2022
Impfdatum: 02.12.2021
Beginn: 25.01.2022
Tage bis Beginn: 54,0
Dosis: 3
Route/Site: IM / RA

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

Dyspnoea Sinonasal obstruction

Symptomtext

At 2:00AM on 1/25 I had my CPap on and could not breathe very well because my nasal passage was blocked. On that morning I called my PCP and was advised to come in at 10:00AM. Was given a physical and was prescribed prednisone. After 7 days called my PCP back and was prescribed a Z-pak. It mostly worked and it felt like something remained in my nasal passage. I also used a new neti-pot and it cleared the remaining blockage and right now I feel I am clear.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: Only physical. No Test or Labs.
Aktuelle Erkrankungen: None
Vorgeschichte: Asthma
Andere Medikamente: Synthroid, D3
Allergien: NKA
Vorherige Impfungen: CoVid Moderna, Lot# 026L20A, 1st dose on 01/13/2021, Severe Vomiting and Flu like symptom w/fever for over 2weeks, 57age, just r

VAERS 2105088

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: CO
Alter: 46,0
Geschlecht: F
Eingang: 11.02.2022
Impfdatum: 30.11.2021
Beginn: 30.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: SYR / RA

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

Cardiac stress test normal Chest discomfort Chest pain Condition aggravated Dizziness Headache Hyperacusis Photophobia Vision blurred

Symptomtext

Blurry vision occurred within 15 minutes of vaccine being administered. The blurry vision last for approximately 90 minutes. Approximately 2 hours after the vaccine was administered I developed dizziness and slight chest pain (heaviness in chest). The dizziness has been random and frequent (similar to the 2nd dose) and has not yet subsided. Heaviness in my chest comes and goes. After this dose my sensitivity to lights and sound has increased and it is difficult to be in bright lights or around loud noises without developing a headache. I have white noise at my workplace and I cannot be in the facility for longer than a couple of hours without having to leave. Prior to the covid vaccines I had no health issues--no dizziness; no chest pain; no blurry vision

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: No further testing for dizziness. Completed stress test on 2/9/2022 with normal results
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: Modern Covid vaccine 1 and 2

VAERS 2079487

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21B

moderat

Staat: PA
Alter: 37,0
Geschlecht: F
Eingang: 01.02.2022
Impfdatum: 17.11.2021
Beginn: 18.11.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: - / -

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

Migraine Rash Swelling face

Symptomtext

NEXT MORNING FACE WAS VERY SWOLLEN FROM UNDER EYES TO SIDE OF FACE FAINT RASH ON CHEEKS. SEVERE MIGRAINE.

Weitere VAERSDATA-Felder

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

VAERS 2074222

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: KS
Alter: 53,0
Geschlecht: F
Eingang: 29.01.2022
Impfdatum: 07.01.2022
Beginn: 01.01.2022
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / LA

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

Body temperature Chills Fatigue Fear Pruritus Rash Tremor Vaccination site rash

Symptomtext

sudden itching / it was so, so itchy; shaking; night she was chilling; feels tired; very bright rash around the injection site /oval rash around the injection site/white bumps started growing from inside/3-4 inches rash around the injection site; rash in her hands was very bright. The rash was all over the arms and elbows/rash went down to her arms, elbow and wrist/ rash all over the body it was so weird; feels kind of scared / she was in panic / she was so scared; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (sudden itching / it was so, so itchy), FEAR (feels kind of scared / she was in panic / she was so scared), TREMOR (shaking), RASH (rash in her hands was very bright. The rash was all over the arms and elbows/rash went down to her arms, elbow and wrist/ rash all over the body it was so weird) and CHILLS (night she was chilling) in a 53-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Blood pressure. Concomitant products included AMLODIPINE for Blood pressure. On 07-Jan-2022, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Jan-2022, the patient experienced RASH (rash in her hands was very bright. The rash was all over the arms and elbows/rash went down to her arms, elbow and wrist/ rash all over the body it was so weird) and VACCINATION SITE RASH (very bright rash around the injection site /oval rash around the injection site/white bumps started growing from inside/3-4 inches rash around the injection site). On 15-Jan-2022, the patient experienced PRURITUS (sudden itching / it was so, so itchy), TREMOR (shaking), CHILLS (night she was chilling) and FATIGUE (feels tired). In January 2022, the patient experienced FEAR (feels kind of scared / she was in panic / she was so scared). On 11-Jan-2022, VACCINATION SITE RASH (very bright rash around the injection site /oval rash around the injection site/white bumps started growing from inside/3-4 inches rash around the injection site) had resolved. At the time of the report, PRURITUS (sudden itching / it was so, so itchy), FEAR (feels kind of scared / she was in panic / she was so scared), TREMOR (shaking), RASH (rash in her hands was very bright. The rash was all over the arms and elbows/rash went down to her arms, elbow and wrist/ rash all over the body it was so weird), CHILLS (night she was chilling) and FATIGUE (feels tired) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In January 2022, Body temperature: temperature of 95 temperature of 95?F. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment included allergy pills and antihistamine. Patient visited the hospital and was told that the reactions would go away.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Tremor
Hospital-Tage: -
Labordaten: Test Date: 202201; Test Name: body temperature; Result Unstructured Data: temperature of 95?F
Aktuelle Erkrankungen: Blood pressure
Vorgeschichte: -
Andere Medikamente: AMLODIPINE
Allergien: -
Vorherige Impfungen: -

VAERS 2043698

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: CO
Alter: 59,0
Geschlecht: F
Eingang: 18.01.2022
Impfdatum: 23.11.2021
Beginn: 03.01.2022
Tage bis Beginn: 41,0
Dosis: 3
Route/Site: IM / LA

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

COVID-19 Cough Dyspnoea Headache SARS-CoV-2 test positive Upper respiratory tract infection

Symptomtext

Per MD note (1/3/22) Patient presents for URI symptoms for about 2 weeks off and on. She reports headache and cough. She has mild SOB. She hasn't used her rescue inhaler the past week. She uses 2L of oxygen at night. No O2 use during the day. She has taken Tylenol, Advil and Mucinex with mild improvement. - 1) COVID-19 (ICD-10: U07.1) Your COVID-19 test was POSITIVE. Discussed OTC medications. Prednisone for bronchitis- discussed potential side effects. Based on the CDC criteria (updated 12/28/21), you should self-isolate until you meet all of the following: -At least 5 days have passed from when symptoms first appeared. -You must be fever free for at least 24 hours (without using an anti-fever medication such as acetaminophen, ibuprofen, naproxen, or aspirin). -Your respiratory symptoms must have significantly improved. You should continue mask use when around others indoors, especially within the first 10 days of symptoms. You do not need retesting and it is expected to be positive for weeks after you are no longer considered to be contagious. If you are having any life-threatening symptoms such as severe shortness of breath, passing out, swelling in your legs, confusion, skin turning blue, new chest pain, or any other severe symptoms, please call 911 or go to the ER.

Weitere VAERSDATA-Felder

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

VAERS 2039584

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MN
Alter: 90,0
Geschlecht: F
Eingang: 17.01.2022
Impfdatum: 27.10.2021
Beginn: 14.01.2022
Tage bis Beginn: 79,0
Dosis: 3
Route/Site: SYR / RA

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

COVID-19 COVID-19 pneumonia Dyspnoea SARS-CoV-2 test positive

Symptomtext

received Moderna vaccines on 1/17, 2/12, 10/27/21 COVID-19 positive by PCR on 1/14/22 admitted to hospital on 1/15/22 d/t SOB, COVID 19 pneumonia underlying COPD , CHF

Weitere VAERSDATA-Felder

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

VAERS 2005549

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: IN
Alter: 41,0
Geschlecht: M
Eingang: 05.01.2022
Impfdatum: 20.11.2021
Beginn: 31.12.2021
Tage bis Beginn: 41,0
Dosis: 3
Route/Site: IM / RA

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

Atrial fibrillation Blood thyroid stimulating hormone normal Echocardiogram abnormal Full blood count normal Metabolic function test Palpitations Supraventricular extrasystoles Urine analysis normal

Symptomtext

Frequent heart palpitations. Presented at emergency department and diagnosed with atrial arrhythmia (frequent PACs). Discharged home for primary care follow-up. Current outcome is no change from presenting complaint. Follow-up scheduled for 1/7/2022 with primary care physician.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Palpitations
Hospital-Tage: -
Labordaten: Electrocardiogram (ECG) shows sinus rhythm with atrial arrhythmia (1/2/2022) CBC with differential, CMP, TSH, UA: all within normal limits (1/2/2022)
Aktuelle Erkrankungen: Common cold
Vorgeschichte: Hypercholesterolemia
Andere Medikamente: Atorvastatin, 20mg, daily Metamucil, daily Multivitamin, daily
Allergien: No known allergies
Vorherige Impfungen: -

VAERS 1999483

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: TN
Alter: 72,0
Geschlecht: M
Eingang: 03.01.2022
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: ja

Ageusia Anosmia Asthenia Dyspnoea Headache Loss of personal independence in daily activities Muscular weakness Pain Thinking abnormal

Symptomtext

He got his vaccine, he had no reaction and then approximately 6 hours later he had a little headache, achy feeling on Friday. On Saturday around noon he lost muscular control of his legs and arms, couldn't write, couldn't think, affected his thinking process which lasted until Sunday morning, and then started to go away. By Sunday evening he felt pretty good, but weak from what he had gone through already. By Monday morning he was pretty much back to normal. His wife came close to calling an ambulance but due to him not having any difficulty breathing he told her not to. His wife had to help him put his feet up to get into bed. He also lost his sense of smell and taste, which has come back somewhat, but believes due to his cancer treatment that it has not fully returned. Due to him being immunocompromised he got the full dose instead of the 1/2 dose. He has informed his doctor of his symptoms, and also the Health Dept who gave him our phone #.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: None.
Aktuelle Erkrankungen: None.
Vorgeschichte: Lung cancer, COPD, diabetes.
Andere Medikamente: Metformin, Eliquis, multivitamins, Vitamin C.
Allergien: None.
Vorherige Impfungen: -

VAERS 1997228

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

moderat

Staat: IN
Alter: 38,0
Geschlecht: M
Eingang: 01.01.2022
Impfdatum: 30.12.2021
Beginn: 31.12.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: SYR / RA

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

Dizziness Hypoaesthesia Injected limb mobility decreased Injection site pain Pain Paraesthesia Pyrexia Respiratory tract congestion

Symptomtext

Fever. Whole body sore. Right arm(site of injection) very sore-can barely lift and move it. Congestion. Dizziness. These symptoms lasted 24 hours. Tingles/numbness in hands and face lasted 1 hour.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injected limb mobility decreased
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: No
Allergien: No
Vorherige Impfungen: -

VAERS 1995803

PFIZER\BIONTECH · COVID19 (COVID19 (PFIZER-BIONTECH)) · Charge 077C21B

moderat

Staat: CO
Alter: 50,0
Geschlecht: M
Eingang: 31.12.2021
Impfdatum: 07.12.2021
Beginn: 10.12.2021
Tage bis Beginn: 3,0
Dosis: 3
Route/Site: IM / RA

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

Anaemia Dialysis Dyspnoea Hypervolaemia SARS-CoV-2 test negative Transfusion

Symptomtext

Moderna COVID-19 Vaccine EUA: patient presented to emergency department with dyspnea after blood transfusion for anemia. Admitted for volume overload, placed on oxygen, and dialyzed with symptom resolution. Discharged to home medically stable.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: 1,0
Labordaten: SARS-CoV-2: negative
Aktuelle Erkrankungen: none reported
Vorgeschichte: ESRD on dialysis, hypertension, GERD, diverticulitis, sleep apnea, De Quervain's tenosynovitis
Andere Medikamente: amlodipine, atorvastatin, calcium, vitamin D3, furosemide, hydrocodone, acetaminophen, loratadine, omeprazole, senna, sevelamer, Prorenal vitamins, iron, gabapentin, Milk of Magnesia
Allergien: NSAIDs
Vorherige Impfungen: -

VAERS 1975149

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: NE
Alter: 63,0
Geschlecht: F
Eingang: 23.12.2021
Impfdatum: 08.11.2021
Beginn: 13.11.2021
Tage bis Beginn: 5,0
Dosis: UNK
Route/Site: IM / LA

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

Burning sensation Chills Cystitis Feeling cold Muscular weakness Neuropathy peripheral Pain in extremity Tremor

Symptomtext

After receiving my Moderna Booster the first couple days I had what I would call normal side effects with sore arm. After a few days woke with severe muscle weakness and shaking, severe bladder inflammation/infection, chills, neuropathy of hands and feet. Spiked blood pressure of 190/98. No fever.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Tremor
Hospital-Tage: -
Labordaten: Happened on a Saturday November 13th a.m. Went to urgent care. Put on antibiotic for bladder infection. Over the weekend bladder improved and blood pressure gradually came down over the next couple days but muscle weakness and neuropathy/pain and burning in lower legs with internal feeling of extreme cold did not improve. Went to my general practitioner who told me they had been seeing these symptoms in others after the vaccines.
Aktuelle Erkrankungen: None
Vorgeschichte: None. Migraines on occasion.
Andere Medikamente: Nurtec 75mg as needed. Vitamin D 2500 IUs. B Complex.
Allergien: Penicillin Emgality Injections~triggered by preservatives in injection solution most likely according to physician.
Vorherige Impfungen: Bladder infection after first Moderna covid 19 vaccine 1/2021

VAERS 1932641

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: KY
Alter: 29,0
Geschlecht: F
Eingang: 17.12.2021
Impfdatum: 30.11.2021
Beginn: 02.12.2021
Tage bis Beginn: 2,0
Dosis: 1
Route/Site: IM / LA

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

Arthralgia Burning sensation Dizziness Injection site pain Injection site swelling Injection site erythema Injection site nodule Rash Injection site warmth Lip swelling Mouth swelling Nausea Paraesthesia oral Skin warm Swelling face Swollen tongue Urticaria

Symptomtext

Injection site began burning and becoming hot with swelling in 24 hours. Hives began to form on 12/5/21 and spread slowly until 12/8/21, when the hives covered whole body. Joint pain, swelling of the face, burning rash, hives continued until steroid dose day two on 12/9/21. Rash subsided over 5 days and injection site calmed. On 12/16/21 steroid dose has been completed for ~48 hours. Rash began on chest, hot to touch, full body rash within 5 hours. Tongue, lips, and mouth tingling and swelling. Face swelling, nausea, and dizzyness continued until steroid given in ER at ~8:00 on 12/16/21.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Paraesthesia oral
Hospital-Tage: -
Labordaten: No labwork completed Vitals taken at both ER visits - normal
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Zoloft, prenatal vitamin, magnesium, xyzal
Allergien: Mild Seasonal Allergies , pollen/dander/animals
Vorherige Impfungen: -

VAERS 1943946

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: CO
Alter: 55,0
Geschlecht: F
Eingang: 13.12.2021
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: nein

Anxiety Feeding disorder Heart rate increased Injection site pain Insomnia Lymphadenopathy Mental disorder Oxygen saturation decreased Palpitations

Symptomtext

Heart palpitation, drop in o2, elevated heart rate, 147, could not sleep or eat and having psychological issues. Lymph node swelling in neck, Multi-vitamin, Vitamin D, Alpha lipoic acid. Burning on back of arm at the lower injection site. Heart pounding and anxiety and missed pain medication.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Palpitations
Hospital-Tage: -
Labordaten: No test, making an appointment.
Aktuelle Erkrankungen: No
Vorgeschichte: Diabetic; Anxiety; Mental Health Neuropathy
Andere Medikamente: Zantac 0.5mg; Chronic Pain 15mg 3X; Multivitamin; Vitamin D; Alpha Lipoic Acid 600mg
Allergien: Anti-nausea medication
Vorherige Impfungen: -

VAERS 1943908

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 22,0
Geschlecht: F
Eingang: 13.12.2021
Impfdatum: 01.12.2021
Beginn: 01.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / -

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

Electrocardiogram ambulatory normal Electrocardiogram normal Extra dose administered Palpitations Tachycardia

Symptomtext

received her COVID 19 Booster vaccination and displayed no signs or symptoms of adverse reaction during her monitoring time. She stated feeling well with no allergic reactions to any component of the vaccine after receiving her first 2 vaccinations. She was vaccinated with Moderna each time. She denies any health conditions, denies undergoing treatment that would make her immunocompromised. states that approximately 5 hours after receiving her Booster vaccination on 12/1/2021 she began to experience tacycardia and heart palpitations. She went to Emergency Department where they did an EKG. states the EKG was normal. On Monday, 12/6/2021 she went to her doctor as she had worked

Weitere VAERSDATA-Felder

Praegender Schweregrund: Palpitations
Hospital-Tage: -
Labordaten: 12/1/2021 - EKG, 12/6/2021
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1942888

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: TX
Alter: 24,0
Geschlecht: M
Eingang: 12.12.2021
Impfdatum: 09.12.2021
Beginn: 09.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: SYR / LA

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

Migraine Musculoskeletal stiffness Pyrexia Vision blurred

Symptomtext

Fever (up to 103.1 F) Migraine Muscle stiffness blurry vision

Weitere VAERSDATA-Felder

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

VAERS 1942296

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21B

moderat

Staat: CO
Alter: 41,0
Geschlecht: F
Eingang: 11.12.2021
Impfdatum: 10.12.2021
Beginn: 11.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / RA

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

Cold sweat Dizziness Headache Heart rate increased Influenza like illness Nausea Retching Throat tightness Tinnitus Tremor Visual impairment

Symptomtext

Rapid heart rate, felt like throat was closing, cold sweat (clothes were wet), Faintlike with black spots obscuring vision, ears ringing,nausea, dry heeves, lasted 10-15 minutes, subsided as I was getting ready to go to ED. Post episode, shaky, headache, standard flu like symptoms for the day.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Tremor
Hospital-Tage: -
Labordaten: None, symptoms eased so I didn't go to ED
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Motrin
Allergien: No known allergies
Vorherige Impfungen: -

VAERS 1928527

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: CO
Alter: 34,0
Geschlecht: F
Eingang: 07.12.2021
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: nein

Arthralgia Dyspnoea exertional Fatigue Heart rate increased Injection site rash Injection site reaction Insomnia Lymph node pain Lymphadenopathy Neck pain Pain Rash erythematous Rash pruritic SARS-CoV-2 test negative

Symptomtext

12/2 - About 2 hours after injection, rapid heart beat, pulse of 105 bpm at rest (my normal is 66bpm at rest). That evening (12/2) widespread severe body pain and aches. 12/3 - The next day, same symptoms and low grade fever of 99.8. New symptom of swollen and tender/painful lymph nodes in left clavicle/shoulder top area. That night (12/3) widespread body pain and aches continuing. I began using Tylenol 500mg so I could sleep. 12/4 - I took a rapid covid test which was negative. I went for a walk and was winded and short of breath having to stop twice (for reference I use an elliptical 3x/week @ 8,000 ft elevation and hardly get winded). 12/5 -overall body pain gone but fatigue ongoing. Also noticed a red rash on my left arm close to the injection site of the Moderna booster. It was itchy and that's how I found it. 12/6 - achy neck on both sides and shoulder pain on both sides. Itchy red rash on left arm continues. 12/7 - neck and shoulders sore upon waking up. Still concerned about being shorter of breath than what I am usually.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea exertional
Hospital-Tage: -
Labordaten: 12/4/2021 rapid test administered was negative.
Aktuelle Erkrankungen: Sinus issues 2 weeks prior to vaccine, not Covid related.
Vorgeschichte: Migraines
Andere Medikamente: 900mg daily of Magnesium
Allergien: NKA
Vorherige Impfungen: -

VAERS 1925282

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

moderat

Staat: GA
Alter: 67,0
Geschlecht: M
Eingang: 06.12.2021
Impfdatum: 01.12.2021
Beginn: 02.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

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

Dyspnoea Tremor

Symptomtext

shortness of breath with no relief from CPAP and oxygenation, tremors Sent to Emergency Department for further management

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: NONE
Vorgeschichte: COPD, TYPE 2 DM, HYPERLIPIDEMIA, HYPOTHYROIDISM, ESSENTIAL (PRIMARY) HYPERTENSION, VITAMIN B12 DEFICIENCY ANEMIA, UNSPECIFIED
Andere Medikamente: Meloxicam Tablet 15 MG, Folic Acid Tablet, Calcium Antacid Tablet Chewable (Calcium Carbonate Antacid), Proventil HFA Aerosol Solution 108 (90 Base) MCG/ACT (Albuterol Sulfate HFA), Albuterol Sulfate Aerosol Powder Breath Activated, Incrus
Allergien: Elavil, Novocain, Prozac
Vorherige Impfungen: -

VAERS 1923164

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: IN
Alter: 49,0
Geschlecht: F
Eingang: 04.12.2021
Impfdatum: 02.12.2021
Beginn: 03.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / LA

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

Migraine Myalgia Pain Pain in extremity Pyrexia Sleep disorder

Symptomtext

Arm became sore late evening, 3 am was wakened with severe headache, migraine level and fever. Body aches increased throughout the day. Tylenol to reduce fever as much as possible. Low grade fever persists throughout- Saturday morning still have headache and muscle soreness

Weitere VAERSDATA-Felder

Praegender Schweregrund: Migraine
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: COPD- mild Prothrombin gene mutation Thyroid Graves Disease Multiple back surgeries Spondylitis Degenerative Disc Disease
Andere Medikamente: Levothyroxine, Folic Acid, Eliquis, MSContin, Oxycodone, Baclofen, Tylenol
Allergien: NKA
Vorherige Impfungen: Moderna Covid

VAERS 1916584

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: AL
Alter: 33,0
Geschlecht: F
Eingang: 02.12.2021
Impfdatum: 09.11.2021
Beginn: 11.11.2021
Tage bis Beginn: 2,0
Dosis: 2
Route/Site: IM / LA

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

Arthralgia Asthenia Chest pain Eye inflammation Hypertension Hypoaesthesia Hypotension Migraine Paraesthesia Tinnitus

Symptomtext

On 10/12, I received my first dose of Moderna. Some of the symptoms I had did not show up for 2 weeks. They were as follows: ringing in my ears, metallic taste in my mouth, inflammation to my right eye, right sided weakness/tingling/numbness, daily migraines. After my 2nd dose on 11/9/21, the adverse events appeared 2 days later and have yet, as of today (12/2/21), to improve. They have been as follows: high blood pressure to low blood pressure with position changes, constant chest pain, migraines, joint pain, right sided weakness/numbness/tingling, inflammation of my right eye, ringing in my right ear.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: One ER trip on 11/11/21- Blood pressure prior to visiting the ER was 190/110- diagnosis received was ?transitory HTN vaccination adverse reaction.? Another ER trip on 11/18/21- Chest pain/HTN/bradycardia
Aktuelle Erkrankungen: None
Vorgeschichte: GERD, anxiety & depression
Andere Medikamente: Clonazepam & Prilosec
Allergien: None
Vorherige Impfungen: -

VAERS 1910217

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: AZ
Alter: 44,0
Geschlecht: F
Eingang: 30.11.2021
Impfdatum: 29.10.2021
Beginn: 23.11.2021
Tage bis Beginn: 25,0
Dosis: 3
Route/Site: SYR / RA

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

Computerised tomogram normal Dizziness Headache Mobility decreased Nausea SARS-CoV-2 test Sinusitis Urine analysis

Symptomtext

Basically last Tuesday, I just started having a headache. It's hard to function. Wake up with a massive head rush. Also have mild nausea.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mobility decreased
Hospital-Tage: -
Labordaten: Antibiotics prescribed- Doctor thinks sinus infection CT Scans -Normal COVID-19 test Urine test given probably for pregnancy
Aktuelle Erkrankungen: Heart Murmur
Vorgeschichte: Heart Murmur
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 1894720

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

moderat

Staat: OH
Alter: 24,0
Geschlecht: F
Eingang: 23.11.2021
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: unbekannt Erholt: nein

Paraesthesia oral

Symptomtext

Approx 15-20 min after receiving the vaccine, Pt complained of "tingling under her tongue", 5 minutes later also complained of "tingling of her lips" No swelling of face, lips, gums, inner mouth or neck noted, no hives, no rash or redness noted. Pt given 50 mg of Benadryl. BP 130/98 Pulse 88 and regular, breathing normal, non labored. After 30 minutes, Pt stated her lips still feel "tingly". BP 122/92, Pulse 92 and regular, breathing normal, non labored. Pt called her physician. Physician told PT to follow up with Urgent Care.

Weitere VAERSDATA-Felder

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

VAERS 1889783

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: KY
Alter: 47,0
Geschlecht: M
Eingang: 22.11.2021
Impfdatum: 22.11.2021
Beginn: 22.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / UN

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

Hypoaesthesia oral Paraesthesia oral

Symptomtext

C/O numbness and tingling of tongue. 25mg PO benadryl given and observed in waiting area for 15 minutes. Left with significant other and stated symptoms improved. Instructed to seek medical attenting if symptoms return or worsen. Verbalized understanding.

Weitere VAERSDATA-Felder

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

VAERS 1885683

PFIZER\BIONTECH · COVID19 (COVID19 (PFIZER-BIONTECH)) · Charge 077C21B

moderat

Staat: TN
Alter: 56,0
Geschlecht: F
Eingang: 19.11.2021
Impfdatum: 10.11.2021
Beginn: 11.11.2021
Tage bis Beginn: 1,0
Dosis: UNK
Route/Site: SYR / -

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

Condition aggravated Interchange of vaccine products Pyrexia Urticaria

Symptomtext

Fever over 104 and severe hives

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Praegender Schweregrund: Condition aggravated
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Mast cell disease
Andere Medikamente: Zyrtec, zinc, vitamin C, magnesium,
Allergien: Food allergies
Vorherige Impfungen: Moderna 01/25/21 Fever and hives

VAERS 1880307

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: KY
Alter: 36,0
Geschlecht: F
Eingang: 18.11.2021
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 Migraine

Symptomtext

Patient developed intractible migraine that lasted for solid 3 days on 3 occasions and only relieved for a few hours the days in between her Booster dose on 11/5/2021 and being seen in the clinic on 11/16/2021

Weitere VAERSDATA-Felder

Praegender Schweregrund: Migraine
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Celexa 20mg daily
Allergien: Phenergan
Vorherige Impfungen: -

VAERS 1872089

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: TN
Alter: 91,0
Geschlecht: F
Eingang: 16.11.2021
Impfdatum: 03.11.2021
Beginn: -
Tage bis Beginn: -
Dosis: 3
Route/Site: OT / -

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

Condition aggravated Visual impairment

Symptomtext

Has started with impairment in eyes; Booster dose made it worst; This spontaneous case was reported by a consumer and describes the occurrence of VISUAL IMPAIRMENT (Has started with impairment in eyes) and CONDITION AGGRAVATED (Booster dose made it worst) in a 91-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. The patient's past medical history included Eye disorder NOS (Degradation in eyes). Concurrent medical conditions included Thyroid disorder NOS and Blood pressure high. Concomitant products included APIXABAN (ELIQUIS) 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. On an unknown date, the patient experienced VISUAL IMPAIRMENT (Has started with impairment in eyes) and CONDITION AGGRAVATED (Booster dose made it worst). At the time of the report, VISUAL IMPAIRMENT (Has started with impairment in eyes) and CONDITION AGGRAVATED (Booster dose made it worst) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medications include Blood pressure medicine and Thyroid medicine No treatment medications were reported

Weitere VAERSDATA-Felder

Praegender Schweregrund: Condition aggravated
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Blood pressure high; Thyroid disorder NOS
Vorgeschichte: Medical History/Concurrent Conditions: Eye disorder NOS (Degradation in eyes)
Andere Medikamente: ELIQUIS
Allergien: -
Vorherige Impfungen: -

VAERS 1869901

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MI
Alter: 57,0
Geschlecht: M
Eingang: 15.11.2021
Impfdatum: 04.11.2021
Beginn: 04.11.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

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

Condition aggravated Cough Dyspnoea Interchange of vaccine products Musculoskeletal chest pain COVID-19 COVID-19 pneumonia Chest X-ray normal Chest pain Chronic obstructive pulmonary disease Procalcitonin normal SARS-CoV-2 test positive

Symptomtext

Hospitalized (11.4.21); COVID-19 positive (11.4.21); Fully vaccinated PLUS booster Admission Date: 11/4/2021 Discharge Date: 11/10/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COPD exacerbation COVID-19 HOSPITAL COURSE: Patient is a 57 y.o. male who presented with cough, chest pain and rib pain. He has a known history of severe centrilobular emphysema with bronchospastic component and follows with Pulmonary Dr., GERD, Depression, Tobacco use (quit 5 months ago), lumbar back pain with radiculopathy that presented with shortness of breath and dry cough. Found to be COVID positive with symptom onset 11/2. Admitted for chronic obstructive pulmonary disease exacerbation secondary to COVID pneumonia. Patient reported to have received the JJ vaccine and most recently the Moderna Booster (11/4). CXR demonstrated no consolidation or effusion. His home prophylactic Azithromycin was held during his stay and patient was treated with Remdesivir, Solu-Medrol and Doxycyline. He completed 5 days of Doxycyline with noted negative pro-calcitonin. During his stay he never required any supplemental oxygen and was transitioned to oral steroids on 11/10. Pulmonary was consulted during his hospitalization. He also was treated with robitussin with codeine with improvement in cough. Patient reported acute on chronic back secondary to coughing fits and was started on Norco and Flexeril during his stay. Both wife and patient insisted on continuing Robitussin, Norco and Flexeril on discharge and patient was provided a short script. MAPS was reviewed. Narcotic precautions were provided and recommended that he follow-up closely with PCP regarding pain management. He was also prescribed a stool softener given narcotic prescription. He was given a prednisone taper on discharge and recommended to follow-up with his pulmonologist. Patient was discharged in stable condition and discharge instructions provided.

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Praegender Schweregrund: COVID-19 pneumonia
Hospital-Tage: 7,0
Labordaten: -
Aktuelle Erkrankungen: 10.8.21: ED - abdominal pain - gastritis 10.17.21: ED - abdominal pain - generalized abdominal pain and dehydration 10.29.21: call to COVID line - patient with fatigue, headache, upset stomach, wife positive for COVID 11.2.21: ED - Shortness of breath; chest wall pain; COPD exacerbation; 11.4.21: ED to hospital admission - COVID positive; bronchitis
Vorgeschichte: COPD, very severe Gastroesophageal reflux disease OSA (obstructive sleep apnea) Nasal obstruction Hemoptysis Disease of bronchial airway Depression Tobacco abuse, in remission since 9/12/15 Secundum ASD Diastolic dysfunction Lumbar back pain with radiculopathy affecting left lower extremity BPH with obstruction/lower urinary tract symptoms Syncope Bipolar disorder, in partial remission, most recent episode depressed Orthostatic hypotension Headache ADD (attention deficit disorder) Colon polyps RLS (restless legs syndrome) Erosive esophagitis Hiatal hernia Impaired fasting glucose Lumbar disc herniation with radiculopathy Advanced directives, counseling/discussion Mixed hyperlipidemia Glaucoma of right eye, unspecified glaucoma type COPD exacerbation
Andere Medikamente: albuterol HFA (PROVENTIL HFA, VENTOLIN HFA, PROAIR HFA) 108 (90 Base) MCG/ACT inhaler aspirin 81 MG tablet atorvastatin (LIPITOR) 40 MG tablet azithromycin (ZITHROMAX) 250 MG tablet benzonatate (TESSALON) 100 MG capsule brimonidine (ALPHAGA
Allergien: NKDA
Vorherige Impfungen: -

VAERS 1867694

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: CO
Alter: 38,0
Geschlecht: M
Eingang: 13.11.2021
Impfdatum: 03.11.2021
Beginn: 10.11.2021
Tage bis Beginn: 7,0
Dosis: 3
Route/Site: IM / -

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

Chills Disturbance in attention Extra dose administered Migraine Pyrexia Rash Urticaria

Symptomtext

Began with fever and chills for two days after receiving the booster beginning on 11/3/2021, Developed a migraine on 11/9/2021 that lasted at least 4 hours, minor rash began on the evening of 11/10/2021 and then full body hives began 11/11/2021 and has so far lasted 3 days

Weitere VAERSDATA-Felder

Praegender Schweregrund: Migraine
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: Moderna vaccine shot no. 2, fever and severe chills on the evening of 4/15/2021

VAERS 1865798

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: -
Alter: 91,0
Geschlecht: M
Eingang: 12.11.2021
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: unbekannt

Cardiac murmur Dyspnoea Hypopnoea Respiration abnormal

Symptomtext

Administered Moderna Booster at 13:12. Approximately 13:30 patient presented with shallow breathing, caregiver stated patient reported difficulty breathing and is breathing abnormally. Caregiver requesting RN to assess. O2Sat 93% on room air. Started patient on O2, 2L via nasal cannula. Denies chest pain, headache, pain, dizziness. Patient on O2 2.5L via NC at home. Does not travel with portable O2. 13:32 BP 88/55, HR 66, O2Sat 97% on 2L via NC. Caregiver states Home BP readings 110s systolic. 13:36 BP 83/55, HR 67, O2 Sat 98% on 2L via NC. patient reports breathing improved to baseline. 13:36 MD arrived in clinic. Reviewed chart, stated patient's BP baseline is low and BP acceptable, heart murmur present. Instructed patient to drink water, continue to monitor, remove O2 and monitor vitals. 13:40 BP 87/59, HR 65, O2Sat 100% 2L. 13:42 patient drank 8 oz of water, removed nasal cannula. 13:45 BP 99/61, HR 67, O2Sat 96% RA. Patient stated "I feel great" Denies difficulty breathing, CP. 13:53 BP 103/64, HR 65, 97% RA 13:58 Escorted patient to car, reviewed to call 911 and seek immediate medical attention with difficulty breathing, chest pain other life threatening symptoms. Verbalized understanding.

