Moderna

Cardiovascular symptom reports

Female, 16 - 25 years

Age Reported Symptoms Notes
16 2021-04-01 fainting Vasovagal Syncope. Awake within 3 seconds, kept her legs elevated, pushed fluids and a snack. Patie... Read more
Vasovagal Syncope. Awake within 3 seconds, kept her legs elevated, pushed fluids and a snack. Patient was given the Moderna Vaccine and is under the age of 18
16 2021-04-26 pallor 5 minutes after vaccination, flushing/sweating, pallor, diaphoretic, dizziness. Patient stable, rele... Read more
5 minutes after vaccination, flushing/sweating, pallor, diaphoretic, dizziness. Patient stable, released from vaccination site.
16 2021-07-20 loss of consciousness PATIENT WAS GIVEN THE COVID VACCINE AND DIDN'T WAIT THE FULL 15 MINUTES. WHEN THE PATIENT WENT TO LE... Read more
PATIENT WAS GIVEN THE COVID VACCINE AND DIDN'T WAIT THE FULL 15 MINUTES. WHEN THE PATIENT WENT TO LEAVE SHE PASSED OUT AND LANNDED FACE FIRST ON THE FLOOR.
17 2021-01-07 fainting patient had a syncopal episode at time of injection. lasted <10 seconds. Also reporting due to patie... Read more
patient had a syncopal episode at time of injection. lasted <10 seconds. Also reporting due to patient age 17 years old. Patient stated she thought she could take vaccine so she registered for it.
17 2021-02-15 loss of consciousness Patients menstrual cycle started the day she received the moderna vaccine, the next day,02/13/2021, ... Read more
Patients menstrual cycle started the day she received the moderna vaccine, the next day,02/13/2021, she stated it was heavier than she had ever had. Patient reported changing birth control 1-2 months previously. On 02/16/2021 Patient's father reported she was standing in the kitchen and her pupils were huge. Patient told parents she couldn't see or hear. Patient became unconscious for approximately 3 seconds. took patient to ER. ER was unable to find a cause. Loss of vision and hearing lasted approximately 3-5 minutes.
17 2021-03-01 fainting Syncopal episode lasting approximately 15 seconds after receiving the vaccine.
17 2021-03-03 chest discomfort Pt reports onset of dizziness, chest tightness, shortness of breath that started acutely 45 minutes ... Read more
Pt reports onset of dizziness, chest tightness, shortness of breath that started acutely 45 minutes to 1 hour after receiving her second Moderna vaccination on 2/24/21. She reported that she was told by her employer that the symptoms were due to the Moderna vaccine. She reportedly developed fever and some throat discomfort as well. Symptoms became persistent and disrupted sleep and was unable to work. She sought medical attention in the ER for persistent symptoms on 2/26/21. Extensive workup was essentially normal. She received Zofran, Decadron, IVFs, and Albuterol inhaler while in the ER. She reported improvement in her chest tightness and SOB after Albuterol. She was discharged home with instructions to f/u with her PCP in a couple of days for recheck.
17 2021-04-17 fainting Vasovagal Syncope; unauthorized age patient, 17 years of age; This spontaneous case was reported by ... Read more
Vasovagal Syncope; unauthorized age patient, 17 years of age; This spontaneous case was reported by a nurse and describes the occurrence of SYNCOPE (Vasovagal Syncope) in a 17-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Congenital heart disease NOS since 22-May-2003. On 01-Mar-2021 at 2:30 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Mar-2021 at 2:30 PM, the patient experienced SYNCOPE (Vasovagal Syncope) (seriousness criterion medically significant) and PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (unauthorized age patient, 17 years of age). On 01-Mar-2021, SYNCOPE (Vasovagal Syncope) had resolved. On 01-Mar-2021 at 2:30 PM, PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (unauthorized age patient, 17 years of age) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered SYNCOPE (Vasovagal Syncope) to be unlikely related. No further causality assessment was provided for PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (unauthorized age patient, 17 years of age). No relevant concomitant medications were reported. The patient did not receive any treatment. The event, SYNCOPE (vasovagal syncope) was an acute episode and recovered quickly within minutes. Follow-up received on 06-APR-2021 included additional reporter information, date of vaccine administration, patient's race, ethnicity and other relevant medical history, start and dates of product administered and the events, anatomical location, and reporter causality. This report refers to a case of inappropriate schedule of vaccine administered for mRNA-1273 (lot #unknown) with no associated syncope reported. The reporter considered SYNCOPE to be unlikely related. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. Most recent FOLLOW-UP information incorporated above includes: On 06-Apr-2021: additional reporter information, date of vaccine administration, patient's race, ethnicity and concurrent condition, additional event - Syncope, onset and stop dates of the event, - Product administered to patient of inappropriate age, injection site, and reporter causality.; Sender's Comments: This report refers to a case of inappropriate schedule of vaccine administered for mRNA-1273 (lot #unknown) with no associated syncope reported.The reporter considered SYNCOPE to be unlikely related. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.
17 2021-04-22 heart flutter The day after the vaccine I felt very weak and fatigued on April 7th. A couple days later on April 9... Read more
The day after the vaccine I felt very weak and fatigued on April 7th. A couple days later on April 9th I developed a fever. A few days after that my muscles started twitching and haven't stopped. I feel like something is crawling under my skin and the vaccine is extremely affecting my nervous system. I did not have this problem before I had the vaccine. It has not gone away and it is now April 23rd I still feel weak, not the same as I used to feel before having the vaccine, and my muscles are twitching all over my body. My face is twitching and my eye and there is nothing I can do to make it stop. I am so young and I thought the vaccine was safe but I am suffering from it. Especially in my feet I feel like they are tingling and vibrating and my calves are convulsing too. Meanwhile, my heart is fluttering and I feel like it is very hard for me to focus and I feel things crawling under my skin in my brain. The muscle convulsions are happening everywhere.
17 2021-05-23 chest pain, heart rate increased My child was accidentally given moderna instead of Pfizer even though she is under 18. After the mis... Read more
My child was accidentally given moderna instead of Pfizer even though she is under 18. After the mistake was made she began to have nausea and vomiting, headache and lethargic. After 6 days she began to have chest pain, rapid heartbeat and the nausea continued. We have ended up in the hospital admitted because of the tachycardia.
17 2021-07-27 chest discomfort PT is a 17 y.o. female who presents to the ED with complaint of chest pressure that is generalized. ... Read more
PT is a 17 y.o. female who presents to the ED with complaint of chest pressure that is generalized. She states that this began about 30 minutes after receiving her second Covid vaccine. She states that she does not have any shortness of breath currently but reports a sensation of shortness of breath. She states that she has had a headache for "weeks" she states that this headache has been unrelieved with medication including ibuprofen and acetaminophen as well as allergy medication that she has taken 2 doses of.
18 2021-01-11 pallor, hypotension The patient became diaphoretic, pale, and dizzy. Fell on the floor. No injury. BP monitored every 5 ... Read more
The patient became diaphoretic, pale, and dizzy. Fell on the floor. No injury. BP monitored every 5 minutes, low BP noted. Sprite offered, cold pack applied to the back of the neck. Laid patient on the couch. The patient rested for about half-hour and felt a little better. Patient BP returned to 121/74 prior to release. Father accompanied the client.
18 2021-01-14 chest discomfort I had no pain or discomfort immediately after the shot, during the 15 minute observation period, or ... Read more
I had no pain or discomfort immediately after the shot, during the 15 minute observation period, or an hour after. About 2 hours later (at 2:00 pm), I developed some hives around my neck, and the part of my arm near the injection site started to become more and more sore. I applied Benadryl to the hives and they went away. However, my left arm hurt to touch or move, much worse than any vaccine I've had before (flu, HPV). That night, I had trouble sleeping because the discomfort because of the sore left arm. I also could not sleep because of chest tightness and pressure, which worsened when lying down, but that pressure did not progress to the point of wheezing (I have asthma). Sleeping on my back was the only option because sleeping on either side was painful, which worsened the chest pressure. When I woke up, my fingers felt stiff and I had joint pain in both hands, more so in my left hand. Throughout this, I did not see any redness on my arm. This day it was agonizing to move my left arm. I could pick things up, but raising it above my the height of my waist or twisting it behind my back to get on my backpack was near impossible and was avoided. The chest pressure went away. The second night, I still had trouble sleeping, but the pain was much better, although I still could not sleep on my side. When I woke up, I had no more joint pain. That day, although the left arm was still sore, I could move it pretty well. If I made too strong of a movement, it felt like the injection site would tense up, the pain would slowly ramp up, and then diminish. That afternoon, at 4:30, I was able to play tennis with minimal soreness, and that night, I was able to sleep on my side. The following day, I had a cough, but that might have been because I didn't dress for the weather, and experiences close to zero soreness.
18 2021-01-23 heart rate increased Shot was given at 4:00pm on a Tuesday. That evening around 9:00pm patient was nauseas. Went to bed a... Read more
Shot was given at 4:00pm on a Tuesday. That evening around 9:00pm patient was nauseas. Went to bed and couldn't sleep because entire body hurt. Vomited at 9:00am the next day(Wednesday) and had a fever 101.3F, chills, muscle pain on entire body and a headache. Called into work and laid in bed all day. Heart rate was 120bpm (typically it is around 70bmp). Took Tylenol which brought the fever down at 5:00pm. Finally was able to eat something. Took more Tylenol before bed and was able to sleep. Woke up Thursday and still felt achy but functional with a headache and nausea. Same symptoms minus the nausea on Friday.
18 2021-01-29 fainting Chills, nauseous, fever, headache, body aches, joint pain & fainted
18 2021-02-03 lightheadedness, fainting 11:40 Vasovagal response-fainted. VS: 107/72, HR 65 , RR 16, O2 100%. Laid down. juice, water and ... Read more
11:40 Vasovagal response-fainted. VS: 107/72, HR 65 , RR 16, O2 100%. Laid down. juice, water and ice packs offered. Patient left observation area with her mom at 11:50.
18 2021-02-05 nosebleed on second shot i got alot of symptoms/bad reactions. nausea, feeling light headed, aches in my body ... Read more
on second shot i got alot of symptoms/bad reactions. nausea, feeling light headed, aches in my body everywhere, a nose bleed, high fevers (102.9). My left arm from where i got the injection was really swollen after two days prior from getting the vaccine.
18 2021-02-08 chest discomfort, blood pressure increased The symptoms began 10 minutes after administration of the vaccine. The symptoms were: dizzy, lighth... Read more
The symptoms began 10 minutes after administration of the vaccine. The symptoms were: dizzy, lightheaded but BP elevated to 140s systolic, chest tightness, globus sensation with some difficulty swallowing but able to swallow zyrtec then head pain / headache that radiates down to neck. Given zyrtec. Not SOB and not wheezing, no rash or objective swelling of the face or oropharynx. The nurse reports that she cannot move her tongue very well. The treatment of the reaction was: o Antihistamines: zyrtec 10mg o Sent patient to ED
18 2021-02-08 chest discomfort Hard of breathing, heavy chest (8 hours)
18 2021-02-09 chest discomfort, blood pressure increased The symptoms began 10 minutes after administration of the vaccine on 2/9. The symptoms were: dizzy, ... Read more
The symptoms began 10 minutes after administration of the vaccine on 2/9. The symptoms were: dizzy, lightheaded but BP elevated to 140s systolic, chest tightness, globus sensation with some difficulty swallowing but able to swallow zyrtec then head pain / headache that radiates down to neck. Given zyrtec. Not SOB and not wheezing, no rash or objective swelling of the face or oropharynx. The nurse reports that she cannot move her tongue very well. The treatment of the reaction was: o Antihistamines: zyrtec 10mg o Sent patient to ED
18 2021-02-15 pallor, loss of consciousness Patient found on floor pale, diaphoretic, unconscious approximately 3 minutes after receiving vaccin... Read more
Patient found on floor pale, diaphoretic, unconscious approximately 3 minutes after receiving vaccine. patient became suddenly alert on first attempt to rouse. Noted 5 cm reddened area on forehead which was assumedto be a result of hitting her head on the nearby plastic trash bin. Pt Ox3 upon awakening. She was aware that she had lost conscousness during a syncopal episode. She denied smilar reactions in the past. Rapid Response called. Ice applies, 11:35 BP 104/66, HR 79, SpO2 99%. Assisted to a sitting position. 11:40am BP 108/70, HR 72, SpO2 99% RR arrived. Pt assisted to WC then to cot. Denied Further dizziness. To ED via security vehicle, accompanied by security officer and MA from clinic.
18 2021-02-15 lightheadedness, pallor Near syncopal episode; Pale Skin color and light headed feeling. Pt and Father admitted patient doe... Read more
Near syncopal episode; Pale Skin color and light headed feeling. Pt and Father admitted patient does not like needles and has had similar episodes when getting her Flu shots in the past. Vitals obtained. Medic unit evaluated her and performed EKG with no negative findings. Pt signed refusal form. Pt released to her Father to drive her home. He will be with her tonight for continued monitoring.
18 2021-02-17 blood pressure increased Patient received vaccine around 430pm. As she was sitting for post-vaccine observation she told an a... Read more
Patient received vaccine around 430pm. As she was sitting for post-vaccine observation she told an associate to call over Rph due to side effects. After speaking with patient she stated that her arm was numb (vaccinated arm) and that it hurt more than when she got her flu shot. I assessed both arms an her vaccinated arm was slightly swollen. I described the signs of anaphylaxis to her and told her that i would like for her to stay longer for extra monitoring and to alarm me or one of my associates if any anaphylaxis symptoms occur. Patients blood pressure was taken reading - 132/96. Patient was unsure of her baseline so i explained i will check again shortly. Patient was given water and one dose of Benadryl (25mg) at 5:25pm as well as an ice pack to place on her arm. At 6:00pm patients blood pressure was retaken (124/82) and patient stated she was well enough to go home. Her grandma was with her and stated she didn't have Benadryl at home, I recommend her to get some and gave the patient another dose (25mg) before her grandma took her home. Patient has no primary care physician.
18 2021-02-18 pallor, chest pain Complaint of chest pain with no other signs and symptoms. Denied shortness of breathe. Vitals asse... Read more
Complaint of chest pain with no other signs and symptoms. Denied shortness of breathe. Vitals assessed. Patient became pale in color and continued to have chest pain. Given Benadryl and sent to local clinic for evaluation. Clinic reported additional services at local emergency room. No additional health outcome diagnosed or treated.
18 2021-02-25 fainting vasovagal fainted, fell. Resolved
18 2021-03-01 pallor Roughly 16 hours after receiving the first Moderna vaccine for COVID, woke up with dizziness, loss... Read more
Roughly 16 hours after receiving the first Moderna vaccine for COVID, woke up with dizziness, loss of vision for a few minutes, shakiness, low grade fever, paleness, shaky walking ability, nausea, and loss of bowels in her clothing.
18 2021-03-04 pallor pt got very pale, dizzy, light headed, sweaty, talked the whole time , was shakey .....we layed her ... Read more
pt got very pale, dizzy, light headed, sweaty, talked the whole time , was shakey .....we layed her down , elevated feet, used ice packs, checked BP 106/87 , called paramedics, pt was fine when leaving
18 2021-03-07 chest discomfort immediate rash, redness over entire body, shortness of breath, swelling and tightening of chest, diz... Read more
immediate rash, redness over entire body, shortness of breath, swelling and tightening of chest, dizziness, extreme nausea and faintness,? spacey ? feeling all within 30 seconds of vaccine. administered benadryl 50 IM by pharmacists immediately. dizziness continued 3 hours. 911 called paramedics arrived and assessed. allowed to go home with parents.
18 2021-03-09 chest discomfort Fever 100.5, chills, tightness in chest
18 2021-03-09 fainting Pt fainted after vaccine
18 2021-03-10 increased heart rate, fast heart rate, chest discomfort 18 year old female came to hospital for chest tightness, choking sensation in the throat as well as ... Read more
18 year old female came to hospital for chest tightness, choking sensation in the throat as well as skin rash after receiving COVID-19 vaccine. Initially patient presented to emergency room but subsequently discharged on steroid and Benadryl. Patient had continued episode of choking as well as chest tightness and skin rash for that patient came back to emergency room. Patient had received total 5 doses of epi pen because of that. Patient was admitted to medical floor initially. Patient was given steroid, Benadryl and famotidine. Patient had 2 episodes on medical floor where she started feeling choking and chest tightness. Patient remained stable hemodynamically except for tachycardia. Patient was transferred to intensive care unit for close monitoring. D-dimer was negative, urine tox screen was negative, COVID-19 PCR was negative, EKG showed sinus tachycardia. CT scan of neck was negative. We had discussed that patient has remained stable hemodynamically in the intensive care unit and discharge planning was discussed and patient was getting ready to be discharged when she had another episode where after drinking soda patient started having that choking sensation, patient remained stable hemodynamically during this episode as well. Her symptoms had improved. She looked visibly anxious. Patient was monitored in the ICU for few more hours and patient remained stable. I checked back on her and she was able to eat her lunch. She probably had a allergic reaction to more than a vaccine but subsequent episodes are thought to be secondary to anxiety attack given situation.
18 2021-03-12 loss of consciousness Pt received vaccination at 1:30pm, pt ambulated to observation area, began feeling "dizzy and nauseo... Read more
Pt received vaccination at 1:30pm, pt ambulated to observation area, began feeling "dizzy and nauseous" while standing in observation area. Pt ambulated to chair, at which time pt lost consciousness and her body became stiff, gagging sounds noted. Removed pt's mask, applied oxygen at 10l/min via face mask. pt regained consciousness within 30 -60 seconds. Vital signs BP 124/82, unable to assess sp02 due to cold fingers and nail polish. HR 102. Pt stated she continued to feel dizzy, and had tingling in her fingers. Vital signs reassessed at 1:43, BP 128/78, HR 80, unable to asses sp02 due to monitor not giving a reading. Vitals reassessed at 1:46pm, sp02 100%, HR 94. , began titrating oxygen supply down by 2l/min. Pt seemed to tolerate well for a few minutes, At 2:00pm, pt complained of tingling returning to her fingers, pt was receiving o2 4l/min, sp02 noted at 80%, increased 02 to 10l/min, called nursing lead who called 911. 2:10, unable to obtain accurate sp02. 2:17pm pt continues to receive 02 10l/min, stated she "feels okay, just weird and foggy" no tingling in hands. 2:20pm, paramedics arrive, pt states she is "a little bit dizzy" 2:35pm pt taken to hospital via stretcher with paramedics. Pt en route to hospital. At 2:00pm sp02 80%
18 2021-03-13 blood pressure decreased, heart rate decreased Parasympathetic reset following sympathetic surge during covid shot. Per norm: slow heart rate, dila... Read more
Parasympathetic reset following sympathetic surge during covid shot. Per norm: slow heart rate, dilated pupils, low B/P. Pt assessed for 30 mins, orthostatic B/P checked and is normal; released to home. No further action needed.
18 2021-03-14 pallor, arrhythmia, increased heart rate, very slow heart rate, hypotension, lightheadedness post vaccine: sudden onset of dizziness, vertigo sensation with nausea, witnessed near-syncopal even... Read more
post vaccine: sudden onset of dizziness, vertigo sensation with nausea, witnessed near-syncopal event, "everything going black in color" per patient, skin clammy and pale/warm and diaphoretic, spinning sensation, bradycardia and mild hypotension with abnormal cardiac rhythm- EMS called by on-site paramedic at 12:55 12:50 HR 42, BP 90/64, SaO2 97, Resp 18, sinus bradycardia. GCS=15 1306= HR 105, BP 102/64, SaO2 98, Resp 16, Sinus tachycardia, GCS=15 13:16 blood glucose 175 mg/dL No medications required
18 2021-03-16 palpitations Approximately 7-8 minutes after receiving the vaccine, started to feel light-headed, thought she was... Read more
Approximately 7-8 minutes after receiving the vaccine, started to feel light-headed, thought she was going to pass out, and her heart was racing extremely high. The health care team at the site took her blood pressure, measured heart rate, gave her water, juice and chocolate and tried to get her heart rate to drop. It was fluctuating up and down and she couldn't stand up without dizziness; we waited 45 minutes and then drove her home as she was unable to drive her own car. She was experiencing significant lightheadedness, and consistent heart racing even while lying down on the sofa/bed. This continued for several days and she stayed home from school and sports. We called her primary care doctor on the 10th and they suggested she wait another day to see how she was feeling. She started to feel a bit better by Friday, was still experiencing a bit of the tiredness, nauseous, light-headed and heart spikes, but was able to drive, move around. On Sunday evening, she started to experience increased heart rate again, lymph nodes were very painful and started experiencing the light headedness all evening. On Monday we took her to her primary care provider and they then referred her to ER for the heart racing and a EKG. The increased light headedness, feeling like she will pass out even while laying in bed, dizziness has all increased and her lymph nodes continue to be swollen and painful. It has been over a week since the vaccine and there is no clear sign of her reaction getting any better, if not worse. The EKG results indicated a new abnormality and we are trying to get her to a cardiologist. She is and had been a very healthy, varsity athlete that runs over 30 hours a week with track, and since receiving the first dose of the Moderna vaccine is unable to move very far within the house without feeling that she is going to pass out or that her heart rate is shooting up uncontrollably.
18 2021-03-19 lightheadedness, fainting Patient had a vasovagal syncope response tonight (3/20/2021) after receiving her first dose of the M... Read more
Patient had a vasovagal syncope response tonight (3/20/2021) after receiving her first dose of the Moderna Covid-19 shot. Patient did not make contact with the ground. A friend was present who caught her and made sure that she wasn't injured. Patient was monitored for 1/2 hour after vaccination and left under her own power after that time. Patient was asked if they wanted to make a report and they declined.
18 2021-03-21 loss of consciousness Client received first dose of Moderna Vaccine at 15:31. 15:32--sat down in observation area F. With... Read more
Client received first dose of Moderna Vaccine at 15:31. 15:32--sat down in observation area F. Without warning, client lost consciousness, fell from chair and hit head/left side on concrete floor. Was unresponsive x 1min. Used Syncope protocol. APRNs assessed client and local on-site paramedics notified Client denied difficulty breathing, or any other symptoms typically associated with anaphylaxis. 15:36: BP 87/57, pulse 67 15:37--client awake and talking. Complaining top of head hurts. Client reports she has not eaten today, as she indicated she was very anxious about getting the covid immunization and reports she did not sleep last night. Next page15:39: BP 110/65, pulse 87 15:41: BP 119/77, pulse 91 15:47: BP 110/77, pulse 88 15:50--paramedics started IV and checked blood sugar at 103. Client very anxious, but agreed to be tranported to ER due to hit to head. Local transport unit called. 16:01: BP 98/64, pulse 76. 16:03: EMS transport unit arrived/transported to Emergency Room.
18 2021-03-21 fainting Received first COVID shot on 3/19/21. On 3/20/21 presenting to ER with weakness, achiness, fever, ... Read more
Received first COVID shot on 3/19/21. On 3/20/21 presenting to ER with weakness, achiness, fever, shortness of breath after having coronavirus vaccination yesterday. Patient is sure she had coronavirus back in November. Received the vaccination yesterday about 11 am. Within a couple hours she developed severe myalgias, low-grade fever. Reports she feels a little short of breath from a myalgias. No history of DVT or PE, urinary complaints. Patient has syncopal episode while in triage. No seizure activity. Felt lightheaded with standing. Clinical Impression: 1. Syncope 2. Vaccination reaction, initial encounter Presentation consistent with orthostatic, vasovagal episode from recent vaccination. Patient coronavirus previously stimulating a stronger immune response. doubt infection, PE, worrisome arrthymia. Advised against second vaccination. return if any problems, worsening
18 2021-03-22 fainting Vasovagal syncope- felt lightheaded, almost passed out twice, and vomited.
18 2021-03-23 chest pain I started having the symptoms in the afternoon. I was really fatigued and throwing up multiple times... Read more
I started having the symptoms in the afternoon. I was really fatigued and throwing up multiple times (nothing left in my stomach); had chest pain. My boyfriend rushed me to the hospital. While I was at the hospital (about 3:00 am) I threw up again at the hospital. They monitored me and put an IV on me. When I was able to hold down water and stop throwing up they let me go home - which was about 7. Prescribed Zofran and Pepsin. And they put me on a clear liquid diet for a day. They told me to Zofran, Pepsin and Benadryl before the second dose and told me to eat a meal before getting the second dose and I had no symptoms at all with second dose.
18 2021-03-24 pallor, skin turning blue Hx of anxiety with imms but no hx of syncope, has never had any jerking or an anxiety attack before,... Read more
Hx of anxiety with imms but no hx of syncope, has never had any jerking or an anxiety attack before, 15 seconds after imm pt pale and asks if she can sit here for a few minutes, RN asks if feeling lightheaded-no response, then lowers her head and draws up bil arms and begins rythmic jerking of bil arms and torso, RN calls code blue and second RN responds right away, pt safely lowered to the ground by two RN's-feet elevated, 911 called and VS obtained 110/60 98 16 98% on RA, after 20 seconds jerking self resolves, pt opens her eyes and immediately asks what happened, pupils remain dilated, she remember events up to asking if she can sit here for a minute, denies any tightness to chest or throat, denies difficulty breathing, no wheezing or rash noted by RN, pt laid on ground for about 10 minutes and was then escorted with 2 person assist to the lobby to wait for EMS to arrive, pt remained pale and clammy and light headed, 1305- pt father notified of incident 1320-RN gives report to EMS in lobby, pt still laying on ground with feet elevated but laughing and talking to her friends, BP now 114/64 and color is improved, RN advised her to follow up with her PCP 1330-pt sitting up in chair and BP 110/60
18 2021-03-24 pallor, loss of consciousness, fainting Found on floor pale, diaphoretic, unconscious approximately 3 minutes. Suddenly became alert on firs... Read more
Found on floor pale, diaphoretic, unconscious approximately 3 minutes. Suddenly became alert on first attempt to rouse. Noted 5 cm reddened area on forehead as result of fall and hitting a plastic trash can. Orient X3 and aware that she had lost consciousness during syncopal episode. denies similar reactions in the past. Rapid Response called. Ice pack to forehead. 1135 BP 104/66 HR 66 SpO2 99% Assisted to sitting 1140 BP 108/70 HR 72 SpO2 99% Sent to ED.
18 2021-03-25 fainting Pt was waiting in observation area after receiving her covid vaccine. PT began feeling dizzy and lig... Read more
Pt was waiting in observation area after receiving her covid vaccine. PT began feeling dizzy and lightheaded. Pt fainted briefly and EMS responded immediately. Fire/Rescue immediately responded shortly after. Pt regained consciousness and was evaluated by EMS and Fire/Rescue. Pt stated she has this kind of medical episode every so often. Last episode was 3 months ago. Pt and EMS do not believe this was directly related to the Covid vaccine. Pts vital were stable and exited premises on her own. Pt had family waiting for her in the the parking lot.
18 2021-03-28 pallor Documentation per Dr. is as follows: "...mom and pt walked up to me to state she didn't feel well. ... Read more
Documentation per Dr. is as follows: "...mom and pt walked up to me to state she didn't feel well. pt slumped backward and was caught by me and placed in a chair. pt c/o tunnel vision and poor hearing. pt did not eat breakfast , was nervous about shot, and c/o pain with injection. she was nauseated and appeared pale. her outer sweatshirt was removed and she was given cold water. VSS. no prior h/o vaccine reaction. cold pack applied. pt's nausea persisted. 8 mg of zofran was administered after consulting with pt and mother. symptoms resolved except she began to feel tired (expected with zofran). monitored an additional 30 minutes without incident. mom will take her home and monitor her today..."
18 2021-03-31 fainting Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Additional Detai... Read more
Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Additional Details: EMS arrived at the site after patient had recovered from the episode. vitals were checked. BP: 120/90. pulse: 80. Patient was fully responsive after episode.
18 2021-04-01 loss of consciousness Patient reported to her friend that she felt nauseous. According to the friend she then slouched to... Read more
Patient reported to her friend that she felt nauseous. According to the friend she then slouched to her right and fell off her chair. She came to within a minute. 911 was called at 12:45. She stayed on her right side on the floor for approx 3 minutes before being assisted to sitting on the floor. She was alert and oriented. She was given juice. She reports she had eaten that morning before getting vaccine. She reports that she has not ever "passed out" after an injection or vaccine before. She was assisted to the chair then to a wheelchair. She was wheeled to the ambulance. EMS checked her blood sugar and it was 65. She did not go to the ER, she was treated and released. She reported that she went for lunch after leaving vaccine site.
18 2021-04-01 loss of consciousness Pt felt dizzy, Sat down, & passed out. No meds given.
18 2021-04-01 fainting, lightheadedness Vasovagal syncopated episode responding immediately to supine positioning
18 2021-04-04 pallor Patient became dizzy, pale about 10 minutes following Moderna #1 vaccine. BP 85/47, P 53, patient la... Read more
Patient became dizzy, pale about 10 minutes following Moderna #1 vaccine. BP 85/47, P 53, patient laid flat with feet on chair. Five minutes later, second BP 128/78, patient's color resumed normal, reports no dizziness; Ten minutes later, third BP 123/72. Patient was drinking water and eating peanut butter crackers with mother, able to ambulate on own after waiting approximately 30 minutes from vaccination time.
18 2021-04-05 blood pressure decreased Patient started feeling dizzy after the shot. After few minutes, she states that she could not see a... Read more
Patient started feeling dizzy after the shot. After few minutes, she states that she could not see anything and lied down on the floor, which she felt little better. Blood pressure was measured around 85/57, pulse rate was 57 at which point ambulance was called for low blood pressure. Patient was helped by the EMS provider, went to the hospital, discharged, the parent called back later saying she was doing fine now.
18 2021-04-05 loss of consciousness PT EXPERIENCED CONVULSIONS, TEMPORARY LOSS OF CONSCIOUSNESS, WITNESSED BY BYSTANDER. PT THEN REGAINE... Read more
PT EXPERIENCED CONVULSIONS, TEMPORARY LOSS OF CONSCIOUSNESS, WITNESSED BY BYSTANDER. PT THEN REGAINED CONSCIOUSNESS BUT PRESENTED W/ ALTERED MENTAL STATUS FOR APPROXIMATELY 5-10 MINUTES. PATIENT PRESENTED W/ FOLLOWING SYMPTOMS: LOSS OF CONSCIOUSNESS CONVULSIONS BP: 118/74 O2: 98 PULSE: 85 PT DECLINED TRANSPORT, WAS TRANSPORTED TO HOSPITAL IN PRIVATELY OWNED VEHICLE.
18 2021-04-06 fainting Fainted
18 2021-04-07 chest pain, pallor, loss of consciousness About 4 hours after getting the injection she reported pain in her arm , right side of chest, and pa... Read more
About 4 hours after getting the injection she reported pain in her arm , right side of chest, and passed out. She was trying a dress on in a store and a woman was adjusting it and she all of a sudden said mom I don?t feel good I think I?m going to pass out. She reports everything going black. She go so pale almost blue and passed out immediately she started sweating and had a slight rash on her back. EMS was called she was alert before they arrived they checked vitals and all were normal. The rash went away within a day.
18 2021-04-07 loss of consciousness Initially she passed out following the vaccine - within 90 seconds- she has a history of passing out... Read more
Initially she passed out following the vaccine - within 90 seconds- she has a history of passing out with injections and blood draws. Around noon she had a seizure. She describes a feeling of darkness and dread closing in on her and she was unable to speak or move. She was on the stairs at the time. I witnessed her stiffen, then go limp and fall between the electric stair hair and the wall. She hit the hardwood floor face first then she began to shake/twitch. She was unconscious. She awoke screaming, incoherent speech, and flailing limbs. It took about 5 minutes to calm her and be able to understand her speech. She only remembers the darkness and waking up scared and feeling awful. She was put supine on the floor with feet elevated, blood pressure monitored, given juice to drink, and vitals checked routinely. After about an hour supine and conscious, she felt good enough to sit up. She sat up for 15 minutes before she was able to stand with assistance. Family physician was notified immediately and we are still waiting for a response. She has a goose egg sized knot on her forehead, a bruise on the side of her face and a black eye from hitting the floor. She has a huge bruise on her outer thigh and lower leg where she hit the stair chair and then seized and it it repeatedly on the metal. She has underarm pain from where her armpit hit the edge of the stairs when she fell and seized. She has no history of any types of seizures.
18 2021-04-07 loss of consciousness patient briefly lost consciousness for a few seconds, less than 1 minute during administration- mot... Read more
patient briefly lost consciousness for a few seconds, less than 1 minute during administration- mother warned me that was likely due to past sycolpal episodes with injections not due to vaccine-sensitivity. Remained in pharmacy area for about 30 minutes post-administration with no further incident. Patient's mother notified us today that patient had a seizure several hours later that same day at approx 12 noon.
18 2021-04-07 pallor Splotchy, red, macular, blanchable rash to upper left arm. Non tender. No ulcers, blisters, swelli... Read more
Splotchy, red, macular, blanchable rash to upper left arm. Non tender. No ulcers, blisters, swelling or bleeding. Irregular, but clear borders.
18 2021-04-07 fainting Patient is an 18 year old female with no PMHx that presented with lightheadedness and three subseque... Read more
Patient is an 18 year old female with no PMHx that presented with lightheadedness and three subsequent episodes of syncope approximately 3-10 minutes post-vaccination. Patient was found to have an abrasion to the outer corner of her right eyebrow following an unwitnessed. It was unknown if patient was seated or standing at the time. The nurse first on scene states the patient lost consciousness briefly again and experienced approximately 10 seconds of upper extremity muscle contractions (described as convulsions). Patient experienced a loss of bladder control upon loss of consciousness. Patient was lowered to the ground to be in a supine position by healthcare staff. At this time, patient was alert and oriented without agitation or confusion. Patient denies memory of the event. She states she had prior episodes of fainting after blood draw. Patient has no allergies to medication or food. No past surgical history. No prior hospitalizations. Denies personal and family history seizure disorders, cardiac disturbances, and hypoglycemic or hyperglycemic events. Patient was hooked up to cardiac monitor and found to be in normal sinus rhythm with a heart rate of 64bpm. Vitals Orthostatic BP measurements Lying supine - 110/72 Seated - 124/76 Standing - 128/72 HR: 64 bpm RR: 16 breaths/min without distress SO2: 99% On examination, patient was A&Ox3 without lethargy, agitation, or confusion. Patient has an abrasion to the superior aspect of the right orbit (outer eyebrow) without laceration or bleeding. Patient was diaphoretic and pale following event. Normal cardiac rate and rhythm. Radial pulses intact, strong and equal bilaterally. No obvious nystagmus. Upon standing, patient steady on her feet without abnormal gait.
18 2021-04-07 fainting Site: Redness at Injection Site-Mild, Systemic: Chills-Mild, Systemic: Fainting / Unresponsive-Mild,... Read more
Site: Redness at Injection Site-Mild, Systemic: Chills-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Shakiness-Mild, Additional Details: Patient fainted twice, possibly due to low sugar because she did not ingest any food in the morning. Family member stated that patient has fainted multiple times after vaccination. Patient did not developed any swelling/inflammation. Nurse offer to call 911, family declined.
18 2021-04-07 fainting Patient started feeling, nauseous, heated and lightheaded. She seemed like she was maybe going to fa... Read more
Patient started feeling, nauseous, heated and lightheaded. She seemed like she was maybe going to faint, she never lost consciousness. Pharmacy staff placed the patient lying down on the floor, gave her a cool wet cloth and monitored her for worsening symptoms. Patient immediately began to feel better, less nauseated and cooling down. Attempted to follow up with patient later in the day, but she did not answer call.
18 2021-04-08 blood glucose increased, blood pressure decreased, hypotension, fainting 10 minutes after receiving vaccination she became dizzy, faint, nauseated, and her blood pressure bo... Read more
10 minutes after receiving vaccination she became dizzy, faint, nauseated, and her blood pressure bottomed out. 10 minutes later from 100 resting hear rate her heart rate jumped to 230.
18 2021-04-08 fainting Patient witnessed another patient become syncopal and she herself had a syncopal episode. She was re... Read more
Patient witnessed another patient become syncopal and she herself had a syncopal episode. She was responsive within 10 seconds. Patient was monitored for a longer period of time and fully recovered. She was taken home by her mother.
18 2021-04-08 fainting Pt started to "not feel well" about 5 minutes after her first dose. She laid down on the ground bef... Read more
Pt started to "not feel well" about 5 minutes after her first dose. She laid down on the ground before she fainted was never lost consciousness. She began feeling back to normal after 5 minutes of laying down.
18 2021-04-09 loss of consciousness, fainting Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Det... Read more
Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient fainted face down after receiving the covid vaccine. Patient indicated that she blacked out. She regained consciousness after a few seconds and became aware of her surrounding. Patient was rehydrated with water and orange juice.
18 2021-04-10 loss of consciousness I had horrible shaking/trembling in my arms, chest, and legs about six hours after the vaccine, and ... Read more
I had horrible shaking/trembling in my arms, chest, and legs about six hours after the vaccine, and they continued for about four hours more, uncontrollably. I passed out briefly around 12 hours after the vaccine, and I'm not sure how long I remained unconscious. Through all of this, my left arm was difficult to move or use, I felt hot suddenly and then cold, and I was tired. The next day, the most serious side effects were gone, but I remained feverish, tired, and largely unable to move my left arm. Those side effects were gone on the third day and now I'm better.
18 2021-04-11 fainting, hypertension Per the NP: 1:20pm: While in observation, patient had an episode of syncope/ hypotension. It was u... Read more
Per the NP: 1:20pm: While in observation, patient had an episode of syncope/ hypotension. It was unclear at the time if this was a reaction to the vaccination or not. Was treated immediately by NP and EMT/Paramedic staff. 911 was called and pt was transferred to the ER via monitored stretcher for further evaluation. Prior to leaving, and as pt was being transferred from one stretcher to the transport stretcher, pt experienced another syncopal episode. No arrhythmia noted on monitor, BP running 70's/50's. Awake, sluggish but oriented to person and place upon leaving. Transported via monitored stretcher to the ER.
18 2021-04-12 very slow heart rate, hypotension, fainting Appx 20 minutes post vaccination, pt reported "feeling faint", guided to floor by family, pt "passed... Read more
Appx 20 minutes post vaccination, pt reported "feeling faint", guided to floor by family, pt "passed out" for appx 90 seconds, pt to on site triage, hypotensive and bradycardic, 1L NS and 02 started, pt dispositioned to ER.
18 2021-04-12 fainting, hypotension, loss of consciousness, very slow heart rate Appx 15 minutes after vaccination, patient began feeling "faint", history of fainting, patient with ... Read more
Appx 15 minutes after vaccination, patient began feeling "faint", history of fainting, patient with syncopal episode and "passed out" for appx 90 seconds, hypotensive and bradycardic upon arrival to ER gurney, 1L NS given and NC O2 placed, patient dispositioned to Emergency Department via MR.
18 2021-04-12 fainting Patient felt tingling in her left arm after receiving the Covid vaccination. While patient was sitt... Read more
Patient felt tingling in her left arm after receiving the Covid vaccination. While patient was sitting down to wait her 15 minutes observation time, she felt faint and passed out while sitting in the chair. Her mother who was sitting next to her was able to help her to the ground. Patient knew where she was and who she was but felt dizzy and had arm pain.
18 2021-04-12 fainting Site: Pain at Injection Site-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild, Ad... Read more
Site: Pain at Injection Site-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Mild, Additional Details: Pt experienced a brief syncope episode. Nurse, the immunizer, was there with her and her mother the entire time. We observed pt for over 30minutes and they left the pharmacy with no other symptoms. I called pt the next morning and she stated that fainting was a \"normal reaction...I get it everytime I get a shot\". She is in between doctors right now and does not feel like we need to contact him. Will talk to her new doctor next time she is seen
18 2021-04-13 haemoglobin decreased, low blood oxigenation, fibrin d dimer increased Pt developed fevers > 103F, severe headache, transaminitis, hypoxia (ultimately requiring 7L/min O2 ... Read more
Pt developed fevers > 103F, severe headache, transaminitis, hypoxia (ultimately requiring 7L/min O2 via nasal cannula), and severe pancytopenia resulting in hospitalization and a bone marrow biopsy w/ flow cytometry (ultimately negative for leukemia/lymphoma). Her symptoms improved with IV decadron> oral prednisone, though cytopenias are now recurring 4/14/21. Pt had a positive ANA to 2.72 (but was taking doxycycline for anaplasmosis- now PCR and AB titers are negative for Anaplasma) and a positive ENA AB, Anti-Ro is high at 8.0. She has no family hx of autoimmune disease. Her infectious work-up for HIV, EBV, CMV, Blastomycosis, Histoplasmosis, Coccidioides, tickborne pathogens, & ricketsial disease is negative.
18 2021-04-13 loss of consciousness Patient received Moderna Covid-19 vaccine. Just a minute after receiving, pt's eyes rolled in the ba... Read more
Patient received Moderna Covid-19 vaccine. Just a minute after receiving, pt's eyes rolled in the back of her head and she went limp and was unconscious, but still breathing. Patient's mom was yelling her name and holding her up. We brought a mat out and laid pt down. She came to about a minute or two after being laid down. EMS was called. Patient was ok and conscious when they arrived. She said she felt ok. EMS checked her out and said she was ok. Patient left the store with her mother.
18 2021-04-13 pallor, fainting Patient reports dizziness and fainting. Upon assessment, pt. was diaphoretic and pallor. Put pt. on ... Read more
Patient reports dizziness and fainting. Upon assessment, pt. was diaphoretic and pallor. Put pt. on oxygen at 10 LPM. Took vitals BP: 76/46, O2 at 99% on 10L of oxygen, HR 45. Placed patient down on the ground with legs elevated. After 15 minutes, pt. reports feeling better. Retook vitals: BP: 129/82, 97% on room air, and HR 73. Informed patient to monitor for worsening symptoms at home and drink plenty fluids at home.
18 2021-04-15 hypotension, pallor Patient was sitting in her chair about 10 minutes after her vaccine was given to her and she was com... Read more
Patient was sitting in her chair about 10 minutes after her vaccine was given to her and she was complaining to her mom that she could not see. I checked to make sure she was not having an allergic reaction did not have ay throat swelling or facial swelling. Her eyes were dilated and her skin was pale and clammy. Mom wanted us to call rescue so we did and her blood pressure was low. She did not get transported.
18 2021-04-15 loss of consciousness Within 5 minutes of vaccine administration patient began to feel lightheaded and passed out in waiti... Read more
Within 5 minutes of vaccine administration patient began to feel lightheaded and passed out in waiting room. Patient lost consciousness several times for intervals of one minute or less. Patient was very sweaty and urinated on herself. We called EMS who took patient to local hospital.
18 2021-04-15 fainting, pallor pale, faint, fingers tingled, scared
18 2021-04-15 fainting Pt fainted after receiving COVID vaccine injection. Resident physician tended to pt. she was awake ... Read more
Pt fainted after receiving COVID vaccine injection. Resident physician tended to pt. she was awake when laying down and reported feeling much better when sitting up.
18 2021-04-15 fainting about 10 minutes after getting vaccine. patient fainted
18 2021-04-15 fainting Light-headed, dizzy, nausea, vomiting, fainting
18 2021-04-16 fainting Patient fainted upon receiving the vaccine. Her body also shuddered. I used two ammonia inhalers and... Read more
Patient fainted upon receiving the vaccine. Her body also shuddered. I used two ammonia inhalers and she responded. Patient mentioned both her hands were numb, then tingling. Her mother massaged her hands. She stayed for observation for 40 minutes. She left with both her mom and dad. She said she felt ok. I called her the same evening to check in. She had a nap and said she felt fine.
18 2021-04-18 chest pain Overall fever from 1:00am on 04/17/21 through 6:00pm on 04/17/21 (17 hours) High fever of 102+ from ... Read more
Overall fever from 1:00am on 04/17/21 through 6:00pm on 04/17/21 (17 hours) High fever of 102+ from 2:30am on 04/17/21 through 4:30pm on 04/17/21 (12 hours) Treated with ice packs applied to head, chest, stomach as well as extra-strength Tylenol Chest pain/trouble breathing/coughing that is slowly subsiding since early morning 04/17/21 through present Consistent shaking from 2:00am on 04/17/21 through 6:00am on 04/17/21 proceeded by intermittent shaking through 04/17/21 Cramps, loss of appetite, back pain, sudden sharp pains for no apparent reason, nausea, dizziness, and headache for 24 hours
18 2021-04-18 fainting Faint/loss of conciousness 5 minutes after shot. Gastrointestinal issues 1 hour after shot. Headac... Read more
Faint/loss of conciousness 5 minutes after shot. Gastrointestinal issues 1 hour after shot. Headache/vomiting 3 hours after shot.
18 2021-04-19 pallor, fainting patient fainted after about 5 to 10 minutes. when I found the patient, she was already standing and ... Read more
patient fainted after about 5 to 10 minutes. when I found the patient, she was already standing and talking. she looked pale and shaky. her blood pressure at the time was 97/75 with pulse 75 and oxygen at 98. about 15 to 20 minutes later, her blood pressure was 96/65 and pulse 70 and oxygen 99. she was no longer pale and her color looked like before she was given the shot. she has no other symptoms. she said she feels normal again with no difficulty breathing or any heart symptoms. patient was advised to see a doctor and she had a friend take her home.
18 2021-04-19 pallor The 12:20 pm appointment today (4/20/21) had an adverse reaction to the IMZ. Patient was done receiv... Read more
The 12:20 pm appointment today (4/20/21) had an adverse reaction to the IMZ. Patient was done receiving the vaccine at about 12:30 pm and I stated she would have to wait until 12:45 pm. Around 12:38 pm I noticed she looked a little pale and went to her side to check on her. The patient stated she was feeling light-headed, dizzy, nauseous, and had trouble with her vision. I had the patient lay down and elevate her feet. The technician also grabbed an ice pack to place behind her neck. Asked if she would like water. The patient then stated she was having trouble breathing/short of breath and her ears were ringing. Once the patient stated issues with breathing 911 was called. A code white had been called and management was in the pharmacy. The 911 operator continued to ask questions about the patient's status and stated to not give any water or medications. I continued to assess the patient's symptoms. Her vision improved; however, she continued to feel light-headed, nauseous, and having trouble breathing. A member of EMS was in the store and came over to assess the patient. He had the patient sit up but she continued to have the same symptoms. He assessed her IMZ site. She was not feeling itchy and had not developed any hives. The ambulance arrived. EMS evaluated the patient and then took her out of the store on the stretcher.
