Moderna

Life threatening symptom reports

Female, 60 - 75 years

Age Reported Symptoms Notes
60 2021-01-05 anaphylactic reaction HIVES, RASH ON VACCINATION ARM, ANAPHALXIS, DIZZINESS
60 2021-01-08 cardiac failure congestive Patient received the Moderna COVID-19 vaccine at her place of employment as a phase 1A essential fro... Read more
Patient received the Moderna COVID-19 vaccine at her place of employment as a phase 1A essential frontline healthcare worker in a skilled nursing LTC facility on January 6 2021. The day after receiving the vaccine (1-7-21), she started to feel increased shortness of breath (she has shortness of breath at baseline due to chronic health conditions- CHF, asthma), a heavy feeling in her chest/lungs, sweating and fatigue. She contacted the pharmacy on January 8th, as we were the entity that vaccinated her to ask about vaccine reaction. Due to her medical history of MI and CHF, pharmacist did not want to dismiss this as a reaction to the vaccine, and recommended that she contact her doctor for further guidance. She did reach out to her care team, and ended up going to the emergency room for testing due to cardiac history and presentation of symptoms. She had diagnostic testing done (see item 19) and the ER doctor attributed her symptoms to an exacerbation of CHF and asthma, noting that vaccine involvement in the worsening of her symptoms can not be ruled out. Treatment/discharge instructions include: follow up with cardiology/pulmonology, furosemide dose was increased, potassium supplement restarted, and instructed to use inhalers already on hand when needed. As of time of report on January 9 2021, the patient was resting at home, doing well except still having symptoms upon exertion.
60 2021-01-10 excessive bleeding It bled a little, right away I felt jittery. Later that night I got chills, and I had to change my s... Read more
It bled a little, right away I felt jittery. Later that night I got chills, and I had to change my shirt twice because I was drenched in sweat. The morning I had a head ache and just felt achy, my arm was very painful. I was able to sit down and run some errands. I was feeling sick like when you have flu. The 26th I felt the same, the 27th I felt the same and my arm was hurting and the injections site was red and very big. On the 28th I decided to go to the Urgent Care. The Dr told me I had an infection on my arm, he gave me an antibiotic shot for the infection and another shot for the pain. I continued taking antibiotics and Benadryl and was feeling much better by Wednesday and my arm swelling went away. I had Covid in October and Urgent care saved my life, I love going there.
60 2021-01-12 death This person was found to be deceased on routine rounds during the night, 3am. No symptoms of reactio... Read more
This person was found to be deceased on routine rounds during the night, 3am. No symptoms of reaction noted post vaccine. No injection site reaction. No reports of any allergic reaction.
60 2021-01-20 anaphylactic reaction Chest pain and shortness of breath
60 2021-01-24 anaphylactic reaction Anaphylactic Reaction /Epipen
60 2021-01-25 cerebrovascular accident Woke up the next morning with slurred speech, right side weakness, illegible writing, balance issues... Read more
Woke up the next morning with slurred speech, right side weakness, illegible writing, balance issues. Next day all symptoms worse. Went to Urgent Care, was transferred to Hospital. Diagnosed with stroke.
60 2021-01-26 anaphylactic reaction Anaphylaxis within 15 minutes. Throat tightened wheezing began given Benadryl at clinic then taken... Read more
Anaphylaxis within 15 minutes. Throat tightened wheezing began given Benadryl at clinic then taken to ER downstair at Hospital. Given more benadryl, then epinephrine, Decadron, then breathing treatment. once undercontrol sent home and then recommended seen by own doctor. I saw doctor on the 21st.
60 2021-01-31 atrial fibrillation chills, shortness of breath, new onset a-fib, overall ache, extreme fatigue Still in a-fib w/ short... Read more
chills, shortness of breath, new onset a-fib, overall ache, extreme fatigue Still in a-fib w/ shortness of breath
60 2021-02-03 anaphylactic reaction Patient had an anaphylactic reaction, lips and facial swelling.
60 2021-02-05 anaphylactic shock On 1/27/2021 was to have stress echo done with imaging -- when injected with Lumason -- I had an im... Read more
On 1/27/2021 was to have stress echo done with imaging -- when injected with Lumason -- I had an immediate, severe anaphylaxis shock requiring transport to hospital, intubation, and short MICU stay -- was referred to allergist who felt the PEG in Covid vaccine sensitized me to the PEG in Lumason thus resulting in severe allergy
60 2021-02-10 pneumonia immediate LUE localized injection site discomfort. Status post 1.5 hours - head ache. Approximatel... Read more
immediate LUE localized injection site discomfort. Status post 1.5 hours - head ache. Approximately 10 hours status post vaccination administration - chills, decreased and loss of taste & smell. PMD notified, ER visit recommended. Patient developing increased chills and diarrhea. ER unable to assist, recommending home discharge with increased fluids and OTC Tylenol. Signs and symptoms continuing x5 days. Chronic dry, non-productive cough continued.
60 2021-02-24 ischaemic stroke 10 daya after receiving Moderna vaccine: 60 year old right handed woman with migraine + chronic hea... Read more
10 daya after receiving Moderna vaccine: 60 year old right handed woman with migraine + chronic headaches, nephrolithiasis, who presented to the hospital with expressive aphasia and right facial weakness and was found to have at least to distal left MCA occlusions for which she received IV tPA. MRI brain shows a small left frontal cortical acute ischemic stroke. Post tPA ICU course has been notable for angioedema of the tongue now improved. TTE showed PFO. LDL 111, new diagnosis HLD.
60 2021-03-01 cerebrovascular accident Acute CVA with Multiple small Infarcts to left Pariaetal and occipitral area Admitted to Medical Ce... Read more
Acute CVA with Multiple small Infarcts to left Pariaetal and occipitral area Admitted to Medical Center Admit 02/19/2021, DC 02/22/2021
60 2021-03-07 anaphylactic reaction No rxn to dose 1. Dose 2: @10 min had tingling of lips; at 12 min had tingling of tongue [and anxiet... Read more
No rxn to dose 1. Dose 2: @10 min had tingling of lips; at 12 min had tingling of tongue [and anxiety from the tingling]; @ 15 min had some SOB and knew this was not just anxiety. Had zero intention of being taken to ER as I could easily tx myself. Took inhalers, extra cetirizine. Did not take epi, though have several pens. @4 hour started feeling weak, severe arm pain. At 6 hours, unbearable arm pain, extreme weakness [did not take BP or pulse ox--though I can and wish I had]. Exceeding thirst, could not get water down fast enough. Reactivation of arachnoiditis symptoms. Started unusual muscle fasciculations in arms, leg, and face [face not normal for me]-took valium and baclofen. Next 36 hours unable Additional information for Item 18: next 48 hours, unable to get out of bed other than to get water. Severe HA upon waking [@16 H post injection]. Severe myalgias, but in areas of known arachnoiditis that have been quiescent for quite some time. Forgot to mention, as I find this strange: prior to going to sleep I had left eye conjunctivitis. Left eye only that still is slightly persistent and doesn't require any care [for me at least] I am currently 72 hours post. Still with HA and some fatigue, though worked today [I WAH for a population health company]. L arm is not as painful as the excruciating pain @ hour 4-16, and no need for additional acetaminophen. I have an exceedingly high pain tolerance due to the arachnoiditis, but this was the first time I took a narcotic in 5 years. 2 .5 mg oxycodone x1, then 600 mg ibuprofen x1, then 1 gm acetaminophen 2 over next 24 hours and nothing since, but it is still quite painful today. Different today than yesterday is the development of what feels like left shoulder bursitis. We'll have to see how this goes over time. There is extensive edema at the site, but not clear erythema [I'm dark skinned]. Still just can't seem to get enough water. Had my first meal last night [made chicken soup]. It's still pretty early on. I'm not even at the 72 hour mark yet, so hopefully things will settle down over the next weeks. I checked the box as life threatening because that was likely early anaphylaxis -- though at first I seriously thought at first I was just anxious because of the lip tingling. This is in defense of the fact I did not self administer epi when I became SOB. I likely should have, but know myself well and did fine without it and with asthma and allergy care. I didn't need extra albuterol after the first 24 hours [though writing this makes me feel SOB just from reliving it]. This second dose is a doozy. Hope this was helpful. I provided you guys with my cell but if you want to follow up, I use my phone for work so if you text first I cant tell you availability.
60 2021-03-08 death, sepsis Hypotension in the 70s/40s despite IV fluid replenishment. Per our MD DC/transfer note: PEG displ... Read more
Hypotension in the 70s/40s despite IV fluid replenishment. Per our MD DC/transfer note: PEG displacement, ongoing sepsis, hypoglycemia. Assess for other reason for hypotension including sepsis, cardiogenic shock, acute abdominal processes. patient was transferred to the Hospital ER where she expired
60 2021-03-15 death She received vaccine on 12.28.21. On 12.30.21 she went to the ER and was subsequently sent to Hospi... Read more
She received vaccine on 12.28.21. On 12.30.21 she went to the ER and was subsequently sent to Hospital. Not sure what the findings were, but she was discharged after several hours. I spoke with her on the phone on 1.1.21,, She wasn't feeling well. I asked her what was going on because she had been doing really well for a few months. She stated "Every since I took the vaccine, I have felt really bad." She died on 1.5.21. Timeline: 12.28.20 Vaccine 12.30.20 ER 1.1.21 Continues to feel bad and reports feeling worse and worse since vaccine. 1.5.21 Died at home.
60 2021-03-17 heart failure, death On 2/1/2021 they performed CBC, the result was aseptic bacteria so it came out and she was taken to ... Read more
On 2/1/2021 they performed CBC, the result was aseptic bacteria so it came out and she was taken to the hospital. They removed the tube in the hospital, (she remained in the hospital) First she was hospitalized and then she was transferred to the Medical Center Hospital to auscultate bleeding in the stool and to be evaluated by the Gastroenterologist. This specialist performs the necessary studies, they do not give a diagnosis and in the process she dies. The hospital indicated that she had a blood drain and heart failure.
60 2021-03-17 blood clot I received my vaccine on Sunday March 7 and in the morning of March 12, I woke up to a large bruise ... Read more
I received my vaccine on Sunday March 7 and in the morning of March 12, I woke up to a large bruise with a hard clot on the inside of my right forearm measuring 7cm x 4cm with a large clot in the bruise. I also have a smaller spot which has a firm bump under the skin. I did not hit my arm or injure it during my sleep or before going to bed.
60 2021-03-18 death Hospice patient passed away within 60 days of receiving a COVID vaccine
60 2021-03-18 pneumonia Had my first Moderna vaccine on 3/3/2021 and have been diagnosed with pneumonia in left lung on 3/1... Read more
Had my first Moderna vaccine on 3/3/2021 and have been diagnosed with pneumonia in left lung on 3/15/2021. Visited my surgeon who follows up with me every 6 months. She listened to my lungs and said she heard crackles in my left lung. Sent me for a chest x-ray immediately after visit on 3/15/2021. I am having no symptoms such as coughing, fever, etc. I?m concerned this could be a side effect of the vaccine. Was also tested for Covid on 3/17/2021. Test result was NEGATIVE.
60 2021-03-22 cerebral haemorrhage Patient admitted to hospital on 3/6/21 with sudden onset right-sided hemiplegia and aphasia. CT show... Read more
Patient admitted to hospital on 3/6/21 with sudden onset right-sided hemiplegia and aphasia. CT showed acute intraparenchymal brain bleed. Family chose palliative care over neruosurgical intervention due to sever neurologic impairment and inability to communicate. Patient was discharged to home hospice on 3/9/21.
60 2021-03-25 death ****I want to note that I am submitting on behave of my mother who passed away yesterday. The medica... Read more
****I want to note that I am submitting on behave of my mother who passed away yesterday. The medical examiner has declined 2x for an autopsy to be done. My mother was healthy and was absolutely fine besides the rash (dr diagnosed her with cellulitis week of March 14). I do not agree with the rule of death being ?natural causes? neither does her doctor.
60 2021-03-30 pulmonary embolism Pulmonary Embolism, symptoms started 3/14/21, diagnosed 3/15/21
60 2021-04-01 death Long term care patient death within 60 days of receiving a COVID vaccine
60 2021-04-01 blood clot She got her vaccine and had no reactions at all. On 3/12/21 she was in her car and started having s... Read more
She got her vaccine and had no reactions at all. On 3/12/21 she was in her car and started having stabbing pain in the left side of her chest under the rib. She thought it was gas pains and dismissed it, and then it started radiating towards the front and the stomach. On 3/16/21 she went to the ER and they did a CT scan that showed that she had a blood clot on her spleen. With that they gave her the diagnosis of idiopathic splenic infarction. She was then sent by ambulance to another hospital to be admitted in case she was needing surgery. She was given heparin and on that for 2 1/2 days. They determined that 60% of her spleen is dead, blood supply cut off to it, and the other 40% is nonfunctional. On 3/19/21 they gave her vaccines of Prevnar 13, HIB, meningococcal, meningococcal B, and a flu vaccine. She was discharged on the 3/20/21 with Plavix. She saw her regular doctor yesterday and he diagnosed her with functional asplenia and to continue the Plavix. She is no longer having any symptoms after dissolving the blood clot.
60 2021-04-04 anaphylactic reaction Pt stated her "tongue felt thick" and felt her "heart racing" immediately after injection. Pt moved ... Read more
Pt stated her "tongue felt thick" and felt her "heart racing" immediately after injection. Pt moved to observation area and offered oral diphenhydramine, pt declined. Pt BP and HR were initially elevated at 168//80 and 129. BP decreased to 140/80 and HR to 100 after five minutes of observation. Pt reported gradual improvement with symptoms for 30 minutes, until reporting a sudden worsening of angioedema, "tingling all over", tachycardia, and syncope. RN administered 0.5 mg of epinephrine IM to L upper thigh and called 911 for ambulance transport. Pt reported some improvement in symptoms after administration of epi, but symptoms not resolved. RN considered administering second epi dose, but deferred when ambulance and EMTs arrived five minutes after first dose of epi. Pt transported to local hospital for further follow up.
60 2021-04-07 pulmonary embolism Patient presented to ED due to sudden onset of chest pain and dyspnea. Symptoms worsened with exerti... Read more
Patient presented to ED due to sudden onset of chest pain and dyspnea. Symptoms worsened with exertion and relieved with rest. She received 2nd dose of Moderna Covid-19 vaccine on 4/4/21 and began having left calf pain on 4/5/21. She was mildly hypoxic on room air with ambulation and tachycardic. Prior COVID 19 infection in December 2020. CTA showed bilateral moderate burden of disease and was found to have developed bilateral pulmonary emboli.
60 2021-04-11 death, respiratory failure admitted to the hospital with recurrent hypoxemic and hypercarbic respiratory failure. discharged h... Read more
admitted to the hospital with recurrent hypoxemic and hypercarbic respiratory failure. discharged home. passed away at home after discharge.
60 2021-04-12 cardiac failure congestive, pulmonary embolism On February 5th, I received my second Moderna vaccine. Monday the 8th, I was working from home and ... Read more
On February 5th, I received my second Moderna vaccine. Monday the 8th, I was working from home and wasn?t feeling well. I went to lay down and was not able to. It was hard to breath. I got up, went to another room where there was a recliner and sat in it trying to catch my breath. It got harder to breathe. I had my husband call 911. I went to the ER, had a CT scan of my chest and was found to have ?extensive PE?s?, ground glass and signs of pneumonitis. I was admitted to the CICU for two days and was transferred for two days. I was told by my orthopedic surgeon that there was a high unlikelihood of PE?s developing from my ankle fracture 3 months later. I had home health care for approximately one month.
60 2021-04-12 cerebrovascular accident I had a stroke one week to the day from taking the moderna vaccine. It affected my entire left side... Read more
I had a stroke one week to the day from taking the moderna vaccine. It affected my entire left side. Had weeks of physical therapy and still not back to normal. I have a long road ahead of me with rehab.
60 2021-04-12 deep vein blood clot DVT of the right Leg
60 2021-04-12 ischaemic stroke Symptoms: Loss of Short Term Memory for 7 hours Event: Ischemic stroke on right parietal superior co... Read more
Symptoms: Loss of Short Term Memory for 7 hours Event: Ischemic stroke on right parietal superior cortex 1.2cm Treatment: aspirin 325 mg 1 daily; atorvastatin 40 mg 1 daily Outcome: hospital stay, 2 days. Sent home for recovery. Follow up with Primary Care Physician in 1 week
60 2021-04-13 blood clot on 03/22/2021 I had a red inflamed area on left Achilles tendon area, off work for two days, negativ... Read more
on 03/22/2021 I had a red inflamed area on left Achilles tendon area, off work for two days, negative US for DVT I had twisted my knee on 03/29/2021, negative DVT MRI meniscus tear I got a blood clot behind my left knee on 04/04/2021 left calf started hurting on 04/01/2021, got intense on 04/04/2021 went to UC US was positive for DVT I have never had one, no health issues, was advised to report blood clot
60 2021-04-15 cardiac failure congestive, heart failure Patient presented to with 4 day history of progressively worsening pitting edema and swelling in bil... Read more
Patient presented to with 4 day history of progressively worsening pitting edema and swelling in bilateral lower extremities. She reports mild shortness of breath. She also reports flank pain and dysuria. Cardiac murmur and rales noted on exam. Patient found to have a heart failure exacerbation and UTI. Patient is being treated with levofloxacin and furosemide and is admitted to the hospital.
60 2021-04-15 cerebrovascular accident Stroke; This spontaneous case was reported by a consumer and describes the occurrence of CEREBROVASC... Read more
Stroke; This spontaneous case was reported by a consumer and describes the occurrence of CEREBROVASCULAR ACCIDENT (Stroke) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 014M20A) for an unknown indication. The patient's past medical history included Thrombectomy. On 22-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Mar-2021, the patient experienced CEREBROVASCULAR ACCIDENT (Stroke) (seriousness criteria hospitalization, medically significant and life threatening). The patient was treated with Rehabilitation therapy for Cerebrovascular accident. At the time of the report, CEREBROVASCULAR ACCIDENT (Stroke) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product use was not provided by the reporter. No treatment information was provided. Company Comment: Limited information regarding the events has been provided at this time and a causal relationship cannot be excluded. Per SD date of administration of the first dose of vaccine is either 22-feb-2021 or 28-feb-2021. To be checked on query response.; Sender's Comments: Limited information regarding the events has been provided at this time and a causal relationship cannot be excluded. Per SD date of administration of the first dose of vaccine is either 22-feb-2021 or 28-feb-2021. To be checked on query response.
60 2021-04-18 anaphylactic reaction anaphylactic reaction/she had symptoms of lightheadedness and sensation of throat closure; lighthead... Read more
anaphylactic reaction/she had symptoms of lightheadedness and sensation of throat closure; lightheadedness; throat closure; This spontaneous case was reported by a health care professional (subsequently medically confirmed) and describes the occurrence of ANAPHYLACTIC REACTION (anaphylactic reaction/she had symptoms of lightheadedness and sensation of throat closure) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. Unk and unk) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Latex allergy. Concurrent medical conditions included Environmental allergy (dust mites). On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In February 2021, the patient experienced ANAPHYLACTIC REACTION (anaphylactic reaction/she had symptoms of lightheadedness and sensation of throat closure) (seriousness criterion medically significant), DIZZINESS (lightheadedness) and THROAT TIGHTNESS (throat closure). At the time of the report, ANAPHYLACTIC REACTION (anaphylactic reaction/she had symptoms of lightheadedness and sensation of throat closure), DIZZINESS (lightheadedness) and THROAT TIGHTNESS (throat closure) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In February 2021, Tryptase: elevated (High) Elevation persisted 3 weeks. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Before her 2nd dose, she pre-treated with Motrin and Claritin. Concomitant product use was not provided by the reporter. Treatment for the event anaphylactic reaction included EpiPen and intravenous Benadryl. Based on the current available information and the temporal association between the product use and the start date of the events a causal relationship cannot be excluded. This case was linked to MOD-2021-073832 (Patient Link).; Sender's Comments: Based on the current available information and the temporal association between the product use and the start date of the events a causal relationship cannot be excluded.
60 2021-04-18 stroke 4/5/21: Patient admitted to ED at 12:55 PM (last known well 1AM) with symptoms suggestive of stroke ... Read more
4/5/21: Patient admitted to ED at 12:55 PM (last known well 1AM) with symptoms suggestive of stroke including: left side weakness, facial droop, slurred speech, dysphagia and fall x 3. NIH stroke scale = 7. Diagnosis: acute right MCA infarct (embolic stroke). Patient was not a candidate for TPA. Risk Factors: diabetes mellitus, hyperlipidemia, hypertension, smoking and hypercoagulable state due to systemic inflammation from second COVID-19 vaccine. Throughout her stay, dysphagia and slurred speech improved but patient still had residual weakness and headache. While inpatient, patient received DVT prophylaxis with Lovenox, rectal aspirin 325 mg, normal saline fluids, sliding scale insulin, analgesics as needed, Requip, and antihypertensives as needed. She also received stroke education, diabetes education, smoking cessation counseling, PT, OT, and speech therapy. A loop recorder implant was placed on 4/7. The patient fell while in the hospital on 4/8. 4/9/21: Patient was discharged to Inpatient Rehab approx. 8:30 AM on the following medications: -- acetaminophen (TYLENOL) 325 MG tablet Take 2 (two) tablets (650 mg total) by mouth every 6 (six) hours as needed --aspirin 81 mg chewable tablet Chew and Swallow 1 (one) tablet (81 mg total) daily . --atorvastatin (LIPITOR) 80 MG tablet Take 1 (one) tablet (80 mg total) by mouth nightly . --bisacodyL (DULCOLAX) 10 mg suppository Insert 1 (one) suppository (10 mg total) into the rectum daily as needed for constipation . --cyclobenzaprine (FLEXERIL) 10 MG tablet Take 1 (one) tablet (10 mg total) by mouth 3 (three) times a day as needed (Restless legs) . --enoxaparin (LOVENOX) 40 mg/0.4 mL Syrg Inject 0.4 mL (40 mg total) under the skin nightly for 20 days . --insulin glargine (LANTUS) 100 unit/mL injection Inject 5 (five) Units under the skin nightly . --insulin lispro (HumaLOG) 100 unit/mL injection Inject 0 (zero) Units to 15 (fifteen) Units under the skin at bedtime . -- insulin lispro (HumaLOG) 100 unit/mL injection Inject 0 (zero) Units to 30 (thirty) Units under the skin 3 (three) times a day before meals . --nicotine (NICODERM CQ) 21 mg/24 hr Place 1 (one) patch on the skin daily . --sulfamethoxazole-trimethoprim (BACTRIM DS,SEPTRA DS) 800-160 mg per tablet Take 1 (one) tablet by mouth every 12 (twelve) hours for 5 days . --traMADoL (ULTRAM) 50 mg tablet Take 1 (one) tablet (50 mg total) by mouth every 8 (eight) hours as needed --continue home doses of metformin, glipizide, bupropion, and omeprazole. --discontinue lisinopril.
60 2021-04-18 excessive bleeding low grade fever, headache for approx 24 hrs., body aches 24-48 hours, 5 days after injection heavy b... Read more
low grade fever, headache for approx 24 hrs., body aches 24-48 hours, 5 days after injection heavy bleeding from cut on my tongue. A small cut developed when eating and then bleed profusely for 2 1/2 to 3 hours. My blood wasn't clotting. That has never been a problem. Very heavy bleeding from a very small cut finally stopped after putting ice on it.
60 2021-04-23 anaphylactic reaction Rashes, hives and total face, neck, and torso and arms completely red as the hives grow. Several epi... Read more
Rashes, hives and total face, neck, and torso and arms completely red as the hives grow. Several episodes where it was so bad I had anaphylaxis requiring epinephrine injections with O2 sat down to 70! This went on every day for 3 1/2 weeks. I was already taking Allegra, Xzyzal, singularity, and famotidine to stabilize my mast cells. Cromolyn and Benadryl added.
60 2021-04-23 atrial fibrillation Atrial Fibrillation
60 2021-04-23 cerebrovascular accident They thought they were having a stroke; Facial paresthesia; The right side of their face felt numb, ... Read more
They thought they were having a stroke; Facial paresthesia; The right side of their face felt numb, like with paralysis; Their face was swollen; Right upper extremity paresthesia; Blurry vision; Dizzy; Nervous as hell; Felt like someone hit them with a gun in the right temple with Novocain; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CEREBROVASCULAR ACCIDENT (They thought they were having a stroke), PARAESTHESIA (Facial paresthesia), HYPOAESTHESIA (The right side of their face felt numb, like with paralysis), SWELLING FACE (Their face was swollen) and PARAESTHESIA (Right upper extremity paresthesia) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025B21A) 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 01-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-Apr-2021, the patient experienced VISION BLURRED (Blurry vision), DIZZINESS (Dizzy), NERVOUSNESS (Nervous as hell) and FEELING ABNORMAL (Felt like someone hit them with a gun in the right temple with Novocain). On 14-Apr-2021, the patient experienced CEREBROVASCULAR ACCIDENT (They thought they were having a stroke) (seriousness criterion hospitalization), PARAESTHESIA (Facial paresthesia) (seriousness criterion hospitalization), HYPOAESTHESIA (The right side of their face felt numb, like with paralysis) (seriousness criterion hospitalization), SWELLING FACE (Their face was swollen) (seriousness criterion hospitalization) and PARAESTHESIA (Right upper extremity paresthesia) (seriousness criterion hospitalization). The patient was hospitalized from 14-Apr-2021 to 19-Apr-2021 due to CEREBROVASCULAR ACCIDENT, HYPOAESTHESIA, PARAESTHESIA, PARAESTHESIA and SWELLING FACE. On 11-Apr-2021, VISION BLURRED (Blurry vision), DIZZINESS (Dizzy), NERVOUSNESS (Nervous as hell) and FEELING ABNORMAL (Felt like someone hit them with a gun in the right temple with Novocain) had resolved. At the time of the report, CEREBROVASCULAR ACCIDENT (They thought they were having a stroke), PARAESTHESIA (Facial paresthesia), HYPOAESTHESIA (The right side of their face felt numb, like with paralysis), SWELLING FACE (Their face was swollen) and PARAESTHESIA (Right upper extremity paresthesia) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In April 2021, Blood pressure measurement: normal (normal) Normal. In April 2021, Blood test: normal (normal) Normal. In April 2021, Echocardiogram: normal (normal) Normal. In April 2021, Lumbar puncture: negative (Negative) Negative for Lyme disease. In April 2021, Magnetic resonance imaging brain: normal (normal) Normal (2x). In April 2021, Ultrasound Doppler: normal (normal) Normal. In April 2021, X-ray: normal (normal) Normal. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route) was unknown. Concomitant product use was unknown. Treatment information was not provided.; 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. Further information is requested.
60 2021-04-23 blood clot in lung Went into the er because I was shaking like I was having a seizure and I was delirious. During the t... Read more
Went into the er because I was shaking like I was having a seizure and I was delirious. During the testing they found a blood clot in my lung. I am being treated with anti biotics and blood thinners
60 2021-04-25 pulmonary embolism Acute bilateral pulmonary embolus
60 2021-04-26 fluid around the heart Hospitalized: 3/13-3/22/21. Pericardial effusion, pleural effusion. Have had 3 thoracentesis as outp... Read more
Hospitalized: 3/13-3/22/21. Pericardial effusion, pleural effusion. Have had 3 thoracentesis as outpatient since release from hospital: 4/8/21 (removed 800ccs fluid), 4/19/21 (removed 1400ccs fluid), 4/26/21 (removed 1500ccs fluid). Scheduled 4th thoracentesis for 5/3/21 - have appt with thoracic surgeon on 5/13/21.
60 2021-04-28 transient ischaemic attack, cerebrovascular accident About 9 am, April 14, after breakfast, some fatigue and dizziness, a feeling of nausea, then tingli... Read more
About 9 am, April 14, after breakfast, some fatigue and dizziness, a feeling of nausea, then tingling in face, then numbness, followed by numbness in left arm, and finally numbness in leg. Whole episode was probably about an hour. Numbness on left side lasted maybe 20 minutes, possibly more. (The day before-April 13 -- I had tingling in the face and arm but it resolved almost immediately, also after breakfast.) Numbness of left arm returned for about 10 minutes that night while in hospital, but resolved except for remaining tingling in left hand.
60 2021-04-29 deep vein blood clot Leg pain resulting in a DVT in the left popliteal vein 10 days after 1 vaccine given to patient.
60 2021-04-30 pulmonary embolism Patient received first Covid Moderna vaccination on 4/5/21 and on Thursday 4/8/21 was admitted to th... Read more
Patient received first Covid Moderna vaccination on 4/5/21 and on Thursday 4/8/21 was admitted to the hospital with a pulmonary embolism. She was released and put on Eliquis. The patient has been unable to reach via phone.
60 2021-04-30 blood clot in lung 3 days after 2nd vaccine shot I started experiencing sporadic chest pain and a feeling of being ligh... Read more
3 days after 2nd vaccine shot I started experiencing sporadic chest pain and a feeling of being light headed. The next day I still had the same symptoms so I described them to my doctor. She recommended going to a urgent care facility. I was diagnosed with 2 small blood clots - one in each lung. I'm on anti-coagulants for the next 6 months.
60 2021-05-06 systemic inflammatory response syndrome This 60 year old female received the Covid shot on 2/26/21 and went to the ED on 3/3/21 and... Read more
This 60 year old female received the Covid shot on 2/26/21 and went to the ED on 3/3/21 and was admitted on 3/3/21 with the following diagnoses listed below. R65.10 - SIRS (systemic inflammatory response syndrome) (CMS/HCC)
60 2021-05-18 atrial fibrillation Sudden episode of afib with rvr needing to go to the ER. Passing out, confusion, shortness of breath... Read more
Sudden episode of afib with rvr needing to go to the ER. Passing out, confusion, shortness of breath. Resolved on own approximately 2 hrs followed by extreme fatigue and headache for 2 days. Still experiencing moderate to heavy fatigue and heavy sleepiness throughout the day.
60 2021-05-19 anaphylactic reaction Anaphylaxis 2 minutes after administration; gagging and heaving; throat swelling until she couldn't ... Read more
Anaphylaxis 2 minutes after administration; gagging and heaving; throat swelling until she couldn't breathe; 0.3 mg EPIPEN administered into left thigh; EPIPEN relieved acute throat swelling so that patient was able to breathe; blood pressure 182/127 and pounding headache; transported to hospital by EMS.
60 2021-05-25 fluid around the heart Cough, went to the Dr. for breathing trouble. I have not been able to walk with out sitting down to... Read more
Cough, went to the Dr. for breathing trouble. I have not been able to walk with out sitting down to get so I can breath, I was told that I now have fluid with my heart. My feet have been swealing up so bad, I feel sick all the time now.. If I knew this would happen i would not have gotten the vaccines.
60 2021-05-29 death DEATH, lethargic, migraines, tired
60 2021-06-03 cerebrovascular accident Hospitalized about 2 months after the second dose of Moderna for stroke
60 2021-06-03 deep vein blood clot, blood clot Only nine days after my second Moderna shot, I broke my ankle. I then had to wear an immobilizing bo... Read more
Only nine days after my second Moderna shot, I broke my ankle. I then had to wear an immobilizing boot for 5-6 weeks. Despite taking one baby aspirin a day during the immobilization period, I developed a blood clot in my paroneal calf vein 5 weeks into the immobilization. I am wondering if the proximity of my immobilization to my Moderna vaccination put me at an increased risk of developing a blood clot.
60 2021-06-03 fluid around the heart Admission to hospital with pericardial effusion and pleural effusions on 4/10/2021. Also with chest... Read more
Admission to hospital with pericardial effusion and pleural effusions on 4/10/2021. Also with chest pain. The patient was having some subacute systemic symptoms of fatigue, chest pain, dyspnea that predated the vaccine by more than a month.
60 2021-06-06 blood clot, blood clot in the brain, cerebrovascular accident She got her vaccine, she wasn't feeling good right there and didn't know what it was going to progre... Read more
She got her vaccine, she wasn't feeling good right there and didn't know what it was going to progress to. She then at 2:00 AM the next morning she rolled out of the bed and fell to the floor and got stuck between the bed and was not able to stand up, and crawled down 14 stairs and then couldn't move. She could not tell him why she couldn't and she was not able to stand up (large women). Her husband did not see any signs of stroke. They called his son and noticed that her face was sagging and he said that it looked like a stroke. They called the paramedics and they sent her to hospital and she was flown to Clinic and diagnosed with a stroke. She had surgery and they tried to remove the blood clot and her blood pressure went high and they cut a huge part of her skull to remove the pressure, but not able to remove the clot that he is aware of. She is in rehab right now, and it's not really showing any signs of promise. She has a lot of stroke symptoms of being combative and she has a blood clot that has moved to her arm as well. She had 6 blood clots on her brain when they went into it, and now has blood clots in each arm. She is aware of her surroundings to some degree and thinks that she is somewhere else and feels like she has wet herself. Her husband said that the rehab does not look promising. She is still in the hospital and they are having a meeting tomorrow regarding how long they feel she may be there. She has very little headway in rehab. She cannot move her left side, hand or leg. She is able to move her right side though. Husband feels it has destroyed her life and it will be a miracle if she comes out of it.
60 2021-06-07 pneumonia After the first dose of the vaccine I was very tired. After the second dose I was extremely tired. I... Read more
After the first dose of the vaccine I was very tired. After the second dose I was extremely tired. I started to have trouble breathing at night and I developed a cough one week after the second dose. After two weeks I went to an Urgent Care and they did not find anything on X-Ray. Two weeks later I was not improving so I went back because my breathing was worse. X-Ray showed Pneumonia in both lower lungs. I recovered a little over two weeks after antibiotics. I had Covid-19 in July of 2020 and I had not felt well since then. I was only working two days a week up until the time of the first dose of the vaccine. I was originally given a Benzoate capsules but those did not help. My breathing seems to better than it was for the time period since I got the Covid-19 last year. I still have a dry cough and I get short of breath on occasion. I use Flonase currently and I am able to work more now.
60 2021-06-09 fluid around the heart I developed pericardial effusion on Feb. 23 and had 750 ml of fluid removed from my heart. On April ... Read more
I developed pericardial effusion on Feb. 23 and had 750 ml of fluid removed from my heart. On April 27 another pericardial effusion developed and I had to have surgery to have a pericardial window created.
60 2021-06-09 transient ischaemic attack nauseous, vomited, faint, then ambulance went unconscious within 15 minutes of vaccine. Then one we... Read more
nauseous, vomited, faint, then ambulance went unconscious within 15 minutes of vaccine. Then one week later inverted T waves and hospitalized, recovered then about a week or two later Transient ischemic attack unable to speak recovered. then have been having abdominal pain/pelvic pain.
60 2021-06-10 heart failure Shortness of breath began the first week of April. Thought I had caught Covid. Shortness of breath b... Read more
Shortness of breath began the first week of April. Thought I had caught Covid. Shortness of breath became increasingly worse throughout the month of April. Could not breathe at night. Went to emergency room May 5. Diagnosed heart failure 30% function. No known medical issues before vaccination. Currently wearing defibrillator. Kidney function stage three. Had a very active busy lifestyle, upstairs apartment Before vaccination. Now fighting for my life.
60 2021-06-10 death Went unresponsive at home after experiencing diarrhea. Pulses were lost at home and regained by EMS... Read more
Went unresponsive at home after experiencing diarrhea. Pulses were lost at home and regained by EMS prior to transport to the emergency room. Pulses lost again in the emergency room. ACLS performed for approximately 40 minutes before pronouncement of death was made.
60 2021-06-10 heart attack 4/14/21 12 hours post shot extreme dyspnea lasting 7 weeks now. Dizzy light headed.Emergency room vi... Read more
4/14/21 12 hours post shot extreme dyspnea lasting 7 weeks now. Dizzy light headed.Emergency room visit 4/17/21 blood work indicated increase troponin and potential blood clot in lung. Heart attack 4- 27-21. Second ER visit 5/8/21 which showed additional increase in troponin levels. Second heart attack on 5/22/21. Intense back pain between shoulder blades over shoulders and on chest. Additional squeezing in chest and neck pain.
60 2021-06-14 excessive bleeding When she goes to the bathroom blood gushes out in clot/the blood just start gushing out; been bleedi... Read more
When she goes to the bathroom blood gushes out in clot/the blood just start gushing out; been bleeding since i got the shot/bleeding; felt like peeing and blood start pouring out/feeling like they are having a period for 3 days then stop then come back; got pain, had to sit down, like someone pulling your insides out pain was excruciating/pain/there is so much pain/pain everyday/pain like period or having a baby; egg like secretion down there; waking up soaking wet down there; pain in the belly; Leg gave out/feels like someone is pulling her bones apart down below/left leg felt like coming apart; anemic; bleeding every week for 2 to 7 days followed by white stuff and back to bleeding; Other staff is coming from my body/ feeling something travelling through my body; Blow up in leg; pain different from sciatica; afraid for my life; don't feel like I am going to live/feeling terrible; This spontaneous case was reported by a consumer and describes the occurrence of HAEMORRHAGE URINARY TRACT (When she goes to the bathroom blood gushes out in clot/the blood just start gushing out) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concomitant products included GABAPENTIN for Sciatica. On 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 31-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 24-May-2021, the patient experienced ANXIETY (afraid for my life) and FEELING OF DESPAIR (don't feel like I am going to live/feeling terrible). On an unknown date, the patient experienced HAEMORRHAGE URINARY TRACT (When she goes to the bathroom blood gushes out in clot/the blood just start gushing out) (seriousness criterion medically significant), HAEMORRHAGE (been bleeding since i got the shot/bleeding), GENITAL HAEMORRHAGE (felt like peeing and blood start pouring out/feeling like they are having a period for 3 days then stop then come back), PAIN (got pain, had to sit down, like someone pulling your insides out pain was excruciating/pain/there is so much pain/pain everyday/pain like period or having a baby), GENITAL DISCHARGE (egg like secretion down there), HYPERHIDROSIS (waking up soaking wet down there), ABDOMINAL PAIN (pain in the belly), LIMB DISCOMFORT (Leg gave out/feels like someone is pulling her bones apart down below/left leg felt like coming apart), ANAEMIA (anemic), VAGINAL DISCHARGE (bleeding every week for 2 to 7 days followed by white stuff and back to bleeding), FEELING ABNORMAL (Other staff is coming from my body/ feeling something travelling through my body), PERIPHERAL SWELLING (Blow up in leg) and PAIN (pain different from sciatica). The patient was treated with GABAPENTIN at a dose of 1 dosage form and PARACETAMOL (TYLENOL) at a dose of 1 dosage form. At the time of the report, HAEMORRHAGE URINARY TRACT (When she goes to the bathroom blood gushes out in clot/the blood just start gushing out), HAEMORRHAGE (been bleeding since i got the shot/bleeding), GENITAL HAEMORRHAGE (felt like peeing and blood start pouring out/feeling like they are having a period for 3 days then stop then come back), PAIN (got pain, had to sit down, like someone pulling your insides out pain was excruciating/pain/there is so much pain/pain everyday/pain like period or having a baby), GENITAL DISCHARGE (egg like secretion down there), HYPERHIDROSIS (waking up soaking wet down there), ANXIETY (afraid for my life), FEELING OF DESPAIR (don't feel like I am going to live/feeling terrible), ABDOMINAL PAIN (pain in the belly), LIMB DISCOMFORT (Leg gave out/feels like someone is pulling her bones apart down below/left leg felt like coming apart), ANAEMIA (anemic), VAGINAL DISCHARGE (bleeding every week for 2 to 7 days followed by white stuff and back to bleeding), FEELING ABNORMAL (Other staff is coming from my body/ feeling something travelling through my body), PERIPHERAL SWELLING (Blow up in leg) and PAIN (pain different from sciatica) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Smear cervix: normal (normal) normal. Patient sought out help from Primary care, was referred to a OBGYN, got a pap smear normal and said that the HCPs did not provide information on what may be causing the symptoms. She received Gabapentin and Tylenol as treatment without symptoms' relief. Reporter provide additional phone number 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. 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. This case was linked to MOD-2021-163813 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 01-Jun-2021: updated reporter information and new events.; 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.
60 2021-06-15 pulmonary embolism Acute bilateral pulmonary emboli - onset of shortness of breath 1 day prior to diagnosis on 6/14/202... Read more
Acute bilateral pulmonary emboli - onset of shortness of breath 1 day prior to diagnosis on 6/14/2021
60 2021-06-20 atrial fibrillation Immediately after the shot I felt fatigued for weeks and on Friday went into AFib and have been in t... Read more
Immediately after the shot I felt fatigued for weeks and on Friday went into AFib and have been in the hospital since with rapid irregular heart beat, extreme chest pain and fatigue. My heart rate will drop to 88/67 then jump to 157/100 it feels like my heart wanted to come out my chest. I was put on a blood thinner and I?m currently in the hospital being monitored waiting for more testing to be done .
60 2021-06-20 sepsis Patient presented to the ED and was subsequently hospitalized for Severe sepsis with septic shock wi... Read more
Patient presented to the ED and was subsequently hospitalized for Severe sepsis with septic shock within 6 weeks of receiving COVID vaccination.
60 2021-06-23 deep vein blood clot I received my first covid vaccine 03/18/2021 Lot #047A21A. After that vaccine I had headaches and a ... Read more
I received my first covid vaccine 03/18/2021 Lot #047A21A. After that vaccine I had headaches and a flushed face and was very tired. I an not a headache person so this is new to me. This continues. I received my second covid vaccine 04/19/2021. Since that vaccine, I have had continued headaches, am tired and have had brain fog. Trouble concentrating and focusing. I even had to see a neurologist. These symptoms continue as well. I was just diagnosed with a DVT 06/23/2021. This all is new to me and I believe are all related to my covid vaccines.
60 2021-07-06 anaphylactic reaction Sweaty; tongue feel raw and sore; feels feverish; Anaphylactic reaction; Heart rate more than 100 be... Read more
Sweaty; tongue feel raw and sore; feels feverish; Anaphylactic reaction; Heart rate more than 100 beats per min; Blood pressure which was 188/143.; Systolic blood pressure <90 mmHg; throat started to swell; Abdominal cramping; Feeling hot; her face became red and than blue; Started to gag/gagging sensation; Flushing; nausea; tongue felt huge; couldn't breathe; Mouth pain; vomiting; This spontaneous case was reported by a consumer and describes the occurrence of ANAPHYLACTIC REACTION (Anaphylactic reaction) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 004C21A and 045B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Previously administered products included for an unreported indication: DIPHTHERIA TETANUS PERTUSSIS VACCINE on 29-Jan-2021. Concurrent medical conditions included Sulfonamide allergy (FACE SWELLING HALF OF TONGUE SWELLED WHEEZING HARD TIME BREATHING) since 2016 and Blood pressure high on 30-Jun-2020. Concomitant products included LISINOPRIL from 30-Jun-2021 to an unknown date for Blood pressure, ATORVASTATIN from 01-Feb-2021 to an unknown date for Cholesterol, GABAPENTIN from 04-Feb-2021 to an unknown date for Nerve pain, DULOXETINE, MELOXICAM and VITAMIN D NOS for an unknown indication. On 22-Apr-2021 at 2:22 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-May-2021 at 5:00 PM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 20-May-2021, the patient experienced HEART RATE INCREASED (Heart rate more than 100 beats per min), BLOOD PRESSURE INCREASED (Blood pressure which was 188/143.), BLOOD PRESSURE SYSTOLIC DECREASED (Systolic blood pressure <90 mmHg), PHARYNGEAL SWELLING (throat started to swell), ABDOMINAL PAIN (Abdominal cramping), FEELING HOT (Feeling hot), ERYTHEMA (her face became red and than blue), RETCHING (Started to gag/gagging sensation), FLUSHING (Flushing), TONGUE DISORDER (tongue felt huge), DYSPNOEA (couldn't breathe), ORAL PAIN (Mouth pain), VOMITING (vomiting) and NAUSEA (nausea). On 20-May-2021 at 5:00 PM, the patient experienced ANAPHYLACTIC REACTION (Anaphylactic reaction) (seriousness criterion medically significant). On 21-May-2021, the patient experienced HYPERHIDROSIS (Sweaty), GLOSSODYNIA (tongue feel raw and sore) and PYREXIA (feels feverish). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency; EPINEPHRINE (EPIPEN) at an unspecified dose and frequency; ALUMINIUM HYDROXIDE, DIMETICONE, MAGNESIUM HYDROXIDE (ANTACID [ALUMINIUM HYDROXIDE;DIMETICONE;MAGNESIUM HYDROXIDE]) at an unspecified dose and frequency and DULOXETINE HYDROCHLORIDE (CYMBALTA) ongoing from 29-Jan-2021 for Pain, at a dose of 60 mg twice a day. On 20-May-2021, BLOOD PRESSURE SYSTOLIC DECREASED (Systolic blood pressure <90 mmHg) had resolved. On 20-May-2021 at 8:00 PM, ANAPHYLACTIC REACTION (Anaphylactic reaction) had resolved. On 21-May-2021, GLOSSODYNIA (tongue feel raw and sore) and ORAL PAIN (Mouth pain) had resolved with sequelae. At the time of the report, HEART RATE INCREASED (Heart rate more than 100 beats per min), BLOOD PRESSURE INCREASED (Blood pressure which was 188/143.), PHARYNGEAL SWELLING (throat started to swell), ABDOMINAL PAIN (Abdominal cramping), FEELING HOT (Feeling hot), FLUSHING (Flushing), DYSPNOEA (couldn't breathe), VOMITING (vomiting) and NAUSEA (nausea) had resolved and ERYTHEMA (her face became red and than blue), RETCHING (Started to gag/gagging sensation), TONGUE DISORDER (tongue felt huge), HYPERHIDROSIS (Sweaty) and PYREXIA (feels feverish) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 20-May-2021, Blood pressure measurement: 188/143 (High) high. On 20-May-2021, Blood pressure systolic: less than 90 mmhg (abnormal) abnormal. On 20-May-2021, Heart rate: 100 breaths per minute (High) high. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter considered ANAPHYLACTIC REACTION (Anaphylactic reaction) to be possibly related. No further causality assessments were provided for HEART RATE INCREASED (Heart rate more than 100 beats per min), BLOOD PRESSURE INCREASED (Blood pressure which was 188/143.), BLOOD PRESSURE SYSTOLIC DECREASED (Systolic blood pressure <90 mmHg), PHARYNGEAL SWELLING (throat started to swell), ABDOMINAL PAIN (Abdominal cramping), FEELING HOT (Feeling hot), ERYTHEMA (her face became red and than blue), RETCHING (Started to gag/gagging sensation), FLUSHING (Flushing), TONGUE DISORDER (tongue felt huge), HYPERHIDROSIS (Sweaty), GLOSSODYNIA (tongue feel raw and sore), DYSPNOEA (couldn't breathe), ORAL PAIN (Mouth pain), VOMITING (vomiting), PYREXIA (feels feverish) and NAUSEA (nausea). It was reported that patient called in after receiving her 2nd dose of the Moderna covid vaccine on 20-May-2021. After receiving her vaccine approximately within 2 minutes, she started to gag, throat started to swell, and she was told by the staff members that her face became red and than blue. The pharmacist immediately administered an epi-pen and she slowly was able to stop gagging. The pharmacy dialed 9-1-1 and the EMS came. They took her blood pressure which was 188/143. They took her to the hospital and about 10 minutes in the ambulance she experienced the gagging sensation and her tongue felt huge. They administered the epi-pen again along with Benadryl and an antacid. She was monitored at the hospital for four hours and discharged. While at the hospital she had the gagging experience again and tongue felt huge. They administered the epi-pen again and she remained on IV which she believes contained Benadryl and an antacid. She is contacting the hospital to find out exactly what she was prescribed there. Today, 21may2021 she has to clear her throat a lot, feels feverish, sweaty, tongue feel raw and sore. She is highly allergic to sulfa. She wanted to know if these symptoms have been reported before and if the medications, she was administered at the hospital are going to effect the vaccine efficiency. She was wondering if Moderna could provide any compensation for her medical costs. 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 24-Jun-2021: Follow up information received on 24-Jun-2021 and included New reporter details were added, Suspect vaccine dosing details were updated, Patient demographics (race) was updated, new medical history was added, concomitant drugs indications, dosing and start dates were added, new concomitant drug Cymbalta was added, New historical vaccine was added, New serious event anaphylactic event was added, New non serious events were added, New lab tests were added. Suspect vaccine Batch number was added.; 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.
60 2021-07-08 heart attack Seen at hospital for chest pain and shortness of breath on 4/07/2021. Found to have NSTEMI
60 2021-07-11 acute respiratory failure Patient received Moderna COVID vaccine on 3/27/21 and 4/24/21. Patient states that she had a large g... Read more
Patient received Moderna COVID vaccine on 3/27/21 and 4/24/21. Patient states that she had a large gathering of family and friends on 7/4/21. Since then some people at the gathering had developed mild fevers and cough. Most however doing fine and have no acute symptoms. Patient however states that beginning 7/10/21, she began to have horrible asthma exacerbation, patient on prednisone 10 mg daily at this time but states she took 40 mg of prednisone secondary to concern for asthma exacerbation. On 7/11/21, patient again took 40 mg of prednisone, multiple rounds of her beta agonist without symptom relief. Patient noted that her home oxygen saturations on home pulse oximeter 85%. Patient is brought to ED for evaluation and eventually admitted. On 7/12/21, patient had respiratory decompensation failing HFNC and BiPAP, O2 desaturation in the 60's, and was extremely short of breath. FiO2 was increased to 100% without recovery. Patient was intubated and transferred to CCU on 7/12/21. This event is being reported due to COVID cases resulting in hospitalization even though patient was fully vaccinated.
60 2021-07-18 death Daughter stated that patient passed on 07/06, a few weeks after getting her 1st vaccine. Daughter s... Read more
Daughter stated that patient passed on 07/06, a few weeks after getting her 1st vaccine. Daughter stated that she noticed that her mother had stomach pains the day before and the day of passing. Daughter stated tat Mother had EKG test and heart inflammation was found. Patient passed due to heart inflammation.
60 2021-07-20 death Patient received first Moderna vaccine on April 28th. Did not complain of any adverse effects. Pati... Read more
Patient received first Moderna vaccine on April 28th. Did not complain of any adverse effects. Patient received second Moderna vaccine on May 26th at approximately 11am. Spoke to son at 11pm that night and reported that she felt fine, her arm felt fine, the only complaint was "mouth feels funky" and she felt dehydrated. Was in typical spirits. She passed on May 27th. Time of death cannot be confirmed as an autopsy was not completed but the assumption is between 6-9am. This would have been less than 24 hours after she received the second vaccine.
60 2021-07-24 heart failure Cardiomyopathy (HART FAILURE)
60 2021-07-25 blood clot 3 days after second vaccine. Surface veins right leg midthigh to midcalf enlarged. Doppler US showed... Read more
3 days after second vaccine. Surface veins right leg midthigh to midcalf enlarged. Doppler US showed multiple clots.
61 2021-01-07 anaphylactic reaction Patient was brought to the ED after receiving the Moderna vaccine for difficulty breathing. Per RN p... Read more
Patient was brought to the ED after receiving the Moderna vaccine for difficulty breathing. Per RN progress note: "Pt arrived via wheelchair from auditorium, pt had received her first COVID vaccine left deltoid, approx. 10 minutes later pt appeared to have an anaphylactic reaction, pt arrives wheezing and tachypneic, labored breathing with accessory muscle use." The patient was placed on supp oxygen and received epinephrine 0.5mg IM x1, Benadryl 50mg IV x1, hydrocortisone 200mg IV x1, lorazepam 1mg IV x1. Pt discharged after 6 hour observation with Rx's for EpiPen, prednison, Benadryl, and famotidine.
61 2021-01-14 death Around 00:50am on 01/15/21, C.N.A. reported that the resident looked different and not responding. I... Read more
Around 00:50am on 01/15/21, C.N.A. reported that the resident looked different and not responding. Initiated Code Blue and started CPR. 911 arrived and pronounced resident dead at 1:01 am.
61 2021-01-17 atrial fibrillation new onset rapid Afib converted with diltiazem, elevated BP-continues
61 2021-02-01 sepsis Covid positive 1/29/21. 2/1/21, hypoxia, tachycardia. Admitted to hospital 2/1/21. Diagnoses: UT... Read more
Covid positive 1/29/21. 2/1/21, hypoxia, tachycardia. Admitted to hospital 2/1/21. Diagnoses: UTI, Covid-19 infection, hypoxia, sepsis.
61 2021-02-09 anaphylactic reaction Allergie to ASA-anaphylactic
61 2021-02-14 anaphylactic reaction Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: D... Read more
Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium
61 2021-02-16 anaphylactic reaction Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: A... Read more
Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Additional Details: 5 minutes after taking the vaccine pt stated that she felt dizzy and lighheaded. After about 10minutes later she started grabbing her throat indicating she cannot breath. we gave her 2 epipens 5 minutes after the 1st dose and called the ambulance
61 2021-02-25 low blood platelet count Received notification from county director that patient is currently hospitalized beginning two days... Read more
Received notification from county director that patient is currently hospitalized beginning two days after Moderna vaccination, spoke to patient today 2/26/2021. Patient received vaccine Monday morning 2/22/2021 around 9:07am, by 9pm Monday evening patient reports weakness, fatigue, sore arm, fever, chills, and no appetite. Patient states symptoms persisted all day Tuesday 2/23/2021. On Wednesday 2/24/2021 at 11:30am patient was eating a peanut butter sandwich and felt something inside mouth. Upon looking in mouth patient noticed "black sores." Patient then called husband and was taken to ER and was then transferred to Hospital. Patient states she has been diagnosed with ITP idiopathic thrombocytopenic purpura.
61 2021-02-28 anaphylactic reaction Acute anaphylactic reaction. Presented with dyspnea, wheeze and chest tightness. Received IM epi 0... Read more
Acute anaphylactic reaction. Presented with dyspnea, wheeze and chest tightness. Received IM epi 0.4mg x 2 - 20 minutes apart, IV Benadryl (50mg) and solumedrol IV 125, continuous albuterol med x 1 hr.
61 2021-03-08 atrial fibrillation Patient had first COVID -MODERNA immunization on 1/6/2021 (chills and fever for one day) and 2/23/20... Read more
Patient had first COVID -MODERNA immunization on 1/6/2021 (chills and fever for one day) and 2/23/2021. Patient began feeling weak, nauseated and dizzy. She was evaluated at the ER on 2/22/2021. She was given fluids and sent home. She continued to feel weak, dizzy and nauseated. She experienced elevated heart rate. She went back to the ER on 2/23/2021. She was diagnosed with atrial fibrillation.
61 2021-03-11 death death
61 2021-03-21 anaphylactic reaction Throat closing thickening of mucous anaphyllaxis
61 2021-03-22 heart failure Chills fever diarrhea in the evening, short of breath next day with exertions, continued decreased a... Read more
Chills fever diarrhea in the evening, short of breath next day with exertions, continued decreased activity tolerance until unable to go up one flight of stairs without fatigue and SOB, after 1 week slight foot swelling, 2 weeks, swelling of left foot and leg (pitting). Increased weight gain on 5 pounds, abdominal bloating. Had cardiac blood test come back abnormal showing heart failure, DVT ruled out, echo showed LA enlargement mitral tricuspid prolapse, increase RA pressure. While scheduling abdominal scan swelling went away. Repeated bloodwork and it came back normal. Stress test 3 weeks later normal. Plan to repeat echo in 6 months
61 2021-03-27 anaphylactic shock Experienced anaphylactic shock 4.5 mins after given 30 min timer. Developed severe red splotchy rash... Read more
Experienced anaphylactic shock 4.5 mins after given 30 min timer. Developed severe red splotchy rash around neck. Arm remained super sore for a week, then developed a huge red whelp the size of my hand with constant itching & burning (resembled a reaction to a hornet sting & I am NOT allergic). The whelp disappeared but itching & burning finally went away into 3rd week. Developed severe depression 2 days afterwards that lasted approximately 5 days.
61 2021-04-04 death Patient passed away the morning after receiving her second COVID vaccine.
61 2021-04-06 pulmonary embolism, deep vein blood clot Pt devolped cough and SOB arround time of vaccine found to have PE.
61 2021-04-08 respiratory arrest, death Weakness Confusion Falling down Vision impairment Legs really weak All of the above symptoms start... Read more
Weakness Confusion Falling down Vision impairment Legs really weak All of the above symptoms started on March 14, 2021 On March 18,2021 she was not out of bed except for just a few minutes. On March 19, 2021 she was on the floor laying beside of the bed and my father noticed blood looking stuff on her shirt and bed covers. She was really confused and lethargic. She was really weak and could not stand. She was extremely fatigued. At around 10:30 she fell again on the floor and my father and sister in law was able to get her back up and put her in a chair and she went to sleep. At 12:55 my father noticed she was not breathing and called 911. When they did CPR blood was coming from her mouth and nose. When the ambulance arrived they immediately took her to the hospital where she was pronounced dead at around 3:30 pm.
61 2021-04-10 low blood platelet count, vaginal haemorrhage Severe acute immune thrombocytopenia, now refractory to steroids and IVIG developed 10 days after se... Read more
Severe acute immune thrombocytopenia, now refractory to steroids and IVIG developed 10 days after second dose of vaccine. Patient developed spontaneous wet purpura, petechiae and vaginal bleeding on 3/19/2021. CBC showed undetectable platelet count. Normal hemoglobin and platelets. Did not respond to dexamethasone 40md daily x 4 or multiple IVIG doses. Started romiplostim on 3/25/21 and is currently on dose escalations with platelets persisting undetectable. On 3/28 developed acute anemia with a 2 to 3 g/dL hemoglobin drop and was found to have a spontaneous hemoperitoneum . Treated with tranexamic acid, multiple platelet transfusions and an additional dose of romiplostim. Bleeding has since resolved but platelets remain undetectable.
61 2021-04-11 death Found dead in her home on Saturday morning
61 2021-04-12 cardiac arrest, cardio-respiratory arrest This is a 61 year old female, with history of hypertension, who presents to the ED via EMS for evalu... Read more
This is a 61 year old female, with history of hypertension, who presents to the ED via EMS for evaluation of cardiac arrest prior to arrival. Patient's husband came from anouther [sic] room and found patient take a big gasp then suddenly became unresponsive. EMS gave patient a total of 4 rounds of Epi, 1 Narcan, and 2 shocks en route. EMS reports with glucose level of 92. Unknown if patient is on any anticoagulation. Patient presents in asystole. Epi and bicarb given. Compressions performed. Lungs equal with bagging. Bedside US performed which did not reveal any meaningful cardiac activity. Code called. Discussed with family, they state she had been having some cardiac issues and her daughter died of cardiac problems in her 30s.
61 2021-04-12 cerebrovascular accident On the day after the vaccine, 4/8/21 I woke up and felt heaviness in both legs as I walked around my... Read more
On the day after the vaccine, 4/8/21 I woke up and felt heaviness in both legs as I walked around my home.That lasted for 2 days. on Saturday 4/10/21 those symptoms diminished slightly and I felt sleepy all day long. On Sunday 4/11/21 I woke up with numbness and heaviness on the entire left half of my body and was unable to walk properly. That evening I went to the Emergency Department. After review of CT and MR, I was diagnosed with having a stroke. I remained there for about 18 hours . My symptions decreased to tingling , so Iwas discharged, no treatment received. As of today, my sympttions are reduced almost amost 50% and i am able to walk with a walker..
61 2021-04-13 anaphylactic reaction Anaphylaxis; This spontaneous case was reported by a consumer and describes the occurrence of ANAPHY... Read more
Anaphylaxis; This spontaneous case was reported by a consumer and describes the occurrence of ANAPHYLACTIC REACTION (Anaphylaxis) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Rheumatoid arthritis. Concomitant products included TOCILIZUMAB (ACTEMRA) for an unknown indication. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ANAPHYLACTIC REACTION (Anaphylaxis) (seriousness criterion medically significant). At the time of the report, ANAPHYLACTIC REACTION (Anaphylaxis) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No treatment medication provided Very limited information regarding this event/s has been provided at this time. Further information has been requested. Reporter did not allow further contact; Sender's Comments: Very limited information regarding this event/s has been provided at this time. Further information has been requested.
61 2021-04-13 pneumonia Pneumonia; Fainting; Vomiting; Fever; Muscle aches and pains; This spontaneous case was reported by ... Read more
Pneumonia; Fainting; Vomiting; Fever; Muscle aches and pains; This spontaneous case was reported by a consumer and describes the occurrence of PNEUMONIA (Pneumonia) and SYNCOPE (Fainting) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 038A21A) 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). On 13-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Mar-2021, the patient experienced SYNCOPE (Fainting) (seriousness criterion medically significant), VOMITING (Vomiting), PYREXIA (Fever) and MYALGIA (Muscle aches and pains). On 23-Mar-2021, the patient experienced PNEUMONIA (Pneumonia) (seriousness criterion medically significant). On 18-Mar-2021, PYREXIA (Fever) had resolved. At the time of the report, PNEUMONIA (Pneumonia) had not resolved and SYNCOPE (Fainting), VOMITING (Vomiting) and MYALGIA (Muscle aches and pains) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 23-Mar-2021, Chest X-ray: revealed pneumonia (Inconclusive) Revealed pneumonia. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.
61 2021-04-14 cerebrovascular accident On April 10, 2021, patient reported losing vision in right eye. Saw primary physician on 4/14/2021 a... Read more
On April 10, 2021, patient reported losing vision in right eye. Saw primary physician on 4/14/2021 and had ultrasound of the neck done on 4/14/2021. Patient reported per phone on 4/15/2021 that she was told that she had a stroke in her right eye. Was placed on ASA 325mg and Clotidogrel 75mg.
61 2021-04-14 blood clot in lung, blood clot on Saturday, March 27th, patient noticed swelling in left lower leg with Shortness of breath, and he... Read more
on Saturday, March 27th, patient noticed swelling in left lower leg with Shortness of breath, and heart racing. on 3/39, the patient presented to the ED and was admitted and diagnosed with a blood clot from left groin to left ankle, with "clot in heart and lungs". heparinized and discharged home on Coumadin currently taking 5 mg on Sunday, Monday, Wednesday, and Saturday and 2.5 mg on Tuesday and Friday each week.
61 2021-04-15 anaphylactic reaction within 15 min of injection, my throat got itchy and tight. difficult to swallow. I got dizzy and my ... Read more
within 15 min of injection, my throat got itchy and tight. difficult to swallow. I got dizzy and my face and chest felt like sunburn. The EMT on duty took my vitals with extremely high BP. he had another EMT confirm. They transferred me via ambulance to hospital ER for anaphalaxis. I was given benedryl on the way in iv. At the hospital, dr gave steroid and epinepherine in iv port. this helped me swallow and my vitals stabilized and i was released hours later with scrips for prednisone, pepsid and benedryl. Follow up with my primary care dr.
61 2021-04-20 anaphylactic reaction Anaphylactic reaction; Vertigo; This spontaneous case was reported by a consumer (subsequently medic... Read more
Anaphylactic reaction; Vertigo; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of ANAPHYLACTIC REACTION (Anaphylactic reaction) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Vertigo. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced ANAPHYLACTIC REACTION (Anaphylactic reaction) (seriousness criterion medically significant). an unknown date, the patient experienced VERTIGO (Vertigo). At the time of the report, ANAPHYLACTIC REACTION (Anaphylactic reaction) and VERTIGO (Vertigo) outcome was unknown. Patient had an anaphylactic reaction within 10 minutes of administration and was administered an Epi Pen and Benadryl. Patient went to the ER and was discharged the same day. Since then, the patient has been experiencing vertigo intermittently.no history for the treatment of Vertigo was provided Concomitant medications were not reported. Action taken with mRNA-1273 in response to the events was not Applicable. Company comment:Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded. However, the previous history of Vertigo is a confounder. This case was linked to MOD-2021-076365 (E2B Linked Report).; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded. However, the previous history of Vertigo is a confounder. MOD-2021-076365:1st dose of vaccine
61 2021-04-20 cardiac arrest Day 2 : fever chills and flu like symptoms Day 5 : full cardiac arrest: with no previous heart issue
61 2021-04-20 cardio-respiratory arrest, death Resident was found kneeling over walker with face down in the bathtub right before 1700. Code calle... Read more
Resident was found kneeling over walker with face down in the bathtub right before 1700. Code called and initiated. Resident pronounced dead at 1721 by EMS.
61 2021-04-20 death The decedent suffered fever and malaise after the second dose on 04/13/2021.
61 2021-04-20 pulmonary embolism Patient developed bilateral PE
61 2021-04-21 pulmonary embolism Pain started on the upper thigh in left leg, caused staying in bed for three days. Tried to stretch ... Read more
Pain started on the upper thigh in left leg, caused staying in bed for three days. Tried to stretch out the legs, but had pain every time. ON 4/11/21 had difficulty breathing, so called 911 and was taken to the ER. Diagnosed with pulmonary embolism/
61 2021-04-22 blood clot in lung received the vac on 4/6, starting aprox 8th -9th I start to not feel good... just thought is was a m... Read more
received the vac on 4/6, starting aprox 8th -9th I start to not feel good... just thought is was a mild reaction to the shot... by the 12th I felt terrible, very short of breath and unable to walk with out thinking I was going to die...... waiting as long as I could then I went to urgent care on the 14th and was told I probably have asthma and was given a few medications... on the 18th things were not any better and I no longer could take the pain and not being able to breathe... so I went to the hospital and was admitted to the PPC floor of the hospital after being in the ER. the next morning I had to have a procedure to break up BLOOD CLOTS in my lungs... I spent 4 days in the PPC ward and now home trying to recover from this... I was told my condition was very serious and was lucky I came in... Of course the doctors will not say this was a direct link to the shot ... i never had any problems before and never any blood clots. The doctor who did the procedure told me to make sure I REPORTED IT.... I was released from the hospital on the afternoon of the 21st.. 4 days!
61 2021-04-23 cerebrovascular accident Stroke; More than 36 days have passed since first dose, still didn't get second dose; This spontaneo... Read more
Stroke; More than 36 days have passed since first dose, still didn't get second dose; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CEREBROVASCULAR ACCIDENT (Stroke) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 038A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Hypertension and Cholesterol. Concomitant products included AMLODIPINE, ENALAPRIL and METOPROLOL TARTRATE for Blood pressure abnormal, ATORVASTATIN and EZETIMIBE for Cholesterol total abnormal NOS, ACETYLSALICYLIC ACID (ASPIRIN (E.C.)) for an unknown indication. On 13-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 29-Mar-2021, the patient experienced CEREBROVASCULAR ACCIDENT (Stroke) (seriousness criterion hospitalization). On an unknown date, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (More than 36 days have passed since first dose, still didn't get second dose). The patient was hospitalized from 29-Mar-2021 to 15-Apr-2021 due to CEREBROVASCULAR ACCIDENT. At the time of the report, CEREBROVASCULAR ACCIDENT (Stroke) outcome was unknown and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (More than 36 days have passed since first dose, still didn't get second dose) 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 did not provide any causality assessments. Company comment: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. However, the patient's past medical history of Hypertension, cholesterol. may remain risk factor for this event.; 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, a causal relationship cannot be excluded. However, the patient's past medical history of Hypertension, cholesterol. may remain risk factor for this event.
61 2021-04-23 deep vein blood clot, pulmonary embolism Bilateral pulmonary embolism; DVT; This spontaneous case was reported by a consumer (subsequently me... Read more
Bilateral pulmonary embolism; DVT; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PULMONARY EMBOLISM (Bilateral pulmonary embolism) and DEEP VEIN THROMBOSIS (DVT) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included COVID-19. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced PULMONARY EMBOLISM (Bilateral pulmonary embolism) (seriousness criteria hospitalization and medically significant) and DEEP VEIN THROMBOSIS (DVT) (seriousness criterion hospitalization). At the time of the report, PULMONARY EMBOLISM (Bilateral pulmonary embolism) and DEEP VEIN THROMBOSIS (DVT) outcome was unknown. The HCP got the vaccine several weeks after quarantine after that. After her second dose, she had a clotting issue which she had never had before. She experienced bilateral pulmonary embolism and DVT and was in the ICU twice. Action taken with the mRNA 1273 in response to the events was not applicable as the patient completed both the doses. Reporter did not provide the causality. Treatment information was not 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.
61 2021-04-23 pulmonary embolism, deep vein blood clot Deep vein thrombosis; Pulmonary embolism; Shortness of breath; This spontaneous case was reported by... Read more
Deep vein thrombosis; Pulmonary embolism; Shortness of breath; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of DEEP VEIN THROMBOSIS (Deep vein thrombosis) and PULMONARY EMBOLISM (Pulmonary embolism) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 031L20A and 012220A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COVID-19 on 03-Jan-2021. Concomitant products included PARACETAMOL (TYLENOL), MAGNESIUM and VITAMIN B3 for an unknown indication. On 20-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 22-Feb-2021, the patient experienced DEEP VEIN THROMBOSIS (Deep vein thrombosis) (seriousness criterion hospitalization) and PULMONARY EMBOLISM (Pulmonary embolism) (seriousness criteria hospitalization and medically significant). On an unknown date, the patient experienced DYSPNOEA (Shortness of breath). The patient was hospitalized for 2 days due to DEEP VEIN THROMBOSIS and PULMONARY EMBOLISM. At the time of the report, DEEP VEIN THROMBOSIS (Deep vein thrombosis) and PULMONARY EMBOLISM (Pulmonary embolism) outcome was unknown and DYSPNOEA (Shortness of breath) had not resolved. Not Provided The patient received Xarelto and IV blood thinner at hospital. Company comment: Based on the information provided which includes a temporal association between the use of mRNA-1273 vaccine and onset of the reported events, a causal relationship cannot be excluded. This case was linked to MOD-2021-083811 (Patient Link).; Sender's Comments: Based on the information provided which includes a temporal association between the use of mRNA-1273 vaccine and onset of the reported events, a causal relationship cannot be excluded
61 2021-04-24 low blood platelet count Longstanding chronic ITP with platelet counts 40-50,000 since 2016. Platelet count was found to be ... Read more
Longstanding chronic ITP with platelet counts 40-50,000 since 2016. Platelet count was found to be 11,000 on 3/9/21 when it happened to be checked 6 days after her immunization. Previous value 39,000 12/3/20 which was her stable number. Plts rechecked over next 3 days and stayed 11,000. Given 2 doses of IVIG (500 mg/kg) and plts rose to 227,000 over the next week then fell to her 68,000 on 3/30/21 prior to her 2nd dose of Moderna. Fell to 38,000 the following day then rose to 49,000 the following week. Remained asymptomatic the entire time.
61 2021-04-26 cardiac arrest could not breath; in induced coma; went into cardiac arrest; This spontaneous case was reported by a... Read more
could not breath; in induced coma; went into cardiac arrest; This spontaneous case was reported by a patient family member or friend and describes the occurrence of COMA (in induced coma), CARDIAC ARREST (went into cardiac arrest) and DYSPNOEA (could not breath) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 043021A and 037A21B) for COVID-19 vaccination. The patient's past medical history included No adverse event (No reported medical history). On 18-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Apr-2021, the patient experienced COMA (in induced coma) (seriousness criterion hospitalization) and CARDIAC ARREST (went into cardiac arrest) (seriousness criterion hospitalization). On 19-Apr-2021 at 1:00 AM, the patient experienced DYSPNOEA (could not breath) (seriousness criterion hospitalization). The patient was hospitalized on 19-Apr-2020 due to COMA, then on 19-Apr-2021 due to CARDIAC ARREST and DYSPNOEA. The patient was treated with Manual therapy (CPR) for Cardiac arrest and Manual therapy (CPR) for Dyspnoea. At the time of the report, COMA (in induced coma), CARDIAC ARREST (went into cardiac arrest) and DYSPNOEA (could not breath) outcome was unknown. No concomitant medications were reported. 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.
61 2021-04-26 cardio-respiratory arrest, death Pt came in with positive D-dimer, coded and passed
61 2021-04-27 death Patient died on 4/23/21
61 2021-04-27 pulmonary embolism, cerebrovascular accident, deep vein blood clot DVT in right leg; pulmonary emboli and a stroke on 4/2/2021
61 2021-04-29 bleeding on surface of brain "Moderna COVID-19 Vaccine EUA" -- received 1st dose 3/27/2021 Received 1st Moderna vaccine in R arm ... Read more
"Moderna COVID-19 Vaccine EUA" -- received 1st dose 3/27/2021 Received 1st Moderna vaccine in R arm on 3/27/21. Within first hour, she had a headache, R eye pain, and felt tired; symptoms subsided after she laid down. On 3/31 in early AM, felt sudden and more severe headache and same eye pain, and "electrical contractions down neck, back, and spine." Went to medical facility, then transferred to hospital, and transferred to another hospital via helicopter. 61-year-old female, generally very healthy, on no medications, here complaining of sudden onset right sided stabbing/electrical headache which began 30 minutes prior to arrival. She states she was standing at work when had sudden onset severe headache radiating into her right eye. Stating that it feels like my right eyeball is going to explode. She ranks the pain a 9 out of 10. She does have a history of migraine headaches which have never been evaluated with imaging or by neurology. They were normally frontal, and she has not had one in more than 2 years. She states that this headache is dramatically different than her prior migraines. Patient states associated with this sudden onset headache, she had bilateral neck pain, and substernal chest pain. Upon arrival to clinic, she points to her substernal region as the site of her chest pain. She denies associated shortness of breath, irregular heart rate/rhythm, presyncope. She does feel slightly weak. Of note, patient states she had a MODERNA COVID-19 vaccine on Saturday and subsequently had some right-sided shoulder pain. Her symptoms are on the same side. - 7:50 AM: BP 165/109 (R arm); pulse 86; no antihypertensives given, given a total of 100 mcg fentanyl over 1 hr - 9:04 AM: BP 150/92 (R arm); pulse 60; transferred to hospital and then to transfered to another hospital via helicopter for SAH 3/31/2021 ED - given nicardipine IV, dexamethasone IV, levetiracetam, and antiemetics. Nero noted that no associated trauma, LOC, or seizure with the HA, Neuro assessment - day 4 (plus possible re-rupture within last 24 hours) of good clinical grade HH2 low volume aSAH due to ruptured R ICA ANR 4/1/2021 - completed successful and uncomplicated RICA oblong aneurysm coiling (successful coil elimination & preservation adjacent PcommA infundibulum). Patient was admitted to critical care for post procedure care, monitoring, and management of sodium, blood pressure, and headache. Levetiracetam discontinued since patient did not have any seizures. 4/7/2021 - discharged
61 2021-04-30 anaphylactic reaction mouth burning; face burning; hot and cold issues with nerves; she gets burning hot and heat waves co... Read more
mouth burning; face burning; hot and cold issues with nerves; she gets burning hot and heat waves come up; chills; metallic taste in mouth; difficulty in breathing\ntermittent difficulty in breathing; hives rash around throat and face; chest wall tingling/throat tingling/Tingling in her arms, legs, mouth, face; throat burning; throat closing; chest wall burning; chest wall closing; light-headed; anaphylactic reaction; This spontaneous case was reported by a health care professional and describes the occurrence of ANAPHYLACTIC REACTION (anaphylactic reaction) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 012L20A and 026L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Penicillin allergy. Concomitant products included TAFLUPROST (ZIOPTAN) for Glaucoma, LIOTHYRONINE SODIUM and LEVOTHYROXINE for Thyroid disorder. On 02-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 05-Feb-2021, the patient experienced ANAPHYLACTIC REACTION (anaphylactic reaction) (seriousness criterion medically significant), DYSPNOEA (difficulty in breathing\ntermittent difficulty in breathing), URTICARIA (hives rash around throat and face), PARAESTHESIA (chest wall tingling/throat tingling/Tingling in her arms, legs, mouth, face), THROAT IRRITATION (throat burning), THROAT TIGHTNESS (throat closing), CHEST PAIN (chest wall burning), CHEST DISCOMFORT (chest wall closing) and DIZZINESS (light-headed). On 05-Apr-2021, the patient experienced DYSGEUSIA (metallic taste in mouth). On an unknown date, the patient experienced ORAL DISCOMFORT (mouth burning), BURNING SENSATION (face burning), DYSAESTHESIA (hot and cold issues with nerves), FEELING HOT (she gets burning hot and heat waves come up) and CHILLS (chills). On 05-Feb-2021, ANAPHYLACTIC REACTION (anaphylactic reaction) had resolved. At the time of the report, DYSGEUSIA (metallic taste in mouth), DYSPNOEA (difficulty in breathing\ntermittent difficulty in breathing), URTICARIA (hives rash around throat and face), PARAESTHESIA (chest wall tingling/throat tingling/Tingling in her arms, legs, mouth, face), THROAT IRRITATION (throat burning), THROAT TIGHTNESS (throat closing), CHEST PAIN (chest wall burning), CHEST DISCOMFORT (chest wall closing), DIZZINESS (light-headed), ORAL DISCOMFORT (mouth burning), BURNING SENSATION (face burning), DYSAESTHESIA (hot and cold issues with nerves), FEELING HOT (she gets burning hot and heat waves come up) and CHILLS (chills) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 30-Jan-2021, COVID-19: positive (Positive) Positive. On 31-Jan-2021, COVID-19: negative (Negative) Negative. On 02-Feb-2021, COVID-19: negative (Negative) Negative. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. She was not admitted to the hospital. She stated she had to go back to the emergency room a few times since then for symptoms of burning and tingling in her arms, legs, mouth, face, as well as hot and cold issues with her nerves, and tightening of her throat and chest. She immediately treated with Bedadryl (unknown dosage), Pepcid40mg, Prednisone 40mg, ongoing- Prednisone 5mg daily, Pepcid 20mg daily, Claritin 10mg daily. Company comment: This case concerns a 61 Y/O F with a serious expected anaphylactic reaction, and dyspnea, urticaria, paraesthesia, throat irritation, throat tightness, chest pain, chest discomfort, dizziness, dysgeusia, oral discomfort, burning sensation, feeling hot, chills, and nervous system disorder. Event onset immediately after second dose. Based on current available information and temporal association between use of the product and the start date of the event, a causal relationship cannot be excluded. This case was linked to US-MODERNATX, INC.-MOD-2021-087026, US-MODERNATX, INC.-MOD-2021-087026 (E2B Linked Report).; Sender's Comments: This case concerns a 61 Y/O F with a serious expected anaphylactic reaction, and dyspnea, urticaria, paraesthesia, throat irritation, throat tightness, chest pain, chest discomfort, dizziness, dysgeusia, oral discomfort, burning sensation, feeling hot, chills, and nervous system disorder. Event onset immediately after second dose. Based on current available information and temporal association between use of the product and the start date of the event, a causal relationship cannot be excluded. US-MODERNATX, INC.-MOD-2021-087026:Case for dose 1 US-MODERNATX, INC.-MOD-2021-087026:case for dose 2
61 2021-05-02 low platelet count, vaginal haemorrhage 2 days of flu-like sx. She then developed sudden onset of bleeding of gums bruising and vaginal blee... Read more
2 days of flu-like sx. She then developed sudden onset of bleeding of gums bruising and vaginal bleeding. High concern for thrombocytopenia. her Sx resolved at day 5 post-vaccine. Her platelets were slightly low 7 days post-vaccine. High clinical suspicion for low platelets
61 2021-05-03 transient ischaemic attack Patient self-reported TIA approx. 40 mins after receiving 1st dose of moderna vaccine. Pt states sh... Read more
Patient self-reported TIA approx. 40 mins after receiving 1st dose of moderna vaccine. Pt states she did not go in for diagnostic imaging or medical care, but knows what a TIA "feels like," as she has had approx. 6 in her lifetime (self-reported, only 1 TIA found on her medical record).
61 2021-05-05 pulmonary embolism, blood clot in lung Had right chest and lower back pain and sweating during night of April 15, 2021. Also had unexplaine... Read more
Had right chest and lower back pain and sweating during night of April 15, 2021. Also had unexplained cough for one month prior to vaccine. Pain was gone by morning. Did regular exercise of walking 4 miles in morning. Same pains came back afternoon of April 16. Went to ER at 4pm on 4/16. D-Dimer and Troponin were elevated and CT scan showed pulmonary embolism in right lung. Was given Lovenox and was admitted to hospital for 2 days. Was released on Eliquis 2x per day for at least 3 months. Had two plane rides lasting for 2 hours each on 3/21 and 3/31 where I walked to bathroom once so it is unlikely these plane rides caused embolism. I am active and walk about 20 miles per week. Doctors so far have not found likely cause for this event.
61 2021-05-06 atrial fibrillation Fainted irregular heartbeat very high blood pressure constant serious heart burn
61 2021-05-06 death Case had COVID-19 in November 2020 as part of an outbreak in the SNF she lives in. She recovered the... Read more
Case had COVID-19 in November 2020 as part of an outbreak in the SNF she lives in. She recovered then received her first COVID-19 vaccination on 1/4/21. She received her 2nd dose of Moderna on 2/1/21. On 4/11/21 she became ill and was transferred to the hospital where she tested PCR positive for COVID-19. She continued to decline and was intubated. She died on 4/28/21 while still in the hospital. The diagnosis on her death summary from the hospital is COVID-19 pneumonia.
61 2021-05-07 pulmonary embolism, deep vein blood clot 3-4 days after vaccine pt devolped DVT and PE no other known provoking factors, pt did have VTE in 2... Read more
3-4 days after vaccine pt devolped DVT and PE no other known provoking factors, pt did have VTE in 2019 and was no longer on anticoagulation
61 2021-05-13 death deatb
61 2021-05-17 death stated that her mother in law died; This spontaneous case was reported by a consumer and describes t... Read more
stated that her mother in law died; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (stated that her mother in law died) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 06-May-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. Death occurred on 07-May-2021 The patient died on 07-May-2021. The cause of death was not reported. It is unknown if an autopsy was performed. Not Provided Concomitant medications and treatment information was not provided. A 61-year-old female patient who received mRNA-1273 died 2 days after the first dose of vaccine. No medical condition or conmeds were provided. The cause of death was not reported. Very limited information has been reported at this time. Further information is being followed up.; Sender's Comments: A 61-year-old female patient who received mRNA-1273 died 2 days after the first dose of vaccine. No medical condition or conmeds were provided. The cause of death was not reported. Very limited information has been reported at this time. Further information is being followed up.; Reported Cause(s) of Death: Unknown cause of death
61 2021-05-18 atrial fibrillation Patient showed up to the hospital after her 2nd Moderna vaccine with AFib w/RVR and failed cardiover... Read more
Patient showed up to the hospital after her 2nd Moderna vaccine with AFib w/RVR and failed cardioversion. Patient was recently diagnosed with AFib a couple of days after receiving the first dose of the Moderna vaccine
61 2021-05-19 pneumonia Immediately had blurry vision, neck stiffness, systolic blood pressure up to 150s. Patient reports ... Read more
Immediately had blurry vision, neck stiffness, systolic blood pressure up to 150s. Patient reports that she has been unwell since her second vaccine. Having myalgias and fevers up to 102. She was diagnosed with lingular pneumonia at urgent care on 5/10/2021. She believes that this is related to the vaccine. After treatment with doxycycline, she is starting to improve.
61 2021-05-21 cerebrovascular accident Fell again, breaking left leg; Breaking ankle; Breaking foot; Passed out; Stroke; Fell again; Swolle... Read more
Fell again, breaking left leg; Breaking ankle; Breaking foot; Passed out; Stroke; Fell again; Swollen arm; Did not get second Covid shot; Joint pain; This case was initially received via an unknown source (no reference has been entered for a health authority or license partner) on 28-Mar-2021. The most recent information was received on 12-May-2021 and was forwarded to Moderna on 13-May-2021. This spontaneous case was reported by a consumer and describes the occurrence of CEREBROVASCULAR ACCIDENT (Stroke), LOSS OF CONSCIOUSNESS (Passed out), LOWER LIMB FRACTURE (Fell again, breaking left leg), ANKLE FRACTURE (Breaking ankle) and FOOT FRACTURE (Breaking foot) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter. On 23-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Mar-2021, the patient experienced ARTHRALGIA (Joint pain). On 30-Mar-2021, the patient experienced LOSS OF CONSCIOUSNESS (Passed out) (seriousness criteria hospitalization and medically significant). On an unknown date, the patient experienced CEREBROVASCULAR ACCIDENT (Stroke) (seriousness criteria hospitalization prolonged and medically significant), LOWER LIMB FRACTURE (Fell again, breaking left leg) (seriousness criterion hospitalization), ANKLE FRACTURE (Breaking ankle) (seriousness criterion hospitalization), FOOT FRACTURE (Breaking foot) (seriousness criterion hospitalization), FALL (Fell again), PERIPHERAL SWELLING (Swollen arm) and INCOMPLETE COURSE OF VACCINATION (Did not get second Covid shot). The patient was hospitalized for 13 days until 12-Apr-2021 due to CEREBROVASCULAR ACCIDENT, then until 12-Apr-2021 due to ANKLE FRACTURE, FOOT FRACTURE, LOSS OF CONSCIOUSNESS and LOWER LIMB FRACTURE. The patient was treated with Physical therapy for Cerebrovascular accident; Physical therapy for Lower limb fracture; Physical therapy for Ankle fracture and Physical therapy for Foot fracture. At the time of the report, CEREBROVASCULAR ACCIDENT (Stroke), PERIPHERAL SWELLING (Swollen arm) and ARTHRALGIA (Joint pain) outcome was unknown, LOSS OF CONSCIOUSNESS (Passed out), FALL (Fell again) and INCOMPLETE COURSE OF VACCINATION (Did not get second Covid shot) had resolved and LOWER LIMB FRACTURE (Fell again, breaking left leg), ANKLE FRACTURE (Breaking ankle) and FOOT FRACTURE (Breaking foot) was resolving. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No Concomitant product use was reported. Treatment medication included Benadryl. Very limited information regarding these events has been provided at this time. This case also refers to an incomplete schedule of vaccination. Further information has been requested. Most recent FOLLOW-UP information incorporated above includes: On 12-May-2021: Case upgraded to serious (Hospitalization), Added Additional events experienced, Events description, and updated Treatment information.
61 2021-05-22 blood clot in lung blood clot right lung on xeralto may to november2021
61 2021-05-31 death unknown
61 2021-05-31 deep vein blood clot Pt reports she had constant left arm pain, located in the deltoid region from the date of the 1st in... Read more
Pt reports she had constant left arm pain, located in the deltoid region from the date of the 1st injection. 2nd injection was given 3/11/21 and the pt has had pain radiating upward to posterior right shoulder, axillary area, and distal upper arm. The pt did supportive care, took otc analgesics and pain continued to worsen. Pt was evaluated in the ER 6/1/2021 and diagnosed with a DVT to left upper arm brachial vein.