Weitere VAERSDATA-Felder

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

VAERS 1865209

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

moderat

Staat: MI
Alter: 82,0
Geschlecht: F
Eingang: 12.11.2021
Impfdatum: 10.11.2021
Beginn: 11.11.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / -

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

Dyspnoea Malaise

Symptomtext

11/11 at approx 1850 Pt c/o not feeling well, stating she couldn't breathe. Pulse 166, BP 139/89, O2 sat 79% on supplemental O2- transferred to emergency room via EMS, follow up call placed to hospital later in the evening to check status- rec'd report from hospital staff that she was being admitted with bilat PE

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Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: none
Vorgeschichte: MS, DM2 w/ neuropathy, copd, htn, hypothyroidism, chronic resp failure, lymphedema, hyperparathyroidism, chf, hx lung CA, hx breast CA, CKD
Andere Medikamente: synthroid, metoprolol, lipitor, cinnamon capsule, fish oil capsule, norvasc, postassium supplement, neurontin, femara, icaps, myrbetriq, sensipar, aspirin, metformin, glimepiride, trulicity, novolog, baclofen, senna, vitamin D3, theracran c
Allergien: cipro, levaquin, antifungal medication
Vorherige Impfungen: -

VAERS 1861414

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: OH
Alter: 47,0
Geschlecht: F
Eingang: 11.11.2021
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: ja

Paraesthesia oral Pruritus

Symptomtext

About 60 minutes after receiving the vaccine, patient came complained of tingling in lips and itching on scalp. She stated she had the same feeling when she had a reaction to Mangos in the past. BP 150/90 pulse 70 and regular, breathing normal, no swelling noted, no hives or rash noted. Benadryl 25 mg given. Patient remained stable through out the incident. After 30 min, patient stated she felt a little better, but still has tingling of lips and itching on scalp, but it wasn't any worse BP 148/98, pulse 76 and regular. PHN asked patient to contact her healthcare provider for further follow up. Patient contacted her healthcare provider and healthcare provider had patient take another 25 mg of Benadryl. Approx 60 min after start of symptoms, all of symptoms resolved.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Paraesthesia oral
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: Unknown
Vorgeschichte: None
Andere Medikamente: Unknown
Allergien: Mangos
Vorherige Impfungen: -

VAERS 1860134

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: IA
Alter: 25,0
Geschlecht: F
Eingang: 11.11.2021
Impfdatum: 29.10.2021
Beginn: 30.10.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: OT / LA

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

Arthralgia Body temperature Chills Fatigue Headache Heart rate Myalgia Nausea Pain Pyrexia Tachycardia Vomiting

Symptomtext

Heart rate went above like 150/really high, fast heart rate/ heart rate was high the entire day; Body aches; Vomiting; Chills; muscle pains; High temperature 101.8/fever; Fatigue/lying in bed; Headache; Joint Pain; Nausea; This spontaneous case was reported by a consumer and describes the occurrence of TACHYCARDIA (Heart rate went above like 150/really high, fast heart rate/ heart rate was high the entire day), PAIN (Body aches), VOMITING (Vomiting), CHILLS (Chills) and MYALGIA (muscle pains) in a 25-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 29-Oct-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 30-Oct-2021, the patient experienced TACHYCARDIA (Heart rate went above like 150/really high, fast heart rate/ heart rate was high the entire day), PAIN (Body aches), VOMITING (Vomiting), CHILLS (Chills), MYALGIA (muscle pains), PYREXIA (High temperature 101.8/fever), FATIGUE (Fatigue/lying in bed), HEADACHE (Headache), ARTHRALGIA (Joint Pain) and NAUSEA (Nausea). On 31-Oct-2021, TACHYCARDIA (Heart rate went above like 150/really high, fast heart rate/ heart rate was high the entire day), PAIN (Body aches), VOMITING (Vomiting), CHILLS (Chills), MYALGIA (muscle pains), PYREXIA (High temperature 101.8/fever), FATIGUE (Fatigue/lying in bed), HEADACHE (Headache), ARTHRALGIA (Joint Pain) and NAUSEA (Nausea) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 30-Oct-2021, Body temperature: 101.8 (High) 101.8. On 30-Oct-2021, Heart rate: 150 (High) Heart rate went above like 150. No concomitant medications were provided. No treatment medications were provided. Patient experienced increased heartbeat after having the booster dose. Patient was using a Fit Bit and it said she had exercised for 103 minutes and her rate ranged from about 120-150 beats per minute. It would go up more if she was walking around, but it stayed over 120 beats per minute no matter what she did. Patient stated that the increased heart rate only occurred with the 3rd dose. This case was linked to MOD-2021-373635 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 02-Nov-2021: Follow up received contains significant information, patient details, vaccination details and event details updated.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Tachycardia
Hospital-Tage: -
Labordaten: Test Date: 20211030; Test Name: Body temperature; Result Unstructured Data: 101.8; Test Date: 20211030; Test Name: Heart rate; Result Unstructured Data: Heart rate went above like 150
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1850443

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: NC
Alter: 22,0
Geschlecht: M
Eingang: 08.11.2021
Impfdatum: 08.11.2021
Beginn: 08.11.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

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

Adverse reaction Chest discomfort Dizziness Dyspnoea Electrocardiogram normal Impaired work ability Pruritus

Symptomtext

Pt is a 22 yo M who was getting second dose of Moderna vaccine. Afterward pt started to feel mildly itchy, lightheaded, and had some chest tightness and mild SOB. SpO2 was 97%, and HR was 88. Pt had not issues with the first vaccine. Evaluated pt in the Immunizations clinic. Do not believe that pt is having an anaphylactic reaction to the vaccine, however, may be having some kind of adverse reaction. ECG was normal and shows no signs of myocarditis. However, myocarditis can present itself 1-2 weeks after the vaccine. Told pt to go to ED if sx significantly worsen and that he can take some time off from work. When he returns to work he should be on LD until his sx completely resolve. Told pt to return to the clinic if they do not.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: ECG Portable
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: No known allergies
Vorherige Impfungen: -

VAERS 1836381

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

moderat

Staat: IN
Alter: 45,0
Geschlecht: F
Eingang: 02.11.2021
Impfdatum: 01.10.2021
Beginn: 30.10.2021
Tage bis Beginn: 29,0
Dosis: 2
Route/Site: SYR / LA

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

Arthralgia Chills Diarrhoea Fatigue Feeling hot Headache Lacrimation increased Lymphadenopathy Mobility decreased Musculoskeletal stiffness Myalgia Nausea Pain in extremity Rhinorrhoea Tinnitus Vomiting

Symptomtext

Couldn't move or lift arm for 3 days, whole top of arm sore, have been couch bound with a constant headache, stiff neck, nausea/vomiting, chills, diarrhea, joint muscle pain, feel like I have a fever, lymph nodes swollen, runny nose, left eye is continually running, severly fatigued, constant ringing in my ears. I have taken Tylenol and migraine meds and headache won't go away. Going on 5 days of symptoms.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mobility decreased
Hospital-Tage: -
Labordaten: Haven't called anyone
Aktuelle Erkrankungen: Chronic autoimmune
Vorgeschichte: Auto immune Oral lichen planus, migraines, fibromyalgia, raynauds disease, sacrolitis, spondylosis, childhood scoliosis, gastroparesis, prediabetic, past history of thyroid cancer, dry eyes, dry mouth,
Andere Medikamente: Synthroid adipex
Allergien: Bactrim, keflex, doxy,trazadone, bell peppers
Vorherige Impfungen: -

VAERS 1835820

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

moderat

Staat: CO
Alter: 60,0
Geschlecht: F
Eingang: 02.11.2021
Impfdatum: 01.11.2021
Beginn: 01.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Depressed level of consciousness Euphoric mood Feeling abnormal Gait disturbance Gaze palsy Grip strength decreased Hypoaesthesia Impaired driving ability Injection site pain Neck pain Pain Pain in extremity Paraesthesia

Symptomtext

Client reports having a reaction to her first two doses of Moderna vaccine but medically advised she could get the booster dose but keep in mind she may have a similar reaction. She expressed understanding this risk but felt the booster was necessary in order to complete an upcoming trip to visit her sister who has cancer and is immunocompromised. With both previous doses, client reports feeling the medicine come over her body rapidly, with a sensation of being "drugged." Client reports PMH of addiction. 22 years sober. In both of those doses, the sensation was weak enough that she was able to drive home after each dose, waiting 15 minutes for first dose and 30 minutes for second dose. With the first dose, she reports feeling at baseline for the most part but developed swelling and redness at the vaccine site 10 days after administration, along with redness and swelling at her palms of hands and soles of feet. With second dose, she felt feeling of being drugged but was able to drive home before symptoms worsened at 45 minutes. Those symptoms continued for 48 hours then self resolved. Today - Received dose at 1520. Notable shooting pain from vaccine site at L deltoid down arm to L hand. Within 10 seconds, reported numbness and tingling in LUE. Within 1 minute of administration, client felt a daze that decreased level of consciousness similar to a feeling of being "high." Arm numbness continued along with HA that started at back of neck and move to bilateral temples of head after 20 minutes. Pt declined heat, ice, water or lotion. RN provided lymph massage to increase sensation and blood flow to L hand. VS stable at 120-130/80s with HR 70-90. Pulses +2 bilaterally with increased warmth and redness to bilateral palms. Benadryl administered at 1550. Decreased fine motor skills noted while patient trying to hold and take pill. Notable difference in sensation between upper extremities with 3-4/5 strength and numbness in LUE and 5/5 strength with normal sensation in RUE. No change in symptoms after 45 minutes post Benadryl administration. At 1620, patient stated she wants to go home and noted that she would decline an ambulance if one was provided. Dr. assessed patient at 1640. Observed decreased LOC, strength and unstable gait. Offered to She has two coworkers who volunteered to drive her home in her car from her appointment. 1710 declined transport to hospital. Discussed rule out for COVID vaccine reaction vs TIA Spoke to fiancee regarding assuming responsibilities if brought home instead of ED. Fiancee agreed to assuming care. Patient signed AMA form at 1715 against instruction by medical team to seek emergent care for symptoms. Escorted by clinic director and RN in wheelchair to patient's ride at 1730.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Paraesthesia
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: no known illnesses
Vorgeschichte: kidney disorder, previous TIA in 1990s, hypothyroidism
Andere Medikamente: Thyroid meds x2, statin
Allergien: Severe unknown penicillin reaction as child, rash to sulfa drugs Pork, gluten
Vorherige Impfungen: Moderna #2 4/16/2021

VAERS 1831802

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

moderat

Staat: MN
Alter: 68,0
Geschlecht: F
Eingang: 30.10.2021
Impfdatum: 25.10.2021
Beginn: 25.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Headache Lymphadenopathy Nausea Pain Pain in extremity Palpitations Pyrexia Sleep disorder

Symptomtext

Fever, body aches, super sore arm, headache, nausea, swollen left neck gland, heart palpitations. Very bad nite, no sleep. Took 2 Aleve at 7am the next morning. Fever subsided

Weitere VAERSDATA-Felder

Praegender Schweregrund: Palpitations
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Arthritis
Andere Medikamente: Progesterone Divigel Levothyroxine Vit C Metamucil
Allergien: Opioids Seldane Celebre Transdermal Scopolamine Atorvastin Simvastin Cipro Zyrtec Zofran
Vorherige Impfungen: -

VAERS 2720419

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: OH
Alter: 88,0
Geschlecht: F
Eingang: 03.12.2023
Impfdatum: 28.02.2021
Beginn: 01.09.2022
Tage bis Beginn: 550,0
Dosis: 4
Route/Site: SYR / AR

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

Fatigue Feeling abnormal Lethargy Pain in extremity

Symptomtext

Mom complained that she wanted the J&J shot but had to get Moderna (2 doses). Her arm was sore and she experienced fatigue and general lethargy afterward. She complained all this past winter that she didn't feel good.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: 30,0
Labordaten: -
Aktuelle Erkrankungen: None. I'm not sure of the exact date the adverse event started as she was terrified of COVID and would not let me in her house for three years (I'm her daughter), but I do remember her saying all winter that she did not feel good.
Vorgeschichte: Neuropathy in feet/legs
Andere Medikamente: Unknown
Allergien: None
Vorherige Impfungen: -

VAERS 2082196

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MA
Alter: 51,0
Geschlecht: M
Eingang: 16.08.2023
Impfdatum: 01.10.2021
Beginn: -
Tage bis Beginn: -
Dosis: 2
Route/Site: IM / RA

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

Balance disorder Blood test Hypoaesthesia Magnetic resonance imaging Nerve conduction studies Infection Inflammation Myelitis transverse Pain Skin wrinkling

Symptomtext

transverse myelitis; infection and inflammation in his spine; infection and inflammation in his spine; This spontaneous case was reported by a patient and describes the occurrence of MYELITIS TRANSVERSE (transverse myelitis) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 076C221A and 077C21B) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below. Co-suspect product included non-company product BETAMETHASONE SODIUM PHOSPHATE (TEROID) for an unknown indication. Concurrent medical conditions included Blood pressure high and Smoker. On 01-Oct-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 29-Oct-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient started BETAMETHASONE SODIUM PHOSPHATE (TEROID) (unknown route) at an unspecified dose. On an unknown date, the patient experienced MYELITIS TRANSVERSE (transverse myelitis) (seriousness criteria hospitalization prolonged and medically significant), INFECTION (infection and inflammation in his spine) and INFLAMMATION (infection and inflammation in his spine). The patient was hospitalized from 09-Feb-2022 to 22-Feb-2022 due to MYELITIS TRANSVERSE. At the time of the report, MYELITIS TRANSVERSE (transverse myelitis), INFECTION (infection and inflammation in his spine) and INFLAMMATION (infection and inflammation in his spine) had not resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter considered MYELITIS TRANSVERSE (transverse myelitis), INFECTION (infection and inflammation in his spine) and INFLAMMATION (infection and inflammation in his spine) to be related. Concomitant medication details not reported by the reporter. The patient had a lot of pain and cold on the feet. The patient felt sick, and butt felt numb like he was constipated. Patient had a feeling however it was like a feeling of electricity. Patient touched his leg with his hand it felt like electricity. The patient's left leg in his lap became numb on October 1, 2021. After the second dose, the patient feet became very numb and can't feet bones in legs like skeleton was pain and numb/ butt was very numb like there was a big pole in butt and left leg in his lap became numb on October 1, 2021. On October 4, 2021, the patient's right leg became numb. In the lap area, it got numb and leg situation got worsen. It was reported that patient doctors ran several tests including 53 ml of fluid out of my spine. Patient need 3 surgeries 2 of the surgeries are to support patient's spinal column. Patient now needed a plate with screws in his spine to better support himself. It was reported that patient also need a hip replacement. These surgeries were to have occurred in November 2021. The patient was not able to stop smoking in time to have the surgery. The patient reported that he was injected with several steroids. The Doctors told the patient that there was a one in a million that this vaccine would cause a transverse myelitis and that he was the one in a million. The patient was advised to stop smoking cigarettes before these surgeries however the patient has not been able to stop smoking cigarette and so the surgeries have been post poned. Patient has been told by his doctor and several other Doctors that all of his above problems are caused by the Moderna Covid-19 vaccine. Company comment: This is a spontaneous case concerning a 51-year-old male patient with no relevant medical history reported, who experienced the unexpected serious (medically significant/hospitalization) AESI of myelitis transverse among other non-serious events. The event occurred after the first dose of mRNA-1273 vaccine. It was reported that the symptoms of numbness and coldness of lower legs started after the first vaccination. Few tests were performed including spine liquid test. Patient had a course of steroid therapy, and he was advised for surgery. No further information disclosed about diagnostic tests performed or treatments received. At the time of the report, event was not resolved. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report. Events seriousness assessed as reported.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain
Hospital-Tage: 14,0
Labordaten: -
Aktuelle Erkrankungen: Blood pressure high; Smoker
Vorgeschichte: -
Andere Medikamente: TEROID
Allergien: -
Vorherige Impfungen: -

VAERS 2579608

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MI
Alter: 92,0
Geschlecht: F
Eingang: 10.02.2023
Impfdatum: 10.11.2022
Beginn: 15.01.2023
Tage bis Beginn: 66,0
Dosis: 3
Route/Site: - / -

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

COVID-19 Dizziness SARS-CoV-2 test positive

Symptomtext

01/15/23 presents to ED for "lightheadedness". PMHx "HLD, overactive bladder"

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: 01/15/23 SARS-CoV-2 (COVID-19) by NAA detected
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2507848

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MD
Alter: 26,0
Geschlecht: F
Eingang: 14.11.2022
Impfdatum: 15.11.2021
Beginn: 25.11.2021
Tage bis Beginn: 10,0
Dosis: 3
Route/Site: IM / RA

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

Allergy test positive Allergy to animal Pruritus Rash Seasonal allergy Urticaria

Symptomtext

rash, itchiness, hives throughout the entire body (head to toe) originally went to urgent care twice, then primary care, then allergy center First symptom occurred on 2021, currently still on 3 medications and used to be on monthly Xolair shots

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: allergy test (Dec. 15, 2022), seasonal allergies and cats
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: N/A
Allergien: Cats
Vorherige Impfungen: -

VAERS 2502025

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MI
Alter: 28,0
Geschlecht: F
Eingang: 08.11.2022
Impfdatum: 11.01.2021
Beginn: 15.10.2022
Tage bis Beginn: 642,0
Dosis: 1
Route/Site: IM / UN

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

COVID-19 Depressed level of consciousness Disorientation Heart rate decreased Heart rate increased Mucosal hypertrophy Pyrexia SARS-CoV-2 test positive Speech disorder Wheezing

Symptomtext

Pt to ED 10/15 for fever/rapid heart rate. Pt COVID+ 10/15, A&Ox0. 10/17 pt heart rate dipping into low 30's and pulse ox of 63% on room air-patient has trach. 10/18 patient is on trach oxygen with continuous spo2 monitoring. 10/20 Pt is aox0, non verbal, RA not in distress. 10/24 Patient currently on trach mask at 5L, no distress noted, suction x1 with moderate thick white mucus noted. 10/26 pt wheezing. 10/28 pt discharged.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pyrexia
Hospital-Tage: 14,0
Labordaten: see above
Aktuelle Erkrankungen: None
Vorgeschichte: Abscess of lower lobe of left lung with pneumonia Dysphagia following other cerebrovascular disease GERD (gastroesophageal reflux disease) Acquired hypothyroidism Colostomy status G tube feedings Cerebral palsy Seizure disorder Tracheostomy dependence Iron deficiency anemia due to chronic blood loss Acute COVID-19 Encounter for attention to gastrostomy Ileostomy in place History of 2019 novel coronavirus disease (COVID-19) Migraine Morbid obesity Other seizures Personal history of pneumonia (recurrent) Severe malnutrition Sinus bradycardia Spastic quadriplegic cerebral palsy Toe infection Bacteremia Klebsiella sepsis
Andere Medikamente: Bisacodyl 10 MG/30ML PR Enema busPIRone (BUSPAR) 5 MG PO Tab chlorhexidine (PERIDEX) 0.12 % M/T Solution clonazePAM (KlonoPIN) 0.5 MG PO Tab fludrocortisone (FLORINEF) 0.1 MG PO Tab folic acid (FOLATE) 1 MG PO Tab hydrocortisone (CORTEF) 10
Allergien: penicillins, unasyn
Vorherige Impfungen: -

VAERS 2480352

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IL
Alter: 58,0
Geschlecht: M
Eingang: 17.10.2022
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 swelling Periarthritis Peripheral swelling

Symptomtext

Swelling on left upper and lower arm, extending to the left hand. Given Ibuprofen every 4 hours as needed for pain. Exercises for frozen shoulder.

Weitere VAERSDATA-Felder

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

VAERS 2471825

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: KY
Alter: 67,0
Geschlecht: F
Eingang: 07.10.2022
Impfdatum: 04.11.2021
Beginn: 01.02.2022
Tage bis Beginn: 89,0
Dosis: 3
Route/Site: IM / RA

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

Arthralgia C-reactive protein increased Fatigue Headache Red blood cell sedimentation rate increased Rheumatoid arthritis Rheumatoid factor positive Visual impairment

Symptomtext

Diagnosed with Rheumatoid Arthritis April 15, 2022. Chronic pain in all joints, Visual changes, Fatigue, Headaches Probable diagnoses of Rheumatoid Arthritis by GP March 10, 2022 Rheumatoid Arthritis diagnosed by GP, prescribed Hydroxychloroquine

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: Labs tests performed 3/10/2022, Rheumatoid Factor 160.4 IU ml, (range <14.0) Sedimentation Rate 40 mm/hr (range<40) C-Reactive Protein 8 mg/L (range 0-10)
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Centrum Multivitamin/Multimineral supplement silver 1 tablet every other day
Allergien: None known
Vorherige Impfungen: -

VAERS 2460583

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MI
Alter: 62,0
Geschlecht: M
Eingang: 26.09.2022
Impfdatum: 03.11.2021
Beginn: 13.09.2022
Tage bis Beginn: 314,0
Dosis: 3
Route/Site: - / -

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

Abdominal pain COVID-19 Cardiac failure congestive Chest X-ray abnormal Computerised tomogram abdomen abnormal Constipation Cough Diuretic therapy Fatigue Hypervolaemia Intussusception Malaise SARS-CoV-2 test positive

Symptomtext

BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/13/2022 Discharge Date: 09/22/2022 Presenting Problem: COVID DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: Patient is a 63 y.o. male with past and current medical history of ICM s/p HM3 implanted at facility 2016, currently listed status 4, CAD, hx CVA with slight residual right-sided deficits, hypertension, hx strep bacteremia, hx VT on amio and mexiletine, and iron deficiency anemia. He presented to Facility 9/12/22 for evaluation of fatigue and abdominal pain. CT abd/pelvis showed intussusception. He was transferred to Facility 9/13 for evaluation and treatment by team. Incidentally, he tested positive for COVID. On admit, patient was seen by general surgery, no acute concerns and no indication for surgery or intervention. Concern that his symptoms were all from COVID. CXR concerning for pneumonia and he initially required supplemental oxygen. ID was consulted who treated COVID with decadron and remdesivir. The patient also demonstrated evidence for fluid overload with acute on chronic combined CHF. He responded well to IV diuresis he became euvolemic. He was also quite constipated and this resolved with aggressive bowel regimen. He had notable improvement in his general condition, although some lingering symptoms attributable to COVID-19 (primarily cough). No issues with vaginal Shin appreciate during the hospitalization. The patient's condition stabilized and he was started on routine/daily torsemide to continue at home. He felt comfortable with the plan to return home and was discharged on 09/22.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Abdominal pain
Hospital-Tage: 9,0
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: Automatic implantable cardioverter-defibrillator in situ Ischemic cardiomyopathy VT (ventricular tachycardia) HIT (heparin-induced thrombocytopenia) History of CVA (cerebrovascular accident) Streptococcal bacteremia LVAD (left ventricular assist device), HM3 12/30/2016 at facility ICD (implantable cardioverter-defibrillator) discharge Anticoagulated with warfarin Antiplatelet or antithrombotic long-term use Ischemic toe Iron deficiency anemia Mixed hyperlipidemia Acute on chronic combined systolic and diastolic heart failure Organ transplant candidate Troponin level elevated Abscess of left groin Vitamin D deficiency Intussusception COVID-19 infection Generalized abdominal pain
Andere Medikamente: albuterol HFA (PROVENTIL HFA, VENTOLIN HFA, PROAIR HFA) 108 (90 Base) MCG/ACT inhaler amiodarone (PACERONE) 200 MG tablet amLODIPine (NORVASC) 5 MG tablet ascorbic acid (VITAMIN C) 500 MG tablet aspirin 81 MG chewable tablet Calcium Carbona
Allergien: Sulfa DrugsThroat swelling HeparinUnknown LatexItching
Vorherige Impfungen: -

VAERS 2420866

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: -
Alter: 48,0
Geschlecht: F
Eingang: 26.08.2022
Impfdatum: 11.11.2021
Beginn: 18.08.2022
Tage bis Beginn: 280,0
Dosis: 3
Route/Site: UN / UN

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

Abdominal pain Diarrhoea Vomiting

Symptomtext

abdominal pain, diarrhea, vomiting

Weitere VAERSDATA-Felder

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

VAERS 2372739

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: CO
Alter: 29,0
Geschlecht: F
Eingang: 18.07.2022
Impfdatum: 04.11.2021
Beginn: 13.11.2021
Tage bis Beginn: 9,0
Dosis: 3
Route/Site: SYR / LA

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

Alopecia Amenorrhoea Blood test normal Mechanical urticaria Pruritus Urticaria

Symptomtext

On November 13th, 2021, severe itchiness all over my body started that was later described by a doctor as dermatographic urticaria (hives) . When skin was scratched or touched it swelled in the shape of the scratch and was itchy. This was treated by antihistamine taken daily and consistent use of hydrocortisone cream. This reaction persists to this day 8 months later with no change. It is still treated with daily antihistamine. A second symptom was excessive hair loss which lasted about 2 months. No treatment. A third averse reaction was the disappearance of menstrual cycle for 7 months. No treatment.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mechanical urticaria
Hospital-Tage: -
Labordaten: Blood panel ran as a result of hives. Nothing concerning in the results.
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: -
Allergien: none
Vorherige Impfungen: -

VAERS 2335453

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: TN
Alter: 56,0
Geschlecht: F
Eingang: 26.06.2022
Impfdatum: 06.11.2021
Beginn: 07.11.2021
Tage bis Beginn: 1,0
Dosis: UNK
Route/Site: SYR / RA

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

Erythema Influenza like illness Malaise Pain Peripheral swelling Pyrexia Rash Skin reaction Skin warm Speech disorder Swelling face

Symptomtext

1.after the first shot I had a 8 day later reaction. Arm swollen, red and hot. Lasted 5 day. Advised after called COVID Maderna number and they advised me to see my doc. 2. second shot - fever for 4 days, body ache, flu like symptoms. week after the shot, my face turned very red, swollen, to the point I had trouble talking. Saw doctors regarding symptoms. lasted about a 6 days 3. 3rd shot - high fever for 4 to 5 days, body ach, felt very sick for about 5 days. since I have had three times of red face or a unexplain rash like on my chest, neck and or face. Someone recently called me from CDC and suggesting I submit my reactions. since they are ongoing. I'm not afraid to get the 2nd booster.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Malaise
Hospital-Tage: -
Labordaten: saw doc after first and second shot. No test run.
Aktuelle Erkrankungen: n/a
Vorgeschichte: n/a
Andere Medikamente: Ashwagandha
Allergien: Zyrtec (geriatric)
Vorherige Impfungen: -

VAERS 2285113

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MN
Alter: 53,0
Geschlecht: M
Eingang: 19.05.2022
Impfdatum: 17.11.2021
Beginn: 01.05.2022
Tage bis Beginn: 165,0
Dosis: 3
Route/Site: IM / LA

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

COVID-19 Cough Diarrhoea Fatigue Headache Nasal congestion Pyrexia Rhinorrhoea SARS-CoV-2 test positive

Symptomtext

I started getting symptom of nasal congestion and runny nose that continued for 2 days. I took an at home COVID-19 test that was positive. I started experiencing a cough, headache, fatigue, and slight fever. On the 4th day I started getting diarrhea. I done a telehealth visit with my doctor on 5/5/2022 and was prescribed Paxlovid. After taking Paxlovid my symptoms had cleared by 5/7/2022. I still have some nasal congestion but that is common for me.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Diarrhoea
Hospital-Tage: -
Labordaten: COVID-19 test - positive
Aktuelle Erkrankungen: N/a
Vorgeschichte: Asthma; HTN
Andere Medikamente: Blood pressure medication Sertraline
Allergien: Lisinopril
Vorherige Impfungen: -

VAERS 2283078

JANSSEN · COVID19 (COVID19 (JANSSEN)) · Charge 077C21B

mild

Staat: GA
Alter: 64,0
Geschlecht: M
Eingang: 18.05.2022
Impfdatum: 11.11.2021
Beginn: 24.04.2022
Tage bis Beginn: 164,0
Dosis: 2
Route/Site: - / LA

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

COVID-19 Cough Fatigue Nasal congestion Oropharyngeal pain Pain Pyrexia SARS-CoV-2 test positive

Symptomtext

I started having a sore throat and nasal congestion on the 24th in the evening. I woke up the next morning with a horrible cough and had a fever. I was very tired and aching all over- I took a home test on the 25th which was negative but I knew I must have CoVID so I called for an appointment and then I tested positive. **My first shot was the J&J vaccine and that was in March 2021 so while this was my second shot I did not have any other shots with in the month before my Moderna dose* *

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: CoVID Test
Aktuelle Erkrankungen: None
Vorgeschichte: High Blood Pressure, Arrhythmia
Andere Medikamente: Aspirin, Atorvastatin, Bystolic, Ranolazine, Olmesartan, Tadalafil, Multivitamin, Glucosamine, Methylcobalamin Vitamin D3,
Allergien: None
Vorherige Impfungen: -

VAERS 2278198

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

mild

Staat: MI
Alter: 64,0
Geschlecht: F
Eingang: 16.05.2022
Impfdatum: 10.11.2021
Beginn: 16.05.2022
Tage bis Beginn: 187,0
Dosis: 3
Route/Site: IM / -

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

COVID-19 Headache Nausea Oropharyngeal pain SARS-CoV-2 test positive

Symptomtext

reported headache, sore throat, nausea on 5/16/22- tested positive for covid, molecular test same day.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Headache
Hospital-Tage: -
Labordaten: see above
Aktuelle Erkrankungen: -
Vorgeschichte: COPD, sleep apnea, hx nicotine use, hx CVA, chronic resp failure, HTN, spinal stenosis, hyperlipidemia
Andere Medikamente: -
Allergien: NKA
Vorherige Impfungen: -

VAERS 2277832

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: CA
Alter: 39,0
Geschlecht: M
Eingang: 15.05.2022
Impfdatum: 01.11.2021
Beginn: 15.11.2021
Tage bis Beginn: 14,0
Dosis: 3
Route/Site: IM / LA

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

Autoimmune hepatitis Biopsy liver abnormal Chromaturia Eating disorder Faeces pale Jaundice Nausea Vomiting

Symptomtext

Nausea and vomiting, inability to eat normal size meals. Severe jaundice and icterus, dark urine and pale stools. Admitted to hospital on 12/23/2021. Discharged on 12/28/2021. Currently taking Budesonide 3mg daily due to diagnosis of autoimmune hepatitis.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Nausea
Hospital-Tage: 5,0
Labordaten: Liver needle biopsy performed on 12/27/2021. Diagnosed with autoimmune hepatitis.
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: Magnesium citrate, methylsulfonylmethane, Vit B12 and D3, Omega-3
Allergien: Doxycycline
Vorherige Impfungen: -

VAERS 2277467

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IA
Alter: 89,0
Geschlecht: F
Eingang: 14.05.2022
Impfdatum: 16.11.2021
Beginn: -
Tage bis Beginn: -
Dosis: 3
Route/Site: OT / -

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

Vaccination site pain

Symptomtext

my arm was sore with all the shots; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (my arm was sore with all the shots) in a 90-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. Patient did not had other vaccines given within 1 month prior to Moderna COVID-19 vaccine. Patient had never tested for diagnosed with COVID. Patient had no history of COVID-19 infection and myocarditis/pericarditis. Patient had a huge list of allergies. Concurrent medical conditions included Drug allergy (anti-inflammatory drugs), Food allergy (green pepper allergy), Food allergy (garlic allergy), Milk protein allergy (milk products allergy), Food allergy (raw onions allergy), Spice allergy (spicy food allergy), Arthritis (50 years ago and still ongoing, recent change in status was worsened.), Asthma (20 years ago and still ongoing, recent change in status was worsened.), Neck pain (5 years ago and still ongoing, recent change in status was worsened.) and Heartbeats irregular (20 years ago and still ongoing, recent change in status was stable.). Concomitant products included PARACETAMOL (TYLENOL) for Arthritis, DULOXETINE, FAMOTIDINE (PEPCID [FAMOTIDINE]), ATORVASTATIN, TRAZODONE and LOSARTAN for an unknown indication. On 16-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 VACCINATION SITE PAIN (my arm was sore with all the shots). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, VACCINATION SITE PAIN (my arm was sore with all the shots) outcome was unknown. Patient had a sore arm with all shots of the Moderna vaccine. This case was linked to MOD-2022-565146, MOD-2022-564313, MOD-2022-565145 (Patient Link).

Weitere VAERSDATA-Felder

Praegender Schweregrund: Vaccination site pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Arthritis (50 years ago and still ongoing, recent change in status was worsened.); Asthma (20 years ago and still ongoing, recent change in status was worsened.); Drug allergy (anti-inflammatory drugs); Food allergy (raw onions allergy); Food allergy (green pepper allergy); Food allergy (garlic allergy); Heartbeats irregular (20 years ago and still ongoing, recent change in status was stable.); Milk protein allergy (milk products allergy); Neck pain (5 years ago and still ongoing, recent change in status was worsened.); Spice allergy (spicy food allergy)
Vorgeschichte: Comments: Patient did not have other vaccines given within 1 month prior to Moderna COVID-19 vaccine. Patient had never tested for diagnosed with COVID. Patient had no history of COVID-19 infection and myocarditis/pericarditis. Patient had a huge list of allergies.
Andere Medikamente: TYLENOL; DULOXETINE; PEPCID [FAMOTIDINE]; ATORVASTATIN; TRAZODONE; LOSARTAN
Allergien: -
Vorherige Impfungen: -

VAERS 2264598

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MA
Alter: 64,0
Geschlecht: M
Eingang: 05.05.2022
Impfdatum: 03.11.2021
Beginn: 22.04.2022
Tage bis Beginn: 170,0
Dosis: 3
Route/Site: SYR / RA

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

Abdominal pain lower Ageusia Anosmia Body temperature increased Bronchial disorder COVID-19 Chest discomfort Chills Decreased appetite Diarrhoea Dyspepsia Fatigue Headache Hot flush Hyperhidrosis Increased bronchial secretion Influenza like illness Malaise

Symptomtext

I tested positive on Friday 4/22/2022, started feeling like I had flu like symptoms as well as a headache, regional headache and it felt like sinus pressure on one side of my head only. Feeling very stuffed up, no cough initially, but felt like flu like symptoms that grew in severity the next few days. Severe fatigue, no appetite. Digestive issues as well, a lot of abdominal pain in lower abdomen. Bouts of diarrhea. Then I got really ill, had a temperature of 103+ degrees for 2 days. Fever finally broke and I had chills and sweats. I still have feelings where I'll suddenly perspire. Random chills and sweat breaks. Temperature has been normal but sensations of hot flashes. My oxygen saturation was lowest at 96. I lost my sense of taste and smell but it just starting to return to a degree. Yesterday was the first time I smelled something, then diminished and came back. I believe it's coming back but it will take some time. COVID moved to my chest, Health department nurse noted that it could be Delta variant. Had a lot of bronchial issues, and white viscus secretions. Still going on today. My heart rate during my sickest was 110 with the high temperature. Slowly and surely, you feel like you're improving, then you feel the symptoms coming back on. The one thing that I found that genuinely helped was Nyquil and Dayquil. Felt relatively normal for 3-4 hours then the symptoms would come back. Also used the nasal spray and had my c-pap machine to keep things relatively down in the nose, but everything seemed more bronchial. Still abdominal issues, unsure of how long this would persist. PCP noted to get Paxlovid and by day 3, if I didn't feel better to contact him again. PCP also noted that it could have been the Delta as well. PCP put me on Zithromax for 5 days and I finished my Paxlovid then took my last Zithromax the day after. The antibiotic did seem to make a difference. Main complaint about my chest, didn't find it difficult to breathe, but felt like my sternum was heavy and couldn't expand chest. Still in recovery but fatigue is the biggest factor over all and needing to go to the bathroom more than usual. But fatigue is the hardest thing to overcome at this point. Felt like without the booster, I would've been much sicker. Thankful for booster. For doctor's visit, they were via telehealth.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Abdominal pain lower
Hospital-Tage: -
Labordaten: At Home COVID Test 04/20/2022 - Negative, COVID Test 04/22/2022 - Positive.
Aktuelle Erkrankungen: None
Vorgeschichte: Glucose intolerance Coronary Disease Hx of heart attack in 2002
Andere Medikamente: Aspirin 81mg 1xday Astelin Nasal Spray 137mcg 1xday Cetirizine 10mg 1xday Vitamin D3 1000iu 1xday Clopidogrel 75mg 1xday Jardiance 25mg 1xday Famotidine 40mg 1xday Fenofibrate 200mg 1xday Losartan 50mg 2xday Metformin 1000mg 2xday Metoprolo
Allergien: Monosodium Glutamate - adverse reaction - very weak, shaky, etc.
Vorherige Impfungen: 1st COVID Moderna vaccine 01/27/2021 - Reaction of feeling sick a week after the vaccination, lasted for 2 hours then felt fine.