18 2021-04-20 blood pressure fluctuation Cannot even walk around normally; swollen lymph nodes; patient cannot walk with out dizziness; Dizzi... Read more
Cannot even walk around normally; swollen lymph nodes; patient cannot walk with out dizziness; Dizziness with room spinning; Unstable blood pressure; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of DIZZINESS POSTURAL (patient cannot walk with out dizziness) in an 18-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 036A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event (No medical history reported.). On 09-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Feb-2021, the patient experienced DIZZINESS POSTURAL (patient cannot walk with out dizziness) (seriousness criterion disability), DIZZINESS (Dizziness with room spinning) and BLOOD PRESSURE FLUCTUATION (Unstable blood pressure). On 13-Feb-2021, the patient experienced LYMPHADENOPATHY (swollen lymph nodes). On an unknown date, the patient experienced GAIT INABILITY (Cannot even walk around normally). At the time of the report, DIZZINESS POSTURAL (patient cannot walk with out dizziness), DIZZINESS (Dizziness with room spinning), BLOOD PRESSURE FLUCTUATION (Unstable blood pressure), GAIT INABILITY (Cannot even walk around normally) and LYMPHADENOPATHY (swollen lymph nodes) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 09-Feb-2021, Heart rate: increased (High) increased. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Relevant Text: The Patient's mother reported that the patient received their first dose on 9 Feb 2021 and approximately 10 minutes post receiving the vaccine the patient developed severe dizziness and had an increase in their heart rate. The patient also had an unstable blood pressure. Few days later, the patient developed swelling in their lymph nodes. The reporter reported that the symptoms were still ongoing and now the patient cannot even walk without dizziness. It was also reported that the patient cannot even get back to the competitive sports and was not able to walk around anymore normally. The patient had multiple visits to the cardiologist, ENT, and pediatrician with no clear explanation of what happened to the patient. No Concomitant product use was reported. No treatment information was provided. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. Looking at the clinical scenario, the event postural dizziness is persisting 6wks from onset with no clear explanation, it is assessed as a SAE (disability). However, medical history and concomitant medications, reports of tests/diagnostics are needed for further assessment. Additional information is requested.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. Looking at the clinical scenario, the event postural dizziness is persisting 6wks from onset with no clear explanation, it is assessed as a SAE (disability). However, medical history and concomitant medications, reports of tests/diagnostics are needed for further assessment. Additional information is requested.
18 2021-04-20 loss of consciousness, fainting Within minutes (less than 5), patient began to faint and become extremely diaphoretic. Patient also ... Read more
Within minutes (less than 5), patient began to faint and become extremely diaphoretic. Patient also lost control of her bladder and urinated while sitting in the chair. We immediately called 911 who stated not to move her our of the chair. Patient went in and out of consciousness several times (2-3) for short intervals (15-30 seconds). EMS arrived within 10 minutes of symptom onset and took her to the local hospital. While EMS was evaluating the patient in the pharmacy, she stated that she was beginning to have trouble breathing; but those symptoms quickly resolved without the administration of epinephrine. We received a phone call from the patient within 2 hours stating that she was being discharged from the hospital and was feeling much better.
18 2021-04-20 loss of consciousness, fainting Patient did not tell us she has a history of fainting because it happened so long ago, they felt it ... Read more
Patient did not tell us she has a history of fainting because it happened so long ago, they felt it was unimportant, but patient was fine, received vaccine while mom was standing nearby, and fainted and fell off of the chair. she was conscious shortly after (about 5 seconds) and didn't realize she even fainted she said. they waited in our waiting area and refused to call EMS.
18 2021-04-20 fainting Patient received first dose of vaccine, and faint within 3 minutes. Did not receive epinephrine do... Read more
Patient received first dose of vaccine, and faint within 3 minutes. Did not receive epinephrine dose at the pharmacy because the paramedic arrived within 3 minutes. They took the patient to the hospital, and release him at 5:00PM. He is resting and doing great at home according to patient's dad.
18 2021-04-20 fainting Fainting (witnessed) the morning after the vaccine. Vaccine was given at 1330 4/20/2021, fainting o... Read more
Fainting (witnessed) the morning after the vaccine. Vaccine was given at 1330 4/20/2021, fainting occurred the following morning at 0830. Difficulty sleeping
18 2021-04-21 hypotension lethargy, dizziness and hypotension
18 2021-04-22 cerebrovascular accident Stroke/left side of the body; Can't talk; can't walk; This spontaneous case was reported by a non-he... Read more
Stroke/left side of the body; Can't talk; can't walk; This spontaneous case was reported by a non-health professional and describes the occurrence of CEREBROVASCULAR ACCIDENT (Stroke/left side of the body) in a 19-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011J20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event (no medical history reported). On 31-Dec-2020, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 31-Dec-2020, the patient experienced CEREBROVASCULAR ACCIDENT (Stroke/left side of the body) (seriousness criteria disability and medically significant), APHASIA (Can't talk) and GAIT INABILITY (can't walk). At the time of the report, CEREBROVASCULAR ACCIDENT (Stroke/left side of the body), APHASIA (Can't talk) and GAIT INABILITY (can't walk) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown. There was no concomitant medications reported. No treatment medications were provided. Very limited information regarding these events has been provided at this time. Further information has been requested. Reporter did not allow further contact; Sender's Comments: Very limited information regarding these events has been provided at this time. Further information has been requested.
18 2021-04-22 loss of consciousness Lost consciousness for 1-2 minutes. Dizziness. Vitals stable. Given water, juice, and crackers.
18 2021-04-23 chest discomfort Patient seemed to be fine right after I administered the vaccine. She sat in our room for 15 minute... Read more
Patient seemed to be fine right after I administered the vaccine. She sat in our room for 15 minutes then left. She came back shortly saying she was feeling a little funny so she wanted to sit in our room. She left again after several minutes then came back around 5:20 saying she felt like she was going to pass out. I told her to sit in our waiting room. She said she felt faint and had tightness in her chest. I called the paramedics who arrived shortly after. They said she had anxiety. She was anxious before and after receiving the vaccine. She left on her own.
18 2021-04-23 fainting, pallor Right after vaccination syncope occurred with loss of vision, pale complexion, sweating, light heade... Read more
Right after vaccination syncope occurred with loss of vision, pale complexion, sweating, light headed ness, etc. for about 10 minutes after
18 2021-04-24 loss of consciousness Medical alert called. arrived to patient on floor unconscious. LVN who first visualized stated patie... Read more
Medical alert called. arrived to patient on floor unconscious. LVN who first visualized stated patient fainted. Aroused after 1-2minutes. vitals taken 1025 92/56 73 bpm 99%O2sat FSBG 105 MD present assessing pt. 1030 vitals repeated 119/72 82bpm 99% O2Sat patient Alert and oriented, stated dizziness. after initial eval, seated patient upright, provided water and juice. then moved patient to chair. cracker provided. pt states dizziness resolved. vitals 1040 108/72 78bpm 100%O2 saturation. pt states she feels stable. refuses wheelchair to car. stable to walk, accompanied by mother. reviewed vaccination patient instructions. advised to call 911 if symptoms worsen or any of the listed severe reactions occur. mother of pt stated understanding. pt stable and stated she feels much better. released.
18 2021-04-24 fainting Feels like she's going to pass out Pt. passed out then placed in wheelchair Pt.taken to ER via ambul... Read more
Feels like she's going to pass out Pt. passed out then placed in wheelchair Pt.taken to ER via ambulance BP=89/43 Pulse= 82 Po2 =97% FS=149 Recorded by: RN and EMT
18 2021-04-24 fainting Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flus... Read more
Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Mild, Additional Details: patient experienced lightheadness flushing and paramedics were called. blood pressure 114/88 and hr 76. patient responsive by the time ambulance came and was alert and oriented. patient rested and recovered. patient left clinic with mom and will follow up with pcp.
18 2021-04-26 pulmonary embolism Pulmonary Embolism on 4/24/2021
18 2021-04-26 fainting, pallor Patient received the Moderna COVID-19 vaccine today at our pharmacy and on the way to the waiting ch... Read more
Patient received the Moderna COVID-19 vaccine today at our pharmacy and on the way to the waiting chair she came up to the pharmacy counter and started to say that she felt a little nauseous. She then fainted and I rushed up to the counter and she was already sitting up, very pale. When she was ready we helped her up to the waiting chair and gave her a bottle of water. Her mother was with her to care for her. She waited almost a half hour and felt fine so they both left. She did mention that she was afraid of needles so potentially she could've been thinking about that when she fainted.
18 2021-04-27 loss of consciousness, pallor After the patient was administered the vaccine, she walked to the 15 min post-vaccine waiting area a... Read more
After the patient was administered the vaccine, she walked to the 15 min post-vaccine waiting area and sat down. After ~5-10 minutes her dad told me she wasn't feeling well. I went straight to the patient who was still sitting, looking pale and being fanned by her mother. I said let's lay her down but she lost conciousness right then so I just caught her in her chair. A technician called 911. An associate took over holding the patient in her chair. We raised her feet on to another chair, her mother continued to fan her face. I sent another associate to meet the responders at the front door and bring them to us. Patient was breathing throughout. She started to regain conciousness before the responders arrived. They checked her out and gave her permission to go home with her parents.
18 2021-04-27 loss of consciousness, pallor event: patient passed out shortly after vaccine (in store) treatment: patient was instructed to rema... Read more
event: patient passed out shortly after vaccine (in store) treatment: patient was instructed to remain seated on the floor. Patient was sweating and pale in the face. She was given water, BP was taken and within range. Patient remained sitting in store for 20 min. Patient left with an alternative driver and stated she was okay and felt much better.
18 2021-04-27 loss of consciousness, fainting, blood pressure decreased PATIENT RECEIVED FIRST DOSE MODERNA VACCINE AFTER FEW MINUTES SHE IS FAINTED AND FELT ON FLOOR AT P... Read more
PATIENT RECEIVED FIRST DOSE MODERNA VACCINE AFTER FEW MINUTES SHE IS FAINTED AND FELT ON FLOOR AT PHARMACY WAITING ROOM.PATIENT PASSED OUT FOR FEW SECONDS. STORE ASSOCIATE CALLED 911. EMERGENCY TEAM ARRIVED AND CHECK HER VITAL SIGNS. HER BLOOD PRESSURE DROPPED TO UNDER 100. PATIENT HAD SOME SNACKS AND DRUNK GATORATE . AFTER FEW MINUTES PATIENT WAS BACK TO NORMAL SHE WAITED FOR ANOTHER 30 MINUTES AND WALKED HOME WITH MOM.
18 2021-04-28 chest discomfort Seizure... 1/2 hour prior to incident patient was with friends in a classroom leisurely using PowerP... Read more
Seizure... 1/2 hour prior to incident patient was with friends in a classroom leisurely using PowerPoint. She reports she had pain in her teeth and her chest felt tight. She just didn't feel well. Closer to incident student felt dizzy, like she was "going to pass out". States she turned to someone to tell that person she was not feeling well "but I couldn't talk; the words would not come out". She felt herself sway and then knew she fell to the floor. She felt like she was lying still for a bit but she could hear people around her and she heard someone say "somebody start timing this" (as if they knew it was a seizure).
18 2021-04-28 loss of consciousness, pallor Shortly after administering the vaccine, some people out in the waiting area grabbed me and said pat... Read more
Shortly after administering the vaccine, some people out in the waiting area grabbed me and said patient's eyes rolled back and she passed out and fell forward. She had mentioned that she was very anxious about the shot while I gave it to her. After I came out to her, she was very pale and I gave her some water. I had her call her boyfriend to come inside. One of the technicians called the squad to come check her out. They did so, and they left shortly after. She mentioned that they told her she could either go to the hospital and be observed or go home. She said she wanted to go home. She and her boyfriend went home
18 2021-04-28 pallor Within 10 minutes post vaccine, she developed severe nausea and was wretching. She was diaphoretic, ... Read more
Within 10 minutes post vaccine, she developed severe nausea and was wretching. She was diaphoretic, color very pale. I monitored her closely for 20 to 30 minutes, at this time she stated she had begun to experience tingling in her arms and hands. At that time, I suggested to her aunt(legal guardian) that she be monitored in a more appropriate setting. We offered to call paramedics, the aunt on behalf of the patient declined, stating she would bring her to the ER.
18 2021-04-28 fainting PATIENT FAINTED
18 2021-04-28 fainting Systemic: Fainting / Unresponsive-Medium
18 2021-04-29 chest discomfort, inflammation of the pericardium The following day (03/27/2021) my daughter started experiencing chills, fatigue, and congestion. On ... Read more
The following day (03/27/2021) my daughter started experiencing chills, fatigue, and congestion. On 03/28/2021 at 06:00 am my daughter stated feeling pressure to her chest on and off throughout the day. At 10:00 pm she was taken to the Emergency Room. She was transferred due to having abnormal results in EKG performed. She was admitted and discharged on 03/29/2021 with dx Pericarditis, prescribed Ibuprofen 800mg 1 tablet by mouth 3 times a day x 10 days and Metoprol Suc 25 mg ER 1 tablet by mouth once a day .
18 2021-04-29 fainting Fainted, soon after it was administered
18 2021-04-30 blood pressure increased Developed bilateral ankle pain on 4/28 which progressed to significant ankle pain (difficulty bearin... Read more
Developed bilateral ankle pain on 4/28 which progressed to significant ankle pain (difficulty bearing weight) and rashes to both ankles, now spreading up both legs on 4/30.
18 2021-04-30 low blood platelet count, platelet count decreased ITP, presented with undetectable platelets. No bleeding event to date. Remains hospitalized but resp... Read more
ITP, presented with undetectable platelets. No bleeding event to date. Remains hospitalized but responding to dexamethasone and IVIG.
18 2021-04-30 loss of consciousness, fainting PATIENT RECEIVED THE VACCINE AND ABOUT 2 MINUTES LATER SHE IS FAINTED AND LOST CONSCIOUS. THE MOTHE... Read more
PATIENT RECEIVED THE VACCINE AND ABOUT 2 MINUTES LATER SHE IS FAINTED AND LOST CONSCIOUS. THE MOTHER HAS TO HELP HER TO SIT UP. SHE REGAINED CONSCIOUSNESS QUICKLY. WE CALLED 911 ANYWAY. THEY CHECKED HER AND EVERYTHING IS OK. THIS IS PROBABLY A CASE SYNCOPE.
18 2021-04-30 lightheadedness Pt is a 18 yo F. Came for 1st dose of Moderna vaccination. Pt had an episode of Vasovagal (syncoy) r... Read more
Pt is a 18 yo F. Came for 1st dose of Moderna vaccination. Pt had an episode of Vasovagal (syncoy) reaction at 10:55 about 10 minutes after being vaccinated. Episode lasted for about 4 seconds, this nurse lay her down for 5 minutes on the bed and elevated her leg, took vitals while lying down ( 107/68 72 99% RA 18), then have her sit for another 5 minutes (113/68 71 100% RA 16) water was given. Pt recovered without difficulties, ER precaution given, pt acknowledge understanding. Pt was observed for another 15 minutes, and showed no symptom, then was let go
18 2021-05-01 fainting, pallor Pt explained on Covid-19 consent form that she has syncope when seeing a needle. She explained she h... Read more
Pt explained on Covid-19 consent form that she has syncope when seeing a needle. She explained she has an intense fear of needles and has fainted in the past when getting vaccinations. She also explained that she has anxiety. She explained that when she faints it looks like a seizure but it is not. When pt was given shot she was responsive during the needle going in. She was in a seated position. We talked the entire time of administration. After putting the the bandage on her right arm she explained she felt sick(about 40 seconds after injection). She was still responsive for about two minutes then she fainted and her body shook about two times. My coworker and I got her on the ground, she was still responsive enough to ask for a cup of water. Which we gave her, she then went unresponsive for 20 seconds and spilled the water. After this we sat with her on the ground for another 5 minutes and she said she was fine. We helped her to a seated position. We then made her wait another 30 minutes in our waiting area. She assured us she was fine and reiterated that this has happened before in the past anytime a needle was involved. On 5/2/2021 she was contacted and she explained she looked a little pale throughout the day of vaccination, but feels fine now and just has a sore arm.
18 2021-05-02 pallor patient became pale and was feeling very weak and dizzy. She did not pass out .
18 2021-05-02 fainting patient had syncope episode and fever -- fever started with 4 hours of covid moderna vaccine and the... Read more
patient had syncope episode and fever -- fever started with 4 hours of covid moderna vaccine and then had syncope four separate times
18 2021-05-03 loss of consciousness Patient received a Moderna Covid-19 vaccine. After patient received the vaccine she was instructed t... Read more
Patient received a Moderna Covid-19 vaccine. After patient received the vaccine she was instructed to wait 15 minutes after receiving the vaccine. As the patient was sitting in the waiting area she observed as not conscious. The patient did regain consciousness. Emergency was called, and after observation from EMT the patient was given the OK to go home with her father.
18 2021-05-03 fainting syncope
18 2021-05-04 chest discomfort Intern gave patient her covid shot around 12:30 and moved her to a chair. In about 2 mins, pharmacy ... Read more
Intern gave patient her covid shot around 12:30 and moved her to a chair. In about 2 mins, pharmacy team was notified of pt drooping out her chair, jilting and siezing. Pt awoke and was unaware of what happened but stated her chest felt heavy and her vision was very blurry and worsening. Team checked her BP (77/50), gave her water and neck support to stabilize her, called 911 and was transported to hospital.
18 2021-05-05 fast heart rate, palpitations 18yo F developed subacute thyroiditis after receiving her first dose of the Moderna COVID-19 vaccine... Read more
18yo F developed subacute thyroiditis after receiving her first dose of the Moderna COVID-19 vaccine. No other potential causes of thyroiditis elicited, no recent viral illnesses or exposures, no recent URIs, no hx of thyroid disease. Patient was hospitalized for monitoring after she developed tachycardia and palpitations, and was found to be hyperthyroid. A RAIU scan revealed subacute thyroiditis.
18 2021-05-06 hypotension While waiting in the observation area, patient began feeling dizzy and very diaphoretic. Patient st... Read more
While waiting in the observation area, patient began feeling dizzy and very diaphoretic. Patient started sweating with C/O of hearing lost. Father at side. EMS refused per patient. Cold gatorade water given. Vital signs obtained BP 90/58, P70, 02 99% room air. After approx. 5 mins, patient started "feeling better." Vital signs BP 110/72, P70, O2 100% room air. Alert and oriented x3. Patient ambulating from facility with father at side.
18 2021-05-07 chest pain Chest pains shortness of breath
18 2021-05-10 chest discomfort Fever103, body aches, chills, head ache, chest heaviness/difficulty breathing, x48 hours Left arm... Read more
Fever103, body aches, chills, head ache, chest heaviness/difficulty breathing, x48 hours Left arm pain-- ongoing
18 2021-05-10 hypotension Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Se... Read more
Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Severe, Systemic: Weakness-Mild
18 2021-05-10 fainting Patient experienced syncope and fainted after leaving the immunization area. She hit her face and wa... Read more
Patient experienced syncope and fainted after leaving the immunization area. She hit her face and was treated by paramedics and released. Followed up with her at 1:00pm and she stated she was fine although tired.
18 2021-05-10 fainting patient fainted immediately after vaccine was administer
18 2021-05-11 low blood platelet count idiopathic thrombocytopenic purpura/Hematoma on thigh that was softball size/rash everywhere on body... Read more
idiopathic thrombocytopenic purpura/Hematoma on thigh that was softball size/rash everywhere on body; This spontaneous case was reported by an other caregiver and describes the occurrence of IMMUNE THROMBOCYTOPENIA (idiopathic thrombocytopenic purpura/Hematoma on thigh that was softball size/rash everywhere on body) in an 18-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 043B21A) for COVID-19 vaccination. The patient's past medical history included No adverse event (No medical history was reported). On 19-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Apr-2021, the patient experienced IMMUNE THROMBOCYTOPENIA (idiopathic thrombocytopenic purpura/Hematoma on thigh that was softball size/rash everywhere on body) (seriousness criteria hospitalization, medically significant and life threatening). The patient was hospitalized on 28-Apr-2021 due to IMMUNE THROMBOCYTOPENIA. At the time of the report, IMMUNE THROMBOCYTOPENIA (idiopathic thrombocytopenic purpura/Hematoma on thigh that was softball size/rash everywhere on body) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 28-Apr-2021, Platelet count: 3 (Inconclusive) diagnosed with idiopathic thrombocytopenic purpura (ITP). On 30-Apr-2021, Platelet count: 0 (Inconclusive) 0. On an unknown date, HIV test negative: (Negative) Negative/Condition was ruled out. On an unknown date, Hepatitis viral test: (Negative) Negative/Condition was ruled out. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient experienced a rash on 28 Apr 2021 everywhere on her body that kept getting worse. She also had a hematoma on her thigh that was softball size and she did not remember bumping it. She went to the emergency room at Hospital at about 5 PM. They did bloodwork and her platelet count was 3 she was diagnosed with ITP idiopathic thrombocytopenic purpura. She was perfectly healthy before this. This condition leads to bleeding and bruising her rash was actually very small bruises. That hospital felt she needed to be seen by a hematologist and oncologist so they transferred her to their main campus. Where she was admitted around midnight to the Hospital. They ruled out HIV and Hepatitis. They started her on a five day prednisone taper and did a 10% Privigen IV IG transfusion to try to increase her platelet count. In morning 30 Apr 2021, her platelet count was down to zero. Now they are going to do a brain magnetic resonance imaging (MRI) and a platelet transfusion. Company comment: Based on the current available information and temporal association between the use of the product and the start date of the event (ITP), a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event (ITP), a causal relationship cannot be excluded.
18 2021-05-11 loss of consciousness passed out; Anxiety; right now she has trouble breathing; nauseous; This spontaneous case was report... Read more
passed out; Anxiety; right now she has trouble breathing; nauseous; This spontaneous case was reported by a non-health professional (subsequently medically confirmed) and describes the occurrence of LOSS OF CONSCIOUSNESS (passed out) in an 18-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007C2LA) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter. Concomitant products included FLUOXETINE for an unknown indication. On 03-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-May-2021, the patient experienced LOSS OF CONSCIOUSNESS (passed out) (seriousness criterion medically significant), ANXIETY (Anxiety), DYSPNOEA (right now she has trouble breathing) and NAUSEA (nauseous). On 03-May-2021, LOSS OF CONSCIOUSNESS (passed out) and NAUSEA (nauseous) had resolved. At the time of the report, ANXIETY (Anxiety) and DYSPNOEA (right now she has trouble breathing) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment of events at was reported as medic was about to give oxygen. The patient did not know if it was her oxygen or heart rate that was low but she became conscious. Patient is worry about taking second dose. She asked if something bad will happen if she stopped at first dose.
18 2021-05-11 pallor, fainting, blood pressure increased Patient's boyfriend called over and stated she was reported feeling faint, lightheaded, dizzy, looke... Read more
Patient's boyfriend called over and stated she was reported feeling faint, lightheaded, dizzy, looked pale in the face and broke out into sweats and with cold clammy skin. I had her sit in head down position for several minutes and started to monitor her vitals. Prior to vaccine pt was having severe anxiety and has a history of syncope with blood drawns. After several mins of her sitting with ehr head down I checked her blood pressure and it was elevated 155/109 mmHg. 10 minutes later pt felt a little better but started to feel faint and dizzy again. I called emergency sevices and EMS arrived at the scene, assessed the patient and diagnosed her with anxiety/syncope. She opted out from going to the hospital with them. She left the store at 1:01 pm and felt alot better and stated she had an appt with her PCP at 3pm to further seek medical treatment if deemed necessary
18 2021-05-12 chest pain PATIENT'S MOM CALLED IN ON 05/13/2021 REPORTING THAT PT. STARTED TO HAVE CHEST PAINS THIS MORNING. S... Read more
PATIENT'S MOM CALLED IN ON 05/13/2021 REPORTING THAT PT. STARTED TO HAVE CHEST PAINS THIS MORNING. SHE WAS EXPERIENCING THE USUAL MUSCLE PAIN AND FATIQUE YESTERDAY FROM THE VACCINE.
18 2021-05-12 hypotension Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Severe, Systemic: diffic... Read more
Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Severe, Systemic: difficulty breathing, not allergy related-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Weakness-Medium, Additional Details: pt started having diffuclty breathing about 5-10 minutes after administration of vaccine. pt stated she was lightheaded, hot, sweaty, and felt like her throat was closing. i had a technician call 911 while i checked her blood pressure and gave her water and cold compress. fire showed up soon after and began assessing her vitals. when ems arrived shortly after, they assessed the patient further and determined that she most likely had a nervous reaction but was improved and okay to go home
18 2021-05-12 loss of consciousness Patient passed out while on her 15 minutes of observation after the vaccine , she woke up quickly an... Read more
Patient passed out while on her 15 minutes of observation after the vaccine , she woke up quickly and threw up ,she was conscious , her dad was with her all the time, we offered her the first aids , she was feeling well after approximately 20 minutes.
18 2021-05-13 fainting 8 days after injection I had a delayed hypersensitivity reaction (?covid vaccine arm?), symptoms inc... Read more
8 days after injection I had a delayed hypersensitivity reaction (?covid vaccine arm?), symptoms included firmness and a red patch on my upper arm near the injection site. The following morning, I woke up feeling well with the rash still on my arm (no change). 2 hours later I began feeling dizzy and fainted. I was unconscious for 5 to 10 seconds. When I woke up, the rash had vanished and the firmness was gone. No signs of the reaction were present after waking.
18 2021-05-14 fainting After injection, patient felt light headed. Syncopal episode with some seizure activity. Was placed ... Read more
After injection, patient felt light headed. Syncopal episode with some seizure activity. Was placed on floor of vaccinator?s area with feet elevated with return of consciousness within 30 seconds. She was escorted Medical Lead?s area for observation. Was given water and observed for an hour. Vital signs were stable(102/80., pulse 72) , light headedness resolved and taken to vehicle in a wheelchair. Was not the driver.
18 2021-05-14 fainting My daughter did not sleep all night, had fever & chills. Got up early in am & fainted on tile floor ... Read more
My daughter did not sleep all night, had fever & chills. Got up early in am & fainted on tile floor in kitchen. She was easily aroused after fainting. Helped her to a chair Then she had a seizure. It was very short lasting, then she vomited. She was very weak for 2 hrs. after that & she continued to slowly consume water & crackers. After getting her to bed she slept for one hour. Still too weak to go to bathroom alone. Improvement shown after 5 hrs of rest & fluids/some food.
18 2021-05-14 fainting The patient informed me before giving the second dose of Moderna that she has fainted for every sing... Read more
The patient informed me before giving the second dose of Moderna that she has fainted for every single vaccine she has ever been given including the first dose of Moderna. She stated it usually happens one to two minutes after receiving the vaccine and that she comes to within 10-15 minutes. Her father has been with her for every vaccination, and she just rests her head on his stomach. I informed the other pharmacist on duty of this and had EpiPen and smelling salts on hand just in case. We were all ready to react in case of any emergency. The patient did faint after sitting for a couple of minutes. She knew it was about to happen and her father stepped in to let her rest her head. We had her feet raised on a chair. She was still breathing the entire time, so we used smelling salts to bring her to which worked. She was out for close 10 minutes, but still breathing normally. The smelling salts enabled her to respond and nod that she was okay. When she came to, she asked for water and a sticker, which we gave her, and she acted as if nothing had happened and was all smiles. We did get a member of management to come fill out a report.
18 2021-05-15 chest discomfort Febrile beginning at 1600, 100.5 degrees, peaking at 2100, 104degrees, accompanied with tightness in... Read more
Febrile beginning at 1600, 100.5 degrees, peaking at 2100, 104degrees, accompanied with tightness in chest with mild difficulty breathing and extreme muscle weakness most notably in extremities, bilaterally. Needed assistance to stand and could not hold a pencil to write. Also numbness and tingling in hands and fingers. Face slightly swollen and red. 400 mg Ibuprofen was administered at 1530. Pushed fluids as soon as fever began. Cooling measures provided, cool shower, cold compress, change of clothes to light pajamas. We contacted our Insurance 24 hour Nurse line at approximately 2100 when symptoms peaked. The RN on staff instructed us to seek immediate medical care. We attempted to find an open Urgent Care unsuccessfully and tried to go to an ER but they were full. Fever began to come down around 2230, so we returned home. Continued with ibuprofen every six hours and cooling measures.
18 2021-05-15 lightheadedness Near Syncope Seen by EMT on site Discharged home with father at 1750
18 2021-05-16 loss of consciousness While the patient was sitting in the waiting area, she passed out and began displaying signs of seiz... Read more
While the patient was sitting in the waiting area, she passed out and began displaying signs of seizing, making nonverbal noises and convulsing. She quickly regained consciousness after approximately 1 minute of lost consciousness. The pharmacist on duty then asked the patient if she had eaten and drank today, to which she responded that she had not. The pharmacist then provided a granola bar and water. The pharmacist also took the patient's blood pressure, measuring 92/58 mmHg with a pulse of 60 bpm. She then took a second reading 5 minutes later, measuring 112/68 mmHg. The patient quickly recovered and was able to leave without further medical attention.
18 2021-05-16 fainting, pallor The patient fainted a few minutes after given the vaccine. The patient was pale and needed to stay i... Read more
The patient fainted a few minutes after given the vaccine. The patient was pale and needed to stay in a flat position. The EMT was called and the patient was not taken to the hospital. The patient was feeling better after 30 minutes. The patient stated that she sometimes faints when giving blood.
18 2021-05-16 fainting After injection pt felt light headed. Syncopal episode with seizure activity, was placed on floor a... Read more
After injection pt felt light headed. Syncopal episode with seizure activity, was placed on floor and pt regained consciousness within 30 seconds. Patient was given water and sx resolved.
18 2021-05-18 loss of consciousness, fainting patient feinted about 5 minutes after dose. She regained consciousness almost immediately but feinte... Read more
patient feinted about 5 minutes after dose. She regained consciousness almost immediately but feinted again a few minutes later. We called EMS which arrived on scene and she continued having dizziness and was taken to hospital for evaluation.
18 2021-05-18 pallor patient was extremely pale, dizzy, heavy breathing, nausea, sweating
18 2021-05-18 fainting Patient fainted after receiving vaccine. Patient said she had history of fainting with other vaccine... Read more
Patient fainted after receiving vaccine. Patient said she had history of fainting with other vaccines and blood draws in the past. Patient fainted about 5 minutes after receiving vaccine. Patient fell off the post vaccine chair. Patient was coherent
18 2021-05-19 loss of consciousness PATIENT GOT THE VACCINE COVID 19 FIRST DOSE, SHE WAS TOLD TO SIT FOR 15 MINUTES BEFORE LEAVING! ABOU... Read more
PATIENT GOT THE VACCINE COVID 19 FIRST DOSE, SHE WAS TOLD TO SIT FOR 15 MINUTES BEFORE LEAVING! ABOUT FEW MINUTES LATER, SHE PASSED OUT AND DROP HER BODY ON THE FLOOR! WE PUT HER BACK IN THE CHAIR , GAVE HER SOME WATER. SHE FELT OK AFTER THAT, DENIED TO CALL AMBULANCE! HER VITAL SIGNS WERE OK, WE CALLED THE MOM TO PICK HER UP! FOLLOW UP CALL PATIENT IS DOING OK!
18 2021-05-19 fainting Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainti... Read more
Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium
18 2021-05-20 blood glucose increased, fainting Patient fainted three minutes after receiving the Moderna vaccine. Patient's mom was at clinic with ... Read more
Patient fainted three minutes after receiving the Moderna vaccine. Patient's mom was at clinic with her and reported after the patient had fainted that the patient had played an outdoor La Crosse game in the heat & humidity the evening before receiving the MODERNA vaccine & had not eaten breakfast or had much to drink the day of the MODERNA vaccine. Provider who responded to take care of the patient indicated the patient was most likely dehydrated & needed IV fluids. Blood pressure was 97/58; pulse 64; Oxygen saturation 96%. Patient became responsive within 30-45 seconds from fainting but then fainted a second time when being transferred from a wheelchair to an exam room table. Patient was very tired and would be awakened & responsive when patient mom speaking to her, but faded in & out. 911 called & patient transported to hospital for hydration with IV fluids.
18 2021-05-20 pallor Patient seemed very nervous about getting a vaccination. Was sitting on a chair waiting for her 15 ... Read more
Patient seemed very nervous about getting a vaccination. Was sitting on a chair waiting for her 15 minutes. I walked by and asked her if she felt ok and she said no. I helped her to the floor as she looked pale. Other pharmacist sat with her and waited for ambulance to come. She did go to the hospital to get checked out.
18 2021-05-21 hypertension, chest pain, heart rate increased Vomiting fever chest pain trouble breathing high heart rate and high blood pressure
18 2021-05-21 fainting, lightheadedness Approximately 10 minutes post-vaccine, patient fainted (while sitting in chair for observation) and ... Read more
Approximately 10 minutes post-vaccine, patient fainted (while sitting in chair for observation) and fell to the floor. Bystanders stop to help, and I grabbed my IMZ cart to go on scene; one bystander called 911 for EMS. Patient was breathing, conscious, and had a pulse; she was coherent and able to talk. She denied hitting her head or losing consciousness. Her mother, who was with her at the time, said the patient "shook" a little after she fell. Patient stated she had not eaten all day and thought that may have contributed to her fainting. We provided patient with water, and she was able to sit up on floor and lean against the wall. EMS arrived on scene to take over. The reported her blood sugar and blood pressure were within normal limits. This may have been a vasovagal reaction. Patient was standing after EMS evaluated her, and they approved for her to leave. The patient and her mother left the pharmacy. I told them to call the pharmacy if they have any questions or concerns and to report the event to patient's MD.
18 2021-05-23 chest pain Heart pain, this actually happened after both shots. The pain went away but it was enough That she n... Read more
Heart pain, this actually happened after both shots. The pain went away but it was enough That she never mentioned it to me out of concern
18 2021-05-23 heart rate increased The patient was nervous about the shot, we asked her multiple times but she decided to get it. Durin... Read more
The patient was nervous about the shot, we asked her multiple times but she decided to get it. During waiting she started feeling nausea and like her heart was beating fast. We checked the HR and it was between 115-120 beats per minute. She then stated she was having trouble speaking, shaking, sweating. We called 911 and she was taken to local er where she had a panic attack. Pt called later about asking to return to work and the manager on duty told her no.
18 2021-05-23 inflammation of the pericardium, chest pain Patient presented to the emergency room with acute chest pain in the sternal area and a troponin of ... Read more
Patient presented to the emergency room with acute chest pain in the sternal area and a troponin of 1.1. EKG showed early repolarization, not concerning for ACS. Her pain was classic for pericarditis in that it was worse when leaning back, nonexertional, and not accompanied by diaphoresis or nausea. She was treated for presumed pericarditis with ibuprofen and colchicine. Her troponin peaked at 4.6 and then downtrended. Her chest pain resolved. She was discharged with presumed pericarditis.
18 2021-05-24 pallor, loss of consciousness Adverse event occurred in the observation area, 15 minutes post vaccination. Patient: 18yo female wh... Read more
Adverse event occurred in the observation area, 15 minutes post vaccination. Patient: 18yo female who received first dose of Moderna COVID-19 vaccine. At 9:28am, patient and mother were getting ready to leave observation, mother stated, "my daughter is passing out." Pt was sitting in chair, head back, not responding to mother or RNs. Pupils dilated bilaterally, skin pale, sweaty. Pt unable to say name. 9:29am EMS was called, Pt moved to floor, laying supine with legs elevated on chair. While laying, Pt began responding to RNs- able to say name, DOB, but unable to say where she was. 9:31am- moved to sitting position. 9:32am- RN passed ammonia inhalant approx 5 inchs from Pt nose, Pt denied SOB or difficulty breathing. RN offered juice, and Pt began drinking with no difficulty. 9:34am- HR 90 weak. 9:36am- HR 80. 9:38am EMS arrived, 9:39am EMS took vitals: BP 98/58, O2 93%, HR 116, lung sounds clear, Temp 97F Blood sugar 111. 9:47am Pt reported she was feeling sick, and agreed to go to hospital for evaluation. 9:48am- Pt was able to stand with assistance from EMS, and was transported by EMS to Hospital for further evaluation.
18 2021-05-25 fainting, hypotension Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unrespons... Read more
Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Medium, Additional Details: Patient became unresponsive (eyes rolled back). Attempted to obtain response and 911 was called. Patient returned to responsiveness in less than 1 min and was confused. Unaware that they had lost consciousness. BP/Pulse was check and was low. EMTs arrived within 5 min and patient BP/Pulse and returned to normal upon recheck. Patient declined further treatment or transport. Mother was present in store and provided food and water. Observed for an additional 20 min. Patient left on own ambulation.
18 2021-05-25 fainting, loss of consciousness Systemic: Confusion-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-M... Read more
Systemic: Confusion-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Additional Details: patient passed out. did not know were she was. went to her car. came back and was crying, she did not remember getting the shot.
18 2021-05-26 fainting syncopal episode
18 2021-05-27 hypotension, pallor AFTER ADMINISTRATION PATIENT FELT PASSING OUT. ANXIOUS, TURNED EXTREME PALE, SWEATING, SHAKING, N... Read more
AFTER ADMINISTRATION PATIENT FELT PASSING OUT. ANXIOUS, TURNED EXTREME PALE, SWEATING, SHAKING, NOT ALERT, SHOWED SIGNS OF FAINTING, CALLED 911. OBSRVED ALL TIME . PATIENT STARTED FEELING BETTER AFTER 10 MINUTES . ALL VITAL WERE NORMAL EXCEPT BP WAS LO W. PATIENT DID NOT REMBEER WHOLE EPISODE WHEN GOT BACK TO NORMAL.
18 2021-05-27 fast heart rate, inflammation of the pericardium, fluid around the heart Pericarditis and pericardial effusion with pulmonary effusion, fever, tachycardia and elevated infla... Read more
Pericarditis and pericardial effusion with pulmonary effusion, fever, tachycardia and elevated inflammatory markers, knee pain, rash
18 2021-06-01 loss of consciousness Patient received the first dose Moderna she was a little scared but she was ok. She got her shot ... Read more
Patient received the first dose Moderna she was a little scared but she was ok. She got her shot and was told to stay around for 15 minutes, she starting walking with her mom, when she told her mom she felt dizzy, then she passed out unto her mom's arms, her mom put her on the floor, did not heart her head. Mom helped her to get up and came back to the pharmacy, sat her down again. We called 911 for help, patient asked for water, while her mom went to get her some water, pharmacist was watching her when she had a short convulsion for about 2 to 3 seconds, she stretched her body to the back. When 911 came, she had already recovered her color, her vitals where ok, she was breathing normal. Patient refused to get on the ambulance, signed her release and left. Emergency personel advised her to follow up with her doctor.
18 2021-06-02 lightheadedness, loss of consciousness Patient had a typical vasovagal response. She lost conscious for seconds, then regained consciousne... Read more
Patient had a typical vasovagal response. She lost conscious for seconds, then regained consciousness. She was slightly dizzy but we had her lay on her back with feet elevated. After 5 minutes she was back to normal. Patient was observed for 20 more minutes with no issues.
18 2021-06-03 loss of consciousness Patient felt dizzy and momentarily lost consciousness immediately following vaccination. Patient fe... Read more
Patient felt dizzy and momentarily lost consciousness immediately following vaccination. Patient felt better after resting and was released to home.
18 2021-06-03 palpitations Around 12 hours after my injection I began experiencing fever, chills, and heart palpitations. These... Read more
Around 12 hours after my injection I began experiencing fever, chills, and heart palpitations. These symptoms lasted about 24 hours.
18 2021-06-05 pallor, lightheadedness patient experienced pre-syncope reaction: nausea, sweating, dizziness, palor/paleness, feeling as if... Read more
patient experienced pre-syncope reaction: nausea, sweating, dizziness, palor/paleness, feeling as if going to pass out. SHE however, DID NOT faint.
18 2021-06-06 deep vein blood clot The patient developed progressively worsening dyspnea, GI symptoms and fevers starting 5/16/2021, 3.... Read more
The patient developed progressively worsening dyspnea, GI symptoms and fevers starting 5/16/2021, 3.5 weeks after receiving second Moderna vaccine. She was admitted 5/22/2021 with ARDS requiring intubation, found to have severe systemic inflammation with acute DVT of right right subclavian, axillary, brachial, and upper arm radial veins, chronic DVT of left subclavian, and possible thrombus tricuspid valve. Remains intubated with ongoing evidence of systemic inflammation. Working diagnosis EVALI.
18 2021-06-07 chest pain, chest discomfort Chest tightness and chest pain. Pain with deep inspiration. Nausea and diarrhea. Tactile temperature... Read more
Chest tightness and chest pain. Pain with deep inspiration. Nausea and diarrhea. Tactile temperature elevated, no true fever. Symptoms lasted for 3 days before improving. Muscle pain and fatigue
18 2021-06-07 pallor, lightheadedness Patient almost passed out, got very white. We gave her water, talked to her to calm her down. Took... Read more
Patient almost passed out, got very white. We gave her water, talked to her to calm her down. Took her BP 100/62 (she said her BP always ran low), called EMS because she was having vision issues and numbness in her hands. EMS came and she said she was better, they checked her out, she refused to fill out a report and they left.
18 2021-06-08 blood clot DEATH FROM BLOOD CLOT
18 2021-06-09 fainting, loss of consciousness About 5 to 10 minutes after vaccination she started fainting and was unconscious for couple of min... Read more
About 5 to 10 minutes after vaccination she started fainting and was unconscious for couple of minutes. We tried to engage the patient and called 911 . EMS came in and took care of the patient and patient left the pharmacy without any problems . I called yesterday to find out how she is and she is doing fine.
18 2021-06-13 fainting Patient passed out while she was waiting her 15 minutes
18 2021-06-13 fainting Patient fainted approximately 15 minutes postvaccination. Felt better after drinking some water and... Read more
Patient fainted approximately 15 minutes postvaccination. Felt better after drinking some water and was released to home.
18 2021-06-14 fainting, pallor PATIENT FAINTED 9 MINUTES AFTER RECEIVING VACCINATION, REGAINED CONSCIOUSNESS WITHIN 3 MINUTES, WAS ... Read more
PATIENT FAINTED 9 MINUTES AFTER RECEIVING VACCINATION, REGAINED CONSCIOUSNESS WITHIN 3 MINUTES, WAS COHERENT AND AWARE OF WHAT HAPPENED. PHARMACIST CHECKED PATIENT'S BLOOD PRESSURE (124/97), AND HEART RATE (94), PATIENT LOOKED PALE AND STILL DIZZY AFTER REGAINING CONSCIOUSNESS.
18 2021-06-15 inflammation of the heart muscle, chest pain Chest and neck pain, shortness of breath, slight nausea, hot flashes Chest pain was from myopericard... Read more
Chest and neck pain, shortness of breath, slight nausea, hot flashes Chest pain was from myopericarditis- inflammation of heart
18 2021-06-16 chest discomfort Itchy throat, hives, swollen lips, tightness in chest Symptoms improved with multiple doses of Bena... Read more
Itchy throat, hives, swollen lips, tightness in chest Symptoms improved with multiple doses of Benadryl
18 2021-06-17 pallor, fainting I gave her a covid shot, and about 5 minutes later she fainted while sitting in the chair. We rushed... Read more
I gave her a covid shot, and about 5 minutes later she fainted while sitting in the chair. We rushed out there and she was i the floor in the booth. Sh e came to as we lifeted her up. Was very pale and clamy. No medical conditions or allergies. Thought she was goimg to vomit, but never did. Sh ethen fainted again while we were there with her, and came to within just a few seconds. We called 911 and amblance came and took her to the hsopital.
18 2021-06-18 fainting Patient received 2nd COVID immunization. Approximately 10 minutes after receiving vaccine she state... Read more
Patient received 2nd COVID immunization. Approximately 10 minutes after receiving vaccine she stated she didn't feel well. She the passed out and started shaking. We laid her down on her left side and she came to in about 20 seconds. EMS was contacted. Ambulance stated her blood pressure was 100/60. She went to hospital with ambulance following her.
18 2021-06-20 chest pain, arrhythmia, palpitations, heart rate irregular 1st shot: headache, nausea, fever, chills, fatigue, chest pain, racing heart, increased anxiety (may... Read more
1st shot: headache, nausea, fever, chills, fatigue, chest pain, racing heart, increased anxiety (may 22nd 2021) may 23rd 2021 - june 19th 2021: continued heart racing, irregular heart rate, chest pain, hyperventilating, hard time catching breath. heart rate between 98-150bpm 2nd shot: headache, chills, body aches, eyes swelling, face swelling, chest pains, irregular heart rate, nausea, fatigue. (june19th 2021) june 20th 2021 - now: sharp chest pains, heart racing, hard time catching breath.
18 2021-06-21 chest discomfort Pt stated that she is having numbness, and tingling down both arms started about 3-4 days later, als... Read more
Pt stated that she is having numbness, and tingling down both arms started about 3-4 days later, also c/o chest discomfort, pt is afraid to get the second shot that is in about 1 week
18 2021-06-21 chest pain My daughter received her vaccine at 2:45 on Monday 6/21. She woke up at 1:45 am on Tuesday 6/22 wit... Read more
My daughter received her vaccine at 2:45 on Monday 6/21. She woke up at 1:45 am on Tuesday 6/22 with chest pains and difficulty catching her breath. We called 911 and she continued to have those symptoms for another 20 minutes. She no longer needed oxygen after that and her symptoms started to subside. The hospital ran tests and concluded the symptoms were related to the vaccination since they did not discover anything wrong with her heart or lungs. Bloodwork only showed low potassium. Patient had a fever and still does which we are treating with Tylenol.
18 2021-06-22 loss of consciousness Patient received first dose of Moderna Covid vaccine and a few minutes later passed out and had what... Read more
Patient received first dose of Moderna Covid vaccine and a few minutes later passed out and had what seemed to be a mini seizure. Patient was able to get into sitting position shortly after and was responsive, 911 was called, patient was transported by EMS.