61 2021-06-03 heart attack Patient presented to the ED and was subsequently admitted for NSTEMI within 6 weeks of receiving COV... Read more
Patient presented to the ED and was subsequently admitted for NSTEMI within 6 weeks of receiving COVID vaccination.
61 2021-06-05 pneumonia Currently in hospital as of 06/ 05/ 21 kidney blockage/ surgery needed, Uti, pneumonia, possibly mo... Read more
Currently in hospital as of 06/ 05/ 21 kidney blockage/ surgery needed, Uti, pneumonia, possibly more. Daughter also was in hospital with lung problems...got shots at same time.
61 2021-06-06 cerebrovascular accident Acute CVA (cerebrovascular accident) Cerebral infarction, unspecified
61 2021-06-06 death Unsure, Department followed up on her positive COVID results in 10/2020 and 11/2020. It came to our... Read more
Unsure, Department followed up on her positive COVID results in 10/2020 and 11/2020. It came to our attention last week that the reason stated for her death on 5/28/21 was due to COVID. Due to having 2 positive tests late last fall and then seeing that she had been vaccinated for COVID in March and April 2021, I was instructed to complete a VAERS.
61 2021-06-07 cerebrovascular accident, stroke on 5/19/21 pt experienced "tingling and a rushing feeling" throughout her body. she then could not m... Read more
on 5/19/21 pt experienced "tingling and a rushing feeling" throughout her body. she then could not move the left side of her body. Per ER records, pt suffered an infarct in the brain that day: .ACUTE STROKE, UNSPECIFIED TYPE AND ARTERY THROMBOSIS OF RIGHT INTERNAL CAROTID ARTERY
61 2021-06-08 heart attack Patient received the second Moderna vaccine shot on 041021.Wednesday morning at 6:15am , May 19 she ... Read more
Patient received the second Moderna vaccine shot on 041021.Wednesday morning at 6:15am , May 19 she felt bad that morning, She received a 4mm stent for the 100% blockage in the left anterior descending artery. She had a massive heart attck. She remained in the hospital for 3 days. She has 0 Risk factors for heart disease. Hospital. 3 day Stay May 19 before noon, released May 22 2021
61 2021-06-08 pulmonary embolism, blood clot in lung, blood clot Pulmonary embolism in Right lung. Subsequent finding was multiple blood clots throughout both lungs... Read more
Pulmonary embolism in Right lung. Subsequent finding was multiple blood clots throughout both lungs. Gave blood 3 weeks after second Moderna injection, blood clotting would not allow a full donation (right arm). Upon checking in to the ER for chest pain on April 17, blood clotting would not allow IV hook up in right arm.
61 2021-06-09 death At around 5:30 a.m. on the day after 2nd Moderna dose, resident was found non-responsive with no vit... Read more
At around 5:30 a.m. on the day after 2nd Moderna dose, resident was found non-responsive with no vital signs. CPR was performed. Time of death 6:20 a.m. There were no acute illnesses or changes in condition noted prior to receiving vaccine.
61 2021-06-10 fluid around the heart Patient received 1st dose 2/10/21, 2nd dose on 3/10/2021 She presented to the ED on 4/27 with dyspne... Read more
Patient received 1st dose 2/10/21, 2nd dose on 3/10/2021 She presented to the ED on 4/27 with dyspnea and found to have large pericardial effusion with early tamponade. Was transferred to hospital and on 4/28 had therapeutic pericardiocentesis. Started on colchicine for presumed viral/immune pericarditis. Seen in cardiologist office on 6/9/2021. Doing wqell with resolution of effusion.
61 2021-06-11 heart attack Patient declined second vaccination due to adverse; nausea; stabbing pain in heart and her internal ... Read more
Patient declined second vaccination due to adverse; nausea; stabbing pain in heart and her internal defibrillator sent the manufacturer a message that she was have an arrhythmia and/or heart attack; stabbing pain in heart and her internal defibrillator sent the manufacturer a message that she was have an arrhythmia and/or heart attack; chest pain; blisters on head becoming infected; skin on entire body became red; skin on entire body became red, itchy; entire body having a burning sensation; scalp became purple and developed multiple blisters; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of ARRHYTHMIA (stabbing pain in heart and her internal defibrillator sent the manufacturer a message that she was have an arrhythmia and/or heart attack) and MYOCARDIAL INFARCTION (stabbing pain in heart and her internal defibrillator sent the manufacturer a message that she was have an arrhythmia and/or heart attack) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included MRSA wound infection. Concurrent medical conditions included Anginal pain, Heart failure, Post-traumatic stress disorder, COPD, Neuropathy, Mucous discharge, Yeast infection (under breasts and abdomen fold), Acid reflux (esophageal), Cholesterol total abnormal NOS, Sleep problem, Depression and Cardiac assistance device user (implantable defibrillator). Concomitant products included RABEPRAZOLE SODIUM (ACIPHEX) for Acid reflux (esophageal), NITROGLYCERIN for Anginal pain, METOPROLOL and ISOSORBIDE DINITRATE (ISOSORBIDE [ISOSORBIDE DINITRATE]) for Anginal pain and Heart failure, IPRATROPIUM and MONTELUKAST for COPD, ROSUVASTATIN CALCIUM (CRESTOR) for Cholesterol, FLUOXETINE and BUPROPION for Depression, ACETYLSALICYLIC ACID (ASPIRIN 81) for Heart disorder, POTASSIUM and BUMETANIDE;POTASSIUM for Heart failure, GUAIFENESIN for Mucous discharge, GABAPENTIN for Neuropathy, CABERGOLINE for Pituitary disorder NOS, TERAZOSIN HYDROCHLORIDE (PROZOSIN) for Post-traumatic stress disorder, DULOXETINE HYDROCHLORIDE (DOXETIN) for Sleep disorder, NYSTATIN for Yeast infection. On 02-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Apr-2021, the patient experienced ERYTHEMA (skin on entire body became red), PRURITUS (skin on entire body became red, itchy), SKIN BURNING SENSATION (entire body having a burning sensation) and BLISTER (scalp became purple and developed multiple blisters). On 05-Apr-2021, the patient experienced BLISTER INFECTED (blisters on head becoming infected). On 18-May-2021, the patient experienced CHEST PAIN (chest pain). On 30-May-2021, the patient experienced ARRHYTHMIA (stabbing pain in heart and her internal defibrillator sent the manufacturer a message that she was have an arrhythmia and/or heart attack) (seriousness criterion medically significant), MYOCARDIAL INFARCTION (stabbing pain in heart and her internal defibrillator sent the manufacturer a message that she was have an arrhythmia and/or heart attack) (seriousness criterion medically significant) and NAUSEA (nausea). On an unknown date, the patient experienced INTENTIONAL DOSE OMISSION (Patient declined second vaccination due to adverse). The patient was treated with NITROGLYCERIN (intravenous) on 30-May-2021 for Arrhythmia and Heart attack, at a dose of 1 dosage form and CEFRADINE (LINDEX [CEFRADINE]) (topical) for Scalp blister, at a dose of 1 dosage form. At the time of the report, ARRHYTHMIA (stabbing pain in heart and her internal defibrillator sent the manufacturer a message that she was have an arrhythmia and/or heart attack), MYOCARDIAL INFARCTION (stabbing pain in heart and her internal defibrillator sent the manufacturer a message that she was have an arrhythmia and/or heart attack), ERYTHEMA (skin on entire body became red), PRURITUS (skin on entire body became red, itchy), SKIN BURNING SENSATION (entire body having a burning sensation), BLISTER (scalp became purple and developed multiple blisters), BLISTER INFECTED (blisters on head becoming infected) and NAUSEA (nausea) outcome was unknown, CHEST PAIN (chest pain) had not resolved and INTENTIONAL DOSE OMISSION (Patient declined second vaccination due to adverse) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 18-May-2021, Troponin: normal (normal) normal. On 30-May-2021, Troponin: normal (normal) normal. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient reported that on 18-MAY-2021 she experienced chest pain and went to the emergency room via ambulance. Patient did not receive any medication in emergency room and was discharged 17 hours later because her Troponin levels were normal. On 30-MAY-2021 patient had stabbing pain in heart and her internal defibrillator sent the manufacturer a message that she was having an arrhythmia and/or heart attack. The patient was air lifted to the hospital. The patient stated that she was put on a Nitroglycerin IV drip and antiemetics in the emergency room. The patient's troponin levels came back normal and was discharged after 12 hours in the emergency room. At the time of report, on 02-JUN-2021, patient stated that she still had chest pain, and the pain remained 3 out of 10. Company Comment: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. further information has been requested. For the event "Intentionally missed dose" causality assessment is not applicable.; 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, a causal relationship cannot be excluded. further information has been requested. For the event "Intentionally missed dose" causality assessment is not aplicable.
61 2021-06-13 cardiac arrest, death, heart attack, heart attack, cerebrovascular accident stroke and MI came in with symptoms of stroke but symptoms for 24 hours so did not receive tPa. MRI ... Read more
stroke and MI came in with symptoms of stroke but symptoms for 24 hours so did not receive tPa. MRI showed brainstem infarct. Statin was increased and started on plavix 75 mg daily for 3 weeks due to small stroke with low NIH. Patient came back in 3 days later due to STEMI and went into cardiac arrest. patient died after 1 hour of resuscitation
61 2021-06-15 low blood platelet count ITP, Low Platelets
61 2021-06-17 pulmonary embolism, death pt developed pulmonary embolism and passed away 6/14/2021
61 2021-06-18 heart attack Indigestion; Hiatal hernia; Weakness; Inflammation; Heart attack; Reflux gastritis; Headache; Fever;... Read more
Indigestion; Hiatal hernia; Weakness; Inflammation; Heart attack; Reflux gastritis; Headache; Fever; Sleep disturbance; This spontaneous case was reported by a patient and describes the occurrence of MYOCARDIAL INFARCTION (Heart attack) in a 61-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 036B21A and 044A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concomitant products included ACETYLSALICYLIC ACID (ASPIRIN (E.C.)), SPIRONOLACTONE, LISINOPRIL, TICAGRELOR (BRILINTA), ATORVASTATIN and METOPROLOL SUCCINATE for an unknown indication. On 15-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 10-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 10-Apr-2021, the patient experienced SLEEP DISORDER (Sleep disturbance), HEADACHE (Headache) and PYREXIA (Fever). On 09-May-2021, the patient experienced REFLUX GASTRITIS (Reflux gastritis). On 19-May-2021, the patient experienced MYOCARDIAL INFARCTION (Heart attack) (seriousness criteria medically significant and life threatening). On an unknown date, the patient experienced DYSPEPSIA (Indigestion), HIATUS HERNIA (Hiatal hernia), ASTHENIA (Weakness) and INFLAMMATION (Inflammation). The patient was treated with MAGNESIUM OXIDE HEAVY, SODIUM BICARBONATE (ANTACID C) at a dose of 1 dosage form; NITROGLYCERIN at a dose of 1 dosage form and Surgery (Stent insertion) for Myocardial infarction. At the time of the report, MYOCARDIAL INFARCTION (Heart attack), SLEEP DISORDER (Sleep disturbance), DYSPEPSIA (Indigestion), HIATUS HERNIA (Hiatal hernia), ASTHENIA (Weakness), INFLAMMATION (Inflammation), REFLUX GASTRITIS (Reflux gastritis), HEADACHE (Headache) and PYREXIA (Fever) outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Electrocardiogram: abnormal (abnormal) abnormal. In 2021, Endoscopy: abnormal (abnormal) abnormal. Treatment information included proton pump inhibitor. 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. This case was linked to US-MODERNATX, INC.-MOD-2021-108529, BE-MODERNATX, INC.-MOD-2021-108559 (E2B Linked Report). This case was linked to MOD-2021-213971 (Patient Link).; 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. US-MODERNATX, INC.-MOD-2021-108529:(crosslink) BE-MODERNATX, INC.-MOD-2021-108559:(crosslink)
61 2021-06-24 death 6/23/2021 - pain at injection site, shortness of breath 6/24 /2021 - found dead in bed at 7AM
61 2021-06-30 heart attack Myocardial infarction probable silent after acute and sustained symptoms of upper arm and leg disco... Read more
Myocardial infarction probable silent after acute and sustained symptoms of upper arm and leg discomfort. Elevated diastolic bp and heart pounding. No prior history suggestive of CAD.
61 2021-07-04 deep vein blood clot RIGHT lower extremity DVT
61 2021-07-04 heart attack Heart Attack with 100% blockage of RCA.
61 2021-07-04 vaginal haemorrhage After years of being in menopause, I had vaginal bleeding for 7 days, it became very light after 4 d... Read more
After years of being in menopause, I had vaginal bleeding for 7 days, it became very light after 4 days.
61 2021-07-06 ischaemic stroke Ischemic stroke
61 2021-07-06 pulmonary embolism Day after vaccine had extreme version of usual vaccine reactions, took Tylenol, still lingering effe... Read more
Day after vaccine had extreme version of usual vaccine reactions, took Tylenol, still lingering effects the next day, extremely winded while trying to walk, several weeks later symptoms worsened. Extreme fatigue. 2 weeks after shot, was at elevation and extremely winded (usually not someone with respiratory issues). Missed work, drove to ER, lungs clotted. Doctor did not find any clot in legs, assumed it was Covid but did not have any other symptoms of Covid and negative covid test. 6 month recovery expected. Taking Xarelto coagulant, initially was on Eliquis, but responded poorly now on Xarelto.
61 2021-07-15 cerebrovascular accident Fully vaccinated patient test positive for COVID upon admission to the hospital. Admitted 06/20/21 ... Read more
Fully vaccinated patient test positive for COVID upon admission to the hospital. Admitted 06/20/21 for stroke. No s/s of COVID throughout stay. No fever, cough, O2 needs. Discharged without any COVID concerns.
61 2021-07-18 transient ischaemic attack My lips were numb 45 minutes after my vaccine and 7 or 8 days later I had a mini stroke but unsure i... Read more
My lips were numb 45 minutes after my vaccine and 7 or 8 days later I had a mini stroke but unsure if related to the vaccine.
61 2021-07-23 anaphylactic reaction Patient given first dose of COVID vaccine - Moderna. Shortly after, patient started experiencing itc... Read more
Patient given first dose of COVID vaccine - Moderna. Shortly after, patient started experiencing itching and hives all over body as well as some nausea. Patient called EMS and was brought to ED
62 2021-02-02 death We were notified 02/02/2021 of patient's death. Unknown cause at this time.
62 2021-02-04 anaphylactic reaction Anaphylactic reaction; A spontaneous report was received from a 62-year-old, female patient, who rec... Read more
Anaphylactic reaction; A spontaneous report was received from a 62-year-old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced an anaphylactic reaction. The patient's medical history, as reported, included 4 previous anaphylactic reactions since she was 9 years old, history of throat problems and swelling, bronchitis, and her brother died in 1997 due to an anaphylactic reaction to poison ivy and bee stings. Concomitant medications reported included thyroid medication (not specified), blood pressure medication (not specified), gabapentin, sleep medicine (not specified) and curcuma longa rhizome. On 24 Jan 2021, about 15 minutes prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection. On 24 Jan 2021, 30 minutes prior to receiving the vaccine, the patient took prednisone (dose unknown), per instructions from her doctor due to her history of anaphylactic reactions. She did notify the vaccinators of her history and there was an ambulance present. About 15 minutes after receiving the vaccine, the patient started coughing, had heavy chest pain, trouble breathing, and felt like her throat was constricting more than usual. No rash developed. She approached the ambulance and asked if she could take diphenhydramine. She took one dose, followed by 3 other doses, and felt a bit better. Consent given for Safety to follow up with patient. Action taken with mRNA-1273 in response to the events was not reported. The outcome of event, anaphylactic reaction was resolving at the time of this report.; Reporter's Comments: This case concerns a 62 year old female patient with medical history of included 4 previous anaphylactic reactions since she was 9 years old, history of throat problems and swelling, bronchitis, and her brother died in 1997 due to an anaphylactic reaction to poison ivy and bee stings. Concomitant medications reported included thyroid medication (not specified), blood pressure medication (not specified), gabapentin, sleep medicine (not specified) and curcuma longa rhizome. She experienced a serious unexpected event of Anaphylactic reaction that needed treatment diphenhydramine. The event occurred approximately 15 minutes after first dose of the study medication administration even thought the patient took prednisone prior to receiving the vaccine. Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.
62 2021-02-04 death On 1/23/21 the patient had a single-car accident, slid off icy road into snowbank. She was seen in o... Read more
On 1/23/21 the patient had a single-car accident, slid off icy road into snowbank. She was seen in our ER, diagnosed w/ trauma and L4 compression fracture. She was transported to Hospital for further trauma workup. We believe she was treated and released. On 1/31/21 the patient had a headache but did not seek medical attention. In the morning of 2/1 she became unresponsive and was pronounced dead on the scene when EMS arrived. Autopsy showed a left temporal subdural hematoma.
62 2021-02-10 pneumonia Jan 25- chills, fever, headache Jan. 27- obtained rapid and PCR COVID SWABS- which resulted negativ... Read more
Jan 25- chills, fever, headache Jan. 27- obtained rapid and PCR COVID SWABS- which resulted negative Jan 30- started antibiotics from primary doctors with no relief of fevers. Jan 31 - Brought to ER And was admitted for observation . Multi Covid testing negative. Cat scan showed pneumonia picture. SARS COVID IGG was negative, but antibody for vaccine was positive
62 2021-02-15 anaphylactic reaction Anaphylaxis. Used epiPen, taken to ER. Given solumedrol 125 mg, bendadryl, 25 mg IV monitored 4hours... Read more
Anaphylaxis. Used epiPen, taken to ER. Given solumedrol 125 mg, bendadryl, 25 mg IV monitored 4hours. Sent home with solumedrol dose packet and new epipen
62 2021-03-09 death Difficulty breathing leading to organ failure and death
62 2021-03-18 cerebrovascular accident Patient received 1st dose of Moderna vaccine on 01/30/2021. Patient received second dose on 2/27/20... Read more
Patient received 1st dose of Moderna vaccine on 01/30/2021. Patient received second dose on 2/27/2021 and within an hour noticed slurred speech and drooped face. Patient went to ER and was transferred to another Hospital on 2/27/21 due to stroke. Now patient believes stoke may have started 2/26/21, as she was somewhat confused that day, but didn't realize stroke until after vaccine.
62 2021-03-21 cerebrovascular accident Determined she had a mild stroke yesterday, March 21. Had slurred speech, could not form words, coul... Read more
Determined she had a mild stroke yesterday, March 21. Had slurred speech, could not form words, couldn't cook. Symptoms actually started on March 17th, one week after having the vaccine. She is currently hospitalized at hospital where she received her vaccination.
62 2021-03-22 death Death within 60 days of vaccination
62 2021-03-22 blood clot Patient reported the following: I went to the ER last Thursday because my left leg was red and swoll... Read more
Patient reported the following: I went to the ER last Thursday because my left leg was red and swollen. They did a sonogram and the results came back as tendentious and a superficial blood clot. The ER physician at Health suggested that I report the blood clot because it is of unknown origin and I did receive both vaccines.
62 2021-03-24 death, respiratory arrest It was sent for low pressure on 02/12/2021 to the Hospital Medical Center. He died of respiratory ar... Read more
It was sent for low pressure on 02/12/2021 to the Hospital Medical Center. He died of respiratory arrest.
62 2021-03-25 cardiac arrest, death ? Maderna vaccine #1 on 3/16 at clinic ? Provider visit 3/22 dx bronchitis due to COVID-19, z pak an... Read more
? Maderna vaccine #1 on 3/16 at clinic ? Provider visit 3/22 dx bronchitis due to COVID-19, z pak and steroids ? ED 3/25 syncopy, full arrest and patient expired patient states she had COVID in February
62 2021-03-29 atrial fibrillation 24 hours after vaccine, and 7 hours after onset of expected fever/chills/aches, triggered atrial... Read more
24 hours after vaccine, and 7 hours after onset of expected fever/chills/aches, triggered atrial fibrillation w/ RVR (130 BPM) with longest duration ever experienced - 3 days . Intent of this reporting is that patients with afib may need to choose a Covid vaccine that doesn't have the higher fever, flu symptom response as Moderna does, which could trigger the afib. Was about to need to visit ER to get converted to NSR, when self converted after 3rd day.
62 2021-03-30 heart attack, death Employee had a heart attack and past away around 3/17/21.
62 2021-04-02 cardiac arrest Please see patient information page
62 2021-04-06 cerebrovascular accident Stroke symptoms, double vision, numbness of lips, tongue , mouth and gums. General weekness, sha... Read more
Stroke symptoms, double vision, numbness of lips, tongue , mouth and gums. General weekness, shaking and confusion. Symptoms began receding after 20 minutes. As EMS arived
62 2021-04-08 blood clot Patient reported to the pharmacy that she was admitted to the hospital for blood clots shortly after... Read more
Patient reported to the pharmacy that she was admitted to the hospital for blood clots shortly after receiving the vaccination and was there for at least 10 days
62 2021-04-09 excessive bleeding Bled down her leg; Hematoma on lower leg; Creepy; Rash on legs, hands, wrists, fingers; This spontan... Read more
Bled down her leg; Hematoma on lower leg; Creepy; Rash on legs, hands, wrists, fingers; This spontaneous case was reported by a pharmacist (subsequently medically confirmed) and describes the occurrence of HAEMORRHAGE (Bled down her leg), HAEMATOMA (Hematoma on lower leg), FEELING ABNORMAL (Creepy) and RASH (Rash on legs, hands, wrists, fingers) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. unknown) for COVID-19 vaccination. The patient's past medical history included No adverse event (No reported medical history). On 12-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced HAEMORRHAGE (Bled down her leg), HAEMATOMA (Hematoma on lower leg), FEELING ABNORMAL (Creepy) and RASH (Rash on legs, hands, wrists, fingers). At the time of the report, HAEMORRHAGE (Bled down her leg), HAEMATOMA (Hematoma on lower leg), FEELING ABNORMAL (Creepy) and RASH (Rash on legs, hands, wrists, fingers) 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 did not provide any causality assessments. This case was linked to MOD-2021-059458 (Patient Link).; Sender's Comments: This case concerns a 62-year-old female with a serious unexpected event of hemorrhage, and nonserious unexpected hematoma, feeling abnormal and expected rash. Event onset with unknown latency after first dose mRNA-1273. Events resolved. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.
62 2021-04-10 deep vein blood clot, cerebrovascular accident, pulmonary embolism, blood clot Blood Clots, Stroke
62 2021-04-12 atrial fibrillation, fluid around the heart Patient received her second dose of Covid vaccine on 04/08/2021 around 2 PM. She reported around 2 A... Read more
Patient received her second dose of Covid vaccine on 04/08/2021 around 2 PM. She reported around 2 AM Friday 04/09/2021 she woke up feeling lightheaded as if she was going to pass out. She is an RN and felt that her pulse was irregular. She proceeded to the emergency department where she was treated. She reports her EKG showed a-fib with RVR and an xray showed new onset mild "CHF" or fluid around her heart. They did not cardio-vert her as she reports she was "stable". She was sent home on eliquis and metoprolol. Over the weekend 04/09-04/11/2021 she reported irregular pulse anywhere from 45-135 BPM. She did report a 5 pound weight gain during that time. On Monday 04/12/2021 she followed up with her primary care physician, Dr. of Health. She reports on her way to the doctor she felt as if "something changed" and her heart rate was no longer irregular. She did have another EKG done in office and she reports that EKG showed normal sinus rhythm. She is seeing a cardiologist on Wednesday 04/14/2021. She reports after her first vaccine on 03/11/2021 she had mild side effects of fatigue, fever, and chills. She states she does not have any cardiac issues but does report "a few years ago" she had drank a energy drink and had a-fib from that.
62 2021-04-12 blood clot Blood clot; COVID-19; This spontaneous case was reported by a consumer and describes the occurrence ... Read more
Blood clot; COVID-19; This spontaneous case was reported by a consumer and describes the occurrence of THROMBOSIS (Blood clot) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) 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.). Concomitant products included PARACETAMOL (TYLENOL) for an unknown indication. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced THROMBOSIS (Blood clot) (seriousness criterion medically significant) and COVID-19 (COVID-19). At the time of the report, THROMBOSIS (Blood clot) and COVID-19 (COVID-19) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, SARS-CoV-2 test: positive (Positive) postive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Products known to have been used by the patient, within two weeks prior to the event, included blood thinner medication. Treatment information was not 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.; 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.
62 2021-04-13 cerebrovascular accident Stroke
62 2021-04-13 heart attack, death Per the patient's husband, on 03/26/2021, the day after vaccination, the decedent complained of naus... Read more
Per the patient's husband, on 03/26/2021, the day after vaccination, the decedent complained of nausea with vomiting, and had difficulty driving. On 03/27/2021, her nausea continued and she complained of shortness of breath while walking. On 03/28/2021, she was short of breath before vomiting a small amount. She then became unresponsive. Death was pronounced a short time later. Per her treating physician who signed the death certificate, the cause of death is felt to be probable myocardial infarction due to electrolyte abnormalities due to complications of her diabetes mellitus.
62 2021-04-13 transient ischaemic attack TIA 3/1/21.
62 2021-04-14 atrial fibrillation Patient had anxiety on arrival to the Covid vaccine clinic. Went into rapid atrial fibrillation on... Read more
Patient had anxiety on arrival to the Covid vaccine clinic. Went into rapid atrial fibrillation on arrival due to anxiety. This occurred prior to receiving the vaccine. Patient recovered on her own and later received the vaccine. She then went back into rapid Afib and was transferred to the Emergency Department. Patient has a long history of A fib. Does not appear to be vaccine related.
62 2021-04-14 death, acute respiratory failure, cardio-respiratory arrest Received her first COVID vaccine on Thursday, March 18. On 3/23/21 she started to have new onset o... Read more
Received her first COVID vaccine on Thursday, March 18. On 3/23/21 she started to have new onset of generalized muscles aches and weakness. She started feeling some pain in her back, which then spread to arms and legs. She is now beginning to feel weakness in her core and extremities. Having difficulty lifting arms above head. She is still able to walk without difficulty but legs do feel weak. Increase in SOB as well. Myalgias and chest pain resolved within a week, however she continued to feel weak, tired, and had DOE. She developed "brain fog" and talked to her boss about taking short-term disability as it had been hard to work. No appetite. On 4/1/21, she presented to the ED with 2 weeks of worsening generalized weakness, SOB, lightheadedness, dizziness and found to have acute anemia. Was admitted for further workup. Hgb at admission was 5.4. This admission diagnosed her with a new warm autoantibody hemolytic anemia. This is new since the COVID vaccine was administered. Upon admission there was no thrombocytopenia, so there was low suspicion for microangiopathic hemolytic anemia, TTP/HUS, or DIC. Peripheral blood smear at that time suggested a leukoerythroblastic blood picture (could be Bone Marrow recovery post chemo) but with marked normocytic, normochromic anemia, and with increased circulating erythroid precursors and increased red blood cell regeneration; spherocytes and fragments are present supporting hemolysis. DAT positive (both IgG and C3) along with other hemolysis lab including elevated LDH, Bilirubin, haptoglobin 3, and PBS c/w hemolysis; no evidence of MAHA. So warm autoantibody hemolytic anemia is the most likely explanation. She had negative cold agglutinin antibodies <1:32 on 4/9. Started on methylprednisolone on 4/2/21, but Hgb continued to steadily decline despite treatment. Continued on methylprednisolone 87.5mg daily. Rituxan 375mg/m2 was started on 4/6/21 with plans for weekly infusions for a total of 4 weeks. there was concern for a GI bleed on 4/10-4/11 due to bright red fluid appearing like blood in the toilet after a stool. This led to her receiving roughly 5 units of pRBCs. After these 5 units she started urinating red urine and we became highly concerned for hyperhemolysis. She did not have any further stools so we did not think a GI bleed was likely. She was given 1 dose of Eculizumab (Soliris) (4/12). This treatment is for complement mediated intravascular hyperhemolysis. Unfortunately it did not appear to help her. On 4/14, we were thinking TTP could be contributory with numerous schistocytes on peripheral smear. Her T bili was up to 7.8, and her hemoglobin plasma was trending up, in the 380 -- > 610 and in the 800s today. Cr was worsening. Platelet count was dropping. With her worsening condition and concern for both hyperhemolysis and possible TTP, we decided to start her plasma exchange followed by her second dose of Rituximab. Unfortunately she became disoriented/confused following line placement and while receiving plasmaphoresis. CT head returned without acute findings. She then had an allergic reaction with a rash during PLEX which was stopped (4L completed with a goal of 5L). Improved with benadryl. She was then administered rituximab. Then she developed worsening sinus tachycardia and HTN. Her respiratory status deteriorated and she eventually required high-flow oxygen to maintain saturations > 90%. CXR showed bilateral opacities, not drastically changed from previous films. Rituximab was stopped halfway through its infusion in case this was an adverse effect to the drug. She was given 20 mg IV Lasix per the nighttime sign-out. She was initially given ceftriaxone and azithromycin IV to cover CAP but later ABx were broadened to vanc and Zosyn with rising lactate of unknown source. Ultimately she had acute respiratory failure with hypoxia and need BiPAP. She was eventually intubated and a code blue was called. She unfortunately died shortly after intubation.
62 2021-04-15 transient ischaemic attack, cerebrovascular accident Date and time adverse event started: 26th March, Monday evening, had stroke-like symptoms. Went to h... Read more
Date and time adverse event started: 26th March, Monday evening, had stroke-like symptoms. Went to hospital on the 27th, dx of a stroke. Patient has a dx of a stroke, went to hospital, since d/c'd to home with residual. patients reports no changes, was diagnosed with a TIA and pending follow ups with heart doctor & neurologist. Q99- asked if she should take the 2nd dose. recommended she follow up with her PCP and neurologist to discuss risks and benefits of the 2nd dose, patient verbalized understanding.
62 2021-04-16 pulmonary embolism pulmonary embolism body aches, HA, chest pain, shortness of breath
62 2021-04-16 blood clot, cerebral haemorrhage, death My wife started to fall and pass out had no strength to get up this happened two to three times cinc... Read more
My wife started to fall and pass out had no strength to get up this happened two to three times cinch she got the shot the last time she past out in the shower and i rushed her to hospital were she pasted away from blood clots to the right side of the neck and stated bleed on the brain
62 2021-04-18 death PATIENT GOT FIRST MODERNA DOSE 03/11/2021 AND SECOND DOSE 04/08/2021 AND PASSED AWAY ON 04/14/2021
62 2021-04-18 blood clot in lung blood clots in lungs
62 2021-04-20 cerebral haemorrhage, bleeding on surface of brain She was transferred from one ER to another for intraparenchymal bleed and subarachnoid hemorrhage wi... Read more
She was transferred from one ER to another for intraparenchymal bleed and subarachnoid hemorrhage with midline shift. On the week of April 11th she was seen by her periodontist of a bone graft in preparation for a tooth implant. She took minimal ibuprofen and norco after this procedure. However, she also began to feel very nauseated which led to anorexia and worsening malaise. This prompted the pt to present to ER on 4/16 evening, where was given Phenergan, and discharged to home. Symptoms worsened and she re-presented to ED where she was admitted and diagnosed with UTI and colitis. She was started on ciprofloxacin. She denied having had any dysuria or diarrhea. Patient's son says that at 0130 on 4/19 his mother was using both sides of her extremities equally. She had been complaining of headache and leg pain, but by 0130 on 4/19 family did not notice any other obvious changes in patient's movements or behavior. However, at 0730 on 4/19 nurses noticed that patient was unable to move her L arm or leg. She had a CT scan done, which revealed multiple intraparenchymal hemorrhages bilaterally as well as subarachnoid hemorrhage with midline shift. The transferring physician told me that patient had not been on any anticoagulation. Patient and her family deny any history of falls or trauma, denied family history of coagulopathies, and use of blood thinners (including aspirin). No records, labs, or inpatient med list was sent with patient upon transfer. Family says that patient had her first Moderna COVID19 vaccine 3 weeks ago and was due for her second vaccine on 4/23. Labs on admit here are significant for leukocytosis with WBC of 21.9, Hgb of 12.1, platelets of 306, sodium of 140, potassium of 3.1, Bicarb of 22, creatinine of 0.7, glucose of 126, magnesium of 1.8, INR of 1.2. Patient is normotensive, afebrile, and satting well on room air. Angiogram showed multiple cortical vein thromboses. Will send hypercoagulable work up, HIT antibody given COVID vaccine 3 weeks ago (Moderna).
62 2021-04-20 fluid around the heart Very ill evening post 2nd dose on 1/25/21 with extreme nausea, fatigue. Some headache, sore arm. Mid... Read more
Very ill evening post 2nd dose on 1/25/21 with extreme nausea, fatigue. Some headache, sore arm. Mid Feb began to experience heart palpitations, PAC and PVCs. Went to see Cardiologist and with stress echo dx with pulmonary hypertension. Getting right heart cath today
62 2021-04-20 transient ischaemic attack 18 hours after my 2nd moderna vaccine, I experienced slurred speech. When I arrived by car at my d... Read more
18 hours after my 2nd moderna vaccine, I experienced slurred speech. When I arrived by car at my destination, I checked into a motel, looked into the mirror and noticed my left side of my face was drooping. I knew this was sign of stroke. I called 911 right away. I was taken to hospital. They did a CBC the night I arrived and the next day as well. They did 2 cat scans with and without contrast. Dr. in the ER determined that I had suffered a Transient Ischemic Attack which was brought on in less than 24hours of the 2nd Modern vaccine shot, and that the TIA was from the vaccine. THe cat scans did not reveal any blood clots at the time of the scans. Dr. concluded that they had broken up quickly and that was why he diagnosed me with TIA.
62 2021-04-21 anaphylactic reaction At the time of first vaccination shot, I experienced an anaphylaxis reaction including constriction ... Read more
At the time of first vaccination shot, I experienced an anaphylaxis reaction including constriction of throat, difficulty swallowing, inside of cheeks swelling, lips numb and inability to take a deep breath. I waited at the vaccination site for 30 minutes. No treatment was requested since I began to feel a little bit better after 30 minutes. It took approximately 4-1/2 hours to 5 hours to completely be able to swallow without difficulty and feel that I could actually take a deep breath. I contacted my Primary Care Physician and she advised that she is "not comfortable with my receiving the second shot" and told me to cancel my second shot.
62 2021-04-22 cardiac arrest On 3/15 had a cardia arrest and is currently comatose
62 2021-04-22 pulmonary embolism found several blood clots in her lungs; it (difficulty breathing) became worse; difficulty breathing... Read more
found several blood clots in her lungs; it (difficulty breathing) became worse; difficulty breathing; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PULMONARY EMBOLISM (found several blood clots in her lungs) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039AZ1A) 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.). Concomitant products included APIXABAN (ELIQUIS) for an unknown indication. On 02-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Apr-2021, the patient experienced DYSPNOEA (difficulty breathing). On 05-Apr-2021, the patient experienced CONDITION AGGRAVATED (it (difficulty breathing) became worse). On 07-Apr-2021, the patient experienced PULMONARY EMBOLISM (found several blood clots in her lungs) (seriousness criteria hospitalization and medically significant). The patient was hospitalized from 07-Apr-2021 to 11-Apr-2021 due to PULMONARY EMBOLISM. On 15-Apr-2021, DYSPNOEA (difficulty breathing) and CONDITION AGGRAVATED (it (difficulty breathing) became worse) had resolved. At the time of the report, PULMONARY EMBOLISM (found several blood clots in her lungs) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 05-Apr-2021, COVID-19: negative (Negative) Test results came back negative on 06Apr2021. On 07-Apr-2021, X-ray: abnormal (abnormal) Blood clots in lungs. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. After x-ray at urgent care on 07-Apr-2021 showed several blood clots in lungs, the patient was taken to the ER (emergency room) and was subsequently admitted to the hospital. Treatment information was not provided. On 12-Apr-2021 the patient went to their PCP (primary care physician) who stated that the clots most likely were not due to the vaccination and that the 2nd dose was safe for her to receive. At the time of this report on 15-Apr-2021, the patient reported feeling fine. Company Comment: Based on the current available information and temporal association between the use of the product and the start date of the events 1-3 days after the vaccination, a causal relationship cannot be excluded. Very limited information regarding these events has been provided at this time. Further information has been 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 1-3 days after the vaccination, a causal relationship cannot be excluded. Very limited information regarding these events has been provided at this time. Further information has been requested.
62 2021-04-22 respiratory arrest After eight hours after receiving the second dose, the normal sx of the COVID vaccine occurred (musc... Read more
After eight hours after receiving the second dose, the normal sx of the COVID vaccine occurred (muscle aches, fatigue). On the morning of 04/23/21, the patient completely lost consciousness and was not breathing. The caregiver (son) performed CPR and the patient regained consciousness. Paramedics were called and performed and EKG, blood glucose, and BP/HR - all were normal. Pt is resting but still in pain.
62 2021-04-22 low platelet count Thrombocytopenia with platelet count of 3,000 Acute kidney injury
62 2021-04-22 transient ischaemic attack Nausea/vomiting, fatigue. Hospitalized the next day. Doctors say she may have had a mini stroke
62 2021-04-26 cerebrovascular accident CVA causing right hand weakness starting 1 day after vaccine
62 2021-04-26 death, cardiac arrest Nausea, vomiting, burning in stomach, high blood sugars- symptoms started the day after the vaccine.... Read more
Nausea, vomiting, burning in stomach, high blood sugars- symptoms started the day after the vaccine. Found obtunded 3 days after vaccine given. 911 called in route to the hospital had a cardiac arrest, resuscitated, arrested again and resuscitated. Upon admission to the hospital diagnosed with diabetic ketoacidosis and died the next day- 4 days after the vaccine was administered
62 2021-04-28 death Patient was admitted to facility 2/25 and passed away 3/4.
62 2021-05-03 anaphylactic reaction Anaphylaxis
62 2021-05-04 cerebrovascular accident stroke at vision site; partial sight lost in left eye; feeling weak; This spontaneous case was repor... Read more
stroke at vision site; partial sight lost in left eye; feeling weak; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CEREBROVASCULAR ACCIDENT (stroke at vision site) and BLINDNESS (partial sight lost in left eye) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 036B21A and 012A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Implantable cardioverter defibrillator insertion. On 22-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 20-Apr-2021, the patient experienced CEREBROVASCULAR ACCIDENT (stroke at vision site) (seriousness criteria hospitalization and medically significant), BLINDNESS (partial sight lost in left eye) (seriousness criteria hospitalization, disability and medically significant) and ASTHENIA (feeling weak). The patient was hospitalized from 20-Apr-2021 to 21-Apr-2021 due to BLINDNESS and CEREBROVASCULAR ACCIDENT. At the time of the report, CEREBROVASCULAR ACCIDENT (stroke at vision site), BLINDNESS (partial sight lost in left eye) and ASTHENIA (feeling weak) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 20-Apr-2021, Computerised tomogram: (abnormal) Stroke at vision site. On 20-Apr-2021, Magnetic resonance imaging: (abnormal) Stroke at vision site. No concomitant medication were reported. The reporter stated that the patient was taking medicines but doctor changed her medication and she did not want to talk so she did not give names.; 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.
62 2021-05-05 pulmonary embolism Developed blood clot on my left lung
62 2021-05-06 atrial fibrillation atrial fibrillation (not sure when started, still continuing, scheduled for cardioversion on May 27,... Read more
atrial fibrillation (not sure when started, still continuing, scheduled for cardioversion on May 27, 2021) minor side effects - chills, nausea, extreme fatigue (probably due to a-fib), also (don't laugh) a lot of burping (not normal for me), frequent need to urinate for about 24 hours - these minor issues all cleared up within 48 hours other than fatigue
62 2021-05-06 pulmonary embolism Pulmonary Embolism - desaturating to the 70's on admission, requiring 4L NC oxygen supplementation a... Read more
Pulmonary Embolism - desaturating to the 70's on admission, requiring 4L NC oxygen supplementation and heparin gtt
62 2021-05-07 pulmonary embolism, deep vein blood clot Patient admitted to hospital after 2-3 days of shortness of breath and calf pain, swelling in foot d... Read more
Patient admitted to hospital after 2-3 days of shortness of breath and calf pain, swelling in foot distal to calf with pain. Admission date 4/23, vaccinated with second moderna dose on 4/12 Two clots identified: right lower extremity DVT "Positive study for acute DVT in the right lower extremity, extending from the calf veins up through the right external iliac vein. Positive study for acute superficial thrombophlebitis involving the imaged lesser saphenous vein." and PE: "Acute pulmonary embolism involving the main pulmonary arteries (saddle pulmonary embolism) and extending to the lobar, segmental branches bilaterally with some extension of the subsegmental branches in the right lower lobe, overall worse in the right lower lobe with occlusive segmental branches. " Was initially started on lovenox when admitted, switched to Eliquis, no IVC filter was placed discharged in stable condition on 4/26, Of note: Patient had bone marrow biopsy of right iliac crest of April 15th 2021 - carries diagnosis of chronic lymphocytic leukemia but is currently in remission
62 2021-05-07 blood clot Blood clot. PT had blood clot removed at hospital.
62 2021-05-09 death Renal failure; Liver failure; Unresponsive; Died; Stomach pain; Nausea; This spontaneous case was re... Read more
Renal failure; Liver failure; Unresponsive; Died; Stomach pain; Nausea; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of UNRESPONSIVE TO STIMULI (Unresponsive), DEATH (Died), RENAL FAILURE (Renal failure) and HEPATIC FAILURE (Liver failure) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Primary biliary cirrhosis. On 07-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 07-Apr-2021, the patient experienced ABDOMINAL PAIN UPPER (Stomach pain) and NAUSEA (Nausea). On 08-Apr-2021, the patient experienced UNRESPONSIVE TO STIMULI (Unresponsive) (seriousness criterion hospitalization). On 23-Apr-2021, the patient experienced DEATH (Died) (seriousness criterion death), RENAL FAILURE (Renal failure) (seriousness criterion hospitalization) and HEPATIC FAILURE (Liver failure) (seriousness criterion hospitalization). On 23-Apr-2021, RENAL FAILURE (Renal failure) and HEPATIC FAILURE (Liver failure) had resolved and NAUSEA (Nausea) outcome was unknown. The patient died on 23-Apr-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, UNRESPONSIVE TO STIMULI (Unresponsive) and ABDOMINAL PAIN UPPER (Stomach pain) outcome was unknown. The concomitant medication included liver medications, as reported by the reporter. On 07Apr2021 around 1230pm, the patient experienced stomach pain and nausea which the family attributed to her liver medications. The patient went to sleep later that evening. The next day, 08Apr2021, the patient was found to be sleeping around 8am but was unresponsive around 1:30pm. She was taken by ambulance to the local hospital. The patient was eventually placed on life support and passed on 23Apr2021. No other treatment medication were reported. Company comment: Very limited information regarding this events has been provided at this time. However, based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. Further information has been requested.; Sender's Comments: Very limited information regarding this events has been provided at this time. However, based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. Further information has been requested.; Reported Cause(s) of Death: unkown cause of death
62 2021-05-09 deep vein blood clot developed DVT RLE
62 2021-05-12 ischaemic stroke, cerebrovascular accident Acute Ischemic Stroke / Cerebrovascular Accident right-sided weakness, pressure behind right eye and... Read more
Acute Ischemic Stroke / Cerebrovascular Accident right-sided weakness, pressure behind right eye and right sided headache. inability to grasp with right hand and keep right leg up. denies recent illness
62 2021-05-12 heart attack heart palpatations, heaviness, flush. did not contact a doctor two weeks later I had the same symp... Read more
heart palpatations, heaviness, flush. did not contact a doctor two weeks later I had the same symptoms and heart rate as 106 without any exertion. BP was 129/74 but hear rate was 106. went to ER. diagnosed with heart attack and got a stent in Left anterior descending artery.
62 2021-05-12 blood clot Bloom clot in left arm
62 2021-05-13 heart attack Developed severe abdominal pain 3/22/2021. Hospitalized and dx w ISCHEMIC COLITIS, MESSENTERIC ISCHE... Read more
Developed severe abdominal pain 3/22/2021. Hospitalized and dx w ISCHEMIC COLITIS, MESSENTERIC ISCHEMIA, TYPE II NSTEMI, ANEMIA and THROMBOCYTOSIS. Hospitalized 9 days
62 2021-05-13 cerebrovascular accident Developed a rare blood disorder known as TTP (Thrombotic thrombocytopenic purpura). Suffered various... Read more
Developed a rare blood disorder known as TTP (Thrombotic thrombocytopenic purpura). Suffered various strokes. Outcome is pending but doctors are predicting permeant right side paralysis and inability to communicate.
62 2021-05-22 pulmonary embolism Bilateral saddle pulmonary embolus 12 days post 2nd Moderna vaccination, Shortness of breath worsen... Read more
Bilateral saddle pulmonary embolus 12 days post 2nd Moderna vaccination, Shortness of breath worsened 6 days after vaccination, lasting 1 week until presentation to hospital ED. Was found with severe hypoxemia, and bilateral PE and right heart strain requiring interventional radiology procedure and catheter directed thrombolytic therapy, subsequent treatment and follow-up in the ICU Initial Moderna vaccine given 04/12/2021: Vial number 0 3 0 B21A Second Moderna vaccine given 05/10/2021 file number 031 B 21A Patient described mild shortness of breath beginning 1 month prior to 1st vaccine, but significant and severe shortness of breath developing less than 1 week after 2nd vaccine
62 2021-05-25 cerebrovascular accident stroke; tested positive for Covid; Covid-19; lost bowel function; got sick 4 hours later; This spon... Read more
stroke; tested positive for Covid; Covid-19; lost bowel function; got sick 4 hours later; This spontaneous case was reported by a consumer and describes the occurrence of CEREBROVASCULAR ACCIDENT (stroke) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COVID-19 in December 2020. Concurrent medical conditions included Type 2 diabetes mellitus. Concomitant products included INSULIN DETEMIR (LEVEMIR) and INSULIN for Type 2 diabetes mellitus. On 03-May-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-May-2021, the patient experienced FUNCTIONAL GASTROINTESTINAL DISORDER (lost bowel function) and ILLNESS (got sick 4 hours later). On an unknown date, the patient experienced CEREBROVASCULAR ACCIDENT (stroke) (seriousness criterion medically significant), SARS-COV-2 TEST POSITIVE (tested positive for Covid) and COVID-19 (Covid-19). At the time of the report, CEREBROVASCULAR ACCIDENT (stroke), FUNCTIONAL GASTROINTESTINAL DISORDER (lost bowel function), ILLNESS (got sick 4 hours later), SARS-COV-2 TEST POSITIVE (tested positive for Covid) and COVID-19 (Covid-19) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test: negative (Negative) Negative and positive (Positive) Positive. The patient had stroke 2 days later to the second dose vaccination and was rushed/admitted to the ER for a while. 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. Based on the mechanism of action of mRNA-1273, the event (Covid-19) is assessed as unlikely related to mRNA-1273. This case was linked to MOD-2021-117175 (Patient Link).; 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. Based on the mechanism of action of mRNA-1273, the event (Covid-19) is assessed as unlikely related to mRNA-1273.
62 2021-05-29 pulmonary embolism, deep vein blood clot PT RECEIVED MODERNA #1 3/17/2021. SHE BEGAN TO EXPERIENCE LEG CRAMPS ON THE LEFT 4/12/2021. SHE ... Read more
PT RECEIVED MODERNA #1 3/17/2021. SHE BEGAN TO EXPERIENCE LEG CRAMPS ON THE LEFT 4/12/2021. SHE RECEIVED MODERNA #2 4/14/2021 SHE WAS DIAGNOSED WITH LEFT LEG DVT 4/19/2021 AND STARTED ON XARELTO. SHE WAS ADMITTED 5/3/2021 AND DIAGNOSED WITH PULMONARY EMBOLI SHE HAS SEEN HEMATOLOGY DR. 5/5/2021 MANY LABS ARE PENDING
62 2021-06-02 cerebrovascular accident have not received second dose; terrible feeling/ feeling off; No strength; No strength to walk; leth... Read more
have not received second dose; terrible feeling/ feeling off; No strength; No strength to walk; lethargic; had vomited; lost control of bowels; tingling all over my body; Stroke; completely lost consciousness; Seizure; barely move her arm; lightheaded; sick to my stomach/ Stomach issues; arm was painful; interrupted her sleep; vaccination was given directly into the infected area; headache; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CEREBROVASCULAR ACCIDENT (Stroke), LOSS OF CONSCIOUSNESS (completely lost consciousness) and SEIZURE (Seizure) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 037B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Spider bite. On 15-Apr-2021 at 7:00 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Apr-2021, the patient experienced PAIN IN EXTREMITY (arm was painful), INSOMNIA (interrupted her sleep), DIZZINESS (lightheaded), GASTROINTESTINAL DISORDER (sick to my stomach/ Stomach issues), PRODUCT ADMINISTERED AT INAPPROPRIATE SITE (vaccination was given directly into the infected area) and HEADACHE (headache). On 16-Apr-2021, the patient experienced MONOPARESIS (barely move her arm). On 17-Apr-2021, the patient experienced CEREBROVASCULAR ACCIDENT (Stroke) (seriousness criterion medically significant), LOSS OF CONSCIOUSNESS (completely lost consciousness) (seriousness criterion medically significant), SEIZURE (Seizure) (seriousness criterion medically significant), PARAESTHESIA (tingling all over my body) and ANAL INCONTINENCE (lost control of bowels). On an unknown date, the patient experienced PRODUCT DOSE OMISSION ISSUE (have not received second dose), FEELING ABNORMAL (terrible feeling/ feeling off), ASTHENIA (No strength), GAIT DISTURBANCE (No strength to walk), LETHARGY (lethargic) and VOMITING (had vomited). On 15-Apr-2021, PRODUCT ADMINISTERED AT INAPPROPRIATE SITE (vaccination was given directly into the infected area) had resolved. On 16-Apr-2021, INSOMNIA (interrupted her sleep) had resolved. At the time of the report, CEREBROVASCULAR ACCIDENT (Stroke), LOSS OF CONSCIOUSNESS (completely lost consciousness), SEIZURE (Seizure), DIZZINESS (lightheaded), FEELING ABNORMAL (terrible feeling/ feeling off), GASTROINTESTINAL DISORDER (sick to my stomach/ Stomach issues), ASTHENIA (No strength), PARAESTHESIA (tingling all over my body), GAIT DISTURBANCE (No strength to walk), ANAL INCONTINENCE (lost control of bowels), LETHARGY (lethargic), HEADACHE (headache) and VOMITING (had vomited) outcome was unknown, PRODUCT DOSE OMISSION ISSUE (have not received second dose) had resolved and PAIN IN EXTREMITY (arm was painful) and MONOPARESIS (barely move her arm) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Computerised tomogram: inconclusive (Inconclusive) inconclusive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. The patient's left arm was already itchy and swollen from a spider bite. Pharmacist injected arm where the spider bite was located, even though she noted the spider bite. During the night her arm was painful and interrupted her sleep. The next day, she could barely move her arm and it was very painful. The patient was transported to hospital emergency room. IVs and CT scan for over two weeks followed were performed. 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. Further information has been requested. Most recent FOLLOW-UP information incorporated above includes: On 27-May-2021: Patient demographics, new serious events ,new non serious events added. event outcome of painful arm( unknown to not recovered), and arm discomfort( unknown to not recovered) were changed.; 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. Further information has been requested.
62 2021-06-03 heart attack She got her vaccine, she came home and started noticing some pain and burning. She looked down and ... Read more
She got her vaccine, she came home and started noticing some pain and burning. She looked down and she had a big red bump the size of a nickel or a little large, flat. Then about an hour later it started to raise, and every 4 days they started going away and then come back with more of them. They are hot, red and raised and itchy when they come on. She is still getting them, popping up on her while I was talking to her. She subsequently got the 2nd vaccine on 3/26/21, LOT#028A21A. She said that now when they come since the 2nd vaccine they come in bunches 3-5 of them come up at a time. She did call her doctor and saw Dr. who gave her Triamcinolone cream to use. She then saw her provider and gave her some stronger cream to use. The one that she got from him last relieves the itching and pain and also takes hydroxyzine and he's also given her betamethasone diproprionate cream which again relieves the pain but does not get rid of anything according to her, they still continue to come back. They are now popping up every day. When it first started it was every 4 days, and then they would go away and then they would pop up again. Now, they are popping up every day. Her left side of her face swelled on one side and went numb on 4/25/21. She then went to the doctor on 4/27/21 and he told her that it came from the vaccine. Her face is still swollen on the left side. He did not give her anything for that. She went and had an echocardiogram on 5/19/21 and they called with the results yesterday and told her that she had a myocardial infarction, but she did not know when. Her PCP told her to just continue taking the medications that she is already taking. She is supposed to go back for a FU on 7/29/21. She cannot sleep and is getting aggravated that these bumps will not go away. They look bad and she has pictures of what they look like. She would like somebody to tell her doctor what to do to treat her symptoms so that they will go away and not come back.
62 2021-06-06 cerebral haemorrhage Stroke symoton inckuding fiund brain bloid clot loss of peripheral vussion left side numbness side o... Read more
Stroke symoton inckuding fiund brain bloid clot loss of peripheral vussion left side numbness side of face habds fibger tips confusion
62 2021-06-06 vaginal haemorrhage N93.9 - Vaginal bleeding
62 2021-06-07 fluid around the heart I received Moderna shots as follows: o March 18, 2021 - Dose #1 o April 15, 2021 - Dose #2 o COVID-1... Read more
I received Moderna shots as follows: o March 18, 2021 - Dose #1 o April 15, 2021 - Dose #2 o COVID-19, Moderna dose #1 (lot 045A21A) was administered as in injection in my Right arm on 03/18/21 at. o The next morning (3/19/21), I experienced tremor/pulling type sensation in my right lower lip / jaw area that lasted a few seconds, then subsided. o COVID-19, Moderna dose #2 (lot 022B21A) administered as in injection in my Right arm on 04/15/21 at. o The next morning (4/16/21), I woke up to Left side jaw pain that lasted several hours, then subsided. Mid-morning of that same day, I experienced a strong spasm type pain in my Left leg (inner groin area to knee area), lasting a few seconds, then subsided. That same day I felt tired and experienced a loss of appetite. o Over the next few weeks, I felt an unusual lack of energy and little appetite, resulting in weight loss.
62 2021-06-09 cerebrovascular accident several strokes occurred from April 9, 2021 thru April 24th, 2021 resulting in hospital stays both d... Read more
several strokes occurred from April 9, 2021 thru April 24th, 2021 resulting in hospital stays both dates. patient has lost some peripheral vision and cannot drive at this time. Dizzy, light headed. Feels like in a fog all the time.
62 2021-06-15 deep vein blood clot, pulmonary embolism Saddle Pulmonary Embolism; DVT; This spontaneous case was reported by a physician and describes the ... Read more
Saddle Pulmonary Embolism; DVT; This spontaneous case was reported by a physician and describes the occurrence of PULMONARY EMBOLISM (Saddle Pulmonary Embolism) and DEEP VEIN THROMBOSIS (DVT) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Co-suspect products included non-company products UBLITUXIMAB for an unknown indication, UMBRALISIB for an unknown indication and VENETOCLAX for an unknown indication. Concurrent medical conditions included Hypertension, Mantle cell lymphoma, Leukemia (relapsed or refractory CLL/SLL) and Richter's syndrome. On 28-May-2020, the patient started UBLITUXIMAB (Intravenous) 900 milligram and UMBRALISIB (Oral) 800 milligram. On 02-Sep-2020, the patient started VENETOCLAX (Oral) 400 milligram. On 15-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 21-Apr-2021, the patient experienced DEEP VEIN THROMBOSIS (DVT) (seriousness criteria hospitalization and medically significant). On 24-Apr-2021, the patient experienced PULMONARY EMBOLISM (Saddle Pulmonary Embolism) (seriousness criteria hospitalization and medically significant). The patient was hospitalized from 23-Apr-2021 to 26-Apr-2021 due to DEEP VEIN THROMBOSIS and PULMONARY EMBOLISM. The patient was treated with HEPARIN on 23-Apr-2021 for DVT, at an unspecified dose and frequency. At the time of the report, PULMONARY EMBOLISM (Saddle Pulmonary Embolism) and DEEP VEIN THROMBOSIS (DVT) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 23-Apr-2021, Ultrasound scan: dvt (abnormal) Ultrasound of lower right extremity showed acute deep vein thrombosis, DVT.. On 24-Apr-2021, Computerised tomogram: saddle pulmonary embolism (abnormal) CT on chest with IV contrast showed a saddle pulmonary embolism .. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No Concomitant medications were reported. 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.
62 2021-06-21 death Patient died at home 3 weeks after receiving first dose of vaccine.
62 2021-06-22 cerebrovascular accident patient has lost peripheral vision and can not drive anymore.; Patient has had about 8 strokes from ... Read more
patient has lost peripheral vision and can not drive anymore.; Patient has had about 8 strokes from the date of administration of the vaccine till date; This spontaneous case was reported by a physician and describes the occurrence of CEREBROVASCULAR ACCIDENT (Patient has had about 8 strokes from the date of administration of the vaccine till date) and VISUAL FIELD DEFECT (patient has lost peripheral vision and can not drive anymore.) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 31-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Apr-2021, the patient experienced CEREBROVASCULAR ACCIDENT (Patient has had about 8 strokes from the date of administration of the vaccine till date) (seriousness criterion medically significant). On an unknown date, the patient experienced VISUAL FIELD DEFECT (patient has lost peripheral vision and can not drive anymore.) (seriousness criterion disability). At the time of the report, CEREBROVASCULAR ACCIDENT (Patient has had about 8 strokes from the date of administration of the vaccine till date) and VISUAL FIELD DEFECT (patient has lost peripheral vision and can not drive anymore.) had not resolved. 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. The patient has had about eight strokes from the date of vaccine administration till date of report. The patient had their blood pressure controlled and had not yet taken the second dose. She is unable to drive. Concomitant products were not provided/unknown. Treatment was reported as palliative care. 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 This case was linked to MOD21-109853 (Patient Link).; 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
62 2021-06-29 pulmonary embolism, deep vein blood clot Pt states 05/22/2021 ER visit, mult-pulmonary clots in both lungs, also blood clot found in left l... Read more
Pt states 05/22/2021 ER visit, mult-pulmonary clots in both lungs, also blood clot found in left leg. Hemoglobin 6.2, blood transfusion, 75 O2, 06/04/2021 ER visit 4 days of observation hospitalized. Per Dr. 2 months out of work.
62 2021-07-05 cerebrovascular accident dose 1 4/4/21, dose 2 5/5/21, had a stroke on 6/1/21, no underlying conditions known, suspects possi... Read more
dose 1 4/4/21, dose 2 5/5/21, had a stroke on 6/1/21, no underlying conditions known, suspects possibly from vaccine, since then has relly ry eyes and is still in therapy from post- seizure
62 2021-07-06 pneumonia auto immune disorder; suspected reaction from covid vaccine; felt it was a dermatitis; intermittent ... Read more
auto immune disorder; suspected reaction from covid vaccine; felt it was a dermatitis; intermittent numbness in fingers; difficulty breathing, winded; both hands are weak; Redness of both hands; Dry persistent cough/ cough; both hands are painful; interstitial lung disease; Pneumonia suspect; low grade fever; swelling in her hands equally on the right and left with tingling/swelling of both hands/hands inflamed; swelling in her hands equally on the right and left with tingling/prickling/ tingling; had her first dose of Moderna vaccine on 7Jan21 and had that 2nd dose on 19Feb21; This spontaneous case was reported by a consumer and describes the occurrence of AUTOIMMUNE DISORDER (auto immune disorder), INTERSTITIAL LUNG DISEASE (interstitial lung disease) and PNEUMONIA (Pneumonia suspect) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 012M20A and 021L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Asthma (mild), Penicillin allergy (rash and chills), Osteopenia and Contrast media allergy (Rash). Concomitant products included MULTIVITAMIN [VITAMINS NOS], VITAMIN D NOS and CALCIUM for an unknown indication. On 07-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 19-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 19-Feb-2021, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (had her first dose of Moderna vaccine on 7Jan21 and had that 2nd dose on 19Feb21). On 13-Mar-2021, the patient experienced PARAESTHESIA (swelling in her hands equally on the right and left with tingling/prickling/ tingling) and PERIPHERAL SWELLING (swelling in her hands equally on the right and left with tingling/swelling of both hands/hands inflamed). On 18-Apr-2021, the patient experienced PYREXIA (low grade fever). On 27-Apr-2021, the patient experienced PNEUMONIA (Pneumonia suspect) (seriousness criterion medically significant). On 24-Jun-2021, the patient experienced INTERSTITIAL LUNG DISEASE (interstitial lung disease) (seriousness criterion medically significant). On an unknown date, the patient experienced AUTOIMMUNE DISORDER (auto immune disorder) (seriousness criterion medically significant), VACCINATION COMPLICATION (suspected reaction from covid vaccine), DERMATITIS (felt it was a dermatitis), HYPOAESTHESIA (intermittent numbness in fingers), DYSPNOEA (difficulty breathing, winded), MUSCULAR WEAKNESS (both hands are weak), ERYTHEMA (Redness of both hands), COUGH (Dry persistent cough/ cough) and PAIN IN EXTREMITY (both hands are painful). The patient was treated with PREDNISONE at a dose of 1 dosage form; DOXYCYCLINE at a dose of 1 dosage form and AZITHROMYCIN on 18-Apr-2021 for Bronchitis, at an unspecified dose and frequency. On 19-Feb-2021, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (had her first dose of Moderna vaccine on 7Jan21 and had that 2nd dose on 19Feb21) had resolved. At the time of the report, AUTOIMMUNE DISORDER (auto immune disorder), INTERSTITIAL LUNG DISEASE (interstitial lung disease), PNEUMONIA (Pneumonia suspect), VACCINATION COMPLICATION (suspected reaction from covid vaccine), DERMATITIS (felt it was a dermatitis), PARAESTHESIA (swelling in her hands equally on the right and left with tingling/prickling/ tingling), DYSPNOEA (difficulty breathing, winded), MUSCULAR WEAKNESS (both hands are weak), PERIPHERAL SWELLING (swelling in her hands equally on the right and left with tingling/swelling of both hands/hands inflamed), COUGH (Dry persistent cough/ cough) and PYREXIA (low grade fever) outcome was unknown and HYPOAESTHESIA (intermittent numbness in fingers), ERYTHEMA (Redness of both hands) and PAIN IN EXTREMITY (both hands are painful) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 21-Apr-2021, SARS-CoV-2 test: negative (Negative) negative. On 27-Apr-2021, Chest X-ray: pulmonary infiltrates at base of lungs. Pneumonia suspect. On 12-May-2021, Chest X-ray: pulmonary infiltrates still present but improved. On 26-May-2021, Chest X-ray: pulmonary infiltrates unchanged. On 08-Jun-2021, Antinuclear antibody: inconclusive (Inconclusive) inconclusive. On 08-Jun-2021, Computerised tomogram: pulmonary infiltrates present. On an unknown date, Antinuclear antibody: positive (Positive) positive Suspect reaction from covid vaccine.. On an unknown date, Blood pressure measurement: inconclusive (Inconclusive) inconclusive. On an unknown date, Body temperature: inconclusive (Inconclusive) inconclusive. On an unknown date, Heart rate: inconclusive (Inconclusive) inconclusive. On an unknown date, Respiratory rate: inconclusive (Inconclusive) inconclusive. Patient allergic to contrast results in delayed while body rash Treatment for the events included Zpak for bronchitis and nebulizer .Action taken with mRNA-1273 in response to the events was not Applicable. 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. This case was linked to US-MODERNATX, INC.-MOD-2021-065219 (E2B Linked Report). Most recent FOLLOW-UP information incorporated above includes: On 28-Jun-2021: Patient demographics, medical history, laboratory data, concomitant medications, treatment medications were updated. Additional serious and non serious events and reporter details were added.; 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. US-MODERNATX, INC.-MOD-2021-065219:Dose 1
62 2021-07-12 heart failure Started having worsening shortness of breath, exertional dyspnea, paroxysmal nocturnal dyspnea 3 da... Read more
Started having worsening shortness of breath, exertional dyspnea, paroxysmal nocturnal dyspnea 3 days after 2nd dose of COVID 19 modern a vaccine. transthoracic echocardiogram showed heart failure with reduced EF of 20-25%.
62 2021-07-21 heart attack Low Blood Pressure; Had a heart attack; Very Dizzy; Hot; Very Weak; Very Sick; Eye Color changed; sh... Read more
Low Blood Pressure; Had a heart attack; Very Dizzy; Hot; Very Weak; Very Sick; Eye Color changed; sharp pain behind the right eye; COVID ARM From injection site to elbow; COVID ARM Itchy From injection site to elbow; Swollen Lymph Node; COVID ARM Red Rash From injection site to elbow; COVID ARM Red Rash From injection site to elbow; This spontaneous case was reported by a patient and describes the occurrence of MYOCARDIAL INFARCTION (Had a heart attack) and HYPOTENSION (Low Blood Pressure) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 042B21-2A and 021B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 31-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 28-Apr-2021, the patient experienced ILLNESS (Very Sick), EYE COLOUR CHANGE (Eye Color changed ), EYE PAIN (sharp pain behind the right eye), LYMPHADENOPATHY (Swollen Lymph Node), VACCINATION SITE ERYTHEMA (COVID ARM Red Rash From injection site to elbow) and VACCINATION SITE RASH (COVID ARM Red Rash From injection site to elbow). 28-Apr-2021, the patient experienced VACCINATION SITE REACTION (COVID ARM From injection site to elbow) and VACCINATION SITE PRURITUS (COVID ARM Itchy From injection site to elbow). On 14-Jul-2021, the patient experienced MYOCARDIAL INFARCTION (Had a heart attack) (seriousness criteria hospitalization and medically significant), DIZZINESS (Very Dizzy), FEELING HOT (Hot) and ASTHENIA (Very Weak). On an unknown date, the patient experienced HYPOTENSION (Low Blood Pressure) (seriousness criterion hospitalization). The patient was hospitalized from 14-Jul-2021 to 16-Jul-2021 due to HYPOTENSION and MYOCARDIAL INFARCTION. The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) ongoing since an unknown date for Rash, at a dose of 1 dosage form. On 30-Apr-2021, ILLNESS (Very Sick), VACCINATION SITE REACTION (COVID ARM From injection site to elbow), VACCINATION SITE PRURITUS (COVID ARM Itchy From injection site to elbow), LYMPHADENOPATHY (Swollen Lymph Node), VACCINATION SITE ERYTHEMA (COVID ARM Red Rash From injection site to elbow) and VACCINATION SITE RASH (COVID ARM Red Rash From injection site to elbow) had resolved. On 16-Jul-2021, MYOCARDIAL INFARCTION (Had a heart attack) had resolved. At the time of the report, HYPOTENSION (Low Blood Pressure), DIZZINESS (Very Dizzy), FEELING HOT (Hot) and ASTHENIA (Very Weak) outcome was unknown and EYE COLOUR CHANGE (Eye Color changed ) and EYE PAIN (sharp pain behind the right eye) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 14-Jul-2021, Myocardial necrosis marker: high (High) HIGH. On an unknown date, Blood pressure measurement: low (Low) low. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medication information was provided by the reporter. Patient reported that her eye color changed from hazel to blue and reported to have a yellow ring around the blue color. She also stated that when she fell dizzy and hot while doing the yard work she called in 911 for ambulance and was transported to emergency room and thereon was hospitalized. Patient reported that the paramedics did not give her any medication for her low blood pressure. Based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded.; Sender's Comments: Based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded.
63 2021-01-03 excessive bleeding EE received Covid-19 Moderna vaccine on 12/29/20 at 5:10 p.m. at Covid vaccination site. 12/30/20 at... Read more
EE received Covid-19 Moderna vaccine on 12/29/20 at 5:10 p.m. at Covid vaccination site. 12/30/20 at 3:00 a.m.EE had pain in left side, hip and leg waking EE up from sleep . Lesions times two, one on hip and one on posterior upper leg. MD insructed EE to double Vitamin C orally and to place Bacitracin on the two lesions, which at first appeared to contain bloody drainage. Lesions are now dry. VAERS document completed.
63 2021-01-19 cerebrovascular accident, atrial fibrillation CVA the following day Patient had vaccine on 1/14/21 and was admitted to the hospital 1/15/21.
63 2021-01-25 anaphylactic reaction anaphylaxis (throat tightness, swelling, pruritis, GI upset, cramping, diarrhea
63 2021-01-31 anaphylactic reaction Developed hives within 2 hrs/took Benadryl that night; swelling that traveled up the arm and neck in... Read more
Developed hives within 2 hrs/took Benadryl that night; swelling that traveled up the arm and neck in the morning with shortness of breath/used rescue inhaler at 0400 and then again at 0800; and then anaphylaxis by 0900. Treated in ED with EpiPen then IV Solumedrol, Benadryl and Famotidine. Recovered and started on prednisone taper pack starting at 6 tabs for 3 days etc. Suggested to make follow up Dr appt for one week following incident/set for Feb 8
63 2021-01-31 death got up in the night and stated that she couldn't breath, ambulance was called, pt expired in route t... Read more
got up in the night and stated that she couldn't breath, ambulance was called, pt expired in route to hospital. *relayed to me by Facility staff RN.
63 2021-02-10 cardio-respiratory arrest, death 02/08/21--2 days after vaccine--Resident stated that she "didn't feel good" (She is developmentally ... Read more
02/08/21--2 days after vaccine--Resident stated that she "didn't feel good" (She is developmentally delayed and less able to communicate how she feels than those in the community) and stopped eating most foods; also had fatigue. Vitals, coloring, & behavior were normal. 02/09/21--Belly was firm and mildly distended (although she stated it didn't hurt); she coded this evening and CPR was performed before EMT could transport her to the hospital. 02/10/21--Resident passed.
63 2021-02-16 pulmonary embolism, heart attack, death, cardiac arrest Patient called EMS approximately 1pm on 2/15 with complaints of generalized weakness. Upon arrival E... Read more
Patient called EMS approximately 1pm on 2/15 with complaints of generalized weakness. Upon arrival EMS found her to be diaphoretic and she had a witnessed syncopal episode with question of v-fib and seizures. She became unresponsive and had no pulse. CPR was begun and she was transported to ED. She remained asystole throughout. CPR was initially continued in the ED for approximately 30 minutes and then stopped with Time of Death noted at 13:27. ED notes noted "suspect given history that patient experienced massive MI, PE or ruptured AAA". Death certificate notes indicate "signficant conditions contributing to death after cardiac arrest; ASCVD".
63 2021-02-25 atrial fibrillation Very dizzy; Threw up; Episode of afib; Light headache; A spontaneous report was received from a cons... Read more
Very dizzy; Threw up; Episode of afib; Light headache; A spontaneous report was received from a consumer (patient), 63 years-old female patient, unknown race and ethnicity, who received Moderna's COVID-19 vaccine (mRNA-1273), and experienced, episode of A-fib (atrial fibrillation), very dizzy (dizziness), threw up (vomiting), and light headache (headache). The patient's medical history included episode of A-fib. Current conditions included diabetic and high blood pressure. No concomitant medications were reported. On 03 FEB 2021, seven days prior to the onset of events, the patient received their first of planned doses of mRNA-1273 (batch number: 038K20A), intramuscular in the left arm for the prophylaxis of COVID-19 infection. It was reported that two days ago, the patient had an episode of atrial fibrillation on 10 FEB 2021. The patient doesn't know if it was from the vaccine or something else. The patient usually has 2-3 times of atrial fibrillation a year. She didn't have any other side effects at all right after the vaccine. The patient was a diabetic and didn't call her doctor about this, because it went away. The patient described the atrial fibrillation episode as uncomfortableness and beating of the heart. The patient has an appointment with her cardiologist 2 days before her second shot, and she'd ask him about it. The patient was also wondering that the side effects occurred 8 or 9 days after the shot. She has high blood pressure and took a measurement, and it was normal at 93 (unknown units). The patient had the injection on her left arm because she has a diabetic monitor on right arm. The patient didn't take any treatment for the side effect except one time she took acetaminophen about three days ago when she had a light headache. On 12 FEB 2021, at about 10 am in the morning, the patient got very dizzy and had to sit down on the floor, and she threw up. After that, the patient was feeling fine. The patient gave consent to follow up from safety and to her doctor. No further treatment medications were reported. Action taken with second dose of mRNA-1273 in response to the events was not reported. The outcome of the events, episode of A-fib, and light headache were unknown and that of events very dizzy, and vomiting was recovering.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. The patient's medical history of having 2-3 times of atrial fibrillation a year, diabetic and high blood pressure are the risk factors and confounds to the causality.
63 2021-02-27 pulmonary embolism Individual received her COVID vaccine and had no prior symptoms. 24 hours after the injection she de... Read more
Individual received her COVID vaccine and had no prior symptoms. 24 hours after the injection she developed significant shortness of breath and was seen in the ER where she was diagnosed with bilateral pulmonary embolism.
63 2021-03-03 death No reported adverse effects after vaccine was administered. Someone reported to our clinic that pati... Read more
No reported adverse effects after vaccine was administered. Someone reported to our clinic that patient was found dead at home on Sunday
63 2021-03-07 death Pt passed away on 3/6/21.
63 2021-03-09 death Patient had an adverse reaction to her first shot, unreported, mostly local to the injection. For t... Read more
Patient had an adverse reaction to her first shot, unreported, mostly local to the injection. For this 2nd dose, she was not feeling well the day after the shot, but was at work. She did not show up for work on Friday and was found dead. Time of death was undetermined. She lived alone. An autopsy was not performed.
63 2021-03-09 excessive bleeding The nurse gave me shot however did not get in muscle was in subcutaneous area. Left large bruise and... Read more
The nurse gave me shot however did not get in muscle was in subcutaneous area. Left large bruise and swelling and moderate bleeding after shot. My concern is did I get enough of the vaccine in me Since this was administration error.
63 2021-03-10 death Death
63 2021-03-14 deep vein blood clot DVT blood clot in left calf verified via utrasound on 2/17/2021. Symptoms: pain in left calf and fo... Read more
DVT blood clot in left calf verified via utrasound on 2/17/2021. Symptoms: pain in left calf and foot proceeded by chills/fever and right fingers/hand inflammation. Symptoms began 2/08/2021.
63 2021-03-16 pulmonary embolism Hard to breathe, chest hurt, embolism in left lung
63 2021-03-17 bleeding on surface of brain Pt received injection of moderna second dose on March 09. 2021. PT was found unresponsive at 1:15pm ... Read more
Pt received injection of moderna second dose on March 09. 2021. PT was found unresponsive at 1:15pm on 3/14/2021 at home. was taken via EMS to ER. PT found to have subarachnoid hemorrhage. was transferred to a critical care facility for a higher level of care. Critical care services provided in ICU pt diagnosis of diffuse SAH likely aneurysmal. pt prognosis life threatening.
63 2021-03-23 excessive bleeding Patient received the first Moderna vaccine at nine o'clock Thursday morning, felt fine until 2pm. Sh... Read more
Patient received the first Moderna vaccine at nine o'clock Thursday morning, felt fine until 2pm. She began to feel feverish, achy, nauseous, weak. All symptoms lasted through Sunday when she passed out early in the morning. We found her on the kitchen floor, having hit her head and bleeding. She was conscious and alert but a little disoriented and very weak. We called for an ambulance which took her to the same facility where she had been vaccinated. She was diagnosed with a concussion and low blood pressure (62/49). Today she still feels weak and dizzy and nauseous. She has not returned to work yet, pending recommendation from her cardiologist and PCP.
63 2021-03-24 pneumonia I was achy and my arm was sore that night. I was fine until I started experiencing symptoms on the 1... Read more
I was achy and my arm was sore that night. I was fine until I started experiencing symptoms on the 1/5. So that night, I checked my temperature and had a low grade fever. I took a COVID test on 1/6 and was positive and I got treatment on 1/7. I ended up being out of work for two months due to a sinus infection and pneumonia. I'm still experiencing symptoms such as lung inflammation and SOB, so I'm on an inhaler, nasal spray, allergy meds and I did a sputum test today. I'm also scheduled to see a pulmonologist, who I also saw prior to COVID for breathing issues. I've had to do 3 rounds of antibiotics to resolve my pneumonia.
63 2021-03-25 blood clot blood clots in upper thigh down to foot; swelling of the foot; tingling; clot was burning and hot; A... Read more
blood clots in upper thigh down to foot; swelling of the foot; tingling; clot was burning and hot; A spontaneous report was received from a consumer concerning a 62-years-old patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events blood clots in upper thigh down to foot, swelling of the foot, tingling, and clot was burning and hot. The patient's medical history included insertion of a blood clot filter. Concomitant medications reported were Xarelto for drug use for unknown indication. She is also taking 17 other medications (not provided) and has other medical issues (not provided). She also has a blood clot filter inside her body (location not provided). She also wears compression and diabetic socks. On 25 Feb 2021, prior to the onset of the events the patient received the first of two planned doses of mRNA-1273 (lot/batch: L014M20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On an unknown date, the patient experienced the event(s) blood clots in upper thigh down to foot, swelling of the foot, tingling, clot was burning and hot. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The outcome of event(s), blood clots in upper thigh down to foot, swelling of the foot, tingling, clot was burning and hot was 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 event, a causal relationship cannot be excluded.
63 2021-03-29 blood clot Very hard to breath for few minutes; Swollen arm; Nausea; Headaches; Blood clogging; A spontaneous r... Read more
Very hard to breath for few minutes; Swollen arm; Nausea; Headaches; Blood clogging; A spontaneous report was received from a consumer concerning a 63 years old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events very hard to breath for few minutes/dyspnoea, blood clogging/thrombosis, headaches, nausea, swollen arm/peripheral swelling. The patient's medical history included high blood pressure. Concomitant product use was not provided by the reporter. On 15 Jan 2021, the patient received their first of two planned doses of mRNA-1273 (lot: 027L20A) for prophylaxis of COVID-19 infection. On 08 Feb 2021, the patient received their second of two planned doses of mRNA-1273 (lot: 0101M20A) for prophylaxis of COVID-19 infection. The first dose of vaccine was taken in non dominant arm and second dose was taken in right dominant arm. On an unknown date, the patient experienced swollen arm. In between the two doses she felt very hard to breath for few minutes and when she took a deep breath it was fine. She had tylenol for the headaches after the second dose on 08 February 2021. She also had nausea along with headaches. She had blood clogging when she was in a blood donation camp. The event very hard to breath for few minutes and blood clogging were considered as medically significant. Thiamine was provided as medication The patient received both scheduled doses of mRNA-1273 prior to the events; therefore, action taken with the drug in response to the events is not applicable. Follow-up received on 17 Mar 2021 included updated date for first dose of vaccine, and the events very hard to breath for few minutes/dyspnoea, blood clogging/thrombosis.; Reporter's Comments: Based on the current available information which shows a strong temporal association between the use of the mRNA-1273 and the reported events and excluding all other etiology, a causal relationship cannot be excluded. Nausea and headache are consistent with the safety profile of the product
63 2021-03-30 blood clot pain in left arm, numbness. Then developed a itchy rash and a lump in the cubital fossa and swollen ... Read more
pain in left arm, numbness. Then developed a itchy rash and a lump in the cubital fossa and swollen lymph nodes. Initially took benadryl, then went to the ED. An ultra sound showed a clot located in her left cubital fossa. Transferred to Med center started on eliquis and released from the hospital. Now complaining of pain in the left leg. Adv caller to follow up with her pcp about the pain.
63 2021-04-01 anaphylactic reaction Patient started losing her voice and having to clear her throat. Had history of anaphylaxis reaction... Read more
Patient started losing her voice and having to clear her throat. Had history of anaphylaxis reactions to other medications in past. The reaction started happening approximately 5 minutes after vaccine given. Patient was given Benadryl 50mg IM in R arm. Vital signs were taken and noted to be stable except high blood pressure. Vital signs taken again after 5 minutes and remained stable with only slight decrease in BP. After approximately 10minutes patient had stopped clearing throat and her voice had returned and she was back to her baseline health. Was told to go to Emergency Room for elevated BP.
63 2021-04-02 pneumonia bilateral pneumonia required ICU admission required 6 liters of oxygen, all cultures , viral pathoge... Read more
bilateral pneumonia required ICU admission required 6 liters of oxygen, all cultures , viral pathogens screen, blood and sputum were negative
63 2021-04-05 atrial fibrillation See patient's account of the event below. Patient is not an established patient and did not receive ... Read more
See patient's account of the event below. Patient is not an established patient and did not receive care for her symptoms at our facility: On March 18th I received my 2nd Moderna vaccination. On Friday the 19th at approximately 4 pm I began to have the symptoms of an immune response in my body. Sat the 20th was spent in bed with chills, body aches, fever, stiff neck, and bad headache. On Sunday I was having pain on inhalation along with everything else. Monday the pain resolved into left side lung pain on inhalation. Tuesday the 23rd I called my provider who directed me to go to the Emergency Dept. I drove to Superior Hospital. After being accessed I was transported; with pericarditis and the additional mentioned immune response symptoms, and a pronounced heart murmur. On Wednesday the 24 I shook uncontrollably with chills for 4 hours and 2 min and went into atrial fib for about 12 minutes, resolved with medication. Thursday the 25th I woke to all symptoms being gone. I was released on Friday the 26th with the statement my issues had resolved themselves. I was told to report this to where I got my vaccine so it could be passed along.
63 2021-04-12 deep vein blood clot I had a discoloration on my left breast and slight pain underneath my left arm. I had NO redness, N... Read more
I had a discoloration on my left breast and slight pain underneath my left arm. I had NO redness, NO swelling and NO heat underneath my arm. I had a mammogram and the radiologist asked for an ultrasound. The ultrasound revealed a deep vein thrombosis underneath my left arm.
63 2021-04-12 deep vein blood clot I ended up with DVT blood clot. Injection was very painful and pain lasted 2 days, expected that. Da... Read more
I ended up with DVT blood clot. Injection was very painful and pain lasted 2 days, expected that. Day 3 woke with bright red rash, itchy, swollen and lumpy on inside upper arm. Could not get answers, lived on Benydril for 3 days. Day 4 called CDC, FDA, Health Dept & Moderna. Moderna was only person that I was able to talk to someone, had no clue. Had to google to find out I had Covid Arm since no one knew anything. Day 5 ..The lump moved or maybe different one to inside my inner elbow and was painful. Did not read pain as a symptom of Covid Arm and went to ER
63 2021-04-12 pulmonary embolism, blood clot, death blood clots in left leg and both lungs diagnosed on 2/22, died 2/24
63 2021-04-13 cardio-respiratory arrest After patient received vaccine she was accompanied by RN to observation area. In observation area pa... Read more
After patient received vaccine she was accompanied by RN to observation area. In observation area patient was sitting in the chair with her head against the wall. RN asked patient if she was alright, patient stated, "she was not well". She was noted to be pale, glassy eyed. RN called for immediate assisatance. Pt was transferred with assitance to recliner. Patit responded to verbal commands, leaned back with feet elevated. Within Vitals 4 minutes were B/P 118/82, HR 99, Spo2 99% on room air, patient noted to be responsive. Patient stated she thinks she was having a panic attack. Vitals were taken B/P 56/40, unable to get reading for heart rate or pulse ox. Code called, Pt was transferred to ED, patient responsive.
63 2021-04-13 heart attack may have had a heart attack; pressure in her chestuncomfortable feeling which lasted for a week; 6 s... Read more
may have had a heart attack; pressure in her chestuncomfortable feeling which lasted for a week; 6 short chest pains that felt like something was moving in her chest; felt really bad; tired/worn out; chills; a fever all night; This spontaneous case was reported by a consumer and describes the occurrence of MYOCARDIAL INFARCTION (may have had a heart attack) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 028A21A and 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). Concomitant products included LEVOTHYROXINE, OMEPRAZOLE (PROTONIX [OMEPRAZOLE]) and ATORVASTATIN CALCIUM (LIPITOR) for an unknown indication. On 07-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 07-Mar-2021, the patient experienced FEELING ABNORMAL (felt really bad), FATIGUE (tired/worn out), CHILLS (chills) and PYREXIA (a fever all night). On 08-Mar-2021, the patient experienced MYOCARDIAL INFARCTION (may have had a heart attack) (seriousness criterion medically significant), CHEST DISCOMFORT (pressure in her chestuncomfortable feeling which lasted for a week) and CHEST PAIN (6 short chest pains that felt like something was moving in her chest). The patient was treated with ACETYLSALICYLIC ACID (ASPIRIN (E.C.)) from 08-Mar-2021 to 13-Mar-2021 for Heart attack, at a dose of UNK UNK, bid. On 11-Mar-2021, MYOCARDIAL INFARCTION (may have had a heart attack), CHEST DISCOMFORT (pressure in her chestuncomfortable feeling which lasted for a week), FEELING ABNORMAL (felt really bad), FATIGUE (tired/worn out), CHILLS (chills), PYREXIA (a fever all night) and CHEST PAIN (6 short chest pains that felt like something was moving in her chest) had resolved. Very limited information regarding these events has been provided at this time. Further information has been requested.; Sender's Comments: Very limited information regarding these events has been provided at this time. Further information has been requested.
63 2021-04-13 blood clot, pulmonary embolism burning sensation in the lung; had labored breathing,they found several clots in right leg and lungs... Read more
burning sensation in the lung; had labored breathing,they found several clots in right leg and lungs; It was shiny and hard and calf blewup twice the size,they found several clots in right leg; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PULMONARY EMBOLISM (had labored breathing,they found several clots in right leg and lungs) and THROMBOSIS (It was shiny and hard and calf blewup twice the size,they found several clots in right leg) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Family history included Clot blood (Family history of clots; her father and his sister had clots after surgery). Concurrent medical conditions included Burning sensation. On 12-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Apr-2021, the patient experienced PULMONARY EMBOLISM (had labored breathing,they found several clots in right leg and lungs) (seriousness criterion medically significant) and THROMBOSIS (It was shiny and hard and calf blewup twice the size,they found several clots in right leg) (seriousness criterion medically significant). On an unknown date, the patient experienced BURNING SENSATION (burning sensation in the lung). At the time of the report, PULMONARY EMBOLISM (had labored breathing,they found several clots in right leg and lungs), THROMBOSIS (It was shiny and hard and calf blewup twice the size,they found several clots in right leg) and BURNING SENSATION (burning sensation in the lung) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Ultrasound Doppler: several clots in right leg and lungs (abnormal) several clots in right leg and lungs. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant products were reported. Patient was taken to the ER (emergency room). The physician suspected blood clots and treatment included was blood thinner. Patient reported that "patient got ultrasound done on Monday, and they found several clots in right leg and lungs".; Sender's Comments: Based on the current available information which includes a strong temporal association between the use of the product and onset of the reported events, and excluding other etiologies, a causal relationship cannot be excluded
63 2021-04-14 death Client was monitored after being Vaccinated for 15 minutes and staff observed no symptoms. DHS CRT w... Read more
Client was monitored after being Vaccinated for 15 minutes and staff observed no symptoms. DHS CRT was made aware of the death two days prior to 2nd dose Vaccine Clinic.
