VAERS Reports 003 F21A

VAERS 2642266

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

kritisch

Staat: -
Alter: 79,0
Geschlecht: M
Eingang: 07.06.2023
Impfdatum: 10.12.2021
Beginn: 27.03.2023
Tage bis Beginn: 472,0
Dosis: 3
Route/Site: IM / LA

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

Acute kidney injury Acute myocardial infarction Cardiogenic shock Coronary artery disease Neuropathy peripheral

Symptomtext

G62.9 NEUROPATHY 8/12/2022 NONTRAUMATIC ACUTE KIDNEY INJURY I21.4 ACUTE NON ST ELEVATION MI 3/27/2023 NONTRAUMATIC ACUTE KIDNEY INJURY R57.0 CARDIOGENIC SHOCK 3/27/2023 NONTRAUMATIC ACUTE KIDNEY INJURY G62.9 NEUROPATHY 8/12/2022 CAD (CORONARY ARTERY DISEASE) WO ANGINA I21.4 ACUTE NON ST ELEVATION MI 3/27/2023 CAD (CORONARY ARTERY DISEASE) WO ANGINA R57.0 CARDIOGENIC SHOCK 3/27/2023 CAD (CORONARY ARTERY DISEASE) WO ANGINA

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

VAERS 2631196

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

kritisch

Staat: -
Alter: 75,0
Geschlecht: F
Eingang: 12.05.2023
Impfdatum: 23.04.2021
Beginn: 29.04.2021
Tage bis Beginn: 6,0
Dosis: 4
Route/Site: IM / LA

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

Acute respiratory failure Hypoxia Pneumonia aspiration

Symptomtext

J96.00 ACUTE RESPIRATORY FAILURE 4/29/2022 ASPIRATION PNEUMONIA R09.02 HYPOXIA 4/29/2022 ASPIRATION PNEUMONIA

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

VAERS 2629801

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

kritisch

Staat: -
Alter: 66,0
Geschlecht: M
Eingang: 10.05.2023
Impfdatum: 10.05.2022
Beginn: 10.08.2022
Tage bis Beginn: 92,0
Dosis: 4
Route/Site: IM / LA

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

Acute myocardial infarction Hypersensitivity Symptom recurrence

Symptomtext

PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE NON ST ELEVATION MI ALLERGIC REACTION, SUBSEQ 3/13/2023 -- RECURRENCE OF SAME SYMPTOMS

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

VAERS 2407107

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

kritisch

Staat: TX
Alter: 70,0
Geschlecht: M
Eingang: 10.08.2022
Impfdatum: 26.11.2021
Beginn: 05.08.2022
Tage bis Beginn: 252,0
Dosis: 3
Route/Site: IM / AR

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

Acute respiratory failure COVID-19 Cardiac failure acute Chronic kidney disease Chronic obstructive pulmonary disease Death Endotracheal intubation General physical health deterioration Hypoxia Inappropriate schedule of product administration Intensive care Left ventricular failure Multiple organ dysfunction syndrome Organising pneumonia Pneumonia Pneumonia bacterial SARS-CoV-2 test positive Shock

Symptomtext

Moderna COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Rec'd Moderna vaccine on 2/25/21, 3/24/21 and 11/26/21. Recent admit 7/24-26/22 for acute on chronic systolic HF, bacterial and crytogenic PNA, Covid (+ on 7/23), COPD exacerbation and CKD3. Readmitted on 8/1 for acute on chronic respiratory failure with hypoxia and PNA. Subsequently decompensated - transferred to ICU, intubated and placed on pressors. Developed rapidly worsening refractory pressor dependent shock and multi-system organ failure. Transitioned to comfort care. Expired 8/5. Tx'd with meropenem, cefepime, methylprednisolone, and nystatin.

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Praegender Schweregrund: Acute respiratory failure
Hospital-Tage: 4,0
Labordaten: Covid + 8/2/22 - This sample was analyzed, an automated system that integrates sample purification, nucleic acid amplification, and detection of the target sequence using RT-PCR and Real-time PCR.
Aktuelle Erkrankungen: -
Vorgeschichte: CHF, CAD with bypass in 2004, Depression, GERD, HTN, pacemaker, paroxysmal afib, OSA
Andere Medikamente: albuterol, amiodarone, apixaban, aspirin, budesonide/formoterol, carvedilol, dapsone, fenofibrate, fluticasone, furosemide, nitroglycerin, pantoprazole, paroxetine, prednisone, primidone, tiotropium
Allergien: NKDA
Vorherige Impfungen: -

VAERS 2192273

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

kritisch

Staat: -
Alter: 82,0
Geschlecht: F
Eingang: 22.03.2022
Impfdatum: 29.10.2021
Beginn: 03.12.2021
Tage bis Beginn: 35,0
Dosis: 3
Route/Site: - / -

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

Death

Symptomtext

Patient deceased within 6 weeks of COVID vaccination.

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

VAERS 2184196

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

kritisch

Staat: -
Alter: 90,0
Geschlecht: F
Eingang: 17.03.2022
Impfdatum: 29.10.2021
Beginn: 10.12.2021
Tage bis Beginn: 42,0
Dosis: 3
Route/Site: IM / RA

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

Death

Symptomtext

Patient dies of natural causes on 12/13/2021. Within 6 weeks of receiving the COVID vaccine.

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

VAERS 2071849

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

kritisch

Staat: IA
Alter: 61,0
Geschlecht: M
Eingang: 28.01.2022
Impfdatum: 27.10.2021
Beginn: 20.11.2021
Tage bis Beginn: 24,0
Dosis: 2
Route/Site: SYR / LA

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

Coronary arterial stent insertion Coronary artery occlusion Myocardial infarction

Symptomtext

Heart Attack, LAD artery 100% blocked, Stent placed to open up artery.

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Praegender Schweregrund: Myocardial infarction
Hospital-Tage: 3,0
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: Coronary Artery Disease
Andere Medikamente: Simvastatin, Metoprolol ER, baby aspirin, Finasteride, Fish Oil, Co-Q10
Allergien: None
Vorherige Impfungen: -

VAERS 1952653

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

kritisch

Staat: SC
Alter: 72,0
Geschlecht: M
Eingang: 15.12.2021
Impfdatum: 11.10.2021
Beginn: 13.10.2021
Tage bis Beginn: 2,0
Dosis: 1
Route/Site: SYR / UN

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

Death Groin pain

Symptomtext

Pain in groin on 10/13/13 then death on 10/14/21 days later.

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

VAERS 1912752

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

kritisch

Staat: NJ
Alter: 68,0
Geschlecht: F
Eingang: 01.12.2021
Impfdatum: 22.11.2021
Beginn: 23.11.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

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

Condition aggravated Death Hypertension

Symptomtext

I am the epidemiologist reporting on behalf of 68 year-old female patient. Patient received their first and second doses of the Moderna vaccine on 4/21/21 and 5/18/21 respectively, according to immunization records. Patient received their third dose of the Moderna Vaccine on 11/22/21. The patient was found deceased at home on 11/23/2021 (1 day after third dose). The death certificate lists ?hypertension (5 years)? as the immediate cause of death. Other significant conditions contributing to the death but not resulting in underlying cause include hyperlipidemia. I have no further information regarding the patient?s medical history.

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Praegender Schweregrund: Death
Hospital-Tage: -
Labordaten: Unknown
Aktuelle Erkrankungen: Hyperlipidemia (known)
Vorgeschichte: Hyperlipidemia (known)
Andere Medikamente: Unknown
Allergien: Unknown
Vorherige Impfungen: -

VAERS 1628578

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

kritisch

Staat: AR
Alter: 69,0
Geschlecht: F
Eingang: 24.08.2021
Impfdatum: 19.08.2021
Beginn: 22.08.2021
Tage bis Beginn: 3,0
Dosis: 2
Route/Site: IM / LA

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

Death Dyspnoea

Symptomtext

Patient was hospitalized on 8/22/21 stating that she could not breath and passed away. Her second COVID vaccine was received on 8/19/2021.

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Praegender Schweregrund: Death
Hospital-Tage: 1,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Congestive Heart Failure, PVD, Hyperlipidemia, coronary atherosclerosis, COPD
Andere Medikamente: Plavix, dexilant, oxygen therapy, proair, lasix, diovan, spiriva, DUO neb
Allergien: flexeril
Vorherige Impfungen: -

VAERS 2677109

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

schwer

Staat: TX
Alter: 73,0
Geschlecht: M
Eingang: 28.08.2023
Impfdatum: 05.11.2021
Beginn: 31.12.2021
Tage bis Beginn: 56,0
Dosis: 2
Route/Site: IM / LA

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

Acute respiratory distress syndrome COVID-19 COVID-19 pneumonia Diarrhoea Dyspnoea Mechanical ventilation Nausea Vomiting

Symptomtext

Diagnosed with COVID days PTA; admitted with worsening SOB, N/V/D; dx with COVID pna. progressed to severe with ARDS. Treated with O2, steroids, abx, toci, pepcid, singulair, zinc, remdesivir, ovenox, velteri/sildenafil. Required mechanical vent. Transferred to a medical facility at request of family.

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Praegender Schweregrund: Acute respiratory distress syndrome
Hospital-Tage: 5,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2584282

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

schwer

Staat: GA
Alter: 57,0
Geschlecht: M
Eingang: 20.02.2023
Impfdatum: 11.03.2021
Beginn: 11.03.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Computerised tomogram head abnormal Coordination abnormal Dysarthria Hypoaesthesia oral Ischaemic stroke Magnetic resonance imaging head abnormal Thalamic stroke Ultrasound Doppler

Symptomtext

Acute ischemic vertibrobasilar artery thalmic stroke involving left-sided vessel Symptoms: numbness in right side of mouth; slurred speech, loss of coordination on right side Treatment: physical & occupational therapy Outcome: TBD - favorable prognosis

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Praegender Schweregrund: Ischaemic stroke
Hospital-Tage: 2,0
Labordaten: CT scan - 25 Oct 22 MRI - 26 Oct 22 ECG - 26 Oct 22 Ultrasound of carotid artery - 26 Oct
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Zocor 5 mg daily
Allergien: None
Vorherige Impfungen: -

VAERS 2394699

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

schwer

Staat: AZ
Alter: 70,0
Geschlecht: M
Eingang: 28.07.2022
Impfdatum: 15.01.2022
Beginn: -
Tage bis Beginn: -
Dosis: 3
Route/Site: OT / -

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

Blood pressure measurement Blood test Embolic stroke Hyperlipidaemia

Symptomtext

Embolitic stroke; Hyperlipidemia; This spontaneous case was reported by a patient and describes the occurrence of EMBOLIC STROKE (Embolitic stroke) in a 70-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Previously administered products included for Product used for unknown indication: Flu Vaccine (Sep/Oct2021) in 2021. Past adverse reactions to the above products included No adverse effect with Flu Vaccine. Concurrent medical conditions included Allergy to antibiotic (Cipro), Drug allergy (Sulfa drugs) and Hypertension (Pre-Hypertension). Concomitant products included AMLODIPINE and LISINOPRIL for Hypertension. On 15-Jan-2022, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In 2022, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced EMBOLIC STROKE (Embolitic stroke) (seriousness criteria hospitalization and medically significant). On an unknown date, the patient experienced HYPERLIPIDAEMIA (Hyperlipidemia). The patient was hospitalized from 25-Mar-2022 to 28-Mar-2022 due to EMBOLIC STROKE. The patient was treated with CLOPIDOGREL BISULFATE (PLAVIX) at an unspecified dose and frequency; ASPIRIN [ACETYLSALICYLIC ACID] at an unspecified dose and frequency; ROSUVASTATIN in April 2022 for Hyperlipidemia, at a dose of 10 milligram once a day; EVOLOCUMAB (REPATHA) in October 2021 at a dose of 2x a week every other week and Surgery (T-CAR on his right carotid artery) for Embolic stroke. At the time of the report, EMBOLIC STROKE (Embolitic stroke) had resolved with sequelae and HYPERLIPIDAEMIA (Hyperlipidemia) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure measurement: 130/68 is his baseline and 150/68 if without medication. On an unknown date, Blood test: Excellent. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Patient took all the four doses of Moderna vaccine. He experienced 2nd Embolic stroke after 5 weeks of 1st booster dose. He went to ER on 24-Mar-2022. He underwent T-CAR surgery in Mar-2022. He never had a COVID + test or diagnosis and hadn't experienced a similar event in the past. At the time of report it was reported as patient still has deficits from the stroke (after the 2nd stroke) he has some memory deficits, loss of balance, weakness in his legs, and tremors in both hands. Company comment: This spontaneous case concerns a 70-year-old, male patient with relevant medical history of Hypertension and past drug history of administration of two doses of the mRNA-1273 vaccine, who experienced the unexpected, serious (hospitalization and medically significant) AESI of embolic stroke and an associated unexpected, non-serious event. It was reported that a month after receiving the second dose of the mRNA-1273 vaccine, the patient experienced an embolic stroke (first stroke). No consultation was done and the outcome of the event was unknown. No further details were provided. It was reported that the patient experienced an embolic stroke (second stroke) 5 weeks after receiving the third dose (first booster dose) of the mRNA-1273 vaccine. Approximately 2 months after receiving the third dose, the patient sought consultation at the Emergency room. No details were provided including diagnostic test/s and treatment. However, the following day, the patient was subsequently admitted. He stayed in the hospital for 4 days and underwent a Transcarotid Artery Revascularization (TCAR) surgery in his right carotid artery. It was also reported that the patient still has deficits from the stroke. He experienced some memory deficits, loss of balance, weakness in his legs, and tremors in both hands. The report also stated that prior to vaccination, the patient's blood works (unspecified) were 'excellent' but after receiving the vaccine, he had hyperlipidemia. Laboratory test results were not provided. The patient was prescribed with Plavix (clopidogrel), aspirin, and rosuvastatin 10 mg once daily starting on an unspecified date in Apr2022. The medical history of Hypertension, which is a risk factor for stroke, remains a confounder for the event embolic stroke. The past drug history of administration of two doses of the mRNA-1273 vaccine, with adverse event of embolic stroke after the second dose, also remains a confounder for the event embolic stroke. The benefit-risk relationship of the mRNA-1273 vaccine is not affected by this report. Of note, the patient also received the fourth dose (second booster dose) of the mRNA-1273 vaccine and it was reported that the patient experienced a third embolic stroke 6 days after receiving the vaccine. This is further described in the linked case MOD-2022-612576. This case was linked to MOD-2022-612532, MOD-2022-612576 (Patient Link).; Sender's Comments: This spontaneous case concerns a 70-year-old, male patient with relevant medical history of Hypertension and past drug history of administration of two doses of the mRNA-1273 vaccine, who experienced the unexpected, serious (hospitalization and medically significant) AESI of embolic stroke and an associated unexpected, non-serious event. It was reported that a month after receiving the second dose of the mRNA-1273 vaccine, the patient experienced an embolic stroke (first stroke). No consultation was done and the outcome of the event was unknown. No further details were provided. It was reported that the patient experienced an embolic stroke (second stroke) 5 weeks after receiving the third dose (first booster dose) of the mRNA-1273 vaccine. Approximately 2 months after receiving the third dose, the patient sought consultation at the Emergency room. No details were provided including diagnostic test/s and treatment. However, the following day, the patient was subsequently admitted. He stayed in the hospital for 4 days and underwent a Transcarotid Artery Revascularization (TCAR) surgery in his right carotid artery. It was also reported that the patient still has deficits from the stroke. He experienced some memory deficits, loss of balance, weakness in his legs, and tremors in both hands. The report also stated that prior to vaccination, the patient's blood works (unspecified) were 'excellent' but after receiving the vaccine, he had hyperlipidemia. Laboratory test results were not provided. The patient was prescribed with Plavix (clopidogrel), aspirin, and rosuvastatin 10 mg once daily starting on an unspecified date in Apr2022. The medical history of Hypertension, which is a risk factor for stroke, remains a confounder for the event embolic stroke. The past drug history of administration of two doses of the mRNA-1273 vaccine, with adverse event of embolic stroke after the second dose, also remains a confounder for the event embolic stroke. The benefit-risk relationship of the mRNA-1273 vaccine is not affected by this report. Of note, the patient also received the fourth dose (second booster dose) of the mRNA-1273 vaccine and it was reported that the patient experienced a third embolic stroke 6 days after receiving the vaccine. This is further described in the linked case MOD-2022-612576.

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Praegender Schweregrund: Embolic stroke
Hospital-Tage: 4,0
Labordaten: Test Name: Blood pressure; Result Unstructured Data: 130/68 is his baseline; Test Name: Blood pressure; Result Unstructured Data: 150/68 if without medication; Test Name: Blood works; Result Unstructured Data: Excellent
Aktuelle Erkrankungen: Allergy to antibiotic (Cipro); Drug allergy (Sulfa drugs); Hypertension (Pre-Hypertension)
Vorgeschichte: -
Andere Medikamente: AMLODIPINE; LISINOPRIL
Allergien: -
Vorherige Impfungen: -

VAERS 2307413

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

schwer

Staat: MI
Alter: 53,0
Geschlecht: M
Eingang: 02.06.2022
Impfdatum: 20.08.2021
Beginn: 08.01.2022
Tage bis Beginn: 141,0
Dosis: 3
Route/Site: SYR / AR

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

Anticoagulant therapy Erythema Infusion Pain in extremity Peripheral swelling Skin warm Ultrasound scan abnormal Venous thrombosis limb

Symptomtext

I received an infusion of Ocrevus with administration of IV Benadryl, oral Tylenol and IV Solumedrol on 1-7-2022. I noticed pain to my left arm that same evening. Three and 1/2 months prior to this infusion, I had received vaccination of 3rd dose vaccine. I started having left arm pain, redness, warmth and swelling. Since I am a physician, I ordered an ultrasound of left upper extremity Jan 11th, 2022 and it showed a venous thrombosis. I started taking Xarelto and it is now down to 20mg. The redness went down within a week. The swelling improved to almost normal approx. one month ago. The pain improved around the middle of March. I done a repeat ultrasound 1 week later and it was not growing. It did find the thrombosis was decreasing in size. I am feeling better now with symptoms resolved.

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Praegender Schweregrund: Venous thrombosis limb
Hospital-Tage: -
Labordaten: Ultrasound of Left Upper Extremity on 1-11-2022 which showed venous thrombosis at a clinic. Follow up ultrasound of left upper extremity on 1-17-2022 at same clinic, no report. Thrombosis had decreased in size.
Aktuelle Erkrankungen: None
Vorgeschichte: Multiple Sclerosis; Hypertension; Hyperlipidemia; Depression; Attention Deficit Disorder
Andere Medikamente: Metoprolol 100mg daily; amlodipine 2.5mg daily; atorvastatin 40mg daily; Trintellix 20mg daily; Vyvanse 60mg daily; Ocrevus infusion every 6 months; Tylenol 325mg 2 tabs once at infusion of Ocrevus; Solumedrol 125mg IV; Benadryl 50mg IV at
Allergien: None
Vorherige Impfungen: -

VAERS 2148522

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

schwer

Staat: WA
Alter: 25,0
Geschlecht: F
Eingang: 28.02.2022
Impfdatum: 19.11.2021
Beginn: 30.11.2021
Tage bis Beginn: 11,0
Dosis: UNK
Route/Site: IM / LA

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

Anaphylactic reaction Angioedema Anti-thyroid antibody Blood immunoglobulin E normal C-reactive protein normal Full blood count normal Mechanical urticaria Metabolic function test Pruritus Red blood cell sedimentation rate normal Skin swelling

Symptomtext

Extreme itching and dermatographic hives, angioedema of hands/feet/scalp. Anaphylactic reaction in throat/chest, prescribed prednisone on 12/4 due to this. After prednisone, angioedema and anaphylaxis gone but hives still present 24/7. On multiple doses of OTC antihistamines around the clock ever since. Keeps hives/itching at bay for the most part but still having dermatographic swelling of skin. If I miss a dose, the hives reappear. Many blood tests including allergy tests came back negative, no discernable cause for this.

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Praegender Schweregrund: Anaphylactic reaction
Hospital-Tage: -
Labordaten: ESR, CBC w/ auto Diff, CRP, TPO, CMPR, and IgE to specific allergens (foods, pollens, cat dander, etc) - all came back normal
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1831771

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

schwer

Staat: LA
Alter: 63,0
Geschlecht: F
Eingang: 30.10.2021
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: ja Erholt: nein

Hyperhidrosis Syncope Vomiting

Symptomtext

Patient sweating; throwing up and fainted. We gave her a EpiPen and she left with the emergency department.

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

VAERS 1815202

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

schwer

Staat: OH
Alter: 66,0
Geschlecht: F
Eingang: 25.10.2021
Impfdatum: 22.10.2021
Beginn: 23.10.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

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

Chills Dizziness Fall Pain Pollakiuria Syncope Tremor Vision blurred

Symptomtext

After falling asleep for the night, I awoke 8 hours after the vaccine and was chilling and achy. I needed to void and went a very large amount (I had peed and emptied fully before going to bed). I awoke for 2 more significant voids during the night and by the 3:30am bathroom trip I was trembling and light headed with blurry vision. After voiding, I walked toward the bedroom door and the next thing I remember is my legs buckling and I then woke up to find myself sitting on the bathroom floor, fortunately uninjured. My guess is that I fainted (and I have never fainted before). I got back to bed and slept till 8am but until 11 am had light headedness/ blurry vision and tremors in my hands (also a symptom I have never experienced).

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Praegender Schweregrund: Syncope
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: hypotension, GERD, Anxiety
Andere Medikamente: Amlodipine, Ferrex, Lexapro, Prilosec, Meoclopramide
Allergien: NKA
Vorherige Impfungen: -

VAERS 1658859

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

schwer

Staat: NC
Alter: 62,0
Geschlecht: M
Eingang: 31.08.2021
Impfdatum: 11.08.2021
Beginn: 15.08.2021
Tage bis Beginn: 4,0
Dosis: 1
Route/Site: SYR / LA

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

Deep vein thrombosis Peripheral artery occlusion Peripheral artery thrombosis Thrombosis Ultrasound Doppler abnormal

Symptomtext

Blood clots in left leg. Ultrasound results Femoral Vein Thrombus present in femoral vein in distal thigh. Popliteal Vein Occlusive thrombus present. Calf Veins Visualized tibial veins demonstrate thrombus.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Deep vein thrombosis
Hospital-Tage: -
Labordaten: Dr visit . Hospital for ultrasound.
Aktuelle Erkrankungen: None
Vorgeschichte: Diabetic
Andere Medikamente: Telmisartan, Fenofibrate, Actos, Janumet, Tresiba, Omeprazole
Allergien: None
Vorherige Impfungen: -

VAERS 1641549

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003f21a

schwer

Staat: NC
Alter: 62,0
Geschlecht: M
Eingang: 27.08.2021
Impfdatum: 11.08.2021
Beginn: 15.08.2021
Tage bis Beginn: 4,0
Dosis: 1
Route/Site: IM / LA

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

Thrombosis

Symptomtext

Developed a blood clot

Weitere VAERSDATA-Felder

Praegender Schweregrund: Thrombosis
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: T2DM, High Blood Pressure
Vorgeschichte: -
Andere Medikamente: Tresiba, Janumet XR 100-1000, Telmisartan HCTZ 80-25, Fenofibrate 134, Pioglitazone 15, Omeprazole 20
Allergien: NKDA
Vorherige Impfungen: -

VAERS 1541651

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

schwer

Staat: TN
Alter: 36,0
Geschlecht: M
Eingang: 10.08.2021
Impfdatum: 10.08.2021
Beginn: 10.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Amnesia Cold sweat Dizziness Fall Loss of consciousness Musculoskeletal stiffness

Symptomtext

Patient received vaccine and said he felt fine, was surprised by this because he usually faints when getting blood drawn and around needles. Was talking to pharmacist and wife for 2 minutes post shot and then leaned over slowly and fell sideways. The pharmacist caught his head but he had passed out and his body was stiff. Patient was breathing fine and "Woke" up 10 seconds later. He did not know what happened and where he was temporarily. Patient said he felt fine but became clammy and light headed 2 minutes after that incident. He drank water and sat on the floor for 20 more minutes per the pharmacist's request and then felt fine.