18 2021-06-23 excessive bleeding, fainting After Moderna vaccine was given patient fainted from a standing position in our waiting area. A one ... Read more
After Moderna vaccine was given patient fainted from a standing position in our waiting area. A one inch cut was sustained to her left forehead in the fall. Patients pulse and breathing were checked while compression to forehead with gauze was used to stop bleeding. EMS responded and took over her care. Patient was transported to medical center.
18 2021-06-27 fainting Site: Pain at Injection Site-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: emt called tr... Read more
Site: Pain at Injection Site-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: emt called transported to hospital-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Mild
18 2021-07-01 chest discomfort, chest pain Patient exhibited symptoms for myocarditis. She also had chest pains, and a crushing sensation in h... Read more
Patient exhibited symptoms for myocarditis. She also had chest pains, and a crushing sensation in her chest. These symptoms began in the middle of the night on June 30, 2021. Worsened in the morning and patient went to E.R. Patient received toradol and i.v. fluids and was monitored. Symptoms resolve after approximately 4 hours. Today she is feeling fine.
18 2021-07-01 loss of consciousness Patient experienced a black out for a few seconds approx 5 minutes after Covid vaccine administered ... Read more
Patient experienced a black out for a few seconds approx 5 minutes after Covid vaccine administered while seated and talking on phone with friend. Patients friend called us to check on her and she was conscious but very nauseous. She seemed unable to calm down but was breathing fine and no signs of hive/allergy. Called 911 and EMT gave patient an exam of BP, HR and breathing and said she was fine. Offered patient water and soda and she left approx 30 minutes later with friend to drive her home.
18 2021-07-05 chest discomfort, chest pain ?Patient without significant medical history presents with complaint of chest pain short of breath s... Read more
?Patient without significant medical history presents with complaint of chest pain short of breath started about 1.5 hours before ED assessment, she awoke from sleep with the symptoms. She did receive her first maternal vaccination yesterday. She did have coronavirus infection this past January 5 months ago. Patient without any cough. She is had fatigue and low-grade fever since she awoke this morning. Had some mild chest discomfort that has improved. She does have shortness of breath. EMS found the patient tachypneic in the 30s and tachycardic to the 130s and anxious and tearful but this has improved on ED arrival. Patient will have supportive care with IV fluids, analgesic effect with IV Tylenol and its antipyretic effect in this patient will be helpful as well. Patient well-appearing, no concern for sepsis. Denies any UTI symptoms. Low suspicion tickborne illness. Disposition based on results of imaging?
18 2021-07-07 fainting Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsiv... Read more
Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Additional Details: patient fainted within 2 minutes after injection, EMT came and checked patient who came to within a few seconds
18 2021-07-11 loss of consciousness Loss consciousness for a few seconds- had jerk type movements
18 2021-07-12 loss of consciousness Immediately after receiving the injection, the patient passed out. She was already in the proper sit... Read more
Immediately after receiving the injection, the patient passed out. She was already in the proper sitting position, and I ( immunizer) saw that she was passing out. I had just placed the syringe in the sharps container and was about to place her bandage on, when her head went slack and I saw her eyes roll. I immediately leaned one arm over her to keep her from falling out of the chair, while using my other hand to steady her neck and head. The patients mother was in the room with us, and was talking to her daughter, trying to revive her. I informed the patients mother that I would be unable to leave her daughter, and gave her the name of my pharmacist on duty and asked her to step out and go to the consult window and have him come back to the immunization room. Pharmacist and the patients mother returned in short order and pharmacist verified what I had already checked that she was showing signs of breathing, chest was rising and falling. He helped support her head and asked the mother to gently rub her face to try to wake the patient back up. He stepped out briefly while I was continuing to support the patient and came back with some wet paper towels to place on the back of the patients neck and forehead. After approx. 10 minutes the patient came to and was able to stand and walk under her own power. She sat in the waiting room for an additional 15 minutes before leaving.
18 2021-07-14 pallor Patient felt faint was sweating and pale. Her blood pressure was fine. She threw up and then immed... Read more
Patient felt faint was sweating and pale. Her blood pressure was fine. She threw up and then immediately began to feel better. The patient never fainted.
18 2021-07-19 chest discomfort Patient started to complain about burning in her shoulder about 10 minutes after receiving her 2nd m... Read more
Patient started to complain about burning in her shoulder about 10 minutes after receiving her 2nd moderna vaccine. She was given an ice pack to apply to sight and also mentioned some chest tightness. She has asthma and her albuterol inhaler was at home.She said it felt like normal asthma symptoms. we recommended her take some of her own benadryl she had on her around 1120am. We had her move over to a bench and filled an emergency albuterol and she did 2 puffs at 11:28 when chest tightness worsened. Called 911 at this point and patient had laid down. Her tongue felt tight and when lips and eyes started swelling the pharmacist administered an Epipen 0.3mg. EMT arrived about 1145am and took her in a wheelchair to ER.
18 2021-07-22 chest discomfort, chest pain PATIENT REPORTING 07/32/2021 that since recieving 2nd covid19 vaccine, folowing 2 weeks post adminis... Read more
PATIENT REPORTING 07/32/2021 that since recieving 2nd covid19 vaccine, folowing 2 weeks post administration started having chest pains, discomforts and pressure. no treatment sought until today. no treatment ie antiinflammatory, etc at home either.
18 2021-07-22 hypotension, loss of consciousness, heart rate increased, low blood pressure Passed out in the evening during church service. Began feeling nauseous and then passed out. Afterwa... Read more
Passed out in the evening during church service. Began feeling nauseous and then passed out. Afterwards was clammy and shaking. Since the event, blood pressure has been low upon standing and heart rate has been increased.
18 2021-07-25 loss of consciousness patient felt faint after 1-2 minutes of receiving the vaccine, hot, ears ringing and passed out, cam... Read more
patient felt faint after 1-2 minutes of receiving the vaccine, hot, ears ringing and passed out, came to within 5-10 seconds, and felt okay after sitting for a few minutes
18 2021-07-26 chest discomfort fatigue, shortness of breath, tightness in chest, low grade fever
18 2021-07-28 inflammation of the heart muscle heart muscle inflammation; swelling in throat/sore throat; gaining weight faster; not metabolizing f... Read more
heart muscle inflammation; swelling in throat/sore throat; gaining weight faster; not metabolizing food; fever 99.4 progressed to 100.6F; sore throughout the body; This spontaneous case was reported by a consumer and describes the occurrence of MYOCARDITIS (heart muscle inflammation) in a 19-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 008C21A and 038C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included COVID-19 (Positive For Covid-19). Concomitant products included ETHINYLESTRADIOL, NORETHISTERONE ACETATE (LOESTRIN) for an unknown indication. On 09-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-Jun-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced MYOCARDITIS (heart muscle inflammation) (seriousness criterion medically significant), PHARYNGEAL SWELLING (swelling in throat/sore throat), WEIGHT INCREASED (gaining weight faster), MALABSORPTION (not metabolizing food), PYREXIA (fever 99.4 progressed to 100.6F) and MYALGIA (sore throughout the body). The patient was treated with PARACETAMOL (TYLENOL) at a dose of 1 dosage form. At the time of the report, MYOCARDITIS (heart muscle inflammation), WEIGHT INCREASED (gaining weight faster) and MALABSORPTION (not metabolizing food) outcome was unknown and PHARYNGEAL SWELLING (swelling in throat/sore throat), PYREXIA (fever 99.4 progressed to 100.6F) and MYALGIA (sore throughout the body) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Body temperature: 99.4 °f (High) mild fever of 99.4 °F progressed to 100.6. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. However, the medical history of COVID-19could be a contributory factor. Most recent FOLLOW-UP information incorporated above includes: On 27-Jul-2021: TCR document was received on 27-JUL-2021 and contained significant information. Events of heart muscle inflammation, no food metabolizing, and gaining weight faster were updated.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. However, the medical history of COVID-19could be a contributory factor.
19 2021-01-02 chest discomfort Patient experienced a headache, arm pain (not at site), dizziness when standing. Patient was offered... Read more
Patient experienced a headache, arm pain (not at site), dizziness when standing. Patient was offered water and snacks. Sat in observation area for 30 minutes. Headache and dizziness with standing continued, after 30 minutes patient reported chest tightness. Caregiver was immediately taken to the Emergency Room for assessment.
19 2021-01-03 blood clot Patient received Moderna vaccine, Wednesday 12/30. On Saturday 1/3/2021 patient felt pressure/tight... Read more
Patient received Moderna vaccine, Wednesday 12/30. On Saturday 1/3/2021 patient felt pressure/tightness in lower extremity. When patient touched area, a noticeable ball was felt under the skin, tender to the touch and warm. Patient went into urgent care on Monday 1/4/2021 with a confirmed dx of a superficial blood clot. Unknown etiology of whether this is from current birth control or the COVID19 Moderna vaccine.
19 2021-01-08 fast heart rate about 25 minutes after the injection pt felt flushed with mild tachycardia and headache. Pt improve... Read more
about 25 minutes after the injection pt felt flushed with mild tachycardia and headache. Pt improved with rest on the exam table. Bp returned to normal immediately and bp remained normal at 126/84. Pt returned to work but sx reoccurred about 30 minutes later and she again rested with resolution of sx until she went home.
19 2021-01-12 pallor After I recieved the Covid-19 Moderna vaccine I began to feel ill. I became pale, had fatigue, heada... Read more
After I recieved the Covid-19 Moderna vaccine I began to feel ill. I became pale, had fatigue, headache, stomach ache, and the arm i recieved the vaccine in was sore to the point I couldn't hardly move it. These side effects lasted until 12/25/2020. I had no fever and after the 25th I felt fine.
19 2021-01-15 chest discomfort 1/8: disseminated, itchy painful raised rash, most concentrated on occipital scalp and posterior ear... Read more
1/8: disseminated, itchy painful raised rash, most concentrated on occipital scalp and posterior ears, neck, groin and legs. 1/9: soreness and stiffness of bilateral hands and wrists, combined with mid-chest pressure. Intensification of joint pain and subsiding of rash until 1/12, when right hand and wrist were excruciatingly painful, then 1/13 was excruciatingly painful. Intensity of arthralgias has lessened since starting Prednisone taper 1/12.
19 2021-01-16 fainting usually experience very brief loss of consciousness but upon injection i lost consciousness immediat... Read more
usually experience very brief loss of consciousness but upon injection i lost consciousness immediately and proceeded to have a mild seizure lasting approximately 10 seconds followed by numbness in my legs for 10 minutes after injection.
19 2021-01-17 atrial fibrillation, fainting, lightheadedness The day of vaccination, the patient presented to the emergency room with a complaint of dizziness an... Read more
The day of vaccination, the patient presented to the emergency room with a complaint of dizziness and syncope. Reported that she became dizzy, presyncopal feelings, and had a witnessed syncopal event. The patient stated she does have vasovagal syncopal events after blood draws in the past. The patient was assigned an overnight admission for a potential post-vaccination adverse event, new onset atrial fibrillation, dehydration, and syncope. Patient was discharged the following day.
19 2021-01-17 blood pressure increased pt developed large rash on arms and torso and elevated blood pressure and pulse 138-110 pulse 100 - ... Read more
pt developed large rash on arms and torso and elevated blood pressure and pulse 138-110 pulse 100 - pt given 50 mg of diphenhydramine at 10:35 am by 11:05 rash was fading and 90% clear.
19 2021-01-18 deep vein blood clot One week after the shot (1-14-2021) Patient (19 y.o.)reported side pain and appeared constipated, L... Read more
One week after the shot (1-14-2021) Patient (19 y.o.)reported side pain and appeared constipated, Laxatives given along with Tylenol, on further assessment Patient was noted to have left leg redness and abdominal fullness. Dr. was updated and we had orders for close monitoring, the next day when she got up, her leg appeared better, and she had passed a small BM, but by lunch she had developed significant pain and edema in her left leg, and the color of her leg was reddened again. She was sent to the emergency room with her symptoms. She was admitted back to our facility yesterday, her diagnoses included Acute provoked left external illiac, femoral, popliteal, and peroneal DVT. Elevated Factor II levels, Elevated APC resistant, May-Thurner Syndrome, history of developmental disabilities, fecal impaction and urinary retention - suspected related to her fecal impaction. Vascular surgery was consulted, and pt. was started on a heparin drip, and mechanical thrombectomy was needed for both legs due to multiple clots. She was started on Eliquis and Plavix, and thigh high compression stockings were ordered, ace wraps being used until these are supplied. Her Fecal impaction was addressed also and the urinary retention resolved.
19 2021-01-19 palpitations Approximately 15-20 minutes after vaccination patient developed weakness in her limbs. BP and gluco... Read more
Approximately 15-20 minutes after vaccination patient developed weakness in her limbs. BP and glucose were normal. Approximately 10 minutes after the onset of symptoms the patient developed bright red rash on the face, increased breath rate, and swelling of the lips and tongue. She was having difficulty talking due to shortness of breath and swelling in the tongue. 911 was called and epinephrine 0.3mg IM was administered as well as diphenhydramine 100mg orally. Her rash improved fairly quickly, swelling went down a small amount. She stated breathing still felt labored and she was feeling like her heart was racing but she was also tired (likely due to medications administered). She was still having difficulty talking, taking short breaths between almost each word. Paramedics arrived approximately 12 minutes after epinephrine was administered. They attempted to walk her to the ambulance per her request, however she was unable to feel her legs. She was placed on a stretcher and into the ambulance. The patient stated she was given additional epinephrine in the ambulance as her condition had worsened by the time they got her in there. She was taken to the ER and given additional diphenhydramine and was observed until approximately midnight, when she said she was discharged. Follow up was completed the following day, and she had improved dramatically. She was still feeling a bit weak, but no longer had any issues breathing.
19 2021-02-03 palpitations Sore arm (resolved), weakness, fatigue, racing heart, nasal congestion, swollen lymph nodes, severe ... Read more
Sore arm (resolved), weakness, fatigue, racing heart, nasal congestion, swollen lymph nodes, severe sinus headache and pressure continuing past day 5.
19 2021-02-04 chest pain, heart rate increased Chills, vomiting, muscle pain, chest pain, accelerated heart rate, light headed
19 2021-02-04 fainting Student received second dose Moderna yesterday (2/4), today (2/5) developed nausea and lightheadedne... Read more
Student received second dose Moderna yesterday (2/4), today (2/5) developed nausea and lightheadedness and had a syncopal episode. Seen and evaluated at clinic. Recovered and no further concerns.
19 2021-02-05 fast heart rate pt reported feeling nausea and tachycardia after shot. pt states she gets pain after hr =82
19 2021-02-08 troponin increased, chest pain Patient is a 19yo female presenting to the ED with chest pain. Patient received her second Moderna v... Read more
Patient is a 19yo female presenting to the ED with chest pain. Patient received her second Moderna vaccine two days. Since then she has been having symptoms of chills and myalgias. This morning she had severe chest pain in the middle of her chest. It made it difficult to breathe. Patient had no side effects from 1st dose of vaccine and denies any symptoms prior to receiving 2nd dose.
19 2021-02-09 fainting Sat down post vaccination, was emotional. Sipping water. patient fainted in the chair . came aroun... Read more
Sat down post vaccination, was emotional. Sipping water. patient fainted in the chair . came around within 5 minutes. Attended by EMS and Doctor.
19 2021-02-10 heart rate increased approximately 5 hours after receiving the vaccine, she noticed an elevated heart rate 99-138 bpm
19 2021-02-15 fainting Fainting, 11:30 PM
19 2021-02-16 fainting Patient fainted in the chair shortly after vaccine administration. Patient regained consciousness 4... Read more
Patient fainted in the chair shortly after vaccine administration. Patient regained consciousness 4 or 5 seconds later. She was nauseated for a short time, then was completely recovered. She had a friend with her because she has fainted before after a vaccination. She waited with her friend for 30 minutes outside the pharmacy. She was feeling fine when she left.
19 2021-02-19 fainting Pt fainted at work twice
19 2021-02-22 blood pressure increased, chest discomfort Patient complained about chest tightness 15 minutes after vaccination, with no breathing problems. A... Read more
Patient complained about chest tightness 15 minutes after vaccination, with no breathing problems. Asked patient to sit by me so that I could observe her. Checked blood pressure and was elevated. Administered Benadryl 50 mg one time by mouth to patient. Checked patient blood pressure a 2nd time and was 138/88 mmHg and patient was starting to feel a little wheezy. Decided that since patient seemed to be having an asthmatic episode that we would call EMS to pick her up and they arrived.
19 2021-02-22 lightheadedness Pt had a panic attack due to fear of needles. Hyperventilated and appeared to be near fainting, but... Read more
Pt had a panic attack due to fear of needles. Hyperventilated and appeared to be near fainting, but did not lose consciousness. EMS reported to care for patient, and she was removed by stretcher.
19 2021-02-28 heart rate increased After the patient had waited her 15 minutes she got up to leave; on the way to the door she said she... Read more
After the patient had waited her 15 minutes she got up to leave; on the way to the door she said she began to feel weak, have slow reaction, dizziness, and felt warm to the touch. She cam back in side the room and we had a nurse assess her, her BP and heart rate were a little elevated. We gave her some water and had her sit for some extra time while we talked to her. She has a child hood trauma regarding vaccine and had just had a major panic attack before and during her vaccination. We were all pretty sure she had just worked her self up and was not feeling well because of that and she said as much herself. After about 15-20 more minutes her BP and heart rate were back to normal and although still feeling a little weak she was ready to go home with her mother.
19 2021-03-04 fainting Syncopal episode s/p vaccine administration. Site EMS assessed patient and performed vital signs. Mo... Read more
Syncopal episode s/p vaccine administration. Site EMS assessed patient and performed vital signs. Monitored patient until arrived. transported to Hospital.
19 2021-03-06 chest discomfort, chest pain My arm has been sore ever since the injection. Just after midnight I got severe chills. After fallin... Read more
My arm has been sore ever since the injection. Just after midnight I got severe chills. After falling asleep I woke up at 4:00 am and vomited. I have had general body aches since then. Around 9:00 am I developed intermittent chest pain and tightness. As of 11:00 am I had a fever of 103°F.
19 2021-03-06 fainting Syncope
19 2021-03-06 fast heart rate, palpitations Approximately 36 hours after the second vaccine the patient began to experience palpitations, tachyc... Read more
Approximately 36 hours after the second vaccine the patient began to experience palpitations, tachycardia, shortness of breath, dizziness and left arm/scapula pain.
19 2021-03-07 chest discomfort Apprehension, Flushing, tingling, cx tightness
19 2021-03-07 lightheadedness Patient felt dizzy and clammy just after receiving injection. Patient was very nervous about receivi... Read more
Patient felt dizzy and clammy just after receiving injection. Patient was very nervous about receiving shot. Conditioning started getting worse with chills and almost fainting. Called 911 and patient was taken to ER along with her mother for treatment. Patient was alert and and talking at all times. Followed up with later in the day and she indicated doctor treated patient and released from unspecified hospital. Mother said patient is doing fine.
19 2021-03-07 fainting, pallor Systemic: Fainting / Unresponsive-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Detai... Read more
Systemic: Fainting / Unresponsive-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Patient fainted from seated position. Hit left side of head from this distance. Patient regained consciousness within a few moments and legs were elevated while laying on back. Reported vision tunneling occured before fainting (once she came to). Patient was pale but regained color 15+ minutes later. Patient answered all questions 2 paramedic crews had/checked her BP/O2 sats etc. Declined hospital and signed off with father present who was called in. Father drove her home.
19 2021-03-09 pallor, fast heart rate, loss of consciousness About 5 min after the pt received her shot she stated the did not feel well. Pt was very pale the pt... Read more
About 5 min after the pt received her shot she stated the did not feel well. Pt was very pale the pt did pass out for a second and came back around on her own. Took her pulse and we took her BP 113/67 76. She was taken down to the ED for monitoring Dizziness, Headache, Lightheadedness, Loss of consciousness, Weakness, tachycardia flushing, tachycardia. Lip swelling 4 hrs after second Moderna Covid vaccine
19 2021-03-10 fainting Day of: Arm pain, 2am fever 101.7, March 2 -chills, body aches, headache, loss of appetite. 9am fai... Read more
Day of: Arm pain, 2am fever 101.7, March 2 -chills, body aches, headache, loss of appetite. 9am fainted, Mar 4th started with left sided weakness Mar 5 taken to ER for increased weakness Diagnosed with encephalitis in the hippocampus area related to vaccine
19 2021-03-11 fainting, cardiac arrhythmia, fast heart rate, heart rate increased, atrial fibrillation Syncope/Collapse 20 minutes after receiving the vaccine I was in AFIB and had a heart rate of 150, h... Read more
Syncope/Collapse 20 minutes after receiving the vaccine I was in AFIB and had a heart rate of 150, hospitalized overnight. Been dealing with high HR ever since, which has hindered my ability to run and train at my normal level. Had to wear a heart monitor for two weeks. Followed up with my cardiologist; have to get an echocardiogram done and then an electrophysiology test/heart cath done in the near future.
19 2021-03-14 loss of consciousness AFTER RECEIVING VACCINE PT. FELT LIGHT HEADED, SHE SAT DOWN AND APPROACHED PHARMACY AND ASKED IF SHE... Read more
AFTER RECEIVING VACCINE PT. FELT LIGHT HEADED, SHE SAT DOWN AND APPROACHED PHARMACY AND ASKED IF SHE SHOULD FEEL COLD AND SWEATY. SHE THEN PASSED OUT AND GINGERLY FELL TO THE FLOOR. PHARMACIST RAN OUT TO ASSIST, ELEVATED LEGS AND SPOKE TO HER, SHE WAS SEMICONSCIOUS. PHARMACY WAS INSTRUCTED TO GRAB ICE PACK AND QUICKLY DID. ICE WAS APPLIED TO PT. WRIST AND SHE IMMEDIATELY REGAINED CONSCIOUSNESS. PT. WAS INSTRUCTED TO REMAIN ON FLOOR AND CONTINUED CONVERSATION TO MEASURE ALERTNESS. AFTER A FEW MINUTES SHE SAID SHE FELT FINE. PHARMACIST AND ASSISTED HER TO CHAIR, AND SHE REMAINED FOR 20 MORE MINUTES. DISCUSSED IF SHE HAD ANY INJURIED FROM FALL. SHE SAID SHE FELT FINE. PTS LEFT WITH INSTRUCTIONS TO CONTACT PHARMACY OR SEEK MEDICAL HELP IF ANY REOCCURRENCE.
19 2021-03-16 loss of consciousness, pallor Patient reported feeling lightheaded then became pallor, slumped over in chair, and lost consciousne... Read more
Patient reported feeling lightheaded then became pallor, slumped over in chair, and lost consciousness for approx. 30 sec. Given known peanut allergy, administered 0.3mg epi immediately and placed in supine position with legs on chair. Upon regaining consciousness was alert and oriented, BP 101/59, HR 62, T 36.2, SPO2 99%. Reports no difficulty breathing or respiratory compromise. Called 911 and remained with patient until EMS arrive. Patient felt well and at baseline and did not want to pursue going to hospital. Friend will drive her home today. Agreed to see PCP prior to next dose of vaccine.
19 2021-03-16 fainting Sudden syncope - under one minute
19 2021-03-17 chest pain Throat tightness, chest pains, tingling all over body, headaches Immediate reaction treated with Ben... Read more
Throat tightness, chest pains, tingling all over body, headaches Immediate reaction treated with Benadryl and PEPCID injection Hospitalisation with a subsequent PEPCID injections, 10mg Claratin, 125mg Prednisone (1500), 2nd Prednisone at 2000, potassium chloride 20m at 2242. Following morning followed up with PEPCID at 0545, Claritin 10mg 0545, zenax when I returned the hospital after being discharged. Went back as I was experiencing chest pains and very flushed and red in the face.
19 2021-03-18 chest discomfort Approx 15 min after vaccination, patient C/O tightness in chest and SOB. Rash began to appear on fa... Read more
Approx 15 min after vaccination, patient C/O tightness in chest and SOB. Rash began to appear on face and back. POD vaccination site was held in local hospital. Patient was taken to ER. She was checked in by triage. Patient left ER without being seen by MD. Was followed up by Nurse. Is doing well as seems to have recovered.
19 2021-03-18 fainting Patient was found on the ground laying on the right side. Patient stated she fainted about 5 mins af... Read more
Patient was found on the ground laying on the right side. Patient stated she fainted about 5 mins after the vaccine and hit her head. Denies pain to head and back. C/O dizziness and lightheadedness. History of fainting with blood draw. VSS. BG 114. Patient stated she felt better after laying down so we sat her up and gave her a snack. As soon as she finished snack, patient c/o dizziness and lightheadness. Patient was laid back down on the ground. EMS was called.
19 2021-03-20 loss of consciousness, fainting PATIENT FAINTED UPON STANDING IMMEDIATELY AFTER RECEIVING SHOT. REMAINED UNCONCIOUS FOR A FEW SECOND... Read more
PATIENT FAINTED UPON STANDING IMMEDIATELY AFTER RECEIVING SHOT. REMAINED UNCONCIOUS FOR A FEW SECONDS. CONTACTED 911 SINCE PATIENT HIT HER HEAD WHEN SHE FELL. WAS ABLE TO WALK HERSELF OUT AFTERWARDS.
19 2021-03-24 hypertension Site: Itching at Injection Site-Mild, Systemic: tightness, shaking around abdominal area, shakiness,... Read more
Site: Itching at Injection Site-Mild, Systemic: tightness, shaking around abdominal area, shakiness, anxiety-Mild, Systemic: Hypertension-Mild, Systemic: Shakiness-Mild, Additional Details: checked pt blood pressure 150/90 at 5:19pm, patient felt better at 5:32pm and went home
19 2021-03-25 loss of consciousness Medical staff administered the vaccination and turned to put the needle in the sharps container, the... Read more
Medical staff administered the vaccination and turned to put the needle in the sharps container, then patient passed out from a seated position to her knees then flat on the floor. Medical staff came to get the pharmacist on duty. We straightened her out and checked to make sure she was still breathing - she was still breathing. I went to call 911 and came back in the room with the phone while I was directed to do a breathing test by the operator. Patient was moaning off and on during the time she was passed out. She was not responding to verbal commands. She came to as the paramedics arrived. They took her to the hospital.
19 2021-03-26 lightheadedness, fainting Pt reports of syncope (fainting) twice immediately after receiving the vaccine. First one occurred w... Read more
Pt reports of syncope (fainting) twice immediately after receiving the vaccine. First one occurred within a minute of receiving and second one occurred five minutes later according to patient and mother of patient who accompanied the patient. Patient reports that the facility called for paramedics whom found the patient to be in stable condition. Patient reports that paramedics informed that her BP and blood glucose levels were in normal range. Patient expressed of having anxiety about the vaccination and having nauseous feeling just before administration and "imagining the needing going into the muscle" as she was receiving the vaccine. Patient was assessed in the office roughly 2 hours post vaccine. Patient's history is clear of any diagnosis and patient was not on any medication. Patient stated that she feel well. Pt. is diagnosed of having vasovagal syncope and was educated to monitor and report any other symptoms. Need for blood work or lab assessment was discussed.
19 2021-03-26 fainting - Joint pain - headache -fatigue -nausea -vomiting -diarrhea -syncope -chills/shaking -sweating -in... Read more
- Joint pain - headache -fatigue -nausea -vomiting -diarrhea -syncope -chills/shaking -sweating -injection site soreness
19 2021-03-27 fainting Patient had a seizure, followed by syncope
19 2021-03-29 pallor 12:55- patient recieved first Moderna vaccine 13:30 - patient c/o lightheaded and feeling like she w... Read more
12:55- patient recieved first Moderna vaccine 13:30 - patient c/o lightheaded and feeling like she was going to pass out. Patient taken to treatment room 13:34 BP 50/30 Hr 56 down to 40, Sa)2 99% on RA - 0.3 mg epi IM x 1 , patient pale and diaphoretic, EMS phoned 13:36 BP 110/70, HR 78,99% RA, patient responsive and reported improvement in symptoms. 13:38 BP 100/70, HR 86, 98% RA. Denies any respiratory distress
19 2021-03-29 fainting Syncopal Episode, Anxiety Pt. was transported to emergency room.
19 2021-03-29 fainting Syncopal Episode - VSS Fell from chair, hit L forehead. Ice applied, large swollen red knot noted. M... Read more
Syncopal Episode - VSS Fell from chair, hit L forehead. Ice applied, large swollen red knot noted. Medic called to ER for evaluation.
19 2021-03-29 troponin increased, chest pain Vaccine was given in left arm on 3/24/21. Had fever and myalgia x 24 hrs. No further fever. Myalgia ... Read more
Vaccine was given in left arm on 3/24/21. Had fever and myalgia x 24 hrs. No further fever. Myalgia continued for 1 more day at a lower level. Day 3, started to have chest pain. Came to Emergency room at the night of Day 3.
19 2021-03-30 loss of consciousness I got my shot, sat down, and was reading through the information that the clinic provided me. A few ... Read more
I got my shot, sat down, and was reading through the information that the clinic provided me. A few minutes after, I noticed my right arm was getting warm, but I thought I was being paranoid (placebo effect). I began to feel nauseated. About another 5 minutes after feeling warm and nauseous, my ears began to ring and my vision went white. I was cold but sweating. I have passed out a handful of times before for various reasons, so I knew what was happening. I tried to signal to a volunteer from my seat that I needed help, but I ended up laying on the ground by my chair before someone came over. Once I laid down, the attention of the volunteers and nurses was on me. Three came over to assist me. They held my legs up, kept a hand on my wrist for a pulse, and fetched water. I talked myself through the dizziness and ringing in my ears. They put a cold rag on my forehead and had smelling salts on hand. Once I began to feel better, they helped me slowly sit up, and eventually helped me stand up and get into a chair. They kept a close eye on me for the next 30 minutes to make sure I didn?t have any other reactions.
19 2021-03-31 pallor felt nausea,became diaphoretic, very pale, taken to cot to lay down,VSS, O2 saturations 97 to 99 %, ... Read more
felt nausea,became diaphoretic, very pale, taken to cot to lay down,VSS, O2 saturations 97 to 99 %, felt better but call friend to pick her up from clinic
19 2021-03-31 pallor feeling hot, sweating, dizziness, blurred vision, paleness, darkening of vision, nausea. Patient was... Read more
feeling hot, sweating, dizziness, blurred vision, paleness, darkening of vision, nausea. Patient was given cold compress on back of neck. symptoms began improving. Patient leaned forward to put head in friends lap. She communicated her symptoms clearly the entire time. Patient fully recovered.
19 2021-03-31 fainting pt fainted then threw up, felt better, gave water and made her stay in pharmacy area for 30 more min... Read more
pt fainted then threw up, felt better, gave water and made her stay in pharmacy area for 30 more minutes
19 2021-04-01 fainting, loss of consciousness I received my second dose of the COVID 19 Moderna vaccine on Tuesday morning. By Tuesday night I sta... Read more
I received my second dose of the COVID 19 Moderna vaccine on Tuesday morning. By Tuesday night I started to have virtually every side effect that Moderna listed including; fatigue, headache, muscle pain, joint pain, chills, nausea and vomiting, and extreme fever. The next morning as I woke up in attempt tp get ready for work, I was not feeling any better and began to feel light headed, and felt the need to vomit. As I had the feeling of needing to vomit, I turned to do so and fainted. From accounts by my family, I was told I woke up, and quickly passed out a second time. As I was awoken, there was probably a minute before I fainted for a third time. All three times I was told I lost consciousness. I was awoken and by that point my family had contacted emergency responders. Paramedics arrived and took all necessary vitals. I did not pass out after that third time. As I expected all side effects Moderna listed, I did not expect to feel as bad as I did and I thought it was worth reporting what happened to be the next day. It caused a panic and I was scared and nervous as I was unsure why that was happening. I've tried to look up articles and links between passing out and the vaccine and all I can find is people fainting as they get the vaccine (which is common for any shot) but nothing for fainting that long after the vaccine was administered. I just wanted to report my incident.
19 2021-04-04 loss of consciousness, fainting Site: Pain at Injection Site-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Headache-Mild... Read more
Site: Pain at Injection Site-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Headache-Mild, Additional Details: Patient stated that she last ate around 10 am and had no extensive activity prior to vaccine at 6 pm. Per vaccinating pharmacist, patient had been fasting and fainted 5 minutes following vaccine administration.
19 2021-04-07 fainting Patient fainted about 7 minutes after the vaccine was administered. Was observed, and monitored till... Read more
Patient fainted about 7 minutes after the vaccine was administered. Was observed, and monitored till she felt comfortable to get up. was monitored for about 30-45 minutes
19 2021-04-08 heart rate increased Patient reported itchy throat and increased heart rate (P 111) within 15 minutes of vaccination. Gi... Read more
Patient reported itchy throat and increased heart rate (P 111) within 15 minutes of vaccination. Given Benedryl; symptoms improved and patient released to home.
19 2021-04-09 lightheadedness, fainting, hypotension, heart rate decreased Patient received 2nd Moderna vaccine. Patient felt lightheaded and fainted 5 minutes after getting t... Read more
Patient received 2nd Moderna vaccine. Patient felt lightheaded and fainted 5 minutes after getting the vaccine. Firefighters and patient's mother brought her outside the observation room for more privacy and sat patient down on a chair with her head tilted down, and patient regained consciousness within 1 to 2 minutes. Patient's blood pressure and pulse were both low and patient stated she couldn't hear out of her left ear. Firefighters decided to call the ambulance and send the patient to the nearest emergency room. I followed up with the patient the next day on 4/10/2021. Patient stated she had a vasovagal response to the injection and received IV fluids at the emergency room. Patient stated it was very unexpected and she had ate before coming to the clinic. She has not felt lightheaded or faint since the incident and is experiencing flu-like symptoms from the vaccine and has been taking Tylenol for it.
19 2021-04-09 fainting Fainted. Did not need transport.
19 2021-04-10 fainting Fainted.
19 2021-04-11 chest discomfort Nausea - 30 minutes chills - 12 hours Sweating & hot flashes - 12 hours Fever - 101.2 (highest poin... Read more
Nausea - 30 minutes chills - 12 hours Sweating & hot flashes - 12 hours Fever - 101.2 (highest point) 2 hours Tightness in chest - 30 minutes
19 2021-04-11 pallor At 0835 client received the modern vaccine. 0842 client complained of feeling lightheaded. Client ... Read more
At 0835 client received the modern vaccine. 0842 client complained of feeling lightheaded. Client was pale. Client was placed in wheelchair and taken to post-vac area for vitals and observation. Father with client at time of incident. 0844 client was placed in position with feet up in the wheelchair. Client had verbalized during receiving any vaccine she usually has the same episodes and usually brings chocolate chips to eat to prevent this. 0853 BP: 90/60 P: 73 Sp02:99 RA. 0858 pt moved from floor to sitting position. pt denied any dizziness upon ambulation. BP:92/62 P: 65 Sp02 100% RA. pt denied any further issues A&O x4. Symptoms resolved approx 16 min after initial episode. Father will be driving patient home. No further treatment needed, pt left 09:15.
19 2021-04-12 chest pain fatigue; difficulty swallowing.; allergic reaction; chest pain; shortness of breath; not feeling goo... Read more
fatigue; difficulty swallowing.; allergic reaction; chest pain; shortness of breath; not feeling good; Weakness in Lower half of body; Difficulty breathing, brain is foggy, swelling in throat, excessive sweating, puffy face,having difficulty talking and her face became puffy; Feverish; This spontaneous case was reported by a consumer and describes the occurrence of ANAPHYLACTIC REACTION (Difficulty breathing, brain is foggy, swelling in throat, excessive sweating, puffy face,having difficulty talking and her face became puffy), CHEST PAIN (chest pain), DYSPNOEA (shortness of breath) and FEELING ABNORMAL (not feeling good) in a 19-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 041L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event (No reported medical history). Concomitant products included ISOTRETINOIN (ACCUTANE) and ESCITALOPRAM OXALATE (LEXAPRO) for an unknown indication. On 19-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Jan-2021, the patient experienced ANAPHYLACTIC REACTION (Difficulty breathing, brain is foggy, swelling in throat, excessive sweating, puffy face,having difficulty talking and her face became puffy) (seriousness criteria medically significant and life threatening), MUSCULAR WEAKNESS (Weakness in Lower half of body) and PYREXIA (Feverish). On 21-Jan-2021, the patient experienced CHEST PAIN (chest pain) (seriousness criterion medically significant), DYSPNOEA (shortness of breath) (seriousness criterion medically significant), FEELING ABNORMAL (not feeling good) (seriousness criterion medically significant) and HYPERSENSITIVITY (allergic reaction). On 22-Jan-2021, the patient experienced DYSPHAGIA (difficulty swallowing.). On an unknown date, the patient experienced FATIGUE (fatigue). At the time of the report, ANAPHYLACTIC REACTION (Difficulty breathing, brain is foggy, swelling in throat, excessive sweating, puffy face,having difficulty talking and her face became puffy), CHEST PAIN (chest pain), DYSPNOEA (shortness of breath), FEELING ABNORMAL (not feeling good), MUSCULAR WEAKNESS (Weakness in Lower half of body), HYPERSENSITIVITY (allergic reaction), DYSPHAGIA (difficulty swallowing.), FATIGUE (fatigue) and PYREXIA (Feverish) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product included birth control. Treatment information included anti nausea pills, aspirin, epiPen, benadryl, tylenol, injection for breathing and surmonside. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.
19 2021-04-12 chest pain anxiety, patient was taken to Hospital treated for chest pains
19 2021-04-12 pallor, hypotension, fainting I administered Moderna COVID-19 vaccination to patient. I advised patient to wait 15 minutes post va... Read more
I administered Moderna COVID-19 vaccination to patient. I advised patient to wait 15 minutes post vaccination. Patient was sitting in post vaccination waiting area chair. Approximately 10 minutes after vaccination, patient's mother alerted us for assistance. Patient was slumped over in chair and had fainted. Patient was pale and had complained of dizziness to her mother prior to passing out. Responded to patient and helped patient to the floor to avoid hitting her head. Called 911. Patient responded and woke up. Had patient continue laying on floor until EMS arrived. EMS took patient's blood pressure and blood sugar. No significant medical history or known allergies. No history of passing out after vaccinations. Patient said she had not eaten yet today. Patient's blood pressure was low and EMS indicated that patient was dehydrated.
19 2021-04-13 loss of consciousness, pallor This is a 19 y.o. female status post 1st dose of Moderna vaccination on 04/14/21 at 130PM. Patient w... Read more
This is a 19 y.o. female status post 1st dose of Moderna vaccination on 04/14/21 at 130PM. Patient was outside under the tent waiting 15 minutes post vaccination when she fell out of her chair and onto the ground. Upon arrival, patient was lying face down and unresponsive. 10 seconds later patient regained consciousness, but was lethargic, clammy and pale. Patient is nauseous and vomiting. With assistance, patient was transported via wheelchair inside the modular unit in the parking lot. Reports eating a cookie this morning. Last meal was last night and it was a bowl of spaghetti. Patient reports having a syncopal episode and seizure 5 months ago after getting a COVID-19 nasal testing. Denies any medical history, no NKDA, no medications, no recent illness. Initial VS at 1400 was 90/56 HR 52, 02 sats 98% on room air. Denies SOB, denies difficulty breathing, denies chest pain, denies HA, denies dizziness. VS 1408- 90/56 HR: 57 BPM, RR: 12 BPM, O2 Sats: 98% Room Air VS 1425-91/57 HR 50 BPM, RR: 12 BPM 02 Sats 98% Room Air VS 1440- 94/57 HR: 54 BPM, RR: 12 BPM, 02 Sats: 98% RA Plan: Syncope and collapse- Patient was evaluated for 1 hour. Patient reports that she was feeling much better and was eager to go back to her room. Her pallor improved, she was AOx3 and speaking in clear sentences. , RN was advised to try patient with sips of clear liquids and provide her some crackers and have patient ambulate prior to discharge. When the nurse was repeating her VS and providing the patient the crackers, patient experienced another syncopal episode, but regained consciousness immediately. VS at 1450: HR 49 BPM, O2 Sats 99%, BP 82/50. Because patient experienced another syncopal episode, 911 was dispatched for ER evaluation. Patient asked that I speak to her mother, mother updated on patient's condition and that she needs to go the ER for further evaluation. Mother agrees and verbalizes understanding of care. Spoke to with the local health department and she reports that this case will need to be reported to VAERS. Patient is being transported by stretcher to the hospital. Will follow up with the patient. Nausea and Vomiting- Patient refusing Zofran IM, prefers PO. Zofran 4 mg SL given once at 1400 for nausea and vomiting. Nausea and Vomiting improved within 20 minutes. No nausea or vomiting upon discharge from the health center.
19 2021-04-13 pallor I woke up the day after my second shot completely weak and felt very feverish. I got out of bed and ... Read more
I woke up the day after my second shot completely weak and felt very feverish. I got out of bed and tried to eat yogurt, but felt nauseous and got lightheaded so I had to sit down. I drank some tea and water and went back to bed for 4 hours. I woke up again and still felt terrible and could not even walk short distances without getting very pale, sweaty, and my vision having spots. I feel chills, a headache, and have been lying down all day. I am most concerned about passing out and becoming unconscious. I called the Wellness Center and they said to just lie down and stay hydrated
19 2021-04-13 lightheadedness PT was diaphoretic and felt like passing out .PT had nausea and begin to vomit. PT was attended by E... Read more
PT was diaphoretic and felt like passing out .PT had nausea and begin to vomit. PT was attended by EMS and cleared by NP once symptoms resolved.
19 2021-04-13 fainting Patient was very nervous upon receiving vaccine and told immunizing tech that she had previously fai... Read more
Patient was very nervous upon receiving vaccine and told immunizing tech that she had previously fainted upon donating blood. Immediately after receiving the shot, she said she felt like fainting. Her mother walked her to the observation chair for monitoring. She fainted and her mother along with two grocery associates went to hold her from falling off the chair. Two paramedics who happened to be a few feet away came to assist and took her vitals. Other medics arrived and took her to the hospital.
19 2021-04-14 chest pain 117/70 PULSE 97 C/O SHARP CHEST PAIN UPPER RIGHT CHEST AND DOWN RIGHT ARM AT 15MIN MARK. LAID DOWN O... Read more
117/70 PULSE 97 C/O SHARP CHEST PAIN UPPER RIGHT CHEST AND DOWN RIGHT ARM AT 15MIN MARK. LAID DOWN ON COT AND 911 CALLED. ADMITTED TO HAVING ANXIETY ABOUT THE SHOT. ABLE TO MOVE FINGER ON RIGHT ARM BUT STATES SHE CANNOT FEEL HER FINGERS. DENIES SOB. BP AFTER 5 MINUTES BP 116/71 PULSE 94. RIGHT ARM AND HAND WARM TO TOUCH AND STATED SHE FELT ME TOUCH HER. RADIAL PULSE RIGHT WRIST GOOD. C/O DIZZINESS. PATIENT IS DEVELOPMENTALLY DISABLED. CAREGIVER STATES PATIENT AGREES TO ALL QUESTIONS. C/O STOMACH PAIN, DENIES NAUSEA. B/P AFTER 10 MINUTES 115/72 P 92 DENIES SOB. RATES CHEST PAIN ON A 0-10 AT A 10. STATES STILL CANNNOT FEEL FINGERS. PARAMEDICS ARRIVED AND HOOKED PATIENT UP TO A 12 LEAD YIELDING NORMAL RESULTS. PATIENT DID NOT GO TO THE HOSPITAL WITH PARAMEDICS.
19 2021-04-14 chest pain shortness of breath/chest pain, fever, myalgias, HA, nausea
19 2021-04-14 pallor, hypotension, loss of consciousness, fainting 19 yro f presented with syncope. loss of consciousness after recieving vaccination. pt was pale cold... Read more
19 yro f presented with syncope. loss of consciousness after recieving vaccination. pt was pale cold and clammy. pt was brought ot evaluation are and assessed. pt vitasl were taken. pt regained conciousness during trasnport to evaluation area. pt was hypotensive bp 65/43 hr 53 spo2 95% rr 20 pt was provided cold water. pt was placed on ems crew 4 lead ekg. pt apperaed to have normal sinus rhythm. pt vitaqls improved over a short period of time under ems monitoring. fire ems was called to transport patient to er dept. pt final vital set was 116/70 hr 65 spo2 100% ems arrived and pt care wa trasnfred to fire ems.
19 2021-04-15 chest pain, chest discomfort pt reports vomiting, diarrhea, and "tightness in chest". Pt states she will seek immediate medical a... Read more
pt reports vomiting, diarrhea, and "tightness in chest". Pt states she will seek immediate medical attention for the chest pain she is experiencing
19 2021-04-15 fainting Pt was seen in the Emergency Room for syncope and a fall. Pt had to receive 2 liters of IV fluids, a... Read more
Pt was seen in the Emergency Room for syncope and a fall. Pt had to receive 2 liters of IV fluids, an EKG and multiple labs over the course of 4 hours.
19 2021-04-16 fainting 11 hr after vaccine I fainted
19 2021-04-17 loss of consciousness Began to feel hot, hearing disturbance, loss of consciousness. BP 105/70, HR 102 History of vasova... Read more
Began to feel hot, hearing disturbance, loss of consciousness. BP 105/70, HR 102 History of vasovagal reactions with past vaccinations and ear piercing; fasting for Ramadan
19 2021-04-18 heart rate increased, chest pain Essentially I experienced flu-like symptoms the next day after I took my first vaccine dose. My firs... Read more
Essentially I experienced flu-like symptoms the next day after I took my first vaccine dose. My first symptom was my throbbing headache that lasted longer as well. My other symptoms were high fever, fatigue, chills, sweating, and sudden rapid heartbeat, a little chest pain in my left part of the chest, and muscle and body aches, and a little difficulty breathing. My fever also lasted for a couple of days and symptoms subsided at the end of the second day after the vaccination day. I would please, please like to know if it's safe for me to take the second dose? I know I would be able to handle the side effects but expected to encounter them on the second dose and not the first dose, so please let me know as my second dose date will be this Wednesday on the 21st of April.