VAERS 2263202

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MI
Alter: 86,0
Geschlecht: F
Eingang: 04.05.2022
Impfdatum: 29.10.2021
Beginn: 03.05.2022
Tage bis Beginn: 186,0
Dosis: 3
Route/Site: IM / -

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

Atelectasis COVID-19 Chest X-ray abnormal Dizziness Fatigue Influenza A virus test Influenza B virus test Lung infiltration Nausea SARS-CoV-2 test positive

Symptomtext

Fatigue and nausea for a couple of days, some dizziness reported , presented to Emergency center at a HCF on 5/3/22

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: Contains abnormal data SARS-CoV-2 (COVID-19) and Influenza AB by Nucleic Acid Amplification, POC SARS CoV-2 detected on 5/3/22 CXR: FINDINGS:Cardiac silhouette is stable in size and configuration. Pulmonary vasculature is not congested. Left basilar subsegmental atelectasis/infiltrates. No pleural effusions or gross pneumothorax. Portal moderate to projecting over the left chest is noted. IMPRESSION:Left basilar atelectasis/infiltrates.
Aktuelle Erkrankungen: -
Vorgeschichte: hypertension, hypthyroidism, mild dementia, atrial fibrillation
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2263127

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: NC
Alter: 52,0
Geschlecht: F
Eingang: 04.05.2022
Impfdatum: 29.04.2022
Beginn: 02.05.2022
Tage bis Beginn: 3,0
Dosis: 4
Route/Site: IM / RA

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

Aphonia Cough Pain Pyrexia SARS-CoV-2 test positive Throat irritation

Symptomtext

I started getting symptoms of scratchy throat that I thought was allergies. Then the next day I still had a scratchy throat. I took an at home COVID-19 test that was negative. I then developed a cough and could not stop coughing. That night I got a fever and was achy. I took another COVID-19 test that was positive. I still had fever, cough, and aches. I did lose my voice some as well. I called my doctor but haven't had a call back yet.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain
Hospital-Tage: -
Labordaten: COVID-19 Test
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Multivitamins
Allergien: None
Vorherige Impfungen: -

VAERS 2260417

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MT
Alter: 44,0
Geschlecht: M
Eingang: 02.05.2022
Impfdatum: 28.12.2020
Beginn: 17.10.2021
Tage bis Beginn: 293,0
Dosis: 3
Route/Site: IM / LA

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

COVID-19 Laboratory test Malaise Vaccine breakthrough infection

Symptomtext

COVID Breakthrough case Symptoms began: 10/17/2021 Lab confirmed: 10/20/2021

Weitere VAERSDATA-Felder

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

VAERS 2260254

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MT
Alter: 61,0
Geschlecht: M
Eingang: 02.05.2022
Impfdatum: 04.02.2021
Beginn: 04.09.2021
Tage bis Beginn: 212,0
Dosis: 3
Route/Site: IM / -

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

COVID-19 Malaise SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

COVID Breakthrough case Symptoms began: 09/04/21 Lab confirmed: 09/08/21

Weitere VAERSDATA-Felder

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

VAERS 2260181

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IA
Alter: 44,0
Geschlecht: F
Eingang: 02.05.2022
Impfdatum: 29.10.2021
Beginn: 01.01.2022
Tage bis Beginn: 64,0
Dosis: 3
Route/Site: IM / AR

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

Aspiration Blood test Burning mouth syndrome Candida infection Glossodynia Oral pain Sleep disorder Tongue discomfort Toothache

Symptomtext

I have been having burning tongue since the end of January. The pain travels around my mouth and cheeks. I was treated twice for thrush using the antifungal but that did not help. The day I stopped taking the antifungal, I started having a pain in my tooth. The dentist put me on clindamycin for 2 weeks which resolved the issue with pain in the tooth but the tongue still hurts. I went to my primary care doctor today and she drew blood to test for B12 and folate deficiency to rule out. I have also aspirated a few times in the middle of the night, This has happened before and my doctor doubled the dose of my omeprazole but I still have since aspirated in the middle of the night.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Oral pain
Hospital-Tage: -
Labordaten: Blood panel today, no results. Physical exam, dentist and PCP-identifying it as burning mouth syndrome.
Aktuelle Erkrankungen: None
Vorgeschichte: Anxiety; GERD
Andere Medikamente: Alprazolam; Omeprazole
Allergien: None
Vorherige Impfungen: -

VAERS 2249922

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: -
Alter: 39,0
Geschlecht: M
Eingang: 25.04.2022
Impfdatum: 13.01.2022
Beginn: 26.01.2022
Tage bis Beginn: 13,0
Dosis: 3
Route/Site: IM / AR

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

Pruritus Rash Rash erythematous Rash papular Sensation of foreign body Sensitive skin Skin lesion Urticaria

Symptomtext

Since 26 January he has complained of recurrent episodes of generalized itching and rashes described as raised, red, itchy whelts which can occur anywhere on his body, especially at sites of pressure or where his skin is scraped or scratched. Lesions last less than 24 hours, previously affected his palms and soles, and resolve without post-inflammatory changes. Symptoms led him to present to his PCM on 28 January where he was treated with oral corticosteroids; he subsequently received two additional courses with benefit. He initially noted intermittent globus sensation (no difficulty swallowing or breathing) but since that time denies laryngeal, pulmonary, GI, neurologic, and cardiovascular symptoms with these episodes. Episodes not associated with heat, exercise, sweating, cold, foods, medications, NSAIDs, IV contrast, latex exposure, known infections, or insect bites/stings. He reports that he had started taking Omeprazole two days prior to the onset of his symptoms but his symptoms persisted despite discontinuing this medication. He received his Moderna COVID-19 vaccine booster dose on 13 January, 13 days prior to onset of symptoms. He has used oral antihistamines with benefit. He denies constitutional symptoms. UCT score today is 19 (2, 3, 3, 1, 2, 4, 1, 3). No history of adverse reactions to prior vaccines.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: 1) HTN 2) Gout
Andere Medikamente: 1) Allopurinol 300mg daily 2) Lisinopril 40mg daily
Allergien: No known food, drug, latex, or venom allergies
Vorherige Impfungen: -

VAERS 2249668

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: OH
Alter: 35,0
Geschlecht: F
Eingang: 24.04.2022
Impfdatum: 06.11.2021
Beginn: 05.01.2022
Tage bis Beginn: 60,0
Dosis: 3
Route/Site: IM / LA

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

COVID-19 Cough Oropharyngeal pain SARS-CoV-2 test positive

Symptomtext

Developed a sore throat on 01/01/2022, followed by a cough on 01/03/2022. Tested positive for Covid on 01/05/2022. Prescribed Hycodan cough syrup and Tessalon Perles on 01/06/2022.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Oropharyngeal pain
Hospital-Tage: -
Labordaten: Positive for Covid on 01/05/2022.
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Junel 1.5/30, Multivitamin, Vitamin B12, Vitamin D3
Allergien: None
Vorherige Impfungen: -

VAERS 2194375

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: -
Alter: 68,0
Geschlecht: M
Eingang: 23.03.2022
Impfdatum: 29.10.2021
Beginn: 01.11.2021
Tage bis Beginn: 3,0
Dosis: 1
Route/Site: IM / LA

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

Hypersensitivity Urticaria

Symptomtext

Reported allergic reaction to COVID-19 vaccine - hives, high severity.

Weitere VAERSDATA-Felder

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

VAERS 2194343

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: -
Alter: 34,0
Geschlecht: F
Eingang: 23.03.2022
Impfdatum: 02.11.2021
Beginn: 17.11.2021
Tage bis Beginn: 15,0
Dosis: 3
Route/Site: - / -

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

Culture wound positive Haematuria Pseudomonas test positive Rash Skin ulcer Vasculitic rash Vasculitic ulcer

Symptomtext

Patient presented with gross hematuria and vasculitic rash/ulcers on bilateral lower extremities. She was continued on IV methylprednisolone inpatient was transitioned to p.o. prednisone upon discharge. She was also started on trial of lisinopril by nephrology. Wound culture was positive for Pseudomonas aeruginosa. recommended ciprofloxacin x14 days. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.

Weitere VAERSDATA-Felder

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

VAERS 2154999

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IA
Alter: 67,0
Geschlecht: M
Eingang: 03.03.2022
Impfdatum: 12.11.2021
Beginn: 19.01.2022
Tage bis Beginn: 68,0
Dosis: 3
Route/Site: SYR / LA

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

Colonoscopy Diarrhoea Stool analysis

Symptomtext

On about Jan 19th, 2021, I experienced the onset of loose stools. I took Imodium and ate more fiber and nothing helped. I called the doctor for about 2 weeks later, and on March 2nd, I had a colonoscopy to further investigate why I was having the diarrhea for the last 6 weeks. This is still ongoing.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Diarrhoea
Hospital-Tage: -
Labordaten: Colonoscopy (no results yet); Stool samples
Aktuelle Erkrankungen: None
Vorgeschichte: High Blood Pressure and High Cholesterol
Andere Medikamente: Amlodipine 5mg Rosuvastatin 10mg Omeprazole 20mg Coptisine Drug for toenail fungus
Allergien: None
Vorherige Impfungen: -

VAERS 2139825

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: HI
Alter: 38,0
Geschlecht: M
Eingang: 25.02.2022
Impfdatum: 29.11.2021
Beginn: 29.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Injection site bruising Injection site pain Insomnia Pain Pain in extremity Vaccination site reaction

Symptomtext

"COVID arm". Soreness, dark bruising at injection site in first days after booster. Followed by lingering and constant dull to sharp aching and lower arm area below injection site. Certain movements created sharp pain. Deep and painful constant ache continued for months. Now it is a dull ache, but much exasperated by common things such as sleeping on left side/arm. Pain causes me to wake up and it lingers while I try to sleep, thus it has affected my sleep.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site bruising
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: wellbutrin, prozac, adderall
Allergien: -
Vorherige Impfungen: -

VAERS 2131521

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: GA
Alter: 12,0
Geschlecht: M
Eingang: 22.02.2022
Impfdatum: 03.01.2022
Beginn: 03.01.2022
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Pain in extremity Product administered to patient of inappropriate age

Symptomtext

Patient whom is underage received the Moderna vaccine at our facility on January 03, 2022. We realized the mistake when they came for the second dose on February 18, 2022. Mother stated the only reaction the patient had to the vaccine was a sore arm with no complaints. The second dose was not administered at this time due to needing a next course of action from a doctor from the CDC. The mother was aware of being notified that following Monday with the recommendation. We called her today, February 22, 2022 to let her know that the patient can get 0.3 mL of Pfizer 12+ as the second dose.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain in extremity
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: N/A
Allergien: N.K.D.A.
Vorherige Impfungen: -

VAERS 2131516

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: GA
Alter: 15,0
Geschlecht: F
Eingang: 22.02.2022
Impfdatum: 03.01.2022
Beginn: 03.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

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

Pain in extremity Product administered to patient of inappropriate age

Symptomtext

Patient whom is underage received the Moderna vaccine at our facility on January 03, 2022. We realized the mistake when they came for the second dose on February 18, 2022. Mother stated the only reaction the patient had to the vaccine was a sore arm. The second dose was not administered at this time due to needing a next course of action from a doctor from the CDC. The mother was aware of being notified that following Monday with the recommendation. We called her today, February 22, 2022. to let her know that the patient can get 0.3 mL of Pfizer 12+ as the second dose.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain in extremity
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: Albuterol Sulfate HFA 108
Allergien: N.K.D.A
Vorherige Impfungen: -

VAERS 2128238

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: CO
Alter: 86,0
Geschlecht: F
Eingang: 19.02.2022
Impfdatum: 23.11.2021
Beginn: 26.11.2021
Tage bis Beginn: 3,0
Dosis: 3
Route/Site: IM / RA

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

Chest X-ray abnormal Chills Cough Fatigue Lung opacity Myalgia SARS-CoV-2 test negative

Symptomtext

Patient presented to a local ED with symptoms of chills, increased cough from baseline, muscle aches and pains, and fatigue. Chest x-ray showed bibasilar opacities. COVID-19 Negative. Patient fully vaccinated with Moderna on 1/8/21, 2/5/21, and boosted on 11/23/21. Patient admitted to hospital service at a local HCF 11/26/21 and discharged on 11/28/21.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: 2,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2127949

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: CO
Alter: 51,0
Geschlecht: F
Eingang: 19.02.2022
Impfdatum: 23.11.2021
Beginn: 26.11.2021
Tage bis Beginn: 3,0
Dosis: 3
Route/Site: IM / LA

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

Abdominal pain upper Obstructive pancreatitis Surgery

Symptomtext

Patient presented to ED on 11/27/21 for stomach pain. Patient fully vaccinated with Moderna on 3/11/21, 4/8/21, and boosted on 11/23/21. Patient diagnosed with acute gallstone pancreatitis. Transferred and admitted to acute care surgery on 11/26/21. Following surgery, patient was discharged 12/1/21.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Abdominal pain upper
Hospital-Tage: 7,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2088654

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IL
Alter: 46,0
Geschlecht: F
Eingang: 04.02.2022
Impfdatum: 02.11.2021
Beginn: 23.01.2022
Tage bis Beginn: 82,0
Dosis: 3
Route/Site: SYR / RA

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

Abdominal pain lower Computerised tomogram Nausea Nephrolithiasis Vomiting

Symptomtext

After about 2 months post vaccination, I had severe left quadrant pain that led me to the ER, causing vomiting, nausea. After examination from a CT scan in the ER, it was found that I had a kidney stone in left kidney. I was given Vicodin and ibuprofen and was discharged same day. I am still currently trying to have it come out. I went to a urologist yesterday 02/03/2022 and I have a follow-up in two weeks and if it has not passed I will be undergoing a procedure to have it removed.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Abdominal pain lower
Hospital-Tage: -
Labordaten: CT Scan showed signs of Kidney stone in left kidney.
Aktuelle Erkrankungen: N/A
Vorgeschichte: Crohn's disease, Colitis
Andere Medikamente: Birth control, Multivitamins, Vitamin D and B-12
Allergien: Amoxycillin, Erythromycin doxycycline Flagel, Levaquin, Colazal, mesalamine, Protonics, Acyclic, Metronidazole,
Vorherige Impfungen: -

VAERS 2087758

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: NE
Alter: 58,0
Geschlecht: F
Eingang: 04.02.2022
Impfdatum: 02.11.2021
Beginn: 29.12.2021
Tage bis Beginn: 57,0
Dosis: 3
Route/Site: IM / LA

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

Body temperature increased Cough Headache SARS-CoV-2 test negative

Symptomtext

Two months later, I experience horrible cough, low grade temperature and low grade headache. I did a PCR and covid test and both were negative. I have recovered now.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Headache
Hospital-Tage: -
Labordaten: PCR and covid test; were negative.
Aktuelle Erkrankungen: None reported; Influenza vaccine was taken
Vorgeschichte: Ulcerative colitis
Andere Medikamente: Balsalazide sodium; losartan; hydrochlorothiazide; Claritin D; venlafaxine; estradiol; medroxalol progesterone; calcium vitamin D; vitamin B 6; vitamin C; vitamin D3; zinc; multivitamin
Allergien: Amoxicillin; sulfa drugs
Vorherige Impfungen: Pertussis, given to me as a child.

VAERS 2087729

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: TN
Alter: 46,0
Geschlecht: F
Eingang: 04.02.2022
Impfdatum: 17.11.2021
Beginn: 17.11.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Disturbance in attention Headache Lethargy Pain Raynaud's phenomenon Taste disorder

Symptomtext

04/11/2020 - Had COVID-19. Ran fever for 5 weeks, lost taste and smell, body aches and pains, confusion, lethargy, headache, GI symptoms, sinus symptoms, respiratory symptoms, etc. I slowly began to get some taste and some smell back. I still do not have full sense of smell and taste back. Certain things I cannot smell. I also have problems with concentration. I have had extreme difficulty with mental focus and clarity, an attention deficit. 11/17/2021 - Received first vaccine of Moderna. 20 minutes after receiving the shot, I began to have a headache and lips tingled and went numb. 11/18 - Headache, sinus problems, fever, aches and pains, lethargy all set in and by that evening I went to bed and was unable to get out of bed until 11/21. This was intense and very much felt like when I was sick with COVID the year before. Sore achy arm, body aches and headaches lasted over a week. 12/17/2021 - Received second vaccine of Moderna. 3 AM of 12/18 the intolerable headache set in. Body aches, pains, headache, lethargy lasted until 12/20. The symptoms hit quicker, but also left quicker. Today, I continue to not taste and smell everything, aka I no longer smell poop (It smells like iron or pennys), I have extreme difficulty concentrating - definitely have an attention deficit, and now have experience Raynaud's Phenomenon. Raynaud's first occurred 1/11/22 to some of my toes. This has now happened a total of 3 times to my toes and one time to a finger. I have no history of Raynaud's and have no family history of Raynaud's. This has me concerned.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Headache
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: HTN
Andere Medikamente: None
Allergien: PCN, Morphine, Sulfa eye drops, some band-aids/tape
Vorherige Impfungen: -

VAERS 2075663

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: -
Alter: 98,0
Geschlecht: M
Eingang: 31.01.2022
Impfdatum: 09.11.2021
Beginn: 26.11.2021
Tage bis Beginn: 17,0
Dosis: 3
Route/Site: - / -

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

Pleuritic pain

Symptomtext

Pleuritic chest pain. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pleuritic pain
Hospital-Tage: 6,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2069367

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: CO
Alter: 59,0
Geschlecht: F
Eingang: 27.01.2022
Impfdatum: 30.10.2021
Beginn: 30.10.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Lymphadenopathy Pain in extremity Tinnitus

Symptomtext

My first COVID shot was the the J&J vaccine (3/2021). I took the Moderna booster (10/2021). After the Moderna shot, that evening I started having tinnitus in my left ear and it continues to today. I also had arm soreness with the Moderna but no fever. With the J&J, which I took on March 6, 2021, I had fever and chills, but no tinnitus. My tinnitus is pulsating and only in left ear, same side as injection. I also had swollen lymph nodes on that side of my neck for several weeks after the booster.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain in extremity
Hospital-Tage: -
Labordaten: In January 2021 I went to an ENT to have my ears checked to find possible cause of tinnitus. The exam showed no problems with my hearing, ear canal, ear drum or Eustachian tube.
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: Swollen arm, pneumonia vaccine, 11/2009

VAERS 2067750

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: NM
Alter: -
Geschlecht: U
Eingang: 27.01.2022
Impfdatum: 13.01.2022
Beginn: -
Tage bis Beginn: -
Dosis: 3
Route/Site: OT / LA

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

Chills Feeling abnormal Headache Myalgia Pain

Symptomtext

Achy; Don't feel good; Chills; Body aches; Headache; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Achy), FEELING ABNORMAL (Don't feel good), CHILLS (Chills), MYALGIA (Body aches) and HEADACHE (Headache) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. No Medical History information was reported. On 13-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PAIN (Achy), FEELING ABNORMAL (Don't feel good), CHILLS (Chills), MYALGIA (Body aches) and HEADACHE (Headache). At the time of the report, PAIN (Achy), FEELING ABNORMAL (Don't feel good), CHILLS (Chills), MYALGIA (Body aches) and HEADACHE (Headache) outcome was unknown. Treatment information not provided. Concomitant medications not provided Reporter did not allow further contact Most recent FOLLOW-UP information incorporated above includes: On 24-Jan-2022: Follow-up document received contains No new information.

Weitere VAERSDATA-Felder

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

VAERS 2063803

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: WA
Alter: 70,0
Geschlecht: F
Eingang: 25.01.2022
Impfdatum: 14.01.2022
Beginn: 22.01.2022
Tage bis Beginn: 8,0
Dosis: 2
Route/Site: IM / RA

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

Rash Urticaria

Symptomtext

Patient reported hives on underside of the right arm from armpit to elbow. Patient has had rash for ~4 days, but was vaccinated 11 days ago. Patient was instructed to take benadryl at bedtime. She had been trying to use Aloe gel for relief with no improvement. Recommended to stop Aloe and use OTC Hydrocortisone cream.

Weitere VAERSDATA-Felder

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

VAERS 2059106

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MT
Alter: 58,0
Geschlecht: F
Eingang: 24.01.2022
Impfdatum: 18.11.2021
Beginn: 01.11.2021
Tage bis Beginn: -
Dosis: 3
Route/Site: SYR / LA

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

Endoscopy upper gastrointestinal tract abnormal Gastrointestinal surgery Headache Hernia Macular hole Photophobia Visual impairment Vomiting

Symptomtext

I started getting starbursts in my eye, even when driving at night. The sunlight was giving severe headaches. I cannot handle any bright light. And I am still suffering from headaches. I went to see an eye doctor the week of November 22nd 2022 and he found I had hole Macular Hole in my right eye. I was then referred to see the Dr. at a local eye center. I have to have Macular Hole Repair in the right eye on March 3, 2022. About mid December I was preparing for my eye surgery and had to lay face down 15 hours a day. I was vomiting when lying face down. I was spontaneous vomiting whenever I was laying on my back. I call Dr. and he said I had to have a upper GI. He found a sliding hernia, and said I needed surgery. I had the surgery on January, 19th 2022.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Headache
Hospital-Tage: -
Labordaten: GI Procedure 11/2021, Eye Doctor 12/2021.
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Trazodone; Reequip
Allergien: Sulfa; morphine; oxycodone; latex; adhesives; eggs; wheat
Vorherige Impfungen: Flu Vaccine developed an allergy to eggs. I break out in hives.

VAERS 2019952

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: CO
Alter: 42,0
Geschlecht: M
Eingang: 09.01.2022
Impfdatum: 16.01.2021
Beginn: 28.12.2021
Tage bis Beginn: 346,0
Dosis: 3
Route/Site: IM / LA

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

Ageusia Anosmia COVID-19 Cough Fatigue Influenza virus test negative Oropharyngeal pain Pain Pyrexia SARS-CoV-2 test positive

Symptomtext

Symptom of sore throat started 12/28/21 and continued until 12/31/21. Accompanied by fever, cough, aches, fatigue, loss of smell and taste on 21/30/21 for about 18 hours. Still currently feeling fatigues and coughing.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: Positive covid test 12/29/21. Negative influenza A and B and strep tests 12/29/21.
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Concerta, levothyroxine
Allergien: None
Vorherige Impfungen: -

VAERS 1985035

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IA
Alter: 31,0
Geschlecht: M
Eingang: 28.12.2021
Impfdatum: 01.12.2021
Beginn: 12.12.2021
Tage bis Beginn: 11,0
Dosis: 3
Route/Site: IM / RA

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

Mechanical urticaria Pruritus Urticaria

Symptomtext

This is a 31 y.o. male with abrupt onset urticaria, dermatographism and significant pruritis. Only responding to high dose prednisone and cetirizine. No significant new exposures other than covid booster. Booster administered 12/1 with urticaria starting on 12/12. No concern for urticaria after he received Moderna mRNA COVID-19 vaccines in January and February 2021.

Weitere VAERSDATA-Felder

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

VAERS 1983647

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: -
Alter: -
Geschlecht: F
Eingang: 28.12.2021
Impfdatum: 26.11.2021
Beginn: 27.11.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: OT / LA

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

COVID-19 Chills Fatigue Feeling abnormal Pain in extremity Restlessness SARS-CoV-2 test

Symptomtext

COVID-19; I felt congested; restless; I was real tired/tired; chills; My arm was sore; This spontaneous case was reported by a nurse and describes the occurrence of PAIN IN EXTREMITY (My arm was sore), FEELING ABNORMAL (I felt congested), COVID-19 (COVID-19), RESTLESSNESS (restless) and FATIGUE (I was real tired/tired) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Smoker. On 26-Nov-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 27-Nov-2021, the patient experienced PAIN IN EXTREMITY (My arm was sore). On 28-Nov-2021, the patient experienced RESTLESSNESS (restless), FATIGUE (I was real tired/tired) and CHILLS (chills). On 29-Nov-2021, the patient experienced FEELING ABNORMAL (I felt congested). On 30-Nov-2021, the patient experienced COVID-19 (COVID-19). At the time of the report, PAIN IN EXTREMITY (My arm was sore), FEELING ABNORMAL (I felt congested), COVID-19 (COVID-19), RESTLESSNESS (restless), FATIGUE (I was real tired/tired) and CHILLS (chills) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 30-Nov-2021, SARS-CoV-2 test: positive (Positive) positive. On 01-Dec-2021, SARS-CoV-2 test: positive (Positive) positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter. No treatment information was provided. Company comment: This case concerns a female patient with medical history of smoking, who experienced the unexpected non serious event of COVID 19 along with other non serious events. Based on the current available information, the mRNA-1273 does not contain a virus capable of causing COVID-19 infection after vaccination. The event occurred approximately 4 days after the first dose of mRNA-1273. The benefit-risk relationship of mRNA-1273 is not affected by this report.; Sender's Comments: This case concerns a female patient with medical history of smoking, who experienced the unexpected non serious event of COVID 19 along with other non serious events. Based on the current available information, the mRNA-1273 does not contain a virus capable of causing COVID-19 infection after vaccination. The event occurred approximately 4 days after the first dose of mRNA-1273. The benefit-risk relationship of mRNA-1273 is not affected by this report.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: Test Date: 20211130; Test Name: SARS-CoV-2 test; Test Result: Positive ; Result Unstructured Data: positive; Test Date: 20211201; Test Name: SARS-CoV-2 test; Test Result: Positive ; Result Unstructured Data: positive
Aktuelle Erkrankungen: Smoker
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1975136

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IN
Alter: 61,0
Geschlecht: M
Eingang: 23.12.2021
Impfdatum: 21.12.2021
Beginn: 22.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / LA

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

Balance disorder Chills Fatigue Feeling hot Headache

Symptomtext

Headache, Chills, Hot spills, exhaustion and feeling of unbalance. Symptoms lasted for 36 hours.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Daily multivitamin, statin
Allergien: None
Vorherige Impfungen: Headache and soreness at injection site.

VAERS 1974798

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: CO
Alter: 43,0
Geschlecht: F
Eingang: 23.12.2021
Impfdatum: 02.11.2021
Beginn: 23.11.2021
Tage bis Beginn: 21,0
Dosis: 3
Route/Site: IM / LA

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

Mechanical urticaria Urticaria

Symptomtext

Hives and dermatographism developed 3 weeks after booster dose. Initially started on upper back, then spread to trunk, arms and legs. Treated with diphenhydramine, then started on cetirizine 20 mg twice daily. On December 7, symptoms persisted so famotidine 20 twice daily and prednisone were added. Symptoms still present on 12/23, hydroxyzine was added.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mechanical urticaria
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: none
Vorgeschichte: Asthma, hypertension, anxiety
Andere Medikamente: Alvesco, cetirizine, fluticasone nasal spray, lisinopril/hydrochlorothiazide, citalopram, Vitamin D
Allergien: clarithromycin
Vorherige Impfungen: lymphadenopathy after COVID Moderna vaccine on 1/5/21 and 1/29/21 at age 42

VAERS 1971368

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

mild

Staat: IN
Alter: 72,0
Geschlecht: M
Eingang: 22.12.2021
Impfdatum: 16.12.2021
Beginn: 18.12.2021
Tage bis Beginn: 2,0
Dosis: 3
Route/Site: SYR / RA

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

Decreased appetite Pyrexia

Symptomtext

3days after, he developed graver of 102.2 and lost appetite.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pyrexia
Hospital-Tage: -
Labordaten: Nothing
Aktuelle Erkrankungen: Parkinson
Vorgeschichte: Taking hospice care at home.
Andere Medikamente: Nothing
Allergien: No
Vorherige Impfungen: -

VAERS 1964258

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IN
Alter: 49,0
Geschlecht: F
Eingang: 20.12.2021
Impfdatum: 17.12.2021
Beginn: 18.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

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

Spinal pain

Symptomtext

Severe spinal pain neck through lower back

Weitere VAERSDATA-Felder

Praegender Schweregrund: Spinal pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: Graves disease
Andere Medikamente: Metoprolol 50mg daily Levothyroxine 75mcg daily L.theanine. 1200mg At bedtime Rhodalia 340mg extract in morning Vit D 125mcg in AM Vit C 500mg daily
Allergien: Codiene
Vorherige Impfungen: -

VAERS 1962162

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: AL
Alter: 44,0
Geschlecht: F
Eingang: 19.12.2021
Impfdatum: 13.11.2021
Beginn: 24.11.2021
Tage bis Beginn: 11,0
Dosis: 3
Route/Site: IM / LA

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

Pruritus Rash erythematous Rash papular Urticaria

Symptomtext

Daily urticaria. The hives are random in timing and where they appear. They range from mild erythematous patches to raised white ridges within the erythema that are intensely itchy. They appear every 20-24 hours after taking an antihistimines. Pepcid and Claritin taken together help the most but the hives reappear every day regardless.

Weitere VAERSDATA-Felder

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

VAERS 1961957

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: OH
Alter: 35,0
Geschlecht: F
Eingang: 18.12.2021
Impfdatum: 14.12.2021
Beginn: 15.12.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / RA

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

Arthralgia Fatigue Injection site induration Pain

Symptomtext

Reports onset of extreme fatigue, generalized body aches and generalized joint pain began 24 hours following vaccination. Reports induration size of fist at injection site on right deltoid.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: na
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: effexor, omperazole, buspirone
Allergien: NKDA
Vorherige Impfungen: -

VAERS 1960121

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

mild

Staat: IN
Alter: 28,0
Geschlecht: M
Eingang: 17.12.2021
Impfdatum: 15.12.2021
Beginn: 16.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / LA

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

Chills Feeling cold Hot flush Nausea

Symptomtext

Minor nausea Cold Chills Hot flashes

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: -
Vorgeschichte: Insulin Resistant
Andere Medikamente: Metformin Fish Oil
Allergien: -
Vorherige Impfungen: Nausea & Cold chills/sweat, 28 y.o., vaccination date 4/9/21, COVID-19 Pfizer - second dose EW0153

VAERS 1948121

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: KY
Alter: 86,0
Geschlecht: F
Eingang: 14.12.2021
Impfdatum: 08.11.2021
Beginn: 08.12.2021
Tage bis Beginn: 30,0
Dosis: 3
Route/Site: IM / LA

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

Cough Oropharyngeal pain Pyrexia Rhinorrhoea SARS-CoV-2 test

Symptomtext

Runny nose, fever, sore throat, coughing

Weitere VAERSDATA-Felder

Praegender Schweregrund: Oropharyngeal pain
Hospital-Tage: -
Labordaten: Covid Rapid test
Aktuelle Erkrankungen: none
Vorgeschichte: kidney and cardiovascular
Andere Medikamente: Metoprolol, Mucinex, Omeprazole, Fexofenadine, Montelukast, potassium Chloride, Hydrochlorothiazide, amlodipine
Allergien: -
Vorherige Impfungen: -

VAERS 1948096

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: NC
Alter: 44,0
Geschlecht: F
Eingang: 14.12.2021
Impfdatum: 01.12.2021
Beginn: 11.12.2021
Tage bis Beginn: 10,0
Dosis: 3
Route/Site: SYR / LA

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

Pruritus Swelling face Urticaria

Symptomtext

Started with itching on my neck and scalp and developed into full body hives and facial swelling. Currently on my 4th day

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Cold at time of vaccination
Vorgeschichte: None
Andere Medikamente: Vitamins B12, C, D Probiotic Magnesium
Allergien: Gluten allergy
Vorherige Impfungen: Moderna 2

VAERS 1947592

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: CT
Alter: 26,0
Geschlecht: M
Eingang: 14.12.2021
Impfdatum: 05.11.2021
Beginn: 25.11.2021
Tage bis Beginn: 20,0
Dosis: 3
Route/Site: IM / RA

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

Dry skin Mechanical urticaria Pruritus Urticaria

Symptomtext

On 25 November I started to feel itchy and had originally attributed it to cold weather and dry skin. The itchiness was at its worst on 26 November and I had noticed after a shower that I had broke out into hives on my back/shoulder area. I went to the local urgent care and was given a one time dose prednisone and Benadryl. The next day I picked up a prescription for prednisone 50mg and had also bought Zyrtec 10mg. The hives subsided, but every so often I still feel itchy and I have dermographia. I take Zyrtec 10mg daily to stop the itchiness.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mechanical urticaria
Hospital-Tage: -
Labordaten: No laboratory tests were taken.
Aktuelle Erkrankungen: Postnasal drip
Vorgeschichte: None
Andere Medikamente: Multi-vitamin; ibuprofen; acetaminophen
Allergien: Nickel; sulfa
Vorherige Impfungen: -

VAERS 1944326

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MN
Alter: 64,0
Geschlecht: F
Eingang: 13.12.2021
Impfdatum: 01.12.2021
Beginn: 07.12.2021
Tage bis Beginn: 6,0
Dosis: 3
Route/Site: SC / RA

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

Incorrect route of product administration Injection site irritation Injection site pain Injection site pruritus Injection site swelling Local reaction

Symptomtext

Pt called clinic nurse line six days post administration of booster. Pt shared with RN that her arm was still sore and swollen and itchy at administration site. Pt. verbalized concern that the injection was given in the "fatty part" of her arm, not in her muscle. MA who administered injection stated that she gave it in the pt deltoid. Pt was informed that irritation at site is normal and to call clinic back if it did not improve in the next few days. This clinic writer called the CDC and was informed that giving the vaccine SQ instead of IM can be associated with more local reactions, but as long as the dose was correct no additional immunization is needed.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site irritation
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1934898

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: GA
Alter: 70,0
Geschlecht: F
Eingang: 09.12.2021
Impfdatum: 07.11.2021
Beginn: 05.11.2021
Tage bis Beginn: -
Dosis: 3
Route/Site: OT / LA

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

Asthenia Back pain Contusion Dizziness Dry eye Fall Gait disturbance Headache Nasal discomfort Pain Pain in extremity Peripheral swelling

Symptomtext

dizziness/very dizzy, every day/ his wife experienced that was series dizziness and series headache; back was hurting; could not walk properly; fallen a lot; arm and leg were hurting/hurting for a few days; body was aching; body feels very weak/weak legs/ Weak for couple of day; His wife experienced that was series dizziness and series headache; dry eyes; nostrils hurt; arms was swollen; Bruised; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (dizziness/very dizzy, every day/ his wife experienced that was series dizziness and series headache), DRY EYE (dry eyes), NASAL DISCOMFORT (nostrils hurt), PERIPHERAL SWELLING (arms was swollen) and CONTUSION (Bruised) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Previously administered products included for Product used for unknown indication: Johnson and Johnson (Patient received 1 dose of the Johnson and Johnson vaccine on 13MAR2021 (lot number 1805018)) on 13-Mar-2021. Past adverse reactions to the above products included No adverse event with Johnson and Johnson. On 07-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .25 ml. On 05-Nov-2021, the patient experienced DRY EYE (dry eyes), NASAL DISCOMFORT (nostrils hurt), PERIPHERAL SWELLING (arms was swollen) and CONTUSION (Bruised). On an unknown date, the patient experienced DIZZINESS (dizziness/very dizzy, every day/ his wife experienced that was series dizziness and series headache), BACK PAIN (back was hurting), GAIT DISTURBANCE (could not walk properly), FALL (fallen a lot), PAIN IN EXTREMITY (arm and leg were hurting/hurting for a few days), PAIN (body was aching), ASTHENIA (body feels very weak/weak legs/ Weak for couple of day) and HEADACHE (His wife experienced that was series dizziness and series headache). The patient was treated with PARACETAMOL (TYLENOL [PARACETAMOL]) for Dizziness, at an unspecified dose and frequency. At the time of the report, DIZZINESS (dizziness/very dizzy, every day/ his wife experienced that was series dizziness and series headache) and HEADACHE (His wife experienced that was series dizziness and series headache) was resolving, DRY EYE (dry eyes), NASAL DISCOMFORT (nostrils hurt), PERIPHERAL SWELLING (arms was swollen), CONTUSION (Bruised), BACK PAIN (back was hurting), GAIT DISTURBANCE (could not walk properly), FALL (fallen a lot), PAIN IN EXTREMITY (arm and leg were hurting/hurting for a few days) and PAIN (body was aching) outcome was unknown and ASTHENIA (body feels very weak/weak legs/ Weak for couple of day) had resolved. No Concomitant medications were reported. Most recent FOLLOW-UP information incorporated above includes: On 29-Nov-2021: non signi follow-up appended(MOD21-167761- was an initial Document, but the case was created from Followup doc (MOD21-167786) so the version (MOD21-167761) was made as Non signi follow up) On 07-Dec-2021: Added Significant Follow up added dose date, lot number and anatomical location, new event, reporter added.

Weitere VAERSDATA-Felder

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

VAERS 1932218

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: TN
Alter: 58,0
Geschlecht: M
Eingang: 08.12.2021
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: nein

Burning sensation Rash Rash erythematous Rash pruritic

Symptomtext

RED, ITCHY, BURNING RASH DEVELOPED ON 12/4/21, EARLY MORNING ON UPPER BACK ACROSS SHOULDERS AND BUE.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Rash
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: NO
Vorgeschichte: COPD, HTN, DEPRESSION, HYPERLIPIDEMIA
Andere Medikamente: VENTOLIN, CLONIDINE, AMLODIPINE, LOVASTATIN, BUSPAR, CELEXA, REMERON
Allergien: NKA
Vorherige Impfungen: -

VAERS 1928793

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MN
Alter: 61,0
Geschlecht: M
Eingang: 07.12.2021
Impfdatum: 15.11.2021
Beginn: 16.11.2021
Tage bis Beginn: 1,0
Dosis: UNK
Route/Site: SYR / -

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

Injection site rash Pyrexia

Symptomtext

This was my Moderna booster shot. Slight fever of 99.4 for two days and a rash below injection site for one week. The fever and rash were less severe than my first two Moderna vaccines.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site rash
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Obesity Type 2 Diabetes
Andere Medikamente: METOPROLOL ER 50MG TAB ING ? 1 daily ENALAP/HCTZ 10 - 25MG TAB TARO ? 2 daily METFORMIN ER 500MG TAB ASC ? 3 daily ROSUVASTATIN CAL ? 5 MG 1 daily M/W/F POTASSIUM CHLORIDE ? 10 mEq ? 1 daily LEVOTHYROXINE ? 25 mcg ? 1 daily
Allergien: aspirin
Vorherige Impfungen: First two Moderna shots in March and April 2021.