63 2021-04-15 atrial fibrillation hospitalized for COVID19 related PNA as well as new onset Afib/flutter
63 2021-04-15 atrial fibrillation atrial fibrillation; achy; hand pain; This spontaneous case was reported by a consumer and describes... Read more
atrial fibrillation; achy; hand pain; This spontaneous case was reported by a consumer and describes the occurrence of ATRIAL FIBRILLATION (atrial fibrillation) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Atrial fibrillation. On 31-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 31-Mar-2021, the patient experienced ATRIAL FIBRILLATION (atrial fibrillation) (seriousness criterion medically significant), MYALGIA (achy) and PAIN IN EXTREMITY (hand pain). At the time of the report, ATRIAL FIBRILLATION (atrial fibrillation), MYALGIA (achy) and PAIN IN EXTREMITY (hand pain) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Although the patient has history of atrial fibrillation, based on a strong temporal association, a causal relationship between the administration of and the event s reported cannot be excluded.; Sender's Comments: Although the patient has history of atrial fibrillation, based on a strong temporal association, a causal relationship between the administration of and the event s reported cannot be excluded.
63 2021-04-15 death Homebound visit complete 4/14/21 around 1230-1300, monitored for 15 minutes, left attended with home... Read more
Homebound visit complete 4/14/21 around 1230-1300, monitored for 15 minutes, left attended with home health nurse. Patient was found dead per EMS and had passed sometime during the night.
63 2021-04-15 excessive bleeding 8 hours after shot severe headache that started in back of neck, freezing cold, shaking and shiverin... Read more
8 hours after shot severe headache that started in back of neck, freezing cold, shaking and shivering uncontrollably. Back ache. Shakes and shivers lasted 4 hours. Headache and back ache lasted 48 hours. Severe fatigue for first 24 hours, last 24 hours moderate fatigue. After 48 hours, I was back to 100% health. I took aspirin to begin with for the headache, then switched to ibuprofen when aspirin didn?t work for headache. Ibuprofen helped back ache immensely. Also, when pharmacist gave me the 2nd shot when I got home and changed clothes I realized I had bled a lot. Blood had oozed out from the bandage and down to my elbow. Arm sore for 2 days, and still swollen on 4th day a bit larger than golf ball size.
63 2021-04-16 excessive bleeding Herpes in genital area. This spot is where i generally have a herpes outbreak, but it was different ... Read more
Herpes in genital area. This spot is where i generally have a herpes outbreak, but it was different this time. The lesion bleeds. Feels just like other herpes lesions. I am not sexually active, and have not had a herpes outbreak for a long time. When i had the first shot, which was 3/19/21, Moderna through, lot #037A21B, about a week after the first immunization, i developed a rash on my right abdomen, just below the rib cage. It was fine, closely spaced red bumps, very itchy. I thought at first it was chiggers, but the weather is cool and seems in the wrong place for chiggers. It seemed to become tiny blisters, and i started wondering if it was shingles. It stung and hung on for several days, weeping a little blood. but it cleared up quickly. While it was scabbing over, i had a larger blister on my right wrist. It looked almost like a fire ant blister, but again no ants. Felt very itchy, tingly, like the rash below my ribs. Within a day, the blister burst and bled. It took three or four days to heal. I thought these were weird at the time, but did not connect them to the vaccination, until i had the second dose, and my genital herpes blister bled. This is not yellowish pus, it is bright, arterial style blood, thin, but definitely blood.
63 2021-04-17 heart failure Pt was in her usual state of health. Denied any past hx heart problems, works full time past medical... Read more
Pt was in her usual state of health. Denied any past hx heart problems, works full time past medical hx sign for dm-2, obesity, htn and crohns disease. lifelong non smoker, no etoh use. received her 2nd covid 19 vaccination on 3/24/2021 then began having progressive sob starting on 3/28/2021. presented to the emergency room on 4/11/2021 with sign sob. cxr showing b/l pulmonary edema. pt admitted to the hospital with new onset heart failure. She ultimately underwent an angiogram which showed minimal non obstructive coronary artery disease after echocardiogram showed severe global hypokinesia and ejection fraction of 15%. She was diagnosed with idiopathic non ischemic cardiomyopathy. CT scan of the chest also showed new medistinal lymphadenopathy.
63 2021-04-20 death Found dead at home 10 days post vaccine administration. Unclear correlation.
63 2021-04-21 transient ischaemic attack Confusion, slurred speech, ptosis of the right eyelid, lightheadedness, right facial droop and troub... Read more
Confusion, slurred speech, ptosis of the right eyelid, lightheadedness, right facial droop and trouble with memory with associated soreness in right arm post Moderna vaccination second dose for COVID-19 on 23 March 2021. TIA vs vaccine reaction (symptom onset roughly 45 minutes post injection) CT of the head without contrast, CTA head and neck and MRI of brain without contrast, CTA head and neck showed mild beaded appearance of the distal cervical segment of the left vertebral artery consistent with fibromuscular dysplasia. There is no stenosis. MRI brain showed chronic microvascular ischemia DC with Plavix and neurology referral, symptoms resolved
63 2021-04-22 pneumonia pneumonia; sore back maybe from coughing; This spontaneous case was reported by a consumer (subseque... Read more
pneumonia; sore back maybe from coughing; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PNEUMONIA (pneumonia) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 018B21A) 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 25-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Apr-2021, the patient experienced BACK PAIN (sore back maybe from coughing). On 03-Apr-2021, the patient experienced PNEUMONIA (pneumonia) (seriousness criterion medically significant). At the time of the report, PNEUMONIA (pneumonia) and BACK PAIN (sore back maybe from coughing) had not resolved. 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. The patient's treatment included Prednisone 20mg 2pills for 5 days, Doxycycline 100mg twice a day for 10 days and Cefuroxime 500mg twice a day for 7 days.
63 2021-04-23 atrial fibrillation, heart attack, fluid around the heart Describe events and outcomes: Abrupt onset of palpitations on the morning of March 22, 2021. Went ... Read more
Describe events and outcomes: Abrupt onset of palpitations on the morning of March 22, 2021. Went to previously scheduled medical appointment where they found my pulse rate to be over 200. ECG was performed and atrial fibrillation was diagnosed. Transported by ambulance to Hospital. Spontaneous conversion during the ambulance transport. Duration of symptoms: approximately 3 hours. Non-ST Elevation MI diagnosed in the hospital. Echocardiogram showed pericardial effusion. Hospitalized 1 day.
63 2021-04-24 atrial fibrillation I had a A fib occurrence I had never had one before the 2nd shot. I went to the ER. They gave me 3 d... Read more
I had a A fib occurrence I had never had one before the 2nd shot. I went to the ER. They gave me 3 different medications to get back in rhythm. I was dehydrated and low on potassium so they gave me saline and potassium pills. So I got the shot at 2:30 pm and at 7:00 pm I started with the pounding in my chest. I called ask a nurse and she told me to go immediately to the ER. My pulse was 157. My blood pressure was 158/114. I was in the ER from 8:00 pm till 3:00 am. The doctor wanted to admit me but I refused. We went home when my rhythm was normal.
63 2021-04-25 cardiac arrest cardiac arrest, ventricular fibrillation, new large brain aneurysm. anoxic brain injury. She was fo... Read more
cardiac arrest, ventricular fibrillation, new large brain aneurysm. anoxic brain injury. She was found in her car down with cardiac arrest in ventricular fibrillation. She was intubated and found to have brain aneurysm that is new. She suffered anoxic brain injury and was in vegetative state. aneurysm is left alone due to poor neurologic function per neurosurgery. Pt is placed on comfort care and waiting for expiration
63 2021-04-27 blood clot in lung, blood clot a week after receiving the vaccine I started feeling shortness of breath. It progressively got worse... Read more
a week after receiving the vaccine I started feeling shortness of breath. It progressively got worse and on April 23, 21 was admitted into Hospital with blood clots to the left leg and to my lungs.
63 2021-05-03 pneumonia Fever up to 104, pneumonia diagnosis, very high blood pressure over 200. Hospitalized on antibiotics... Read more
Fever up to 104, pneumonia diagnosis, very high blood pressure over 200. Hospitalized on antibiotics for 24 hours.
63 2021-05-04 cerebrovascular accident Stroke; Sounded delirious; Could not form words; My blood pressure was 250 over something; This spon... Read more
Stroke; Sounded delirious; Could not form words; My blood pressure was 250 over something; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CEREBROVASCULAR ACCIDENT (Stroke), DELIRIUM (Sounded delirious), APHASIA (Could not form words) and BLOOD PRESSURE SYSTOLIC INCREASED (My blood pressure was 250 over something) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 006B21-2A and 014M20A) for COVID-19 vaccination. Concurrent medical conditions included Rheumatoid arthritis. Concomitant products included METHOTREXATE for Rheumatoid arthritis, FOLIC ACID, ALENDRONATE SODIUM (FOSAMAX), VITAMIN B12 [VITAMIN B12 NOS] and CALCIUM for an unknown indication. On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 03-Apr-2021, the patient experienced CEREBROVASCULAR ACCIDENT (Stroke) (seriousness criterion hospitalization), DELIRIUM (Sounded delirious) (seriousness criterion hospitalization), APHASIA (Could not form words) (seriousness criterion hospitalization) and BLOOD PRESSURE SYSTOLIC INCREASED (My blood pressure was 250 over something) (seriousness criterion hospitalization). The patient was hospitalized from 03-Apr-2021 to 05-Apr-2021 due to APHASIA, BLOOD PRESSURE SYSTOLIC INCREASED, CEREBROVASCULAR ACCIDENT and DELIRIUM. On 05-Apr-2021, CEREBROVASCULAR ACCIDENT (Stroke) had resolved. At the time of the report, DELIRIUM (Sounded delirious), APHASIA (Could not form words) and BLOOD PRESSURE SYSTOLIC INCREASED (My blood pressure was 250 over something) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Blood pressure systolic: 250 (High) 250. In 2021, Magnetic resonance imaging: abnormal (abnormal) confirmed that Patient had a stroke. Patient stated that on 3APR2021, 4 days after receiving the 2nd dose of the COVID-19 vaccine, she experienced a stroke. She says that she was with her daughter and per her daughter, the patient starting sounding delirious and not making any sense. She could not form words. The patient's daughter called 911. When the paramedics checked her blood pressure, the systolic number was 250. Patient does not remember the diastolic blood pressure. She was told to go to the ER. When she reached there, she says that she was having difficulty forming words. This was happening randomly and not all the time. She was admitted to the hospital for 2 days. An MRI done at the hospital confirmed that the patient had suffered a stroke. She was put on Lipitor and Plavix at the hospital and told to continue those medications for a month. She was discharged from the hospital and sent back home on 5APR2021. She states that with all the tests that were done at the hospital, the doctors are unsure what could have caused the stroke. The patient received both scheduled doses of mRNA-1273 prior to the events, therefore action taken with the drug in response to the events was not applicable. 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.
63 2021-05-05 atrial fibrillation I felt fatigued, tired , no appetite and ran low grade fever starting the evening after vaccination.... Read more
I felt fatigued, tired , no appetite and ran low grade fever starting the evening after vaccination. This continued with dry heaves, poor appetite and vomiting Sunday and Monday. Tuesday evening I ran fever of 102.4, took Tylenol and promptly vomited. Then I noticed my heart racing. Took my BP which was 107/60 and hear rate 150s. I had my brother take me to the Medical Center where I was admitted for observation. I was told the I was in A Fib with rapid ventricular response. I was given 15 mgm of dialtizem IV x two, one liter of IVF and then converted to NSR. I was admitted overnight for observation
63 2021-05-06 cardiac arrest, death Client admitted to the hospital on 4/26/2021 with Covid symptoms, body aches, SOB and chest pain. Di... Read more
Client admitted to the hospital on 4/26/2021 with Covid symptoms, body aches, SOB and chest pain. Diagnosed with Covid -19 pneumonia. Antigen test positive for Covid-19 on 4/26/2021. Subsequent admission on 5/4/2021 with cardiac arrest secondary to hypovolemic shock from UGI bleed, likely variceal. Client died 5/5/2021.
63 2021-05-09 acute respiratory failure, pulmonary embolism Acute hypoxic respiratory insufficiency secondary to Covid pneumonia with concerns for possible supe... Read more
Acute hypoxic respiratory insufficiency secondary to Covid pneumonia with concerns for possible superimposed bacterial pneumonia. feeling increasingly sick, with fevers, nausea, chills, shortness of breath, loss of taste, and poor appetite. Please take Augmentin 1 g twice daily for 1 day. Please continue taking dexamethasone 6 mg once daily for the next 5 days. Please start taking Lipitor 40 mg once daily.
63 2021-05-10 blood clot epiploic appendages; nausea; dizziness; blood clot; pain on left side of abdomen; This spontaneous c... Read more
epiploic appendages; nausea; dizziness; blood clot; pain on left side of abdomen; This spontaneous case was reported by a nurse (subsequently medically confirmed) and describes the occurrence of THROMBOSIS (blood clot) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. D17B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 19-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Apr-2021, the patient experienced THROMBOSIS (blood clot) (seriousness criterion medically significant) and ABDOMINAL PAIN (pain on left side of abdomen). On 03-May-2021, the patient experienced DIZZINESS (dizziness) and NAUSEA (nausea). On an unknown date, the patient experienced EPIPLOIC APPENDAGITIS (epiploic appendages). At the time of the report, THROMBOSIS (blood clot), ABDOMINAL PAIN (pain on left side of abdomen), DIZZINESS (dizziness), EPIPLOIC APPENDAGITIS (epiploic appendages) and NAUSEA (nausea) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In April 2021, Computerised tomogram: epiploic appendagitis Epiploic Appendagitis. 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. Treatment given included antibiotic amoxicillin/clavulanic acid. 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. However, Very limited information regarding this events has been provided at this time. Further information has been 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. However, Very limited information regarding this events has been provided at this time. Further information has been requested.
63 2021-05-13 acute respiratory failure, pneumonia Pt w/hx of COPD/current smoker presented to ED w/2 week episode of dizziness, syncopy, poor appetite... Read more
Pt w/hx of COPD/current smoker presented to ED w/2 week episode of dizziness, syncopy, poor appetite, chills, N/V/D with no SOB or fevers. Pt stated that she may have had COVID infxn months ago prior to receiving Moderna vaccines on 2/25 & 3/25. CXR impression consistent w/known COVID-19 infection upon workup and subsequent positive COVID test (5/8). Admitted on 5/5 for additional management of acute hypoxic respiratory failure d/t bilat PNA. Pt received dexamethasone, convalescent plasma, and tocizumab and is still in hospital requiring 9L of O2.
63 2021-05-15 deep vein blood clot DVT of bilateral lower extremities and bilateral pulmonary edema. Treated with apixaban 5 mg per st... Read more
DVT of bilateral lower extremities and bilateral pulmonary edema. Treated with apixaban 5 mg per standard dosing. Hospitalized 4/27/2021 and discharged 5/4/2021. Patient convalescing at home. Tentative return to work date 5/24/2021. Follow-up hematologist consult due on 5/10/2021 and follow-up pulmonary consult due on 5/19/2021.
63 2021-05-16 pneumonia May 5 ,2021 patient became dizzy, diarrhea, syncopal poor appetite, feeling lethargic, having chills... Read more
May 5 ,2021 patient became dizzy, diarrhea, syncopal poor appetite, feeling lethargic, having chills. "I couldn't keep anything down"
63 2021-05-17 ischaemic stroke Had an Ischemic Stroke. Hospitalized via ambulance 4/23-4/29/2021.
63 2021-05-20 atrial fibrillation The patient states she woke up the morning after the vaccination and was in A-Fib. She states she ha... Read more
The patient states she woke up the morning after the vaccination and was in A-Fib. She states she has a pacemaker and has been in A-Fib before, but has not had an episode in "quite a while" She wondered if the episode could be related to the vaccine.
63 2021-05-24 pulmonary embolism Patient presents with 7 day history of shortness of breath. Ct angiogram showed multiple pulmonary ... Read more
Patient presents with 7 day history of shortness of breath. Ct angiogram showed multiple pulmonary emoblism with ventricular strain. Patient required EKOS procedure for clot dissolution and bridging from Lovenox to warfarin.
63 2021-05-27 fluid around the heart Myocarditis, pericarditis, pericardial effusion, pulmonary effusion
63 2021-06-02 atrial fibrillation After second vaccination: Initially: Sudden experience of very low BP - 91/41 - fatigue, shortness ... Read more
After second vaccination: Initially: Sudden experience of very low BP - 91/41 - fatigue, shortness of breath, dizziness, unable to go to work. Vertigo. One week later and continuing: heart palpitations, a fib, fluttering, shortness of breath, dizziness, fatigue, nausea, low BP, and unable to go to work.
63 2021-06-02 cerebrovascular accident stroke
63 2021-06-02 low platelet count Pt. presents to ED on 06/02/2021 at 0900 with c/o dizziness and sweaty while she was doing dishes. ... Read more
Pt. presents to ED on 06/02/2021 at 0900 with c/o dizziness and sweaty while she was doing dishes. Pt. reported "feeling like she was drunk". Pt. denied any pain or SOB. Pt. does have hx. of A-fib. Pt. also admitted to not eating any breakfast. Pt. was discharged to home with diagnosis of thrombocytopenia, instructed to hold her Eliquis and to contact her PCP in the next few days. EKG did not show A. Fib so PA-C felt okay to hold Eliquis.
63 2021-06-02 transient ischaemic attack Ischemic TIA
63 2021-06-03 heart attack I21.4 - Non-ST elevation (NSTEMI) myocardial infarction
63 2021-06-13 fluid around the heart Pericarditis/pericardial effusion noted on chest CT on 4/26/2021
63 2021-06-15 cardiac failure congestive SOB CHF
63 2021-06-15 low blood platelet count Idiopathic thrombocytopenia purpura, rash starting 1 week prior to presenting to the hospital on 6/1... Read more
Idiopathic thrombocytopenia purpura, rash starting 1 week prior to presenting to the hospital on 6/15/2021
63 2021-06-16 excessive bleeding Bleeding; Pain in hip; Flu; pain; arthritis waking up; This spontaneous case was reported by a consu... Read more
Bleeding; Pain in hip; Flu; pain; arthritis waking up; This spontaneous case was reported by a consumer and describes the occurrence of HAEMORRHAGE (Bleeding) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Co-suspect product included non-company product ADALIMUMAB (HUMIRA) for Rheumatoid arthritis. Concurrent medical conditions included Rheumatoid arthritis, Fibromyalgia and Osteoarthritis. On 11-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient started ADALIMUMAB (HUMIRA) (Subcutaneous) at an unspecified dose. On 13-Apr-2021, the patient experienced INFLUENZA (Flu). In April 2021, the patient experienced ARTHRITIS (arthritis waking up) and PAIN (pain). On an unknown date, the patient experienced HAEMORRHAGE (Bleeding) (seriousness criterion medically significant) and ARTHRALGIA (Pain in hip). At the time of the report, HAEMORRHAGE (Bleeding), ARTHRITIS (arthritis waking up), INFLUENZA (Flu) and PAIN (pain) outcome was unknown and ARTHRALGIA (Pain in hip) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Arthrogram: abnormal (abnormal) found blood in it. On an unknown date, Arthroscopy: unknown (Inconclusive) unknown and unknown (Inconclusive) unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Lab tests also included Left and right hip arthroscopy but the results were unknown. She got arthrogram of her hip done and there was blood in it and she got injected with an unspecified steroid gel. The patient also underwent a total knee replacement. 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.
63 2021-06-27 blood clot I formed bl9od clots in rt. leg. Discovered when foot swelled. Went to PCP and later was sent to er ... Read more
I formed bl9od clots in rt. leg. Discovered when foot swelled. Went to PCP and later was sent to er for ultrasound on leg. On 6/09/2021.
63 2021-07-07 atrial fibrillation Went into Afib with RVR. Required treatment at emergency room. Heart rate converted. Only 7/5/21 ag... Read more
Went into Afib with RVR. Required treatment at emergency room. Heart rate converted. Only 7/5/21 again had episode of Afib, required treatment at hospital and admisson to hospital. Discharged requiring 3 medications. Now in controlled heart rate with periods of normal sinus rhythm that goes into Afib and returns to normal rhtthm
63 2021-07-08 heart attack After receiving dose 1 of the Moderna COVID19 vaccine on 4/6/2021 I suffered a heart attack (MI) on ... Read more
After receiving dose 1 of the Moderna COVID19 vaccine on 4/6/2021 I suffered a heart attack (MI) on 4/21/2021.
63 2021-07-09 pneumonia Developed pneumonia 5 days was hospitalized 2 days later and tested positive for covid pneumonia
63 2021-07-12 cerebrovascular accident 3 weeks after initial dose I had a stroke. In hospital 2 weeks in rehab 2 weeks. Many CT Scans and ... Read more
3 weeks after initial dose I had a stroke. In hospital 2 weeks in rehab 2 weeks. Many CT Scans and MRI'S. Heart checked, blood work, neurologist. Reason for stroke unknown
63 2021-07-13 atrial fibrillation, pulmonary embolism Three days (03/06) I had go to the emergency room. I was diagnosed with a Pulmonary embolism. I coul... Read more
Three days (03/06) I had go to the emergency room. I was diagnosed with a Pulmonary embolism. I couldn't breathe good.
63 2021-07-15 fluid around the heart Daily headaches- in process of treatment
63 2021-07-27 deep vein blood clot DVT blood clot from the vaccine; lost 10 lbs that I can not afford to lose, 105 lbs now; Anxiety; pa... Read more
DVT blood clot from the vaccine; lost 10 lbs that I can not afford to lose, 105 lbs now; Anxiety; pain in my legs; itchy rash that went from her elbow all the way up to her shoulder from her vaccination arm; feeling nauseous; lump on the underside of her biceps; arm sore all day at the injection site and the next day she couldn't even lift it up; Arm sore at the injection site, couldn't lift up arm; This spontaneous case was reported by a consumer and describes the occurrence of DEEP VEIN THROMBOSIS (DVT blood clot from the vaccine) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Iodine allergy. Concomitant products included CLONAZEPAM for Anxiety, CITALOPRAM and MORPHINE SULFATE (MORPHINE SULPHATE) for an unknown indication. On 23-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Mar-2021, the patient experienced VACCINATION SITE PAIN (Arm sore at the injection site, couldn't lift up arm). On 24-Mar-2021, the patient experienced PAIN IN EXTREMITY (arm sore all day at the injection site and the next day she couldn't even lift it up). On 25-Mar-2021, the patient experienced NODULE (lump on the underside of her biceps), RASH PRURITIC (itchy rash that went from her elbow all the way up to her shoulder from her vaccination arm) and NAUSEA (feeling nauseous). On an unknown date, the patient experienced DEEP VEIN THROMBOSIS (DVT blood clot from the vaccine) (seriousness criterion medically significant), WEIGHT DECREASED (lost 10 lbs that I can not afford to lose, 105 lbs now), ANXIETY (Anxiety) and PAIN IN EXTREMITY (pain in my legs). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency and APIXABAN (ELIQUIS) ongoing since an unknown date for DVT, at an unspecified dose and frequency. At the time of the report, DEEP VEIN THROMBOSIS (DVT blood clot from the vaccine), WEIGHT DECREASED (lost 10 lbs that I can not afford to lose, 105 lbs now), ANXIETY (Anxiety), NODULE (lump on the underside of her biceps), PAIN IN EXTREMITY (arm sore all day at the injection site and the next day she couldn't even lift it up), PAIN IN EXTREMITY (pain in my legs), RASH PRURITIC (itchy rash that went from her elbow all the way up to her shoulder from her vaccination arm), VACCINATION SITE PAIN (Arm sore at the injection site, couldn't lift up arm) and NAUSEA (feeling nauseous) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication taken by the patient included steroid injection for her back. On an unknown date, the patient stated they had been to the hospital three separate times after receiving their first Moderna COVID-19 vaccine. While in the emergency room (ER) the patient suggested they do an ultrasound of the beet red, swollen, hot and itchy lump of the left arm. The ultrasound was performed and confirmed the patient had a deep vein thrombosis (DVT). It was recommended the patient had a scan of her lungs. However, the patient had an allergy to iodine and the hospital at that time did not have a machine that could perform such scan. The patient was transferred to a new hospital to have the scan performed. The unspecified scan of the lungs did not show any clots. On an unknown date, the patient reported going back to the hospital on two separate occasions for pain in the legs. An ultrasound was performed and confirmed no clots in the legs. The patient reported fear and anxiety after experiencing the DVT. This case concerns a 63-year-old female with a serious unexpected event of deep vein thrombosis, and nonserious weight decreased, anxiety, nodule, pain in extremity, rash pruritic, and vaccination site pain. Event latency within 24 hours after first dose mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. Most recent FOLLOW-UP information incorporated above includes: On 24-Jul-2021: Case Upgraded to Serious. Added lab data which includes Ultrasound. Added allergy to iodine. Added new events DVT blood clot from the vaccine, weight loss and anxiety.; Sender's Comments: This case concerns a 63-year-old female with a serious unexpected event of deep vein thrombosis, and nonserious weight decreased, anxiety, nodule, pain in extremity, rash pruritic, and vaccination site pain. Event latency within 24 hours after first dose mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.
64 2021-01-30 pneumonia Fever up to 103.6 F for 3 days; rigors; headache; fatigue; bilateral pneumonia, cough, occasional vo... Read more
Fever up to 103.6 F for 3 days; rigors; headache; fatigue; bilateral pneumonia, cough, occasional vomiting
64 2021-01-31 death Pt. presented to the ER with abd pain and septic shock. Pt. reported to feel ill shortly after rec... Read more
Pt. presented to the ER with abd pain and septic shock. Pt. reported to feel ill shortly after receiving the vaccine.
64 2021-02-04 anaphylactic reaction Anaphylaxis - treated with epipen.
64 2021-02-08 deep vein blood clot, pulmonary embolism Deep vein thrombosis; pulmonary embolism; A spontaneous report was received from a 64-year-old femal... Read more
Deep vein thrombosis; pulmonary embolism; A spontaneous report was received from a 64-year-old female consumer who received Moderna's COVID-19 Vaccine (mRNA-1273) and developed deep vein thrombosis and pulmonary emboli. The patient's medical history was not provided. Concomitant product use was not provided. On 05 Jan 2021, approximately 3 weeks prior to the onset of the events, the patient received first dose of mRNA-1273 (Lot number: 037K20A) intramuscularly for prophylaxis of COVID-19 infection. On 26 Jan 2021, the patient reported she was hospitalized for deep vein thrombosis and pulmonary emboli. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events, deep vein thrombosis and pulmonary emboli, were considered unknown.; Reporter's Comments: This case concerns a 64-year-old, female patient. The patient's medical history was not provided. The patient experienced serious, unexpected event of Deep vein thrombosis and pulmonary embolism. The events occurred 22 days after the first dose of mRNA-1273 (Lot number: 037K20A) administration. Very limited information regarding this event has been provided at this time. Based on temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. Additional information has been requested for further assessment.
64 2021-02-16 atrial fibrillation Moderna vaccine #1. High heart rate and atrial fibrillation reported by Watch over three day period ... Read more
Moderna vaccine #1. High heart rate and atrial fibrillation reported by Watch over three day period beginning about 3 hours + after injection. . Resting heart rate was up to 167 at one time and sleeping rate was up and down in the low 100?s Did several ECGs and atrial fibrillation reported several times. Heart rate began to subside after a full two days with spikes. Monitored through weekend to be sure no further spikes. Have copies of reports. Called and reported to physician on 2/16. Called VARES and Moderna to report and no return calls as yet as no choice but to leave voice mail.
64 2021-02-16 low platelet count Platelet count of 28,000; Generalized body pain all over; Weakness; On and off Chills; Low grade fev... Read more
Platelet count of 28,000; Generalized body pain all over; Weakness; On and off Chills; Low grade fever; Injection site soreness; A spontaneous report was received from a consumer who was a 64-year-old, female patient who developed a platelet count of 28,000 (thrombocytopenia), generalized body pain all over (general body pain), weakness (asthenia), on and off chills (chills), low grade fever (pyrexia), and vaccination site soreness (injection site pain). The patient's medical history was not provided. Concomitant product use was not provided. The patient received their first of two planned doses of mRNA-1273 (lot number 039K20A) on 31 Dec 2020. On 28 Jan 2021, the patient received their second of two planned doses of mRNA-1273 (lot number 209K20A) in the left arm for prophylaxis of COVID-19 infection. On an undisclosed date the patient experienced injection site soreness, generalized body pain all over, chills, low grade fever and weakness. She also went to the hospital because she had a platelet count of 28,000. Treatment of these events was not provided. The patient received both scheduled doses of mRNA-1273 prior to the events; therefore, action taken with the drug in response to the events was not applicable. The outcome of the events, platelet count of 28,000, generalized body pain all over, weakness, on and off chills, low grade fever, and vaccination site soreness, was 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.
64 2021-02-21 death Per ED note: Brought in ED by EMS at 1945 for acute shortness of breath and hypotension. Patient was... Read more
Per ED note: Brought in ED by EMS at 1945 for acute shortness of breath and hypotension. Patient was placed on supplemental oxygen and covid test completed. Patient was placed on BiPAP to maintain oxygen greater than 90%. Found to be in metabolic acidosis. Patient became unresponsive and pulse could not be palpated. Chest compressions were initiated. ACLS medications given and pulses regained. Patient lost pulse 30 mins later and never regained pulse. Per ED noted; likely developed a PE. Passed away at 2127
64 2021-02-25 stroke, bleeding on surface of brain, excessive bleeding Moderna COVID-19 Vaccine EUA adverse event. Approximately 7 hours after the 1st COVID vaccination ... Read more
Moderna COVID-19 Vaccine EUA adverse event. Approximately 7 hours after the 1st COVID vaccination on 2/22/2021, patient developed symptoms of fatigue, aches, chills & fever. Her symptoms worsened into 2/23/21 with increasing shortness of breath. On arrival in the emergency center on 2/23/21, she was hypoxic with SpO2 81% on room air. Oxygen supplement via nasal cannula was given which improved her oxygenation. Covid 19 test negative. Chest Xray shows pulmonary edema and CTA chest shows no PE. She was admitted to the hospital and provided supportive care. Pulmonary Edema and inflammatory process is likely associated with the vaccine. Patient appeared to be improving, however, on 2/26/21, she was working with Physical Therapy/Occupational Therapy and had a pulse ox reading of 75% on room air. She was on 10 Liters of oxygen via nasal cannula by the time she make it back to bed and her pulse ox was 89%. Neurology exam shortly afterward the above event demonstrated an NIHSS of 21. Patient became non-verbal and stat imaging revealed an acute hemorrhage in the left occipatal lobe likely representing a SAH. Patient then transferred to another hospital that could provide neurosurgical intervention.
64 2021-03-03 atrial fibrillation Atrial fibrillation; Feeling fluttery; Heart rate was racing and was increasing, went up to 175 just... Read more
Atrial fibrillation; Feeling fluttery; Heart rate was racing and was increasing, went up to 175 just sitting; A spontaneous report was received from a consumer concerning a 64-year-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced atrial fibrillation, feeling fluttery, and heart rate was racing and was increasing, went up to 175 just sitting. The patient's medical history was not provided. Concomitant medications included Travatan for glaucoma. On 12 Feb 2021, prior to the onset of the events, the patient received the first of two planned doses of mRNA-1273 (lot/batch: 030M20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 12 Feb 2021, five hours after vaccination, the patient experienced a fluttery feeling, heart rate was racing and was increasing, heart rate went up to 175 just sitting. She took an EKG on her watch and it was atrial fibrillation. When she was sleeping, her heart rate was at 102 or the 90s, normally it would be in the 60s. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. At the time of this report, the outcome of the events, atrial fibrillation, feeling fluttery, and heart rate was racing and was increasing, went up to 175 just sitting, was unknown.; Reporter's Comments: This case concerns a 64 year old female patient, who was on hospice care experienced a fatal event of death, 1 day after receiving second dose of mRNA- 1273 (Lot# 030M20A). Very limited information regarding this event has been provided at this time. Further information has been requested.
64 2021-03-08 atrial fibrillation The called and reported she ended up going into the ER on Friday, March 5th for atrial fibrillation.
64 2021-03-09 death, cardiac arrest Patient received first vaccine dose on 3/10/21, waited for approximately 1 hour in Pharmacy after. ... Read more
Patient received first vaccine dose on 3/10/21, waited for approximately 1 hour in Pharmacy after. Was walking to her vehicle and became short of breath. Patient got to her vehicle and called 911 due to severe shortness of breath. Rescue arrived on scene at approximately 11:00am, found patient in distress and administered epinephrine, methylprednisolone, and diphenhydramine. Patient placed on CPAP in rescue en route to ER, became unresponsive, frothing pink sputum. Intubated by paramedics en route with iGel device. Patient arrived to ER at 11:22am, went into cardiac arrest at 11:24am. Patient continued to be unstable, had multiple rounds of cardiac arrest and ROSC. Patient ultimately did not survive arrests, and pronounced dead at 2:37pm. Medications received during course in the ER - epinephrine 1mg x18 doses, sodium bicarbonate 50mEq x4 doses, calcium chloride 1g, insulin regular 10 units x1, furosemide 80mg x1, epinephrine titrated infusion, sodium bicarbonate infusion.
64 2021-03-15 pneumonia, death No adverse reactions at the time of vaccine. Was admitted to hospital 5 days later with BLL pneumon... Read more
No adverse reactions at the time of vaccine. Was admitted to hospital 5 days later with BLL pneumonia and passed away on 03/10/2021
64 2021-03-21 ischaemic stroke Acute stroke (Expressive aphasia) . Went to emergency room, and hospitalized for 2 days. Left tempo... Read more
Acute stroke (Expressive aphasia) . Went to emergency room, and hospitalized for 2 days. Left temporal ischemic stroke was diagnosed. Aspirin, Plavix, tPA, Atorvastatin were used. Discharged in 2 days with pretty good recovery.
64 2021-03-22 death 3/20/21 06:22 pm Resident c/o Nausea and feeling full- Tube feeding placed on Hold- Resident started... Read more
3/20/21 06:22 pm Resident c/o Nausea and feeling full- Tube feeding placed on Hold- Resident started vomiting- Zofran 4 mg given- Positive outcomes. 03/21/2021- 0430 Resident found unresponsive on morning rounds- w/ weak pulse, shallow breathing. O2 via NC increased to 5 L, NP, Family ( Code Status DNR)- Power of attorney ordered to send out- MR notified- Upon arrival no rhythm detected- Death pronounced at 0445
64 2021-03-23 atrial fibrillation Patient has A. Fib and on the first dose the EMS was called because of her rapid heart rate. Patient... Read more
Patient has A. Fib and on the first dose the EMS was called because of her rapid heart rate. Patient HR became 115 bpm after second dose. Onsite EMS was called vitals HR 95 BP 175/96. Symtoms subsides and was able to go home.
64 2021-03-23 death, cardiac arrest 2/25/2021 She was taken to the hospital for aspiration. 03/09/2021 was discharged, but relatives wer... Read more
2/25/2021 She was taken to the hospital for aspiration. 03/09/2021 was discharged, but relatives were informed that she was unwell. 3/13/2021 When they went to take the rounds she was without signs, she was sleeping. He refers that the patient died of Aspiration Pneumonia and was tested at the Hospital with negative results. They certify death due to cardiovascular arrest
64 2021-03-28 fluid around the heart, pulmonary embolism Large volume obstructive PEs with bilateral pleural and pericardial effusions
64 2021-03-30 pulmonary embolism presented 5 days after Covid vaccine with massive pulmonary emboli
64 2021-03-31 cerebral haemorrhage Brain bleed; Platelet count droppped to 40; Bruises all over the body; Organs shut down; A spontaneo... Read more
Brain bleed; Platelet count droppped to 40; Bruises all over the body; Organs shut down; A spontaneous report was received from a consumer concerning a 64-year-old female patient, who experienced bruises all over the body (contusion) , brain bleed (cerebral haemorrhage), platelet count dropped below 40 (platelet count decreased) and organs shutdown (multi organ failure). The patient's medical history included bacterial infection 2 days prior to receiving vaccine dose. Product known to have been used by the patient, within two weeks prior to the event, included antibiotics (not specified). On 02 Mar 2021, the patient received her first of the two planned vaccine doses of mRNA-1237 (Lot # unknown) for prophylaxis of Covid-19 infection. On 03-Mar-2021, the patient developed severe bruises all over her body. On 04 Mar 2021, within 2 days after receiving the vaccination, the patient was rushed to the hospital where it was determined that she had sustained a brain bleed. She had all her organs shutdown and her platelet count had dropped below 40. On 04 Mar 2021, it was reported that the patient died. The cause of death was reported as organ failure. Plans for autopsy were not provided. Action taken with the mRNA-1273 in response to the events was not applicable. The outcome of the events, bruises all over the body(contusion), brain bleed(cerebral haemorrhage), platelet count dropped below 40(platelet count decreased) were 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. However, the patient's underlying history of bacterial infection could be a contributory factor. Awaiting further clarification.; Reported Cause(s) of Death: Organ Failure
64 2021-03-31 cerebrovascular accident Stroke; Bad headache; Very tired; Right side of her body numb; A spontaneous report was received fro... Read more
Stroke; Bad headache; Very tired; Right side of her body numb; A spontaneous report was received from a consumer, concerning a female patient (herself) of 64-years-old, who received Moderna's COVID-19 vaccine and experienced headache, tiredness, stroke/ Cerebrovascular accident and right side of her body numb/hypoaesthesia. The patient's medical history included high blood pressure, migraine, high cholesterol, obesity, fusion of spine and neck surgery and numbness on the right side. Products known to have been used by the patient, within two weeks prior to the event included unspecified blood pressure medications. On 18 Mar 2021, approximately four days prior to the onset of events, the patient received their first of two planned doses of mRNA-1273 (lot number: 006B21A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 18 Jan 2021 night, the patient experienced a bad headache and was very tired. On 20-Mar-2021, the patient felt better and went for a walk. On 21 Mar 2021, Sunday, at 1:00 am the patient experienced stroke and was hospitalized subsequently. The event stroke was considered as medically significant and required hospitalization. On 24 Mar 2021, the patient was discharged from hospital and she stated that the stroke had left her entire right side of the body numb. Treatment for the events included atorvastatin, aspirin. Action taken with mRNA-1273 in response to the events was unknown. The outcome of the events headache, tiredness, stroke/cerebrovascular accident was considered as resolved/recovered on 24 Mar 2021. The outcome of the event right side of her body numb/hypoaesthesia was considered as not recovered at the time of this report.; 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.
64 2021-04-11 cerebrovascular accident After having immunization on 3/25/2021, began feeling weak with low grade fever (99.9) after feeling... Read more
After having immunization on 3/25/2021, began feeling weak with low grade fever (99.9) after feeling like that for a day, daughter (nurse) noticed drawing of facial muscles and weakness to left side. took her to local hospital where they then transferred her to another hospital where they admitted her and performed a CT of brain which was positive for a stroke. Patients daughter states patient continued to run low grade temp until yesterday and is being discharged today
64 2021-04-12 pulmonary embolism Had systems of fatique and chest pain. Went to hospital of 4/12/2021 . Learned that had blood clots ... Read more
Had systems of fatique and chest pain. Went to hospital of 4/12/2021 . Learned that had blood clots in lungs that I previously did not
64 2021-04-12 blood clot Shortness of breath , extreme pain 3 hospital visits until blood clot was detected,now on blood thin... Read more
Shortness of breath , extreme pain 3 hospital visits until blood clot was detected,now on blood thinner Eliquis
64 2021-04-13 low blood platelet count, pulmonary embolism immune mediated thrombocytopenia, anemia, pulmonary embolism, pulmonary infiltrates. treated with IV... Read more
immune mediated thrombocytopenia, anemia, pulmonary embolism, pulmonary infiltrates. treated with IVIG x 2 days and prednisone 120 mg daily. started on heparin drip.
64 2021-04-13 heart attack Cranial and spinal SAH hematoma at roughly same time as heart attack. Cause of hematoma was unknow... Read more
Cranial and spinal SAH hematoma at roughly same time as heart attack. Cause of hematoma was unknown. Potentially a side effect of elliquis; but her cardiologist does not believe ellipsis was the cause. Heart attack at similar time due to blood clot and blocked artery and possibly reaction of body to hematoma. We do not have any hard data that either are related to the vaccine; but are reporting them under the advice of a doctor to give information for science.
64 2021-04-14 cardiac arrest, death Patient per tracking received 2nd COVID vaccine on 4/5/2021 from Health Department. Patient to Hos... Read more
Patient per tracking received 2nd COVID vaccine on 4/5/2021 from Health Department. Patient to Hospital Emergency department via EMS 4/6/2021 with cardiac arrest and death
64 2021-04-17 ventricular tachycardia 64 year old female with a history of Non-ischemic cardiomyopathy with defibrillator in place. She r... Read more
64 year old female with a history of Non-ischemic cardiomyopathy with defibrillator in place. She received the Moderna Vaccine at clinic on 2/26 and on 3/26 (Lot# 014M20A and 031A21A respectively). She had not received any device therapy for at least one year and had not been hospitalized in over one year. She presented to ED on 3/27 after her defibrillator fired. She was transferred to hospital and evaluated by EP there who felt that ventricular fibrillation prompting defibrillator therapy was triggered by COVID vaccine. After discharge on 3/31, she had another VF episode. On 4/2 admitted awaiting EP consultation. 4/5/21 DISCHARGE SUMMARY STATES: #Recurrent defibrillator therapy in setting of Recurrent VF : AICD interrogation showed underlying rhythm to be Vfib. Possible adverse event associate with vaccine reported to VAERS. Interrogation at emergency department on 3/27 revealed 14 beats of polymorphic V. tach, possible lead misplacement. S per hospital showed lead appropriately positioned. Repeat echocardiogram done at hospital demonstrated an EF of 45 to 49%, device was reinterrogated there. She was seen by EP at that time with recommendations to continue home beta-blocker and follow-up. Upon return to emergency department, cardiology was reconsulted and communicated with EP with recommendation for stopping metoprolol and starting Nadolol 40mg BID and Mexiletine 150 BID. She did not have any further ventricular tachycardia for over 48 hours after this change and was felt safe for discharge home on these two medications.
64 2021-04-19 sepsis, pneumonia about 10 hours later increased sob and chest tightness and then hypoxia and hospitalization x 4 days... Read more
about 10 hours later increased sob and chest tightness and then hypoxia and hospitalization x 4 days and IV steroids Patient is a 64 y.o. female with PMH notable for von Willebrand disease, asthma, OSA on CPAP, DMT2, HLD, lumbar stenosis, chronic opioid use, GERD, PUD, and anxiety who presents with SOB, weakness, fever. Patient with history asthma, controlled on symbicort and PRN albuterol, now with progressive worsening SOB since the day prior to admission, patient received 2nd dose of Moderna COVID-19 vaccine on 03/10/21. Also, with chest tightness, body aches, headache and chills. Was up last night with fever 101F, took ibuprofen. She had worsening wheezing and SOB while bring dog to dog groomer and had groomer call ambulance. EMS called, received albuterol nebs in route with some improvement in symptoms. Chest tightness has improved. SOB improved now at rest but still winded when up to bathroom. Vitals on arrival notable for BP 144/55, HR 125 (sinus tach on EKG), temp 102.1F, RR 22, 92% on RA. Labs notable for WBC 8.6, CR 0.54. Normal LFTs. Lactate 3.3. D-dimer 0.9. pBNP 56, troponin <0.012. COVID-19 PCR panel negative. CXR with Chronic linear atelectasis or scarring at the lung bases, unchanged. CT PE study negative for PE, possibly some mild pulm congestion, increased interstitial markings. Patient given 2L NS in ED as well as ceftriaxone 2g and doxycycline 100mg. Patient will be admitted to inpatient for further evaluation and management of sepsis. Met sepsis criteria given fever, tachycardia, elevated lactate. Infectious source most likely pneumonia (though only slight increase interstitial markings on CT). Could be atypical or viral pneumonia. However, timing of symptoms could also fit with reaction to COVID-19 vaccine and asthma exacerbation. COVID-19 negative and influenza negative. Was treated with abx for CAP and prednisone + albuterol for asthma exacerbation. Lactate normalized with IVFs, fevers and tachycardia resolved. Patient able to wean to RA, dyspnea and wheezing slowly improved. Abx narrowed to cefzil, doxycycline. 1/2 admission blood cultures positive for streptococcuss. Patient was febrile and septic on admission. Subsequent blood culture without growth to date. Abx returned to IV ceftriaxone given strep + BCx.. Low blood cultures x2 were negative at 48 hours. Dr. was consulted over the phone and he recommended 5 days of oral amoxicillin on discharge. Chronic medical conditions were stable while hospitalized. No medication changes were made.
64 2021-04-20 deep vein blood clot, pulmonary embolism Presented to the ED on 4/18/21 with tachycardia and shortness of breath. Found to have bilateral DV... Read more
Presented to the ED on 4/18/21 with tachycardia and shortness of breath. Found to have bilateral DVTs and bilateral pulmonary emboli - confirmed with imaging. As a result, was found to have obstructive shock with presumed right heart failure. She received 50mg of systemic TPA along with catheter directed thrombolysis. Remains critically ill in the ICU.
64 2021-04-21 pulmonary embolism Patient was admitted to Hospital on 4/12 with shortness of breath and diagnosed with Acute Pulmonary... Read more
Patient was admitted to Hospital on 4/12 with shortness of breath and diagnosed with Acute Pulmonary Embolism .
64 2021-04-22 cerebrovascular accident On April 13th, patient noted a black spot in her vision with her right eye. As the day progressed, s... Read more
On April 13th, patient noted a black spot in her vision with her right eye. As the day progressed, she began experiencing a headache which worsened in severity despite treating with medication. She started treating with Tramadol; when that didn't help, she took her prescription oxycodone (5mg/325mg) 3 hours later, q6 hours x 2. That evening, patient experienced 1 episode of emesis and thought she may not be feeling well, so went to bed. When she woke the next morning, she felt better, but still noted the black spot in her vision. She sought care with her Ophthalmologist, who evaluated her, and he did not believe it was related to her vision. He referred her for an MRI, immediately. MRI revealed a stroke in the occipital region. She was admitted and given IV fluid along with another panel of testing. She was seen by Neurologist and Hospitalist; more testing was completed on Friday, including bloodwork which revealed high potassium levels which was treated. She was also given 1 unit of blood. She discharged on Friday and was started on Clopidogrel (75 mg). Follow up appointments are scheduled with eye doctor, neurology, internist. Right eye was affected and vision will not likely return, per her doctors.
64 2021-04-22 cerebrovascular accident Diagnosed with Bell´s Palsy; Stroke; Second dose scheduled 2 days past her 42 days; terrible dizzin... Read more
Diagnosed with Bell´s Palsy; Stroke; Second dose scheduled 2 days past her 42 days; terrible dizziness; double vision; This spontaneous case was reported by a consumer and describes the occurrence of CEREBROVASCULAR ACCIDENT (Stroke) and FACIAL PARALYSIS (Diagnosed with Bell´s Palsy) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included High cholesterol, Hypertension and Thyroid disorder. On 16-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Mar-2021, the patient experienced CEREBROVASCULAR ACCIDENT (Stroke) (seriousness criteria hospitalization and medically significant), DIZZINESS (terrible dizziness) and DIPLOPIA (double vision). On 10-Apr-2021, the patient experienced FACIAL PARALYSIS (Diagnosed with Bell´s Palsy) (seriousness criteria hospitalization and medically significant). On an unknown date, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Second dose scheduled 2 days past her 42 days). The patient was hospitalized from 28-Mar-2021 to 31-Mar-2021 due to CEREBROVASCULAR ACCIDENT, and then from 10-Apr-2021 to 13-Apr-2021 due to FACIAL PARALYSIS. At the time of the report, CEREBROVASCULAR ACCIDENT (Stroke), FACIAL PARALYSIS (Diagnosed with Bell´s Palsy), DIZZINESS (terrible dizziness) and DIPLOPIA (double vision) outcome was unknown and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Second dose scheduled 2 days past her 42 days) had resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient had a stroke that affected her right side and affected her vision. She stated she had a very mild case of bells palsy, her mouth and her left side was drooping a bit, her left eye did not blink and would not close, she could chew and she could talk pretty good, she had to drink with the right side with a straw. Products known to have been used by the patient, within two weeks prior to the event, included unspecified cholesterol medication, high blood pressure medication and unspecified thyroid medication. Treatment medications included: prednisone, 5 or 6 medications for the heart and valacyclovir HCL 1g tablet. This report refers to a case of Inappropriate schedule of product administration for mRNA-1273. Based on the current available information and temporal association between the use of the product and the start date of the events (stroke, facial paralysis, dizziness, and diplopia), a causal relationship cannot be excluded.; Sender's Comments: This report refers to a case of Inappropriate schedule of product administration for mRNA-1273. Based on the current available information and temporal association between the use of the product and the start date of the events (stroke, facial paralysis, dizziness, and diplopia), a causal relationship cannot be excluded.
64 2021-04-22 pulmonary embolism, deep vein blood clot She had the vaccine, felt shortness of breath and fever and chills on 4/16/21. On 4/18/21 she felt ... Read more
She had the vaccine, felt shortness of breath and fever and chills on 4/16/21. On 4/18/21 she felt pain and discomfort on the left leg, and she had left leg DVT and bilateral pulmonary embolisms. Left leg was found on US, and pulmonary embolism was found on 4/22/21 on CT. She has been given Heparin drip and he does not know when she will be released. She is having difficulty breathing, shortness of breath mainly with activity.
64 2021-04-22 blood clot, cerebrovascular accident I because confused and unsteady. I then fell. My husband helped me up but he knew something was wr... Read more
I because confused and unsteady. I then fell. My husband helped me up but he knew something was wrong. He called 911 an ambulance took me to the hospital but I was transferred to another hospital. In case I needed surgery. It was touch and go. I was suffering a stroke. A blood clot was also found. I was in the hospital ICU for 3 days then transferred to another room. For another day.
64 2021-04-23 anaphylactic reaction anaphylactic shock; difficulty breathing; faced was paralyzed; rash on arms and chest; This spontane... Read more
anaphylactic shock; difficulty breathing; faced was paralyzed; rash on arms and chest; This spontaneous case was reported by a pharmacist (subsequently medically confirmed) and describes the occurrence of ANAPHYLACTIC REACTION (anaphylactic shock), DYSPNOEA (difficulty breathing) and FACIAL PARALYSIS (faced was paralyzed) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 001C21A and 008B21A) 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 23-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 20-Apr-2021, the patient experienced ANAPHYLACTIC REACTION (anaphylactic shock) (seriousness criterion life threatening), DYSPNOEA (difficulty breathing) (seriousness criterion medically significant), FACIAL PARALYSIS (faced was paralyzed) (seriousness criterion medically significant) and RASH (rash on arms and chest). At the time of the report, ANAPHYLACTIC REACTION (anaphylactic shock), DYSPNOEA (difficulty breathing), FACIAL PARALYSIS (faced was paralyzed) and RASH (rash on arms and chest) outcome was unknown. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Treatment medication included epinephrine injection. Company comment: based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded. This case was linked to MODERNATX, INC.-MOD-2021-081859 (E2B Linked Report).; Sender's Comments: based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded. MODERNATX, INC.-MOD-2021-081859:Crossed linked
64 2021-04-23 atrial fibrillation Elevated heart rate, causing Afib
64 2021-04-25 pulmonary embolism, deep vein blood clot MULTIPLE BILATERAL PULMONARY EMBOLI NONOCCLUSIVE RIGHT POPLITEAL DVT OCCLUSIVE RIGHT POSTERIOR TIBIA... Read more
MULTIPLE BILATERAL PULMONARY EMBOLI NONOCCLUSIVE RIGHT POPLITEAL DVT OCCLUSIVE RIGHT POSTERIOR TIBIAL VEIN AND RIGHT SMALL SAPHENEOUS VEIN THROMBOSIS PATIENT BEGAN TO DEVELOP LEFT FLANK PAIN FOUR DAYS FOLLOWING VACCINATION FOLLOWED BY SEVERE SHORTNESS OF BREATH WITHIN THE FOLLOWING DAYS
64 2021-04-27 blood clot in lung On Monday January 18th, I woke up grapping for air, unable to breathe. Was taken to the ER at hospi... Read more
On Monday January 18th, I woke up grapping for air, unable to breathe. Was taken to the ER at hospital and admitted with blood clots in my lungs.
64 2021-04-28 blood clot in lung, pneumonia BLOOD CLOT IN THE LUNGS AND PNEUMONIA (AS REPORTED PER PATIENT)
64 2021-05-02 low platelet count Thrombocytopenia. No bruising or symptoms stated since last dose of vaccine on 01/27/2021. Patient j... Read more
Thrombocytopenia. No bruising or symptoms stated since last dose of vaccine on 01/27/2021. Patient just went for annual labs and discovered it. Experienced Dry. crusty rash on body. Patient is on high-dose corticosteroid therapy. Patient seeing Hematologist.
64 2021-05-04 cerebrovascular accident Received Moderna vaccine, 2nd dose 4/19/2021. On 4/24.2021 experienced a stroke . Pt awoke morning... Read more
Received Moderna vaccine, 2nd dose 4/19/2021. On 4/24.2021 experienced a stroke . Pt awoke morning of 4/24/2021 with "severe vertigo and vomiting".
64 2021-05-04 death Vaccine was administered at 12:10pm The patient was observed for 15 minutes and sent over to her onc... Read more
Vaccine was administered at 12:10pm The patient was observed for 15 minutes and sent over to her oncologist for an appointment. A CT scan was ordered- CT done (no contrast) in the same building with daughter transporting. Daughter states mother became unresponsive after CT scan. She alerted the doctor and staff who responded. They moved her to an exam room. Noted agonal breaths on vital signs. CPR started. CPR stopped shortly after per the families request. Death pronounced at 2:34pm.
64 2021-05-09 anaphylactic reaction I had the same sore arm, head ache, body aches, fatigue after the second dose as I did after the fir... Read more
I had the same sore arm, head ache, body aches, fatigue after the second dose as I did after the first dose. However on day 5 I developed the worst fever blister on my lower lip. On day 13 I experienced an anaphylactic episode. I noticed my hands started itching about 30 mintues after eating breakfast (coffee, oatmeal, blueberries, almonds). I took my dog for a walk and started to feel nausaus and extremely tired. I went to bed. Hives started. Had abdominal cramps, loose stool. Took benadryl 25 mg. then another 25 mg. Initially felt better after taking the benadryl. About 30 minutes later, more nausea and cramps. I went to the bathroom and while sitting on the toilet I could tell I was going to pass out. I lay down on the floor and was competely weak. I was aware that my bowels were moving, but I could do nothing about it. I was able to call for my husband (approximately 20 minutes later). He called an ambulance. Blood work from ER was normal except for WBC 15.4, Neutrophils 88.9%, Lymphocytes 6.6%, Eosinophils 0.1%, ANC 13.8, absolute granulocytes 13.7, glucose 152, and MPV 9.2, I saw an allergist because they thought I had developed a food allergy but that was ruled out. I have an epi pen now.
64 2021-05-09 cerebrovascular accident Headaches, Blurred eye-site, Exhausted! Went to Urgent Care 1/30/21 did Covid test again gave me st... Read more
Headaches, Blurred eye-site, Exhausted! Went to Urgent Care 1/30/21 did Covid test again gave me steroids. Went to GP March 7. did blood work. Gave me stronger antibiotics and more steroids. Feb 11-13 in Hospital. Taken by ambulance to ER. BP was 195/100 heart rate 120. Had high blood counts on many things! Sugar levels high for 5 days. 145-165 usually normal. ER doctors suggested I see a Neurologist. I had a mild stroke in right Occipital lobe. Went to Clinic on March 1. Prelim appt. Checking on Chiari Malformation mostly. April 1-2 Clinic. Botox in head for migraine headaches. Diclofenac Sod 50 mg & Cyclobenzaprine 10 mg. I'm still very weak/exhausted, eyes blurry and feel swollen and memory is awful with shaking in hands. Saw Eye specialist, I have 20/20 vision. I haven't been able to work since Jan 23, 2021. I can't drive and am having a tough time with remembering anything.
64 2021-05-12 excessive bleeding, death She was found dead in her home one week after the injection. She died the day of the injection accor... Read more
She was found dead in her home one week after the injection. She died the day of the injection according to the coroners office. There was blood on the bed and down her chest.
64 2021-05-17 respiratory arrest Passing Out, Loss Of Voice, Throat Closing Up, Can Not Breath, Chess and Body Pains, Headaches, Face... Read more
Passing Out, Loss Of Voice, Throat Closing Up, Can Not Breath, Chess and Body Pains, Headaches, Face Swelling, Face Red
64 2021-05-17 blood clot Sever headache beginning about 10 hours after vaccination, with nausea, and passed blood clots throu... Read more
Sever headache beginning about 10 hours after vaccination, with nausea, and passed blood clots through nose about 16 hours following vaccine with small further amounts on May 15. All accompanied by extreme fatigue. It was the passing of blood through my nose that was unexpected and seemed worth reporting.
64 2021-05-17 vaginal haemorrhage I started bleeding vaginally about four days after the shot, plus was fairly dizzy for the first wee... Read more
I started bleeding vaginally about four days after the shot, plus was fairly dizzy for the first week. I haven't bled vaginally for nearly 13yrs and am very healthy. Tests were run and all came back normal. Medication solved the problem, but I bled for nearly two weeks.
64 2021-05-20 pneumonia, death 64 y.o. female who presented with SOB. She has a history of CAD, diabetes, CHF, CKD and DVT presents... Read more
64 y.o. female who presented with SOB. She has a history of CAD, diabetes, CHF, CKD and DVT presents to the ED in respiratory distress. Patient was brought in by EMS from nursing home. Patient had reported onset of shortness of breath and respiratory distress over the last 6-7 hours. Patient has O2 sat of 90% on 6 L. Patient only uses 2 L nasal cannula oxygen all day long. Patient is coherent and initially was placed on BIPAP but then stated she wanted to go back, now after ER doc spoke to her she is ok with being admitted but does not want BIPAP or to be placed in the ICU. She is DNR/DNI. She is working hard to breathe currently. Patient is unsure if she is making urine at this time. Workup in the ER revealed AKI on CKD and covid + pneumonia. Patient elected hospice and expired 5/20/2021. It was reported that patient had received vaccines at Walmart.
64 2021-05-22 blood clot 1 week after receiving the shot the patient was diagnosed with clots and prescribed Eliquis.
64 2021-05-26 deep vein blood clot Acute deep vein thrombosis of femoral vein of right lower extremity.
64 2021-05-27 death The spouse reported onset of symptoms on 5/20/21 including lethargy. He reported that on 5/27/21, h... Read more
The spouse reported onset of symptoms on 5/20/21 including lethargy. He reported that on 5/27/21, her speech became slurred and she died. Per spouse, an autopsy is pending.
64 2021-05-30 cerebrovascular accident, death, ischaemic stroke Acute onset stroke symptoms the afternoon of 4/13/21 after returning home from room. EMS transporte... Read more
Acute onset stroke symptoms the afternoon of 4/13/21 after returning home from room. EMS transported pt to local hospital. Dx with aortic arch/proximal subclavian artery thrombus, migration into axillary artery. Treated at local hospital with TNK for aortic arch clot & ischemic stroke. Transferred to tertiary medical center. Pt had massive stroke (left & right side) with brain stem herniation. Pt CMO after 16hrs and expired on 4/14, <32 hrs after symptom onset.
64 2021-05-30 pulmonary embolism, blood clot Spinal fusion on January 12, 2021 one week after first vaccine. Second vaccine on Feb 2, 2021. Devel... Read more
Spinal fusion on January 12, 2021 one week after first vaccine. Second vaccine on Feb 2, 2021. Developed blood clot in right calf & pulmonary embolism in right lung the week of Feb 15th. May have been post op problem but I had no issue until after the 2nd vaccine. Surgeon felt that post op pts usually get a blood clot within 2 weeks after surgery- that's why I feel it was from the 2nd vaccine.
64 2021-05-30 pulmonary embolism 5/21 started feeling poorly, fatigue, shortness of breath, evening headaches 5/24 Fatigue, shortness... Read more
5/21 started feeling poorly, fatigue, shortness of breath, evening headaches 5/24 Fatigue, shortness of breath, unable to complete any task, low grade fever 99.8, unable to eat or drink well 5/25 severe heartburn, shortness of breath continued, extreme fatigue 5/28 went to ER with continued extreme shortness of breath and fatigue. CT scan revealed multiple clots in lungs and was admitted for needing oxygen and to start anticoagulation.
64 2021-06-02 pulmonary embolism Pt is 64 Had viral type pneumoia with out pos Covid test in January 2021. She was left oxygen dep... Read more
Pt is 64 Had viral type pneumoia with out pos Covid test in January 2021. She was left oxygen dependent at 2 liters of oxygen by NC. on the 14th of April she recieved her second Moderna Covid shot. Two days later she was begining to become very short of breath. Needed to turn up her oxygen. Paramedics came to her house and found that O2 sat on RA was 60. In my Emergency room her O2 sat was only 87 percent on her two liters and on 15 liters of oxygen she was only 94 Percent.
64 2021-06-09 anaphylactic reaction I am allergic to Moderna COVID-19 Vaccine; itching; hives; diarrhea; Anaphylactic reaction; This spo... Read more
I am allergic to Moderna COVID-19 Vaccine; itching; hives; diarrhea; Anaphylactic reaction; This spontaneous case was reported by a consumer and describes the occurrence of ANAPHYLACTIC REACTION (Anaphylactic reaction) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. D38B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Interstitial lung disease (interstitial lung disease and pulmonary emphysema) in April 2018, Emphysema pulmonary (interstitial lung disease and pulmonary emphysema) in April 2018 and Obstructive sleep apnea syndrome on 22-Oct-2018. Previously administered products included for Product used for unknown indication: Premarin (hives and itching) on 02-Sep-2009, Premarin (hives and itching) on 02-Sep-2009 and ACTEMRA on 08-Oct-2018. Past adverse reactions to the above products included Anaphylaxis with ACTEMRA; Hives with Premarin; and Itching with Premarin. Concurrent medical conditions included Seasonal allergy (sneezing, itching, watery eyes, runny nose.) since 10-Aug-2009, Seropositive rheumatoid arthritis since 13-Dec-2016, Hypothyroidism since 25-Sep-2009, Type 2 diabetes mellitus on 24-Sep-2019, Joint stiffness, Pain and Inflammation. Concomitant products included LEVOTHYROXINE SODIUM (LEVOTHYROXIN) for Hypothyroidism, METHYLPREDNISOLONE (MEDROL [METHYLPREDNISOLONE]) for Inflammation, CHLORZOXAZONE for Joint stiffness, IBUPROFEN for Pain, TOFACITINIB CITRATE (XELJANZ XR) for Rheumatoid arthritis. On 07-Apr-2021 at 11:00 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Apr-2021, the patient experienced ANAPHYLACTIC REACTION (Anaphylactic reaction) (seriousness criterion medically significant), PRURITUS (itching), URTICARIA (hives) and DIARRHOEA (diarrhea). On an unknown date, the patient experienced ALLERGY TO VACCINE (I am allergic to Moderna COVID-19 Vaccine). The patient was treated with CETIRIZINE HYDROCHLORIDE (ZYRTEC ALLERGY) (oral) from 12-Apr-2021 to 20-Apr-2021 at a dose of UNK, qd. On 15-Apr-2021, ANAPHYLACTIC REACTION (Anaphylactic reaction) had resolved. At the time of the report, ALLERGY TO VACCINE (I am allergic to Moderna COVID-19 Vaccine), PRURITUS (itching), URTICARIA (hives) and DIARRHOEA (diarrhea) 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 did not provide any causality assessments. Patient stated hives were visible on 09Apr2021 became severe on 11Apr2021. 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 31-May-2021: Follow-up received on 31-May-2021: Added medical history, concomitant medications and events. Upgraded the case as serious due to IME event anaphylaxis. Updated the outcome of the events as recovered.; 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.
64 2021-06-09 blood clot patient received the Moderna covid-19 vaccine and two days later states she was admitted to the ER w... Read more
patient received the Moderna covid-19 vaccine and two days later states she was admitted to the ER with blood clots. patient did not report the even to the pharmacy until the week of June 1st
64 2021-06-10 sepsis Patient presented to the ED and was subsequently hospitalized for Bacteremia gram + cocci, severe se... Read more
Patient presented to the ED and was subsequently hospitalized for Bacteremia gram + cocci, severe sepsis, likely from line infection within 6 weeks of receiving COVID vaccination.
64 2021-06-14 death Patient CTB
64 2021-06-16 death Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.
64 2021-06-17 excessive bleeding After first dose for two days I couldn't move my arm; Swollen with circular black and blue bruises i... Read more
After first dose for two days I couldn't move my arm; Swollen with circular black and blue bruises in the injection site; Trouble raising her arm; The huge sore became hot to touch; Blue bruises in the injection site; I think this happened because the person that administered the vaccine did it wrong; I don't think I received a full dose vaccine from first dose.; Arm bleed; sore arm; This spontaneous case was reported by a consumer and describes the occurrence of HAEMORRHAGE (Arm bleed) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 038A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Kidney stone (More than once) and Shingles (More than once). Concurrent medical conditions included Multiple allergies (had a lot of allergies) and Chronic pain. Concomitant products included ASPIRIN [ACETYLSALICYLIC ACID] for an unknown indication. On 29-Apr-2021 at 3:30 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 29-Apr-2021, the patient experienced HAEMORRHAGE (Arm bleed) (seriousness criterion medically significant), PRODUCT ADMINISTRATION ERROR (I think this happened because the person that administered the vaccine did it wrong), INCORRECT DOSE ADMINISTERED (I don't think I received a full dose vaccine from first dose.) and PAIN IN EXTREMITY (sore arm). On 01-May-2021, the patient experienced LIMB DISCOMFORT (Trouble raising her arm), VACCINATION SITE WARMTH (The huge sore became hot to touch), VACCINATION SITE BRUISING (Blue bruises in the injection site) and VACCINATION SITE SWELLING (Swollen with circular black and blue bruises in the injection site). On an unknown date, the patient experienced LIMB DISCOMFORT (After first dose for two days I couldn't move my arm). On 29-Apr-2021, PRODUCT ADMINISTRATION ERROR (I think this happened because the person that administered the vaccine did it wrong) and INCORRECT DOSE ADMINISTERED (I don't think I received a full dose vaccine from first dose.) had resolved. At the time of the report, HAEMORRHAGE (Arm bleed), VACCINATION SITE WARMTH (The huge sore became hot to touch), PAIN IN EXTREMITY (sore arm) and VACCINATION SITE SWELLING (Swollen with circular black and blue bruises in the injection site) outcome was unknown and LIMB DISCOMFORT (Trouble raising her arm), VACCINATION SITE BRUISING (Blue bruises in the injection site) and LIMB DISCOMFORT (After first dose for two days I couldn't move my arm) had resolved. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged. The patient wanted to report the side effects they experienced post receiving their first shot of Moderna vaccine. After a few hours their arm developed a huge sore 1 and ½ inches in size and the patient had trouble raising their arm. The patient day before reporting woke up and had a problem lifting their arm. The patient reported that the huge sore became hot to touch, was swollen with circular black and had blue bruises in the injection site. The patient mentioned that they had a lot of allergies. On 02-Jun-2021, the patient reported adverse reaction patient had from dose one and reported huge adverse reaction to dose two. The patient post first dose for two days was not able to move their arm and had a bruise that lasted for two weeks. The patient stated that now they think this happened because the person that administered the vaccine did it wrong and vaccine went into wrong place. Post receiving their first dose the patient said one of their arms was bleeding. The patient went back to the vaccination site and had been complaining so much because the registered nurse let the patient know that the Nurse didn't wore gloves nor shield and was anti-vaccinated. The patient also stated that they don't think that they received a full dose vaccine from first dose. The patient also reported that they were a chronic pain patient and had kidney stone and shingles more than once and understood pain. The patient wanted antibody test done because the patient think they didn't receive a full active first dose and wanted to have it after first dose but couldn't get it and still wanted to do this post second dose. Concomitant medication reported also included over the counter medicine but didn't specified the name. No treatment medication was reported. The patient informed that they slept and drunk a lot. No specific treatment was taken. Based on the current available information which includes a temporal association between the use of mRNA-1273 and the start date of the reported events, a causal relationship with the event cannot be excluded. Vaccination site swelling are consistent with the known safety profile of the vaccine. This case was linked to MOD-2021-201885 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 02-Jun-2021: Email response. No significant information found. On 02-Jun-2021: Added Reporter Details. Added current and historical conditions under relevant medical history. Updated action taken. Updated concomitant medication in I-narrative supplement field. Added new events and updated the event description and outcome of the events.; Sender's Comments: Based on the current available information which includes a temporal association between the use of mRNA-1273 and the start date of the reported events, a causal relationship with the event cannot be excluded. Vaccination site swelling are consistent with the known safety profile of the vaccine.
64 2021-06-20 pneumonia Develop shortness of breath. In January I had Covid. Called the doctor on June 4 and a register nurs... Read more
Develop shortness of breath. In January I had Covid. Called the doctor on June 4 and a register nurse took the message for the doctor. The doctor called me back and said to put cold compress pads in my chest and recommend some pills. I took those for 1 week but on June 11 I could not breath and went to the emergency room and the doctor said not to take the 2nd dose of the vaccine. I got diagnosed with Pneumonia and have been taking antibiotics. I feel better but still feel sick. Next appointment with the doctor is June 9, 2021.
64 2021-06-22 pneumonia High fever, headache, diagnosed with pneumonia. Received an antibiotic shot and two prescriptions of... Read more
High fever, headache, diagnosed with pneumonia. Received an antibiotic shot and two prescriptions of different antibiotics. Still experience fatigue and feel unwell most days.
64 2021-06-25 death Death; Dysarthria; Lethargy; This case was received via FDA VAERS (Reference number: 1358542) on 15-... Read more
Death; Dysarthria; Lethargy; This case was received via FDA VAERS (Reference number: 1358542) on 15-Jun-2021 and was forwarded to Moderna on 15-Jun-2021. This regulatory authority case was reported by an other health care professional and describes the occurrence of DEATH (Death), DYSARTHRIA (Dysarthria) and LETHARGY (Lethargy) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007C21A) for COVID-19 vaccination. The patient's past medical history included Back surgery (History of multiple back surgeries including a rod placement.). On 19-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-May-2021, the patient experienced DEATH (Death) (seriousness criteria death and medically significant), DYSARTHRIA (Dysarthria) (seriousness criterion death) and LETHARGY (Lethargy) (seriousness criterion death). The patient died on 27-May-2021. The cause of death was not reported. An autopsy was performed. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medications were not provided. Treatment information was not reported. On 27 May 2021, autopsy was performed. As per the spouse, the autopsy results were pending. 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.Very limited information regarding the events have been provided at this time.; 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.Very limited information regarding the events have been provided at this time.; Reported Cause(s) of Death: Unknown cause of death
64 2021-06-26 pulmonary embolism Dual Pulmonary Embolism, Dr. Office ordered labs, called to go to ER stat. ER did Ultrasound of he... Read more
Dual Pulmonary Embolism, Dr. Office ordered labs, called to go to ER stat. ER did Ultrasound of heart- the Cat scan of lungs. Sent by ambulance to HCF that day - taken to Cath lab that same evening for a clot busting procedure and administered tPA and heparin.
64 2021-06-28 heart attack next day chest pressure, lasted days off & on, neck shoulders hurt, stents from heart attack
64 2021-06-28 blood clot in lung After receiving the vaccine, on 4/14, I had a hysterectomy and came home. I began feeling a dull pai... Read more
After receiving the vaccine, on 4/14, I had a hysterectomy and came home. I began feeling a dull pain in my back. It started getting worse. I contacted my doctor who sent me to the emergency. They took my blood and from there i began falling to pieces. I couldn't breathe, My upper back around my lungs was hurting so bad. They gave me many different pain medications but nothing was helping the pain. They determined I had 2 blood clots in my right lung. I started going downhill from there. They told me my blood was contaminated. I was put on many different machines. All COVID tests came back negative. Nothing hurt from the hysterectomy. My blood pressure wouldn't stay up. I was on pain medications every 2 hours. Currently, it has still not been determined whether this was a result of the vaccine or not. I am now taking Eliquis which I will be taking for 6 months.
64 2021-06-29 death 03/19/2021 wife had severe stomach pain, went to urgent care, referred to hospital for cat-scan, adm... Read more
03/19/2021 wife had severe stomach pain, went to urgent care, referred to hospital for cat-scan, admitted to hospital for observation and tests, tests inconclusive, Monday, 03/22/2021 @ 02:42 wife declared dead.
64 2021-06-29 deep vein blood clot My first Moderna dose was 2/26. I had a low-grade temp and body aches on the 9th day for 24 hours. T... Read more
My first Moderna dose was 2/26. I had a low-grade temp and body aches on the 9th day for 24 hours. The second dose was on 3/26. That afternoon my eyes were burning with eye strain. On Saturday into Sunday had low grade temp escalating to 101.5 p.o. with severe body aches, fatigue, and loose stools. My blood pressure dropped to BPS of 80's on Monday morning. On Thursday following had leg discomfort ? sciatica and episode of SOB. On Friday, another episode of SOB. On Sunday (April 4th), noted left ankle/leg swelling which persisted on and off for next two months. Swelling went down with leg elevation. Early June, had developed severe sciatica on left. Appointment with primary provider June 18th. Left leg remained swollen and sciatica was severe enough to cause difficulty with ambulation. Doppler studies completed 6/21/2021. Results below in #19.
64 2021-06-29 pneumonia I had been on weekly diflucan for toe fungus starting in late March. I got the first Moderna shot A... Read more
I had been on weekly diflucan for toe fungus starting in late March. I got the first Moderna shot April 13. On April 22 I had some chest tightness which I attributed to the Diflucan as it listed chest tightness as a side effect. On May 2nd the pain extended from the chest, neck, headache and all my teeth hurt and I ended up in the hospital for the first of 3 hospitalizations Below is the summary of doctor?s notes on my hospitalizations. They ran several tests to eliminate lupus, sjogrens, cancer, kidney issues, bacterial or fungus issues, etc. It was not caused by the Diflucan side effect. They decided it might be viral. Given the current report of some people getting pericarditis after the vaccine, my doctor and I felt we should report this incident. Given the timing, it could have been the vaccine that caused the reaction. I'm currently on prednisone for another month and colchicine for several more months and remain under the care of cardiology. SUMMARY OF DOCTOR?S NOTES: She presented to the ER 5/2/2021 with chest pain. When she presented, she had tachycardia with interior ST changes. CT showed no PE but there was a large pericardial effusion. Subsequently her blood pressure began dropping with narrowing pulse pressure and she was thought to have early tamponade physiology so was taken to the cath lab and pericardiocentesis was performed. She did well and was started on colchicine and ibuprofen. 5/14 When I saw her back, she was doing well. Since then, she has had back to back admissions: 5/24/2021-5/27/2021-CAP of LLL with bilateral pleural effusions and pericarditis treated with antibiotics but afterwards, felt to be viral. She was seen by Pulmonary at this hospital stay. Rheumatologist work up was started. ECHO was stable. 5/29 Second Moderna shot (was delayed 2 weeks due to concern about confusing the potential normal side effects with the pericarditis issues). 6/13/2021-6/15/2021-Serositis with tachycardia, cough and fever. Rheumatology did not see but was curb sided and recommended Prednisone (long taper) with clinic visit in the next 2 weeks. Limited ECHO was stable. 6/16 Patient is doing well. No chest pain. She is taking the Prednisone without issues. No GI upset and no loose stools.
64 2021-06-30 sepsis Patient presented to the ED and was subsequently hospitalized for severe sepsis within 6 weeks of re... Read more
Patient presented to the ED and was subsequently hospitalized for severe sepsis within 6 weeks of receiving COVID vaccination.
64 2021-07-02 blood clot discomfort in her back like she slept wrong; could not take a deep breath without pain; she felt lik... Read more
discomfort in her back like she slept wrong; could not take a deep breath without pain; she felt like something was off/felt vaguely like she did in 2012 (when she had a pulmonary embolism); 3 blood clots in her lungs/clotting factors in the blood test were four times over a certain number of normal/she had two blood clots in her left lung and one blood clot in her right lung/clotting factors in the blood test were four times; pain if take a deep breath and sneeze; lethargy; slight tenderness in her arm; This spontaneous case was reported by a consumer and describes the occurrence of THROMBOSIS (3 blood clots in her lungs/clotting factors in the blood test were four times over a certain number of normal/she had two blood clots in her left lung and one blood clot in her right lung/clotting factors in the blood test were four times) and PAIN (pain if take a deep breath and sneeze) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 026a21a and 031m20a) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Pulmonary embolism in 2012, Legionnaire's disease in 2012 and Sprained ankle in 2012. Previously administered products included for Pulmonary embolism: Warfarin (She was placed on warfarin at that time along with an injection in her abdomen that she did not recall the name of the shot.) in 2012. Concurrent medical conditions included COPD. On 13-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 13-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 14-Jun-2021, the patient experienced THROMBOSIS (3 blood clots in her lungs/clotting factors in the blood test were four times over a certain number of normal/she had two blood clots in her left lung and one blood clot in her right lung/clotting factors in the blood test were four times) (seriousness criteria medically significant and life threatening), PAIN (pain if take a deep breath and sneeze) (seriousness criterion medically significant), MUSCULOSKELETAL DISCOMFORT (discomfort in her back like she slept wrong), DYSPNOEA (could not take a deep breath without pain) and FEELING ABNORMAL (she felt like something was off/felt vaguely like she did in 2012 (when she had a pulmonary embolism)). In 2021, the patient experienced LETHARGY (lethargy) and VACCINATION SITE PAIN (slight tenderness in her arm). The patient was treated with APIXABAN ongoing from 14-Jun-2021 for Clot blood, at a dose of 10 mg twice a day and APIXABAN ongoing from 22-Jun-2021 for Clot blood, at a dose of 5 mg twice a day. In June 2021, PAIN (pain if take a deep breath and sneeze), MUSCULOSKELETAL DISCOMFORT (discomfort in her back like she slept wrong), DYSPNOEA (could not take a deep breath without pain) and FEELING ABNORMAL (she felt like something was off/felt vaguely like she did in 2012 (when she had a pulmonary embolism)) had resolved, LETHARGY (lethargy) and VACCINATION SITE PAIN (slight tenderness in her arm) had resolved. At the time of the report, THROMBOSIS (3 blood clots in her lungs/clotting factors in the blood test were four times over a certain number of normal/she had two blood clots in her left lung and one blood clot in her right lung/clotting factors in the blood test were four times) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 14-Jun-2021, Blood test: high clotting factor (abnormal) The clotting factors in the blood test were four times over a certain number of normal.. On 14-Jun-2021, Scan: blood clots (abnormal) Two blood clots in her left lung and one blood clot in her right lung. The concomitant medications on use were not provided. On 13-Mar-2021, received second dose of Moderna COVID-19 Vaccine. On 14-Jun-2021, the patient experienced THROMBOSIS (3 blood clots in her lungs/clotting factors in the blood test were four times over a certain number of normal/she had two blood clots in her left lung and one blood clot in her right lung/clotting factors in the blood test were four times. 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.
64 2021-07-05 deep vein blood clot deep venous thrombosis in left leg and calf
64 2021-07-06 death 6/18/21: Guest experienced episode of hypoxia. Was able to be corrected with use of )2. Chest X-ray ... Read more
6/18/21: Guest experienced episode of hypoxia. Was able to be corrected with use of )2. Chest X-ray and bloodwork completed. 6/28/21: Seen by NP for weight loss. Ongoing issue prior to vaccine r/t poor appetite 7/1/21: Incident of hypoxia that required increase in 02, SOB, and lethargy. Sent to the hospital. Guest did end up passing at this hospital
64 2021-07-06 heart attack Patient was airlifted to the hospital where she was diagnosed with a heart attack; Difficulty breath... Read more
Patient was airlifted to the hospital where she was diagnosed with a heart attack; Difficulty breathing; Numbness; Discomfort; Nausea; Vomiting; Burning/arm felt sore; This spontaneous case was reported by a consumer and describes the occurrence of MYOCARDIAL INFARCTION (Patient was airlifted to the hospital where she was diagnosed with a heart attack), DYSPNOEA (Difficulty breathing), HYPOAESTHESIA (Numbness), DISCOMFORT (Discomfort), NAUSEA (Nausea) and VOMITING (Vomiting) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 01003807772739901769) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 13-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Mar-2021, the patient experienced MYOCARDIAL INFARCTION (Patient was airlifted to the hospital where she was diagnosed with a heart attack) (seriousness criteria hospitalization and medically significant). On an unknown date, the patient experienced DYSPNOEA (Difficulty breathing) (seriousness criterion medically significant), HYPOAESTHESIA (Numbness) (seriousness criterion medically significant), DISCOMFORT (Discomfort) (seriousness criterion medically significant), NAUSEA (Nausea) (seriousness criterion medically significant), VOMITING (Vomiting) (seriousness criterion medically significant) and PAIN IN EXTREMITY (Burning/arm felt sore). At the time of the report, MYOCARDIAL INFARCTION (Patient was airlifted to the hospital where she was diagnosed with a heart attack), DYSPNOEA (Difficulty breathing), HYPOAESTHESIA (Numbness), DISCOMFORT (Discomfort), NAUSEA (Nausea), VOMITING (Vomiting) and PAIN IN EXTREMITY (Burning/arm felt sore) outcome was unknown. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter. Treatment information was not provided. The patient was discharged several days later. Very limited information regarding this event/s has been provided at this time. Further information has been requested. This case was linked to MOD-2021-237455 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 28-Jun-2021: Non-significant follow-up added to include Lot number; Sender's Comments: Very limited information regarding this event/s has been provided at this time. Further information has been requested.
64 2021-07-06 fluid around the heart, cardiac failure congestive, atrial fibrillation 5/11/21 developed chest pain, had initial improvement, then worsening on approx 5/26/21. on 6/4, she... Read more
5/11/21 developed chest pain, had initial improvement, then worsening on approx 5/26/21. on 6/4, she was diagnosed with pericarditis and acute CHF, afib with RVR. Pericarditis has been treated with indomethacin, colchicine, and she is improving with CRP normalized. Afib treated successfully with cardioversion. she was treated with diuretics for her CHF.
64 2021-07-11 grand mal seizure Did not have a history of seizures and no diagnosis and had Gran Mal Seizures following second shot... Read more
Did not have a history of seizures and no diagnosis and had Gran Mal Seizures following second shot of Moderna Covid Vaccine
64 2021-07-11 fluid around the heart chest tightness, occasional pain in the chest area, discomfort and pain when changing position fro... Read more
chest tightness, occasional pain in the chest area, discomfort and pain when changing position from vertical to horizontal. symptoms persisted. hospitalized with a diagnosis of pericarditis, pericardial effusion and pleural effusion.
64 2021-07-12 blood clot Blood clot, uterine bleeding for 5 days.