Weitere VAERSDATA-Felder

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

VAERS 2636263

MODERNA · COVID19 (COVID19 (MODERNA BIVALENT)) · Charge 003F21A

moderat

Staat: FL
Alter: 64,0
Geschlecht: F
Eingang: 24.05.2023
Impfdatum: 03.11.2021
Beginn: 01.09.2022
Tage bis Beginn: 302,0
Dosis: 3
Route/Site: SYR / LA

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

Ear infection Injected limb mobility decreased Injection site pain Joint range of motion decreased Loss of personal independence in daily activities Myalgia Pain in extremity Periarthritis Tinnitus X-ray limb abnormal

Symptomtext

After each Covid-19 injection, I experienced terrible pain in both arms, that eventually went to a soreness in my upper arm muscles that never went away. Around November 2022, I could hardly use my right shoulder or move my arm. This had happened earlier that year in my left shoulder/arm, somehow subsided. Not knowing what to do, as no one I knew or heard about was experiencing this continued pain after the vaccine injections. I was in so much pain with the right shoulder and arm that I went to Dr., Orthopedic, who diagnosed me with Frozen Shoulder after taking an x ray (11/10/22), of my right shoulder. He ordered me an MRI to confirm Bursitis, but I became claustrophobic and could not do the test. I saw Dr., Orthopedic who gave me a cortisone shot in my right shoulder on 12/16/2022, which did not appear to help, other than place me back several months to pain again. When that went away about 5 days later, I went back to the progress I had already been making in physical theraphy. PA ordered Physical Therapy which I did from 12/06/2022 to 03/20/2023. I had to stop the theraphy because I began hearing a wind noise in my head, went to PA, diagnosed with a double ear infection, which I have never had in my life. Although I continue to do my daily exercises, my arms and shoulders remain sore, and I do not have full range of motion. This has been a life changer for me, feeling like an invalid getting dressed, undressed, & showered. The swishing noise continues in my ears even though the ear infections are gone. I was always pretty healthy.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injected limb mobility decreased
Hospital-Tage: -
Labordaten: Right Shoulder X Ray 11/10/2022 Cortisone Injection Right Shoulder 12/16/2022
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: Hormone Therapy, Xanax 1/2 of 0.25 for sleep, Vitamin D-3
Allergien: Penicillan, Sulfa, Latex
Vorherige Impfungen: -

VAERS 2455263

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: CA
Alter: 62,0
Geschlecht: F
Eingang: 22.09.2022
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: ja ER: unbekannt Erholt: unbekannt

Disability Hypoaesthesia Impaired work ability Injected limb mobility decreased Injection site mass Injection site pain Loss of personal independence in daily activities Shoulder injury related to vaccine administration Sleep disorder Tendonitis

Symptomtext

Severe pain in upper left arm within a day of the injection. Lump (2-inch diameter) developed in the middle of the antero-lateral upper arm within a month of the injection. By February 2022, the lump became increasingly painful so that I was unable to sleep on the L side or fully lift my arm. The pain spread to the front of the upper arm near the shoulder and to the front of the shoulder; by the end of Feb 2022 I was having numbness in my L hand so I called for a dr's appt. After numerous appointments, attempts at diagnosis, and shoulder PT, it became clear that I have SIRVA (and likely biceps tendinitis) from the 11/5/21 injection. The lump is now 4 inches long, running diagonally along the middle of my upper arm. The pain continues and is sometimes quite disabling -- interfereing with sleep and activities, including work. I treat the condition myself with KT Taping, TENS, NSAIDS, and Salon Pas lidocaine patches, which each offer some relief but do not eliminate the pain. So far, drs have only prescribed an anti-inflammatory diet and shoulder PT, which latter seems to have made the pain worse and the lump larger. I will be seeing a new dr on October 3.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injected limb mobility decreased
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: high cholesterol
Vorgeschichte: asthma
Andere Medikamente: levoxyl
Allergien: Bactrim; garlic, onions; cats
Vorherige Impfungen: -

VAERS 2408432

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: -
Alter: 69,0
Geschlecht: F
Eingang: 11.08.2022
Impfdatum: 03.11.2021
Beginn: 06.08.2022
Tage bis Beginn: 276,0
Dosis: 3
Route/Site: UN / UN

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

Chest discomfort Cough Decreased activity Dizziness Dyspnoea Fatigue Myalgia Oropharyngeal pain Rhinorrhoea

Symptomtext

activity change, fatigue, rhinorrhea, sore throat, cough, chest tightness, SOB, myalgias, light-headedness

Weitere VAERSDATA-Felder

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

VAERS 2374711

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: TN
Alter: 22,0
Geschlecht: F
Eingang: 20.07.2022
Impfdatum: 09.01.2021
Beginn: 31.05.2022
Tage bis Beginn: 507,0
Dosis: 3
Route/Site: SYR / LA

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

Anosmia Arrhythmia Blood creatine phosphokinase normal Blood magnesium normal Blood test normal Blood thyroid stimulating hormone normal C-reactive protein Cardiac flutter Dizziness Dyskinesia Head discomfort Headache Hypoaesthesia Metabolic function test normal Muscle twitching Nausea Ocular discomfort Palpitations

Symptomtext

May 31, 2022 - twitching began in legs back and feet. June 1, 2022 - fever began along with more intense twitching and fluttering in chest June 2-7, 2022 - arrhythmia regularly all day, tachycardia, twitching in face, back, stomach, arms, legs, glutes, and feet, numbness in fingers and toes, tingling in fingers and toes, petechiae in fingers, pressure headaches & sharp pains in head, light sensitive, pressure behind eyes, nausea, lightheadedness, and dizziness June 7-15, 2022 - slightly more mild numbness, arrhythmia and tachycardia, pressure in eyes felt more mild, fever broke, less nausea, lightheaded, headaches became more intense, muscle twitching became more intense some jerking involves in neck (worse at night) Probably 300-600 in a day, would wake me up at night . June 15 - did bloodwork, came back as normal, June 16 - appointment with family Doctor Had me get panels done for Sed rate, Ck, and high sensitivity CRP, TSH with T4 - all results came back normal. June 17-20 - nausea still the same, loss of smell to vinegar kicked in (for about 5 day), and muscle twitching and palpitations were the same. June 21 - current - exercising helped twitching but the are still prevalent, still have random petechiae more frequently than normal, muscles twitching still occur 100-300 times a day.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arrhythmia
Hospital-Tage: -
Labordaten: June 15 - did bloodwork CMP and magnesium , came back as normal, June 16 - appointment with family Doctor Had me get panels done for Sed rate, Ck, and high sensitivity CRP, TSH with T4 - all results came back normal.
Aktuelle Erkrankungen: None,
Vorgeschichte: None
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 2307013

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: NM
Alter: 80,0
Geschlecht: M
Eingang: 02.06.2022
Impfdatum: 29.11.2021
Beginn: 16.05.2022
Tage bis Beginn: 168,0
Dosis: 3
Route/Site: SYR / LA

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

Ageusia Anosmia Asthenia COVID-19 Cough Decreased appetite Fatigue Feeling abnormal Mobility decreased Nasal congestion Pulmonary congestion SARS-CoV-2 test positive

Symptomtext

It was May 16 in the afternoon. I was feeling just very unenergetic. Temperature was hardly up at all. I'm normally low, my temperature is usually 97.7. it went up to 98 around there. It wasn't bad temperature wise. I noticed I was getting a lot of nasal congestion and just no energy. With the nasal congestion, I was thinking of the smoke from the wild fires. That's why I didn't do testing right away. As the afternoon went on, I started feeling no energy at all and started developing a cough. I had the nasal congestion and cough that were my first indicators. I had no temp change. I took the at home test and it was positive and isolated to the guest bedroom. Wore a mask around the house. It went on like that, felt like I got hit by a truck with no energy. That continued and I was basically in bed because I was tired and couldn't do much. Kept eating normally but wasn't too hungry. I noticed that all of a sudden, when I ate, I couldn't tell what I was eating. Lost my taste and smell, and that's slowly coming back. On May 18, I called Dr. and we set up an appointment online in the afternoon. He listened to my symptoms and he wasn't too worried about me. We went over the check sheet for qualification for medication. He said I was doing fine and I wouldn't be eligible for the antiviral pill. I waited it out and said I'd get back with him Friday. Friday the 20th, my wife went in to a HCF and came back negative. They called me and said to come in to take a test in the afternoon. It was a rapid test and it came back positive. I got an interview with a doctor and she recommended the Paxlovid. She sent a prescription in and I picked that up later that day. Started taking it immediately that evening. 3 in the evening and in the morning for 5 days. I started that the evening of the 20th and finished the morning of the 25th. It wasn't miraculous. It didn't cure me over a day or two, but things started to get better. On the 25th, I finished that up. And I was up a lot more, wasn't in bed as much like the previous week. I was able to venture out with my mask on. I tried to get another test on the 5/27 but they were booked and said they could take me in on the 28th. I went in, got retested and this came back negative. Happy with that. 4PM on 5/28 was the negative test. Just been careful and wearing a mask since. At the moment, I'm doing better. I'm not real active right now, but will try to get myself going again next week. Congestion has moved from nasal passages to chest during the COVID time period, a little bit of congestion left in chest. Currently in recovery.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mobility decreased
Hospital-Tage: -
Labordaten: 05/16/2022 at home COVID test positive. 05/20/2022 Rapid COVID test positive. 05/28/2022 Rapid COVID test negative.
Aktuelle Erkrankungen: None
Vorgeschichte: Urinary Health Condition; High blood pressure; Cholesterol; Right knee pain
Andere Medikamente: Tamsulosin 0.4mg per capsule once daily; lisinopril HCTZ 20 12.5mg once daily; Myrbetriq 50mg once daily; Tadalafil 5mg once daily; pravastatin 10mg once every other day; ezetimibe 10mg once daily; Nasacort OTC nasal spray 55mcg per spray;
Allergien: Codeine nausea; juniper spores
Vorherige Impfungen: -

VAERS 2260348

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: FL
Alter: 56,0
Geschlecht: F
Eingang: 02.05.2022
Impfdatum: 28.10.2021
Beginn: 18.02.2022
Tage bis Beginn: 113,0
Dosis: 3
Route/Site: IM / LA

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

COVID-19 Condition aggravated Cough Discomfort Dyspnoea Headache Pyrexia Rhinorrhoea Vaccine breakthrough infection

Symptomtext

Started with a runny nose, headache, cough and fever reached 102.0. Then from there the cough worsen I couldn't breath and oxygen was at a 89. I did a phone visit with Doctor. Doctor prescribed benzonatate 200mg capsules 2 times a day as needed. I took the medication for about a week. It did help a little but I still have the cough and heaviness in my lungs.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Condition aggravated
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: Eliquis Lisinopril Atenolol Metformin COQ10 Rosuvastatin
Allergien: Penicillin
Vorherige Impfungen: -

VAERS 2250176

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: MN
Alter: 68,0
Geschlecht: M
Eingang: 25.04.2022
Impfdatum: 11.01.2022
Beginn: 23.04.2022
Tage bis Beginn: 102,0
Dosis: 3
Route/Site: SYR / RA

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

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

Symptomtext

Received Moderna vaccines on 1/4/21, 6/8/21, 1/11/22; 1st dose Lot # not documented in chart. COVID positive on 4/23/22 by PCR. Admitted to hospital on 4/23/22 w/ hypoxia, COVID pneumonia. Underlying COPD, h/o PE, HTN.

Weitere VAERSDATA-Felder

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

VAERS 2220149

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: MI
Alter: 80,0
Geschlecht: M
Eingang: 07.04.2022
Impfdatum: 25.10.2021
Beginn: 01.02.2022
Tage bis Beginn: 99,0
Dosis: 3
Route/Site: - / -

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

COVID-19 Dyspnoea Malaise Pneumonia SARS-CoV-2 test positive

Symptomtext

patient presented to emergency department on 2/1/22 with shortness of breath patient was admitted for further management of hospital-acquired pneumonia patient was found to be covid-19 positive on 2/1/22 patient di require treatment for symptoms associated with covid-19 infection. treatment included remdesivir patient was discharged to home on 2/7/22

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: 6,0
Labordaten: none known
Aktuelle Erkrankungen: none known
Vorgeschichte: Cardiac and Vasculature Hyperlipidemia HTN (hypertension), benign ASCVD (arteriosclerotic cardiovascular disease) CAD (coronary artery disease) Elevated troponin Chest pain, unspecified type Heart failure (HCC) Cardiac pacemaker H/O diastolic dysfunction Coag and Thromboembolic Superficial venous thrombosis of arm, left ENT Periodontal odontogenic cyst Lesion of left external ear Endocrine and Metabolic Hypothyroidism Secondary hyperparathyroidism of renal origin (HCC) Gastrointestinal and Abdominal Esophageal stenosis Hemorrhoids, external GERD (gastroesophageal reflux disease) Genitourinary and Reproductive Urinary retention Hypervolemia, unspecified hypervolemia type Fluid overload Renal azotemia Hyperkalemia Asymptomatic bacteriuria Chronic kidney disease, unspecified CKD stage Acute cystitis with hematuria Hematology and Neoplasia Acute blood loss anemia Megaloblastic anemia Leukocytosis (leucocytosis) Infectious Diseases Recurrent cold sores Acute sepsis (HCC) SIRS (systemic inflammatory response syndrome) (HCC) Sepsis with acute renal failure without septic shock, due to unspecified organism, unspecified acute renal failure type (HCC) Suspected COVID-19 virus infection Musculoskeletal and Injuries Degenerative arthritis of knee Primary osteoarthritis of both knees History of knee replacement, total S/P total knee replacement Tophaceous gout Hyperuricemia Chronic midline low back pain with bilateral sciatica Left hip pain Closed fracture of distal ends of right radius and ulna Neuro Mixed sensory-motor polyneuropathy Pulmonary and Pneumonias ACE-inhibitor cough Dyspnea, unspecified type Community acquired pneumonia of right lower lobe of lung Nosocomial pneumonia Hypoxia Hospital-acquired pneumonia Symptoms and Signs Dizziness Tobacco Former smoker
Andere Medikamente: acetaminophen (TYLENOL EXTRA STRENGTH) 500 MG tablet acyclovir (ZOVIRAX) 800 MG tablet acyclovir 5% (ZOVIRAX) 5 % topical cream albuterol (VENTOLIN HFA) 108 (90 BASE) MCG/ACT HFA inhaler allopurinol (ZYLOPRIM) 300 MG tablet amLODIPine
Allergien: RamiprilPalpitations Ace InhibitorsCoughing CodeineNausea and Vomiting Diclofenac SodiumNausea Only, Other (Add Comment) HeparinRash, Itching Ivp Dye, Iodine ContainingOther (Add Comment) MetoprololOther (Add Comment) Other (Manual Interaction Check)Unknown Plendil [Felodipine]Other (Add Comment) SulfamethoxazoleHives
Vorherige Impfungen: -

VAERS 2206064

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: NY
Alter: 31,0
Geschlecht: M
Eingang: 30.03.2022
Impfdatum: 12.08.2021
Beginn: 15.02.2022
Tage bis Beginn: 187,0
Dosis: 2
Route/Site: OT / RA

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

Dyspnoea Palpitations

Symptomtext

Heart started racing/rapid heart beat; Trouble breathing/shortness of breath; This spontaneous case was reported by a patient and describes the occurrence of PALPITATIONS (Heart started racing/rapid heart beat) and DYSPNOEA (Trouble breathing/shortness of breath) in a 32-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 003F21A and 003F21A) for COVID-19 vaccination. The patient's past medical history included Asymptomatic COVID-19 (Patient had an asymptomatic infection.). Concurrent medical conditions included Stress and Anxiety. On 12-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Sep-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 14-Feb-2022, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 15-Feb-2022, the patient experienced PALPITATIONS (Heart started racing/rapid heart beat) and DYSPNOEA (Trouble breathing/shortness of breath). At the time of the report, PALPITATIONS (Heart started racing/rapid heart beat) and DYSPNOEA (Trouble breathing/shortness of breath) outcome was unknown. No concomitant information was reported. The patient had history of COVID-19 infection however patient did not know when patient caught COVID-19 infection and said that he had an asymptomatic infection. Patient had COVID-19 antibodies prior to receiving the COVID-19 vaccine and that was evidence of a COVID-19 infection. No hospitalization occurred due to COVID-19. The patient went to the Emergency Room due to events. The patient had a rapid heartbeat and shortness of breath on 21-Feb-2022 after booster dose. The patient was told at the hospital that adverse events were because of stress and anxiety and booster dose. The patient had not diagnosed with myocarditis or pericarditis. No treatment information was reported. This case was linked to MOD-2022-523369 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 24-Mar-2022: Follow-up received and included no new information.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Anxiety; Stress
Vorgeschichte: Medical History/Concurrent Conditions: Asymptomatic COVID-19 (Patient had an asymptomatic infection.)
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2201656

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: CO
Alter: 74,0
Geschlecht: F
Eingang: 28.03.2022
Impfdatum: 26.10.2021
Beginn: 26.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: SYR / LA

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

Blood pressure fluctuation Cardiac monitoring Heart rate increased Palpitations

Symptomtext

Had the MODERNA vaccine for all three shots. After the booster I have had Palpitations, Heart beating hard, blood pressure up and down

Weitere VAERSDATA-Felder

Praegender Schweregrund: Palpitations
Hospital-Tage: -
Labordaten: Wore a heart monitor for a few days
Aktuelle Erkrankungen: None
Vorgeschichte: Acid Reflex, Hiatal Hernia, Irregular Heart Beat, Constipation
Andere Medikamente: Olmesartan, Atenolol, Paroxetine, Pantoprazole SOD, Multivitamin, Calcium, Zinc, Magnesium, B6, B12, Super B Complex
Allergien: Adhesive
Vorherige Impfungen: -

VAERS 2173522

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: TX
Alter: 67,0
Geschlecht: F
Eingang: 11.03.2022
Impfdatum: 03.11.2021
Beginn: 01.12.2021
Tage bis Beginn: 28,0
Dosis: 3
Route/Site: SYR / RA

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

Cough Dyspnoea Eye infection Influenza like illness Respiratory tract congestion Wheezing

Symptomtext

I was in on January the 8th and was given albuterol because I wasn't able to breathe. My eyes had gotten infected as well and needed drops for that during the same time. They gave me a couple antibiotics because they couldn't clear up the coughing, wheezing, and congestion. It was more like flu symptoms. It felt different and didn't feel like allergies, or the normal flu, or pneumonia. I took the medication and I felt better for a couple days after and once I was done, the symptoms would come back and wouldn't go away. I went through that from late December to the early February. This just continued with doctors' visits until I got better. My husband went through the same thing, and we got the shot the same day as well.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dyspnoea
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Pravastatin; Losartan; Montelukast; Baby Aspirin; Centrum Woman's Vitamin
Allergien: Codeine family; Morphine family; Vicodin; Caffeine
Vorherige Impfungen: 2008 Flu shot- arm was swollen around the injection site- allergic reaction

VAERS 2079157

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: WA
Alter: 71,0
Geschlecht: F
Eingang: 01.02.2022
Impfdatum: 22.10.2021
Beginn: 05.11.2021
Tage bis Beginn: 14,0
Dosis: 3
Route/Site: IM / RA

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

Condition aggravated Psoriasis Skin lesion

Symptomtext

Generalized flare of psoriasis lesions, back, chest, abdomen, buttocks, face and extremities. Went from about 5% to 30%+ of body surface covered by psoriasis lesions.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Condition aggravated
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: asthma, hypertension, psoriasis
Andere Medikamente: atorvastatin 20mg, amlodipine 5mg, losartan 50mg, Montelukast 10mg, collagen peptides 10g
Allergien: sulpha drugs, tree pollen, cats
Vorherige Impfungen: -

VAERS 1932272

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: VA
Alter: 32,0
Geschlecht: F
Eingang: 08.12.2021
Impfdatum: 17.11.2021
Beginn: 28.11.2021
Tage bis Beginn: 11,0
Dosis: 3
Route/Site: SYR / LA

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

Burning sensation Chest discomfort Chills Contusion Discomfort Erythema Fatigue Headache Heart rate increased Inflammation Influenza like illness Insomnia Migraine Nausea Pain Pruritus Pyrexia Rash

Symptomtext

11/17-11/19 - Typical post vaccine symptoms (chills, fever, aches, fatigue, flu like symptoms) 11/20 - Mostly better but not 100%. Overworked myself that night, which caused a migraine 11/21 - migraine started. Lasted 4 days as a migraine (that never happens to me!) . Still getting headaches 2 weeks later. Coming about every other day. Took Excedrin, and Prednisone from 11/23-11/25 (per dr.) during this time. 11/28 (around 10:30pm) - Extreme itchiness started on head, and neck. 11/29 - Woke up with a bad headache, itchiness continued. Red patches/rash started to appear around neck, chest, and back. By 9pm was the itchiest I have ever been in my life and covered in hives, rashes, and welts from head to toe. Huge welts on the back of legs from hips to toes, head swelling. Burning. Hives all over. Took Benadryl and started a Medrol pack. 11/29 - Full body hives persisted. itching, burning. Medrol and Benadryl helped, but couldn't wouldn't last. Could not sleep, had chest pressure and heart rate spike. 11/30 - Same as 11/29, hives persisted. Went to ER, switched to Prednisone (60mg), Pepcid, Benadryl, and cortisone. 12/1-12/4 - Medicine calmed down inflammation, but still itchy. bruises appeared on the backs of my legs where the welts were. 12/5 - Cut down to 40mg of prednisone and rashes started appearing again at night. Looked like I had been attacked by a cat in places I was not scratching. 12/6 - cut down to 20 mg of prednisone, itchiness back, headache, nausea, redness. Met with allergist, who said he suspected it's either a reaction to the vaccine, or Excedrin from the migraines. Said I was the second person he treated that day who reported hives two weeks post booster. Who is to say, but I've never had a reaction to Excedrin before and have not taken any since 11/26. Never experienced anything like this! I am still itchy, still breaking out in a rash. burning red patches when medicine runs out. On prednisone (20 mg), Zyrtec, and Pepcid. Much better than last week, but still uncomfortable and not under control! Cannot get the redness or itchiness to calm down without medicine. Also still getting headaches.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Migraine
Hospital-Tage: -
Labordaten: Got Bloodwork for serum tryptase levels. Don't have the results yet. Tested for Covid-19, negative
Aktuelle Erkrankungen: None
Vorgeschichte: Asthma, food allergies
Andere Medikamente: Zyrtec, Singulair, Flonase, QVar
Allergien: Peanuts, tree nuts, soy, corn, carrot, sesame, kiwi, banana
Vorherige Impfungen: -

VAERS 1905696

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: FL
Alter: 57,0
Geschlecht: M
Eingang: 29.11.2021
Impfdatum: 17.10.2021
Beginn: 18.10.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: - / -

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

Abdominal discomfort Chest pain Headache Heart rate increased

Symptomtext

Chest pains with specific "feeling" my heartbeat about 4 to 5 times a day since taking the first vaccine. This has been going on for over a month now. Also, stomach issues has persisted since taking the vaccine. Also, daily headaches. I have experienced none of these symptoms until the day after getting the vaccine. I have not visited a Doctor because I was told these symptoms are normal and will go away. They have not gone away in about 6 weeks and I will be visiting DR office soon per advice of family during Thanksgiving.