VAERS 1928326

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: TN
Alter: 27,0
Geschlecht: F
Eingang: 07.12.2021
Impfdatum: 09.11.2021
Beginn: 09.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / LA

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

SARS-CoV-2 antibody test Vaccination site pain

Symptomtext

This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (sore left injection site arm) in a 27-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. No Medical History information was reported. On 09-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Nov-2021, the patient experienced VACCINATION SITE PAIN (sore left injection site arm). At the time of the report, VACCINATION SITE PAIN (sore left injection site arm) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 19-Oct-2021, SARS-CoV-2 antibody test: equal to 189.0 Result: SARS-COV2 antibody level equal to 189.0 U/ml. On 22-Nov-2021, SARS-CoV-2 antibody test: greater than 2500 Result: SARS-COV2 antibody greater than 2500 U/ml. 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. No treatment information provided. This case was linked to MOD-2021-404656 (Patient Link).

Weitere VAERSDATA-Felder

Praegender Schweregrund: Vaccination site pain
Hospital-Tage: -
Labordaten: Test Date: 20211019; Test Name: SARS-COV-2 antibody test; Result Unstructured Data: Result: SARS-COV2 antibody level equal to 189.0 U/ml; Test Date: 20211122; Test Name: SARS-COV-2 antibody test; Result Unstructured Data: Result: SARS-COV2 antibody greater than 2500 U/ml.
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1925320

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

mild

Staat: GA
Alter: 69,0
Geschlecht: M
Eingang: 06.12.2021
Impfdatum: 01.12.2021
Beginn: 02.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

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

Asthenia Faeces discoloured Fatigue Melaena Mental status changes

Symptomtext

ALTERED MENTAL STATUS, WEAKNESS AND FATIGUE, BLACK TARRY STOOL

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: NONE
Vorgeschichte: TYPE 2 DIABETES MELLITUS WITH HYPOGLYCEMIA WITHOUT COMA, MAJOR DEPRESSIVE DISORDER, SINGLE EPISODE, UNSPECIFIED,CONSTIPATION, UNSPECIFIED, LONG TERM (CURRENT) USE OF INSULIN, ESSENTIAL (PRIMARY) HYPERTENSION, HYPERLIPIDEMIA, ANEMIA
Andere Medikamente: Aspirin Tablet 81 MG, Polyethylene Glycol Powder (Polyethylene Glycol 1450), Sennosides Tablet 15 MG,Docusate Sodium Tablet 100 MG, Benztropine Mesylate Tablet 0.5 MG, Trileptal Tablet 300 MG , TraZODone HCl Tablet 50 MG,Zoloft Tablet 100 M
Allergien: NKDA
Vorherige Impfungen: -

VAERS 1924931

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IN
Alter: 76,0
Geschlecht: M
Eingang: 06.12.2021
Impfdatum: 03.12.2021
Beginn: 04.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / RA

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

Chills Feeling hot Injection site pain Pain Pyrexia Somnolence

Symptomtext

Soreness at injection site (did not have this symptom with the first two Moderna injections), low grade temperature, chills then feeling hot then back to chills. Body aches similar to the flu. Slept more then usual during the day & afternoon. Symptom lasted 24 hours.

Weitere VAERSDATA-Felder

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

VAERS 1924707

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: OH
Alter: 74,0
Geschlecht: M
Eingang: 06.12.2021
Impfdatum: 08.11.2021
Beginn: 14.11.2021
Tage bis Beginn: 6,0
Dosis: 3
Route/Site: IM / LA

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

Arthralgia Hypoaesthesia Myalgia Pruritus Rash

Symptomtext

Itching, Rash, Soreness and aching of joints plus muscles in arms and legs, increase of numbness in both legs aggravating already arthritic spinal surgery resulting condition

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: none
Vorgeschichte: Arthritis, BPH
Andere Medikamente: multivitamin, turmeric, resveratrol, D3, calcium
Allergien: Relefen, Flocaxins, Ciprofloxacin,
Vorherige Impfungen: TIA Stroke, altering of balance and vision 05/26/2021 after second Moderna Covid-19 dose rcvd 3/31/2021. Hospitalized after Eme

VAERS 1920381

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: TN
Alter: 42,0
Geschlecht: F
Eingang: 03.12.2021
Impfdatum: 02.12.2021
Beginn: 02.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Headache Hyperhidrosis Nausea

Symptomtext

Headache, sweating profusely and nauseous normal sinus rhythum/clear lungs/BS 89/BP 110/60

Weitere VAERSDATA-Felder

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

VAERS 1916629

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

mild

Staat: SD
Alter: 74,0
Geschlecht: M
Eingang: 02.12.2021
Impfdatum: 28.10.2021
Beginn: 28.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Pain Pain in extremity

Symptomtext

sore arm for longer than 1 month. sore when he lifts up arm

Weitere VAERSDATA-Felder

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

VAERS 1913030

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

mild

Staat: TN
Alter: 46,0
Geschlecht: M
Eingang: 01.12.2021
Impfdatum: 09.11.2021
Beginn: 10.11.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

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

Arthralgia Pain in extremity

Symptomtext

Patient reported that his arm has been in pain and feels the pain is moving from one spot to the other every few days. His elbow was hurting really bad today.

Weitere VAERSDATA-Felder

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

VAERS 1909781

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

mild

Staat: OH
Alter: 31,0
Geschlecht: F
Eingang: 30.11.2021
Impfdatum: 05.11.2021
Beginn: 11.11.2021
Tage bis Beginn: 6,0
Dosis: 3
Route/Site: IM / LA

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

Lymphadenopathy Mechanical urticaria Urticaria

Symptomtext

Significant lymphadenopathy in right axilla/clavicular region days 1-3 post injection. Later devloped sudden onset symptomatic dermatographism/ hives developing under areas of clothing, touch, pressure or heat (full body). Started 11 days after receiving Moderna booster. Worst days 1-5 after onset, improving after day 7 but still present in a mild form 12 days after onset (currently). Two other colleagues who work in the same unit had the same symptoms in a similar time frame after receiving booster. Treatment included quadruple dose of 2nd gen Anti-H1 (cetirizine) QD per lit review, 50 mg Benadryl QHS, and prn hydrocortisone cream and Benadryl cream.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mechanical urticaria
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: Exercise induced asthma, PCOS
Andere Medikamente: Zyrtec, OCPs
Allergien: Seasonal/environmental
Vorherige Impfungen: -

VAERS 1905489

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IN
Alter: 79,0
Geschlecht: M
Eingang: 29.11.2021
Impfdatum: 24.11.2021
Beginn: 25.11.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

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

Chills Headache Pain

Symptomtext

Chills, H/A Body aches x 4 days

Weitere VAERSDATA-Felder

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

VAERS 1904338

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MO
Alter: 60,0
Geschlecht: F
Eingang: 28.11.2021
Impfdatum: 17.11.2021
Beginn: 18.11.2021
Tage bis Beginn: 1,0
Dosis: UNK
Route/Site: IM / LA

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

Cough Extra dose administered Pain Pyrexia Secretion discharge Upper respiratory tract infection

Symptomtext

Booster vaccination. Initially, fever and aches. Mild cough developed into upper respiratory infection 2 days after injection. Upper respiratory infection continues, with fever reaching as high as 100.3 (normal body temperature is 97.3). As of 11/28/2021, temperature ranges from .5 to 1 degree above patient normal. Prolonged cough and heavy mucus expulsion continues.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: mild seasonal allergies
Vorgeschichte: chronic sinusitis
Andere Medikamente: Calcium 600 mg daily Guaifenesin 400 mg twice daily Omega-3 1000 mg daily Loratadine 10 mg 4 days a week Desloratadine 5 mg 3 days a week Levothyroxine 112 mcg daily Omeprazole 40 mg every other day
Allergien: mild reaction to pineapple (limited mouth numbness)
Vorherige Impfungen: -

VAERS 1904312

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MD
Alter: 51,0
Geschlecht: F
Eingang: 28.11.2021
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: ja

Injection site pain Injection site swelling Pain Peripheral swelling Skin warm

Symptomtext

My arm was more sore at the injection site that evening than ever before after a vaccination. When I woke up the following morning, my arm was swollen at the injection site and the swelling and pain kept getting worse over the next 24 hours to the point that my entire upper arm had almost doubled in size.; it also felt warm to the touch so I went to see my general practitioner on the second day and they prescribed a 6 day course of corticosteroids to help with the swelling and pain. The swelling in my upper arm got better after 24 hours on the treatment (not as painful or hot) but the swelling kept progressing over the days all the was down to 2/3 of my forearm (not painful or hot though). A week after the injection, the swelling and pain were gone. As a side note, I had had the Covid arm rash 7 days after my first dose and 4-5 days after my second dose of both Moderna vaccines (red and itchy rash for a few days but no swelling or pain).

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: n/a
Vorgeschichte: n/a
Andere Medikamente: multivitamin, biotin, birth control pill
Allergien: n/a
Vorherige Impfungen: Moderna vaccine, covid arm rash on 1st 04/07/2021 and 2nd 05/05/2021 doses, 51 y o,

VAERS 1903605

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: WI
Alter: 82,0
Geschlecht: F
Eingang: 27.11.2021
Impfdatum: 18.11.2021
Beginn: 18.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / -

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

Inappropriate schedule of product administration Vaccination site induration Vaccination site movement impairment Vaccination site pain

Symptomtext

Stiff and sore right arm when lifting arm above shoulder.; sore right injection site arm after second shot/Stiff and sore right arm when lifting arm above shoulder.; Stiff and sore right arm when lifting arm above shoulder.; Inappropriate schedule of vaccine administration; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE MOVEMENT IMPAIRMENT (Stiff and sore right arm when lifting arm above shoulder.), VACCINATION SITE PAIN (sore right injection site arm after second shot/Stiff and sore right arm when lifting arm above shoulder.), VACCINATION SITE INDURATION (Stiff and sore right arm when lifting arm above shoulder.) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Inappropriate schedule of vaccine administration) in an 82-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. Previously administered products included for an unreported indication: JANSSEN COVID-19 VACCINE (Patient received her Johnson and Johnson covid-19 vaccine for her first vaccine Arm was sore and patient had a headache. Jansen lot number 1808978 Patient had a headache the first two days after the vaccine. Patient had a sore right arm.). On 18-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 18-Nov-2021, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Inappropriate schedule of vaccine administration). On an unknown date, the patient experienced VACCINATION SITE MOVEMENT IMPAIRMENT (Stiff and sore right arm when lifting arm above shoulder.), VACCINATION SITE PAIN (sore right injection site arm after second shot/Stiff and sore right arm when lifting arm above shoulder.) and VACCINATION SITE INDURATION (Stiff and sore right arm when lifting arm above shoulder.). On 18-Nov-2021, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Inappropriate schedule of vaccine administration) had resolved. At the time of the report, VACCINATION SITE MOVEMENT IMPAIRMENT (Stiff and sore right arm when lifting arm above shoulder.), VACCINATION SITE PAIN (sore right injection site arm after second shot/Stiff and sore right arm when lifting arm above shoulder.) and VACCINATION SITE INDURATION (Stiff and sore right arm when lifting arm above shoulder.) outcome was unknown. No concomitant medications were reported. No treatment medications were reported.

Weitere VAERSDATA-Felder

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

VAERS 1902167

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MN
Alter: 56,0
Geschlecht: M
Eingang: 26.11.2021
Impfdatum: 17.11.2021
Beginn: 22.11.2021
Tage bis Beginn: 5,0
Dosis: 3
Route/Site: IM / LA

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

Abdominal distension Asthenia Blood potassium decreased Chest X-ray Chronic left ventricular failure Electrocardiogram Electrolyte depletion Full blood count Hypokalaemia Injection site hypoaesthesia Metabolic function test

Symptomtext

Patient presents to ED after Cardiology called him to come in due to low potassium. Denies muscle aching or chest pains at this time. Does state he is feeling bloated despite having a hard stool about an hour ago. 1. Hypokalemia 2. Electrolyte depletion 3. Weakness 4. Left arm numbness 5. Chronic systolic CHF (congestive heart failure) potassium chloride (KLOR-CON M20) 20 MEQ CR tablet

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site hypoaesthesia
Hospital-Tage: -
Labordaten: CBC, BMP, chest xray, EKG
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1898459

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: OH
Alter: 45,0
Geschlecht: F
Eingang: 24.11.2021
Impfdatum: 16.11.2021
Beginn: 23.11.2021
Tage bis Beginn: 7,0
Dosis: 3
Route/Site: SYR / LA

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

Rash Urticaria

Symptomtext

Only one week after Moderna booster (3rd shot) began developing hives and rash that spread across entire body. Had a much more mild reaction localized to injection arm only one week after the 1st shot (also Moderna). No rash on 2nd shot. This 3rd shot has produced hives across entire body one week later (nothing during the intervening days though).

Weitere VAERSDATA-Felder

Praegender Schweregrund: Rash
Hospital-Tage: -
Labordaten: None so far
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: See above regarding 1st Moderna Covid shot.

VAERS 1890319

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: AZ
Alter: 79,0
Geschlecht: F
Eingang: 22.11.2021
Impfdatum: 19.11.2021
Beginn: 21.11.2021
Tage bis Beginn: 2,0
Dosis: 3
Route/Site: IM / LA

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

Dizziness Pain in extremity

Symptomtext

Dizziness, arm pain Dizziness continues

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: None
Vorgeschichte: COPD T2DM
Andere Medikamente: Lisinopril 20 MG metFORMIN HCl ER 750 MG Trelegy Ellipta 100-62.5-25 MCG/INH Valtrex 500 MG Rybelsus 7 MG Multivitamin Adults Oral Tablet
Allergien: percoset * Anaphylactic Shock 07/01/2013 Severe Morphine Headache Moderate Sulfa * Rash Severe
Vorherige Impfungen: -

VAERS 1889987

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MI
Alter: 66,0
Geschlecht: F
Eingang: 22.11.2021
Impfdatum: 03.11.2021
Beginn: 10.11.2021
Tage bis Beginn: 7,0
Dosis: 3
Route/Site: SYR / LA

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

Arthralgia Axillary pain Herpes zoster Pain in extremity Rash

Symptomtext

It started one week after I had the shot; my whole left arm, left shoulder, and underneath my arm were sore. The pain was getting worse, so I contacted my doctor. When I checked with Dr., he stated it could be nerve pain and gave me prednisone. The next morning, I noticed a rash on my shoulder. I sent my doctor a picture and he told me it was shingles. My doctor prescribed me Valacyclovir. The pain had gotten worse, so my doctor prescribed gabapentin for 3 days a week. My whole arm has now broken out in a rash, across my back, and into my hand. I am still taking the pain pills.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: No
Aktuelle Erkrankungen: No
Vorgeschichte: No
Andere Medikamente: Thyroid medication
Allergien: No
Vorherige Impfungen: -

VAERS 1888779

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IN
Alter: 77,0
Geschlecht: M
Eingang: 21.11.2021
Impfdatum: 19.11.2021
Beginn: 20.11.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / LA

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

Pain

Symptomtext

body aches

Weitere VAERSDATA-Felder

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

VAERS 1888766

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IN
Alter: 74,0
Geschlecht: F
Eingang: 21.11.2021
Impfdatum: 19.11.2021
Beginn: 20.11.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / RA

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

Chills Headache Pain Pyrexia

Symptomtext

body aches fever chills headache 15 hours

Weitere VAERSDATA-Felder

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

VAERS 1888671

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IN
Alter: 51,0
Geschlecht: F
Eingang: 21.11.2021
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: ja

Chills Myalgia

Symptomtext

Severe chills and muscle ache lasting 15 hours

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Vyvanse 60mg qd, levothyroxine 75mg qd. Multivitamin, calcium 600mg qd, Fish oil supplement qd
Allergien: Sulfa
Vorherige Impfungen: -

VAERS 1888618

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: OH
Alter: 32,0
Geschlecht: F
Eingang: 21.11.2021
Impfdatum: 01.11.2021
Beginn: 01.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: SYR / RA

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

Lymph node pain Pruritus Urticaria

Symptomtext

Itchy hives widespread over body (armpits, groin, neck, abdomen, scalp, hands, feet, elbows). Began 11 days after booster and continuing now for 10 days and counting. Worsens with sweat, heat and activity. Very painful lymph nodes right after booster also noted.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Lymph node pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: Covid 19 Moderna #2

VAERS 1886756

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: AL
Alter: 70,0
Geschlecht: F
Eingang: 19.11.2021
Impfdatum: 16.11.2021
Beginn: 16.11.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

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

Arthralgia Injection site pruritus Rash Somnolence

Symptomtext

Day 1 - Pain in joints, Drowsy; Day 2 - Pain in joints, rash on forearms, Day 3 - Pain dissipated, rash continued, Day 4 - Rash on forearms and injection site began to itch.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Pre-hypertension; Sjorgrens
Vorgeschichte: SAA
Andere Medikamente: Losartan; Chlorthalidon; Metoprolol ER; Prolia; Xiidra; Vit. D3; Biotin; Turmeric/Curumin
Allergien: None known
Vorherige Impfungen: -

VAERS 2599324

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MS
Alter: -
Geschlecht: F
Eingang: 18.11.2021
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: unbekannt

Headache

Symptomtext

headache

Weitere VAERSDATA-Felder

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

VAERS 1879319

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: TN
Alter: 66,0
Geschlecht: F
Eingang: 18.11.2021
Impfdatum: 08.11.2021
Beginn: 08.11.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / LA

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

Pain in extremity Rash erythematous Vaccination site induration

Symptomtext

a red rash pinkish rash; Sore arm / It is very sore; Big knot on the arm; This spontaneous case was reported by a consumer and describes the occurrence of RASH ERYTHEMATOUS (a red rash pinkish rash), PAIN IN EXTREMITY (Sore arm / It is very sore) and VACCINATION SITE INDURATION (Big knot on the arm) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. No Medical History information was reported. On 08-Nov-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Nov-2021, the patient experienced RASH ERYTHEMATOUS (a red rash pinkish rash), PAIN IN EXTREMITY (Sore arm / It is very sore) and VACCINATION SITE INDURATION (Big knot on the arm). At the time of the report, RASH ERYTHEMATOUS (a red rash pinkish rash), PAIN IN EXTREMITY (Sore arm / It is very sore) and VACCINATION SITE INDURATION (Big knot on the arm) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication included blood pressure medication. Treatment information was not provided.

Weitere VAERSDATA-Felder

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

VAERS 1874125

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

mild

Staat: MN
Alter: 66,0
Geschlecht: F
Eingang: 16.11.2021
Impfdatum: 11.11.2021
Beginn: 11.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: SYR / LA

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

Immediate post-injection reaction Injection site inflammation Injection site swelling

Symptomtext

After injection, there was immediate swelling at the injection site. The patient did not complain of pain or discomfort. An ice pack was applied to the inflamed area and the patient was monitored for 30 minutes. After the 30 minutes, the patient was fine, and was told to monitor the swelling and was allowed to go home.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site inflammation
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: N/A
Allergien: NKDA
Vorherige Impfungen: -

VAERS 1870892

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: AZ
Alter: 50,0
Geschlecht: F
Eingang: 15.11.2021
Impfdatum: 03.11.2021
Beginn: 03.11.2021
Tage bis Beginn: 0,0
Dosis: 4
Route/Site: IM / LA

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

Extra dose administered No adverse event Pain in extremity

Symptomtext

Patient presented for COVID-19 booster and influenza vaccine. LPN checked for previous influenza vaccine status but did not review previous COVID-19 history, however patient presented COVID-19 vaccination record card with two documented Moderna vaccines on 12/22/2020 and 01/19/2021. She proceeded to administer the Moderna booster vaccine 0.25mL and influenza vaccine. When documenting the vaccines, the LPN realized she had not checked for prior COVID-19 vaccination status. There displayed were three COVID-19 doses as follows: 12/22/2020-Moderna, 01/19/2021-Moderna and 08/25/2021-Pfizer. When questioned about the third dose, she denied having a third dose. She attributed it to a documentation error, however, the following day she reported in fact she received a third dose but does not recall details due to going through a difficult time during that period and high stress levels. Patient's significant other reminded her of receiving third dose. Patient denied having any adverse reactions and reported feeling fine. However, she reported left arm soreness for approximately 3 days after vaccine administration. Patient took ibuprofen once-soreness resolved. Patient instructed she does not need any additional COVID-19 vaccines at this time. Patient verbalized understanding.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain in extremity
Hospital-Tage: -
Labordaten: None.
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Lexapro
Allergien: None
Vorherige Impfungen: -

VAERS 1869894

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MN
Alter: 63,0
Geschlecht: F
Eingang: 15.11.2021
Impfdatum: 10.11.2021
Beginn: 14.11.2021
Tage bis Beginn: 4,0
Dosis: 3
Route/Site: SYR / RA

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

Angioedema Ear swelling Eye swelling Joint swelling Lip swelling Swelling face Urticaria

Symptomtext

Starting at 4:00 am on 11-14-21 Hives on head, arms, wrists, chest, stomach, back, and angioedema -severely swollen lower lip, swollen ears, swollen wrists, swollen eyes, swollen face.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Urticaria
Hospital-Tage: -
Labordaten: No tests taken - treated through observation
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: 10 mg amitriptyline daily at bedtime
Allergien: Allergy to Cipro
Vorherige Impfungen: -

VAERS 1869626

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MI
Alter: 46,0
Geschlecht: F
Eingang: 15.11.2021
Impfdatum: 03.11.2021
Beginn: 12.11.2021
Tage bis Beginn: 9,0
Dosis: UNK
Route/Site: - / LA

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

Injection site reaction Injection site swelling Injection site warmth Rash pruritic

Symptomtext

itchy rash, hot to touch, with swelling at injection site

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site reaction
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: diabetes, hypertension
Andere Medikamente: Vitamin D gummy, Metformin, Lisinopril, Hydrochlorothiazide, Coreg
Allergien: iodine contrast dye
Vorherige Impfungen: -

VAERS 1869449

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

mild

Staat: CA
Alter: 72,0
Geschlecht: M
Eingang: 15.11.2021
Impfdatum: 27.10.2021
Beginn: 30.10.2021
Tage bis Beginn: 3,0
Dosis: 3
Route/Site: IM / LA

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

Genital rash Rash

Symptomtext

patient came back into pharmacy on 11/15/2021 stating that 3 days after his booster dose of the moderna vaccine he got a rash on his legs, back, and crotch area. he stated he has applied benadryl cream three times a day since. plans to see his dr locally when he returns home on Wed 11/17/21

Weitere VAERSDATA-Felder

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

VAERS 1869402

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: -
Alter: 60,0
Geschlecht: F
Eingang: 15.11.2021
Impfdatum: 11.11.2021
Beginn: 11.11.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

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

Injection site erythema Injection site hypoaesthesia Injection site warmth Joint range of motion decreased

Symptomtext

Loss of use, numbness, redness, heat to right arm

Weitere VAERSDATA-Felder

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

VAERS 1869281

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IN
Alter: 81,0
Geschlecht: F
Eingang: 15.11.2021
Impfdatum: 12.11.2021
Beginn: 12.11.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: - / -

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

Bone pain Chills Myalgia Pain Pain in extremity Pain of skin Pyrexia

Symptomtext

Extreme all-over body pain . Muscle and bone pain and tender skin also reacted to original shots. 1st one soreness entire arm. 2nd shot had severe chills and 4 degree fever. Reactions to all 3 shots began about 8 hours after shot and lasted about 30 hours. Treated with Tylenol

Weitere VAERSDATA-Felder

Praegender Schweregrund: Bone pain
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none
Vorgeschichte: Arthritis, Osteoporosis
Andere Medikamente: metformin, hydrochlorothiazide, , Xanax, Crestor, calcium, Miralax, potassium, multivitamin, probiotic, colace, vitamin D
Allergien: none known
Vorherige Impfungen: -

VAERS 1869254

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IN
Alter: 39,0
Geschlecht: F
Eingang: 15.11.2021
Impfdatum: 13.11.2021
Beginn: 14.11.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / LA

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

Lymphadenopathy Pyrexia

Symptomtext

Low grade fever started around 12:30 pm 11/14/2021, got as high as 100.5. Broke around 6:30 p.m. 11/14/2015 Swollen lymph node in left arm pit this morning 11/15/2021. Treating with ibuprofen.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pyrexia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Morbid obese Asthma
Andere Medikamente: Melaleuca Hair Skin & Nails vitamin Melaleuca Fortify Probiotic Allegra
Allergien: -
Vorherige Impfungen: First COVID vaccine sore arm, headache, fatigue. Second COVID vaccine ran fever for 3.5 days.

VAERS 1869164

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: KY
Alter: 59,0
Geschlecht: F
Eingang: 15.11.2021
Impfdatum: 12.11.2021
Beginn: 12.11.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

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

Erythema Headache Induration Nausea Pain Pruritus Skin warm

Symptomtext

My arm started itching the day I received the vaccine, has increased in redness and warmth to include an area that is 3.5 inches wide and 1.5 inches tall on day 4. It is warm to touch and firm. I have had a headache for 4 days. very bad body aches for 1 day that did not even respond to 1 extra strength tylenol and 2 motrin over the counter. Also have had nausea for 3 days.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Headache
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: sinus infection, negative COVID test
Vorgeschichte: HTN, hypothyroidism, PSVT
Andere Medikamente: levothyroxine, cardizem xl, lisinopril, calcium, multi vitamin, asa,
Allergien: shell fish,
Vorherige Impfungen: -

VAERS 1868375

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21b

mild

Staat: OH
Alter: 57,0
Geschlecht: F
Eingang: 14.11.2021
Impfdatum: 12.11.2021
Beginn: 13.11.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

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

Vomiting

Symptomtext

Vomiting 1 am. Approximately 13 hours after injection

Weitere VAERSDATA-Felder

Praegender Schweregrund: Vomiting
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Diabetes Type2 HTN , Endometrial Cancer IVb
Vorgeschichte: -
Andere Medikamente: Fentanyl 37.5, Norvasc, Diovan, Tizanidine, Lantus
Allergien: NSAiD due to CKD
Vorherige Impfungen: Age 9 months Seizure after measles vaccine

VAERS 1868355

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: OH
Alter: 71,0
Geschlecht: F
Eingang: 14.11.2021
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

Vaccination site erythema Vaccination site pruritus Vaccination site swelling Vaccination site warmth

Symptomtext

Patient received the vaccine on 11/10/21. She said beginning 11/12/21 an area covering about 2-3 inches on her vaccination arm became warm/hot to the touch and slightly swollen. She stated the area is a little pink, but not much different from her normal skin tone. She stated that on 11/13/21 the area began to itch, but that only lasted one day. Today (11/14/21) the area is still warm to the touch, slightly swollen, and "a little pink."

Weitere VAERSDATA-Felder

Praegender Schweregrund: Vaccination site pruritus
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: None known
Vorgeschichte: None known
Andere Medikamente: None known
Allergien: None known
Vorherige Impfungen: -

VAERS 1868018

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IN
Alter: 59,0
Geschlecht: F
Eingang: 13.11.2021
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: ja

Chills Pyrexia

Symptomtext

SIDE EFFECTS: Beginning 12 hours after the Moderna Booster, I experienced severe side effects, most notably fever peaking at 102 degrees F, along with severe full body rigors. Both symptoms were reduced somewhat by use of extra strength Tylenol, however not eliminated. Symptoms returned full force within 4-5 hours of each Tylenol dose. Symptoms lasted approximately 33 hours, gradually tapering. These side effects were also experienced subsequent to the first and second Moderna vaccines.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: N/a
Aktuelle Erkrankungen: None, Clindamycin taken because of recent apicoectomy
Vorgeschichte: Prediabetic
Andere Medikamente: Flonase, Trazodone, Clindamycin, Tylenol
Allergien: Penicillin, Sulfas
Vorherige Impfungen: -

VAERS 1864965

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: VA
Alter: 56,0
Geschlecht: F
Eingang: 12.11.2021
Impfdatum: 10.11.2021
Beginn: 10.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Rash Rash pruritic

Symptomtext

Patient was vaccinated at approximately 1130 AM; at 1650 PM she reported diffuse rash on both arms, neck and trunk with itching. She reported to the Emergency Room. She was released with prednisone, Benadryl, epi-pen and instructed not to receive any further COVID vaccination. As of today (12 Nov 2021) patient reports no further issues and is completing her prednisone taper as instructed

Weitere VAERSDATA-Felder

Praegender Schweregrund: Rash
Hospital-Tage: -
Labordaten: none performed in ER
Aktuelle Erkrankungen: MULTIPLE SCLEROSIS; ADJUSTMENT DO; TINEA PEDIS;
Vorgeschichte: MULTIPLE SCLEROSIS; RETROBULBAR NEURITIS RIGH EYE;
Andere Medikamente: MODAFINIL; ZINC OXIDE TOPICAL; TERBINAFINE TOPICAL; VITAMIN D 3; DIMETHYL FURMARATE 240MG BID; ASA 81MG
Allergien: MORPHINE; LATEX; SULFA DRUGS
Vorherige Impfungen: -

VAERS 1864903

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IN
Alter: 75,0
Geschlecht: F
Eingang: 12.11.2021
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

Dizziness Feeling cold Injection site pain Nausea

Symptomtext

Within 11 hours, was cold and could not warm up for another 7 hours. Morning after injection, patient had light headedness, nausea and a sore arm at the injection site.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: na
Aktuelle Erkrankungen: Sniffles, cough, sore throat related to sinus/allergies
Vorgeschichte: Diabetes, Hypertension
Andere Medikamente: Asprin 81mg, Renal Tab
Allergien: None
Vorherige Impfungen: -

VAERS 1864785

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IN
Alter: 55,0
Geschlecht: M
Eingang: 12.11.2021
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: ja

Malaise

Symptomtext

General feeling of malaise. Lasted approximately 12 hours. I experienced the same type of reaction when I got the second dose in March 2021 and that time the symptoms lasted about 24 to 36 hours.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Malaise
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: Sore throat, possible Sinus infection, thus the reason for the Zithromax above.
Vorgeschichte: Lower back pain. Degenerative discs. Obesity.
Andere Medikamente: Escitalopram (Lexapro) 10mg / day Hydrocodone (Norco) 10/325mg. 1-2 /day Zithromax 250mg. Was on day 3 of the 5 day regimen. Full Spectrum CBD approximately 50mg per day
Allergien: No known allergies
Vorherige Impfungen: Same type reaction with second Moderna COVID-19 vaccination. Symptoms lasted approximately 24-36 hours. Moderna COVID-19. Lot

VAERS 1864725

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

mild

Staat: OH
Alter: 50,0
Geschlecht: M
Eingang: 12.11.2021
Impfdatum: 09.11.2021
Beginn: 11.11.2021
Tage bis Beginn: 2,0
Dosis: 3
Route/Site: SYR / LA

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

Lymph node pain Lymphadenopathy

Symptomtext

swollen lymph nodes left arm pit mild pain

Weitere VAERSDATA-Felder

Praegender Schweregrund: Lymph node pain
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none
Vorgeschichte: asthma diabetes type 2
Andere Medikamente: metformin prozac
Allergien: doxycycline
Vorherige Impfungen: -

VAERS 1864669

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

mild

Staat: IN
Alter: 62,0
Geschlecht: M
Eingang: 12.11.2021
Impfdatum: 10.11.2021
Beginn: 10.11.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: - / -

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

Chills Fatigue Insomnia Nausea Pain

Symptomtext

Achy body, some nausea, chills, unable to sleep Tired throughout 11/11 Rested well and feel good 11/12

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: -
Andere Medikamente: Fish oil, turmeric, multi-vitamin, allergy pill
Allergien: None
Vorherige Impfungen: -

VAERS 1864208

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: -
Alter: 66,0
Geschlecht: F
Eingang: 12.11.2021
Impfdatum: -
Beginn: -
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / LA

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

Pruritus

Symptomtext

a lot of itching all over the body/a week later I got the same reaction; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PRURITUS. The patient was treated with BENADRYL in 2021 for Itching all over, at a dose of A tablet this day and another one the next day and took 2 tablets, last night and today. At the time of the report, PRURITUS outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) was unknown. Concomitant medications were not provided by reporter. The patient received vaccine on 26-Nov-2021 (probably 26-Oct-2021). The patient said that 4 days after the vaccine she experienced a lot of itching all over the body and, she took a tablet of Benadryl on the same day, and another one the next day and, it went away. However a week later patient got the same reaction and also took 2 tablets of Benadryl, previous night and one the day of the report. The patient does not take regular medication.

Weitere VAERSDATA-Felder

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

VAERS 1863733

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: CO
Alter: 65,0
Geschlecht: M
Eingang: 12.11.2021
Impfdatum: 01.11.2021
Beginn: -
Tage bis Beginn: -
Dosis: 3
Route/Site: OT / -

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

Chills Confusional state Fatigue Headache Nasal congestion Pain in extremity

Symptomtext

L arm where I had received the booster shot was sore; mentally spacey; Nasal congestion; Woke up in the middle of the night and I was chilled; strong headache; fatigue; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (L arm where I had received the booster shot was sore), CONFUSIONAL STATE (mentally spacey), NASAL CONGESTION (Nasal congestion), CHILLS (Woke up in the middle of the night and I was chilled) and HEADACHE (strong headache) in a 65-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Drug allergy (Darvocet). On 01-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 PAIN IN EXTREMITY (L arm where I had received the booster shot was sore), CONFUSIONAL STATE (mentally spacey), NASAL CONGESTION (Nasal congestion), CHILLS (Woke up in the middle of the night and I was chilled), HEADACHE (strong headache) and FATIGUE (fatigue). At the time of the report, PAIN IN EXTREMITY (L arm where I had received the booster shot was sore), NASAL CONGESTION (Nasal congestion) and CHILLS (Woke up in the middle of the night and I was chilled) outcome was unknown, CONFUSIONAL STATE (mentally spacey) and FATIGUE (fatigue) had not resolved and HEADACHE (strong headache) had resolved. No concomitant medications were reported. No treatment medications were reported. This case was linked to MOD-2021-329230 (Patient Link).

