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From the 11/12/2021 release of VAERS data:

Found 33,108 cases where Vaccine targets COVID-19 (COVID19) and Manufacturer is MODERNA and Serious

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Case Details

This is page 3 out of 3,311

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VAERS ID: 912766 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2020-12-28
Onset:2020-12-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Arrhythmia, Atrial fibrillation, Cardiac flutter, Cardiac telemetry, Dizziness, Hyperhidrosis, Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Supraventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Tachyarrhythmia terms, nonspecific (narrow), Vestibular disorders (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? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: OTC zinc, magnesium, and MVI
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: The client reports that he was hooked to telemetry. Any other tests/labs are unknown.
CDC Split Type:

Write-up: Client was vaccinated approx 10:00am at the Health Dept. Client left after 15min without incident. Client went to report to work and began feeling nauseated, dizzy, and feeling as if was going to faint. Client returned to Health Department approx 12:30. Client was diaphoretic, HR was 140bpm, and BP was 178/120. Client was given 50mg/20mL of diphenhydramine PO and EMS was called and client taken to local ER. Client remained A+Ox3 at time of EMS transport. Spoke with client evening of 12/28/2020. He reports he was transferred to another facility and was told was in a-fib. He reports that he is feeling much better but heart still fluttering. Spoke with client afternoon of 12/29/2020. He reports that he is being discharged in a few hours and is being sent home on metoprolol and a baby ASA. He reports they had been working on getting his BP down. He reports that he is feeling better and is going to be scheduled for a heart cath outpatient. He reports that he was initially in a-fib, then a-flutter, and then arrhythmia. He reports that he has been seen by Dr. a Cardiologist, while hospitalized.


VAERS ID: 912834 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Virginia  
Vaccinated:2020-12-28
Onset:2020-12-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Electrocardiogram abnormal, Heart rate increased, Hypoaesthesia, Miosis, Mydriasis, Neurological examination, Peripheral coldness, Pyrexia, Tachyarrhythmia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Hypokalaemia (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Amoxicillin
Diagnostic Lab Data: EKG Showed heart was tachycardic and irregular. Raised fever-99.5. Neurological test to explain dilated and constricted pupils.
CDC Split Type:

Write-up: With five minutes of vaccine Increased heart rate shot up to 198 bpm. Regular resting heart rate for me is in the 50s. Left pupil dilated completely, right people constricted to pin size. Extremities went numb and ice cold. Went to emergency room Per request of EMTs at vaccination center. Was given high-dose Benadryl and Saline IV. Heart rate return to normal and all other symptoms disappeared after treatment.


VAERS ID: 912883 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Missouri  
Vaccinated:2020-12-01
Onset:2020-12-23
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Dyspnoea, Joint stiffness
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: -Seroquel 1-300 mg -Gabapentin 2-300 mg -Depakote 3-250 mg -Escitalopram (Lexapro) 10 mg -Copaxone 1-40 mg MWF Vitamin B6 1-100 mg Vitamin D3 3-1000 IU
Current Illness:
Preexisting Conditions: Multiple Sclerosis, Bipolar
Allergies: Zyprexa, Trazadone
Diagnostic Lab Data:
CDC Split Type:

Write-up: Difficulty catching my breath, stiff joints in legs


VAERS ID: 912930 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2020-12-29
Onset:2020-12-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 RA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Feeling abnormal, Muscular weakness, Nausea, Syncope, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Migraines
Preexisting Conditions: Migraines
Allergies: Ibuprofen
Diagnostic Lab Data: Blood pressure estimated at 143/80 (12/29/20 @ 2:40 pm)
CDC Split Type:

Write-up: Patient was monitored for $g15 minutes after vaccination. Patient told a nurse that her knees felt weak. Patient then fainted and was laying on the floor when i arrived. Patient reported she felt like she was "floating" and she did not want to "fall". She was also nausea and wanted to vomit and did not end up vomiting anything up. Patient fainted several more times. Her BP was around 143/80 and unsure about the pulse. Patient then become unresponsive for 20-30 seconds.