Weitere VAERSDATA-Felder

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

VAERS 1905033

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: WA
Alter: 33,0
Geschlecht: F
Eingang: 29.11.2021
Impfdatum: 27.10.2021
Beginn: 27.10.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: OT / LA

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

Arthralgia Maternal exposure during breast feeding Myalgia Pain in extremity Palpitations Suppressed lactation

Symptomtext

severe deplicition of breast milk; Soreness to left arm; severe body and joint aches; severe body and joint aches; slight palpitations; Maternal exposure during breast feeding; This spontaneous case was reported by a nurse and describes the occurrence of PALPITATIONS (slight palpitations), SUPPRESSED LACTATION (severe deplicition of breast milk), PAIN IN EXTREMITY (Soreness to left arm), ARTHRALGIA (severe body and joint aches) and MYALGIA (severe body and joint aches) in a 33-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Pre-eclampsia in March 2021. Concurrent medical conditions included Pollen allergy. On 27-Oct-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Oct-2021, the patient experienced MATERNAL EXPOSURE DURING BREAST FEEDING (Maternal exposure during breast feeding). On 28-Oct-2021, the patient experienced PALPITATIONS (slight palpitations), PAIN IN EXTREMITY (Soreness to left arm), ARTHRALGIA (severe body and joint aches) and MYALGIA (severe body and joint aches). On 29-Oct-2021 at 6:00 PM, the patient experienced SUPPRESSED LACTATION (severe deplicition of breast milk). On 27-Oct-2021, MATERNAL EXPOSURE DURING BREAST FEEDING (Maternal exposure during breast feeding) had resolved. On 01-Nov-2021, PALPITATIONS (slight palpitations), ARTHRALGIA (severe body and joint aches) and MYALGIA (severe body and joint aches) had resolved. At the time of the report, SUPPRESSED LACTATION (severe deplicition of breast milk) and PAIN IN EXTREMITY (Soreness to left arm) was resolving. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered PALPITATIONS (slight palpitations), ARTHRALGIA (severe body and joint aches) and MYALGIA (severe body and joint aches) to be possibly related. No further causality assessments were provided for SUPPRESSED LACTATION (severe deplicition of breast milk), PAIN IN EXTREMITY (Soreness to left arm) and MATERNAL EXPOSURE DURING BREAST FEEDING (Maternal exposure during breast feeding). No concomitant medication was reported It was reported that the patient had a medical consultation on 03-Nov-2021 and currently on the treatment regime with notable improvement in condition. This case concerns a 33-year-old, female patient with no relevant medical history reported, with Maternal exposure during breast feeding, who experienced non-serious events including Suppressed lactation with associated events in the child (dehydration, reported in a separate case). The exposure occurred with the second dose of mRNA-1273 vaccine. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report. This case was linked to MOD-2021-358025 (Parent-Child Link). This case was linked to MOD-2021-357203 (Patient Link). See case MOD-2021-358025 for details regarding the child case. Most recent FOLLOW-UP information incorporated above includes: On 15-Nov-2021: Follow up information was received on 15-Nov-2021 and contains no new information; Sender's Comments: This case concerns a 33-year-old, female patient with no relevant medical history reported, with Maternal exposure during breast feeding, who experienced non-serious events including Suppressed lactation with associated events in the child (dehydration, reported in a separate case). The exposure occurred with the second dose of mRNA-1273 vaccine. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Palpitations
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Pollen allergy
Vorgeschichte: Medical History/Concurrent Conditions: Pre-eclampsia
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1894492

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: TX
Alter: 20,0
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

Arthralgia Incorrect route of product administration Mobility decreased

Symptomtext

Pt complained that her Left shoulder was very sore and had limited movement after her injection on 11/19/21. She called our clinic today to report her symptoms. She does not feel is a reaction to the vaccine but a placement issue. She currently states she cannot move her shoulder and is going to see her PCP today.

Weitere VAERSDATA-Felder

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

VAERS 1868019

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003f21a

moderat

Staat: CA
Alter: 35,0
Geschlecht: F
Eingang: 13.11.2021
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: ja Erholt: nein

Chills Mobility decreased Pain Pyrexia Tenderness

Symptomtext

Patient received 3rd Moderna booster (0.5ml) on 11/10/21. Patient self attested that she was immunocompromised. She called back on 11/13/21 saying she still has symptoms: body aches, chills, fever and has a hard time lifting her arm. She also reported some tenderness in her armpit area. She said that her shot was given off center on the arm but not high on shoulder. We recommended the patient to come visit pharmacy to assess. She asked if she can get a MD note for her employer, but told her that we don't provide notes to take days off work. We suggested that she go visit a doctor and that we will follow up with her.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Mobility decreased
Hospital-Tage: -
Labordaten: NA
Aktuelle Erkrankungen: SEVERE OBESITY
Vorgeschichte: SEVERE OBESITY
Andere Medikamente: NONE
Allergien: Shelfish, LORTAB
Vorherige Impfungen: -

VAERS 1859010

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: GA
Alter: 45,0
Geschlecht: F
Eingang: 10.11.2021
Impfdatum: 07.08.2021
Beginn: 18.08.2021
Tage bis Beginn: 11,0
Dosis: 1
Route/Site: SYR / LA

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

Dizziness Dyspnoea Headache Heart rate increased Hypoaesthesia Injection site rash Lymph node pain Myalgia

Symptomtext

Shortness of breath, rapid heart rate, lymph nodes pain, muscle aches, headaches, dizziness, finger numbness and toe numbness (all on left side). Rash on the arm at injection site that didn't develop until all the other symptoms. Some symptoms have gone away,, some have subsided. And some are still here 3 months later

Weitere VAERSDATA-Felder

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

VAERS 1849850

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: CO
Alter: -
Geschlecht: F
Eingang: 08.11.2021
Impfdatum: 26.10.2021
Beginn: 01.10.2021
Tage bis Beginn: -
Dosis: 3
Route/Site: OT / RA

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

Blood pressure measurement Headache Heart rate Hypertension

Symptomtext

High pressure 140/73; Pounding in the head; This spontaneous case was reported by a consumer and describes the occurrence of HYPERTENSION (High pressure 140/73) and HEADACHE (Pounding in the head) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. Concurrent medical conditions included Angioma. Concomitant products included DEXAMETHASONE for Angioma. On 26-Oct-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In October 2021, the patient experienced HYPERTENSION (High pressure 140/73) and HEADACHE (Pounding in the head). At the time of the report, HYPERTENSION (High pressure 140/73) and HEADACHE (Pounding in the head) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In October 2021, Blood pressure measurement: 140/73 (High) High pressure 140/73. In October 2021, Heart rate: abnormal (abnormal) Uncomfortable heartbeat. No treatment medications were reported.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Hypertension
Hospital-Tage: -
Labordaten: Test Date: 202110; Test Name: Blood pressure; Result Unstructured Data: High pressure 140/73; Test Date: 202110; Test Name: Heart beat; Result Unstructured Data: Uncomfortable heartbeat
Aktuelle Erkrankungen: Angioma.
Vorgeschichte: -
Andere Medikamente: DEXAMETHASONE.
Allergien: -
Vorherige Impfungen: -

VAERS 1847389

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: GA
Alter: 37,0
Geschlecht: F
Eingang: 05.11.2021
Impfdatum: 05.11.2021
Beginn: 05.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Chest discomfort Eye pruritus Paraesthesia oral Pharyngeal paraesthesia Pruritus

Symptomtext

Within 2-3 minutes experienced tingling in back of tongue and throat. Progressed at 20 minutes to inside of full mouth. Tingling not severe. Able to breath and swallow. Continued on to tightness in chest at approximately 45 minutes after vaccination. Still able to breathe without difficulty. Tingling/itching in face at approximately the same time. Currently at 2.5-3 hours after injection, chest discomfort resolved. Tingling in mouth almost gone, slight tingling in back of tongue continues. Face and eyes continue to be main issue with tingling and itching.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Paraesthesia oral
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: N/A
Vorgeschichte: Migraines, Interstitial Cystitis
Andere Medikamente: Lexapro, Wellbutrin, Topamax, Detrol
Allergien: Erythromycin, Augmentin, Sulfa, IV contrast, shellfish
Vorherige Impfungen: -

VAERS 1821362

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: ID
Alter: 46,0
Geschlecht: F
Eingang: 27.10.2021
Impfdatum: 22.10.2021
Beginn: 22.10.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Abdominal pain upper Chest pain Decreased appetite Fatigue Injection site pain Malaise Oropharyngeal pain Palpitations Panic attack Pulmonary pain Respiratory tract congestion

Symptomtext

The day following the vaccine, my arm was very tender at the injection site and I started feeling like I was getting sick. The second day after the injection, I continued to feel like I was getting sick (sore throat, congestion, and fatigue). I remembered dreaming that night, while sleeping, that my heart was racing (I'd never had a dream like that before and didn't think much of it). By the fourth day following, I felt like I was having a severe panic attack as my heart was racing, my chest hurt, I was on the verge of crying all day, and there was no way to resolve any of it. On the fifth day, my heart has continued to race (140 bpm on average), my chest continues to hurt, my lungs hurt, my stomach hurts, and I have no appetite.

Weitere VAERSDATA-Felder

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

VAERS 1820918

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003f21a

moderat

Staat: FL
Alter: 55,0
Geschlecht: F
Eingang: 27.10.2021
Impfdatum: 23.10.2021
Beginn: 24.10.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: - / -

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

Arthralgia Dysgeusia Extra dose administered Feeling hot Headache Hypoaesthesia Injection site erythema Injection site pruritus Injection site swelling Musculoskeletal stiffness Pain in extremity Paraesthesia

Symptomtext

Redness/itching//swelling at injection site, headache, numbness and tingling in hands and feet, joint pain and stiffness in hands, metallic taste in mouth, parts of legs and arms have episodes or shooting pain and a warm feeling, some toes are separated on each feet

Weitere VAERSDATA-Felder

Praegender Schweregrund: Paraesthesia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Hasimotos Celiac Taccicardia
Andere Medikamente: tirofimp rosuvastatin vitamin d3 zinc
Allergien: -
Vorherige Impfungen: -

VAERS 1770457

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: GA
Alter: 59,0
Geschlecht: M
Eingang: 08.10.2021
Impfdatum: 14.08.2021
Beginn: 10.09.2021
Tage bis Beginn: 27,0
Dosis: 1
Route/Site: OT / -

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

COVID-19 Cough Fatigue Pneumonia Product dose omission issue SARS-CoV-2 test

Symptomtext

second shot was scheduled for 11 Sep 2021 and he did not receive it because he had COVID-19 (Missed the second shot (46 days post first vaccine); Tired; Bilateral Pneumonia; COVID-19 disease; Cough; This spontaneous case was reported by a consumer and describes the occurrence of PNEUMONIA (Bilateral Pneumonia) in a 59-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 14-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 10-Sep-2021, the patient experienced PNEUMONIA (Bilateral Pneumonia) (seriousness criterion medically significant), COVID-19 (COVID-19 disease), COUGH (Cough) and FATIGUE (Tired). On 11-Sep-2021, the patient experienced PRODUCT DOSE OMISSION ISSUE (second shot was scheduled for 11 Sep 2021 and he did not receive it because he had COVID-19 (Missed the second shot (46 days post first vaccine)). On 11-Sep-2021, PRODUCT DOSE OMISSION ISSUE (second shot was scheduled for 11 Sep 2021 and he did not receive it because he had COVID-19 (Missed the second shot (46 days post first vaccine)) had resolved. On 24-Sep-2021, PNEUMONIA (Bilateral Pneumonia) and COVID-19 (COVID-19 disease) had resolved. At the time of the report, COUGH (Cough) and FATIGUE (Tired) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 10-Sep-2021, SARS-CoV-2 test: positive (Positive) Positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product use was not provided by the reporter. No treatment information was provided. Company comment This is a case of Product Dose Omission Issue in a 59-year-old male patient no relevant medical history, who experienced the serious unexpected event of Pneumonia and COVID 19. The event occurred 28 days after the first dose of mRNA-1273 (Moderna COVID-19 Vaccine). The rechallenge was not applicable since only information about the first dose was disclosed. The benefit-risk relationship of mRNA-1273 (Moderna COVID-19 Vaccine) is not affected by this report.; Sender's Comments: This is a case of Product Dose Omission Issue in a 59-year-old male patient no relevant medical history, who experienced the serious unexpected event of Pneumonia and COVID 19. The event occurred 28 days after the first dose of mRNA-1273 (Moderna COVID-19 Vaccine). The rechallenge was not applicable since only information about the first dose was disclosed. The benefit-risk relationship of mRNA-1273 (Moderna COVID-19 Vaccine) is not affected by this report.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pneumonia
Hospital-Tage: -
Labordaten: Test Date: 20210910; Test Name: COVID-19 virus test; Test Result: Positive; Result Unstructured Data: Positive.
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1768758

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: MS
Alter: 30,0
Geschlecht: F
Eingang: 07.10.2021
Impfdatum: 05.08.2021
Beginn: 14.08.2021
Tage bis Beginn: 9,0
Dosis: 3
Route/Site: IM / LA

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

Full blood count normal Metabolic function test Paraesthesia oral Urticaria

Symptomtext

Migratory urticaria over most of body for period of about 10-14 days. No signs of anaphylaxis or systemic symptoms

Weitere VAERSDATA-Felder

Praegender Schweregrund: Paraesthesia oral
Hospital-Tage: -
Labordaten: Seen in ER for some tingling of mouth, but no edema every occurred. I believe CBC and CMP were done with unremarkable results
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Hydroxyzine 25mg 4 times a day as needed Celexa 20mg daily
Allergien: None
Vorherige Impfungen: -

VAERS 1722798

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: PA
Alter: 35,0
Geschlecht: F
Eingang: 22.09.2021
Impfdatum: 22.09.2021
Beginn: 22.09.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

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

Fatigue Paraesthesia Somnolence

Symptomtext

Tingling LEFT hand and fingers, marked fatigue, somnolence

Weitere VAERSDATA-Felder

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

VAERS 1715446

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: CA
Alter: 39,0
Geschlecht: F
Eingang: 20.09.2021
Impfdatum: 16.08.2021
Beginn: 19.08.2021
Tage bis Beginn: 3,0
Dosis: 1
Route/Site: IM / LA

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

Chest discomfort Headache Pain in extremity Paraesthesia Sensation of foreign body

Symptomtext

Patient received the Moderna COVID-19 vaccine on 08/16/2021. She states she had the usual S/E (sore arm, HA, etc) but then 3 days post vaccination developed tingling on the entire right side of her body. She denied associated weakness, difficulty breathing, chest pain, HA, blurred vision, difficulty with ambulating, or changes in speech, facial movements. The tingling was transient, lasting only 1 day. Day 4 post vaccination she developed chest pressure, "like something was stuck." She denied difficulty breathing, SOB, HA, blurred vision, cramping in extremities, N/V/D. Per patient she has an oximeter at home and the "readings were good." The episode was also transient, lasting about a day and then disappearing. She did not seek medical attention at the time. She also had a repeat of the feeling of chest pressure September 6-10. She did not seek medical attention at that time. Chart review revealed she has called in for similar symptoms of chest discomfort on 06/01/2021, at that time stating they were similar symptoms to how she felt when her child passed away, however there weren't any associated emotional triggers with episode from 06/01/2021 , 08/20/2021 or 09/06/2021. Patient counseled on choice of receiving vaccine, consulted with MD regarding vaccine administration. Patient would like to proceed with 2nd dose, 2nd Moderna dose given. Patient monitored for 30 min post administration with no adverse S/E. ED precautions given. Advised patient schedule F/U for symptoms of intermittent chest pressure from 06/01/2021 and repeat chest pressure. Patient d/c from clinic in stable condition.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Paraesthesia
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: Synovial Bursal Cyst on finger
Vorgeschichte: PMH Gestational DM (resolved), Depression, Prader-Wili Syndrome
Andere Medikamente: N/A
Allergien: NKDA
Vorherige Impfungen: -

VAERS 1656468

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: CT
Alter: 34,0
Geschlecht: F
Eingang: 30.08.2021
Impfdatum: 17.08.2021
Beginn: 19.08.2021
Tage bis Beginn: 2,0
Dosis: 1
Route/Site: SYR / LA

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

Arthralgia Chest discomfort Chest pain Dyspnoea exertional Electrocardiogram Fatigue Pain

Symptomtext

Stabbing chest paims and constant dull/pressure pain, fatigue, getting winded when singing/talking... some joint pain.

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Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: ECG-8/26/2021 Examination- 8/26/2021
Aktuelle Erkrankungen: None
Vorgeschichte: Asthma (childhood)-controlled since highschool
Andere Medikamente: None
Allergien: No
Vorherige Impfungen: -

VAERS 1651281

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: OH
Alter: 30,0
Geschlecht: F
Eingang: 28.08.2021
Impfdatum: 12.08.2021
Beginn: 12.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: SYR / LA

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

Abdominal pain lower Chest discomfort Chest pain Cough Decreased appetite Diarrhoea Fatigue Feeling abnormal Headache Nausea Neck pain Pain in extremity Spinal pain Vomiting

Symptomtext

Headache - began after 12 hrs and lasted for 9 days. Nausea - began after 12 hrs and lasted for 5 days. Vomiting - began after 12 hrs and lasted for 2 days. Loss of appetite - began after 12 hrs and lasted for 5 days. Diarrhea - began after 2 days and lasted for 2 days. Intermittent sharp pain in left side of neck - began after 12 hrs and lasted for 2 days. Intermittent sharp pain in lower spine - began after 12 hrs and lasted for 2 days. Intermittent sharp pain in lower abdomen - began after 12 hrs and lasted for 3 days. Fatigue - began after 1 day and still ongoing (16+ days). Brain fog - began after 1 day and still ongoing (16+days). Limb pain (both arms and both legs) - began after 3 days and lasted for 5 days. Dry cough - began after 3 days and is still ongoing (13 + days). Chest pain - began after 5 days and lasted for 5 days. Pain in right arm when coughing - began after 5 days and lasted for 3 days. Chest heaviness - began after 3 days and is still ongoing (13+ days) prescribed 5 days of prednisone that helped resolve the limb pain, but I am still having issues with a dry cough and chest heaviness. I am unable to lay down without a suffocating feeling

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Praegender Schweregrund: Chest pain
Hospital-Tage: -
Labordaten: None - I currently do not have health insurance. I will be seeking more tests on 9/1 when my new insurance begins.
Aktuelle Erkrankungen: N/A
Vorgeschichte: Hashimoto's Disease, Polycystic Ovary Syndrome
Andere Medikamente: Unithroid, prenatal vitamins, vitamin D, zinc, magnesium
Allergien: N/A
Vorherige Impfungen: -

VAERS 1577937

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003f21a

moderat

Staat: MA
Alter: 70,0
Geschlecht: M
Eingang: 17.08.2021
Impfdatum: 09.08.2021
Beginn: 10.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / RA

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

Dyspnoea Rash

Symptomtext

1 day post vaccine pt experienced difficulty breathing and a rash on his stomach. Pt was given some benadryl at home and this helped the symptoms. Pt also stated his daughter had some prednisone at home that she gave to him.

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

VAERS 1574524

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

moderat

Staat: GA
Alter: 41,0
Geschlecht: F
Eingang: 16.08.2021
Impfdatum: 12.08.2021
Beginn: 13.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / LA

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

Pain Paraesthesia

Symptomtext

Patient reports tingling in fingers and toes beginning the day after vaccination, off and on, mostly at night, and sore/achy feeling under chin in area of lymph nodes starting 8/16. Patient says lymph nodes are not swollen and are not painful when palpitated. No fever accompanies other symptoms. Recommended alerting PCP as to adverse events and to notify dr immediately if any nausea, vomiting, irregular heartbeat, dizziness or fainting occurs.

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

VAERS 2603203

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: AZ
Alter: 71,0
Geschlecht: F
Eingang: 15.03.2023
Impfdatum: 12.11.2021
Beginn: 14.11.2021
Tage bis Beginn: 2,0
Dosis: 3
Route/Site: SYR / LA

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

Dizziness Fatigue Feeling of body temperature change Gait disturbance Headache Nausea Pyrexia Vertigo

Symptomtext

I felt tired and had a slight headache the day after the injection, hot and cold, mabe fever? About 48 hrs after the injection I felt very dizzy and went to bed. At hour 60 upon wakening I had extreme vertigo. I felt as if I would pas out unless laying down. Each time I got up I could not walk straight and had to hold on to the walls. I felt slightly nauseated. This vertigo was very different from the "normal" BPPV I have experienced over a dozen times. The vertigo episodes I normally get resolve a bit when I am sitting or standing and get worse when I lay down. This vertigo was the opposite. I couldn't stand up or walk with any feeling of control/safety. By the 5th day I felt tired, but had no vertigo or nausea.

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Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: NONE
Aktuelle Erkrankungen: none
Vorgeschichte: BPPV, Lymphedema, Stage IV ovarian cancer NED 10 yrs, Aortic Stenosis, bicuspid aortic valve, hypertension,
Andere Medikamente: Losartan 100mg, Amlodipine Besylate 5 mg, Simvastatin 20 mg, A
Allergien: none
Vorherige Impfungen: -

VAERS 2581543

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: MI
Alter: 68,0
Geschlecht: F
Eingang: 14.02.2023
Impfdatum: 13.07.2022
Beginn: 03.01.2023
Tage bis Beginn: 174,0
Dosis: 1
Route/Site: - / -

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

Bacterial translocation Blood culture negative COVID-19 Cholecystitis chronic Cyst Diarrhoea Escherichia bacteraemia Fatigue Infection Influenza Leukocytosis Nausea Pyrexia SARS-CoV-2 test positive Sepsis Vomiting

Symptomtext

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

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

VAERS 2362596

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: MD
Alter: 73,0
Geschlecht: F
Eingang: 08.07.2022
Impfdatum: 22.10.2021
Beginn: 22.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: SYR / LA

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

Ageusia Anosmia Arthralgia Headache Influenza like illness Myalgia Pain Pain in extremity Sensory disturbance Vaccine positive rechallenge

Symptomtext

Starting about 3 hours after receiving the vaccine, my arm became sore and I was very achy. I had a headache and severe muscle and joint aches. I could feel it "move through my system" and it felt like a severe flu. These symptoms lasted for about 12 hours. I still had the loss of taste and smell from the previous dose.

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Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Acid Reflux; High Blood Pressure
Andere Medikamente: PRILOSEC; MICARDIS
Allergien: Sulfa drugs
Vorherige Impfungen: 1st and 2nd doses of Moderna: Same reaction.

VAERS 2359832

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: TX
Alter: 72,0
Geschlecht: F
Eingang: 06.07.2022
Impfdatum: 01.04.2022
Beginn: 19.05.2022
Tage bis Beginn: 48,0
Dosis: UNK
Route/Site: - / -

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

COVID-19 Cough Malaise Oropharyngeal pain Pyrexia Rhinorrhoea SARS-CoV-2 test positive

Symptomtext

I WAS TRAVELLED ABROAD ON A CRUISE FROM 4/20/2022 TO 5/4/2022. THEN, I STAYED IN ONE OF THE COUNTRIES FROM 5/4/2022 TO 5/8/2022. ON THE 5/8/2022 EVENING I GOT ON A CRUISE FROM THAT COUNTRY TO ANOTHER & ANOTHER AND BACK ON 05/15/2022. ON 05/16/2022 I FLEW BACK, THEN MADE CONNECTION TO FLY BACK TO MY HOME ON THE SAME DAY. HOWEVER, ON THE THIRD DAY RETURNING HOME, ON 05/19/2022, I HAD THE SYMPTOMS OF COVID 19: RUNNING NOSE, COUGH, SORE THROAT, FEVER. IMMEDIATELY, I CONTACTED MY FAMILY DOCTOR BY E-VISIT FOR TREATMENT AS FOLLOWS: TYLENOL, COUGH SYRUP, AND NOSE SPRAY TAKING DAILY. SINCE MY INFECTION WAS MILD, I RECOVERED WITHIN 5 DAYS.