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Drug allergy (Darvocet)
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1861896

UNKNOWN MANUFACTURER · VACCINE NOT SPECIFIED (OTHER) · Charge 077c21b

mild

Staat: IN
Alter: 71,0
Geschlecht: F
Eingang: 11.11.2021
Impfdatum: 04.11.2021
Beginn: 05.11.2021
Tage bis Beginn: 1,0
Dosis: UNK
Route/Site: SYR / LA

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

Abdominal discomfort Chills Diarrhoea Dry mouth Feeding disorder Feeling hot Headache Pain

Symptomtext

Headache, whole body ache, could not eat for 2 days, very dry mouth, half sick to stomach had no fever, had chills then get hot, loose bowels

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Gabapentin , dltiazem, atorvastatjn, alprazolam, methimazole, pramipexole, losartan Potassium, hydrochlotothazide
Allergien: Mold, xarelto, recrip
Vorherige Impfungen: Modeina

VAERS 1861233

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: -
Alter: 64,0
Geschlecht: F
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: ja Erholt: unbekannt

Blood potassium decreased Body temperature increased Depressed level of consciousness Immunodeficiency Malaise Pyrexia SARS-CoV-2 test negative

Symptomtext

Patient attested to immunocompromised status with high dose corticosteroid active treatment and received third dose rather than booster. Patient called today to update on reaction following vaccine administration. I spoke with patient on the phone for approximately 15 minutes. Patient explained that she received third dose on 11/05 and woke up feeling under the weather on 11/06. Patient fell asleep early afternoon, and husband unable to rouse. Patient believes she was febrile. Husband called an ambulance, and patient transported to hospital. As per patient, she was hospitalized from 130PM 11/06 to 11AM 11/08. I asked patient about tests, medications, treatments, etc. Patient claims she was COVID negative, and temperature decreased quickly after being admitted. Patient unable to recall many details from hospitalization including any of the above questions. Patient reports that she was not intubated and only on room oxygen; supplemental oxygen not required. Patient noted that her potassium was slightly low. Patient says she is still not feeling well but denies being febrile or other significant signs or symptoms.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Malaise
Hospital-Tage: 1,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1860789

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MI
Alter: 56,0
Geschlecht: M
Eingang: 11.11.2021
Impfdatum: 05.11.2021
Beginn: 10.11.2021
Tage bis Beginn: 5,0
Dosis: 3
Route/Site: SYR / LA

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

Abdominal distension Gastrointestinal pain

Symptomtext

Lower gastrointestinal bloating and pain. No other associated symptoms. Taking ibruprofen and drinking plenty of fluids. Symptoms have not resolved yet.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Gastrointestinal pain
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Lipitor, low dose aspirin, multi vitamin, vitamin D supplement, vitamin c supplement, flutacasone nasal spray, zrytec allergy pill
Allergien: Neomycin, bacitracin
Vorherige Impfungen: -

VAERS 1858478

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MI
Alter: 74,0
Geschlecht: F
Eingang: 10.11.2021
Impfdatum: 08.11.2021
Beginn: 08.11.2021
Tage bis Beginn: 0,0
Dosis: 4
Route/Site: IM / LA

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

Ageusia Extra dose administered Headache Injection site pain Pain Pain in extremity Tenderness Vomiting

Symptomtext

STATED SHE RECEIVED THE BOOSTER DOSE AROUND 820AM AND BY 0900 WAS HAVING SEVERE HEADACHE, NO TASTE, VERY SORE ARM. AROUND 1200PM ON 11/8/21 SHE STATED THAT SHE HAD SEVERE LEFT SIDED PAIN (PAIN DOWN THE WHOLE SIDE OF THE BODY AND WAS SORE TO TOUCH, DESCRIBED AS THE PAIN AT INJECTION SITE BUT THAT IT WAS HER WHOLE LT SIDE) SHE ALSO STATED THAT SHE BEGAN VOMITTING. THIS LASTED TILL APPROXIMATELY 0200 ON 11/10/2021. TODAY 11/10/2021 @ 545PM SHE STATES SHE IS FEELING BACK TO NORMAL WITH A SLIGHT SORE ARM.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Headache
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: NONE
Vorgeschichte: 41 YRS AGO BAD ACCIDENT
Andere Medikamente: -
Allergien: NONE
Vorherige Impfungen: -

VAERS 1857922

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MI
Alter: 41,0
Geschlecht: F
Eingang: 10.11.2021
Impfdatum: 06.11.2021
Beginn: 07.11.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / RA

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

COVID-19 Cough Fatigue Nasal congestion Pyrexia Rhinorrhoea SARS-CoV-2 test positive Sneezing

Symptomtext

My husband was sick the week before and we both tested negative for COVID-19. On Saturday evening after the vaccine, I had fatigue, slight fever. Sunday, I woke up with a very runny nose and sneezing. I took a home COVID-19 test, and it came back positive for COVID-19. Since then, I followed up with a physician with Monday and my husband tested positive that day, as well. I believe I got it from him. I have had all the symptoms almost - but was just a little feverish on Sunday and that's it for fever. I have had congestion, sneezing, coughing and fatigue. I do have an appt on Friday for the monoclonal antibodies. I have just taken OTC medicine to help manage some of the symptoms.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: Home COVID-19 test on Sunday and on Monday - I went to Urgent Care and they did another Rapid test - positive and I asked for a PCR test for my work - last night, they called with the positive result for that.
Aktuelle Erkrankungen: No
Vorgeschichte: High blood pressure
Andere Medikamente: Lisinopril High blood pressure medicine Hydroclorathorazine
Allergien: No
Vorherige Impfungen: -

VAERS 1857868

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: OH
Alter: 49,0
Geschlecht: F
Eingang: 10.11.2021
Impfdatum: 25.10.2021
Beginn: 05.11.2021
Tage bis Beginn: 11,0
Dosis: 3
Route/Site: SYR / LA

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

Dermatitis contact Pruritus Throat tightness Urticaria

Symptomtext

I woke up on Friday and I had hives around my groin, and it was itching. I took some medicine. It kept getting worse - got hives up my neck and different places. Urgent Care they IM - Solumedrol - gave me prescription for 40 mg of Prednisone for three days and then 20 mg of Prednisone for additional 3 days. They gave me Kenalog cream - to use twice a day. Started that on Saturday. They called it contact dermatitis but didn't know what I had. On Sunday, it was worse, my throat felt tight. Came to work; took my Prednisone but still have hives everywhere and went back to Urgent Care and they gave me a shot of 50 mg of Benadryl and then my throat finally eased up. They told me take Benadryl every 6 hours and told me to finish off the Prednisone. They gave me meds for scabies, but it wasn't scabies - treated for that and I'm sure that it isn't it. I must take Benadryl every four hours. If I don't, I start itching. I do have one more day (tomorrow left on Prednisone). I thought the hives weren't bad when I woke up this morning but then I stood up and I was covered in hives again. These are hives - they come and go. I had the flu vaccine about a week before this booster vaccine. I think I got it on a Thursday. I got it at work. I think I got it in my left arm, too. I don't know what brand it was.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: No
Aktuelle Erkrankungen: No
Vorgeschichte: Allergies
Andere Medikamente: Zyrtec Flonase Sudafed Vitamin C Colace Apple Cider Vinegar Vitamin B12 Vitamin D3
Allergien: Penicillin Ingredients in certain of soaps and body washes; don't know what the ingredient are.
Vorherige Impfungen: COVID-19 Dose 1 - Moderna on 12/28/2021 - I got COVID-19 arm; started about a week after the vaccine and lasted about a week.

VAERS 1857478

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IN
Alter: 72,0
Geschlecht: F
Eingang: 10.11.2021
Impfdatum: 08.11.2021
Beginn: 08.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Arthralgia Headache Limb discomfort Vaccine positive rechallenge

Symptomtext

Severe headache Joint pain Arm discomfort

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Kidney stone
Vorgeschichte: Osteoporosis Diverticula
Andere Medikamente: Venlafazine Lovastatin Levothyroxin Omniprazole
Allergien: Sulfa
Vorherige Impfungen: Moderna 1 and 2 age 72 same as 3

VAERS 1857402

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MI
Alter: 34,0
Geschlecht: F
Eingang: 10.11.2021
Impfdatum: 04.11.2021
Beginn: 05.11.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

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

Confusional state Feeling abnormal Injection site erythema Injection site pruritus Injection site swelling Injection site warmth

Symptomtext

localized reaction to infection site, redness, itching , warmth, swelling x 7 days Felt confused/ head fog x 4 days post shot

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: no
Vorgeschichte: none
Andere Medikamente: prozac
Allergien: no
Vorherige Impfungen: -

VAERS 1855547

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

mild

Staat: OH
Alter: 48,0
Geschlecht: M
Eingang: 09.11.2021
Impfdatum: 05.11.2021
Beginn: 05.11.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

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

Dizziness Feeling hot Hyperhidrosis Panic attack

Symptomtext

Patient came up about 10-15 minutes after receiving the shot to let me know he was feeling lightheaded, hot, and sweaty. I had him sit down and put his head between his knees and got him a bottle of water. I asked if he had someone else to drive him home so he would not be alone so his wife came and got him. I checked on the patient today, and he said he felt fine. He said his wife thinks he just had a panic attack.

Weitere VAERSDATA-Felder

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

VAERS 1854242

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MN
Alter: 32,0
Geschlecht: F
Eingang: 09.11.2021
Impfdatum: 03.11.2021
Beginn: 04.11.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: IM / LA

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

Chills Dizziness Injection site erythema Injection site pruritus Nausea Pain in extremity Pyrexia

Symptomtext

Extremely sore arm starting day after. Extreme dizziness and nausea upon rising. Fever/chills for 48 hours after vaccine. Redness and itching at injection site for 5 days.

Weitere VAERSDATA-Felder

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

VAERS 1854195

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MN
Alter: 72,0
Geschlecht: F
Eingang: 09.11.2021
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

Chills Dizziness Malaise Nausea Pain in extremity Pyrexia Vomiting

Symptomtext

very sore arm, followed by on and off fever and chills. dizzy. fever of 102. Nausea/vomitting on day 3. still not feeling completely well on day 5.

Weitere VAERSDATA-Felder

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

VAERS 1853701

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

mild

Staat: -
Alter: 19,0
Geschlecht: F
Eingang: 09.11.2021
Impfdatum: 08.11.2021
Beginn: 08.11.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: SYR / LA

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

Fatigue Injection site pain Nausea

Symptomtext

Moderna COVID-19 Vaccine EUA Nausea, pain at injection site, fatigue

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: Sinus infection
Vorgeschichte: None
Andere Medikamente: Sertraline, omeprazole
Allergien: None
Vorherige Impfungen: -

VAERS 1850366

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: TN
Alter: 52,0
Geschlecht: F
Eingang: 08.11.2021
Impfdatum: 04.11.2021
Beginn: 04.11.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

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

Cough Ear pain Fear Feeling abnormal Immediate post-injection reaction Incomplete course of vaccination Neck pain Pain in jaw Sensory disturbance

Symptomtext

DURING receiving the vaccine I immediately felt it rush up my neck in a straight line and my ear started hurting. My jaw hurt and right side of neck. It was as if I had a central line in my neck and could feel it shoot right up in a straight line. Ever since my whole right side of neck hurts and ear. I now have a bad cough I didn?t have and it?s day 4 since shot. The whole shot felt so freaky I will NOT receive the 2nd. I?m extremely scared what this caused feeling it in my neck. I ask the pharm d to pull back on syringe to check placement of needle. I?m extremely scared of what this might have done.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Ear pain
Hospital-Tage: -
Labordaten: None but reported to my dr immediately 11/4 Called today due to I have a cough and right neck and ear still painful
Aktuelle Erkrankungen: None
Vorgeschichte: None other than hashimotos
Andere Medikamente: Armour
Allergien: None
Vorherige Impfungen: -

VAERS 1850125

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IN
Alter: 62,0
Geschlecht: F
Eingang: 08.11.2021
Impfdatum: 05.11.2021
Beginn: 07.11.2021
Tage bis Beginn: 2,0
Dosis: 3
Route/Site: IM / RA

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

Erythema Pain Peripheral swelling Pruritus Skin warm Swelling

Symptomtext

Itchy and warm painful reddened raised area developed slightly less than 48 hours after receiving the dose of vaccine. Upper arm slightly swollen and warm reddened area was below injection sight.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: Seasonal allergies
Andere Medikamente: Multivitamin
Allergien: Sulfa, ragweed, animal dander
Vorherige Impfungen: Age 52. January 25, 2021. COVID-19 Vaccine Moderna

VAERS 1850113

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21B

mild

Staat: MI
Alter: 57,0
Geschlecht: F
Eingang: 08.11.2021
Impfdatum: 05.11.2021
Beginn: 06.11.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / LA

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

Cardiac flutter Dizziness Fatigue Hypersomnia Pyrexia Rash

Symptomtext

Dizziness, extreme tiredness ; patient slept over 20 hours; experienced heart fluctuations; along with body rash especially on torso and legs-rash; low-grade fever for 24 hours (11-6 thru11-7) dissipated by Monday, 11-8

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: no medical tests done patient stayed home and treated symptoms with over-the counter medication applied steroid cream to rash ibuprofen
Aktuelle Erkrankungen: none
Vorgeschichte: hypthyroidism Raynaud Syndrome
Andere Medikamente: levothyroxine Allegra
Allergien: sulfa -related antibiotics Avelox latex sensitivity
Vorherige Impfungen: Moderna vaccine 1-22-2021; dizziness; tiredness,fever

VAERS 1849383

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

mild

Staat: IN
Alter: 69,0
Geschlecht: M
Eingang: 07.11.2021
Impfdatum: 03.11.2021
Beginn: 03.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: - / LA

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

Chills Fatigue Injection site pain Vaccine positive rechallenge

Symptomtext

soreness at injection site. severe chills throughout the night. fatigue for three days. all fine after. same symptoms after second shot but , not as bad.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: gout
Vorgeschichte: none
Andere Medikamente: prilosec, glucosamine, magnesium, allopurinol
Allergien: none
Vorherige Impfungen: -

VAERS 1849311

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IN
Alter: 44,0
Geschlecht: M
Eingang: 07.11.2021
Impfdatum: 05.11.2021
Beginn: 06.11.2021
Tage bis Beginn: 1,0
Dosis: UNK
Route/Site: SYR / -

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

Discomfort Pain

Symptomtext

Approximately 24 hours after receiving the shot I was achy. This lasted for the afternoon and evening. I did not feel comfortable when I went to bed at midnight so I took Tylenol to treat the achiness. I was able to fall asleep and feltuch better the next morning.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: None
Allergien: Penicillin, shellfish, some tree nuts such as cashews (not almonds)
Vorherige Impfungen: -

VAERS 1849291

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IN
Alter: 57,0
Geschlecht: F
Eingang: 07.11.2021
Impfdatum: 04.11.2021
Beginn: 05.11.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / LA

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

Injection site nodule Injection site pain Injection site swelling

Symptomtext

I still have a egg size swollen knot and is still sore to the touch next to my injection site. Worried if this could be a clot. Should I see a health care professional?

Weitere VAERSDATA-Felder

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

VAERS 1849168

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IN
Alter: 54,0
Geschlecht: F
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

Chills Headache Injection site pain Injection site swelling Lymph node pain Lymphadenopathy Vomiting

Symptomtext

Nov. 4th - headache, vomited, chills and left arm pain and swelling at site of injection and around injection area. Nov. 5th and 6th - lymph node pain and swelling under left arm Have taken naproxen also for pain. Will call my P C P on Monday (Nov 8th) if symptoms continue for further guidance

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: None unless PCP suggests otherwise on 11/8 and if lymph node pain continues or worsens
Aktuelle Erkrankungen: None
Vorgeschichte: Migraine, esophageal ulcer, obesity, osteoarthritis
Andere Medikamente: Tylenol Arthritis, glucosamine chondroitin, vitamin D, multivitamin, benadryl, Topamax, Pantoprazol
Allergien: Sulfa, diltiazam, doxicyclene, bees,cats
Vorherige Impfungen: Red, swollen at injection site after TDAP age 53

VAERS 1848836

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: CA
Alter: 23,0
Geschlecht: F
Eingang: 06.11.2021
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: ja

Erythema Urticaria

Symptomtext

Symptoms: Left arm erythema, urticarial, hives, no SOB, no CP, no N/V, no dizziness, VSS Pt kept in treatment area for 30 minutes and was dc home. Treatment: Received 1 dose Benadryl 25mg PO per order. MD ordered for pt to take a total of 3 doses of Benadryl 25mg PO every 6 hours (including the first dose) Per pt, symptoms improving but redness, hives remained present. Instructed pt to call 911 or go to ER if symptoms or addtl symptoms (CP, SOB) start or worsen.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Urticaria
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Patient denies. SO of patient says patient has sensitive skin.
Andere Medikamente: -
Allergien: No known allergies
Vorherige Impfungen: -

VAERS 1848210

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

mild

Staat: MI
Alter: 36,0
Geschlecht: F
Eingang: 06.11.2021
Impfdatum: 02.11.2021
Beginn: 02.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: SYR / LA

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

Uveitis Vomiting

Symptomtext

Vomiting Uveitis

Weitere VAERSDATA-Felder

Praegender Schweregrund: Vomiting
Hospital-Tage: -
Labordaten: Uveitis treated with corticosteroid eye drops
Aktuelle Erkrankungen: Ulcerative colitis Idiopathic hypersomnia
Vorgeschichte: Ulcerative colitis Idiopathic hypersomnia
Andere Medikamente: Mesalamine Lo-loestrin Adderall
Allergien: Clindamycin
Vorherige Impfungen: -

VAERS 1847162

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

mild

Staat: KY
Alter: 54,0
Geschlecht: M
Eingang: 05.11.2021
Impfdatum: 03.11.2021
Beginn: 03.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Extra dose administered Injection site pain

Symptomtext

Severe pain at injection site. Started a few hours after injection getting worse until late evening, still quite sore, two full days later. Using aspercream/lidocaine to manage pain.

Weitere VAERSDATA-Felder

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

VAERS 1846541

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IN
Alter: 70,0
Geschlecht: M
Eingang: 05.11.2021
Impfdatum: 03.11.2021
Beginn: 03.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Body temperature increased Headache Malaise

Symptomtext

General poor feeling for 24-36 hours. Slightly elevated body temperature. One -2 degrees above norm. Headache 24 hours after injection. Stayed in bed entire day after injection, chicken soup. Woke up on the 5th feeling fine. Body temp normal, good to go.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Headache
Hospital-Tage: -
Labordaten: None required.
Aktuelle Erkrankungen: None
Vorgeschichte: High blood pressure. Avg 130.82
Andere Medikamente: Lisinopril, vitamin D, melatonin
Allergien: None
Vorherige Impfungen: Same as above after 2nd Moderna injection. Age 69.

VAERS 1846444

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: OH
Alter: 76,0
Geschlecht: F
Eingang: 05.11.2021
Impfdatum: 02.11.2021
Beginn: 02.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Dizziness Fatigue Headache Nausea Pruritus Rash

Symptomtext

Pt. states that after receiving the 3rd Booster of Moderna 11/02/2021, started experiencing symptoms that evening of headache, fatigue, nausea, dizziness, and rash on the legs and both arms between wrists and elbows (red dots) itchiness. No noted Primary visit/communications.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: Prilosec, Zoloft
Allergien: Pennicillin, Sulfa, Latex
Vorherige Impfungen: -

VAERS 1846037

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

mild

Staat: IN
Alter: 76,0
Geschlecht: M
Eingang: 05.11.2021
Impfdatum: 01.11.2021
Beginn: 04.11.2021
Tage bis Beginn: 3,0
Dosis: UNK
Route/Site: SYR / RA

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

Chills Dizziness Erythema Feeling hot Injection site induration

Symptomtext

Dizzy, very red face. Chills then hot, Hard area around injection site.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Aspirin, atenolol Clorthalidone 50-25 M, pravastatin 40 mg tablet
Allergien: None
Vorherige Impfungen: -

VAERS 1843084

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

mild

Staat: IN
Alter: 31,0
Geschlecht: F
Eingang: 04.11.2021
Impfdatum: 02.11.2021
Beginn: 02.11.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: - / LA

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

Diarrhoea Dizziness Erythema Feeling hot Induration Peripheral swelling Vomiting

Symptomtext

Red, swollen, warm to touch, hard feeling covering a large are on my arm. I have also experienced, diarrhea vomiting, and light headed.

Weitere VAERSDATA-Felder

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

VAERS 1833093

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MN
Alter: 85,0
Geschlecht: F
Eingang: 01.11.2021
Impfdatum: 28.10.2021
Beginn: 29.10.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

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

Arthralgia Lethargy Myalgia

Symptomtext

Extreme lethargic, muscle & joint aches.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: No medical treatment needed
Aktuelle Erkrankungen: None
Vorgeschichte: Hypertension, arthritis with nerve impingement, hypothyroidism,
Andere Medikamente: Nitrofurantoin, omeprazole, estradiol, Flonase, levothyroxine, oxybutynin, gabapentin, HCTZ, lisinopril, simvastatin, Multi Vit. Vit C, vit B, Vit D, Colace, Tylenol
Allergien: Demoral, suprax,
Vorherige Impfungen: -

VAERS 1833074

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: MN
Alter: 88,0
Geschlecht: M
Eingang: 01.11.2021
Impfdatum: 28.10.2021
Beginn: 29.10.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

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

Arthralgia Chills Injection site erythema Injection site warmth Myalgia

Symptomtext

Following day muscle & joint pain, chills, redness and warmth to touch injection site. No fever. Was better next day and better yet day three

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: No medical treatment was needed.
Aktuelle Erkrankungen: On going bladder cancer, chronic bronchitis, asthma
Vorgeschichte: Bladder cancer, arthritis, chronic bronchitis, asthma, pituatory tumor
Andere Medikamente: Amlodipine, bromocriptine, fluoxetine, flonase, levothyroxine, lisinopril, metoprolol, simvastatin, tylenol, Multi Vit, Vit c, Vit d, colace, claritin, prilosec, Move Free Joint cmp, metamucil, Pat ADay eye drops
Allergien: sulfa, meloxicam
Vorherige Impfungen: -

VAERS 1832913

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: TN
Alter: 56,0
Geschlecht: F
Eingang: 01.11.2021
Impfdatum: 27.10.2021
Beginn: 29.10.2021
Tage bis Beginn: 2,0
Dosis: 3
Route/Site: SYR / LA

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

Extra dose administered Lymph node pain Lymphadenopathy

Symptomtext

NOTICABLE SWELLING IN UNDERARM AREA OVER INTO LT BREAST, VERY PAINFUL

Weitere VAERSDATA-Felder

Praegender Schweregrund: Lymph node pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: EAR INFECTION
Vorgeschichte: pernicious anemia, DM2, EPSTIEN BARR SYNDROME, HTN, OBESITY
Andere Medikamente: Amox-Clav 875mg , Lisinopril 40mg Tablets, Meloxicam 15mg Tablets, Amitriptyline 100mg (Hundred Mg)Tab, B12 INJECTIOIN, Metformin ER 500mg 24hr Tabs, Mirtazapine 30mg Tablets, Desvenlafaxine ER Succinate 25mg T, Jardiance 10mg Tablets, GEM
Allergien: CODIENE ,SULPHA DRUGS, NK FOOD ALLERGIES
Vorherige Impfungen: -

VAERS 1832270

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: IN
Alter: -
Geschlecht: M
Eingang: 31.10.2021
Impfdatum: 29.10.2021
Beginn: 29.10.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

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

Asthenia Chills Fatigue Vomiting

Symptomtext

Fatigue, Tiredness, No energy, Chills, Weakness, Multiple times of vomiting

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Lung cancer
Andere Medikamente: Amlodipine; Prednisone; Ocuvite; Vitamin C; Super Saw Palmetto; Prostate Health Beta Plus
Allergien: -
Vorherige Impfungen: March 5,, 2021, Covid-19, Moderna

VAERS 1829326

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

mild

Staat: OH
Alter: 84,0
Geschlecht: F
Eingang: 29.10.2021
Impfdatum: 28.10.2021
Beginn: 29.10.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / RA

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

Arthralgia Discomfort Myalgia Pain Pain in extremity Pain of skin

Symptomtext

Patient reports uncomfortable pain throughout entire body including hair, skin, joints, muscles. She can't move without feeling the discomfort and even resting her legs on a pillow triggers the pain where her legs touch the pillow.

Weitere VAERSDATA-Felder

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

VAERS 1825686

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

mild

Staat: NC
Alter: 51,0
Geschlecht: F
Eingang: 28.10.2021
Impfdatum: 28.10.2021
Beginn: 28.10.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

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

Pain in extremity Sinus congestion Throat irritation

Symptomtext

!0 minutes into waiting time, patient came to staff and reported that she was having "scratchiness in the back of her throat" congestion in her face and pain in the first 2 fingers of her right hand. (this is the arm her vaccine was given in).

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain in extremity
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: NONE KNOWN
Vorgeschichte: NONE KNOWN
Andere Medikamente: CLARITIN, NO OTHERS KNOWN
Allergien: ALEVE, SHELLFISH
Vorherige Impfungen: -

VAERS 2714068

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: TN
Alter: 93,0
Geschlecht: M
Eingang: 15.11.2023
Impfdatum: 09.11.2021
Beginn: 14.02.2022
Tage bis Beginn: 97,0
Dosis: 2
Route/Site: - / -

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

Breakthrough COVID-19

Symptomtext

Covid-19 Breakthrough Infection

Weitere VAERSDATA-Felder

Praegender Schweregrund: Breakthrough COVID-19
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Unknown
Vorgeschichte: AKI, Arthritis, HLD, HTN, Hypothyroidism, Paroxysmal AFIB, Spinal Stenosis.
Andere Medikamente: Ascorbic Acid, ASA, Cholecalciferol, Clobetasol, Donepezil, DuoNeb Flecainide, Levothyroxine, Linezolid, Memantine, Metoprolol, Pantoprazole, Quetiapine
Allergien: NKA
Vorherige Impfungen: -

VAERS 2691235

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: TN
Alter: 81,0
Geschlecht: F
Eingang: 05.10.2023
Impfdatum: 15.11.2021
Beginn: 06.01.2022
Tage bis Beginn: 52,0
Dosis: 2
Route/Site: - / -

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

Breakthrough COVID-19

Symptomtext

Covid-19 Breakthrough Infection

Weitere VAERSDATA-Felder

Praegender Schweregrund: Breakthrough COVID-19
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Unknown
Vorgeschichte: HTN, Arthritis, Lupus
Andere Medikamente: Home medication not listed
Allergien: PCN, Sulfonamide ABX
Vorherige Impfungen: -

VAERS 2684578

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MT
Alter: 56,0
Geschlecht: F
Eingang: 21.09.2023
Impfdatum: 20.12.2020
Beginn: 21.09.2022
Tage bis Beginn: 640,0
Dosis: 3
Route/Site: IM / LA

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

Aspiration pleural cavity Computerised tomogram thorax abnormal EGFR gene mutation Laboratory test Lung adenocarcinoma Non-small cell lung cancer PD-L1 test negative Pleural effusion

Symptomtext

Non Small Cell adenocarcinoma lung, EGFR exon 20 +, MSS, TMB low, PD-L1 negative, veristrat good Stage IV, treated initially with 4 cycles carboplatin + pemetrexed + pembrolizumab Current treatment with amivantimab

Weitere VAERSDATA-Felder

Praegender Schweregrund: Aspiration pleural cavity
Hospital-Tage: -
Labordaten: 9/21/22 CT pleural effusion 9/22/22 thoracentesis positive for adenocarcinoma
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: estradiol
Allergien: none
Vorherige Impfungen: -

VAERS 2675623

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 78,0
Geschlecht: M
Eingang: 23.08.2023
Impfdatum: 04.11.2021
Beginn: 09.03.2022
Tage bis Beginn: 125,0
Dosis: 3
Route/Site: IM / LA

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

Diabetic nephropathy Hypoxia Magnetic resonance imaging abdominal abnormal Type 2 diabetes mellitus Urinary tract infection

Symptomtext

HYPOXIA 4/4/2023 ABNL ABDOMINAL IMAGING HYPOXIA 4/4/2023 DM 2 W RENAL MANIFESTATION HYPOXIA 4/4/2023 UTI (URINARY TRACT INFECTION)

Weitere VAERSDATA-Felder

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

VAERS 2670825

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: TN
Alter: 80,0
Geschlecht: M
Eingang: 14.08.2023
Impfdatum: 08.11.2021
Beginn: 08.12.2022
Tage bis Beginn: 395,0
Dosis: 3
Route/Site: - / -

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

Breakthrough COVID-19

Symptomtext

Covid-19 Breakthrough Infection

Weitere VAERSDATA-Felder

Praegender Schweregrund: Breakthrough COVID-19
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Unknown.
Vorgeschichte: AFIB, AV Block, Cancer, CHF, Cirrhosis of Liver, COPD, Depression, ESBL, GAD, HLD, HTN, Metabolic Encephalopathy, Neurogenic bowel, Paraplegia.
Andere Medikamente: Acetaminophen, Albuterol, Ascorbic Acid, Atorvastatin, Breo Ellipta, Bumetanide, Carvedilol, Cetirizine, Dulcolax, Ecotrin, Enalapril, Famotidine, Ferrous Sulfate, Flonase, Furosemide, glycerin, Lactulose, Levaquin, Melatonin, Midodrine, MO
Allergien: Bee Stings, Adhesive Bandage.
Vorherige Impfungen: -

VAERS 2664906

JANSSEN · COVID19 (COVID19 (JANSSEN)) · Charge 077C21B

gering

Staat: -
Alter: 95,0
Geschlecht: F
Eingang: 02.08.2023
Impfdatum: 12.11.2021
Beginn: 01.12.2022
Tage bis Beginn: 384,0
Dosis: 2
Route/Site: - / -

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

Breakthrough COVID-19

Symptomtext

Covid Breakthrough Infection

Weitere VAERSDATA-Felder

Praegender Schweregrund: Breakthrough COVID-19
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Unknown
Vorgeschichte: Anxiety, Arthropathy, HTN, Visual impairment
Andere Medikamente: Aspirin 81ng daily
Allergien: Codeine
Vorherige Impfungen: -

VAERS 2655012

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 50,0
Geschlecht: M
Eingang: 11.07.2023
Impfdatum: 13.04.2022
Beginn: 07.07.2023
Tage bis Beginn: 450,0
Dosis: 3
Route/Site: - / -

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

Unevaluable event

Symptomtext

HOSPITALIZATION

Weitere VAERSDATA-Felder

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

VAERS 2652836

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 77,0
Geschlecht: M
Eingang: 05.07.2023
Impfdatum: 11.11.2021
Beginn: 23.01.2022
Tage bis Beginn: 73,0
Dosis: 3
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Breakthrough case admission after 3 vaccines Moderna 1/2/21 lot# 011L20A; Moderna 1/29/21 lot# 004M20A; Moderna 11/11/21 lot# 077C21B

Weitere VAERSDATA-Felder

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

VAERS 2652757

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 86,0
Geschlecht: M
Eingang: 05.07.2023
Impfdatum: 03.11.2021
Beginn: 29.12.2021
Tage bis Beginn: 56,0
Dosis: 3
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Breakthrough case admission after 3 vaccines Moderna 1/15/21 lot# 011J20A; Moderna 2/12/21 lot# 013M20A; Moderna 11/3/21 lot# 077C21B

Weitere VAERSDATA-Felder

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

VAERS 2609323

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 29,0
Geschlecht: F
Eingang: 04.04.2023
Impfdatum: 18.11.2021
Beginn: 02.02.2022
Tage bis Beginn: 76,0
Dosis: 2
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Breakthrough case admission after 2 vaccines Janssen 4/1/21 Lot# 1808978; Moderna 11/18/21 Lot# 077C21B

Weitere VAERSDATA-Felder

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

VAERS 2599541

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 82,0
Geschlecht: F
Eingang: 20.03.2023
Impfdatum: 02.11.2021
Beginn: 15.03.2023
Tage bis Beginn: 498,0
Dosis: 3
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Breakthrough case admission after 3 vaccines Moderna 1/25/21 Lot# 004M20A; Moderna 2/23/21 Lot# 023M20L; Moderna 11/2/21 Lot# 077C21B

Weitere VAERSDATA-Felder

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

VAERS 2592461

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 96,0
Geschlecht: F
Eingang: 07.03.2023
Impfdatum: 23.11.2021
Beginn: 04.05.2022
Tage bis Beginn: 162,0
Dosis: 3
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Breakthrough case admission after 3 vaccines Moderna 1/21/21 Lot# 012L20A; Moderna 2/18/21 Lot# 004M20A; Moderna 11/23/21 Lot# 077C21B

Weitere VAERSDATA-Felder

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

VAERS 2589471

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 69,0
Geschlecht: F
Eingang: 01.03.2023
Impfdatum: 02.11.2021
Beginn: 11.01.2022
Tage bis Beginn: 70,0
Dosis: 3
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Breakthrough case admission after 3 vaccines Moderna 2/26/21 Lot# 010A21A; Moderna 3/26/21 Lot# 018B21A; Moderna 11/2/21 Lot# 077C21B

Weitere VAERSDATA-Felder

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

VAERS 2589438

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 73,0
Geschlecht: F
Eingang: 01.03.2023
Impfdatum: 02.10.2021
Beginn: 24.06.2022
Tage bis Beginn: 265,0
Dosis: 3
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Breakthrough case admission after 3 vaccines Moderna 3/6/21 Lot# 029A21A; Moderna 4/3/21 Lot3 028a21a; Moderna 10/29/21 Lot# 077C21B

Weitere VAERSDATA-Felder

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

VAERS 2588624

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MN
Alter: 73,0
Geschlecht: M
Eingang: 28.02.2023
Impfdatum: 27.04.2022
Beginn: 08.12.2022
Tage bis Beginn: 225,0
Dosis: 3
Route/Site: UN / UN

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

Asthenia COVID-19 Cough SARS-CoV-2 test positive

Symptomtext

Patient with history of Parkinson's disease and TBI. He was seen in the ED on 12/8/22 for weakness and cough that started the day before. In the ED, he tested positive for COVID-19 by PCR. Ultimately, he was admitted 12/8/22 - 12/11/22 for COVID-19. Initially, the patient was not on oxygen however during his admission was on 1-2L O2. He was able to be weaned off supplemental O2. Patient has received the COVID primary vaccine series and two boosters.

Weitere VAERSDATA-Felder

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

VAERS 2587811

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 79,0
Geschlecht: F
Eingang: 27.02.2023
Impfdatum: 09.11.2021
Beginn: 23.01.2023
Tage bis Beginn: 440,0
Dosis: 3
Route/Site: - / -

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

Asymptomatic COVID-19 Biopsy bone marrow Calcium ionised decreased Hypercalcaemia Laboratory test abnormal Metabolic encephalopathy SARS-CoV-2 test positive

Symptomtext

Patient with history of COVID vaccines who admitted to hospital with COVID detected PCR. Provider d/c note: "80-year-old female with a past medical history of COPD, HLD, hypothyroidism, and recent hospitalization for hypercalcemia presenting again for hypercalcemia recurrence seen on outpatient labs in addition to acute metabolic encephalopathy. Her ionized calcium was found to be 1.87. She was administered aggressive IV fluids, calcitonin, and zoledronic acid. Patient had progressive improvement hypercalcemia with these measures. Given its recurrence, there was concern for underlying malignancy, for which the patient underwent bone marrow biopsy on 1/25/23 with Interventional Radiology. The patient tolerated the procedure well without complication. Prior to discharge, screening for COVID with rapid PCR test was positive, however the patient has been asymptomatic. She demonstrate clinical improvement in addition to having stabilized corrected serum calcium after discontinuation of IV fluids. She also had resolution of her presenting acute metabolic encephalopathy. She was discharged in stable condition. "

Weitere VAERSDATA-Felder

Praegender Schweregrund: Asymptomatic COVID-19
Hospital-Tage: 7,0
Labordaten: COVID PCR detected on 1/27/23
Aktuelle Erkrankungen: -
Vorgeschichte: Cardiovascular Hyperlipidemia Endocrine Diabetes mellitus (HCC) Hypothyroidism Psychological Mild mental slowing Respiratory COPD (chronic obstructive pulmonary disease) (HCC) Urinary Left ureteral calculus CKD (chronic kidney disease) Chronic renal disease, stage 4, severely decreased glomerular filtration rate (GFR) between 15-29 mL/min/1.73 square meter (HCC) Other Lumbago Thoracic or lumbosacral neuritis or radiculitis, bilateral lower extremities Agent resistant to multiple antibiotics Hypoxemia Iron deficiency anemia secondary to inadequate dietary iron intake Hypomagnesemia Fall from ground level Hypercalcemia COVID-19 Abnormal CT scan, chest Dehydration Polyclonal gammopathy
Andere Medikamente: albuterol (PROVENTIL HFA;VENTOLIN HFA) 90 mcg/actuation inhaler Inhale 2 puffs into the lungs every 4 (four) hours as needed for Shortness of Breath or Wheezing. albuterol sulfate 2.5 mg/0.5 mL Nebu 5 mg, sodium chloride 0.9 % Nebu 3 mL Ta
Allergien: Allergy Medication [Diphenhydramine Hcl]Hives PrednisoneOther (See Comments) Tape [Adhesive Tape-silicones]Hives
Vorherige Impfungen: -

VAERS 2584768

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 62,0
Geschlecht: M
Eingang: 21.02.2023
Impfdatum: 02.11.2021
Beginn: 27.10.2022
Tage bis Beginn: 359,0
Dosis: 3
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Breakthrough case admission after 3 vaccines Moderna 2/19/21 Lot# 023M20A; MOderna 3/19/21 Lot# 002B21A; Moderna 11/2/21 Lot# 077C21B

Weitere VAERSDATA-Felder

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

VAERS 2567732

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 75,0
Geschlecht: M
Eingang: 25.01.2023
Impfdatum: 18.11.2021
Beginn: 24.08.2022
Tage bis Beginn: 279,0
Dosis: 3
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Breakthrough case admission after three vaccines Moderna 2/29/21 Lot# 031L20A; Moderna 3/19/21 Lot# 006B21A; Moderna 11/18/21 Lot# 077C21B

Weitere VAERSDATA-Felder

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

VAERS 2563372

MODERNA · COVID19 (COVID19 (MODERNA BIVALENT)) · Charge 077C21B

gering

Staat: MI
Alter: 64,0
Geschlecht: F
Eingang: 19.01.2023
Impfdatum: 23.11.2021
Beginn: 08.05.2022
Tage bis Beginn: 166,0
Dosis: 3
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Breakthrough case admission after three vaccines Moderna 1/23/21 NO LOT#; Moderna 2/23/21 Lot# 027L20A; Moderna 11/23/21 Lot# 077C21B

Weitere VAERSDATA-Felder

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

VAERS 2562218

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 88,0
Geschlecht: F
Eingang: 18.01.2023
Impfdatum: 28.04.2021
Beginn: 20.12.2022
Tage bis Beginn: 601,0
Dosis: 2
Route/Site: - / -

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

Agitation COVID-19 Hypophagia Mental status changes SARS-CoV-2 test positive

Symptomtext

12/20/22 presents to ED for "Change in mental status, agitations, decrease PO intake". PMHx of "HTN, cardiomyopathy (EF 25%), LBBB, HLD, CAD s/p PCI/LAD"

Weitere VAERSDATA-Felder

Praegender Schweregrund: Agitation
Hospital-Tage: -
Labordaten: 12/20/22 SARS-CoV-2 (COVID-19) by NAA detected
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2540651

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 89,0
Geschlecht: F
Eingang: 22.12.2022
Impfdatum: 18.11.2021
Beginn: 19.10.2022
Tage bis Beginn: 335,0
Dosis: 3
Route/Site: - / -

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

COVID-19 Gastrointestinal haemorrhage Influenza virus test positive Respiratory syncytial virus test positive SARS-CoV-2 test positive Uterine haemorrhage

Symptomtext

Date of Admission: 10/19/2022 Date of Discharge: 10/27/2022 Admission Diagnosis: GI bleed Gastrointestinal hemorrhage Hospital Principal Problem (Discharge Diagnoses): Genitourinary bleeding

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: 10/24 Covid-19, Flu, RSV by NAA, Detected
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2528972

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 61,0
Geschlecht: M
Eingang: 12.12.2022
Impfdatum: 22.07.2022
Beginn: 01.12.2022
Tage bis Beginn: 132,0
Dosis: 3
Route/Site: - / -

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

COVID-19 Vaccine breakthrough infection

Symptomtext

Fully vaccinated and boosted twice. COVID breakthrough infection

Weitere VAERSDATA-Felder

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

VAERS 2525584

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: KY
Alter: 68,0
Geschlecht: F
Eingang: 07.12.2022
Impfdatum: 01.12.2021
Beginn: 26.03.2022
Tage bis Beginn: 115,0
Dosis: 3
Route/Site: - / RA

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Patient had breakthrough infection.