VAERS ID: 912954 (history)  
Form: Version 2.0  
Age: 102.0  
Sex: Female  
Location: North Dakota  
Vaccinated:2020-12-28
Onset:2020-12-29
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Activated partial thromboplastin time normal, Adjusted calcium, Alanine aminotransferase normal, Anion gap normal, Aortic valve calcification, Arteriosclerosis coronary artery, Aspartate aminotransferase normal, Atelectasis, Atrial enlargement, Basophil count normal, Basophil percentage, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin increased, Blood calcium, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood lactic acid, Blood potassium normal, Blood sodium normal, Blood urea nitrogen/creatinine ratio, Blood urea normal, Brain natriuretic peptide increased, C-reactive protein increased, Carbon dioxide decreased, Cardiac failure congestive, Cardioactive drug level, Cardiomegaly, Computerised tomogram thorax abnormal, Cough, Eosinophil count normal, Eosinophil percentage, Fibrin D dimer, Fluid overload, Glomerular filtration rate normal, Haematocrit decreased, Haemoglobin decreased, International normalised ratio increased, Intervertebral disc degeneration, Lymphocyte count decreased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume increased, Mean platelet volume increased, Monocyte count normal, Monocyte percentage, Neutrophil count normal, Neutrophil percentage increased, Osteoarthritis, Platelet count normal, Pleural effusion, Protein total normal, Prothrombin time prolonged, Pulmonary oedema, Pyrexia, Red blood cell count decreased, Red cell distribution width increased, SARS-CoV-2 test positive, Serum ferritin increased, Spinal disorder, Staphylococcus test negative, Tachycardia, Tachypnoea, Troponin, White blood cell count normal
SMQs:, Cardiac failure (narrow), Liver related investigations, signs and symptoms (narrow), Liver-related coagulation and bleeding disturbances (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (broad), Haematopoietic erythropenia (narrow), Haematopoietic leukopenia (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Biliary system related investigations, signs and symptoms (narrow), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Other ischaemic heart disease (narrow), Chronic kidney disease (broad), Arthritis (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Infective pneumonia (broad), Dehydration (broad), Opportunistic infections (broad), COVID-19 (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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: tylenol aspirin Atorvastatin B12 Folate Diltiazem Docusate Digoxin Furosemide Potassium Chloride Levothyroxine Lisinopril Protonix Vitamin D3 Warfarin Polyethylene Glycol
Current Illness: COVID-19 (Diagnosed 10/26/20)
Preexisting Conditions: Diabetes Type II Atrial Fibrillation Hypothyroidism CHF Hypertension Osteoporosis Anemia Cerebrovascular disease Aphasia
Allergies: ibuprofen Lactose
Diagnostic Lab Data: Troponin First 0.071, Second 0.054 BNP-398 Digoxin 1.2 SARS -COV-2 Detected MRSA not detected CTA- FINDINGS: Mild motion artifact somewhat limits the evaluation. No definite pulmonary emboli. ?Mild to moderate diffuse interstitial prominence suggesting edema. ?Small bilateral effusions with mild probable atelectasis in the bases. ?Mild to moderate cardiomegaly with biatrial enlargement. Aortic valvular and coronary artery calcification. ?No definite pathologic lymphadenopathy. Mild to moderate spinal curvature. ?Degenerative changes of the spine and both shoulders. ? IMPRESSION: 1. ?Mild to moderate cardiomegaly with biatrial enlargement. ?Mild to moderate diffuse interstitial prominence suggesting edema with small bilateral effusions. ?Findings suggest an element of fluid overload/congestive failure. 2. ?Additional nonacute/chronic findings, as detailed above. 3. ?No definite pulmonary emboli. Results for Patient as of 12/29/2020 17:25 12/29/2020 08:19 WBC: 8.3 RBC: 3.09 (L) Hemoglobin: 10.3 (L) Hematocrit: 31.0 (L) MCV: 100.3 (H) MCH: 33.3 (H) MCHC: 33.2 RDW-CV: 15.4 RDW-SD: 57.2 (H) Platelet Count: 153 MPV: 11.5 Seg Neut Absolute: 6.9 Lymphocytes Absolute: 0.7 (L) Monocytes Absolute: 0.4 Eosinophils Absolute: 0.2 Basophil Absolute: 0.1 Neutrophils Percent: 83.5 Neutrophils Abs. (Segs and Bands): 6,900 Lymphocytes Percent: 8.8 (L) Monocytes Percent: 4.6 Eosinophils Percent: 2.1 Basophil Percent: 0.8 Glucose: 130 (H) Sodium: 138 Potassium: 4.0 Chloride: 103 CO2: 21 Anion Gap with K: 18 BUN: 17 Creatinine: 0.84 BUN/Creatinine Ratio: 20.2 Calcium: 8.8 Corrected Calcium: 9.0 Bilirubin Total: 1.1 Alkaline Phosphatase: 82 ALT - SGPT: 19 AST - SGOT: 25 Protein Total: 6.5 Albumin: 3.8 Ferritin: 168 CRP: 3.2 Lactic Acid: 1.3 eGFR African American: 75 eGFR Non-African American: 62 Protime: 17.5 (H) INR: 1.5 (H) APTT: 30.7 D-Dimer: 1.19 (H)
CDC Split Type:

Write-up: Fever, coughing, tachypnea, tachycardia


VAERS ID: 912957 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2020-12-29
Onset:2020-12-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Chest pain, Dysphagia, Dyspnoea, Oropharyngeal discomfort, Pruritus
SMQs:, Anaphylactic reaction (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (broad), 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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zrytec 10 mg; estradiol 1mg; atrovent; singular 10mg; ventalin Advair; Lexapro 20mg; melatonin 6 mg; vitamin D; Quercitin, Vitamin C; Vitamin B1; Zinc; ASA 81 mg; daily vitamin
Current Illness: None
Preexisting Conditions: Mast Cell Activation; Asthma
Allergies: Cats; Pork; Dilaudid; Nubain
Diagnostic Lab Data: unknown at this time
CDC Split Type:

Write-up: Received vaccine at 13 15. At 1351 c/o mild chest pain. 1353 c/o throat fullness and anxiety; 1354 bp 148/81 HR 99 O2 sat 100% c/o difficulty swallowing, SOB and itching. Rapid response called. Benadryl 50 mg IVP given at 1355. 1356 Solumedrol 125mg given IV; 1357 Epinephrine given; 1358 Pepcid 20 mg given. 1400 Normal saline 250 mg IV; 1415 transported by ambulance to local ER. In waiting area in local ER no attention. Came back to Hospital and admitted to observation


VAERS ID: 913218 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Texas  
Vaccinated:2020-12-27
Onset:2020-12-27
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Headache, Nausea, Peripheral swelling
SMQs:, Cardiac failure (broad), Acute pancreatitis (broad), Angioedema (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (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? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: acetaminophen 1000mg and 25mg diphenhydramine
Current Illness:
Preexisting Conditions: lupus, asthma, ulcerative colitis
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: headache, nausea, light headed, swelling of the hands Patient was given 1000mg of acetaminophen and 25mg diphenhydramine. Patient was monitored for 60 minutes.


VAERS ID: 913445 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Unknown  
Vaccinated:2020-12-27
Onset:2020-12-27
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Anaphylactic reaction, Chest discomfort, Intensive care, Lip swelling, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anaphylactic/anaphylactoid shock conditions (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, ? days
   Extended hospital stay? No
Previous Vaccinations: Influenza vaccine = hives
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Pt reports having hives to the influenza vaccine
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt developed anaphylaxis, was given IM Benadryl, and was sent to the ED. Pt spent 1 night in the hospital, went home, and has come back and is in the ICU. Pt had hives, itching, chest tightness, swollen lips.


VAERS ID: 913733 (history)  
Form: Version 2.0  
Age: 85.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2020-12-29
Onset:2020-12-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Senior Living       Purchased by: ?
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2020-12-29
   Days after onset: 0
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: My grandmother died a few hours after receiving the moderna covid vaccine booster 1. While I don?t expect that the events are related, the treating hospital did not acknowledge this and I wanted to be sure a report was made.


VAERS ID: 914137 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Maryland  
Vaccinated:2020-12-27
Onset:2020-12-28
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Impaired driving ability, Impaired work ability, Injected limb mobility decreased, Pain
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: minasterin oral contraceptive
Current Illness: none
Preexisting Conditions: none
Allergies: systane eye drops (Restore ok)
Diagnostic Lab Data: none
CDC Split Type:

Write-up: decreased range of motion in vaccinated arm: unable to raise left arm above shoulder x 72 hours now due to pain. no associated numbness or swelling. I am a surgeon and this impacts my work and driving. I would not have been able to operate during these last 3 days and while the pain is better 72hrs later, my arm is still out of commission. I think we need to inform healthcare providers who perform procedures that they may want to schedule the vaccine when no planned procedures for at least 72 hrs. Due to this issue I will be unable to proceed with the second dose, unless I can take it a week later than the scheduled January 24, 2021. It is taking too long to regain full function of the arm but i expect it will be back to normal as it is better today 72 hrs later.


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