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Praegender Schweregrund: Malaise
Hospital-Tage: -
Labordaten: 05/20/2022 MORNING, I TOOK THE COVID SELF TEST AND IT RESULTED POSITIVE 05/30/2022 MORNING, I TOOK THE COVID SELF TEST AND IT RESULTED NEGATIVE
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2287437

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: WA
Alter: 69,0
Geschlecht: F
Eingang: 20.05.2022
Impfdatum: 25.10.2021
Beginn: 26.10.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

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

Fatigue Pain Pain in extremity Pyrexia

Symptomtext

Fever of 102.5, body aches, fatigue and a sore arm. This lasted about 24 hours.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: High blood pressure, Gerd, vestibular migraine
Andere Medikamente: Omeprazole, metoprolol, multivitamin
Allergien: Effexor, Hydrochlorothiazide, codeine
Vorherige Impfungen: -

VAERS 2287270

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: MN
Alter: 76,0
Geschlecht: M
Eingang: 20.05.2022
Impfdatum: 25.02.2022
Beginn: 19.05.2022
Tage bis Beginn: 83,0
Dosis: 4
Route/Site: SYR / LA

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

COVID-19 Chemotherapy Malaise Metastatic renal cell carcinoma SARS-CoV-2 test positive

Symptomtext

Received Moderna vaccines on 2/26/21, 3/26/21, 9/23/21, 2/25/22; positive for COVID by PCR on 5/19/22. Admitted to hospital on 5/19/22 d/t mild/moderate COVID symptoms in pt with metastatic renal cell cancer on chemo.

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

VAERS 2267872

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: MN
Alter: 78,0
Geschlecht: M
Eingang: 09.05.2022
Impfdatum: 04.03.2022
Beginn: 07.05.2022
Tage bis Beginn: 64,0
Dosis: 4
Route/Site: IM / LA

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

Asthenia Immunosuppression Mantle cell lymphoma Pyrexia

Symptomtext

Hospitalized Weakness, fever, and required 2 L of O2. MAB in the am when diagnosed and Remdesivir upon admission to the hospital. Immunosuppressed mantle cell lymphoma on rituximab

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Praegender Schweregrund: Pyrexia
Hospital-Tage: 2,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Chronic kidney disease, CHF, HTN, OSA
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2263476

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: GA
Alter: 41,0
Geschlecht: F
Eingang: 04.05.2022
Impfdatum: 02.11.2021
Beginn: 02.12.2021
Tage bis Beginn: 30,0
Dosis: 2
Route/Site: SYR / LA

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

Amenorrhoea Chills Decreased appetite Diarrhoea Headache Lethargy Malaise Nausea Pain Pyrexia

Symptomtext

Very sick lasting from 12 hours post injection for the following two weeks with fever of up to 103, chills, severe lethargy and body aches, nausea, diarrhea, severe headaches, lack of appetite. Was on period when i received the 2nd dose and have not had a period since receiving it. Scheduled appointment with Gynecologist in July of 2022.

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Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: none yet, appointment with doctor scheduled for July 19, 2022.
Aktuelle Erkrankungen: none
Vorgeschichte: IBS
Andere Medikamente: Lisinopril HCTZ vitamin supplement
Allergien: Sulfa drugs
Vorherige Impfungen: Swelling and pain at inj. site and lethargy for 1 week with tetanus vaccine

VAERS 2247931

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: FL
Alter: 66,0
Geschlecht: F
Eingang: 22.04.2022
Impfdatum: 26.10.2021
Beginn: 11.12.2021
Tage bis Beginn: 46,0
Dosis: 3
Route/Site: IM / LA

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

Blister Blood test Differential white blood cell count Dizziness Fall Full blood count Gingival bleeding Gingival discomfort Glossodynia Hypoaesthesia oral Metabolic function test Oral discomfort Oral disorder Sitting disability Vertigo

Symptomtext

She got her vaccine, the inside of her mouth has been flaming burning, her gums are burning, bleeding, her tongue was extremely sensitive when she runs her tongue on them, and her lips are numb. She also vertigo, if she sat up in bed she would fall over. She went to the IC to see if she had an inner ear infection, thought her mouth issues were dental. Went to the dentist and had her teeth cleaned and still has the issue. Her cousin had COVID twice and developed shingles on her eyes and her sister told her to see if it was shingles as it was one of the AE to shingles. The PCP told her to go to the dentist. She was given exercises for the vertigo, had no ear infection, which this did go away. She went to PCP on 12/14/21, she was still feeling dizzy after the booster with vertigo. She felt that she had a blister that had since gone. She did blood work CMP, CBC and diff and then had a FU with her and said that she would refer her to an ENT, but referred her to a neurologist to get some tests done. The neurologist ruled out Parkinson's, saw some lesions in her mouth and was given a list of tests she was to get, an MRI, etc., but she has not done those yet. She then saw her PCP on 2/16/22 and felt that she may have thrush and they would not swab her mouth. She has been using apple cider, still had the numbness. She then wondered if her symptoms were related to the vaccine and prescribed to see the neurologist. She is now trying to get a test for shingles. None of her problems have resolved, have not given her any diagnosis but can see an oral surgeon, which she would have to pay for that and does not have the money to do the testing. She requested from her doctor to see how she could see if she had shingles or not, and has not heard back from her yet.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: As above.
Aktuelle Erkrankungen: None.
Vorgeschichte: None.
Andere Medikamente: None.
Allergien: None.
Vorherige Impfungen: -

VAERS 2206063

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: NY
Alter: 32,0
Geschlecht: M
Eingang: 30.03.2022
Impfdatum: 12.08.2021
Beginn: 09.09.2021
Tage bis Beginn: 28,0
Dosis: 1
Route/Site: OT / RA

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

Fatigue Pyrexia SARS-CoV-2 antibody test Vaccination site pain

Symptomtext

Fever; sore right injection site arm; knocked me out for the whole day; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (sore right injection site arm), FATIGUE (knocked me out for the whole day) and PYREXIA (Fever) in a 32-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 003F21A and 003F21A) for COVID-19 vaccination. The patient's past medical history included COVID-19 (Had asymptomatic infection). On 12-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Sep-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 09-Sep-2021, the patient experienced VACCINATION SITE PAIN (sore right injection site arm). 09-Sep-2021, the patient experienced FATIGUE (knocked me out for the whole day). On an unknown date, the patient experienced PYREXIA (Fever). At the time of the report, VACCINATION SITE PAIN (sore right injection site arm), FATIGUE (knocked me out for the whole day) and PYREXIA (Fever) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 antibody test: positive (Positive) Had asymptomatic infection. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant information was reported. The patient had no adverse reactions after the first dose of vaccination. The patient was not diagnosed with myocarditis or pericarditis. No history of Myocarditis or pericarditis The patient had history of COVID-19 infection however patient does not know when he caught COVID-19 and said that he had an asymptomatic infection. Date when the symptoms began was unknown.Patient stated that he had COVID-19 antibodies prior to receiving the COVID-19 vaccine and that was evidence of a COVID-19 infection. Patient was not hospitalized due to COVID-19 and did not receive any treatment . No treatment information was reported. This case was linked to MOD-2022-523390 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 24-Mar-2022: Follow up information was received and included no new information.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: Test Name: COVID-19 Test; Test Result: Positive ; Result Unstructured Data: Had asymptomatic infection
Aktuelle Erkrankungen: -
Vorgeschichte: Medical History/Concurrent Conditions: COVID-19 (Had asymptomatic infection)
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2110321

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: CO
Alter: 68,0
Geschlecht: F
Eingang: 14.02.2022
Impfdatum: 26.10.2021
Beginn: 09.12.2021
Tage bis Beginn: 44,0
Dosis: 3
Route/Site: SYR / RA

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

Cough Fatigue Heart rate increased Insomnia Loss of personal independence in daily activities Malaise Oropharyngeal pain SARS-CoV-2 test negative

Symptomtext

It started our with a very severe sore throat and extreme fatigue. Then I developed a cough and it lingered probably 2 weeks after medication. I had a virtual visit with my doctor on Wednesday and he prescribed medication, 4 days of Zypack. He said if by Monday I was not feeling well to call back. Also, my resting heart rate was really elevated by that time. I also was having difficulty sleeping because of the coughing. By Monday I was feeling much better. Before I could not do my normal activities except for doing one thing a day. I tested twice for Covid, home tests, both were negative.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: 2 at home Covid tests- negative
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Calcium, Vitamins
Allergien: None
Vorherige Impfungen: -

VAERS 2096746

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: TX
Alter: 43,0
Geschlecht: F
Eingang: 08.02.2022
Impfdatum: 27.01.2022
Beginn: 28.01.2022
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / LA

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

Body temperature increased Cellulitis Erythema Injection site erythema Injection site swelling Lymphadenopathy Myalgia Oedema peripheral Pain in extremity Peripheral swelling Swelling

Symptomtext

24 hours after the shot, I developed swelling lymph nodes to my neck. I was experiencing muscle aches. I had a temp of 100 degrees. The swelling on my neck was visible. The swelling was under my armpits. The injection sight was red and swelling as well. The redness wrapped around my arm and started swelling and lumping pain. I went to the doctor on the 31st of January. I was diagnosed with cellulitis related to the injection. I was placed on antibiotics.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: None.
Aktuelle Erkrankungen: No
Vorgeschichte: High blood pressure; high cholesterol; pre-diabetes; low vitamin D; PCOS
Andere Medikamente: BYSTOLIC; BENICAR; FARXIGA; metformin; vitamin D; VYTORIN
Allergien: No
Vorherige Impfungen: 2nd Pfizer vaccines gave swelling in lymph nodes and under my arm. It lasted 24 hours then went away.

VAERS 2085984

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003f21a

mild

Staat: AL
Alter: 55,0
Geschlecht: F
Eingang: 03.02.2022
Impfdatum: 22.01.2022
Beginn: 23.01.2022
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: IM / LA

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

Asthenia Dizziness Fatigue Nausea

Symptomtext

fatigue, nasaue, weak, dizzy

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: pancreatitus
Andere Medikamente: creon, lisinopril, singulair, amlodepine,
Allergien: -
Vorherige Impfungen: -

VAERS 2079647

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: IL
Alter: 73,0
Geschlecht: F
Eingang: 01.02.2022
Impfdatum: 27.10.2021
Beginn: 01.11.2021
Tage bis Beginn: 5,0
Dosis: 3
Route/Site: IM / LA

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

Arthralgia Tinnitus X-ray

Symptomtext

I have been experiencing a lot of joint pain and tinnitus. The joint pain seems to move around my body. When one place stops hurting another will start to hurt. It started with my right hip. The pain generally happens on the right side of my body. I went and saw my PCP and he referred me to physical therapy and told me to take anti-inflammatories. After my hip pain improved, my shoulder and elbow started to hurt. I feel that physical therapy is helping. I am not blaming the vaccine, but this did occur after receiving my booster. If we are in need to get another booster, I will still get it. I am very thankful for those that are doing all of this work with the vaccines.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: I had an X-ray for the pains I was experiencing, but everything came back fine. I have minimal arthritis.
Aktuelle Erkrankungen: I was not experiencing any illness.
Vorgeschichte: I do not have any chronic or long-standing health conditions.
Andere Medikamente: I was taking Vitamin D3 with K2, a 50+ multivitamin, glucosamine and acetyl L-carnitine.
Allergien: I do not have any allergies.
Vorherige Impfungen: -

VAERS 2067752

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: -
Alter: 55,0
Geschlecht: F
Eingang: 27.01.2022
Impfdatum: 22.12.2021
Beginn: 01.01.2022
Tage bis Beginn: 10,0
Dosis: 1
Route/Site: OT / LA

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

Asthenia Expired product administered Fatigue Somnolence Swelling

Symptomtext

expired vaccine administered; felt weak; couldn?t stay awake/slept her whole working shift from 8-2/just woke up periodically; a little swelling; felt very tired; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (felt weak), SOMNOLENCE (couldn?t stay awake/slept her whole working shift from 8-2/just woke up periodically), SWELLING (a little swelling), FATIGUE (felt very tired) and EXPIRED PRODUCT ADMINISTERED (expired vaccine administered) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. No Medical History information was reported. On 22-Dec-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Jan-2022 at 10:30 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In January 2022, the patient experienced ASTHENIA (felt weak), SOMNOLENCE (couldn?t stay awake/slept her whole working shift from 8-2/just woke up periodically), SWELLING (a little swelling) and FATIGUE (felt very tired). On 22-Jan-2022, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced EXPIRED PRODUCT ADMINISTERED (expired vaccine administered). On 22-Jan-2022, EXPIRED PRODUCT ADMINISTERED (expired vaccine administered) had resolved. At the time of the report, ASTHENIA (felt weak), SOMNOLENCE (couldn?t stay awake/slept her whole working shift from 8-2/just woke up periodically), SWELLING (a little swelling) and FATIGUE (felt very tired) outcome was unknown. No concomitant medications were reported No treatment medications were reported This case was linked to MOD-2022-460314 (Patient Link). Reporter did not allow further contact

Weitere VAERSDATA-Felder

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

VAERS 2044242

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: FL
Alter: 73,0
Geschlecht: M
Eingang: 18.01.2022
Impfdatum: 15.10.2021
Beginn: 27.12.2021
Tage bis Beginn: 73,0
Dosis: 3
Route/Site: IM / LA

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

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

Symptomtext

I received my Moderna booster on 10/14/2021. On 12/27/2021, I started to not feel well. On 12/28/2021, I tested positive for COVID-19. In short, I have a breakthrough case.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Malaise
Hospital-Tage: -
Labordaten: I took a home test on 12/28/2021 and got a positive result.
Aktuelle Erkrankungen: None.
Vorgeschichte: Total colectomy with J-pouch, hypertension.
Andere Medikamente: Benicar, allopurinol, Flonase, tamsulosin, omeprazole, Lipitor, Align probiotic, aspirin, B12, D3, Tylenol.
Allergien: Tramadol, seasonal allergies.
Vorherige Impfungen: -

VAERS 2036120

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: OK
Alter: 27,0
Geschlecht: F
Eingang: 14.01.2022
Impfdatum: 03.12.2021
Beginn: 12.01.2022
Tage bis Beginn: 40,0
Dosis: 1
Route/Site: IM / LA

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

COVID-19 Cough Headache Oropharyngeal pain SARS-CoV-2 RNA SARS-CoV-2 test positive

Symptomtext

COUGH, HA, ST.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Headache
Hospital-Tage: -
Labordaten: POSITIVE SARS-COV-2 RNA.
Aktuelle Erkrankungen: ALLERGIC RHINITIS, PAIN IN FEMALE PELVIS
Vorgeschichte: ASTHMA
Andere Medikamente: Medroxyprogesterone, Propranolol, Meloxicam, Albuterol, Sertraline, Gabapentin, Hydroxyzine, Cetirizine, Flonase, Cholecalciferol, Magic Mouthwash
Allergien: NKA
Vorherige Impfungen: -

VAERS 2032185

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: OK
Alter: 35,0
Geschlecht: F
Eingang: 13.01.2022
Impfdatum: 08.12.2021
Beginn: 11.01.2022
Tage bis Beginn: 34,0
Dosis: 1
Route/Site: IM / LA

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

COVID-19 Cough Fatigue Headache Myalgia Pyrexia SARS-CoV-2 test positive

Symptomtext

FEVER, COUGH, HA, FATIGUE, MUSCLE PAIN

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: 01/11/22: POSITIVE SARS-COV-2 RNA
Aktuelle Erkrankungen: NONE
Vorgeschichte: CHRONIC ABD PAIN
Andere Medikamente: FLONASE, LORATADINE, NICOTINE LOZENGE
Allergien: NKA
Vorherige Impfungen: -

VAERS 1982097

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: GA
Alter: 72,0
Geschlecht: M
Eingang: 27.12.2021
Impfdatum: 24.10.2021
Beginn: 02.11.2021
Tage bis Beginn: 9,0
Dosis: 3
Route/Site: IM / RA

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

Acoustic stimulation tests abnormal Balance disorder Blood test Deafness unilateral Dizziness Ear, nose and throat examination Magnetic resonance imaging Tinnitus

Symptomtext

Hearing Loss (left ear), tinnitus, dizziness, loss of balance.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Dizziness
Hospital-Tage: -
Labordaten: Primary care provider - Evaluation/Exam and blood work (11/17/2021). Order for MRI. Referred to ENT. ENT - Exam, hearing test. (11/19/2021) MRI performed 12/19/2021.
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Crestor - 10 mg/da Trimetheine-HCTZ - 37.5-25 mg/da Acetyl Carnitine - 1000 mg/da CoQ 10 - 200 mg/da Centrum Silver - 1/da Menaquinone-7 - 90 ug/da Fish Oil - 1400 mg/da (1000 mg omea-3) Niacin - 1250 mg/da
Allergien: None
Vorherige Impfungen: -

VAERS 1979249

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: IN
Alter: 45,0
Geschlecht: M
Eingang: 24.12.2021
Impfdatum: 30.11.2021
Beginn: 02.12.2021
Tage bis Beginn: 2,0
Dosis: 3
Route/Site: SYR / LA

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

Lymph node pain Lymphadenopathy

Symptomtext

Pain and swelling of lymph areas in left side neck collarbone, under left armpit and left groin. Symptoms persisted for 1 week and subsided without medical intervention. Daily Aleve for pain

Weitere VAERSDATA-Felder

Praegender Schweregrund: Lymph node pain
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Lactose Intolerance
Andere Medikamente: Men?s 1 A Day multivitamin, Tumeric with Curcumin, InflammaSelect supplements
Allergien: None
Vorherige Impfungen: 2nd dose of Moderna. Fever, chills, headache and fatigue overnight. Vaccine received at 9:30 am on 4/28/2021. 44 years old at ti

VAERS 1917160

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: TX
Alter: 37,0
Geschlecht: F
Eingang: 02.12.2021
Impfdatum: 30.11.2021
Beginn: 01.12.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

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

Chills Dyspepsia Fatigue Pyrexia Tinnitus

Symptomtext

11/30/21 PM/ night - Patient developed fever 103, shivering, heartburn, tinnitis to both ears, fatigue. 12/2/21 - spoke with patient this morning. All symptoms have resolved except temp 99

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Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: Shellfish / mussels
Vorherige Impfungen: -

VAERS 1913296

UNKNOWN MANUFACTURER · VACCINE NOT SPECIFIED (NO BRAND NAME) · Charge 003F21A

mild

Staat: CA
Alter: 59,0
Geschlecht: F
Eingang: 01.12.2021
Impfdatum: 01.11.2020
Beginn: 01.07.2021
Tage bis Beginn: 242,0
Dosis: 3
Route/Site: SYR / RA

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

Alopecia Arthralgia Bone pain Increased tendency to bruise Muscle spasms

Symptomtext

Around July 2021 my bones/joints started feeling frail and sore. I have horrific muscle cramps in my legs and feet through out my sleep. I also notice I bruise very very easy. The issues seems to be getting worse. I also have a lot of hair loss. I take ibuprofen 2?a day each 4-5 . I have No idea if the vaccine is the cause but I do know I did not have these issues beforehand.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Lysinpril 10 mg
Allergien: None
Vorherige Impfungen: -

VAERS 1900010

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: PA
Alter: 41,0
Geschlecht: M
Eingang: 25.11.2021
Impfdatum: 12.11.2021
Beginn: 21.11.2021
Tage bis Beginn: 9,0
Dosis: 3
Route/Site: SYR / LA

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

Extra dose administered Hypersensitivity Rash Rash pruritic Urticaria

Symptomtext

Full body rash (very itchy) with welts and bumps started 9 days after my Moderna booster shot. My doctor treated it as an allergic reaction and prescribed Prednisone steroid. I am on the 4th day of prednisone and the rash is not going anywhere. It moves through the body and gets very itchy.

Weitere VAERSDATA-Felder

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

VAERS 1892864

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: -
Alter: 38,0
Geschlecht: F
Eingang: 23.11.2021
Impfdatum: 05.11.2021
Beginn: 05.11.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / LA

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

Arthralgia Axillary pain Chills Fatigue Headache Muscle spasms Myalgia Nausea Pain in extremity Pyrexia Vomiting

Symptomtext

Legs hurting, couldn't move legs; I am having bad cramping, never have cramping like this usually; Armpit hurting along with cramps that she has not experienced before; Nausea; Vomiting; Chills; 100.08F Fever; Fatigue; Headache/Felt like a weight on my head; Muscle pain; Joint pain; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Legs hurting, couldn't move legs), MUSCLE SPASMS (I am having bad cramping, never have cramping like this usually), AXILLARY PAIN (Armpit hurting along with cramps that she has not experienced before), NAUSEA (Nausea) and VOMITING (Vomiting) in a 38-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 05-Nov-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 05-Nov-2021, the patient experienced PAIN IN EXTREMITY (Legs hurting, couldn't move legs), MUSCLE SPASMS (I am having bad cramping, never have cramping like this usually), AXILLARY PAIN (Armpit hurting along with cramps that she has not experienced before), NAUSEA (Nausea), VOMITING (Vomiting), CHILLS (Chills), PYREXIA (100.08F Fever), FATIGUE (Fatigue), HEADACHE (Headache/Felt like a weight on my head), MYALGIA (Muscle pain) and ARTHRALGIA (Joint pain). The patient was treated with IBUPROFEN for Adverse event, at an unspecified dose and frequency. At the time of the report, PAIN IN EXTREMITY (Legs hurting, couldn't move legs), MUSCLE SPASMS (I am having bad cramping, never have cramping like this usually), AXILLARY PAIN (Armpit hurting along with cramps that she has not experienced before), NAUSEA (Nausea), VOMITING (Vomiting), CHILLS (Chills), PYREXIA (100.08F Fever), FATIGUE (Fatigue), HEADACHE (Headache/Felt like a weight on my head), MYALGIA (Muscle pain) and ARTHRALGIA (Joint pain) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 05-Nov-2021, Body temperature: 100.08 (High) 100.08F. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications were reported.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: Test Date: 20211105; Test Name: Body temperature; Result Unstructured Data: 100.08F
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1888642

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: TN
Alter: 61,0
Geschlecht: F
Eingang: 21.11.2021
Impfdatum: 18.11.2021
Beginn: 19.11.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

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

Chills Pain Pyrexia Rash

Symptomtext

24 hours after, fever and aches. Severe chills. Disappeared after 6 hours. 48 hours after, fever and aches. 3rd day (today) woke with rash on vaccine arm, chest and neck, and rib cage.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: Statin Metformin
Allergien: Penicillin Percocet
Vorherige Impfungen: Moderna - joint aches, particularly knuckles

VAERS 1888082

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: UT
Alter: 47,0
Geschlecht: M
Eingang: 20.11.2021
Impfdatum: 05.11.2021
Beginn: 15.11.2021
Tage bis Beginn: 10,0
Dosis: 3
Route/Site: SYR / RA

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

Urticaria

Symptomtext

Full body rash (HIVES) that started on late Monday 11/15/21. Saw doctor on Wednesday and given 12 day steroid taper pack.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Urticaria
Hospital-Tage: -
Labordaten: No tests performed at doctor.
Aktuelle Erkrankungen: Prior cold or other virus (not-covid) about 2.5 weeks prior
Vorgeschichte: None; history of exercise induced asthma (including hives)
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 1860791

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: -
Alter: 70,0
Geschlecht: M
Eingang: 13.11.2021
Impfdatum: 09.11.2021
Beginn: 10.11.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / RA

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

Decreased appetite Headache Illness Nausea Rash Unevaluable event Vomiting

Symptomtext

None stated.