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: 2,0
Labordaten: Positive COVID test on 3/2/2022.
Aktuelle Erkrankungen: Unknown
Vorgeschichte: Cerebral palsy Hypothyroidism Non-STEMI
Andere Medikamente: Unknown
Allergien: Chlorpromazine Haloperidol Sulfa
Vorherige Impfungen: -

VAERS 2504434

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 88,0
Geschlecht: F
Eingang: 10.11.2022
Impfdatum: 02.02.2021
Beginn: 12.09.2022
Tage bis Beginn: 587,0
Dosis: 3
Route/Site: - / -

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

COVID-19 Gastrointestinal haemorrhage SARS-CoV-2 test positive

Symptomtext

09/12/22 presents to EC ED for "GI Bleeding". PMHx of "breast ca, HTN, SBO, CAD"

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: 09/12/22 SARS-CoV-2 (COVID-19) by NAA detected
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2076057

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 72,0
Geschlecht: M
Eingang: 09.11.2022
Impfdatum: 05.05.2021
Beginn: 29.12.2021
Tage bis Beginn: 238,0
Dosis: 2
Route/Site: - / -

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

COVID-19 Constipation SARS-CoV-2 test positive Urinary incontinence

Symptomtext

12/29/21 presents to ED for "constipation and urinary incontinence". PMHx of "BPH, afib on eliquis, spinal stenosis"

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: 12/30/21 SARS-CoV-2 (COVID-19) detected
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2076057

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 72,0
Geschlecht: M
Eingang: 09.11.2022
Impfdatum: 05.05.2021
Beginn: 29.12.2021
Tage bis Beginn: 238,0
Dosis: UNK
Route/Site: - / -

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

COVID-19 Constipation SARS-CoV-2 test positive Urinary incontinence

Symptomtext

12/29/21 presents to ED for "constipation and urinary incontinence". PMHx of "BPH, afib on eliquis, spinal stenosis"

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: 12/30/21 SARS-CoV-2 (COVID-19) detected
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2488549

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 82,0
Geschlecht: F
Eingang: 25.10.2022
Impfdatum: 12.01.2021
Beginn: 03.09.2022
Tage bis Beginn: 599,0
Dosis: 3
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

09/03/22 presents to ED for "coronavirus concern". PMHx of "A. fib on Eliquis, hypertension, CAD"

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: 09/03/22 SARS-CoV-2 (COVID-19) by NAA detected
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2483034

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

gering

Staat: MI
Alter: 46,0
Geschlecht: M
Eingang: 19.10.2022
Impfdatum: 11.08.2022
Beginn: 18.10.2022
Tage bis Beginn: 68,0
Dosis: 2
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

COVID BREAKTHROUGH CASE

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: 10/18/22 COVID+
Aktuelle Erkrankungen: -
Vorgeschichte: HTN, Bipolar, schizophrenia
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2476857

PFIZER\BIONTECH · COVID19 (COVID19 (PFIZER-BIONTECH)) · Charge 077C21B

gering

Staat: CA
Alter: 26,0
Geschlecht: F
Eingang: 13.10.2022
Impfdatum: 17.11.2021
Beginn: 01.09.2022
Tage bis Beginn: 288,0
Dosis: 3
Route/Site: - / -

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

COVID-19 Drug ineffective SARS-CoV-2 test

Symptomtext

Treatment of COVID-19; Treatment of COVID-19; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 27-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 17Nov2021 as dose 3 (booster), single (Lot number: 077C21B) at the age of 26 years for covid-19 immunisation; coviD-19 vaccine (COVID-19 VACCINE), as dose 1, single (Batch/Lot number: unknown) and as dose 2, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history was not reported. Concomitant medication(s) included: WELLBUTRIN; HYDROXYZINE; OMEPRAZOLE. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset Sep2022, outcome "unknown" and all described as "Treatment of COVID-19". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (08Oct2022) Positive. Therapeutic measures were taken as a result of drug ineffective, covid-19. Clinical course: Patient has received antiviral drug for the treatment of COVID 19 from 27Sep2022 to 02Oct2022. 6 days after treatment ended on 08Oct2022 again tested positive for COVID-19. Runny nose and cough was rebounded breakthrough as a symptoms, patient was not recovered and no treatment received. Patient had no seriousness criteria such as death, disabling/Incapacitating, life threatening, congenital anomaly/birth defect.

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: Test Date: 20221008; Test Name: COVID-19 Test; Test Result: Positive
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: WELLBUTRIN; HYDROXYZINE; OMEPRAZOLE
Allergien: -
Vorherige Impfungen: -

VAERS 2476517

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: WA
Alter: 37,0
Geschlecht: M
Eingang: 12.10.2022
Impfdatum: 28.12.2021
Beginn: 01.01.2022
Tage bis Beginn: 4,0
Dosis: 3
Route/Site: - / AR

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

Blood test abnormal COVID-19 Cough Heart rate abnormal Hyperthyroidism SARS-CoV-2 test positive Weight decreased

Symptomtext

Shortly after receiving the Covid 19 booster shot I was on work assignment. Within a few days I tested positive for Covid 19 as well as several other people. We recovered but I noticed I still had a chronic cough. With this going on our ship started to head into the tropics. I love the tropical weather. As I am coughing I noticed I didn?t want to be outside. It was overbearing. Then my resting heart rate felt like it was 1000 miles per hour. I saw the ship?s medical and asked about it. I was informed my heart rate was 125BPM at rest. They thought my body was just under stress due to being at sea. I?ve been employed for 12 years and I need it wasn?t from that. 2 months pass by with the heart rate going at 125+BPM and I started to lose weight. I was 210 pounds starting work assignment and at this time I was down to 175 pounds. I was not dieting. In fact I was making it a point to eat more food because I noticed I was dropping weight. I was flown off the ship to inland where they did blood work and discovered I had a hyperthyroidism.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Blood test abnormal
Hospital-Tage: -
Labordaten: I?ve had blood work showing that I have hyperthyroidism.
Aktuelle Erkrankungen: None
Vorgeschichte: Herniated disc in lower back.
Andere Medikamente: None
Allergien: No known allergies.
Vorherige Impfungen: -

VAERS 2475277

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 78,0
Geschlecht: F
Eingang: 11.10.2022
Impfdatum: 30.11.2021
Beginn: 09.10.2022
Tage bis Beginn: 313,0
Dosis: 3
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Breakthrough case admission after three vaccines Moderna 1/15/21 Lot# 027L20A; Moderna 2/12/21 Lot# 037K20A; Moderna 11/30/21 Lot# 077C21B

Weitere VAERSDATA-Felder

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

VAERS 2469654

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 75,0
Geschlecht: F
Eingang: 05.10.2022
Impfdatum: 01.11.2021
Beginn: 20.08.2022
Tage bis Beginn: 292,0
Dosis: 3
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Breakthrough Case

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: Covid + on 8/20/2022
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2442831

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 85,0
Geschlecht: M
Eingang: 13.09.2022
Impfdatum: 03.11.2021
Beginn: 05.09.2022
Tage bis Beginn: 306,0
Dosis: 3
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Breakthrough case admission after three vaccines Moderna 2/17/21 Lot# 015M20A; Moderna 3/17/21 Lot# 002b21a; mODERNA 11/3/21 lOT# 077c21b

Weitere VAERSDATA-Felder

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

VAERS 2440953

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 66,0
Geschlecht: F
Eingang: 12.09.2022
Impfdatum: 01.11.2021
Beginn: 28.08.2022
Tage bis Beginn: 300,0
Dosis: 2
Route/Site: IM / RA

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

COVID-19

Symptomtext

HOSPITALIZED WITH COVID

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: 5,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2440706

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MN
Alter: 58,0
Geschlecht: M
Eingang: 12.09.2022
Impfdatum: 17.11.2021
Beginn: 02.09.2022
Tage bis Beginn: 289,0
Dosis: 3
Route/Site: IM / RA

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

Patient vaccinated against then tested positive for COVID-19.

Weitere VAERSDATA-Felder

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

VAERS 2436450

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

gering

Staat: MI
Alter: 88,0
Geschlecht: F
Eingang: 09.09.2022
Impfdatum: 10.11.2021
Beginn: 09.09.2022
Tage bis Beginn: 303,0
Dosis: 3
Route/Site: IM / -

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

Asymptomatic COVID-19 Exposure to SARS-CoV-2 SARS-CoV-2 test positive

Symptomtext

asymptomatic- tested as part of f/u on known exposure- tested positive on binax rapid antigen test 9/9/22 has completed primary series plus 1 booster- all moderna- due for bivalent booster

Weitere VAERSDATA-Felder

Praegender Schweregrund: Asymptomatic COVID-19
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: alzheimers, mod protein-calorie malnutrition, afib, pvd, htn, hypothyroid, epilepsy
Andere Medikamente: -
Allergien: latex, natural rubber
Vorherige Impfungen: -

VAERS 2436207

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

gering

Staat: OH
Alter: 68,0
Geschlecht: M
Eingang: 09.09.2022
Impfdatum: 02.11.2021
Beginn: 04.07.2022
Tage bis Beginn: 244,0
Dosis: 3
Route/Site: IM / LA

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

Unevaluable event

Symptomtext

Admitted to hospital.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Unevaluable event
Hospital-Tage: 2,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2422690

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

gering

Staat: MI
Alter: 30,0
Geschlecht: M
Eingang: 29.08.2022
Impfdatum: 10.11.2021
Beginn: 28.08.2022
Tage bis Beginn: 291,0
Dosis: 3
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

reports that he tested positive on PCR test performed at physician office 8/28/2022.

Weitere VAERSDATA-Felder

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

VAERS 2420887

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 72,0
Geschlecht: F
Eingang: 26.08.2022
Impfdatum: 08.11.2021
Beginn: 24.08.2022
Tage bis Beginn: 289,0
Dosis: 3
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

COVID vaccine breakthrough case. Moderna 2/20/21 007M20A, 3/20/21 047A21A, and boosted 11/8/21 077C21B

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: Positive COVID test on 8/24/21
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2409825

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 72,0
Geschlecht: F
Eingang: 12.08.2022
Impfdatum: 17.11.2021
Beginn: 10.08.2022
Tage bis Beginn: 266,0
Dosis: 2
Route/Site: - / -

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

COVID-19 Vaccine breakthrough infection

Symptomtext

Fully vaccinated with Jannsen and boosted once. COVID breakthrough infection

Weitere VAERSDATA-Felder

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

VAERS 2409364

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: KS
Alter: 63,0
Geschlecht: F
Eingang: 12.08.2022
Impfdatum: 11.03.2021
Beginn: 22.07.2022
Tage bis Beginn: 498,0
Dosis: 2
Route/Site: - / -

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

Blood pressure measurement COVID-19 SARS-CoV-2 test Vaccination failure

Symptomtext

CONFIRMED CLINICAL VACCINATION FAILURE; CONFIRMED COVID-19 INFECTION; This spontaneous report received from a consumer from other company (Pfizer) concerned a 64 year old female. Initial information was processed along with the additional information received from on 10-AUG-2022. The patient's height and weight were not reported. The patient's concurrent conditions included: elevated blood pressure (managed) and neomycin allergy (triple antibiotic). The patient was not pregnant at the time of vaccination. The patient previously received covid-19 vaccine ad26.cov2.s (dose number in series 1) (suspension for injection, route of admin not reported, batch number: 1805018, expiry: UNKNOWN) dose was not reported, dose 1, 1 total administered to the left arm on 11-MAR-2021 for covid-19 prophylaxis. Age at time of vaccination 63 years old. Concomitant medications included vitamin D (ergocalciferol) and metoprolol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient also received non-company suspect vaccine included: Moderna covid-19 vaccine (elasomeran) (dose number in series 2) (form of administration, route of administration were not reported, batch number: 077C21B and expiry: unknown) dose was not reported, dose 2 administered to the left arm on 30-OCT-2021 for covid-19 prophylaxis. Age at time of vaccination 63 years old. The patient also additionally received non-company suspect vaccine included: Moderna covid-19 vaccine (elasomeran) (dose number in series 3) (form of administration, route of administration were not reported, batch number: 059U21A and expiry: unknown) dose was not reported, dose 3 administered to the left arm on 02-JUN-2022 for covid-19 prophylaxis. Age at time of vaccination 64 years old. The patient received non-company co-suspect drug Paxlovid (form of administration, route of administration, batch number, and expiry were not reported) dose was not reported, administered from 12-JUL-2022 to 17-JUL-2022 for treatment of COVID-19. It was reported that on 19-JUL-2022, after taking Paxlovid the patient tested negative. It was also mentioned that on 22-JUL-2022, evening the symptoms came back (coded as confirmed covid-19 infection) (dose number in series 3) which led to confirmed clinical vaccination failure (dose number in series 1). On 23-JUL-2022, patient tested positive. On 28-JUL-2022, the patient was positive with symptoms. On 19-JUL-2022, Laboratory data included: COVID-19 virus test Negative. On 23-JUL-2022, Laboratory data included: COVID-19 virus test Positive. On 28-JUL-2022, Laboratory data included: COVID-19 virus test Positive. Laboratory data (dates unspecified) included: Blood pressure elevated. The action taken with Moderna covid-19 vaccine (elasomeran) was not applicable. The outcome of the confirmed covid-19 infection and confirmed clinical vaccination failure was not reported. This report was serious (Other Medically Important Condition). This report was associated with a product quality complaint: 90000245895.; Sender's Comments: V0:20220820200-covid-19 vaccine ad26.cov2.s- confirmed clinical vaccination failure. The event(s) has a compatible/suggestive temporal relationship, is unlabeled and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS. Therefore, this event(s) is considered not related.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Blood pressure measurement
Hospital-Tage: -
Labordaten: Test Date: 20220719; Test Name: COVID-19 TEST; Test Result: Negative ; Test Date: 20220723; Test Name: COVID-19 TEST; Test Result: Positive ; Test Date: 20220728; Test Name: COVID-19 TEST; Test Result: Positive ; Test Name: BLOOD PRESSURE; Result Unstructured Data: elevated
Aktuelle Erkrankungen: Blood pressure high (managed)
Vorgeschichte: Medical History/Concurrent Conditions: Drug allergy (triple antibiotic); Comments: The patient was not pregnant at the time of vaccination
Andere Medikamente: METOPROLOL; VITAMIN D [ERGOCALCIFEROL]
Allergien: -
Vorherige Impfungen: -

VAERS 2407895

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: PR
Alter: 61,0
Geschlecht: F
Eingang: 11.08.2022
Impfdatum: 23.11.2021
Beginn: 26.05.2022
Tage bis Beginn: 184,0
Dosis: 3
Route/Site: OT / LA

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

Expired product administered No adverse event Product storage error

Symptomtext

Vial was expired on 13-May-2022, stored in refrigerator on 21-Jan-2022 and administered on 26-May-2022; No adverse reaction; Dose administered after expiration date; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Dose administered after expiration date), PRODUCT STORAGE ERROR (Vial was expired on 13-May-2022, stored in refrigerator on 21-Jan-2022 and administered on 26-May-2022) and NO ADVERSE EVENT (No adverse reaction) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 003K21-2A and 077C21B) for COVID-19 prophylaxis. The patient's past medical history included Hepatobiliary disorder prophylaxis. Concurrent medical conditions included Rheumatoid arthritis. Concomitant products included ESTRADIOL, PANTOPRAZOLE, LOSARTAN and ETODOLAC for an unknown indication. On 23-Nov-2021 at 8:23 AM, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .25 milliliter. On 26-May-2022 at 2:19 PM, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .25 milliliter. On 26-May-2022 at 2:19 PM, the patient experienced EXPIRED PRODUCT ADMINISTERED (Dose administered after expiration date). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Vial was expired on 13-May-2022, stored in refrigerator on 21-Jan-2022 and administered on 26-May-2022) and NO ADVERSE EVENT (No adverse reaction). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Dose administered after expiration date), PRODUCT STORAGE ERROR (Vial was expired on 13-May-2022, stored in refrigerator on 21-Jan-2022 and administered on 26-May-2022) and NO ADVERSE EVENT (No adverse reaction) outcome was unknown. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered NO ADVERSE EVENT (No adverse reaction) to be not related. No further causality assessments were provided for EXPIRED PRODUCT ADMINISTERED (Dose administered after expiration date) and PRODUCT STORAGE ERROR (Vial was expired on 13-May-2022, stored in refrigerator on 21-Jan-2022 and administered on 26-May-2022). Patient had not ever been diagnosed with/ tested positive for COVID-19. The event did not cause the patient to seek medical care. It was unknown if there was any other potential causes. It was unknown if the patient experienced a similar event in the past. The vial did not undergo any temperature excursions No treatment medications were provided.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Rheumatoid arthritis
Vorgeschichte: Medical History/Concurrent Conditions: Hepatobiliary disorder prophylaxis
Andere Medikamente: ESTRADIOL; PANTOPRAZOLE; LOSARTAN; ETODOLAC
Allergien: -
Vorherige Impfungen: -

VAERS 2394914

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 74,0
Geschlecht: M
Eingang: 28.07.2022
Impfdatum: 04.11.2021
Beginn: 22.07.2022
Tage bis Beginn: 260,0
Dosis: 3
Route/Site: - / -

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

COVID-19 Inappropriate schedule of product administration SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

Breakthrough case admission after third dose; Moderna 3/7/21 Lot# 023M20A; Moderna 4/8/21 Lot# 018V21A; Moderna 11/4/21 Lot# 077C21B

Weitere VAERSDATA-Felder

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

VAERS 2374773

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 66,0
Geschlecht: M
Eingang: 20.07.2022
Impfdatum: 13.11.2021
Beginn: 18.07.2022
Tage bis Beginn: 247,0
Dosis: 3
Route/Site: UN / UN

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

Asthenia Confusional state

Symptomtext

weakness, confusion

Weitere VAERSDATA-Felder

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

VAERS 2367966

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MN
Alter: 72,0
Geschlecht: M
Eingang: 13.07.2022
Impfdatum: 19.11.2021
Beginn: 12.07.2022
Tage bis Beginn: 235,0
Dosis: 3
Route/Site: IM / LA

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

Patient vaccinated against and then tested positive for COVID19

Weitere VAERSDATA-Felder

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

VAERS 2367917

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MN
Alter: 64,0
Geschlecht: F
Eingang: 13.07.2022
Impfdatum: 09.06.2022
Beginn: 12.07.2022
Tage bis Beginn: 33,0
Dosis: 3
Route/Site: IM / LA

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

Patient vaccinated against and then tested positive for COVID19

Weitere VAERSDATA-Felder

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

VAERS 2361034

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MT
Alter: 63,0
Geschlecht: F
Eingang: 07.07.2022
Impfdatum: 02.11.2021
Beginn: 31.05.2022
Tage bis Beginn: 210,0
Dosis: 3
Route/Site: IM / UN

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

COVID-19

Symptomtext

Patient hospitalized with COVID while vaccinated.

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: 14,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2290316

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: OH
Alter: 38,0
Geschlecht: F
Eingang: 23.05.2022
Impfdatum: 19.11.2021
Beginn: 19.04.2022
Tage bis Beginn: 151,0
Dosis: 4
Route/Site: IM / RA

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

Audiogram Deafness Injection

Symptomtext

I started experiencing hearing loss after my second booster vaccine. I made an appointment with the ENT specialist, he gave me a steroid injection in my inner ear. I have not recovered and I am being monitored for any changes.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Audiogram
Hospital-Tage: -
Labordaten: Audiogram
Aktuelle Erkrankungen: None
Vorgeschichte: Meniere's Disease; Cystic Bullous Disease
Andere Medikamente: Flonase; vitamin D3 2000 unit; Allegra as needed; multivitamin
Allergien: Penicillin; amoxicillin
Vorherige Impfungen: -

VAERS 2271168

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 70,0
Geschlecht: M
Eingang: 11.05.2022
Impfdatum: 15.02.2021
Beginn: 19.01.2022
Tage bis Beginn: 338,0
Dosis: UNK
Route/Site: - / -

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

COVID-19 Haematuria SARS-CoV-2 test positive

Symptomtext

01/19/22 presents to ED for "gross hematuria". PMHx of "BPH, status post TURP, hypertension, diabetes"

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: 01/19/22 SARS-CoV-2 (COVID-19) by NAA detected
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2270586

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: OH
Alter: -
Geschlecht: U
Eingang: 11.05.2022
Impfdatum: 18.01.2022
Beginn: 18.01.2022
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

Patient administered vaccine on 18-JAN-2022, which was expired on 14-Jan-2022 and continuously stored in stable FREEZER environment. Only stored in fridge on date of administration for thaw period; 1 Expired Dose Administered; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (1 Expired Dose Administered) and PRODUCT STORAGE ERROR (Patient administered vaccine on 18-JAN-2022, which was expired on 14-Jan-2022 and continuously stored in stable FREEZER environment. Only stored in fridge on date of administration for thaw period) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. No Medical History information was reported. On 18-Jan-2022, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 18-Jan-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (1 Expired Dose Administered). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Patient administered vaccine on 18-JAN-2022, which was expired on 14-Jan-2022 and continuously stored in stable FREEZER environment. Only stored in fridge on date of administration for thaw period). At the time of the report, EXPIRED PRODUCT ADMINISTERED (1 Expired Dose Administered) and PRODUCT STORAGE ERROR (Patient administered vaccine on 18-JAN-2022, which was expired on 14-Jan-2022 and continuously stored in stable FREEZER environment. Only stored in fridge on date of administration for thaw period) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. It was reported that the vaccine was continuously stored in stable freezer environment. It was only stored in fridge on date of administration for thaw period. 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 2263531

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MT
Alter: 38,0
Geschlecht: M
Eingang: 04.05.2022
Impfdatum: 02.11.2021
Beginn: 23.08.2021
Tage bis Beginn: -
Dosis: 1
Route/Site: IM / RA

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

COVID Breakthrough case Symptoms began: 08/23/2021 Lab confirmed: 08/23/2021

Weitere VAERSDATA-Felder

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

VAERS 2263153

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MA
Alter: 51,0
Geschlecht: M
Eingang: 04.05.2022
Impfdatum: 29.10.2021
Beginn: 29.10.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

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

Back disorder Blood test Dyschezia Dysuria Feeling cold Hypoaesthesia Laboratory test Limb discomfort Magnetic resonance imaging abnormal

Symptomtext

On 10-29-2021, in the afternoon after my 2nd Moderna dose, my feet got numb, it feels like I have heavy wrinkled socks on the bottom of both feet, whether I walk or lie down with no shoes, my feet are very cold to this day. It is more on the right leg. It starts at my waist and goes down. I was having a problem going to the bathroom.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Back disorder
Hospital-Tage: -
Labordaten: I went to my dr. because I could not go to the bathroom. They did lab work, blood work and they did an MRI. I do not know the dates. They saw wear and tear on my back. The dr. said it was not the shot and he sent me to a specialist for my back.
Aktuelle Erkrankungen: N/A
Vorgeschichte: High blood pressure
Andere Medikamente: Fish oil High blood pressure pill Advil
Allergien: N/A
Vorherige Impfungen: 10/01/2021, Moderna, Dose 1, 077C21B.

VAERS 2261999

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: KY
Alter: 81,0
Geschlecht: F
Eingang: 03.05.2022
Impfdatum: 01.11.2021
Beginn: 14.03.2022
Tage bis Beginn: 133,0
Dosis: 3
Route/Site: IM / AR

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

In March of 2022 I tested positive for COVID.

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: COVID home test PCR test
Aktuelle Erkrankungen: No
Vorgeschichte: No
Andere Medikamente: Multivitamin Evista Vitamin D
Allergien: Daptomycin
Vorherige Impfungen: -

VAERS 2260317

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MT
Alter: 82,0
Geschlecht: F
Eingang: 02.05.2022
Impfdatum: 07.01.2021
Beginn: 08.05.2021
Tage bis Beginn: 121,0
Dosis: 3
Route/Site: IM / LA

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

COVID Breakthrough case Symptoms began: 05/08/21 Lab confirmed: 05/13/21

Weitere VAERSDATA-Felder

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

VAERS 2260242

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MT
Alter: 50,0
Geschlecht: F
Eingang: 02.05.2022
Impfdatum: 14.01.2021
Beginn: 26.09.2021
Tage bis Beginn: 255,0
Dosis: 3
Route/Site: IM / RA

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

COVID Breakthrough case Symptoms began: Lab confirmed: 09/26/2021

Weitere VAERSDATA-Felder

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

VAERS 2256728

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MN
Alter: 25,0
Geschlecht: M
Eingang: 28.04.2022
Impfdatum: 22.11.2021
Beginn: 28.04.2022
Tage bis Beginn: 157,0
Dosis: 3
Route/Site: IM / LA

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

COVID-19 Gastrointestinal haemorrhage

Symptomtext

GI bleed COVID incidental findings

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: 1,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2254667

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 88,0
Geschlecht: F
Eingang: 27.04.2022
Impfdatum: 08.11.2021
Beginn: 24.04.2022
Tage bis Beginn: 167,0
Dosis: 3
Route/Site: IM / AR

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

Asthenia COVID-19 Chest X-ray abnormal Hypoxia Lung disorder SARS-CoV-2 test positive

Symptomtext

Hospitalized 04/24/2022-04/25/2022; COVID-19 positive 04/24/2022; fully vaccinated plus booster Date of Admission: 4/24/2022 Discharge Date: 4/25/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19 virus infection [U07.1] HOSPITAL COURSE: Patient is a 88 y.o. female who presents today with weakness . pmh parkinsons, hypothyroid, chronic fatigue, pad . She has received x3 doses of covid vaccine . In ed tested positive for covid -19 . Found to be hypoxic to 88% with activity . cxr showing Multifocal chronic changes. No acute interval change. Oxygen placed . hospitalist service contacted for admission . She was continued on supplemental oxygen. Patient was treated with systemic steroids and antiviral agent Remdesivir. PT/OT evaluated recommended home with home health short-term PT/OT. Patient's supplemental oxygen was weaned to room air with adequate oxygenation at rest and with exertion. Support specialists consulted for discharge planning and any outpatient services. Electrolytes were monitored and repleted throughout the admission. Patient clinically improved and hemodynamically stable for discharge. Discussed plan of care discharge with patient including outpatient follow-up PCP within 7 days. She will continue 3 Duchenne all days of dexamethasone and antitussives. Patient voiced understanding was agreeable with plan of care discharge.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Asthenia
Hospital-Tage: 1,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Retinal artery branch occlusion of right eye Peripheral vascular disease, unspecified Gastroesophageal reflux disease without esophagitis COVID-19 virus infection Parkinson's disease Chronic bilateral low back pain without sciatica Hyperlipemia Hypothyroid Hypothyroidism due to acquired atrophy of thyroid Chronic fatigue Imbalance Dizziness Other osteoporosis without current pathological fracture Depression, major, in remission At risk for falling Legally blind
Andere Medikamente: aspirin 325 MG tablet benzonatate (TESSALON) 100 MG capsule calcium carbonate (TUMS) 500 MG chewable tablet CALCIUM PO carbidopa-levodopa (SINEMET) 25-100 MG per tablet Cyanocobalamin (B-12 PO) dexamethasone (DECADRON) 6 MG tablet glycerin-
Allergien: Iodine
Vorherige Impfungen: -

VAERS 2243492

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 73,0
Geschlecht: F
Eingang: 20.04.2022
Impfdatum: 30.12.2020
Beginn: 21.07.2021
Tage bis Beginn: 203,0
Dosis: UNK
Route/Site: - / -

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

COVID-19 Dialysis device insertion SARS-CoV-2 test positive

Symptomtext

7/21/21 PMHx of Afib (on Eliquis), dementia, HTN, Stroke, CKD, presented for planned access for dialysis future.

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: 7/26/21 SARS-CoV-2 (COVID-19) by NAA Detected
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2243196

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 55,0
Geschlecht: F
Eingang: 20.04.2022
Impfdatum: 19.12.2020
Beginn: 11.09.2021
Tage bis Beginn: 266,0
Dosis: UNK
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

9/10/21 PMH of perforated diverticulitis s/p Hartmann's at hospital c/b right ureteral injury s/p ureteral reimplantation, LOA, and repair of serosal defect in TI c/o abscess, fistula

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: 9/11/21 SARS-CoV-2 (COVID-19) by NAA, Micro Detected
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2243188

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 73,0
Geschlecht: F
Eingang: 20.04.2022
Impfdatum: 18.02.2021
Beginn: 19.08.2021
Tage bis Beginn: 182,0
Dosis: UNK
Route/Site: - / -

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

COVID-19 Dysuria Oedema peripheral SARS-CoV-2 test positive

Symptomtext

8/19/21 history of developmental delay, DM type 2 not on insulin, HLD, hypothyroidism, venous insufficiency who presents for evaluation of lower extremity edema and dysuria

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: 8/19/21 SARS-CoV-2 (COVID-19) by NAA, Micro Detected
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2228724

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: KY
Alter: 90,0
Geschlecht: M
Eingang: 12.04.2022
Impfdatum: 29.10.2021
Beginn: 05.04.2022
Tage bis Beginn: 158,0
Dosis: 3
Route/Site: IM / RA

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

Tested positive at hospital on 4-5-22

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: 3,0
Labordaten: positive COVID 19 test on 4-5-22
Aktuelle Erkrankungen: unknown
Vorgeschichte: hypertension, cardiovascular disease, Lewy Body Dementia
Andere Medikamente: unknown
Allergien: unknown
Vorherige Impfungen: -

VAERS 2214710

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: VA
Alter: 68,0
Geschlecht: F
Eingang: 04.04.2022
Impfdatum: 09.11.2021
Beginn: 21.12.2021
Tage bis Beginn: 42,0
Dosis: 3
Route/Site: IM / LA

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

Alopecia Electrocardiogram Laboratory test Nightmare Panic disorder

Symptomtext

I started experiencing violent night mares six weeks after the vaccination, blood oxygen 87 dropping and awake in a panic state, extreme hair losss 12/21/2021 - 01/2022/2022 six weeks after. I went to the doctor 02/08/2022 , tested thyriod, ekg, and scheduled heart test- stress, ultra sound of renial artieries and heart. back off vivid night mares 03/01/2022. Upcoming appointment for heart results. Improving but not recovered yet.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Alopecia
Hospital-Tage: -
Labordaten: Tested thyriod, ekg, and scheduled heart test- stress, ultra sound of renial artieries and heart.
Aktuelle Erkrankungen: No
Vorgeschichte: Thriod, High blood pressure
Andere Medikamente: Euthrox 100mcg once daily, Cadiaxt 360 mg once a day, mg Sparotonolotone 12.5, B12 500 , 1000mg D3, Fish Oil tablet
Allergien: To high pressure drug, Alpha blockers and Beta Blocjer,
Vorherige Impfungen: High Dose Flu at 65, blood sugar drop -fatigue nausea

VAERS 2211255

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 91,0
Geschlecht: F
Eingang: 01.04.2022
Impfdatum: 02.11.2021
Beginn: 14.12.2021
Tage bis Beginn: 42,0
Dosis: 3
Route/Site: - / -

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

Unevaluable event

Symptomtext

ED/Hospitalization within 6 weeks of COVID vaccination.