64 2021-07-13 sepsis increased fatigue with exercise and being out in the sun; memory is shot, memory problems; trouble w... Read more
increased fatigue with exercise and being out in the sun; memory is shot, memory problems; trouble with sleep at times; double vision episode, had some double vision; bottom of my feet, they are cold, like I am stepping in ice water. sensation of walking in ice water; big crowds cause her stress; wording is getting worse; worsening bladder control; drunken walk, she was like walking in like she's drunk, and running into the door way; steroids gave him black sticky diarrhea; speech has been slurred; dry mouth; nurse was not able to clarify some cognitive issue; severe cold/ bad cold; she was hospitalized for a blood infection; filed for disability worsening of her MS; bruising; hair loss or bald spots/hair thinning; feel the burning in both feet; numbness on bottom of both feet; steroids gave him black sticky diarrhea; balance disorder; had a lapse on therapy, was out of medicine for about a week; dizziness; felt like a train ran over her; underdose of the medications; had an ulcer in her stomach, which was new to her and bleeding also; started breaking the medication in half/ has been braking 14mg in half to make it last longer; had tingling off and on for the past 2 month in her hands and feet, had tingling on bottom of her feet/ tingling on hands off and; This spontaneous case was reported by a health care professional and describes the occurrence of FEELING ABNORMAL (felt like a train ran over her), BALANCE DISORDER (balance disorder), GASTRIC ULCER HAEMORRHAGE (had an ulcer in her stomach, which was new to her and bleeding also), SEPSIS (she was hospitalized for a blood infection), MULTIPLE SCLEROSIS (filed for disability worsening of her MS), CONTUSION (bruising), DIZZINESS (dizziness), FATIGUE (increased fatigue with exercise and being out in the sun), MEMORY IMPAIRMENT (memory is shot, memory problems), INSOMNIA (trouble with sleep at times), DIPLOPIA (double vision episode, had some double vision), PERIPHERAL COLDNESS (bottom of my feet, they are cold, like I am stepping in ice water. sensation of walking in ice water), SOCIAL ANXIETY DISORDER (big crowds cause her stress), APHASIA (wording is getting worse), URINARY INCONTINENCE (worsening bladder control), GAIT DISTURBANCE (drunken walk, she was like walking in like she's drunk, and running into the door way), FAECES DISCOLOURED (steroids gave him black sticky diarrhea), DYSARTHRIA (speech has been slurred), DRY MOUTH (dry mouth), COGNITIVE DISORDER (nurse was not able to clarify some cognitive issue), NASOPHARYNGITIS (severe cold/ bad cold), PARAESTHESIA (had tingling off and on for the past 2 month in her hands and feet, had tingling on bottom of her feet/ tingling on hands off and), ALOPECIA (hair loss or bald spots/hair thinning), BURNING SENSATION (feel the burning in both feet), HYPOAESTHESIA (numbness on bottom of both feet), DIARRHOEA (steroids gave him black sticky diarrhea), PRODUCT DOSE OMISSION ISSUE (had a lapse on therapy, was out of medicine for about a week) and WRONG TECHNIQUE IN PRODUCT USAGE PROCESS (started breaking the medication in half/ has been braking 14mg in half to make it last longer) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Co-suspect products included non-company products TERIFLUNOMIDE for an unknown indication, BUPROPION HCL for an unknown indication and WARFARIN SODIUM (COUMADIN) for an unknown indication. The patient's past medical history included Rheumatic fever, Application site reaction, Diplopia and Cardiac valve prosthesis user in 2007. Concurrent medical conditions included Allergy to animal, Drug hypersensitivity (Triple antibiotic), Iodine allergy (Iodine dye), Polyuria, Dermatitis contact, Drug hypersensitivity (Dilantin) and Multiple sclerosis. Concomitant products included LEVOTHYROXINE, IRON, METOPROLOL, FUROSEMIDE, PRAVASTATIN, WARFARIN SODIUM (JANTOVEN), VITAMIN D3, ACETYLSALICYLIC ACID (ASPIRIN COX [ACETYLSALICYLIC ACID]) and SERTRALINE for an unknown indication. On 15-May-2014, the patient started TERIFLUNOMIDE (unknown route) 14 milligram once a day. On 14-Mar-2021, received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form, BUPROPION HCL (unknown route) 1 dosage form and WARFARIN SODIUM (COUMADIN) (unknown route) at an unspecified dose. In March 2015, the patient experienced PARAESTHESIA (had tingling off and on for the past 2 month in her hands and feet, had tingling on bottom of her feet/ tingling on hands off and) (seriousness criteria hospitalization prolonged and disability). In January 2021, the patient experienced WRONG TECHNIQUE IN PRODUCT USAGE PROCESS (started breaking the medication in half/ has been braking 14mg in half to make it last longer) (seriousness criteria hospitalization prolonged and disability). On 14-Feb-2021, the patient experienced GASTRIC ULCER HAEMORRHAGE (had an ulcer in her stomach, which was new to her and bleeding also) (seriousness criteria hospitalization prolonged, disability and medically significant). On 14-Mar-2021, the patient experienced FEELING ABNORMAL (felt like a train ran over her) (seriousness criteria hospitalization prolonged and disability). 14-Mar-2021, the patient experienced UNDERDOSE (underdose of the medications). In May 2021, the patient experienced DIZZINESS (dizziness) (seriousness criteria hospitalization prolonged and disability) and PRODUCT DOSE OMISSION ISSUE (had a lapse on therapy, was out of medicine for about a week) (seriousness criteria hospitalization prolonged and disability). On 19-Jun-2021, the patient experienced BALANCE DISORDER (balance disorder) (seriousness criteria hospitalization prolonged and disability). On an unknown date, the patient experienced SEPSIS (she was hospitalized for a blood infection) (seriousness criteria hospitalization prolonged, disability and medically significant), MULTIPLE SCLEROSIS (filed for disability worsening of her MS) (seriousness criteria hospitalization prolonged, disability and medically significant), CONTUSION (bruising) (seriousness criteria hospitalization prolonged and disability), FATIGUE (increased fatigue with exercise and being out in the sun) (seriousness criteria hospitalization prolonged and disability), MEMORY IMPAIRMENT (memory is shot, memory problems) (seriousness criteria hospitalization prolonged and disability), INSOMNIA (trouble with sleep at times) (seriousness criteria hospitalization prolonged and disability), DIPLOPIA (double vision episode, had some double vision) (seriousness criteria hospitalization prolonged and disability), PERIPHERAL COLDNESS (bottom of my feet, they are cold, like I am stepping in ice water. sensation of walking in ice water) (seriousness criteria hospitalization prolonged and disability), SOCIAL ANXIETY DISORDER (big crowds cause her stress) (seriousness criteria hospitalization prolonged and disability), APHASIA (wording is getting worse) (seriousness criteria hospitalization prolonged and disability), URINARY INCONTINENCE (worsening bladder control) (seriousness criteria hospitalization prolonged and disability), GAIT DISTURBANCE (drunken walk, she was like walking in like she's drunk, and running into the door way) (seriousness criteria hospitalization prolonged and disability), FAECES DISCOLOURED (steroids gave him black sticky diarrhea) (seriousness criteria hospitalization prolonged, disability and medically significant), DYSARTHRIA (speech has been slurred) (seriousness criteria hospitalization prolonged and disability), DRY MOUTH (dry mouth) (seriousness criteria hospitalization prolonged and disability), COGNITIVE DISORDER (nurse was not able to clarify some cognitive issue) (seriousness criteria hospitalization prolonged, disability and medically significant), NASOPHARYNGITIS (severe cold/ bad cold) (seriousness criteria hospitalization prolonged and disability), ALOPECIA (hair loss or bald spots/hair thinning) (seriousness criteria hospitalization prolonged and disability), BURNING SENSATION (feel the burning in both feet) (seriousness criteria hospitalization prolonged and disability), HYPOAESTHESIA (numbness on bottom of both feet) (seriousness criteria hospitalization prolonged and disability) and DIARRHOEA (steroids gave him black sticky diarrhea) (seriousness criteria hospitalization prolonged, disability and medically significant). The patient was treated with OXYBUTYNIN ongoing since an unknown date for Urinary incontinence, at a dose of 1 dosage form; PARACETAMOL ongoing since an unknown date for Insomnia, at a dose of 1 dosage form; DIPHENHYDRAMINE ongoing since an unknown date for Insomnia, at a dose of 1 dosage form and BENZOCAINE ongoing since an unknown date for Hypoaesthesia and Burning sensation, at a dose of 1 dosage form. On 23-Feb-2021, GASTRIC ULCER HAEMORRHAGE (had an ulcer in her stomach, which was new to her and bleeding also) had resolved. At the time of the report, FEELING ABNORMAL (felt like a train ran over her), BALANCE DISORDER (balance disorder) and SEPSIS (she was hospitalized for a blood infection) had resolved, MULTIPLE SCLEROSIS (filed for disability worsening of her MS), CONTUSION (bruising), DIZZINESS (dizziness), FATIGUE (increased fatigue with exercise and being out in the sun), MEMORY IMPAIRMENT (memory is shot, memory problems), DIPLOPIA (double vision episode, had some double vision), PERIPHERAL COLDNESS (bottom of my feet, they are cold, like I am stepping in ice water. sensation of walking in ice water), SOCIAL ANXIETY DISORDER (big crowds cause her stress), APHASIA (wording is getting worse), URINARY INCONTINENCE (worsening bladder control), GAIT DISTURBANCE (drunken walk, she was like walking in like she's drunk, and running into the door way), FAECES DISCOLOURED (steroids gave him black sticky diarrhea), DYSARTHRIA (speech has been slurred), DRY MOUTH (dry mouth), NASOPHARYNGITIS (severe cold/ bad cold), ALOPECIA (hair loss or bald spots/hair thinning), DIARRHOEA (steroids gave him black sticky diarrhea), PRODUCT DOSE OMISSION ISSUE (had a lapse on therapy, was out of medicine for about a week), WRONG TECHNIQUE IN PRODUCT USAGE PROCESS (started breaking the medication in half/ has been braking 14mg in half to make it last longer) and UNDERDOSE (underdose of the medications) outcome was unknown and INSOMNIA (trouble with sleep at times), COGNITIVE DISORDER (nurse was not able to clarify some cognitive issue), PARAESTHESIA (had tingling off and on for the past 2 month in her hands and feet, had tingling on bottom of her feet/ tingling on hands off and), BURNING SENSATION (feel the burning in both feet) and HYPOAESTHESIA (numbness on bottom of both feet) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood count: low (Low) Low. On an unknown date, International normalised ratio: 6.28 (Inconclusive) 6.28. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. 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. Further information has been 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. Further information has been requested.
64 2021-07-17 sepsis nerve damage; entire body became inflamed - Huge inflammation; can't move arm/can't hold on to anyth... Read more
nerve damage; entire body became inflamed - Huge inflammation; can't move arm/can't hold on to anything/can't move left leg/can hardly move; Shaking; Bad reaction; coagulation problem; Tremors in the head (brain); Blood pressure went to roof - high blood pressure "169"; cannot walk down; unable to work for a month and half; wrists are swollen - right knee is swollen; Feeling awful; In pain/hurts at 10 on pain scale from 1-10 and whole-body hurts; whole-body hurts; Passing out; kidneys are shutting down; Von Willebrand disease (spelled it out on phone as"gon wille brand'l"; paralyzed; This spontaneous case was reported by a patient and describes the occurrence of LOSS OF CONSCIOUSNESS (Passing out), RENAL IMPAIRMENT (kidneys are shutting down), VON WILLEBRAND'S DISEASE (Von Willebrand disease (spelled it out on phone as"gon wille brand'l") and PARALYSIS (paralyzed) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 029A21A and 014C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 25-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Apr-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 LOSS OF CONSCIOUSNESS (Passing out) (seriousness criteria disability and medically significant), RENAL IMPAIRMENT (kidneys are shutting down) (seriousness criteria disability and medically significant), VON WILLEBRAND'S DISEASE (Von Willebrand disease (spelled it out on phone as"gon wille brand'l") (seriousness criteria disability and medically significant), PARALYSIS (paralyzed) (seriousness criteria disability and medically significant), NERVE INJURY (nerve damage), INFLAMMATION (entire body became inflamed - Huge inflammation), MOBILITY DECREASED (can't move arm/can't hold on to anything/can't move left leg/can hardly move), TREMOR (Shaking), VACCINATION COMPLICATION (Bad reaction), COAGULOPATHY (coagulation problem), HEAD TITUBATION (Tremors in the head (brain)), BLOOD PRESSURE INCREASED (Blood pressure went to roof - high blood pressure "169"), GAIT INABILITY (cannot walk down), IMPAIRED WORK ABILITY (unable to work for a month and half), JOINT SWELLING (wrists are swollen - right knee is swollen), FEELING ABNORMAL (Feeling awful), PAIN (In pain/hurts at 10 on pain scale from 1-10 and whole-body hurts) and MYALGIA (whole-body hurts). At the time of the report, LOSS OF CONSCIOUSNESS (Passing out), RENAL IMPAIRMENT (kidneys are shutting down), VON WILLEBRAND'S DISEASE (Von Willebrand disease (spelled it out on phone as"gon wille brand'l"), PARALYSIS (paralyzed), NERVE INJURY (nerve damage), INFLAMMATION (entire body became inflamed - Huge inflammation), MOBILITY DECREASED (can't move arm/can't hold on to anything/can't move left leg/can hardly move), TREMOR (Shaking), VACCINATION COMPLICATION (Bad reaction), COAGULOPATHY (coagulation problem), HEAD TITUBATION (Tremors in the head (brain)), BLOOD PRESSURE INCREASED (Blood pressure went to roof - high blood pressure "169"), GAIT INABILITY (cannot walk down), IMPAIRED WORK ABILITY (unable to work for a month and half), JOINT SWELLING (wrists are swollen - right knee is swollen), FEELING ABNORMAL (Feeling awful), PAIN (In pain/hurts at 10 on pain scale from 1-10 and whole-body hurts) and MYALGIA (whole-body hurts) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood creatinine: 0.50 (Inconclusive) Patient stated her creatinine was 0.50. On an unknown date, Blood pressure measurement: 169 (High) high blood pressure 169. On an unknown date, C-reactive protein: 34/7 (Inconclusive) huge inflammation with c-reactive protein. C-reactive protein at 34.7. On an unknown date, Computerised tomogram: inconclusive (Inconclusive) chest suggested no blood clots per patient. On an unknown date, Fibrin D dimer: 3.89 (Inconclusive) Patient reported that D-dimer (which was usually found after blood clot was present and was in process of breaking down). On an unknown date, Haematocrit: 32.9 (normal) normal. On an unknown date, Haemoglobin: 10.8 (Inconclusive) It was 14 before 3 week ago and was normal and 14 (Inconclusive) It was 14 before 3 week ago. On an unknown date, Monocyte count: 0.91 (High) monocytes are high. On an unknown date, Pain assessment (1-10): 10 (abnormal) hurts at 10 on pain scale from 1-10. On an unknown date, Red blood cell sedimentation rate: 69 (Inconclusive) Sedimentation rate was 69. On an unknown date, Sepsis: negative (Negative) tested negative. On an unknown date, X-ray: inconclusive (Inconclusive) right knee is swollen per x-ray. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered LOSS OF CONSCIOUSNESS (Passing out), RENAL IMPAIRMENT (kidneys are shutting down), VON WILLEBRAND'S DISEASE (Von Willebrand disease (spelled it out on phone as"gon wille brand'l"), PARALYSIS (paralyzed), NERVE INJURY (nerve damage), INFLAMMATION (entire body became inflamed - Huge inflammation), MOBILITY DECREASED (can't move arm/can't hold on to anything/can't move left leg/can hardly move), TREMOR (Shaking), VACCINATION COMPLICATION (Bad reaction), COAGULOPATHY (coagulation problem), HEAD TITUBATION (Tremors in the head (brain)), BLOOD PRESSURE INCREASED (Blood pressure went to roof - high blood pressure "169"), GAIT INABILITY (cannot walk down), IMPAIRED WORK ABILITY (unable to work for a month and half), JOINT SWELLING (wrists are swollen - right knee is swollen), FEELING ABNORMAL (Feeling awful), PAIN (In pain/hurts at 10 on pain scale from 1-10 and whole-body hurts) and MYALGIA (whole-body hurts) to be related. Concomitant product use was not provided by the reporter. No treatment information was provided. The patient stated that she had gone to hospital on 14th and 16th of June 2021 and on 06 Jul 2021. The patient stated that her doctor told her that if she was not treated within a week or 2, she will be gone. The patient stated that due to coagulation problem, she should not have gotten the vaccine per patient and said it was her doctor's fault. The patient stated that she will have to go to ER if anything happens and stated that Moderna vaccine gave her all symptoms and the patient stated that she did not get Covid and was now scared that she will die. Company Comment: Very limited information regarding the events has been provided at this time. Additional information required. Most recent FOLLOW-UP information incorporated above includes: On 09-Jul-2021: Follow up received on 9 Jul 2021 contain new serious and non serious events , suspect product dose details, lab data and narrative updated.; Sender's Comments: Very limited information regarding the events has been provided at this time. Additional information required.
64 2021-07-18 death Daughter, came to clinic and informed participant, passed away on 6/2/21 from COVID complications at... Read more
Daughter, came to clinic and informed participant, passed away on 6/2/21 from COVID complications at Hospital.
64 2021-07-18 vaginal haemorrhage Started having little vaginal bleeding which continue and continue for a month
64 2021-07-23 cerebrovascular accident The doctors at the hospital diagnosed as a stroke/She was discharged the next day; This spontaneous ... Read more
The doctors at the hospital diagnosed as a stroke/She was discharged the next day; This spontaneous case was reported by a consumer and describes the occurrence of CEREBROVASCULAR ACCIDENT (The doctors at the hospital diagnosed as a stroke/She was discharged the next day) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 03B21A and 037A21B) for COVID-19 vaccination. No medical history was provided by the reporter. Concomitant products included APIXABAN (ELIQUIS), QUINAPRIL and ATORVASTATIN for an unknown indication. On 20-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 13-May-2021, the patient experienced CEREBROVASCULAR ACCIDENT (The doctors at the hospital diagnosed as a stroke/She was discharged the next day) (seriousness criteria hospitalization and medically significant). The patient was hospitalized from 13-May-2021 to 14-May-2021 due to CEREBROVASCULAR ACCIDENT. At the time of the report, CEREBROVASCULAR ACCIDENT (The doctors at the hospital diagnosed as a stroke/She was discharged the next day) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Treatment information were not provided. On 13May2021, she had started with numbness on fingertip of right side of the hand and it progressed to the whole right side. She called 911 and she ended up in hospital on 13May2021. The doctors at the hospital diagnosed as a stroke. She was discharged the next day (14May2021). Very limited information regarding this event has been provided at this time. Further information has been requested.; Sender's Comments: Very limited information regarding this event has been provided at this time. Further information has been requested.
64 2021-07-27 anaphylactic reaction belching; diarrhoea; blurred vision; experienced a headache describing that " an explosion happened ... Read more
belching; diarrhoea; blurred vision; experienced a headache describing that " an explosion happened in my head; lightheadedness; drying of the mouth and throat; vertigo; nausea; Dehydration; Tingling all the way to fingertips; general fatigue; trouble walking; inability to lift right leg; hypoaesthesia; lethargy; lethargy; dizziness; anaphylactic reaction; vaccination site bruising; blood pressure increase; paraesthesia left arm; dehydration; fatigue; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (lightheadedness), DIZZINESS (dizziness), DRY MOUTH (drying of the mouth and throat), VERTIGO (vertigo), ERUCTATION (belching), DEHYDRATION (Dehydration), PARAESTHESIA (Tingling all the way to fingertips), FATIGUE (general fatigue), GAIT DISTURBANCE (trouble walking), MOVEMENT DISORDER (inability to lift right leg), HYPOAESTHESIA (hypoaesthesia), the second episode of LETHARGY (lethargy), HEADACHE (experienced a headache describing that " an explosion happened in my head), VISION BLURRED (blurred vision), DIARRHOEA (diarrhoea), NAUSEA (nausea), the first episode of LETHARGY (lethargy) and ANAPHYLACTIC REACTION (anaphylactic reaction) in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 021C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Fusion cervical spine. Concurrent medical conditions included Anaphylaxis, Coronary artery disease, Asthma, Gastroesophageal reflux disease, Osteoarthritis, Hypoglycemia, Hypothyroidism, Hypertension, Allergy to antibiotic (levaquin), Drug allergy (vioxx), Shellfish allergy, Arrhythmia, Epilepsy and Allergy (steroids). Concomitant products included EPINEPHRINE (EPIPEN), TIOTROPIUM BROMIDE MONOHYDRATE (SPIRIVA), ASPIRIN [ACETYLSALICYLIC ACID], ATENOLOL (TENORMIN), UBIDECARENONE (COQ10 [UBIDECARENONE]), LEVETIRACETAM (KEPPRA [LEVETIRACETAM]), GABAPENTIN (NEURONTIN), VITAMIN B12 [VITAMIN B12 NOS], CETIRIZINE HYDROCHLORIDE (ZYRTEC [CETIRIZINE HYDROCHLORIDE]), OMEPRAZOLE (PRILOSEC [OMEPRAZOLE]), NITROGLYCERIN, ALBUTEROL [SALBUTAMOL], BUTALBITAL, CAFFEINE, PARACETAMOL (FIORICET), MONTELUKAST SODIUM (SINGULAIR), LEVOTHYROXINE SODIUM (SYNTHROID), ROSUVASTATIN CALCIUM (CRESTOR) and DONEPEZIL HYDROCHLORIDE (ARICEPT) for an unknown indication, FLUTICASONE PROPIONATE, SALMETEROL XINAFOATE (ADVAIR). On 21-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-May-2021, the patient experienced DIZZINESS (dizziness) (seriousness criterion hospitalization prolonged), the first episode of LETHARGY (lethargy) (seriousness criterion hospitalization), VACCINATION SITE BRUISING (vaccination site bruising), BLOOD PRESSURE INCREASED (blood pressure increase), PARAESTHESIA (paraesthesia left arm), DEHYDRATION (dehydration) and FATIGUE (fatigue). On 18-Jun-2021, the patient experienced DIZZINESS (lightheadedness) (seriousness criterion hospitalization prolonged), DRY MOUTH (drying of the mouth and throat) (seriousness criterion hospitalization prolonged), VERTIGO (vertigo) (seriousness criterion hospitalization prolonged), DEHYDRATION (Dehydration) (seriousness criterion hospitalization prolonged), PARAESTHESIA (Tingling all the way to fingertips) (seriousness criterion hospitalization prolonged), FATIGUE (general fatigue) (seriousness criterion hospitalization prolonged), GAIT DISTURBANCE (trouble walking) (seriousness criterion hospitalization prolonged), MOVEMENT DISORDER (inability to lift right leg) (seriousness criterion hospitalization prolonged), HYPOAESTHESIA (hypoaesthesia) (seriousness criterion hospitalization prolonged), the second episode of LETHARGY (lethargy) (seriousness criterion hospitalization prolonged) and NAUSEA (nausea) (seriousness criterion hospitalization prolonged). On 19-Jun-2021, the patient experienced HEADACHE (experienced a headache describing that " an explosion happened in my head) (seriousness criterion hospitalization prolonged). On 20-Jun-2021, the patient experienced VISION BLURRED (blurred vision) (seriousness criterion hospitalization prolonged). On 21-Jun-2021, the patient experienced ERUCTATION (belching) (seriousness criterion hospitalization prolonged) and DIARRHOEA (diarrhoea) (seriousness criterion hospitalization prolonged). On an unknown date, the patient experienced ANAPHYLACTIC REACTION (anaphylactic reaction) (seriousness criterion medically significant). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) ongoing since an unknown date at an unspecified dose and frequency. At the time of the report, DIZZINESS (lightheadedness), DIZZINESS (dizziness), DRY MOUTH (drying of the mouth and throat), VERTIGO (vertigo), ERUCTATION (belching), DEHYDRATION (Dehydration), PARAESTHESIA (Tingling all the way to fingertips), FATIGUE (general fatigue), GAIT DISTURBANCE (trouble walking), MOVEMENT DISORDER (inability to lift right leg), HYPOAESTHESIA (hypoaesthesia), the last episode of LETHARGY (lethargy), HEADACHE (experienced a headache describing that " an explosion happened in my head), VISION BLURRED (blurred vision), DIARRHOEA (diarrhoea), NAUSEA (nausea), ANAPHYLACTIC REACTION (anaphylactic reaction), VACCINATION SITE BRUISING (vaccination site bruising), BLOOD PRESSURE INCREASED (blood pressure increase), PARAESTHESIA (paraesthesia left arm), DEHYDRATION (dehydration) and FATIGUE (fatigue) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 21-Jul-2021, Blood pressure measurement: high (High) 172/95-98. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The patient has Coronary Artery Disease for which they Artery Disease for which they have three cardiac stents. The patient is RH negative. Company Comment: Based on the currently available information and temporal association between the use of the product and the start date of the immediate events following vaccination with a start date of 21May2021, a causal relationship cannot be excluded. Very limited information regarding the events with an onset date of 18Jun2021 and 19Jun2021 has been provided at this time. Further information has been requested and is necessary for assessing a causal relationship. This case was linked to MOD-2021-264136 (Patient Link).; Sender's Comments: Based on the currently available information and temporal association between the use of the product and the start date of the immediate events following vaccination with a start date of 21May2021, a causal relationship cannot be excluded. Very limited information regarding the events with an onset date of 18Jun2021 and 19Jun2021 has been provided at this time. Further information has been requested and is necessary for assessing a causal relationship.
64 2021-07-28 blood clot in lung, blood clot -First night had a pain in my arm pit of the arm I received the shot -Second day still had a pain i... Read more
-First night had a pain in my arm pit of the arm I received the shot -Second day still had a pain in my arm pit and now chest pains, along with fatigue, chills and nausea sick like I had a flu, all my muscle and joint ached. I had a headache. -I was sick for the next four days in bed. -Fifth day still having chest pains, went to the ER were they ran test and found out I had blood clots in my lungs and my left leg, -
65 2021-01-17 atrial fibrillation PATIENT RECEIVED VACCINE 1/7/21 AT 1000. THE NEXT DAY, PATIENT PRESENTS TO ER ON 1/13/21 WITH COMPLA... Read more
PATIENT RECEIVED VACCINE 1/7/21 AT 1000. THE NEXT DAY, PATIENT PRESENTS TO ER ON 1/13/21 WITH COMPLAINTS OF PALPITATIONS AND DIZZINESS OCCURING SINCE HER FIRST DOSE OF VACCINE. "The patient states she has had these episodes for the last 6 days and they started when she got her COVID vaccine. The patient states she has had numerous episodes over the last 6 days of this that lasts between 2 and 4 hours. The patient can feel her heart fluttering and she gets a little dizzy with it. The patient has not had any nausea, shortness of breath or chest pain with these episodes however. The patient has not had any prior episodes of this. The patient takes no regular medications apart from vitamins." PATIENT WAS DIAGNOSED WITH NEW FOUND A. FIB WITH RVR. ADMITTED TO HOSPITAL FOR OBSERVATION. PATIENT RETURNED TO NORMAL SINUS RHYTHM THE NEXT DAY AFTER INITIATING DILTIAZEM AND ELIQUIS.
65 2021-01-19 anaphylactic shock Anaphylactic Shock - Dizziness at about 18 minutes after shot. Tongue swelled / Throat swelled Two... Read more
Anaphylactic Shock - Dizziness at about 18 minutes after shot. Tongue swelled / Throat swelled Two Epi Pens given by pharmacist Taken by ambulance Given IV steroids (not sure if other meds) in ambulance. Stayed in Emergency Room for several hours. Discharged w/ Epi Pen and steroid pills.
65 2021-01-20 death unknown. Event occurred after leaving vaccination site
65 2021-01-30 anaphylactic reaction I felt a sensation immediately after the injection. Ten minutes later I began to feel fuzzy but not... Read more
I felt a sensation immediately after the injection. Ten minutes later I began to feel fuzzy but not that noticeable. The left muscle in my left side of my neck stiffened. As we left the area and headed down the street I was getting anaphalactic: numb jaw, swelling tongue, closed throat, eyes closing, inner cheeks numb - as if I was severely novacained from the dentist. I was able to breathe ok to get home hoping it would pass and drank wanter to keep things fluid. I was there for one hour. On advice, I went to the ER to get checked out.
65 2021-02-05 anaphylactic reaction Vaccinee was in 15 min observation area and just before that time was up, she called for the Nurses ... Read more
Vaccinee was in 15 min observation area and just before that time was up, she called for the Nurses because she "was feeling lightheaded and her hands were tingling". She was talking but seemed alarmed. Lungs were clear BP was 148/98 which is high for her. EMS on site and called over to respond. They transported her to hospital and en route gave Epi and Bendaryl IM, she was further treated at the ER. She was discharged home at about 6pm.
65 2021-02-06 anaphylactic reaction Patient received Moderna COVID Vaccine. Minutes after receiving the vaccine, patient reported swelli... Read more
Patient received Moderna COVID Vaccine. Minutes after receiving the vaccine, patient reported swelling in throat and a cough. Patient took an Epi-Pen, 50mg injectable diphenhydramine, and 20mg famotidine. EMS was activated. Upon arrival, EMS administered 125mg Solu-Medrol and 25mg additional diphenhydramine. Patient was taken to ED and observed for 2 hours. Labs were drawn, charted diagnosis was anaphylaxis.
65 2021-02-10 cardiac arrest, death Patient had the first Moderna Covid vaccine on Thursday 1/21/2021. She had a bit of sore arm on tha... Read more
Patient had the first Moderna Covid vaccine on Thursday 1/21/2021. She had a bit of sore arm on that day and the day after. On Saturday 1/23/2021, she had a fever of 100.5 F (11AM), nausea, light headache and chills. The temperature went down after she took ibuprofen. Patient's husband enrolled her to V-Safe to report all the adverse effects she experienced. On Sunday 1/24/2021, her temperature was 98.3F. She still had nausea and no appetite. She and her husband watched a football game in their bedroom upstairs. Husband noticed that his wife was pacing around the room many times. At 7Pm, Husband went downstairs for dinner but she refused to come down to eat. He went upstairs around 8pm, TV was still on. He turned off TV and went down stairs again thinking his wife felt as sleep while watching TV. He went back upstairs for bed around 10:30 PM. Husband said his wife had a deviated septum so she would snore very loudly when asleep. He didn?t hear her snoring so he went to check on her and found her not responsive. Husband called emergency services. Paramedic came at 10:45 and said patient was passed. Husband sent many texts to V-safe after that to report the incident. No response was received from V-safe. Patient?s doctor told her husband that she died due to cardiac arrest.
65 2021-02-11 death Patient expired on the morning of 2/11/2021. No known adverse events prior to death. Patient was o... Read more
Patient expired on the morning of 2/11/2021. No known adverse events prior to death. Patient was observed for 20 to 25 minutes after administration of vaccine and reported experiencing no signs or symptoms of adverse events at that time.
65 2021-02-15 cerebrovascular accident Stroke with right upper extremity weakness. Weakness improved, has mild residual weakness at this t... Read more
Stroke with right upper extremity weakness. Weakness improved, has mild residual weakness at this time. That still may improve in the coming months.
65 2021-02-17 ventricular tachycardia Pt began having nonstop vomiting and diarrhea at 730am the day after vaccination, February 17th. Per... Read more
Pt began having nonstop vomiting and diarrhea at 730am the day after vaccination, February 17th. Persisted for over 24 hours so patient came to ER. Pt found to be in a ventricular tachycardia and hypotensive. Pt pale and cool and sts "its hard catching my breath". Pt becoming less responsive and required emergency intervention to stabilize her heart rate and blood pressure. Pt had multiple medications, IV fluids and ultimately emergent cardioversion to stablize heart rhythm.
65 2021-02-19 death Death
65 2021-02-25 pneumonia Developed severe left breast pain had X-rays done thought pneumonia was on antibiotics went back for... Read more
Developed severe left breast pain had X-rays done thought pneumonia was on antibiotics went back for another X-rays it was worse did contrast CTscan fluid on left lung had to have fluid taken out 720cc still no cause and I still have tightness in lung
65 2021-02-28 low platelet count Presents with nosebleed and diffuse petticae. Also has epistaxis and thrombocytopenia. Pateitn repor... Read more
Presents with nosebleed and diffuse petticae. Also has epistaxis and thrombocytopenia. Pateitn reports symptoms for 2 days.
65 2021-03-06 atrial fibrillation Atrial fibrillation event after 27 hours of second Moderna Covid-19 shot; Atrial fibrillation even... Read more
Atrial fibrillation event after 27 hours of second Moderna Covid-19 shot; Atrial fibrillation event after 5 days of first Moderna Covid-19 shot.
65 2021-03-08 death Had vaccine on 3/3/2021 at approximately 1 PM. She was found on her couch deceased on 3/8/2021. Po... Read more
Had vaccine on 3/3/2021 at approximately 1 PM. She was found on her couch deceased on 3/8/2021. Possible death on 3/5/2021. She called her sister and told sister that back hurt worse than usual and she would lay on the couch and rest. This is where she was found. Unknown if from vaccine, but due to vaccination on Wednesday proceeding her death, report is being filed.
65 2021-03-09 death, pulmonary embolism Patient died 2 days after COVID vaccination, concern for vaccine related death. Autopsy showed bila... Read more
Patient died 2 days after COVID vaccination, concern for vaccine related death. Autopsy showed bilateral pulmonary emboli. No evidence death was vaccine related.
65 2021-03-10 pneumonia Severe flu symptoms, weakness painful gut hard red vaccine site, skin rash. Day 11, severe cold symp... Read more
Severe flu symptoms, weakness painful gut hard red vaccine site, skin rash. Day 11, severe cold symptoms, inflamed sinuses, infection in lungs. Seriously considered hospitalization
65 2021-03-14 respiratory failure, death Patient died two days after receiving vaccine. Death certificate said respiratory failure.
65 2021-03-15 pneumonia After my 2nd dose Moderna vaccine, I experienced chills, fever, nausea, coughing and was coughing up... Read more
After my 2nd dose Moderna vaccine, I experienced chills, fever, nausea, coughing and was coughing up mucus. The day after felt very weak and ate very little, had only sprite to drink, water and crackers. The next day my legs buckled up and felt weakness to my legs. My cough started to get worse and on 02-03-2021 I went to an urgent care facility where x-rays of the chest were performed. They also performed a Covid test. The x-ray of the chest demonstrated a touch of pneumonia in my right lung. I was given steroid medication and places on antibiotics and it is when I started to slowly feel better. I do not know what cause my symptoms after my second dose. I also received my first dose Moderna vaccine on 01-01-2021 and I only had left arm soreness but no other reaction. (Lot#: 037K20A)
65 2021-03-18 cerebrovascular accident I had a painful nodule on the left side of my neck, I applied pressure to it and I had complete loss... Read more
I had a painful nodule on the left side of my neck, I applied pressure to it and I had complete loss of sensation and paralysis in my right arm that lasts 5-7 hours. MRI confirmed I had a small stroke. 85% recovered. fatigue and loss of energy.
65 2021-03-18 cerebrovascular accident Patient called today to report her adverse event. Patient reports several hours after getting her va... Read more
Patient called today to report her adverse event. Patient reports several hours after getting her vaccines being at the ER for stroke like symptoms. Patient reports that after several test were performed they confirmed she had sustained a stroke. Patient was hospitalized for 9 days including rehab.
65 2021-03-19 deep vein blood clot, pulmonary embolism, low blood platelet count Pt received dose 2 of Moderna COVID19 vaccine on 2/12. Admitted to the hospital 2/24/21 with acute ... Read more
Pt received dose 2 of Moderna COVID19 vaccine on 2/12. Admitted to the hospital 2/24/21 with acute ITP. Subsequently admitted 3/19 with extensive bilateral LE DVTs and pulmonary embolism.
65 2021-03-21 transient ischaemic attack On March 13, I developed double vision, dizziness and nystagmus. I was transferred by ambulance to ... Read more
On March 13, I developed double vision, dizziness and nystagmus. I was transferred by ambulance to a hospital due to stroke symptoms. Admitted overnight. Diagnosis: Transient Ischemic Attack. This occurred one month after second Covid injection.
65 2021-03-22 cardiac arrest Sudden onset of shortness of breath early morning 3/15/2021. EMS called, transported patient to Adve... Read more
Sudden onset of shortness of breath early morning 3/15/2021. EMS called, transported patient to Adventist to ER code blue in asystole. Asystole on arrival, no response to resuscitative efforts, pronounced dead in ER.
65 2021-03-22 death Patient experienced severe vomiting and fatigue 24 hours after receiving vaccine. This occurred thr... Read more
Patient experienced severe vomiting and fatigue 24 hours after receiving vaccine. This occurred throughout 48 hours after and patient was found d/c on 03/20/2021.
65 2021-03-26 cerebrovascular accident Stroke Medication to thin my blood Good recovery
65 2021-03-31 blood clot in lung About 3 days after the vaccine my daughter mentioned to me that I was not breathing right. It was ha... Read more
About 3 days after the vaccine my daughter mentioned to me that I was not breathing right. It was harder to breathe and I could not even take a shower that I would be out of breath. My daughter checked my pulsox and it was 85. I couldn't really walk or do anything so my daughter transported me to ER and lots of labs were done so since my D Dimer was too high they did a CT scan and it showed some blood clots in my lungs. They admitted me because they were concerned with the location of one of them. They did some heart tests too and put me on Eloquis and then sent me home. I stayed for 2 days. Then they scheduled me FUs with a heart doctor and a pulmonologist.
65 2021-04-05 cardiac arrest cardiac arrest; This spontaneous case was reported by a consumer and describes the occurrence of CAR... Read more
cardiac arrest; This spontaneous case was reported by a consumer and describes the occurrence of CARDIAC ARREST (cardiac arrest) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 011A21A and 011A21A) for COVID-19 vaccination. The patient's past medical history included Heart attack in September 2020. Concomitant products included LEVOTHYROXINE, ATORVASTATIN, CLOPIDOGREL BISULFATE (PLAVIX), CARVEDILOL, ACETYLSALICYLIC ACID (ASPIRIN 81), VITAMIN D3, ALENDRONATE SODIUM (ALENDRONATE), LISINOPRIL and FAMOTIDINE for an unknown indication. On 25-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 25-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 27-Mar-2021, the patient experienced CARDIAC ARREST (cardiac arrest) (seriousness criterion hospitalization). The patient was hospitalized on 27-Mar-2021 due to CARDIAC ARREST. At the time of the report, CARDIAC ARREST (cardiac arrest) outcome was unknown. Cardiac catheterization to be performed on the patient on 31-MAR-2021. Based on the current available information and temporal association between the use of the product and the onset date of the reported event of cardiac arrest, a causal relationship cannot be excluded. However, patient's recent myocardial infarction may have been contributory.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the onset date of the reported event of cardiac arrest, a causal relationship cannot be excluded. However, patient's recent myocardial infarction may have been contributory.
65 2021-04-06 pulmonary embolism 02/23/21, 7 pm - upset stomach and sore arm at injection site 02/24/21, 7 am to 11 pm - upset stomac... Read more
02/23/21, 7 pm - upset stomach and sore arm at injection site 02/24/21, 7 am to 11 pm - upset stomach, headache, body aches & chills and sore arm at injection site 02/25/21, 7 am to 02/27/21, 7 am - sore and swollen left underarm and breast, itchy rash extending down upper arm from injection site 02/27/21, 7 am to 02/28/21, 11 pm - swelling of left knee and left ankle 03/03/21, 7am to 03/06/21, 10 pm - back pain along bottom of right shoulder blade 03/08/21, 8 pm to 03/18/21, 10 pm - chest pain under right breast, especially with deep breathing, and highly elevated blood pressure
65 2021-04-07 pulmonary embolism On 3/4/2021 I was diagnosed with metastatic lung cancer which further studies showed that there were... Read more
On 3/4/2021 I was diagnosed with metastatic lung cancer which further studies showed that there were innumerable bone and organ metastases. On 3/12/2021 I was further diagnosed with multiple pulmonary emboli.
65 2021-04-07 respiratory failure, pulmonary embolism Vaccine breakthrough hospitalization - SOB with O2 sat 50% when EMS arrived. On non-rebreather satti... Read more
Vaccine breakthrough hospitalization - SOB with O2 sat 50% when EMS arrived. On non-rebreather satting 70%. Chills, fever, cough, and chest pain. BP 152/79, HR 93, RR 20, SpO2 91%. Had been scheduled to receive COVID mAb day of admission, but clinical course worsened. Admitted to Medical ICU for acute respiratory failure with hypoxia and ARDS secondary to COVID-19. Placed on BIPAP and Rx with Remdesivir, dexamethasone, & tociluzumab. Treated for presumed pulmonary embolism with full-dose anticoagulation. Pt expressed wishes to remain DNR/DNI, ultimately she elected to transition to comfort measures only given worsening hypoxia.
65 2021-04-08 cardiac failure congestive, heart attack Dose 1 - Fever 104.1 degrees, severe chills, dizziness, temporary loss of bladder control (12 hrs. d... Read more
Dose 1 - Fever 104.1 degrees, severe chills, dizziness, temporary loss of bladder control (12 hrs. duration), weakness, muscular body aches all over. Symptoms commencing eleven (11) hours after dose 1. Ended in about 24 hours. Dose 2 - Myocardial infarction, Acute Congestive Heart Failure commencing eleven (11) hours after dose 2. Hospitalized 3 days. Symptoms of m/i: couldn't breathe, dizziness. 911 summoned.
65 2021-04-13 anaphylactic reaction At 9pm I took my dog for a walk and upon return home at 9:20 I had a mild anaphylactic episode with ... Read more
At 9pm I took my dog for a walk and upon return home at 9:20 I had a mild anaphylactic episode with hives and some mouth/throat swelling. I took Benadryl and went to bed. I have not had any idiopathic anaphylactic episodes for 2 years.
65 2021-04-13 pulmonary embolism Bilateral pulmonary embolisms requiring ICU admission. Patient presented to Emergency Room on 4/13/2... Read more
Bilateral pulmonary embolisms requiring ICU admission. Patient presented to Emergency Room on 4/13/21 with presented to the ED with shortness of breath and chest pain. The patient notes that she developed shortness of breath, particularly with exertion, about 1 week prior to presentation. 2-3 days prior to presentation, she developed pleuritic chest pain on the right anterior chest. She denies any recent fevers, chills, weight changes, palpitations, cough, sputum production, abdominal pain, nausea, vomiting, diarrhea, constipation, lower extremity edema. She does note that she received her first dose of the COVID-19 vaccine on 3/16/2021 and was due for dose#2 on the day of admission. She denies a personal history of blood clots and denies current smoking, estrogen use, or recent surgery. She does note a history of blood clots in her sister, but she is unsure whether they were provoked or unprovoked. Patient required BiPAP on admission and was initiated on a heparin drip. Initial CT w/ some concern for R heart strain, however, echocardiogram showed no signs of R heart strain and she was hemodynamically stable. She was weaned from the BiPAP to Non-rebreather, and eventually nasal cannula. The heparin drip was transitioned to lovenox with plans to go home on a DOAC. Still hospitalized at time of event report.
65 2021-04-13 blood clot her left leg was swollen; two red clots on left leg; right feet was hurting; This spontaneous case w... Read more
her left leg was swollen; two red clots on left leg; right feet was hurting; This spontaneous case was reported by a consumer and describes the occurrence of THROMBOSIS (two red clots on left leg) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Unknown) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event. On 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PERIPHERAL SWELLING (her left leg was swollen), THROMBOSIS (two red clots on left leg) (seriousness criterion medically significant) and PAIN IN EXTREMITY (right feet was hurting). At the time of the report, PERIPHERAL SWELLING (her left leg was swollen), THROMBOSIS (two red clots on left leg) and PAIN IN EXTREMITY (right feet was hurting) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.; 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. Further information has been requested.
65 2021-04-15 cerebrovascular accident reports getting the moderna coviud vaccine on 03/16/2021 and then had a "stroke" 4-5 days after
65 2021-04-15 systemic inflammatory response syndrome systemic inflammatory response syndrome; falls/legs had given out from under her; This literature-no... Read more
systemic inflammatory response syndrome; falls/legs had given out from under her; This literature-non-study case was reported in a literature article and describes the occurrence of SYSTEMIC INFLAMMATORY RESPONSE SYNDROME (systemic inflammatory response syndrome) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. LITERATURE REFERENCE: The patient's past medical history included Hypertension and Diabetes. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced SYSTEMIC INFLAMMATORY RESPONSE SYNDROME (systemic inflammatory response syndrome) (seriousness criterion medically significant) and FALL (falls/legs had given out from under her). At the time of the report, SYSTEMIC INFLAMMATORY RESPONSE SYNDROME (systemic inflammatory response syndrome) and FALL (falls/legs had given out from under her) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Blood culture: normal (normal) normal. In 2021, Body temperature increased: 39.1 (abnormal) 39.1 degree celsius. In 2021, C-reactive protein: 63.4 (Inconclusive) 63.4 milligram per litre. In 2021, Computerised tomogram abnormal: pulmonary nodule (abnormal) multiple pulmonary nodules measuring up to 1o1 cm. In 2021, Culture urine: normal (normal) normal. In 2021, Fibrin D dimer: high (High) 5267 ng/ml.. In 2021, Heart rate: 88 (normal) 88 BPM. In 2021, Positron emission tomogram: abnormal (abnormal) It showed uptake in the fat stranding posterior to the right deltoid,moderate uptake with in right axillary lymph nodes and diffusely increased uptake in spleen and no uptake in pulmonary nodules showing they are benign.. In 2021, Red blood cell sedimentation rate: 63.4 (Inconclusive) 63.4 mm/h. In 2021, Respiratory rate: 25 (abnormal) 25 breaths per minute. In 2021, SARS-CoV-2 test: negative (Negative) negative. 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. 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.
65 2021-04-17 pneumonia Headache chills fever body aches lump in throat nausea followed by pneumonia low oxygen level very h... Read more
Headache chills fever body aches lump in throat nausea followed by pneumonia low oxygen level very high white blood count
65 2021-04-18 atrial fibrillation a fib
65 2021-04-18 cardiac arrest, death 101.5 fever Friday night, followed by a seizure at 3am. She was found unresponsive late Saturday af... Read more
101.5 fever Friday night, followed by a seizure at 3am. She was found unresponsive late Saturday afternoon, and was pronounced dead at the hospital. Sudden cardiac arrest.
65 2021-04-18 systemic inflammatory response syndrome Beginning in day after receiving 2nd vaccine: Systemic inflammation, severe joint pain, abdominal pa... Read more
Beginning in day after receiving 2nd vaccine: Systemic inflammation, severe joint pain, abdominal pain, digestive/intestinal issues (ranging from constipation to diarhea and excessive gas), loud ringing in the ears (tinnitis)
65 2021-04-20 death, heart failure Spouse reported that patient was taken to The Hospital after unresponsive in the home on 4/2/2021. ... Read more
Spouse reported that patient was taken to The Hospital after unresponsive in the home on 4/2/2021. States was told that cause of death was heart failure.
65 2021-04-20 blood clot in lung, blood clot Blood clot in Right leg and bilateral lungs. Patient also reported headache for >1 week, fatigue, sh... Read more
Blood clot in Right leg and bilateral lungs. Patient also reported headache for >1 week, fatigue, shortness of breath and blood pressure that elevated above 210 systolic.
65 2021-04-24 blood clot Second vaccine given 3-4-21 on 4-21-21 was treated at the ER for blood clot in right calf . My ... Read more
Second vaccine given 3-4-21 on 4-21-21 was treated at the ER for blood clot in right calf . My calf was tight and a bit swollen. My heart beat was rapid with shoulderblade pain and tightness in chest. Tightness and blade pain started on 4/20 pm with a hard calf. Morning pain worse and leg was more swollen and warm
65 2021-04-25 pulmonary embolism March 31, I woke up with very stiff joints, making walking and doing household chores exceedingly di... Read more
March 31, I woke up with very stiff joints, making walking and doing household chores exceedingly difficult. This lasted for 5 days. Beginning on April 5th I felt like I could not catch my breath, so I called my doctor?s office for an appointment; I saw the PA and she felt I needed to have an EKG. I called them and the earliest I could see them was the 20th. I contacted my Doctor?s office, and they sent an order for the testing ASAP, I never received a call from them to reschedule. As the week continued, I got worse and went to the ER. After numerous tests and blood draws, I was admitted to the hospital. I spent 2 days in the hospital, 24 hours on oxygen.
65 2021-04-25 pulmonary embolism Shortness of breath; Difficulty breathing; Heaviness in chest; Went to ER and had chest x-rays and C... Read more
Shortness of breath; Difficulty breathing; Heaviness in chest; Went to ER and had chest x-rays and CT scan of my lungs. Found out I had numerous pulmonary embolisms in all 5 lobes of my lungs. They did a COVID test and it was negative. They did an EKG and sonogram on my heart and it was fine. They checked for blood clots in my legs. There were none. They checked for signs of cancer. There were none. They started a heparin drip through my IV and the dissolved the largest clot with an embolectomy. I'll be on blood thinners for 6 months.
65 2021-04-29 deep vein blood clot On 4/19/21, Pt began with pain in her left leg. Pain continued to worsen so that she could not slee... Read more
On 4/19/21, Pt began with pain in her left leg. Pain continued to worsen so that she could not sleep at night and she became unstable on her feet. On 4/23, she developed a 102 degree fever, severe nausea and severe abdominal pains and she drove to Hospital ER on 4/24. She was diagnosed with Deep Vein Thrombosis behind her left knee.
65 2021-04-30 deep vein blood clot dvt- gastrocnemius vein right leg
65 2021-04-30 fluid around the heart pleural and pericardial effusions
65 2021-05-03 deep vein blood clot pt developed DVT
65 2021-05-03 deep vein blood clot left lower extremety swelling, redness, pain within one week of second COVID vaccine. DVT confirmed ... Read more
left lower extremety swelling, redness, pain within one week of second COVID vaccine. DVT confirmed at ED visit.
65 2021-05-04 pneumonia I had a fever, vomiting, SEVERE Migraine, aches, diarrhea - With both shots. I got COVID 8/31/2020,... Read more
I had a fever, vomiting, SEVERE Migraine, aches, diarrhea - With both shots. I got COVID 8/31/2020, hospitalized from 10/9/2020 - 10/16/2020 with double pneumonia. Very dehydrated, fever was uncontrolled, vomiting, diarrhea.
65 2021-05-04 pulmonary embolism Patient arrived to the healthcare facility with complaint of left upper quadrant abdominal pain on a... Read more
Patient arrived to the healthcare facility with complaint of left upper quadrant abdominal pain on and off for approx 2 weeks. Noticed it began shortly after receiving the COVID vaccination. On April 15th, patient stated they had an increase in the left upper quadrant abdominal pain and new shortness of breath. Upon admission to ED patient had CT angio chest with contrast completed, results showed b/l pulmonary embolism with distention of the main pulmonary artery.
65 2021-05-05 anaphylactic reaction Moderna COVID-19 Vaccine EUA vaccine second dose about 2 or 3 hrs after shot, I had anaphylactic sy... Read more
Moderna COVID-19 Vaccine EUA vaccine second dose about 2 or 3 hrs after shot, I had anaphylactic symptoms on the side of the injection. swelling of throat and tongue, sneezing, coughing, wheezing, trouble breathing. I was not going to call 911 cause I could still breath on the other side, and I could not drive to hospital to get epinephrine shot so I took 3 or 4 benaydrel every few hours and it finally went away.
65 2021-05-10 blood clot Saturday 30 minutes after administration patient felt nausea lethargy and stiff neck and back. Nex... Read more
Saturday 30 minutes after administration patient felt nausea lethargy and stiff neck and back. Next morning Sunday patient woke with a fever of 99.6 and large blood clot in mouth. Two days post vaccine Monday patient work with large blood clot on pillow. That evening patient had 2 more blood clots spontaneously coming from teeth. Tuesday morning upon arising from chair pt experienced an intense metallic taste. Patient then experienced several 8 mouth fulls of blood on 3 occasion in same evening. Patient states it was pushing out from gums.
65 2021-05-11 pneumonia April 17, 2021 I developed a severe sore throat April 21, 2021 went to an urgent care. Negative str... Read more
April 17, 2021 I developed a severe sore throat April 21, 2021 went to an urgent care. Negative strep, negative Covid, sent home to take Tylenol April 23, 2021 telemedical with primary physician, put on AmoxClav anti-biotic for severe sore throat and swelling April 24, 2021 went to see an ear, nose and throat specialist who diagnosed Shingles in my throat Prescribed Prednisone (20 mg x 2 daily) for inflammation Prescribed Clarithromycin (500 mg x 2 daily) to avoid any bacteria such as pneumonia from shortness of breath and trouble swallowing Prescribed Valacyclovir (1G x 3 daily) for Shingles IRONY: Shingrix vaccine July 13, 2018
65 2021-05-13 bleeding on surface of brain, ventricular tachycardia Spontaneous Cortical Non aneurysmal subarachnoid hemorrhage with diagnostic suspicion but not confir... Read more
Spontaneous Cortical Non aneurysmal subarachnoid hemorrhage with diagnostic suspicion but not confirmation of cortical venous thrombosis, and spontaneous ventricular tachycardia.
65 2021-05-18 low blood platelet count Noticed bleeding in the mouth/gums. Looked inside and found bloody holes in my cheeks about 1/2" big... Read more
Noticed bleeding in the mouth/gums. Looked inside and found bloody holes in my cheeks about 1/2" big. I noticed the top of my hands we also very bruised although I did not get hurt. I went to the ER and they took me in and ran blood tests. They diagnosed me with Immune Thrombocytopenia Purpura. My platelet level was at 8,000, and 6 months prior I was at 180-200,000. They began giving me platelets and were working up to giving my Immunoglobulen. After 2 doses of platelets they gave me 2 doses of benadryl intravenously and I had a scary reaction (I've never had a reaction to benadryl prior to vaccine). My body went numb, it felt like my muscles fell asleep, I felt like I could not breath. It's as if my body attacked anything that came in. Then I was given a sedative to calm down. As the sedative faded I began feeling immense pain in my abdomen, they thought it was internal bleeding, but after a CT scan they found 3 kidney stones. I was then put on fluids. Due to pain, my blood pressure went up and stayed up for about 8-10 hrs at around 255. I was given about 3 does of blood pressure medication throughout that time to lower it as well as morphine to help with the pain. The next morning (Day 3) I was finally given the Immunoglobulin (3 bottles = 1 dose). platelets went up to about 60,000. Then I was given a second dose and released on day 4 (but the second dose was not completed in full, only 1 or 2 bottles of the 3 were given. I was released and came back after 2 days for a blood test. I was given steroids to take for a few months. My platelets were at 120,000. I thought that I was getting better, but then a few days letter came in for another blood test and it showed I was back at 60,000 platelets. Thats where I am now.
65 2021-05-20 atrial fibrillation loss of taste and small April 18 - 24, 2021 Racing heart rate, significant weight/pressure on chest,... Read more
loss of taste and small April 18 - 24, 2021 Racing heart rate, significant weight/pressure on chest, difficulty catching breath: - first episode April 24, 2021 - second episode included cold sweats May 4, 2021. I called 911 and was transported to Emergency Department. ED team diagnosed issue as atrial fibrillation.
65 2021-05-20 death Intestinal distress ending in dead gut sundrome
65 2021-05-25 deep vein blood clot, pulmonary embolism, atrial fibrillation Initially, experienced swelling in left foot, leg, progressive pain, difficulty walking. Referred ... Read more
Initially, experienced swelling in left foot, leg, progressive pain, difficulty walking. Referred for test, after seeing doctor on 4/21/21, progressive pain, gradual and increasing shortness of breath. Went to Urgent care on 4/26/21. Recommended Emergency care. Hospitalized 4/26/21 to 4/30/21. Diagnosed DVT, Pulmonary Embolism, Afib.
65 2021-05-25 deep vein blood clot, blood clot in lung, pulmonary embolism Dose 1 - 1/19/21 - On 1/26/21, I got developed a bad case of SOB. I called my cardiologist and she t... Read more
Dose 1 - 1/19/21 - On 1/26/21, I got developed a bad case of SOB. I called my cardiologist and she told me to get tested for COVID. I went to the county facility to get tested and it took 3 days for results, which finally came back negative. During my wait, I went to a Urgent care and they did a Chest Xray, EKG and another COVID test, which was negative and the other tests were normal. I was sent back to cardiologist. She scheduled a stress text on 2/11 and everything was fine. I was also feeling fine by then. Dose 2 - 2/16/21 - The next day, I had a headache, aches, pain, fever and basically felt like I had the flu. I took Tylenol and that lasted about 36 hours. On 2/25, I was doing my 2 mile walk and I start experiencing the SOB again. So, I relaxed and figured it would go away. On 3/1, we drove to a park and back home 3 days later. On 3/3, I was really exhausted, so I took a nap for 3 hours and awakened with calf pain and a low grade fever. That lasted for 3 days, so I went to the ER on 3/6. They did an ultrasound on my leg and found a DVT in my right leg. They did CT Scan of my lung and found several clots (pulmonary emboli). I was in the hospital overnight and put me on a blood thinner, Eliquis 5mg, twice a day. Since then, I've continued to take the Eliquis and I'm following up with a hematologist on June 21. The hematologist has already tested me for two factors came negative and he will test me for the third one at my next visit.
65 2021-05-25 low blood platelet count, low platelet count presents 5/8/2021 with red/bloody lesions inside bilateral cheeks, lower lips for the past 5 days o... Read more
presents 5/8/2021 with red/bloody lesions inside bilateral cheeks, lower lips for the past 5 days or so. Patient denies any new medications. Patient denies any pain in her body, she noted increased bruising (right hand), and small dots on her skin appear everywhere. She has never had low platelets before. She denies taking any new supplements. She only takes levothyroxine and no other medications at home. She denies taking Aspirin and denies . admit to inpatient Med Surg, patient with most likely ITP with wet purpura, diffuse petechiae and with platelet of 12K. Patient is currently not actively having any without GI bleed or profuse bleeding. HGB 12.0 Patient received IV IG infusions on 5/11 and 5/12, as well as continued steroids, and received platelets transfusions , Platelets improved to > 50 K by 5/12/2021 , and felt well and ready to go home . On 5/25/21 patient readmitted due to worsening thrombocytopenia during outpatient follow-up. At last admission, patient had thrombocytopenia with minor oral bleeding and petechial rash, and was sent home on steroid taper. Patient reports tapering down on prednisone as directed, but she began to note increased bruising all over her body, most prominently on her arms. Notes her gums began to ooze again a couple days ago. No hematuria, no melena or dark tarry stools. will treat with IVIG 1g/kg and rituximab.
65 2021-05-26 vaginal haemorrhage I have had heavy vaginal bleeding for 8 days ,now spot bleeding... Also bad cramps in feet?s and pai... Read more
I have had heavy vaginal bleeding for 8 days ,now spot bleeding... Also bad cramps in feet?s and pains in legs on and off,besides headaches.
65 2021-06-01 cerebrovascular accident Stroke
65 2021-06-05 heart attack INITIALLY: Patient described having Flu- like symptoms of fatigue, body aches, also nausea within ho... Read more
INITIALLY: Patient described having Flu- like symptoms of fatigue, body aches, also nausea within hours of receiving the vaccine. She had to stay in bed for 2 days because of it and her arm was "extremely" sore, and the symptoms were on and off for the subsequent 2 weeks. THEN: Patient gets admitted to the hospital on 5/15/21 (two weeks from the shot) for a HEART ATTACK. She presented with atypical symptoms, describing a "pulling sensation" in the back of her head and extreme weakness where she couldn't stand. Patient was then hospitalized twice due to the heart attack, and will require open heart surgery which she is scheduled for later this month. Patient is on several new medications now.
65 2021-06-07 excessive bleeding I experienced menstrual like cramps and minor lower back aches. Later during the day the cramps star... Read more
I experienced menstrual like cramps and minor lower back aches. Later during the day the cramps started to calm down, At nighttime I experienced flu like symptoms, I started to feel a sore throat that was by my tonsils. I also had aches under my eyes The next day I still had a sore throat and I also experienced earaches. A couple days later the eye aching got worse. I also started to have sharp pains in my stomach. I also wasn't able to eat anything , when I did eat one snack I felt very stuffed. I experienced a minor headache. At night a couple days later I still had experienced some more stomach aches that became very painful. When I start going to the bathroom I saw some blood. Couple weeks later I felt a little bit better , I by chance pushed on my lower stomach area close by my pelvis and it felt very sore. After all this I felt better and gained my energy back. Then that's when I felt the stomach pains by my kidney again and the menstrual like cramps. Not until May did all of my cramps and pains come to a stop.
65 2021-06-09 atrial fibrillation AFIB
65 2021-06-10 blood clot in the brain I started to get a rash around the injection area and a stiff neck. Both resolved after about 5 days... Read more
I started to get a rash around the injection area and a stiff neck. Both resolved after about 5 days. On the 29th, I couldn't see after I got out of the shower. I went to the hospital and they gave me the TPA drug. I told them I had the vaccine and they said they weren't sure if it could be the cause. I was hospitalized for 3 days. Doctor thought it was a Cerebellum Stroke in the back of my head and think the drug broke up the clot. My vision did return after the drug. They didn't have any ICU beds and weren't equipped to handle my case, so they did telemed appt with Neurological ICU, where they did more testing. I have to follow up with their stroke clinic next week. They put me on new meds, to include Norvas, baby aspirin and Crestor.
65 2021-06-10 pulmonary embolism BILATERAL PE
65 2021-06-14 cardiac failure congestive Moderna shots given at a vaccine facility on 2/6/21 and 3/10/21. She has had a gradual onset of shor... Read more
Moderna shots given at a vaccine facility on 2/6/21 and 3/10/21. She has had a gradual onset of shortness of breath. Seen by me on June 1. Dx cardiomyopathy, Class 3 CHF. Hospitalized at local Medical Center. Currently still being treated by cardiology team.
65 2021-06-18 pneumonia Pericarditis Went to the emergency room April 18 miss- diagnosed for phenmonia treated w ant biotics... Read more
Pericarditis Went to the emergency room April 18 miss- diagnosed for phenmonia treated w ant biotics Returned to emergency room April 25 admitted April 25- 28 diagnosed pericarditis
65 2021-06-23 cerebrovascular accident I had a stroke on April 15th. The day after the vaccine, I had a bad headache and chills.
65 2021-06-29 heart failure Shortness of breath leading to heart failure.
65 2021-07-05 deep vein blood clot, pulmonary embolism DVT LEFT LEG AND PULMONAEY EMBOLISM SHORTNESS OF BREATH ABOUT 6 WEEKS AFTER 2ND DOSE
65 2021-07-19 low platelet count Patient presents after falling in her shower. She has been having dark stools for a couple weeks and... Read more
Patient presents after falling in her shower. She has been having dark stools for a couple weeks and weakness and dizziness for a couple days. In the emergency room, she was found to have macrocytic anemia and thrombocytopenia. Treatments patient has received include steroids, rituximab, and eltrombopag
65 2021-07-26 heart attack Patient presented to the ED and was subsequently hospitalized for NSTEMI within 6 weeks of receiving... Read more
Patient presented to the ED and was subsequently hospitalized for NSTEMI within 6 weeks of receiving COVID vaccination.
66 2021-01-09 cardiac failure congestive 1/9/2021 fever of 101.3, chills, 1/10/2021 fever 99.6, diarrhea, pain in injection site slight. Ty... Read more
1/9/2021 fever of 101.3, chills, 1/10/2021 fever 99.6, diarrhea, pain in injection site slight. Tylenol
66 2021-01-12 pneumonia Presented to MD'S office on 01/05/2021 with cough, HA, fever 101.9, chills, and fatigue. Returned ... Read more
Presented to MD'S office on 01/05/2021 with cough, HA, fever 101.9, chills, and fatigue. Returned on 01/07/2021 with no improvement. Returned on 01/11/2021 with fatigue, elevated temp 101.2, SOB, 02 Sat at 90%, Rocephin 1G IM administered, CXR revealed pneumonia. MD received call from patients husband stating worsening 02 Sat levels at 81-82%. Was transferred to hospital and admitted with pneumonia..
66 2021-01-19 anaphylactic reaction Pt had anaphylaxis reaction 10 minutes after administration. Sensation of light headed, could not t... Read more
Pt had anaphylaxis reaction 10 minutes after administration. Sensation of light headed, could not talk, sensation of tongue swelling and throat closing. Pt was immediately given one dose of epi using standard adult epi pen, IVF, and 25mg benadryl IV. Pts vitals were always wnl, including oxygen. Pt stabilized and in 60 minutes was ready to go home wo any adverse outcome.
66 2021-01-25 pulmonary embolism Patient was admitted to hospital for Pulmonary Embolism
66 2021-02-03 anaphylactic reaction 66 yo WF with PMH asthma, allergic rhinitis, morbid obesity (112kg), chronic low back pain with scia... Read more
66 yo WF with PMH asthma, allergic rhinitis, morbid obesity (112kg), chronic low back pain with sciatica, hyperlipidemia, CKD 3a, endometiral CA was at the clinic for COVID19 Moderna Vaccination. History of allergies to Paclitaxel (anaphylaxis) and adhesive tape (pruritis). Takes allergy shots 3 x week. Dose given in patient's left deltoid at 1600 (lot # 011J20A). At 1630 patient started to complain of dry eyes. Patient took 5mg levocetirizine from her own supply with no relief. Patient was registered to urgent care for further evaluation and management. Patient started to clear throat and complain her throat feels swollen and her mucus was thick. BP elevated 160's. Solumedrol 125mg IV given at 1702;
66 2021-02-03 sepsis, systemic inflammatory response syndrome Resident received 2nd Covid 19 vaccine from Moderna on 1/26 in Rt deltoid. Immediately felt a littl... Read more
Resident received 2nd Covid 19 vaccine from Moderna on 1/26 in Rt deltoid. Immediately felt a little lightheaded during the 15 min window afterward but was able to ambulate independently with walker just afterward. After taking a nap, she woke with a headache, chills, a little shaky and feeling very tired. She was able to eat and take Tylenol at the time. For the rest of the day, she felt under the weather. The next morning she was very weak, unable to ambulate and tachycardic prompting nursing staff to send her to the hospital for assessment.
66 2021-02-11 pneumonia Pt admitted 1 day after 2nd dose Moderna COVID-19 Vaccine, for fever, muscle aches and diagnosed PNA... Read more
Pt admitted 1 day after 2nd dose Moderna COVID-19 Vaccine, for fever, muscle aches and diagnosed PNA. Pt stable on discharge with abx for PNA tx.
66 2021-02-17 death, cardiac arrest Patient collapsed and could not be revived. There was no prior warning. She was otherwise in good co... Read more
Patient collapsed and could not be revived. There was no prior warning. She was otherwise in good condition for her age. The death was listed as probable cardiac arrest but no autopsy was performed. Since it occurred so close to the vaccine shot I thought someone may want to know.
66 2021-02-17 excessive bleeding 2 hours after receiving the vaccine I had a nosebleed on the left side of my nose.
66 2021-02-17 sepsis fever 101.2 at 2pm took 2 tylenol and it broke Went to the urgent care Feb 8, on 14th ER treated he... Read more
fever 101.2 at 2pm took 2 tylenol and it broke Went to the urgent care Feb 8, on 14th ER treated her as a sepsis pt. and did a whole check up and was negative (WBC and platelets returned back normal) WBC on the 8th was 2.4 now WBC 02/14 5.82 platelets 1750, now 26200 02/14 Recommended: please see a doctor just to confirm otherwise I would still recommend you get the second dose of the vaccine benefits outweight the risk
66 2021-02-17 transient ischaemic attack TIA experienced on 2/13/2021 upon rising from sleep/found lacuner infarct on MRI in ER on 2/13/21
66 2021-02-22 vaginal haemorrhage After vaccination I experienced very fatigue, nauseous, chills, fever, so cold, and sore, and today ... Read more
After vaccination I experienced very fatigue, nauseous, chills, fever, so cold, and sore, and today 48 hours it appears to have a menstrual cycle or vaginal bleeding that started today, I had a hysterotomy 20 years ago.
66 2021-02-26 atrial fibrillation None stated.
66 2021-02-26 heart attack The day following the vaccine I was fine until approximately 1:30 p.m. when I suddenly got very, ver... Read more
The day following the vaccine I was fine until approximately 1:30 p.m. when I suddenly got very, very dizzy, had disequilibrium and began to feel nauseous, and had diarrhea. The dizziness increased from mild to so bad I had to hold onto the wall to walk to the bathroom. I took half a Benadryl but it continued to escalate and I took another half a Benadryl at which time it stopped escalating but did not dissipate until approximately 4:45 p.m. I called my physician who was unavailable so I just depended on the Benadryl. There were no breathing difficulties but I had a scratchy throat in the middle of the attack and my tongue went numb and tingly.
66 2021-03-02 blood clot Anxious; Tired; Blood clots in left leg, right leg and brain; A spontaneous report was received from... Read more
Anxious; Tired; Blood clots in left leg, right leg and brain; A spontaneous report was received from a consumer who was also a 66-year-old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and developed blood clots in the left leg, right leg, and brain, anxious and tired. The patient's medical history was not provided. Concomitant medications reported included vitamin D, magnesium, lisinopril, and vitamin B12. On 14 Jan 2021, approximately 3 days prior to the onset of symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number not provided) intramuscularly in the left deltoid for prophylaxis of COVID-19 infection. On 16 Jan 2021, the patient experienced immense pain in the middle of the night, and subsequently saw her primary physician. An ultrasound revealed blood clots in her left leg, right leg and brain. A hematologist and vascular surgeon were consulted. Patient was treated with apixaban while they are doing blood work. The patient also became tired and anxious. She noted that she never had comorbidities before and was upset that her life has completely changed. A repeat ultrasound was scheduled for 19 Feb 2021. The mRNA-1273 dose was discontinued in response to the event of blood clots in the left leg, right leg, and brain, anxious and tiered. The outcome of events, blood clots in the left leg, right leg, and brain was considered unknown at the time of this report. The outcome of the events, tired and anxious were considered not resolved at the time of this report.; Reporter's Comments: Very limited information regarding the events has been provided at this time. Further information has been requested.
66 2021-03-08 excessive bleeding, low blood platelet count autoimmune hemolytic anemia & immune thrombocytopenia which worsened rapidly post-vaccine symptoms -... Read more
autoimmune hemolytic anemia & immune thrombocytopenia which worsened rapidly post-vaccine symptoms - bleeding, short of breath, incredibly tired, pale, weak - symptom onset 8 hours post-vaccine rapid progression for first 24 hours post-vaccine) blood transfusion, platelet transfusion, treatment with steroids' (still undergoing treatment and seeing no improvement at this point)
66 2021-03-11 death Client Passed away on 1/28/2021
66 2021-03-11 blood clot in lung My mother felt pain increasing in her back. On Saturday the 6th she went to her clinic Dr. He gave h... Read more
My mother felt pain increasing in her back. On Saturday the 6th she went to her clinic Dr. He gave her a ex-ray. He saw a mass and told her to ho to the hospital for more test. She went to hospital where they per f order a CT scan and many other test and found a blood clot on her lungs. She was advised to be admitted immediately. She was there getting many test taking blood thinners to shrink the clot. Monday after all her test came back the doctors could not find a source of the clot. She was sent home with blood thinner prescriptions and follow up appointments.
66 2021-03-11 vaginal haemorrhage Slight sore arm for two days, fatigue for 4 days, migraine headache for 5 days, extreme chills for 1... Read more
Slight sore arm for two days, fatigue for 4 days, migraine headache for 5 days, extreme chills for 1.5 days, nausea for 4 days, fever 100.4 for 1 day, vaginal bleeding on day 3 for 1.5 days
66 2021-03-12 pulmonary embolism Saddle blood clot in lung. Place in ICU for 1 day. Then regular room. Heparin drip to Apixaban. No a... Read more
Saddle blood clot in lung. Place in ICU for 1 day. Then regular room. Heparin drip to Apixaban. No activity. All medical tests indicated no cause of blood clot. Vitals great. Past out twice and threw up night it started
66 2021-03-15 low platelet count, low blood platelet count Thrombocytopenia-ITP. Platelet undetectable <5
66 2021-03-16 death Patient was found unresponsive the morning of March 14, 2021. She was pronounced dead at 5:33 AM. Th... Read more
Patient was found unresponsive the morning of March 14, 2021. She was pronounced dead at 5:33 AM. The medical examiner quoted natural cause of death.
66 2021-03-17 anaphylactic reaction Anaphylaxis
66 2021-03-17 anaphylactic reaction anaphylaxis, asthma attack, heart racing, dizziness, severe headache, pain in left side from shoulde... Read more
anaphylaxis, asthma attack, heart racing, dizziness, severe headache, pain in left side from shoulder to waist, numbness in both hands, pain in right arm from shoulder to hand with numbness and tingling sensation. Inabiltiy to walk or stand, red eyes, swollen faces, shortness of breath, weakness in legs, rise in blood sugar levels, feeling light headness, fever, sore throat, chills.
66 2021-03-17 transient ischaemic attack Fever, joint pain and a trip to ER with TIA between 24-48 hours of vaccine
66 2021-03-19 atrial fibrillation, pneumonia next morning woke with fevers, body aches, chills, nausea and headaches. today diagnosed with new o... Read more
next morning woke with fevers, body aches, chills, nausea and headaches. today diagnosed with new onset atrial fibrillation and LLL pneumonia.
66 2021-03-21 pneumonia Hypokalemia Hypoxia Fever Pneumonia due to COVID-19 virus COVID-19
66 2021-03-22 death Death; A spontaneous report was received from a consumer concerning a 66-year-old, female patient, w... Read more
Death; A spontaneous report was received from a consumer concerning a 66-year-old, female patient, who received Moderna's covid-19 vaccine (mRNA-1273) and died. The patient's medical history included covid-19 infection on 04 Nov 2020. No relevant concomitant medications were mentioned. On 28 Jan 2021, the patient received their first of two planned doses of mRNA-1273 (Batch number:unknown) intramuscularly for prophylaxis of COVID-19 infection. On 09 Mar 2021, the patient died. CT was done and did not find any atherosclerosis but found her lungs were whited out,heavily filled with fluid which he described could've been pulmonary edema. She had tested Covid positive back on 04 Nov 2020. Treatment information was not provided. Action taken with mRNA-1273 in response to the event was not applicable. The outcome of the event was fatal. The patient died on 09 Mar 2021 and the cause of death was unknown. An autopsy was planned on 11 Mar 2021.; Reporter's Comments: Very limited information regarding this event has been provided at this time. Further information has been requested.; Reported Cause(s) of Death: Unknown cause of death
66 2021-03-23 transient ischaemic attack Pin Stroke; A spontaneous report was received from a consumer concerning a 66-year-old, female pati... Read more
Pin Stroke; A spontaneous report was received from a consumer concerning a 66-year-old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced event pin stroke. The patients medical history was not provided. Products known to have been used by patient with in last two weeks included montelukast , alendronate and varenicline tartrate. On 04-Mar-2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA (Lot number: 010A21A ) through intramuscular route of administration in the left deltoid for prophylaxis of COVID-19 infection. On 06-Mar-2021, patient experienced pin stroke and was hospitalized for four days. Laboratory tests performed included magnetic resonance imaging and electro cardiogram and the results was not provided. No treatment information was provided.. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the event pin stroke was considered unknown.; Reporter's Comments: Very limited information regarding this event has been provided at this time. Further information has been requested.
66 2021-03-25 cerebrovascular accident Symptoms: tingling on right side of body--face, arm and hand, foot First event on 3/22/2021 starting... Read more
Symptoms: tingling on right side of body--face, arm and hand, foot First event on 3/22/2021 starting at about 4:15 pm, lasted about 15 minutes Second event on 3/23/2021 starting at about 10:15 am, lasted over an hour. Went to ER during this event; had additional tingling on site in the ER.
66 2021-03-31 deep vein blood clot right upper extremity DVT. Symptoms began 5 days after receiving vaccine. Presented with right arm... Read more
right upper extremity DVT. Symptoms began 5 days after receiving vaccine. Presented with right arm redness and swelling. Found to have DVT on Day 9 following vaccination. Does have a previous history of provoked DVT (following leg fracture). No known coagulation disorder and not on chronic anticoagulation.
66 2021-04-04 severe muscle breakdown Moderna COVID-19 Vaccine EUA Hospitalized for weakness and muscle aches, unable to walk, rhabomyoly... Read more
Moderna COVID-19 Vaccine EUA Hospitalized for weakness and muscle aches, unable to walk, rhabomyolysis
66 2021-04-05 cerebrovascular accident Pt presented to the ER on 2/26 with hemorrhagic CVA basal ganglia, left sided hemiparesis, dysarthri... Read more
Pt presented to the ER on 2/26 with hemorrhagic CVA basal ganglia, left sided hemiparesis, dysarthria, WBC elevated to 19,000, platelets elevated 568,000, new anemia, CRP markedly elevated
66 2021-04-07 deep vein blood clot Diagnosed with a dvt blood clot in my left leg on 04/02/2021. On eliquis and warfarin.
66 2021-04-08 anaphylactic reaction Anaphylactic reaction
66 2021-04-09 cerebrovascular accident stroke; light headed; This spontaneous case was reported by a consumer (subsequently medically confi... Read more
stroke; light headed; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CEREBROVASCULAR ACCIDENT (stroke) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 048A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included CML (CML Leukemia though she's in remission now) in 1999 and Surgery (Open eye surgery (2 & half year ago)). Concurrent medical conditions included Prediabetes, Blood pressure (Taking medication for blood pressure) and Renal disorder NOS (Taking medication for her kidneys). Concomitant products included METOPROLOL for BP, ATORVASTATIN for Cholesterol, ACETYLSALICYLIC ACID (ASPIRIN (E.C.)). On 19-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 20-Mar-2021, the patient experienced CEREBROVASCULAR ACCIDENT (stroke) (seriousness criteria hospitalization and life threatening). On 05-Apr-2021, the patient experienced DIZZINESS (light headed). The patient was hospitalized from 20-Mar-2021 to 23-Mar-2021 due to CEREBROVASCULAR ACCIDENT. At the time of the report, CEREBROVASCULAR ACCIDENT (stroke) had resolved and DIZZINESS (light headed) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment of these events were not 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. However, patient's past medical history of CML, hypertension, Hyperlipidemia may contribute to this event. Further 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. However, patient's past medical history of CML, hypertension, Hyperlipidemia may contribute to this event. Further information is requested.
66 2021-04-11 deep vein blood clot Left calf pain & swelling on 1/28/21. Seen in ED on 1/28; diagnosis left calf DVT. Started double ... Read more
Left calf pain & swelling on 1/28/21. Seen in ED on 1/28; diagnosis left calf DVT. Started double dosing of Eliquis twice daily. Leg swelling increased and upper left leg began to swell. Seen in ED again on 1/3121; new ultrasound showed extensive clotting both lower and upper left extremity. Continued double dosing of Eliquis with no resolution of clots. Seen by cardiovascular surgeon on 2/10/21; new ultrasound showed continued extensive clotting, now in pelvis as well as entire left leg. Referred to Interventional Radiologist. Procedure performed on 2/12/21: TPA & heparin infused through popliteal vein for 24 hours/in the intensive care unit
66 2021-04-12 blood clot Blood clot on middle joint of right hand pinky finger. Pressure bandage, heat, Advil. Decreasing in ... Read more
Blood clot on middle joint of right hand pinky finger. Pressure bandage, heat, Advil. Decreasing in size after 18 days.
66 2021-04-14 death unknown, death at home, with no one in attendance. Pt with mulitple medical conditions, when RN admi... Read more
unknown, death at home, with no one in attendance. Pt with mulitple medical conditions, when RN adminstered 2nd dose on 4/07/2021. They dicussed how the first one went. Pt states, besides sore arm nothing. She did have acid reflux, (common for her) which she took regular medication which took care of it. But denied any other problems with first dose. Seccond dose given with no reaction during 15 min observation time. EMS was called to scene on 4/08/2021 at approx 1630 hrs, to find pt deceased, spine in bed. approx down time 2-3 hrs. Pt's primary Dr. contact as well as corner. With pt's medical history no further investigation was done.
66 2021-04-15 death, respiratory arrest EMS was dispatched to patient's home for "non breathing." EMS found patient on the floor in the kit... Read more
EMS was dispatched to patient's home for "non breathing." EMS found patient on the floor in the kitchen with sheet already over her. No pulse, patient cold to the touch, jaw was locked shut. Patient's family members stated the last time they saw the patient alive was around 2:30 am on the same day. Patient pronounced dead on arrival at 6:20 am. No evidence of foul play noted.
66 2021-04-15 vaginal haemorrhage vaginal bleeding
66 2021-04-16 cardiac failure congestive On March 11 I had shortness of breath laying down. March 17 I was up all night with heart rate up t... Read more
On March 11 I had shortness of breath laying down. March 17 I was up all night with heart rate up to 125 and oxygen saturation as low as 80%. On March 18 I went to ER and was diagnosed with Congestive Heart Failure after a 3 day hospital stay of tests. I have no history of high blood pressure or heart issues except for high cholesterol controlled with Lipitor. No family history of heart problems. I am now on Entresto and Carvedilol.
66 2021-04-21 cerebrovascular accident Had a seizure/stroke beginning at 8 pm and was brought to the ER. Was admitted in ICU
66 2021-04-22 deep vein blood clot, pulmonary embolism 3 days of dyspnea on exertion, dry cough and right thigh pain. CT chest with acute submassive pulmon... Read more
3 days of dyspnea on exertion, dry cough and right thigh pain. CT chest with acute submassive pulmonary emboli, saddle PE across main pulmonary arteria. Right lower extremity DVT. Echo - mild RV dilation and reduced RV systolic function.
66 2021-04-22 pulmonary embolism Patient received Moderna vaccine and was in her usual state of health. Developed shortness of breath... Read more
Patient received Moderna vaccine and was in her usual state of health. Developed shortness of breath and dyspnea of exertion for 2 weeks. Presented to her Physician's office who ordered a CT Angio which revealed multiple acute pulmonary emboli throughout both left and right main pulmonary arteries and lobar branches with ventricular strain. Patient underwent EKOS procedure to remove clot burden and was initiated on Xarelto. Patient is requiring 4L of oxygen at this time.
66 2021-04-23 sepsis, heart failure, respiratory failure 66-year-old lady with severe COPD on home 2L O2 (initiated 3/21), newly diagnosed SCC of lung (not c... Read more
66-year-old lady with severe COPD on home 2L O2 (initiated 3/21), newly diagnosed SCC of lung (not currently on treatment), HFpEF, schizoaffective disorder, and recent COVID-19 infection (dx 4/6) who presented with shortness of breath on 4/16 in the setting of receiving first dose of Covid vaccine 1 week prior. Found to have sepsis physiology w/ hypoxic respiratory failure from COVID-19 pneumonia. CXR with multifocal pneumonia in the setting of chronic interstitial changes and required up to 6 L nasal cannula. Started on IV remdesivir (x 5 days ending 4/20) and Decadron x6 days, ending 4/21. Clinically improved and weaned to her baseline 2 L O2 and discharged on 4/21 to rehab
66 2021-04-27 deep vein blood clot deep venous thrombosis on 4/21/21
66 2021-04-28 deep vein blood clot DVT
66 2021-04-28 blood clot in lung Blood clots in both lungs upper and lower chambers New stage 2 HBP Chest pain and tightness Shortnes... Read more
Blood clots in both lungs upper and lower chambers New stage 2 HBP Chest pain and tightness Shortness of breath Fever, headache, joint pain severe, chills, nausea
66 2021-04-28 blood clot Entered hospital on 3/22/21 At around 8am in the emergency room. Had ultrasound of left leg and was ... Read more
Entered hospital on 3/22/21 At around 8am in the emergency room. Had ultrasound of left leg and was placed in ICU for a massive blood clot in the left leg. Had surgery at around 4pm on 3/22/21 and placed back in ICU until the next surgery on 3/23/21 to remove the blood clot. Was released on 3/25/21.
66 2021-04-28 blood clot acute superficial thrombus
66 2021-04-29 heart failure That night chills, fever 102, diarhrea, Shortness of breath. Shortness of breath continued to get wo... Read more
That night chills, fever 102, diarhrea, Shortness of breath. Shortness of breath continued to get worse, 3rd day went to ER. Stated I was in heart failure. Took multiple doses of lasix, BNP was over 2200, followed up with family Dr. contacted Cardiologist, he had echo and lab work done, BNP down to 1200. I did not have the shortness of breath until after vaccine. Still am having. See primary Dr Monday and follow-up with Cardiologist the 28th.
66 2021-04-29 blood clot Had three blood clots within 36 hours. One in left leg, one right leg and one in groin. Also, rheum... Read more
Had three blood clots within 36 hours. One in left leg, one right leg and one in groin. Also, rheumatological problems in tendons in arms and legs.Hearing in left ear diminished by 10%.
66 2021-04-30 sepsis, respiratory failure Shortness of breath; COVID-19 pneumonia; COVID-19 infection; Hypoxic respiratory failure; sepsis; Th... Read more
Shortness of breath; COVID-19 pneumonia; COVID-19 infection; Hypoxic respiratory failure; sepsis; This spontaneous case was reported by a health care professional (subsequently medically confirmed) and describes the occurrence of RESPIRATORY FAILURE (Hypoxic respiratory failure), SEPSIS (sepsis), COVID-19 PNEUMONIA (COVID-19 pneumonia), COVID-19 (COVID-19 infection) and DYSPNOEA (Shortness of breath) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included Heart failure with preserved ejection fraction. Concurrent medical conditions included COPD exacerbation (On 2 liters of oxygen at baseline), Squamous cell carcinoma of lung, Schizoaffective disorder and oxygen. On 30-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Apr-2021, the patient experienced COVID-19 PNEUMONIA (COVID-19 pneumonia) (seriousness criteria hospitalization and medically significant) and COVID-19 (COVID-19 infection) (seriousness criterion hospitalization). On 16-Apr-2021, the patient experienced DYSPNOEA (Shortness of breath) (seriousness criterion hospitalization). On an unknown date, the patient experienced RESPIRATORY FAILURE (Hypoxic respiratory failure) (seriousness criteria hospitalization and medically significant) and SEPSIS (sepsis) (seriousness criteria hospitalization and medically significant). The patient was hospitalized until 21-Apr-2021 due to COVID-19, COVID-19 PNEUMONIA, DYSPNOEA, RESPIRATORY FAILURE and SEPSIS. At the time of the report, RESPIRATORY FAILURE (Hypoxic respiratory failure), SEPSIS (sepsis), COVID-19 PNEUMONIA (COVID-19 pneumonia) and COVID-19 (COVID-19 infection) had resolved and DYSPNOEA (Shortness of breath) was resolving. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In April 2021, Chest X-ray: abnormal (abnormal) multifocal pneumonia in the setting of chronic Interstitial changes.. 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. Treatment information provided included 6L O2 Nasal cannula, Remdesivir for 5 days (stop date : 20 - Apr - 2021) ,Decadron for 6 days (stop date : 21 - Apr - 2021) . The patient was discharged on 21 Apr 2021 to rehabilitation on baseline 2L O2 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. Reporter did not allow further contact; 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.
66 2021-05-03 cardiac failure congestive Increased weakness, shortness of breath, falls, dyspnea and orthopnea, acute kidney injury, bilatera... Read more
Increased weakness, shortness of breath, falls, dyspnea and orthopnea, acute kidney injury, bilateral lower extremity swelling, nausea, abdomen pain. Treated at ER 3/10/2021 - discharged home so patient could recieve dose 2 on 3/11/2021. Admitted 3/20/2021 for worsening of all symptoms and Cardiac cathe performed. Discharged to rehab facility 3/30/2021
66 2021-05-03 brain sinus blood clot Patient is a 66-year-old female with a history of diabetes hyperlipidemia hypertension low back pain... Read more
Patient is a 66-year-old female with a history of diabetes hyperlipidemia hypertension low back pain who presents from vaccine clinic complaining of numbness and tingling in her left lower extremities. Patient also states she has been having nausea and mild headache. she notes that she took her blood pressure medicines this morning as per her usual. She denies any chest pain palpitations domino pain or diarrhea. Patient states she thinks she may have history of sciatica note that this pain feels different from her normal numbness and tingling in the lower extremity.
66 2021-05-04 death, heart attack, cardiac arrest Covid19 vaccine: The patient received her second dosage of Moderna on 3/23.Patient called family med... Read more
Covid19 vaccine: The patient received her second dosage of Moderna on 3/23.Patient called family medicine triage on 4/1 regarding arm/shoulder pain from her vaccine site that was not improving. Pain started out near injection site but last couple days has been spreading to shoulder, some possible swelling, per patient. Finding it hard to sleep. Denies redness, warmth. Feels warm but no chills, doesn't have thermometer at home. The patient refused to call the COVID hotline. She was calling for an in-person appointment and was triaged for her symptoms. The next in-person appointment was not until Saturday 4/3, and it was given to the patient. She did not want to go to the ED. She suffered a witnessed massive heart attack the same day in her home and her partner called 911. Per parnter's report, walked around a little that day, in discomfort. Then came home and laid down with more arm pain. She had acute L arm pain and then agonal breathing - passed in order of 2-3 minutes. Likely cardiac arrest after MI for few days. She was BIBA the EMTs continued CPR for ~20 minutes but was unable to revive patient. She was pronounced dead on 2023.