Weitere VAERSDATA-Felder

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

VAERS 1863622

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: ID
Alter: 87,0
Geschlecht: F
Eingang: 12.11.2021
Impfdatum: 29.10.2021
Beginn: -
Tage bis Beginn: -
Dosis: 3
Route/Site: OT / LA

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

Ageusia Anosmia Body temperature Feeling cold Ocular discomfort Pain Pyrexia Sleep disorder Visual impairment

Symptomtext

loss smell & taste; loss smell & taste; aches & pains; aches woke her up in middle of night; freezing to death; eyes are giving her trouble lately; usually sees well, but not so much lately; fever of 100.9F; This spontaneous case was reported by a consumer and describes the occurrence of ANOSMIA (loss smell & taste), AGEUSIA (loss smell & taste), PAIN (aches & pains), SLEEP DISORDER (aches woke her up in middle of night) and FEELING COLD (freezing to death) in an 87-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COVID-19 (loss smell & taste, had a fever, and aches & pains) in March 2020. Previously administered products included for Product used for unknown indication: Flu shot. Past adverse reactions to the above products included No adverse event with Flu shot. On 29-Oct-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In 2021, the patient experienced ANOSMIA (loss smell & taste), AGEUSIA (loss smell & taste), PAIN (aches & pains), SLEEP DISORDER (aches woke her up in middle of night), FEELING COLD (freezing to death), OCULAR DISCOMFORT (eyes are giving her trouble lately), VISUAL IMPAIRMENT (usually sees well, but not so much lately) and PYREXIA (fever of 100.9F). The patient was treated with PARACETAMOL (TYLENOL [PARACETAMOL]) for Fever, at an unspecified dose and frequency. At the time of the report, ANOSMIA (loss smell & taste), AGEUSIA (loss smell & taste), PAIN (aches & pains), SLEEP DISORDER (aches woke her up in middle of night), FEELING COLD (freezing to death), OCULAR DISCOMFORT (eyes are giving her trouble lately) and VISUAL IMPAIRMENT (usually sees well, but not so much lately) outcome was unknown and PYREXIA (fever of 100.9F) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Body temperature: 100.9 f (High) 100.9 F, 99 f (High) 99 F and 97 f (normal) 97 F. No Concomitant medications were provided by the reporter. This case concerns an 87-year-old, female patient with a history of COVID-19 (in March 2021, with anosmia and ageusia) and recent vaccination with flu shot, who experienced the unexpected non-serious AESI events of anosmia and ageusia. The events occurred at an unknown day after the third dose of Moderna COVID-19 vaccine. The rechallenge was not applicable since the events happened after the third dose and no additional dosing is expected. The medical history of COVID-19 (in March 2021, with anosmia and ageusia) and recent vaccination with flu shot remain as confounders. The benefit-risk relationship of Moderna COVID-19 vaccine is not affected by this report. This case was linked to MOD-2021-376660, MOD-2021-375073 (Patient Link).; Sender's Comments: This case concerns an 87-year-old, female patient with a history of COVID-19 (in March 2021, with anosmia and ageusia) and recent vaccination with flu shot, who experienced the unexpected non-serious events of anosmia and ageusia. The events occurred at an unknown day after the third dose of Moderna COVID-19 vaccine. The rechallenge was not applicable since the events happened after the third dose and no additional dosing is expected. The medical history of COVID-19 (in March 2021, with anosmia and ageusia) and recent vaccination with flu shot remain as confounders. The benefit-risk relationship of Moderna COVID-19 vaccine is not affected by this report.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain
Hospital-Tage: -
Labordaten: Test Date: 2021; Test Name: body temperature; Result Unstructured Data: 100.9 F; Test Date: 2021; Test Name: body temperature; Result Unstructured Data: 99 F; Test Date: 2021; Test Name: body temperature; Result Unstructured Data: 97 F
Aktuelle Erkrankungen: -
Vorgeschichte: Medical History/Concurrent Conditions: COVID-19 (loss smell & taste, had a fever, and aches & pains)
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1858388

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: FL
Alter: 72,0
Geschlecht: F
Eingang: 10.11.2021
Impfdatum: 26.10.2021
Beginn: 27.10.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / LA

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

Blood test Chills Headache Pain Pyrexia Vitreous detachment

Symptomtext

24 hours after receiving the vaccine I had a fever, aches, and chills. 3 days after I came down with Posterior Vitreous Detachment in my eye. I went to the doctor on Monday 11/1/2021 to see an Ophthalmologist. They took a picture of my eye and looked at it. On 11/5/2021 I went to see a retinal specialist about my eye. They took pictures and did an eye test. Today I went to an Internist because my temple hurts a lot too. They will be doing blood work tomorrow.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: Eye test (11/5/2021)
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Pravastatin 10mg 1xday Pantoprazole 20mg 1xday
Allergien: Penicillin
Vorherige Impfungen: COVID-19 (2nd dose)- aches and chills (2/4/2021)

VAERS 1858363

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: WA
Alter: 28,0
Geschlecht: M
Eingang: 10.11.2021
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

Inappropriate schedule of product administration Injection site pain

Symptomtext

Patient received booster dose 6 days early. Patient reported injection site soreness not outside expected reaction. No treatment required.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site pain
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: multivitamine
Allergien: penicillin
Vorherige Impfungen: -

VAERS 1855298

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: OH
Alter: 67,0
Geschlecht: F
Eingang: 09.11.2021
Impfdatum: 23.10.2021
Beginn: 30.10.2021
Tage bis Beginn: 7,0
Dosis: 3
Route/Site: - / -

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

Cough Facial pain Headache Nausea Oropharyngeal pain Pain in jaw Respiratory tract congestion SARS-CoV-2 test negative

Symptomtext

It started out with a sore throat for two days. It was out of the blue. I don't know where it came from. Then I had a headache, but it happened at night. It was very similar to dose 2. I had pain in the front of my face and jaw, Slightly nauseated. I had congestion. I had a cough, and it went away after several days. I didn't have a reaction until a week later.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Facial pain
Hospital-Tage: -
Labordaten: Negative COVID-19 Test
Aktuelle Erkrankungen: UTI
Vorgeschichte: Mild Asthma triggered by animal dander
Andere Medikamente: Pentotrazole 40mg one a day Levothyroxine 25mcg once a day 500 mg of vitamin C Microbed
Allergien: Levaquin Sulfa
Vorherige Impfungen: -

VAERS 1854876

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: MN
Alter: 59,0
Geschlecht: F
Eingang: 09.11.2021
Impfdatum: 02.11.2021
Beginn: 04.11.2021
Tage bis Beginn: 2,0
Dosis: 3
Route/Site: - / LA

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

Lymphadenopathy Rash Rash erythematous Rash pruritic

Symptomtext

Patient reported that she has a rash that started 11/04 on her arms... now she has the rash all over her legs arms scalps and the side of her face... bumps are very itching and red... also developed a lump in her arm pit as well as back her neck...

Weitere VAERSDATA-Felder

Praegender Schweregrund: Rash
Hospital-Tage: -
Labordaten: dr gave her steroids cream for the rash on 11/08...she went to the ER
Aktuelle Erkrankungen: no
Vorgeschichte: type 2 diabetes
Andere Medikamente: Metformin 500mg 4x a day Oxybutynin 10mg 1 a day omeprazole 40mg 1 a day Simvastatin 20mg 1 a day Bydureon 2mg injections 1x a week Triamcinolone .1% (steroid cream) given after reaction
Allergien: morphin Flu vaccine
Vorherige Impfungen: flu vaccine... allergic to ingredient

VAERS 1846782

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: VA
Alter: 29,0
Geschlecht: M
Eingang: 05.11.2021
Impfdatum: 01.11.2021
Beginn: 02.11.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: SYR / RA

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

Asthenia Back pain Chest discomfort Chills Decreased appetite Headache Nausea Neck pain Pain Pyrexia Skin warm

Symptomtext

About 16 hours after my shot, I started getting body aches, headache, and weakness. A little while later, my headaches, and body aches got worst. I have a fever. I was warm to the touch. I lost my aplite. I was nauseous. I had chills even though I was warm to the touch. I started having discomfort on my chest, left side. I have had a very acute pain in my neck into my back. I talked to my doctor.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Back pain
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: N/A
Vorgeschichte: Obesity
Andere Medikamente: Tylenol Wellbutrin
Allergien: N/A
Vorherige Impfungen: -

VAERS 1844329

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: CA
Alter: 65,0
Geschlecht: F
Eingang: 04.11.2021
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

Injection site erythema Injection site pain Injection site swelling

Symptomtext

Pt called on 11/4/2021 to report swelling the size of a golf ball, that site is red, swollen and painful. She reported that symptoms seemed to get better and today has come back.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: unknown
Allergien: None
Vorherige Impfungen: -

VAERS 1839627

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: GA
Alter: 75,0
Geschlecht: F
Eingang: 03.11.2021
Impfdatum: 29.10.2021
Beginn: 31.10.2021
Tage bis Beginn: 2,0
Dosis: 2
Route/Site: IM / LA

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

Erythema Injection site erythema Lymphadenopathy

Symptomtext

Patient developed swollen lymph nodes and redness in the axilla beginning on 10/31/2021 after vaccination. She received a half-dose booster shot. She says it started as redness at the injection site and spread down her arm and into her breast area on the side she received her vaccine on. It was not painful. She says it is improving but not completely resolved yet.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: Unknown
Vorgeschichte: Unknown
Andere Medikamente: Unknown
Allergien: Aspirin, Cipro, Sulfa
Vorherige Impfungen: -

VAERS 1833318

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: NJ
Alter: 48,0
Geschlecht: F
Eingang: 01.11.2021
Impfdatum: 28.10.2021
Beginn: 28.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: SYR / LA

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

Fatigue Headache Injection site pain Injection site swelling Injection site warmth

Symptomtext

Swollen at site; Pain; Hot to touch; Fatigue; Severe headaches.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: None
Vorgeschichte: Chronic Migraines fibromyalgia
Andere Medikamente: -
Allergien: NKFA
Vorherige Impfungen: Other covid vaccines fatigue, headache, pain at injection site 1-2 days after injection only no longer.

VAERS 1830027

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003 F21A

mild

Staat: WA
Alter: 67,0
Geschlecht: M
Eingang: 29.10.2021
Impfdatum: 26.10.2021
Beginn: 28.10.2021
Tage bis Beginn: 2,0
Dosis: 3
Route/Site: IM / RA

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

Peripheral swelling Pruritus Rash erythematous

Symptomtext

Red rash on arms, chest and hands. Swelling in both hands. Pronounced itching in hands. The event lasted about 18 hours. The swollen hands over 24 hours.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pruritus
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: None
Vorgeschichte: Bad knees
Andere Medikamente: Glucosamine, multi-vitamin, Sodium Naproxen, Tylenol
Allergien: None
Vorherige Impfungen: -

VAERS 1829663

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: AZ
Alter: 74,0
Geschlecht: F
Eingang: 29.10.2021
Impfdatum: 24.10.2021
Beginn: 24.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LL

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

Burning sensation Pain in extremity Peripheral swelling

Symptomtext

Patient states that after the vaccine was quickly "jabbed", patient says arm burned. When the patient presented on 10/29/2021 ~1pm, patient showed a large swell around the area that she said had been growing and that should feel the pain growing down to her forearm

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain in extremity
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1825871

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: NV
Alter: 81,0
Geschlecht: F
Eingang: 28.10.2021
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: nein

Injection site erythema Injection site warmth

Symptomtext

PATIENT STATES THAT HER LEFT ARM STARTED GETTING RED AND WARM/HOT LATER IN THE DAY SHE RECEIVED VACCINE. THIS IS FOUR DAYS LATER AND STILL HAS THE SAME EFFECT.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: NOT KNOWN
Allergien: NONE KNOWN
Vorherige Impfungen: -

VAERS 1822158

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003f21a

mild

Staat: FL
Alter: 81,0
Geschlecht: F
Eingang: 27.10.2021
Impfdatum: 25.10.2021
Beginn: 26.10.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

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

Axillary pain Pain in extremity Rash

Symptomtext

Sore arm Rash Painful under arm. Rt side

Weitere VAERSDATA-Felder

Praegender Schweregrund: Axillary pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: Nephedapine Benazapril
Allergien: -
Vorherige Impfungen: 80

VAERS 1818198

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: AZ
Alter: 29,0
Geschlecht: F
Eingang: 26.10.2021
Impfdatum: 18.10.2021
Beginn: 24.10.2021
Tage bis Beginn: 6,0
Dosis: 1
Route/Site: IM / LA

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

Erythema Exposure during pregnancy Nodule Pain in extremity

Symptomtext

Patient stated this was her 1st moderna dose and she is 10 weeks pregnant. She said she got the shot on 10/18 and only had the usualy sore arm right after but on 10/24 around 3pm, she reported a sore arm, redness of a big circle, knot under the skin and pain. She is worried about getting the second dose if she is having these delayed symptoms after the first one.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain in extremity
Hospital-Tage: -
Labordaten: She just moved here so she does not have an established dr here yet. I told her to see her OB/GYN and/or urgent care. I called her the day after she reported this to me to check on her and she said the size of the redness has doubled and is still painful. She has an appt tomorrow on 10-27 at the Clinic.
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: none known
Allergien: penicillin, sulfa
Vorherige Impfungen: -

VAERS 1814739

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: IN
Alter: 22,0
Geschlecht: F
Eingang: 25.10.2021
Impfdatum: 14.10.2021
Beginn: 24.10.2021
Tage bis Beginn: 10,0
Dosis: 1
Route/Site: IM / LA

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

Injection site erythema

Symptomtext

Pt developed a red splotchy circle around the vaccination site 10 days after vaccination. Pt is applying warm compress to the site.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site erythema
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none reported
Vorgeschichte: depression anxiety
Andere Medikamente: bupropion xl 300 mg lamotrigine 150mg hydroxyzine 10mg multivitamin gas-x
Allergien: nkda
Vorherige Impfungen: -

VAERS 1814249

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: PA
Alter: 63,0
Geschlecht: F
Eingang: 25.10.2021
Impfdatum: 21.10.2021
Beginn: 21.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Body temperature Fatigue Headache Myalgia Rhinorrhoea Sleep apnoea syndrome

Symptomtext

1st dose no side effects 2nd dose side effects consist of muscle pain, temperature, fatigue and fever over 2 days 3rd dose side effects consist of extreme muscle pain, temperature, fatigue, headache, sleep apena, runny nose still existing over 4 days now.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Fatigue
Hospital-Tage: -
Labordaten: My daughter is a Physican and keeping a close look in on me.
Aktuelle Erkrankungen: None
Vorgeschichte: Hypertension meds for 2 years
Andere Medikamente: Hydroclorothiazide
Allergien: None
Vorherige Impfungen: Doses 2 and 3 there were some side effects (SEE QUESTION 18).

VAERS 1813647

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: FL
Alter: 81,0
Geschlecht: F
Eingang: 24.10.2021
Impfdatum: 23.10.2021
Beginn: 23.10.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Asthenia Injection site pain Pain Vomiting

Symptomtext

severe pain around shot area on left arm. from noon on Oct 23,2021 to Oct 24,2021 at 4:45am. Drank a lot of water and it all came back out, seemed like every 20 minutes starting in the evening till 2:30am on Oct 24,2021. Could feel the liquid going around the inside of my body. Took a couple of Turmeric supplements for pain every 6 hours. Now just achy and no energy

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: none
Vorgeschichte: tacky/, brady have an implanted pacemaker
Andere Medikamente: none
Allergien: preservatives, wheat, almonds, diary, legumes, soy, lactose
Vorherige Impfungen: moderna 01/26/2021 and2/25/21 same reaction 80 years

VAERS 1793589

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: FL
Alter: 54,0
Geschlecht: F
Eingang: 16.10.2021
Impfdatum: 13.10.2021
Beginn: 14.10.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: IM / LA

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

Arthralgia Chest discomfort Chills Injection site pain Myalgia Pain Pain in extremity Pyrexia

Symptomtext

fever of 101.2 chills & body aches sharp shooting / stabbing pain randomly all over body (in torso, extremity muscles and joints) tightness in chest major pain at injection site and by lungs/heart resting heartbeat of 108 bpm

Weitere VAERSDATA-Felder

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

VAERS 1782559

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: OK
Alter: 58,0
Geschlecht: M
Eingang: 13.10.2021
Impfdatum: 01.10.2021
Beginn: 01.10.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Inappropriate schedule of product administration Injection site pain Interchange of vaccine products

Symptomtext

The patient received a 0.5 dose of Moderna on 10/01/2021 at 11:30am, the patient agreed to receive a Moderna Covid-19 vaccine. The patient's state record chart showed he had received a Pfizer dose on 02/25/2021 . The patient agreed to receive the vaccine per provider recommendation. The patient reported having a tender and sore arm at the site after one hour had passed. No other side effects . Our Vaccine Coordinator was called and advised we report the incident.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site pain
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: N/A
Allergien: N/A
Vorherige Impfungen: -

VAERS 1725335

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: PA
Alter: -
Geschlecht: F
Eingang: 23.09.2021
Impfdatum: 20.08.2021
Beginn: 20.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / LA

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

Arthralgia Back pain Burning feet syndrome Dizziness Eye inflammation Eye pain Groin pain Limb discomfort

Symptomtext

pain in the groing ("female area she said") area just inmediately after the shot; "tea bag" under her left eye; "legs discomfort" (below the knees); feets burning during the nigth and frozen during daylight.; pain on both knees "my knees ick"; lower back pain; left eye pain like"zzuuu"; dizziness at times ready to vertigo; This spontaneous case was reported by a consumer and describes the occurrence of BACK PAIN (lower back pain), EYE PAIN (left eye pain like"zzuuu"), DIZZINESS (dizziness at times ready to vertigo), GROIN PAIN (pain in the groing ("female area she said") area just inmediately after the shot) and EYE INFLAMMATION ("tea bag" under her left eye) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Groin hernia. On 20-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In 2021, the patient experienced BACK PAIN (lower back pain), EYE PAIN (left eye pain like"zzuuu"), DIZZINESS (dizziness at times ready to vertigo), EYE INFLAMMATION ("tea bag" under her left eye), LIMB DISCOMFORT ("legs discomfort" (below the knees)), BURNING FEET SYNDROME (feets burning during the nigth and frozen during daylight.) and ARTHRALGIA (pain on both knees "my knees ick"). On 20-Aug-2021, the patient experienced GROIN PAIN (pain in the groing ("female area she said") area just inmediately after the shot). At the time of the report, BACK PAIN (lower back pain), EYE PAIN (left eye pain like"zzuuu"), DIZZINESS (dizziness at times ready to vertigo), GROIN PAIN (pain in the groing ("female area she said") area just inmediately after the shot), LIMB DISCOMFORT ("legs discomfort" (below the knees)), BURNING FEET SYNDROME (feets burning during the nigth and frozen during daylight.) and ARTHRALGIA (pain on both knees "my knees ick") had not resolved and EYE INFLAMMATION ("tea bag" under her left eye) was resolving. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medications were provided. No treatment medications were provided. Most recent FOLLOW-UP information incorporated above includes: On 14-Sep-2021: Significant Follow up received on 15-SEP-2021: Batch# updated and patient name spelling corrected. On 19-Sep-2021: Significant follow up: Patient History Information added. Newevents added. Events missed from the initial version added. Outcome updated to not recovered/not resolved.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Arthralgia
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Groin hernia
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1693755

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: OH
Alter: 65,0
Geschlecht: F
Eingang: 12.09.2021
Impfdatum: 20.08.2021
Beginn: 21.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: SYR / LA

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

Abnormal dreams Pain Pain in extremity Productive cough

Symptomtext

LEFT ARM HURT-EVENING PHLEM IN THROAT AND DRY- BODY ACHE- NEXT DAY RIGHT ARM HURT STILL HAVE ACHY BODY AND PHLEM IN THROAT AND PAIN IN BODY- DREAMING THROUOUT THE NIGHT

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain
Hospital-Tage: -
Labordaten: NONE
Aktuelle Erkrankungen: none
Vorgeschichte: phlem in throat and sore throat loss of smell(not totally but loss) dreaming when sleeping
Andere Medikamente: none
Allergien: unknown
Vorherige Impfungen: -

VAERS 1691621

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: TX
Alter: 56,0
Geschlecht: F
Eingang: 11.09.2021
Impfdatum: 24.08.2021
Beginn: -
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / LA

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

Feeling hot Headache Influenza Skin mass Somnolence

Symptomtext

have a ball between under their armpit and their chest on the left side; felt hot; spent most of the time asleep; like having the flu; headache; This spontaneous case was reported by a consumer and describes the occurrence of SKIN MASS (have a ball between under their armpit and their chest on the left side), FEELING HOT (felt hot), SOMNOLENCE (spent most of the time asleep), INFLUENZA (like having the flu) and HEADACHE (headache) in a 56-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. No Medical History information was reported. On 24-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced SKIN MASS (have a ball between under their armpit and their chest on the left side), FEELING HOT (felt hot), SOMNOLENCE (spent most of the time asleep), INFLUENZA (like having the flu) and HEADACHE (headache). The patient was treated with PARACETAMOL (TYLENOL) for Adverse event, at an unspecified dose and frequency and IBUPROFEN (ADVIL 12HOUR) for Adverse event, at an unspecified dose and frequency. At the time of the report, SKIN MASS (have a ball between under their armpit and their chest on the left side), FEELING HOT (felt hot), SOMNOLENCE (spent most of the time asleep), INFLUENZA (like having the flu) and HEADACHE (headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant medication reported.

Weitere VAERSDATA-Felder

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

VAERS 1689570

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: NC
Alter: 68,0
Geschlecht: F
Eingang: 10.09.2021
Impfdatum: 07.09.2021
Beginn: 09.09.2021
Tage bis Beginn: 2,0
Dosis: 3
Route/Site: IM / RA

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

Discomfort Injection site swelling Injection site warmth Pain in extremity Skin warm Swelling

Symptomtext

PPt. calls and reports swelling on right upper arm from covid booster shot has spread towards her neck, she rates the discomfort a 6/10 on pain scale. Area feels warmer to touch then her left upper arm, denies redness. She hasn't taken anything for it nor was given anything for it in the clinic today. RN will report to PCP and get back to her. PCP is wiriting for as needed tylenol by mouth and RN will bring it to her. She cancontinue to ice it which she reports she can do. Ppt advised to continue applying ice packs to affecte area. Acetaminophen given for pain management . RN did a home visit . Gave continued instruction and comforted ppt . Ppt stated via phone wtith provider that she was feeling better with this visit . Ppt advised to call clinic for any continue significant swelling or SOB. Ppt advised to F/U with clinic . On call team notified .