19 2021-04-19 pallor Patient reports after 1st moderna vaccine, 8 minutes later she experienced tremors and felt disorien... Read more
Patient reports after 1st moderna vaccine, 8 minutes later she experienced tremors and felt disoriented and her fingers turned blue. Went ot ed where she was diagnosed with panic attack. Symptoms ahd resolved and she was discharged home. She got her second vaccine on 4/8 and that night became very disoriented and acting odd (crawling around) and then became pale and was speaking incoherently. Was taken to ED where she had normal CBC, CMP, CT brain and CXR and then discharged home with dx of panic attack. Over the next day she felt much better and feels back to her normal self.
19 2021-04-19 fainting, loss of consciousness SYNCOPE,PASSING OUT ,CAME BACK NORMAL AFTER FEW MINUTES
19 2021-04-19 fainting Patient was given Moderna shot #1 by pharmacist. She was waiting her 15 minutes afterwards and she... Read more
Patient was given Moderna shot #1 by pharmacist. She was waiting her 15 minutes afterwards and she fainted in her chair and then fell out of her chair. There was no loss of consciousness. She does not know if she hit her head or not. She was on the ground and we got her leaning up against the wall sitting down. She said she was not feeling well before she fainted (did not report to staff) and then she did not remember passing out. She felt nauseous and hot/clammy afterwards.
19 2021-04-21 heart rate increased dizziness, vomiting, fever above 101, headache, feeling like hands are on fire, rash on body, flushe... Read more
dizziness, vomiting, fever above 101, headache, feeling like hands are on fire, rash on body, flushed skin, weakness in limbs, fatigue, problems breathing, fast heart rate
19 2021-04-21 loss of consciousness, fainting Vasovagal Syncope w/Subsequent Head Injury - Approximately 10 minutes after vaccination, the patient... Read more
Vasovagal Syncope w/Subsequent Head Injury - Approximately 10 minutes after vaccination, the patient sustained sudden onset of lightheadedness and lost consciousness. Fell from seated position in her chair to floor. Sustained contusion/abrasion injuries to left periorbital region. Appropriate clinical actions undertaken and IVF started. Patient stabilized and transferred to ER via EMS.
19 2021-04-22 heart rate increased, fainting Patient experienced a near syncopal episode within 5 minutes of receiving the vaccine. She was seate... Read more
Patient experienced a near syncopal episode within 5 minutes of receiving the vaccine. She was seated in the Observation area and raised her arm indicating she needed help. The RN responded immediately. I was summoned over and was able to move patient to a table in the back of the room. She was complaining of "Stars: in her vision and not feeling well. First set of vitals were completed at 14:27 BP 116/91, P 100, O2 Sat 97%. Patient is a student. She ate a granola (Nature Made fruit and nut) bar that she has in her pocket. She remained with us for just over an hour , during which time she complained of a fast heart rate, mild nausea and "stars" at the edges of her vision. During the hour she drank over 16 oz of apple juice. She called parents friends to come pick her up and deliver her to her dorm on campus. Last vitals taken at 15:35 110/78 P 104, O2 Sat 99%
19 2021-04-22 loss of consciousness Patient reports today for second dose of Moderna vaccination. No known reaction to first dose of vac... Read more
Patient reports today for second dose of Moderna vaccination. No known reaction to first dose of vaccine. During observation patient lost consciousness 5 minutes post injection, tipping over backwards and hitting head on the floor. Patient was unresponsive with strong pulse. Emergency response was activated and smelling salts were administered. Patient came to after smelling salts were given. While patient was coming to, mild seizing was noted. Patient noted headache after coming to. Emergency services arrived for extended assistance prior to releasing patient.
19 2021-04-22 fainting PATIENT FAINTED BRIEFLY AFTER RECEIVING HER SECOND MODERNA COVID 19 VACCINATION ON 4/23/21. PATIENT ... Read more
PATIENT FAINTED BRIEFLY AFTER RECEIVING HER SECOND MODERNA COVID 19 VACCINATION ON 4/23/21. PATIENT WAS NOT 100% LUCID, BUT WAS AWARE OF FEELING UNWELL. PATIENT WAS PLACED ON FLOOR WITH FEET ELEVATED TO INCREASE BLOOD FLOW TO THE HEAD. PATIENT REGAINED CONSCIOUSNESS SHORTLY THEREAFTER. PATIENT THEN STAYED FOR A FULL 30 MINUTES TO GUARANTEE THAT SHE WAS SAFELY AWAKE AND CONSCIOUS.
19 2021-04-23 loss of consciousness After receiving my second dose, I started to develop mouth ulcers covering the entire inside of my m... Read more
After receiving my second dose, I started to develop mouth ulcers covering the entire inside of my mouth. Throughout the weekend, they continued to develop. I went to the ER to receive pain medication, as the ulcers were so bad that I could not talk or eat. The following morning, I passed out going to pick up my medication at CVS, where I was taken back to the hospital in an ambulance and had a 103 degree fever. I was given IV fluids and was sent on my way. I was on strict bedrest for 4 days, until on Thursday 04/22/2021, I was readmitted to the ER due to worsening of the sores and lack of nutrition. For 3 days since then, I have been on IV fluids, pain medication, and taking a steroid solution to help the ulcers in my mouth lessen. The doctors here believe that it is an extremely strong reaction to the COVID-19 vaccine second dose.
19 2021-04-25 loss of consciousness, coughing up blood vomiting, blackout, fever, chills, muscle aches, coughing up blood, rash, sore throat, headache
19 2021-04-25 fainting PT fainted right after vaccinated while in chair, immediately awake within minute. Paramedic came ,... Read more
PT fainted right after vaccinated while in chair, immediately awake within minute. Paramedic came , hydrate, symptoms resolved, refused hospital transportation, driven home by mother
19 2021-04-25 fainting Patient received her first COVID 19 Moderna vaccine, fainted while sitting in chair waiting 15 minut... Read more
Patient received her first COVID 19 Moderna vaccine, fainted while sitting in chair waiting 15 minutes for observation. She quickly regained consciousness and sustained no injury. Her vital signs were stable and she was d/c'd ambulatory and asymptomatic after approximately 50 minute observation
19 2021-04-26 fainting Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed ... Read more
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Additional Details: Patient fainted shortly after recieving the first dose of Moderna.
19 2021-04-27 fainting, loss of consciousness The patient fainted as soon as she got the immunization/Moderna 1st dose and fall down to the side o... Read more
The patient fainted as soon as she got the immunization/Moderna 1st dose and fall down to the side of the chair she was sitting. She regained consciousness after a few seconds and sat down on the floor, she had mild seizure for a few seconds before she regained consciousness. She had no headache and her breathing was normal. She told she has no history of seizures. She told she was feeling fine. But after a few minutes she told she was feeling dizzy again, so we called the paramedics and she was taken to the hospital. I called and left message for patient to follow up with her.
19 2021-04-27 fainting Anxiety, syncope, transported
19 2021-05-01 fainting Patient passed out in vaccination area. Pt. brought to medical screening via wheelchair Seen by onsi... Read more
Patient passed out in vaccination area. Pt. brought to medical screening via wheelchair Seen by onsite EMT. Pt.went home with mother. Pt. discharged home at 13:30 p.m. recorded by RN
19 2021-05-01 fainting Pt said that in the past she has fainted in the past with other vaccines. Pt was also currently fast... Read more
Pt said that in the past she has fainted in the past with other vaccines. Pt was also currently fasting which probably contributed to the episode. Patient was given vaccine and felt fine immediately afterwards, she sat in our immunization room for a few minutes before standing. She then walked to our "waiting area" and sat down. About 5 minutes after, she said she felt dizzy and asked for water. We asked her to sit and would bring her water. Pharmacist (reporter for VAERS) brought water out to her and she fainted in her presence. Pharmacist kept patient upright to prevent her from sliding to the floor. Patient said she has lost vision (was just a bright light). By this point the paramedics have already been called. Patient was feeling much better by the time paramedics came, but they still wanted to check her out to make sure everything was ok. Patient had a long drive back home so not sure what the outcome was.
19 2021-05-03 lightheadedness, fainting Patient experienced vasovagal reaction and fainted at vaccination table but was caught by RN. EMS ev... Read more
Patient experienced vasovagal reaction and fainted at vaccination table but was caught by RN. EMS evaluated patient; patient vomited; EMS administered cold compress to back of patient's neck. EMS took vitals and monitored her for 30+ minutes and she was able to leave. Patient said she has had this reaction before for bloodwork.
19 2021-05-04 chest pain Patient received 2nd dose and ambulated over to the observation area about 7 minutes later the patie... Read more
Patient received 2nd dose and ambulated over to the observation area about 7 minutes later the patient reported chest pain that was 7/10 and the patient stated it felt like someone sawing into her chest. EMS was activated and pt transported to the local emergency room
19 2021-05-04 pallor VR described dizziness and light headedness. VR presented diaphoretic and pale minutes after vaccin... Read more
VR described dizziness and light headedness. VR presented diaphoretic and pale minutes after vaccination. no hx of syncope with vaccinations in past.
19 2021-05-04 pallor Patient arrived to receive 2nd dose of Moderna on 5/5/2021 at 10:18. five minutes into the 15 minute... Read more
Patient arrived to receive 2nd dose of Moderna on 5/5/2021 at 10:18. five minutes into the 15 minute post COVID vaccine administration monitoring, patient started experiencing side effects: 10:23:Patient reported dizziness, lightheadedness, became pale and clamy, with nausea. Patient request water and was given 16 oz water bottle. Patient reports that she did not eat breakfast, has no hx of allergies, and has hx of anemia. Patient currently taking Iron and B complex supplements. BP 52/33 P 53 o2 Sat 91% on RA. Patient took a bite of a brownie. 1025: medical response team arrived. Patient assisted to laying position with feet elevated. 10:28: Pulse 64, Pulse ox 91% on RA 10:30: Verbal order received to assess blood glucose. BS 79, BP 88/58 P 62. Denies nausea 10:33 Verbal order received to give Glucose 4g Tab by mouth on-time. Patient consented. 10/35: Patient denies nausea, denies dizziness, skin is dry and skin color is normal for ethnicity. BP 92/61 P 81 o2 Sat 98% on RA 1036: reassessed patient. Patient continues to improve. monitor patient for 10 more minutes in flat position then assist patient to sitting position for an additional 15 minutes and continue to monitor. 10:40: BS 118 1041: 96/64 P 70 O2 sat 98% on RA 1046: Patient assisted to sitting position and reported light dizziness. BP 87/57 P 65, o2 sat 94% on RA. Patient drank 8 oz. of water. 1051: BP 86/58, P 70 o2 sat 93% on RA. Denies Dizziness 1052: reassessing patient. Patient denies dizziness, denies lightheadedness, denies nauseouosness, skin dry and skin color normal. Patient to be monitored for an additional 12 minutes. If continued progress patient is ok to go home. Patient has driver present at this time. Patient encouraged to change positions slowly, continue to hydrate, eat meals. If issues arise and continue patient encouraged to contact her PCP or visit closes urgent care or ER. Patient verbalized understanding.
19 2021-05-04 fainting After receiving the moderna vaccine #1, the patient was advised to be seated in the waiting area of ... Read more
After receiving the moderna vaccine #1, the patient was advised to be seated in the waiting area of the pharmacy. She was accompanied by her father. She passed out while sitting on the chair and her father lifted her legs and called out her name so the other pharmacist on duty and myself immediately ran to the area she was seated and attended to the patient. I brought her a bottle of water and removed her mask. She woke up after a minute, took a couple sips of water and passed out again a second time, minutes later. She was communicating with us and even said she had a dream. She was alert and responsive. I called 911 and asked for assistance. After about 10 minutes or so, the fire department came, checked her blood pressure while seated and standing, monitored patient, and then released her to go home with her father. At 3:45 PM, the second pharmacist called the parents to inquire about her well-being, and they assured us that she was doing well. No follow up is needed at this time.
19 2021-05-05 fainting PATIENT LOST CONSCIOSNESS FOR A SECOND.
19 2021-05-06 chest pain, chest discomfort 04/26/2021 got the shot. An hour later, I had shortness of breath. Kept persisting throughout the we... Read more
04/26/2021 got the shot. An hour later, I had shortness of breath. Kept persisting throughout the week and worsened. On sunday, 05/02/2021 between the hours of 12AM to 2AM, my shortness of breath got worse to the point where I could not breathe. In general, I felt my back and chest tighten. I could only breathe (faintly) to survive. If I took any deeper breaths, my back and chest would hurt even more. As time progressed, My right neck got stiff. Then right my jaw got stiff. Then the right side of my head got stiff. Eventually, the whole right side of my body was numb -- I could move it still but it was still numb and stiff. This happened simultaneously with the breathing issues. This entire time, my whole was tensing, it felt like I could feel my veins while it rushed blood. It was terrible. I thought I was going to die. I did not know which breath would be my last, because every breath got worse and worse. I went to sleep around 2AM and I would periodically wake up. When I'd wake, the pain still persisted. It never went away. Eventually I got up to go to work around 8AM, the right side of my body wasn't as numb and the breathing wasn't as bad, but you could still tell there was an issue. This issue persisted throughout the day. As of now, these issues are not as persistent, but at least once a day, I still feel the effect. It sucks. A nurse called me (working at the urgent care I gave information about) , on 05/03/2021 saying if I was going to see a primary doctor. I told her that I have an appointment with one on 05/10/2021. She said that though they called me on 05/02/2021 towards the end of the day and told me everything was fine, that they looked a little deeper and realized that the shape of my cells were weird and that when I go to my primary doctor, they'd be able to access my information. This is of a complete shock because the shape of my cells were never weird before. This happened as a result of the covid-19 vaccine. This is reaction must be put into the VAERS system.
19 2021-05-06 loss of consciousness Patient felt lightheaded and dizzy after receiving the vaccine. Patient was told to sit down and los... Read more
Patient felt lightheaded and dizzy after receiving the vaccine. Patient was told to sit down and lost consciousness on the way to the chair. Patient did not fall or hit the ground, pharmacist on duty caught patient and sat her down. EMS was called and patient came to a few seconds later. Vitals were taken and patient was given water, she was released to go home and no hospitalization was required.
19 2021-05-07 palpitations Immediately after receiving vaccine, patient felt blood rush to her head and felt heart palpitations... Read more
Immediately after receiving vaccine, patient felt blood rush to her head and felt heart palpitations. This lasted for 2-3 minutes and then she felt better and waited about 30 minutes in pharmacy and left with her mother.
19 2021-05-09 lightheadedness At approximately 3:29PM on 5/10/21, began to have adverse effects after receiving her Moderna dose #... Read more
At approximately 3:29PM on 5/10/21, began to have adverse effects after receiving her Moderna dose #1. She temporarily lost vision in both eyes as well as her hearing. She became cold to the touch, red, and clammy. Patient reported feeling like she was feeling like she was blacking out. We had given her water, wiped her off with towels, and fanned her. 911 was called at this point and her blood pressure was checked which showed 122/91mmHg. Management came over to the pharmacy and was helping fan her as well. The fire dept and EMTs showed up soon after and took over. Patient?s hearing and vision were restored and started feeling back to normal. Patient then declined further medical intervention from EMT?s and went home.
19 2021-05-10 pallor, loss of consciousness After receiving shot (2nd Moderna COVID-19), almost immediately patient complained of dizziness. Pat... Read more
After receiving shot (2nd Moderna COVID-19), almost immediately patient complained of dizziness. Patient then lost all bodily control, almost felt off vaccination chair. Patient appears pale and lost consciousness. Patient was then slowly helped to the ground then all of a sudden patient started to have involuntary muscular twitching almost like she was having a seizure. Immediately I asked to call for paramedic. A waiting patient, who is a law enforcement officer assisted to help patient the floor. Then unpredictably patient sat quickly up and regained consciousness and appeared confused like she had no memory what had just happen. Paramedics did not come as patient had quickly felt better and was able to communicate proficiently. Her breathing was normal. No dizziness reported after. Patient was moved to waiting area and sat down in chair and I took her blood pressure. Blood pressure was normal 112/72. Requested patient to wait for a total of 30 minutes for monitoring. Blood pressure retaken after 10 minutes normal again . Patient was able to walk away by herself without assistance. I gave patient a call for a well being check at 3pm today and patient insisted she feels normal. Encourage patient to be evaluated by her primary care provider.
19 2021-05-12 chest discomfort Fatigue, dizziness, tight chest, nausea, diarrhea, and headache on 05/12/2021. Fatigue, dizziness, ... Read more
Fatigue, dizziness, tight chest, nausea, diarrhea, and headache on 05/12/2021. Fatigue, dizziness, nausea, diarrhea, and headache on 05/13/2021.
19 2021-05-13 fainting PATIENT FAINTED AFTER RECEIVING MODERNA COVID VACCINE. I DIDNT SEE PATIENT ACTUALLY FAINT. PATIENT W... Read more
PATIENT FAINTED AFTER RECEIVING MODERNA COVID VACCINE. I DIDNT SEE PATIENT ACTUALLY FAINT. PATIENT WENT OUT INTO WAITING AREA. HER BROTHER WALKED OUT AND SAW HER SHE WAS LYING ON THE FLOOR. DIAPHORETIC AND SLOW TO REPOSND. ASKED IF SHE HIT HEAD AND SHE REPLIED NO. I KEPT PATIENT LYING ON FLOOR AND I ELEVATED PATIENTS FEET ABOVE HER HEAD. SHE FELT BETTER WITHIN 5 MINUTES. I HAD HER SLOWLY RISE TO SITTING POSITION. THEN AFTER ABOUT 15 MINUTES SHE WAS ABLE TO RISE TO HER FEET AND WALK AWAY.
19 2021-05-16 chest discomfort I got my depo shot a week and a day after I got my 2nd dose of the vaccine. Shortly after I was driv... Read more
I got my depo shot a week and a day after I got my 2nd dose of the vaccine. Shortly after I was driving home and I felt like there was an elephant sitting on my chest. I couldn?t get my air in I was freaking out. I drove home and was so weak walking into my house I thought I was going to pass out. I told my mom I think I need to go to the hospital. I sat down. Ate some food and tried to relax. It eventually went away and I started getting ready to go to school. Just as I was getting ready to leave I got a huge migraine and started feeling really shakey. That?s when I decided to go to the doctors. They made me take some bloodwork, EKG, X-ray. They suspected from my white blood count that I might have a blood clot so they ordered an emergency cat scan. I got one done and they told me no blood clot. Then today I came in for more bloodwork and they told me that some of my waves from my EKG were slightly abnormal which meant I wasn?t getting enough oxygen into my heart. They want me to take an echo which in that they put me out and shove a scope down my throat and look at my heart. They think it was a reaction from taking my depo so soon after my covid vaccine.
19 2021-05-16 loss of consciousness Upon reviewing the patient questionnaire with the patient she indicated that she has fainted with pa... Read more
Upon reviewing the patient questionnaire with the patient she indicated that she has fainted with past immunizations about "2yrs ago". The patient indicated that she has had vaccinations since then and tattoo's without incident. After administering the Covid-19 vaccination, the patient stated she felt fine and didn't feel like there would be any problem. I escorted the patient to the post vaccination area for the 15 minute recovery time. After a few minutes I checked on the patient and she looked fine without signs or symptoms (pale face) of possibly going to faint. After a few more minutes I heard the patient fall out of her chair. Upon reaching patient she was laying on the ground and was still out. After about 5 seconds she awoke and was aware where she was and that she had just received a vaccination. She stated she felt fine and after about 5 minutes we had the patient sit up when she felt comfortable. In the mean while a 'Code White' was called and store management had arrived. After about another 5 minutes and when the patient was comfortable we had her sit upon a chair. Patient had a very minor bump on her fore-head but was not bleeding. Patient stated she felt fine but I had the patient remain in the post vaccination area for 45 minutes just to make sure. The whole time the patient waited she was accompanied with store management. After 45 minutes I assessed the patient. The bump on her head looked the same and the patient indicated she felt fine, so I released her to go.
19 2021-05-16 fainting 19yo F presented with syncope and emesis approximately 10 minutes after receiving her 1st dose. Pt s... Read more
19yo F presented with syncope and emesis approximately 10 minutes after receiving her 1st dose. Pt states that she has a history of syncopal episodes related to needle use. EMS eval. BP 79/51, 4-lead, BP 125-75, IV LAC. Transport recommended. Pt transported to local emergency room for further evaluation and treatment.
19 2021-05-16 fainting 19yo F presented with syncope and emesis approximately 10 minutes after receiving her first dose. Pt... Read more
19yo F presented with syncope and emesis approximately 10 minutes after receiving her first dose. Pt has a history of syncopal episodes related to needle use. EMS eval. BP 79/51, 4-lead, BP 125/75, IV LAC. Transport recommended. Pt transported to local emergency room for further evaluation and treatment.
19 2021-05-17 loss of consciousness, fainting Patient received dose 1 of Moderna vaccine. She used the restroom right after shot, and upon exiting... Read more
Patient received dose 1 of Moderna vaccine. She used the restroom right after shot, and upon exiting the bathroom, passed out. She was feeling dizzy, so immediately sat on the ground before fainting. Another patient yelled for help, and I immediately ran out to her aid. I also had one of my staff members call 911. The patient regained consciousness as I arrived, and was able to talk to me. I determined that this was a syncope reaction, and not an allergic or anaphylactic reaction. I elevated her legs, and waited for the ambulance to arrive. The EMTs analyzed her, and released her to go home with her parent.
19 2021-05-17 fainting Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-M... Read more
Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild
19 2021-05-18 blood pressure decreased, loss of consciousness States that she immediately felt dizzy and then passed out. The person sitting next to her said she... Read more
States that she immediately felt dizzy and then passed out. The person sitting next to her said she suddenly fell to her left and hit her head on the concrete. Has a hematoma to the left side of forehead. Following fall threw up three times. Blood pressure initially low but has now returned to norma. Is now alert and oriented and refusing transport to the hospital. Per medical direction she can refuse and is having a friend pick her up and take her home.
19 2021-05-19 lightheadedness I was driving and had pain starting in my legs and moving up through my back for a few minutes, and ... Read more
I was driving and had pain starting in my legs and moving up through my back for a few minutes, and then I felt like I was on the verge of throwing up. That passed and I started getting really dizzy and was unable to hear or see anything. I pulled over and my throat started to close up and I was having a hard time breathing. It passed in about 2 minutes and an hour later I felt fine but my brain felt tingly like I was on the verge of passing out but no other side effects. My brain still feels tingly as well.
19 2021-05-19 fainting Patient was dizzy and fainted. Patient was nauseous and vomited. Patient's fingers felt numb. Pati... Read more
Patient was dizzy and fainted. Patient was nauseous and vomited. Patient's fingers felt numb. Patient has had this reaction to other vaccines in the past. Patient was feeling better after staying in the pharmacy area and we provided supportive call to her. She went home after feeling better
19 2021-05-19 fainting pt received shot and stood up to go the the waiting area for the 15 minute observation period. she... Read more
pt received shot and stood up to go the the waiting area for the 15 minute observation period. she became lighted and sat back down , then she blacked out. 2 members of the pharmacy crew gently lowered to the floor. after a few seconds she revived. rx manager questioned her about any adverse reactions in past and just like her questionnaire , she answered "no". we gave her about 35 minutes in the waiting area . she felt fine and we released her. the pharmacy crew will call her at least two times in near future to follow through with her well being.
19 2021-05-20 very slow heart rate, cardiac arrest, inflammation of the heart muscle Patient presented 5/16/2021 with 1 week dizziness, fever and sore throat, found to have acute myoper... Read more
Patient presented 5/16/2021 with 1 week dizziness, fever and sore throat, found to have acute myopericarditis c/b cardiogenic shock and bradycardic arrest.
19 2021-05-20 palpitations About 2 hours after the vaccine being administered, patient experienced hives, ger face became red a... Read more
About 2 hours after the vaccine being administered, patient experienced hives, ger face became red and swollen, and she was itching all over her body. She went to the ER , her heart was racing, they gave her benadryl injectable. Soon after, she started to feel tired and sleepy, and during the next day she was feeling still tired. The day after, she is feeling much better, still experience a little bit of itchiness at forehead and arms, seldonly.
19 2021-05-21 chest discomfort, heart rate increased Dizziness, hot feeling, sweaty, anxious, throat tingly, throat swelling, fast heartrate 5 minutes af... Read more
Dizziness, hot feeling, sweaty, anxious, throat tingly, throat swelling, fast heartrate 5 minutes after vaccine. Rest of the day had a heavy chest, nausea, chills, tingly face, numb fingers and toes. Weeks later, late period.
19 2021-05-21 pallor Administered the vaccine and patient proceeded to waiting area. After a few minutes, the patient's m... Read more
Administered the vaccine and patient proceeded to waiting area. After a few minutes, the patient's mother recognized that she was becoming very pale. Patient had difficulty communicating, her eyes were moving, and she stated that she could not hear. I picked the patient up to lay her on the ground and she lost control of her body. Her mother and I laid her on the ground and held her legs up. After 15-20 seconds, she regained consciousness. I gave the patient a bottle of water. She waited for about 15 minutes before leaving and stated that she was feeling fine and would return for her second dose.
19 2021-05-22 chest discomfort, troponin increased night of vaccination: Headache, chills, body aches, nausea. Day 1: Headache, body ache, nausea, rash... Read more
night of vaccination: Headache, chills, body aches, nausea. Day 1: Headache, body ache, nausea, rash Day 2: nausea, Headache, threw up at work, rash Day 3: headache rash day 4: chsst tightness, tingling left arm, rash, tunnel vision, shortness of breath, sweating.
19 2021-05-22 pallor, fainting, loss of consciousness After the patient received the vaccine, while waiting in the store, the patient fainted for few minu... Read more
After the patient received the vaccine, while waiting in the store, the patient fainted for few minutes. The patient looks pale but regained conciousness. Patient was having a severe panic attack at that moment.
19 2021-05-22 fainting Patient received 1st COVID vaccine. She was then instructed to go to the counter to schedule her 2n... Read more
Patient received 1st COVID vaccine. She was then instructed to go to the counter to schedule her 2nd dose. While at the counter, (1-2 minutes post dose) she started stumbling. Our technician and pharmacist caught patient and lowered her to the ground as she was fainting (nothing hit the ground uncontrolled). Patient never lost full consciousness. Cold compress was applied to the back of her neck. Once she started feeling better (3 minutes), she sat up and drank some water. After 2 more minutes, she moved to a chair. She waited 15 additional minutes before leaving the pharmacy area. She reported she was feeling completely fine.
19 2021-05-22 fainting Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed ... Read more
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Additional Details: PATIENT WAS TOLD BY HER PCP THAT IT WAS OK TO GET COVID VACCINE. HEP A WAS ADMINISTERED BY PCP ON 5/20/21. PATIENT WAS CONTACTED BY PHARMACY INTERN WHO ADMINISTERED VACCINE 2 HOURS LATER AND WAS TOLD THAT THE ACUTE SYMPTOMS HAD RESOLVED AND SHE WAS FEELING MUCH BETTER.
19 2021-05-23 hypertension Hives only on left hand. Itching/redness on both arms, neck, and both calves/ankles. High blood pres... Read more
Hives only on left hand. Itching/redness on both arms, neck, and both calves/ankles. High blood pressure.
19 2021-05-23 inflammation of the heart muscle, troponin increased, chest pain Chest pain,
19 2021-05-23 fainting Individual reported feeling dizzy approximately 5 minutes after receiving injection. Client diaphor... Read more
Individual reported feeling dizzy approximately 5 minutes after receiving injection. Client diaphoretic and weak. Client assisted into reclining chair and she ended up having a syncopal episode lasting approximately 20 seconds. Taken to Emergency Department for evaluation. Oxygen level 100%, HR in low 40s and BP 80/52.
19 2021-05-24 nosebleed Bleeding from nose and large blood clots from nose, fever, chills
19 2021-05-24 loss of consciousness Passed out while standing about 8 minutes after receiving vaccination, hit head on the counter and t... Read more
Passed out while standing about 8 minutes after receiving vaccination, hit head on the counter and then fell back and hit head on the floor, out for less then 1 minute, was awake by the time a person could get to her side.
19 2021-05-25 fainting Systemic: Fainting / Unresponsive-Mild, Additional Details: pt has had fainting spells within the la... Read more
Systemic: Fainting / Unresponsive-Mild, Additional Details: pt has had fainting spells within the last year, pt and parents did not want to seek medical attention or call 911, pt stayed in pharmacy for 45 minutes
19 2021-05-27 cardio-respiratory arrest, deep vein blood clot, pulmonary embolism extensive deep vein thrombosis with embolization and massive pulmonary embolism ; patient presented ... Read more
extensive deep vein thrombosis with embolization and massive pulmonary embolism ; patient presented with shortness of breath and severe bilateral leg and back pain unable to move with extensive thrombosis noted. patient had cardiopulmonary arrest was on ecmo now decannulated and extubated , awake, alert oriented in recovery phase
19 2021-05-28 loss of consciousness, nosebleed Patient passed out and hit face on the floor which resulted in a severe nose bleed. She was taken in... Read more
Patient passed out and hit face on the floor which resulted in a severe nose bleed. She was taken into the ambulance. I do not know if she was taken to the hospital or not. This happened about 15 minutes after her vaccination.
19 2021-05-28 loss of consciousness, pallor patient passed out in a chair for a few seconds and was pallor. she did not hit her head. she had no... Read more
patient passed out in a chair for a few seconds and was pallor. she did not hit her head. she had not eaten breakfast or drank anything all day. we called 911 and the ambulance was dispatched. she drank some water and began feeling better and color returned to her face almost immediately. ambulance emts evaluated patient and determined no need to send her to the hospital. she felt fine and left with emts.
19 2021-05-31 deep vein blood clot deep venous thrombosis of left axillary vein in same arm as vaccine was administered
19 2021-05-31 pallor Upon completion of administration, patients eye were closed and stated she felt faint. Patient becam... Read more
Upon completion of administration, patients eye were closed and stated she felt faint. Patient became pale and breathing shallow and vomited once. Patient received an ice pack on back of neck and remained sitting with legs elevated on another chair. 911 was called and patient was taken by EMS.
19 2021-06-01 chest pain dizziness within the 15 minute post injection time frame, about 6 hours later developed shortness of... Read more
dizziness within the 15 minute post injection time frame, about 6 hours later developed shortness of breath and chest pain
19 2021-06-02 excessive bleeding, loss of consciousness Passed out twice, woke up in a pool of blood. Resulted in a concussion and possible broken nose.
19 2021-06-03 loss of consciousness Passing out; Window of blurry vision before passing out for about 30 seconds; Upon regaining conscio... Read more
Passing out; Window of blurry vision before passing out for about 30 seconds; Upon regaining consciousness, patient immediately vomited; Fever; Feeling achy; Chills; Tired; This spontaneous case was reported by a consumer and describes the occurrence of LOSS OF CONSCIOUSNESS (Passing out) in a 19-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 031L20A and 044B2V) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history reported. Concomitant products included ETHINYLESTRADIOL, FERROUS FUMARATE, NORETHISTERONE ACETATE (LO LOESTRIN FE) for Birth control. On 20-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 17-Apr-2021, the patient experienced LOSS OF CONSCIOUSNESS (Passing out) (seriousness criterion medically significant), VISION BLURRED (Window of blurry vision before passing out for about 30 seconds), VOMITING (Upon regaining consciousness, patient immediately vomited), PYREXIA (Fever), MYALGIA (Feeling achy), CHILLS (Chills) and FATIGUE (Tired). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, LOSS OF CONSCIOUSNESS (Passing out), VISION BLURRED (Window of blurry vision before passing out for about 30 seconds), VOMITING (Upon regaining consciousness, patient immediately vomited), PYREXIA (Fever), MYALGIA (Feeling achy), CHILLS (Chills) and FATIGUE (Tired) outcome was unknown. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.
19 2021-06-06 fainting Patient received vaccine then left the immunization booth. Pharmacist was disinfecting the booth an... Read more
Patient received vaccine then left the immunization booth. Pharmacist was disinfecting the booth and heard the patient's mother saying Pharmacist stepped out of the booth and the patient was on the floor. Pharmacist went to the patient and instructed the staff to call 911. Patient's mother (who is a RN) stated that the patient fainted and had a seizure. Patient's mother stated the patient had a history of seizures (although on the consent form they marked no history). Patient was conscious and had a pulse, she could talk - but she was very slow and labored in speech. After a few minutes patient regained color in her face and was able to speak "normally". At that time the patient stated that she had a history of seizures and that her last seizure was 2 years ago. Patient also stated that her seizure triggers were fear and pain and that after the first shot she did experience dizziness (but had not told anyone about that). Pharmacist stayed with the patient until EMS arrived, EMS took over care and took the patient to a local hospital for evaluation.
19 2021-06-07 blood pressure decreased About 12 hours after vaccine, patient had low grade fever of 100.6F, took Tylenol 1000mg, then BP dr... Read more
About 12 hours after vaccine, patient had low grade fever of 100.6F, took Tylenol 1000mg, then BP dropped to 81/45 while laying flat. During this time, patient had difficulty with vision due to seeing dark or black; patient also felt nauseated during this time. This lasted approximately one hour and seemed to improve once Tylenol kicked in and reduced fever.
19 2021-06-08 lightheadedness Client came to facility for her COVID vaccine on 5/12/21. Dr. saw her. She had a vasovagal reactio... Read more
Client came to facility for her COVID vaccine on 5/12/21. Dr. saw her. She had a vasovagal reaction. Her B/P was 100/50 and pulse ox was 98%. She was given water and a candy bar. She recovered and was sent home. She did not get any medications.
19 2021-06-08 fainting Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild
19 2021-06-09 chest pain R07.89 - Other chest pain
19 2021-06-09 chest pain At 2 PM on 6/6/2021 I received the second shot of the Moderna Covid-19 vaccine. At approximately 1 ... Read more
At 2 PM on 6/6/2021 I received the second shot of the Moderna Covid-19 vaccine. At approximately 1 AM early morning of 6/7/2021 patient experienced Chest pain and shortness of breath. At approximately 4 AM I woke up and was itchy in several places on my body and saw rashes which were red and raised located on back of neck, both hands, both arms, her right hip behind both ears, left knee, right thigh and left shoulder, right upper mid-chest area to right side. After that took an immediate shower and then left to go to the Emergency Room and arrived approximately at 5:30 AM. ER Doctors gave Prednisone and Benadryl at 6:10 AM. After a few hours rashes appeared to start to leave.
19 2021-06-09 pallor Client sat in different chair as Mother was going to also receive vaccine. Within 10 minutes Mother ... Read more
Client sat in different chair as Mother was going to also receive vaccine. Within 10 minutes Mother alerted staff client was not feeling well. RN PHN responded. Upon arrival client sitting upright in chair, pale, alert and oriented x4. Client stated feeling nausea. RN gave emesis bag and water. RN began taking vitals. PHN called 911 at 1459. At 1500 client stated feeling dizzy, nausea same. RN set anti gravity chair, per client unable to transfer by herself. Vitals at 1502: blood pressure 140/96, pulse 109. Alert and oriented x4, pale, diaphoretic. Client denied shortness of breath, chest pain. Per Mother client has allergies to olives, yellow things, and penicillin. Client does see allergist, per Mother when she gets reaction she takes client to hospital. No current medications or other medical history. At 1503 client reports new onset of blurry vision. Vitals at 1504: blood pressure 136/92, pulse 94, oxygen 99%. Client has x1 vomit episode, new onset of headache, pale, diaphoretic, alert and oriented x4. Client stated she could not feel legs. Per mother when client has reactions symptoms are headache and not being able to feel legs. Mother requesting to call 911. Mother informed PHN has been on phone with 911 dispatch. At 1507 paramedics arrived and assumed care. Client transported to medical center. Client left facility via gurney with paramedics at 1510.
19 2021-06-09 palpitations client complained of feeling palpitations and anxiety after receiving 2nd dose Moderna. EMT responde... Read more
client complained of feeling palpitations and anxiety after receiving 2nd dose Moderna. EMT responded at 1508. Client was sitting in chair in front of EMT table and asked to be taken outside to patio. EMT observed client's hands were shaking, client was crying. First vitals: blood pressure 156/102, pulse 132, oxygen 96%. Client stated feeling tingling in limbs and palpitations. PHN joined at 1519. Upon arrival client sitting upright in bench, alert and oriented x4, crying, shaking hands. Client stated having history of anxiety and panic attacks. Medication: oral contraceptives. No known allergies. Client stated she was sitting in observation room and felt it was too small and felt her heart was beating fast. PHN coached client through breathing exercises. Client denied chest pain, shortness of breath, headache, blurry vision. 1520 vitals: blood pressure 138/80, manual pulse 120. Per client anxiety decreasing. Vitals at 1528: blood pressure 122/80, pulse 94, oxygen 97%. Per client feeling better, no palpitations. Last vitals at 1537: blood pressure 118/80, manual pulse 74. Client stated anxiety had resolved, denied palpitation. Client accompanied by friend, would drive today. Client advised to follow up with provider. ER precautions given. Client left facility with steady gait at 1540.
19 2021-06-10 inflammation of the pericardium, chest pain, troponin increased, fluid around the heart Chest pain with elevated high sensitivity troponin level. Echocardiogram with normal LV function. ... Read more
Chest pain with elevated high sensitivity troponin level. Echocardiogram with normal LV function. LV longitudinal strain was -19.6, which is low normal. Cardiac MRI with no Myocarditis, but pericardial fluid. Findings were consistent with pericarditis. Patient was discharged to home.
19 2021-06-12 chest pain, troponin increased Patient came in to walk-in clinic with sudden onset of chest pain, nausea and vomiting, diaphoresis.... Read more
Patient came in to walk-in clinic with sudden onset of chest pain, nausea and vomiting, diaphoresis. Normal ECG, but troponin was elevated. Recheck of troponin in 3 hours showed that it had tripled. Patient sent to ER for further workup and treatment
19 2021-06-12 heart rate increased, chest discomfort April 14th (Day of shot): Dizzy, light sensitive, confusion/ head fog, headache, sore arm, chills at... Read more
April 14th (Day of shot): Dizzy, light sensitive, confusion/ head fog, headache, sore arm, chills at night and couldnt sleep April 15th: same symptoms, nothing improved April 16th: same symptoms, eye sight was worse, light sensitive, blurry, more head fog, rapid heart rate and palpitations all day, tight chest and trouble breathing, almost went to the ER April 17th: same symptoms, more anxious because I was having a bad reaction , hard to breathe, no focus, slept all day, increased/rapid heart rate, foggy head, dizzy April 18th: same as previous day April 19th: same as previous day, could not breath at night, did not get sleep, waking up gasping for air, had to leave class because of sweating, rapid heart rate, confusion, and dizzy feeling Went to urgent care on April 19th, called Moderna and and they said symptoms were not normal Still short of breath, rapid heart rate, weird vision, no focus, dizzy
19 2021-06-13 chest pain, hypertension Difficulty breathing. Chest pain. Abnormally high BPM. Dizziness.
19 2021-06-13 loss of consciousness PATIENT DESCRIBED DIZZINESS, BLURRY VISION, LIGHTHEADEDNESS. PASSED OUT AND WAS HELPED INTO A CHAIR.... Read more
PATIENT DESCRIBED DIZZINESS, BLURRY VISION, LIGHTHEADEDNESS. PASSED OUT AND WAS HELPED INTO A CHAIR. LOSS OF MUSCLE TONE AND STARTED SLUMPING OVER. FELT HOT IN FACE AND ARM. WAS GIVEN COLD WATER AND PEANUT BUTTER CRACKERS TO EAT. PATIENT REPORTED NOT EATING ANYTHING ALL DAY. EMS CALLED AND PATIENT WAS CHECKED OUT. VITAL WERE NORMAL. WAS PICKED UP BY FAMILY MEMBER AND TAKEN TO AN EMERGENCY FACILITY FOR FURTHER CHECK-UP. APROXIMATE TIME OF INTERVENTION: 40 MIN
19 2021-06-13 inflammation of the heart muscle myocarditis
19 2021-06-14 chest discomfort, loss of consciousness nasea/passed out, came to with SOB/tight chest/pain from fingers to neck left arm(injection arm) on ... Read more
nasea/passed out, came to with SOB/tight chest/pain from fingers to neck left arm(injection arm) on 4/22 about 5am to 3pm
19 2021-06-15 fainting Patient was sitting in chair after receiving vaccination. Within 5 minutes after receiving dose, p... Read more
Patient was sitting in chair after receiving vaccination. Within 5 minutes after receiving dose, patient got dizzy, reached for a bottle of water, and then fainted, fell to the floor. She came to immediately but still felt a little dizzy/lightheaded. Ambulance took her to the hospital as a precaution since she had a small bump on her forehead from hitting the floor due to fainting.
19 2021-06-16 platelet count decreased Patient was seen at hospital on 04JUN2021 for a Purpuric Rash at and was refereed to Medical Center ... Read more
Patient was seen at hospital on 04JUN2021 for a Purpuric Rash at and was refereed to Medical Center on 04JUN2021 time 1704, upon arrival to the patients labs were collected. Lab results confirmed Thrombotic Thrombocytopenic Purpura due to platelet count of four. Patient has been hospitalized since that date receiving treatment.
19 2021-06-16 fainting Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted but did not remember. Sh... Read more
Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted but did not remember. She stated that she has fainted due to vaccine and blood being drawn (due to needle involving situations). When I came to patient, she became conscious when I tapped her. Pulse was fine. 911 response team came and took her to hospital since she was still stable even though pt felt she was okay.
19 2021-06-17 loss of consciousness, fainting patient fainted after vaccine and passed out while sitting in a chair briefly and woke up shortly af... Read more
patient fainted after vaccine and passed out while sitting in a chair briefly and woke up shortly after receiving the vaccine. After speaking with the patient this has happened to her in the past with needles and piercings.
19 2021-06-24 loss of consciousness patient reported increased swelling and pain at injection site day after receiving the second dose o... Read more
patient reported increased swelling and pain at injection site day after receiving the second dose of moderna vaccine followed by admission to hospital for 2 days with reported oxygen support.
19 2021-06-24 fainting patient fainted 10 minutes after giving the vaccination
19 2021-06-26 fainting Patient received vaccine at approximately 5:20 PM on 6/27/21 with her sister by her side she express... Read more
Patient received vaccine at approximately 5:20 PM on 6/27/21 with her sister by her side she express shed was nervous and scared about getting the vaccine so her sister held her had upon receiving the vaccine - about 15 minutes later after monitoring her for any adverse reactions she stood and fainted and hit her head on a pillar in front of the pharmacy. She was picked up by both me, the pharmacist and a pharmacy technician. Upon placing her in a chair she began to fill woozy and expressed that her vision was blurry and didn't know how she fell. After sitting in a chair for a few minutes she asked for a trash can. She began to vomit in the trash can for several minutes and complained of a headache until EMT arrived. EMT arrived and went over basic and essential test with her to ensure she was okay before leaving. . She refused medical transportation and wanted to go home with her father instead, who arrived shortly after EMTs.
19 2021-06-26 blood clot Extremely heavy period, blood clotting, and intense cramps throughout the month
19 2021-06-29 nosebleed Pt. came to hospital with scatter bruising to legs noticed after COVID vaccine on Saturday. Nose ble... Read more
Pt. came to hospital with scatter bruising to legs noticed after COVID vaccine on Saturday. Nose bleeds since COVID vaccine. Had one in the hospital, but no more were reported.
19 2021-07-04 chest pain, chest discomfort chest tightness/pain within 15 minutes of receiving vaccine; went to ED
19 2021-07-04 chest pain, chest discomfort chest tightness/pain within 10 minutes of receiving vaccine; advised to go to ED
19 2021-07-04 fainting Patient fainted for about 15 seconds
19 2021-07-06 heart rate increased 19 year old girl received the shot and was sitting out in front of the pharmacy. She had told me sh... Read more
19 year old girl received the shot and was sitting out in front of the pharmacy. She had told me she was very anxious about getting it. Her mother screamed for us, so we rushed out and had a tech call ED. When we went out there, she was hunched over forward as her mother was holding her. She appeared to be having a seizure lasting around 10 seconds and was confused when she stopped. Her mother told us before that happened, her head fell back and her eyes were rolled back. Later, the patient told us she was just having a panic attack. The paramedics arrived and checked her out. All seemed to be fine, with the exception of a fast heartbeat as expected. They convinced her to go to the hospital to be checked out. I will follow-up with her mother this evening.
19 2021-07-06 loss of consciousness Passed out; Dizziness; Blurry vision; Stomach ache; Headache; Was throwing up; This spontaneous case... Read more
Passed out; Dizziness; Blurry vision; Stomach ache; Headache; Was throwing up; This spontaneous case was reported by a patient and describes the occurrence of LOSS OF CONSCIOUSNESS (Passed out) in a 19-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 02621A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 27-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced LOSS OF CONSCIOUSNESS (Passed out) (seriousness criterion medically significant), DIZZINESS (Dizziness), VISION BLURRED (Blurry vision), ABDOMINAL PAIN UPPER (Stomach ache), HEADACHE (Headache) and VOMITING (Was throwing up). At the time of the report, LOSS OF CONSCIOUSNESS (Passed out), DIZZINESS (Dizziness), VISION BLURRED (Blurry vision) and VOMITING (Was throwing up) had resolved and ABDOMINAL PAIN UPPER (Stomach ache) and HEADACHE (Headache) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No relevant concomitant medications were reported. Vaccination taken after 5 PM. Nothing felt at the injection site. No other side effects reported. No treatment information was provided. Company comment: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.
19 2021-07-08 fainting, oxygen saturation decreased As per nurse on site, patient stated feeling dizzy approximately 2 minutes after vaccine administrat... Read more
As per nurse on site, patient stated feeling dizzy approximately 2 minutes after vaccine administration. Patient had syncopal episode with decreased O2 sats . Due to slow recovery from symptoms 911 was called and patient was transported by EMS to nearest emergency room.