66 2021-05-05 death Summary:66-yof with past medical history of ESRD HDD Monday Wednesday Friday, COPD not on home oxyge... Read more
Summary:66-yof with past medical history of ESRD HDD Monday Wednesday Friday, COPD not on home oxygen, hypertension, depression, hyperlipidemia, who comes to the ED with 4 weeks duration of generalized malaise, fatigue, and loose stool. Incidentally she reports her daughter tested positive for Covid on Sunday and she was exposed at that time, but sx pres for several wks . She was noted have a fever of 102.3. Ferritin 1086. Her O2 sats declined to 92 percent the emergency room. She also tested positive for Covid 19.
66 2021-05-06 cerebrovascular accident On Saturday, April the 3rd, my wife's left leg became numb, and she had a tingling feeling. I took ... Read more
On Saturday, April the 3rd, my wife's left leg became numb, and she had a tingling feeling. I took her immediately to ER, where they perform CT and MRI. She was internally transferred to the hospital, where she stayed there until April the 14th, when she was transferred to (the Rehabilitation Institute) to begin physical and occupational therapy. As of today, mi wife doesn't have proprioception in neither of her legs nor her belly (she has no control on bowel and bladder).
66 2021-05-06 pneumonia, death, respiratory arrest In the hours following the first dose on 3/19/2021, sustained fever between 100 - 102 degrees, heada... Read more
In the hours following the first dose on 3/19/2021, sustained fever between 100 - 102 degrees, headaches, chills, clammy. The symptoms continued all day on the 3/20/2021. Sometime after 5:30 am on the 3/21/2021 she could not breathe. Pulse oximeter registered 57. contacted ambulance, within their arrival 10-15 minutes later, pulse oximeter was down to 43. Lips were blue skin was pale and clammy. At hospital she received high doses of oxygen and was treated for other symptoms.
66 2021-05-09 cerebrovascular accident Stroke; Encephalitis; This spontaneous case was reported by a consumer (subsequently medically confi... Read more
Stroke; Encephalitis; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CEREBROVASCULAR ACCIDENT (Stroke) and ENCEPHALITIS (Encephalitis) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011J20A) for COVID-19 vaccination. Concurrent medical conditions included Blood disorder NOS (blood clotting disorder from 20 years). Concomitant products included ACETYLSALICYLIC ACID (BABY ASPIRIN) for an unknown indication. On 15-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 01-Feb-2021, the patient experienced CEREBROVASCULAR ACCIDENT (Stroke) (seriousness criterion medically significant) and ENCEPHALITIS (Encephalitis) (seriousness criterion medically significant). At the time of the report, CEREBROVASCULAR ACCIDENT (Stroke) and ENCEPHALITIS (Encephalitis) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The patient reported that magnetic resonance imaging (MRI scan) performed months back detected encephalitis, stroke and stated as totally asymptomatic. The patient reported to be taking Clopidogrel (Plavix) to treat the event. Company Comment: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded. This case was linked to MOD-2021-101992 (Patient Link).; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.
66 2021-05-13 sepsis, fluid around the heart "Moderna COVID-19 Vaccine EUA" -- patient hospitalized with covid19 after receiving one dose moderna... Read more
"Moderna COVID-19 Vaccine EUA" -- patient hospitalized with covid19 after receiving one dose moderna vaccine. 66 y.o. female with hypertension and diabetes admitted with sharp abd pain, nausea, vomiting for several days. CT abd with cecal distention, findings concerning for cecal volvulus. Extended resp panel positive for SARS-CoV-2 (received 1st dose of COVID vaccine on 3/22). Went to OR for exploratory laparotomy, lysis of adhesion and right colectomy. Patient was also found to be Covid-19 positive and needed supplemental oxygen in ED (3L NC at the time). Imaging showing bilateral pulmonary infiltrates/effusions (and also cecal volvulus, as stated above, pt underwent exloratory laparotomy, lysis of adhesion, right colectomy with ilecolostomy). Patient was recovering on medical floor when she clinically decompensated and needed increased oxygen and had a drop in blood pressure (confused, hypotensive, hypoxic). Labs notable for BUN 37, creatinine 2.16, procalcitonin 17.62, Hgb 6.4 (10 on admission). ABG 7.35/ 28/ 73/ 16/ 94% on nasal cannula. 1 unit PRBC given. BP continued to be borderline and was placed on vasopressor briefly. Empiric antibiotics vancomycin/cefepime/Flagyl, and patient was also started on remdesivir and dexamethasone. Nadir O2 sat was 82% on 3/31/2021. T=102.2 on 3/31/21. Patients had multiple family members with Covid-19. Treatments as stated above included Remdesivir and Dexamethasone. Cultures negative - exact source of sepsis unclear: bacterial pneumonia vs. covid vs. intra-abdominal source In ICU from 3/31 to 4/3. Medical floor 4/3 to 4/7. Patient was discharged home 4/7/21.
66 2021-05-16 pulmonary embolism Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID inje... Read more
Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID injection. Diagnosis was acute pulmonary embolism.
66 2021-05-23 atrial fibrillation Patient began experiencing some shortness of breath 15 minutes after the injection with audible whee... Read more
Patient began experiencing some shortness of breath 15 minutes after the injection with audible wheezing. This nurse assessed her and found the following: LS tight/rhonci whole L side w/wheezing in bilat upper lungs, O2 sat 96% on RA, skin pink/warm, no change in color, no diaphoresis noted, HR regular/98. Patient was able to converse. 911 was activated, paramedics heard air movement throughout lungs, still 96% on RA, BP 141/92. Taken by ambulance to ED due to long history of asthma and no recue inhaler on her person.
66 2021-05-23 pulmonary embolism 2 DAYS POST SECOND MODERNA VACCINATION (4/30) PTNT BEGAN EXPERIENCING SHORTNESS OF BREATH AND CHEST ... Read more
2 DAYS POST SECOND MODERNA VACCINATION (4/30) PTNT BEGAN EXPERIENCING SHORTNESS OF BREATH AND CHEST PAIN. 6 DAYS POST SECOND SHOT (5/4) PTNT WENT TO PRIMARY DOCTOR WHO DID BLOOD WORK. PATIENT WAS ADMITTED TO HOSPITAL ON MAY 19TH FOR CONFIRMED PULMONARY EMBOLISM TREATMENT. PATIENT DISCHARGED FROM HOSPITAL ON MAY 20TH ON 6 MONTH COURSE OF XARELTO.
66 2021-05-28 sepsis Sepsis; Pyrexia; This regulatory authority case was reported by an other health care professional an... Read more
Sepsis; Pyrexia; This regulatory authority case was reported by an other health care professional and describes the occurrence of SEPSIS (Sepsis) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Previously administered products included for Vaccination: Flu (seizure like activity). Past adverse reactions to the above products included Seizure with Flu. Concurrent medical conditions included Sulfonamide allergy (sulfa (Bactrim) facial swelling), Allergy (environmental allergies), Factor V Leiden mutation (TSVT) and Asthma. Concomitant products included METOPROLOL, WARFARIN and FLUTICASONE PROPIONATE (FLONASE ALLERGY RELIEF) for an unknown indication. On 25-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Jan-2021, the patient experienced SEPSIS (Sepsis) (seriousness criterion medically significant) and PYREXIA (Pyrexia). The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date for Fever, at an unspecified dose and frequency. At the time of the report, SEPSIS (Sepsis) and PYREXIA (Pyrexia) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 08-Feb-2021, Blood test: 1750 (Inconclusive) 1750. On 08-Feb-2021, White blood cell count: 2.4 (Inconclusive) 2.4. On 14-Feb-2021, Blood test: 26200 (Inconclusive) 26200. On 14-Feb-2021, White blood cell count: 5.82 (Inconclusive) 5.82. 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. 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
66 2021-05-29 heart failure About 1 month after her second dose of Moderna Covid vaccine she started noticing some shortness of ... Read more
About 1 month after her second dose of Moderna Covid vaccine she started noticing some shortness of breath with activity. She thought it was related to her subglottic stenosis that she gets dilated often. A month after her symptoms started she was seen in clinic by ENT for the stenosis and was noted to have significant leg swelling and sent to ED where she was admitted for heart failure & significant PVC burden on telemetry (about 30%). She was diuresed & discharged with the plan to do a Holter monitor and decided if she was a candidate for ablation for PVCs.
66 2021-05-30 deep vein blood clot 2 days later, she had diffuse joint pains, legs felt tight, still able to walk. She got second dose ... Read more
2 days later, she had diffuse joint pains, legs felt tight, still able to walk. She got second dose on 3/16. A few days after that, diagnosed by bilateral lower extremity DVTs
66 2021-05-31 sepsis Kidney stones, Kidney Infection, Gallbladder stones, UTI, and Blood infection
66 2021-06-01 stroke Patient presented to ED 5/31 with complaints of dizziness for past 2 days, after taking 1st shot of ... Read more
Patient presented to ED 5/31 with complaints of dizziness for past 2 days, after taking 1st shot of vaccine 5/26. Patient admitted to hospital services after CT head revealed recent right hippocampal infarct
66 2021-06-02 death PASSED AWAY 06/01/21
66 2021-06-03 low platelet count, cerebrovascular accident Stroke determined by clinical assessment (CMS/HCC) Facial weakness Thrombocytopenia, unspecified
66 2021-06-06 death My mother was the patient in question She had a Moderna Covid Vaccine in Feb/March of 2021. She the... Read more
My mother was the patient in question She had a Moderna Covid Vaccine in Feb/March of 2021. She then had 2 doses of Rituxan on April 28th of 2021. After her second dose of the medication, she tested positive for covid 3 days later. She was hospitalized on May 8th and was not able to recover. She passed away on May 20th. The Drs at the Hospital in told me the rituxan essentially wiped the vaccine from her body. The reason I'm reporting this is to warn others in her position about the possible side effects. My mom had a very false sense of security.
66 2021-06-06 deep vein blood clot, blood clot in lung Blood clots in lungs and dvt
66 2021-06-06 excessive bleeding 4/7/2021--Patients boyfriend called to report that patient has had adverse reaction to her 2nd dose ... Read more
4/7/2021--Patients boyfriend called to report that patient has had adverse reaction to her 2nd dose of Moderna vaccine given on 4/1/21. He reports that after the vaccine was given she bled a lot and is concerned if this has contributed to her adverse reaction. She has had headache, cloudy vision, dizziness, brain fog, muscle fatigue, body aches and chills. She is still experiencing most of these side effects even though it's been about 6 days since her shot. Some of this are listed as common side effects to the vaccine but the cloudy vision, dizziness and brain fog were concerning to me - I recommended that she follow up with provider, especially if side effects have not improved by end of the day. It sounds like she's already been to the urgent care about this but did not receive much help there.
66 2021-06-09 vaginal haemorrhage I developed vaginal bleeding which lead to an hysteroscopy and D&C.
66 2021-06-09 vaginal haemorrhage I developed vaginal bleeding that resulted in a prescription of vaginal estrogen cream. Because I h... Read more
I developed vaginal bleeding that resulted in a prescription of vaginal estrogen cream. Because I had already had a hysteroscopy and D&C done on 03/03/2021 from the reaction of the first dose. The bleeding lasted 3 days and stopped on it's own. I had a known fibroid on the uterus.
66 2021-06-14 heart attack heart attack; Heart palpitations elevated; Heart rate went high; This spontaneous case was reported ... Read more
heart attack; Heart palpitations elevated; Heart rate went high; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of MYOCARDIAL INFARCTION (heart attack), PALPITATIONS (Heart palpitations elevated) and HEART RATE INCREASED (Heart rate went high) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 041L20A) for COVID-19 vaccination. Concomitant products included MULTIVITAMINS [VITAMINS NOS] for an unknown indication. On 16-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced MYOCARDIAL INFARCTION (heart attack) (seriousness criteria hospitalization and medically significant), PALPITATIONS (Heart palpitations elevated) (seriousness criterion hospitalization) and HEART RATE INCREASED (Heart rate went high) (seriousness criterion hospitalization). At the time of the report, MYOCARDIAL INFARCTION (heart attack), PALPITATIONS (Heart palpitations elevated) and HEART RATE INCREASED (Heart rate went high) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Heart rate: high (High) High. Other concomitant product include high blood pressure medication. Treatment information was not reported. Action taken with mRNA-1273 in response to the event was Not Applicable 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.
66 2021-06-20 pneumonia Developed shortness of breath two weeks after second vaccine in March 2021. Diagnosed with pneumoni... Read more
Developed shortness of breath two weeks after second vaccine in March 2021. Diagnosed with pneumonia on 5/28/21. Severe chest and back pain. No cough, no fever. 100% healthy prior to vaccine. For 3 days after second vaccine developed swollen arm, high fever 103.5. Then 2 weeks later SOB.
66 2021-06-29 anaphylactic reaction Scratched silly to the point of bleeding; Itching didn't stop; Hives got worse; Hives under neck and... Read more
Scratched silly to the point of bleeding; Itching didn't stop; Hives got worse; Hives under neck and back but they had not come out; Hives started on her arms; Rash appeared on left hip which was itchy; Anaphylactic reaction; Itching; Rash is so bad/Rash on right hip; Ready to rip her skin off; Hive/Legs both front and back were covered in hives/Hives on legs; This spontaneous case was reported by a consumer and describes the occurrence of ANAPHYLACTIC REACTION (Anaphylactic reaction) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Bee sting (Reaction: Swelling at the site of sting) and Shellfish allergy (Reaction: Hives). Concomitant products included PRAVASTATIN SODIUM (PRAVACHOL) for Cholesterol, LEVOTHYROXINE SODIUM (SYNTHROID) for Thyroiditis, unspecified. On 21-Jan-2021 at 10:15 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 21-Jan-2021, the patient experienced SKIN EXFOLIATION (Ready to rip her skin off), URTICARIA (Hive/Legs both front and back were covered in hives/Hives on legs), PRURITUS (Itching) and RASH (Rash is so bad/Rash on right hip). On 21-Jan-2021 at 4:30 PM, the patient experienced ANAPHYLACTIC REACTION (Anaphylactic reaction) (seriousness criterion medically significant). On 22-Jan-2021, the patient experienced RASH PRURITIC (Rash appeared on left hip which was itchy). On 02-Feb-2021, the patient experienced URTICARIA CHRONIC (Hives got worse), URTICARIA (Hives under neck and back but they had not come out), URTICARIA (Hives started on her arms) and PRURITUS (Itching didn't stop). On an unknown date, the patient experienced SCRATCH (Scratched silly to the point of bleeding). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Itchy, at a dose of 1 dosage form; CORTISONE for Itchy, at a dose of 1 dosage form; PREDNISONE for Hives, at a dose of 1 dosage form; OATMEAL at a dose of 1 dosage form; BAKING SODA at a dose of 1 dosage form; PREDNISONE (DELTASONE [PREDNISONE]) for Rash, at a dose of 40 mg and HYDROXYZINE HCL for Rash, at a dose of 25 mg. On 01-Mar-2021, ANAPHYLACTIC REACTION (Anaphylactic reaction) had resolved. At the time of the report, SCRATCH (Scratched silly to the point of bleeding), SKIN EXFOLIATION (Ready to rip her skin off), URTICARIA (Hive/Legs both front and back were covered in hives/Hives on legs), URTICARIA CHRONIC (Hives got worse), URTICARIA (Hives under neck and back but they had not come out), URTICARIA (Hives started on her arms), RASH PRURITIC (Rash appeared on left hip which was itchy), PRURITUS (Itching), PRURITUS (Itching didn't stop) and RASH (Rash is so bad/Rash on right hip) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure measurement: 119/85 (abnormal) abnormal. On an unknown date, Body temperature: 36.4 (Inconclusive) Inconclusive. On an unknown date, Heart rate: 94 (Inconclusive) Inconclusive. On an unknown date, Oxygen saturation: 100% (Inconclusive) Inconclusive. On an unknown date, Respiratory rate: 18 (Inconclusive) Inconclusive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Patient also took cold bath as treatment. On an unknown date, it was reported that the patient had a dermatologic examination where the dermatologist look at the patient's hives/rash; results were not 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. Most recent FOLLOW-UP information incorporated above includes: On 16-Jun-2021: Follow up received on 16 Jun 2021, Added Patient's race, height, weight, lab details and information concomitant medications and new event details.; 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.
66 2021-06-29 cerebrovascular accident CVA- 4 BLOCKAGES IN SEPARATE LOBES ON LEFT SIDE OF BRAIN, OCCURRED IN TEMPORAL, THALAMUS, OCCIPITAL ... Read more
CVA- 4 BLOCKAGES IN SEPARATE LOBES ON LEFT SIDE OF BRAIN, OCCURRED IN TEMPORAL, THALAMUS, OCCIPITAL LOBES HAS EXTREME WEAKNESS ON THE RIGHT SIDE OF BODY, UNABLE TO USE RIGHT ARM AT TIME OF SUBMISSION, CAN MOVE RIGHT LEG MINIMALLY, CAN STAND WITH ASSISTANCE, SEVERE APHASIA
66 2021-06-29 blood clot blood clotting.; pain in right leg and knee; pain in right leg and knee; This spontaneous case was r... Read more
blood clotting.; pain in right leg and knee; pain in right leg and knee; This spontaneous case was reported by a consumer and describes the occurrence of THROMBOSIS (blood clotting.) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 018B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included ADHD, Anxiety, Inflammatory arthritis and Blood pressure high. Concomitant products included ATOMOXETINE HYDROCHLORIDE (STRATTERA) for Anxiety, SULFASALAZINE for Arthritis, PROPRANOLOL HYDROCHLORIDE (INDERAL) for Blood pressure high, PREDNISONE for Inflammatory arthritis. On 02-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Jun-2021, the patient experienced PAIN IN EXTREMITY (pain in right leg and knee) and ARTHRALGIA (pain in right leg and knee). On 11-Jun-2021, the patient experienced THROMBOSIS (blood clotting.) (seriousness criterion medically significant). The patient was treated with APIXABAN (ELIQUIS) for Clot blood, at an unspecified dose and frequency. At the time of the report, THROMBOSIS (blood clotting.), PAIN IN EXTREMITY (pain in right leg and knee) and ARTHRALGIA (pain in right leg and knee) had not resolved. 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. Patient visited ER due to pain the leg and knee and was diagnosed with blood clotting. 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 16-Jun-2021: Added Reporter information(address, contact details), patient demographic information, medical history. Added vaccine batch number, route of administration, concomitant medication information. Start dates of the events pain in extremity and arthralgia added.; 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.
66 2021-07-02 respiratory failure, atrial fibrillation, low platelet count, cardiac arrest Systemic Lupus Erythematosus, cardiac arrest for 6 minutes requiring CPR, global heart dysfunction,... Read more
Systemic Lupus Erythematosus, cardiac arrest for 6 minutes requiring CPR, global heart dysfunction, respiratory failure, received ECMO therapy Patient originally presented with new symptoms of diarrhea, rash, proximal weakness, and functional decline. Her outpatient workup included positive ANA and anti-SSA. She was then referred to Rheumatology for new diagnosis of Lupus. 6/11/2021 she was referred to the hospital for management of acute lupus flair. On admission she was found to have acute kidney injury and thrombocytopenia. AIR team was consulted given concern for active lupus, she was started prednisone as well as Plaquenil. On 6/17/2021, she brought emergently to MICU for lethargy, WOB, hypoxia, and new onset A-Fib. She was intubated and continued to clinically deteriorate with persistent lactic acidosis. An ECHO showed severely depressed EF and right heart dysfunction. On 6/17/2021 she experienced PEA arrest with 6 minutes of CPR. She was placed on VA ECMO with Impella. Patient was extubated on 6/19/2021 and was reintubated on 6/20/201 for hemoptysis. A CT on that day showed RP bleed on the left with extension into the left thigh and ground glass opacities throughout suggestive of ARDS. She tolerated a slow ECMO wean and was explanted successfully on 06/23. She was extubated on 06/25. Over the next several days she was able to be successfully weaned from HFNC and was transitioned to NC. On 6/28 she passed her swallow evaluation and was okayed for a PO diet. Plan is to transition patient to the floor in the next few days
66 2021-07-03 deep vein blood clot Swelling and pain in my left calf and ankle; the ER performed an ultrasound and determined that I h... Read more
Swelling and pain in my left calf and ankle; the ER performed an ultrasound and determined that I have an extensive deep vein thrombus.
66 2021-07-05 pneumonia I was hospitalized with severe lung infection. Covid was suspected but proved negative after testin... Read more
I was hospitalized with severe lung infection. Covid was suspected but proved negative after testing. Ugly green phlegm was being expelled.
66 2021-07-07 blood clot pain in leg , red, swollen
66 2021-07-08 atrial fibrillation Atrial Fibrillation
66 2021-07-14 atrial fibrillation Rapid Afib. 06/19/2021 ER
66 2021-07-27 deep vein blood clot I did get "moderna arm" following 2nd dose but it is the aforementioned issues (VASCULAR) with my LE... Read more
I did get "moderna arm" following 2nd dose but it is the aforementioned issues (VASCULAR) with my LEFT EYE and blood clot in LEFT LEG
66 2021-07-28 blood clot in lung Following the shot I had a little bit of ache and arm soreness and tiredness and when the reaction h... Read more
Following the shot I had a little bit of ache and arm soreness and tiredness and when the reaction hit, I laid down for a short nap woke up walked to kitchen and couldn't catch my breath. I called my an ambulance and went to hospital the doctor said I had blood clots in both lungs and an enlarged heart.
67 2021-01-23 atrial fibrillation Second part. Took Advil 400 mg and was fine after vaccine. Had at fib at about 10:45 pm and woke up... Read more
Second part. Took Advil 400 mg and was fine after vaccine. Had at fib at about 10:45 pm and woke up with at fib at 2 am 1/24/21.
67 2021-01-27 anaphylactic reaction On 01/26/21, 67 yo F with anemia, asthma, Afib (on rivaroxaban), fibromyalgia, DM2, HLD, and osteoar... Read more
On 01/26/21, 67 yo F with anemia, asthma, Afib (on rivaroxaban), fibromyalgia, DM2, HLD, and osteoarthritis was administered COVID-19 Moderna vaccine 0.5 mL in left deltoid (Lot #011J20A, Exp: 05/11/21). Pt has numerous documented allergies including iodine (hives, facial swelling), Shellfish Containing Products (Hives, facial swelling) and penicillin (edema). Pt initially tolerated injection without incident and was sent for post-injection observation. Within 10 minutes, pt developed acute SOB, increased WOB, wheezing, and cough. Pt also reported itching skin and scratchy throat. Provider notified and exam found pt in respiratory distress with increased work of breathing, bronchospasm and wheezing. Pt had no rash, lip swelling or vomiting. Vitals assessed as O2 sats >96%, BP 140-150s/60s, HR 70-80s. Pt was administered albuterol 2.5 mg via nebulization x 2, diphenhydramine 50 mg IM and epinephrine 0.3 mg IM. Pt was subsequently transported to ED. By time of arrival, pt's symptoms had significantly improved. Pt administered famotidine 20 mg IV and prednisone 60 mg PO and placed on continuous cardiac and pulse oximetry monitoring. After complete symptom resolution, pt was discharged in stable condition. Pt's allergy profile was updated to include Moderna Covid-19 Vaccine (eua) (rxn: Anaphylaxis; severity: High).
67 2021-01-27 death, cardiac arrest, pulmonary embolism Patient presented to the Emergency Department complaining of chest pain, pale, cool diaphoretic, an... Read more
Patient presented to the Emergency Department complaining of chest pain, pale, cool diaphoretic, and hypotensive. The patient was discovered to have a large saddle pulmonary embolism, went into cardiac arrest and expired. Of note, the patient received her second Moderna COVID vaccine on 1/23, which would place her first one approximately 12/25 if she received them at the appropriate interval. This information is from the patient's daughter and the ED record, the information is not available in CAIR. Per the daughter, the patient started feeling ill on 1/21, improved on 1/25, and then acutely worsened on 1/27, resulting in the ED visit.
67 2021-02-07 transient ischaemic attack TIA ~ found slumped in chair, aphasic, unable to stand. sent to local hospital emergency room
67 2021-02-09 atrial fibrillation, stroke Chest discomfort with high heart rate and shortness of breath, dizzy upon standing. In ER HR was 156... Read more
Chest discomfort with high heart rate and shortness of breath, dizzy upon standing. In ER HR was 156 with atrial fibrillation with RVR. BP 146/89. 2/7/21 1546 - Patient complaining of left side peripheral field deficit, CT showed subacute right occipital lobe infarct
67 2021-02-09 cerebrovascular accident Cerebral stroke. Symptoms onset was documented by nursing home staff on 1/13/21. Second dose of vacc... Read more
Cerebral stroke. Symptoms onset was documented by nursing home staff on 1/13/21. Second dose of vaccine was received on 1/12/21. I am unsure at this time if it was the Pfizer or Moderna vaccine. Patient has severe defecits at this time but the brain is still healing. Several weeks in the hospital, patient now has peg tube and picc line. Flaccid right side and speech severely impacted.
67 2021-02-14 atrial fibrillation feeling much worse; Bloodwork with elevated parameters (troponins); Couldn't take food; Couldn't get... Read more
feeling much worse; Bloodwork with elevated parameters (troponins); Couldn't take food; Couldn't get up from bed; Fever (101°F); Atrial fibrillation; Pericarditis; A spontaneous report was received from a non-healthcare professional concerning a 67-year-old, female patient who developed a fever of 101 degrees Fahrenheit, feeling much worse, couldn't take food, couldn't get up from bed, bloodwork with elevated troponin, pericarditis, and atrial fibrillation. The patient's medical history was not provided. Concomitant products known to have been used by the patient, within two weeks prior to the event, included Pentasa, metformin, insulin, Zoloft and atorvastatin. The patient received their first of two planned doses of mRNA-1273 (lot number 028L20A) on 20 Jan 2021 in the right arm for prophylaxis of COVID-19 infection. The patient developed a fever on 25 Jan 2021, and it got up to 101 degrees Fahrenheit on 26 Jan 2021. On 26 Jan 2021 she felt must worse, couldn't take food, and couldn't get up from bed. On 27 Jan 2021, she was taken to the emergency room where her oxygen saturation was low, but the fever was gone. She was placed on oxygen, and blood work had elevated troponin. The patient was diagnosed with pericarditis and she was kept overnight. On 28 Jan 2021 she had atrial fibrillation and the medical team couldn't convert her chemically. She was stabilized on 30 Jan 2021 and she was feeling much better. Treatments of these events included oxygen and ibuprofen. The events, fever of 101 degrees Fahrenheit, feeling much worse, couldn't take food, couldn't get up from bed, bloodwork with elevated troponin, pericarditis, and atrial fibrillation were considered Recovering.; Reporter's Comments: This case concerns a 67 year old female who experienced serious unexpected events of feeling abnormal, decreased appetite, bedridden, elevated troponin, pericarditis, and atrial fibrillation, and a serious expected event of fever. The events began 6 days after first dose of mRNA-1273. Treatment with ibuprofen. Based on the current available information and temporal association between the use of mRNA-1273 and the start date of the events, a causal relationship cannot be excluded.
67 2021-02-21 blood clot diarrhea low gas pain chills / sweating dry mouth ... Read more
diarrhea low gas pain chills / sweating dry mouth sleepy no apatite cough with phlegm dizzy loss of bladder control blood clots in nose mucus
67 2021-02-23 death, low platelet count, blood clot Vaccine administered 02/08/2021 , by Thursday 02/11/2021 patient almost nonverbal, by Monday 02/15/2... Read more
Vaccine administered 02/08/2021 , by Thursday 02/11/2021 patient almost nonverbal, by Monday 02/15/2021 patient went to the hospital with bruising, sores on her stomach and clots reported as thrombocytopenia, deceased by Friday 02/19/2021.
67 2021-02-25 blood clot MODERNA COVID-19 VACCINE EUA Patient's arm was sore after injection and later that evening pain spre... Read more
MODERNA COVID-19 VACCINE EUA Patient's arm was sore after injection and later that evening pain spread down to her elbow. In the following days she states that it spread to her fingers and included temporary numbness which resolved in a short period of time. Her arm remained sore with warmth and redness about the size of a quarter at the injection site. The warmth, redness and pain did not resolve so she went to the emergency room today.
67 2021-02-26 atrial fibrillation Swollen tongue; severe nausea; golf ball-size swelling at injection site; joints aching; severe head... Read more
Swollen tongue; severe nausea; golf ball-size swelling at injection site; joints aching; severe headache; temperature of 97; difficulties swallowing; A-Fib.
67 2021-03-02 death, respiratory arrest ER admit for CP and Jaw pain, exhaustion, Aortic arteritis normal SED rate found on CT scan hospital... Read more
ER admit for CP and Jaw pain, exhaustion, Aortic arteritis normal SED rate found on CT scan hospital admit IV medications required Solumedrol and Actemra questionable how much medications received d/t IV's not working. Released from care on 2/19 with prednisone . Symptoms still present off and on. 2/21 922pm CP Jaw Pain severe EMT's called EKG done reported no heart attack, pain better, EMTs left. 10/15 severe Pain collapsed with no pulse and no breathing, EMTs returned unable to obtain a shock-able rhythm time of death pronounced. reason for death on certificate Aortitis - hospitalist thinks aortic dissection d/t severe inflammation
67 2021-03-05 vaginal haemorrhage On 2/22 I developed fever, fatigue, horrible muscle aches and general not feeling well. On Sat 3/28/... Read more
On 2/22 I developed fever, fatigue, horrible muscle aches and general not feeling well. On Sat 3/28/21 I developed very large red hive like lesions all over my neck, under ears, and one very large one on my left side. These lasted for 4 days. They were very large welt line lesions but were nit itchy like hives. I also developed some vaginal spotting. I also became very flushed and very hot and fatigued with any excercise despite not having fever except for second day. I have pictures of these red hive like spots
67 2021-03-06 blood clot 3 DAYS AFTER THE 2ND INJECTION, I DEVELOPED 2 BLOOD CLOTS AT THE BASE OF MY LUNGS - 1 ON EACH LUNG. ... Read more
3 DAYS AFTER THE 2ND INJECTION, I DEVELOPED 2 BLOOD CLOTS AT THE BASE OF MY LUNGS - 1 ON EACH LUNG. IN CONNECTION WITH THAT, I DEVELOPED SEVER PAIN IN MY LOWER RIGHT FLANK AREA THAT RADIATED TO MY SHOULDER AS WELL AS HIGH BLOOD PRESSURE. THERE IS NO HISTORY IN MY FAMILY OF ANY CLOTTING ISSUES AND I MYSELF HAD NEVER HAD SUCH A THING OCCUR. THE PAIN BECAME SO BAD IT FORCED ME TO GO TO A HOSPITAL EMERGENCY DEPT. AFTER CT SCANS CONFIRMED THE PRESENCE OF THE CLOTS, I WAS SUBSEQUENTLY ADMITTED FOR OBSERVATION ON A REGIMEN OF DRUGS, BLOOD THINNER, PAIN MED, AND A CLOT BUSTER (NOT SURE WHICH MANUFACTURER.) I AM STILL EXPERIENCING PAIN IN MY RIGHT FLANK AREA - SOMEWHAT RADIATING TO MY RIGHT SHOULDER DAY 1 POST DISCHARGE AND AM HAVING TO RELY ON OPIOID PAIN MED AS WELL AS THE CLOT BUSTING MED AND A HIGH BLOOD PRESSURE MED. TO ME, IT SEEMS THAT THIS MAY NOT BE JUST COINCIDENTAL. I WAS FEELING FINE PRIOR TO THE S 2ND DOSE OF THE MODERNA VAC AND THIS SEEMS TO ME THAT IT MIGHT BE RELATED TO THE 2 DOSE.
67 2021-03-08 blood clot Blood clots in arm; Arm was sore; A spontaneous report was received from a healthcare professional c... Read more
Blood clots in arm; Arm was sore; A spontaneous report was received from a healthcare professional concerning a 67-year-old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced sore arm/pain in arm and blood clot in her arm/thrombosis. The patient's medical history, as provided by the reporter included diabetes. Concomitant medications were not included. On 15 Feb 2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Lot number: 031M20A) in the left arm for prophylaxis of COVID-19 infection. On 15 Feb 2021, post vaccination the patient experienced sore arm and her condition got worse. She was then taken to emergency room with blood clots in her arm. Action taken with mRNA-1273 in response to the events were not reported. The outcome of the events, sore arm and blood clot in her arm, were not known.; Reporter's Comments: This case concerns a 67-year-old, female patient, who experienced thrombosis and pain in arm. Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. The patient's medical history of diabetes is a risk factor. Further information has been requested.
67 2021-03-09 anaphylactic reaction I became warm and flushed all over a few minutes after shot , then foggy feeling with congestion in... Read more
I became warm and flushed all over a few minutes after shot , then foggy feeling with congestion in sinus. I waited about 20 minutes and left I spoke to my allergist and he said that I had experienced mild anaphylaxis and should not take dose 2 of the vaccine
67 2021-03-10 death Both patient and spouse we given their Moderna prime dose on 2-10-21. Both patient and spouse agreed... Read more
Both patient and spouse we given their Moderna prime dose on 2-10-21. Both patient and spouse agreed to observe the post vaccination waiting period and reported no concerns. On 3-10-2021, they returned for their boost dose at 12:30 PM. Prior to administration of their second dose, they reported only mild headache and fatigue that presented approximately 12 hours after their first dose was administered. Once again, spouse and patient observed the post vaccination waiting period and reported no issues. On 3-11-21, I was notified that patient had passed away at home. In speaking to spouse, he stated that they both went to bed that evening with with a mild headache and fatigue. Spouse stated that he woke up early that morning with a more pronounced headache and had difficulty sleeping. He noted that at approximately 5:18 AM patient seemed to breathing heavily and may have gasped a bit. He checked on her again around 6:40 and determined that she had passed away. He contacted EMS and the technician confirmed that she had passed away. Spouse reports that the state will perform and autopsy in the next few days at the direction of Medical staff.
67 2021-03-10 heart attack, heart attack ACUTE STEMI HEART ATTACK - VENTRICULAR FIBRILLATION - 99.9% BLOOD CLOT IN RIGHT CORONARY ARTERY
67 2021-03-11 atrial fibrillation 2/18/21 chest soreness, shortness of breath. 2/19/21 chest soreness, tired body aches, shortness o... Read more
2/18/21 chest soreness, shortness of breath. 2/19/21 chest soreness, tired body aches, shortness of breath increased slightly. Continued for 3 days. 2/23/21 seen Dr extreme shortness of breath, chest pain, body aches, headaches, extreme tiredness. Blood work, chest X-ray, ekg ordered and completed that same day. 2/25/21 seen at clinic increase in symptoms, COVID test completed. Evening of 2/25/21 went into a-fib hospitalized for 3 days.
67 2021-03-14 atrial fibrillation Awoke in the night following the 2nd dose of the vaccine, with an irregular heart rhythm and elevate... Read more
Awoke in the night following the 2nd dose of the vaccine, with an irregular heart rhythm and elevated heart rate. I contacted the Hospital and was told to come in for an ER eval. --I did go to the ER and was treated for Rapid Atrial Fibrillation. My heart rate was approx. 130 and B/P was approx. 158/100 --both are very elevated for me. (my resting heart rate avg is 50-55 and B/P is avg 124/80) Was given Cardizem IV push and then tablet of Cardizem while in the ER. Then later on same day saw my Cardiologist, who confirmed I was still in Afib.
67 2021-03-14 excessive bleeding PATIENT HAD SEVERE SWELLING RIGHT AFTER INJECTION. BLEEDING AS WELL
67 2021-03-15 death Pt was vaccinated on 2/28 and on 3/2 began to experience worsened sob from baseline, development of ... Read more
Pt was vaccinated on 2/28 and on 3/2 began to experience worsened sob from baseline, development of sternal chest pain, abdominal bloating, nausea and fatigue. She presented to the hospital on 3/9 c/o intractable pain and nausea/vomiting that was worsening. Imaging revealed no change in her cancer from same imaging in jan 2021. PE ruled out. No sepsis. She had acute kidney injury/dehydration. started on ivf. renal imaging normal. echo normal. ekg normal. she rapidly progressed to anuric renal failure and died 3/13/2021. oncology ruled out tumor lysis. she was not felt to be a candidate for dialysis.
67 2021-03-15 ventricular tachycardia Dizziness, Arthralgia & Palpitations The problems began with frequent PVCs which were recorded with ... Read more
Dizziness, Arthralgia & Palpitations The problems began with frequent PVCs which were recorded with the patient's loop recorder (has for paroxysmal atrial fibrillation and has occasional PVCs) but these worsened then on 2/14/2021 developed 20 second run of slow VT at the rate of 160 bpm. Palpitations subsided and then February 18 began having arthralgias of bilateral hips and knees. This eased and then on February 20 had sudden severe pains in the right knee which continued to progress until both bursae were bulging and patient could bare walk with toe touch only the right due to the pain. This persisted until March 8 when the patient developed fever of 101 with chills. Went to ER on March 9 where noted to have increased WBCs with Neutrophil shift. Knee improved after IV Tylenol and Rocephin - still tightened quadricep tendon with occasional pain.
67 2021-03-17 pneumonia Patient reported that she started feeling bad the night of the vaccination. Patient went to the hosp... Read more
Patient reported that she started feeling bad the night of the vaccination. Patient went to the hospital and was admitted. Patient was told she had COVID-19 and a UTI. She says she was given convalescent plasma for COVID-19. She said she had pneumonia, fever, cough, fever and chills.
67 2021-03-18 cerebrovascular accident Systemic: amxious and rerestlessness-Medium, Systemic: Stroke-Medium, Systemic: Tachycardia-Medium, ... Read more
Systemic: amxious and rerestlessness-Medium, Systemic: Stroke-Medium, Systemic: Tachycardia-Medium, Systemic: Unable to Sleep-Medium, Additional Details: patient has autoimmune disease.
67 2021-03-18 pulmonary embolism Pulmonary embolism now on anticoagulants
67 2021-03-21 death Our agency was alerted that the patient passed away on 3/16/2021
67 2021-03-23 pneumonia Pneumonia in right lung; Shooting pains in her chest; Cold; Sweats; Felt unwell; Fever up to 102.4 F... Read more
Pneumonia in right lung; Shooting pains in her chest; Cold; Sweats; Felt unwell; Fever up to 102.4 F; Shakes; A spontaneous report was received from a pharmacist for a 67 year old female patient who experienced pneumonia in right lung (pneumonia), shakes (tremors), felt unwell (malaise), cold (nasopharyngitis), fever up to 102.4 degrees Fahrenheit (pyrexia), sweating(hyperhidrosis), and shooting pains in chest (pain). The patient's medical history was not provided. No concomitant product use was reported. On 08 Mar 2021, the patient received the first of two planned doses of mRNA-1273 (Lot number: 048A21A) intramuscularly in left arm for prophylaxis of COVID-19 infection. On 08-Mar-2021, an hour after the administration of vaccine, the patient felt unwell, was cold, had fever up to 102.4 degrees Fahrenheit, sweats, and shooting pains in chest. On 10-Mar-2021, the patient went to emergency room and was diagnosed with pneumonia in the right lung. The symptoms were persisting at the time of the report. Treatment information included paracetamol and doxycycline hydrochloride. Action taken with mRNA-1273 was unknown. The outcome of the events, pneumonia in right lung (pneumonia), shakes (tremors), felt unwell (malaise), cold (nasopharyngitis), fever up to 102.4 degrees Fahrenheit (pyrexia), sweating(hyperhidrosis) and shooting pains in chest (pain) is 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.
67 2021-03-23 blood clot Reported side effects of fever, chills and headache that began within 24 hours, also reports burning... Read more
Reported side effects of fever, chills and headache that began within 24 hours, also reports burning in throat. Was evaluated by a specialist after 1 week due to continued burning and pain in throat. Reports was diagnosed with edema around vocal chords. Approximately 2 weeks after vaccination developed swelling in left arm. She was seen by her physician who sent her for an ultrasound and they found a blood clot. Patient called to report these symptoms.
67 2021-03-27 heart attack Pt was hospitalized from 3/19-3/21 for intractable n/v following COVID-19 vaccination and subsequent... Read more
Pt was hospitalized from 3/19-3/21 for intractable n/v following COVID-19 vaccination and subsequently had a type 2 NSTEMI. Pt states she got her vaccine on Thursday and then developed severe GERD sx that night. She states she normally does not have GERD and she tried antacids and PPI for her sx. She states she tried to sleep but awoke with projective vomiting and was unable to stop this. She also had myalgias and fatigue. She went to ER and hospital notes indicate supportive care was given and sx resolved quickly. Pt never developed any CP or SOB.
67 2021-03-29 death, pulmonary embolism Diarrhea, Pulmonary embolism resulting in death
67 2021-03-29 respiratory arrest Post vaccine 2/9/21, I experienced drop in O2 Sat over a period of several weeks as I log my daily v... Read more
Post vaccine 2/9/21, I experienced drop in O2 Sat over a period of several weeks as I log my daily vitals (blood sugar, BP, Temp, Pulse rate and O2 Sat in percent). I have O2 concentrator that I use as needed via nasal cannula. I do have SOB with exertion due to Sarcoidosis of the Lung. I notified my PCP on 2/19 of a morning sat of 89 which came up with O2 and breathing exercises, I also took a 20mg. Lasix and Mucinex chewable which usually helps with congestion. With O2 and rest, my O2 Sat improved and extra O2 was stopped. Then again my O2 steadily dropped over a period of a week, I coughed more (always have come cough), SOB. On March 7th, getting ready for bed, I became severely SOB, O2 Sat now 82, I called 911. Was alert, oriented when Paramedics arrived, but needed 100% O2 and transported to Hospital, SOB was severe, gasping/drowning, loss of awareness, apparently resp. arrested, was intubated. STAT CT with Contrast, and Echocardiogram, R/O PE, Lung collapse, etc. (No PE/or collapse). MY supposition is that I had a slow moving allergic response to Moderna Vaccine (I am a former healthcare worker of 20 years) and currently work in healthcare medical devices in Ultrasound. I closely watch vaccine development and read research articles on Sarcoidosis, vaccines and COVID. I participated and continue with a Sarcoidosis Study). I think I experienced cytokine storm with my ultrasensitive immune system. I use oral steroid (QVAR 40mics inhaled daily) which I doubled after taking the vaccine for a few weeks. I have had a MMR vaccine last June 2020 and Quadvalent Flu vaccine last August 2020.
67 2021-03-30 anaphylactic reaction anaphylactic reaction; tingling; itching; throat tightening; problems breathing; generalized allergi... Read more
anaphylactic reaction; tingling; itching; throat tightening; problems breathing; generalized allergic reaction; A spontaneous report was received from a consumer concerning a 67 years old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events, anaphylatic reaction/anaphylactic reaction, generalized allergic reaction/hypersensitivity, tingling/parasthesia, itching/pruritis, throat tightening/throat tightness, problems breathing/dyspnoea. The patient's medical history was not provided. No relevant concomitant medications were reported. On 16 Mar 2021, prior to the onset of the events the patient received their first of two planned doses of mRNA-1273 (lot/batch:unknown) for prophylaxis of COVID-19 infection. After that she had numbness, tingling and itching in left side of her face, which has stayed. Then, almost immediately after shot she had an anaphylactic reaction: throat tightening and problems breathing. In the ER, they gave her Benadryl and that was enough to stop it. Now, she says the numbness is similar to being numb from going to the dentist. On 16 Mar 2021, immediately after the shot, the patient experienced the event(s) anaphylatic reaction/anaphylactic reaction, generalized allergic reaction/hypersensitivity, tingling/parasthesia, itching/pruritis, throat tightening/throat tightness, problems breathing/dyspnoea. The event anaphylactic reaction is medially significant. So, this is a serious case. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The outcome of event(s), anaphylatic reaction/anaphylactic reaction, generalized allergic reaction/hypersensitivity, tingling/parasthesia, itching/pruritis, throat tightening/throat tightness, problems breathing/dyspnoea was unknown.; Reporter's Comments: This case concerns a 67 Y/O M had a serious expected event of anaphylactic reaction and nonserious unexpected hypersensitivity, pruritus, dyspnea, throat tightness, and paresthesia. Event onset immediately after first dose mRNA-1273. Event outcomes unknown. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.
67 2021-03-30 death The patient has passed away 3 days after receiving the 2nd dose of the Moderna Covid vaccine. They w... Read more
The patient has passed away 3 days after receiving the 2nd dose of the Moderna Covid vaccine. They were pronounced dead Friday March 19. The patient lived alone and was on unreachable Thursday March 18th. The patient was found deceased the next day at their residence.
67 2021-03-31 death Patient death within 60 days of receiving the COVID vaccine series
67 2021-03-31 pulmonary embolism Pulmonary embolism; Shortness of breath; A spontaneous report was received from a physician, concern... Read more
Pulmonary embolism; Shortness of breath; A spontaneous report was received from a physician, concerning a 67 years old female patient, who received Moderna's COVID-19 vaccine and experienced shortness of breath and pulmonary embolism. The patient's medical history was not provided. Concomitant product details were not provided by the reporter. On 15-Feb-2021, prior to the onset of events, the patient received her first of two planned doses of mRNA-1273 (lot number unknown) via intramuscular route for COVID-19 infection prophylaxis. On 15-Mar-2021, after the recovery from the events, the patient received her second of two planned doses of mRNA-1273 (lot number unknown) via unknown route for COVID-19 infection prophylaxis. On 18-Feb-2021, after first dose of vaccine, the patient experienced shortness of breath and required 2 days hospitalization for pulmonary embolism. Treatment using Enoxaparin was reported. The shortness of breath was gone once being discharged from the hospital. Rivaroxaban was prescribed as the discharge medication. Action taken with mRNA-1273 in response to the event was not applicable. The outcome of the events shortness of breath was considered resolved and of event pulmonary embolism was 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.
67 2021-04-05 heart attack 4/5/21 triage: Pt was in ED with son who was a pt today. Pt walked outside where she became light he... Read more
4/5/21 triage: Pt was in ED with son who was a pt today. Pt walked outside where she became light headed & briefly loss consciousness. This nurse witnessed pt knees begin to buckle & son lowered her to ground. Pt states "sometimes I get light headed if I haven't had enough water". Pt alert/oriented @ this time. C/o upper back pain that she states is new for her. orthostatic positive HPI: 67 y.o. female who presents with a near syncopal episode just PTA. She feels that she is dehydrated. No chest pain. Some cough, no dyspnea or fever. No hx of CAD. elevated troponin 1.28; 2.27 transferred to other HCF hpi: History of Present Illness: The patient is a 67 y.o. female with a past medical history notable for diabetes mellitus, hypertension, glaucoma who presents with chief complaint of "short of breath." Patient lives at home.Patient code status is: Full code status. Patient reports she has been battling a head cold over the past 2 weeks. Patient has had low-grade fever of 99° F. Otherwise, patient has done well. Patient had brought her son to the hospital emergency department. When patient was getting ready to leave his room in the emergency department she says she felt sudden shortness of breath and dizziness. Patient reported that she said ?I do not think I can make it.? Patient then proceeded to get weak and syncopized. Patient's son was already at her side and laid her on the ground. Patient never hit her head. When patient had return of consciousness, she continued to feel short of breath and dizzy. Patient reported that sometimes she feels a sensation at home when she is dehydrated and has not drink in enough fluids. Patient denies having any chest pain, fever, nausea, or vomiting. Patient presented to the ED with the following vital signs: Temperature 97.5°, heart rate 88, blood pressure 183/99, respiratory rate 24, oxygen saturation 85% on room air. EKG was read as normal. Laboratory findings reported as troponin I 0.11, repeat troponin I 3 hours later revealed 1.28. Other laboratory findings significant for glucose 127, BUN 30, creatinine 1.2. Chest x-ray was read as unremarkable. Patient given the following medications in the emergency department: IV fluids x2 L bolus, 324 p.o. Aspirin, nitroglycerin ointment, treatment dose Lovenox. During my evaluation of patient, patient denied having any chest pain. Patient reported that she was feeling okay. Patient was admitted to Internal Medicine service for further management of NSTEMI.
67 2021-04-05 death, heart attack Pt received #2 moderna vaccine. Pt had no problems with #1 other that fatigue for 1 day. Went to sto... Read more
Pt received #2 moderna vaccine. Pt had no problems with #1 other that fatigue for 1 day. Went to store and passed out in the parking lot after passing out and hit her head on the pavement. Pt was transported to hospital. Pt was transferred to different hospital. Pt died at Hospital ER. 3 weeks ago pt diagnosed with heart murmur. Echo showed aortic valve function at 65%. Dr states he will just watch pt. no meds given. Pt family stated pt has a heart attack while at store.
67 2021-04-05 deep vein blood clot Sore arm then rotator cuff injury & DVT
67 2021-04-05 heart attack Approxinately 14+ hours after 2nd dose on 03/30/2021 patient found unresponsive and brought to ER. D... Read more
Approxinately 14+ hours after 2nd dose on 03/30/2021 patient found unresponsive and brought to ER. DX with MI and Heart Block
67 2021-04-06 death Family member reported patient deceased. Was found on 3/21/21. She had told a friend she wasn't fe... Read more
Family member reported patient deceased. Was found on 3/21/21. She had told a friend she wasn't feeling well on the night of 3/19/21.
67 2021-04-07 deep vein blood clot, pulmonary embolism She had both doses of Moderna COVID vaccine and finished the series in mid February. She was admitte... Read more
She had both doses of Moderna COVID vaccine and finished the series in mid February. She was admitted 4/5/21 with bilateral PE and popliteal vein thrombus in the left leg. She had been sedentary the week before with a "cold" and has morbid obesity.
67 2021-04-07 heart attack eyes hurt; Dizzy; feel like in a fog; sore throat; dizzy, balance is gone; head still hurts; most in... Read more
eyes hurt; Dizzy; feel like in a fog; sore throat; dizzy, balance is gone; head still hurts; most intense pain felt like i was having heart attack; face red; tremendous sinus congestion; head killing me, felt like 100 lbs of weight on head, about to explode; chills; Fever; joint pain; This spontaneous case was reported by a consumer and describes the occurrence of MYOCARDIAL INFARCTION (most intense pain felt like i was having heart attack) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) 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.). Concomitant products included ROSUVASTATIN CALCIUM (CRESTOR) for an unknown indication. On 05-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 05-Mar-2021, the patient experienced MYOCARDIAL INFARCTION (most intense pain felt like i was having heart attack) (seriousness criterion medically significant), ERYTHEMA (face red), SINUS CONGESTION (tremendous sinus congestion), HEAD DISCOMFORT (head killing me, felt like 100 lbs of weight on head, about to explode), CHILLS (chills), PYREXIA (Fever) and ARTHRALGIA (joint pain). On 08-Mar-2021, the patient experienced EYE PAIN (eyes hurt), DIZZINESS (Dizzy), FEELING ABNORMAL (feel like in a fog), OROPHARYNGEAL PAIN (sore throat), BALANCE DISORDER (dizzy, balance is gone) and HEADACHE (head still hurts). At the time of the report, MYOCARDIAL INFARCTION (most intense pain felt like i was having heart attack), SINUS CONGESTION (tremendous sinus congestion), HEAD DISCOMFORT (head killing me, felt like 100 lbs of weight on head, about to explode), EYE PAIN (eyes hurt), DIZZINESS (Dizzy), FEELING ABNORMAL (feel like in a fog), OROPHARYNGEAL PAIN (sore throat), BALANCE DISORDER (dizzy, balance is gone), CHILLS (chills), PYREXIA (Fever), ARTHRALGIA (joint pain) and HEADACHE (head still hurts) outcome was unknown and ERYTHEMA (face red) had not resolved. Treatments to the event include Tylenol. This case concerns a 68-year-old female with serious unexpected events of myocardial infarction, and nonserious unexpected erythema, dizziness, balance disorder, feeling abnormal, oropharyngeal pain, eye pain, head discomfort, sinus congestion and expected fever, chills, headache, arthralgia. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. This case was linked to MOD-2021-034793 (Patient Link).; Sender's Comments: This case concerns a 68-year-old female with serious unexpected events of myocardial infarction, and nonserious unexpected erythema, dizziness, balance disorder, feeling abnormal, oropharyngeal pain, eye pain, head discomfort, sinus congestion and expected fever, chills, headache, arthralgia. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.
67 2021-04-08 pulmonary embolism Diagnosed with multiple pulmonary emboli after presenting to ED with pleuritic chest pain and DOE. ... Read more
Diagnosed with multiple pulmonary emboli after presenting to ED with pleuritic chest pain and DOE. Unclear time of onset of symptoms, possibly preceding 2nd dose of vaccine by about 1 month. unclear temporal relation to initial vaccine dose.
67 2021-04-09 pulmonary embolism Pulmonary embolism; This spontaneous case was reported by a physician (subsequently medically confir... Read more
Pulmonary embolism; This spontaneous case was reported by a physician (subsequently medically confirmed) and describes the occurrence of PULMONARY EMBOLISM (Pulmonary embolism) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included No adverse event (No reported medical history). In March 2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Apr-2021, the patient experienced PULMONARY EMBOLISM (Pulmonary embolism) (seriousness criteria hospitalization prolonged and life threatening). The patient was hospitalized on sometime in April 2021 due to PULMONARY EMBOLISM. At the time of the report, PULMONARY EMBOLISM (Pulmonary embolism) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter.Treatment information was not provided. This case refers to a 67 year-old elderly female patient who developed pulmonary embolism about two weeks after receiving the second dose of mRNA-1273 vaccine. Very limited information has been provided at this time.; Sender's Comments: This case refers to a 67 year-old elderly female patient who developed pulmonary embolism about two weeks after receiving the second dose of mRNA-1273 vaccine. Very limited information has been provided at this time.
67 2021-04-11 heart attack after vaccination, I sat there for 15 minutes and started to drive home, stopped to get food, drivin... Read more
after vaccination, I sat there for 15 minutes and started to drive home, stopped to get food, driving down the street I stopped somewhere and ended up sitting there for 6-8 hours according to the restaurant manager. I went to the hospital they said that I had a weird heart attack and I was dehydrated.
67 2021-04-13 pulmonary embolism, death, deep vein blood clot My mother and I received the Moderna vaccine on January 20th. About two weeks later on January 31st,... Read more
My mother and I received the Moderna vaccine on January 20th. About two weeks later on January 31st, she complained about her leg. It was swollen. Later on that day, she collapsed, was rushed to the hospital. Died on February 4th due to anoxic brain injury due to DVT that caused a massive pulmonary embolism.
67 2021-04-13 blood clot in lung I did not feel well starting the day after my second Moderna shot, 2/15/2021, arm swollen, hard and ... Read more
I did not feel well starting the day after my second Moderna shot, 2/15/2021, arm swollen, hard and red throughout week. Started having difficulty breathing within a couple of days, brushed it off and tried to function as normal but by 2/21/2021 I could no longer function and had difficulty breathing if I tried to do anything and went to emergency room. Diagnosed with multiple blood clots in both lungs.
67 2021-04-14 pulmonary embolism, deep vein blood clot 4/1/21 Patient developed breathlessness, it progressed until she presented to local ER 4/13 with hyp... Read more
4/1/21 Patient developed breathlessness, it progressed until she presented to local ER 4/13 with hypoxemia, tachycardia due to Submassive pulmonary emboli, also found to have R pulmonary infarct and asymptomatic DVTs in R femoral and popliteal, L popliteal veins. Patient was admitted to hospital, treated with IV UFH, doing well. Anticipate discharge in 1-2 days. Note hospitalization data below is tentative as pt is still in hospital
67 2021-04-16 sepsis Hospitalization 3/14 to 4/21 with sepsis and hickman line infection. Admitted again from clinic 4/8/... Read more
Hospitalization 3/14 to 4/21 with sepsis and hickman line infection. Admitted again from clinic 4/8/21 with worsening shortness of breath and progressive leg swelling with abdominal distension. Has not had any issues with chronic diseases prior that required hospitalizations
67 2021-04-18 acute respiratory failure Patient admitted for acute hypoxic respiratory failure, COPD exacerbation , subsequently found COVID... Read more
Patient admitted for acute hypoxic respiratory failure, COPD exacerbation , subsequently found COVID1-9 positive.
67 2021-04-18 cardiac failure congestive CHF; lymphedema; did not receive 2nd Dose within 35 days; This spontaneous case was reported by a co... Read more
CHF; lymphedema; did not receive 2nd Dose within 35 days; This spontaneous case was reported by a consumer and describes the occurrence of CARDIAC FAILURE CONGESTIVE (CHF) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011M20A) 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 was reported.). On 15-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Mar-2021, the patient experienced CARDIAC FAILURE CONGESTIVE (CHF) (seriousness criterion hospitalization prolonged). On an unknown date, the patient experienced LYMPHOEDEMA (lymphedema) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (did not receive 2nd Dose within 35 days). The patient was hospitalized from 10-Mar-2021 to 07-Apr-2021 due to CARDIAC FAILURE CONGESTIVE. At the time of the report, CARDIAC FAILURE CONGESTIVE (CHF) and LYMPHOEDEMA (lymphedema) outcome was unknown and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (did not receive 2nd Dose within 35 days) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product use was not provided. Treatment information was not provided. This report refers to a case of INAPPROPRIATE SCHEDULE OF PRODUCT for mRNA-1273, lot # 011M20A with associated AEs of CONGESTIVE CARDIAC FAILURE and LYMPHOEDEMA. Based on the current available information and temporal association between the use of the product and the start date of the event of LYMPHOEDEMA , a causal relationship cannot be excluded. The event of CONGESTIVE CARDIAC FAILURE Was assessed as unrelated due to lack of biological plausibility.; Sender's Comments: This report refers to a case of INAPPROPRIATE SCHEDULE OF PRODUCT for mRNA-1273, lot # 011M20A with associated AEs of CONGESTIVE CARDIAC FAILURE and LYMPHOEDEMA. Based on the current available information and temporal association between the use of the product and the start date of the event of LYMPHOEDEMA , a causal relationship cannot be excluded. The event of CONGESTIVE CARDIAC FAILURE Was assessed as unrelated due to lack of biological plausibility.
67 2021-04-18 pulmonary embolism Unprovoked pulmonary embolisms (PEs). I am uncertain why this patient developed bilateral pulmonary ... Read more
Unprovoked pulmonary embolisms (PEs). I am uncertain why this patient developed bilateral pulmonary embolisms. patient to hold on receiving her 2nd Moderna vaccine. obtain hematological consultation for input in regard to the patient receiving another Moderna vaccine, and also ask Hematology to proceed with any further evaluation and workup in regard to these unprovoked PEs, as they deem appropriate. 6 months of anticoagulation, but I would also like input from Hematology in regard to this.
67 2021-04-18 transient ischaemic attack Received vaccine on 03/12/2021 and on 03/18/2021 client went for a walk and her legs became like "je... Read more
Received vaccine on 03/12/2021 and on 03/18/2021 client went for a walk and her legs became like "jello". She did not think she was going to make it back to her apartment. Upon returning to her home, she had numbness in her lower extremity. She felt terrible and contacted her healthcare provider. She was seen and it was noted that she may have had a mild TIA but her blood pressure was significantly elevated and she was placed on hypertension medication. The weakness has resolved.
67 2021-04-22 death Lethargy, weakness, headache; ultimately pronounced on 4/3/2021 at 1310 hours
67 2021-04-22 pulmonary embolism Sore arm badly aches for a few days then a week after began having shortness of breath on exertion w... Read more
Sore arm badly aches for a few days then a week after began having shortness of breath on exertion was diagnosed with Pulmonary embolism on Aril 7 2021
67 2021-04-24 cerebrovascular accident, sepsis Altered mental status, CVA vs Sepsis. Patient reports "clot was seen" put records are not forthcom... Read more
Altered mental status, CVA vs Sepsis. Patient reports "clot was seen" put records are not forthcoming at this time. Symptoms started about 2 weeks after vaccination.
67 2021-04-26 death, pulmonary embolism My mom was very ill with fever like symptoms following her first vaccination on January 26th. The sy... Read more
My mom was very ill with fever like symptoms following her first vaccination on January 26th. The symptoms were even worse after her second vaccination March 2nd and included muscle cramping in her legs. Once she was recovered she only had a persistent cough which she attributed to allergies as the pollen count had been high. In the early morning hours of March 19th she was having difficulty breathing and chest pains. She was rushed to the emergency room where she subsequently died of cardio pulmonary embolism which the coroner indicated began within three weeks of her death.
67 2021-04-27 death Patient collapsed and became unresponsive 24 hours after receiving second dose of vaccine.
67 2021-04-28 pulmonary embolism I developed severe lower back/flank pain about 4 days after receiving my 2nd Moderna vaccination. T... Read more
I developed severe lower back/flank pain about 4 days after receiving my 2nd Moderna vaccination. The pain was most pronounced while lying supine and , while in that position, manifested a creeping , fluid nature, i.e. migrating from my lower back to my shoulder. I was unable to lie down comfortably. In thinking about the nature of this pain, I determined that it was possibly/probably from a PE as it seemed as if pain was migrating from my lower back to my shoulder. I'm "not a doctor but play one on TV" (LOL ) so surmised that it was something serious that decided that this was something needing attention. I presented to a hospital ER for care and was ultimately told I had 2 small PE blood clots - 1 in the base of each lung. My diagnosis was confirmed by a CT scan and I was subsequently admitted for observation. I was discharged the following day with blood thinners and blood pressure medication.
67 2021-04-29 cardiac arrest, death Vaccine was administered at 1215, patient was monitored for 15minutes per CDC guidelines with not ad... Read more
Vaccine was administered at 1215, patient was monitored for 15minutes per CDC guidelines with not adverse reactions noted. Approximately one hour after administration of vaccine patient noted to be moaning, fingerstick BS at 59mg/dL, Dextrose administered, pt proceeded in to cardiac arrest, CPR was initiated and EMS activated. Pt expired approximately 4 hours after incident at ER.
67 2021-04-30 blood clot Blood clot in leg; This spontaneous case was reported by a consumer and describes the occurrence of ... Read more
Blood clot in leg; This spontaneous case was reported by a consumer and describes the occurrence of THROMBOSIS (Blood clot in leg) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 002B21A and 002A21A) for COVID-19 vaccination. No Medical History information was reported. On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 26-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 2 dosage form. On 02-Apr-2021, the patient experienced THROMBOSIS (Blood clot in leg) (seriousness criteria hospitalization and medically significant). The patient was hospitalized from 02-Apr-2021 to 06-Apr-2021 due to THROMBOSIS. The patient was treated with Surgery (Angioplasty) for Thrombosis. On 06-Apr-2021, THROMBOSIS (Blood clot in leg) had resolved. Not Provided Concomitant product use was not provided by the reporter. The patient received both scheduled doses of mRNA-1273 prior to the events; therefore, action taken with the mRNA-1273 in response to the events was not applicable.; Sender's Comments: Based on current available information and the temporal association between product use and the stat date of the events a causal relationship cannot be excluded.
67 2021-05-03 heart attack, blood clot heart attack; Bood clot; This spontaneous case was reported by a consumer (subsequently medically co... Read more
heart attack; Bood clot; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of MYOCARDIAL INFARCTION (heart attack) and THROMBOSIS (Bood clot) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 18-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Mar-2021, the patient experienced MYOCARDIAL INFARCTION (heart attack) (seriousness criteria death and medically significant) and THROMBOSIS (Bood clot) (seriousness criterion death). The patient died on 23-Mar-2021. The reported cause of death was Heart attack and Clot blood. It is unknown if an autopsy was performed. Not Provided No concomitant medication were reported. No treatment information was provided.; Reported Cause(s) of Death: Heart attack; Clot blood
67 2021-05-05 heart attack Patient states shortly after getting the vaccine and alone in her apt her head began to hurt and her... Read more
Patient states shortly after getting the vaccine and alone in her apt her head began to hurt and her back aching. States her chest began feeling "funny" and she tried calling her daughter. With no answer she called the ambulance and was transported to ER. She was told upon arrival she was having a heart attack and transferred to cath lab. Blockages were found and 3 stents placed to right coronary artery.
67 2021-05-05 pulmonary embolism She has developed shortness of breath, which was new and more worse then her usal sthma symtoms. She... Read more
She has developed shortness of breath, which was new and more worse then her usal sthma symtoms. She went to urgent care center, she has D dimer of 7000, She has CT scan doen for pulmonary embolism on 4/6/2021, She right side pulmonary embolism diagnosis as per CT chest.
67 2021-05-06 death Patient DIED 10 days after 2nd dose of Covid vaccine.
67 2021-05-08 deep vein blood clot, pneumonia Hospitalized on 3/31 following episode of unresponsiveness and confusion that started roughly 18hrs ... Read more
Hospitalized on 3/31 following episode of unresponsiveness and confusion that started roughly 18hrs after vaccination. Patient had similar presentation requiring hospitalization after first vaccine dose as well Initially presented to Hospital. Workup there included empiric antibiotic therapy, antiviral therapy did not result in improvement, MRI brain and lumbar punctures non-significant, required intubation early in admission for a brief period, then likely developed HAP/VAP and ARDS requiring re-intubation and was transferred to higher level of care our main campus facility from which I am reporting this. Here, rheum/neuro workup largely negative. Her course has been c/b multiple DVTs and Aflutter that has resolved. So far, workup for AMS and fevers have been extensive -- BEM, LP, MRI, thora, bronch w BAL were unremarkable. The patient has been monitored off abx without hemodynamic changes. She did not improve despite various abx administered and did not really respond to seroquel for her delirium. At one point, the husband was considering hospice because nothing had improved her clinical status. Given her rheumatologic hx and declining mental status after the vaccine, the patient was treated with methylpred 1 daily x3 and this dramatically improved her clinical course. She began to wake up and per the ICU, was AOx2-3 at one point, whereas she had not responded even to painful stimuli at one point. She still did have some hypoactive delirium. At this point, she was deemed stable enough to be transferred. Our phsyicians were following her through the admission, was not aware and speaking again until 5/5/21. Currently she is undergoing epilepsy workup and is still hospitalized.
67 2021-05-11 blood clot Renal Infarct (blood clots to both kidneys)
67 2021-05-12 excessive bleeding Swollen hands; Heavy periods; chopped her hair since she sweats a lot in her scalp; Body aches; Head... Read more
Swollen hands; Heavy periods; chopped her hair since she sweats a lot in her scalp; Body aches; Headache; Fatigue; Bleeding started; Cannot think straight; Hot flashes; Back hurts; Itchy in eyes; Confused; Anxiety increased; Feels depressed; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of HAEMORRHAGE (Bleeding started) and MENTAL IMPAIRMENT (Cannot think straight) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 024M20A and 003A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history reported. Concomitant products included DULOXETINE HYDROCHLORIDE (CYMBALTA), LORAZEPAM, MELOXICAM, BLACK COHOSH [CIMICIFUGA RACEMOSA], ESTRADIOL, NORETHISTERONE ACETATE (ESTRADIOL AND NORETHINDRONE), CLOBETASOL PROPIONATE and ESTRADIOL for an unknown indication. On 13-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 13-Mar-2021, the patient experienced HAEMORRHAGE (Bleeding started) (seriousness criterion medically significant), MENTAL IMPAIRMENT (Cannot think straight) (seriousness criterion medically significant), HOT FLUSH (Hot flashes), BACK PAIN (Back hurts), EYE PRURITUS (Itchy in eyes), CONFUSIONAL STATE (Confused), ANXIETY (Anxiety increased), DEPRESSED MOOD (Feels depressed), HEAVY MENSTRUAL BLEEDING (Heavy periods), HYPERHIDROSIS (chopped her hair since she sweats a lot in her scalp), PAIN (Body aches), HEADACHE (Headache) and FATIGUE (Fatigue). On 06-May-2021, the patient experienced PERIPHERAL SWELLING (Swollen hands). At the time of the report, HAEMORRHAGE (Bleeding started), MENTAL IMPAIRMENT (Cannot think straight), HOT FLUSH (Hot flashes), BACK PAIN (Back hurts), EYE PRURITUS (Itchy in eyes), CONFUSIONAL STATE (Confused), ANXIETY (Anxiety increased), DEPRESSED MOOD (Feels depressed), PERIPHERAL SWELLING (Swollen hands), HEAVY MENSTRUAL BLEEDING (Heavy periods), HYPERHIDROSIS (chopped her hair since she sweats a lot in her scalp), PAIN (Body aches), HEADACHE (Headache) and FATIGUE (Fatigue) outcome was unknown. Patient stated that her OBGYN told her she is going thru menopause for which she was prescribed estrogen and she started getting a period. Treatment included Tylenol. The patient received both scheduled doses of mRNA-1273 prior to the events, therefore action taken with the drug in response to the events was not applicable. Very limited information regarding this events has been provided at this time. The events are assessed unlikely related to product. This case was linked to MOD-2021-110270 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 06-May-2021: New concomitant drugs (Black Cohosh, Estradiol/norethindrone, Clobetasol propionate, Estradiol cream) were added, New events (Bleeding, back hurts, had period, itchy in eyes, cannot think straight, confused, body aches, heavy period, anxiety increased and feels depressed) were added and Suspect vaccine dosing details were updated.; Sender's Comments: Very limited information regarding this events has been provided at this time. The events are assessed unlikely related to product.
67 2021-05-12 severe muscle breakdown Rhabdomyolysis with associated transaminitis from skeletal muscle breakdown; This spontaneous case w... Read more
Rhabdomyolysis with associated transaminitis from skeletal muscle breakdown; This spontaneous case was reported by an other health professional (subsequently medically confirmed) and describes the occurrence of RHABDOMYOLYSIS (Rhabdomyolysis with associated transaminitis from skeletal muscle breakdown) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient's past medical history included Photopheresis (monthly) since an unknown date. Concurrent medical conditions included Graft versus host disease since 04-Oct-2019 and Weakness (frequently since 2018) since 2010. Concomitant products included RUXOLITINIB from 13-Jan-2021 to an unknown date for Graft versus host disease, PREDNISONE, BUDESONIDE and TACROLIMUS for an unknown indication. On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 05-Mar-2021, the patient experienced RHABDOMYOLYSIS (Rhabdomyolysis with associated transaminitis from skeletal muscle breakdown) (seriousness criterion hospitalization). The patient was hospitalized from 05-Mar-2021 to 23-Mar-2021 due to RHABDOMYOLYSIS. On 23-Mar-2021, RHABDOMYOLYSIS (Rhabdomyolysis with associated transaminitis from skeletal muscle breakdown) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In March 2021, Aldolase: elevated (High) elevated levels consistent with myositis. In March 2021, Biopsy muscle: abnormal (abnormal) demonstrated mild myopathy, mitochondrial dysfunction, mild reinnervation and severe type 2 fiber atrophy. Microscopic analysis also demonstrated lymphocytic infiltration, along with apoptotic bodies, providing overall gestalt most consistent with a mixed nonspecific liver injury, along with some findings to support graft-versus-host-disease of the liver. In March 2021, Blood creatinine: elevated (High) elevated levels consistent with myositis. In March 2021, Electromyogram: abnormal (abnormal) consistent with myositis. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered RHABDOMYOLYSIS (Rhabdomyolysis with associated transaminitis from skeletal muscle breakdown) to be possibly related. Extensive serologic workup was done in March 2021 which were grossly negative for new autoimmune processes. No specific treatments were reported. Company Comment Based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded.
67 2021-05-12 blood clot Before vaccine went for sonogram, no signs of blood clot Vein doctor did more advanced sonogram and ... Read more
Before vaccine went for sonogram, no signs of blood clot Vein doctor did more advanced sonogram and was negative again for clots. A few days later clots started appearing on varicose veins. First clot started inside of knee, thought it was a boil, it was a big red figure with a dark center, doctor diagnosed with superficial blood clots (about 10 days after vaccine) On the 10th when seeing doctor blood pressure shot up, had to double lisinopril. Patient reports history of smoking.
67 2021-05-14 heart attack This spontaneous case was reported by an other health professional (subsequently medically confirmed... Read more
This spontaneous case was reported by an other health professional (subsequently medically confirmed) and describes the occurrence of MYOCARDIAL INFARCTION (Heart attack) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026A21A) for COVID-19 immunisation. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Cough since an unknown date. Concurrent medical conditions included COPD and Diabetes. On 07-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Apr-2021, the patient experienced MYOCARDIAL INFARCTION (Heart attack) (seriousness criteria hospitalization and life threatening) and BACK PAIN (Back ache). The patient was hospitalized from 07-Apr-2021 to 09-Apr-2021 due to MYOCARDIAL INFARCTION. At the time of the report, MYOCARDIAL INFARCTION (Heart attack) and BACK PAIN (Back ache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered MYOCARDIAL INFARCTION (Heart attack) and BACK PAIN (Back ache) to be possibly related. Treatment includes 3 stents placed to right coronary artery. Blood sugar was over 500 and patient was put on insulin.; Sender's Comments: Very limited information regarding this event/s has been provided at this time. Further information has been requested.
67 2021-05-14 respiratory failure, acute respiratory failure Pt w/hx of COVID positive (5/3) in the setting of an exposure and onset of symptoms including arthra... Read more
Pt w/hx of COVID positive (5/3) in the setting of an exposure and onset of symptoms including arthralgias, body aches, non-productive cough, loss of taste/smell sensations, shortness of breath upon exertion despite receiving Moderna vaccines (2/12 & 3/12/21). Pt presented to ED w/worsening SOB upon rest and was admitted for management of acute hypoxemic respiratory failure due to COVID-19. Was treated w/dexamethasone, remdesivir. She was ultimately discharged on 5/12 after significant improvement with follow-up.
67 2021-05-17 cerebrovascular accident Dizziness, vision changes. Was hospitalized 4/20 through 4/22. She was having trouble with her visio... Read more
Dizziness, vision changes. Was hospitalized 4/20 through 4/22. She was having trouble with her vision. Diagnosed with Stroke in the occiput region, was also noted to be in atrial fibrillation. Elevated blood pressure.
67 2021-05-19 death Caller stated his wife passed out and hit her head on the floor; hit her head on the floor and split... Read more
Caller stated his wife passed out and hit her head on the floor; hit her head on the floor and split it open; transferred to hospital due to cardiac complications; fall; His wife passed away; This spontaneous case was reported by a patient family member or friend (subsequently medically confirmed) and describes the occurrence of DEATH (His wife passed away), LOSS OF CONSCIOUSNESS (Caller stated his wife passed out and hit her head on the floor), SKULL FRACTURE (hit her head on the floor and split it open), CARDIAC DISORDER (transferred to hospital due to cardiac complications) and FALL (fall) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 03-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Apr-2021, the patient experienced LOSS OF CONSCIOUSNESS (Caller stated his wife passed out and hit her head on the floor) (seriousness criteria hospitalization and medically significant), SKULL FRACTURE (hit her head on the floor and split it open) (seriousness criteria hospitalization and medically significant), CARDIAC DISORDER (transferred to hospital due to cardiac complications) (seriousness criterion hospitalization) and FALL (fall) (seriousness criterion hospitalization). On 04-Apr-2021, LOSS OF CONSCIOUSNESS (Caller stated his wife passed out and hit her head on the floor), SKULL FRACTURE (hit her head on the floor and split it open), CARDIAC DISORDER (transferred to hospital due to cardiac complications) and FALL (fall) outcome was unknown. The patient died on 04-Apr-2021. The cause of death was not reported. It is unknown if an autopsy was performed. Concomitant product use was not provided by the reporter. Treatment information was not provided. On 03 Apr 2021, the reporter stated approximately 45 minutes after receiving the COVID-19 vaccine, the patient passed out in the parking lot and hit her head on the floor which caused it to split open. The patient was taken to a hospital but had to be transferred to another hospital after experiencing cardiac complications. On 04 Apr 2021 at 4:00 am, the patient passed away. Very limited information regarding this events has been provided at this time. Further information has been requested.; Sender's Comments: Very limited information regarding this events has been provided at this time. Further information has been requested.; Reported Cause(s) of Death: Unknown cause of death
67 2021-05-20 death Death, code blue at home, received COVID vaccine 5/20/21. No known health issues
67 2021-05-29 heart attack Patient called our pharmacy and stated she had a ?heart attack? after she received her first COVID 1... Read more
Patient called our pharmacy and stated she had a ?heart attack? after she received her first COVID 19 vaccination. She stated she was otherwise healthy before the vaccination and a subsequent heart cath showed no blockages. Her cardiologist recommended to report this incident and for her receive her second COVID-19 vaccine.
67 2021-06-07 excessive bleeding Patient suddenly fainted and fell, striking and lacerating the back of her head on a table leg. The... Read more
Patient suddenly fainted and fell, striking and lacerating the back of her head on a table leg. The laceration resulted in copious bleeding. After regaining consciousness, patient telephoned for help, and was transported by ambulance to Emergency Dept. After tests verifying no internal bleeding, the laceration was closed with four staples. Patient had no prior history of fainting, nor subsequent fainting. Fainting incident was sudden onset and not preceded by significant episode of faintness. During this day after vaccination, patient also suffered more typical second-dose side effects, including soreness of shoulder, rash, malaise and low-grade fever (100.2°F).
67 2021-06-13 pulmonary embolism It woke me up about 2 am I had a severe headache and some shortness of breath. I checked my blood pr... Read more
It woke me up about 2 am I had a severe headache and some shortness of breath. I checked my blood pressure and it was 80/40 with pulse of 42. So I went to get something to drink and went back to bed, I thought I was dehydrated. Over the next few days I felt real tired and washed out and with more shortness of breath. They did an EKG and went to a Cardiologist and he thought my thyroid was off, he wanted to watch and change medication to see if it will help. I started to get worse and they CT Scan of my chest with my PCP and they found bilateral PE. I was hospitalized for a day and sent home with medication and right now I'm still out of work. I go back to the Dr. on the 23rd to see if they will let me go back to work.
67 2021-06-23 systemic inflammatory response syndrome Pt was admitted from 4/7-4/8 for c/o bloody diarrhea and nausea for 1 week associated with fevers. H... Read more
Pt was admitted from 4/7-4/8 for c/o bloody diarrhea and nausea for 1 week associated with fevers. Her hgb remained stable and she was discharged to follow up with GI on 4/8 with diarrhea resoled. CT scan at that time showed no acute abnl and minor sigmoid diverticulosis. She returned on 6/9 with 4 days of bloody stool. she was discharged on 6/16/21 after a protracted hospital course . Patient is a 67-year-old female with a past medical history significant for wheelchair-bound status secondary to MS and multiple left lower extremity surgeries, type 2 diabetes, CHF, hypertension, hyperlipidemia, depression, GERD who presented to the emergency room on 6/9/2021 for evaluation of bright red blood per rectum x4 days. She was recently admitted in April for a day and a half for diarrhea that was bloody but symptoms resolved. In the ER she was tachycardic and hypotensive she also had lactic acidosis. She was ultimately admitted for anemia of acute blood loss, symptomatic hypotension and lower GI bleed as well as SIRS without sepsis. She was seen in consultation by Gastroenterology and ultimately underwent a colonoscopy on 6/11/2021 which revealed no source for the bleeding and there was no evidence of malignancy she did have diverticulosis seen. She had red-tinged stool throughout the ascending transverse descending and sigmoid colon as well as red bloody stool in the rectum. She was on no blood thinners prior to arrival it stated in her med rec that she was on aspirin but she was not taking aspirin. She remained in the hospital for close monitoring she did receive 2 units of blood. We were hoping to advance her diet and plan discharge home but unfortunately patient began bleeding again and underwent a second colonoscopy on 6/14/2021 which again revealed the same bloody stool in the transverse, descending, sigmoid and rectum. Patient did have a tagged bleeding scan which revealed evidence of bleeding with the tracer becoming visible in the region of the splenic flexure of the colon passing proximally and distally within the lumen of the colon. Despite the second colonoscopy the bleeding source could not be found. Patient was given an additional unit of blood. She was monitored further. She had a period of time after the colonoscopy where she had severe generalized abdominal pain but this resolved by the following day where she then began to have diarrhea but no further hematochezia or bleeding was noted. she was discharged on 6/16/21 home. Of note this is the patient's fourth ER visit and or hospitalization since receiving her COVID-19 vaccinations. CT showing no acute abnl and again diverticulosis. She received her 1st moderna covid 19 vaccine on 3/9 and her second on 4/9/21. she has had 2 hospitalizations since her vaccinations and 2 er visits 3/13 at another er noting increased blood sugars, blurred vision and a headache since her covid vaccine on 3/9 and 3/18 for fatigue, high blood sugars
67 2021-06-29 pulmonary embolism pulmonary embolism, treated with blood thinners (heparin for first week and eliquis thereafter). Mu... Read more
pulmonary embolism, treated with blood thinners (heparin for first week and eliquis thereafter). Must continue eliquis for six months and then have another CT scan to determine if it has dissolved
67 2021-07-06 pulmonary embolism pulmonary embolism on 4/3, treated in ER with Eliquis
67 2021-07-08 pneumonia pneumonia; I have experienced my heart pumping; severe pain; coughing; chills; continuous fever.; Th... Read more
pneumonia; I have experienced my heart pumping; severe pain; coughing; chills; continuous fever.; This spontaneous case was reported by a patient and describes the occurrence of PNEUMONIA (pneumonia) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 049C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 19-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Jun-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced PNEUMONIA (pneumonia) (seriousness criterion medically significant), PALPITATIONS (I have experienced my heart pumping), PAIN (severe pain), COUGH (coughing), CHILLS (chills) and PYREXIA (continuous fever.). At the time of the report, PNEUMONIA (pneumonia), PALPITATIONS (I have experienced my heart pumping), PAIN (severe pain), COUGH (coughing), CHILLS (chills) and PYREXIA (continuous fever.) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter. Treatment information was not 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.; 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.
67 2021-07-11 pneumonia New 5 and 7 mm ill-defined nodular densities are seen in the left upper\ increased calcification; Di... Read more
New 5 and 7 mm ill-defined nodular densities are seen in the left upper\ increased calcification; Difficulty breathing; Feeling hot; Increased thoracic kyphosis noted; Anterior spondylosis is seen in the upper lumbar; likely infectious or inflammatory in etiology; patient has increased mucus production; very dry cough with just little tiny specs of mucus; felt slightly crappy; Fever; back muscle spasms; little sore arm; This spontaneous case was reported by an other health care professional and describes the occurrence of PNEUMONIA (likely infectious or inflammatory in etiology), PULMONARY CALCIFICATION (New 5 and 7 mm ill-defined nodular densities are seen in the left upper\ increased calcification), DYSPNOEA (Difficulty breathing) and COUGH (very dry cough with just little tiny specs of mucus) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 037K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Chronic bronchitis (given gamma globulin shots, took up swimming and gradually the frequency for illness decreased (over a decade or so).), Pneumonia, Watering eyes, Runny nose and Hormone replacement therapy. Previously administered products included for an unreported indication: PNEUMOCOCCAL CONJUGATE VACCINE in October 2019. Concurrent medical conditions included Allergy to animal dander (Cat hair caused watery eyes, runny nose & stuffed head.) since 18-Dec-1972, Allergy to animal dander (dog hair caused watery eyes, runny nose & stuffed head.) since 18-Dec-1972, Allergy to animals (cattle caused watery eyes, runny nose & stuffed head.) since 18-Dec-1972 and Smoke inhalation (tobacco mix caused watery eyes, runny nose & stuffed head.) since 18-Dec-1972. Concomitant products included TRIAMCINOLONE ACETONIDE (TRIAMCINOLONE ACETONIDE (GLUCOCORTICOID)) from 05-Jan-2018 to an unknown date for Contact dermatitis, PREGNENOLONE from 09-Jan-2007 to an unknown date and PROGESTERONE from 09-Jan-2007 to an unknown date for HRT, KRILL OIL, UBIDECARENONE (COQ10 [UBIDECARENONE]) and CRANBERRY [VACCINIUM MACROCARPON] for Supplementation therapy, CYANOCOBALAMIN (VIT B12) and COLECALCIFEROL (VIT D3) for Vitamin supplementation. On 28-Jan-2021 at 10:00 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Jan-2021, the patient experienced MUSCLE SPASMS (back muscle spasms) and PAIN IN EXTREMITY (little sore arm). On 29-Jan-2021, the patient experienced PYREXIA (Fever). On 31-Jan-2021, the patient experienced DEPRESSED MOOD (felt slightly crappy). On 01-Feb-2021, the patient experienced PRODUCTIVE COUGH (patient has increased mucus production) and COUGH (very dry cough with just little tiny specs of mucus) (seriousness criterion medically significant). On an unknown date, the patient experienced PNEUMONIA (likely infectious or inflammatory in etiology) (seriousness criterion medically significant), PULMONARY CALCIFICATION (New 5 and 7 mm ill-defined nodular densities are seen in the left upper\ increased calcification) (seriousness criterion medically significant), DYSPNOEA (Difficulty breathing) (seriousness criterion medically significant), FEELING HOT (Feeling hot), KYPHOSIS (Increased thoracic kyphosis noted) and SPINAL OSTEOARTHRITIS (Anterior spondylosis is seen in the upper lumbar). The patient was treated with IBUPROFEN ongoing since an unknown date for Adverse event, at a dose of UNK dosage form; BENZONATATE (oral) ongoing since an unknown date for Cough, at a dose of 200 mg; AZITHROMYCIN (oral) ongoing since an unknown date for Mucus discharge, at a dose of 250 mg and FLUTICASONE PROPIONATE (FLOVENT HFA) (oral) ongoing from 25-Feb-2021 for Adverse event, at a dose of 200mcg/act aer glax. On 29-Jan-2021, PAIN IN EXTREMITY (little sore arm) and PYREXIA (Fever) had resolved. On 30-Jan-2021, MUSCLE SPASMS (back muscle spasms) had resolved. On 31-Jan-2021, DEPRESSED MOOD (felt slightly crappy) had resolved. On 28-Apr-2021, PNEUMONIA (likely infectious or inflammatory in etiology), PRODUCTIVE COUGH (patient has increased mucus production), PULMONARY CALCIFICATION (New 5 and 7 mm ill-defined nodular densities are seen in the left upper\ increased calcification), DYSPNOEA (Difficulty breathing), COUGH (very dry cough with just little tiny specs of mucus), FEELING HOT (Feeling hot), KYPHOSIS (Increased thoracic kyphosis noted) and SPINAL OSTEOARTHRITIS (Anterior spondylosis is seen in the upper lumbar) had resolved with sequelae. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 06-Feb-2021, COVID-19: negative (Negative) negative. On 11-Feb-2021, Chest X-ray: inconclusive (Inconclusive) New 5 and 7 mm ill-defined nodular densities are seen in the left upper lobe compared with 2007. On 15-Feb-2021, Computerised tomogram thorax: inconclusive (Inconclusive) Chest x-ray findings correspond with mild left upper lobe ground-glass opacities, likely infectious or inflammatory in etiology. Lungs, Pleura and Airways: Mild left upper lobe stellate peribronchovascular and subpleural ground-glass opacities. No airway narrowing or obstruction. No pleural effusion or pneumothorax.. 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. Patient started taking flu shots in her 50s which did help. On Monday 08 Feb 2021, patient called her PCP, and had a zoom call. She prescribed a cough med and suggested I get a chest xray and Ct scan. The medication helped a bit with the cough (especially at night) but she still had mucus production. Patient had another call with PCP on 16Feb 2021, where she prescribed a five day course of antibiotic, but that didn't result in clearing up the mucus production either. Patient was but on an inhaler to help clear up the likely infection/mucus. Patient had little to no (new) symtoms as a result of the 2nd shot. Patient used the inhaler for about two months and gradually the mucus production and cough went away. Patient weaned myself off the inhaler over the course of the first 2-3 weeks in May and was perfectly fine until she went in to have the pneumonia vaccine (PPSV-23) on 13 Jun 2021. After the shot patient's mucus production started up again and patient started back on the inhaler but only once a day, which seems to keep my symptoms in check. Patient met PCP on 29 Feb 2021, to talk about this on-going lung issue. Patient was going to take a pulmonary Function Test some time this month (July). 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. Further information has been requested. This case was linked to MOD-2021-246799 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 05-May-2021: No new information. On 05-Jul-2021: Follow-up case - Second dose, height, weight, ethnic group, race, previous allergies, concomitant medications, treatment medications, new labs added. Action taken event outcome and inarrative 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. Further information has been requested.