Weitere VAERSDATA-Felder

Praegender Schweregrund: Injection site swelling
Hospital-Tage: -
Labordaten: pt was seen today for swelling in the post COVID booster. Her arm is less painful today
Aktuelle Erkrankungen: none
Vorgeschichte: liver tx; sickle cell trait; lipoma; thrombocytosis; diabetes; htn; sarcoidosis; hypothyrodism; microcystosis
Andere Medikamente: albuterol; ventolin; tylenol; symbicort; flonase; levothyroxine; cetirizine; lantas; novolog; potassium; furosemide; vitamin b-12; vitamin d; rapamune; eliquis; cellcept; lipitor
Allergien: norvasc; effexor
Vorherige Impfungen: -

VAERS 1684999

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003f21a

mild

Staat: GA
Alter: 66,0
Geschlecht: F
Eingang: 09.09.2021
Impfdatum: 09.08.2021
Beginn: 10.08.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: IM / LA

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

Pain in extremity

Symptomtext

Patient reports severe arm pain of scale 3 to 8

Weitere VAERSDATA-Felder

Praegender Schweregrund: Pain in extremity
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: none reported
Vorgeschichte: none reported
Andere Medikamente: Aspirin 81mg Amlodipine 5mg
Allergien: Penicillin
Vorherige Impfungen: -

VAERS 1678266

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: NC
Alter: 74,0
Geschlecht: F
Eingang: 07.09.2021
Impfdatum: 13.08.2021
Beginn: 24.08.2021
Tage bis Beginn: 11,0
Dosis: 1
Route/Site: OT / LA

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

Vaccination site erythema Vaccination site pruritus Vaccination site rash Vaccination site reaction Vaccination site warmth

Symptomtext

COVID arm; Arm of injection is warm to touch; A rash appeared at the site of injection. The rash is red and a little itchy.; A rash appeared at the site of injection. The rash is red and a little itchy.; A rash appeared at the site of injection. The rash is red and a little itchy.; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE REACTION (COVID arm), VACCINATION SITE WARMTH (Arm of injection is warm to touch), VACCINATION SITE PRURITUS (A rash appeared at the site of injection. The rash is red and a little itchy.), VACCINATION SITE RASH (A rash appeared at the site of injection. The rash is red and a little itchy.) and VACCINATION SITE ERYTHEMA (A rash appeared at the site of injection. The rash is red and a little itchy.) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. No medical history was reported. On 13-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-Aug-2021, the patient experienced VACCINATION SITE REACTION (COVID arm), VACCINATION SITE WARMTH (Arm of injection is warm to touch), VACCINATION SITE PRURITUS (A rash appeared at the site of injection. The rash is red and a little itchy.), VACCINATION SITE RASH (A rash appeared at the site of injection. The rash is red and a little itchy.) and VACCINATION SITE ERYTHEMA (A rash appeared at the site of injection. The rash is red and a little itchy.). The patient was treated with LORATADINE (CLARITIN [LORATADINE]) on 24-Aug-2021 for Adverse event, at a dose of 1 dosage form. At the time of the report, VACCINATION SITE REACTION (COVID arm), VACCINATION SITE WARMTH (Arm of injection is warm to touch) and VACCINATION SITE RASH (A rash appeared at the site of injection. The rash is red and a little itchy.) outcome was unknown and VACCINATION SITE PRURITUS (A rash appeared at the site of injection. The rash is red and a little itchy.) and VACCINATION SITE ERYTHEMA (A rash appeared at the site of injection. The rash is red and a little itchy.) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant product use was provided by the reporter.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Vaccination site pruritus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Comments: No medical history was reported.
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1658921

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: AR
Alter: 42,0
Geschlecht: F
Eingang: 31.08.2021
Impfdatum: 23.08.2021
Beginn: 23.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Diarrhoea Fatigue Pain Vomiting

Symptomtext

Diarrhea, emesis, body aches, fatigue

Weitere VAERSDATA-Felder

Praegender Schweregrund: Diarrhoea
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: scratchy throat,
Vorgeschichte: GERD, DUB, Migraine, chronic pain, dysphagia, arthritis, seasonal allergic rhinities
Andere Medikamente: melatonin, Flonase, Temazepam, Trazodone, paxil, buspirone, naproxen
Allergien: No known drug allergies
Vorherige Impfungen: -

VAERS 1645308

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: GA
Alter: 76,0
Geschlecht: F
Eingang: 28.08.2021
Impfdatum: 04.08.2021
Beginn: -
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / LA

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

Ageusia Anosmia Asthenia Cough Decreased appetite Faeces discoloured Feeling abnormal Malaise

Symptomtext

Not feeling well; Not feeling this way until receiving the shot; Weakness; Coughing; Does not have appetite; No taste (loss of taste); No smell (loss of smell); Stool is black/Black stool; This spontaneous case was reported by a consumer and describes the occurrence of MALAISE (Not feeling well), FEELING ABNORMAL (Not feeling this way until receiving the shot), ASTHENIA (Weakness), COUGH (Coughing) and DECREASED APPETITE (Does not have appetite) in a 76-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. Concomitant products included APIXABAN (ELIQUIS) for an unknown indication. On 04-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced MALAISE (Not feeling well), FEELING ABNORMAL (Not feeling this way until receiving the shot), ASTHENIA (Weakness), COUGH (Coughing), DECREASED APPETITE (Does not have appetite), AGEUSIA (No taste (loss of taste)), ANOSMIA (No smell (loss of smell)) and FAECES DISCOLOURED (Stool is black/Black stool). At the time of the report, MALAISE (Not feeling well), FEELING ABNORMAL (Not feeling this way until receiving the shot), ASTHENIA (Weakness), COUGH (Coughing), DECREASED APPETITE (Does not have appetite), AGEUSIA (No taste (loss of taste)), ANOSMIA (No smell (loss of smell)) and FAECES DISCOLOURED (Stool is black/Black stool) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The patient was on pacemaker prior to receiving the first dose of Moderna vaccine. Second dose of the patient was scheduled on 04-Sep-2021.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Malaise
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Comments: No Medical History information was reported.
Andere Medikamente: ELIQUIS
Allergien: -
Vorherige Impfungen: -

VAERS 1636630

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

mild

Staat: PA
Alter: 21,0
Geschlecht: M
Eingang: 26.08.2021
Impfdatum: 16.08.2021
Beginn: 20.08.2021
Tage bis Beginn: 4,0
Dosis: 1
Route/Site: IM / LA

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

Burning sensation Musculoskeletal stiffness Neck pain

Symptomtext

experiencing neck pains and stiffness of the neck, arm has a continuing burning feeling and skin feels like its switching

Weitere VAERSDATA-Felder

Praegender Schweregrund: Neck pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: no
Vorgeschichte: no
Andere Medikamente: no
Allergien: no
Vorherige Impfungen: -

VAERS 1632480

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003f21a

mild

Staat: IA
Alter: 41,0
Geschlecht: F
Eingang: 25.08.2021
Impfdatum: 16.08.2021
Beginn: 25.08.2021
Tage bis Beginn: 9,0
Dosis: 1
Route/Site: IM / -

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

Injection site erythema

Symptomtext

Redness appeared near injection site approximately 1 week after vaccine

Weitere VAERSDATA-Felder

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

VAERS 1536193

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003f21a

mild

Staat: AL
Alter: 55,0
Geschlecht: F
Eingang: 09.08.2021
Impfdatum: 03.08.2021
Beginn: 04.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / LA

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

Axillary pain

Symptomtext

-pain under arm and has continually gotten worse

Weitere VAERSDATA-Felder

Praegender Schweregrund: Axillary pain
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: sinus congestion
Vorgeschichte: hypertension
Andere Medikamente: Tylenol
Allergien: none
Vorherige Impfungen: -

VAERS 1536174

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003f21a

mild

Staat: AL
Alter: 23,0
Geschlecht: M
Eingang: 09.08.2021
Impfdatum: 03.08.2021
Beginn: 04.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / LA

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

Chills Dizziness Headache Injection site pain

Symptomtext

-chills, dizziness, and bad headache -pain from shot area -still having symptoms as of 8/6/21

Weitere VAERSDATA-Felder

Praegender Schweregrund: Chills
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: none
Vorgeschichte: asthma
Andere Medikamente: multivitamin, singulair
Allergien: none
Vorherige Impfungen: -

VAERS 2536025

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: -
Alter: 84,0
Geschlecht: F
Eingang: 17.12.2022
Impfdatum: 08.10.2022
Beginn: 14.12.2022
Tage bis Beginn: 67,0
Dosis: 3
Route/Site: IM / LA

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

Angiogram cerebral abnormal Carotid artery occlusion Cerebral artery occlusion Cerebral infarction Computerised tomogram head abnormal Neurological symptom Thrombectomy

Symptomtext

Patient began having neuro decline. Head CT/CTA demonstrated left MCA ischemic infarct d/t left ICA and L MCA occlusions.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Angiogram cerebral abnormal
Hospital-Tage: 3,0
Labordaten: Patient was taken to Neuro Interventional Radiology for thrombectomy and achieved TICI3 perfusion. Neuro has continued to be very poor despite treatment.
Aktuelle Erkrankungen: anxiety, arthritis, chronic pain disorder, peripheral neuropathy, dementia, Heart Failure, pulmonary HTN, Hypertension, Permanent A-fib, HLD, breast cancer with lumpectomy and melanoma.
Vorgeschichte: -
Andere Medikamente: -
Allergien: Donepezil and Gabapentin
Vorherige Impfungen: -

VAERS 2408514

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: MN
Alter: 68,0
Geschlecht: M
Eingang: 11.08.2022
Impfdatum: 04.02.2022
Beginn: 04.02.2022
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 Incorrect dose administered No adverse event

Symptomtext

This was an immunocompromised patient and he had received 3 doses of the Moderna Covid vaccine 0.5 ml doses. He was returning for his first booster and should have received 0.25 ml, but I mistakenly chose the box on the protocol stating that he had only received 2 doses prompting me to give this dose as a 0.5 ml dose when it should have been a 0.25 ml dose as his first booster. It was discovered on 8/4/2022 when he came for his 5th dose, or 2nd booster at 0. 25 ml. He reported that he had no adverse effects and no issues with his 4th dose of the vaccine and he received his 5th dose without issue.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Extra dose administered
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: -
Vorgeschichte: Lymphoma
Andere Medikamente: -
Allergien: none
Vorherige Impfungen: -

VAERS 2379287

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: MI
Alter: 88,0
Geschlecht: M
Eingang: 22.07.2022
Impfdatum: 23.08.2021
Beginn: 29.06.2022
Tage bis Beginn: 310,0
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 1/20/21 Lot# 029L20A- Moderna 2/17/21 Lot# 003F21A- Moderna 8/23/21 Lot# 003F21A.

Weitere VAERSDATA-Felder

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

VAERS 2325451

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: PA
Alter: 76,0
Geschlecht: F
Eingang: 21.06.2022
Impfdatum: 16.05.2022
Beginn: 15.06.2022
Tage bis Beginn: 30,0
Dosis: 4
Route/Site: SYR / LA

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

COVID-19 Cough Erythema Feeling hot Peripheral swelling SARS-CoV-2 test positive Sneezing

Symptomtext

I started sneezing alot and I had a deep cough and felt tired. I did a home test that night and I am a nurse so i was nervous about going to work, so i did a home test and it was positive. The next day 06/16/2022 I made an appointment to get a PCR and i wanted to see if they could give my paxlivid and i am also dealing with breast cancer. And i went to the doctor and he put me on the paxlivid. After the shot the arm was red, swollen and really hot.

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: COVID-19 PCR- POSITIVE Rapid COVID-19- POSTIVE
Aktuelle Erkrankungen: N/A
Vorgeschichte: Asthma, Breast Cancer
Andere Medikamente: Extamaposhin. Torifaskin, Essfexur, Hydropchloraside, Symbacrod, Vitamin D, Maloxicam, Tylenol, Abudural, Calcium 600 with Vitamin D, Tumric, Magnesium 400, Multi Womens Vitamin C
Allergien: N/A
Vorherige Impfungen: 2nd Shingle shot, very swollen arm, 1st Shingle Shot, Large Hematoma

VAERS 2280408

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: VA
Alter: 56,0
Geschlecht: F
Eingang: 17.05.2022
Impfdatum: 20.11.2021
Beginn: 01.12.2021
Tage bis Beginn: 11,0
Dosis: 3
Route/Site: OT / -

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

Cutaneous lupus erythematosus Immunisation reaction

Symptomtext

Cutaneous Lupus/bumps in the skin 2 weeks after the covid arm; Covid arm 3 weeks after receiving the vaccine; This spontaneous case was reported by a consumer and describes the occurrence of CUTANEOUS LUPUS ERYTHEMATOSUS (Cutaneous Lupus/bumps in the skin 2 weeks after the covid arm) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Iodine allergy, Drug allergy (Darvocet) and Hypotension (Hypotension, started before receiving the vaccines.). On 20-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In December 2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced IMMUNISATION REACTION (Covid arm 3 weeks after receiving the vaccine). On an unknown date, the patient experienced CUTANEOUS LUPUS ERYTHEMATOSUS (Cutaneous Lupus/bumps in the skin 2 weeks after the covid arm) (seriousness criterion medically significant). The patient was treated with HYDROXYCHLOROQUINE on 04-Apr-2022 for Adverse event, at an unspecified dose and frequency. At the time of the report, CUTANEOUS LUPUS ERYTHEMATOSUS (Cutaneous Lupus/bumps in the skin 2 weeks after the covid arm) had not resolved and IMMUNISATION REACTION (Covid arm 3 weeks after receiving the vaccine) outcome was unknown. On 29-JAN-2021 Patient had first dose of Moderna COVID-19 Vaccine with Lot no 032L20A. On 26-FEB-2021 patient had Second dose of Moderna covid-19 Vaccine with LOT NO 031M20A. Patient had "Covid arm" about 3 weeks after the shot and then 2 weeks later she developed bumps in the skin, a biopsy diagnosed her with cutaneous lupus, patient states that no one in her family has history of Lupus. Concomitant medications were not reported. Height: 5'2 Company comment: This is a spontaneous case concerning a 65-year-old, female patient with relevant medical history of allergy to Iodine and Propoxyphene napsylate + Acetaminophen (Darvocet) and vaccine history of receiving first and second dose of mRNA-1273, who experienced the unexpected serious (medically significant) event of cutaneous lupus erythematosus and unexpected non-serious event of Covid arm. The event Covid arm occurred 3 weeks after the first booster dose of mRNA-1273 vaccine administration while the event cutaneous lupus erythematosus exact occurrence unknown but stated that the event occurred after the first booster dose of mRNA-1273 vaccine administration. The events were described as, patient experienced Covid arm about 3 weeks after the first booster dose and then 2 weeks later patient developed bumps in the skin, a biopsy diagnosed the patient with cutaneous lupus. It was reported that the patient has no family history of Lupus. Patient received treatment with Hydroxychloroquine. No other information surrounding the events was reported. The medical history of allergy remain confounder for the event Covid arm. Patient's gender remain confounder for the event cutaneous lupus erythematosus. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.; Sender's Comments: This is a spontaneous case concerning a 65-year-old, female patient with relevant medical history of allergy to Iodine and Propoxyphene napsylate + Acetaminophen (Darvocet) and vaccine history of receiving first and second dose of mRNA-1273, who experienced the unexpected serious (medically significant) event of cutaneous lupus erythematosus and unexpected non-serious event of Covid arm. The event Covid arm occurred 3 weeks after the first booster dose of mRNA-1273 vaccine administration while the event cutaneous lupus erythematosus exact occurrence unknown but stated that the event occurred after the first booster dose of mRNA-1273 vaccine administration. The events were described as, patient experienced Covid arm about 3 weeks after the first booster dose and then 2 weeks later patient developed bumps in the skin, a biopsy diagnosed the patient with cutaneous lupus. It was reported that the patient has no family history of Lupus. Patient received treatment with Hydroxychloroquine. No other information surrounding the events was reported. The medical history of allergy remain confounder for the event Covid arm. Patient's gender remain confounder for the event cutaneous lupus erythematosus. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Cutaneous lupus erythematosus
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Drug allergy (Darvocet); Hypotension (Hypotension, started before receiving the vaccines.); Iodine allergy
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2273081

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: KY
Alter: 61,0
Geschlecht: M
Eingang: 12.05.2022
Impfdatum: 02.11.2021
Beginn: 02.11.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: OT / RA

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

Accidental overdose

Symptomtext

Patient is not Immune compromised however, received a third full Moderna Covid-19 dose for his first booster dose.; This spontaneous case was reported by a pharmacist and describes the occurrence of ACCIDENTAL OVERDOSE (Patient is not Immune compromised however, received a third full Moderna Covid-19 dose for his first booster dose.) in a 61-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. No Medical History information was reported. On 02-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) .5 milliliter. On 02-Nov-2021, the patient experienced ACCIDENTAL OVERDOSE (Patient is not Immune compromised however, received a third full Moderna Covid-19 dose for his first booster dose.). At the time of the report, ACCIDENTAL OVERDOSE (Patient is not Immune compromised however, received a third full Moderna Covid-19 dose for his first booster dose.) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication was provided by reporter. The patient is not Immune compromised however, the patient received a third full Moderna Covid-19 dose for his first booster dose. No treatment medication was provided by reporter.

Weitere VAERSDATA-Felder

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

VAERS 2271158

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: -
Alter: 82,0
Geschlecht: F
Eingang: 11.05.2022
Impfdatum: 29.01.2021
Beginn: 17.01.2022
Tage bis Beginn: 353,0
Dosis: UNK
Route/Site: - / -

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

COVID-19 Colectomy SARS-CoV-2 test positive

Symptomtext

01/17/22 presents to Surgery for "right hemicolectomy". PMHx of "ILD (not on home O2), pulmonary HTN, OSA, and asthma"

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: 01/17/22 SARS-CoV-2 (COVID-19) by NAA detected
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2214182

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: -
Alter: 30,0
Geschlecht: F
Eingang: 04.04.2022
Impfdatum: 25.03.2021
Beginn: 26.01.2022
Tage bis Beginn: 307,0
Dosis: UNK
Route/Site: - / -

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

COVID-19 Caesarean section SARS-CoV-2 test positive

Symptomtext

Presents to Birth Center Triage for "scheduled repeat LT C-section". PMHx of "cesarean section, gestational diabetes mellitus"

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: 01/24/2022 SARS-CoV-2 (COVID-19) by NAA detected
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2209511

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: ID
Alter: 64,0
Geschlecht: F
Eingang: 31.03.2022
Impfdatum: 29.10.2021
Beginn: 02.01.2022
Tage bis Beginn: 65,0
Dosis: 3
Route/Site: IM / RA

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

Laryngitis Sinusitis

Symptomtext

I had an e-visit on 1/6/2022 and again on 1/13/2022 for laryngitis and a sinus infection.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Laryngitis
Hospital-Tage: -
Labordaten: None.
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Tylenol, Nyquil, Dayquil
Allergien: Penicillin, Ibuprofen
Vorherige Impfungen: -

VAERS 2194423

PFIZER\BIONTECH · COVID19 (COVID19 (PFIZER-BIONTECH)) · Charge 003F21A

gering

Staat: MT
Alter: 72,0
Geschlecht: M
Eingang: 23.03.2022
Impfdatum: 02.04.2021
Beginn: 31.01.2022
Tage bis Beginn: 304,0
Dosis: 3
Route/Site: IM / RA

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

COVID-19

Symptomtext

Patient was hospitalized with COVID after receiving COVID vaccine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: 14,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2184171

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003f21a

gering

Staat: OH
Alter: 43,0
Geschlecht: F
Eingang: 17.03.2022
Impfdatum: 07.09.2021
Beginn: 04.02.2022
Tage bis Beginn: 150,0
Dosis: 3
Route/Site: IM / LA

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

COVID-19 Hypoxia SARS-CoV-2 test positive

Symptomtext

Patient presented with hypoxia and tested positive for covid post vaccination. Treatment: dexamethasone, supplemental oxygen

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: 11,0
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Depression, RA, Dislipidema, Fibromyalgia, Fatty liver, Morbid oesity, tachycardia
Andere Medikamente: vit d3, lexapro, lunesta, folic acid, norco, lidocaine-prilocain, methotrexate, multivitamin, zofran, Lyrica, rituximab, zanaflex,
Allergien: Pineapple
Vorherige Impfungen: -

VAERS 2177673

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: AL
Alter: 9,0
Geschlecht: M
Eingang: 14.03.2022
Impfdatum: 02.02.2022
Beginn: 22.02.2022
Tage bis Beginn: 20,0
Dosis: 1
Route/Site: IM / RA

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

Otitis externa Otitis media Product administered to patient of inappropriate age Tympanic membrane perforation

Symptomtext

Accidental administration to underage. No known/reported adverse event. However, the day after injection patient presented with seasonal allergies and left ear otitis media, otitis externa with perforation that has since resolve. Clinic learned of event incidentally through local pharmacy. Patient's mother had called clinic requesting second dose in series. Clinic is no longer participating in vaccination administration. Patient family was referred to local pharmacy for second injection. Pharmacist called to inform of underage patient receiving unapproved vaccination.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Otitis externa
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: 1/12/2022 Headache with referral to Pediatric Neurology, abdominal pain, sinus tenderness. 2/23/2022 Otitis media, Otitis externa (L), seasonal allergies
Vorgeschichte: ADHD, seasonal allergies
Andere Medikamente: Guanfacine HCl 2mg tab QHS, Clonidine 0.2mg BID, Adderall 20mg BID, Hydroxyzine 25mg QHS, Singulair 5mg PO daily, Cetirizine HCl 5mg PO daily.
Allergien: Strattera: side effect intolerance
Vorherige Impfungen: -

VAERS 2168161

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: CA
Alter: 21,0
Geschlecht: F
Eingang: 09.03.2022
Impfdatum: 01.09.2021
Beginn: 01.10.2021
Tage bis Beginn: 30,0
Dosis: 1
Route/Site: SYR / RA

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

Allergy test negative Asthma Blood glucose normal Blood test normal Food allergy Inflammation Insomnia Neuropathy peripheral Protein urine present Rhinitis Urine analysis abnormal Uveitis

Symptomtext

Adverse immune response, chronic inflammation, uveitis for 45 days, gluten caused allergic reaction and is now off of my diet, severe asthma and rhinitis for 45 days, now managed with daily preventative medication/inhalers. Insomnia for 20 days after 2nd vaccine. Severe neuropathy in hands/feet for 30 days, less severe as time has passed.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Allergy test negative
Hospital-Tage: -
Labordaten: Celiac Test (11-15-2021) - negative; Diabetes Test (11-20-2021) - negative; allergen testing (11-10-2021) - all negative; urinalysis to check kidney function - slight positive for protein, retested and found negative (12-11-2021)
Aktuelle Erkrankungen: N/A
Vorgeschichte: None prior, asthma after
Andere Medikamente: Yaz birth control, multivitamin, extra Vit C
Allergien: Gluten
Vorherige Impfungen: -

VAERS 2151141

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: -
Alter: 65,0
Geschlecht: M
Eingang: 01.03.2022
Impfdatum: 19.11.2021
Beginn: 28.02.2022
Tage bis Beginn: 101,0
Dosis: 3
Route/Site: - / -

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

COVID-19 SARS-CoV-2 test positive

Symptomtext

covid+

Weitere VAERSDATA-Felder

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

VAERS 2146004

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: MS
Alter: 67,0
Geschlecht: F
Eingang: 26.02.2022
Impfdatum: 11.08.2021
Beginn: -
Tage bis Beginn: -
Dosis: 2
Route/Site: OT / -

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

Erythema Feeling hot Skin discolouration Swelling

Symptomtext

towards the back of her arm she saw two little marks/ One was perfectly round and red; towards the back of her arm she saw two little marks/ One was light colored; She did have some swelling; warm to the touch; This spontaneous case was reported by a nurse and describes the occurrence of ERYTHEMA (towards the back of her arm she saw two little marks/ One was perfectly round and red), SKIN DISCOLOURATION (towards the back of her arm she saw two little marks/ One was light colored), SWELLING (She did have some swelling) and FEELING HOT (warm to the touch) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 003F21A and 003F21A) for COVID-19 vaccination. Concurrent medical conditions included Thyroid disorder NOS (diagnosed at age 40). Concomitant products included LIOTHYRONINE for Thyroid disorder NOS, MULTIVITAMIN [VITAMINS NOS], UBIDECARENONE (COQ-10) and VITAMIN C [ASCORBIC ACID] for an unknown indication. On 11-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Sep-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 experienced ERYTHEMA (towards the back of her arm she saw two little marks/ One was perfectly round and red), SKIN DISCOLOURATION (towards the back of her arm she saw two little marks/ One was light colored), SWELLING (She did have some swelling) and FEELING HOT (warm to the touch). At the time of the report, ERYTHEMA (towards the back of her arm she saw two little marks/ One was perfectly round and red), SKIN DISCOLOURATION (towards the back of her arm she saw two little marks/ One was light colored), SWELLING (She did have some swelling) and FEELING HOT (warm to the touch) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Patient stated everything seems to be on track so far and she had routine bloodwork due in August. Patient called her doctor to know if it was okay to take something for her side effects. No treatment medication were provided. This case was linked to MOD-2022-492176 (Patient Link).