Weitere VAERSDATA-Felder

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

VAERS 2206670

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 86,0
Geschlecht: F
Eingang: 30.03.2022
Impfdatum: 09.11.2021
Beginn: 06.12.2021
Tage bis Beginn: 27,0
Dosis: 3
Route/Site: - / -

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

Humerus fracture Skin laceration Subdural haematoma

Symptomtext

Patient was found to have a right proximal humerus fx, SDH, and right forehead laceration. She arrived hemodynamically stable and was admitted to the hospital by trauma service and neurosurgery and orthopedics were consulted. Treated is hospital. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Humerus fracture
Hospital-Tage: 16,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2201791

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 67,0
Geschlecht: F
Eingang: 28.03.2022
Impfdatum: 05.11.2021
Beginn: 15.12.2021
Tage bis Beginn: 40,0
Dosis: 3
Route/Site: - / -

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

Diverticulitis

Symptomtext

Acute diverticulitis - treated and released. Hospital admission within 6 weeks of receiving the COVID vaccine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Diverticulitis
Hospital-Tage: 2,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2201486

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 71,0
Geschlecht: F
Eingang: 28.03.2022
Impfdatum: 02.11.2021
Beginn: 27.01.2022
Tage bis Beginn: 86,0
Dosis: 3
Route/Site: SYR / LA

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

Atrial fibrillation Cardiac flutter Cardioversion Echocardiogram Electrocardiogram abnormal

Symptomtext

I went to the doctor for a normal heart exam appointment on 01/27/2022, and when the doctor came in to perform an EKG, they discovered my heart had a flutter and was close to atrial fibrillation. They scheduled me for a transesophageal echocardiogram procedure on 01/31/2022 where they put a tube down my esophagus to take a picture of my heart to determine the proper diagnosis, and then performed a cardioversion where they put paddles on my chest and back and shocked my heart into normal rhythm. After the procedures, I was discharged the same day and have been fine since then. The doctor doesn't want to say directly that the vaccine caused the atrial fibrillation, but also mentioned that's the only thing that could have triggered it.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Atrial fibrillation
Hospital-Tage: 1,0
Labordaten: EKG: 01/27/2022, Transesophageal echocardiogram procedure: 01/31/2022, Cardioversion: 01/31/2022.
Aktuelle Erkrankungen: N/A
Vorgeschichte: Crohn's Disease; High Blood Pressure; Cirrhosis of Liver; Mild Kidney Disease; Atrial Fibrillation
Andere Medikamente: Acetaminophen 500mg; Eliquis 10mg; Baclofen 10mg; Calcium 500mg; Vitamin D 25mcg; Entyvio; Glyburide 2.5mg; Imodium; Loratadine 10mg; Losartan 10mg; Metoprolol succinate; Montelukast 10mg; Multivitamin supplement; Trazodone 50mg; Valacyclov
Allergien: Amoxicillin; Cat dander
Vorherige Impfungen: -

VAERS 2196550

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: KS
Alter: 81,0
Geschlecht: F
Eingang: 24.03.2022
Impfdatum: 08.11.2021
Beginn: 13.11.2021
Tage bis Beginn: 5,0
Dosis: 3
Route/Site: IM / LA

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

Adverse event Anosmia

Symptomtext

Patient lost sense of smell 5 days after her booster dose of the COVID vaccine. She states symptoms completely resolved about 3 weeks ago.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Adverse event
Hospital-Tage: -
Labordaten: None, pt did not contact me at the time of the adverse event.
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: alendronate, b complex, calcium - vitamin d, famotidine, fexofenadine, fluticasone, Hydrochlorothiazide, losartan, metronidazole 0.75% cream, omega 3 fatty acid, olopatadine ophthalmic solution, pantoprazole, pazeo 0.7% ophthalmic solution,
Allergien: amoxicillin, guaifenesin (hallucinations), codeine (hallucinations), lisinopril (cough)
Vorherige Impfungen: -

VAERS 2196494

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 30,0
Geschlecht: F
Eingang: 24.03.2022
Impfdatum: 30.11.2021
Beginn: 02.12.2021
Tage bis Beginn: 2,0
Dosis: 1
Route/Site: - / -

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

Angioedema Hypersensitivity

Symptomtext

Allergic reaction to the Moderna COVID-19 vaccine, High severity - angioedema reaction. Reported by primary care.

Weitere VAERSDATA-Felder

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

VAERS 2179760

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 79,0
Geschlecht: F
Eingang: 15.03.2022
Impfdatum: 29.10.2021
Beginn: 27.11.2021
Tage bis Beginn: 29,0
Dosis: 3
Route/Site: IM / UN

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

Intestinal obstruction

Symptomtext

Patient presented to urgent care and was subsequently hospitalized within 6 weeks of receiving booster shot. This hospitalization was for complete intestinal obstruction.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Intestinal obstruction
Hospital-Tage: 6,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2151641

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 36,0
Geschlecht: F
Eingang: 02.03.2022
Impfdatum: 28.10.2021
Beginn: 01.12.2021
Tage bis Beginn: 34,0
Dosis: 3
Route/Site: IM / RA

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

Caesarean section Exposure during pregnancy Placenta praevia

Symptomtext

Admitted for placenta previa in third trimester. C-section on 12/2/2021. Hospital admission within 6 weeks of receiving the COVID vaccine.

Weitere VAERSDATA-Felder

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

VAERS 2134667

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 73,0
Geschlecht: F
Eingang: 23.02.2022
Impfdatum: 23.11.2021
Beginn: 02.02.2022
Tage bis Beginn: 71,0
Dosis: 2
Route/Site: IM / RA

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

COVID-19

Symptomtext

covid-19 illness

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: 17,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2134662

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 90,0
Geschlecht: M
Eingang: 23.02.2022
Impfdatum: 09.11.2021
Beginn: 02.02.2022
Tage bis Beginn: 85,0
Dosis: 3
Route/Site: IM / LA

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

COVID-19

Symptomtext

covid-19 illness

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: 12,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2134618

PFIZER\BIONTECH · COVID19 (COVID19 (PFIZER-BIONTECH)) · Charge 077C21B

gering

Staat: -
Alter: 71,0
Geschlecht: M
Eingang: 23.02.2022
Impfdatum: 16.11.2021
Beginn: 25.01.2022
Tage bis Beginn: 70,0
Dosis: 3
Route/Site: IM / LA

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

COVID-19

Symptomtext

covid-19 illness

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: 8,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2134285

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 85,0
Geschlecht: F
Eingang: 23.02.2022
Impfdatum: 09.11.2021
Beginn: 18.11.2021
Tage bis Beginn: 9,0
Dosis: 3
Route/Site: - / -

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

Atrial fibrillation Cardiac ablation Cardiac pacemaker insertion Troponin increased

Symptomtext

In the ED, patient was noted to have elevated troponin, she was in A. fib but not in RVR, subsequently admitted to hospital. implantation of pacemaker and AV node ablation performed and discharged to rehab. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Atrial fibrillation
Hospital-Tage: 7,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2116047

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 69,0
Geschlecht: F
Eingang: 16.02.2022
Impfdatum: 01.11.2021
Beginn: 07.12.2021
Tage bis Beginn: 36,0
Dosis: 2
Route/Site: - / -

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

Blood loss anaemia

Symptomtext

Acute blood loss anemia. ED visit and hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.

Weitere VAERSDATA-Felder

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

VAERS 2112881

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: CO
Alter: 49,0
Geschlecht: M
Eingang: 15.02.2022
Impfdatum: 21.12.2021
Beginn: 22.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

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

Hypertensive urgency SARS-CoV-2 test negative

Symptomtext

Moderna COVID-19 Vaccine EUA: Patient hospitalized with hypertensive urgency and possible systemic inflammatory response syndrome. Received lorazepam, antihypertensive medications, and intravenous fluids and event resolved. Discharged to home medically stable.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Hypertensive urgency
Hospital-Tage: 3,0
Labordaten: On admission: SARS-CoV-2 negative.
Aktuelle Erkrankungen: None
Vorgeschichte: hypertension, hyperlipidemia, vitamin D deficiency, dysphagia, hypokalemia, post-traumatic stress disorder, developmental delay, schizophrenia
Andere Medikamente: acetaminophen, aluminum and magnesium hydroxide-simethicone, amlodipine, atorvastatin, chlorhexidine, cholecalciferol, hydrochlorothiazide, ibuprofen, lisinopril, magnesium hydroxide, potassium chloride, asenapine
Allergien: None
Vorherige Impfungen: -

VAERS 2110171

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 67,0
Geschlecht: M
Eingang: 14.02.2022
Impfdatum: 03.11.2021
Beginn: 04.01.2022
Tage bis Beginn: 62,0
Dosis: 3
Route/Site: UN / UN

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

COVID-19 Decreased appetite Depression Discomfort Hallucination, auditory Paranoia SARS-CoV-2 test positive Suicidal ideation

Symptomtext

This is a 67y.o. male . Patient carries a diagnosis of schizophrenia. This time he presented with depression, hearing voices telling him to kill himself and was paranoid towards people. He felt uncomfortable among people and was socially isolated. Patient needed to be transferred off the unit to general medical floor due to becoming positive for COVID. He is readmitted to monitor his condition and complete quarantine before discharge. Patient has been improving. Patient reports feeling much better. Suicidal ideation are completely gone. Voices are less intense. His mood is much better. He has started to eat better.

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: 22,0
Labordaten: Results SARS-COV-2 NAA, Repeat 12/31/2021 12:55 AM - Background Component Value Ref Range & Units Status Specimen Submitted Nasopharyngeal Final SARS-CoV-2 (COVID-19) Detected Abnormal Not detected Final Methodology Final Nucleic Acid Amplification (NAA)/Polymerase Chain Reaction (RT-PCR). This SARS-CoV-2 test is for in vitro diagnostic use under the FDA Emergency Use Authorization (EUA) by laboratories certified to perform high complexity testing. This test has not been FDA cleared or approved.
Aktuelle Erkrankungen: ? Anxiety ? BPH with urinary obstruction ? COPD (chronic obstructive pulmonary disease) (CMS/HCC) continues to smoke ? Coronary artery disease 02/2017 NSTEMI and stent to LAD ? CVA (cerebral vascular accident) (CMS/HCC) ? Foley catheter status had one in for 10 days, removed 6-22-2015 ? GERD (gastroesophageal reflux disease) ? H/O cardiovascular stress test 2013 EF 58 % , NEGATIVE ? Hypertension stable ? Lives in group home patient signs his own consents ? Primary osteoarthritis ? Psychotic disorder with delusions due to known physiological condition ? Schizophrenia (CMS/HCC) ? Smoking ? Spinal stenosis of cervical region ? Teeth missing ? Thyroid disease hypothyroid ? Urine retention ? Vitamin D deficiency ? Walking 2 hours daily Past Surgical History:
Vorgeschichte: ? Anxiety ? BPH with urinary obstruction ? COPD (chronic obstructive pulmonary disease) (CMS/HCC) continues to smoke ? Coronary artery disease 02/2017 NSTEMI and stent to LAD ? CVA (cerebral vascular accident) (CMS/HCC) ? Foley catheter status had one in for 10 days, removed 6-22-2015 ? GERD (gastroesophageal reflux disease) ? H/O cardiovascular stress test 2013 EF 58 % , NEGATIVE ? Hypertension stable ? Lives in group home patient signs his own consents ? Primary osteoarthritis ? Psychotic disorder with delusions due to known physiological condition ? Schizophrenia (CMS/HCC) ? Smoking ? Spinal stenosis of cervical region ? Teeth missing ? Thyroid disease hypothyroid ? Urine retention ? Vitamin D deficiency ? Walking 2 hours daily Past Surgical History:
Andere Medikamente: KlonoPIN, Breo Ellipta, FOLATE, HydrOXYzine HCl, SYNTHROID, LEVOTHROID, BENEDETTO, Lumateperone Tosylate, LOPRESSOR, PROTONIX, FLOMAX, DESYREL, TRINTELLIX
Allergien: ? Penicillins Rash and Short of Breath/Wheezing Unspecified. Patient tolerated rocephin and cefepime
Vorherige Impfungen: -

VAERS 2108603

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: TN
Alter: 37,0
Geschlecht: F
Eingang: 12.02.2022
Impfdatum: 05.11.2021
Beginn: 30.11.2021
Tage bis Beginn: 25,0
Dosis: 3
Route/Site: IM / LA

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

Lymphadenopathy

Symptomtext

After getting Moderna booster, a few weeks later, the lymph node in my underarm on that side became swollen. It is still swollen, now 3 months later. Planned ultrasound March 4.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Lymphadenopathy
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: N/A
Vorgeschichte: Herpes
Andere Medikamente: Nuvaring, Acyclovir
Allergien: Sulfa, Penicillin
Vorherige Impfungen: -

VAERS 2643304

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: OR
Alter: -
Geschlecht: M
Eingang: 11.02.2022
Impfdatum: 19.01.2022
Beginn: 01.01.2022
Tage bis Beginn: -
Dosis: 3
Route/Site: IM / RA

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

Expired product administered No adverse event Product administration error

Symptomtext

No adverse side effects from vaccine administration error. This is an error only report for expired vaccine given. Moderna was contacted in efforts to conclude if the vaccines administered on January 19th were efficacious or not. "The vaccine administered on January 19, 2022 from lot number 077C21B maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. " No known sequela from the event.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: None
Allergien: NKDA, NKA
Vorherige Impfungen: -

VAERS 2643302

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: OR
Alter: 42,0
Geschlecht: M
Eingang: 11.02.2022
Impfdatum: 19.01.2022
Beginn: 19.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Expired product administered No adverse event Product administration error

Symptomtext

No adverse side effects from vaccine administration error. This is an error only report for expired vaccine given. Moderna was contacted in efforts to conclude if the vaccines administered on January 19th were efficacious or not. Moderna Case CEA-1680 was reviewed. "The vaccine administered on January 19, 2022 from lot number 077C21B maintained the activity necessary to protect against the SARS-CoV-2 (COVID-19) virus at time of administration. " No known sequela from the event.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: -
Andere Medikamente: -
Allergien: NKDA, NKA
Vorherige Impfungen: -

VAERS 2643298

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: OR
Alter: -
Geschlecht: M
Eingang: 11.02.2022
Impfdatum: 20.05.2021
Beginn: 19.01.2022
Tage bis Beginn: 244,0
Dosis: UNK
Route/Site: IM / LA

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

Expired product administered

Symptomtext

No adverse side effects from vaccine administration error. This is an error only report for expired vaccine given. Moderna was contacted in efforts to conclude if the vaccines administered on January 19th were efficacious or not "The vaccine administered on January 19, 2022 from lot number 077C21B maintained the activity necessary to protect against the SARS-CoV-2(COVID-19) virus at time of administration. "No known sequela from the event.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: -
Andere Medikamente: Flovent; Albuterol
Allergien: NKDA, NKA
Vorherige Impfungen: -

VAERS 2101121

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: OR
Alter: -
Geschlecht: M
Eingang: 10.02.2022
Impfdatum: 19.01.2022
Beginn: 19.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / -

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

Expired product administered

Symptomtext

Expired dose administered to 7 patients; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired dose administered to 7 patients) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. No Medical History information was reported. On 19-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 19-Jan-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired dose administered to 7 patients). On 19-Jan-2022, EXPIRED PRODUCT ADMINISTERED (Expired dose administered to 7 patients) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Patients were not under any concomitant or regular medication. It was reported that there were 7 doses from 1 vial. The vial was initially stored in the refrigerator on 19-Jan-2022. The vial did not undergo any temperature excursions. The reporter mentioned that no adverse events were observed in any of the patients and no treatment was given.

Weitere VAERSDATA-Felder

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

VAERS 2101120

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: OR
Alter: -
Geschlecht: M
Eingang: 10.02.2022
Impfdatum: 19.01.2022
Beginn: 19.01.2022
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: OT / -

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

Expired product administered

Symptomtext

Expired dose administered to patient; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired dose administered to patient) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. No Medical History information was reported. On 19-Jan-2022, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Jan-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired dose administered to patient). On 19-Jan-2022, EXPIRED PRODUCT ADMINISTERED (Expired dose administered to patient) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were reported. It was reported by Health care professional that they administered 7 doses of an expired vial of Moderna COVID-19 Vaccine to 7 patients on 19-Jan-2022. It was further stated by the Health care professional that no adverse events were observed in the patients. Health care professional stated no treatment was given and patients were not under any concomitant or regular medication. The date of vaccination of 1st dose and 2nd dose was unknown. The expiration date of 1st dose and 2nd dose was unknown. The vial was initially stored into refrigerator on 19-Jan-2022. The vial did not undergo any temperature excursions.

Weitere VAERSDATA-Felder

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

VAERS 2098686

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MN
Alter: 58,0
Geschlecht: M
Eingang: 09.02.2022
Impfdatum: 14.11.2021
Beginn: 23.11.2021
Tage bis Beginn: 9,0
Dosis: 3
Route/Site: IM / LA

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

Nasal congestion Nasopharyngitis

Symptomtext

I developed stuffy nose Sinusitis Nov 23rd-24th 2021. Thought it was a cold. I dealt with it for awhile (weeks) then went to a Nurse Physician got antibiotics, took for a week, no improvement, went to a Dr. and got different anitbiotics, took these fully. These courses ended and did NO good for sinus relief. I then took 8 days of Sudafed with NO noticeable relief. The only thing that helps me is Sinex Supreme. This is not supposed to be a long-term use nasal spray.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Nasal congestion
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None noted. This was after the Moderna booster shot. I had the 1st Covid Moderna 3/20/21, and the 2nd Moderna 4/7/21.
Vorgeschichte: I developed Sinusitis Nov 23rd-24th. Thought it was a cold. I dealt with it for awhile (weeks) then went to a Nurse Physician got antibiotics, took for a week, no improvement, went to a Dr. and got different anitbiotics, took all fully. These courses ended and did NO good for sinus relief. I then took 8 days of Sudafed with no noticeable relief. The only thing that helps me is Sinex Supreme.
Andere Medikamente: Atorvastatin 10 mg, Once daily Tamsulosin 0.4 mg, Once daily
Allergien: Penicillin, Allegra-D the "D" part raises my blood pressure. Sloe gin gives rash
Vorherige Impfungen: -

VAERS 2095886

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: OH
Alter: 30,0
Geschlecht: F
Eingang: 08.02.2022
Impfdatum: 01.11.2021
Beginn: 31.01.2022
Tage bis Beginn: 91,0
Dosis: 3
Route/Site: IM / AR

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

I developed a scratchy throat, dry cough, fever and muscle aches on January 31st, 2022. I was tested for COVID-19 on February 2nd, 2022 with a PCR test and was called on February 3rd, 2022 to be told that I had tested positive for COVID-19. This being approximately 3 months after having received a Moderna booster shot. My fever and body aches lasted 48 hours, today on February 8th, 2022, one week after my symptoms began I am still experiencing a cough, nasal congestion and sinus/ear pain as well as sinus drainage. My 8 month old daughter and my 2 year old daughter have also exhibited symptoms of the virus.

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: SARS-CoV-2 RNA (RT-PCR) completed on 2/02/2022 at 10:16 AM - results positive
Aktuelle Erkrankungen: N/A
Vorgeschichte: PCOS
Andere Medikamente: Nature Made Postnatal Vitamin, Norethindrone Birth Control Pill
Allergien: -
Vorherige Impfungen: -

VAERS 2092202

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: OR
Alter: -
Geschlecht: F
Eingang: 07.02.2022
Impfdatum: 19.01.2022
Beginn: 19.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / -

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

Expired product administered

Symptomtext

Expired dose administered to 7 patients; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired dose administered to 7 patients) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. No Medical History information was reported. On 19-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Jan-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired dose administered to 7 patients). On 19-Jan-2022, EXPIRED PRODUCT ADMINISTERED (Expired dose administered to 7 patients) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Reporter stated that they administered 7 doses of an expired vial of Moderna COVID 19 Vaccine to 7 patients on 19 January 2022. The expiry date of vaccine was on 14 January 2022. Date of Vaccination for first and second doses and their lot numbers were unknown. Reporter mentioned no adverse events were observed in any of the patients and stated that no treatment was given to the patients. Patients were not under any concomitant or regular medication.

Weitere VAERSDATA-Felder

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

VAERS 2092184

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: OR
Alter: -
Geschlecht: M
Eingang: 07.02.2022
Impfdatum: 19.01.2022
Beginn: 19.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / -

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

Expired product administered

Symptomtext

Expired dose administered to 7 patients; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired dose administered to 7 patients) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. No Medical History information was reported. On 19-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 19-Jan-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired dose administered to 7 patients). On 19-Jan-2022, EXPIRED PRODUCT ADMINISTERED (Expired dose administered to 7 patients) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant and treatment medication was reported. No adverse events were observed in any of the patients. Date the vial was initially stored in the refrigerator on 19-Jan-2022. The vial undergone no temperature excursions.

Weitere VAERSDATA-Felder

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

VAERS 2092123

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: OR
Alter: -
Geschlecht: M
Eingang: 07.02.2022
Impfdatum: 19.01.2022
Beginn: 19.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / -

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

Expired product administered

Symptomtext

they administered 7 doses of an expired vial to 7 patients; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (they administered 7 doses of an expired vial to 7 patients) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. No Medical History information was reported. On 19-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Jan-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (they administered 7 doses of an expired vial to 7 patients). On 19-Jan-2022, EXPIRED PRODUCT ADMINISTERED (they administered 7 doses of an expired vial to 7 patients) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. HCP stated they administered 7 doses of an expired vial of Moderna COVID-19 Vaccine to 7 patients on 19Jan2022. Caller mentioned no adverse events were observed in any of the patients. HCP stated no treatment was given and patients were not under any concomitant or regular medication.

Weitere VAERSDATA-Felder

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

VAERS 2092061

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: OR
Alter: -
Geschlecht: M
Eingang: 07.02.2022
Impfdatum: 19.01.2022
Beginn: 19.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / -

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

Expired product administered

Symptomtext

Expired dose administered to 7 patients; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired dose administered to 7 patients) in a male patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. No Medical History information was reported. On 19-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Jan-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired dose administered to 7 patients). On 19-Jan-2022, EXPIRED PRODUCT ADMINISTERED (Expired dose administered to 7 patients) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. The patient did not use any concomitant or regular medication. The vial did not undergo any temperature excursions. The patient did not experience any adverse events and no treatment was taken.

Weitere VAERSDATA-Felder

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

VAERS 2089762

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: OR
Alter: -
Geschlecht: F
Eingang: 05.02.2022
Impfdatum: 19.01.2022
Beginn: 19.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / -

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

Expired product administered

Symptomtext

Expired dose administered to 7 patients; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired dose administered to 7 patients) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. No Medical History information was reported. On 19-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 19-Jan-2022, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired dose administered to 7 patients). On 19-Jan-2022, EXPIRED PRODUCT ADMINISTERED (Expired dose administered to 7 patients) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Reporter stated that they administered 7 doses of an expired vial of Moderna COVID 19 Vaccine to 7 patients on 19 January 2022. The vial did not undergo any temperature excursions. It was reported that no adverse events were observed in any of the patients and no treatment was given to them. Patients were not under any concomitant or regular medication. The expiry date of vaccine was on 14 January 2022.

Weitere VAERSDATA-Felder

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

VAERS 2085279

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: OR
Alter: 1,5
Geschlecht: U
Eingang: 03.02.2022
Impfdatum: 19.01.2022
Beginn: 19.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / UN

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

Product storage error

Symptomtext

7 COVID-19 BOOSTER DOSES OF MODERNA WERE THAWED AND ADMINISTERED ON JAN 19. THE VIAL HAD INFACT EXPIRED ON JAN 14.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product storage error
Hospital-Tage: -
Labordaten: NONE
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: N/A
Allergien: N/A
Vorherige Impfungen: -

VAERS 2085270

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 68,0
Geschlecht: M
Eingang: 03.02.2022
Impfdatum: 03.11.2021
Beginn: 31.12.2021
Tage bis Beginn: 58,0
Dosis: 3
Route/Site: UN / UN

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

Asymptomatic COVID-19 Dysphagia Emotional disorder Occult blood positive SARS-CoV-2 test positive Suicide attempt

Symptomtext

This is a 67y.o. male admitted to the geropsychiatric transfer to floor because of positive occult attest is noted on the geropsychiatric unit appears there was a Covid outbreak on the geropsychiatric unit so wall patient's that were tested positive transmitted to the medical floor she Was Transferred to the: Regular the Hospital Currently Asymptomatic regarding Covert Has No Chills Fever Sweats No Difficulty with Loss of Taste and Smell Patient Is at Baseline regarding His Emotional Disorder He Is Agreeable to Go to the Medical Unit and Be Evaluated. Patient Has an Allergy to Penicillin Long-Standing History of Depression or Suicidal Ideation Emotional Disorder Very Dependent upon Dr. Is Emotional Support. Patient to Sign Using the First Suicide Attempt to Means of Having His Medications Adjusted and Keeping Him in the Hospital Rather Going Back to a Facility. This Time the Patient Is Asymptomatic regarding: She Is Agreeable to Go to the Cove Unit on the Inpatient Side at This Time No Unusual Complaints Still Having Difficulty Eating Swallowing. NO Shortness of Breath Cough Dyspnea Congestion.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Asymptomatic COVID-19
Hospital-Tage: 10,0
Labordaten: -
Aktuelle Erkrankungen: Anxiety ? BPH with urinary obstruction ? COPD (chronic obstructive pulmonary disease) continues to smoke ? Coronary artery disease 02/2017 NSTEMI and stent to LAD ? CVA (cerebral vascular accident) ? Foley catheter status had one in for 10 days, removed 6-22-2015 ? GERD (gastroesophageal reflux disease) ? H/O cardiovascular stress test 2013 EF 58 % , NEGATIVE ? Hypertension stable ? Lives in group home patient signs his own consents ? Primary osteoarthritis ? Psychotic disorder with delusions due to known physiological condition ? Schizophrenia ? Smoking ? Spinal stenosis of cervical region ? Teeth missing ? Thyroid disease hypothyroid ? Urine retention ? Vitamin D deficiency ? Walking 2 hours daily
Vorgeschichte: Anxiety ? BPH with urinary obstruction ? COPD (chronic obstructive pulmonary disease) continues to smoke ? Coronary artery disease 02/2017 NSTEMI and stent to LAD ? CVA (cerebral vascular accident) ? Foley catheter status had one in for 10 days, removed 6-22-2015 ? GERD (gastroesophageal reflux disease) ? H/O cardiovascular stress test 2013 EF 58 % , NEGATIVE ? Hypertension stable ? Lives in group home patient signs his own consents ? Primary osteoarthritis ? Psychotic disorder with delusions due to known physiological condition ? Schizophrenia ? Smoking ? Spinal stenosis of cervical region ? Teeth missing ? Thyroid disease hypothyroid ? Urine retention ? Vitamin D deficiency ? Walking 2 hours daily
Andere Medikamente: clonazePAM (KlonoPIN) 0.5 MG PO Tab take 0.5 mg by mouth once daily. fluticasone-vilanterol (Breo Ellipta) 100-25 MCG/INH INHAL AEROSOL POWDER, BREATH ACTIVATED inhale 1 Puff into the lungs once daily. Med Note (Wed Dec 8, 2021 9
Allergien: pennicillin
Vorherige Impfungen: -

VAERS 2076622

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: CO
Alter: 15,0
Geschlecht: M
Eingang: 31.01.2022
Impfdatum: 01.12.2021
Beginn: 01.12.2021
Tage bis Beginn: 0,0
Dosis: UNK
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

No adverse event. Patient was only 15 at the time of the injection and Moderna is only approved for 18 and older and we were advised to complete a VAERS form regardless of whether an adverse event occurred.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None known
Vorgeschichte: seasonal allergies
Andere Medikamente: None
Allergien: NKDA
Vorherige Impfungen: -

VAERS 2075494

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 78,0
Geschlecht: F
Eingang: 31.01.2022
Impfdatum: 08.04.2021
Beginn: 19.01.2022
Tage bis Beginn: 286,0
Dosis: UNK
Route/Site: IM / LA

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 2071835

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 29,0
Geschlecht: F
Eingang: 28.01.2022
Impfdatum: 02.12.2021
Beginn: 25.01.2022
Tage bis Beginn: 54,0
Dosis: 3
Route/Site: UN / UN

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

Possible breakthrough infection *1st dose administered at pharmacy *2nd dose administered at Health Care Facility

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: COVID + on 1/26/2022
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2071792

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MN
Alter: 63,0
Geschlecht: M
Eingang: 28.01.2022
Impfdatum: 02.11.2021
Beginn: 27.01.2022
Tage bis Beginn: 86,0
Dosis: 3
Route/Site: IM / LA

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

Patient vaccinated against and then tested positive for COVID19

Weitere VAERSDATA-Felder

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

VAERS 2071783

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MN
Alter: 66,0
Geschlecht: F
Eingang: 28.01.2022
Impfdatum: 02.11.2021
Beginn: 27.01.2022
Tage bis Beginn: 86,0
Dosis: 3
Route/Site: IM / LA

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

Patient vaccinated against and then tested positive for COVID19

Weitere VAERSDATA-Felder

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

VAERS 2071758

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21B

gering

Staat: MT
Alter: 87,0
Geschlecht: M
Eingang: 28.01.2022
Impfdatum: 28.10.2021
Beginn: 23.01.2022
Tage bis Beginn: 87,0
Dosis: 3
Route/Site: IM / LA

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

COVID-19

Symptomtext

Diagnosed and hospitalized with Covid while vaccinated.

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: 2,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2065729

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: CO
Alter: 41,0
Geschlecht: F
Eingang: 26.01.2022
Impfdatum: 01.11.2021
Beginn: 01.11.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Underdose

Symptomtext

The patient received a booster dose of Moderna when it should have been a full dose. Following CDC guidance, the patient was advised to repeat the dose.

Weitere VAERSDATA-Felder

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

VAERS 2062302

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 80,0
Geschlecht: F
Eingang: 25.01.2022
Impfdatum: 08.11.2021
Beginn: 20.01.2022
Tage bis Beginn: 73,0
Dosis: 3
Route/Site: UN / UN

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

Possible breakthrough infection

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: COVID + on 1/20/2022
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2058978

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

gering

Staat: MI
Alter: 40,0
Geschlecht: M
Eingang: 24.01.2022
Impfdatum: 03.11.2021
Beginn: 10.12.2021
Tage bis Beginn: 37,0
Dosis: 3
Route/Site: IM / LA

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

Parosmia

Symptomtext

patient smells smoke (his description was cigarette smoke/nicotine). onset 1 week after Moderna booster vaccine. patient is a non-smoker

Weitere VAERSDATA-Felder

Praegender Schweregrund: Parosmia
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: No
Vorgeschichte: No
Andere Medikamente: N/A
Allergien: no known allergies
Vorherige Impfungen: -

VAERS 2054113

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MN
Alter: 88,0
Geschlecht: M
Eingang: 21.01.2022
Impfdatum: 19.11.2021
Beginn: 20.01.2022
Tage bis Beginn: 62,0
Dosis: 3
Route/Site: IM / LA

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

Patient vaccinated against and then tested positive for COVID19

Weitere VAERSDATA-Felder

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

VAERS 2050951

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: AL
Alter: 16,0
Geschlecht: F
Eingang: 20.01.2022
Impfdatum: 20.12.2021
Beginn: 20.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Inappropriate schedule of product administration Interchange of vaccine products

Symptomtext

On Tuesday January 18th 2022, patient presented herself, along with her legal guardian to the covid vaccination clinic for her second dose of covid vaccination. Legal Guardian was given an adult Pfizer form for fill out on behalf of Patient is 16 years old. When the patient came up the vaccination I noted that she had signed the form herself and as she is 16 I requested her legal guardian co sign, which she did. I checked the date of previous vaccination and name on the vaccination record card presented by Patient and then proceeded to give Patient her dose of purple top adult Pfizer 0.3mls. When Patient's family member ( another minor) came up it was noted an error on the family members card and so Patient's was examined again and found to have Moderna indicated for first dose. Patient's paperwork from her first covid vaccination was pulled from the storage files to check if the card was an error. The vaccination record shows Patient got Moderna lot # 077C21B on 12.20.21 administered by an agency registered nurse as her first dose. The electronic record showed the same. It was 29 days post first vaccination that the Pfizer was administered. I reported the error to my supervisor and then further in an e mail as requested. I advised her legal guardian that we would await further instruction on how to move forward. Since the second vaccination the doctor has indicated that the patient is now considered fully vaccinated. (1.19.22). As per my supervision request I am completing the VAERS.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Inappropriate schedule of product administration
Hospital-Tage: -
Labordaten: non
Aktuelle Erkrankungen: non stated
Vorgeschichte: non stated
Andere Medikamente: non stated
Allergien: non stated
Vorherige Impfungen: -

VAERS 2050940

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: AL
Alter: 15,0
Geschlecht: F
Eingang: 20.01.2022
Impfdatum: 20.12.2021
Beginn: 20.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

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

Product administered to patient of inappropriate age

Symptomtext

On Tuesday January 18th 2022, patient presented herself, along with her legal guardian to the Health Dept covid vaccination clinic for her second dose of covid vaccination. Legal Guardian, was given an adult Pfizer form for fill out on behalf of patient, as patient is 15 years old. When patient came up for vaccination I noted that she had Moderna indicated as her first dose on her vaccination record card. Patient's paperwork from her first covid vaccination was pulled from the storage files to check if the card was an error. The vaccination record shows patient got Moderna lot # 077C21B on 12.20.21 administered by an agency registered nurse, as her first dose. The electronic record showed the same. I did not proceed with further vaccination and reported the error to my supervisor and then further in an e mail as requested. I advised legal guardian, that we would await further instruction on how to move forward. As per request I am completing the ARIA and VAERS.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product administered to patient of inappropriate age
Hospital-Tage: -
Labordaten: non
Aktuelle Erkrankungen: non stated
Vorgeschichte: non stated
Andere Medikamente: unknown
Allergien: no stated
Vorherige Impfungen: -

VAERS 2043209

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: CO
Alter: 16,0
Geschlecht: M
Eingang: 18.01.2022
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: ja

Product administered to patient of inappropriate age

Symptomtext

16 year old patient given Booster dose before boosters were approved for this age range and with the Moderna vaccine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product administered to patient of inappropriate age
Hospital-Tage: -
Labordaten: None.
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2011242

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 68,0
Geschlecht: F
Eingang: 18.01.2022
Impfdatum: 10.11.2021
Beginn: 15.01.2022
Tage bis Beginn: 66,0
Dosis: 3
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

COVID breakthrough case

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: COVID positive on 01/15/22
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2038392

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: KY
Alter: 73,0
Geschlecht: M
Eingang: 16.01.2022
Impfdatum: 18.11.2021
Beginn: 10.01.2022
Tage bis Beginn: 53,0
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 2034847

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 80,0
Geschlecht: M
Eingang: 14.01.2022
Impfdatum: 16.11.2021
Beginn: 12.01.2022
Tage bis Beginn: 57,0
Dosis: 3
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

COVID breakthrough case

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: COVID positive on 1/12/22
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2028516

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 87,0
Geschlecht: M
Eingang: 12.01.2022
Impfdatum: 10.11.2021
Beginn: 03.01.2022
Tage bis Beginn: 54,0
Dosis: 3
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive Vaccine breakthrough infection

Symptomtext

COVID breakthrough case

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: COVID positive on 1/11/22
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2027986

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

gering

Staat: MT
Alter: 71,0
Geschlecht: M
Eingang: 12.01.2022
Impfdatum: 05.11.2021
Beginn: 05.01.2022
Tage bis Beginn: 61,0
Dosis: 3
Route/Site: IM / RA

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

Herpes zoster

Symptomtext

Pt developed severe shingles to face

Weitere VAERSDATA-Felder

Praegender Schweregrund: Herpes zoster
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: none known
Vorgeschichte: central sleep apnea, ESRD on dialysis, CHF, hypertension, diabetes, atrial fibrillation
Andere Medikamente: warfarin, requip, omeprazole, renvela, glipizide, midodrine, magnesium, citrucel, simvastatin, gabapentin, calcitriol, cincacalcet, mircera, sildenafil, venofer
Allergien: zantac, quinine, pcn, keflex,cefaclor, amoxicillin
Vorherige Impfungen: -

VAERS 2021519

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 41,0
Geschlecht: F
Eingang: 10.01.2022
Impfdatum: 18.10.2021
Beginn: 05.01.2022
Tage bis Beginn: 79,0
Dosis: UNK
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

symptoms and positive test

Weitere VAERSDATA-Felder

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

VAERS 2017805

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: KS
Alter: 28,0
Geschlecht: F
Eingang: 08.01.2022
Impfdatum: 03.01.2022
Beginn: 03.01.2022
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / LA

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

Accidental underdose Product administration error

Symptomtext

I didn't get the full dose/I don't even think that he got the full dose in me; There was a large drop that went from the injection site down to my elbow; This spontaneous case was reported by a nurse and describes the occurrence of ACCIDENTAL UNDERDOSE (I didn't get the full dose/I don't even think that he got the full dose in me) and PRODUCT ADMINISTRATION ERROR (There was a large drop that went from the injection site down to my elbow) in a 28-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. No Medical History information was reported. On 03-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-Jan-2022, the patient experienced ACCIDENTAL UNDERDOSE (I didn't get the full dose/I don't even think that he got the full dose in me) and PRODUCT ADMINISTRATION ERROR (There was a large drop that went from the injection site down to my elbow). On 03-Jan-2022, ACCIDENTAL UNDERDOSE (I didn't get the full dose/I don't even think that he got the full dose in me) and PRODUCT ADMINISTRATION ERROR (There was a large drop that went from the injection site down to my elbow) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. No treatment information were reported.