19 2021-07-10 palpitations, loss of consciousness, haemoglobin decreased On May 5th, 2021 at 10:45 am I experienced severe dizziness and faintness. I was unable to ride from... Read more
On May 5th, 2021 at 10:45 am I experienced severe dizziness and faintness. I was unable to ride from a laying position without passing out. When I would try to sit up my heart rate would go from the low 60s to 120-130 before I would faint. This condition was persistent for 4 hours and my parents made the decision for me to go to the emergency room. At the Er they administered fluids and observed me for about 4 hours and then sent me home because I could stand and walk. They also determined that I was somewhat anemic, my hemoglobin was 9.6. In the weeks following these visits I had a number of episodes these episodes including symptoms of heart palpitations, tingly hands, and feet, mouth, and chin going numb, feeling faint and dizzy eyes, and other visual disturbances. One of these episodes occurred on June 12th, 2021 while I was driving. I felt heart palpitations, tingly hands, and feet, face and chin going numb and feeling faint. I pulled over which happened to be in a parking lot where there was an Er. I went in and got evaluated. They ran an EKG but felt they did not catch whatever the episode was so they prescribed me a portable heart monitor. Which I wore for 14 days and am now waiting for the results.
19 2021-07-12 chest discomfort, chest pain Systemic: Chest Tightness / Heaviness / Pain-Medium
19 2021-07-14 haemoglobin decreased Patient received her second COVID vaccine (Moderna) on 06/21/21. She says 12 hours after her vaccine... Read more
Patient received her second COVID vaccine (Moderna) on 06/21/21. She says 12 hours after her vaccine she developed nausea, vomiting, and low grade fever. The vomiting became persistent and patient developed severe flank pain. She was taken to an ER. 24 hours post vaccine. Patient says she was given IV boluses and Zofran which helped resolve the vomiting, she was discharged later the same day. Her fever lasted 4-5 days, t-max 100.0 with intermittent Tylenol dosing. Since discharge she says she continues to have consistent nausea but denies vomiting. She admits she has little appetite and has not felt hungry. She denies diarrhea. Her flank pain is "constant" and she felt it was starting to effect her bladder. Patient denies burning and stinging; however, describes back pain prior to voiding. She says she does not feel she can fully empty her bladder despite having urgency to do so. She denies gross hematuria. She says she does not feel well in general and has no energy. She feels her flank pain is becoming worse and Tylenol is no longer giving her relief. Her brother says the family wanted to ensure there was no complications involving her kidneys considering her history. The renal team did not feel patients symptoms were related to a kidney/bladder issue but rather a reaction to her second COVID vaccine. Her case was discussed with rheumatology and infectious disease. She received ondansetron for nausea, Naproxen for pain, and encouraged her to remain well hydrated. She was prescribed a short course of prednisone.
19 2021-07-18 chest pain Chest pain Trouble breathing Fever Rash on arm around the place the shot was given Itching on hand... Read more
Chest pain Trouble breathing Fever Rash on arm around the place the shot was given Itching on hands and feet Swollen fingers Swollen tongue Swollen feet Swollen throat Dizziness Nausea Headache Diarrhea Stomach pain
19 2021-07-18 hypotension, fainting Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypote... Read more
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Mild, Systemic: Visual Changes/Disturbances-Mild
19 2021-07-18 fainting patient fainted, recovered and left with her mom and friend after the vaccine. this also happened af... Read more
patient fainted, recovered and left with her mom and friend after the vaccine. this also happened after the first vaccine also. (possible fear of needles and anxiety from the vaccine).
19 2021-07-21 palpitations, chest pain Racing heart palpitations and chest pain with extreme dizziness
19 2021-07-23 chest pain Nausea, chest pain, severe headaches, body aches fever, dizziness
19 2021-07-26 chest pain Chest pain, intermittent, left-sided
19 2021-07-26 loss of consciousness Patient was administered Moderna vaccine at roughly 5:45pm. An estimated 3 minutes later, patient p... Read more
Patient was administered Moderna vaccine at roughly 5:45pm. An estimated 3 minutes later, patient passed out briefly for about 10-20 seconds. Patient was hugging the father prior to passing out. Patient was held by father and no injury fall occur. Pharmacist assisted standing by. Patient opened her eyes and stated she didn't remember passing out. No signs of breathing issues were noted. No signs of external skin reactions , redness, or flushing was noted. Patient remained calm throughout process. No pain complaint. Patient requested water bottle to drink and was given as such. Patient was able to communicate verbally without issues. Patient was able to count to 10 in numerical order and answered simple questions without issues. Upon talking to the father, he stated that she doesn't like needles. Patient was able to walk without assistance, without pain, without any obvious issues. Patient left pharmacy and stated that she felt fine and ok. Pharmacist texted patient's mother that evening and mother said that patient was lying down and ok.
19 2021-07-27 palpitations can't remember things like what day it is or if she's taken her medicine; asthma; She's unable to wo... Read more
can't remember things like what day it is or if she's taken her medicine; asthma; She's unable to work or be left alone; Can't drive; hypoglycemic; having seizures/grand mal seizures and she fell out of her chair; doesn't want to live anymore/gone downhill ever since she's received her first dose/unable to be left alone; diagnosed with epilepsy; depression; heart skipping a beat/trouble with her heart; This spontaneous case was reported by a consumer and describes the occurrence of GENERALISED TONIC-CLONIC SEIZURE (having seizures/grand mal seizures and she fell out of her chair), SUICIDAL IDEATION (doesn't want to live anymore/gone downhill ever since she's received her first dose/unable to be left alone) and EPILEPSY (diagnosed with epilepsy) in a 19-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. UNK) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. In December 2020, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) at an unspecified dose. On an unknown date, the patient experienced GENERALISED TONIC-CLONIC SEIZURE (having seizures/grand mal seizures and she fell out of her chair) (seriousness criterion medically significant), SUICIDAL IDEATION (doesn't want to live anymore/gone downhill ever since she's received her first dose/unable to be left alone) (seriousness criterion medically significant), EPILEPSY (diagnosed with epilepsy) (seriousness criterion medically significant), DEPRESSION (depression), EXTRASYSTOLES (heart skipping a beat/trouble with her heart), MEMORY IMPAIRMENT (can't remember things like what day it is or if she's taken her medicine), ASTHMA (asthma), HYPOGLYCAEMIA (hypoglycemic), IMPAIRED WORK ABILITY (She's unable to work or be left alone) and IMPAIRED DRIVING ABILITY (Can't drive). At the time of the report, GENERALISED TONIC-CLONIC SEIZURE (having seizures/grand mal seizures and she fell out of her chair), SUICIDAL IDEATION (doesn't want to live anymore/gone downhill ever since she's received her first dose/unable to be left alone), EPILEPSY (diagnosed with epilepsy), DEPRESSION (depression), EXTRASYSTOLES (heart skipping a beat/trouble with her heart), MEMORY IMPAIRMENT (can't remember things like what day it is or if she's taken her medicine), ASTHMA (asthma), HYPOGLYCAEMIA (hypoglycemic), IMPAIRED WORK ABILITY (She's unable to work or be left alone) and IMPAIRED DRIVING ABILITY (Can't drive) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown. Concomitant medication information was not provided. Treatment information was not provided. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Company Comment Very limited information regarding the events has been provided at this time.; Sender's Comments: Very limited information regarding the events has been provided at this time.
20 2020-12-31 fainting Patient received first dose of moderna covid-19 vaccine EUA. She is an employee of the nursing home.... Read more
Patient received first dose of moderna covid-19 vaccine EUA. She is an employee of the nursing home. While waiting for 15 minutes, patient fainted and fell. She became alert immediately after. Patient reports no allergies or chronic medical conditions. No epipen or Benadryl were administered. Her vitals were taken immediately after: bp 128/80, temp98.0, Osat 99%, HR 88. Patient also reports not remembering if she has anything to eat that day .
20 2021-01-01 fast heart rate Tachycardia with a heart rate in the 120-140s, fever, fatigue, muscle weakness, joint weakness, and ... Read more
Tachycardia with a heart rate in the 120-140s, fever, fatigue, muscle weakness, joint weakness, and headache
20 2021-01-03 palpitations Heart Palpitations, still on going. High fever Sweats Chills Shakes
20 2021-01-05 pallor She became light headed, nauseated,pupils dilated, pale and narrowed vision. Nursing staff assisted ... Read more
She became light headed, nauseated,pupils dilated, pale and narrowed vision. Nursing staff assisted her to lay on floor with feet elevated. Vital signs with in normal limits. She did not lose conciousness.
20 2021-01-06 chest pain Pain at injection site, chills, cough, sore throat, runny nose, congestion, headache, fatigue, nause... Read more
Pain at injection site, chills, cough, sore throat, runny nose, congestion, headache, fatigue, nausea, delirium, chest pain for 4 days now.
20 2021-01-07 blood pressure increased, heart rate increased, loss of consciousness dizziness, labored breathing, hyperventilation, increased pulse and blood pressure, O2 sat of 80% br... Read more
dizziness, labored breathing, hyperventilation, increased pulse and blood pressure, O2 sat of 80% briefly passing out. O2 applied per nasal cannula.
20 2021-01-10 loss of consciousness Patient received Moderna Covid19 vaccine at 1500. Was instructed to wait in vehicle; five minutes p... Read more
Patient received Moderna Covid19 vaccine at 1500. Was instructed to wait in vehicle; five minutes passed and she proceeded to exit her vehicle to report symptoms. As she approached assistant, she feel forward landing directly on her chin. She loss consciousness for approx. 10 seconds. Was assisted to left side and was noted to have a 1 in laceration to the bottom of her chin. "911" called for assistance. She regain conscientiousness shortly after and became alert and emotional. She was assisted to her knees position as she became agitated and anxious. Vital taken: 105/74 P: 72 R: 32 at 1507 At this point 1508 due to agitation Benadryl 12.5mg administered to L deltoid. Patient began to complain about inability to mover her hands and feel her fingers. Reassurance given that she was able to move her extremities as she was able to squeeze the hands of the nurse as commanded. EMT arrived, report given to paramedic and care released to paramedic and transported to ED with family following. As a note: family reports that she has been newly diagnoses with anxiety.
20 2021-01-12 fainting Systemic: Fainting-Medium
20 2021-01-16 fainting, pallor Patient became pale and experienced a vasovagal syncope episode. She never lost consciousness and on... Read more
Patient became pale and experienced a vasovagal syncope episode. She never lost consciousness and once she vomitted she felt better. An IV was started and normal saline was given at a KVO rate and patient's status improved back to baseline within minutes. She was transferred to the local ER to be evaluated out of caution.
20 2021-01-18 chest discomfort Felt chest warmness/pressure from minutes within vaccine. Brought immediately to medical area. Felt... Read more
Felt chest warmness/pressure from minutes within vaccine. Brought immediately to medical area. Felt cold, looks comfortable. on phone. no immediate sign of distress. given orange juice and observed with father present. Patient released at 1:40 pm to her father, feeling and looking well.
20 2021-01-19 fainting Headache, Syncopal episode, Nausea, Vomiting, Diarrhea, ears ringing, bodyaches, LUE pain/swelling
20 2021-01-20 chest pain Moderate chest pain
20 2021-01-20 fainting Extreme headache, fever of 102-103 degrees farenheight, dizziness, syncopal episode at work, transfe... Read more
Extreme headache, fever of 102-103 degrees farenheight, dizziness, syncopal episode at work, transferred to ER, heart rate 160s-180s, hypertensive emergency blood pressures 160s/90s. Today 1/20/2021 approx 1700.
20 2021-01-21 loss of consciousness At about 7:00 p.m. on 1/21, I began to feel chills and feverish. I checked my temperature and it was... Read more
At about 7:00 p.m. on 1/21, I began to feel chills and feverish. I checked my temperature and it was at 99.8. By the time I went to bed around 11:00 p.m. my temperature was 100.6. When I woke up on 1/22 around 6:30 a.m., my temperature was 100.3. I blacked out as I was walking to the bathroom and feel very nauseous. Whenever I stand up for more than a few minutes, I feel like I am going to black out again.
20 2021-01-25 pallor ~15 minutes after injection (while waiting in observation area) patient witness another patient hav... Read more
~15 minutes after injection (while waiting in observation area) patient witness another patient have slight nausea and mild light headedness (which quickly resolved). About 5 minutes after, the patient began feeling nauseated and light headed. I was called to check on here. She was pale and and leaning forward over trashcan. After about 2 minutes of questioning her and getting baseline vital signs, she started to slightly improve. We assisted moving her to an exam room. We had her lay near supine (as moving brought on new wave of nausea and lighteheadedness). She was closely montiroed. About 10 minutes later we began sitting her up, but after only a few symptoms began to return. Laid her back into supine. finally after anothr 30 minutes we were able to fully have her sit up and stand with no residual symptoms other than fatigue. Through out event normal VS HR, BP, O2 (other than slight tachypnea initially). Normal physical exam (other early noted pallor and reticular rash on extremities, which all resolved). Advised patient that on next dose to ask to be given in a location where she can be laid supine and observed for at least 30 minutes after injection.
20 2021-01-27 pallor, blood pressure decreased Patient came to receive dose 2 of Covid19 Moderna vaccine. States 1 hour after the first dose (admin... Read more
Patient came to receive dose 2 of Covid19 Moderna vaccine. States 1 hour after the first dose (administered on 12/28/20) she was at work and her blood pressure dropped, she became dizzy and her face went white. She said her mother insisted she go to the ER to be examined. She states upon examination she was given fluids and tests were ran and the ER staff said she was fine. Explained this to physician at vaccine site and she said it was not a contraindication to receive 2nd dose and it sounds like possible vasovagal reaction or hypoglycemia. Patient states she still wanted to receive vaccine. Was instructed to monitor patient for 30 minutes after vaccination, assist patient in ambulation to waiting area to lower fall risk and provided patient with apple juice and trail mix in case of possible hypoglycemia. About 5-10 minutes after vaccine, patient stated she became dizzy and was dry heaving. She was assisted to supine position; vitals were taken and blood pressure was slightly elevated. 911 was called. Before arrival of EMS, patient stated she was feeling better and vital signs stable. Patient was helped to ambulate around waiting area and upon arrival of EMS, patient states she did not need to be transported. Patient was observed for about 20-25 more minutes and she was fully recovered. Spoke with Dr who was on scene after the incident and she believes it was anxiety.
20 2021-02-03 chest pain Besides soreness and pain in the arm of my injection site, I had aches and pains in my abdomen, seve... Read more
Besides soreness and pain in the arm of my injection site, I had aches and pains in my abdomen, several anxiety attacks throughout the night due to pain, stomach aches, and nausea. I had two sets of hiccups that gave me a headache and caused severe pain in my chest and spine.
20 2021-02-03 chest pain Employee experienced chest pains 1 1/2 hours after receiving vaccination. Pains went away and employ... Read more
Employee experienced chest pains 1 1/2 hours after receiving vaccination. Pains went away and employee is feeling better. Plan to see PCP.
20 2021-02-03 chest pain pt developed sharp chest pain to the right chest 6 minutes post vaccine denied radiation, 1341- 132/... Read more
pt developed sharp chest pain to the right chest 6 minutes post vaccine denied radiation, 1341- 132/79 P-101 sat 99%, pain level 4/10, 1342- 119/86 Sat 98% P-99, 1345- 118/ 76 sat 98% chest pain 0/10, 1348 -administered Benadryl, 25 mg by mouth per protocol, 1349-121/78 sat 98% P-95 chest pain 0/10, 1354- 120/82 sat 99% pain returned 3/10 called emergency medical services for transport, 1400-144/88 P-106 sat 95%, 1401- 129/84 sat 98% chest pain 0/10, 1402 emergency medical services arrived and took over care patient complained of intermittent chest pain with inspiration, pt signed medical waiver, then went to Urgent Care on her own with her clinical instructor (Nursing Student on Clinical Rotation)
20 2021-02-07 excessive bleeding Progress Notes (Physician Assistant) Neurosurgery Cosigned by: MD at 2/2/2021 10:51 AM Expand All ... Read more
Progress Notes (Physician Assistant) Neurosurgery Cosigned by: MD at 2/2/2021 10:51 AM Expand All Collapse All STORMONT VAIL COVID VACCINE CLINIC 2/2/2021 DOB: 10/3/2000 Date: 2/2/2021 MRN: 9054917 Subjective She is a 20 y.o. female who was seen at SVH COVID Vaccine Clinic today for her second dose of the COVID 19 vaccination. Prior to her second injection patient informed the RN that she had a rash after her first injectio. We premedicated with Zyrtec and will monitor for any post injection reaction. This provider was notified of patient reaction and she was then assessed in the emergency bay area. Monitored patient for severe reaction symptoms. ALLERGY REVIEW OF SYSTEMS Previous Reactions: Rash Objective Vitals There were no vitals filed for this visit. Physical Exam No current rash Assessment/Plan Treatment included: antihistamines Follow up response to treatment: good. Patient discharge: Stable to go home and follow up with PCP. Differential Diagnosis: Local reaction (arm pain, bleeding/bruising, mechanical irritation, localized rash) Electronically Signed 2/2/2021 9:19 AM
20 2021-02-07 sinus rhythm Pt began to feel dizzy and anxious after receiving the vaccine. No swelling, rash, or difficulty bre... Read more
Pt began to feel dizzy and anxious after receiving the vaccine. No swelling, rash, or difficulty breathing. Improved during ED observation
20 2021-02-08 chest pain, fast heart rate Chest pain and tachycardia (rates 100s-140s) x 72 hours
20 2021-02-15 hypotension AFter the injection of the second dose, patient complained of headache, heavy feeling, and hypotensi... Read more
AFter the injection of the second dose, patient complained of headache, heavy feeling, and hypotensive. Was sent to treatment room for fluids. Then presented to ER with same symptoms at 3 AM. Admitted to observation for telemetry and hydration.
20 2021-02-16 fainting, loss of consciousness syncopal episode began 2pm 02/13/2021. Began to get dizzy while standing so sat down in chair. Fel... Read more
syncopal episode began 2pm 02/13/2021. Began to get dizzy while standing so sat down in chair. Felt voices becoming further away before eyesight turned black. Patient fell out of chair but was caught by family member. Patient immediately came back to consciousness.
20 2021-02-23 loss of consciousness, pallor, skin turning blue Patient received immunization and immediately became nauseous and light headed. Helped to floor with... Read more
Patient received immunization and immediately became nauseous and light headed. Helped to floor within a couple minutes after receiving shot. Patient was diaphoretic, pale with cyanotic oral mucousa/lips. Patient had lost conciousness and regained within 5 to 10 seconds. After coming too, patient was alert and oriented. Monitored patient and she was stable quickly after. Called patient the next day and she reported no adverse effects.
20 2021-02-25 chest discomfort, palpitations Patient received 2nd dose of Moderna Covid19 vaccine on 2/5/21. Developed headaches on 2/21/21 and w... Read more
Patient received 2nd dose of Moderna Covid19 vaccine on 2/5/21. Developed headaches on 2/21/21 and went for covid19 PCR test on 2/22/21 at the urgent care. On 2/22 she had headaches and chest pressure with palpitations. PCR test was reported positive on 2/23/21. Patient had virtual visit with me on 2/26/21 and reported persistent headaches but was clinically stable.
20 2021-02-27 hypertension, fast heart rate, fainting Dizziness, nausea, syncope, tachycardia (heart rate was 177)
20 2021-03-02 loss of consciousness Patient passed out, but came to a minute later. Has a history of passing out with vaccines. Called... Read more
Patient passed out, but came to a minute later. Has a history of passing out with vaccines. Called EMS to check her okay and their cleared her. She waited 30 minutes post vaccine and left with mother.
20 2021-03-02 fainting post vaccination, pt fainted. bp 132/84, HR 66. pt. aao x 3 almost immediately after fainting ep... Read more
post vaccination, pt fainted. bp 132/84, HR 66. pt. aao x 3 almost immediately after fainting episode. Nurses kept patient on the floor, w/ legs elevated above pt.'s chest, and head on pillow. Mom stated, "this is just like when you had the Gardasil." 2n d bp 130/82, HR 62. Mother repeated the statement regarding the Gardasil, and also stated that "it was like she was having a seizure, but it was in the doctor's office so they just took care of everything." Note: Before vaccination, employee reviewed pre-vaccination checklist questions w/ Pt. Pt denied any previous reactions to vaccines.
20 2021-03-07 fainting, hypertension, fast heart rate Syncope or seizure 10 hours after vaccine, preceded about about 1 hour of aches, chills, and feveris... Read more
Syncope or seizure 10 hours after vaccine, preceded about about 1 hour of aches, chills, and feverish feeling. Resulted in fall to floor, hitting head and injuring shoulder. EMTs reported hypertension, tachycardia, trembling, some EKG abnormality, and low-grade fever. Transported to emergency room where CT scan, CBC, and additional labs and monitoring were performed. Released when scans and labs were normal (after monitoring.)
20 2021-03-08 palpitations The patient had 2nd COVID vaccine and within 15 minutes reported nausea, vision "blacking in and out... Read more
The patient had 2nd COVID vaccine and within 15 minutes reported nausea, vision "blacking in and out", heart racing, heavy breathing. Observed in vaccine clinic observation area for about 15 more minutes - placed patient on a cot, offered cold water and a snack (she had not eaten that morning) and she stated she could not eat. Symptoms did not improve, so she was moved to the ED. In the ED she reported a headache to front and back of head, weakness, lightheaded and dizziness, and palpitations. VS in the ED on arrival: T 99.0, P 87, RR: 87, BP: 120/72, Sp02: 100% on RA. Treatment in the ED included a 1 liter IV bolus of normal saline @ 1038, 1 IV dose of Zofran 4 mg @ 1038, and 1 PO dose of Tylenol 975mg @ 1218. Was discharged in 12:48 PM with the following VS: T: 99.0, P: 82, RR: 18, BP: 119/77, and Sp02: 100% on RA with continued headache rated a 10 on 0-10 scale, but ambulatory in stable condition.
20 2021-03-09 chest discomfort No rash on injection site. However rash on both legs and one arm had rash on elbow. The rash became... Read more
No rash on injection site. However rash on both legs and one arm had rash on elbow. The rash became dark purple and very large. I was taking Benedryl, Hydrocortisone and Calamile lotion over the counter with no improvement. I went to the doctors, he prescribed a steroid, the rash lightened however back pain started, accompanied with stomach aches. Now I have a heaviness on my chest that hurts. It feels like my rib cage or my bones hurt.
20 2021-03-10 loss of consciousness Patient received the vaccine around 1600 on 05 March , then around 0330 on 06 March, she was awaken... Read more
Patient received the vaccine around 1600 on 05 March , then around 0330 on 06 March, she was awakened by a Migraine, she went to her kitchen to take Imitrex right after taking the medication she lost consciousness for about 60 minutes. she awakened on the floor at 0430. she was assessed int the ER abut 7 hours later .
20 2021-03-11 loss of consciousness Patient did not report any allergic reaction to any vaccine or medications when asked during consult... Read more
Patient did not report any allergic reaction to any vaccine or medications when asked during consultation prior to administration. The pharmacist had administered the vaccine and patient was sent to the waiting area to wait the mandatory 15-20 minutes after receiving the shot. Patient was seated and after 5 minutes, patient disclosed with another patient in the waiting area that she was not feeling well. After a few min she lost consciousness for less than a minute, her eyes rolled back. Epinephrine was not administered. When she became conscious, she refused medical treatment. Patient was nauseous and vomited a few times. A pharmacist checked vitals and all were within normal limits and a neuro check was also performed which was normal. Patient was given water, gingerale, raw ginger, and ginger tablets for the nausea. Patient was also given saltine crackers. Patient's aunt arrived at the scene. Patient reported feeling chills and weakness. Patient did not feel comfortable standing/leaving. Pharmacist stayed with the patient for 90 min until patient was stable and walked the patient to the aunts car. At the end of the event patient reported having vasovagal syncope and has a history of fainting at the site of blood, too much stress, and anxiety, but never after vaccines.She reported she did not eat anything in the morning and just drank coffee.
20 2021-03-11 fainting, loss of consciousness, hypotension Immediately following vaccine administration patient experienced shakiness, black out feeling, sweat... Read more
Immediately following vaccine administration patient experienced shakiness, black out feeling, sweats, nausea, and faintness. We tried ammonia inhalants to keep her from fainting and also gave her some water to drink. Nurse practioner checked her blood pressure and was low 85/40's x 3. Patient refused blood sugar check by pharmacist b/c she didn't want "any more needles." We called 911 and local medic and ambulance was sent. Patient was transported to local hospital to help with her hypotensive event.
20 2021-03-11 superficial blood clot complaint of discomfort in the right calf starting approx. 4-5 hours after the vaccination symptoms ... Read more
complaint of discomfort in the right calf starting approx. 4-5 hours after the vaccination symptoms worsened the next two day with extreme pain and redness, firmness which required ER visit for evaluation
20 2021-03-12 heart rate abnormal Flushing, shortness of breath, fast heart rate, sweating, nausea? 10 minutes after-30 minutes after,... Read more
Flushing, shortness of breath, fast heart rate, sweating, nausea? 10 minutes after-30 minutes after, took Benadryl and tylenol Fatigue, brain fog, body aches, shoulder and elbow pain, sensitive to touch at injection site, red raised site about a size of quarter- 30 min after-36 hrs after, no treatment Intermittent fever in first 36 hrs
20 2021-03-12 hypotension Pt 20 y/o female found ambulatory at vaccination site. c/c weak/dizzy, borderline hypotensive. Pt re... Read more
Pt 20 y/o female found ambulatory at vaccination site. c/c weak/dizzy, borderline hypotensive. Pt received her first doser of Moderna COVID-019 vaccine at approximately 1040hrs. Pt was monitored for 15 minutes in a designated area. Upon standing up pt became lightheaded and dizzy. Pt sat down and notified staff of feeling weak and dizzy. Responder was notified and responded to pt. Pt denied any chest pain or shortness of breath. Minor nausea but no vomiting. Pt had equal grips and pushes, no headache, blurred vision or tinnitus. Abdomen was soft and non tender on palpation. No hives, rash or redness noted. Pt was given 500cc of NS via IV, 20g in L AC. Pt was positive orthostatic and was laid down supine on a blanket. Last LPM 30 days ago. Gravida 0, Para 0. Pt states she has had syncopal episodes during menstrual period. Pt denied any food intake this morning. Pt was transported byto Hospital. Vital signs improved with administration of NS. Vital Signs: BP 106/52, HR96, SPO2 99%. (1052hrs) BP 118/76, HR 68, SPO2 99% Hx: Syncope during menstruation, Anxiety, borderline hypotensive. Allergies: NKDA Medicine: None
20 2021-03-13 chest discomfort chest heavy dry cough wheezing headache vomiting low grade fever
20 2021-03-14 fainting PATIENT STATED FELT DIZZY AND FAINTED AT TIME OF ADMINISTRATION. THE PATIENT WAS RESPONSIVE WITHIN 1... Read more
PATIENT STATED FELT DIZZY AND FAINTED AT TIME OF ADMINISTRATION. THE PATIENT WAS RESPONSIVE WITHIN 1 MINUTE AFTER FALLING TO FLOOR AND WALKED OVER TO POST-IMMUNIZATION AREA FOR OBSERVATION. SHE STATED THAT SHE FELT FINE AND DID HAVE A BIT OF A SORE ARM AROUND THE ADMINISTRATION SITE. SHE STATED THAT IT FELT LIKE HALF OF THE PAIN OF A TETANUS SHOT. SHE DID TAKE A GLASS OF WATER AND STATED THAT SHE HAD RECENTLY EATEN. 911 WAS CALLED AND THE PATIENT EVALUATED AND WALKED OUT OF STORE. NO MEDICATIONS ADMINISTERED A TIME OF EVENT.
20 2021-03-14 fainting Pt presented to the medical department after a single episode of syncope that occurred the day after... Read more
Pt presented to the medical department after a single episode of syncope that occurred the day after receiving her vaccine. Upon evaluation, she stated that she had not eaten for an entire day prior to her episode of syncope. She also reported diffuse body aches and a headache. She was given a shot of toradol and 2L of IVF and her symptoms improved.
20 2021-03-16 heart rate irregular Patient called pharmacy at 5:40pm on Tuesday, 03/16/21 stating that since Monday evening she has had... Read more
Patient called pharmacy at 5:40pm on Tuesday, 03/16/21 stating that since Monday evening she has had an increased heart rate (approximately 100bpm). She stated that she bought a pulse oximeter and it was showing 135bpm at times but then it would lower to only 100-110bpm. She called her primary care physician and they had her schedule an appointment (scheduled for 03/18/21) and told her that if it got any worse, if she felt faint, or noticed any palpitations to go to the ER. On 03/17/21 she reported to the pharmacy that she was feeling better but was still going to follow up with her primary doctor on 03/18.
20 2021-03-17 fainting trouble breathing and weakness 5 minutes following vaccine, fainted shortly after symptoms appeared
20 2021-03-17 fast heart rate, chest pain Heart rate at 180-200 bpm at resting. Chest pain and nausea, abnormal EKG in the ER due to tachycard... Read more
Heart rate at 180-200 bpm at resting. Chest pain and nausea, abnormal EKG in the ER due to tachycardia . Now being seen my a cardiologist
20 2021-03-18 fainting SYNCOPE REACTION , DEVELOPED 10 MINS POST IM INJECTION
20 2021-03-19 pallor After 10 minutes of the vaccine pt was feeling, faint, weak, light headed, nausea, flushing, hot ver... Read more
After 10 minutes of the vaccine pt was feeling, faint, weak, light headed, nausea, flushing, hot very pale and ashy
20 2021-03-21 palpitations Tongue tingling/swelling, face flushing, difficulty swallowing, sense of doom, heart racing, nose ru... Read more
Tongue tingling/swelling, face flushing, difficulty swallowing, sense of doom, heart racing, nose running. Onset 30 mins after vaccine, tongue swelling went away a bit and then came back about 1 hour after initial symptoms. Went to ER, received IV benadryl and went home after observation
20 2021-03-22 chest pain Esophageal Spasms, GERD, chest/back pains, starting 03/20 at 7 AMA
20 2021-03-23 blood pressure decreased Decreased blood pressure Diaphorhetic Blood pressure106/ 68 Blood sugar 72
20 2021-03-23 lightheadedness client vagal, did not fall or faint. Ice pack provided. Felt better.
20 2021-03-24 chest pain CHEST PAIN RATING 10/10 AND HEADACHE WITH 'FOGGY HEAD'.
20 2021-03-25 chest discomfort Patient began feeling anxious, chest tightness, and tingling after receiving moderna vaccine. Rn ... Read more
Patient began feeling anxious, chest tightness, and tingling after receiving moderna vaccine. Rn supervisor and paramedics intervened. No medical intervention necessary. Patient was guided through breathing techniques.
20 2021-03-25 lightheadedness nausea, blurred vision, dizzy, almost fainted. paramedics were called and pt was diagnosed as dehydr... Read more
nausea, blurred vision, dizzy, almost fainted. paramedics were called and pt was diagnosed as dehydrated and low blood sugar
20 2021-03-25 fainting IMMEDIATELY FOLLOWING ADMINISTRATION, PATIENT BECAME FAINT AND LEANED OVER IN CHAIR. HER EYES ROLLED... Read more
IMMEDIATELY FOLLOWING ADMINISTRATION, PATIENT BECAME FAINT AND LEANED OVER IN CHAIR. HER EYES ROLLED BACK. SHE CONTINUED BREATHING BUT BREATHS WERE SHORT AND HEAVY. SHE WAS FLUSHED. AFTER A MINUTE SHE CAME TO AND WAS RESPONSIVE. PATIENT REMAINED COHERENT AFTER COMING TO BUT WAS NOTICEABLY OUT OF IT. SHE WAS GIVEN A BOTTLE OF WATER AND REMAINDED IN OBSERVATION FOR 30 MINUTES. AFTER OBSERVATION SHE CONFIRMED THAT SHE WAS OKAY TO LEAVE.
20 2021-03-25 fainting Patient received the vaccine and was walked to the observation area. She was on the phone with her m... Read more
Patient received the vaccine and was walked to the observation area. She was on the phone with her mother when she said she was feeling faint and proceeded to faint. Woke almost immediately, no injuries. Said had a history of fainting once awake. EMS onsite took glucose which as 110.
20 2021-03-28 chest discomfort The day after the vaccine I felt tired and weak. I had feelings of tired and cold and I felt nauseou... Read more
The day after the vaccine I felt tired and weak. I had feelings of tired and cold and I felt nauseous in waves. When I woke up the next morning I was short of breath and it felt like there was a lot of pressure on your chest. I called the hospital that gave me the vaccine and they recommended I go to the ER. I was discharged after 3 hours. I still felt short of breath and had the feeling of pressure on my chest for 48-56 hours. It just got better gradually. I was unable to work because I felt bad and because I also had to quarantine until my test results came back negative for Covid-19.
20 2021-03-28 fainting woke up at 7am and fainted upon standing up (vaso-vagel event ) --NO HX OF VASO VEGAL EVENTS IN PAS... Read more
woke up at 7am and fainted upon standing up (vaso-vagel event ) --NO HX OF VASO VEGAL EVENTS IN PAST , headaches, nausea , body aches
20 2021-03-30 palpitations Patient started complaining of palpitation and body heat about 20 minutes after receiving the shot. ... Read more
Patient started complaining of palpitation and body heat about 20 minutes after receiving the shot. She also complained of scratch throat. She was given Benadryl and heart rate was checked. We called emergency responders and the paramedics stayed and monitored her symptoms for about 30 minutes until she was symptom free before she left with her mom.
20 2021-03-31 fainting Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details... Read more
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted while walking in store. She was found on the floor but she was still conscious. She described her symptoms are blurry vision and head spinning. She noted that she was afraid of needles and was very nervous for the appointment. She was given gatorade to hydrate and was under watch for around 20 min. She felt better and left the pharmacy on her own.
20 2021-03-31 fainting Patient was given moderna vaccine. About 10 minutes after while she was waiting for her 15 minutes o... Read more
Patient was given moderna vaccine. About 10 minutes after while she was waiting for her 15 minutes of observation to finish, she stood up and fainted. Pharmacist went over, had her lie down, and held up her legs. Patient said she felt okay but still dizzy. Emergency responders was called. Ambulance came about 10 minutes later to examine her. They took her vitals and blood sugar, found them to be within normal limits, and stated patient was okay to go home if she got a ride. She called a friend and her ride came about 30 minutes later.
20 2021-04-01 blood clot Patient received first dose of Moderna vaccine. Later that day, patient experienced heavy vaginal bl... Read more
Patient received first dose of Moderna vaccine. Later that day, patient experienced heavy vaginal bleeding that included blood clots and required the use of a sanitary pad. She had her period the previous week and it had since stopped so she does not believe it's her period. At the time of the call to the pharmacy, 8:30am the following day, patient was still actively bleeding. Advised patient to monitor for other signs and symptoms of bleeding such as excessive bruising, nose bleeds, gum bleeds, and to check her stool for the appearance of coffee grounds. Patient was calling to try to find a doctor nearby who could see her. Advised patient that if she could not find a doctor to go to urgent care if the bleeding continued or worsened.
20 2021-04-03 excessive bleeding I have been experiencing a small ulcerative colitis ?flare up? which I have not had in a while. I ha... Read more
I have been experiencing a small ulcerative colitis ?flare up? which I have not had in a while. I have experienced slight stomach pain and slight bleeding.
20 2021-04-04 fainting, pallor After patient received the vaccination and was sitting in pharmacy area for 15 minutes post vaccine,... Read more
After patient received the vaccination and was sitting in pharmacy area for 15 minutes post vaccine, her friend said she didn't seem "right", so I went over to the patient and her head started to loll and she was passing out and the color was draining from her face. I had one of her friends help me place her on the floor with her feet up in the chair and I noticed she felt hot. I called for a technician to bring me a cold pack and placed it on her forehead. I asked her friends if she had eaten today and they said she skipped breakfast and only had a bagel for lunch. After a minute or 2 on her back, she began to revive and when she felt up to it, I had her sit up on the floor and gave her some water to sip. After a few more minutes, she said she felt good enough to sit up in the chair, so we helped her get up and put her in the chair. She stayed around for about 30 minutes after that and was feeling better and left
20 2021-04-04 fainting Following the vaccine, I was perfectly fine and was able to go about my day as normal. However, whil... Read more
Following the vaccine, I was perfectly fine and was able to go about my day as normal. However, while doing dishes at 11:30 at night (about 10 hours after I received my second dose of the Moderna vaccine) exhaustion and dizziness suddenly hit me, and my vaccine went black and my ears started ringing. I managed to lie down but I fainted and blacked out for a minute. After I regained consciousness, I had these muscle contractions/shivers (although I took my temperature and had no fever). I felt really exhausted, and went to sleep after that. However, other than that I had no other vaccine side effects. I was told by my doctor to report this though since they had not heard of anyone else fainting, and I have no history of fainting (other than once following blood donation). I also was not thinking about anything remotely related to the vaccine at the time of fainting, and I had no qualms with being vaccinated so I highly doubt it was psychological, especially considering I have no history of fainting, and I had an injectable medication so I have no issues with injections.
20 2021-04-05 loss of consciousness Patient received vaccine at approximately 8:05 am and had reported feeling well just prior. Patient ... Read more
Patient received vaccine at approximately 8:05 am and had reported feeling well just prior. Patient stated that she did for sure want to get the vaccine but that she is nervous will needles. She did fine with the administration and for about 5 min. after. At approximately 8:10, patient had left inj area and walked to a waiting area for observation. At approximately 8:15 patient fell from the chair landing on side/face head area. No one witnessed the entire fall but I observed her immediately after. She immediately sat up and stated that she just felt like her head hurt. She was offered water, a granola bar and an ice pack. Her significant other was at her side immediately after and reported to me that she was fine. She waited while her partner received his vaccination and they left (walking) the clinic at approximately 9:00 am
20 2021-04-05 pallor Patient was light headed, pale and nauseated shortly after receiving her first covid-19 vaccine. Vit... Read more
Patient was light headed, pale and nauseated shortly after receiving her first covid-19 vaccine. Vitals were BP 77/40, HR 46, O2 100%. Patient instructed to lie down, cool compress applied and drank some . Several BP checks and monitoring over the next half hour. After about 30 minutes, patient reports feeling better, denied dizziness, vitals improved (BP 104/65, HR 50, O2 100%). Patient states she has had this type of reaction with another vaccine (specific vaccine that patient had reaction to in the past was not reported).
20 2021-04-05 fainting patient felt dizziness and faint after receiving the shot . She laid down to due to feeling like she... Read more
patient felt dizziness and faint after receiving the shot . She laid down to due to feeling like she would pass out.
20 2021-04-08 chest discomfort, sinus rhythm NAUSEA, THROWING UP AND CHEST PRESURE HR 84 BP 100/68
20 2021-04-12 loss of consciousness Patient blacked out for a little bit and was okay afterward. called 911 and paramedics came and by t... Read more
Patient blacked out for a little bit and was okay afterward. called 911 and paramedics came and by that time the patient was okay and didn't have any other issues.
20 2021-04-12 pallor Patient has history of being scared of shots. She received shot and was fine so nurse turned and gav... Read more
Patient has history of being scared of shots. She received shot and was fine so nurse turned and gave shot to mother. When she turned back around to check daughter her eyes fluttered and she slumped over in chair. She became diaphoretic and pale. Moved her to floor and called me to come help. Checked respirations and heart rate which were good. Applied cool cloth and ice pack. She stabilized quickly. Patient was given something to drink and remained in waiting area 15 minutes and then took her to her car and asked her to wait another 15minutes. Mom was driving. Patient may have reported also.
20 2021-04-12 pulmonary embolism, fast heart rate I felt severe shortness of breath and dyspnea on 3/30/21 at 3:30am, so I went to the ER and was diag... Read more
I felt severe shortness of breath and dyspnea on 3/30/21 at 3:30am, so I went to the ER and was diagnosed with pulmonary embolisms in both lungs and tachycardia. I was prescribed Eliquis. I am still experiencing shortness of breath today 4/13/21, but it has improved since the onset of symptoms.
20 2021-04-12 fainting Patient was sitting in observation chairs after vaccine, patient let out a moan and passed oit
20 2021-04-13 chest discomfort, heart rate increased Received the vaccine at 1230 and felt fine. Got home and felt tired, napped for two hours and got u... Read more
Received the vaccine at 1230 and felt fine. Got home and felt tired, napped for two hours and got up for 30-45 minutes, went back to bed. Started feeling like she was spinning in bed and felt light-headed. Arm felt sore when she went back to bed. Today, April 14, 2021, woke up and looked in the mirror and was surprised to see a red raised area, sense to touch, painful. Noticed heart was beating quickly, and "feels off." Swelling is noted on the left deltoid measuring 60mmx36mmx2mm elevated and red, tender to touch.
20 2021-04-13 heart rate abnormal Fever of 102.5 since this morning. Will not break with Tylenol. Hallucinating. Heart rate reaching 1... Read more
Fever of 102.5 since this morning. Will not break with Tylenol. Hallucinating. Heart rate reaching 120 resting.
20 2021-04-13 pallor dizzy and pale mother states that patient has done this before with other shots
20 2021-04-14 fainting 5 min after administration pt fainted. head was down and hangs were in a catatonic state. Pt was not... Read more
5 min after administration pt fainted. head was down and hangs were in a catatonic state. Pt was not responsive and clammy, but within 5 minutes pt was talking and had recovered.
20 2021-04-15 loss of consciousness When checking out after the 15 minute wait time, patient said she didn't feel very well and fell dow... Read more
When checking out after the 15 minute wait time, patient said she didn't feel very well and fell down hitting her head on the pharmacy counter. When she came to, she said she felt "weird", lightheaded and clammy. We offered her a drink of water and before she could take a drink, she passed out cold. She was out for about 20 seconds and then came to again and we took her down to 1 layer on top and gave her a bag of ice while waiting for the ambulance to arrive. She was treated/observed by the ambulance crew and after another 15 minutes, agreed she was good to go home with her 2 friends that she had ridden with to get her vaccine.
20 2021-04-15 loss of consciousness patient passed out about 5 minutes after the vaccine. When i asked her questions, she was responding... Read more
patient passed out about 5 minutes after the vaccine. When i asked her questions, she was responding and was full aware. no rash, no difficulty breathing. Patient reported feeling "nausea and hot"
20 2021-04-16 loss of consciousness Patient had uncontrolled vomiting and was unable to keep water down, had severe muscle cramps, and b... Read more
Patient had uncontrolled vomiting and was unable to keep water down, had severe muscle cramps, and blacked out. Pt was treated at ER and called use to report this
20 2021-04-16 loss of consciousness Around 11:00 in the morning I was starting to feel weak and hard of breathing with a sore arm where ... Read more
Around 11:00 in the morning I was starting to feel weak and hard of breathing with a sore arm where the injection site was. As the day went on it progressed to muscle aches and a low fever, I went to bed with chills, muscle pain, heavy breathing, and a 100.8 fever. I work up in the middle of the night to go to the bathroom and felt nauseous, I don?t remember much but I remember waking up on the floor in a cold sweat, so I assume I passed out from the nausea. I went back to bed and I woke up with a 101.8 fever and weakness and muscle pains. My mother told me to take Tylenol every 4 hours and be on top of things, my symptoms have been decreasing since this morning but as I am filling this out at 11:00 at night I?m slowly getting my fever back. I will add this is exactly how I felt when I got covid back in November of 2020.
20 2021-04-16 fainting Syncopal Episode. Seen by EMT
20 2021-04-17 chest discomfort Fever, headache, tightness in chest, body aches
20 2021-04-18 chest pain DAY AFTER 1ST DOSE MODERNA COVID VACCINE HAD FEVER AND NAUSEA, NONPRODUCTIVE COUGH (MUCOUS) AND PLEU... Read more
DAY AFTER 1ST DOSE MODERNA COVID VACCINE HAD FEVER AND NAUSEA, NONPRODUCTIVE COUGH (MUCOUS) AND PLEURITIC CHEST PAIN. SYMPTOMS CONTINUED 5 DAYS.
20 2021-04-18 pallor Patient become pale after receiving vaccination. RN also reports that patient became unresponsive a... Read more
Patient become pale after receiving vaccination. RN also reports that patient became unresponsive a brief moment. Also reported some mild shaking which subsided quickly
20 2021-04-18 fainting FAINTED, THROAT TIGHNESS, DIZZINESS, HARD OF HEARING
20 2021-04-19 fast heart rate Patient received COVID vaccine at 2:12 pm and she was observed for 15 minutes. Pt denied any complai... Read more
Patient received COVID vaccine at 2:12 pm and she was observed for 15 minutes. Pt denied any complaints during the 15 minutes but when she was about to leave she complained of dizziness. Vital signs stable except mild tachy HR 106, O2 sat 98%, BP 118/74. She also c/o nausea patient was given water to drink, feet were elevated and she started to feel better. Pt constantly c/o dizziness and nausea associated with headache. symptoms got worse over time. 911 was activated at 15:38. EMS arrived at 15:54 patient was taken to hospital for further evaluation. Pt left at 16:04.
20 2021-04-20 chest discomfort 48 hours after Moderna vaccine [ given at outside facility] patient started with puffy eyes, rash ar... Read more
48 hours after Moderna vaccine [ given at outside facility] patient started with puffy eyes, rash around the eyes with redness of both eyes. Slowly the rash spread to entire face including the neck region. At 72 hours post vaccination she noted swelling and redness around the lips with tightness in chest prompting here to seek help. Noted to have generalized swelling and erythema to face along with the periorbital area and eye lids on exam [ after Benadryl]- no respiratory distress. Reaction thought to possibly be an acute worsening of her underlying eczema but could not rule out vaccine reaction. Treated with Benadryl, Zyrtec and Prednisone
20 2021-04-20 loss of consciousness Post vaccination clients friend stated after the vaccination client feels nauseated, unconscious 4 s... Read more
Post vaccination clients friend stated after the vaccination client feels nauseated, unconscious 4 seconds, client was taken for medical observation . Vital at 1032am Pulse 120/82 O2 99%. Patient is verbally responsive. Vitals at 1040am Pulse 90 BP 115/93 Vitals are stable, a snack and juice was given. Client had no other symptoms and was released by MD. Client was dispositioned by shuttle bus.