Weitere VAERSDATA-Felder

Praegender Schweregrund: Erythema
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Thyroid disorder NOS (diagnosed at age 40)
Vorgeschichte: -
Andere Medikamente: LIOTHYRONINE; MULTIVITAMIN [VITAMINS NOS]; COQ-10; VITAMIN C [ASCORBIC ACID]
Allergien: -
Vorherige Impfungen: -

VAERS 2109409

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: ID
Alter: 73,0
Geschlecht: F
Eingang: 12.02.2022
Impfdatum: 23.10.2021
Beginn: 12.12.2021
Tage bis Beginn: 50,0
Dosis: 3
Route/Site: IM / LA

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

Diffuse large B-cell lymphoma Imaging procedure Laboratory test abnormal

Symptomtext

Diagnosed with diffuse large B-cell lymphoma on 12/17/21. Now on hospice.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Diffuse large B-cell lymphoma
Hospital-Tage: -
Labordaten: Hospitalization, labs, imaging.
Aktuelle Erkrankungen: -
Vorgeschichte: Gout, anxiety and depression , obesity
Andere Medikamente: ? allopurinoL (ZYLOPRIM) 300 MG tablet Take 1 tablet (300 mg total) by mouth Daily. ? ascorbic acid/elderberry fruit (AIRBORNE, ELDERBERRY, ORAL) Take by mouth. Takes 2-3 gummies po daily ? b complex vitamins tablet Take 1 tablet by m
Allergien: NKA
Vorherige Impfungen: -

VAERS 2072191

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: ND
Alter: 67,0
Geschlecht: M
Eingang: 28.01.2022
Impfdatum: 26.01.2021
Beginn: 26.01.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / OT

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

No adverse event

Symptomtext

Patient did not experience any adverse reactions or signs/symptoms due to given vaccine the dorsogluteal. Pt has very low muscle mass as to why the vaccine was given in that muscle instead of the preferred sites at that time. It was requested by the local DOH to submit this report.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: NA
Vorgeschichte: HTN, Anemia, RA, TBI,
Andere Medikamente: oxyCODONE-acetaminophen (PERCOCET) 5-325 MG per tablet TAKE 1 TABLET BY MOUTH EVERY 4 HOURS AS NEEDED FOR MODERATE PAIN OXYCONTIN 10 MG extended release tablet TAKE 1 TABLET BY MOUTH TWICE A DAY fexofenadine (ALLEGRA) 60 MG tablet Take 1 Ta
Allergien: NKA
Vorherige Impfungen: -

VAERS 2067755

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: -
Alter: 55,0
Geschlecht: F
Eingang: 27.01.2022
Impfdatum: 22.12.2021
Beginn: -
Tage bis Beginn: -
Dosis: 1
Route/Site: OT / LA

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

Somnolence

Symptomtext

felt sleepy; This spontaneous case was reported by a consumer and describes the occurrence of SOMNOLENCE (felt sleepy) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. No Medical History information was reported. On 22-Dec-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced SOMNOLENCE (felt sleepy). At the time of the report, SOMNOLENCE (felt sleepy) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant drug details were reported. No treatment details were reported. This case was linked to MOD-2022-460300 (Patient Link). Reporter did not allow further contact

Weitere VAERSDATA-Felder

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

VAERS 2062460

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: MI
Alter: 80,0
Geschlecht: F
Eingang: 25.01.2022
Impfdatum: 19.11.2021
Beginn: 22.01.2022
Tage bis Beginn: 64,0
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 1/22/2022 *1st dose administered at Pharmacy *2nd dose administered at Pharmacy *3rd dose administered at Pharmacy
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2051004

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: MN
Alter: 64,0
Geschlecht: F
Eingang: 20.01.2022
Impfdatum: 11.08.2021
Beginn: 17.01.2022
Tage bis Beginn: 159,0
Dosis: 2
Route/Site: IM / RA

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

COVID-19 Productive cough Rhinorrhoea SARS-CoV-2 test positive

Symptomtext

PRODUCTIVE COUGH, RHINORRHEA

Weitere VAERSDATA-Felder

Praegender Schweregrund: COVID-19
Hospital-Tage: -
Labordaten: POSITIVE COVID TEST 1/17/2022
Aktuelle Erkrankungen: 7/15/21 FAILURE TO THRIVE IN ADULT. WEAKNESS, BLOOD SUGAR PROBLEM
Vorgeschichte: Anemia in chronic renal disease CKD (chronic kidney disease) stage 4, GFR 15-29 ml/min Depression ESRD (end stage renal disease) on dialysis Failure to thrive in adult Gout Hypocalcemia Hypertension Immunosuppression Methamphetamine abuse Organ transplant- kidney, liver Tobacco abuse Type II diabetes mellitus Vitamin D deficiency
Andere Medikamente: Carvedilol (Coreg) 25 Mg Tablet Cholecalciferol (Vitamin D3) 25 Mcg (1000 Units) Capsule Insulin Pen Needle 31G X 8 Mm Insulin Aspart (Novolog) 100 Units/Ml Subcutaneous Flexpen Metformin (Glucophage-xr) 500 Mg 24 Hr Tablet Mycophe
Allergien: Ibuprofen Nsaids (Non-Steroidal Anti-Inflammatory Drug)
Vorherige Impfungen: -

VAERS 2034866

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: MI
Alter: 67,0
Geschlecht: F
Eingang: 14.01.2022
Impfdatum: 18.11.2021
Beginn: 07.01.2022
Tage bis Beginn: 50,0
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 01/07/22
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 2034127

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: OR
Alter: -
Geschlecht: U
Eingang: 14.01.2022
Impfdatum: 03.12.2021
Beginn: 03.12.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: OT / -

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

Expired product administered Product storage error Product temperature excursion issue

Symptomtext

patients received vaccine after temperature excursions; product storage error; Expired product administered/vaccine was given from a punctured vial of moderna past 30 day BUD; This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT TEMPERATURE EXCURSION ISSUE (patients received vaccine after temperature excursions), PRODUCT STORAGE ERROR (product storage error) and EXPIRED PRODUCT ADMINISTERED (Expired product administered/vaccine was given from a punctured vial of moderna past 30 day BUD) in a patient of an unknown age and gender who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. No Medical History information was reported. On 03-Dec-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Dec-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired product administered/vaccine was given from a punctured vial of moderna past 30 day BUD). On an unknown date, the patient experienced PRODUCT TEMPERATURE EXCURSION ISSUE (patients received vaccine after temperature excursions) and PRODUCT STORAGE ERROR (product storage error). On 03-Dec-2021, EXPIRED PRODUCT ADMINISTERED (Expired product administered/vaccine was given from a punctured vial of moderna past 30 day BUD) had resolved. At the time of the report, PRODUCT TEMPERATURE EXCURSION ISSUE (patients received vaccine after temperature excursions) and PRODUCT STORAGE ERROR (product storage error) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. On 02 Nov 2021, the vial was initially stored in the refrigerator and was first punctured. The Vial was stored in refrigerator post puncture. No concomitant medication was provided. No treatment information was provided. Most recent FOLLOW-UP information incorporated above includes: On 15-Dec-2021: Follow up received and included Non Significant information. On 10-Jan-2022: Follow up received included vaccine information, event start date and stop date was updated.

Weitere VAERSDATA-Felder

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

VAERS 2015100

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: AZ
Alter: 19,0
Geschlecht: M
Eingang: 07.01.2022
Impfdatum: 10.09.2021
Beginn: 07.01.2022
Tage bis Beginn: 119,0
Dosis: 2
Route/Site: IM / LA

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

Inappropriate schedule of product administration

Symptomtext

Patient was late for second shot.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Inappropriate schedule of product administration
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: asthma
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1982934

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: IN
Alter: 56,0
Geschlecht: M
Eingang: 27.12.2021
Impfdatum: 22.12.2021
Beginn: 23.12.2021
Tage bis Beginn: 1,0
Dosis: N/A
Route/Site: SYR / LA

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

Body temperature fluctuation Body temperature increased

Symptomtext

Ran a temp of 103 degrees F. for approximately 12 hours. The next 24 hours, temp fluctuated between 100 and 103. Treatment was drinking water and taking alternating Tylenol and Motrin.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Body temperature fluctuation
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Diabetes
Andere Medikamente: Metformin, Glipizide, Gemfibrozil, Basaglar, Amlodipine Besylate, Montelukast
Allergien: Sulfa
Vorherige Impfungen: -

VAERS 1931544

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: CA
Alter: 50,0
Geschlecht: M
Eingang: 08.12.2021
Impfdatum: 05.11.2021
Beginn: 29.11.2021
Tage bis Beginn: 24,0
Dosis: 3
Route/Site: SYR / LA

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

Abdominal discomfort Pollakiuria Urinary tract infection Urine analysis abnormal

Symptomtext

It wasn't related to the vaccination. I had a UTI (cause unknown). I felt strange in my lower left abdomen & had to urinate frequently in short bursts. I only answered that I saw a doctor and required medical attention because you asked. I am on antibiotics & the issue has resolved since then.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Abdominal discomfort
Hospital-Tage: -
Labordaten: Urgent Care facility did a urine analysis & Nurse examined me.
Aktuelle Erkrankungen: None at time of vaccination
Vorgeschichte: None
Andere Medikamente: Multivitamins, probiotics, vitamins D3, B, calcium/magnesium/zinc, fish oil, flaxseed oil
Allergien: None to medications - slight allergies to honeydew melon, cantaloupe, raw cucumber
Vorherige Impfungen: -

VAERS 1917169

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: CA
Alter: 17,0
Geschlecht: F
Eingang: 02.12.2021
Impfdatum: 02.11.2021
Beginn: 02.11.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

No adverse event Product administered to patient of inappropriate age

Symptomtext

PT WAS 17 YO AT TIME OF VACCINATION AND MODERNA WAS ADMINISTERED INSTEAD OF PFIZER. NO HARM OR ADVERSE SYMPTOMS WAS REPORTED BY MOTHER OR PT HERSELF.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1914025

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: WA
Alter: 15,0
Geschlecht: M
Eingang: 01.12.2021
Impfdatum: 25.06.2021
Beginn: 25.06.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: - / RA

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

No adverse event Wrong product administered

Symptomtext

Pt was given the wrong COVID vaccine. Since he was not 18 yr at the time of the first administration, he should have gotten pfizer, but was mistakenly given the Moderna. Pt/parent was notified. Provider also notified and told us since he got the 1st dose of Moderna to given him the @nd dose on 08/04/2021. Pt did not have any adverse reactions to either of the 2 moderna injections,.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: none
Vorgeschichte: Asthma
Andere Medikamente: none
Allergien: none
Vorherige Impfungen: -

VAERS 1903915

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: TX
Alter: 16,0
Geschlecht: M
Eingang: 27.11.2021
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: ja

No adverse event Product administered to patient of inappropriate age

Symptomtext

Moderna was given to 16 y/o pt due to scheduling, mapping, STL, and crew discrepancy No symptoms or adverse reactions

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: Autism
Andere Medikamente: None
Allergien: None
Vorherige Impfungen: -

VAERS 1881078

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: NY
Alter: 15,0
Geschlecht: M
Eingang: 18.11.2021
Impfdatum: 21.10.2021
Beginn: 21.10.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Product administered to patient of inappropriate age

Symptomtext

ADMINISTERED TO PATIENT UNDER 18 YO.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product administered to patient of inappropriate age
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: N/A
Vorgeschichte: N/A
Andere Medikamente: N/A
Allergien: N/A
Vorherige Impfungen: -

VAERS 1874181

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003f21a

gering

Staat: OH
Alter: 70,0
Geschlecht: F
Eingang: 16.11.2021
Impfdatum: 03.11.2021
Beginn: 08.11.2021
Tage bis Beginn: 5,0
Dosis: 3
Route/Site: SYR / LA

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

Intraocular pressure increased

Symptomtext

Increased intraocular pressure in left eye noted 11/8 at 27 rechecked 11/10 37 md thought it could have been due to vaccine as I missed their recommendation to increase my steroid eye drops to prevent trouble with transplanted corneas.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Intraocular pressure increased
Hospital-Tage: -
Labordaten: After 11/10 when eye pressure was37 I my steroid was changed to lotepred and twice a day and alphagan changed to combigan. Rechecked eye pressure was 13 on 11/14
Aktuelle Erkrankungen: -
Vorgeschichte: Bilateral partial corneal transplants Hypertension Hypothyroidism
Andere Medikamente: Amlodipine, synthroid, aspirin, xiidra eye drops, alphagan eye drops, prednisolone eye drops, calcium, vitamin D
Allergien: Gluten
Vorherige Impfungen: -

VAERS 1863475

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: TX
Alter: 52,0
Geschlecht: M
Eingang: 12.11.2021
Impfdatum: 01.11.2021
Beginn: 01.11.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / -

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

Expired product administered Product storage error

Symptomtext

Product storage error; The patient received a dose more than 30 days in the fridge of the Moderna COVID-19 Vaccine; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (The patient received a dose more than 30 days in the fridge of the Moderna COVID-19 Vaccine) and PRODUCT STORAGE ERROR (Product storage error) in a 52-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. No Medical History information was reported. On 01-Nov-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 01-Nov-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (The patient received a dose more than 30 days in the fridge of the Moderna COVID-19 Vaccine). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Product storage error). On 01-Nov-2021, EXPIRED PRODUCT ADMINISTERED (The patient received a dose more than 30 days in the fridge of the Moderna COVID-19 Vaccine) had resolved. At the time of the report, PRODUCT STORAGE ERROR (Product storage error) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No Concomitant product use was reported. No treatment information was provided. The patient received a dose of the Moderna COVID-19 Vaccine which was kept more than 30 days in the fridge.

Weitere VAERSDATA-Felder

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

VAERS 1863450

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: TX
Alter: 56,0
Geschlecht: F
Eingang: 12.11.2021
Impfdatum: 01.11.2021
Beginn: -
Tage bis Beginn: -
Dosis: 2
Route/Site: OT / -

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

Expired product administered

Symptomtext

received a dose more than 30 days in the fridge; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (received a dose more than 30 days in the fridge) in a 56-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. No Medical History information was reported. On 01-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (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. In 2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (received a dose more than 30 days in the fridge). In 2021, EXPIRED PRODUCT ADMINISTERED (received a dose more than 30 days in the fridge) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant medications was not provided by the reporter. Treatment information was not provided.

Weitere VAERSDATA-Felder

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

VAERS 1851063

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: FL
Alter: 84,0
Geschlecht: F
Eingang: 08.11.2021
Impfdatum: 14.09.2021
Beginn: 30.09.2021
Tage bis Beginn: 16,0
Dosis: 2
Route/Site: IM / RA

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

Inappropriate schedule of product administration No adverse event

Symptomtext

second dose of Moderna was administered sooner than the recommended minimum timeframe of 28days. It was administered on day 15. Dose 1 given on 9/14/2021 Dose 2 given on 9/30/2021

Weitere VAERSDATA-Felder

Praegender Schweregrund: Inappropriate schedule of product administration
Hospital-Tage: -
Labordaten: none at this time. MD reviewed resident for any adverse events and none were identified at time of evaluation.
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: Bactrim
Vorherige Impfungen: -

VAERS 1850599

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: CA
Alter: 16,0
Geschlecht: F
Eingang: 08.11.2021
Impfdatum: 03.11.2021
Beginn: 03.11.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

No adverse event Product administered to patient of inappropriate age

Symptomtext

Patient receive dose #1 of Moderna vaccine. Patient is under 18 years old. Patient was kept for about 1 hour to monitor for side effects. Patient did not present with any side effects post vaccination.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: obese
Andere Medikamente: none
Allergien: NKDA
Vorherige Impfungen: -

VAERS 1848753

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: -
Alter: 25,0
Geschlecht: F
Eingang: 06.11.2021
Impfdatum: 26.08.2021
Beginn: 27.08.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: IM / RA

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

Evacuation of retained products of conception Exposure during pregnancy Haemorrhage in pregnancy Human chorionic gonadotropin positive Ultrasound foetal

Symptomtext

Pt presented 8/28/21 to ED with bleeding starting 1 day prior on 8/27/21. She was 9 wks 4 days pregnant. US did not show IUP or ectopic pregnancy. Hcg level was 2550 and on exam POC were extracted from cervix with decrease in bleeding.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Evacuation of retained products of conception
Hospital-Tage: -
Labordaten: included above
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: prenatal vitamins
Allergien: none
Vorherige Impfungen: -

VAERS 1846162

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: CT
Alter: 71,0
Geschlecht: F
Eingang: 05.11.2021
Impfdatum: 27.10.2021
Beginn: 30.10.2021
Tage bis Beginn: 3,0
Dosis: 3
Route/Site: SYR / LA

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

Atrial fibrillation Cardioversion

Symptomtext

I went into Atrial fibrillation. I went yesterday to the hospital (Hospital). They did a cardioversion. Then they sent me home.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Atrial fibrillation
Hospital-Tage: -
Labordaten: cardioversion
Aktuelle Erkrankungen: N/A
Vorgeschichte: Interevent AC
Andere Medikamente: Normal medication
Allergien: N/A
Vorherige Impfungen: -

VAERS 1843152

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003f21a

gering

Staat: CA
Alter: 78,0
Geschlecht: M
Eingang: 04.11.2021
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

Extra dose administered Inappropriate schedule of product administration

Symptomtext

we provided the booster shot (0.25ml) 3 weeks too early for the patient. His last dose was 5/18/2021

Weitere VAERSDATA-Felder

Praegender Schweregrund: Extra dose administered
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1842561

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: MD
Alter: 40,0
Geschlecht: F
Eingang: 04.11.2021
Impfdatum: 25.10.2021
Beginn: 26.10.2021
Tage bis Beginn: 1,0
Dosis: 1
Route/Site: OT / -

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

Dermatitis Hypoaesthesia Lip swelling Swelling face

Symptomtext

Dermatitis reaction; Lips were big; Face was numb; Face got swollen like she had a food allergy; This spontaneous case was reported by a consumer and describes the occurrence of DERMATITIS (Dermatitis reaction), LIP SWELLING (Lips were big), HYPOAESTHESIA (Face was numb) and SWELLING FACE (Face got swollen like she had a food allergy) in a 40-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. No Medical History information was reported. On 25-Oct-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .25 milliliter. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 26-Oct-2021, the patient experienced DERMATITIS (Dermatitis reaction) (seriousness criterion medically significant), LIP SWELLING (Lips were big) (seriousness criterion medically significant), HYPOAESTHESIA (Face was numb) (seriousness criterion medically significant) and SWELLING FACE (Face got swollen like she had a food allergy) (seriousness criterion medically significant). The patient was treated with CETIRIZINE HYDROCHLORIDE (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) for Adverse event, at an unspecified dose and frequency and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Adverse event, at an unspecified dose and frequency. At the time of the report, DERMATITIS (Dermatitis reaction), LIP SWELLING (Lips were big) and HYPOAESTHESIA (Face was numb) outcome was unknown and SWELLING FACE (Face got swollen like she had a food allergy) was resolving. Concomitant drugs were not reported. This case concerns a 40 year-old female patient with no reported medical history who experienced the unexpected serious events of dermatitis, lip swelling, hypoaesthesia and swelling of face. The events occurred approximately 2 days after the third dose of mRNA-1273. The rechallenge was not applicable as no additional dosing will be administered. The benefit-risk relationship of mRNA-1273 is not affected by this report.; Sender's Comments: This case concerns a 40 year-old female patient with no reported medical history who experienced the unexpected serious events of dermatitis, lip swelling, hypoaesthesia and swelling of face. The events occurred approximately 2 days after the third dose of mRNA-1273. The rechallenge was not applicable as no additional dosing will be administered. The benefit-risk relationship of mRNA-1273 is not affected by this report.

Weitere VAERSDATA-Felder

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

VAERS 1840324

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003f21a

gering

Staat: FL
Alter: 75,0
Geschlecht: F
Eingang: 03.11.2021
Impfdatum: 07.10.2021
Beginn: 08.10.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: IM / LA

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

Confusional state Grip strength decreased Memory impairment

Symptomtext

Pt reports dropping things out of her hands involuntarily post-vaccination, which is abnormal to her. She also reports getting confused as to where she is while driving, not knowing whether to turn right or left when heading home. Memory problems reported are out of the ordinary pt states.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Confusional state
Hospital-Tage: -
Labordaten: n/a so far
Aktuelle Erkrankungen: N/a
Vorgeschichte: Liver problems, HBP
Andere Medikamente: N/A
Allergien: NONE
Vorherige Impfungen: -

VAERS 1830032

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: AZ
Alter: 65,0
Geschlecht: F
Eingang: 29.10.2021
Impfdatum: 22.10.2021
Beginn: 23.10.2021
Tage bis Beginn: 1,0
Dosis: 3
Route/Site: IM / LA

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

Lymphadenopathy

Symptomtext

PATIENT REPORTED SWOLLEN CLAVICULAR GLAND ON THE LEFT SIDE OF THE BODY. STARTED 1 DAY AFTER VACCINE, GETTING BETTER ABOUT 5 DAYS AFTER VACCINE.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Lymphadenopathy
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1825787

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: MN
Alter: 16,0
Geschlecht: M
Eingang: 28.10.2021
Impfdatum: 28.10.2021
Beginn: 28.10.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

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

Product administered to patient of inappropriate age

Symptomtext

PATIENT IS ONLY 16 AND MODERNA IS ONLY APPROVED IN PATIENTS 18 AND OLDER. NURSE GAVE VACCINATION WITHOUT CALCULATING PATIENT'S AGE.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product administered to patient of inappropriate age
Hospital-Tage: -
Labordaten: NONE
Aktuelle Erkrankungen: NONE
Vorgeschichte: TYPE 1 DIABETES
Andere Medikamente: LEVOTHYROXINE 88MCG; NOVOLOG 100UNITS/ML; LEVEMIR 100UNITS/ML
Allergien: NONE
Vorherige Impfungen: -

VAERS 1822757

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: AZ
Alter: 53,0
Geschlecht: M
Eingang: 28.10.2021
Impfdatum: 27.10.2021
Beginn: 27.10.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: SYR / LA

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

Interchange of vaccine products No adverse event

Symptomtext

I received the 1st COVID-19 Pfizer vaccine on 10/5/2021 and the returned on 10/27/201 to received the 2nd shot at the same location. After completing their vaccine consent form and selecting the type of vaccine I was requesting (Pfizer) and even asking the pharmacist clerk if the vaccines could be mix and him responding that I could not unless it was a booster, the second pharmacist injected me with the Moderna vaccine instead of the one I should have received and that was marked in the form (Pfizer).

