National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

From the 1/14/2022 release of VAERS data:

Found 383,140 cases where Vaccine targets COVID-19 (COVID19) and Manufacturer is MODERNA

Government Disclaimer on use of this data



Case Details

This is page 26 out of 38,314

Result pages: prev   17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35   next


VAERS ID: 908674 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Injection site pain, Myalgia, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Body Aches - mainly on Left side - arm and leg - muscle and joint. Arm Sore at injection site. Took Tylenol, symptoms subsided


VAERS ID: 908675 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Iowa  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Chest discomfort, Palatal oedema, Pharyngeal oedema, Tachycardia, Throat clearing, Throat irritation, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: IVP dye
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Pt received vaccine at 1210. At 1220 said her throat was feeling a little scratchy. She stated that it just felt like she "needed to clear her throat". NP was called to assist, evaluated and epinephrine 0.3ml IM was given. Benadryl 50mg and Zantac 40 mg was also given po. Pt was monitored, 9-1-1 was called and arrived in 10 minutes. Pt was sitting up, stating that it just "feels like my throat is thick". After EMS arrived and assessed pt, she began to ease her anxiety and stated she was feeling less tightness and felt better. Pt was observed, VSS. She denied going to the hospital stating she was feeling better so called for a ride home. EMS left and within 10 minutes she began to feel a tightening sensation in her upper chest, not in her throat this time. She said she felt the tightness again and the back of her throat was scratchy. NP evaluated, Epi 0.3ml IM was given again and 9-1-1 was called again. Upon arrival her vitals were stable, although tachycardic running 100-120 after the epi, but her breathing was not labored or difficult. EMS loaded pt and took to hospital for evaluation where she was monitored, received IV steroids for edema in the back of throat and uvula.


VAERS ID: 908678 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Unknown  
Location: South Dakota  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Product preparation error
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: n/a
Diagnostic Lab Data:
CDC Split Type:

Write-up: during our covid vaccine clinic, we ended up giving 62 doses out of 60 vials. this was not realized until the end of the day when we had 2 doses left after we filled the 60 patient slots. there is apparently a small amount of overfill in the vials where 2 extra dose were able to be retrieved out of the 6 vials used. the patients did not receive a ''short dose'' they received the full 0.5ml. our state told us to report the overfill via VAERS. i will inform the nurses to only draw up 10 doses per vial at our next vaccine clinic.


VAERS ID: 908682 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: New York  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 0011J2UA / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Feeling of body temperature change, Muscular weakness, Myalgia, Restlessness, Tachycardia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Akathisia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: OTC vitamin C; Vitamin D, Zinc, CoQ10 and magnesium: (1) each p.o. daily
Current Illness: none
Preexisting Conditions: none
Allergies: Intolerant to NSAIDs
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Symptoms started with feeling slightly faint with legs feeling weak from knees down, followed by 3 minutes of tachycardia at 130-140 BPM. Resolved without intervention; At (12/23/2020 app 23:40PM) developed periods of hot and cold, muscle aches and restlessness


VAERS ID: 908685 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Arizona  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Pharyngeal swelling, Supraventricular tachycardia
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Supraventricular tachyarrhythmias (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Nuvaring
Current Illness: Chronic Tonsillitis Dysmenorrhea
Preexisting Conditions: N/A
Allergies: N.K.A
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: throat swelling, SVT