20 2021-04-21 chest pain Adverse Event - Patient has a history of passing out, asthma and Anxiety. After she got vaccinated, ... Read more
Adverse Event - Patient has a history of passing out, asthma and Anxiety. After she got vaccinated, patient was dizzy, so vaccination nurse lay the patient down on the floor. Patient was alert, oriented times 3. Vital signs initiated at 2:40pm- BP 130/90, HR 105, R 18, O2 sat 87%). Vital Signs were normal ) . vital signs normal at 2:55pm at with BP 130/80, HR 89, R 20, 02 sat 99 %. Client vomited , was anxious and was not getting better. Client complained of chest pain. Nurse initiated to call 911
20 2021-04-21 pallor Patient was given her first dose of Moderna at a drive through clinic and instructed to wait the 15 ... Read more
Patient was given her first dose of Moderna at a drive through clinic and instructed to wait the 15 minutes for observation. During this time patient and her mother notified the staff member that patient was not feeling including feeling dizzy and nauseated and feeling abdominal discomfort with numbness and tingling of her tongue and lips. RN assessed patient and took vitals. Patient was alert and oriented and able to speak in full sentences, denied SOB, chest pain and was breathing comfortably. BP was 80/40 HR 50's, RR 18. The PA at the clinic where the clinic was being held assessed patient and assessed lung sounds which were clear and the patient then reported feeling "a lot better". Color returned to her lips and face. Patient was asked to stay on-site for continued observation before leaving. Approximately 10 minutes later patient asked to use the bathroom in our clinic. She was advised she could go as long as her Mom was allowed to go in with her in case she experienced dizziness or needed help. After 5-10 minutes the patient was still in the bathroom. RN who worked inside clinic checked on patient who reported diarrhea more dizziness and weakness. After discussion with the provider it was and patient's mother it was decided that the mother would drive the patient to the nearest emergency room although this patient is a (Name) patient, for further and continued assessment. At this time the patient was speaking in full sentences able to walk and and did not report any breathing problems. After helping patient back to her vehicle RN called ER to give report to the charge nurse.
20 2021-04-21 fast heart rate, hypotension anaphylaxis, hives, hypotension, tachycardia, facial swelling
20 2021-04-22 loss of consciousness patient briefly passed out but did not fall. was responsive and was conscious. only occured within 5... Read more
patient briefly passed out but did not fall. was responsive and was conscious. only occured within 5 minute span or less and she was fine after and left on her own after 30 minutes
20 2021-04-22 loss of consciousness Patient passed out and looked like she was seizing for about 5 seconds. She then came to and was swe... Read more
Patient passed out and looked like she was seizing for about 5 seconds. She then came to and was sweaty. 911 was called and arrived at 11:40 am. Her vitals were checked. She did not want to go to ER. She stayed seated at the pharmacy until a friend came to pick her up.
20 2021-04-22 pallor Patient complained of severe dizziness a few minutes after COVID vaccine. We had patient lie down on... Read more
Patient complained of severe dizziness a few minutes after COVID vaccine. We had patient lie down on her back with her feet elevated. She had paleness, coldness of extremities and sweating. We maintain an open airway and apply cold compresses. Patient symptoms improved after 30 minutes,
20 2021-04-22 pallor After receiving Covid vaccine Moderna first dose, patient felt very warm, threw up, felt sick in sto... Read more
After receiving Covid vaccine Moderna first dose, patient felt very warm, threw up, felt sick in stomach, turned pale, and was dizzy. She became normal within 10 minutes. We gave her a cup of water to drink and told her to rest up once she gets home.
20 2021-04-22 fainting, loss of consciousness Shortly after patient received an injection patient felt dizzy and fainted. Patient never lost consc... Read more
Shortly after patient received an injection patient felt dizzy and fainted. Patient never lost consciousness. Patient promptly sat down and paramedics were called for evaluation. After evaluation patient was able to go home.
20 2021-04-22 fainting Patient fainted. Blood pressure was taken. Patient stated she is fine. EMS was called.
20 2021-04-22 fainting Pt received first dose of Moderna. While in waiting area she became lightheaded and had a syncopal ... Read more
Pt received first dose of Moderna. While in waiting area she became lightheaded and had a syncopal episode. 911 was called and pt transported to hospital.
20 2021-04-23 chest pain, inflammation of the pericardium Patient received the Moderna shot on Tuesday (4/20/21), then had nausea and chest pain on Wednesday ... Read more
Patient received the Moderna shot on Tuesday (4/20/21), then had nausea and chest pain on Wednesday evening. Chest pain came and went with help of Motrin. Friday morning at 6 am, she had extreme chest pain that prompted an ER visit. They diagnosed her with pericarditis.
20 2021-04-23 fainting Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection... Read more
Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Abdominal Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Headache-Medium, Systemic: Nausea-Medium
20 2021-04-24 deep vein blood clot 3/10/2021 dvt and pe
20 2021-04-24 loss of consciousness Patient received dose, and was walking to sit down in waiting area. Patient passed out and convulse... Read more
Patient received dose, and was walking to sit down in waiting area. Patient passed out and convulsed. Patient immediately regained consciousness and was A&O X 3. Patient became stabilized and within 5 minutes reported feeling normal again. Patient completed 30 minute wait in facility with no additional s/s of reaction. Patient reported not eating for at least 6-8 hours prior to vaccine.
20 2021-04-25 fainting Patient fainted several minutes after receiving vaccination. She was sitting in the waiting area at... Read more
Patient fainted several minutes after receiving vaccination. She was sitting in the waiting area at the time.
20 2021-04-27 heart rate irregular, heart rate increased Nerve pain, vomiting, headache, weakness, nausea, fatigue, abdominal pain, bloating, early satiety, ... Read more
Nerve pain, vomiting, headache, weakness, nausea, fatigue, abdominal pain, bloating, early satiety, increased heart rate, irregular heart rate - all symptoms constant in afternoon/night - zofran odt for vomiting and nausea, midodrine for headache, methocarbimol for pain
20 2021-04-27 fainting, low blood pressure Received vaccine at noon on 4/27/2021, no symptoms until upon awakening on 4/28/2021 at 0800. Pt st... Read more
Received vaccine at noon on 4/27/2021, no symptoms until upon awakening on 4/28/2021 at 0800. Pt stated she felt dizzy and her "mind went blank and I fainted". Her mother drove her to Hospital ED upon arousal (patient was able to walk to the car and into hospital, presented at Triage area). Pt was mildly febrile on arrival, given PO Tylenol. C/o mild nausea on arrival, given Zofran 4mg PO. Orthostatic hypotension noted and given 2.5 liters of 0.9% Normal Saline IV. Magnesium level 1.7, given 2gms Magnesium Sulfate IVPB. Urine Hcg Negative. Pt stated all symptoms improved, Vital Signs stable, patient discharged accompanied by mother at 3:15pm.
20 2021-04-27 fainting PATIENT WAS FASTING. SHE FAINTED AFTER 5 MINS OF THE SHOTS ADMININSTED WE HAD HER LAY ON BACK AND PA... Read more
PATIENT WAS FASTING. SHE FAINTED AFTER 5 MINS OF THE SHOTS ADMININSTED WE HAD HER LAY ON BACK AND PAGED MANAGEMENT FOR CODE WHITE.SHE FELT BETTER AFTER 15 MINS SHE REGAINDED CONSIOUS AFTER 8 MINS AFTER SHE LAYED ON HER BACK
20 2021-04-27 fainting THE PATIENT WALKED UP TO THE CHECKOUT COUNTER AFTER RECEIVING HER SECOND DOSE OF MODERNA COVID-19 VA... Read more
THE PATIENT WALKED UP TO THE CHECKOUT COUNTER AFTER RECEIVING HER SECOND DOSE OF MODERNA COVID-19 VACCINE AND THEN ASKED IF SHE COULD SIT DOWN BECUASE SHE FELT LIGHT HEADED. ALMOST IMMEDIATELY, SHE SLUMPED OVER AND STARTED TO FAINT. A PHARMACY INTERN CAUGHT HER BY THE SHOULDERS TO HELP ENSURE SHE DID NOT HIT HER HEAD. A TECHNICIAN IMMEDIATELY DIALED 911, AND THE PHARMACIST INJECTED HER IN THE THIGH WITH AN EPI PEN. HER BLOOD OXYGEN LEVEL WAS TAKEN WITH PULSE OXIMETER, AND BLOOD PRESSURE WAS MONITORED WITH BLOOD PRESSURE CUFF. AS THE PATIENT REGAINED CONSCIOUSNESS, SHE SAID SHE WAS HOT, SO WE GAVE HER A COLD TOWEL. THE PATIENT ALSO TOOK 50MG OF DIPHENHYDRAMINE LIQUID ORALLY. PARAMEDICS TOOK OVER TREATMENT AND WE RELAYED ALL INFORMATION TO THEM.
20 2021-04-27 fainting Vasovagal syncope: provided cold pack and monitored him for 30 minutes before he was released
20 2021-04-28 loss of consciousness, blood pressure increased, fainting After first vaccine: History: Moderna COVID vaccine on 3/11/2021. Arm soreness over the first day or... Read more
After first vaccine: History: Moderna COVID vaccine on 3/11/2021. Arm soreness over the first day or two but nothing else that really struck her. A few days after she started to notice axillary pain that progressed up her right neck and down to her right hand. She saw a physician who thought she was having nerve pain brought on by the vaccine. Around the 18th she started to feel a snapping pain in her wrist. Went to ED on the 20th because she started to have arm shaking, she was given ativan, her arm shaking stopped and they discharged her home. That evening her fingers felt clenched. On the 21st she woke up in the morning, went to urinate and dropped to the floor because her legs felt like jello and felt like they kept giving out. They initially thought the ativan was just making her feel out of it. They waited until the evening but then needed to go to the ED. The concern was GBS and transverse myelitis. They ate dinner and decided to drive to ED, on the drive she was kind of falling asleep periodically. Then she suddenly couldn't lift her water bottle. She started to be completely out of it, Mom says she wasn't responding. Pt says that she felt like she knew what was going on, felt a little out of body and wasn't quite responding. Mom couldn't get her out of the car, she was carried into the ED and at that point she started to recover a little bit more. About 10 minutes later she started to feel better. She was admitted because she was still having trouble walking. In the hospital she had a normal CT head and video EEG but she didn't have any events while on the monitor. Discharged home the following day with the diagnosis of functional neurologic disorder and instructions to establish care with an adult PCP. They advised considering CBT as well. Since discharge her legs feels tired, going up the stairs feels much harder than it should. She has not had any falls and no longer feels like she is going to fall. She follows with a therapist, has had dissociative episodes and panic attacks in the past. Assessment: 20 YOF with PMH of panic attack, POTS, IDA and benign heart murmur who developed weakness of b/l LE and altered consciousness approximately 10 days after her first dose of Moderna COVID vaccine. Also had an episode of unilateral arm shaking the day prior that resolved with ativan in the ED. At this point unclear if directly related to vaccination. Differential includes mild Guillain-Barre 2/2 previous infection or vaccination, stress reaction/anxiety, POTS complication, myasthenia gravis, tick bite, infection, heavy metal poisoning, B12 deficiency, seizure disorder, atypical migraine. Functional Neurologic Disorder diagnosed by neurology after overnight admission for video EEG which captured no events. CT head also WNL per neurology discharge summary. Neurologic exam today WNL. After Second Vaccine: History: She had her 2nd vaccine on 4/15 (6 days ago). Had vaccine in right arm again, she did have some arm pain again. She had coffee without breakfast in the morning. Had finished her first virtual class, went to the restroom during her second class, felt strangely in the restroom, went back to her room. She then passed out. Her fall was unwitnessed. She called to her roommate when she came to but her roommate hadn't heard the fall. She thinks she was only out for a few seconds but cannot be sure. Called her Mom who advised her to eat something so she ate an orange sitting on the floor. She got up to make herself breakfast and she passed out again. Again unwitnessed but patient thinks it was very fast. She crawled over to the couch, sat on the couch for for 15 minutes then felt fine for the rest of the day. She did not feel nauseous at all. She denies palpitations, difficulty breathing and chest pain. Today in office after orthostatics and blood draw she fainted again, only out for seconds. BP elevated immediately after the event but WNL minutes later. These syncopal episodes reminded her of her syncopal episodes with IDA and POTS. They do not feel like the episode after the first vaccine when she lost feeling in her legs and was very out of it. She feels like her arm pain from the first vaccine never fully resolved. After the arm pain worsened from the 2nd shot she tried a 3 day course of aleve to see if that helped things. At this point it is mostly just her right wrist that is painful. Overall feels more localized to wrist than prior. She has since stopped the aleve, last was last night. She has not noticed redness or swelling in wrist or arm. LMP was 4/2-4/6. She went almost a year without menses so stopped her OCP, but her menses have returned recently and she has restarted OCP. Assessment: Right arm pain persisted from the first vaccination but otherwise sx had resolved. She got 2nd vaccination on 4/15, only arm pain but yesterday had 2 brief syncopal events and one today in the office. Orthostatic BPs not completely convincing for orthostatic hypotension today.
20 2021-04-28 loss of consciousness, blood pressure increased Pt was receiving first dose of Moderna vaccine. Counseled pt appropriately on side effects and instr... Read more
Pt was receiving first dose of Moderna vaccine. Counseled pt appropriately on side effects and instructed pt to wait 15 minutes after receiving vaccine. Pt moved to chair right across after being vaccinated. Rph returned to work bench to continue tasks. Another pt nearby alerted pharmacy staff that pt had passed out. Rph and technician approached waiting area and saw pt lying on ground. Rph helped her up and had technician notify store manager. Asked pt if she was okay and had another staff member get her a bottle of water. Managers approached pt and gathered necessary information. Rph had pt wait 30 minutes and check blood pressure before she left. BP slightly elevated so had pt continue to wait. Pt reported headache and stated she wanted to go home and take Tylenol. Instructed her to call pharmacy if she experiences any issues on the way home. Left voicemail to follow up with pt.
20 2021-04-28 pallor Patient visibly pale upon sitting. Patient reported feeling lightheaded, dizzy and having blurred vi... Read more
Patient visibly pale upon sitting. Patient reported feeling lightheaded, dizzy and having blurred vision. Patient denies allergies or any medical history. Patient evaluated by NP and EMT. VS taken: BP 122/103, O2 SAT 99 on room air and pulse 69.
20 2021-04-28 fainting Patient fainted but she attributes it to her intense anxiety due to her OCD and anxiety disorder.
20 2021-04-29 fainting History of anxiety, clammy, dizziness, syncope. BPs 142/92 (pulse 97), 134/88 (pulse 123).
20 2021-04-29 fainting Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting /... Read more
Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Hyperventilation-Mild, Systemic: Nausea-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Weakness-Mild, Additional Details: pt stated dizzy feeling faint headache neasuea weakness i sat with her for around 30 minutes until she felt better
20 2021-04-30 chest discomfort After I received the vaccine I felt normal, sat for 15 minutes, and drove home. Once I got home I s... Read more
After I received the vaccine I felt normal, sat for 15 minutes, and drove home. Once I got home I sat down and started to get very anxious and my chest felt heavy and my tongue and throat started to swell. I say and tried to relax and was going to call 911 if it got worse. They swelling maintained so I took one benadryl, followed by another one 30 minutes later. When I woke up the swelling was still there but had gotten better. I took another benadryl that night. The swelling continued to go down over the next couple of days. After about 5 days I felt back to normal.
20 2021-05-02 hypertension Starting ~1 hour after administration of vaccine she started to feel a slight tightness in her throa... Read more
Starting ~1 hour after administration of vaccine she started to feel a slight tightness in her throat, able to speak and swallow, not progressing. She returned to promptly. notified provider about symptoms. Throat exam: normal, no edema. Vitals at 3:40 pm: O2 99% on RA, HR 113, BP 129/88, Temp 97.8. Liquid benadryl 50 mg administered at 3:45 pm. Lungs CTA b/l, no wheezing. Vitals at 3:48 pm: O2 98% on RA, HR 82, BP 109/92. Pt reporting being able to swallow better and feeling less tightness in her throat at 3:55 pm. Vitals at 4:02 pm: O2 100% on RA, HR 81, BP 120/88, temp 97.8. Pt took sips of water and feels swallowing much easier. Less anxious. Vitals at 4:16 pm: O2 99% on RA, HR 84, BP 104/79. Temp 98.0. Pt observed by a provider or RN at all times. Was released to return home at 4:25 pm. She was given diphenhydramine to repeat 50 mg in 4 hours. Strict ER precautions givenf or any return of symptoms or worsening at any time
20 2021-05-02 loss of consciousness Patient got up after her shot and was walking to the waiting area when she passed out and fell on th... Read more
Patient got up after her shot and was walking to the waiting area when she passed out and fell on the floor. Patient gained consciousness and checked for head and neck injuries. Patient did not have any injuries, no aches or pains or deformities. Patient was released with mom.
20 2021-05-02 fainting Systemic: Fainting / Unresponsive-Medium, Additional Details: ems was called but patient refused
20 2021-05-03 blood pressure increased, loss of consciousness, heart rate increased Patient received vaccine 5/2/21. Patient went home and noticed swelling, redness, bruising, burning,... Read more
Patient received vaccine 5/2/21. Patient went home and noticed swelling, redness, bruising, burning, and numbness (to end of fingertips) in the injected arm. Reported severe dizziness and passed out. She also experienced increased heart rate/blood pressure. On 5/3/21, while experiencing the same symptoms, went to nearby medical facility (urgent care) where she was told that a nerve had been hit or bone had been hit. She was sent home with a heart monitor, in a sling, and was told to stay home from work for 2 days. Her symptoms continued through the day, continuing into 5/4/21. As of 6pm 5/4/21 she is going to go to an emergency room.
20 2021-05-03 chest pain Shortly after vaccination, pt developed dizziness and headache. BP 108/90, HR 80, SP02 99%. No signs... Read more
Shortly after vaccination, pt developed dizziness and headache. BP 108/90, HR 80, SP02 99%. No signs or symptoms to suggest anaphylaxis. Pt developed CP during her observation period as well. EMS transport to the ED was recommended for evaluation. Pt declined and instead was driven home by significant other. She had mild persistent symptoms at the time of her departure.
20 2021-05-03 hypotension, pallor Patient received vaccination and was fine until 1-2 minutes later when she had a seizure-like reacti... Read more
Patient received vaccination and was fine until 1-2 minutes later when she had a seizure-like reaction where she was unresponsive for about 90 seconds. Blood pressure was temporarily low 85/55 and patient appeared pale and sweaty for about 15 minutes after the episode.
20 2021-05-03 loss of consciousness, fainting Dizziness, fainting with loss of consciousness, nausea, blurred vision
20 2021-05-03 fainting felt dizzy, nauseated, and cold within 15 mins of vaccination. BP 130/90, pulse ox 87. Felt better ... Read more
felt dizzy, nauseated, and cold within 15 mins of vaccination. BP 130/90, pulse ox 87. Felt better but 911 called and she was taken to Hospital ED Outcome : Peanut Propensity to adverse reactions. Syncope, unspecified syncope type
20 2021-05-04 chest pain, loss of consciousness Trouble breathing, chest pain, vision went black 8 hours after receiving vaccine? almost fainted. Fe... Read more
Trouble breathing, chest pain, vision went black 8 hours after receiving vaccine? almost fainted. Fever. Body aches.
20 2021-05-05 chest discomfort Trouble breathing, tightness in chest, feeling of throat closing up. Started during intense cardio a... Read more
Trouble breathing, tightness in chest, feeling of throat closing up. Started during intense cardio activity 2 days after receiving 1st dose of vaccine
20 2021-05-06 pallor VACCINATION GIVEN @ 08:20. PATIENT C/O DIZZINESS @ 08:23. SKIN APPEARED PALE AND DIAPHORETIC. PAT... Read more
VACCINATION GIVEN @ 08:20. PATIENT C/O DIZZINESS @ 08:23. SKIN APPEARED PALE AND DIAPHORETIC. PATIENT STATED SHE HAD NOT HAD ANY FOOD OR FLUIDS YET. PLACED IN SUPINE POSTION WITH FEET ELEVATED. 08:30 HR 68, RR 16, BP 100/40. PATIENT GIVEN A LOLLIPOP AND WATER. 08:40 VS HR 72, RR 16, BP 120/50. PATIENT REPORTS FEELING LESS DIZZY. VSS. 08:55 PATIENT SAT UP IN CHAIR. TOLERATED WELL. SKIN PINK , WARM, AND DRY. 09:00 HR 70, RR16, BP 100/60. VSS. PATIENT DISCHARGED @ 9:05 SYMPTOMS RESOLVED.
20 2021-05-06 fainting Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Det... Read more
Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: patient fainted and fell to the floor and hit her head on the floor. She was with her boyfriend who was able to catch her and prevent a more severe fall. I went to the outside of the vaccination area and try to hold her head down and support it so she would not hit her head she came to within a minute and dioriented and confused. she remembered that she was in target and that she received her covid 19 moderna vaccine approximately 5 min before incident
20 2021-05-09 fainting Patient fainted approximately 5 minutes after receiving vaccination. Fortunately she was still seate... Read more
Patient fainted approximately 5 minutes after receiving vaccination. Fortunately she was still seated and I was still with her due to her history of fainting with vaccines. We provided an ice pack, bottle of water, and a cold washcloth. I remained with patient for approximately 30-40 minutes after episode and ensured that she was feeling better before letting her leave. Store management provided a cart and she was escorted by an associate and her friend (who was driving her) to the parking lot.
20 2021-05-11 chest pain, fibrin d dimer increased, pulmonary embolism Pt presented with 2-3 days of right-sided chest pain and dyspnea. CT demonstrates bilateral PE. Pt... Read more
Pt presented with 2-3 days of right-sided chest pain and dyspnea. CT demonstrates bilateral PE. Pt prescribed apixaban.
20 2021-05-11 loss of consciousness Day1- headache, achy body, little shorter on breath within 3 hours. That night around 7pm was also g... Read more
Day1- headache, achy body, little shorter on breath within 3 hours. That night around 7pm was also getting nauseous and headache turned into migraine. Woke in the middle of the night from a fever, was light headed, passed out trying to walk. Day2- that morning was still feeling all side effects, and threw up. Was very tired, slept until 2 when my fever broke. Rest of the day was just tired, achy from the top of my neck to the base of my spine with an emphasis on my shoulders, very short of breath. Day3- mostly just a headache, mild aches in body
20 2021-05-11 loss of consciousness 13 minutes after receiving first dose of Moderna Vaccination as patient was waiting observation time... Read more
13 minutes after receiving first dose of Moderna Vaccination as patient was waiting observation time she fell out of her chair when she lost consciousness and hit her head on the floor. When she regained consciousness she asked what happened and she was told what happened as described above. Then she states that "this has happened before when she sees other people get shots". She was alert and oriented to person, place, and time. Swelling appeared on her head above her right eye. Blood preasure reading 76/45 pulse 51 respirations 20 and patient states that she is "ok". Due to the fact that she lost consciousness and hit her head on the floor the ambulance was called. Prior to ambulance arrival blood pressure recheck was 125/93 pulse 91.Patient was talking on the phone to her mother when ambulance arrived. Patient was taken to local ER by EMS for further evaluation.
20 2021-05-11 pallor Immediately after the vaccination the patient reported not feeling well, a little dizzy, but said it... Read more
Immediately after the vaccination the patient reported not feeling well, a little dizzy, but said it was normal for her. She was instructed to sit in the waiting room for about 15 minutes with her boyfriend. About five minutes after sitting out in the waiting room, the patient almost passed out and had some convulsive like movements. 911 was called. The patient did not loose consciousness, but was extremely pale. She was nausea and almost vomited three times. She reported feeling shaky, and said her throat felt funny. EMS arrived and took over the care of the patient.
20 2021-05-11 fainting syncopal episode
20 2021-05-11 fainting SYNEOPAL EPISODE HAPPENS WHEN SHE GETS SHOTS. PATIENT STATES SHE WILL BE FINE.
20 2021-05-12 fainting Patient fainted after giving the vaccine.
20 2021-05-13 pallor Pt presents to EMS after feeling dizzy and nauseous after receiving second dose of Moderna. Pt is pa... Read more
Pt presents to EMS after feeling dizzy and nauseous after receiving second dose of Moderna. Pt is pale and diaphoretic, she was put in wheelchair and wheeled into hallway for further assessment. PMHx of stomach ulcer and anxiety Allergy to vaccine binder Vitals assessed BP-138/75 SPO2-99% HR-91 RR-14 Airway is patent, respirations are normal and non-labored, pt denies chest pain or shortness of breath PT states she usually feels like this after donating blood. She also states she did not have anything to eat today. She was given a box of apple juice. After 5 minutes vitals were reassessed. BP-138/70 SPO2-100% HR-90 RR-14 Skin color has improved, pt states she is feeling much better now, diaphoresis, dizziness and nausea has subsided. Pt stood up without complications. Her observation time was up so she was taken to the exit.
20 2021-05-13 palpitations Patient described racing heart, difficulty breathing, disorientation, and numbness in the arm and fa... Read more
Patient described racing heart, difficulty breathing, disorientation, and numbness in the arm and face. Patient wanted pharmacy to call 911, and EpiPen 0.3mg was administered in the thigh. After EMS evaluation patient declined to go to the hospital.
20 2021-05-14 heart rate increased Tense muscles, fever, exhaustion, nausea, rapid heart rate, headache
20 2021-05-16 hypotension, heart rate decreased Patient developed dizziness and lightheadedness 5 minutes after receiving the vaccine. Clinic nurse ... Read more
Patient developed dizziness and lightheadedness 5 minutes after receiving the vaccine. Clinic nurse practitioner took over and took her vitals, her blood pressure was low and heart rate was low as well. She drank some orange juice and we called paramedics to follow her further.
20 2021-05-16 loss of consciousness I gave the patient her vaccine and when I went to apply a second bandaid, the patient passed out in ... Read more
I gave the patient her vaccine and when I went to apply a second bandaid, the patient passed out in the chair. Her head went back with eyes wide open and she was unresponsive. Within a minute she came back to and said that she was all tingly. My technician came out with me and stayed with me till the ambulance arrived. She kept going in and out of consciousness. She did leave with the ambulance to go to the hospital
20 2021-05-16 lightheadedness On 5/17/21 the Patient received the Moderna Covid Vaccine. She presented with a known allergy to PCN... Read more
On 5/17/21 the Patient received the Moderna Covid Vaccine. She presented with a known allergy to PCN and Augmentin. This was not a reason for the patient not to get her vaccine today so Pharmacist proceeded to give her the shot. We asked for the patient to sit down and since she had some allergies we asked for her to wait for 30 min. Roughly ten minutes into her wait the patient started to complain of numbness of the face, so we went ahead and gave her a cold bottle of water. About two minutes later the patient began to complain of numbness in the arm along with hives on both arms and neck. At this point the patient looked very flush, disorientated, and acted as if she was going to pass out. I went and sat down with her and I could tell she was uncomfortable for which I got her some ice packs and started asking more questions about her reaction. I could tell the patient was very disorientated and she began to complain of swelling and tightness of the throat. Once the patient began to complain of throat swelling/tightness. I had call code white and 911 due to the concern of anaphylaxis and pharmacy protocol.
20 2021-05-16 fainting fainted after vaccinated
20 2021-05-18 pallor Pt appeared to faint after getting immunization, she had stood up and then appeared to be dizzy and ... Read more
Pt appeared to faint after getting immunization, she had stood up and then appeared to be dizzy and unwell. Her boyfriend who was also there for an immunization and I were able to catch her before she fell, she was brought to floor in sitting position and I recommended she lie down, she was very pale but still coherent. We called store assistant manager who came to assist and he called paramedics to check her out. I stayed with her until paramedics came, they checked her out and determined she was ok and did not need further assistance. She was driven home by boyfriend once she was given the all clear and we all determined she was ok. Patient appeared to have a fear of needles. We called patient later in evening to check on her and she said she was doing fine.
20 2021-05-19 heart rate increased, chest pain felt tired within 30 minutes of receiving the vaccine; later that night had extreme chills and could... Read more
felt tired within 30 minutes of receiving the vaccine; later that night had extreme chills and could not sleep, the next day on 4/24 throwing up stomach acid and then went to hospital after having chest pain, received fluids and when testing came back okay, I was discharged and felt better
20 2021-05-20 palpitations I felt fine up until I went to bed at about 11 pm. I woke up at 2 am on the 20th of May feeling extr... Read more
I felt fine up until I went to bed at about 11 pm. I woke up at 2 am on the 20th of May feeling extremely fatigued and feverish. I took my temperature about an hour later and my temperature was 103.3 F. I experienced a racing heart rate and heart palpitations throughout the night alongside the fever. My temperature didn't lower until another 3 hours, in which I took Tylenol, used cold rags on the skin, and soaked in a cold bath to lower my temperature. My fever went up and down all day during the 20th, wherein I felt generally unwell and feverish. Today, the 21st, my urine is extremely dark and black tea-colored because of blood in my urine, due to a preexisting kidney disorder where blood spills into my urine whenever I contract a virus.
20 2021-05-20 fainting FAINTING, MIGRAINE & FEVER
20 2021-05-21 fainting patient said, she fainted, felt dizzy.
20 2021-05-21 fainting Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Severe, Additional Details: Patient expe... Read more
Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Severe, Additional Details: Patient experienced seizure. Called 911 and paramedics treated. Patient advised to see primary dr for seizures. she states she had hx of seizures w/o treatment at this time.
20 2021-05-22 palpitations, chest pain Two days after the vaccine, I developed a rash on my arm and severe pain. Then the day after I was h... Read more
Two days after the vaccine, I developed a rash on my arm and severe pain. Then the day after I was having horrible chest pain and heart palpitations. I was given heparin directly to my heart to treat a possible blood clot.
20 2021-05-24 chest pain, troponin increased chest pain, abnormal EKG, elevated troponin peaked at 15.9, normal echo Admitted to hospital x 1 day... Read more
chest pain, abnormal EKG, elevated troponin peaked at 15.9, normal echo Admitted to hospital x 1 day Treated with NSAIDS and colchicine
20 2021-05-26 brain sinus blood clot, low platelet count, platelet count decreased, fibrin d dimer increased Headache onset 3-4 days after vaccine on 4/27/21. Subsequently developed visual changes (right homon... Read more
Headache onset 3-4 days after vaccine on 4/27/21. Subsequently developed visual changes (right homonymous hemianopsia/visual field cut) on 5/23/21 and presented to ED, diagnosed with cerebral venous thrombosis (left transverse, sigmoid and internal jugular thrombosis). On initial labs also had thrombocytopenia and mild leukocytosis.
20 2021-05-26 hypotension Pt became diaphoretic, hypotensive (sbp<70), dizziness. Benadryl po administered. BP return to nor... Read more
Pt became diaphoretic, hypotensive (sbp<70), dizziness. Benadryl po administered. BP return to normal after 10 min. Monitored for additional 30 min. Full return to prevaccination s/sx.
20 2021-05-26 pallor Client received the COVID vaccine (Moderna dose 1, lot # 024C21A, expiration date 6/26) at 2010. Cli... Read more
Client received the COVID vaccine (Moderna dose 1, lot # 024C21A, expiration date 6/26) at 2010. Client reported feeling "lightheaded" at 2016. EMTs and RN responded at that time. The client appeared pale and diaphoretic, and complained of the "room spinning". The client denied any shortness of breath, chest pain, difficulty breathing, changes in vision, or nausea. The client was alert and oriented x4 at this time. The client's vital signs were as follows: heart rate 56, O2 99%. The client was tranferred to the zero gravity chair by staff with no difficulty. At 2020, the client's vital signs were as follows: BP 150/88, pulse 66, respiratory rate 12, O2 99%. The client had been given snacks, water, and juice by POD staff previous to her vaccination, but had last eaten a meal at 1445. The client stated she does have a fear of needles. The client stated she doesn't have any medical conditions and doesn't take any medications. The client has allergies to bees, cats, and penicillin. At 2030, the client stated her lightheadedness and "room spinning" had resolved. The client no longer appeared diaphoretic and her skin color had returned to normal. The client's vital signs were as follows: blood pressure 138/96, respiratory rate 12, O@ 99, heart rate 74. At 2040, the client's vital signs were as follows: blood pressure 138/86, heart rate 56, O2 99%. Education provided regarding AMR activation and emergency management, primary care follow up, symptom management, and v-safe. At 2048, the client's vital signs were as follows: blood pressure 130/84, heart rate 62, O2 99%, respiratory rate 14. The client left at that time, ambulating with a steady gait, with her partner who stated he would be driving her home.
20 2021-05-26 pallor Patient received vaccine and said it was painless. She was accompanied by her mother, shortly in to ... Read more
Patient received vaccine and said it was painless. She was accompanied by her mother, shortly in to her 15 minute waiting period her mother approached and said the patient felt light headed. I asked patient to remove her mask and assessed for any swelling of the lips or the face. Patient stated she did not have any issues breathing but felt very faint. Her eyes were very dilated, and she wanted to lay down. So we assisted patient to the floor, called Code White and 911. I stayed with patient as she lay down, she began to recover, but still looked very pale. I continually assessed patient for anaphylaxis, but patient reported no pain in injection site or issues breathing. Paramedics arrived and assessed patient, BP was normal, blood sugar was in the low normal range, paramedics determined that issue was not related to vaccine, but that she was dehydrated and had not eaten, which exacerbated the light headedness.
20 2021-05-27 chest pain She states she felt a "heat" in her chest and throat.
20 2021-05-27 nosebleed, chest pain Hives on arms, left side of face, severe swelling in left leg , nose bleeds, and chest pain.
20 2021-05-27 heart rate increased, chest pain 4/23 right after recieving the vaccine, felt really fatigued, then had chills all night and couldn't... Read more
4/23 right after recieving the vaccine, felt really fatigued, then had chills all night and couldn't sleep 4/24 started throwing up stomach acid and had chest pains, after calling, they said to go to ER, had multiple tests since my heart rate was really high so they wanted to monitor me and make sure I was okay, was there from like 4-5pm to around 9pm and felt fine after that
20 2021-05-28 inflammation of the heart muscle Myocarditis - admission and treatment in Hospital - discharge with treatment ongoing for myocarditis
20 2021-05-31 loss of consciousness I went to the bathroom and realized I had gotten my period and was feeling lightheaded, I went to go... Read more
I went to the bathroom and realized I had gotten my period and was feeling lightheaded, I went to go get water and passed out while walking, my moms found me and called an ambulance, I had an MRI. EKG, and chest X-rays done at the hospital, they said I was fine but I have never passed out before, especially from my period.
20 2021-05-31 fainting, loss of consciousness Patient received 2nd dose of Moderna. About 5 mins post vaccination patient felt hot, dizzy and fai... Read more
Patient received 2nd dose of Moderna. About 5 mins post vaccination patient felt hot, dizzy and faint. She motioned for help to her mother and mom notified the pharmacist on duty. Patient appeared to loose consciousness for a few seconds and then came back to. Pharmacy assisted in lowering patient to floor so she did not fall. We applied cool compress as she was very hot and we called 911. Ambulance arrived and took patient to hospital.
20 2021-05-31 fainting fainted. light headedness. vomiting. dizziness
20 2021-06-02 deep vein blood clot April 21, 2021 Study Result Narrative Procedure: Duplex ultrasound examination of the lower extremi... Read more
April 21, 2021 Study Result Narrative Procedure: Duplex ultrasound examination of the lower extremity veins was performed using 2D imaging with color and spectral Doppler. General: 21 year old female presents for right LE venous duplex to rule out DVT. Pt complains of right posterior calf pain x3 days. Right: Abnormal right LE venous duplex reveals evidence of acute partial deep venous obstruction involving one of the paired peroneal veins from mid to upper calf level without extension into the popliteal vein at this time. Conclusions: Acute deep venous thrombosis in a right peroneal vein from mid to upper calf level without extension into the popliteal vein at this time.
20 2021-06-03 chest pain, fainting At 2300 - Dyspnea, chest pain, cough, left arm pain, temperature of 99 degrees F, collapsed at home,... Read more
At 2300 - Dyspnea, chest pain, cough, left arm pain, temperature of 99 degrees F, collapsed at home, ambulance called
20 2021-06-03 hypertension, chest discomfort, blood pressure increased Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat T... Read more
Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypertension-Medium, Additional Details: patient was given shot. about 5 minutes after she was complaining of chest tightness and difficulty breathing. i took BP at 208pm 177/22 - pulse 99. I spoke to the patient't nephrology nurse, she said patient has many allergies and to start our protocol. At 223pm BP was assesed with a manual device and still high at 170/120, patient still complaining of difficulty breathing and chest tightness, 1 dose of epinephrine 0.3mg was administered intramuscularly in left thigh.
20 2021-06-03 inflammation of the pericardium Pericarditis
20 2021-06-06 blood pressure fluctuation, fainting .On 5/9/2021 I fainted and on 6/2/2021 I fainted again, this time with extreme fatigue, lightheadedn... Read more
.On 5/9/2021 I fainted and on 6/2/2021 I fainted again, this time with extreme fatigue, lightheadedness, dizzyness, and blood pressure changes while standing up.
20 2021-06-07 chest discomfort Pt called pharmacy on 6/8/21 at approximately 10am and reported have chest tightness, and shortness ... Read more
Pt called pharmacy on 6/8/21 at approximately 10am and reported have chest tightness, and shortness of breath for the past 10 hours. Pt denies having any changes to medications or other conditions. Instructed pt to contact her doctor, or (if symptoms become severe), 911.
20 2021-06-07 fainting Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unrespons... Read more
Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Mild, Systemic: Tinnitus-Mild, Additional Details: Patient received 2nd dose and withing approximately 5 minutes, her eyes rooled back and her body went limp. She came too withing 1 minute and was ok for approximately 2-3 minutes. Then her eyes rolled in the back of her head and she experienced slight convulsions of her extremities. she came too once again within 1 minute. she was confued initailly when she came too, but pretty quickly was fully awae of her surroundings.
20 2021-06-07 blood clot, pulmonary embolism blood clots in her legs and lungs; blood clots in her legs and lungs; back and legs were hurting; co... Read more
blood clots in her legs and lungs; blood clots in her legs and lungs; back and legs were hurting; couldn't walk.; back and legs were hurting; alertness declining; activity declining; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of THROMBOSIS (blood clots in her legs and lungs), PULMONARY EMBOLISM (blood clots in her legs and lungs), BACK PAIN (back and legs were hurting), GAIT DISTURBANCE (couldn't walk.), PAIN IN EXTREMITY (back and legs were hurting), DEPRESSED LEVEL OF CONSCIOUSNESS (alertness declining) and DECREASED ACTIVITY (activity declining) in a 20-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Unknown) for COVID-19 vaccination. No medical history was reported. On 22-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 18-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to .5 milliliter. On 27-May-2021, the patient experienced DEPRESSED LEVEL OF CONSCIOUSNESS (alertness declining) (seriousness criteria hospitalization, disability and medically significant) and DECREASED ACTIVITY (activity declining) (seriousness criteria hospitalization and disability). On an unknown date, the patient experienced THROMBOSIS (blood clots in her legs and lungs) (seriousness criteria hospitalization, disability and medically significant), PULMONARY EMBOLISM (blood clots in her legs and lungs) (seriousness criteria hospitalization, disability and medically significant), BACK PAIN (back and legs were hurting) (seriousness criteria hospitalization and disability), GAIT DISTURBANCE (couldn't walk.) (seriousness criteria hospitalization and disability) and PAIN IN EXTREMITY (back and legs were hurting) (seriousness criteria hospitalization and disability). The patient was hospitalized on 16-May-2021 due to BACK PAIN, GAIT DISTURBANCE, PAIN IN EXTREMITY, PULMONARY EMBOLISM and THROMBOSIS. The patient was treated with HEPARIN for Coagulopathy, at a dose of 1 dosage form; Surgery (thrombectomy and Intubated) for Thrombosis and Surgery (thrombectomy and Intubated) for Pulmonary embolism. At the time of the report, THROMBOSIS (blood clots in her legs and lungs), PULMONARY EMBOLISM (blood clots in her legs and lungs), BACK PAIN (back and legs were hurting), GAIT DISTURBANCE (couldn't walk.), PAIN IN EXTREMITY (back and legs were hurting), DEPRESSED LEVEL OF CONSCIOUSNESS (alertness declining) and DECREASED ACTIVITY (activity declining) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In May 2021, Blood creatinine: 5.37 (High) high. In May 2021, Blood potassium: high (High) high. In May 2021, Glomerular filtration rate: 9.5 (Low) low. In May 2021, Imaging procedure: abnormal (abnormal) had new imaging and she was still developing clots. In May 2021, Ultrasound abdomen: inconclusive (Inconclusive) inconclusive. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. She was in the cardiac intensive care unit (ICU). She had a thrombectomy and was on heparin. They intubated her and put her on the ECMO machine on 19 May 2021. The patient got off ECMO on 24 May 2021 and the intubation tube was removed 25 May 2021. They were having trouble obtaining a non-hemolyzed sample from her since 27 May 2021. The patients concomitant medication information included birth control pills. Very limited information regarding these events have been provided at this time. However subject's use of birth control pills can be a confounding factor to the events thrombosis and Pulmonary embolism. No further information is expected.; Sender's Comments: Very limited information regarding these events have been provided at this time. However subject's use of birth control pills can be a confounding factor to the events thrombosis and Pulmonary embolism. No further information is expected.
20 2021-06-09 chest discomfort Chest pressure s\p vaccination- advised to follow up with PCP or urgent care as needed
20 2021-06-09 inflammation of the pericardium, chest pain, fluid around the heart Patient presented 0n 5/25/21 with chest pain, shortness of breath, nausea and headache. Work-up sho... Read more
Patient presented 0n 5/25/21 with chest pain, shortness of breath, nausea and headache. Work-up showed pericardial effusion with pericarditis. Drain placed. Patient responded to ibuprofen and colchicine therapy. Patient unsure of dates of vaccination. Stated April-May 2021.
20 2021-06-11 palpitations Heart palpitations, exhaustion, migraine, dizziness, fatigue
20 2021-06-11 fast heart rate, heart flutter heart fluttering and tachycardia
20 2021-06-12 fainting Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted after receiving Moderna ... Read more
Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted after receiving Moderna vaccination, she immediately awoke, and I helped to chair where she immediately fainted again, myself and tech caught her and helped her to the floor. She recovered immediatly and we called 911. We stayed with the patient where she was responsive and talking till EMT arrived. EMT checked her out and left. She was feeling much better and was able to leave on her own strength. Patient had a history of fainting after a blood draw, and with penicillin inj
20 2021-06-17 fainting Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient felt that he was about to pass o... Read more
Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient felt that he was about to pass out and almost fell from the chair. He then lied down on the floor. He was awake and alert, was able to breathe normally. EMS arrived and checked on him saying his heart rate and blood pressure were normal. He wanted to be taken to the hospital to get checked up.
20 2021-06-20 fainting, chest discomfort, chest pain She complained of having dizziness, fainting and chest pain just 5 minutes after the covid-19 shot w... Read more
She complained of having dizziness, fainting and chest pain just 5 minutes after the covid-19 shot was administered to her. Her blood pressure was 147/107 and pulse was 68. She said is feeling cold, clammy and her chest is squeezing her, I gave her a shot of Epinephrine and the emergency first responder came to take over.
20 2021-06-22 chest discomfort Patient developed shortness of breath and chest tightness later in the day after receiving her first... Read more
Patient developed shortness of breath and chest tightness later in the day after receiving her first and her second COVID Vaccine. She also vomited about 10 hours after receiving her first COVID Vaccine. The following 3 days after receiving both her first and second dose of the COVID Vaccine, she experienced shortness of breath and chest tightness.
20 2021-06-23 chest pain chest pain, dyspnea, dizziness, possible myocarditis found during ER visit
20 2021-06-24 fainting Patient fainted after receiving the menactra vaccination
20 2021-06-24 fast heart rate Tachycardia.
20 2021-06-25 heart rate increased pain in the arm I got the vaccine in, elevated heart rate, body aches
20 2021-06-25 pallor After receiving vaccine, Patient was waiting in front of the pharmacy when parent yelled for my atte... Read more
After receiving vaccine, Patient was waiting in front of the pharmacy when parent yelled for my attention. I went out immediately to check on patient. She was swaying and eyes were fluttering. Patient was still communicating verbally and said she felt light-headed, was feeling sick, and extremely pale. Got patient a trash can and cold compress to apply to neck and face. She dry heaved, but no vomit was produced. Parents stayed next to patient and I checked on her every 5 minutes. She was okay to leave after sitting for approximately 30 minutes with color returning to her face. No other reaction occurred during this time.
20 2021-06-26 fainting, pallor At about 1:10pm, 20 year old patient received the Moderna covid19 vaccine. Moments later, about 14 ... Read more
At about 1:10pm, 20 year old patient received the Moderna covid19 vaccine. Moments later, about 14 seconds after she left the room, patient collapses/faints to floor. Another customer screamed, which caught my attention, and I heard something hit the floor. I immediately left the pharmacy to the waiting area, where the patient fainted to attend to her and access the situation. I also immediately pointed and told , the certified pharmacy technician to call 911. I helped her off the ground and helped her to a chair where she sat down. The patient visibly was perspiring above her lip. I asked her are you having any difficulty breathing, to which she responded no. She said she was nauseous and wanted something to drink . I gave her water to drink. She initially appeared pale. Eventually her color came back. I told her that the paramedics were on their way, and that I was there for her to help her anyway I can. She mentioned to me that she had not had breakfast today, which may of contributed to her fainting. At about 1:13 pm, I asked her if she was feeling better or worse, to which she responded, "better". I asked her if she wanted more water, to which she said yes, and I brought her more water to drink. Around this time , her color was returning. I asked her again at about 1:18pm, if she felt better, to which she smiled and said yes. She ran out of water again, & I offered to bring her more water to drink. At 1:23pm , the paramedics arrived on the scene. At about 1:33pm , the patient left the pharmacy after the paramedics helped her feel better.
20 2021-06-29 pulmonary embolism PE 4/16/21
20 2021-06-30 chest discomfort Day after injection & since-severe headaches, nausea/vomiting, chest pressure, shortness of breath
20 2021-07-03 fainting, lightheadedness Vasovagal symptoms- patient fainted roughly 5 minutes after shot
20 2021-07-06 chest pain 4 days after the vaccine I started having chest pain while being on a call. I got lightheaded and di... Read more
4 days after the vaccine I started having chest pain while being on a call. I got lightheaded and dizzy. I went to the ER and had an EKG done. The doctor told me everything was normal and I was just having anxiety, even though I had nothing triggering any anxiety. I went to another ER the next day and did not have another EKG. The chest pain lasted 5 total days straight. My primary care doctor sent me to get a stress test a few weeks later. That doctor told me my EKG was abnormal from a few weeks ago. He said my T Wave was off. I have no known heart conditions that would have caused an abnormal EKG or the sharp chest pains I was having.