67 2021-07-17 pneumonia Pneumonia NOS; something was swollen; Cough; feeling very bad right now; shivering; fever; This spon... Read more
Pneumonia NOS; something was swollen; Cough; feeling very bad right now; shivering; fever; This spontaneous case was reported by a consumer and describes the occurrence of PNEUMONIA (Pneumonia NOS) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PNEUMONIA (Pneumonia NOS) (seriousness criterion medically significant), SWELLING (something was swollen), CHILLS (shivering), COUGH (Cough), PYREXIA (fever) and MALAISE (feeling very bad right now). At the time of the report, PNEUMONIA (Pneumonia NOS), SWELLING (something was swollen), CHILLS (shivering), COUGH (Cough), PYREXIA (fever) and MALAISE (feeling very bad right now) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product use was not provided by the reporter. Treatment information was not 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. Events Pneumonia NOS and Cough were added as per narrative. This case was linked to MOD-2021-244433 (Patient Link).; 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. Events Pneumonia NOS and Cough were added as per narrative.
67 2021-07-17 pneumonia The day following the first injection, I started experiencing a series of adverse events that have n... Read more
The day following the first injection, I started experiencing a series of adverse events that have not subsided. Initially, my left arm was swollen and painful, I was nauseated, feverish and had chills, in addition to a persistent productive cough. I went to the ER on 6/24 after symptoms worsened and was diagnosed with pneumonia. I was given a course of Azithromycin and Cefdinir, which I completed. The fever subsided but even weeks after the second dose, I am still experiencing persistent coughing. The pain in my left arm has also persisted and is accompanied with occasional numbness. I am unable to comfortably lay on my left side or firmly grip objects with my left hand because of the pain.
67 2021-07-21 respiratory failure Guillain Barre Syndrome
68 2021-01-07 pneumonia Developed SOB and fatigue 1 day after vaccine, went to urgent care and tested positive for COVID at... Read more
Developed SOB and fatigue 1 day after vaccine, went to urgent care and tested positive for COVID at urgent care. Returned to our ED after going to urgent care again on 1/7/21, had o2 sat of 84% on room air, impoved to 98 on 3 liters. Was transferred to another facility for admission.
68 2021-01-10 death Patient received COVID-19 (Moderna) vaccine from the Health Department on afternoon of January 8, 20... Read more
Patient received COVID-19 (Moderna) vaccine from the Health Department on afternoon of January 8, 2021 and went to sleep approximately 2300 that night. Was found unresponsive in bed the following morning and pronounced dead at 1336 on January 9, 2021
68 2021-01-24 pulmonary embolism, deep vein blood clot Experienced shortness of breath upon minimal exertion 24 hours after having receieved the vaccine. C... Read more
Experienced shortness of breath upon minimal exertion 24 hours after having receieved the vaccine. Called MD 72 hours vaccine received - MD advised hospital ER. Admitted with pulmonary embolism and deep vein thrombosis. Remains short of breath and is on 4L of oxygen. Receiving anti-coagulants.
68 2021-01-27 death, sepsis Pt. was admitted to hospital on 1/6/21 with fatigue, weakness. Pt. was Covid positive in November of... Read more
Pt. was admitted to hospital on 1/6/21 with fatigue, weakness. Pt. was Covid positive in November of 2020. Impression upon admission was fatigue may be due to her aortic stenosis and some hypertensive issues with blood pressure changes. She was anemic. WBC was elevated to 19.2, HBG 10.5, NA-131, K+ - 3.1, Rule out bacterial infection. Potential source could be her heart valve. Also noted to have acute renal failure with BUN of 47 and Creatinine of 2.2 noted. Pt. was transferred to Hospital on 1/8/2021 with dx of aortic stenosis, bacteremia, ARF, Dehydration and anemia. Discharged with dx. of sepsis. Pt. expired on 1/18/21 with dx. of severe sepsis, complete heart block, staphylococcus epidermidis bacteremia.
68 2021-01-30 pneumonia I contracted serious pneumonia.
68 2021-02-01 anaphylactic reaction Nine days after the injection was received an area 2 inches wide and 3 inches long around the inject... Read more
Nine days after the injection was received an area 2 inches wide and 3 inches long around the injection site became raised, red, hard and very itchy. Patient used Benadryl to treat it. 2 days later the raised effect and hardness had gone away, however the redness spread over most of the shoulder area, and 2 days after that had spread halfway down her upper arm. The itch remained. Patient went to a previously scheduled appointment with our primary care physician who said that she had had a DAR (delayed anaphylactic reaction) and should not get the second dose of the vaccine.
68 2021-02-01 systemic inflammatory response syndrome Within 24 hours, the inoculation site became red, swollen and itchy which I expected. After a couple... Read more
Within 24 hours, the inoculation site became red, swollen and itchy which I expected. After a couple of days it calmed down. I am reporting the symptoms that began a week - 10 days later . On January 19 or 20 my joints and muscles began to feel more painful that usual. By Friday the 22nd I felt a deep dizziness momentarily and shook it off. By that evening, I developed a fever, with shakes and chills which continued into the next morning. My throat was sore. I was completely exhausted. My joints and muscles felt as though there were little bonfires burning. I decided to go to a walk in ER to at least receive a Covid 19 test to see if I could have become infected . The test was negative as well as the flu test, strep culture and multi-bacterial screening test. My blood work indicated a heightened inflammatory response. I have gradually gotten better over the course of the last 10 days. I am reporting this as the vaccine is experimental and although the symptoms that I exhibited are outside of the normal period that a reaction would be expected to occur, perhaps there are outlier cases on the curve
68 2021-02-02 excessive bleeding Moderna COVID-a9 Vaccine EUA - Woke from sleep about 15-16 hours after vaccination with continuous s... Read more
Moderna COVID-a9 Vaccine EUA - Woke from sleep about 15-16 hours after vaccination with continuous sharp cutting sensations in arm pit of arm which received the vaccination. Upper portion of breast also was just tender to touch. The cutting sensation continued for about 24 hours with improvement continuing but 2.5 days later the upper portion of the breast presented bruising/bleeding signs. Picture was taken. Some tenderness.
68 2021-02-09 cerebrovascular accident 6 days following vaccination patient had a left sided stroke-numbness in face arm and hand. went to ... Read more
6 days following vaccination patient had a left sided stroke-numbness in face arm and hand. went to ER. and stroke was confirmed
68 2021-02-10 atrial fibrillation UNCLEAR TIME FRAME BUT DAY OF VACCINATION SHE WAS OBSERVED FOR 25 MINUTES WITH NO REACTION, REPORTS ... Read more
UNCLEAR TIME FRAME BUT DAY OF VACCINATION SHE WAS OBSERVED FOR 25 MINUTES WITH NO REACTION, REPORTS HOURS LATER SHE HAD DIZZINESS AND PAIN INTO HER NECK AND A MILD HA. SHE BEGAN TO FEEL PALPATATIONS. WENT TO URGENT CARE AND WAS IN AFIB.NOW ON OBSERVATION STATUS ON TELEMETRY UNIT. HAS H/O OF AFIB AND DIABETES
68 2021-02-18 atrial fibrillation Moderna COVID-19 Vaccine EUA. Monday, 2-15-21. 11:45 am. ? Received first dose of Moderna Covid-19 ... Read more
Moderna COVID-19 Vaccine EUA. Monday, 2-15-21. 11:45 am. ? Received first dose of Moderna Covid-19 vaccine. 12:30 pm. ? Headache developed. 8:00 pm. ? Watching TV noted irregular heartbeat, and a minute later, increase in respiration rate. That lasted 20 minutes at the most, and then went away. Went to bed at 10 pm and slept well. Tuesday, 2-16-21. 7:00 am. ? In kitchen. Lightheaded, increased respiration, feeling like I?m going to pass out, so I quickly sit down. Two minutes later feel fine. Went about making breakfast. This happened two more times. Realizing this might be a reaction to the vaccination, went to urgent care. Doctor listened to my heart, ordered EKG and result showed that I was in atrial fibrillation (A-Fib). NO previous cardiac issues, no high blook pressure, no diabetes, never a smoker, not obese. Ambulance was called to take me to Hospital. Another EKG confirmed still in A-Fib. Blood drawn. Hooked me up to a wireless/remote heart monitor. Still in A-Fib, elevated heart rate, higher than normal blood pressure. Kept overnight in hospital awaiting more test results, continuous monitoring, and with ECG ordered for Wednesday morning and then consultation with cardiologist. Wednesday, 2-17-21. 11:45 am., ECG done. Still in A-Fib. ECG shows no signs of blood pooling or clotting. Cardiologist proposed courses of action, starting with what makes sense based on current conditions: A cardioversion. Having done thousands (his words) and given my great state of health otherwise, and very low risk for complications, a cardioversion is agreed to. That would happen immediately after first doing a Tee (transesophageal echocardiography) to look at the back of my heart. Then if all looks clear, no clotting, proceed with the cardioversion procedure. 3:00 pm., anesthesiologist asks if I have any further questions. I didn?t. He sedates me. At 3:17 pm. I open my eyes, see the cardiologist standing at the foot of the gurney giving me thumbs up. I returned the thumbs up and said to him, ?good job.? Heartbeat successfully restored to normal rhythm by the cardioversion procedure. 6:00 pm. (approximately) - Discharged from hospital with prescription for Eliquis and Lopressor, and instructions for follow up appointments with primary care physician, and with cardiologist.
68 2021-02-18 heart attack I did experience some headache and lethargy on Sat. so laid low. I did go for a walk about 3:30 walk... Read more
I did experience some headache and lethargy on Sat. so laid low. I did go for a walk about 3:30 walking up hill at times as is usual. I did have an appetite and prepared dinner. I did not go to work (child play therapist). Sunday I felt more myself and did notice the soreness in my arm was surely not as bothersome as with the first shot. Had a very active day, no walk but yoga class. Prepared a nice dinner for VD and settled in to view television later in the evening. Strangely, the memory of the exact nature of how this started eludes me, but I do recall experiencing discomfort in the very upper extremities of my chest. Sharing this with my husband he wondered if it may have had something to do with sleeping on my right side cramping the rib area due to not sleeping on my left side because of the shot. I also pondered if it might be related to my gym workout on Thursday ? I recall feeling tired and headed to bed. I recall awakening to use the bathroom and feeling a slight brief bout of dizziness. When I did awaken the next morning the chest discomfort was still present to I called the Health Center and was advised to go to the ER. The EKG was fine. The troponin level was elevated to 0.19 so I was told I had suffered a mild myocardial infarction and I was going to the ICU.
68 2021-02-21 low blood platelet count Patient was diagnosed with Immune Thrombocytopenic Purpura on 2/21/2021. -petechial rash, bruising -... Read more
Patient was diagnosed with Immune Thrombocytopenic Purpura on 2/21/2021. -petechial rash, bruising -Platelets 4 thousand at hospital admission -Patient is receiving prednisone and IVIG with improvements in platelet count currently
68 2021-02-22 excessive bleeding I started seeing stars after showering the morning after receiving my shot and eventually blacked ou... Read more
I started seeing stars after showering the morning after receiving my shot and eventually blacked out, fell, and struck my head. When I came to, my head was bleeding where it struck the floor and I was in a cold sweat. I crawled to my phone and called 911. They arrived and checked me out, settled me on the couch and gave me tylenol, spoke with a doctor on the phone, and eventually told me that I could get a friend to take me to the ER if I wished. However, my husband is disabled and could not be left alone, so I'd have had to find another friend to stay with him. Although I might have a concussion, my condition seemed OK and I have not had any other severe symptoms so I have not sought further medical attention.
68 2021-02-23 severe muscle breakdown Lower extremity weakness and rhabdomyolysis
68 2021-02-27 atrial fibrillation about 24 hours after my shot I was in AFIB. I haven't had this problem since my ablation about 5 ye... Read more
about 24 hours after my shot I was in AFIB. I haven't had this problem since my ablation about 5 years ago. I do not know if the vaccine had anything to do with it or if a coincidence, but pharmacist said I should report it. I am still in AFIB and very short of breath.
68 2021-02-27 excessive bleeding Have diverticulosis-bleeding issue and had severe bleed that started on 2/24 and subsided on 2/25-26
68 2021-03-02 low blood platelet count acute ITP, platelet count 2,000 with petechial rash, bruising, fatigue, herpes labialis simplex one ... Read more
acute ITP, platelet count 2,000 with petechial rash, bruising, fatigue, herpes labialis simplex one - petechia occurred 7 days post vaccine; hospitalization 9 days post vaccine. responded to steroids and normalized platelet count 180,000 14 days post vaccine
68 2021-03-03 blood clot, pulmonary embolism Started dry cough for three day, pain across the lower back began two days after cough. Began intens... Read more
Started dry cough for three day, pain across the lower back began two days after cough. Began intense pain with nausea and cold and clammy sweats. Called the nurse on my insurance who advised to get to the ER.
68 2021-03-06 death Pt found down and pulseless in home by husband. EMS called, Pt found to be in PEA arrest. Pt achieve... Read more
Pt found down and pulseless in home by husband. EMS called, Pt found to be in PEA arrest. Pt achieved ROSC with CPR and Epinephrin. Pt Passed away on 09/07/2021 at 1330. Pt was in multisystem organ failure.
68 2021-03-06 death Patient died the day after she received her vaccine
68 2021-03-10 anaphylactic reaction patient developed coughing, shortness of breath, lip swelling, hoarse voice, and tightness in throat... Read more
patient developed coughing, shortness of breath, lip swelling, hoarse voice, and tightness in throat. She became diaphoretic and pale. Symptoms worsened and progressed to anaphylaxis without shock. EpiPen was given and placed immediately on oxygen. EMS/911 called. Patient was given nebulized albuterol and placed on exam table. Normal saline drip via IV given. Patient stated allergy to Benadryl so not given. Within 5 minutes color improved, diaphoresis resolved, and hoarseness/shortness of breath resolved. Lips swelling improved. Patient transported in guarded condition by ambulance by to Clinic.
68 2021-03-11 pulmonary embolism, deep vein blood clot On March 5th I experienced shortness of breath around 1:30 that lasted for 10 minutes. I had no oth... Read more
On March 5th I experienced shortness of breath around 1:30 that lasted for 10 minutes. I had no other symptoms and it subsided. On 3/9 around 2:30 am I had another episode of shortness of breath that lasted about 5 minutes. I was able to return to sleep. I went to work that morning and had shortness of breath, sweating, and dizziness. I drove myself to the ER where I was diagnosed with an acute saddle pulmonary embolism. I was admitted and started on IV heparin. On 3/10, I was also found to have a DVT in my right leg.
68 2021-03-11 vaginal haemorrhage started vaginally bleeding Sunday Feb. 28th and has continued until present Saw Dr. and had blood w... Read more
started vaginally bleeding Sunday Feb. 28th and has continued until present Saw Dr. and had blood work done and am going next week for Trans Vaginal ultrasound
68 2021-03-13 grand mal seizure 3/2/2021 go vaccine - 3/5/2021 had visual issue, bright spinning colorful lights, dizzy. 3/12 had gr... Read more
3/2/2021 go vaccine - 3/5/2021 had visual issue, bright spinning colorful lights, dizzy. 3/12 had grand mal seizure after same issue. taken away in ambulance. 1st time in my life having a seizure.
68 2021-03-17 death Passed away 4 days after second dose, complained of not being able to breathe in the middle of the n... Read more
Passed away 4 days after second dose, complained of not being able to breathe in the middle of the night, and passed minutes later.
68 2021-03-21 vaginal haemorrhage I did not administer vaccine in my office, I was the provider she saw after seeing her PCP who wrote... Read more
I did not administer vaccine in my office, I was the provider she saw after seeing her PCP who wrote the adverse event off and was not worried about vaginal bleeding in a 68 woman.
68 2021-03-23 deep vein blood clot, pulmonary embolism Developed right lower extremity DVT and pulmonary emboli after travel out of state where vaccine was... Read more
Developed right lower extremity DVT and pulmonary emboli after travel out of state where vaccine was administered. Presented to ED and diagnosed with VTE, placed on rivaroxaban and referred to hematologist.
68 2021-03-25 blood clot I went into DKA, my left eye bled, my left arm has a blood clot I was in hospital 9 days and a reha... Read more
I went into DKA, my left eye bled, my left arm has a blood clot I was in hospital 9 days and a rehabilitation place for 11 days.
68 2021-03-26 sepsis Having no previous history of ANY indigestion, or GI problems, I had a sudden onset of acute epigas... Read more
Having no previous history of ANY indigestion, or GI problems, I had a sudden onset of acute epigastric pain beginning March 15th, 2021, followed by frequent, unrelenting vomiting, eventual fever, and White Blood Cell count of 20,000. Saw internist, she sent me to an emergency room and then had a subsequent admission to a hospital on March 16. Cholecystectomy was done on March 17, 2021 after 24 hours IV antibiotics to control sepsis prior to surgery.
68 2021-03-26 transient ischaemic attack Three days after vaccination my sister, suffered 2 Mini-strokes. She was taken to the hospital and ... Read more
Three days after vaccination my sister, suffered 2 Mini-strokes. She was taken to the hospital and is now in an Acute Rehabilitation Facility for one more week. She is unable to walk without assistance and has some speech and vision problems. Not sure is there is any connection with this and the vaccination, but just wanted to give the information in case.....
68 2021-03-27 anaphylactic reaction Skin inflamed at injection site. Approximately 7 days after injection, the skin rash became itchy a... Read more
Skin inflamed at injection site. Approximately 7 days after injection, the skin rash became itchy and red.
68 2021-03-28 deep vein blood clot Pt reports having her 2nd covid vaccine on 3/5, and on 3/17 began to have significant lower leg pain... Read more
Pt reports having her 2nd covid vaccine on 3/5, and on 3/17 began to have significant lower leg pain, tenderness, and purpura. Pt was diagnosed with erythema nodosum.
68 2021-03-30 atrial fibrillation Rapidly progressive dyspnea and fatigue, worse with even light exertion, at night and laying down.
68 2021-04-01 death PATIENT CONTRACTED COVID, DATE OF COLLECTION 3/18/2021, DIED ON 3/21/2021
68 2021-04-04 excessive bleeding Woke up in the middle of the night; Pain in the legs; Blood on toilet paper when wiped; Fever; Joint... Read more
Woke up in the middle of the night; Pain in the legs; Blood on toilet paper when wiped; Fever; Joint pain; Muscle pain; Uncomfortable; Chills/Shivering; Pain on the Injection Site; A spontaneous report was received from a consumer concerning a 68-year-old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced chills, discomfort, injection site pain, fever/pyrexia, sleep disturbance/sleep disorder ,bleeding/haemorrhage, joint pain/arthralgia, myalgia/muscle pain, pain in extremity/pain in leg. The patient's medical history was as cloudy urine prior to vaccination .No Concomitant medications were reported. On 04 Feb 2021,the patient received their first of two planned doses of mRNA-1273 (Lot number: 013L20A) intramuscularly in an unknown location for prophylaxis of COVID-19 infection. On 04 Feb 2021 ,night after receiving the vaccine the patient developed chills, was uncomfortable and had little pain in the injection site. On 06 Feb 2021 in the middle of night the patient started shivering, chills and fever to a temperature of 101.4.The patient also noticed bleeding when she went to bathroom. But there was no pain or burning sensation on urination. The patient also experienced muscle pain, joint pain and leg pain as well. Event Blood on toilet paper when wiped was considered medically significant. Action taken with mRNA-1273 in response to the events was not reported. The events, chill, uncomfortable and little pain on injection site were considered recovered on the days 05 Feb 2021.And the events fever bleeding ,muscle pain, joint pain and leg pain were considered unknown; Reporter's Comments: This case concerns a 45 Y/O F with a serious unexpected hemorrhage and nonserious unexpected discomfort, sleep disorder, pain in extremity, and expected vaccination site pain, pyrexia, chills, arthralgia, myalgia. Event onset the same days as first dose mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.
68 2021-04-06 atrial fibrillation Patient admitted for observation to Hospital ER after presenting with A. fib with RVR and tachycardi... Read more
Patient admitted for observation to Hospital ER after presenting with A. fib with RVR and tachycardia. Patient monitored for less than 24 hours, rate control and discharged home with medication updates and to follow up in clinic.
68 2021-04-09 acute respiratory failure High fevers. Acute respiratory failure
68 2021-04-09 cerebrovascular accident CVA, Cerebral Vascular Accident
68 2021-04-09 cerebrovascular accident Stroke
68 2021-04-12 deep vein blood clot Developed Left lower extremity edema, US showed extensive DVT
68 2021-04-12 heart attack Heart attack; This spontaneous case was reported by a consumer (subsequently medically confirmed) an... Read more
Heart attack; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of MYOCARDIAL INFARCTION (Heart attack) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030A21A) for COVID-19 vaccination. The patient's past medical history included No adverse event (No medical history reported). On 09-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-Mar-2021, the patient experienced MYOCARDIAL INFARCTION (Heart attack) (seriousness criterion hospitalization). The patient was hospitalized for 3 days due to MYOCARDIAL INFARCTION. At the time of the report, MYOCARDIAL INFARCTION (Heart attack) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication were reported. No treatment information was provided
68 2021-04-13 cardiac arrest, death Death
68 2021-04-13 cerebrovascular accident On the morning February 22nd I was outside with my family in our backyard. I was checking our plant ... Read more
On the morning February 22nd I was outside with my family in our backyard. I was checking our plant when I started to feel that I needed to sit down. By the time I sat down, I realized I had no feeling or use from the left side of my body including my face. I also had trouble communicating. Could not form complete sentences. The entire left side of my face was drooping. At that moment my husband immediately called 911. I was taken to the hospital by ambulance where i was immediately treated and diagnosed with a stroke. They administered TPA. I spent 3 days in the ICU. I have since been treated with blood pressure medication, blood thinners and statins.
68 2021-04-13 heart attack Resident with nausea, vomiting, confusion, increased blood sugars, falling, tremor. Out to ED and tr... Read more
Resident with nausea, vomiting, confusion, increased blood sugars, falling, tremor. Out to ED and transferred to hospital. Found to have an MI and a brain abscess.
68 2021-04-13 pulmonary embolism Bad chest pains, palpitations and high blood pressure. Ct scan found two small clots (pulmonary embo... Read more
Bad chest pains, palpitations and high blood pressure. Ct scan found two small clots (pulmonary embolism)
68 2021-04-13 low platelet count 68YF Small bowel obstruction within 1 week of vaccine Patient had incarcerated incisional hernia wit... Read more
68YF Small bowel obstruction within 1 week of vaccine Patient had incarcerated incisional hernia with SBO, preserved bowel on March 19 2021. Patient with alcoholic cirrhosis who presented with abdominal pain, nausea, and vomiting. She was found to have a small bowel obstruction and an umbilical hernia. She had electrolyte derangements including hypokalemia and AKI and was admitted to hospitalist service with surgery consulting. She improved with NG tube decompression, IV fluid resuscitation, and electrolyte repletion. On 3/19 she underwent umbilical hernia repair and was found to have an incarcerated umbilical hernia. On day of discharge she tolerated advancement to regular diet. Her AKI and hypokalemia resolved. She does have chronic thrombocytopenia due to her cirrhosis, with last available baseline platelet count in the 50s. She did not have any significant bleeding postoperatively. She did not have any signs of decompensation of her cirrhosis. MELD Na is 13, with less than 2% 90-day mortality. Patient drinks 1-2 times a month now and did not have any signs of alcohol withdrawal. CT abdomen and pelvis showed a right lower lung nodule at the base. This should be monitored as an outpatient. She was discharged to home in stable condition. Upon 4/13/21 Ambulatory Clinic visit: Patient is recovering well from surgery.
68 2021-04-14 pulmonary embolism pulmonary embolus which occurred 3 weeks after her first moderna covid vaccine
68 2021-04-15 pulmonary embolism Patient received second Modern COVID vaccine on 3/13. On 3/27 she developed shortness of breath. She... Read more
Patient received second Modern COVID vaccine on 3/13. On 3/27 she developed shortness of breath. She presented to her local ED and was found to have a large saddle pulmonary embolism. She underwent thrombectomy with IR x2 and was transferred to Medical Center for surgical pulmonary thromboendarterectomy.
68 2021-04-16 sepsis Admitted on 2/16/2021 with ascending weakness/ possible Guillain Barre. Patient was readmitted a mon... Read more
Admitted on 2/16/2021 with ascending weakness/ possible Guillain Barre. Patient was readmitted a month later with severe dehydration, colitis, sepsis and metabolic acidosis
68 2021-04-18 death PATIENT RECEIVED THE WND INJECTION APPROX 4:00PM. DAY OF - INITIAL COMPLAINT CHRONIC FATIGUE AND RED... Read more
PATIENT RECEIVED THE WND INJECTION APPROX 4:00PM. DAY OF - INITIAL COMPLAINT CHRONIC FATIGUE AND REDNESS & TENDERNESS AT THE INJECTION SITE. NEXT DAY CHRONIC FATIGUE, REDNESS AND TENDERNESS AT THE INJECTION SITE. APPROX 9:30 PM PATIENT COMPLAINED OF A POUNDING HEADACHE AND FATIGUE. SHE DIED A FEW HOURS LATER. CORONER'S OFFICE PROCLAIMED TIME OF DEATH APPROX MIDNIGHT THURSDAY NIGHT/FRIDAY MORNING.
68 2021-04-19 atrial fibrillation Pt tested COVID positive on 3/24, less than 24 hrs post-vaccination #1. Pt reported no associated C... Read more
Pt tested COVID positive on 3/24, less than 24 hrs post-vaccination #1. Pt reported no associated COVID symptoms. Presented to hospital w/ weakness r/t Afib (longtime diagnoses).
68 2021-04-19 pulmonary embolism Patient had lap chole 6 weeks after second Moderna shot and developed multisegmental PE 2 days after... Read more
Patient had lap chole 6 weeks after second Moderna shot and developed multisegmental PE 2 days afterwards. No known clotting issues.
68 2021-04-22 pulmonary embolism Vaccine 3/15 (2nd dose) By 3/19 Began having significant shortness of breath, which progressed to b... Read more
Vaccine 3/15 (2nd dose) By 3/19 Began having significant shortness of breath, which progressed to being unable to walk even short distances . Multiple telehealth visits and message exchanges with primary care. Diagnosed with dyspnea and fatigue. Blood tests: 3/30 by 4/1 was sent for echocardiogram and chest xray from which initial diagnosis of pulmonary hypertension and right ventricle failure, and anemia. 4/6 could not move myself from house to car, had to get wheelchair to get to a doctor appointment (primary care wanted me to see a cardiologist). Cardiologist sent me straight to a hospital. Cat Scan showed mulitple pulmonary emboli in both lungs. Procedure was done (cath sent up through lungs, u
68 2021-04-26 brain sinus blood clot Moderna COVID-19 Vaccine EUA: patient with relapsed AML and right upper extremity deep vein thrombos... Read more
Moderna COVID-19 Vaccine EUA: patient with relapsed AML and right upper extremity deep vein thrombosis (DVT) presented to clinic with headache and found to have subdural hematomas and a cerebral venous sinus thrombosis of unclear acuity. Patient admitted for management of AML, subdural hematomas, and upper extremity DVT. Discharged home improved and medically stable.
68 2021-04-26 cerebrovascular accident Within a few weeks after receiving first COVID injection patient became experiencing memory issues. ... Read more
Within a few weeks after receiving first COVID injection patient became experiencing memory issues. Workup has led to showing a temporal lobe stroke. Her symptoms include difficulty with memory. Impaired speech, knowing what she wants to say but words coming out wrong. Mild emotional issues. Mild aggression. Physically intact.
68 2021-04-26 pulmonary embolism multiple pulmonary emboli; could barely breath; fatigue; This spontaneous case was reported by a con... Read more
multiple pulmonary emboli; could barely breath; fatigue; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PULMONARY EMBOLISM (multiple pulmonary emboli) and DYSPNOEA (could barely breath) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 062G20A and 027L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Gallbladder removal on 25-Mar-2021. On 14-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 11-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 11-Feb-2021, the patient experienced FATIGUE (fatigue). On 27-Mar-2021, the patient experienced PULMONARY EMBOLISM (multiple pulmonary emboli) (seriousness criteria hospitalization prolonged, medically significant and life threatening) and DYSPNOEA (could barely breath) (seriousness criteria hospitalization prolonged, medically significant and life threatening). The patient was hospitalized for 3 days due to DYSPNOEA and PULMONARY EMBOLISM. On 13-Feb-2021, FATIGUE (fatigue) had resolved. At the time of the report, PULMONARY EMBOLISM (multiple pulmonary emboli) and DYSPNOEA (could barely breath) outcome was unknown. The doctors believed that her diagnosis was not a common side effect from the surgery and believed that the vaccine contributed to the diagnosis. She was treated with apixaban, omeprazole and aspirin 81mg (once daily). The patient is scheduled to visit a hematologist after 6 months. 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. Further information has been requested This case was linked to MOD-2021-081407 (E2B Linked Report).; 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. Further information has been requested MOD-2021-081407:Crosslinked case; Dose 1
68 2021-04-26 sepsis cellulitis; Sepsis; Elevated heart rate; Rash from the waist down on left side of body; chills; Feve... Read more
cellulitis; Sepsis; Elevated heart rate; Rash from the waist down on left side of body; chills; Fever; This spontaneous case was reported by a physician assistant (subsequently medically confirmed) and describes the occurrence of CELLULITIS (cellulitis) and SEPSIS (Sepsis) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Heart rate increased (elevated heartrate). On 10-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Apr-2021, the patient experienced CHILLS (chills) and PYREXIA (Fever). On 15-Apr-2021, the patient experienced CELLULITIS (cellulitis) (seriousness criterion hospitalization), SEPSIS (Sepsis) (seriousness criterion hospitalization) and RASH (Rash from the waist down on left side of body). On an unknown date, the patient experienced HEART RATE INCREASED (Elevated heart rate). The patient was hospitalized from sometime in April 2021 to sometime in April 2021 due to CELLULITIS and SEPSIS. At the time of the report, CELLULITIS (cellulitis), SEPSIS (Sepsis), HEART RATE INCREASED (Elevated heart rate), RASH (Rash from the waist down on left side of body), CHILLS (chills) and PYREXIA (Fever) outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 15-Apr-2021, Heart rate: 132 (High) 132 beats per minute. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medications were reported. She was admitted to the hospital and hospitalized for four days. She was diagnosed with cellulitis and sepsis. She was discharged home from the hospital with Augmentin (Amoxicillin / Clavulanic acid) for 10 days. Based on the current available information and temporal association between the use of the product and the start date of the event,s a causal relationship cannot be excluded. However, Further information has been requested This case was linked to MODERNATX, INC.-MOD-2021-081503~, MODERNATX, INC.-MOD-2021-081439, MODERNATX, INC.-MOD-2021-081647 (E2B Linked Report).; 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,s a causal relationship cannot be excluded. However, Further information has been requested MODERNATX, INC.-MOD-2021-081503 :Fourth patient-Same reporter MODERNATX, INC.-MOD-2021-081439:First patient-Same reporter US-MODERNATX, INC.-MOD-2021-081647:Third patient-Same reporter
68 2021-04-27 pulmonary embolism She received her Moderna COVID vaccine on 02/26/201 which was a Friday, then on Monday and Tuesday p... Read more
She received her Moderna COVID vaccine on 02/26/201 which was a Friday, then on Monday and Tuesday patient had decreased appetite and felt miserable. Then on 03/08/2021 she started having chest pain that made her go to the ER. She was then found to have a multisegmental pulmonary embolism
68 2021-04-28 blood clot Blood clots; This spontaneous case was reported by a consumer and describes the occurrence of THROMB... Read more
Blood clots; This spontaneous case was reported by a consumer and describes the occurrence of THROMBOSIS (Blood clots) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 011J20A and 038K20A) for COVID-19 vaccination. No Medical History information was reported. On 01-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Feb-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 THROMBOSIS (Blood clots) (seriousness criterion medically significant). At the time of the report, THROMBOSIS (Blood clots) outcome was unknown. Not Provided No concomitant medications were reported. The patient had no problems after her second dose. Treatment information was not provided. Action taken with mRNA-1273 in response to events was not applicable. 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.
68 2021-04-29 pneumonia, death This 68 year old white female received the Covid shot on 3/3/21 and went to the ED on 3/22/21 ... Read more
This 68 year old white female received the Covid shot on 3/3/21 and went to the ED on 3/22/21 and was admitted on 3/22/21 with shortness of breath, pneumonia and died on 4/10/21 . Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation.
68 2021-04-30 death Patient passed away, was notified by Coroner
68 2021-05-02 cerebrovascular accident, death patient suffered from a massive right ICA stroke on 4/22 (2 days after vaccine). stroke progressed t... Read more
patient suffered from a massive right ICA stroke on 4/22 (2 days after vaccine). stroke progressed to cerebral edema with evidence of herniation. she was intubated and unfortunately expired. not a neurosurgery candidate due to her age and signs of herniation.
68 2021-05-03 cardiac arrest patient went into cardiac arrest three times
68 2021-05-07 blood clot symptoms lasting for over 25 days: Major Headache , extreme exhaustion, trouble breathing (SOB), los... Read more
symptoms lasting for over 25 days: Major Headache , extreme exhaustion, trouble breathing (SOB), loss of taste/smell, worsening arthritis, congestion in lungs and head, diarrhea, blood clot in finger (just was seen in the ER for confirmed blood clot in finger)
68 2021-05-09 pulmonary embolism Lower extremity swelling, persistent shortness of breath and chest pressure for about a month. Recei... Read more
Lower extremity swelling, persistent shortness of breath and chest pressure for about a month. Received 2nd Covid vaccine on 4/1/2021 and a couple of days later started to have this chest pressure and shortness of breath. Was seen in the clinic on 4/9/2021 with upper respiratory symptoms and cough along with chest pressure. Covid/Flu/RSV PCR test was negative on 4/9/2021. Chest heaviness and shortness of breath persisted, though slowly improving. CTA on 5/7/2021- Showed large burden of pulmonary emboli extending from the lobar to the subsegmental pulmonary arteries and consolidation in the lateral right lower lobe is likely pulmonary infarct. Patient is being treated with Eliquis. Placed in Observation overnight 5/7/2021-5/8/2021.
68 2021-05-13 acute respiratory failure Patient received first dose of Moderna COVID vaccine on 3/27/21. Patient tested positive for COVID ... Read more
Patient received first dose of Moderna COVID vaccine on 3/27/21. Patient tested positive for COVID on 4/23/21. Patient received Casirivimab+ Imdevimab on 4/24/21, and was hospitalized for COVID on 4/25/21. Currently in hospital (5/14/21) recovering from acute respiratory failure.
68 2021-05-16 heart attack, cardiac failure congestive Admitted CHF and NSTEMI, CC SOB
68 2021-05-16 cardio-respiratory arrest, cardiac arrest Witnessed Cardiac arrest at home. No bystander CPR; +30 min transport time, unsuccessful resuscitati... Read more
Witnessed Cardiac arrest at home. No bystander CPR; +30 min transport time, unsuccessful resuscitation. Code called upon arrival to hospital
68 2021-05-16 pulmonary embolism Bilateral Pulmonary Emboli
68 2021-05-20 death Health district notified by Police Dept. that a homebound resident who received first dose of Modern... Read more
Health district notified by Police Dept. that a homebound resident who received first dose of Moderna on 4/26/21 and was due for second dose moderna on 5/24/21 was found deceased at home on 5/21/21.
68 2021-05-25 low blood platelet count Sore Throat in Neck Area; Diagnosed with ITP; This spontaneous case was reported by a consumer (subs... Read more
Sore Throat in Neck Area; Diagnosed with ITP; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of IMMUNE THROMBOCYTOPENIA (Diagnosed with ITP) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 023M2EA and 007M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 29-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 27-Feb-2021, the patient experienced OROPHARYNGEAL PAIN (Sore Throat in Neck Area). On an unknown date, the patient experienced IMMUNE THROMBOCYTOPENIA (Diagnosed with ITP) (seriousness criterion medically significant). At the time of the report, IMMUNE THROMBOCYTOPENIA (Diagnosed with ITP) and OROPHARYNGEAL PAIN (Sore Throat in Neck Area) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Platelet count: 10,000 (Low) Platelets had dropped to 10,000 and 47,000 (Low) Decreased. Concomitant medications were not reported. Patient went to urgent care and blood work revealed that her platelets had dropped to 10,000 and she was directed to the emergency room and was treated with steroids and gamma globulin. She was diagnosed with ITP and treated with 4 infusions of Rituxan and her platelets are still low at 47,000. Treatment information were included gamma globulin, steroids, 4 infusions of Rituxan at hospital. Action taken with mRNA-1273 in response to the event was not applicable.; 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.
68 2021-05-25 pulmonary embolism, pneumonia Pulmonary embolism Pneumonia
68 2021-05-31 anaphylactic shock feeling miserable; did not take the second dose; feeling unwell; Vaccine attacked the ankles; Vaccin... Read more
feeling miserable; did not take the second dose; feeling unwell; Vaccine attacked the ankles; Vaccine attacked immune system; Throat was falling short; Anaphylactic shock; Vaccine attack on ankle; This spontaneous case was reported by a consumer and describes the occurrence of ANAPHYLACTIC SHOCK (Anaphylactic shock) and IMMUNOSUPPRESSION (Vaccine attacked immune system) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026L20A) 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 CALCIUM and FEXOFENADINE HYDROCHLORIDE, PSEUDOEPHEDRINE HYDROCHLORIDE (ALLEGRA D) for an unknown indication. On 14-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Jan-2021, the patient experienced ANAPHYLACTIC SHOCK (Anaphylactic shock) (seriousness criterion medically significant) and DYSPHAGIA (Throat was falling short). 14-Jan-2021, the patient experienced JOINT INSTABILITY (Vaccine attack on ankle). On an unknown date, the patient experienced IMMUNOSUPPRESSION (Vaccine attacked immune system) (seriousness criterion medically significant), FEELING ABNORMAL (feeling miserable), PRODUCT DOSE OMISSION ISSUE (did not take the second dose), MALAISE (feeling unwell) and ARTHRALGIA (Vaccine attacked the ankles). At the time of the report, ANAPHYLACTIC SHOCK (Anaphylactic shock), IMMUNOSUPPRESSION (Vaccine attacked immune system), DYSPHAGIA (Throat was falling short), FEELING ABNORMAL (feeling miserable), MALAISE (feeling unwell), ARTHRALGIA (Vaccine attacked the ankles) and JOINT INSTABILITY (Vaccine attack on ankle) outcome was unknown and PRODUCT DOSE OMISSION ISSUE (did not take the second dose) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. 15 minutes after vaccination patient had anaphylactic shock with allergies and chronic hives. The patient was taken to emergency room for 6 hours. The patient was treated with unspecified intravenous medication. 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.
68 2021-06-05 cardiac failure congestive Shortness of breath leading to new diagnosis of congestive heart failure; prior excellent aerobic ca... Read more
Shortness of breath leading to new diagnosis of congestive heart failure; prior excellent aerobic capacity
68 2021-06-08 atrial fibrillation Patient presented to the ED for atrial fibrillation on 4/9/21 and 4/20/21. Patient was hospitalized ... Read more
Patient presented to the ED for atrial fibrillation on 4/9/21 and 4/20/21. Patient was hospitalized for atrial fibrillation .
68 2021-06-10 heart attack, respiratory failure, pneumonia 5/15 sustained syncope, fall hypoxic respiratory failure COPD pneumonia vomiting/diarrhea admitted t... Read more
5/15 sustained syncope, fall hypoxic respiratory failure COPD pneumonia vomiting/diarrhea admitted to the hospital acute kidney injury 5/15--ED--cervical fracture, acute MI, elevated troponin multiple cardiology appointments, follow up appointments since then another emergency room visit on 6/10/21.
68 2021-06-10 cerebrovascular accident Pt had her 2nd covid 19 vaccine on 5/4/21 and was admitted to the hospital with an acute cryptogenic... Read more
Pt had her 2nd covid 19 vaccine on 5/4/21 and was admitted to the hospital with an acute cryptogenic stroke on 5/28/21 with sudden R sided facial droop with NIHSS of 6, R sided weakness, expressive aphasia and was given TPA as ct head was neg for hemorrhage. CTA head and neck negative for any stenosis, ldl was 74, follow up mri brain post TPA was negative. Pt also had hyponatremia on admit of which was corrected by discharge. She also fell pta and was admitted with a colles fracture which was reduced at the bedside by orthopedics and casted. She was admitted from 5/28-5/31 and discharged home with her family.
68 2021-06-11 vaginal haemorrhage On February 23, 2021, exactly 5 days after my 2nd moderna vaccine, I experienced innapropriate bleed... Read more
On February 23, 2021, exactly 5 days after my 2nd moderna vaccine, I experienced innapropriate bleeding from my vagina, extreme pain and stiffness in both of my hands and wrists and the heels of both hands became red. The bleeding came every 2 weeks for 3 months. The pain in my hands is still ongoing as are the red palms.
68 2021-06-13 transient ischaemic attack Presenting symptom: dysartrhia and aphasia without evidence of underlying cause. Patient has been h... Read more
Presenting symptom: dysartrhia and aphasia without evidence of underlying cause. Patient has been having continued TIA type symptoms with chest pressure & pain. Difficulty in walking, speaking, arm drift. This has happened on 3 different hospital occasions. Negative cardiac workup, negative brain scan. Presumptive dx TIA. No prior history, no family history, no underlying medical reason.
68 2021-06-17 pulmonary embolism Idiopathic bilateral systemic pulmonary embolisms and enlarged right heart
68 2021-06-22 cerebrovascular accident chest pains March 19 went to hospital admitted was given potassium for chest pains. May 24 in the e... Read more
chest pains March 19 went to hospital admitted was given potassium for chest pains. May 24 in the evening had a stroke on left side . called 911 . was admitted . stayed 3 days .3 days in rehahab
68 2021-06-29 death Death 5/27/2021 No cause of death provided.
68 2021-07-14 atrial fibrillation Next day legs "felt wobbly" and SOB upon activity. Felt burning in chest within the next few days wh... Read more
Next day legs "felt wobbly" and SOB upon activity. Felt burning in chest within the next few days which is still experienced- worsened when fatigued. SOB continues with activity as well. Continues to feel fatigued with no activity. Has reported to HCP and is undergoing testing. Patient also had developed cellulitis in her right foot without any previous injury in the end of May. Has had increased episodes of atrial fibrillation- last episode had been in August of 2020, now under control. Currently still experiencing SOB, fatigue and burning sensation in chest.
68 2021-07-21 cerebrovascular accident I had a stroke on April 3, 2021. Affected right side of body. arm, leg and dominant hand and speech... Read more
I had a stroke on April 3, 2021. Affected right side of body. arm, leg and dominant hand and speech.
68 2021-07-21 severe muscle breakdown Rhabdomyolysis with resultant acute on chronic renal failure
68 2021-07-22 respiratory failure Patient had Moderna Vaccines on 1/4/2021 and 2/1/2021. No reactions developed after both vaccinatio... Read more
Patient had Moderna Vaccines on 1/4/2021 and 2/1/2021. No reactions developed after both vaccinations. Patient came into the ED on 7/15/2021 with complaints increasing dyspnea and a cough that started 9 days ago. She tested positive for COVID 19 and was admitted to ICU for hypoxemic respiratory failure on BIPAP. She is now on heated high flow NC at 100% FIO2 40L oxygen. Patient was started on ceftriaxone, doxycycline and remdesivir. 7.23.21 - patient is still admitted at the time of this form submission.
68 2021-07-23 blood clot Almost immediately after receiving the second dose, she experienced having no strength or energy/her... Read more
Almost immediately after receiving the second dose, she experienced having no strength or energy/her weakness is severe/ after taking a shower she must lay down to regain her strength/doesn't have the energy to hardly do anything now; Hard for her to complete a shower; Can't hardly stand by the stove to cook/she can hardly keep herself standing up; ongoing cough; Left foot started to swell; Has been going downhill; Blood clot in her left leg; This spontaneous case was reported by a consumer and describes the occurrence of THROMBOSIS (Blood clot in her left leg) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Breast cancer (Breast cancer under arm; left side, at the age of 62) in 2015 and Chemotherapy (Stopped chemotherapy treatment during Moderna vaccination series. Restarted after 2 weeks before the time of reporting.) since an unknown date. On 21-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 22-Apr-2021, the patient experienced THROMBOSIS (Blood clot in her left leg) (seriousness criterion medically significant). On an unknown date, the patient experienced ASTHENIA (Almost immediately after receiving the second dose, she experienced having no strength or energy/her weakness is severe/ after taking a shower she must lay down to regain her strength/doesn't have the energy to hardly do anything now), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (Hard for her to complete a shower), DYSSTASIA (Can't hardly stand by the stove to cook/she can hardly keep herself standing up), COUGH (ongoing cough), PERIPHERAL SWELLING (Left foot started to swell) and GENERAL PHYSICAL HEALTH DETERIORATION (Has been going downhill). The patient was treated with RIVAROXABAN (XARELTO) for Anticoagulant therapy, at an unspecified dose and frequency and BENZONATATE for Cough, at an unspecified dose and frequency. At the time of the report, THROMBOSIS (Blood clot in her left leg), ASTHENIA (Almost immediately after receiving the second dose, she experienced having no strength or energy/her weakness is severe/ after taking a shower she must lay down to regain her strength/doesn't have the energy to hardly do anything now), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (Hard for her to complete a shower), DYSSTASIA (Can't hardly stand by the stove to cook/she can hardly keep herself standing up), COUGH (ongoing cough), PERIPHERAL SWELLING (Left foot started to swell) and GENERAL PHYSICAL HEALTH DETERIORATION (Has been going downhill) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Ultrasound scan: abnormal (abnormal) Diagnosed with a blood clot in her left leg.. Patient was given iron injection to regain her energy levels that she lost after the vaccination. It helped her initially but at the time of reporting it was not helping her much. She was prescribed Xarelto for 3 months to treat the blood clot. Patient states that she has no drug or food allergies. 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. Very limited information has been reported at this time. Further information is not expected. This case was linked to MOD-2021-264079 (Patient Link).; 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. Very limited information has been reported at this time. Further information is not expected.
68 2021-07-27 heart failure Heart palpitations that continued and increased resulting in heart failure and muscle damage
69 2021-01-19 cardiac failure congestive My arm was a little sore after the vaccination but no other symptoms. And on 12/30 I woke up with a... Read more
My arm was a little sore after the vaccination but no other symptoms. And on 12/30 I woke up with a sever fever, vomiting and diarreah. Went to the ER and was diagnosed with CHF because my feet were so swollen and was given lasix and released. I continued to feel bad so on that Sunday 1/3 I went back to the hospital and was admitted and tested positive for COVID-19. I spent from Sun-Wed in the hospital
69 2021-01-25 death Resident deceased on 1/26 at 445am. No signs ahead of time.
69 2021-02-03 anaphylactic shock Anaphylactic shock; Potassium "dropped to 1%"; Cold and numb sensation; Sweating; Chest pressure; Bl... Read more
Anaphylactic shock; Potassium "dropped to 1%"; Cold and numb sensation; Sweating; Chest pressure; Blood pressure was 223/105-110; Neck swelling; Numb lips; Throat swelling; Disability NOS; A spontaneous report was received from a 69-year-old, female, patient who received Moderna's COVID-19 Vaccine (mRNA-1273), and experienced anaphylactic shock, potassium dropped to 1%, cold and numb sensation, sweating, chest pressure, blood pressure was 223/105-110,Neck swelling, Throat swelling, Numb lips and disability. The patient's medical history, as provided by the reporter, included allergies to yellow 5 (tartrazine), shellfish, and bee stings. Concomitant product use was not provided by the reporter. On 19 Jan 2021 at 11:42 AM, approximately two minutes prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 19 Jan 2021, minutes after receiving the vaccine, the patient experienced a cold and numb sensation on the upper right part of her back. The sensation extended around her shoulder and into her clavicle region. Approximately 30 minutes after vaccination she started sweating and felt like she was going into anaphylactic shock, which she had experienced in the past. The patient felt like her throat was swelling and her neck started to visibly swell. One hour after vaccination, the patients lips went numb, the clavicular numbness continued, and she started to experience chest pressure. A paramedic then evaluated the patient, her blood pressure was 223/105-110 mmHg, she was placed in an ambulance, given diphenhydramine and solumedrol, then taken to the emergency room. At the emergency room, the patient received a chest x-ray, computed tomography scan, blood tests, and an electrocardiogram. Previously, the patient had a blood test which showed a potassium of 4.3 to 3.9 "or something." At the emergency room, her potassium had "dropped to 1%." The patient was administered potassium in the hospital and was held for observation until approximately 10:00 PM, then discharged. On 20 Jan 2021, the patient continued to experience chest tightness. Action taken with mRNA-1273 in response to the events was not provided. The outcome of the events anaphylactic shock, potassium dropped to 1%, cold and numb sensation, sweating,blood pressure was 223/105-110 ,Neck swelling, Throat swelling, Numb lips and disability was unknown. The event, chest pressure was considered not resolved.; Reporter's Comments: This case concerns a 69-year-old, female patient with medical history of allergies to yellow 5 (tartrazine), shellfish, and bee stings, who experienced a serious, unexpected event of anaphylactic shock, sweating, hypoaesthesia, pharyngeal swelling, neck swelling, numb lips, chest discomfort, hypertension, hypokalemia and disability NOS. The event occurred the day the first dose of mRNA-1273 was administered. Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.
69 2021-02-03 cardio-respiratory arrest, cardiac arrest Pt presented to the emergency department with complaints of myalgias after receiving the vaccine. Sh... Read more
Pt presented to the emergency department with complaints of myalgias after receiving the vaccine. She noted that she had vomiting the night prior. She denied any chest pain, shortness of breath, abdominal pain, headaches, fever at that time. Pt was left in room by herself for approximately 5 minutes and was found unresponsive. Code Blue was called. Pt was found in asystole. ACLS was initiated. Return of circulation occurred after 7 minutes of resuscitation. Pt is currently intubated and sedated.
69 2021-02-07 death, anaphylactic reaction Brain aneurysm; Anaphylactic reaction; Collapsed; BP sky rocketed; Shortness of breath; A spontaneou... Read more
Brain aneurysm; Anaphylactic reaction; Collapsed; BP sky rocketed; Shortness of breath; A spontaneous report was received from a consumer concerning a 69-year-old female patient who received Moderna's COVID-19 Vaccine (mRNA-1273) and experienced blood pressure skyrocketed, shortness of breath, loss of consciousness, massive anaphylactic reaction, and brain aneurysm. The patient's medical history, as provided by the reporter, included high blood pressure and arthritis. Products known to have been used by the patient, within two weeks prior to the event, included an antihypertensive. On 04 Jan 2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection. Twenty-two minutes later she had a massive anaphylactic reaction. She experienced shortness of breath, blood pressure skyrocketed, and loss of consciousness. She was taken to the emergency room. The patient had a brain aneurysm and never recovered. No treatment information was provided. The patient died on 04 Jan 2021. The cause of death was reported as brain aneurysm. Plans for an autopsy were not provided.; Reporter's Comments: This case concerns a 69-year-old, female patient with a medical history of hypertension, who experienced fatal, serious, unexpected events of Anaphylactic reaction, hypertension, dyspnea, loss of consciousness and brain aneurysm. The events occurred 22 minutes after the first dose of mRNA-1273 was administered. No treatment information was provided. The patient never recovered and died. The cause of death was reported as brain aneurysm. Very limited information regarding this event has been provided at this time. Based on temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. Additional information has been requested.; Reported Cause(s) of Death: Brain aneurysm
69 2021-02-08 sepsis Fever, confusion, sepsis, hospitalized
69 2021-02-13 vaginal haemorrhage moderate vaginal bleeding
69 2021-02-14 death According to her husband, approximately 3 hours after vaccine, patients clasped and was instantly un... Read more
According to her husband, approximately 3 hours after vaccine, patients clasped and was instantly unconscious. She was pronounced dead upon arrival to hospital and physician told husband that she had suffered a burst abdominal aneurysm and passed immediately. Nothing was out of ordinary during vaccination and during 15 minute wait time after.
69 2021-02-15 death patient passed away within 60 days of receiving COVID vaccine
69 2021-02-15 vaginal haemorrhage The next day after vaccine was given, I got vaginal spotting/breakthrough bleeding. I am postmenopa... Read more
The next day after vaccine was given, I got vaginal spotting/breakthrough bleeding. I am postmenopausal and on HRT and have been for 14 years and have not had any spotting after menopause and HRT was started. This highly unusual. Today, I also got a little spotting in the afternoon, like yesterday. So this is the second day in a row. I do not have any discomfort. I contacted my doctor late today and left a message for her. I do hope she will contact me tomorrow. I have heard that there are some new symptoms reported in the UK regarding female gynecological side effects like changes in menstrual cycle, which would not apply directly to me, but maybe similar symptoms? I am hoping the spotting will stop soon. The question is, would a 2nd dose be advised or not?
69 2021-02-18 anaphylactic reaction Mild anaphylaxis
69 2021-02-20 cerebral haemorrhage Had Moderna COVID vaccine approximately 1pm on 2/17. Developed headache and right visual field loss ... Read more
Had Moderna COVID vaccine approximately 1pm on 2/17. Developed headache and right visual field loss approximately 8pm on 2/18. Presented to our hospital at 5pm on 2/19 with progression of aforementioned symptoms and found to have left intraparenchymal hemorrhage with midline shift. Her symptoms are currently stable. Our neurosurgical team is not planning any surgical intervention. MRI of her brain demonstrates potential amyloid deposits, which are likely causative.
69 2021-02-21 atrial fibrillation about 10 days after receiving the vaccine started with new onset A. Fib and shortness of breath esp... Read more
about 10 days after receiving the vaccine started with new onset A. Fib and shortness of breath especially on exertion. I am in work up for same Holter monitor, ECHO, ETT and f/u with cardiology
69 2021-02-22 death Without showing any side effect symtoms, patient suddenly fell unconscious and passed away within an... Read more
Without showing any side effect symtoms, patient suddenly fell unconscious and passed away within an hour. Though 911 was called and Paramedic was trying to revive the patient.
69 2021-02-25 pneumonia Pt states she couldn't breathe and was completely out of whack. Was taken to health center and then ... Read more
Pt states she couldn't breathe and was completely out of whack. Was taken to health center and then transferred to hospital in Wichita, KS. States they diagnosed her with pneumonia.
69 2021-02-27 atrial fibrillation Heart went into fast BPM and irregular rhythm on2/07/2021. Stayed in Afib Until 02/18/2021 with sp... Read more
Heart went into fast BPM and irregular rhythm on2/07/2021. Stayed in Afib Until 02/18/2021 with spontaneous conversion.
69 2021-03-02 death 2nd dose of Moderna at 9:00am. No side effect (except pinch at injection site) throughout the day an... Read more
2nd dose of Moderna at 9:00am. No side effect (except pinch at injection site) throughout the day and evening. At ~9:45pm, my wife suddenly fell unconscious. Immediate CPR & with Paramedic were not able to revive her. SHE PASSED AWAY at home. We believe it may be triggered by the vaccine. Did not have a chance to go to hospital or emergency room - it was too sudden. A sad day for us.
69 2021-03-04 death Patient was found dead this morning.
69 2021-03-10 pulmonary embolism Developed tachycardia and shortness of breath on 3/1/21 which was significantly worse on 3/2/2021. ... Read more
Developed tachycardia and shortness of breath on 3/1/21 which was significantly worse on 3/2/2021. Went to ER and CT angio showed diffuse bilateral pulmonary embolism. Spent the night for heparin, telemetry monitoring and lab work.
69 2021-03-12 blood clot superficial blood clots in left leg.
69 2021-03-14 pulmonary embolism Symptoms= extreme short of breath and elevated heart rate. Time = 13 days after 1sr dose vaccine sym... Read more
Symptoms= extreme short of breath and elevated heart rate. Time = 13 days after 1sr dose vaccine symptoms started. Went to ER on January 30th. CT scan showed bilateral pulmonary emboli. Doppler showed no sign of DVT. Negative COVID and chest X-ray was clear. ECHO cardiogram showed right heart distress. Treatment= IV Heparin followed by IM Lovenox. ICU X 2days and released to home on Eliquis BID. Follow up with Hematologist and cardiologist.
69 2021-03-15 acute respiratory failure Severe COVID-19 pneumonia with acute hypoxemic respiratory failure diagnosed 3/12/2021, per hospital... Read more
Severe COVID-19 pneumonia with acute hypoxemic respiratory failure diagnosed 3/12/2021, per hospital discharge summary: On admission patient requiring 10 L nasal pendant to maintain adequate oxygenation. She was admitted to the facility. Chest x-ray showed diffuse interstitial thickening and mild bilateral patchy airspace opacity. Inflammatory markers for notable for CRP of 120, D-dimer 805, ferritin 276. She was treated with dexamethasone (and prophylactic ivermectin) and Lovenox 1 mg/kg twice daily. Remdesivir was deferred given the onset of symptoms > 5 days PTA. She had good response to treatment and over the next 3 days her oxygen was tapered off and she had very good symptomatic improvement. At time of discharge she had minimal symptoms and had an ambulatory O2 sat greater than 94% on room air."
69 2021-03-16 pneumonia Patient developed pneumonia exactly 1 week after second dose. She had no issues before the shot, but... Read more
Patient developed pneumonia exactly 1 week after second dose. She had no issues before the shot, but had a high fever and breathing issues 1 week afterwards which was found to be pneumonia. While she is unsure if it is a result of the vaccination, she reported to the pharmacy and asked us to report to the manufacturer.
69 2021-03-17 blood clot I had the shot on a Tuesday and developed blood tests by Friday.
69 2021-03-18 cerebrovascular accident Major stroke that required surgery and 18 days in the hospital.
69 2021-03-23 low blood platelet count, death Diagnosis?s with TTP on March 12. Passes away on March 19 2021
69 2021-03-24 death, heart attack She was taken to hospital 03/02/2021 where she died at 4 am from a heart attack.
69 2021-03-24 death Patient got vaccine dose #2 on 3/23/21 (Tues) approx 10am. Per family reports patient went to hospi... Read more
Patient got vaccine dose #2 on 3/23/21 (Tues) approx 10am. Per family reports patient went to hospital 3/24/21 (Wed) for unspecified pain and temp of 102f. Family states a "scan" was done and came back with nothing. P was treated for UTI and sent home. Patient was reportedly laying down at home about 8:15 or 8:30am complaining of a bad headache. Patient was found later that am deceased in her bed.
69 2021-03-24 excessive bleeding spontaneous bleed; bruise on the shin; sore arm; hives; nose bleed; A spontaneous report was receive... Read more
spontaneous bleed; bruise on the shin; sore arm; hives; nose bleed; A spontaneous report was received from a consumer, concerning a 69 years-old female patient, who received Moderna's COVID-19 vaccine and experienced sore arm, hives, nose bleed, spontaneous bleed, and bruise on the shin. The patient's medical history included Von Willebrand Disease and breast cancer. Concomitant product use was not provided by the reporter. On 19 JAN 2021, prior to the onset of events, the patient received their first of two planned doses of mRNA-1273 (lot number 012L20A) intramuscularly for prophylaxis of COVID-19 infection. On an unknown date post-vaccination, the patient experienced a sore arm and some hives. Approximately two weeks after the first dose, the patient experienced a spontaneous bleed resulting in a huge bruise on the shin the size of the palm of their hand. The patient consulted their Hematologist who performed blood work which was perfect. There were no abnormal results. The physician administered DDAVP. On 09 Feb 2021, the patient experienced their first nose bleed described as "horrific". The patient reported they had blood gushing out of their nose and that they bled for four hours. The patient ended up in the hospital emergency department where they were sprayed with DDAVP to stop the bleeding. Treatment details included DDAVP. There was no change planned to the dosing schedule of mRNA-1273 in response to the events. The events, nose bleed and spontaneous bleed were considered not recovered / not resolved. The outcome of the events sore arm, hives, and bruise on the shin was unknown.; Reporter's Comments: Based on the information provided and the patient's history of Von Willebrand Disease, a causal association between the events nose bleed, spontaneous bleed, and bruise on the shin with mRNA-1273 use is assessed as unlikely. However, based on temporal association, causality for the events of sore arm and hives cannot be excluded.
69 2021-03-25 heart attack Anterior STEMI with symptom onset (chest pain, n/v) occurring 5 hours post vaccine
69 2021-03-30 deep vein blood clot bleed on her stomach; blood clot on her leg; A spontaneous report was received from a consumer conc... Read more
bleed on her stomach; blood clot on her leg; A spontaneous report was received from a consumer concerning a 69-year-old female patient who received Moderna (mRNA-1273) vaccine and experienced blood clot on their leg/Deep vein thrombosis and bleed on their stomach/Gastric hemorrhage. The patient's medical history was not provided. No Relevant concomitant medications were reported. On 4 Feb 2021, prior to the onset of symptoms, the patient received their first of two planned doses of mRNA-1273 (Lot number: 013M20A) in the left arm for prophylaxis of COVID-19 infection. On 14 Feb 2021, the patient had a blood clot on their leg for which the patient was hospitalized. While on treatment the patient had a bleed on their stomach. The patient was in ICU for 2 weeks and another week on a regular room. The event, bleed on their stomach, was considered life-threatening. On 4 Mar 2021, the patient was sent to a rehabilitation facility and on 16 Mar 2021, the patient was sent to their home. No Treatment information was provided. Action taken with mRNA-1273 in response to the event(s) was unknown. On an unknown date, the outcome of the events, blood clot on their leg and bleed on their stomach were considered unknown.; Reporter's Comments: Very limited information regarding this event/s has been provided at this time. Critical details such as the patient's medical history, list of concomitant medications, diagnostic findings and hospitalization details are lacking. Further information has been requested.
69 2021-03-30 blood clot in lung Patient began having symptoms 7 days after vaccination: chest pain, shortness of breath, feeling li... Read more
Patient began having symptoms 7 days after vaccination: chest pain, shortness of breath, feeling like a lump in the throat. Over several days symptoms worsened, and included upper back pain and some pain in the upper left arm. Patient went to urgent care clinic on the morning of March 15, where staff decided to send patient by ambulance to the hospital. She was admitted to the hospital and diagnosed with having 5 blood clots in her lungs. She was discharged March 16 in the evening on Eliquis 5mg twice a day. She states the hospital did not know what caused the blood clots, and were aware she had been vaccinated recently. She has not had a doctor visit in years, but is now established with a primary care physician for follow-up care. The second Moderna dose was given today 3/31/21.
69 2021-04-05 pulmonary embolism Pain in abd and side started on Saturday, patient reported to hospital on 4/6 found on CT scan to ha... Read more
Pain in abd and side started on Saturday, patient reported to hospital on 4/6 found on CT scan to have: Multifocal patchy occlusive and nonocclusive PE involving the bilateral lower lobe and right upper lobe segmental and subsegmental pulmonary arteries. Suggestion of flattening of the interventricular septum raising the possibility of right heart strain. Peripheral airspace opacities in the bilateral lower lobes, left more than right, which could relate to a combination of evolving pulmonary infarcts and/or hypoventilatory changes. Small left pleural effusion.
69 2021-04-07 death 04/07/2021 cold hands, alternating hot and cold sweats, arm stiffness, shaking, aphasic and blank st... Read more
04/07/2021 cold hands, alternating hot and cold sweats, arm stiffness, shaking, aphasic and blank stare. Date of death 04/07/2021.
69 2021-04-09 death Started with intense headaches right after the 2nd dose of the Moderna vaccine on 03/06/2021. Had t... Read more
Started with intense headaches right after the 2nd dose of the Moderna vaccine on 03/06/2021. Had the headache for over two weeks, and eventually went to the hospital with loss of speech and movement on her left side of her body. They at first said it was strokes, then after the CT scan results came back they found multiple abscess in her brain. She does not have a history of strokes or brain abscess. Speech and motor functions never returned, and one abscess was so large that it caused a brain shift ( the two hemispheres separated) they performed brain surgery and it was not successful. She passed away on 3/31/2021 at 431 am.
69 2021-04-11 heart attack Minor heart attack 3 days after injection.
69 2021-04-11 blood clot Eight days following the first vaccine I was admitted with massive blood clots to my lets and lungs.... Read more
Eight days following the first vaccine I was admitted with massive blood clots to my lets and lungs. I was hospitalized for 8 days. Four days were in ICU.
69 2021-04-13 atrial fibrillation Onset of sustained atrial fibulation beginning approximately 22 hours post vaccination (second shot... Read more
Onset of sustained atrial fibulation beginning approximately 22 hours post vaccination (second shot) pulse running between 110-145
69 2021-04-13 death Patient was hospitalized and died within 60 days of receiving a COVID vaccine series
69 2021-04-14 pneumonia, pulmonary embolism 1. Bilateral acute pulmonary emboli noted. No evidence of right ventricular strain. 2. Prominence ... Read more
1. Bilateral acute pulmonary emboli noted. No evidence of right ventricular strain. 2. Prominence of the pulmonary interstitium and ground-glass density throughout both lungs. This is suggestive of bilateral pulmonary edema. Bilateral pneumonia can give a similar appearance. 3. Small bilateral pleural effusions, right larger than left.
69 2021-04-14 pulmonary embolism, deep vein blood clot I developed a pulmonary embolus after my second Moderna covid-19 shot. My PSO2 dropped to 86% and Do... Read more
I developed a pulmonary embolus after my second Moderna covid-19 shot. My PSO2 dropped to 86% and Doppler found that i had an extensive DVT in my right leg, of which I was unaware. I have had no cardiovascular issues prior to this - I'm average weight, don't smoke and had no know risk factors at the time. I'm undergoing extensive testing now to see if there was a reason for my DVT and PE>
69 2021-04-15 transient ischaemic attack mini stroke
69 2021-04-16 blood clot in lung Started with odd pain in back shoulder bladearea on March 19, 2021,Got diarrhea with bloating 03/20/... Read more
Started with odd pain in back shoulder bladearea on March 19, 2021,Got diarrhea with bloating 03/20/21 with I thiught was cause of shortness of breath. Shortness of breath got worse till I took some prednosone I had, on April 4, 2021 thinking I was having an asthma attack. Helped a few days. Shortness of breath returned on April 9, 2021. On April 10 we went to critical care thinking I was having asthma attack as extremely short of breath! They said it wasnt asthma but sent me to ER as my oxygen levels were low. In ER they took many tests including CAT scan and ultrasound, which resulted in diagnosis of several large bloodclots in both lungs
69 2021-04-18 cerebrovascular accident, stroke Jan 11, 2021?.First Mederna COVID-19 Vaccine Jan 21, 2021?.Had episode of head feeling like it was w... Read more
Jan 11, 2021?.First Mederna COVID-19 Vaccine Jan 21, 2021?.Had episode of head feeling like it was whirling around. BP was extremely high. ER was running over with COVID patients and no rooms. I took her to see. Not having classic signs of stoke and EKG was done it was fine. Caroitid us and ECHO was ordered. All were NEG. Referred to Dr. for a Heart Cath. Feb 25, 2021 Heart Cath was NEG. Followed up with Dr. and he ordered a Ct Scan of her head with and without contrast. He Also wanted her to see Dr. or Dr. to have her eyes fully examined. Dr. couldn't find anything wrong with her eyes. He said they looked healthy. Mar 12, 2021?.CT of head was done this was a Friday. Mar 15,2021?. Dr called me at work and told me Mama had had a stroke. A Rt Frontal Lobe Infarction She continued having these episodes throughout the weekend with her eyes not being able to focus and feeling. like her eyes where getting hung in their socket. Mar 16, 2021 Seen Dr and he ordered a MRI to see what It would show. Mar 18, 2021 MRI done and the results were NEG? (That?s complete BULLCRAP if you ask me)! April 14, 2nd reading was requested by FNP 2nd IMPRESSION read by Dr. although there are no acute intracranial abnormalities detected, there is a small area of encephalomalacia in the right lentiform nucleus extending to the right caudate head with ex vacuole dilation of the anterior horn of the right lateral ventricle. Ekg- Jan 21,2021 Echo- a week after the EKG Carotid Ultrasound- same as ECHO Heart Cath- Feb. 25, 2021 Cardiologist- Dr. - had to follow up with him due to having a heart cath and BP continuing to spike at random times Optometrist Dr. - twice to rule out anything going wrong with eyes- NEG both visits Now we are waiting to follow up with Dr Neurologist
69 2021-04-20 respiratory arrest PATIENT EXPERIENCED RESPIRATORY ARREST REQUIRING BIPAP AND ADMISSION TO ICU AT LOCAL HOSPITAL ONE DA... Read more
PATIENT EXPERIENCED RESPIRATORY ARREST REQUIRING BIPAP AND ADMISSION TO ICU AT LOCAL HOSPITAL ONE DAY FOLLOWING VACCINE ADMINISTRATION. PATIENT LOST PULSE UPON ARRIVAL TO HOSPITAL AND REQUIRED ACLS ALGORITHM TO BE INITIATED WITH INTUBATION.
69 2021-04-21 deep vein blood clot, pulmonary embolism Patient presented for the outpatient procedure of a cataract extraction. Found to be hypertensive a... Read more
Patient presented for the outpatient procedure of a cataract extraction. Found to be hypertensive and very short of breath. Sent to primary care physicians office who in turn ordered a CT scan. Found to have Pulmonary Embolism and Deep Vein Thrombosis
69 2021-04-22 death Death
69 2021-04-25 stroke, bleeding on surface of brain On 4/3 patient developed neck pain and headache. She had reportedly received her second dose of Mod... Read more
On 4/3 patient developed neck pain and headache. She had reportedly received her second dose of Moderna COVID vaccine within 1 week prior, but exact date unknown. She became acutely confused and reported tingling in her left fingers on 4/9 prompting presentation to Medical Center. MRI was performed 4/10 reportedly showing an acute focal right corona radiata lacunar infarct. On 4/11 patient became more agitated and 4/12 developed worsening headache and global aphasia. Non-contrast head CT showed multiple areas of subarachnoid hemorrhage bilaterally. MRI brain felt to also have small areas of bilateral diffusion restriction throughout right more than left cerebral hemispheres with concern for leptomeningeal involvement. She was transferred to another facility for higher level of care on 4/14. LP on 4/16 with TNC 33 (95% lymphs, 3% monos, 2% macrophages), RBC 1425, Protein 521, glucose 68. CSF gram stain/culture negative fungal culture and cryptococcal antigen negative, VZV PCR negative, HSV PCR negative, PCR meningitis/encephalitis panel negative, enterovirus culture negative. Serum VZV IgG positive but PCR negative, Lyme and treponemal antibodies negative, HIV Ab negative, ANA/ANCA/Sjogren's antibodies negative. Repeat LP 4/21 with TNC 43 (52% PMN, 35% lymphs, 11% monos, 1% baso, 1% myelos), protein 745, glucose 76). However, given high suspicion for viral encephalitis patient was recommended to complete a 10-14 day course of IV acyclovir by inpatient ID consult service (start date 4/16). She was also treated with empiric steroids. The neurology team is concerned for a possible vasculitis vs reversible cerebral vasoconstriction syndrome as potential etiologies. Brain biopsy performed 4/23 to help clarify diagnosis, results pending.
69 2021-04-26 atrial fibrillation I had a marked increase in number and severity of heart palpitations starting 1 week after my first ... Read more
I had a marked increase in number and severity of heart palpitations starting 1 week after my first dose (above info) and continuing for 2 1/2 weeks after my second Moderna shot on 2/18/2021. In other words an increase in my symptoms of AFib.
69 2021-04-29 pneumonia Immediate headache & sore arm. by Friday. March 18, I was in severe pain of left side, going throug... Read more
Immediate headache & sore arm. by Friday. March 18, I was in severe pain of left side, going through me and coming out the front. so we went to the hospital Another XRay revealed ground class pnuemonia, but no heart problems. After 4 days in the hospital, They dishcharged me. I took and shower and it revealed that I had shinges breaking out from my back areound my left side. The doc dischared me on Monday morning, March 19. I have been taking Gabapentin & Varacyclovir. the Varacyclovir make my heart race, and pound with the least amount of exercise. It is now April 30 and I am still in dreadful pain
69 2021-04-29 pulmonary embolism Patient received 1st dose of moderna vaccine on 3/31/21. Patient went to the ED on 4/18/21 complaini... Read more
Patient received 1st dose of moderna vaccine on 3/31/21. Patient went to the ED on 4/18/21 complaining of 2 weeks of worsening shortness of breath, fatigue, weakness, and new onset chest heaviness which ultimately was a pulmonary embolism (PE). Patient did not have any prior health/risk factors to PE. Patient did test positive for COVID-19 on 4/18
69 2021-04-30 excessive bleeding She did not get much sleep one night; Bleeding profusely; Horrible cramping; Blood red, vampire red ... Read more
She did not get much sleep one night; Bleeding profusely; Horrible cramping; Blood red, vampire red eye; This spontaneous case was reported by a consumer and describes the occurrence of HAEMORRHAGE (Bleeding profusely) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025A21A) 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 LOSARTAN and MULTIVITAMINS [VITAMINS NOS] for an unknown indication. On 28-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 11-Apr-2021, the patient experienced HAEMORRHAGE (Bleeding profusely) (seriousness criterion medically significant), MUSCLE SPASMS (Horrible cramping) and OCULAR HYPERAEMIA (Blood red, vampire red eye). On an unknown date, the patient experienced SLEEP DISORDER (She did not get much sleep one night). At the time of the report, HAEMORRHAGE (Bleeding profusely), MUSCLE SPASMS (Horrible cramping) and SLEEP DISORDER (She did not get much sleep one night) outcome was unknown and OCULAR HYPERAEMIA (Blood red, vampire red eye) had not resolved. She is on HRT implant called BioTe and is scheduled for a Pap Smear After the first dose apart from fever she got all the flu like symptoms which lasted 6 days. 2 weeks after the second dose, she got horrible cramping and bled profusely for 7 days. She adds that her husband snores and she did not get much sleep one night and woke up the next day with some redness in her left eye which turned blood red, vampire red in the next few days. The eye is still red so she went to her retinologist to get her eye checked and he said there is no issue with the eye. She is concerned about her upcoming cataract surgery on Monday. Treatment information was not 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.; 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.
69 2021-05-01 pulmonary embolism Patient returned for 2nd dose on 3/26/2021, at that time, she reported to nurse that she was hospita... Read more
Patient returned for 2nd dose on 3/26/2021, at that time, she reported to nurse that she was hospitalized at a Medical Center around 9-10 days after first dose of vaccine due to a pulmonary embolism. Attempts made to the hospital to obtain records but did not receive any.
69 2021-05-04 stroke, cerebrovascular accident Stroke. Foci of acute/subacute infarction in the right putamen/corona radiata, right insular cortex,... Read more
Stroke. Foci of acute/subacute infarction in the right putamen/corona radiata, right insular cortex, right superior frontal gyrus, and left occipital periventricular white matter. No evidence of hemorrhagic transformation or petechial microhemorrhage. No associated mass effect, midline shift, or herniation. Generalized cerebral volume loss on a background of chronic microvascular ischemic changes.
69 2021-05-05 anaphylactic reaction Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: A... Read more
Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch (specify: facial area, extremities)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremities)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Additional Details: symptoms started 2 hours after the 2nd Covid a injection. Lower lip was protruding and severely swollen, spasms in left ear, itching and tingling of the face and throat, hived around eyes and on back. Pt tried Benadryl at home but did not help and was rushed to emergency room where was started immediately on an IV. Was also given epinephrine, Benadryl and Pepcid. Pt stayed at emergency room for 5 hours.
69 2021-05-09 death Pt contacted our officeat approx 12:30PM on 5/10/21 stating that she thought she was having a reacti... Read more
Pt contacted our officeat approx 12:30PM on 5/10/21 stating that she thought she was having a reaction to the second vaccine. We received a call from the Deputy Sheriff at approx 4:50 PM to inform us that this pt has passed away apox. 4 hours prior. COD: pending. We have not other information at this stime
69 2021-05-09 fluid around the heart minimal pericardial effusion; my oxygen saturation again plummeted/getting difficult to maintain my ... Read more
minimal pericardial effusion; my oxygen saturation again plummeted/getting difficult to maintain my oxygen level during the day; mild arm pain; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of HYPOXIA (my oxygen saturation again plummeted/getting difficult to maintain my oxygen level during the day) and PERICARDIAL EFFUSION (minimal pericardial effusion) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 026A21A and 03IL20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Hypoxia. Concurrent medical conditions included Pulmonary hypertension (Reporter states: Pulmonologists disagree about this diagnosis) since May 2019 and Sleep apnea since March 2019. Concomitant products included LORATADINE for Allergy, VITAMIN D3 and CYANOCOBALAMIN (VITAMIN B12 [CYANOCOBALAMIN]) for Deficiency vitamin. On 05-Feb-2021 at 10:30 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Mar-2021 at 10:30 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 05-Mar-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced PAIN IN EXTREMITY (mild arm pain). On 07-Mar-2021, the patient experienced HYPOXIA (my oxygen saturation again plummeted/getting difficult to maintain my oxygen level during the day) (seriousness criterion medically significant). On an unknown date, the patient experienced PERICARDIAL EFFUSION (minimal pericardial effusion) (seriousness criterion medically significant). At the time of the report, HYPOXIA (my oxygen saturation again plummeted/getting difficult to maintain my oxygen level during the day) and PERICARDIAL EFFUSION (minimal pericardial effusion) had not resolved and PAIN IN EXTREMITY (mild arm pain) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 07-Mar-2021, Oxygen saturation: low (Low) Low. On 17-Apr-2021, Brain natriuretic peptide: 1064 (High) "nearly 10 times the normal limit and is a strong indicator of heart failure". On 29-Apr-2021, Computerised tomogram thorax: abnormal (abnormal) minimal pericardial effusion. Reporter states: I was diagnosed two years ago with sleep apnea and nocturnal hypoxia and have used a CPAP device with oxygen every night since. Following the first dose of the vaccine, my oxygen level was so low that I had to go onto daytime supplemental oxygen for the first time. After the second dose of the vaccine, my oxygen saturation again plummeted. I have been on 3-4 L of daytime supplemental oxygen ever since. It is getting difficult to maintain my oxygen level during the day even with supplemental oxygen. The cardiologist has ordered an echocardiogram for May 7, 2021. That should help determine if my breathing difficulties are due to a sudden worsening of pulmonary hypertension, or if this could be related to the vaccines. 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. This case was linked to MOD-2021-029767 (E2B Linked Report). This case was linked to MOD-2021-029686, MOD-2021-029686 (Patient Link).; 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. MOD-2021-029767:Reporter's friend's case
69 2021-05-10 death The decedent experience nausea, headache, and chest pain approximately 72 hours after receieving her... Read more
The decedent experience nausea, headache, and chest pain approximately 72 hours after receieving her second shot. She was found deceased later that day.
69 2021-05-11 death Patient received Moderna vaccine 3/2/2021 0.5 ml LD IM Lot: 029L20A and Moderna vaccine 3/30/2021 0.... Read more
Patient received Moderna vaccine 3/2/2021 0.5 ml LD IM Lot: 029L20A and Moderna vaccine 3/30/2021 0.5 ml LD IM Lot: 019B21A. The patient was exposed to an infected person with Covid about 1 week after her second vaccine. She was admitted to the ICU with severe covid on 4/13/21. She was eventually transitioned to comfort care and died on 5/6/2021.
69 2021-05-12 death Patient DOD 4/19/21 Death Certificate Line A ?Adverse effect of Covid19 vaccine-5 day interval onset... Read more
Patient DOD 4/19/21 Death Certificate Line A ?Adverse effect of Covid19 vaccine-5 day interval onset and death? Line B ?Anorexia nervosa? Line C ?Recurrent Major Depressive Disorder? Received her second Moderna dose from our Mobile team on 4/14/21 Since then I spoke with Dr. (Mobile); clients PCP, several times regarding this event. His nurse got an email from client on 4-12-21 that client had vaccination planned on 414 and may need to reschedule medical appointment planned 4-16 if she felt bad. The client was encourage to get vaccine and to keep appointment for Friday April 16th. The client emailed the office at approx 0300 Friday morning April 16 to cancel appointment because she felt to poorly from vaccination shot to come in (fevers; body aches). Dr next heard from police officer on Monday April 19th that she was found dead in her home. He requested the Medical Examiner (ME) evaluate but this request was denied. The client lived alone. Dr contacted family members but they did not have much interaction with the client and had no significant information to contribute. Dr said he speculates that the patients underlying anorexia nervosa likely put the client in a critical nutritional deficiencies / electrolyte imbalance condition and the side effects of vaccination were too much. He felt compelled to complete the death certificate as he did because the ME declined the case. From vaccine mobile team notes: team was there2-3:30pm. All the answers to the health screening questions for the patient were "no" except for "have you ever had a severe allergic reaction to something?" To that question the answer was "yes. Immunization Information System record - lot # is underlined: Coronavirus COVID-19, mRNA,LNP-S,PF, 03/17/2021 1 of 2 100 mcg/0.5mL Full 022M20A IM LA Coronavirus COVID-19, mRNA,LNP-S,PF, 04/14/2021 2 of 2 100 mcg/0.5mL Full 006B21A IM LA
69 2021-05-12 pulmonary embolism Unknown date of vaccination, physician asked for this to be reported, possibly related to Covid vacc... Read more
Unknown date of vaccination, physician asked for this to be reported, possibly related to Covid vaccine. Patient admitted to hospital with syncope and bilateral pulmonary embolism. Patient treated and discharged home after after 2 days
69 2021-05-12 blood clot A large blood clot developed in my right leg. From the top of the thigh/groin area to my ankle. We... Read more
A large blood clot developed in my right leg. From the top of the thigh/groin area to my ankle. Went to the emergency room. I was admitted and over 3days, approximately 7 hours the clot was busted with stents and balloons put in. My hospital stay was from April 19, 2021 to April 24, 2021. I didn?t realize what was happening as my leg just keep swelling. I have never had a clotting problem. I have had major surgery (gall bladder removal), a left hip and knee replacement and bunions removed from both feet. Never have had a blood clot problem.
69 2021-05-12 blood clot Late in the evening on May 12, my mother started having pain on her right side. She also could not ... Read more
Late in the evening on May 12, my mother started having pain on her right side. She also could not take a deep breath without having a stabbing-like pain. The pain level was severe and kept her awake all night. On May 13, she went to the urgent care department at the medical center. An xray of her chest cavity was taken. It showed fluid in her right lung, but the results were inconclusive because of her limited able to take a deep breath. Extensive blood work was also performed. The urgent care doctor suspected that she has a blood clot in her lung, and she was sent to the hospital for further testing. She is still in the ER of the Medical Center. They are still doing tests and have not officially confirmed that she has a blood clot yet.
69 2021-05-13 deep vein blood clot DVT blood clot in back of left calf. Swelling at foot and ankle
69 2021-05-15 pulmonary embolism, deep vein blood clot 2/12/21 2nd round; 2/13/21: Woke up with chills, then sweats, fever of 102 fluctuated, aches and pa... Read more
2/12/21 2nd round; 2/13/21: Woke up with chills, then sweats, fever of 102 fluctuated, aches and pains, stayed in bed for 4 days. It took a week to become active again. Called my doctor's office several times. I was told it was normal, part of the vaccine reaction. Worse reaction was my leg bones feeling like metal strips of a toy erector set. The taste of metal in my mouth lasted 4 days. Difficulty walking because of leg weakness and dizziness. Loss of appetite. 5/1/21 - 5/3/21 Hospitalization for diagnosis of Acute Pulmonary Embolism and Deep Vein Thrombosis
69 2021-05-15 systemic inflammatory response syndrome Chief Complaint Fever History of Present Illness This is a 69 year old female with breast cancer s... Read more
Chief Complaint Fever History of Present Illness This is a 69 year old female with breast cancer status post left mastectomy, diabetes mellitus, hypertension, and past transient ischemic attack who presented to ED for fever. The patient reports that she began experiencing sudden onset of fever and chills last night (05/15/2021), and she additionally complains of persistent sore throat and cough beginning the previous week. She has undergone radiation and chemotherapy treatment for breast cancer in the past but these treatments have been suspended for several months with mammography performed on 03/10/2021 failing to identify any malignant growths. In the ED, the patient was found to have acute bronchitis due to COVID-19, fevers and systemic inflammatory response syndrome. Review of Systems Constitutional: Positive for chills and fever. HENT: Positive for sore throat. Respiratory: Positive for cough. Negative for shortness of breath. Cardiovascular: Negative for chest pain and leg swelling. Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting. Genitourinary: Negative for dysuria. Musculoskeletal: Negative for gait problem. Neurological: Negative for syncope. All other systems reviewed and are negative. Vitals Blood pressure 123/75, pulse 95, temperature 37.1 °C (98.7 °F), temperature source Oral, resp. rate 29, height 1.651 m (5' 5"), weight 106.6 kg, SpO2 95 %. Physical Exam Vitals reviewed. Constitutional: General: She is not in acute distress. Appearance: Normal appearance. She is well-developed. She is morbidly obese. She is not ill-appearing. HENT: Head: Normocephalic and atraumatic. Nose: Congestion present. Mouth/Throat: Mouth: Mucous membranes are dry. Dentition: Abnormal dentition. Pharynx: Oropharynx is clear. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulses: Normal pulses. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds. Chest: Comments: Port in place to the upper right chest. Abdominal: General: Bowel sounds are normal. There is no distension. Palpations: Abdomen is soft. Tenderness: There is no abdominal tenderness. Musculoskeletal: General: Normal range of motion. Cervical back: Normal range of motion and neck supple. Skin: General: Skin is warm and dry. Comments: Chronic venous stasis changes to the bilateral lower extremities. Decreased skin turgor throughout. Neurological: General: No focal deficit present. Mental Status: She is alert and oriented to person, place, and time. Plan Admit to hospital ? cardiac telemetry unit Continuous pulse oximetry and telemetry monitoring Control pain, nausea and vomiting as needed Respiratory treatments (MDI) and supplemental oxygen prn IVF hydration; serial neurological checks every four hours Initiate dexamethasone therapy 6 mg IV once daily Ascorbic acid, zinc sulfate, and vitamin D3 supplementation Serial BMP, Mag, CBC, hepatic panel; ESR/CRP, PT/INR Serial lactic acid and procalcitonin; check respiratory PCR Follow up on blood cultures as available; check urinalysis Electrolyte correction/replacement as indicated Fall precautions; PT/OT evaluations during this visit FSBS and SSI every AC/HS for glycemic control Resume selected home medications with hold parameters DVT prophylaxis ? SCDs only GI prophylaxis ? Famotidine
69 2021-05-16 death Clinic contacted patient date of death: 05/09/2021. No other information on symptoms, signs experien... Read more
Clinic contacted patient date of death: 05/09/2021. No other information on symptoms, signs experienced prior to time of death.