VAERS ID: 908689 (history)  
Form: Version 2.0  
Age: 88.0  
Sex: Male  
Location: Iowa  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 RA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Pyrexia, SARS-CoV-2 test negative, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol, advair, amlodipine, claritin, DSS, dorzolamide, latanoprost, lisinopil, pantoprzole, Kemps med pass, Liquicel, timolol, Tresiba
Current Illness: FRACTURE OF UNSPECIFIED PART OF NECK OF RIGHT FEMUR, INITIAL ENCOUNTER FOR CLOSED FRACTURE (S72.001A) 2/15/19 1/15/20 Principal Diagnosis (#67) History TYPE 2 DIABETES MELLITUS WITH UNSPECIFIED COMPLICATIONS (E11.8) 2/15/19 Principal Diagnosis (#67) During Stay CHRONIC KIDNEY DISEASE, STAGE 3 UNSPECIFIED (N18.30) 10/1/20 Other Diagnosis During Stay had dx since 01/15/2020 but dx code updated PRESSURE ULCER OF LEFT HEEL, UNSTAGEABLE (L89.620) 7/31/20 9/23/20 Other Diagnosis PRESSURE ULCER OF RIGHT HEEL, UNSPECIFIED STAGE (L89.619) 7/31/20 9/29/20 Other Diagnosis DYSPHAGIA, UNSPECIFIED (R13.10) 6/30/20 Other Diagnosis During Stay MUSCLE WEAKNESS (GENERALIZED) (M62.81) 6/30/20 Other Diagnosis During Stay ADJUSTMENT DISORDER WITH DEPRESSED MOOD (F43.21) 5/7/20 Other Diagnosis During Stay UNSPECIFIED MENTAL DISORDER DUE TO KNOWN PHYSIOLOGICAL CONDITION (F09) 4/21/20 Other Diagnosis During Stay MAJOR DEPRESSIVE DISORDER, SINGLE EPISODE, UNSPECIFIED (F32.9) 3/15/20 5/7/20 Other Diagnosis During Stay MALIGNANT NEOPLASM OF UPPER LOBE, RIGHT BRONCHUS OR LUNG (C34.11) 1/15/20 Other Diagnosis During Stay UNSPECIFIED OSTEOARTHRITIS, UNSPECIFIED SITE (M19.90) 7/10/19 Other Diagnosis During Stay PRESSURE ULCER OF UNSPECIFIED HEEL, UNSPECIFIED STAGE (L89.609) 3/20/19 1/15/20 Other Diagnosis Admission GASTRO-ESOPHAGEAL REFLUX DISEASE WITHOUT ESOPHAGITIS (K21.9) 2/21/19 Other Diagnosis UNSPECIFIED GLAUCOMA (H40.9) 2/21/19 1/15/20 Other Diagnosis COMBINED FORMS OF AGE-RELATED CATARACT, LEFT EYE (H25.812) 2/18/19 Other Diagnosis Admission OTHER MELANIN HYPERPIGMENTATION (L81.4) 2/18/19 Other Diagnosis Admission OTHER SEBORRHEIC KERATOSIS (L82.1) 2/18/19 Other Diagnosis Admission PERSONAL HISTORY OF OTHER MALIGNANT NEOPLASM OF SKIN (Z85.828) 2/18/19 Other Diagnosis Admission PRESENCE OF INTRAOCULAR LENS (Z96.1) 2/18/19 Other Diagnosis Admission PRIMARY OPEN-ANGLE GLAUCOMA, BILATERAL, SEVERE STAGE (H40.1133) 2/18/19 Other Diagnosis Admission ABNORMAL RESULT OF CARDIOVASCULAR FUNCTION STUDY, UNSPECIFIED (R94.30) 2/15/19 Other Diagnosis History ACUTE BRONCHITIS, UNSPECIFIED (J20.9) 2/15/19 1/15/20 Other Diagnosis History ADULT FAILURE TO THRIVE (R62.7) 2/15/19 Other Diagnosis History BRADYCARDIA, UNSPECIFIED (R00.1) 2/15/19 Other Diagnosis History CARCINOMA IN SITU OF UNSPECIFIED BRONCHUS AND LUNG (D02.20) 2/15/19 2/7/20 Other Diagnosis History diagnosis specified by C34.11 CARDIAC MURMUR, UNSPECIFIED (R01.1) 2/15/19 Other Diagnosis History CHRONIC OBSTRUCTIVE PULMONARY DISEASE, UNSPECIFIED (J44.9) 2/15/19 Other Diagnosis History ENCOUNTER FOR EXAMINATION FOR ADMISSION TO RESIDENTIAL INSTITUTION (Z02.2) 2/15/19 11/2/20 Other Diagnosis History ESSENTIAL (PRIMARY) HYPERTENSION (I10) 2/15/19 Other Diagnosis History HYPOGLYCEMIA, UNSPECIFIED (E16.2) 2/15/19 Other Diagnosis History HYPOTHERMIA, INITIAL ENCOUNTER (T68.XXXA) 2/15/19 1/15/20 Other Diagnosis History LOCALIZED EDEMA (R60.0) 2/15/19 Other Diagnosis History LONG TERM (CURRENT) USE OF INSULIN (Z79.4) 2/15/19 Other Diagnosis History LYMPHEDEMA, NOT ELSEWHERE CLASSIFIED (I89.0) 2/15/19 Other Diagnosis History MALIGNANT NEOPLASM OF UNSPECIFIED PART OF UNSPECIFIED BRONCHUS OR LUNG (C34.90) 2/15/19 1/15/20 Other Diagnosis History MILD PERSISTENT ASTHMA, UNCOMPLICATED (J45.30) 2/15/19 Other Diagnosis History NONRHEUMATIC AORTIC (VALVE) STENOSIS (I35.0) 2/15/19 Other Diagnosis History NONTRAUMATIC INTRACRANIAL HEMORRHAGE, UNSPECIFIED (I62.9) 2/15/19 1/15/20 Other Diagnosis History OTHER SPECIFIED SYMPTOMS AND SIGNS INVOLVING THE CIRCULATORY AND RESPIRATORY SYSTEMS (R09.89) 2/15/19 Other Diagnosis History OTHER SYMPTOMS AND SIGNS INVOLVING THE MUSCULOSKELETAL SYSTEM (R29.898) 2/15/19 Other Diagnosis History PERSONAL HISTORY OF (HEALED) TRAUMATIC FRACTURE (Z87.81) 2/15/19 1/15/20 Other Diagnosis History