20 2021-07-06 lightheadedness Vasovagal. Patient unexpectedly went unresponsive. responded to name and woke up.
20 2021-07-06 fainting Systemic: Fainting / Unresponsive-Mild, Additional Details: Pt fainted...I went across the register ... Read more
Systemic: Fainting / Unresponsive-Mild, Additional Details: Pt fainted...I went across the register where she was... she was fully responsive the entire time. She mentioned that she did have very low blood pressure and anticipated that she might faint. She was responsive to all my questions and was fully cognitive. She laid down little bit with legs raised.. drank some water... Sat in the chair and was Ok the entire time. Spoke with her and she said she was ok.
20 2021-07-07 chest pain I started having chest pain some time this morning and it made it somewhat difficult to continue sle... Read more
I started having chest pain some time this morning and it made it somewhat difficult to continue sleeping. It hurts when I breathe but it also hurts while I'm just sitting here. I've taken a hot shower and right now I'm breathing in steam. I've been hacking up phlegm. It's a very sharp stabbing pain.
20 2021-07-08 blood pressure decreased, palpitations Vaccinated Tuesday 07/06/2021 at 12:00pm. At 12:15 I was having palpitations, and my throat felt ti... Read more
Vaccinated Tuesday 07/06/2021 at 12:00pm. At 12:15 I was having palpitations, and my throat felt tight, I attribute this to anxiety, I was nervous to get the shot but think it should still be noted. At 1:00 or 2:00 that afternoon, I noticed about an inch around where the shot was injected I had small white head like bumps, that if scratched or pressured drained white puss. At 3:00pm that afternoon, I stood up from my bed and felt pressure in my head similar to sinus pressure you can get from a cold. I had no congestion. On Wednesday 07/07/2021 I woke up and my upper L arm was in significant pain. The area that was vaccinated had a 2-3 inch radius that was bright red in color. The area where I was injected had a 0.5-1 inch radius that was dark purple. This area was hot to the touch, firm, and swollen. The pain was constant but worse when touched. On Thursday 07/08/2021 there was no new symptoms and the skin reaction started to go away but was still present. Today Friday 07/09/2021 the skin reaction is still present but improved. It is still painful to the touch. The redness is gone but the dark purple circle is still pressent. It is still slightly firm, and is no longer hot to touch. It is still slightly painful to touch but not bothersome when left alone. Today I had to leave work early due to a drop in blood pressure at 12:00pm. Around 10-11am I was standing and typing when I felt like I had come down with the flu. This happened rapidly within 2 minutes. I felt feverish, I was sweating, I felt nauseous, but I did not vommit, I felt as though I was going to faint. I had one of the nurses at my workplace check my blood pressure. It was 107/72. Within an hour it rose to 108/72 so I decided to go home. It should be noted I do not normally eat breakfast. I stay well hydrated. I had only had my medication, and water at the time of this event which is normal for me. I was given crackers, and juice that did not help. I am unsure if this is related to the vaccination but think it should be noted.
20 2021-07-10 fainting 5 minutes after injection the patient started feeling hot and had difficulty breathing, she then fai... Read more
5 minutes after injection the patient started feeling hot and had difficulty breathing, she then fainted
20 2021-07-12 pallor 2.5 weeks after first dose. Pale face Dizzy Vomiting Double vision Pins and needles Right thro... Read more
2.5 weeks after first dose. Pale face Dizzy Vomiting Double vision Pins and needles Right throat Shortness of breath Loss of coordination -went to hospital ER and thought it was an allergic reaction but it wasn?t
20 2021-07-15 nosebleed 3 days after second Covid 19 vaccine, June 11, had one nose bleed that bled "a lot"- was bleeding o... Read more
3 days after second Covid 19 vaccine, June 11, had one nose bleed that bled "a lot"- was bleeding out the front of the nose and just stopped on its own without any treatment. Started back up a week later with usually 2-3 times per day average time it lasts 10-15 minutes. After about 3 days she stopped her Zyrtec and Flonase to see if it would help, it didn't seem to help. She blows her nose, and will get out a larger clot- now the bleeds just fill up the nostril- has a big scab there. She does have a large scab in the nose. Right nostril only. Remote history of nose bleeds- however only 2 times previously- around 7/8 years old related to trauma/dry nostrils-
20 2021-07-19 loss of consciousness, pallor Patient presented to the pharmacy to receive her second dose of Moderna covid vaccine. After gettin... Read more
Patient presented to the pharmacy to receive her second dose of Moderna covid vaccine. After getting the vaccine, she went back to sit down with her father who had accompanied her because of previous episodes when receiving injections. After just a few minutes, the patient became pale, began to sweat and passed out briefly. She did not fall or hit anything. We got a cold pack and applied to the back of her neck and got her some water. After about 15 minutes, she began talking normally and was starting to feel better. She stayed for another 15 -30 minutes to make sure she was feeling ok. One of our technicians walked to the vehicle with her and her father to make sure she was still ok when she got to the car. We called and checked on her this evening aroung 6pm and she was feeling much better.
20 2021-07-28 blood pressure decreased nausea, weakness, dizziness, neuropathy
21 2021-01-03 pallor Fever greater than 100 degrees F, full body muscle aches, chills, sore throat, tender armpit (left)-... Read more
Fever greater than 100 degrees F, full body muscle aches, chills, sore throat, tender armpit (left)- 12/27/2020 (all day) Itchy, blanched, swollen, hard, warm patch on left arm 4.5" x 3" with surrounding redness and tender armpit- 01/02/2021- present
21 2021-01-04 low blood pressure, fainting Patient received Moderna covid 19 vaccine on 11:15am 1/5/2021. Patient had rested for 15 minutes aft... Read more
Patient received Moderna covid 19 vaccine on 11:15am 1/5/2021. Patient had rested for 15 minutes after vaccination and reported felt fine. Patient went back to work. Patient fainted around 3:30pm. Patient regained the conscious quickly and the Paramedics said her blood sugar was normal and she had little orthostatic hypotension. The Paramedics gave her some fluid.
21 2021-01-05 heart rate increased, chest discomfort Client felt dizzy, mouth and upper throat went numb, chest tight, shakey, felt terrible. Seeing dou... Read more
Client felt dizzy, mouth and upper throat went numb, chest tight, shakey, felt terrible. Seeing double and nauseated. went to ER and received IV benadryl and relieved many symptoms but had heart rate escalating and dizzy continuously. Body aches
21 2021-01-05 palpitations, heart rate increased *I am a nursing student who received the vaccine because I am in a nursing program. Employee at Publ... Read more
*I am a nursing student who received the vaccine because I am in a nursing program. Employee at Public Health Dept agreed I should file this report and file it myself because I have the most accurate description of the symptoms that occurred What happened after vaccine administration within about ~10 minutes (01/04/2021) -what felt like a bit of throat tightening/swelling that would come in spurts and go away -difficulty taking a deep breath, could still breathe adequately normally -took more effort to breathe deeply/have a normal baseline breathing pattern -faster heart rate than normal, could feel it ?racing? a bit- was about 82 (radial, took it myself) *thought these were attributed to my anxiety of sitting in a crowded room not close to the exit (I have bad anxiety with being in new locations and not being in control of where I can place myself around others (I do not have an anxiety disorder but experience anxiety of this kind semiregularly) *sat a few extra minutes (about 20 minutes) and then left the observation area confident I was overthinking and I was just me being anxious/not the vaccine After walking out/leaving -spurt of dizziness/nausea -chills -hot forehead -spurts of widespread headache -effort to take in deep breaths -not as noticeable racing heart rate -spurts of throat tightening/swelling (not severe) Back home Same things as leaving -spurt of dizziness/nausea -chills -hot forehead -spurts of widespread headache -effort to take in deep breaths -not as noticeable heart rate -spurts of throat tightening/swelling (not severe) -spurts of throat tightening went away in about an hour After 1-3 hours -heart rate and breathing still making me uncomfortable but did not feel like an emergency -could feel heart rate when laying down/felt racing to me again when lying down, not very much when sitting up Breathing remained uncomfortable for the rest of the day/effortful into the evening -heart rate felt normal in the afternoon/evening -talking on the phone took more effort than usual but was not too difficult Later that night I was able to lay down without a racing feeling heart rate, breathing was better, and slept fine. The next morning I woke up (01/05/2021) without any effortful breathing or racing heart rate and without any other abnormal symptoms; symptoms I did experience were arm soreness and some fatigue Today 01/06/2021 my arm soreness is very mild and I am not experiencing any other symptoms -did not download the v safe app until 01/05/2021
21 2021-01-06 chest pain Body aches and chest pain
21 2021-01-06 fast heart rate, hypertension Lightheaded, dizziness, body aches, chills, tachycardia, hypertension, 101.4, swelling and redness a... Read more
Lightheaded, dizziness, body aches, chills, tachycardia, hypertension, 101.4, swelling and redness around the site, headache, diarrhea. Headache, diarrhea, swelling and redness have not gone away. Went to ER after reaction started, was evaluated in ER. Physician stated it was typical vaccine side effects, no treatment or epi was needed.
21 2021-01-07 heart rate increased 15 minutes after vaccine- hot all over body, throat closing, itchy, eyes felt weird, dizzy, and rap... Read more
15 minutes after vaccine- hot all over body, throat closing, itchy, eyes felt weird, dizzy, and rapid heart rate
21 2021-01-09 heart rate increased A few minutes after receiving the vaccine, patient complained of feeling dizzy, nauseated, having ch... Read more
A few minutes after receiving the vaccine, patient complained of feeling dizzy, nauseated, having chills, and of her heart beating too fast. Patient alert and oriented. She called her mother to tell her how she was feeling. Heart rate increased from 100 to 150 five minutes later. EMS services called. Patient left via ambulance to hospital accompanied by a friend.
21 2021-01-11 pallor, pulse abnormal Injection given at 11:35am on 1/7/21 in arm- pt went to sit in chair in waiting area- at 11:40 she w... Read more
Injection given at 11:35am on 1/7/21 in arm- pt went to sit in chair in waiting area- at 11:40 she was seen to bee breathing heavy and pale. She has a history of anxiety BP 90/55 and pulse thready unable to obtain full pulse. She was talking and conscious. Tried to slow breathing she did have stiff cramping fingers due to the hyperventilation. We had her re-breath into a paper box and her cramping of hands and breath improved. She was given juice and BP at 11:50am was 100/60 pulse 80 and not thready. Color improved. She walked out of the clinic feeling better with her mother.
21 2021-01-13 heart rate increased Head ache, tiredness, fever, shortness of breath, elevated heart rate, pain at injection site
21 2021-01-14 heart rate increased Racing Heart Rate
21 2021-01-14 heart rate increased I got up to use the bathroom at 4:30 this morning. I was extremely shaky but made it. I was using th... Read more
I got up to use the bathroom at 4:30 this morning. I was extremely shaky but made it. I was using the bathroom and had the feeling that I was going to vomit. Next thing I know I was seeing stars and I fainted and fell off the toilet face forward and hit my head on my tile floor. I don't remember getting to the couch, but my dad was awake to let out the dogs and I couldn't really speak but he heard me and came downstairs and got me water and a cool rag. I was sweating but shivering. I am nauseous and have slept a total of 13 hours since 4:30am. I am pretty sure I have a concussion. I have a headache, on and off chills, muscle spasms beginning at 9:00PM on 1/14/21. I also have ringing in my ears. My resting heart rate is typically between 75-85 and I checked it at 7pm and it was 100. I have not sought out medical attention and have been debating it all day.
21 2021-01-15 chest pain Chest pains 30 minutes after receiving first dose, chills, headache, fatigue
21 2021-01-15 loss of consciousness Reported needle phobia, brief loss of consciousness: no injury. Gave water, VSS, return to baseline
21 2021-01-18 chest pain I got the shot on 1/13/2021 around 4:45pm. I woke up around 1am on 1/14/2021 warm and gasping for ai... Read more
I got the shot on 1/13/2021 around 4:45pm. I woke up around 1am on 1/14/2021 warm and gasping for air. I was barely able to speak, calling out for my brothers to get my mom. I was continuing gasping for air while they called an ambulance. The paramedics arrived and checked my lungs and oxygen. By the time they arrived I was back to normal. I didn?t go to the hospital as they didn?t seem it was necessary and I was feeling okay. Later on in the day I just had some slight chest pain and some shortness of breath but it was gone by the end of the night. I?m completely fine now. I had no other symptoms or side effects.
21 2021-01-18 heart rate increased, blood pressure increased PATIENT RECEIVED VACCINE AT 9 AM AND WHEN HER 15 MINUTE MONITOR PERIOD WAS UP SHE REPORTED DIZZINESS... Read more
PATIENT RECEIVED VACCINE AT 9 AM AND WHEN HER 15 MINUTE MONITOR PERIOD WAS UP SHE REPORTED DIZZINESS AND TREMORS. THE TREMORS WERE VISIBLE IN HER HANDS AND LEGS. HER V/S WERE TAKEN AND HER B/P WAS 140/100, HR WAS 103. NO HX OF HTN. RESPIRATIONS AND O2 SAT WERE NORMAL. SHE WAS KEPT AND MONITORED FOR A TOTAL OF 45 MINUTES AND SYMTOMS WERE STILL PRESENT WITH HER B/P 140/103 AND PULSE AT 110. SHE WAS ESCORTED TO ER FOR EVALUATION. NO TREATMENT WAS WARRENTED , HER B/P CAME DOWN TO 122/87 AND THE TREMORS RESOLVED. SHE WAS DISCHARGED HOME AT 1130 AM. FOLLOWED UP WITH
21 2021-01-19 fast heart rate, palpitations started with tachycardia and palpitations, reports "increased respiratory rate". Patient later deve... Read more
started with tachycardia and palpitations, reports "increased respiratory rate". Patient later developed "shaking", generalized body aches, headache and fatigue. Mild nausea. Today has low grade fever 100.1, thinking feels "not clear", fatigue, body aches and nausea
21 2021-01-21 chest pain, chest discomfort Moderate pain at injection site for over 48 hours Vomiting, chills, shakes, sweats the whole night a... Read more
Moderate pain at injection site for over 48 hours Vomiting, chills, shakes, sweats the whole night after the vaccine. Moderate Inguinal pain began on 2nd day after vaccine. Full body aches began a few hours after the vaccine and continue on. Moderate chest pain and tightness ongoing since the day of the vaccine. Severe decreased appetite ongoing since vaccine. Severe fatigue since vaccine and continues.
21 2021-01-23 loss of consciousness Passed out twice. Once at 6:20am was going to the bathroom and ended up on the floor going in and ou... Read more
Passed out twice. Once at 6:20am was going to the bathroom and ended up on the floor going in and out of consciousness for roughly 30 minutes (boyfriend is witness) Around 9am was standing at bathroom sink fell forward with my head rested on the mirror, drooled, then passed out backwards, boyfriend was able to catch me. I was out for 10-15 seconds non responsive. When conscious again, both arms were tingling and my hands were spasmed with my thumbs stuck reaching toward my middle fingers for 5-10 minutes.
21 2021-01-25 blood pressure decreased RED, ITCHY RASH AROUND AND BELOW INJECTION SITE. DECREASED BLOOD PRESSURE REPORTED BY PATIENT'S MOM ... Read more
RED, ITCHY RASH AROUND AND BELOW INJECTION SITE. DECREASED BLOOD PRESSURE REPORTED BY PATIENT'S MOM TO BE 105/66.
21 2021-01-25 chest pain Systemic: Other- Patient had new onset migraine and chest pain-Medium
21 2021-01-25 chest pain After first dose of Moderna on 12/31, went to the ER for chest pain and L arm numbness on 1/7/21. Sh... Read more
After first dose of Moderna on 12/31, went to the ER for chest pain and L arm numbness on 1/7/21. She was told it was a migraine equivalent. She already submitted a VAERS form but she did not inform office about the event.
21 2021-01-26 heart rate increased Dizziness Weakness Chills Body aches High heart rate Body shaking Migraine Arm swelling Hot at ej... Read more
Dizziness Weakness Chills Body aches High heart rate Body shaking Migraine Arm swelling Hot at ejection site Nausea
21 2021-01-29 palpitations Pt was administered the first dose of Moderna Covid-19 vaccine at 1930 hours and then monitored for ... Read more
Pt was administered the first dose of Moderna Covid-19 vaccine at 1930 hours and then monitored for 15 minutes post admin. During that time, pt developed some face and neck skin flushing, dizziness and "heart racing." Pt notes she has allergies to shellfish and tree nuts. Pt does not appear to have any respiratory compromise, denies any pain or trouble breathing, denies CP, HA, N/V/D, SOB, LOC. Pt airway is patent and pt does not appear to be in anaphylaxis. Pt denies any PMH; pt hx IUD placement and pt states she takes vitamins. Four-lead and 12-lead ECG monitoring showing sinus tachycardia, with a max sustained rate in the 170s at one point. Pt is otherwise asymptomatic. Transported to ED as a precaution. Pt HR gradually decreased en route to the 130s. Vagal maneuvers attempted twice, briefly dropping pt HR into the 70s and sinus rhythm, but effect was unsustained. Transport otherwise unremarkable
21 2021-01-31 chest pain, chest discomfort, troponin increased On 1/31, 4 days after vaccine she developed left-sided chest pain described as pressure radiating t... Read more
On 1/31, 4 days after vaccine she developed left-sided chest pain described as pressure radiating to left arm. In ED, troponin was elevated and she had emergent left heart catheterization. LHC found normal coronaries and she was discharged home.
21 2021-01-31 chest pain, heart rate increased, chest discomfort Immediate burning in arm right after receiving shot. 15 minutes after receiving shot began to feel t... Read more
Immediate burning in arm right after receiving shot. 15 minutes after receiving shot began to feel tired and got a headache. Later on in the evening I had discomfort in my chest and had to use my inhaler. Pain in arm worsened over night; couldn't move arm at all. Pains spread into armpit and back. Got up at 3am to my body shivering, thinking I was running a fever I checked my temperature and it was normal but upon standing I had extreme dizziness to the point of almost passing's out, I had to sit down right away. Had nausea and whole body felt very sore an achey. The morning after my shot I woke with a headache, extreme pain in my arm and armpit, soreness all over my body, stomach pains, and my heart rate was high. Throughout the day my symptoms got worse I ran a fever of 102.7 which broke but then came back later on in the evening. The following day my symptoms started to diminish, no fever and body was feeling better, arm pain and headache continued. Now I am on day 4 still experiencing pain in my arm and armpit, slight headache, but chest pains have started. It feels as if there is a brick on my chest, almost like a burning sensation with occasional pains in left breast as well as tightness in the left side of my neck.
21 2021-02-02 fainting After receiving the vaccine, she started to faint, slumping over her chair and fell to the floor. He... Read more
After receiving the vaccine, she started to faint, slumping over her chair and fell to the floor. Her eyes were blinking quickly. She was breathing rapidly. She whispered that she was scared. I told her to take deep breaths to try and calm her. I asked if she felt hurt or if she has any trouble breathing. After about 3-5 minutes of lying on their ground, she became more alert and asked me if she fell from her chair. She didn't recall falling or that she said she was scared. I had her sit up and asked how she felt and if she had any symptoms of an allergic reaction--she said no. after another minute or 2, she was able to stand up on her own with no lightheadedness nor dizziness. I walked alongside her to another seat and she sat for another 25 to 30 minutes--she said she was completely fine before leaving with her sister
21 2021-02-03 hypertension sore arm subsequent to vaccine; about 12 hours later chills began with no fever, fever developed aro... Read more
sore arm subsequent to vaccine; about 12 hours later chills began with no fever, fever developed around 14 hours after ad did vomiting and hypertension (160/100); tylenol relieved symptoms. Headache upon waking about 24 hours after but no fever. Nausea/heartburn continued for next 12 hours but relieved by antacid.
21 2021-02-04 chest discomfort About 3-4 hours after the injection was given, my left arm began to hurt at the sight of the injecti... Read more
About 3-4 hours after the injection was given, my left arm began to hurt at the sight of the injection. It was sore red and beginning to swell. After a couple more hours it was difficult to even move my arm; it felt as if my tricep was almost entirely immobilized. These symptoms persisted for about three days, with increasingly less intensity, and after the fourth day, I had no adverse symptoms. Exactly six days after receiving the vaccine, the area where the injection was given (tricep) began to feel itchy. When I tried to scratch it, the itch was not relieved but only worsened and began to swell and turn red. By the following day (7 days after injection), the site of injection and area surrounding the site of injection (about 6 inches along my upper and 3-4 inches in width) had swelled up more and was significantly more inflamed than my opposite arm which hadn't changed at all. It had a similar swelling, itch, and pain to the sensation one experiences after getting bitten by a mosquito, but in this case a very very large mosquito bite. By the evening of the seventh day, I began feeling very fatigued both mentally and physically and felt very subtle body aches that usually signal the early signs of a fever (at least for me). Upon feeling feverish symptoms I made a drink of turmeric and ginger root powder with honey and laid down for about an hour in an attempt to rest. After an hour, the body aches and fatigue lessened in intensity but my arm was still swelling and now feeling hot in temperature. The itching was unbearable. I went to go take a warm shower later that night and started to feel a mixture of pressure and pain traveling up my arm and into my chest. I began feeling my lymph nodes on the left side of my breast to find that a lymph node in my armpit and another one on the side of my breast had enlarged to about two inches in diameter. They were painful to the touch and noticeably sore when left untouched. These symptoms persisted with no change for about 2 days. After two days, the swelling and itching in my arm went away but my lymph nodes were still inflamed. They did not reduce in size or in pain until about 7 days after the first signs of these symptoms. After a week all symptoms went away.
21 2021-02-04 hypertension pt experienced sensation in left arm shoulder to fingertips, nausea, cotton mouth, cold shivering, h... Read more
pt experienced sensation in left arm shoulder to fingertips, nausea, cotton mouth, cold shivering, hypertension 142/94 pt given 25 mg Benadryl ems transport
21 2021-02-04 palpitations Patient reported having a seizure that was non convulsive. Patient was no conscious, racing heart b... Read more
Patient reported having a seizure that was non convulsive. Patient was no conscious, racing heart beat. Seizure lasted 17 minutes. Patient reported no vomiting or urinating during the seizure.
21 2021-02-04 fast heart rate After receiving vaccine, Employee complained of tachycardia (P=100), some dizziness. Employee dran... Read more
After receiving vaccine, Employee complained of tachycardia (P=100), some dizziness. Employee drank water and juice. Employee appeared like she might vomit and started shaking, employee was lifted from her chair to the floor. Employee was turned to her right side and was having a seizure. CODE Team was called and Employee was taken to Emergency room via stretcher.
21 2021-02-05 fibrin d dimer increased, palpitations, troponin increased 21 y.o female woke up had breakfast and while at rest Developed palpitation , shortness of breath an... Read more
21 y.o female woke up had breakfast and while at rest Developed palpitation , shortness of breath and some pain in lower middle teeth. The teeth pain lasted less than 30 minutes , other symptoms lasted from 7 am till about 1 pm and then gradually subsided except mild "racing heart" feeling. Patient went to urgent care. EKG showed some non specific ST depression in AVF and lead II. Sinus arrhythmia with rate between 65-85. . Sent to ED. In ED EKG was same as in urgent care. Troponin elevated slightly at 0.36 ( normal less than 0.30) and the repeat in 1 hour 0.37 ( normal less than 0.30) . D dimers noted slightly elevated at 260. POssible diagnosis of "inflammatory syndrome" by ED physician . Patient was offered admission , but refused and went home to follow up with cardiologist as outpatient. As per ER attending : "it almost looks like COVID or post COVID syndrome" Rapid COVID test negative. Symptoms started in the morning of the 3rd day after 2nd COVID vaccine.
21 2021-02-07 chest pain, chest discomfort 1/14/21 complaining of chest heaviness and sharp pain to left side of chest. Lasts for hours at a ti... Read more
1/14/21 complaining of chest heaviness and sharp pain to left side of chest. Lasts for hours at a time off and on. Nothing helps or makes the pain/heaviness worse. I referred patient to urgent care/ER. I followed-up 1/19/21 and she called the hospital and they told her it is a new vaccine and no meds needed. She was to go into ER if it got worse. She reported the pain/chest heaviness went away by next day 1/15/21.
21 2021-02-07 fast heart rate, hypertension Patient reported tingling in her feet bilaterally about 15 minutes after vaccine administration. The... Read more
Patient reported tingling in her feet bilaterally about 15 minutes after vaccine administration. Then noticed hives on shoulders and chest bilaterally. A rapid response was called and patient was found to be hypertensive (160s systolic) and tachycardic.
21 2021-02-08 heart rate increased I received the Moderna COVID-19 Vaccine EUA yesterday. Within the 15 minute waiting period, I didn't... Read more
I received the Moderna COVID-19 Vaccine EUA yesterday. Within the 15 minute waiting period, I didn't have any immediate effects but it did affect me later that night. It first started off with a headache, chills, and a slight fever. Periodically throughout the night, I kept waking up to severe heat flashes, chills, and a fast heartbeat. Regardless of what I did, I couldn't seem to control my heartbeat.
21 2021-02-09 heart rate increased rapid head rate, feeling faint, warm
21 2021-02-09 fainting Nauseous, dizzy, syncopal lasting approx 2-3 seconds.
21 2021-02-10 chest pain, palpitations Chest pain, Palpitations. BP 130/98 pulse 90 respirations 16- Placed on 2 liters of 02 and symptoms ... Read more
Chest pain, Palpitations. BP 130/98 pulse 90 respirations 16- Placed on 2 liters of 02 and symptoms resolved after 10 minutes. Pulse went down to 82. Did complain of previous elevated heart rate day before.
21 2021-02-10 chest pain chest pain, low grade fever, chills/sweats, slight body aches, vomited all night long, hallucination... Read more
chest pain, low grade fever, chills/sweats, slight body aches, vomited all night long, hallucinations, and said her kidneys hurt. Pt did not go to the ER. Pts mother contacted me this AM via email. Pt better today with APAP PRN and rest
21 2021-02-10 pallor, pulse abnormal Immediately after receiving covid vaccine, client felt light headed and nauseous. BP 86/42 P 72 R 1... Read more
Immediately after receiving covid vaccine, client felt light headed and nauseous. BP 86/42 P 72 R 16 and regular. Pulse was "thready." Client complained of chills and feeling clammy. She appeared very pale. She spit up a small amount of mucous. Nurse applied cold compress to neck and assisted her to lying down. BP taken at 11:05 was 100/ 60. BP taken at 11:20 was 120/80. She drank two packets of juice. At 11:15 she walked over to the observation area and waited an additional 30 minutes. Color was pink an she said she was feeling better. Her final BP was 120/70 and she left the observation room at 11:45.
21 2021-02-11 chest pain HEADACHE, FEVER, CHEST PAIN. SEPSIS W/U, IV FLUIDS, IBUPROFEN, COVID SWAB IN ER
21 2021-02-11 fainting Rapid eye movement like "having a mini-seizure"; Fainted; Feeling warm; A spontaneous report (United... Read more
Rapid eye movement like "having a mini-seizure"; Fainted; Feeling warm; A spontaneous report (United States) was received from a pharmacist concerning a 21-year-old, female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and fainted and experienced to have rapid eye movement like "having a mini-seizure" and feeling of warmth. The patient's medical history included historical seizures. Concomitant product use was not provided by the reporter. On 02 Feb 2021, the patient received their first of two planned doses of mRNA-1273 (Batch number:026L20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 02 Feb 2021, a few minutes after the injection, the patient fainted then recovered but again fainted and was noted to have rapid eye movement like "having a mini-seizure". HCP managed her with ice pack as patient complained of feeling warm and she recovered in less than 30 minutes. Treatment information was not provided. The outcome for events fainted, rapid eye movement like "having a mini-seizure"" and feeling warm were resolved.; Reporter's Comments: This spontaneous report concerns a 21-year-old, female patient with historical seizures. who received experienced the patient fainted then recovered but again fainted and was noted to have rapid eye movement like "having a mini-seizure." The event occurred a few minutes after the administration of mRNA-1273 vaccine (Batch number: 026L20A, expiration date: unknown). Treatment administered include Icepack and outcome is resolved. Based on the information provided which includes a strong temporal onset between the vaccine administration and the event, a causal association cannot be excluded. However, event is confounded by the subject's history of seizures. Feeling warm is consistent with the safety profile of the product.
21 2021-02-11 fainting Fainted; A spontaneous report was received from a 21-year-old female patient who received Moderna's ... Read more
Fainted; A spontaneous report was received from a 21-year-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced fainted (syncope). The patient's medical history was not provided. Concomitant product use was not provided by the reporter. The patient received her first of two planned doses of mRNA-1273 (lot/batch number unknown) in the left arm in approximately January 2021 for prophylaxis of COVID-19 infection. In approximately January 2021 (a few days later after vaccination), the patient experienced fainted. Treatment information was not provided. The action taken with mRNA-in response to the event was unknown. The outcome of the event fainted was unknown.; Reporter's Comments: This case concerns a 21-year-old, female, patient, who experienced a serious unexpected event of syncope. The event occurred at unknown date, reported as few days later, after first dose of mRNA-1273, lot # unknown. Treatment information is not provided. Based on the current available information and temporal association between the use of the product and onset of the event a causal relationship cannot be excluded.
21 2021-02-11 fainting Patient fainted after injection, possible seizure ( she had rapid eye movement) lasted approximate... Read more
Patient fainted after injection, possible seizure ( she had rapid eye movement) lasted approximately 1 minute. Patient woke up saying she was ok then fainted again lasted approximately 2 minutes . After she woke up she wanted and received ice pack behind her neck . We asked her to stay 30 minutes for observation. She stated she was fine after the 30 minutes.
21 2021-02-12 fainting, loss of consciousness Event:Loss of Consciousness, Fainting, Falling Outcome: possible concussion
21 2021-02-14 hypotension Patient stated she was feeling dizzy. As I started asking more questions, her head slowly tilted ba... Read more
Patient stated she was feeling dizzy. As I started asking more questions, her head slowly tilted back and eyes became wide and had a distant look, like a mild seizure . She was talking slowly but clearly, During the event. She was sweating, even though it seemed chilly. Her BP was low and my monitor wouldn?t register result. EMTs quickly arrived and their monitor took a while to register a result . She came out of it after a few moments feeling weak. We have her some OJ and she seemed to steadily improve. The whole event from start to when she was ok to walk out on her own was about a half hour. She had a relative Come pick her up and take her home.
21 2021-02-16 palpitations, chest discomfort Patient was very anxious before vaccination and stated that the shot would probably cause an asthma ... Read more
Patient was very anxious before vaccination and stated that the shot would probably cause an asthma attack. Vaccine administration proceeded without complication. Shortly after receiving vaccination, while the patient was in the waiting room during observation she stated that her chest was feeling tight and her heart was racing. Pharmacist brought her back into clinic room so she could breath freely without her mask and take a puff of her proair inhaler. After 5-10 minutes, she stated that her chest was still tight and her back hurt. Family members were called to take her home/to ER. She did not want to wait so a store employee drover her to patient's preferred emergency room for a breathing treatment.
21 2021-02-17 increased heart rate, heart rate increased, fibrin d dimer increased Patient did not receive the vaccine at our hospital, but reporting since she presented to the ED. P... Read more
Patient did not receive the vaccine at our hospital, but reporting since she presented to the ED. Patient presents to ER. Reports is a student teacher through school and received Moderna COVID19 vaccine yesterday. States that she started having high heart rate today, between 120-160. On presentation, patient's heart rate was elevated, measuring from 110-160 in the ER. Patient also had 103F oral temperature. Patient denies taking any other medication. Patient ultimately had to have labwork and imaging done. Will give tylenol for fever and NS bolus. Labs imaging to include CBC, CMP, Mg, lactic acid, TSH/Free T4, UA, urine preg, CXR, and EKG. EKG with sinus tachycardia and S1Q3T3 pattern. CXR without evidence of acute cardiopulmonary process. D dimer 640. Mg 1.6, Na 133, K 3.4. TSH/T4 unremarkable. UA with trace leukocyte esterase. Given EKG findings and elevated d-dimer, will obtain CT w contrast to rule out PE. CT does not show evidence of acute PE. Patient is afebrile and stable for discharge. Discussed with patient that symptoms are likely due to inflammatory reaction following the COVID vaccine. Recommend symptomatic treatment at home and activity as tolerated.
21 2021-02-19 chest discomfort, chest pain Immediately following the vaccine administration pt started to c/o dizziness, chest pain and pressur... Read more
Immediately following the vaccine administration pt started to c/o dizziness, chest pain and pressure, SOB. VSS at 122/58, 103, 22, 98%.
21 2021-02-24 chest discomfort Numbness in neck began within 5 minutes of injection. 10 minutes later she started have difficulty... Read more
Numbness in neck began within 5 minutes of injection. 10 minutes later she started have difficulty with exhalation, tightness in the chest, and sensation of neck swelling. Patient was given 0.5 mL of epinephrine and EMS was called. Patient began to improve within 5 minutes of epinephrine injection. She refused to go to the ER. She was given 25 mg of Benadryl and was monitored for 20 minutes before going home with a friend picked her up. Patient signed an AMA for both the EMS and clinic.
21 2021-02-24 loss of consciousness Patient passed out just after getting to work. She hit her head - cheek & chin - causing abrasion/co... Read more
Patient passed out just after getting to work. She hit her head - cheek & chin - causing abrasion/contusion. This was NOT wittnessed; she does NOT recall passing out or hitting her head. A co-worker noticed something wasn't right & had her sit down. They called my wife who picked her up & brought home & rested. Approximately 5.5 hours later, after feeling "better," she got up to get something to eat. While returning to bed (to rest & eat the small container of applesause) she felt as though she were going to pass out again & quickly sat down on the steps. However, she did not call for me (I was in the room nextdoor) for a few minutes... seemingly having "zoned out" but she does not think she lost consciousness.
21 2021-02-24 loss of consciousness Moderna COVID-19 Vaccine EUA Approximately 3 minutes after her vaccine pt became unconscious and un... Read more
Moderna COVID-19 Vaccine EUA Approximately 3 minutes after her vaccine pt became unconscious and unresponsive for a short time. Pt was quickly awoken by RN. Pt states that she has a history of syncope following venipuncture that she forgot to disclose. Approximately 15 post episode pt stated that her vision had been restored but her hearing still felt "off". Pt was given 12 oz water, crackers and juice. Pt called roommate to pick her up to bring her home. Approximately 25 minutes later, pt reports some left arm pain but was feeling better. At 1345 pt was discharged by her own choice and left with her roommate. Pt still felt "off" but reported that this was likely just due to anxiety. Pt and roommate given instructions to go to nearest ER if symptoms returned.
21 2021-02-24 lightheadedness States about 3 hours after administration she felt nauseous, dizzy, cold, clammy, blurry vision, rin... Read more
States about 3 hours after administration she felt nauseous, dizzy, cold, clammy, blurry vision, ringing ears, near syncope, visited ED.
21 2021-02-25 palpitations received vaccine at 8 AM, reaction not noted until 3 PM. Complained of hot, flush, tired, anxious, h... Read more
received vaccine at 8 AM, reaction not noted until 3 PM. Complained of hot, flush, tired, anxious, heart racing, EMS came, evaluated and pt refused to go to hospital.
21 2021-03-01 fainting 2 syncopal episodes 10-12 hours after receipt of vaccine.
21 2021-03-03 fainting Patient has syncopal episode-sweating, nausea, blurred (tunnel vision)
21 2021-03-04 chest discomfort posterior head pain that would come forward reaching forehead with flash sharp pain happened randoml... Read more
posterior head pain that would come forward reaching forehead with flash sharp pain happened randomly for 4 days weakness lasted 2 days n/v lasted 2 days diarrhea continues skin felt burning and sensitive all over body as if she had a rash, but no rash present lasted 4 days upper back/shoulder pain "felt like being crushed" Came around to chest & abd. lasted 5 days
21 2021-03-04 heart rate increased PATIENT STATES ELEVATED HR DIZZY. MILD REDNESS EXTENDING APPROX 3 INCHES FROM INJECTION SITE. 1040: ... Read more
PATIENT STATES ELEVATED HR DIZZY. MILD REDNESS EXTENDING APPROX 3 INCHES FROM INJECTION SITE. 1040: BP 142/78 HR 148 RESP 16 O2SAT 99. BREATH SOUND CLEAR BILATERALLY. WILL OBSERVE. 1055: BP 118/64 HR 98 RESP 14 O2 SAT 99. MILD REDNESS AND TENDERNESS TO PALP AROUND INJECTION SITE. PT STATES THEY FEEL NORMAL.
21 2021-03-04 fainting About 5 minutes after her vaccination, patient said she didn't feel well and then fainted. She woke... Read more
About 5 minutes after her vaccination, patient said she didn't feel well and then fainted. She woke up quickly and felt better after she rested and had some orange juice.
21 2021-03-05 pallor 12:01PM-1:35PM Signs&Symptoms: Blurry vision, dizziness, pale, clammy skin, scratchy throat with fr... Read more
12:01PM-1:35PM Signs&Symptoms: Blurry vision, dizziness, pale, clammy skin, scratchy throat with frequent throat clearing Treatment: Vital signs Q15minutes, cool paks to back, Benedryl IM 25mg IM R deltoid, verbal reaasurance. Outcome: Vitals stabilized and S&S improved after 90 minutes; Client education verbal and written guidelines given to her and roommates; Transported home with roommates. Phone follow-up at 7:30pm.
21 2021-03-07 blood pressure decreased, heart rate decreased At 10:40 BP 142/78 HR 148 Resp 16 O2Sat 99 Normal resp effort A/O x4 Skin Signs: Cool and dry Circu... Read more
At 10:40 BP 142/78 HR 148 Resp 16 O2Sat 99 Normal resp effort A/O x4 Skin Signs: Cool and dry Circulation: Cap refill <2 sec Resp: Breath sound clear bilaterally Observation At 10:55 BP 118/64 HR 98 Resp 14 O2Sat 99 Resp effort normal Skin Signs: Warm and dry Circulation: Cap refill <2 sec Mild redness/tenderness to palp around injection site BP, P, R are reduced >15 min. Pt states they feel normal At 11:10 BP 118/70 HR 91 Resp 14 O2Sat 99 A/Ox4 Skin Signs: Warm and dry Hands noticeably cool to touch Circulation: Cap refill <2sec No increased resp effort Pt education, released to own recognizance Pt appeared anxious upon first observation, decreasing slightly over time. Verified with R/N throughout observation. No concerning S/S after approx 15-20 min Home by Self
21 2021-03-09 heart rate increased, chest discomfort, pallor, fast heart rate 12:30PM ADMINISTERED MODERNA COVID-19 VACCINE INTRAMUSCULAR TO LEFT DELTOID 12:31PM APPEARED TO BE ... Read more
12:30PM ADMINISTERED MODERNA COVID-19 VACCINE INTRAMUSCULAR TO LEFT DELTOID 12:31PM APPEARED TO BE PALE POST VACCINE; MEDICS QUESTIONED PT, COMPLAINS OF BEING NERVOUS 12:35PM PT STARTED BREATHING HEAVIER AND JUST COMPLAINS OF CONTINUED NERVES 12:45PM PT COMPLAINED OF FAST HEART RATE TO MEDICS AT 146BPM 12:50PM PT INSTRUCTED TO TAKE SLOW, DEEP BREATHS. VITAL OBTAINED . HR 140, SPO2 100% LUNG SOUNDS CLEAR 12:55PM BP 131/77, HR 123, SPO2 100% PT HYPERVENTILATING RR 30'S. 1:00PM STATES THROAT AND CHEST ARE FEELING TIGHT. TACHYCARDIA CONTINUED. 1:02PM 0.3MG OF EPINEPHRINE ADMINISTERED 1:05PM PT APPEARS TO BE CHILLED AND IS SHAKING. 1:10PM BASE SECURITY/FIRE DEPARTMENT ARRIVES. VITAL SIGNS STABLE 1:15PM EMS ARRIVES. HR 129 SPO2 100% ROOM AIR. CARE TAKEN OVER BY EMS. 1:20PM TRANSPORTED TO HOSPITAL VIA AMBULANCE.
21 2021-03-11 blood pressure increased, fainting, heart rate increased patient fainted for a few seconds 3 times in a row after receiving vaccine during her 15 minute obse... Read more
patient fainted for a few seconds 3 times in a row after receiving vaccine during her 15 minute observation time. after the 3rd time she was ok.
21 2021-03-11 lightheadedness Patient received Moderan dose 1 vaccine and felt lightheaded, presyncopal and then reported numbness... Read more
Patient received Moderan dose 1 vaccine and felt lightheaded, presyncopal and then reported numbness and tingling to the shoulder and trapezius muscle on the left, ipsilateral to the injection site. She felt better after 30 minutes and proceeded to go eat in her bedroom. She was nervous and anxious prior to the vaccine and states that she thought that had something to do with it. She then experienced a 10 second bout of muscle tension in her face and jaw which caused her to be unable to talk or speak for a few seconds. She was brought back down to the hall for evaluation. She felt as if she was having a stroke and that got her more worked up. She denies lower body weakness. She states that her head feels heavy and she complains of general fatigue. No n/v. No headache or blurry vision.
21 2021-03-15 chest pain, inflammation of the heart muscle, fibrin d dimer increased Patient received first dose of Moderna COVID-19 vaccine on 2/10/21 and had a large, red, inflamed ar... Read more
Patient received first dose of Moderna COVID-19 vaccine on 2/10/21 and had a large, red, inflamed area on her arm at the injection site for a few days, but otherwise tolerated vaccine well. She received the second dose of the Moderna COVID-19 vaccine on 3/10/21 and the next day (3/11/21) developed fatigue and lightheadedness while exercising, which continued for the next few days. She developed acute onset, sharp chest pain on 3/13/21 AM which did not resolve so she presented to an ED. Vitals were normal but labs notable for troponin I which peaked at 4.36, CK 758, d-dimer 640. CBC/CMP and EKG were unremarkable and initial TTE with EF ~45%. Repeat TTE obtained a few days later with normal LV and RV size/function without any wall motion abnormalities. Cardiac MRI obtained with normal LV function (EF 64%) but late gadolinium enhancement in a subepicardial distribution within the inferolateral wall of the left ventricle at the base most compatible with myocarditis. ESR and CRP were normal. Further workup to determine etiology of myocarditis was negative (ANA, ANCA, RF, hepatitis panel, HIV, full respiratory viral panel, COVID-19 PCR). She was placed on metoprolol succinate 12.5mg XL daily and will follow up with a cardiologist as an outpatient. Family concerned that COVID-19 vaccine was the trigger/underlying etiology of her myocarditis.
21 2021-03-15 fainting Patient fainted after getting vaccine. She had history of syncope after getting HPV vaccination.
21 2021-03-16 loss of consciousness Patient lost consciousness seconds after vaccine. This was followed by seizure activity for 20 secon... Read more
Patient lost consciousness seconds after vaccine. This was followed by seizure activity for 20 seconds.
21 2021-03-17 loss of consciousness Patient had COVID vaccine. Exited vac room & sat in waiting chair by her mother. A few minutes lat... Read more
Patient had COVID vaccine. Exited vac room & sat in waiting chair by her mother. A few minutes later came out of the vaccine room to let mother know it was her turn for vaccine. Mother said patient was going to pass out. the mother supported the patient as she passed out & they slid down to the floor. yelled for the pharmacist & called 911. Got her feet up, cold packs to cool & water. EMTs came, bp ok, sugars ok. Denied ambulance. Rested then left with mother.
21 2021-03-17 pallor As patient was in observation area 10 min after her vaccine given she reported; difficulty breathing... Read more
As patient was in observation area 10 min after her vaccine given she reported; difficulty breathing, throat closing. Patient became pale, diaphoretic, and fatigued, HR was 123 and 02 saturation was 93. After observation and assessment from provider on site the patient received EPI Pen x1 received at 15:43 patient escorted to COT, EMS called, legs were elevated. O2 saturation was 93, HR 123 with a repeat of 107 after 5 minutes. Radial pulse was strong, professing distal pulse. lungs sound clear. Ems arrived on the scene and assessed the patient no other treatment was received and patient refused to go to the hospital.
21 2021-03-17 fainting About 1 minute after vaccine administration, while standing in line to schedule follow up vaccine, p... Read more
About 1 minute after vaccine administration, while standing in line to schedule follow up vaccine, patient had a syncopal episode, falling and hitting head. She was transported to the ER for further evaluation and treatment.
21 2021-03-17 fainting fatigue; fainted; shaking; arm cold (felt like ice); red spots on forehead; chills; A spontaneous re... Read more
fatigue; fainted; shaking; arm cold (felt like ice); red spots on forehead; chills; A spontaneous report was received from a consumer's relative concerning a 21-years-old, female patient who received Moderna's COVID-19 Vaccine, and experienced fainting, shaking, cold arm, red spots on forehead, chills and fatigue. The patient's medical history was not provided. Concomitant medications were not provided by the reporter. On 28 Jan 2021, prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Lot number 031L20A) intramuscularly for prophylaxis of COVID-19 infection. On 28 Jan 2021, the patient experienced fainting, shaking, cold arm, red spots on forehead, and chills. Reporter stated that no treatment drugs were prescribed for the events. A complete blood count and an electrocardiograph was performed (results not provided). On 29 Jan 2021, the patient experienced fatigue. Action taken with second dose of mRNA-1273 in response to the events was not provided. The outcome of the events fainting, shaking, cold arm, red spots on forehead, chills and fatigue was not provided.; Reporter's Comments: This case concerns a 21-year-old female patient, who experienced a serious event of syncope and non-serious events of tremor, feeling cold, rash macular, chills and fatigue. Based on the current available information and temporal association between the use of the product and the onset date of the events, a causal relationship cannot be excluded.
21 2021-03-18 blood glucose increased Patient fell on floor at 3:45pm. Patient states that "felt room starting to spin. A little lighthead... Read more
Patient fell on floor at 3:45pm. Patient states that "felt room starting to spin. A little lightheadedness. I do not remember falling on the floor." Patient states "every time I've gotten a shot I have almost always passed out." Patient is afraid of needles. Patient came to and was laying on stomach. EMTs got patient up slowly to cot. B/P 147/89, pulse 67, O2 97%. Patient once moved to cot was alert and oriented.