69 2021-05-19 pulmonary embolism Shortness of breath with sudden onset. Seen at physican office . Chest CT, Echo, PFT ordered. Bila... Read more
Shortness of breath with sudden onset. Seen at physican office . Chest CT, Echo, PFT ordered. Bilateral pulmonary emboli discovered . Eloquis started. Improvement seen. Sats and increased HR improved. Persistent coughing still remains. Patient to remain on Eloquis for 6 mon minimum .
69 2021-05-20 pulmonary embolism patient with bilateral PEs with right heart strain - reported SOB since the time of the second COVID... Read more
patient with bilateral PEs with right heart strain - reported SOB since the time of the second COVID vaccination - plan for EKOS catheter tomorrow and treatment with Eliquis
69 2021-05-21 atrial fibrillation Atrial fibrilation, new onset, 4 hours in ER with IV and multiple meds to regulate . Follow up with ... Read more
Atrial fibrilation, new onset, 4 hours in ER with IV and multiple meds to regulate . Follow up with Echo, 2 weeks heart monitor, see cardiologist, blood thinner medication
69 2021-05-22 deep vein blood clot My sister got her first covid shot on 1/25/21. On 1/27/21 she started a prescription for a diuretic... Read more
My sister got her first covid shot on 1/25/21. On 1/27/21 she started a prescription for a diuretic for swelling from DVT in left leg. On 1/29/21 she called me early in the morning to say she couldn't stand or walk. She hasn't walked since. No idea if this was natural progression of dementia. She did walk into and out of cardiology appointment on 1/7/2021, and was weak at that time.
69 2021-05-23 pulmonary embolism, deep vein blood clot Shortness of breath and calf pains that began about 3 weeks after the second Covid vaccine that turn... Read more
Shortness of breath and calf pains that began about 3 weeks after the second Covid vaccine that turned out to be a DVT and Pulmonary Embolism
69 2021-06-01 ischaemic stroke Approximately 24 hours after receiving second Moderna vaccine patient developed right sided weakness... Read more
Approximately 24 hours after receiving second Moderna vaccine patient developed right sided weakness which prompted a trip to the emergency room. There a head CT was performed and was negative. Patient was then admitted for further testing and a MRI of the brain performed the following day reveled a acute ischemic stroke. Patient was discharged to acute patient rehab and symptoms improved but have not resolved.
69 2021-06-01 blood clot, blood clot in lung patient reported a couple weeks after 1st moderna vaccine (she was unsure of date, I guessed on the ... Read more
patient reported a couple weeks after 1st moderna vaccine (she was unsure of date, I guessed on the first page of the report because I had to put an exact date). she began to feel short of breath. eventually went to hospital where she was diagnosed with blood clots in both the legs and lungs. she said dr is saying it was due to the vaccine and told her not to get the second dose. she stayed 5 days in the hospital according to her. had surgery to place a filter for the clots and is now home on oxygen around the clock.
69 2021-06-06 acute respiratory failure On 5/28/21, patient presented to the ED for SOB and np cough which started 5/24. Patient states chil... Read more
On 5/28/21, patient presented to the ED for SOB and np cough which started 5/24. Patient states chills, subjective fevers, cough, SOB/DOE worsened over th eweek. She is on 2L O2 at home and with exertion her O2 sat would drop into the 70s. Rapid COVID-19 is positive. Admitted with acute on chronic hypoxemic respiratory failure secondary to SARS-CoV-2 pneumonia. Completed remdesivir, cefepime, Zosyn, and azitrhomycin, receiving dexamethasone, intubated 6/1/21 for persistent respiratory failure.
69 2021-06-09 acute respiratory failure, death, cardiac arrest, pulmonary embolism Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and ... Read more
Only reporting to VAERS as patient received covid-19 vaccination under EUA and was hospitalized and is now deceased from illness deemed UNRELATED to prior covid-19 vaccination. She was a 69 yr old female who was transferred to hospital on 6/8 at 0141 from outside hospital with severe shock, acute hypoxemic respiratory failure, who had a cardiac arrest on arrival here for 5 mins, during arrest CPR was done and 2 doses of epinephrine were administered prior to ROSC and targeted temperature management was initiated. She was found to have a massive PE, alteplase was given and a heparin continuous infusion was started on 6/8 at 0154 and 0345, respectively. She later underwent a thrombectomy on 6/8 at 1640. She showed signs of poor neurological status. Went into MSOF despite aggressive supportive care. Family requested to make her comfortable and the patient expired on 6/10 at 0449.
69 2021-06-11 deep vein blood clot, pulmonary embolism Deep venous thrombosis and bilateral pulmonary embolism approximately one week after administration ... Read more
Deep venous thrombosis and bilateral pulmonary embolism approximately one week after administration of vaccine leading to hospitalization on 4/24/21
69 2021-06-11 blood clot blood clots from the knee to top of her leg.; feeling uncomfortable; This spontaneous case was repor... Read more
blood clots from the knee to top of her leg.; feeling uncomfortable; This spontaneous case was reported by a patient (subsequently medically confirmed) and describes the occurrence of THROMBOSIS (blood clots from the knee to top of her leg.) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 004M20A and 030A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Hypercholesterolemia. Concurrent medical conditions included Diabetes and Hypertension. On 30-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 30-Mar-2021, the patient experienced THROMBOSIS (blood clots from the knee to top of her leg.) (seriousness criterion medically significant) and MALAISE (feeling uncomfortable). At the time of the report, THROMBOSIS (blood clots from the knee to top of her leg.) and MALAISE (feeling uncomfortable) outcome was unknown. Very limited information regarding this event/s has been provided at this time. Further information is not expected. Reporter did not allow further contact; Sender's Comments: Very limited information regarding this event/s has been provided at this time. Further information is not expected.
69 2021-06-13 pneumonia Signs/symptoms of community acquired pneumonia. COVID negative. Bacterial pneumonia based on chest x... Read more
Signs/symptoms of community acquired pneumonia. COVID negative. Bacterial pneumonia based on chest x-ray.
69 2021-06-14 blood clot, pulmonary embolism large blood clot in the right lung/smaller blood clot in the left lung; blood clot in the calf of th... Read more
large blood clot in the right lung/smaller blood clot in the left lung; blood clot in the calf of the left leg; Baker's cyst behind the left knee; "I still didn't feel right or good"; "problems with my kidneys"; dull pain; "really bad chest pains"; "knee got swollen up"; This spontaneous case was reported by a patient and describes the occurrence of PULMONARY EMBOLISM (large blood clot in the right lung/smaller blood clot in the left lung) and THROMBOSIS (blood clot in the calf of the left leg) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 042L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was reported. Concomitant products included LOSARTAN, NEBIVOLOL HYDROCHLORIDE (BYSTOLIC), OMEPRAZOLE, EZETIMIBE, CETIRIZINE HYDROCHLORIDE (ZYRTEC ALLERGY), VITAMIN D [VITAMIN D NOS], CALCIUM, MULTIVITAMINS [VITAMINS NOS] and APIXABAN (ELIQUIS) for an unknown indication. On 28-Jan-2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 25-Mar-2021, the patient experienced JOINT SWELLING ("knee got swollen up"). On 26-Apr-2021, the patient experienced PULMONARY EMBOLISM (large blood clot in the right lung/smaller blood clot in the left lung) (seriousness criteria hospitalization and medically significant) and CHEST PAIN ("really bad chest pains"). On an unknown date, the patient experienced THROMBOSIS (blood clot in the calf of the left leg) (seriousness criterion medically significant), SYNOVIAL CYST (Baker's cyst behind the left knee), MALAISE ("I still didn't feel right or good"), RENAL PAIN ("problems with my kidneys") and PAIN (dull pain). At the time of the report, PULMONARY EMBOLISM (large blood clot in the right lung/smaller blood clot in the left lung), THROMBOSIS (blood clot in the calf of the left leg), JOINT SWELLING ("knee got swollen up"), SYNOVIAL CYST (Baker's cyst behind the left knee), MALAISE ("I still didn't feel right or good"), CHEST PAIN ("really bad chest pains"), RENAL PAIN ("problems with my kidneys") and PAIN (dull pain) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Company comment: Very limited information regarding this events has been provided at this time. 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. Further information has been requested.; Sender's Comments: Very limited information regarding this events has been provided at this time. 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. Further information has been requested.
69 2021-06-15 stroke Rapid onset vision loss in left eye with concurrent rapid onset high blood pressure and rapid pulse.... Read more
Rapid onset vision loss in left eye with concurrent rapid onset high blood pressure and rapid pulse. Testing showed existing crowded optic nerve (previously undiagnosed), swelling of the optic nerve, delayed blood flow to optic nerve, and leakage around optic nerve head. Vision loss progressed over about five days, stabilized, and may now be somewhat improved. Diagnosis is Non-Arteric Ischemic Optic Neuritis (NAION), for which there is no treatment and uncertain prognosis. Some extent of permanent vision loss tis epected. Concurrent rapid onset of hypertension (systolic 150s-170s; diastolic low 100s at times) and fluctuating rapid pulse (80s-110). Currently being treated for hypertension but not yet fully controlled. Blood tests revealed elevated inflammatory markers (high C-reactive protein and sedimentation rate and positive ANA. Follow-up tests to determine cause of hypertension are underway. Thus far, no heart abnormalities, no carotid artery blockage, and negative for a number of autoimmune disorders and other possible causes. Prior to this event, blood pressure and pulse were normal and eye exams showed no vision or retina problems, glaucoma, or macular degeneration. Cardiologist and rheumatologist have not ruled out inflammatory response to Covid vaccine, have encouraged reporting of this event to VAERS, and have advised against taking any other Covid booster. Note that the optometrist who first saw me when the vision loss began has since told me that he saw only two cases of NAION in 38 years of practice before mine, but has seen two more besides me in the last couple of months. Both were patients of similar age with similar rapid onset of vision loss, and both had taken the Covid vaccine about four weeks before.
69 2021-06-19 atrial fibrillation Went to the ER the evening of March 25 with Rapid AFib. Had pulse rate ranging from 160 - 205. Heart... Read more
Went to the ER the evening of March 25 with Rapid AFib. Had pulse rate ranging from 160 - 205. Heart was ?flopping?. Treated with medications and sent home.
69 2021-06-20 heart attack, low platelet count Patient is a 69-year-old female with a past medical history significant for type 2 diabetes, hyperte... Read more
Patient is a 69-year-old female with a past medical history significant for type 2 diabetes, hypertension, RA, GERD who presented from a rehab facility with fevers, hypotension, tachycardia and diarrhea. This is the patient's third hospitalization in the last month. She was initially admitted on 5/4/2021 for she suffered to syncopal episodes resulting in a motor vehicle accident x 2. From 5/4-5/6. During that admission her gabapentin dose was decreased and she was given 5 days of Macrobid on discharge for a possible urinary tract infection. We also arrange follow-up with cardiology for loop recorder and to see orthopedics as an outpatient the etiology for her syncopal episode was unclear. It was not felt to be seizure related. She went home with home health care. She unfortunately was readmitted on 5/29-6/3 new onset acute pancreatitis with an unknown etiology and was ultimately discharged to rehab. During that hospitalization patient reported that she was seen by cardiology for her 2 syncopal episodes that occurred earlier in the month and a cardiac cause of her syncope was ruled out and they recommended she be referred to neurology. She returns back again for admission on 6/8 for encephalopathy, hypotensive, septic shock, NSTEMI and was subsequently admitted to the intensive care unit on pressor support. She was given Cipro, Flagyl, Vanco and Levophed and IV fluids. Her septic shock was felt secondary to urinary tract infection. The urine culture that was resulted on 5/30 grew Klebsiella pneumonia that was resistant to Macrobid. She was not sent out on any antibiotic therapy as she was not felt to be symptomatic during her last hospital course. She also had a CAT scan during this hospital course which showed colitis. Urine culture from this admission was of mixed flora Greater than 100,000 colony-forming units no organisms were grown out however. She was treated with 7 days of Cipro. Again patient's CAT scan of the abdomen and pelvis done on admission showed colitis she was seen by gastroenterology during her hospital stay and underwent an endoscopy. It was ultimately felt that the patient's colitis was likely ischemic in nature. Patient was also noted to be thrombocytopenic on admission which was felt to be possibly from sepsis or dilution was ultimately resolved at the point of discharge. She also again was found to have acute blood loss anemia with no source found. she had hematochezia noted on admission but resolved by the point of discharge. EGD did not reveal any source of bleeding other than a tiny esophageal ulcer. Aspirin therapy was discontinued. She did not need transfusion during her hospital stay. The lowest her hemoglobin went was to 7.3. Patient's acute tubular necrosis resolved her metabolic acidosis and metabolic encephalopathy resolved and at this point she is stable for discharge to rehab. Patient's lisinopril aspirin, hydrochlorothiazide have been discontinued at this point. Her blood pressure is 121/61 she is afebrile respirations are normal O2 sat is 95% on room air. Patient's hemoglobin is 8.1. She is no longer having an abdominal pain and is tolerating p.o. She is not having any diarrhea. the cause for the patient's colitis is likely ischemic in nature. she was discharged to rehab on 6/15
69 2021-06-20 pulmonary embolism Massive pulmonary embolism, pulseless electrical activity
69 2021-06-21 cerebrovascular accident, ischaemic stroke, atrial fibrillation 03-29-2021 at 8:30am awoke with severe headache, left jaw pain and vision problem. Made appointment ... Read more
03-29-2021 at 8:30am awoke with severe headache, left jaw pain and vision problem. Made appointment with eye doctor (April 1) . 03-30-2021, while shopping had a major stroke at 1:00pm. EMS took me to the Hospital. Admitted to ER, acute ischemic stroke, basilar artery thrombosis, atrial fibrillation. Blood clot removal by Neurological Radiologist. Discharged from Hospital April 2,2021. Still am being treated for atrial fibrillation and vision problems.
69 2021-06-21 blood clot in lung, fluid around the heart About 2 months after the 2nd dose vaccine, I started getting shortness of breath and tightness in my... Read more
About 2 months after the 2nd dose vaccine, I started getting shortness of breath and tightness in my chest. Around end of May, the pressure started getting heavier. By June 5, 2021 I thought I was having a possible heart attack, so I decided to go to the Hospital. They did a bunch of tests and an ECHO and detected pericarditis, pericardio effusion and blood clots. I was on a heparin drip for 7 days for the blood clot and they started me on colchicine for the pericarditis which has now resolved. I was discharged with RX for Lovenox to prevent blood clots and to continue to take colchicine. I was in the hospital for 8 days total.
69 2021-06-22 pulmonary embolism Patient stated that she received her 2nd COVID vaccine on April 23rd and since then has had progress... Read more
Patient stated that she received her 2nd COVID vaccine on April 23rd and since then has had progressive shortness of breath with exertion. She said that the shortness of breath was so bad she had to come to ED for further evaluation. Found to have pulmonary embolisms. Treated with heparin drip at outside ER and then transitioned to enoxaparin 1 mg/kg BID. On day 2 of admission, patient transferred to a tertiary center for possible catheter directed TPA/Thrombectomy due to her right heart strain and patient feeling dizzy when she moves.
69 2021-06-23 fluid around the heart Pericardial effusion, shortness of breath, started within 2 weeks after 2nd vaccine
69 2021-06-23 blood clot, ischaemic stroke a month later she had thrombotic event- she had a central artery embolism to her right eye and multi... Read more
a month later she had thrombotic event- she had a central artery embolism to her right eye and multiple small ischemic strokes in multiple areas of her brain. she lost vision in her eye,
69 2021-06-24 death, acute respiratory failure COVID-19 symptom onset 5/3, hospital admission 5/11, and death on 5/18/2021. Primary cause of death ... Read more
COVID-19 symptom onset 5/3, hospital admission 5/11, and death on 5/18/2021. Primary cause of death acute hypoxic respiratory failure, underlying cause COVID-19 viral pneumonia
69 2021-06-27 cardiac arrest, death The day she received the second dose she started with flu like symptoms. She also had tingling hands... Read more
The day she received the second dose she started with flu like symptoms. She also had tingling hands and feet her condition did not get better and was rushed to the ER. She was there for 4 days and sent to a long term facility where her condition worsen. She started having breathing issues went back to the ER with chronic breathing complications. At the hospital she had low oxygen level, lung complications, kidney failure and went into cardiac arrest. She was resuscitate and put on a ventilator for 3 days. She started breathing on her own and was taken off the machines. She was sent home a few days later and nine days later went into cardiac arrest again and this time did not make it.
69 2021-06-27 pneumonia Chills, fever, chest pains, muscle aches, headache, exhaustion, slightly elevated white blood count.
69 2021-06-28 death Death 6/6/2021 Causes of death listed on death certificate: 1) covid pneumonia
69 2021-06-28 deep vein blood clot wheezing same day as vaccine- albuterol hfa and prednisone dyspnea exacerbated over next several day... Read more
wheezing same day as vaccine- albuterol hfa and prednisone dyspnea exacerbated over next several days leg deep venous thrombosis developed/diagnosed 11 days later
69 2021-07-01 cerebrovascular accident, heart attack 6-14-2021 left arm pain and numbness 6-18-2021 massive stroke (right hemi) 6-22-2021 heart attack 6-... Read more
6-14-2021 left arm pain and numbness 6-18-2021 massive stroke (right hemi) 6-22-2021 heart attack 6-26-2021 unspecified seizure 6-27-2021 severe chest pain 6-28-2021 shingles outbreak 6-29-2021 salmonella & staph infections detected 7-1-2021 unspecified blood in stool Extreme confusion throughout this time
69 2021-07-11 death Acute onset of dementia, intubated est 1 mo after vaccination Deceased 7/3/21 at Hospital
69 2021-07-12 atrial fibrillation 7/12/21 er @ hospital: 69 y.o. female who presents with increasing shortness of breath. Patient rep... Read more
7/12/21 er @ hospital: 69 y.o. female who presents with increasing shortness of breath. Patient reports increasing shortness of breath for the past 3 days. She denies any runny nose or sinus congestion. Patient does report a dry cough but states it is no different from her typical COPD cough. Patient denies any chest pain or palpitations. However, patient on bedside monitor is in AFib with RVR. Patient does voice a history of intermittent atrial fibrillation. Patient denies any current palpitations, chest pain, or edema. Of note, patient reports she sustained a stroke approximately 6 weeks ago. Patient reports she experienced left-sided weakness. She reports that left-sided weakness has since returned to completely normal. She did not seek medical care for her stroke at the time of the stroke. (pt is a retired nurse) Transferred to another healthcare facility where she remains admitted as of 7/13/21
69 2021-07-12 low blood platelet count Patient developed ITP 3 weeks after, severe. Platelets dropped to 1
69 2021-07-13 cerebrovascular accident stroke; Flashers in her eyes that continue; Woke up in the middle of the night several times; This s... Read more
stroke; Flashers in her eyes that continue; Woke up in the middle of the night several times; This spontaneous case was reported by a patient family member or friend and describes the occurrence of CEREBROVASCULAR ACCIDENT (stroke) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001A21A) 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 ATENOLOL, LEVOTHYROXINE, CHLORTHALIDONE, SIMVASTATIN, FLUTICASONE PROPIONATE (FLONASE [FLUTICASONE PROPIONATE]) and ACETYLSALICYLIC ACID, CAFFEINE, CHLORPHENAMINE MALEATE (CORICIDIN [ACETYLSALICYLIC ACID;CAFFEINE;CHLORPHENAMINE MALEATE]) for an unknown indication. On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Feb-2021, the patient experienced PHOTOPSIA (Flashers in her eyes that continue) and INSOMNIA (Woke up in the middle of the night several times). On an unknown date, the patient experienced CEREBROVASCULAR ACCIDENT (stroke) (seriousness criterion medically significant). The patient was treated with IBUPROFEN (ADVIL [IBUPROFEN]) for Migraine and Headache, at a dose of 1 dosage form four times per day. At the time of the report, CEREBROVASCULAR ACCIDENT (stroke), PHOTOPSIA (Flashers in her eyes that continue) and INSOMNIA (Woke up in the middle of the night several times) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered CEREBROVASCULAR ACCIDENT (stroke) to be not related. No further causality assessments were provided for PHOTOPSIA (Flashers in her eyes that continue) and INSOMNIA (Woke up in the middle of the night several times). Based on the current available information and temporal association between the use of the product and the start date of the events of photopsia and insomnia, a causal relationship cannot be excluded. Based on reporter's causality the event of cerebrovascular accident is assessed as unlikely related to mRNA-1273. Most recent FOLLOW-UP information incorporated above includes: On 08-Jul-2021: Significant follow received and the initial diagnosis of ocular migraine was wrong and is confirmed to be a stroke. Reporter causality was updated to unrelated.; 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 of photopsia and insomnia, a causal relationship cannot be excluded. Based on reporter's causality the event of cerebrovascular accident is assessed as unlikely related to mRNA-1273.
69 2021-07-13 systemic inflammatory response syndrome After the first dose I had joint pain and stiffness of movement; after the 2nd dose, I had a moderat... Read more
After the first dose I had joint pain and stiffness of movement; after the 2nd dose, I had a moderate fever, headache, and extreme joint pain and difficulty in walking especially going up and down the stairs in our home. The discomfort in my joints, especially my hips and knees, was so severe I made an appointment with a rheumatologist who ruled out RA and with an x-ray confirmed bursitis in right hip, which was the very first time I ever had bursitis. Since then my hip pain and stiffness became even more severe and I am now scheduled for a hip replacement in late October. My concern is that the vaccine spiked an inflammatory response with my arthritis and I have been in chronic pain since that second dose...
69 2021-07-13 blood clot After the initial side effects of chills, fever, and body aches subsided I had hot flashes and night... Read more
After the initial side effects of chills, fever, and body aches subsided I had hot flashes and night sweats every night for 5 weeks. Then breast pain and swelling began and breast tissue changes were confirmed on May 28 via ultrasound. Two weeks later I developed a blood clot in my left calf as confirmed by an ultrasound on June 11, 2021. I believe this blood clot was provoked my the Moderna vaccine, as there were no other factors that could have provoked the blood clot.
69 2021-07-14 cardiac arrest, death Early in the morning Saturday, the day after the injection, patient became very nauseaus with a bad ... Read more
Early in the morning Saturday, the day after the injection, patient became very nauseaus with a bad headache. She was sick all day on Saturday with nausea and headache. She could not sleep. On Sunday, she felt worse and called ambulance. They came and checked her out. Said Oxygen level was normal and all her symptoms were normal side effects. They did not take her to the hospital. All day Sunday, she continued to be agitated and not able to get comfortable. She was hot and cold, back and forth. Her headache was very bad and she felt like she would throw up, but only threw up a little that day. By Monday, she started not making sense and slurred her words. We thought this was due to lack of sleep (exhaustion). Her sugar was high, so we gave her an insulin shot. She continued to make less and less sense so we called 911 approximately 7 PM on Monday night. She was hallucinating. At the hospital, they looked for infection, but could not find any source of infection. They intubated her and soon after this, her heart stopped breathing. They performed CPR 3 times, but not successful. She died at 5 AM Tuesday morning.
69 2021-07-17 heart attack hospitalized for NSTEMI
69 2021-07-17 transient ischaemic attack mini stroke; high blood pressure; difficulty recalling word; dizziness; no control over body; Shakin... Read more
mini stroke; high blood pressure; difficulty recalling word; dizziness; no control over body; Shaking Arms; weakness; right side jaw pain; soreness; exhaustion; throbbing; This case was initially received via an unknown source (no reference has been entered for a health authority or license partner) on 10-Feb-2021. The most recent information was received on 12-Jul-2021 and was forwarded to Moderna on 12-Jul-2021. This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of TRANSIENT ISCHAEMIC ATTACK (mini stroke) and HYPERTENSION (high blood pressure) in a 69-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 016ZMOA) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 06-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Feb-2021, the patient experienced HYPERTENSION (high blood pressure) (seriousness criterion medically significant), MEMORY IMPAIRMENT (difficulty recalling word), DIZZINESS (dizziness), DYSKINESIA (no control over body), TREMOR (Shaking Arms), ASTHENIA (weakness), PAIN IN JAW (right side jaw pain), PAIN (soreness), FATIGUE (exhaustion) and HEADACHE (throbbing). On an unknown date, the patient experienced TRANSIENT ISCHAEMIC ATTACK (mini stroke) (seriousness criterion medically significant). The patient was treated with ALPRAZOLAM (XANAX) at a dose of UNK, qd. At the time of the report, TRANSIENT ISCHAEMIC ATTACK (mini stroke), HYPERTENSION (high blood pressure), MEMORY IMPAIRMENT (difficulty recalling word), DIZZINESS (dizziness), DYSKINESIA (no control over body), TREMOR (Shaking Arms), ASTHENIA (weakness), PAIN IN JAW (right side jaw pain), PAIN (soreness), FATIGUE (exhaustion) and HEADACHE (throbbing) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication detail was reported. 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-May-2021: follow up received and Updated reporter contact information. On 01-Jul-2021: The follow up document contain no new information. On 12-Jul-2021: Added newserious event (transient ischaemic attack).; 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.
69 2021-07-22 blood clot in lung May 11, 2021 SOB began at am upon waking. May 13th doctor was contacted and a chest x-ray and blood ... Read more
May 11, 2021 SOB began at am upon waking. May 13th doctor was contacted and a chest x-ray and blood draw was obtained. Results of the D-dimer were elevated and the doctor ordered a CT scan for the morning of May 14th, 1 hour later doctor called and wanted patient to go to ER as a large blood clot was noted on the CT in the pulmonary artery. Patient went to ER and started IV Heparin and was sent to Hospital for admit over night there obtained and ECHO and more blood work which was inconclusive in determining why she got the clot.
69 2021-07-28 cardiac arrest 04/21/2021- First thing in the morning, walked to the bathroom, a few feet from bed, and passed out,... Read more
04/21/2021- First thing in the morning, walked to the bathroom, a few feet from bed, and passed out, hitting my head, lips cut, head cut, bruises on the side of my face, not sure what I hit when I landed. I did not call 911, I called for help and went downstairs and stayed downstairs for 3 days, I had fatigue and pain from injuries, I remained in a state of lethargy and pain for a week following this event. I let my Doctor know the day after I passed out 04/22/2021. May 9th, 2021, I passed out again and went to ER. May 11th, went to doctor she told me to have someone with me all the time . May 12th, 2021 I went into hospital at 10:00AM and I was hospitalized for observance until May 14th, 2021. My heart was stopping for a few seconds and then on May 14th, 2021, it stopped for 21 seconds. On Friday May 14th, 2021 they put a pace maker in me but I had no prior heart issues. I was released on May 15th, 2021. I have had 5 different appointments including a stress test since the pace maker implant. On Friday July 23rd, 2021 I had thyroid lab work and it is finally starting to stabilize.
70 2021-01-06 respiratory arrest Vaccine Candidate received vaccine approxat 2:30pm, was monitored for 15 min no complications at the... Read more
Vaccine Candidate received vaccine approxat 2:30pm, was monitored for 15 min no complications at the time, went home. Around 5:30pm while walking into her home she became unresponsive, was assisted in a siting position, became incoherent, mumbling and started to convulse to the right side of her r upper extremity. Foaming at the mouth and stopped breathing, CPR was initiated for 1-2 min, EMS arrived was transported to Medical Center. She was admitted and is currently hospitalized. MD reports this event is highly unlikely related to the vaccine given her medical history but suggested to report being its a new vaccine. Current status: stable.
70 2021-01-19 cerebral haemorrhage, death Patient received her first dose of the Moderna COVID-19 Vaccination on Saturday January 16th 2021 at... Read more
Patient received her first dose of the Moderna COVID-19 Vaccination on Saturday January 16th 2021 at approximately 12pm. She completed all necessary screening forms and was deemed to be at low risk for serious allergic reactions. She tolerated the vaccination well, and no complications or immediate adverse events occurred. She was observed for a full 15 mins per CDPHE/CDC guidelines and left the Clinic in stable condition after her observation period was complete. On the morning of Tuesday, January 19th, 2021, the patient was found unconscious and unresponsive by her husband. She was transferred by Ambulance to Hospital shortly thereafter. She was diagnosed with a brain bleed that was determined to be inoperable. She was transferred to other Hospital for higher level care. She was seen by neurosurgery and diagnosed with a ruptured aneurysm. She was treated in the ICU for 24 hours, at which point her team determined that the severity of her brain bleed would not respond to treatment. Supportive cares were withdrawn on Wednesday Jan 20th, and she passed away shortly thereafter.
70 2021-02-01 ventricular tachycardia 2ND ACHY. DAY AFTER INJECTION. RAN FEVER 101.6. BECAME CONFUSED. GROUND GLASS COUGH, VENTRICULAR TAC... Read more
2ND ACHY. DAY AFTER INJECTION. RAN FEVER 101.6. BECAME CONFUSED. GROUND GLASS COUGH, VENTRICULAR TACHYCARDIA. ADMITTED TO HOSPITAL. IV STEROIDS,AND ANTIBIOTIC STARTED. CHANGED TO PO AFTER 3 DAYS. PT IMPROVED. COUGH RESOLVED PT SENT HOME WITH ORAL STEROIDS AND ANTIBIOTICS FOR 3 DAYS.
70 2021-02-18 anaphylactic shock, respiratory arrest anaphylactic shock 30 minutes after receiving shot with tongue swelling, air passage swollen shut, ... Read more
anaphylactic shock 30 minutes after receiving shot with tongue swelling, air passage swollen shut, and unable to breathe. received 2 epi pens shots and large shot of Benadryl from paramedics. I am still having AFTER EFFECTS 1 week later. Heart still races and blood pressure drops.
70 2021-02-21 death patient passed away within 60 days of receiving a COVID vaccine
70 2021-03-07 respiratory failure Pt with h/o myasthenia gravis presents to ED with 3 week h/o worsening weakness. Unclear exact timin... Read more
Pt with h/o myasthenia gravis presents to ED with 3 week h/o worsening weakness. Unclear exact timing on onset relative to vaccine administration but appears to have been a few days later. During these 3 weeks, patient also diagnosed and treated for a UTI but patient had worsening of weakness leading to falls x2 a few days before presenting to hospital ED. On admission to hospital, pt diagnosed with myasthenic crisis treated initially with non-invasive mechanical ventilation and plasmapheresis. DDx included UTI with encephalopathy and confusion related to it.
70 2021-03-09 heart attack On 3/4/21, @ 2:pm, I had a very severe pain between my shoulder blades that took my breath away, th... Read more
On 3/4/21, @ 2:pm, I had a very severe pain between my shoulder blades that took my breath away, that radiating to the front of my check. I put an aspirin under my tongue, walked around and had some water. Pain kept getting worse. My husband drove me to the ED got there at 4pm. They took blood, did chest x-ray, ekgs. Blood work showed my Troponin level @ .11 and later elevated to 2.1. My blood pressure was 215/99, temp 97. I started having pain in my right shoulder & right wrist. I was diagnosed with a slight heart attack. On Friday, 3/5/21, facility did an angiogram, which showed my arteries were clear, no blockage or plaque, no heart damage. Did show it appeared the arteries had gone into a spasm which may have caused the heart attack. I saw my primary Dr on Monday, 3/8/21, and she said I have no history of heart problems, no high cholesterol, etc. I asked her if this could be a side effect of my vaccine. Dr. said it was a good question & she didn't know the answer, since not all the research has been done. She suggested I submit my question to VAERS! I'm now taking Aspirin 81 mg, daily, Bisoprolol 5 mg Tab, Losartan 25 mg Tab, DOK 100 mg Cap.
70 2021-03-10 death The patient presented to the off complaining of feeling weak in the legs on Monday, March 1, 2021. S... Read more
The patient presented to the off complaining of feeling weak in the legs on Monday, March 1, 2021. She had been moving over the weekend and was over-exerting herself and stated she had fallen on a rug at the old house and then had lain down on the floor to sleep with her dog in the new home, had difficulty getting up and needed help. No symptoms of fever, chills, sweats, headache, myalgias. The next day she passed away at her home, sitting in her chair.
70 2021-03-10 death A high risk employee received 1st vaccine dose of Moderna through the Health Center (HC) on 2/1/2021... Read more
A high risk employee received 1st vaccine dose of Moderna through the Health Center (HC) on 2/1/2021. This patient was seen as an employee only and was not established patient of the HC. The patient reported "having symptoms of Bronchititis" on 2/5/2021 prior to being hospitalized for 7 days (2/5/21 to 2/12/21). On 2/12/2021, an ER visit at Medical Center & transported to General Hospital on 2/13/21. On 3/11/2021, we were notified that the patient died on 3/10/21.
70 2021-03-11 death, cardiac arrest cardiac arrest death
70 2021-03-11 excessive bleeding Note: after giving shot nurse said WOOPS - blood dripping down my arm. 4 hours later arm VERY sore.... Read more
Note: after giving shot nurse said WOOPS - blood dripping down my arm. 4 hours later arm VERY sore. 6 hours later arm VERY VERY sore. No sleep, hot and cold flashes, significant aches esp. in legs (even my eyeballs hurt!). Pain resolved by AM. Next day arm got a bit itchy. 3 days later arm itched like I had poison ivy and fingers / hands had pain and joint swelling. Used a prescription steroid cream on arm and that resolved itching. Hands, fingers took 10 days to return to normal. All in all 14 days to recover completely from 2nd Moderna Covid shot.
70 2021-03-11 vaginal haemorrhage Patient is a 70 year old female that is post-menopausal. Her first Moderna vaccine dose was given on... Read more
Patient is a 70 year old female that is post-menopausal. Her first Moderna vaccine dose was given on 2/4/21. Exactly one week later on 2/9/21, the patient had vaginal bleeding that lasted one day. There were small clots in the blood that was discharged. The patient went to the doctor where a urinalysis was performed. The patient had a positive urinalysis and was started on antibiotics. The patient's second dose was on 3/4/21. Exactly one week later on 3/11/21, the patient had vaginal bleeding that lasted a day. Patient usually takes aspirin 81mg daily, however she stopped this medication prior to both doses being administered. She restarted the aspirin after each Moderna dose.
70 2021-03-15 death unexplained death
70 2021-03-16 fluid around the heart Two week after receiving the Moderna vaccine, patient started to have a high fever, body aches all o... Read more
Two week after receiving the Moderna vaccine, patient started to have a high fever, body aches all over, coughing, congestion, and oxygen levels would not remain stable. On 3/15 she was admitted the hospital. She is still currently in the hospital and her blood oxygen levels remain around 80. She has fluid in her lungs and around her heart. Her liver enzymes remain highly elevated.
70 2021-03-16 blood clot, transient ischaemic attack The next day, I had short term memory loss. I went to the hospital, and they said I had some type of... Read more
The next day, I had short term memory loss. I went to the hospital, and they said I had some type of heart episode. I was taken by ambulance to the hospital and was told I had a blood clot in my brain and had suffered a mini stroke. I was hospitalized for 4 nights. I was given blood thinner and I improved.
70 2021-03-17 death Patient found demised at home on 3/17/2021
70 2021-03-17 severe muscle breakdown Symptoms began 2 hours after dose, including headaches, myalgias, and lower extremity weakness. Trie... Read more
Symptoms began 2 hours after dose, including headaches, myalgias, and lower extremity weakness. Tried Tylenol with no relief. Symptoms progressively worsening. Fell and hit head the following day, denied loss of consciousness. Never had a reaction to vaccine before. No response to first dose. No lightheadedness/presyncope prior to falls. Came to ED after fall (evening of the day after receiving the vaccine). Found to have elevated troponin. CK elevated, aggressive fluid repletion initiated, determined to be in rhabdomyolysis. Hypokalemic. Patient improved with fluids and electrolytes, determined to be stable for discharge after 2 days.
70 2021-03-18 atrial fibrillation Vibrating from my waist to my neck; Atrial fibrillation; Really tired; Felt lousy; Extreme thirst; I... Read more
Vibrating from my waist to my neck; Atrial fibrillation; Really tired; Felt lousy; Extreme thirst; I've lost 8 lbs from the last month or two; A spontaneous report was received from an consumer concerning a 70 years old, female patient who experienced atrial fibrillation, tired out, vibrating from waist to neck, felt lousy, extreme thirst and lost 8 lbs last month. The patient's medical history was not provided. Concomitant product use was none by the reporter. On 01 Feb 2021, prior to the onset of the symptoms, the patient received the first of two planned doses of mRNA-1273 (Batch number: 027L20A) in left arm for prophylaxis of COVID-19 infection. On 01 Mar 2021, prior to the onset of the symptoms, the patient received the second of two planned doses of mRNA-1273 (Batch number not provided) in left arm for prophylaxis of COVID-19 infection. The patient experienced the events tired since an unknown date in Feb 2021; vibrating from my waist to my neck, atrial fibrillation, felt lousy, extreme thirst and lost 8 lbs last month all since 06 Feb 2021. The patient was hospitalized on 06 Feb 2021 and was discharged on 07 Feb 2021. Laboratory investigations included echocardiogram which "turned out ok" and EKG "was ok" both performed on an unknown date in Feb 2021. Treatment for the event included diltiazem and Eliquis both since an unknown date for an unknown indication. The patient received both scheduled doses of mRNA-1273; therefore, action taken with the drug in response to the events is not applicable. The outcome of the events felt very tired, vibrating from my waist to my neck, atrial fibrillation, felt lousy, extreme thirst and lost 8 lbs last month were 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.
70 2021-03-20 deep vein blood clot R subclavian occlusive DVT, currently on oral anticoagulation with xarelto Symptoms: discoloration/s... Read more
R subclavian occlusive DVT, currently on oral anticoagulation with xarelto Symptoms: discoloration/swelling of R arm Symptom with vague onset, starting ~3/8/21
70 2021-03-21 death illness and very very sick; Death; A spontaneous report was received from a lawyer concerning a 70 o... Read more
illness and very very sick; Death; A spontaneous report was received from a lawyer concerning a 70 or 71-years-old, female patient who received Moderna's COVID-19 Vaccine (mRNA-1273) and who died following illness. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. The patient received their first of two planned doses of mRNA-1273 (Batch number not provided) on an unspecified date. On an unknown date, approximately 24 hours prior to the onset of the symptoms, the patient received their second of two planned doses of mRNA-1273 (Batch number not provided) via an unknown route for prophylaxis of COVID-19 infection. Within 24 hours, of vaccination the patient got very ill and sick and on the 4th day patient went to have a shower and found dead by patient's husband. Treatment information was not provided. Action taken with mRNA-1273 in response to the events was not applicable. The outcome of the event, illness and very sick was unknown. The patient died on 13 Mar 2021. The cause of death was unknown. Plans for an autopsy were denied due to COVID-19 relation and are reporting to Moderna. Autopsy was not performed.; Reporter's Comments: This is a case of death in an 70/71-year-old male subject with unknown medical history, who was sick from day 1 and died on day 4 after receiving first dose of vaccine. Very limited information has been provided at this time. Further information has been requested.; Reported Cause(s) of Death: Unknown cause of death
70 2021-03-22 pulmonary embolism 2/10/21- RECEIVED MODERNA; 2/11/2021- FEVER AND FATIGUE; 2/19/2021- CHEST PAIN AND SHORTNESS OF BREA... Read more
2/10/21- RECEIVED MODERNA; 2/11/2021- FEVER AND FATIGUE; 2/19/2021- CHEST PAIN AND SHORTNESS OF BREATH; 2/20/2021- CONTINUED CHEST PAIN AND SHORTNESS OF BREATH- ER VISIT (ADMITTED FOR PULMONARY EMBOLISM); 2/23/2021- DISCHARGED FROM HOSPITAL TO HOME
70 2021-03-23 atrial fibrillation Atrial fibrillation; A spontaneous report was received from a consumer concerning a 70 years old fem... Read more
Atrial fibrillation; A spontaneous report was received from a consumer concerning a 70 years old female patient who received Moderna's COVID-19 vaccine(mRNA-1273) and experienced Atrial fibrillation. The patient's medical history was not provided. Concomitant medications reported included LEVOTHYROXINE(75mcg daily), HYDROCHLOROTHIAZIDE(25mg daily), CO Q10(200mg daily), VITAMIN D (2000iu daily), VITAMIN, RESTORE VITAMIN, BIOTIN (5000mcg daily), NEXIUM(daily), ATIVAN(0.5mg as needed for sleep), METFORMIN (500mg three times daily), METOPROLOL ER (25mg daily), ELIQUIS( 5mg twice daily), POTASSIUM CHLORIDE ER (10meq twice daily). On 05 Feb 2021, prior to the onset of the event, the patient received the first of two planned doses of mRNA-1273(Lot number: 010MZ0A ) vaccine intramuscularly in the right arm for prophylaxis of COVID-19 infection. On 05 Feb 2021, patient reported that 3-4 hrs later she had Atrial fibrillation where her heart rate reached 170. She went to the ER and they were able to convert within a couple of hours. Patient reported that she had no prior history. The event was considered to be medically significant. Treatment for the event included Metoprolol ER 25mg daily. Action taken with the second dose of mRNA-1273 in response to the event was not reported. The outcome of the event Atrial fibrillation is 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 event, a causal relationship cannot be excluded.
70 2021-03-23 death Patient tested positive for Covid on 3/12/21 per hospital admission notes. Patient was admitted to t... Read more
Patient tested positive for Covid on 3/12/21 per hospital admission notes. Patient was admitted to the hospital on 3/16/2021 with Covid pneumonia. She passed away on 3/22/21.
70 2021-03-25 death patient showed no signs or symptoms after but was found deceased the following day.
70 2021-03-25 deep vein blood clot Blood Clot in Leg; A spontaneous report was received from consumer concerning a 70-years-old female ... Read more
Blood Clot in Leg; A spontaneous report was received from consumer concerning a 70-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced blood clot in leg. The patient's medical history was not reported by the reporter. Concomitant medications taken by the patient included blood thinners for blood clot. On 21-Jan-2021, the patient received her first of two planned doses of mRNA-1273 (Lot number: 013L20A) through intramuscular route on left upper arm for prophylaxis of COVID-19 infection. On 18-Feb-2021, prior to the onset of the event, the patient received their second of two planned doses of mRNA-1273 (Lot number: 013M20A) through intramuscular route at right upper arm for prophylaxis of COVID-19 infection. On 23-Jan-2021, after the first dose patient developed leg pain. The patient reported of having the leg pain linger for about 2 weeks before seeing a healthcare professional. The healthcare professional had later found that the leg pain was related to the development of a blood clot. Relevant Treatment for the event was with blood thinner. The patient received both scheduled dose of mRNA-1273; therefore, action taken with the drug in response to the event is not applicable. The outcome of event, blood clot in leg was 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.
70 2021-03-30 anaphylactic reaction Post-Vaccine onset of 30 minutes. Difficulty breathing, mild tongue swelling, coughing, wheezing, di... Read more
Post-Vaccine onset of 30 minutes. Difficulty breathing, mild tongue swelling, coughing, wheezing, difficulty speaking, flushing. Self-Injected EpiPen Xopenex 1.25mg/3mL solution Famotidine 20mg tablet Diphenhydramine 50mg Adrenalin 1mg/ml (0.5mg)
70 2021-03-30 cerebrovascular accident On 3/15/2021 pt was trying to use her computer when she started having problems with her vision. Sh... Read more
On 3/15/2021 pt was trying to use her computer when she started having problems with her vision. She noticed her left hand was clumsy and awkward. Her left leg would not operate properly. She could not swallow pills with water and her speech was slowed and slurred. She went to the Hospital ER. They did MRI, CT, blood test that showed she had a small stroke. She was released to go home to do physical therapy and speech therapies. She has both of these scheduled and will follow up w/ PCP on 4/23/2021.
70 2021-03-30 blood clot Her leg started bothering her, the pain was quite heavy and consistent; pain under her left arm; blo... Read more
Her leg started bothering her, the pain was quite heavy and consistent; pain under her left arm; blood cloth in her leg; a little nauseous; headache; tired; pins; A spontaneous report was received from a consumer concerning a female patient of 70-years-old, who received Moderna's COVID-19 vaccine(mRNA-1273) and experienced Pins/ Paraesthesia,nausea,tiredness,headache,pain in leg was quite heavy and consistent, blood cloth in leg, pain under left arm. The patients medical history was not provided .Concomitant medications reported included Eliquis starter pack twice a day,Latanoprost for Glaucoma,Omeprazole for heart burn. On 15 Jan 2021,prior to the onset of events, the Patient received their first of two planned dose of mRNA-1273(Lot number: 037K20A) vaccine via unknown route for prophylaxis of COVID-19 infection. On 12 Feb 2021,prior to the onset of events, the Patient received their second of two planned dose of mRNA-1273(Lot number: 024M20A) vaccine via unknown route for prophylaxis of COVID-19 infection On 12 feb 2021,That evening she got pins again.The next day she was a little nauseous, tired and had a headache. Her leg started bothering her 3 days to a week after the second dose.And the pain in her leg was quite heavy and consistent, she thought it might be her sciatica. She went to the doctor and ended up getting a doppler and they discovered a blood clott there. She had never had a blood clott before in her life.she was feeling pain under her left arm as well. No Treatment for the event was provided. Action taken with the mRNA-1273 in response to the event was not applicable. the event pins were considered resolved on 13 Feb 2021. The events nauseous,tiredness,headache were considered resolved on 14 Feb 2021. The outcome of the events pain in leg was quite heavy and consistent, blood cloth in leg, pain under left arm was unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.
70 2021-03-31 excessive bleeding She bled down her arm like she never bled before; Warm to touch; Tender to touch; Red warm 3inches r... Read more
She bled down her arm like she never bled before; Warm to touch; Tender to touch; Red warm 3inches round under the skin; Rash; Pain in arm; This spontaneous case was reported by a 70-years-old female consumer who received first dose of mRNA-1273 and experienced event rash. The consumer's medical history was not provided. Relevant concomitant medication was reported as acetylsalicylic acid (aspirin) for an unknown indication. On 14-JAN-2021, prior to the onset of the events the consumer received first of two planned doses of mRNA-1273 (batch number: 041L20A) intramuscularly in left arm for prophylaxis of COVID-19 infection. On 23-Jan-2021, the consumer experienced the event rash. Treatment information was not provided. The action taken with mRNA-1273 in response to the event was unknown. The outcome of event was unknown. The follow-up was received on 27-Jan-2021 and it included that the consumer had experienced events she bled down her arm like she never bled before, pain in arm, red warm 3inches round under the skin, warm to touch and tender to touch. On an unknown date, the consumer experienced the event she bled down her arm like she never bled before. On 14-JAN-2021, the consumer experienced the event pain in arm. On 23-Jan-2021, the consumer experienced the events red warm 3inches round under the skin, warm to touch and tender to touch. Treatment information was not provided. The action taken with mRNA-1273 in response to the events was unknown. The outcome of events was unknown. The follow up information was received on 27 Jan 2021. The outcome of rash (unknown), erythema and pain (recovered) of extremity was updated.; Reporter's Comments: This case concerns a 70 Y/O F with a serious unexpected event of hemorrhage, and nonserious unexpected pain in extremity, feeling hot, tenderness, and expected erythema, rash. Event onset on Day 1 after first dose mRNA-1273. Event outcomes unknown. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.
70 2021-03-31 blood clot in lung Blood clot in the lung; A spontaneous report was received from a consumer concerning a 70-years-old,... Read more
Blood clot in the lung; A spontaneous report was received from a consumer concerning a 70-years-old, female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced blood clot in the lung/ Pulmonary thrombosis. The patient's medical history included hyperthyroidism. Products known to have been used by the patient, within two weeks prior to the event, included levothyroxine for hyperthyroidism. On 10 Mar 2021, approximately five days prior to the onset of the events, the patient received the first of two planned doses of mRNA-1273 (Batch number not provided) via unknown route for prophylaxis of COVID-19 infection. On 15 Mar 2021, the patient developed a medically significant event of blood clot in her lung and was hospitalized for 2 days followed by short of breath and cannot walk very far. Treatment for the event included blood thinner. Action taken with mRNA-1273 in response to the events was not provided. The outcome of the event, blood clot in the lung/t Pulmonary thrombosis was not provided.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.
70 2021-03-31 blood clot Pt. states she started to spit blood approximately 12 hours after Covid 19 vaccines. It happened bo... Read more
Pt. states she started to spit blood approximately 12 hours after Covid 19 vaccines. It happened both times. 1st dose given on 2/25/21, reporting second dose from 3/25/21 because pt. sought ER care at . She states the blood was coming from throat area, not vomiting. She just spit out blood and blood clots. Dr. will send her to ENT to rule out lesion.
70 2021-04-02 death Death; had vomited and was found unresponsive and covered in stool, intubated and then went in to PE... Read more
Death; had vomited and was found unresponsive and covered in stool, intubated and then went in to PEA in the field and passed despite lengthy resuscitation.
70 2021-04-04 death Patient death within 60 days of receiving the COVID vaccine series
70 2021-04-04 severe muscle breakdown Patient admitted with encephalopathy, rhabdomyolysis, lactic acidosis, troponin elevation. Note the... Read more
Patient admitted with encephalopathy, rhabdomyolysis, lactic acidosis, troponin elevation. Note the presence of other medications, ie ambien and neurontin that may have contributed to her illness
70 2021-04-05 pneumonia Community Acquired Pneumonia in left lower lobe with no evidence of plural effusion, negative for pn... Read more
Community Acquired Pneumonia in left lower lobe with no evidence of plural effusion, negative for pneumothorax; got really run down; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PNEUMONIA (Community Acquired Pneumonia in left lower lobe with no evidence of plural effusion, negative for pneumothorax) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Pneumonia. On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Mar-2021, the patient experienced PNEUMONIA (Community Acquired Pneumonia in left lower lobe with no evidence of plural effusion, negative for pneumothorax) (seriousness criterion medically significant) and FATIGUE (got really run down). At the time of the report, PNEUMONIA (Community Acquired Pneumonia in left lower lobe with no evidence of plural effusion, negative for pneumothorax) had not resolved and FATIGUE (got really run down) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 26-Mar-2021, Chest X-ray: abnormal (abnormal) Community Acquired Pneumonia in left lower lobe with no evidence of plural effusion, negative for pneumothorax. On 26-Mar-2021, SARS-CoV-2 test negative: negative (Negative) Negative. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Based in the current information and the 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 in the current information and the temporal association between the use of the product and the start date of the events a causal relationship cannot be excluded.
70 2021-04-06 ischaemic stroke, cerebrovascular accident She was admitted at hospital on 3/9/21-3/11/21 due to ischemic stroke which she received TPA and mec... Read more
She was admitted at hospital on 3/9/21-3/11/21 due to ischemic stroke which she received TPA and mechanical thrombectomy for L MCA M1 occlusion. Her symptoms include aphasia, R facial droop, R side weakness. Patient report no residual deficits.
70 2021-04-07 heart attack She felt. Ad the evening of her 2nd vaccine. The morning after she felt worse. Nauseous, pale, ach... Read more
She felt. Ad the evening of her 2nd vaccine. The morning after she felt worse. Nauseous, pale, achy. She said she had not ever felt that bad. I read possible side effects. It said flu like symptoms, so we thought it would pass. Then around 4 she called for me & when I got there she had an event that caused her to be unable to speak & her eyes widened & pupils were dilated. I called 911. They got here quick. She had at least three of those stiffening wide eyed events. The emt said they thought it was her blood sugar. When checked it was 350 even though she had taken her insulin that day. They said she had a massive heart attack on the way to the hospital.
70 2021-04-07 blood clot, cerebrovascular accident Blood clot (brain)/ stroke
70 2021-04-08 atrial fibrillation, ischaemic stroke I received 1st Covid shot on Feb 18, 2021. On March 4,2021, I was taken to Med Center by ambulance a... Read more
I received 1st Covid shot on Feb 18, 2021. On March 4,2021, I was taken to Med Center by ambulance after having a small stroke that am. I don't know if there is any correlation? Did not think so, as I received my second Covid shot on March 18th, without any adverse reaction at all. I am only sending this o you as I wws informed that you would want to know about this?
70 2021-04-08 heart attack, atrial fibrillation Heart beat of 200 bpm; Heart attack; Flu like symptoms; frequent urination; Dry heaves; Heart flutte... Read more
Heart beat of 200 bpm; Heart attack; Flu like symptoms; frequent urination; Dry heaves; Heart fluttering; Atrial Fibrillation; fever; Little flutter; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of HEART RATE INCREASED (Heart beat of 200 bpm), MYOCARDIAL INFARCTION (Heart attack) and ATRIAL FIBRILLATION (Atrial Fibrillation) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 048A21A and 030M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Cardiac catheterisation (Found blockages which resulted in 2 stents.) on 17-Mar-2021. On 10-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 24-Mar-2021, the patient experienced PALPITATIONS (Little flutter). On an unknown date, the patient experienced HEART RATE INCREASED (Heart beat of 200 bpm) (seriousness criterion hospitalization), MYOCARDIAL INFARCTION (Heart attack) (seriousness criteria hospitalization and medically significant), INFLUENZA LIKE ILLNESS (Flu like symptoms), POLLAKIURIA (frequent urination), RETCHING (Dry heaves), CARDIAC FLUTTER (Heart fluttering), ATRIAL FIBRILLATION (Atrial Fibrillation) (seriousness criterion medically significant) and PYREXIA (fever). The patient was hospitalized on 16-Mar-2021 due to HEART RATE INCREASED. At the time of the report, HEART RATE INCREASED (Heart beat of 200 bpm), MYOCARDIAL INFARCTION (Heart attack), PALPITATIONS (Little flutter), INFLUENZA LIKE ILLNESS (Flu like symptoms), POLLAKIURIA (frequent urination), RETCHING (Dry heaves), CARDIAC FLUTTER (Heart fluttering), ATRIAL FIBRILLATION (Atrial Fibrillation) and PYREXIA (fever) outcome was unknown. Patient went to the hospital in an ambulance. Treatment information was not provided. On 26 Mar 2021, the patient had to wear holter monitor for 1 month for observation of atrial fibrillation. This case was linked to US-MODERNATX, INC.-MOD-2021-056770, US-MODERNATX, INC.-MOD-2021-056770 (E2B Linked Report). Reporter did not allow further contact; Sender's Comments: Very limited information regarding these events has been provided at this time. The events are probably related to the patient's comorbidities US-MODERNATX, INC.-MOD-2021-056770:1st Dose Case US-MODERNATX, INC.-MOD-2021-056770:2nd dose case
70 2021-04-09 fluid around the heart Syncope while working in garden 3/28/21, ED visit, no imaging, EKG NSR, treated with IVF attributed ... Read more
Syncope while working in garden 3/28/21, ED visit, no imaging, EKG NSR, treated with IVF attributed to dehydration Severe neck pain radiating to chest started 4/2/21, CT showed large pericardial effusion, admitted to hospital for acute pericarditis with pericardial effusion
70 2021-04-12 pulmonary embolism Dose 1 was administered;10 days prior to dose 2 patient began to have shortness of breath. Dose 2 w... Read more
Dose 1 was administered;10 days prior to dose 2 patient began to have shortness of breath. Dose 2 was administered 3-23-21, Moderna Lot 006B21A. Severe sob and left sided pain 3-23-21 @ 5:30pm/difficulty moving around. Sought treatment at Hospital on 3-25-21 as symptoms were increasing in severity/chest xray and CT revealed pulmonary embolisms in both lungs; Heparin was started/transported by ambulance to another hospital for clot removal. Decided not to do procedure and was kept on Heparin for 24 hours. Began Eliquis that Friday/symptoms began to resolve and was dc'd on Saturday.
70 2021-04-12 blood clot in lung Noticed shortness of breath, extreme trouble breathing that worsened over 3 days. Cat scan was perfo... Read more
Noticed shortness of breath, extreme trouble breathing that worsened over 3 days. Cat scan was performed at hospital finding blood clots on lungs. Surgery was performed to eliminate the blood clots.
70 2021-04-12 sepsis dehydration; temperature that I couldn't keep down; weak; difficulty breathing; spots on lungs; low ... Read more
dehydration; temperature that I couldn't keep down; weak; difficulty breathing; spots on lungs; low blood pressure; cracked 2 crowns and 3 crowns lost from clinching jaw; cracked 2 crowns and 3 crowns lost from clinching jaw; nausea/vomiting; body aches; muscle aches; rash; vomiting; Started on fluids and lungs filled up with fluid; pancreas was being attacked- pancreatitis; septic; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PULMONARY OEDEMA (Started on fluids and lungs filled up with fluid), PANCREATITIS (pancreas was being attacked- pancreatitis), SEPSIS (septic) and DEHYDRATION (dehydration) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 001B21A and 006M20A) 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). On 12-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced PULMONARY OEDEMA (Started on fluids and lungs filled up with fluid) (seriousness criterion medically significant), PANCREATITIS (pancreas was being attacked- pancreatitis) (seriousness criterion medically significant), SEPSIS (septic) (seriousness criterion medically significant), DEHYDRATION (dehydration) (seriousness criterion hospitalization), BODY TEMPERATURE INCREASED (temperature that I couldn't keep down), ASTHENIA (weak), DYSPNOEA (difficulty breathing), PULMONARY MASS (spots on lungs), HYPOTENSION (low blood pressure), BRUXISM (cracked 2 crowns and 3 crowns lost from clinching jaw), TOOTH INJURY (cracked 2 crowns and 3 crowns lost from clinching jaw), NAUSEA (nausea/vomiting), PAIN (body aches), MYALGIA (muscle aches), RASH (rash) and VOMITING (vomiting). The patient was hospitalized from 20-Mar-2021 to 26-Mar-2021 due to DEHYDRATION. At the time of the report, PULMONARY OEDEMA (Started on fluids and lungs filled up with fluid), PANCREATITIS (pancreas was being attacked- pancreatitis), SEPSIS (septic), DEHYDRATION (dehydration), BODY TEMPERATURE INCREASED (temperature that I couldn't keep down), ASTHENIA (weak), DYSPNOEA (difficulty breathing), PULMONARY MASS (spots on lungs), HYPOTENSION (low blood pressure), BRUXISM (cracked 2 crowns and 3 crowns lost from clinching jaw), TOOTH INJURY (cracked 2 crowns and 3 crowns lost from clinching jaw), NAUSEA (nausea/vomiting), PAIN (body aches), MYALGIA (muscle aches), RASH (rash) and VOMITING (vomiting) outcome was unknown. No concomitant products included. Patient's treatment information include Advil, trigger point injections in neck, hot and cold packs, Lasix, antibiotics, pain meds, discharged from hospital on oxygen. 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.
70 2021-04-12 blood clot What appeared to be blood clots on both forearms.
70 2021-04-12 transient ischaemic attack Distension, abdominal tenderness Medial visual field loss in left eye. Covid pneumonia, TIA suspecte... Read more
Distension, abdominal tenderness Medial visual field loss in left eye. Covid pneumonia, TIA suspected from Covid
70 2021-04-14 acute respiratory failure, ventricular tachycardia, cardiac arrest, stroke, heart failure Two days following first dose Moderna Vaccine at Pharmacy, she suffered a cardiac arrest. Below Di... Read more
Two days following first dose Moderna Vaccine at Pharmacy, she suffered a cardiac arrest. Below Discharge Summary From 3/26 hospital. Patient PCP Information Provider PCP Type DO General Discharge Summary by DO at 3/26/2021 12:42 PM Author: DO Service: Cardiology Author Type: Resident Filed: 3/26/2021 12:57 PM Date of Service: 3/26/2021 12:42 PM Status: Attested Editor: DO (Resident) Cosigner: MD at 3/26/2021 1:17 PM Resident Attestation: I personally saw and examined the patient on rounds with my cariology resident team on the day of the resident's note. Management was discussed with the cardiology resident and I supervised the plan of care. I have reviewed and agree with the key parts of the resident evaluation including: Subjective information Objective findings on physical exam Impression and plan Gen: appears comfortable, sitting in bed Resp: clear. no wheezes, rhonchi, rales CV: normal rate, regular, no m/r/g Abd: soft, nt/nd Ext: warm, no edema. Pressure ulcer boots on. Pleasant 70-year-old woman who had a history of PVCs, left bundle branch block, and a mild nonischemic cardiomyopathy, came into the hospital following a VT/VF cardiac arrest. Her echocardiogram done while in the hospital showed a preserved ejection fraction. Her cardiac catheterization showed normal coronary arteries. She had implantation of an ICD. Hospital course has been complicated by watershed cerebral infarcts. In addition, she had an episode of C. difficile colitis. She has gradually improved over the course of the past 3 weeks. From a cardiovascular perspective, she is being discharged on carvedilol 25 mg twice a day, lisinopril 10 mg daily, and her home atorvastatin. With regards to her etiology of cardiac arrest, I would be suspicious about the possibility of sarcoidosis. However, we were not able to get a cardiac MR while she was inpatient due to her strokes and inability to consistently follow commands and hold her breath. Would recommend consideration of an outpatient. She is ready to discharge to subacute rehab today. I have spent greater than 30 minutes in discharge planning. Preferred Name: PATIENT PCP: DO Primary Cardiologist: MD Discharging Cardiologist: MD Admission Date: 3/5/2021 Admission Diagnosis: Cardiac arrest Discharge Date: 03/26/21 Discharge Summary Author: DO Primary Discharge Diagnosis VT/VF cardiac arrest, s/p therapeutic hypothermia S/p AICD placement 3/16/2021 Secondary Discharge Diagnoses Anoxic brain injury, recovering, with persistent aphasia and dysphagia C. difficile colitis Non-sustained ventricular tachycardia, resolved DETAILS OF HOSPITAL STAY Presenting Problem/History of Present Illness Patient is a 70 y.o. female, with history of nonischemic cardiomyopathy, admitted on 3/5/2021 after out of hospital VT/VF cardiac arrest. She completed therapeutic hypothermia protocol. Cardiac catheterization did not show any significant obstructive coronary disease. TTE showed LVEF 55%. Patient underwent AICD placement on 3/16/2021. Had some recurrent nonsustained ventricular tachycardia afterward, which resolved after increasing her carvedilol doses. Her course was complicated by a C. difficile infection, treated with PO Vancomycin, with significant improvement in diarrhea. She has had gradual neurologic recovery. Neurology felt she had had several watershed infarcts, but felt that she would continue to have a prolonged recovery over the next few months. Had some recovery of language/cognition prior to discharge. Due to her waxing/waning encephalopathy, she did not qualify for inpatient rehab, but will be discharged to subacute rehab. Discharged with tube feeding continued, though she can begin sips with speech therapy supervision. Patient seen and examined at bedside on the day of discharge. She stated that she had no pain, though HPI/ROS still limited due to aphasia. Discussed above information with patient's husband, who understood and was in agreement with the plan. Problem-Based Hospital Course NEURO Acute metabolic encephalopathy, with gradual recovery -Due to neurologic injury from cardiac arrest. -Neurology consult: concern for anoxic brain injury with watershed infarcts, anticipate very gradual recovery over the coming months. No acute process on imaging. -Patient extubated on 3/11, following some commands. Continuing to regain conversational ability and motor function gradually each day. Has some waxing and waning of mental status, but overall her encephalopathy continues to improve. -Limit centrally acting/sedating medications -Speech following for language/cognition as well as dysphagia requiring tube feeding. Can begin some sips in addition to tube feeds. -Continue tube feeds via tube per instructions provided on after visit summary INFECTIOUS DISEASE C. Difficile Colitis: -C.Diff Positive 3/18. Continue 125 mg PO Vancomycin Q6H for 10 days (3/18 - 3/27), confirmed with infectious disease -Frequency of diarrhea has decreased significantly, was stable after rectal tube removed 2-3 days prior to discharge Pneumonia, likely due to aspiration, resolved -s/p 5 day course ceftriaxone (3/5 - 3/9 ) -CTA on admission showed significant RUL and RLL consolidation with air bronchograms, as well as some patchy airspace disease in LUL -Had copious tan sputum on suctioning 3/7 - respiratory culture negative CARDIOLOGY Out of hospital cardiac arrest, likely VT/VF -Pt's husband initiated chest compressions x 10 minutes, until police/fire dept arrival, when AED showed a shockable rhythm. Likely VT/VF arrest. -S/p therapeutic hypothermia protocol. -Troponin peaked at 1.09 -3/16 Successful single chamber ICD implantation Nonsustained ventricular tachycardia (NSVT), resolved Chronic left bundle branch block -Has had multiple episodes of NSVT noted on telemetry 3/19 - 3/20 -s/p ICD as above -Increased dose of Carvedilol to 25 mg BID with resolution of NSVT History of nonischemic cardiomyopathy, LVEF 55% -Echo in 11/2019 demonstrated EF 42% (nadir). -TTE on admission showed recovered EF to 55%, mild concentric LVH, normal RV systolic function, no valvular abnormalities -Was initially started on aspirin/statin due to high suspicion for CAD, but as cardiac cath 3/15 was unremarkable, these medications were discontinued. -3/16 Successful single chamber ICD implantation Hypertension -Blood pressure now improved after restarting home lisinopril and initiating carvedilol -HCTZ discontinued as BP now well controlled on above regimen RENAL Oliguria, resolved -Pt initially had low urine output since admission, improved to 0.5 cc/kg/hr on 3/9. Continue fluids with free water flushes through tube feeds -Has had normal electrolytes, renal function, and urine output since initial renal recovery. RESPIRATORY Acute hypoxic respiratory failure secondary to cardiac arrest, s/p mechanical ventilation, extubated 3/11 -Patient successfully extubated 3/11, stable respiratory status. Protecting airway well. -Encourage incentive spirometry HEMATOLOGY Acute normocytic anemia, improving -Pt had Hgb drop from baseline around 13-14 at admission to 10.9, now around 10-11. -Has iron saturation of 11%. Normal LDH/bilirubin, ruling out hemolysis. -Started oral iron supplements -Consider outpatient screening for colon cancer ENDOCRINE Osteoporosis - on alendronate at home Discharge Disposition Discharge to skilled nursing facility Active Issues Requiring Follow-up Cardiology -follow-up for AICD placement PCP -post hospital follow-up Test Results Pending at Discharge -none
70 2021-04-14 pulmonary embolism pt was vaccinated at 2pm on 4/13/2021 moderma vaccine lot 021b12a and on 4/14/2021 at 830 had sharp ... Read more
pt was vaccinated at 2pm on 4/13/2021 moderma vaccine lot 021b12a and on 4/14/2021 at 830 had sharp lung pain was sent to the hospital and was admitted with a PE
70 2021-04-15 anaphylactic reaction Pt returned to vaccine site today on 4/16/2021 for her second dose but wanted to speak with a provid... Read more
Pt returned to vaccine site today on 4/16/2021 for her second dose but wanted to speak with a provider prior to her second dose. Pt reports after her first dose of Moderna on 3/16/21 she went home after waiting for 30 minutes and noticed red lines by her nose when she got into her car but thought it was nothing and did not mention it to any staff members/providers. Per the patient, went to bed that night and her throat got tight and her tongue swelled up so she called her PCP and he advised her to take 'medication' and she said symptoms improved. Pt notes for a few days she had to take these 'medications' because her throat was still a bit tight. Pt denies ever going to the ER. Pt reports symptoms have resolved completely. *I did not vaccinate this patient. This pt did not report any reactions while being monitored for 30 minutes by a provider on 3/16/21. I am currently seeing regular office visits today and the patient asked to speak with a provider prior to her second dose she was scheduled to come have done today. This patient is brand new to me and new to clinic and has has never been seen before aside from getting her first Moderna vaccine here. I advised she cannot get her second dose of Moderna and she agreed. I also advised that she report the adverse reaction herself and she agreed. STRICT ER precautions were advised and pt was recommended to follow up with her PCP. Pt verbalized understanding and agreed and her second dose of her Moderna COVID vaccine was cancelled and I wrote on her vaccine card she cannot receive her second dose due to anaphylaxis.
70 2021-04-16 pulmonary embolism This patient received her 2nd Moderna vaccine last week, w 10 days ago. She was seen in the ED today... Read more
This patient received her 2nd Moderna vaccine last week, w 10 days ago. She was seen in the ED today Submassive PE.
70 2021-04-17 blood clot in lung Mother in hospital with blood clots in both lungs on a ventilator. She has been hospitalized since 4... Read more
Mother in hospital with blood clots in both lungs on a ventilator. She has been hospitalized since 4/16/21
70 2021-04-19 pulmonary embolism Pulmonary embolism
70 2021-04-20 deep vein blood clot Extensive blood clot left leg
70 2021-04-21 death Dizziness off and on for 2 weeks along with muscle weakness and developed a cough about a week after... Read more
Dizziness off and on for 2 weeks along with muscle weakness and developed a cough about a week after this injection. My mother passed away.
70 2021-04-21 ischaemic stroke Pt had hives day of vaccine 4/7. Transport to hospital on 4/8 for extremity weakness. Confirmed larg... Read more
Pt had hives day of vaccine 4/7. Transport to hospital on 4/8 for extremity weakness. Confirmed large vessel ischemic stroke.
70 2021-04-21 pneumonia This patient received the Covid shot and has a primary coded discharge of U07.1 Covid-19. Please re... Read more
This patient received the Covid shot and has a primary coded discharge of U07.1 Covid-19. Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation. Other diagnoses E87.6 - Hypokalemia R09.02 - Hypoxia R74.01 - Elevated transaminase level J18.9 - Multifocal pneumonia U07.1 - COVID-19
70 2021-04-25 deep vein blood clot DVT Right leg I82.431
70 2021-04-27 transient ischaemic attack The Thursday after the shot, patient had a TIA.
70 2021-04-28 anaphylactic reaction Anaphylaxis
70 2021-04-29 blood clot in lung Patient received her second dose of moderna on 4-22-21. On 4-25-21, patient states she began to exp... Read more
Patient received her second dose of moderna on 4-22-21. On 4-25-21, patient states she began to experience chest pain when she took deep breaths. On 4-28-21, patient states she went to the emergency room. She states the hospital did a chest x-ray, a scan, and a heart echo. She was diagnosed with a lung clot. Patient states she was put on a blood thinner. On 4-29-21, the patient was discharged with a prescription of Eliquis.
70 2021-05-02 pulmonary embolism Submassive PE 5-6 weeks after the 2nd dose of COVID Moderna vaccine, no other pre-disposing factors ... Read more
Submassive PE 5-6 weeks after the 2nd dose of COVID Moderna vaccine, no other pre-disposing factors other than hx of DVT after a surgery.
70 2021-05-02 pulmonary embolism Pulmonary Embolism in lower left lung treated with Elaquis and increased statin
70 2021-05-03 brain sinus blood clot Venous sinus thrombosis
70 2021-05-04 stroke, cerebrovascular accident Patient was immunized with the second Moderna vaccine in the left arm (not in this clinic) on 04/16/... Read more
Patient was immunized with the second Moderna vaccine in the left arm (not in this clinic) on 04/16/21. ON 04/27/21 she suffered a CVA. She is now being treated with statin and plavix
70 2021-05-06 death The nurse was called by the family letting us know that the patient had passed away at home. No fur... Read more
The nurse was called by the family letting us know that the patient had passed away at home. No further details were provided,
70 2021-05-07 excessive bleeding I lost consciousness shortly after getting up at 6:00 AM on 3/13/2021. I hit my head on a metal draw... Read more
I lost consciousness shortly after getting up at 6:00 AM on 3/13/2021. I hit my head on a metal drawer handle. Since I was bleeding from the back of my head (behind ear) and disoriented, my husband called 911. EM personnel determined I was amnesic and needed medical care. I was taken to the emergency room. The 2.5 cm laceration on my head needed 8 staples to suture it. I spent two night at the hospital, had a series of lab tests and received X-ray chest, CT cervical spine, transthoracic echocardiogram and EEG. I suffered no broken bones. This event occurred after I had received my second dose of the Moderna COVID 19 vaccine the day before.
70 2021-05-07 blood clot, transient ischaemic attack Amnesia; Cardiac disorder; Thrombosis; Transient ischaemic attack; This case was received via anothe... Read more
Amnesia; Cardiac disorder; Thrombosis; Transient ischaemic attack; This case was received via another Manufacturer (Reference number: vsafe) on 27-Apr-2021 and was forwarded to Moderna on 27-Apr-2021. This regulatory authority case was reported by an other health care professional and describes the occurrence of AMNESIA (Amnesia), CARDIAC DISORDER (Cardiac disorder), THROMBOSIS (Thrombosis) and TRANSIENT ISCHAEMIC ATTACK (Transient ischaemic attack) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 027L20A) for COVID-19 vaccination. The patient's past medical history included Glaucoma and Hypothyroidism. Concurrent medical conditions included Stroke. Concomitant products included LEVOTHYROXINE, BRIMONIDINE, LATANOPROST and TIMOLOL for an unknown indication. On 13-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Jan-2021, the patient experienced AMNESIA (Amnesia) (seriousness criterion hospitalization), CARDIAC DISORDER (Cardiac disorder) (seriousness criterion hospitalization), THROMBOSIS (Thrombosis) (seriousness criteria hospitalization and medically significant) and TRANSIENT ISCHAEMIC ATTACK (Transient ischaemic attack) (seriousness criteria hospitalization and medically significant). At the time of the report, AMNESIA (Amnesia), CARDIAC DISORDER (Cardiac disorder), THROMBOSIS (Thrombosis) and TRANSIENT ISCHAEMIC ATTACK (Transient ischaemic attack) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 14-Jan-2021, Catheterisation cardiac: inconclusive. On 14-Jan-2021, Echocardiogram: inconclusive. On 14-Jan-2021, Magnetic resonance imaging: inconclusive. On 14-Jan-2021, Ultrasound scan: inconclusive. 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. The next day, the patient had short term memory loss, patient went to the hospital, and they said patient had some type of heart episode. The patient was taken by ambulance to the hospital and was told had a blood clot in brain and had suffered a mini stroke. The patient was hospitalized for 4 nights. The patient was given blood thinner and got improved. Company comment: Based on the information provided which includes a temporal association between the use of mRNA-1273 vaccine, the onset of the reported events, a causal relationship cannot be excluded. However patient had an underlying risk in the past history of stroke.; Sender's Comments: Based on the information provided which includes a temporal association between the use of mRNA-1273 vaccine, the onset of the reported events, a causal relationship cannot be excluded. However patient had an underlying risk in the past history of stroke.
70 2021-05-09 transient ischaemic attack Pt reported that she fainted after getting her COVID 19 vaccine (she did not know the manufacturer, ... Read more
Pt reported that she fainted after getting her COVID 19 vaccine (she did not know the manufacturer, nor has a lot #). She also stated that when she went to the hospital she was told that she had "multiple mini-strokes" She also tested positive to COVID 19 and required treatment.
70 2021-05-13 blood clot, pulmonary embolism Blood Cloots in legs and lungs. Sweeling legs, couldn't breathe. Hospital and drugs. Still contin... Read more
Blood Cloots in legs and lungs. Sweeling legs, couldn't breathe. Hospital and drugs. Still continiting treatment.
70 2021-05-18 blood clot Blood clot in right calf
70 2021-05-21 acute respiratory failure, deep vein blood clot, pneumonia Patient received Moderna Covid Vaccine on 01/25/2021 and second Moderna COVID vaccine on 02/22/2021 ... Read more
Patient received Moderna Covid Vaccine on 01/25/2021 and second Moderna COVID vaccine on 02/22/2021 and was diagnosed with a left lower extremity deep vein thrombosis on 04/22/2021, patient was then subsequently admitted to the hospital on 05/05/2021 with acute on chronic respiratory failure and bilateral pneumonia requiring IV antibiotics and increased supplemental oxygen.
70 2021-05-24 pneumonia Client called health dept to report being hospitalized for pneumonia after vaccine administration. ... Read more
Client called health dept to report being hospitalized for pneumonia after vaccine administration. Reports being hospitalized about 3 weeks and pulmologist and others doctors states it is from covid vaccine per client. Client is to not get 2nd shot according to Lung Doctor due to lungs being too weak. Client still recovering at this time but no linger hospitalized.
70 2021-05-27 blood clot in lung Blood clot in lung diagnosed, worry related to blood thinner use; Chest pains; Chest "didn't feel ri... Read more
Blood clot in lung diagnosed, worry related to blood thinner use; Chest pains; Chest "didn't feel right"; Blood pressure increased; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PULMONARY THROMBOSIS (Blood clot in lung diagnosed, worry related to blood thinner use), CHEST PAIN (Chest pains) and CHEST DISCOMFORT (Chest "didn't feel right") in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 021B21A and 047A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COVID-19 in November 2020. Concurrent medical conditions included Cholesterol blood excessive, Hypertension and Hyperlipidemia. Concomitant products included APIXABAN (ELIQUIS), CELECOXIB (CELEBREX), METOPROLOL SUCCINATE and LOSARTAN POTASSIUM for an unknown indication. On 25-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 25-Apr-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced CHEST DISCOMFORT (Chest "didn't feel right") (seriousness criterion hospitalization). On 28-Apr-2021, the patient experienced PULMONARY THROMBOSIS (Blood clot in lung diagnosed, worry related to blood thinner use) (seriousness criteria hospitalization, medically significant and life threatening), CHEST PAIN (Chest pains) (seriousness criterion hospitalization) and HYPERTENSION (Blood pressure increased). The patient was hospitalized on 28-Apr-2021 due to CHEST PAIN and PULMONARY THROMBOSIS. At the time of the report, PULMONARY THROMBOSIS (Blood clot in lung diagnosed, worry related to blood thinner use), CHEST PAIN (Chest pains), CHEST DISCOMFORT (Chest "didn't feel right") and HYPERTENSION (Blood pressure increased) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 28-Apr-2021, Blood pressure measurement: increased (High) Increased. Concomitant medication included high cholesterol drug. On 28 Apr 2021, post second dose of vaccination patient experienced chest pains and went to emergency room. Patient reports a chest scan, chest X-ray, bloodwork, EKG, echocardiogram, and various tests were performed at the hospital. Patient was diagnosed with a blood clot in lungs. Patient reports being hospitalized several days and doctors indicated "she dodged a bullet". Patient reports the treating physicians could not determine the cause of the clot, nor determine if it was vaccine related. Patient reports concomitant medication, losartan dose was recently increased from 50mg to 100mg once daily. Patient attributes that the increased blood pressure was the worry related to being placed on blood thinners [Eliquis]. Treatment information included eliquis. 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. This case was linked to MOD-2021-138094 (Patient Link).; 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.
70 2021-05-28 pulmonary embolism Severe breathing issue. Rattling in chest. urgent care on 4/6 and 4/10; enhalers issued, prednison... Read more
Severe breathing issue. Rattling in chest. urgent care on 4/6 and 4/10; enhalers issued, prednisone taken, shot of antibiotic given, chest x-ray. I flew in to home on 5/1. On 5/3 started having difficulty breathing progressively got worse went to nurse practioner on Friday, 5/7 sent to diagnostic imaging for ct scan with contrast found bilateral blood clots in lungs. Sent to ER at Hospital. Spent 4 days in hospital. Put on heparin until I was released on Monday. Put on eliquis when I was released on 5/10. See hematologist on June 1.
70 2021-05-31 pulmonary embolism Patient was admitted to hospital 3 days after receiving vaccine, on 5/9/21. She initially presented... Read more
Patient was admitted to hospital 3 days after receiving vaccine, on 5/9/21. She initially presented with a headache and was later diagnosed with an acute PE without acute cor pulmonale, unspecified pulomonary embolism.
70 2021-06-01 blood clot I woke up and 1/2 my mouth and my tongue felt numb and tingling as if I had Novocain and it was wear... Read more
I woke up and 1/2 my mouth and my tongue felt numb and tingling as if I had Novocain and it was wearing off. Woke up the next day and it was still there so I called the NP. She said to go and get a CAT scan in the morning and it didn't show anything. Later in the afternoon I noticed I was dropping things and dragging my feet and got concerned it was a stroke so I drove down to a larger medical center and they did a contrast CAT scan and that showed nothing. So then they did an MRI and they found a clot. So they put me on Plavix, blood thinner and all that stuff. After a couple of days my hand and foot were fine but the numbness and tingling in my mouth is still there till now. All of this wasn't real pronounced so I didn't think it was a stroke but it was. They sent me to a Neurologist and Cardiologist.
70 2021-06-08 systemic inflammatory response syndrome, acute respiratory failure Patient is a 70 yo F with PMHx COPD chronically on 3L O2, CHF, DM Type II, Hypothyroidism, HTN, CAD,... Read more
Patient is a 70 yo F with PMHx COPD chronically on 3L O2, CHF, DM Type II, Hypothyroidism, HTN, CAD, GERD and OSA not on bipap anymore at home presenting to the ER with difficulty breathing on 6/3/21. Due to acuity of condition limited history able to be obtained from patient and limited history obtained from patient's sign other on admit, who reported patient was having difficulty breathing earlier the day of admit and patient's boyfriend called EMS. Patient's boyfriend did report she was at baseline and denied any changes in management except she received her second dose of the COVID vaccine the day prior 6/2/21. EMS found the patient in respiratory distress and placed on non-rebreather and given 10mg Decadron. Once in the ER patient continued to appear in respiratory distress despite 3 treatments with Duo-nebs and patient was placed on NIPPV. Due to aggressive behavior of hitting staff and agitation in which patient appeared confused and attempted to continuously pull out IV lines and oxymask patient was given two separate doses of IV 0.5mg Ativan. pt arrived with a fever of 101.1, tachycardia 148, hypertension 190/144, respiratory rate of 38 she was admitted with severe SIRS response/possible sepsis with acute hypoxic respiratory failure without septic shock: - CXR negative for acute pathology/CT neg for acute pathology - ESR 64, CRP 5.5, D-dimer 540 - no leukocytosis present on lab work, renal and hepatic function WNL - EKG showed sinus tachycardia at rate 133 with RBBB - UA negative for acute infection - Blood cultures negative - Patient was started on IV Vancomycin and Zosyn which was discontinued the following day as infection ruled out - HS troponin 18, 1hr 15, delta -3 - ABG showed normal pH with hypercapnia at 58 she was also admitted for Acute metabolic encephalopathy: - Patient became agitated and was hitting staff in the ER - Unable to focus or respond more than a couple short words in ER without closing eyes - Given Ativan 0.5mg IV twice in ER as attempting to pull off lines and oxygen she was admitted to the ICU. the following day she was doing better but had body wide tremulousness and muscle fasciculations. she was eventually transferred to the medical floor. IV fluids were discontinued. Her fever defervesced. Eventually oxygen was weaned down to her baseline and she was discharged on 6/8/21 back home with home health services. She was felt to have severe SIRS response following covid 19 vaccination and it is now listed as an allergy. To her knowledge she has never been infected with covid-19
70 2021-06-15 death day after vax she became weak, couldn't walk, couldn't move arms/legs
70 2021-06-16 cardiac failure congestive, atrial fibrillation New Onset Cardiomyopathy with low ejection fraction, CHF, new onset AFIB
70 2021-06-17 atrial fibrillation Experienced an episode of rapid heart rate and chest pain consequently diagnosed as Atrial fibrillat... Read more
Experienced an episode of rapid heart rate and chest pain consequently diagnosed as Atrial fibrillation in the emergency room. Was cardioverted and placed on Apixaban and Diltiazem . Returned home
70 2021-06-20 respiratory failure Respiratory failure; bradycardia with heart block
70 2021-06-20 blood clot I had unexpected and severe bleeding from my uterus. I've had 2 surgical procedures D&C and Ablation... Read more
I had unexpected and severe bleeding from my uterus. I've had 2 surgical procedures D&C and Ablation. As a result from the first procedure I developed a blood clot in my leg. Which has lead me to be on a blood thinner medication.
70 2021-06-22 heart attack Patient is a very pleasant 70-year-old female with a past medical history significant for type 2 dia... Read more
Patient is a very pleasant 70-year-old female with a past medical history significant for type 2 diabetes, hyperlipidemia, hyperthyroidism, depression and past history of coronary artery disease/inferior wall MI in 2001 resulting in PCI who presented to the emergency room on 6.18 with a chief complaint of recurrent substernal chest pain that has been occurring since it started suddenly on June 12 associated with nausea, two episodes of vomiting and sweating. She reported prior to that she was in her usual state of health. She admits to a chronic issue with going up her 28 stairs in her home but reports that there has been no change in the shortness of breath pattern doing the stairs or in her usual joint pain doing the stairs up until this past Saturday. She denied any recent illness any fever or chills any diarrhea or any abdominal pain. She just had her second Covid vaccine on June 6. She takes an aspirin and atorvastatin and tries to control her blood sugars.She last had an echocardiogram in August 2018 as well as a stress echo which revealed a normal ejection fraction and findings consistent with an RCA/PDA distribution abnormality there was no significant valvular abnormalities or other stress-induced regional wall motion abnormalities. In the emergency room she received nitroglycerin paste, morphine and an aspirin and then was started on a heparin drip at the direction of cardiology. She was admitted with a NSTEMI and unstable angina and transferred to a higher level of care on 6/21 where coronary angiogram, showed severe left main and 2 vessel CAD. She was then referred for emergent CABG and on 6/21 she underwent CORONARY ARTERY BYPASS GRAFTING; LIMA-LAD; ENDOSCOPIC VEIN HARVEST OF THE LEFT GREATER SAPHENOUS VEIN; SVG-MARG; SVG-PDA; ON CARDIOPULMONARY BYPASS . She remains hospitalized as of 6/23/21 on open heart.