Preexisting Conditions: FRACTURE OF UNSPECIFIED PART OF NECK OF RIGHT FEMUR, INITIAL ENCOUNTER FOR CLOSED FRACTURE (S72.001A) 2/15/19 1/15/20 Principal Diagnosis (#67) History TYPE 2 DIABETES MELLITUS WITH UNSPECIFIED COMPLICATIONS (E11.8) 2/15/19 Principal Diagnosis (#67) During Stay CHRONIC KIDNEY DISEASE, STAGE 3 UNSPECIFIED (N18.30) 10/1/20 Other Diagnosis During Stay had dx since 01/15/2020 but dx code updated PRESSURE ULCER OF LEFT HEEL, UNSTAGEABLE (L89.620) 7/31/20 9/23/20 Other Diagnosis PRESSURE ULCER OF RIGHT HEEL, UNSPECIFIED STAGE (L89.619) 7/31/20 9/29/20 Other Diagnosis DYSPHAGIA, UNSPECIFIED (R13.10) 6/30/20 Other Diagnosis During Stay MUSCLE WEAKNESS (GENERALIZED) (M62.81) 6/30/20 Other Diagnosis During Stay ADJUSTMENT DISORDER WITH DEPRESSED MOOD (F43.21) 5/7/20 Other Diagnosis During Stay UNSPECIFIED MENTAL DISORDER DUE TO KNOWN PHYSIOLOGICAL CONDITION (F09) 4/21/20 Other Diagnosis During Stay MAJOR DEPRESSIVE DISORDER, SINGLE EPISODE, UNSPECIFIED (F32.9) 3/15/20 5/7/20 Other Diagnosis During Stay MALIGNANT NEOPLASM OF UPPER LOBE, RIGHT BRONCHUS OR LUNG (C34.11) 1/15/20 Other Diagnosis During Stay UNSPECIFIED OSTEOARTHRITIS, UNSPECIFIED SITE (M19.90) 7/10/19 Other Diagnosis During Stay PRESSURE ULCER OF UNSPECIFIED HEEL, UNSPECIFIED STAGE (L89.609) 3/20/19 1/15/20 Other Diagnosis Admission GASTRO-ESOPHAGEAL REFLUX DISEASE WITHOUT ESOPHAGITIS (K21.9) 2/21/19 Other Diagnosis UNSPECIFIED GLAUCOMA (H40.9) 2/21/19 1/15/20 Other Diagnosis COMBINED FORMS OF AGE-RELATED CATARACT, LEFT EYE (H25.812) 2/18/19 Other Diagnosis Admission OTHER MELANIN HYPERPIGMENTATION (L81.4) 2/18/19 Other Diagnosis Admission OTHER SEBORRHEIC KERATOSIS (L82.1) 2/18/19 Other Diagnosis Admission PERSONAL HISTORY OF OTHER MALIGNANT NEOPLASM OF SKIN (Z85.828) 2/18/19 Other Diagnosis Admission PRESENCE OF INTRAOCULAR LENS (Z96.1) 2/18/19 Other Diagnosis Admission PRIMARY OPEN-ANGLE GLAUCOMA, BILATERAL, SEVERE STAGE (H40.1133) 2/18/19 Other Diagnosis Admission ABNORMAL RESULT OF CARDIOVASCULAR FUNCTION STUDY, UNSPECIFIED (R94.30) 2/15/19 Other Diagnosis History ACUTE BRONCHITIS, UNSPECIFIED (J20.9) 2/15/19 1/15/20 Other Diagnosis History ADULT FAILURE TO THRIVE (R62.7) 2/15/19 Other Diagnosis History BRADYCARDIA, UNSPECIFIED (R00.1) 2/15/19 Other Diagnosis History CARCINOMA IN SITU OF UNSPECIFIED BRONCHUS AND LUNG (D02.20) 2/15/19 2/7/20 Other Diagnosis History diagnosis specified by C34.11 CARDIAC MURMUR, UNSPECIFIED (R01.1) 2/15/19 Other Diagnosis History CHRONIC OBSTRUCTIVE PULMONARY DISEASE, UNSPECIFIED (J44.9) 2/15/19 Other Diagnosis History ENCOUNTER FOR EXAMINATION FOR ADMISSION TO RESIDENTIAL INSTITUTION (Z02.2) 2/15/19 11/2/20 Other Diagnosis History ESSENTIAL (PRIMARY) HYPERTENSION (I10) 2/15/19 Other Diagnosis History HYPOGLYCEMIA, UNSPECIFIED (E16.2) 2/15/19 Other Diagnosis History HYPOTHERMIA, INITIAL ENCOUNTER (T68.XXXA) 2/15/19 1/15/20 Other Diagnosis History LOCALIZED EDEMA (R60.0) 2/15/19 Other Diagnosis History LONG TERM (CURRENT) USE OF INSULIN (Z79.4) 2/15/19 Other Diagnosis History LYMPHEDEMA, NOT ELSEWHERE CLASSIFIED (I89.0) 2/15/19 Other Diagnosis History MALIGNANT NEOPLASM OF UNSPECIFIED PART OF UNSPECIFIED BRONCHUS OR LUNG (C34.90) 2/15/19 1/15/20 Other Diagnosis History MILD PERSISTENT ASTHMA, UNCOMPLICATED (J45.30) 2/15/19 Other Diagnosis History NONRHEUMATIC AORTIC (VALVE) STENOSIS (I35.0) 2/15/19 Other Diagnosis History NONTRAUMATIC INTRACRANIAL HEMORRHAGE, UNSPECIFIED (I62.9) 2/15/19 1/15/20 Other Diagnosis History OTHER SPECIFIED SYMPTOMS AND SIGNS INVOLVING THE CIRCULATORY AND RESPIRATORY SYSTEMS (R09.89) 2/15/19 Other Diagnosis History OTHER SYMPTOMS AND SIGNS INVOLVING THE MUSCULOSKELETAL SYSTEM (R29.898) 2/15/19 Other Diagnosis History PERSONAL HISTORY OF (HEALED) TRAUMATIC FRACTURE (Z87.81) 2/15/19 1/15/20 Other Diagnosis History
Allergies: pollen extracts
Diagnostic Lab Data: PCR COVID test neg.
CDC Split Type:

Write-up: vomiting, fever 101


VAERS ID: 908694 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Ohio  
Vaccinated:2020-12-23
Onset:2020-12-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / IM

Administered by: Public       Purchased by: ?
Symptoms: Asthenia, Chills, Malaise, Nausea, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen Tylenol melatonin
Current Illness: Covid 19 positive
Preexisting Conditions:
Allergies: Compazine Phenergan
Diagnostic Lab Data:
CDC Split Type:

Write-up: Extreme body aches high fever chills nausea Extreme weakness. Felt like I was dying. Probably the sickest I''ve ever felt.


VAERS ID: 908696 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: New York  
Vaccinated:2020-12-24
Onset:2020-12-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Experienced syncope after receiving vaccine injection. Clinical Assessment Team called but declined going to emergency department.


VAERS ID: 908697 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: South Dakota  
Vaccinated:2020-12-24
Onset:2020-12-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Feeling hot, Flushing, Hyperhidrosis, Nausea, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Sertraline 100mg daily Lorazepam PRN Ondansetron 4mg Triamcinolone Cream
Current Illness: None
Preexisting Conditions: Depression with anxiety
Allergies: Sulfa
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Approximately 5 minutes after vaccination, patient became diaphoretic and warm/flushed. Complained of nausea and had one episode of emesis. Patient given 50mg of diphenhydramine orally.


VAERS ID: 908699 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Abdominal discomfort, Chills, Diarrhoea, Insomnia, Laboratory test, Loss of consciousness, Pallor, Polymerase chain reaction, Pyrexia
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prstiq, Gavapentin, Dexilant
Current Illness: Felt ''achy'' in AM
Preexisting Conditions: hereditary hemorrhagic telangiectasia
Allergies: Ceclor
Diagnostic Lab Data: PCR, routine labs 12/24/2020
CDC Split Type:

Write-up: 5:30 Chills, fever to 102, Tx with Tylenol. GI Upset, diarrhea. 11PM Difficulty sleeping; GI upset, LOC x2. Pallor. Transport to ER via ambulance. Treated with IVs, Zofran, toradol


Result pages: prev   17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35   next

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=26&VAX=COVID19&VAXTYPES=COVID-19&VAXMAN=MODERNA


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166