21 2021-03-19 pallor, loss of consciousness Pt's boyfriend reported that Pt was feeling like passing out. Noted pt. Pale assisted to the floor c... Read more
Pt's boyfriend reported that Pt was feeling like passing out. Noted pt. Pale assisted to the floor carpet, with out patient losing consciousness. No SOB, no pain. No evidence of allergic or anaphylactic reaction to the immunization. VS taken, per pt she has Hx of low BP's. PT reports that she usually gets anxious and has panic attacks when she has Immunizations or blood drawn. States has similar reaction because she is afraid and gets nervous. States she had little to eat and earlier had a test. VS taken and recorded. Pt taken to IM and report was given to Dr. A TAV was booked at 4:55 PM. Pt stable VS stable. Pt was picked up by boyfriend and mother and taken home, she left stable steady gait at 5:05 PM.
21 2021-03-20 loss of consciousness Minutes after receiving the first dose of the Moderna vaccine, patient complained of difficulty brea... Read more
Minutes after receiving the first dose of the Moderna vaccine, patient complained of difficulty breathing. I asked if she was wheezing and she said no. A doctor in the clinic came over and even though it wasn't time for patient and her sister to leave (based on 15-minutes after receiving the vaccine) he initially suggested that they might be fine to go, but after patient told him of her symptoms and at my urging he decided to have her stay a little longer. I think it was at this time that he had someone check her pulse. I don't know what the pulse reading was. He stepped away and shortly afterwards patient started complaining that her throat felt strange and was making it hard to breathe. The doctor immediately came back over, found patient was having difficulty breathing and holding herself upright in the chair. I held her by the shoulders to keep her from falling while the doctor also steadied her and asked a worker in the room for an epi-pen. The worker didn't seem to react much to the request so he told her louder that he needed an epi-pen. She started searching her area and the doctor started yelling across the room to others that he needed an epi-pen. It seemed like others initially took the demand less urgently than they should, but eventually someone came with an epi-pen. By this time I don't think patient was very conscious, if at all. Sometime during this time the doctor also instructed someone to call 911. The doctor tried using the epi-pen but at first he had some kind of cap on it that prevented it from working. He removed the cap and not finding an easy way to have a sterilized injection site he injected the epi-pen through patient's jeans. Soon afterwards a cot was brought out and workers had me step aside as they took patient and put her on the cot. Patient seemed to gradually become more aware of her surroundings and it wasn't long before she appeared to me to be fully conscious once again. They checked her blood pressure and pulse and maybe did other tests during this time. Eventually the ambulance arrived and patient was very clear with everyone that she did not want to incur the expenses of riding in the ambulance and I offered to bring her wherever they suggested that she should go. They watched and evaluated her for a while and eventually had her sign the form declining the ambulance transportation. They suggested that she make an appointment with her doctor but did not suggest that we take patient to an emergency room. We departed and patient did not afterward seem to experience any symptoms from the vaccine other than some of the general feelings of being sick, soreness at the injection site, etc. that others report with the Moderna vaccine.
21 2021-03-20 fainting, loss of consciousness after receiving immunization patient felt hot and dizzy. She then fainted and lost conciousness for ... Read more
after receiving immunization patient felt hot and dizzy. She then fainted and lost conciousness for about 10 seconds.
21 2021-03-21 fainting Patient fainted in the waiting area after receiving her vaccination. Paramedics were called. Whil... Read more
Patient fainted in the waiting area after receiving her vaccination. Paramedics were called. While talking to the paramedics she began to faint again. They transported her to the ER. She was released from the ER
21 2021-03-22 chest pain Patient stated that she after she received her injection, she developed a sharp pain in the L side o... Read more
Patient stated that she after she received her injection, she developed a sharp pain in the L side of her chest. EMS personnel was on site and ECG was performed and found to normal sinus rhythm. Vital signs were as follows: 132/91, Pulse rate-64, Oxygen saturation was 94%. Patient stated that she felt better after about 5-10 minutes. Patient was able to go home.
21 2021-03-23 excessive bleeding It was weird again; Turning into a bruise; Felt crappy; A couple of bad breakthrough bleeding episod... Read more
It was weird again; Turning into a bruise; Felt crappy; A couple of bad breakthrough bleeding episodes; Menstrual cycle was interrupted; Felt off; In her right leg raised hive; Headache; A spontaneous report was received from a consumer concerning a 21-year-old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced a couple of bad breakthrough bleeding episodes, Menstrual cycle was interrupted, Felt crappy, Felt off, In her right leg raised hive, Headache, Turning into a bruise and It was weird again. The patient's medical history was reported as migraines. Concomitant medications were not reported. On 27 Feb 2021, prior to the onset of the event, the patient received their first of two planned doses of mRNA-1273 (Lot number: 013A21A) intramuscularly in the right thigh for prophylaxis of COVID-19 infection. On 27 FEB 2021, the patient experienced Raised hive (Urticaria) about the size of a half dollar, after that she "felt off" (fall) had a headache (Headache) and Felt crappy (Malaise), and she had a couple of bad breakthrough bleeding episodes (Hemorrhage) which was assessed as medically significant, and the patient also experienced interrupted Menstrual cycle (Menstrual disorder). On 07 MAR 2021, the patient experienced Turning into a bruise (Contusion) and on 08 MAR 2021 it was weird again (Feeling abnormal). Laboratory details were not provided. Treatment medication was provided as Tylenol. Action taken with mRNA-1273 in response to the events was not reported. At the time of this report, the outcome of the events Hemorrhage, Menstrual disorder, Contusion, Malaise, Feeling abnormal, Fall, Urticaria and Headache was considered as unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.
21 2021-03-23 fainting Site: Itching at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting /... Read more
Site: Itching at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient discussed when going over the list she has syncope that occurs randomly. In my better judgment patient looked normal and healthy at taht time. Patient 5 min later felt dizzy and fainted for 10 sec before recovering. I called 911 and gave water while the other rph gave cold compress. Patinet recovered quickly when ambulance came but patient refused further medical care and has had history when given vaccine this dizziness occurs. Family member came to pick her up and walked without issue
21 2021-03-24 chest discomfort Chest discomfort, throat tightness, tremor
21 2021-03-24 chest pain Within an hour after getting the vaccine, I began to feel nauseous and had diarrhea. Upon calling th... Read more
Within an hour after getting the vaccine, I began to feel nauseous and had diarrhea. Upon calling the health center, they said that I may have eaten something bad. Around 6pm the same day, I started sweating but I was freezing, and had a headache and muscle pain. I had a 101 fever and that persisted until the next day (3/24/21). It is currently (3/24/21) and I have noticed sharp chest pains on the right side of my chest throughout the day, especially when exerting forces breathing (such as riding my bike or walking up stairs, or getting into and out of bed). I still have a slight fever and feel very cold, but I in fact, still have a slight fever of 100.4
21 2021-03-24 loss of consciousness, fainting Syncopal event x 2. Loss of consciousness lasted a couple seconds.
21 2021-03-24 palpitations Heart palpitations @1600 lasted till 1920ish Headache @1800 lasted 72 hours Fever around 0000 laste... Read more
Heart palpitations @1600 lasted till 1920ish Headache @1800 lasted 72 hours Fever around 0000 lasted for 1-2 hours Chills and body aches started next morning lasted for 2 days Tinnitus started 2 days after currently still persistent
21 2021-03-24 fainting Patient fainted multiple times after receiving injection.
21 2021-03-25 chest discomfort Within 30 min of the shot, my arm began to swell and itch. My face and some part of my body began to... Read more
Within 30 min of the shot, my arm began to swell and itch. My face and some part of my body began to itch as well. Within the next hour, my jaw began to lock and my throat began to burn/tighten. Within this timespan, my body, especially my back began to ache as well as my chest feeling tight. After three hours, I went to the on-campus clinic and they gave me 50mg of Benadryl.
21 2021-03-25 pulse abnormal 10 minutes after the vaccine administration I started to feel lightheaded with blurry vision, shortn... Read more
10 minutes after the vaccine administration I started to feel lightheaded with blurry vision, shortness of breath, and bounding pulse. I self recovered after about 5-10 min. About 20-30 minutes after that my legs started feeling tingling like they were going numb and I was experiencing hot flashes. This self recovered after 5 min. I was admitted to the ER and monitored for another hour but was stable.
21 2021-03-26 heart rate increased Patient felt like throat was tightening and heart rate was increasing 15-20 minutes after the Modern... Read more
Patient felt like throat was tightening and heart rate was increasing 15-20 minutes after the Moderna Covid-19 vaccine. She said the symptoms were similar to her allergic reaction to injectable Bactrim.
21 2021-03-27 chest discomfort Premedicated the day before with Solumedrol, prednisone, albuterol, and benadryl. At 2:45 I started ... Read more
Premedicated the day before with Solumedrol, prednisone, albuterol, and benadryl. At 2:45 I started getting a tight chest, tight throat, itchy mouth, itchy throat, hives, throat clearing, and throat hoarseness/ fading. I then took benadryl and a breathing treatment every 4 hours. It got worse later in the day and even worse the next day. The next day I had body aches, chills, headache, brain fog, dizziness, fever, itchy mouth, itchy throat , hives, tight / thick throat, very tight chest, and difficulty breathing.
21 2021-03-29 nosebleed Few hours after I got the vaccine I experienced sinus pressure in my left nostril. I went to blow my... Read more
Few hours after I got the vaccine I experienced sinus pressure in my left nostril. I went to blow my nose and a blood clot came out. I tried to blow my nose again but nothing came out. I went to sleep and the next day (the day after I got the vaccine) I still felt the same sinus pressure. I showered about mid-afternoon that day and after I got out of the shower my nose was bleeding, but it was a mild nose bleed. The rest of the day, I experienced a headache that felt like it was coming from the place I experienced the sinus pressure. The head got progressively worse as the day went on, I took Advil to get rid of the pain and went to sleep early. The next few days I experienced a headache that would be mild when I woke up in the morning, then got progressively worse as the day went on. Right now (4 days after the vaccine as I'm submitting this report) the pain of the headache has somewhat subsided, but the pain is still present.
21 2021-03-29 hypotension Patient received the vaccine at 1:00pm and right after the shot she started to feel weak. When we as... Read more
Patient received the vaccine at 1:00pm and right after the shot she started to feel weak. When we asked if she needed anything she stated she couldn't stand up or move her muscles. The ambulance was called and they arrived within 10 mins. She was brought to the ER and told that her blood pressure was low. She was treated with fluids and rest. I followed up with the patient this morning at 10am she stated she was feeling better.
21 2021-03-30 palpitations C/O body aches, dizziness, palpitations, dizziness, nausea, chills, blurred vision, & SOB. Up in ch... Read more
C/O body aches, dizziness, palpitations, dizziness, nausea, chills, blurred vision, & SOB. Up in chair with legs elevated. BP 129/90, pulse 71, & O2 sat is 97% on RA. Stayed for additional Observation & consumed water. Symptoms subsided prior to discharge, Awake, Alert, & oriented. Encouraged to go to ER, Urgent Care, or F/U with primary physician. Verbalized understanding.
21 2021-03-31 chest discomfort, heart rate increased, chest pain Quick, heavy heartbeat for the day. Shortness of breath for one day. Intense chest pain for one day.... Read more
Quick, heavy heartbeat for the day. Shortness of breath for one day. Intense chest pain for one day. Chest tightness for one day. I am on vaccine day three.
21 2021-03-31 chest pain Sore arm, chest pain, fatigue, nausea, headache, fever, vomiting, chills (shaking)
21 2021-03-31 palpitations Patient started feeling nauseous and felt? like her heart was racing? and anxious Patients vitals we... Read more
Patient started feeling nauseous and felt? like her heart was racing? and anxious Patients vitals were stable and was given snacks and gatorade Boyfriend will be driving patient home Patient refused medical transport and signed AMA form
21 2021-03-31 lightheadedness Patient received vaccine morning of 3/25/21. She developed severe abdominal pain, dizziness, and ne... Read more
Patient received vaccine morning of 3/25/21. She developed severe abdominal pain, dizziness, and near syncope starting 11pm, prompting emergency department evaluation around 1:30am on 3/26/21. Symptoms were self-limiting and resolved without intervention or treatment. She was feeling better several hours later
21 2021-04-02 hypotension, chest discomfort, fainting, heart rate decreased 12 hours after injection there was increase swelling around the injection site and spreading into th... Read more
12 hours after injection there was increase swelling around the injection site and spreading into the Lt shoulder and upper back. Nausea, tightness in left neck and left upper back with swelling. Went to bed with ibuprofen and ice on swelling. Woke up 18 hours (5am) feeling sweating, difficult breathing, chest was tight with more swelling in left arm and left upper back. Got up to ask for help and fainted. Called father, mother we checked blood pressure was low (98/40), and was heart rate was low (46). Got her sitting up and blow pressure and heart rate returned to normal.
21 2021-04-04 chest discomfort, palpitations 1st dose Moderna adm 3/4/2021 developed mild flu like sx lasting 2-3 days. 2nd dose Moderna adm 4/... Read more
1st dose Moderna adm 3/4/2021 developed mild flu like sx lasting 2-3 days. 2nd dose Moderna adm 4/1/2021 developed moderate flu symptom.. Left arm injection site swelled to size of a peach. On 4/3/2021 noted heart racing and chest tightness. Her pulse 90-120 by home pulse ox monitoring. Taken to ER by her mom. She had blood work, EKG and rec to f/u with her primary care physician for "adverse reaction to Moderna". 4/5/2021 had office appt. The PA stated an adverse reaction to the shot. Her pulse 133 in office. BP 138/70. She has received a referral to a cardiologjst. Continues to feel like her heart races, approx. 6 times today, with sharp chest pain or tightness.
21 2021-04-04 hypotension Patient stated she felt like fainting post immunization. Pharmacists quickly grabbed adverse event p... Read more
Patient stated she felt like fainting post immunization. Pharmacists quickly grabbed adverse event protocol and followed directions as stated. Called code white on intercom to alert store management. Asked patient about symptoms and she reported symptoms of sweating, coldness, dizziness and nausea. Assessed patient blood pressure and asked patient if she wanted us to call 911. Patient did not want us to call 911. Patient never lost consciousness but had low blood pressure on initial reading. Instructed patient to lay down with feet elevated. We gave patient a pillow to assist in elevation of feet and gave her cold compresses to apply to neck and face. After a few minutes, patient blood pressure was normal and patient stated that she was feeling better. We requested that she sit for an addition 15 minutes before she can leave. After 15 minutes patient, patient was feeling ok and left with her boyfriend. She was exhausted from work and this was likely the main factor for the feeling of syncope.
21 2021-04-04 fainting Fainting; Injection site soreness in arm; nauseous; A spontaneous report was received from a consume... Read more
Fainting; Injection site soreness in arm; nauseous; A spontaneous report was received from a consumer concerning a 21-year-old, female patient, who received Moderna's COVID-19 Vaccine (mRNA-1273) and experienced, fainting (syncope), injection site soreness in arm (vaccination site pain), and nausea (nausea). The patient's medical history included vasovagal condition that cause heart rate and blood pressure to drop due to stress on body and dehydration resulting in fainting. Concomitant product use was not provided by the reporter. On 09 Feb 2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Lot number: 013M20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 09 Feb 2021, the patient was fine until about 11 pm after which she experienced arm soreness on the injection site and felt nauseous. On 10 Feb 2021, at 5 am in the morning, the patient fainted. The patient assumed that shot might have added stress to her body which most likely caused her to faint. No treatment information was provided. Action taken with mRNA-1273 in response to the events was unknown. There was no change planned to the dosing schedule of mRNA-1273 in response to the event as patient would be receiving second dose on 09 Mar 2021. The outcome of events, fainted (syncope), injection site soreness in arm (vaccination site pain), and nauseous (nausea), were considered as unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the onset date of the reported events of syncope, vaccination site pain, and nausea, a causal relationship cannot be excluded. Patient's prior medical history of vasovagal reactions is considered a contributing factor to syncope.
21 2021-04-05 fainting Patient fainted shortly for a few seconds after receiving the vaccine. no other known effects
21 2021-04-06 chest discomfort Pt stated 15 min post vaccine, started having tightness of chest on left side and difficulty breathi... Read more
Pt stated 15 min post vaccine, started having tightness of chest on left side and difficulty breathing, lightheaded and nausea. Pt was given 25mg Benadryl.
21 2021-04-07 lightheadedness, pallor PT EXPERIENCED NEAR-SYNCOPAL EPISODE PALE, DIAPHORETIC BP: 106/56 PULSE: 60 PT HAS HISTORY OF SIMIL... Read more
PT EXPERIENCED NEAR-SYNCOPAL EPISODE PALE, DIAPHORETIC BP: 106/56 PULSE: 60 PT HAS HISTORY OF SIMILAR REACTIONS TO VACCINE ADMINISTRATION
21 2021-04-07 fainting, loss of consciousness At approximately 10 minutes after receiving vaccine, patient developed dizziness, fainted for approx... Read more
At approximately 10 minutes after receiving vaccine, patient developed dizziness, fainted for approximately 2-3 seconds patient then came too, patient then fainted again and began seizing, seizure symptoms last 5-10 seconds, patient then came too and stayed stable and alert, 911 was called and patient was monitored until ambulance arrived, patient was transported to emergency room, for additional evaluation and treatment
21 2021-04-08 blood glucose increased, pallor, fainting While waiting the 15 minutes after vaccination patient attempted to get up to go to the restroom fai... Read more
While waiting the 15 minutes after vaccination patient attempted to get up to go to the restroom fainted, and fell. Patient get up and seat again looking pale, sweating and skin was cold. While seated she started to heve some involuntary movements in her left arm and leg (possible seizure) for a few seconds.
21 2021-04-08 blood pressure decreased, pallor 10:30 am - Writer/Nurse responding to code blue in Front room. Crash Cart brought to location. Provi... Read more
10:30 am - Writer/Nurse responding to code blue in Front room. Crash Cart brought to location. Provider, MA, and Vaccine nurse present on seen. Pt sitting on chair verbally reporting all needs. Visible signs of pallor to face, lips and hands. Initial VS obtained by MA with Vitals Machine. Pt reports having Hx of feeling light-headed, blurry vision, and nauseous after getting injections or blood draws. VS: BP- 57/27, P ? 30, RR ? 18, SpO2- 99% @ RA, T ? 96.8 otic temp Administer O2 2 L/m via NC per Provider verbal order EMS called per Provider order BS obtain by MA per Provider verbal order, 100 mg/dl 10:40 am ? Vaccination nurse manual BP ? 82/60. VS: P- 51, RR ? 16, SpO2 ? 99% @ 2 L/m via NC No visible signs of pallor to Pt?s face, lips, and hands. Pt communicating all needs, no s/s or c/o physical distress. Pt reports feeling better, no c/o blurry vision or light-headedness. Vaccination nurse reports Pt denied any issues with vaccination when initially asked. Pt agrees with vaccination nurse in failure to report history when asked by Vaccination nurse. Pt states she will remember to report Hx next time she is asked. 10:45 am EMS arrived on seen, report given by Vaccination nurse, Eval/assessment concluding with EMS Writer/nurse return to Nurse station, crash cart returned to station
21 2021-04-08 loss of consciousness -Dizzines -Nausea -Passing out (blacked out vision) -Migraine
21 2021-04-08 fainting feeling faint and dizzy after vaccination, lasted about 15 minutes. Resolved with time without medic... Read more
feeling faint and dizzy after vaccination, lasted about 15 minutes. Resolved with time without medical intervention.
21 2021-04-09 heart rate increased serious allergic reaction; breathing was labored; red scratch marks all over her upper body; heart b... Read more
serious allergic reaction; breathing was labored; red scratch marks all over her upper body; heart beat was getting very rapid; vision was wonky; right eye was swollen; face was beet red; nauseous; A spontaneous report was received from a consumer's mother who state's a 21 year female experienced a serious allergic reaction(hypersensitivity) to the vaccine. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. On 03-MAR-2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Batch number: unknown) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 03-MAR-2021around 15:00, she received the Moderna COVID-19 vaccine in her left deltoid muscle at Shop Rite Pharmacy. 6 hours later she noticed red scratch marks all over her upper body, her heart beat was getting very rapid, her breathing was labored, her vision was wonky, her right eye was swollen and her face was beat red. 911 was called, upon arrival the EMT administered IV diphenhydramine (Benadryl) 50 mg and at the emergency room they gave her famotidine (Pepcid) and a steroid drip (methylprednisolone). After receiving treatment, the reporter states the patient felt great and was discharged. The doctor prescribed her methylprednisolone. Additionally she states the patient was also nauseous last night which went away around 2:00am. They told her to consult her primary care provider about the second Moderna COVID-19 vaccination Action taken with mRNA-1273 in response to the event(s) was not provided/unknown. The outcome of the event, serious allergic reaction is unknown.; Reporter's Comments: This case concerns a 21 Y/O F with serious unexpected events of hypersensitivity, dyspnea, and nonserious unexpected heart rate increased, vision blurred, eye swelling, erythema, scratches and expected nausea. Event onset on Day 1 after first dose mRNA-1273. Treated with diphenhydramine and methylprednisolone. Hypersensitivity resolved. Based on current available information and temporal association between use of the product and start date of the event, a causal relationship cannot be excluded.
21 2021-04-09 hypertension Throat swelling, itchy tounge and lips, difficulty breathing, dizziness, full body hives, vision dif... Read more
Throat swelling, itchy tounge and lips, difficulty breathing, dizziness, full body hives, vision difficulty, hospital visit
21 2021-04-09 loss of consciousness Immediately after receiving the Moderna COVID-19 vaccine the patient began to feel nauseous, hot and... Read more
Immediately after receiving the Moderna COVID-19 vaccine the patient began to feel nauseous, hot and her arm was hurting. I kept her in the immunization booth and monitored her. Within a minute of her initial feeling she stated that she was having trouble seeing and was "going to black out". She immediately lost consciousness, her eyes rolled back, and her head went limp and fell back. She then began a twitching movement, made a snorting noise and then all of her limbs went rigid and extended straight out. At the first sign of her reaction we paged management and then as soon as she had loss of consciousness we contacted 911. She regained consciousness and was able to start answering my questions within 30 seconds to 1 minute. We did get the patient water and began to fan her to help cool her off. She was able to tell me who she was, where she was and why she was here. We also gave her some chips and had her eat slowly and drink small sips. She had stated that she was very nervous at the beginning of our pre immunization questions. She told us after that she had not eaten a lot before coming for the shot, but did eat more than normal because she knew she was coming in. She contacted her parents to inform them of the situation. She was able to recount everything prior to her loss of consciousness. When EMS arrived she was able to answer their questions. They took her vitals and all were in normal range, BP=119/66, pulse=98. They asked her to stand and she was able to stand and maintain balance on her own, but stated her legs felt a little "shaky". She refused transport to the hospital by EMS, but did call her roommate to come pick her up. I had her wait in the COVID waiting area until her roommate arrived. I called her around 4pm (same day) to check on her and she said she is feeling much better. Her mom (a nurse) also came down to stay with her and was with her when I called.
21 2021-04-09 lightheadedness At 7 hours after getting the vaccine, I nearly passed out. I got extremely dizzy and lost my hearing... Read more
At 7 hours after getting the vaccine, I nearly passed out. I got extremely dizzy and lost my hearing for a bit.
21 2021-04-09 fainting, chest pain, heart rate decreased fainted; HR - 46-48 beats per minute; cold sweats; chest pains localized in the apex of her heart; i... Read more
fainted; HR - 46-48 beats per minute; cold sweats; chest pains localized in the apex of her heart; inflammation in the left upper arm extending to the back; hard time breathing; weak; This spontaneous case was reported by a nurse and describes the occurrence of SYNCOPE (fainted) and HEART RATE DECREASED (HR - 46-48 beats per minute) in a 21-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 017B21A and 074M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event (No medical history reported). On 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 31-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 01-Apr-2021, the patient experienced SYNCOPE (fainted) (seriousness criterion medically significant), HEART RATE DECREASED (HR - 46-48 beats per minute) (seriousness criterion medically significant), COLD SWEAT (cold sweats), CHEST PAIN (chest pains localized in the apex of her heart), VACCINATION SITE INFLAMMATION (inflammation in the left upper arm extending to the back), DYSPNOEA (hard time breathing) and ASTHENIA (weak). On 01-Apr-2021, SYNCOPE (fainted), HEART RATE DECREASED (HR - 46-48 beats per minute), COLD SWEAT (cold sweats), CHEST PAIN (chest pains localized in the apex of her heart) and DYSPNOEA (hard time breathing) had resolved. At the time of the report, VACCINATION SITE INFLAMMATION (inflammation in the left upper arm extending to the back) and ASTHENIA (weak) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.
21 2021-04-09 fainting Vaccinated at 2:10 pm April 9th. Began feeling chills and body aches around 8pm same day. Had 101 de... Read more
Vaccinated at 2:10 pm April 9th. Began feeling chills and body aches around 8pm same day. Had 101 degree fever at around midnight. Stood up to get water and fainted at approximately 2am April 10th. Was treated at hospital emergency room around 2:30 am. Was given 1 round of IV fluids and 1000mg Tylenol. Was discharged at about 8am April 10th.
21 2021-04-11 pallor Paleness, general weakness and nausea.
21 2021-04-11 fainting Patient reported a history of nervousness around needles and had passed out after an immunization in... Read more
Patient reported a history of nervousness around needles and had passed out after an immunization in the past. I walked her through the immunization process and after administering her vaccine, I asked her if she was feeling ok before allowing her to leave the clinical room. She stated she was feeling ok so I instructed her to have a seat in the post-vaccination waiting area just outside the pharmacy for 30 minutes so we could observe her as a safety precaution. Shortly after sitting down, the patient fell off her chair. I ran out to check on her and found her unconscious and lying face down on the floor. As soon as I touched her shoulders she began to wake up and tried to get up. I asked her to remain laying down and offered to help her roll over onto her back. I asked her if she could tell me her name - she responded correctly. I asked if she knew where she was and she correctly stated she was at store. I had her take some deep breaths until her color came back and when she asked if she could please sit up, I assisted her into her chair and asked a technician to get a bottle of water for her. She felt a little shaky so I continued to hold onto her shoulders until she felt completely stable. She was able to take a few sips of water which helped her feel more steady. EMS arrived and checked her blood pressure and blood glucose levels. She was cleared by EMS and chose not to go to the hospital for further care. I had her call a friend to drive her home and stay with her for a while to make sure she was ok.
21 2021-04-11 fainting Patient fainted, became limp so we checked for pulse and held her head up, she began foaming saliva ... Read more
Patient fainted, became limp so we checked for pulse and held her head up, she began foaming saliva and choked on it, and began seizing for about 5 seconds then came to. Patient declined EMS
21 2021-04-11 fainting Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Hyperventilat... Read more
Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Hyperventilation-Mild, Systemic: Shakiness-Mild
21 2021-04-12 loss of consciousness Pt received vaccine and was seated in observation area. Mother stated daughter "was not doing well".... Read more
Pt received vaccine and was seated in observation area. Mother stated daughter "was not doing well". Upon checking the patient, she was staring blankly ahead, non-responsive to verbal commands, and initially non responsive to physical stimuli. Pt began to regain consciousness and awareness of surroundings. Was given water and EMS contacted. Pt remained shaky and was escorted in mobile chair by EMS to ambulance for vital assessments. Mother returned later to say tat daughter had recovered without need for further medical intervention and that initial assessment was a vasovagal response.
21 2021-04-12 pallor 15 minutes after vaccine, pt lightheaded, nausea, and pale
21 2021-04-13 fainting, loss of consciousness The patient received her Moderna Covid-19 vaccine and was sitting in the waiting area with her compa... Read more
The patient received her Moderna Covid-19 vaccine and was sitting in the waiting area with her companion. Approximately 12 minutes after receiving the vaccine, the patient fainted. The pharmacist was alerted and immediately went to assist. The patient was unconscious 1 minute or less, never fell out of her chair and recovered quickly.
21 2021-04-13 fainting Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe
21 2021-04-15 heart rate increased Approximately 7 mins after administration of vaccine, patient reported to RN complaints of elevated ... Read more
Approximately 7 mins after administration of vaccine, patient reported to RN complaints of elevated heart rate, trouble breathing, and that her throat felt tight. VITALS: HR 80, BP 122/82, O2 92% Lungs CTAB Patient had no dermatological presentation, and was closely monitored for 30 mins without progression of symptoms. Patient was offered water and snack and tolerated.
21 2021-04-15 pallor Patient arrived to get her second Moderna Covid vaccine. Consent obtained and 0.5 ml of Moderna give... Read more
Patient arrived to get her second Moderna Covid vaccine. Consent obtained and 0.5 ml of Moderna given via IM injection into LD. Pt went into adjoining room to wait her 15 minutes. She came out of room about 4 minutes later and said, "I don't feel right, something's wrong, I don't feel right." Her skin was very pink and flushed in face and I had her sit down. Nurse asked if it was difficult to breathe and she said "yes." Nurse asked if it felt like her throat was tightening and she said, "yes." Dr. was next in line to get her vaccination. Dr. palpated a pulse of 130 bpm while author called for assistance in overhead page of Medical Emergency. Nurse then readied the epi-pen for injection. Pt then was more pale in color and still talking, breathing without audible wheezes and maintaining an airway. Epi-pen not administered at this time as no loss of consciousness, and employee was still breathing/talking. Assisted by nurse and she obtained vital signs while updates given to another nurse and ED staff. Gurney obtained. Pt was able to pivot and stand to sit on gurney and she was taken to ED for further observation.
21 2021-04-16 platelet count decreased, low blood platelet count I developed Idiopathic thrombocytopenic purpura (low levels of platelets) and menorrhagia due to the... Read more
I developed Idiopathic thrombocytopenic purpura (low levels of platelets) and menorrhagia due to the vaccine according to my doctor. I believe there have been about 30 cases of this occurring so far. In my case, I took the vaccine and felt relatively tired for two days. There were no other symptoms. About a week later, I got my period after not having it for a couple months. The blooding was light for a few days, but then got extremely heavy. After about a week of very heavy bleeding, I went to urgent care. They took blood tests, and found that I had a critically low level of platelets (6 platelets when the normal range is 150-400). I was admitted to the ER for multiple days, and they gave a platelet transfusion and IVIG fluids, which has helped considerably. I also had to take steroids to suppress my immune system so that my platelets could increase.
21 2021-04-18 loss of consciousness Around 10 min after injection patient flagged down a technician and said she thought she was going t... Read more
Around 10 min after injection patient flagged down a technician and said she thought she was going to faint. Fainting has happened to her in the past and she could feel it coming on. The pharmacist moved her closer to the area and gave her water. While pharmacist was standing with her she lost consciousness and control of her bladder. Pharmacist held patient upright as she was still in the chair as to not obstruct breathing. Patient was out for around a min and regained consciousness. Pharmacist in that time had called EMS who arrived later and checked all vitals. Patient drove alone nearly an hour so Pharmacist want to make sure she was ok before driving the long distance home.
21 2021-04-18 pulmonary embolism Patient received vaccine on 3/31/21. Patient was admitted to our Special Care Unit 4/18/21 with Mass... Read more
Patient received vaccine on 3/31/21. Patient was admitted to our Special Care Unit 4/18/21 with Massive Bilateral Pulmonary Embolism- 1st Episode. She is currently on a Heparin drip. She has been on OC for 5 years with no history of clotting. Patient reported left rib pain starting 4/16/21 and worsening, prompting her ED visit. She reports having the same symptoms on the right side 2 weeks prior (approx 4/5/21).
21 2021-04-19 nosebleed By the evening of April 16th, I was experiencing a fever of 103.5 after already medicating an hour p... Read more
By the evening of April 16th, I was experiencing a fever of 103.5 after already medicating an hour prior. On the 17th, my fever continued and I noticed vaginal bleeding. On the morning of April 18th, I went to the emergency room because I was still experiencing this bleeding, as well as bleeding from my nose. We came to the conclusion that I had an ovarian cyst rupture.
21 2021-04-21 brain sinus blood clot Left Transverse and sigmoid Cerebral Venous Sinus Thrombosis in a patient with Chronic left Masto... Read more
Left Transverse and sigmoid Cerebral Venous Sinus Thrombosis in a patient with Chronic left Mastoiditis and previous Hx of VTE. I do not believe this was likely an AE from vaccine
21 2021-04-21 loss of consciousness Nine hours after her 2nd Moderna shot: my 21-year-old daughter was at home, walking across the room,... Read more
Nine hours after her 2nd Moderna shot: my 21-year-old daughter was at home, walking across the room, when she suddenly collapsed and was unconscious for about one minute. Luckily I was right there so I instantly tried to wake her, while my husband called 911, and she was in and out of consciousness for about ten minutes. She also vomited three or four times. By the time the paramedics arrived she was awake and able to communicate. Please note she has no history or fainting; she has never lost consciousness ever in her life, so this was an extreme, unusual, and frightening occurrence.
21 2021-04-22 loss of consciousness, fainting Pt received Dose 2 Moderna COVID vaccine. Initially feeling well, then in evening started feeling fa... Read more
Pt received Dose 2 Moderna COVID vaccine. Initially feeling well, then in evening started feeling fatigued, nauseated, mild headache. Was standing up and felt lightheaded, more nauseated, and flushed. Sat down on ground to try to steady herself and slumped over. Was briefly unconscious then came to, while mom was holding had another brief syncopal episode with no seizure-like activity. No tongue biting or incontinence. No head trauma. Mom called paramedics. Pt quickly returned to baseline, was feeling better, had stable vitals, and refused transport and was driven to ER. Afterwards still some nausea and headache. No chest pain, visual changes, weakness, numbness, tingling, shortness of breath.
21 2021-04-22 loss of consciousness Patient had lightheadedness and lost consciousness for 3-5 seconds before regaining consciousness, s... Read more
Patient had lightheadedness and lost consciousness for 3-5 seconds before regaining consciousness, she then proceeded to use the bathroom to vomit, before returning to the waiting area and drinking some water. After a few minutes, she was feeling much better.
21 2021-04-22 fainting patient fainted. light headed. fuzzy vision
21 2021-04-23 loss of consciousness Patient was sitting in waiting area after vaccination and slid out of chair in a state of dizziness/... Read more
Patient was sitting in waiting area after vaccination and slid out of chair in a state of dizziness/passing out, but did not lose conciousness. We talked with her, offered her water and snack. She sat for about 15 minutes, then appeared to be recovered. She states she passed out with her last vaccine when she was 15 years old.
21 2021-04-25 chest pain chills, sweats, body aches, abdominal pain, fever, nasal congestion, chest pain, and shortness of br... Read more
chills, sweats, body aches, abdominal pain, fever, nasal congestion, chest pain, and shortness of breath, fatigue
21 2021-04-25 fainting Patient fainted after getting the vaccine. She does have a HX of fainting when seeing needles. Water... Read more
Patient fainted after getting the vaccine. She does have a HX of fainting when seeing needles. Water was given and BP was taken (was low 98/62)
21 2021-04-25 fainting Systemic: Fainting / Unresponsive-Mild, Additional Details: called 911. fire and EMT/rescue checked... Read more
Systemic: Fainting / Unresponsive-Mild, Additional Details: called 911. fire and EMT/rescue checked patient. patient declined to go to hospital. Brother was nearby and drove her home.
21 2021-04-26 hypotension, very slow heart rate Participant became diaphoretic, hypotensive, bradycardic and lightheaded 10-12 minutes post vaccinat... Read more
Participant became diaphoretic, hypotensive, bradycardic and lightheaded 10-12 minutes post vaccination. EMT on site assessed participant and ambulance called to site.
21 2021-04-26 loss of consciousness, excessive bleeding Immediately following the vaccination the patient was bleeding and told the immunizer she felt dizzy... Read more
Immediately following the vaccination the patient was bleeding and told the immunizer she felt dizzy. She then instantly slumped over in her seat and blacked out. She was unconscious for a very short period of time (Only long enough for the immunizer to call the RPh for assistance). 911 was called when Madison regained consciousness she asked what had happened, explained her anxiety and then vomited twice . The paramedics arrived and evaluated her and a ride was called so she would not have to drive. She waiting in the pharmacy for around 40-45mins after the vaccination before leaving with her parents.
21 2021-04-27 chest discomfort chest tightness, sweating, nausea, arm pain, light headedness, dizziness. these symptoms were occur... Read more
chest tightness, sweating, nausea, arm pain, light headedness, dizziness. these symptoms were occurred minutes after receiving the vaccine and lasted for several minutes. was the patient was able, she was escorted by family members to the nearest urgent care clinic for further evaluation.
21 2021-04-27 chest pain, chest discomfort Chest pain and tightness sensation in chest reported with breathing
21 2021-04-27 hypertension, heart rate increased high pulse and high blood pressure ( BP 134/100 and pulse 140) the next day exactly 24 hours later. ... Read more
high pulse and high blood pressure ( BP 134/100 and pulse 140) the next day exactly 24 hours later. Given hydroxyzine to calm down.
21 2021-04-27 loss of consciousness Patient was given immunization at approx. 10:19am, Pt. gave back 15 minute timer at 10:41am, at 10:... Read more
Patient was given immunization at approx. 10:19am, Pt. gave back 15 minute timer at 10:41am, at 10:49am per AP (watched video) patient collapsed. Management arrived at 10:51am to assist. The report submitted by AP stated that patient had grabbed another customer and a clothes rack then fell to the ground. Customer stated patient had a seizure. When AP, arrived patient was unconscious and not shaking. A different customer was there to comfort the patient through the seizure. Per AP, patient was unconscious for 19 minutes and when she awoke she could not state her name or basic information. She was helped into a chair. After 11 minutes she could lucidly state her name and give basic information. EMTs arrived, assessed her, and transported her to further medical attention. We administered IMZ and are reporting adverse reaction but were not there to witness actual event (only the reports thereafter).
21 2021-04-27 loss of consciousness Patient passed out and collapsed a few minutes post administration. Patient was regained conciousn... Read more
Patient passed out and collapsed a few minutes post administration. Patient was regained conciousness less than a minute after passing out. Patient was given a small bottle of water and was driven home.
21 2021-04-27 fainting, hypotension At 10:40, the patient went in for her first Moderna vax. She was slightly nervous since she's not a... Read more
At 10:40, the patient went in for her first Moderna vax. She was slightly nervous since she's not a fan of needles. When she got it a vessel must have been nicked, because she experienced a bit of blood streaming down her arm which surprised us. The nurse wasn't concerned and stopped it quickly and cleaned up her arm. Got her a new bandaid and she was sent to the chairs in the waiting area to wait her 15 minutes following the vax. I had to pick up my regular prescription so I got in line while she was sitting there surfing on her phone. As I got to the front of the line, the patient called me and said she was feeling lightheaded. I immediately left the line, and was there (I was maybe 15 feet away) and was asking how she felt. She said she felt sweaty and like she might pass out. Right then, her eyes rolled a bit and closed and she went limp. I was able to hold on to her and a customer that was behind me in line and I were able to alert the nurse that gave the vax and the pharmacist. Both immediately came to our aid. We got the patient on the floor and on her side. The nurse wanted us to have an epi pen in case, but we all didn't think it was an allergic reaction. We checked her blood pressure and it was low. Another employee was already calling an ambulance and another was getting her some juice. She was beginning to regain consciousness. She was only out for about 2 to 3 minutes at the most. Her blood pressure was low, but started to come back to normal pretty quickly. We had her lay there a few minutes and then sit up. Eventually we moved her to the chair a few minutes later. Within another few minutes the emts arrived. She had already had answered questions for us like her name, birthday, where she was, etc. The emts repeated those same questions, asked us what happened and rechecked her vitals. All were back to normal. They gave her the option of be transported to the ER, but given that she was feeling back to normal she declined and everybody felt good about that decision.
21 2021-04-28 fainting, pallor Patient said she was feeling okay, however, patient then passed out. Shortly after passing out and l... Read more
Patient said she was feeling okay, however, patient then passed out. Shortly after passing out and losing consciousness, the patient started to have seizure like activity (extreme muscle rigidity in a spasm like way), with some vocal sounds. This continued for maybe around 1.5-2 minutes, and then patient regained consciousness. She wet her pants. Came to and felt extremely tingly everywhere. Looked extremely pale. Provided water, patient mentioned she hadn't eaten. Grabbed her a bar to snack on. EMS then arrived on the scene and took over care.
21 2021-04-28 fainting Patient was in the post-vaccination area seated after her shot. About 10 minutes after receiving th... Read more
Patient was in the post-vaccination area seated after her shot. About 10 minutes after receiving the vaccine, she stated that she started feeling lightheaded. She fainted and fell out of her chair. I immediately went to her and found her conscious, but very disoriented. She stated that she felt nauseated. 911 had been called; I stayed with her until they arrived. They fitted her with a cervical counter and raised her to a seated position and took her vitals. She was able to stand and get on the stretcher with their assistance. The EMTs stayed with her and monitored her vitals until her mother arrived to take her home. I spoke with her by phone at 6PM. She stated that she felt fine now (except for a bump on her head). She stated that she was afraid of needles and that anxiety probably caused the incident.
21 2021-04-28 fainting Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details... Read more
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient experienced dizziness and proceeded to faint and fall off her seat. She regained consciousness within approximately 20 seconds. Patient also got a cut above her eye due to the fall.
21 2021-04-30 cerebrovascular accident stroke
21 2021-04-30 fast heart rate Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Headache-Mild, Systemic... Read more
Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Headache-Mild, Systemic: Tachycardia-Mild, Systemic: Weakness-Medium
21 2021-05-02 loss of consciousness Patient felt faint and passed-out 10 min after receiving her first vaccination. She was not alert fo... Read more
Patient felt faint and passed-out 10 min after receiving her first vaccination. She was not alert for about 30 seconds. Then she was alert with normal breathing, HR and speaking. Patient was given juice and water. She received a ride home, instead of driving herself.
21 2021-05-04 pulse abnormal, fainting Syncope episode with no pulse, shallow breaths and diaphoretic lasted 8-10 seconds. She was taken fr... Read more
Syncope episode with no pulse, shallow breaths and diaphoretic lasted 8-10 seconds. She was taken from chair and placed on floor supine after passing out and not able to feel or hear a pulse. Was unconscious on floor 5-8 sec After rousing from syncope BP 92/65, Pulse 86, O2sat 99%, Respiratory rate 20 She had breakfast of a cereal bar at 9. 2:00 had not had lunch. Since she refused care with EMS a friend of hers was called. EMS assessed her. She refused care. After they were leaving she was given water. She refused snack. States she will eat with her friend. Friend arrived she was escorted to car.
21 2021-05-04 fast heart rate, loss of consciousness medical emergency called for detainee "vomiting and passed out". Medical arrived to A12 at 11am and ... Read more
medical emergency called for detainee "vomiting and passed out". Medical arrived to A12 at 11am and detainee was alert and oriented x 4 lying on floor, she stated she felt dizzy and nausea and vomited once and ran to the bathroom to vomit, upon return she passed out and the next thing she remembers is the other detainees standing over her. Witnesses say they caught her before she fell and she did not hit her head. She does complain of "tachycardia and right side head pain" and points to parietal lobe. She was transported to local ED by EMS.
21 2021-05-05 chest pain, chest discomfort Not a cough, but I feel like I want to cough; this had been going on for several hours, at least 6. ... Read more
Not a cough, but I feel like I want to cough; this had been going on for several hours, at least 6. Brief chest pain, probably heart. Lasted a few minutes, happened maybe 11 hours after the shot.
21 2021-05-05 fainting, lightheadedness Patient had syncopal/vasovagal episode s\p vaccination while on site during observation period. EMS ... Read more
Patient had syncopal/vasovagal episode s\p vaccination while on site during observation period. EMS was called. Staff on site confirmed patient refused to go to hospital. Left voicemail for patient to return call to follow up on patient status- awaiting call back from patient.
21 2021-05-07 chest discomfort, chest pain Fatigue, headache, chest tightness/pain
21 2021-05-07 chest discomfort PT EXPERIENCED CHEST TIGHTNESS AND CONGESTED FEELING OF THROAT STARTING WITHIN 30 MINUTES OF VACCINE... Read more
PT EXPERIENCED CHEST TIGHTNESS AND CONGESTED FEELING OF THROAT STARTING WITHIN 30 MINUTES OF VACCINE ADMINISTRATION. THE CHEST TIGHTNESS SEEMED TO SUBSIDE BUT THE CONGESTED THROAT FEELING WORSENED. PATIENT WAS ABLE TO BREATHE NORMALLY BUT SAID SHE FELT LIKE THERE WAS A LUMP IN HER THROAT THAT HAMPERED HER SWALLOWING.
21 2021-05-08 blood pressure increased At approximately 6:00PM Tuesday May 4 (approx 8 hours after second dose): Fever up to 101.6 F, sever... Read more
At approximately 6:00PM Tuesday May 4 (approx 8 hours after second dose): Fever up to 101.6 F, severe chills, muscle pain at injection site, profuse vomiting ( at least 7 times between 10:00PM and 4:00AM 05/05), muscle spasms in upper legs. Severe stutter On Wednesday May 5, starting around 3:00PM: Persistent stutter, full body jitters that progressed to upper body muscle spasms (primarily in the neck and shoulder region) that worsened throughout the evening. Checked into the ER approximately 4:30PM and was administered a muscle relaxant (I believe) through an IV to lessen the spasms around 7:00PM. Muscle spasms and stutter persisted until approximately 4:00PM on Thursday, May 6 at time of discharge from hospital.
21 2021-05-08 pallor, loss of consciousness, fainting "Client lost consciousness and fell to the ground while trying to scan the bar code for 2nd dose sch... Read more
"Client lost consciousness and fell to the ground while trying to scan the bar code for 2nd dose scheduling after injection. Her head bumped into the wall while falling. Two EMTs carried her to the post vac area. She regained her consciousness a few moments later. She looks very pale. After lying down for about 15 minutes, she tries to sir up and had syncope again for about one minutes but wake up later. She was transported to the hospital." "Once she regains consciousness, she states that she always passes out at the sight of needle. The area where she had the head bumped did not have any visible bruise or skin tear or blood.