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: As of now, no adverse events has occurred.
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Allopurinol 100MG, Allegra 180MG, Singulair 10MG, Valtrex 500MG, Fish Oil 1000MG, D3 50 mcg and Tart Cherry Extract 7000MG
Allergien: None
Vorherige Impfungen: -

VAERS 1822757

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: AZ
Alter: 53,0
Geschlecht: M
Eingang: 28.10.2021
Impfdatum: 27.10.2021
Beginn: 27.10.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Interchange of vaccine products No adverse event

Symptomtext

I received the 1st COVID-19 Pfizer vaccine on 10/5/2021 and the returned on 10/27/201 to received the 2nd shot at the same location. After completing their vaccine consent form and selecting the type of vaccine I was requesting (Pfizer) and even asking the pharmacist clerk if the vaccines could be mix and him responding that I could not unless it was a booster, the second pharmacist injected me with the Moderna vaccine instead of the one I should have received and that was marked in the form (Pfizer).

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: As of now, no adverse events has occurred.
Aktuelle Erkrankungen: None
Vorgeschichte: None
Andere Medikamente: Allopurinol 100MG, Allegra 180MG, Singulair 10MG, Valtrex 500MG, Fish Oil 1000MG, D3 50 mcg and Tart Cherry Extract 7000MG
Allergien: None
Vorherige Impfungen: -

VAERS 1822436

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: WA
Alter: 59,0
Geschlecht: M
Eingang: 27.10.2021
Impfdatum: 20.10.2021
Beginn: 20.10.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Incorrect dose administered Interchange of vaccine products No adverse event

Symptomtext

Patient requested 1st dose of Moderna but did not mention they received J&J in March. She received 0.5mL dose of Moderna rather than the appropriate 0.25mL dose. Pt complained of no reactions or adverse effect from this vaccine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Incorrect dose administered
Hospital-Tage: -
Labordaten: n/a
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1822433

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003f21a

gering

Staat: WA
Alter: 51,0
Geschlecht: F
Eingang: 27.10.2021
Impfdatum: 20.10.2021
Beginn: 20.10.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Incorrect dose administered Interchange of vaccine products No adverse event

Symptomtext

Patient requested 1st dose of Moderna but did not mention they received J&J in March. She received 0.5mL dose of Moderna rather than the appropriate 0.25mL dose. Pt complained of no reactions or adverse effect from this vaccine.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Incorrect dose administered
Hospital-Tage: -
Labordaten: n/a
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1819533

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: WA
Alter: 60,0
Geschlecht: F
Eingang: 26.10.2021
Impfdatum: 15.09.2021
Beginn: 01.10.2021
Tage bis Beginn: 16,0
Dosis: 2
Route/Site: IM / RA

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

Herpes zoster

Symptomtext

DEVELOPED SHINGLES OVER DERMATOME INJECTION WAS DONE INTO

Weitere VAERSDATA-Felder

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

VAERS 1790581

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: AL
Alter: 49,0
Geschlecht: F
Eingang: 16.10.2021
Impfdatum: 09.08.2021
Beginn: 14.09.2021
Tage bis Beginn: 36,0
Dosis: 1
Route/Site: OT / LA

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

Inappropriate schedule of product administration Swelling face

Symptomtext

she had fillers in her face and they all just started swelling like crazy bad; Patient received first dose of Moderna COVID-19 vaccine, on 09Aug2021 and the second on 14Sep2021; This spontaneous case was reported by a consumer and describes the occurrence of SWELLING FACE (she had fillers in her face and they all just started swelling like crazy bad) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Patient received first dose of Moderna COVID-19 vaccine, on 09Aug2021 and the second on 14Sep2021) in a 49-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 006D21A and 003F21A) for COVID-19 vaccination. No Medical History information was reported. On 09-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 14-Sep-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 14-Sep-2021, the patient experienced SWELLING FACE (she had fillers in her face and they all just started swelling like crazy bad) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Patient received first dose of Moderna COVID-19 vaccine, on 09Aug2021 and the second on 14Sep2021). On 14-Sep-2021, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Patient received first dose of Moderna COVID-19 vaccine, on 09Aug2021 and the second on 14Sep2021) had resolved. At the time of the report, SWELLING FACE (she had fillers in her face and they all just started swelling like crazy bad) outcome was unknown. Concomitant medications details were not reported by the reporter. Treatment details was not reported by the reporter. Reporter did not allow further contact

Weitere VAERSDATA-Felder

Praegender Schweregrund: Inappropriate schedule of product administration
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1747714

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: NY
Alter: 15,0
Geschlecht: M
Eingang: 30.09.2021
Impfdatum: 23.08.2021
Beginn: 23.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / -

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

Product administered to patient of inappropriate age

Symptomtext

15 year old received 1st dose of Moderna COVID-19 vaccination; This spontaneous case was reported by a nurse and describes the occurrence of PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (15 year old received 1st dose of Moderna COVID-19 vaccination) in a 15-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. Concomitant products included FLUTICASONE for an unknown indication. On 23-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Aug-2021, the patient experienced PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (15 year old received 1st dose of Moderna COVID-19 vaccination). On 23-Aug-2021, PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (15 year old received 1st dose of Moderna COVID-19 vaccination) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No treatment medication was provided.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product administered to patient of inappropriate age
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: FLUTICASONE
Allergien: -
Vorherige Impfungen: -

VAERS 1740613

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: DC
Alter: 12,0
Geschlecht: M
Eingang: 28.09.2021
Impfdatum: 15.08.2021
Beginn: 15.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / -

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

Product administered to patient of inappropriate age

Symptomtext

12-year-old received vaccine; This spontaneous case was reported by a consumer and describes the occurrence of PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (12-year-old received vaccine) in a 12-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. No Medical History information was reported. On 15-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Aug-2021, the patient experienced PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (12-year-old received vaccine). At the time of the report, PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (12-year-old received vaccine) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were provided No relevant treatment medication were provided

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product administered to patient of inappropriate age
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1733877

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: WA
Alter: 30,0
Geschlecht: F
Eingang: 25.09.2021
Impfdatum: 06.08.2021
Beginn: 06.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / -

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

Maternal exposure during pregnancy

Symptomtext

Maternal exposure during pregnancy; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of MATERNAL EXPOSURE DURING PREGNANCY (Maternal exposure during pregnancy) in a 30-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. Concurrent medical conditions included Pregnancy (patient was 36 weeks pregnant.) and Allergy to vaccine (Allergic to flu shot). Concomitant products included CETIRIZINE HYDROCHLORIDE (ZYRTEC ALLERGY) for Allergy, BUSPIRONE for Anxiety, NIFEDIPINE (PROCARDIA [NIFEDIPINE]) for Blood pressure, CELECOXIB (CELEXA [CELECOXIB]) for Depression, OMEPRAZOLE for GERD, DICYCLOVERINE HYDROCHLORIDE (BENTYL) for Irritable bowel syndrome. On 06-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. Last menstrual period and estimated date of delivery were not provided. On 06-Aug-2021, the patient experienced MATERNAL EXPOSURE DURING PREGNANCY (Maternal exposure during pregnancy). On 06-Aug-2021, MATERNAL EXPOSURE DURING PREGNANCY (Maternal exposure during pregnancy) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No treatment information was provided. This case concerns a 30-year-old, female patient with no relevant medical history, who experienced the unexpected events of Maternal exposure during pregnancy. The patient received the first dose of vaccine at approximately 36 weeks of gestation, no other adverse events were reported. The benefit-risk relationship of mRNA-1273 (Moderna COVID-19 Vaccine) in not affected by this report. This case was linked to MOD-2021-307461.; Sender's Comments: This case concerns a 30-year-old, female patient with no relevant medical history, who experienced the unexpected events of Maternal exposure during pregnancy. The patient received the first dose of vaccine at approximately 36 weeks of gestation, no other adverse events were reported. The benefit-risk relationship of mRNA-1273 (Moderna COVID-19 Vaccine) in not affected by this report.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Maternal exposure during pregnancy
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: Medical History/Concurrent Conditions: Allergy to vaccine (Allergic to flu shot); Pregnancy (patient was 36 weeks pregnant.)
Andere Medikamente: BENTYL; BUSPIRONE; OMEPRAZOLE; CELEXA [CELECOXIB]; PROCARDIA [NIFEDIPINE]; ZYRTEC ALLERGY
Allergien: -
Vorherige Impfungen: -

VAERS 1732184

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: IA
Alter: 62,0
Geschlecht: M
Eingang: 24.09.2021
Impfdatum: 23.09.2021
Beginn: 23.09.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / LA

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

Wrong patient received product

Symptomtext

Nurse was administering Covid vaccines at the local Nursing home and their staff was taking this nurse to the residents to administer the vaccine and took this nurse to the wrong resident. Nurse administered the Covid vaccine to the resident and later that evening the Nursing home called our Administrator, and informed her of the incident, taking responsibility for the incident. They had completed all of the paperwork prior vaccines being given.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Wrong patient received product
Hospital-Tage: -
Labordaten: none at this time
Aktuelle Erkrankungen: not currently ill at time of vaccination
Vorgeschichte: lives in a Nursing home
Andere Medikamente: unknown
Allergien: unknown
Vorherige Impfungen: -

VAERS 1730751

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003f21a

gering

Staat: FL
Alter: 50,0
Geschlecht: F
Eingang: 24.09.2021
Impfdatum: 09.08.2021
Beginn: 08.09.2021
Tage bis Beginn: 30,0
Dosis: 1
Route/Site: OT / -

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

Product dose omission issue

Symptomtext

Not receiving 2nd dose on time; This spontaneous case was reported by a consumer and describes the occurrence of PRODUCT DOSE OMISSION ISSUE (Not receiving 2nd dose on time) in a 50-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003f21a) for COVID-19 vaccination. No Medical History information was reported. On 09-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 08-Sep-2021, the patient experienced PRODUCT DOSE OMISSION ISSUE (Not receiving 2nd dose on time). On 08-Sep-2021, PRODUCT DOSE OMISSION ISSUE (Not receiving 2nd dose on time) had resolved. No concomitant medication reported. No treatment information was provided. The patient missed to attend the second dose appointment on 08-Sep-2021.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product dose omission issue
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1730750

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: AL
Alter: 23,0
Geschlecht: F
Eingang: 24.09.2021
Impfdatum: 15.09.2021
Beginn: 15.09.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: OT / -

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

Expired product administered

Symptomtext

Expired vaccine administered way beyond 12 hours after first puncture; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered way beyond 12 hours after first puncture) in a 23-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. No Medical History information was reported. On 15-Sep-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 15-Sep-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered way beyond 12 hours after first puncture). On 15-Sep-2021, EXPIRED PRODUCT ADMINISTERED (Expired vaccine administered way beyond 12 hours after first puncture) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medications reported. No treatment information was provided. On 15-Sep-2021, the patient received a dose of Moderna COVID-19 vaccine from an expired vial that was sitting in the refrigerator way beyond 12 hours after it was first punctured. The vial was first punctured on 24-Aug-2021 then placed in the refrigerator and injected to one patient on 15-Sep-2021. The vial did not undergone any previous temperature excursions.

Weitere VAERSDATA-Felder

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

VAERS 1723370

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: WA
Alter: 33,0
Geschlecht: F
Eingang: 22.09.2021
Impfdatum: 19.08.2021
Beginn: 19.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

Interchange of vaccine products

Symptomtext

Patient was given the first dose of moderna without the knowledge that she had already received the Janssen vaccine 06/11/2021

Weitere VAERSDATA-Felder

Praegender Schweregrund: Interchange of vaccine products
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: latex, penicillin
Vorherige Impfungen: -

VAERS 1715425

PFIZER\BIONTECH · COVID19 (COVID19 (PFIZER-BIONTECH)) · Charge 003f21a

gering

Staat: NY
Alter: 37,0
Geschlecht: M
Eingang: 20.09.2021
Impfdatum: 24.08.2021
Beginn: 24.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Product preparation issue

Symptomtext

Pfizer vaccine was diluted with NS 0.9% Bacteriostatic which is not recommended for use with this vaccines. Reported to Pfizer and CDC. As per recommendation from CDC, affected dose should be repeated. Attempted to reach pt to notify of the need to repeat the 2nd dose.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Product preparation issue
Hospital-Tage: -
Labordaten: none
Aktuelle Erkrankungen: unk
Vorgeschichte: unk
Andere Medikamente: unk
Allergien: no
Vorherige Impfungen: -

VAERS 1708341

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: AL
Alter: 23,0
Geschlecht: F
Eingang: 17.09.2021
Impfdatum: 15.09.2021
Beginn: 16.09.2021
Tage bis Beginn: 1,0
Dosis: 2
Route/Site: IM / LA

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

No adverse event Product storage error

Symptomtext

This individual received her first dose of the Moderna vaccine on 09/15/2021. It was discovered following this administration that the vial used had been punctured for greater than 12 hours. Upon discovery of this, the vial was immediately discarded, the individual was notified, along with notification of Moderna, the prescribing physician, and the health department. The vial had been kept at the appropriate temperature since initial puncture. The individual has not experienced any symptoms at this time.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: N/A
Aktuelle Erkrankungen: N/A
Vorgeschichte: Chronic bronchitis
Andere Medikamente: Xanax, B-12 injections, Pepcid, Zyrtec, birth control, multi-vitamin
Allergien: Keflex, gluten, seasonal allergies
Vorherige Impfungen: -

VAERS 1704173

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: ID
Alter: 80,0
Geschlecht: M
Eingang: 16.09.2021
Impfdatum: 14.09.2021
Beginn: 14.09.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / RA

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

Face injury Fall Mouth injury

Symptomtext

He had his first Covid vaccine yesterday. Last night he fell to the floor and was crawling around. When his girlfriend got to him he had a bump and laceration on his right cheek and his mouth was bloody. Today he is shaky and off balance.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Face injury
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: N/A
Vorgeschichte: Hypertension, COVID on 4/26/21, pneumonia after COVID, acute respiratory failure, acute kidney failure, type 2 diabetes with hyperglycemia
Andere Medikamente: Aspirin 81 MG Oral Tablet Chewable Chew and swallow 1 tablet orally daily Metformin HCl 500 MG Oral Tablet Take 1 tablet orally daily with breakfast Metoprolol Tartrate 25 MG Oral Tablet Take 0.5 tablets orally 2 times a day HydroCHLOROthia
Allergien: Brilinta-ough
Vorherige Impfungen: -

VAERS 1696762

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: FL
Alter: 88,0
Geschlecht: M
Eingang: 14.09.2021
Impfdatum: 17.08.2021
Beginn: 20.08.2021
Tage bis Beginn: 3,0
Dosis: 1
Route/Site: IM / RA

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

Ventricular extrasystoles

Symptomtext

Per patient report: diagnosed as PVC (premature ventricular contraction) by cardiologist on 9/2/21. Started on 8/20/21 to present.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Ventricular extrasystoles
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: Wegener's Granulomatosis (diagnosed 2003), Stage-4 Kidney Disease/Failure
Vorgeschichte: Wegener's Granulomatosis (diagnosed 2003), Stage-4 Kidney Disease/Failure
Andere Medikamente: Cellcept (per Dr. held med for vaccine), fexofenadine (prn med, not specified if taking at time of vaccine), metanx, flonase (prn med, not specified if taking at time of vaccine), Align probiotic alternating QOD with Ultra Probiotic Complex
Allergien: Bactrim, Heparin, Benadryl
Vorherige Impfungen: -

VAERS 1691774

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: TX
Alter: 39,0
Geschlecht: M
Eingang: 11.09.2021
Impfdatum: 30.08.2021
Beginn: 30.08.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: OT / -

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

Expired product administered

Symptomtext

Patient was given expired (shortdated) vaccine; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient was given expired (shortdated) vaccine) in a 39-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. No Medical History information was reported. On 30-Aug-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Aug-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Patient was given expired (shortdated) vaccine). On 30-Aug-2021, EXPIRED PRODUCT ADMINISTERED (Patient was given expired (shortdated) vaccine) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant product information was provided. Treatment information was not provided.

Weitere VAERSDATA-Felder

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

VAERS 1691760

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: TX
Alter: 38,0
Geschlecht: M
Eingang: 11.09.2021
Impfdatum: 30.08.2021
Beginn: 30.08.2021
Tage bis Beginn: 0,0
Dosis: UNK
Route/Site: OT / -

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

Expired product administered

Symptomtext

Patient was given expired (shortdated) vaccine; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient was given expired (shortdated) vaccine) in a 38-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003F21A) for COVID-19 vaccination. No Medical History information was reported. On 30-Aug-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Aug-2021, the patient experienced EXPIRED PRODUCT ADMINISTERED (Patient was given expired (shortdated) vaccine). On 30-Aug-2021, EXPIRED PRODUCT ADMINISTERED (Patient was given expired (shortdated) vaccine) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medication were provided by the reporter No treatment medication were provided by the reporter

Weitere VAERSDATA-Felder

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

VAERS 1691721

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: -
Alter: -
Geschlecht: F
Eingang: 11.09.2021
Impfdatum: 27.08.2021
Beginn: 27.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: OT / -

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

Erythema

Symptomtext

Redness in the arm after second vaccination; This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (Redness in the arm after second vaccination) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 003F21A and 043B21A) for COVID-19 vaccination. No Medical History information was reported. On 27-Aug-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Aug-2021, the patient experienced ERYTHEMA (Redness in the arm after second vaccination). At the time of the report, ERYTHEMA (Redness in the arm after second vaccination) was resolving. Concomitant product use was not provided by the reporter. Treatment information was not provided.

Weitere VAERSDATA-Felder

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

VAERS 1689431

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003f21a

gering

Staat: NY
Alter: 15,0
Geschlecht: M
Eingang: 10.09.2021
Impfdatum: 23.08.2021
Beginn: 23.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

No adverse event Product administered to patient of inappropriate age

Symptomtext

pt administered a dose of Moderna covid-19 vaccine; at time of administration pt is 15 years old. no adverse reactions reported

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: none
Allergien: none
Vorherige Impfungen: -

VAERS 1662861

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: VA
Alter: 38,0
Geschlecht: M
Eingang: 01.09.2021
Impfdatum: 30.08.2021
Beginn: 30.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / RA

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

Expired product administered

Symptomtext

Patient was given their 2nd dose Moderna vaccine after the ?use by date.? On 8/30/21 The manufacturer was contacted and advised that the dose was not valid and would need to be repeated. The Medical Information representative advised not to repeat the dose until the interval between doses was determined and that they will call back with that information. F/U Call today ? no answer yet. Will continue to follow up. Unable to contact patient. Left several messages. will continue to call patient.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: Unknown
Vorgeschichte: Unknown
Andere Medikamente: Unknown
Allergien: Unknown
Vorherige Impfungen: -

VAERS 1662728

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: VA
Alter: 39,0
Geschlecht: M
Eingang: 01.09.2021
Impfdatum: 30.08.2021
Beginn: 30.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Expired product administered

Symptomtext

Patients was given their 2nd dose Moderna vaccine after the ?use by date.? On 8/30/21 The manufacturer was contacted and advised that the dose was not valid and would need to be repeated. The Medical Information representative advised not to repeat the dose until the interval between doses was determined and that they will call back with that information. F/U Call today ? no answer yet. Will continue to follow up. Patient was notified.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Expired product administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: Unknown
Vorgeschichte: Unknown
Andere Medikamente: Unknown
Allergien: Unknown
Vorherige Impfungen: -

VAERS 1641010

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: WI
Alter: 17,0
Geschlecht: F
Eingang: 27.08.2021
Impfdatum: -
Beginn: 16.08.2021
Tage bis Beginn: -
Dosis: 1
Route/Site: IM / RA

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

No adverse event Product administered to patient of inappropriate age

Symptomtext

Moderna was given patient is 17 years of age- patient waited 30 min for observation, no symptoms.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: none
Vorgeschichte: none
Andere Medikamente: none
Allergien: none
Vorherige Impfungen: -

VAERS 1632460

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: AZ
Alter: 16,0
Geschlecht: F
Eingang: 25.08.2021
Impfdatum: 06.08.2021
Beginn: 08.08.2021
Tage bis Beginn: 2,0
Dosis: 1
Route/Site: IM / RA

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

No adverse event Product administered to patient of inappropriate age

Symptomtext

Patient came in and received the vaccine before her age was verified. Patient was instructed to wait the 30 minutes o make sure that there was no adverse reaction. Patient had no reaction to the vaccine and left the facility. Staff was retrained on verifying the age before any vaccine is given in the facility.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: None
Vorgeschichte: none
Andere Medikamente: Depo-Provera
Allergien: NKDA
Vorherige Impfungen: -

VAERS 1628758

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: IA
Alter: 59,0
Geschlecht: F
Eingang: 24.08.2021
Impfdatum: 23.08.2021
Beginn: 23.08.2021
Tage bis Beginn: 0,0
Dosis: 3
Route/Site: IM / RA

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

Extra dose administered

Symptomtext

Patient denied previous Covid vaccines during screening and consent review. After dose administered, informed administering clinician that she had already received 2 doses of Moderna Covid vaccine. After discussion with PCP and state epi, determine that patient does not meet guidelines for immunocompromised although is taking long-term corticosteroids.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Extra dose administered
Hospital-Tage: -
Labordaten: None
Aktuelle Erkrankungen: Urinary tract infection
Vorgeschichte: Drug induced autonomic dysfunction, Elevated transaminase, alcohol dependence, polyneuropathy, schizoaffective disorder, anemia, chronic gastritis
Andere Medikamente: Magnesium oxide, acetaminophen, buspirone, Vitamin D3, Vitamin B12, Sennosides with docusate sodium, fludrocortisone, folic acid, gabapentin, midodrine, multivitamin with minerals, naltrexone, omeprazole, quetiapine, tetrahydrolozine, trazo
Allergien: Codeine
Vorherige Impfungen: -

VAERS 1582970

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: MN
Alter: 17,0
Geschlecht: F
Eingang: 18.08.2021
Impfdatum: 11.08.2021
Beginn: 18.08.2021
Tage bis Beginn: 7,0
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

Patient is a staff member at nursing home in her area. Facility requested dose to be sent (per our LTC provider agreement for COVID-19 vaccines) without informing us (Pharmacy) that patient was under 18 years old. Dose was administered on 8/11/21. To our knowledge, the patient did not have any major adverse effects from the vaccine but we needed to report due to wrong age group for Moderna.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: NKDA
Vorherige Impfungen: -

VAERS 1574637

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003f21A

gering

Staat: WA
Alter: 21,0
Geschlecht: F
Eingang: 16.08.2021
Impfdatum: 13.08.2021
Beginn: 13.08.2021
Tage bis Beginn: 0,0
Dosis: 2
Route/Site: IM / LA

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

Inappropriate schedule of product administration

Symptomtext

Dose given 21 days after first dose.

Weitere VAERSDATA-Felder

Praegender Schweregrund: Inappropriate schedule of product administration
Hospital-Tage: -
Labordaten: -
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -

VAERS 1522934

MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 003F21A

gering

Staat: WA
Alter: 74,0
Geschlecht: F
Eingang: 03.08.2021
Impfdatum: 03.08.2021
Beginn: 03.08.2021
Tage bis Beginn: 0,0
Dosis: 1
Route/Site: IM / LA

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

No adverse event Product administration error

Symptomtext

There are no adverse events, vaccine administration error.

Weitere VAERSDATA-Felder

Praegender Schweregrund: No adverse event
Hospital-Tage: -
Labordaten: n/a
Aktuelle Erkrankungen: -
Vorgeschichte: -
Andere Medikamente: -
Allergien: -
Vorherige Impfungen: -