Weitere VAERSDATA-Felder

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

VAERS 2014081

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MN
Alter: 71,0
Geschlecht: F
Eingang: 07.01.2022
Impfdatum: 01.11.2021
Beginn: 13.12.2021
Tage bis Beginn: 42,0
Dosis: 3
Route/Site: IM / LA

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

Myelopathy Neurological symptom

Symptomtext

Cervical myelopathy with progressive neurologic changes. Hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Myelopathy
Hospital-Tage: 1,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2000212

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: IN
Alter: 81,0
Geschlecht: F
Eingang: 03.01.2022
Impfdatum: 11.11.2021
Beginn: -
Tage bis Beginn: -
Dosis: 3
Route/Site: OT / -

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

Polyarthritis

Symptomtext

after booster shoot she started experiencing inflammation in all her joints all over the body.; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 26-Dec-2021 and was forwarded to Moderna on 26-Dec-2021. This spontaneous case was reported by a consumer and describes the occurrence of ARTHRITIS (after booster shoot she started experiencing inflammation in all her joints all over the body.) in an 81-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. No Medical History information was reported. On 11-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 ARTHRITIS (after booster shoot she started experiencing inflammation in all her joints all over the body.). At the time of the report, ARTHRITIS (after booster shoot she started experiencing inflammation in all her joints all over the body.) outcome was unknown. Reporter states that concomitant medication includes blood pressure medication for high blood medication. Reporter states that treatment medication includes steroid medication.; Sender's Comments: This is a spontaneous case received from an unknown source, reported by a consumer, concerns a 81 year old elderly female with no relevant medical history, who experienced the unexpected non serious AESI of Polyarthritis, after the booster dose of mRNA-1273 vaccine given on 11 Nov 2021 . The route of administration, dose of the vaccine , onset date and time of the event was not reported. As per the reporter, after the booster shot, she started experiencing inflammation in all her joints all over the body. Concomitant medications included Blood pressure medications. Steroids were given as treatment medications for the event. The outcome of the event was not reported. The reporter did not provide any causality assessment for the event. The benefit-risk relationship of the mRNA-1273 vaccine is not affected by this report.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Polyarthritis
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Medical History/Concurrent Conditions: Blood pressure high
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1999242

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: CO
Alter: 15,0
Geschlecht: F
Eingang: 03.01.2022
Impfdatum: 07.12.2021
Beginn: 07.12.2021
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

15 year old received Moderna Covid vaccine rather than authorize Pfizer vaccine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product administered to patient of inappropriate age
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1995915

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

gering

Staat: -
Alter: 41,0
Geschlecht: F
Eingang: 31.12.2021
Impfdatum: 02.11.2021
Beginn: 25.12.2021
Tage bis Beginn: 53,0
Dosis: UNK
Route/Site: - / -

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

Suspected COVID-19 Vaccine breakthrough infection

Symptomtext

suspected COVID breakthrough

Weitere VAERSDATA-Felder

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

VAERS 1958844

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: KY
Alter: 48,0
Geschlecht: F
Eingang: 17.12.2021
Impfdatum: 29.11.2021
Beginn: 12.12.2021
Tage bis Beginn: 13,0
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 1958680

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: IL
Alter: 65,0
Geschlecht: M
Eingang: 17.12.2021
Impfdatum: 13.11.2021
Beginn: 13.11.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

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

Extra dose administered Incorrect dose administered

Symptomtext

On 11/13/21 Patient was given a Moderna Booster (0.25mL) Lot# 077C21B. Patient was supposed to get the 3rd dose as he is active for Lung Cancer tx. Provider contact patient and patient came in on 12/16/21 and received his 3rd Dose (0.5 mL) Lot #067H21A.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Extra dose administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1950497

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 43,0
Geschlecht: M
Eingang: 15.12.2021
Impfdatum: 29.11.2021
Beginn: 29.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / LA

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

Expired product administered

Symptomtext

received dose from vial punctured more than 12 hours before; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (received dose from vial punctured more than 12 hours before) in a 43-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. No Medical History information was reported. On 29-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .25 milliliter. On 29-Nov-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (received dose from vial punctured more than 12 hours before). On 29-Nov-2021, EXPIRED PRODUCT ADMINISTERED (received dose from vial punctured more than 12 hours before) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were reported. The vial was initially stored in the refrigerator on 26-NOV-2021. The vial was initially punctured on 26-Nov-2021. The vial had no temperature excursions. Patient did not have any adverse reactions. This case was linked to MOD-2021-400110 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 01-Dec-2021: Follow-up received contains Significant information-Updated Patient demographics-Height, Weight, Race, Ethnicity. Updated Product information-Patient route of administration, Anatomical location. Contains Updated Reporter's comment-Patient did not have any adverse reactions.

Weitere VAERSDATA-Felder

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

VAERS 1950496

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 60,0
Geschlecht: F
Eingang: 15.12.2021
Impfdatum: 29.11.2021
Beginn: 29.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / LA

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

Expired product administered

Symptomtext

Received dose from vial punctured more than 12 hours before; This spontaneous case was reported by a medical assistant and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Received dose from vial punctured more than 12 hours before) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. Concurrent medical conditions included GERD and Pain. Concomitant products included FAMOTIDINE from 02-Sep-2021 to an unknown date for GERD, IBUPROFEN and HYDROCODONE BITARTRATE, PARACETAMOL (HYDROCODONE/ACETAMINOPHEN) from 15-Mar-2021 to an unknown date for Pain. On 29-Nov-2021 at 9:30 AM, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .25 milliliter. On 29-Nov-2021 at 9:30 AM, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced EXPIRED PRODUCT ADMINISTERED (Received dose from vial punctured more than 12 hours before). On 29-Nov-2021 at 9:30 AM, EXPIRED PRODUCT ADMINISTERED (Received dose from vial punctured more than 12 hours before) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Patient received .25mL of Moderna on 11/29/21. The vial used was opened/punctured on 11/26/21 at 3:40pm and put the vial back in the fridge. Vials did not undergo any temperature excursion and was punctured only three times. Patient has not had any adverse reaction. This case was linked to MOD-2021-400131 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 01-Dec-2021: Follow up received: Patient demographics, dosage detail updated, Medical history and con-med details added

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: GERD; Pain
Vorgeschichte: -
Andere Medikamente: IBUPROFEN; FAMOTIDINE; HYDROCODONE/ACETAMINOPHEN
Allergien: -
Vorherige Impfungen: -

VAERS 1947840

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 65,0
Geschlecht: M
Eingang: 14.12.2021
Impfdatum: 29.10.2021
Beginn: 08.12.2021
Tage bis Beginn: 40,0
Dosis: 1
Route/Site: IM / LA

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

Atrial fibrillation Electrocardiogram abnormal Heart rate increased Ventricular extrasystoles

Symptomtext

Elevated heart rate (160 bpm) for over an hour. Determined to be AFib and was prescribed Eloquis and motropolol.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Atrial fibrillation
Hospital-Tage: -
Labordaten: EKG showed AFib and pvc?s
Aktuelle Erkrankungen: None
Vorgeschichte: Hyperlipemia
Andere Medikamente: Multivitamin Atorvastatin, calcium. 10mg once daily
Allergien: None
Vorherige Impfungen: -

VAERS 1942204

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: CO
Alter: 10,0
Geschlecht: M
Eingang: 11.12.2021
Impfdatum: 11.12.2021
Beginn: 11.12.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Incorrect dose administered No adverse event Product administered to patient of inappropriate age Wrong product administered

Symptomtext

RN administered the incorrect COVID-19 vaccine to patient. The patient was expected to received the Pediatric Pfizer (0.2ml) 2nd vaccine today, but was incorrectly administered a Moderna booster (0.25ml) dose. The father was present and immediately notified. Father enrolled in program. The patient did not experience any immediate side effects or symptoms. The father was informed that a VAERS report would be filed and we would follow up to check on patient in regards to any side effects or adverse effects of this error.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Incorrect dose administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: Unknown/not applicable
Vorgeschichte: Unknown/not applicable
Andere Medikamente: Not applicable/unknown
Allergien: NKA
Vorherige Impfungen: -

VAERS 1936594

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: IL
Alter: 26,0
Geschlecht: F
Eingang: 09.12.2021
Impfdatum: 11.11.2021
Beginn: 11.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: - / LA

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

Incorrect dose administered

Symptomtext

Staff gave patient Moderna booster 0.25mL instead of Moderna 3rd dose vaccine. Patient contacted by provider and will be returning on 12/10/2021 for Moderna third dose 0.50mL.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Incorrect dose administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1932861

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: CO
Alter: 17,0
Geschlecht: M
Eingang: 08.12.2021
Impfdatum: 04.11.2021
Beginn: 04.11.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

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

Product administered to patient of inappropriate age Wrong product administered

Symptomtext

Patient was administered the incorrect formulation of COVID vaccine. Patient received a Moderna vaccine instead of the appropriate Pfizer dose.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product administered to patient of inappropriate age
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: none
Allergien: none
Vorherige Impfungen: -

VAERS 1929057

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 65,0
Geschlecht: M
Eingang: 07.12.2021
Impfdatum: 10.11.2021
Beginn: 18.11.2021
Tage bis Beginn: 8,0
Dosis: 3
Route/Site: IM / RA

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

Electrocardiogram abnormal Ventricular extrasystoles

Symptomtext

Frequent PVC events (greater than 20-25%)

Weitere VAERSDATA-Felder

Praegender Schweregrund: Electrocardiogram abnormal
Hospital-Tage: -
Labordaten: ECG diagnosis PVC?s
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Tadalafil, modafinil, testosterone, elavil, kratom
Allergien: None
Vorherige Impfungen: -

VAERS 1925285

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: AL
Alter: 19,0
Geschlecht: M
Eingang: 06.12.2021
Impfdatum: 03.12.2021
Beginn: 03.12.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Inappropriate schedule of product administration Incorrect dose administered No adverse event

Symptomtext

PATIENT REPORTED HE NEEDED HIS SECOND DOSE. PROOF OF VACCINATION CARD ONLY LISTED FIRST SHOT. PATIENT RECEIVED 0.5ML DOSE AS A RESULT. AFTER ADMINISTERING THE VACCINATION, IT WAS DISCOVERED THROUGH IMMPRINT RECORDS THAT PATIENT HAD ALREADY RECEIVED THE SECOND DOSE ON 7/19/2021. THE 12/3/2021 VACCINATION SHOULD HAVE BEEN ADMINISTERED AS A BOOSTER DOSE OF 0.25 ML ON 1/15/2022 OR AFTER. PATIENT WAS NOTIFIED AND DID NOT REPORT ANY ADVERSE SIDE EFFECTS.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Inappropriate schedule of product administration
Hospital-Tage: -
Labordaten: NO MEDICAL TESTS WERE ADMINISTERED OR REQUIRED
Aktuelle Erkrankungen: NONE
Vorgeschichte: NONE
Andere Medikamente: NONE
Allergien: PENICILLINS
Vorherige Impfungen: -

VAERS 1925090

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 36,0
Geschlecht: M
Eingang: 06.12.2021
Impfdatum: 04.11.2021
Beginn: 04.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Expired product administered

Symptomtext

Patient was administered vaccine that had expired 5 hours earlier.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: NA
Vorgeschichte: Left varicocele- Scrotal US done 2/7/12 ADD (attention deficit disorder) Osteoarthritis of knees, bilateral Arachnoid cyst Chews tobacco Trigger middle finger of right hand PTSD (post-traumatic stress disorder) Mixed hyperlipidemia Anxiety and depression Chronic pain of both knees Chronic bilateral low back pain without sciatica OSA (obstructive sleep apnea) Low testosterone Nightmares associated with chronic post-traumatic stress disorder PLMD (periodic limb movement disorder) Class 1 obesity due to excess calories with serious comorbidity and body mass index (BMI) of 32.0 to 32.9 in adult Acute pain of left wrist Injury due to fall, subsequent encounter
Andere Medikamente: NA
Allergien: NA
Vorherige Impfungen: -

VAERS 1917097

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 47,0
Geschlecht: F
Eingang: 02.12.2021
Impfdatum: 02.12.2021
Beginn: 02.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

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

Cough Erythema Throat irritation

Symptomtext

Patient developed redness of cheeks, forehead and chest. Patient developed mild coughing and complained of throat irritation. Symptoms began approximately 15 minutes following vaccine. Symptoms resolved without treatment within 15 minutes.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Cough
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: unknown
Vorgeschichte: HTN. MTHFR gene mutation
Andere Medikamente: Ventolin inhaler 2 puffs q6 hours PRN, Ventolin 1.25 mg/3ml Nebulizer Solution, 1 vial q 6 hours PRN, Wellbutrin 100 mg SR tablets one daily, Zyrtec PO PRN, Vitamin D3 2000 unit PO QD Epipen 0.3 mg/0.3 ml autoinjector IM PRN, Flaxseed Oi
Allergien: IVP dye- iodine containing, Iodine, Shellfish
Vorherige Impfungen: -

VAERS 1916546

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: IN
Alter: 10,0
Geschlecht: M
Eingang: 02.12.2021
Impfdatum: 01.12.2021
Beginn: 01.12.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

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

No adverse event Product administered to patient of inappropriate age

Symptomtext

Moderna Booster 0.25mL given to 10 year old child. No signs of symptoms of allergic reaction noted. No adverse reactions noted or reported by patient x 30 minutes.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1913616

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MN
Alter: 64,0
Geschlecht: M
Eingang: 01.12.2021
Impfdatum: 24.11.2021
Beginn: 30.11.2021
Tage bis Beginn: 6,0
Dosis: 3
Route/Site: IM / LA

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

Patient vaccinated and later tested positive for COVID-19.

Weitere VAERSDATA-Felder

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

VAERS 1913459

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

gering

Staat: MN
Alter: 34,0
Geschlecht: F
Eingang: 01.12.2021
Impfdatum: 10.11.2021
Beginn: 13.11.2021
Tage bis Beginn: 3,0
Dosis: 3
Route/Site: IM / LA

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

Dysmenorrhoea Intermenstrual bleeding Menstruation irregular

Symptomtext

Light brown spotting started 3 days after receiving my third dose (booster) of the Moderna vaccine. Spotting then turned into full menstrual period, ending 12/22, then continuous light brown spotting to 12/1. My last regular menstrual period began 11/6 and ended 11/9 - 11/10. The period caused from the booster included cramping, clotting, bright red blood, dark blood, everything indicating a normal menstrual cycle. No disclosure was made at the time of any of the vaccinations that moderna could potentially effect menstrual cycles.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dysmenorrhoea
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: intense vertigo lasting 3 days from first two doses of Moderna.

VAERS 1905810

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 48,0
Geschlecht: U
Eingang: 29.11.2021
Impfdatum: 02.11.2021
Beginn: 02.11.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Immunodeficiency

Symptomtext

immunocompromised received 1/2 dose

Weitere VAERSDATA-Felder

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

VAERS 1896503

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MN
Alter: 72,0
Geschlecht: M
Eingang: 24.11.2021
Impfdatum: 04.11.2021
Beginn: 04.11.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: OT / LA

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

Expired product administered Product storage error

Symptomtext

Administration of booster shot which was more than 18 hr in fridge; Administration of booster shot which was more than 18 hr in fridge; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Administration of booster shot which was more than 18 hr in fridge) and PRODUCT STORAGE ERROR (Administration of booster shot which was more than 18 hr in fridge) in a 72-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. No Medical History information was reported.On 04-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form.On an unknown date, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 04-Nov-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Administration of booster shot which was more than 18 hr in fridge) and PRODUCT STORAGE ERROR (Administration of booster shot which was more than 18 hr in fridge). On 04-Nov-2021, EXPIRED PRODUCT ADMINISTERED (Administration of booster shot which was more than 18 hr in fridge) and PRODUCT STORAGE ERROR (Administration of booster shot which was more than 18 hr in fridge) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.No concomitant medications were reported.No treatment medications were reported. This case was linked to MOD-2021-388723, MOD-2021-385958 (Patient Link).

Weitere VAERSDATA-Felder

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

VAERS 1893083

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MN
Alter: 73,0
Geschlecht: M
Eingang: 23.11.2021
Impfdatum: 04.11.2021
Beginn: 04.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / LA

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

Expired product administered

Symptomtext

vial had been punctured for greater than 12 hours when the doses were administered; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (vial had been punctured for greater than 12 hours when the doses were administered) in a 73-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. No Medical History information was reported. On 04-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Nov-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (vial had been punctured for greater than 12 hours when the doses were administered). On 04-Nov-2021, EXPIRED PRODUCT ADMINISTERED (vial had been punctured for greater than 12 hours when the doses were administered) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medication information was not provided by the reporter. Treatment information was not provided by the reporter. This case was linked to MOD-2021-385958, MOD-2021-388696 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 16-Nov-2021: Follow-up received contains updated Reporter information, Patient details, Dose details and Event information.

Weitere VAERSDATA-Felder

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

VAERS 1892869

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MN
Alter: 67,0
Geschlecht: F
Eingang: 23.11.2021
Impfdatum: 04.11.2021
Beginn: 04.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / LA

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

Expired product administered Product storage error

Symptomtext

Administration of booster shot which was more than 18 hr in fridge/ gave a patient a booster does from a vile that had been started The previous day, it had been refrigerated the whole time; Administration of booster shot which was more than 18 hr in fridge; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Administration of booster shot which was more than 18 hr in fridge/ gave a patient a booster does from a vile that had been started The previous day, it had been refrigerated the whole time) and PRODUCT STORAGE ERROR (Administration of booster shot which was more than 18 hr in fridge) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. No Medical History information was reported. On 04-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Nov-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Administration of booster shot which was more than 18 hr in fridge/ gave a patient a booster does from a vile that had been started The previous day, it had been refrigerated the whole time) and PRODUCT STORAGE ERROR (Administration of booster shot which was more than 18 hr in fridge). On 04-Nov-2021, EXPIRED PRODUCT ADMINISTERED (Administration of booster shot which was more than 18 hr in fridge/ gave a patient a booster does from a vile that had been started The previous day, it had been refrigerated the whole time) and PRODUCT STORAGE ERROR (Administration of booster shot which was more than 18 hr in fridge) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. Treatment information was not provided. This case was linked to MOD-2021-388723, MOD-2021-388696 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 12-Nov-2021: Follow up appended on 12-nov-2021 contains Event related information. On 16-Nov-2021: Follow up received contains Patient demographics and Vaccine information.

Weitere VAERSDATA-Felder

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

VAERS 1885614

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 20,0
Geschlecht: F
Eingang: 19.11.2021
Impfdatum: 09.11.2021
Beginn: 11.11.2021
Tage bis Beginn: 2,0
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 1885527

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: -
Alter: 22,0
Geschlecht: M
Eingang: 19.11.2021
Impfdatum: 10.11.2021
Beginn: 18.11.2021
Tage bis Beginn: 8,0
Dosis: UNK
Route/Site: IM / -

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

Inappropriate schedule of product administration Interchange of vaccine products

Symptomtext

Patient came to a public vaccination clinic on 11/18/21 where he stated he had not yet received a covid-19 vaccine. He was then given the Pfizer vaccine as a "1st dose". When charting his vaccination, it was found out that patient received the Moderna Covid-19 vaccine on 11/10/21. Patient was too early for his second dose and received the wrong manufacturer. Unknown if patient experienced any side effects at the time of submitting this VAERS report.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Inappropriate schedule of product administration
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1885078

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

gering

Staat: TN
Alter: 61,0
Geschlecht: M
Eingang: 19.11.2021
Impfdatum: 18.11.2021
Beginn: 18.11.2021
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

patient received .25 ml of booster but thought he received a full dose for a 3rd dose. Dr told him to come get a 3rd dose but had booster. Patient informed that it was .25 not .5 and he was told he could receive the other .25 ml but did not want restuck. He said he may return in the next 2 weeks to receive the other .25 and was told after that he would need to wait for 6 months if a booster was then wanted. No adverse effects to patient just not the full dose given for a 3rd dose for immunocompromised individual.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Underdose
Hospital-Tage: -
Labordaten: none needed
Aktuelle Erkrankungen: none
Vorgeschichte: auto immune disorders
Andere Medikamente: none
Allergien: nka
Vorherige Impfungen: -

VAERS 1880957

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: AL
Alter: 51,0
Geschlecht: M
Eingang: 18.11.2021
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

Underdose

Symptomtext

The patient was inadvertently administered 0.25 ml of Moderna instead of 0.5 ml Moderna second dose in primary series. Patient were monitored 15 minutes without issue and left clinic. Error noticed during data entry into Roster. Medical provider notified and recommended the following. CDC recommendations of another 0.25 ml injection be given on the same day for optimal benefits. If patient refuses to come back for this dose, CDC will recognize 0.25 ml as an adequate second dose in the primary series. Therefore, in 6 months patients will be eligible for booster dose of 0.25 ml in 6 months. Patient notified and returned the same day. An additional 0.25 ml dose of Moderna was administered to the patient. Patient was monitored 15 minutes without issues.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Underdose
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: None Listed
Vorgeschichte: None Listed
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 1876542

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: TN
Alter: 85,0
Geschlecht: F
Eingang: 17.11.2021
Impfdatum: 04.11.2021
Beginn: 08.11.2021
Tage bis Beginn: 4,0
Dosis: 3
Route/Site: IM / LA

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

Blister

Symptomtext

Record of events were obtained from who is patient daughter as follows: Initial reactions occurred on 11/8/21 whereas patient developed blistering of left hand inbetween fingers and palms. The symptoms spread to right hand as well but not as severe. Patient received evaluation from a provider at This is not patient primary provider. She was not able to be seen that day by PCP. She was evaluated and prescribed cortisone cream "high dose" and was advised possible medication reaction. She was seen by PCP via a telehealth appt on 11/15 at. Reports the symptoms were better and almost resolved at the time of telehealth visit. She was prescribed triamcinolone cream at this visit. I spoke with patient on 11/15 and with her daughter on 11/17/21 and she reports that symptoms are almost resolved at this time. Patient is to follow up later with PCP.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Blister
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: no recent illness,
Vorgeschichte: medical history of hypothyroidism, COPD, pernicious anemia, seasonal allergies, arthritis, TIA, high cholesterol, high blood pressure
Andere Medikamente: levothyroxine, Trelegy, vitamin B12 injection, alendrondate, loratadine, meloxicam, clopidogrel, simvastatin, ezetimibe, xanax, metoprolol
Allergien: lipitor
Vorherige Impfungen: -

VAERS 1873006

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: OH
Alter: 43,0
Geschlecht: F
Eingang: 16.11.2021
Impfdatum: -
Beginn: 12.11.2021
Tage bis Beginn: -
Dosis: UNK
Route/Site: - / -

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

Lip swelling Swelling face

Symptomtext

SWOLLEN LIPS AND FACE FOR 3 DAYS SO FAR.

Weitere VAERSDATA-Felder

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

VAERS 1868571

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

gering

Staat: -
Alter: 8,0
Geschlecht: M
Eingang: 14.11.2021
Impfdatum: 14.11.2021
Beginn: 14.11.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / -

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

Product administered to patient of inappropriate age

Symptomtext

8 year old boy was administered a 0.25 ml Moderna booster dose instead of the pediatric Pfizer vaccine. Patient's mother was instructed to monitor son closely, counseled that side effects may be similar to what he may have experienced with Pfizer dose (ie sore arm, fever, aches, fatigue). Pediatrician on call was called, and no additional instructions were provided, other than to return for second dose of Pfizer-Pediatric in 4 weeks. Patient was to follow up with pediatrician as well.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product administered to patient of inappropriate age
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1868475

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: IA
Alter: 69,0
Geschlecht: M
Eingang: 14.11.2021
Impfdatum: 11.11.2021
Beginn: 11.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / -

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

Incorrect dose administered No adverse event

Symptomtext

Patient received a full third dose of 0.5ml instead of the booster dose of 0.25ml. No adverse event reported.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Incorrect dose administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1868473

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: IA
Alter: 52,0
Geschlecht: M
Eingang: 14.11.2021
Impfdatum: 11.11.2021
Beginn: 11.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / -

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

Incorrect dose administered

Symptomtext

Patient received a full third dose of 0.5ml instead of the booster dose of 0.25ml. No adverse event reported.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Incorrect dose administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1868469

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: IA
Alter: 89,0
Geschlecht: M
Eingang: 14.11.2021
Impfdatum: 11.11.2021
Beginn: 11.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / -

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

Incorrect dose administered

Symptomtext

Patient received a full third dose of 0.5ml instead of the booster dose of 0.25ml. No adverse event reported.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Incorrect dose administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1868466

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: IA
Alter: 75,0
Geschlecht: F
Eingang: 14.11.2021
Impfdatum: 11.11.2021
Beginn: 11.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / -

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

Incorrect dose administered No adverse event

Symptomtext

Patient received a full third dose of 0.5ml instead of the booster dose of 0.25ml. No adverse event reported.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Incorrect dose administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1868462

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: IA
Alter: 84,0
Geschlecht: F
Eingang: 14.11.2021
Impfdatum: 11.11.2021
Beginn: 11.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / -

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

Incorrect dose administered No adverse event

Symptomtext

Patient received a full third dose of 0.5ml instead of the booster dose of 0.25ml. No adverse event reported.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Incorrect dose administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1868461

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21B

gering

Staat: IA
Alter: 77,0
Geschlecht: F
Eingang: 14.11.2021
Impfdatum: 11.11.2021
Beginn: 11.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / -

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

Incorrect dose administered No adverse event

Symptomtext

Patient received a full third dose of 0.5ml instead of the booster dose of 0.25ml. No adverse event reported.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Incorrect dose administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1868459

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: IA
Alter: 68,0
Geschlecht: F
Eingang: 14.11.2021
Impfdatum: 11.11.2021
Beginn: 11.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / -

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

Incorrect dose administered No adverse event

Symptomtext

Patient received a full third dose of 0.5ml instead of the booster dose of 0.25ml. No adverse event reported.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Incorrect dose administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1868454

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: IA
Alter: 79,0
Geschlecht: F
Eingang: 14.11.2021
Impfdatum: 11.11.2021
Beginn: 11.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / -

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

Incorrect dose administered

Symptomtext

Patient received a full third dose of 0.5ml instead of the booster dose of 0.25ml. No adverse event reported.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Incorrect dose administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1868452

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: IA
Alter: 80,0
Geschlecht: F
Eingang: 14.11.2021
Impfdatum: 11.11.2021
Beginn: 11.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / -

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

Incorrect dose administered

Symptomtext

Patient received a full third dose of 0.5ml instead of the booster dose of 0.25ml. No adverse event reported.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Incorrect dose administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1867769

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MN
Alter: 78,0
Geschlecht: M
Eingang: 13.11.2021
Impfdatum: 04.11.2021
Beginn: 05.11.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / -

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

Asthenia Lethargy

Symptomtext

Increased weakness and lethargy observed day following booster. This has continued past 7 days now.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Asthenia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Seroquel, Gabapentin, Barbidopa-Levadopa, metoprolol, celebrex, namenda
Vorgeschichte: Parkinson's disease, Dementia, Gout, HTN, Aortic Valve Stenosis
Andere Medikamente: -
Allergien: Sensitivity to Hydrocodone
Vorherige Impfungen: Was more fatigued after last Moderna shot as well.

VAERS 1864920

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 16,0
Geschlecht: F
Eingang: 12.11.2021
Impfdatum: 05.11.2021
Beginn: 08.11.2021
Tage bis Beginn: 3,0
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

Inadvertent administration of vaccine. Client was 16 at time of administration, RN believed patient to be over 18 years of age. Given 50 mcg dose. Parent notified and reports no adverse reaction

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product administered to patient of inappropriate age
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: none
Allergien: none
Vorherige Impfungen: -

VAERS 1864724

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

gering

Staat: MN
Alter: 68,0
Geschlecht: M
Eingang: 12.11.2021
Impfdatum: 09.11.2021
Beginn: 10.11.2021
Tage bis Beginn: 1,0
Dosis: UNK
Route/Site: SYR / RA

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

Extra dose administered Heart rate increased

Symptomtext

This was a booster shot. I measured an extremely high pulse rate the first time I measured it roughly 24 hours after I had the injection. My typical pulse is 68 bpm. My pulse rate the entire evening (until midnight) was 120 bpm.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Extra dose administered
Hospital-Tage: -
Labordaten: none. The next morning my pulse was normal again.
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: amlodipine
Allergien: none
Vorherige Impfungen: -

VAERS 1864446

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: IN
Alter: 39,0
Geschlecht: F
Eingang: 12.11.2021
Impfdatum: 04.11.2021
Beginn: 04.11.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / -

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

Expired product administered

Symptomtext

Expired vaccine administered beyond 12 hours after first puncture; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered beyond 12 hours after first puncture) in a 39-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 077C21B) for COVID-19 vaccination. No Medical History information was reported. On 04-Nov-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Nov-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered beyond 12 hours after first puncture). On 04-Nov-2021, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered beyond 12 hours after first puncture) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medications were not provided. 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 1861409

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: CA
Alter: 15,0
Geschlecht: M
Eingang: 11.11.2021
Impfdatum: 10.11.2021
Beginn: 10.11.2021
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

Patient is a 15-year old male, should have received Pfizer instead of Moderna.

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 1861319

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

gering

Staat: MI
Alter: 40,0
Geschlecht: F
Eingang: 11.11.2021
Impfdatum: 06.11.2021
Beginn: 06.11.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / LA

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

Immunodeficiency Incorrect dose administered

Symptomtext

Patient received 0.25ml dose of moderna. patient should have received 0.5ml because they indicated they were immunocompromised on their cdc check list.

Weitere VAERSDATA-Felder

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

VAERS 1861311

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

gering

Staat: MI
Alter: 67,0
Geschlecht: F
Eingang: 11.11.2021
Impfdatum: 06.11.2021
Beginn: 06.11.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / RA

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

Immunodeficiency Incorrect dose administered

Symptomtext

Patient received 0.25ml dose of moderna. patient should have received 0.5ml because they indicated they were immunocompromised on their cdc check list.

Weitere VAERSDATA-Felder

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

VAERS 1861208

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

gering

Staat: MI
Alter: 18,0
Geschlecht: M
Eingang: 11.11.2021
Impfdatum: 05.11.2021
Beginn: 05.11.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: IM / -

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

Interchange of vaccine products No adverse event

Symptomtext

Patient received first does of pfizer and second dose of moderna, patient checked that his first dose was moderna on the cdc check list. on his vaccination card it said first does of moderna but on vaccine site it shows first dose was pfizer. patient had no adverse reaction or signs or symptoms while he was on site. no treatment was given.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Interchange of vaccine products
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: unknown
Vorgeschichte: unknown
Andere Medikamente: unknown
Allergien: unknown
Vorherige Impfungen: -

VAERS 1860552

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

gering

Staat: PA
Alter: 26,0
Geschlecht: M
Eingang: 11.11.2021
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: unbekannt

Inappropriate schedule of product administration

Symptomtext

Patient came to booster clinic < 45 days after receiving 2nd dose. Consent clearly states in bold" I understand I must wait six months from my initial series ".

Weitere VAERSDATA-Felder

Praegender Schweregrund: Inappropriate schedule of product administration
Hospital-Tage: -
Labordaten: n/a
Aktuelle Erkrankungen: n/a
Vorgeschichte: n/a
Andere Medikamente: n/a
Allergien: n/a
Vorherige Impfungen: -

VAERS 1857723

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 17,0
Geschlecht: F
Eingang: 10.11.2021
Impfdatum: 10.11.2021
Beginn: 10.11.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Exposure during pregnancy No adverse event Product administered to patient of inappropriate age

Symptomtext

17-year old pregnant female received Moderna covid - 19 vaccine. No adverse reaction reported so far.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Exposure during pregnancy
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1857701

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 16,0
Geschlecht: F
Eingang: 10.11.2021
Impfdatum: 10.11.2021
Beginn: 10.11.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Exposure during pregnancy No adverse event Product administered to patient of inappropriate age

Symptomtext

16-year old pregnant female received Moderna covid - 19 vaccine. No adverse reaction reported so far.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Exposure during pregnancy
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1854492

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: MI
Alter: 68,0
Geschlecht: F
Eingang: 09.11.2021
Impfdatum: 03.11.2021
Beginn: 03.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Product administration error

Symptomtext

The patient was given a booster dose (0.25ml) of Moderna when she had checked the box under the "Yes" column for question 3 (Have you ever had and allergic reaction to: A previous dose of a COVID-19 vaccine) on the CDC Prevaccination Checklist for Covid-19 Vaccines. Also, the dose of Moderna given was from a vial that was punctured 1030am 11/2/2021, which was the date prior. The dose was given on 11/3/2021 at 4:23pm, beyond the 12 hours after first puncture. The opened Moderna vial was labeled with the date, time and amount of doses after first puncture and placed in a ziplock bag in the Medication Fridge (kept between 2degC to 8degC). The nurse on site drew up the dose from this vial and gave it to the medical assistant to dose the patient with. The medical assistant who gave the dose was in charge of reviewing the CDC prevaccination checklist with the patient prior to administering the dose. The patient did not have any signs or symptoms after the adverse event while on site. The patient did not receive any treatment on site after the event.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product administration error
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1854378

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: KY
Alter: 69,0
Geschlecht: M
Eingang: 09.11.2021
Impfdatum: 01.04.2021
Beginn: 05.11.2021
Tage bis Beginn: 218,0
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 1849630

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: IN
Alter: 40,0
Geschlecht: M
Eingang: 07.11.2021
Impfdatum: 05.11.2021
Beginn: 05.11.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

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

Underdose

Symptomtext

Patient received a half dose of Moderna (0.25mL) instead of a full dose (0.5mL) which was necessary as it was the patient's first dose. The patient was unable to come back in to clinic same day so patient will be coming in 11/8 to receive a full dose and restart series.

Weitere VAERSDATA-Felder

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

VAERS 1843288

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: IN
Alter: 39,0
Geschlecht: F
Eingang: 04.11.2021
Impfdatum: 04.11.2021
Beginn: 04.11.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

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

Expired product administered

Symptomtext

The patient was administer the moderna vaccine after the expired time allow on the punctured vial.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: NKDA
Vorherige Impfungen: -

VAERS 1843064

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

gering

Staat: OH
Alter: -
Geschlecht: U
Eingang: 04.11.2021
Impfdatum: -
Beginn: -
Tage bis Beginn: -
Dosis: 3
Route/Site: IM / RA

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

Extra dose administered Peripheral swelling

Symptomtext

arm swelling - covid arm

Weitere VAERSDATA-Felder

Praegender Schweregrund: Extra dose administered
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1833413

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: AL
Alter: 58,0
Geschlecht: M
Eingang: 01.11.2021
Impfdatum: 01.11.2021
Beginn: 01.11.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

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

Wrong product administered

Symptomtext

Partner elected to recieve the Janssen vaccine, but was given the Moderna by mistake.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Wrong product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1833356

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: AL
Alter: 19,0
Geschlecht: M
Eingang: 01.11.2021
Impfdatum: 01.11.2021
Beginn: 01.11.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Wrong product administered

Symptomtext

Partner elected to recieve the Janssen vaccine, but was given the Moderna by mistake.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Wrong product administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1828722

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077c21b

gering

Staat: MN
Alter: 69,0
Geschlecht: M
Eingang: 29.10.2021
Impfdatum: 28.10.2021
Beginn: 29.10.2021
Tage bis Beginn: 1,0
Dosis: UNK
Route/Site: IM / RA

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

Incorrect dose administered

Symptomtext

Pt given 0.5ml instead of 0.25ml for booster dose.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Incorrect dose administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1822170

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 077C21B

gering

Staat: CA
Alter: 92,0
Geschlecht: M
Eingang: 27.10.2021
Impfdatum: 25.10.2021
Beginn: 25.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Incorrect dose administered

Symptomtext

Patient received a full third dose of Moderna vaccine but was supposed to receive the Booster dose of 0.25ml.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Incorrect dose administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: Knee replacement Left Joint, Knee replacement Right Joint
Vorgeschichte: Benign Neoplasm LG bowel, Benign prostatic hyperplasia localized, Dementia, Diabetes Mellitus Type 2, Edema, unspecified, Hyperkalemia, Hypertension (Systemic), Major depression recurrent episodes, Nocturia, Peripheral arterial disease, Primary Insomnia, Urinary Incontinence Functional
Andere Medikamente: Amlodipine Besylate 10mg , Terazosin HCI 2mg, Trazodone HCI 50mg, Wellbutrin SR 100mg, Allopurinol 100mg, HydroCHLOROtiazide 12.5mg, Torsemide 20mg
Allergien: No Known Allergies
Vorherige Impfungen: -