70 2021-06-23 atrial fibrillation Hospital HPI Patient is a 70 y.o. female with a PMH significant for bipolar disorder , anxiety/depre... Read more
Hospital HPI Patient is a 70 y.o. female with a PMH significant for bipolar disorder , anxiety/depression , fibromyalgia, osteoarthritis, aortic stenosis status post TAVR x2 in 2001 and 2019, CAD, AFib on Eliquis, hx of CVA on ASA/plavix, HTN, DVT s/p IVC filter, chronic diastolic heart failure who initially presented to the hospital on 5/28 to SLW as a stroke alert with aphasia, confusion, repetitive speech. Not a tPA candidate given she is on systemic anticoagulation with Eliquis for Afib. Imaging negative for hemorrhage, ischemia, and large vessel occlusion. Patient was admitted to the ICU, she remained confused, but alert. The next morning, the patient was found to be unresponsive and have twitching to bilateral sides of the face and left gaze for preference. Seizure was suspected. Patient was given Depakote and Ativan. Neurology was consulted. Patient was started on Vimpat. No significant improvement in her exam. Patient was intubated for airway protection, and transferred to hospital for continuous video EEG monitoring. Upon arrival to the ICU, the patient was intubated and sedated on propofol at 40. Sedation was held the patient became agitated. Would not open eyes spontaneously, but was moving all 4 extremities equally and pulling at restraints. Patient purposeful, but not following commands. Attempting to sit up in bed. Patient was initiated on video EEG monitoring to rule out intermittent seizure activity and postictal state. Repeat labs drawn and electrolytes repleted. Patient hemodynamically stable. Patient started on Precedex for sedation. Patient's daughter was updated via the telephone. Patient's daughter reports that she was recently started on baclofen for her hip pain. Patient was given a prescription which she filled on 5/26 for 20 tabs of 20mg each. Patient's daughter reports that it is possible she could have taken more than the prescribed dose in order to make her pain better faster. Daughter states she does not think she took the whole bottle, but is unsure of how many she took. Patient's daughter also reports that she drinks alcohol daily, 10 oz glasses of gin and vodka." Hospital Course Brief ICU course: Patient intubated for airway protection and transferred about plan for continuous video EEG monitoring. EEG was negative for any seizure activity and patient's antiepileptics were stopped. LP and MRI were negative for any etiology of encephalopathy and neurology signed off. Patient's mental status was eventually improving and encephalopathy was thought to be secondary to polypharmacy. Throughout course she had multiple extubations a re-intubation but finally has been extubated since 6/10 and on room air. Course was also complicated by acute blood loss anemia secondary to left flank/abdominal wall hematoma status post empiric embolization of T8 and T9 intercostal arteries. Initial planning to transfer out to floor on 06/11 however prior to leaving ICU patient had episode of SVT and was kept for further monitoring. During this event her Coreg was uptitrated and her home metoprolol was added without any more recurrent tachyarrhythmias. Transfer to the floors with SLFM team on 06/14. Patient's mental status had returned back to baseline. Unfortunately on morning of 6/15 patient had an episode of burning chest pain and tachycardic to 150. Alerted and evaluated at bedside. EKG at that time showed AFib with RVR in the 130s. Troponins were obtained which were 0.04 then trended down to 0.03. Cardiology was consulted. Patient's heart rate eventually returned to normal on own and chest pain gradually resolved. Patient should not be on 2 beta-blockers, per Cardiology Coreg was stopped and her metoprolol dose was increased. Patient was continued on IV Lasix for 1 more dose on 06/16 then transition to p.o. Home dose 40 mg daily. Patient remain observed on tele and arrhythmia free, stable, mental status at baseline. On day of discharge, patient remains stable and looked well, wanting to go home. Cardiology cleared patient for home. PT/OT recommended home with PT services. Case management involved for services at home. Plan to discharge with PCP and cardiology follow-up. Advised that her abdominal wall hematoma will slowly shrink and pain will improve appropriately. ---When calling patient to follow up, she stated her symptoms started 4 days after vaccination with COVID vaccine. Symptoms also started day after she reportedly by daughter and patient only taking 2 doses of Baclofen to me today 6/24/21. She presented to ED on 5/28, received COVID vaccine 5/24, and took two doses of Baclofen 5/27.
70 2021-06-25 atrial fibrillation Premature Vascular Contractions (low pulse rates), atrial fibrillation after having been in sinus rh... Read more
Premature Vascular Contractions (low pulse rates), atrial fibrillation after having been in sinus rhythm for several years
70 2021-06-25 cerebrovascular accident, death Lethal stroke
70 2021-06-30 blood clot It is complicated because I also at the same time, had another infection. Which was a tick borne inf... Read more
It is complicated because I also at the same time, had another infection. Which was a tick borne infection. This infection sent me to the hospital and that is why they were investigating further, so they noticed I had blood clots. I had a heart procedure at the hospital on June 10 2021 - a Tavr (aortic valve replacement). While I was there they gave me an injectable drug called Lovanox on the 10th and 11th. I was able to walk and do things when I went home, then I started to run a fever and went back to the hospital for 3-4 days for observation. At home I ran a fever again, I went back to the hospital and they ran tests. My platelets ran extremely low and then they did blood testing and saw I have something called HITT. HITT as I understand it is a condition where a Heparin injection attacks platelets and cause clots in the body. I still have the condition until those antibodies clear out of my body and I do not know if the vaccine of Moderna was a reasoning for this at all, but it is possible.
70 2021-07-04 cerebrovascular accident patient suffered a stroke and was hospitalized on june 22 2021 week long stay in hospital facility
70 2021-07-04 blood clot, death person was found dead 3 and a half weeks after last shot
70 2021-07-05 heart failure, death, cardiac arrest chest hurt; pulmonary issues; heart failure; kidney failure; Cardiac arrest; flu like symptoms; ting... Read more
chest hurt; pulmonary issues; heart failure; kidney failure; Cardiac arrest; flu like symptoms; tingling in arms and feet; rashes in the body; itchy; weakness to the point that she could not walk; passed away; cardiac arrest; hurting arm; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (passed away), CARDIAC ARREST (cardiac arrest), CARDIAC FAILURE (heart failure), RENAL FAILURE (kidney failure), CARDIAC ARREST (Cardiac arrest), INFLUENZA LIKE ILLNESS (flu like symptoms), PARAESTHESIA (tingling in arms and feet), RASH (rashes in the body), PRURITUS (itchy), ASTHENIA (weakness to the point that she could not walk), LUNG DISORDER (pulmonary issues) and CHEST PAIN (chest hurt) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 039B21A and 038A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 19-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 21-Apr-2021, the patient experienced INFLUENZA LIKE ILLNESS (flu like symptoms) (seriousness criterion hospitalization), PARAESTHESIA (tingling in arms and feet) (seriousness criterion hospitalization), RASH (rashes in the body) (seriousness criterion hospitalization), PRURITUS (itchy) (seriousness criterion hospitalization) and ASTHENIA (weakness to the point that she could not walk) (seriousness criterion hospitalization). 21-Apr-2021, the patient experienced PAIN IN EXTREMITY (hurting arm). On 27-May-2021, the patient experienced CARDIAC FAILURE (heart failure) (seriousness criteria hospitalization and medically significant), RENAL FAILURE (kidney failure) (seriousness criteria hospitalization and medically significant), CARDIAC ARREST (Cardiac arrest) (seriousness criteria hospitalization prolonged and medically significant) and LUNG DISORDER (pulmonary issues) (seriousness criterion hospitalization). On 05-Jun-2021, the patient experienced CHEST PAIN (chest hurt) (seriousness criterion hospitalization). On 14-Jun-2021, the patient experienced CARDIAC ARREST (cardiac arrest) (seriousness criteria death and medically significant). On 27-May-2021, CARDIAC ARREST (Cardiac arrest) had resolved. The patient died on 14-Jun-2021. The reported cause of death was Cardiac arrest. It is unknown if an autopsy was performed. At the time of death, CARDIAC FAILURE (heart failure), RENAL FAILURE (kidney failure), INFLUENZA LIKE ILLNESS (flu like symptoms), PARAESTHESIA (tingling in arms and feet), RASH (rashes in the body), PRURITUS (itchy), ASTHENIA (weakness to the point that she could not walk), LUNG DISORDER (pulmonary issues) and CHEST PAIN (chest hurt) outcome was unknown and PAIN IN EXTREMITY (hurting arm) had resolved. No relevant medical history was reported. No concomitant medication provided. The patient was having respiratory problem few days after the 2nd dose along with other issues. She was administered with asthma medicines. The name was not specified. Action taken with mRNA-1273 in response to the events was not Applicable. Very limited information regarding this events has been provided at this time. Further information has been requested.; Sender's Comments: Very limited information regarding this events has been provided at this time. Further information has been requested.; Reported Cause(s) of Death: cardiac arrest
70 2021-07-08 heart failure Heart failure sent to ICU; legs swelled; had high blood pressure and her legs swelled; This spontane... Read more
Heart failure sent to ICU; legs swelled; had high blood pressure and her legs swelled; This spontaneous case was reported by a patient and describes the occurrence of CARDIAC FAILURE (Heart failure sent to ICU) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concomitant products included SIMVASTATIN, ACETYLSALICYLIC ACID (BABY ASPIRIN) and FISH OIL for an unknown indication. On 01-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On 27-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 11-May-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced CARDIAC FAILURE (Heart failure sent to ICU) (seriousness criteria hospitalization and medically significant). On an unknown date, the patient experienced PERIPHERAL SWELLING (legs swelled) and HYPERTENSION (had high blood pressure and her legs swelled). The patient was hospitalized from 11-May-2021 to 14-May-2021 due to CARDIAC FAILURE. At the time of the report, CARDIAC FAILURE (Heart failure sent to ICU) had resolved with sequelae and PERIPHERAL SWELLING (legs swelled) and HYPERTENSION (had high blood pressure and her legs swelled) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 02-Apr-2021, Blood pressure measurement: high (High) high. Treatment medication was not 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. Most recent FOLLOW-UP information incorporated above includes: On 30-Jun-2021: ADR form received: Suspect drug details updated, Concomitant medications added, New serious event added, event details 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.
70 2021-07-09 anaphylactic shock 'Flu symptoms, severe headache, covid arm, total arm rashes, out of breath, toenails curled, memory ... Read more
'Flu symptoms, severe headache, covid arm, total arm rashes, out of breath, toenails curled, memory issues, tinnitus increased, "needles" sensation at vaccine site, stomach ache, fatigue, join pain (especially hips), anaphylactic shock to Clindamycin.
70 2021-07-10 atrial fibrillation Rapid heart rate occurred on 05/11/2021 and again on 06/09/2021, both events requiring visit to hosp... Read more
Rapid heart rate occurred on 05/11/2021 and again on 06/09/2021, both events requiring visit to hospital. Have been diagnosed with afib.
70 2021-07-11 vaginal haemorrhage Six weeks after my second Moderna shot, I had 10 days of a MenstruaL cycle, which I had not had for ... Read more
Six weeks after my second Moderna shot, I had 10 days of a MenstruaL cycle, which I had not had for 22 years (since I was 48). Being 70 years old, I spoke to my doctor who was performing my colonoscopy when this occurred, and she and her nurses noted they had seen this in women over 60 recently who had the Moderna vaccine and I did bleed quite a bit from my vagina during the coloscopy; I also had bleeding hemorrhoid's which had re-engaged in bleeding about the same time. While I am fine now, it was concerning to have a full period at age 70, and I am scheduled to go to a gynecologist this Wednesday.
70 2021-07-17 atrial fibrillation was not administered the 2nd dose of the vaccine; atrial fibrillation; afib attack/atrial fibrillati... Read more
was not administered the 2nd dose of the vaccine; atrial fibrillation; afib attack/atrial fibrillation; itchy ant bite like lesions which popped on different sites of her body; itchy ant bite like lesions which popped on different sites of her body; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of ATRIAL FIBRILLATION (afib attack/atrial fibrillation) and ATRIAL FIBRILLATION (atrial fibrillation) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter. The patient's past medical history included Atrial fibrillation and Cardiac ablation on 06-Jul-2020. Concomitant products included RIVAROXABAN (XARELTO) for an unknown indication. On 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Mar-2021, the patient experienced ATRIAL FIBRILLATION (afib attack/atrial fibrillation) (seriousness criterion medically significant). In March 2021, the patient experienced PRURITUS (itchy ant bite like lesions which popped on different sites of her body) and SKIN LESION (itchy ant bite like lesions which popped on different sites of her body). On 04-Apr-2021, the patient experienced ATRIAL FIBRILLATION (atrial fibrillation) (seriousness criterion medically significant). On 12-Jul-2021, the patient experienced PRODUCT DOSE OMISSION ISSUE (was not administered the 2nd dose of the vaccine). The patient was treated with FLECAINIDE for Adverse event, at a dose of 100 mg twice a day and HYDROCORTISONE (CORTISONE [HYDROCORTISONE]) for Adverse event, at an unspecified dose and frequency. In April 2021, ATRIAL FIBRILLATION (afib attack/atrial fibrillation) had resolved. At the time of the report, ATRIAL FIBRILLATION (atrial fibrillation), PRURITUS (itchy ant bite like lesions which popped on different sites of her body) and SKIN LESION (itchy ant bite like lesions which popped on different sites of her body) outcome was unknown and PRODUCT DOSE OMISSION ISSUE (was not administered the 2nd dose of the vaccine) 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 did not provide any causality assessments. On 04-Mar-2021, in the morning, the patient experienced had an atrial fibrillation attack and went to the emergency room (ER) where she was given medications to control it. On 04-Apr-2021, the patient had another atrial fibrillation attack and again she went to the ER. The patient had two more atrial fibrillation attacks on unspecified dates in April and she managed these at home by doubling up on her medication. Patient reports that with this, it took 6-7 hours before the atrial fibrillation got controlled. Treatment included: She had an ablation last 06Jul2021 for the atrial fibrillation. Company comment: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. Noting the history of atrial fibrillation may remain as risk factor. This report refers to a case of lack of product dose omission for mRNA-1273, lot # unknown.; 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, a causal relationship cannot be excluded. Noting the history of atrial fibrillation may remain as risk factor. This report refers to a case of lack of product dose omission for mRNA-1273, lot # unknown.
70 2021-07-18 cerebrovascular accident, blood clot in the brain Stroke with three blood clots to the brain.
70 2021-07-20 heart attack Leading up to my adverse event, I had been feeling more and more tired. I did not have any problems ... Read more
Leading up to my adverse event, I had been feeling more and more tired. I did not have any problems breathing, I just felt tired. I ability to walk had decreased. I noticed it had been going on for some time. I noticed it, but I didn't get concerned because it could have been related to the muscles from my eye condition. I started to feel a decrease in energy all around. The day, 05/30/2021, my husband was not home. I was home alone. I had a zoom call, with some of my friends, and as we were hanging up on the call, I started to feel as if I were going to faint. I did not have any other symptoms besides fainting. My mind felt clear. I had my cell phone next to me, and I texted my friends and told them how I was feeling. I ran to my bathroom because I had to use the restroom. I sat there and felt like I was fighting fainting. My friends called me and I was having problems speaking. I told them I was fainting and I needed their help. They called an ambulance for me, but they are out of state, so there were problems. I contacted someone closer to me to make a call for an ambulance. I was only able to text by dictation, I couldn't type anything. My friend who I called, came over to my house right away. I had to get myself out of the restroom and make it to my front door to let her in. It was difficult. She called 9-1-1 when she got to my house. The paramedics gave me a baby aspirin right away. I felt that I could talk better after taking it. They gave me nitroglycerin as well. They put me in the ambulance and I stayed awake and alert the whole ride. They took me to The Hospital and took me right in for surgery. I was experiencing a heart attack. I had a couple of stints put in and they did it through the groin area. I was alert through this surgery. I felt sensations, but I did not feel any pain. I am now taking a baby aspirin, carvedilol (coreg) 3.125 mg (2 in the AM, 1 at PM), Plavix 5mg (1 per day) and Rosuvastatin 20mg (1 per day). Since I have had the surgery, I noticed that I have had some blood in my urine. I am following up with a Urologist to see what is going on. She wants to put a scope up my urethra to see if she can find anything. As of today, I feel so much better than I did. I can walk better and move more quickly now. I'm very thankful for the doctors at the hospital and how they handled me.
70 2021-07-21 blood clot in the brain When I received my 1st COVID vaccine in Jan, the left side of my face turned red and warm about 25 m... Read more
When I received my 1st COVID vaccine in Jan, the left side of my face turned red and warm about 25 min. after receiving it. I took advil, and put a cool cloth on it. (The left side is where the brain blood clot was found in April) Also, I was quite fatigued after the first vaccine, and had a sore arm for several days. After the 2nd Moderna vaccine, my entire face and neck got red and warm within 22 min. Enough that I turned the car around and went back to the vaccination location to show them. They said they thought I was ok to go home, and to phone 911 if I needed to. When I got home, I again took an advil, like with the first vaccine, and used a cool cloth. Also, had fatigue, and had a sore arm for several days. I am quite concerned that all my recent health issues could be related to the COVID Moderna vaccines I received, as I have heard that each of them have been somehow related to COVID vaccines. 1. The brain blood clot (left side of brain). Severe headache symptoms started on April 8th. In hospital for 5 days, beginning April 22nd. Doctor prescribed Pradaxa blood thinner when I went home from hospital. 2. The COVID toes( sores, rash, inflammation) 3. The full body rash, followed by excessive peeling(which was considered the D.R.E.S.S. syndrome from being on Pradaxa blood thinner for the blood clot) This occurred the last week in May. I was in the hospital for 3 days. Took over 4 weeks to recover; was very ill. 4. The ground glass opacities; respiratory problems with cough. (discovered in CT scan for kidney) 5. The overall feeling of being ill and fatigued for along time
70 2021-07-26 atrial fibrillation I became very short of breath, about two weeks after receiving the vaccine. I didn't know if I was h... Read more
I became very short of breath, about two weeks after receiving the vaccine. I didn't know if I was having a heart attack or if it was maybe lung disease. I felt tired too. I had a doctors appointment with Dr. and she informed me, after doing an EKG, that I had atrial fibrillation. I have been put on Eliquis, 5mg, twice daily for my A-fib. In August, I will be going in for an echocardiogram. In November, I will be seeing a cardiologist.
70 2021-07-27 heart attack mild heart attack; weird breathing issues, It was short bursts of breathing issues; breastbone pain;... Read more
mild heart attack; weird breathing issues, It was short bursts of breathing issues; breastbone pain; This spontaneous case was reported by a consumer and describes the occurrence of MYOCARDIAL INFARCTION (mild heart attack) and DYSPNOEA (weird breathing issues, It was short bursts of breathing issues) in a 70-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 028A21A and 027A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COPD since an unknown date and Cardiac catheterization (stent was placed.) on 16-Apr-2021. Concurrent medical conditions included Smoker. On 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 31-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 02-Apr-2021, the patient experienced DYSPNOEA (weird breathing issues, It was short bursts of breathing issues) (seriousness criterion hospitalization). On 15-Apr-2021, the patient experienced MYOCARDIAL INFARCTION (mild heart attack) (seriousness criteria hospitalization and medically significant). On an unknown date, the patient experienced BREAST PAIN (breastbone pain). The patient was hospitalized from 15-Apr-2021 to 17-Apr-2021 due to DYSPNOEA and MYOCARDIAL INFARCTION. The patient was treated with PARACETAMOL (TYLENOL REGULAR) for Adverse event, at an unspecified dose and frequency. At the time of the report, MYOCARDIAL INFARCTION (mild heart attack), DYSPNOEA (weird breathing issues, It was short bursts of breathing issues) and BREAST PAIN (breastbone pain) outcome was unknown. Patient reports that she had her first Moderna vaccine on 03 Mar 2021 with no side effects. Her second injection was on 31 Mar 20 21. She started having weird breathing problems two days after second vaccine. It was short bursts of breathing issues feeling in breastbone off and on with pain. It seemed fleeting but got progressively worse. A week later it was so severe, so she went to the hospital. On the 15 Apr 2012, the hospital reported that she had suffered a mild heart attack. She was released from the hospital on 17 Apr2021. Her breathing issue still remains. She can walk one and a half mile with no breathing issues then suddenly it will appear out of nowhere even if she is just sitting in a chair. She has an inhaler which she rarely uses but if she uses her inhaler during one of these breathing episodes it does not help at all. She is following up with a pulmonologist on 23 Jul2021. Treatment includes cardiac catheterization and stent placement on 16-APR-2021. Action taken with mRNA-1273 in response to the event was not applicable. Patient's advanced age and medical history of COPD and smoking could be risk factors for the events. 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. Very limited information regarding these events has been provided at this time. Further information has been requested.; Sender's Comments: Patient's advanced age and medical history of COPD and smoking could be risk factors for the events.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. Very limited information regarding these events has been provided at this time.Further information has been requested.
71 2021-01-12 excessive bleeding Very nauseous all night long. Ate a breakfast bar in the morning, threw it up, had dry heaves for a ... Read more
Very nauseous all night long. Ate a breakfast bar in the morning, threw it up, had dry heaves for a while, then seemed to be OK. About and Hour or so later got up to go to the restroom and just remember walking thru the door. Next thing I knew I was on the floor bleeding, passed out approx. 24 hrs after receiving shot. No way to know how long I was out, received head cut.
71 2021-01-18 atrial fibrillation Pt complained at ED of Headache, Nausea, SOB, felt like had been running. Pt in AFIB started on card... Read more
Pt complained at ED of Headache, Nausea, SOB, felt like had been running. Pt in AFIB started on cardizem admitted to hospital 1/15 discharged 1/17
71 2021-01-21 cerebrovascular accident Sudden onset of expressive aphasia the next morning (0915) after vaccination. Went to emergency roo... Read more
Sudden onset of expressive aphasia the next morning (0915) after vaccination. Went to emergency room and diagnosed with stroke.
71 2021-01-27 cerebrovascular accident, death Stroke, death
71 2021-01-31 sepsis, death Resident c/o nausea evening of 1/29 (nausea common for her post dialysis), had a large emesis at app... Read more
Resident c/o nausea evening of 1/29 (nausea common for her post dialysis), had a large emesis at approx 2220, 0030 (unusual for resident to vomit)- received Zofran per order. Skin cool and damp, Blood sugar 147 (checked due to h/o diabetes and poor intake). At approx 230am Blood pressured checked and noted to be 52/29. Resident transferred to ER, intubated and transferred to higher level of care where she passed away on 1/30 at 736pm. Resident's medical notes indicated likely shock, cardiogenic in nature, sepsis (source unknown) along with a multitude of other co-morbidities that resident has.
71 2021-02-04 atrial fibrillation AFIB; A spontaneous report was received from a nurse concerning a 71-year-old, female patient who re... Read more
AFIB; A spontaneous report was received from a nurse concerning a 71-year-old, female patient who received Moderna's Covid-19 vaccine (mRNA-1273) and experienced AFIB (Atrial fibrillation). The patient's medical history including COVID-19. Concomitant product use was not provided. On 14 Jan 2021, the patient received their first of two planned doses of mRNA-1273 (Lot number: 013L20A) intramuscularly in for prophylaxis of COVID-19 infection. On 15 Jan 2021, the patient was hospitalized for two days with atrial fibrillation. The patient received Cardizem IV, converted back to sinus rhythm and discharged home two days later on Lopressor PO. Treatment for the event included Cardizem IV and Lopressor PO. Action taken with mRNA-1273 in response to the events was not provided. The outcome of the event AFIB was unknown.; Reporter's Comments: This case concerns a female patient, who experienced a serious unexpected event of atrial fibrillation. This event occurred 1 days after first dose of mRNA-1273, lot # 013L20A. Treatment included Cardizem iv and Lopressor po. Based on the current available information and temporal association between the use of the product and onset of the events a causal relationship cannot be excluded.
71 2021-02-08 low platelet count I work at medical center where patient is being treated for a new diagnosis of Acute monocytic leuk... Read more
I work at medical center where patient is being treated for a new diagnosis of Acute monocytic leukemia. I was able to that the patient was vaccinated with Moderna vaccine on 1/16/2021, patient does not have the vaccination card with the Lot number so this is unknown at this time. Here are the details I see in the chart. Patient arrived on 1/30/2021 at 2100, per History and physican patient has not been feeling well for about a week and a half, and had received the moderna vaccine approximately 2 weeks prior to this time. Doctors note states about a week after first COVID vaccine she noted chest and back pain, dyspnea, high grade fevers and for this went to the ER on 1/28/21 and found to have anemia Hemoglobin 10 with normal LFTs. She was thought to have a reaction to vaccination and sent home. When her symptoms did not get better she went to ER again on 1/30 and found to have Hemoglobin down to 8 and marked LFTs elevation. Pathology evaluated elevated WBC and showed monocytosis and possible blast cells and patient transferred for further workup. per oncologist patient went to primary care about 6 months ago and had a normal CBC. Patient was started on chemotherapy for diagnosis of AML during this admission, as of 2/9/2021 patient remains inpatient, is intubated in ICU with prognosis unknown at this time.
71 2021-02-12 vaginal haemorrhage Woman is 71 yrs. old and is experiencing spotting. No med changes except administration of Moderna.
71 2021-02-13 atrial fibrillation Heart palpatations and afib, See above
71 2021-02-17 cardiac arrest, death Per EMS/Hospital report patient had difficulty breathing and cardiac arrest with prolonged CPR (grea... Read more
Per EMS/Hospital report patient had difficulty breathing and cardiac arrest with prolonged CPR (greater than 45 mins in the ER) who was resuscitated. Family subsequently arrived including son and daughter and all family members were in the ER room are in agreement that patient would not want further aggressive cares given her extremely poor prognosis in light of chronic debilitation with numerous medical issues and now a very long period of CPR. Hospital Course After updating family they stated patient would not want further aggressive cares given her grim prognosis and chronic severe and debilitating medical issues. She continued to have myoclonic jerking. She was extubated to comfort cares in the ER and did not pass immediately therefore brought to a room. She received comfort cares and passed away at 0450 with family present.
71 2021-02-22 atrial fibrillation Moderna COVID-19 Vaccine EUA 14 hrs after dose 2, fever, chills, aches, 20 min AFIB. Back to sinus ... Read more
Moderna COVID-19 Vaccine EUA 14 hrs after dose 2, fever, chills, aches, 20 min AFIB. Back to sinus rhythm after 20 min on its own. 14 hrs after adverse effect started, fever normal, aches gone. Arm red, somewhat swollen. 6 hrs later, arm redder from injection site entire front of biceps down to elbow. Lump at bottom of biceps and enraged lymph node in armpit. 25 hours after noticing COVID arm, swelling down, lump on bicep gone and redness subsiding. Feeling good
71 2021-02-22 atrial fibrillation Lots of bloating; Not feeling good; Arm got really sore; Afib; Lots of chills; Redness itching at th... Read more
Lots of bloating; Not feeling good; Arm got really sore; Afib; Lots of chills; Redness itching at the injection site; Itching at the injection site; A spontaneous report was received from a consumer who is a 71-year-old, female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and developed atrial fibrillation, arm got really sore, redness itching at the injection site, lots of bloating, lots of chills and just not feeling good, The patient's medical history included tachycardia, COVID-19, atrial fibrillation, asthma and lung inflammation. Products known to have been used by the patient, within two weeks prior to the event, included diltiazem, flecainide and rivaroxaban. On 10 Feb 2021, the patient received their first of two planned doses of mRNA-1273 (Lot number: 031L20A) in the left arm intramuscularly for prophylaxis of COVID-19 infection. On 10 Feb 2021, at noon, post vaccination, the patient reported she had atrial fibrillation. She was able to get it under control until it started back again at approximately 4 pm the same day. At 6 pm that evening, the patient reported her arm was really sore, there was redness and itching at the injection site. She had lots of bloating, chills and overall, not feeling good. The patient stated it felt like having COVID again. Treatment for the event included hydrocortisone cream. Action taken with mRNA-1273 in response to the events was not provided. The outcome of the event, afib/atrial fibrillation, was considered not resolved. The outcome of the events arm got really sore, redness itching at the injection site, lots of bloating, lots of chills, just not feeling good, and feeling like having COVID all over again were considered unknown. Follow-up received on 16 Feb 2021 included date of when patient had COVID-19, treatment information and added redness and itching at the injection site to the events.; Reporter's Comments: Based on the current available information, which includes a strong temporal association with onset of the reported events and the use of the product, a causal association cannot be excluded.
71 2021-02-22 death, pulmonary embolism Vaccine was administered 2/1/2021 at approximately 9am. Due to self reporting of allergic reaction ... Read more
Vaccine was administered 2/1/2021 at approximately 9am. Due to self reporting of allergic reaction (hives) to Augmentin, patient was monitored on site for 30 minutes. After the monitoring period, she was cleared to go with no issues reported at the time. We were later informed that the patient passed away from a pulmonary embolism on 2/12/2021.
71 2021-02-23 death Passed away; Found unconscious; Coma; Lack of oxygen to the brain; A spontaneous report was received... Read more
Passed away; Found unconscious; Coma; Lack of oxygen to the brain; A spontaneous report was received from a consumer, concerning his mother, a 71-year-old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and passed away, prior to death, patient experienced lack of oxygen to the brain and was found unconscious and went to coma. The patient's medical history reported included seizures. Concomitant medications included phenobarbital, lamotrigine and levetiracetam. On 27 Jan 2021, approximately six days prior to the onset of events, the patient received their first of two planned doses of mRNA-1273 (lot number: 030L20A) intramuscularly for prophylaxis of COVID-19 infection. On 01 Feb 2021 at 4 am, the patient was found to be unconscious on the couch, hence she was rushed to the hospital with lack of oxygen to the brain. Later, she went into a coma, hence she was in hospital for 30 hours and then was transferred to a different hospital for a second opinion on 06-Feb-2021, where she was passed away at 02:20 PM. Treatment information was not provided Action taken with mRNA-1273 in response to the events were not applicable. The outcome of events, lack of oxygen to the brain, found unconscious and coma were considered unknown. The outcome of event passed away was fatal as she died on 06 Feb 2021 at 2:20 pm. The cause of death was not provided. Plans for an autopsy were unknown.; Reporter's Comments: This is a case of 71-year-old female subject with a history of seizures who died 6 days after receiving first dose of vaccine. Very limited information has been provided at this time. Further information has been requested.; Reported Cause(s) of Death: Passed away
71 2021-02-23 ischaemic stroke Numbness and tingling on right side of body, onset < 24 hours after vaccine was administered. Equili... Read more
Numbness and tingling on right side of body, onset < 24 hours after vaccine was administered. Equilibrium affected. Treated at hospital ER and admitted. Acute ischemic VBA thalamic stroke.
71 2021-02-24 death, cerebrovascular accident Patient suffered a stroke and passed away
71 2021-02-25 ischaemic stroke Acute ischemic stroke
71 2021-02-28 anaphylactic reaction Anaphylactic reaction; swollen throat; eyes itching; eyes swollen; swollen lips; She had hives all a... Read more
Anaphylactic reaction; swollen throat; eyes itching; eyes swollen; swollen lips; She had hives all around her waistband, back, arms, chest, and her hair; Palms were red; palms were very itchy; her arm was tender; A spontaneous report was received from a consumer concerning a 71-Year-Old female patient, who was administered Moderna's COVID-19 vaccine second dose and her arm was tender, palms were itchy, palms were very red, hives all around waistband, back, arms, chest and hair, swollen throat, swollen lips, eyes swollen and eyes itching and anaphylactic reaction. The patient's medical history was not provided. No relevant concomitant medications were reported. On 13-Jan-2021 the patient received their first of two planned doses of mRNA-1273 (Lot Number:012L20A) Intramuscularly in the left arm. On 11-Feb-2021 prior to the onset of the events, the patient received their second of two planned doses of mRNA-1273 (Lot number: 039K20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 11-Feb-2021, patient stated her arm was tender, but she was able to sleep on her side. On 12-Feb-2021 night, her palms were very itchy. On 13-Feb-2021, approximately at 04:30 am patient stated it was like someone had a blowtorched on her palms. Her palms were very red, "as red can be" and itching tremendously. When she used the bathroom, she had hives all around her waistband, back, arms, chest and her hair. Patient went to ER. Since her ER visit, patient stated some of her spots on her chest lighten up and her hands were not as bad. Patient denies ever having trouble of difficulty breathing. Patient called again and reported new adverse events from previous one. Patient went to ER for second time on 13 Feb 2021 night and experienced unbearable itching and burning. Patient felt okay until 15-Feb-2021 and went bed and woke up 1:30 am in the morning with swollen throat and lips and she thought she was experiencing anaphylactic reaction. Her eyes were swollen, itchy and needed help. Treatment for the event included patient put an ice pack between her hands for an hour on 13-Feb-2021. The ER gave her diphenhydramine and famotidine and patient was sent home with same medications. Patient also used arnicare gel for her whole waistband, which she stated was very cooling and helped with the burning and itching. Patient received 5 doses of steroids, diphenhydramine and famotidine after second ER visit. The patient received both scheduled dose of mRNA-1273; therefore, action taken with the drug in response to the event is not applicable. The events, arm was tender, palms were itchy, palms were very red, hives all around waistband, back, arms, chest and hair, swollen throat, swollen lips, eyes swollen and eyes itching and anaphylactic reaction, were considered unknow.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. Further information has been requested.
71 2021-03-02 death Admitted to hospital 2/22/21
71 2021-03-12 pulmonary embolism Pulmonary embolism, Patient began becoming short of breath shortly after receiving her first vaccine... Read more
Pulmonary embolism, Patient began becoming short of breath shortly after receiving her first vaccine, and then became worse with her second one. She presented with syncope and was found to have multilobar embolic burden as noted above with evidence of right-sided heart strain
71 2021-03-13 blood clot On day 5 after injection, patient developed right inner thigh discomfort, leg swelling and accentuat... Read more
On day 5 after injection, patient developed right inner thigh discomfort, leg swelling and accentuation of existing varicose veins.
71 2021-03-15 deep vein blood clot RLE DVT
71 2021-03-15 heart attack Got heart attack; High blood pressure; Shortness of breath; Hip is paining; A spontaneous report was... Read more
Got heart attack; High blood pressure; Shortness of breath; Hip is paining; A spontaneous report was received from a consumer (Patient's husband) concerning a 71-year-old, female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced heart attack, high blood pressure, pain in hip and shortness of breath. The patient's medical history included three by-pass (open) heart surgery in 2020. No relevant concomitant medications were reported. On 25 Feb 2021 Thursday, the patient received their first of two planned doses of mRNA-1273 (Batch Number: 014M20A) intramuscularly for prophylaxis of COVID-19 infection. On 25 Feb 2021, Thursday night, the patient experienced high blood pressure of 189/101 and got a heart attack followed by shortness of breath and the patient hospitalized on 25 Feb 2021 Thursday night. On 26 Feb 2021, Friday at 04:00 PM, the patient was discharged from hospital. The patient experienced hip pain and little high blood pressure than normal. Laboratory details included blood work normal and high blood pressure, 189/101. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events, heart attack pain in hip and shortness of breath was not reported. The outcome for event high blood pressure was considered resolving.; Reporter's Comments: Very limited information regarding the events has been provided at this time. Further information has been requested.; Sender's Comments: MOD21-043135:Same reporter
71 2021-03-17 death Received vaccine on 3/3/2021 then was found dead in bed by her husband on 3/7/2021.
71 2021-03-18 anaphylactic reaction Patient reports history of seafood allergy; within 10 minutes of administration of vaccine, began to... Read more
Patient reports history of seafood allergy; within 10 minutes of administration of vaccine, began to develop dryness in throat leading to persistent coughing, was closely monitored and began to develop some difficulty breathing. Was given 50mg of Benadryl at first, coughing became more severe, epinephrine injection was administered on right thigh and paramedics were contacted as administration took place. As a result, patient was still responsive but continued to show symptoms of anaphylaxis, paramedics arrived and escorted patient to the nearest hospital in which patient complied. Paramedics were also provided with information of what to place and what was given to the patient as a result of the anaphylactic episode.
71 2021-03-21 cerebrovascular accident March 6th noticed right hand going numb but cleared up within 10 minutes. March 7th right hand went... Read more
March 6th noticed right hand going numb but cleared up within 10 minutes. March 7th right hand went numb again and had vision problems with right eye, cleared up in about 15 minutes. March 9th right hand and right side of face went numb. Went to hospital and was examined and told I was having a stroke. I was admitted to hospital for two days. MRI showed that I had a stroke and now have some brain tissue damage. I and now going to occupational therapy to regain use of right hand. The Doctors thought that it was pretty coincidental that my first stroke symptom (transient numb right hand on the 6th) started just a couple days after I got the second dose of the moderna vaccine.
71 2021-03-22 deep vein blood clot, pulmonary embolism Patient experienced severe nausea and dizziness in the evening on 3/9/21 and lost consciousness in h... Read more
Patient experienced severe nausea and dizziness in the evening on 3/9/21 and lost consciousness in her kitchen. She was taken to the ER the next morning and was diagnosed with a pulmonary embolism and acute DVT in the right popliteal vein and right calf veins. Patient was treated with EKOS and discharged on 3/13/21 on Apixiban.
71 2021-03-23 blood clot On March 6, I woke up feeling like I had a Charlie horse in my left calf. I tried to walk and it was... Read more
On March 6, I woke up feeling like I had a Charlie horse in my left calf. I tried to walk and it was sore but I felt it would go away in a day or two. By Wednesday, March 10, I called my doctor and after telling them my left calf hurt , they had me come right in. After seeing dr I was sent to get a sonogram immediately and was told I had a blood clot inside my left knee. I was sent back to Dr and was given Xerelto 15 mg twice a day for 21 days and the 20 mg once a day until gone. Today,, it is still sore. I am asking if I should take my second shot on March 29 or not.
71 2021-03-24 deep vein blood clot Clot on the lower left leg; foot and ankle swollen; A spontaneous report was received from a physici... Read more
Clot on the lower left leg; foot and ankle swollen; A spontaneous report was received from a physician concerning a 72-year-old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced foot and ankle swelling (joint swelling) and clot on the lower left leg (deep vein thrombosis). The patient's medical history was not provided. No relevant concomitant medications were reported. No information on allergies were provided. The reported stated that the patient was physically and mentally healthy before vaccination. On 5 Feb 2021 , prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Lot number: 012M20A) via intramuscular route on left side for prophylaxis of COVID-19 infection. On 5 Mar 2021 prior to the onset of the events, the patient received their second planned dose of mRNA-1273 (Lot number: 036A21A ) via intramuscular route on left side for prophylaxis of COVID-19 infection. Doctor found a clot in her lower left leg. Patient said that on Feb 2 before receiving the first dose on Feb 5 needed to have an x ray and blood work due to foot and ankle got swollen. Patient said they checked it for different things and that the doctor thought It would be a pseudo gout. As the ankle was still swollen patient went to her family doctor and doctor insisted to have a test for deep vein thrombosis. They have found a clot on the lower left leg. The patient had stated she have not a had a surgery or an injury and that it happened between doses. Treatment drug used for the event included was apixaban. Action taken with mRNA-1273 in response to the events was not applicable. The outcome for the events, foot and ankle swelling and clot on the lower left leg, was considered unknown.; Reporter's Comments: Very limited information regarding this event has been provided at this time. Further information has been requested. It was reported that the patient had an x ray and blood work due to foot and ankle swelling before receiving the first dose of vaccine and that the doctor thought it to be a pseudo gout.
71 2021-03-24 transient ischaemic attack Mini stroke thing; Hot; 15-20 sec she had hard time talking; Mumbling; Fatigue; Chills; A spontaneou... Read more
Mini stroke thing; Hot; 15-20 sec she had hard time talking; Mumbling; Fatigue; Chills; A spontaneous report was received from a consumer concerning his wife a 71-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced fatigue, hot/ feeling hot, chills and for 15-20 sec she had hard time talking/ dysarthria, mumbling/ speech disorder, like mini stroke thing/ transient ischaemic attack. The patient's medical history included high blood pressure. Concomitant medications included pill for high blood pressure. On 08 Feb 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 (non-dominant) for prophylaxis of COVID-19 infection. On 08 Mar 2021, prior to the onset of the events the patient received their second of two planned doses of mRNA-1273 (Batch Number: Unknown) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 08 Mar 2021, on the same night the patient experienced felt fatigue, hot, chills and for 15-20 sec the patient had hard time talking, mumbling, like mini stroke thing a medically significant event. No treatment information was provided. The patient received both scheduled doses of mRNA-1273 prior to the events, therefore action taken with the drug in response to the events was not applicable. The outcome of the events, fatigue, hot, chills and for 15-20 sec she had hard time talking, mumbling, like mini stroke thing was not reported.; 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. The patient's medical history of high blood pressure is a risk factor for stroke and hence remains a confounder for causality. The patient did not consent for the follow up.
71 2021-03-25 atrial fibrillation 1./25/21 Racing heartbeat 5 minutes after vaccine lasted about 10 minutes 1/31/21 -2/1/21 Palpitat... Read more
1./25/21 Racing heartbeat 5 minutes after vaccine lasted about 10 minutes 1/31/21 -2/1/21 Palpitations and erratic heartbeat continuous and lasted about 14 hours then became intermitent. Cardiologist was seen on 2/2/21. Wore heart monitor for about 8 days. DX: Afib 2/20/21 awoke at 6:00 am. The room was spinning, I became nauseous, had dry heaves and my legs began shaking uncontrollably. 911 was called and I was transported to the ER. A CT scan, chest xray, blood test, and urinalysis was performed. DX: dehydration. I was given meds for nausea and bactrim for a slight UTI (although I had no symptoms.
71 2021-03-26 pulmonary embolism Acute Submassive Pulmonary embolism B/L
71 2021-03-28 low platelet count Thrombocytopenia (CMS/HCC) Hypercalcemia Chronic anemia AKI (acute kidney injury) (CMS/HCC) DKA, typ... Read more
Thrombocytopenia (CMS/HCC) Hypercalcemia Chronic anemia AKI (acute kidney injury) (CMS/HCC) DKA, type 2 (CMS/HCC)
71 2021-03-29 death Patient died on March 7th 2021 exactly one week after she received the vaccine. The only symptoms sh... Read more
Patient died on March 7th 2021 exactly one week after she received the vaccine. The only symptoms she exhibited was pain at the injection site.
71 2021-03-29 death Patient died 6 days after 2nd Moderna vaccine.
71 2021-03-31 cerebrovascular accident Patient stated she suffered a stroke about 1 week after getting the vaccine. The patient went to the... Read more
Patient stated she suffered a stroke about 1 week after getting the vaccine. The patient went to the hospital and was successfully treated. The patient is now on plavix and pravastatin for further prevention.
71 2021-04-01 death Deceased
71 2021-04-03 pneumonia After we left the vaccination site I had chills, severe diarrhea, nausea, extreme fatigue, no appeti... Read more
After we left the vaccination site I had chills, severe diarrhea, nausea, extreme fatigue, no appetite, dehydration These symptoms went on for five days. I did not eat or drink for five days. I continued with extreme diarrhea and slept most of the time. I had no energy. My blood pressure dropped to 68/39 and was sent to the Emergency Room and immediately admitted.
71 2021-04-08 death within 2 weeks of receiving the covid vaccine patient became weak, stopped eating, more lethargic an... Read more
within 2 weeks of receiving the covid vaccine patient became weak, stopped eating, more lethargic and became bedbound and was started on hospice. She died on 3/31/2021
71 2021-04-08 transient ischaemic attack, cerebrovascular accident Pt has Moderna Covid shot number one. Within a week she started haveing swings in her Blood pressu... Read more
Pt has Moderna Covid shot number one. Within a week she started haveing swings in her Blood pressure some times associated with numbness sensation left face, arm and left lower extremity. I saw her on March 27 with the same. Neg CT work up, including neg CT angio gram of head and neck. I transfered pt for insurance reasons. I called and spoke with her daughter on April 2. Pt was having same symptoms, although improved. I ask about MRI. She was told that there may or may not have been a stroke on that study. . My impression was CVA with subjective left sided parestesia or TIA.
71 2021-04-09 pneumonia Pneumonia; Arthritis; Back pain; Productive cough; Knee and shoulder pain; Ache body; This spontaneo... Read more
Pneumonia; Arthritis; Back pain; Productive cough; Knee and shoulder pain; Ache body; This spontaneous case was reported by a consumer and describes the occurrence of PNEUMONIA (Pneumonia) in a 71-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. The patient's past medical history included Rotator cuff tear in 2011, Spinal stenosis in 2018 and Reverse shoulder replacement in 2014. Concurrent medical conditions included Seasonal allergy. On 01-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Mar-2021, the patient experienced ARTHRITIS (Arthritis), BACK PAIN (Back pain), PRODUCTIVE COUGH (Productive cough), ARTHRALGIA (Knee and shoulder pain) and MYALGIA (Ache body). On 08-Mar-2021, the patient experienced PNEUMONIA (Pneumonia) (seriousness criterion medically significant). At the time of the report, PNEUMONIA (Pneumonia) and PRODUCTIVE COUGH (Productive cough) was resolving and ARTHRITIS (Arthritis), BACK PAIN (Back pain), ARTHRALGIA (Knee and shoulder pain) and MYALGIA (Ache body) had resolved. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 19-Mar-2021, COVID-19: negative (normal) Negative. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment of these events included unspecified antibiotics, voltaren gel and ibuprofen. 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.
71 2021-04-11 death, pneumonia Per Medical Examiner, fourteen hours after receiving vaccine presenting symptoms were fatigue and mu... Read more
Per Medical Examiner, fourteen hours after receiving vaccine presenting symptoms were fatigue and muscle aches, went to Hospital Emergency Room and was released. Six hours later family stated symptoms had worsened, fever, shortness of breath and fatigue, admitted to Medical Center, diagnosed with sepsis and died within 48 hours of vaccination, deceased 4/7/2021, cause of death neutropenic sepsis with multi-lobar pneumonia, autopsy scheduled 4/13/2021.
71 2021-04-11 death Patient was vaccinated at Pharmacy with 2nd dose Moderna 03/28/2021, patient called dialysis clinic ... Read more
Patient was vaccinated at Pharmacy with 2nd dose Moderna 03/28/2021, patient called dialysis clinic that she was coughing up blood and she is going to Hospital in the afternoon. Pt's daughter called the clinic informed staff that pt passed away 4/3/2021 due to internal bleeding.
71 2021-04-11 pulmonary embolism right sided pleuritic chest pain started 04/11/2021.
71 2021-04-12 pulmonary embolism, death On 1-27-21 my mother received her first dose of the Moderna COVID-19 vaccine (031L2A). The next day ... Read more
On 1-27-21 my mother received her first dose of the Moderna COVID-19 vaccine (031L2A). The next day she felt something in the back of her left knee. The following day (2 days) after the injection she saw her primary care physician for the discomfort in the back of her knee. She was treated for what was believed to be a soft tissue injury. She received her second dose of the Moderna COVID-19 (14M20A) vaccine on Friday 2-26-21. The next day the back of her knee started to bother her again. She saw her doctor on Monday3-1-21 and had an x-ray. On Tuesday the doctor's office called and said her x-ray was clear. Friday morning, 3-5-21 my father heard a loud noise (thud) and found my mother unresponsive on the bathroom floor at approximately 8:30am. He called 911. She was transported to the hospital via ambulance. The emergency room physicians worked on her for over an hour and were unable to get her back. Her time of death was 10:12am. The primary cause of death listed on her death certificate is pulmonary embolism.
71 2021-04-12 blood clot Seven days after Moderna vaccine I got up and started feeling a warmth in my leg that started in foo... Read more
Seven days after Moderna vaccine I got up and started feeling a warmth in my leg that started in foot and went up and it started hurting really bad, called an ambulance and went to hospital and because of blood clots, I had to have emergency surgery, it was very huge arterial clot, and developed shingles as well.
71 2021-04-15 cerebrovascular accident Stroke due to a blood clot on the left side of my brain; had a dizzy spell; felt very tired; This sp... Read more
Stroke due to a blood clot on the left side of my brain; had a dizzy spell; felt very tired; This spontaneous case was reported by a patient (subsequently medically confirmed) and describes the occurrence of CEREBROVASCULAR ACCIDENT (Stroke due to a blood clot on the left side of my brain) in a 71-year-old female patient who COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event. On 02-Mar-2021, the patient received first dose (Intramuscular) at an unspecified dose. On 05-Mar-2021, the patient experienced DIZZINESS (had a dizzy spell) and FATIGUE (felt very tired). On an unknown date, the patient experienced CEREBROVASCULAR ACCIDENT (Stroke due to a blood clot on the left side of my brain) (seriousness criteria medically significant). At the time of the report, CEREBROVASCULAR ACCIDENT (Stroke due to a blood clot on the left side of my brain), DIZZINESS (had a dizzy spell) and FATIGUE (felt very tired) outcome was unknown. No concomitant medications were reported. Treatment information was not provided. Based on the current available information and temporal association between the use of the product and the onset date of the reported events, a causal relationship cannot be excluded. Further information has been requested.; Sender'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, a causal relationship cannot be excluded. Further information has been requested.
71 2021-04-15 deep vein blood clot large RUE DVT
71 2021-04-15 pneumonia She was also diagnosed with pneumonia couple weeks ago; breathing problems; She also felt dizzy; chi... Read more
She was also diagnosed with pneumonia couple weeks ago; breathing problems; She also felt dizzy; chills; Fatigue; Headache; Muscle pain; This spontaneous case was reported by a consumer and describes the occurrence of PNEUMONIA (She was also diagnosed with pneumonia couple weeks ago) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006B21A) 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 GABAPENTIN, GLIPIZIDE, LORAZEPAM and LOPERAMIDE HYDROCHLORIDE (IMODIUM) for an unknown indication, METFORMIN. On 22-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 ml. On 22-Mar-2021, the patient experienced DYSPNOEA (breathing problems), DIZZINESS (She also felt dizzy), CHILLS (2 hours later, she experienced chills), FATIGUE (fatigue), HEADACHE (Headache) and MYALGIA (Muscle pain). On 25-Mar-2021, the patient experienced PNEUMONIA (She was also diagnosed with pneumonia couple weeks ago) (seriousness criterion medically significant). At the time of the report, PNEUMONIA (She was also diagnosed with pneumonia couple weeks ago), DYSPNOEA (breathing problems), DIZZINESS (She also felt dizzy), CHILLS (2 hours later, she experienced chills), FATIGUE (fatigue), HEADACHE (Headache) and MYALGIA (Muscle pain) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment included Tylenol.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start dates of the events, a causal relationship cannot be excluded.
71 2021-04-15 transient ischaemic attack TIA (small stroke); This spontaneous case was reported by a nurse (subsequently medically confirmed)... Read more
TIA (small stroke); This spontaneous case was reported by a nurse (subsequently medically confirmed) and describes the occurrence of TRANSIENT ISCHAEMIC ATTACK (TIA (small stroke)) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025L02A) for COVID-19 vaccination. The patient's past medical history included No adverse event (No medical history reported.). On 05-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Jan-2021, the patient experienced TRANSIENT ISCHAEMIC ATTACK (TIA (small stroke)) (seriousness criterion hospitalization). The patient was hospitalized on 05-Jan-2021 due to TRANSIENT ISCHAEMIC ATTACK. At the time of the report, TRANSIENT ISCHAEMIC ATTACK (TIA (small stroke)) outcome was unknown. 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. Treatment information included she was currently under medical examination for the causes and treatment of the stroke. Based on the current available information and temporal association between the use of the product and the onset date of the reported event of TIA, a causal relationship cannot be excluded. This case was linked to MOD-2021-066107 (Patient Link).; Sender's Comments: Based on the current available information and temporal association between the use of the product and the onset date of the reported event of TIA, a causal relationship cannot be excluded.
71 2021-04-18 stroke stroke sx on 4-9-21, final dx cerebral infraction
71 2021-04-18 transient ischaemic attack TIA (diagnosed by neurology), hypertensive crisis, Acute hypokalemia. Hypertensive crisis/spikes wer... Read more
TIA (diagnosed by neurology), hypertensive crisis, Acute hypokalemia. Hypertensive crisis/spikes were treated with anti-hypertensives and patient monitored for 6 days. No TPA used as CVA not diagnosed and symptoms were transient - less than 24 hours. Patient does report some residual visual changes
71 2021-04-20 anaphylactic reaction Anaphylactic reaction; Blood pressure high; Could not breathe; Pain in his arm; This spontaneous cas... Read more
Anaphylactic reaction; Blood pressure high; Could not breathe; Pain in his arm; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of ANAPHYLACTIC REACTION (Anaphylactic reaction), HYPERTENSION (Blood pressure high) and DYSPNOEA (Could not breathe) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 0031b21a) for COVID-19 immunisation. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COPD. Concurrent medical conditions included Allergy (receives four shots a week for his allergies). On 02-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Apr-2021, the patient experienced PAIN IN EXTREMITY (Pain in his arm). On 05-Apr-2021, the patient experienced DYSPNOEA (Could not breathe) (seriousness criterion hospitalization). On 06-Apr-2021, the patient experienced ANAPHYLACTIC REACTION (Anaphylactic reaction) (seriousness criterion hospitalization) and HYPERTENSION (Blood pressure high) (seriousness criterion hospitalization). The patient was hospitalized on 06-Apr-2021 due to ANAPHYLACTIC REACTION, DYSPNOEA and HYPERTENSION. At the time of the report, ANAPHYLACTIC REACTION (Anaphylactic reaction), HYPERTENSION (Blood pressure high), DYSPNOEA (Could not breathe) and PAIN IN EXTREMITY (Pain in his arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medications were reported. Treatment of the events included steroids and blood pressure medication. Additional information:Patient stated he had some pain in his arm. Patient states on 4-5-2021 he could not breathe. Patient states on 4-6-2021 he went to emergency room. Patient stated he was in the intensive care unit for 3 days. Patient stated he was given steroids and blood pressure medicine because his blood pressure was high. Patient stated he was told he had an anaphylactic reaction. Patient stated that the doctor thought it was something he ate. Patient state he has a history of COPD and allergies and receives four shots a week for his allergies. Patient stated he will get itching around his mouth from eating chicken but doesn't believe his symptoms was from food. Company comment:Based on the current information available and the temporal association between the product use and the start date of the events a causal relationship cannot be excluded.; Sender's Comments: Based on the current information available and the temporal association between the product use and the start date of the events a causal relationship cannot be excluded.
71 2021-04-20 ischaemic stroke If not 100 % sure but she may had an ischemic stroke,This is not normal; viral meningitis; chills; v... Read more
If not 100 % sure but she may had an ischemic stroke,This is not normal; viral meningitis; chills; vision problems,vision problem was bad; hearing problems; This spontaneous case was reported by a consumer and describes the occurrence of ISCHAEMIC STROKE (If not 100 % sure but she may had an ischemic stroke,This is not normal) and MENINGITIS VIRAL (viral meningitis) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. QQ2A21 and 038K20A) 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.). On 05-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 08-Mar-2021, the patient experienced VISION BLURRED (vision problems,vision problem was bad) and HEARING DISABILITY (hearing problems). On an unknown date, the patient experienced ISCHAEMIC STROKE (If not 100 % sure but she may had an ischemic stroke,This is not normal) (seriousness criterion medically significant), MENINGITIS VIRAL (viral meningitis) (seriousness criterion medically significant) and CHILLS (chills). At the time of the report, ISCHAEMIC STROKE (If not 100 % sure but she may had an ischemic stroke,This is not normal), MENINGITIS VIRAL (viral meningitis), VISION BLURRED (vision problems,vision problem was bad), HEARING DISABILITY (hearing problems) and CHILLS (chills) outcome was unknown. Action taken with mRNA-1273 in response to the events was not Applicable. Treatment medication includes: Blood thinner Rosuvastatin, 81mg aspirin. Additional information:After second dose had chills but she hear from people who had fever, chills and etc. Woke up on Monday March 8 with vision problems, hearing problems. She waited 8 days until she went to the doctor because everybody says had a reaction but this was getting worse. Went to eye doctor because of vision problem was bad, on March 18 4 weeks after first symptoms appears, optometrist send to her internist and after consultation, on March 23 had 2 MRI head and brain. March 26 had contrast MRI brain, send her for a carotid study in her neck. Went to the internist again, April 2 send to spinal test. April 5 echocardiogram, yesterday went to first appointment with her vision therapeutics. This morning went to the neurologist send her for 2 more brain MRI. If not 100 % sure but she may had an ischemic stroke, doctor will confirm it with the studies. Neurologist confirm she has viral meningitis and the symptoms are similar with ischemic stroke, but that is not confirmed yet. Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. Further 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 event, a causal relationship cannot be excluded. Further information is requested.
71 2021-04-21 low platelet count Pt reports she was in Hospital until 2 days ago when she received 2nd Moderna COVID vaccine. She sta... Read more
Pt reports she was in Hospital until 2 days ago when she received 2nd Moderna COVID vaccine. She states that several hours later she began feeling globally weak and with coordination difficulties intermittently (gives example that she would be feeding self, then have difficulty getting utensil to mouth and noted sudden collapse of LE when standing, "they just gave out" and feels that difficulty coordinating her legs led to inability to stand- adamant that it is coordination rather than fatigue or weakness at issue). She feels symptoms in extremities are bilateral and symmetric. Denies prodrome prior to falls, denies LOC but states she fell onto her face and did not "catch" herself "it happened too fast". She has been able to ambulate with assistance to bathroom and in her house in recent days. Denies paresthesias, numbness to groin or perineum. She has been constipated, which is new for her with last BM 4/17 no GIB. Pt denies dysuria or difficulties with urination, though she tells me she has not voided since yesterday. She states she has been eating without n/v or early satiety. No change in chronic cough or DOE. She has not had fevers or chills, denies myalgias or arthralgias.
71 2021-04-22 atrial fibrillation, blood clot Pt presented to the ED from home for b/l lower extremity swelling x 2 weeks. She was reportedly in h... Read more
Pt presented to the ED from home for b/l lower extremity swelling x 2 weeks. She was reportedly in her recliner for approximately 12-18 hrs prior to being brought in via EMS. In the ED her b/l LE extremity was cold to touch and mottled. Her toes were white and nail beds blue. No pulses were found on Doppler on either extremity. She was also noted to be in a.fib with RVR. Doppler of LE showed extensive occlusive thrombus. Bedside echo showed the RV severely dilated with mobile thrombus and EF 20-25%. Given these findings there is a very high probability of massive PE, however given current situation of AKI and instability CT was unable to be performed. She was given TPA and admitted to ICU. Pt was started heparin gtt, as well as levophed and dobutamine for obstructive and cardiogenic shock as her troponin, kidney function, lactate and liver function all were elevated. Of note pt lives in a hoarding situation and lives a sedentary lifestyle and reportedly only gets up from recliner to use the bathroom. Pt also has a 96 pack year history but was noted in her medical chart to have quit smoking in 2017.
71 2021-04-22 atrial fibrillation a few episodes of a-fib; felt like she might black out; felt like her heart was palpitating; stress;... Read more
a few episodes of a-fib; felt like she might black out; felt like her heart was palpitating; stress; headache; could not sleep; burning in her arm, up through her neck and to her chest.; worry; This spontaneous case was reported by a consumer and describes the occurrence of ATRIAL FIBRILLATION (a few episodes of a-fib) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 037a21a) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Heart valve replacement (two artificial heart valves.) since 2004. Concomitant products included WARFARIN SODIUM (COUMADIN) for Heart valve replacement. On 22-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Mar-2021, the patient experienced VACCINATION SITE PAIN (burning in her arm, up through her neck and to her chest.). On 18-Apr-2021, the patient experienced SLEEP DISORDER (could not sleep). On an unknown date, the patient experienced ATRIAL FIBRILLATION (a few episodes of a-fib) (seriousness criterion medically significant), PRESYNCOPE (felt like she might black out), PALPITATIONS (felt like her heart was palpitating), ANXIETY (worry), STRESS (stress) and HEADACHE (headache). On 23-Mar-2021, VACCINATION SITE PAIN (burning in her arm, up through her neck and to her chest.) outcome was unknown. At the time of the report, ATRIAL FIBRILLATION (a few episodes of a-fib), PRESYNCOPE (felt like she might black out), PALPITATIONS (felt like her heart was palpitating), SLEEP DISORDER (could not sleep), ANXIETY (worry), STRESS (stress) and HEADACHE (headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment for the events included Acetaminophen. Echogram scheduled on 05 May 21. Company comment: Very limited information regarding these events has been provided at this time. The events are probably related to the patient's comorbidities; Sender's Comments: Very limited information regarding these events has been provided at this time. The events are probably related to the patient's comorbidities
71 2021-04-22 death Patient received her first Moderna dose on 03/12/21 at 1:24pm in the Right Deltoid, Lot# 036A21A, ... Read more
Patient received her first Moderna dose on 03/12/21 at 1:24pm in the Right Deltoid, Lot# 036A21A, no reaction after 15 min. No reaction was reported 15 min. after her second dose which was in the opposite arm. See was being watched by her family members that evening, family members did not report anything at that time. Her temperature on 4/16/21 was 97.1
71 2021-04-24 death Patient died sometime between Sunday evening, April 4 and Monday morning, April 5. I looked at the b... Read more
Patient died sometime between Sunday evening, April 4 and Monday morning, April 5. I looked at the browser history in her cellphone and on the night of April 4, she googled "Heart attack symptoms in women" and "Moderna vaccination side effects." I think she didn't go to the doctor because she figured her symptoms were related to her vaccine -- even though it had been a week. I wanted to report her death because I don't trust her doctor to do it. It took him two weeks and a call from me to complain before he signed her death certificate. He listed April 9, 2021 as the official date of death because that's when she was found, even though the deputy coroner told me she died on either the 4th or the 5th.
71 2021-04-26 low platelet count Resident was fatigued and more disoriented - beyond baseline confusion. Right knee swelling and pain... Read more
Resident was fatigued and more disoriented - beyond baseline confusion. Right knee swelling and pain present without any fall or injury sustained as resident is non-ambulatory. Resident's lab results 01/26/21 showed PLT result of 118 - Hematology consult was completed, as MD was concerned about sudden onset Thrombocytopenia. Hematology consult was completed 2/8/21 - more lab tests were ordered to rule out further blood disorders (CBC with diff, automated reticulocyte count, total LDH, Hepatic Function panel, Free T4, TSH, Vitamin B12, Haptoglobin, Folate, Free Light Chains, Protein ELP. Results came back on 02/11/21 with PLT level returned to normal (PLT 151) and no further indication that there was a separate blood disorder present. Symptoms resolved and no further follow up required by Hematology or primary MD.
71 2021-04-28 pneumonia Next day had shortness of breath, 8 days later ended up in the hospital with severe shortness of bre... Read more
Next day had shortness of breath, 8 days later ended up in the hospital with severe shortness of breath and fluid in the lungs, thought to be pneumonia. Was discharged, then 1 week later, which was 3 days after the second COVID shot, ended up in the hospital again for about 5 days with severe shortness of breath and fluid in the lungs, possible pleural effusion, was discharged after about 5 more days with home oxygen. Approximately 4 days to 1 week later ended up calling 911 with severe shortness of breath and fluid in the lungs still. Patient is still on home oxygen and still recovering as of today.
71 2021-04-30 atrial fibrillation atrial fibrillation
71 2021-05-04 pneumonia, heart attack Double pneumonia; Heart attack; was hospitalized was not able to get second dose; This spontaneous c... Read more
Double pneumonia; Heart attack; was hospitalized was not able to get second dose; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PNEUMONIA (Double pneumonia) and MYOCARDIAL INFARCTION (Heart attack) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter. On 09-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Apr-2021, the patient experienced OFF LABEL USE (was hospitalized was not able to get second dose). On an unknown date, the patient experienced PNEUMONIA (Double pneumonia) (seriousness criterion hospitalization) and MYOCARDIAL INFARCTION (Heart attack) (seriousness criterion medically significant). The patient was hospitalized on 31-Mar-2021 due to PNEUMONIA. On 09-Apr-2021, OFF LABEL USE (was hospitalized was not able to get second dose) had resolved. At the time of the report, PNEUMONIA (Double pneumonia) and MYOCARDIAL INFARCTION (Heart attack) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The patient wanted to know if she should repeat first dose. It was reported that patient was on "a lot" of concomitant medications but did not specify. The patient was in the intensive care unit. No treatment medication was reported. 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.
71 2021-05-06 heart attack Myocarditis Patient presented to the hospital with one episode of troponin positive chest pain. Sh... Read more
Myocarditis Patient presented to the hospital with one episode of troponin positive chest pain. She was diagnosed with an NSTEMI for which she had a coronary angiogram which showed no significant coronary artery disease. She subsequently had CRP (normal)/ESR (mildly elevated) and DDIMER. Ddimer was elevated thus a V/Q scan was done which showed no pulmonary embolism. She went on to have a cardiac MRI which showed evidence of myocarditis.
71 2021-05-13 atrial fibrillation The patient developed atrial fibrillation the day after the first vaccination. She also developed it... Read more
The patient developed atrial fibrillation the day after the first vaccination. She also developed it the day after the second vaccination (Lot #022C1A, May 12, 2021) Moderna for both. The atrial fibrillation which began after the second dose required hospitalization. The patient has a history of atrial fibrillation
71 2021-05-16 pulmonary embolism Difficulty breathing, chest pain, dyspnea on minimal exertion. Diagnosed with diffuse pulmonary emb... Read more
Difficulty breathing, chest pain, dyspnea on minimal exertion. Diagnosed with diffuse pulmonary emboli involving the distal main branches as well as the proximal segmental and diffusely throughout the subsegmental branches of both lungs. Elevated right ventricular over left ventricular ratio greater than 1.0 suggesting right-sided heart strain and increased right-sided heart pressures. Admitted and treated with IV heparin bolus and infusion.
71 2021-05-18 anaphylactic reaction COVID arm (painful, itchy, hot); COVID arm (painful, itchy, hot); COVID arm (painful, itchy, hot); A... Read more
COVID arm (painful, itchy, hot); COVID arm (painful, itchy, hot); COVID arm (painful, itchy, hot); Anaphylactic Reaction/Throat began to swell and could only swallow water/chest discomfort; Lips and Cheeks were numb; Lips and Cheeks were numb; Chills; Headache; This spontaneous case was reported by a consumer and describes the occurrence of ANAPHYLACTIC REACTION (Anaphylactic Reaction/Throat began to swell and could only swallow water/chest discomfort) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 31B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was provided by the reporter. Concurrent medical conditions included Allergic reaction to bee sting (Bees). On 23-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Apr-2021, the patient experienced ANAPHYLACTIC REACTION (Anaphylactic Reaction/Throat began to swell and could only swallow water/chest discomfort) (seriousness criterion medically significant), the first episode of HYPOAESTHESIA ORAL (Lips and Cheeks were numb), the second episode of HYPOAESTHESIA ORAL (Lips and Cheeks were numb), CHILLS (Chills) and HEADACHE (Headache). On 25-Apr-2021, the patient experienced VACCINATION SITE WARMTH (COVID arm (painful, itchy, hot)), VACCINATION SITE PRURITUS (COVID arm (painful, itchy, hot)) and VACCINATION SITE PAIN (COVID arm (painful, itchy, hot)). The patient was treated with Physical therapy (Ice wraps) for Anaphylactic reaction. At the time of the report, ANAPHYLACTIC REACTION (Anaphylactic Reaction/Throat began to swell and could only swallow water/chest discomfort), the last episode of HYPOAESTHESIA ORAL (Lips and Cheeks were numb), VACCINATION SITE WARMTH (COVID arm (painful, itchy, hot)), VACCINATION SITE PRURITUS (COVID arm (painful, itchy, hot)), CHILLS (Chills), HEADACHE (Headache) and VACCINATION SITE PAIN (COVID arm (painful, itchy, hot)) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The patient was fine while she was at the facility, but on her way home she had an anaphylactic reaction. Her lips and cheeks became numb. Her throat began to swell and she could not swallow anything but water. She also reports her chest was tight. No breathing difficulties. She stated that she tried to call her physician to get an EpiPen, but he was gone for the day. She stated that she was allergic to bees and that is why she went to a facility who would have a doctor there if she had a reaction. The reaction lasted about 1.5 hours. She used ice wraps and eventually the reaction stopped and she did not go to the emergency room. She also reports that she also had the normal side effects like chills and a headache after receiving the shot. Two days after the vaccination she woke up with COVID arm which was painful, itchy and hot. It lasted over a week, but it finally went away. The concomitant medications were not provided. Based on the current available information and temporal association between the use of the product and the start date of the events( anaphylactic reaction, hypoesthesia oral, hypoesthesia, chills, headache, vaccination site pain, vaccination site pruritus, vaccination site warmth), 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( anaphylactic reaction, hypoesthesia oral, hypoesthesia, chills, headache, vaccination site pain, vaccination site pruritus, vaccination site warmth), a causal relationship cannot be excluded.
71 2021-05-18 pulmonary embolism, deep vein blood clot Patient presented to the ED and was subsequently hospitalized for DVT on 4/7/21. She also presented ... Read more
Patient presented to the ED and was subsequently hospitalized for DVT on 4/7/21. She also presented to the ED and was subsequently hospitalized for pulmonary embolism on 5/7/21. These visits are within 6 weeks of receiving COVID vaccination.
71 2021-05-23 cerebrovascular accident 71 yo R handed female PMHx of obesity, anxiety, depression, HTN, afib, and COVID infection who prese... Read more
71 yo R handed female PMHx of obesity, anxiety, depression, HTN, afib, and COVID infection who presented to ED on 5/15/2021 with stroke like symptoms. She presented with right sided weakness, facial droop and slurred speech. LKWT 5/15/2021 at 0430. Patient reported going to bed around 2300 the night before and woke up at 0400 that morning with right sided weakness. Her daughter noticed slurred speech and right sided facial droop. Denied chest pain, HA, dizziness, no vision changes and no history of CVA. Stroke protocol was called. Teleneuro consulted and recommended a MRI. CT head was unremarkable. She takes ASA at home and received Plavix per neuro recommendations. Of note, patient tested positive for COVID but denied any respiratory symptoms and she has received her first COVID vaccination. Patient was admitted to the hospital for further treatment and evaluation for suspected CVA. Neurology consulted. Continued ASA, Plavix and Statin. Allowed for permissive HTN. Patient with history of Atrial fibrillation, currently normal sinus rhythm on telemetry. CHADS2VASC 3-would benefit from AC if no contraindication. Unsure why she has not been placed on AC and patient stated he only had one episode of Afib. Chest XR showed No acute cardiac pulmonary findings. Patient refused to have MRI brain due to anxiety. She stated that she attempted to have a MRI before and even with medication for anxiety she was not able to. Echo showed normal EF, mild MR, AR, TR, no PFO noted.CTA head and neck showed right vertebral artery ends in PICA, no acute abnormalities. Labs noted B12 4,268 cholesterol 231 total, HDL 52, LDL 152, TAG 134, HbA1c 6.2, TSH WNL. Patient was out of the window for tPA. She was given a large dose of IV Ativan for anxiety. She continued to have elevated blood pressures with nausea that required IV labetalol to maintain blood pressure. HTN could likely be due to her significant anxiety. Cardiology planned to follow patient after discharge to discuss AC medication. Patient initially tested positive for COVID on 2/2/2021 and was able to take patient out of isolation. Dx: CVA
71 2021-05-25 death unknown
71 2021-05-25 bleeding on surface of brain subarachnoid hemorrhage - severe headache and pain in neck, let pain
71 2021-05-25 blood clot Embolism arterial; Thrombosis; Herpes zoster; Limb discomfort; Pain in extremity; Feeling hot; This ... Read more
Embolism arterial; Thrombosis; Herpes zoster; Limb discomfort; Pain in extremity; Feeling hot; This case was received via VAERS on 11-May-2021 and was forwarded to Moderna on 11-May-2021. This regulatory authority case was reported by an other health care professional (subsequently medically confirmed) and describes the occurrence of EMBOLISM ARTERIAL (Embolism arterial), THROMBOSIS (Thrombosis), HERPES ZOSTER (Herpes zoster), LIMB DISCOMFORT (Limb discomfort), PAIN IN EXTREMITY (Pain in extremity) and FEELING HOT (Feeling hot) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030A21A) for COVID-19 vaccination. Concurrent medical conditions included COPD and Asthma. Concomitant products included ALBUTEROL [SALBUTAMOL], BUDESONIDE, FORMOTEROL FUMARATE (SYMBICORT) and TIOTROPIUM BROMIDE MONOHYDRATE (SPIRIVA) for an unknown indication. On 24-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) at an unspecified dose. On 31-Mar-2021, the patient experienced EMBOLISM ARTERIAL (Embolism arterial) (seriousness criteria hospitalization and medically significant), THROMBOSIS (Thrombosis) (seriousness criteria hospitalization and medically significant), HERPES ZOSTER (Herpes zoster) (seriousness criterion hospitalization), LIMB DISCOMFORT (Limb discomfort) (seriousness criterion hospitalization), PAIN IN EXTREMITY (Pain in extremity) (seriousness criterion hospitalization) and FEELING HOT (Feeling hot) (seriousness criterion hospitalization). At the time of the report, EMBOLISM ARTERIAL (Embolism arterial), THROMBOSIS (Thrombosis), HERPES ZOSTER (Herpes zoster), LIMB DISCOMFORT (Limb discomfort), PAIN IN EXTREMITY (Pain in extremity) and FEELING HOT (Feeling hot) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 31-Mar-2021, Full blood count: unknown (Inconclusive) Unknown. On 31-Mar-2021, Ultrasound Doppler: unknown (Inconclusive) Unknown. On 31-Mar-2021, Whole body scan: unknown (Inconclusive) Unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. The patient went to hospital because of blood clots and he had an emergency surgery. It was a huge arterial clot and developed shingles. Action taken with mRNA-1273 in response to the events was not applicable. 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.
71 2021-05-26 cerebrovascular accident, transient ischaemic attack The morning after she got her second vaccination (2/3/2021), she was unresponsive. She was then tak... Read more
The morning after she got her second vaccination (2/3/2021), she was unresponsive. She was then taken to the hospital, by ambulance. They did multiple tests, Blood work, urine sample, CT scans, and had no results. Then they transferred her to get an MRI at hospital, and then went back to original hospital. MRI confirmed she had a stroke and multiple TIAs (mini strokes). Then she was admitted and slept all day on 2/4/2021, finally awoke on 2/5/2021. She stayed in the hospital about a week, and then was transferred to a nursing home/ rehab facility - Facility on 2/10/2021. She was there until March 3rd, 20 days after being admitted. She was then released to go home on 3/3/2021. She has now recovered since then. She is having home health coming to her house, but is no longer going to be there starting June 1st.
71 2021-05-27 ischaemic stroke Patient with no previously documented medical history received first dose of vaccine on 5/3/21. On 5... Read more
Patient with no previously documented medical history received first dose of vaccine on 5/3/21. On 5/5, presented to urgent care clinic and was transferred to hospital with confusion, and new facial droop. Diagnosed with acute ischemic stroke, and new diagnosed hypertension and diabetes mellitus. Unknown if vaccine was the only known cause of her hospitalization, and health outcomes.
71 2021-06-01 deep vein blood clot, pneumonia, acute respiratory failure bilateral pneumonia; acute on chronic respiratory failure; left lower extremity deep vein thrombosis... Read more
bilateral pneumonia; acute on chronic respiratory failure; left lower extremity deep vein thrombosis; This spontaneous case was reported by a physician and describes the occurrence of ACUTE RESPIRATORY FAILURE (acute on chronic respiratory failure), PNEUMONIA (bilateral pneumonia) and DEEP VEIN THROMBOSIS (left lower extremity deep vein thrombosis) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 012LZ0A and 029L20A) for COVID-19 vaccination. Concurrent medical conditions included Food allergy (corn, dairy aid, peanuts,tomato), Drug allergy (codeine, aspirin, chlorine, tartrazine, lanolin, Prevnar, Pulmicort, penicillin.), Iodine contrast media allergy, Allergy (cat dander, yellow dye, purple dye), Latex allergy, Hypertension, COPD and Lung cancer. Concomitant products included ALPRAZOLAM, BENZONATATE, ENOXAPARIN, GABAPENTIN, HCTZ, HYDROCODONE, ACETAMINOPHEN, OMEPRAZOLE, PREDNISONE, PROCHLORPERAZINE EDISYLATE (COMPAZINE [PROCHLORPERAZINE EDISYLATE]), BECLOMETASONE DIPROPIONATE (QVAR), MONTELUKAST and CETIRIZINE for an unknown indication. On 25-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 22-Apr-2021, the patient experienced DEEP VEIN THROMBOSIS (left lower extremity deep vein thrombosis) (seriousness criterion medically significant). On 05-May-2021, the patient experienced ACUTE RESPIRATORY FAILURE (acute on chronic respiratory failure) (seriousness criteria hospitalization and medically significant). On an unknown date, the patient experienced PNEUMONIA (bilateral pneumonia) (seriousness criteria hospitalization and medically significant). The patient was hospitalized on 05-May-2021 due to ACUTE RESPIRATORY FAILURE and PNEUMONIA. The patient was treated with Hospice care (increased supplemental oxygen) for Pneumonia. At the time of the report, ACUTE RESPIRATORY FAILURE (acute on chronic respiratory failure), PNEUMONIA (bilateral pneumonia) and DEEP VEIN THROMBOSIS (left lower extremity deep vein thrombosis) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 22-Apr-2021, Ultrasound Doppler: unknown (Inconclusive) unknown. On 05-May-2021, Chest X-ray: unknown (Inconclusive) unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. treatment includes IV antibiotics. concomitant medication includes duo-nebs. 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.
71 2021-06-03 deep vein blood clot DVT left upper extremity; Left cephalic vein
71 2021-06-03 pneumonia I had the vaccine and in 01/31/21 my oxygen level dropped to 75-76 I had difficulty breathing so I w... Read more
I had the vaccine and in 01/31/21 my oxygen level dropped to 75-76 I had difficulty breathing so I went to the hospital, they did a CT Scan and it showed ground glass opacity which is pneumonia in both lungs, they also did a Bronchoscopy, echocardiogram and blood tests. I was admitted on the same day, I was there for 4 days. They gave me anti-inflammatory meds, doxycycline, Lasix.
71 2021-06-06 heart attack Pain radiating from the tips of one hand to the tips of the other along with chest pain like a truck... Read more
Pain radiating from the tips of one hand to the tips of the other along with chest pain like a truck was setting on it!
71 2021-06-06 blood clot, blood clot in lung The night after receiving the vaccine, the patient began having continuous fevers and coughs. It was... Read more
The night after receiving the vaccine, the patient began having continuous fevers and coughs. It was later discovered that there were blood clots in the lung and legs. Patient health rapidly declined during hospitalization period. Mobility, apetite and overall strength and energy decreased. Patient was fully bedridden and soon lost eye sight.
71 2021-06-09 atrial fibrillation There was a little soreness and redness. A couple days after my heart started racing and it got wors... Read more
There was a little soreness and redness. A couple days after my heart started racing and it got worse. I went into Afiv and was hospitalized for 3 days. I had my heart shocked three times to get it into rhythm.
71 2021-06-09 blood clot Blood clots in her leg and lungs; She is black and blue; She felt pain above her knee and on the ins... Read more
Blood clots in her leg and lungs; She is black and blue; She felt pain above her knee and on the inside of her thigh toward the groin that felt like she had been wearing a tight sock. Also felt pain midway between her knee and ankle; She also felt pain midway between her knee and ankle; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of THROMBOSIS (Blood clots in her leg and lungs) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 017B21A and 022M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Dyslipidaemia. Concurrent medical conditions included Blood pressure high, Depression, Acid reflux (oesophageal) and Allergy. On 05-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 02-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 12-May-2021, the patient experienced GROIN PAIN (She felt pain above her knee and on the inside of her thigh toward the groin that felt like she had been wearing a tight sock. Also felt pain midway between her knee and ankle) and ARTHRALGIA (She also felt pain midway between her knee and ankle). On 18-May-2021, the patient experienced THROMBOSIS (Blood clots in her leg and lungs) (seriousness criteria hospitalization and medically significant). On an unknown date, the patient experienced CONTUSION (She is black and blue). The patient was hospitalized from 21-May-2021 to 22-May-2021 due to THROMBOSIS. The patient was treated with APIXABAN (ELIQUIS) on 22-May-2021 at an unspecified dose and frequency. At the time of the report, THROMBOSIS (Blood clots in her leg and lungs), CONTUSION (She is black and blue), GROIN PAIN (She felt pain above her knee and on the inside of her thigh toward the groin that felt like she had been wearing a tight sock. Also felt pain midway between her knee and ankle) and ARTHRALGIA (She also felt pain midway between her knee and ankle) outcome was unknown. The patient thought there were bug bites on her leg on 12-May-2021. Treatment also included IV blood thinner while she was hospitalized. The action taken with mRNA-1273 in response to the event was not applicable. 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. However, Further information has been 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. However, Further information has been requested.
71 2021-06-10 pneumonia Patient presented to ER on 6/10 with c/o severe nausea and worsening tremors. CXray showed a right ... Read more
Patient presented to ER on 6/10 with c/o severe nausea and worsening tremors. CXray showed a right upper lobe infiltrate. Pt was admitted to observation for vomiting with nausea, acute severe generalized weakness and pneumonia and was Covid positive upon rapid PCR.
71 2021-06-16 deep vein blood clot Patient has been on Revlimid since 2012 with no issues which had the potential to increase coagulopa... Read more
Patient has been on Revlimid since 2012 with no issues which had the potential to increase coagulopathy. Patient has been on appropriate prophylaxis with aspirin daily with no previous clots. Patient got second dose of Moderna COVID vaccine on 3/5/21. Beginning ~2 weeks ago (late May) from current admission (6/10), patient began developing right leg swelling. Patient underwent lower extremity ultrasound at outside hospital on 6/9 and was found to have extensive deep vein thrombosis throughout right leg. Patient started on Eliquis and referred to the hospital. Patient started on argatroban for concerns of post-COVID vaccine coagulopathy.
71 2021-06-17 acute respiratory failure Pt was admitted from the ED with acute respiratory failure on 4/14/21, after receiving the vaccine o... Read more
Pt was admitted from the ED with acute respiratory failure on 4/14/21, after receiving the vaccine on 4/12/21
71 2021-06-18 pneumonia Body aches; Pneumonia; Upper respiratory infection; Migraine; Pain at the back of her head; headache... Read more
Body aches; Pneumonia; Upper respiratory infection; Migraine; Pain at the back of her head; headache / pain at back of head; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PNEUMONIA (Pneumonia) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 045321A and 007B21A) 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 DULOXETINE HYDROCHLORIDE (CYMBALTA), LETROZOLE, CALCIUM CARBONATE, COLECALCIFEROL (CALTRATE WITH VITAMIN D) and ATORVASTATIN for an unknown indication. On 19-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 16-Apr-2021, the patient experienced HEADACHE (headache / pain at back of head). On 23-May-2021, the patient experienced UPPER RESPIRATORY TRACT INFECTION (Upper respiratory infection), MIGRAINE (Migraine) and PAIN (Pain at the back of her head). On 24-May-2021, the patient experienced PNEUMONIA (Pneumonia) (seriousness criterion medically significant). On an unknown date, the patient experienced MYALGIA (Body aches). The patient was treated with BENZONATATE (TESSALON PERLE) at an unspecified dose and frequency; GUAIFENESIN (MUCINEX) at an unspecified dose and frequency and SALBUTAMOL (ALBUTEROL HFA) at an unspecified dose and frequency. At the time of the report, PNEUMONIA (Pneumonia), UPPER RESPIRATORY TRACT INFECTION (Upper respiratory infection), MIGRAINE (Migraine) and PAIN (Pain at the back of her head) outcome was unknown and HEADACHE (headache / pain at back of head) and MYALGIA (Body aches) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 24-May-2021, Chest X-ray: abnormal (abnormal) Diagnosed with pneumonia.. On 02-Jun-2021, Chest X-ray: abnormal (abnormal) Received another chest x-ray and was told patient wasn't getting better.. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medication include centrum silver. On the day of her second dose, the patient began experiencing a headache. A couple days later, she felt sick and recovered. Around 23 May 2021, she began feeling sick again and went to urgent care. She was diagnosed with an upper respiratory infection. She had a headache, pain at the back of her head. She received a shot for migraine and given steroids. On 24 May 2021, the patient went back to Urgent Care for a chest x-ray. She was diagnosed with pneumonia. Antibiotics were added. On 28 May 2021, the patient went for a recheck and given additional medication for cough. On 2 Jun 2021, she received another chest x-ray and was told she wasn't getting better. A new antibiotic, new steroid, and new inhaler were prescribed. Currently she is coughing, very tired, breaks out in sweat, body aches, slight headache, winded, and has discolored mucus. Treatment for the events included antibiotics, steroids and injection to treat migraine. Very limited information regarding this events has been provided at this time. No further information is expected at this time. Further information has been requested.; Sender's Comments: Very limited information regarding this events has been provided at this time. No further information is expected at this time. Further information has been requested.
71 2021-06-20 acute respiratory failure, heart attack Acute respiratory failure, MI; RSV
71 2021-06-20 stroke 71-year-old female with history of chronic obstructive pulmonary disease, CVA, type 2 diabetes hyper... Read more
71-year-old female with history of chronic obstructive pulmonary disease, CVA, type 2 diabetes hypertension who presented with hypoxia and altered mental status. At baseline she is alert and oriented to self, she has a guardian. It appears she was noted to be more somnolent than usual at her facility and found to be hypoxemic so was sent to ER for further evaluation. She required 4L oxygen via nasal cannula to maintain saturation. On arrival to ER, her labs were notable for mild AKI, troponin elevation, leukocytosis and positive COVID19 PCR. Chest xray was consistent with patchy bilateral lower lobe airspace disease. CT Head showed a chronic large right MCA infarct without acute hemorrhagic changes
71 2021-06-28 ischaemic stroke Confusional state; Diabetes mellitus; Facial paralysis; Hypertension; Ischaemic stroke; This case wa... Read more
Confusional state; Diabetes mellitus; Facial paralysis; Hypertension; Ischaemic stroke; This case was received via VAERS (Reference number: 1358541) on 15-Jun-2021 and was forwarded to Moderna on 15-Jun-2021. This regulatory authority case was reported by an other health care professional and describes the occurrence of CONFUSIONAL STATE (Confusional state), DIABETES MELLITUS (Diabetes mellitus), FACIAL PARALYSIS (Facial paralysis), HYPERTENSION (Hypertension) and ISCHAEMIC STROKE (Ischaemic stroke) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 044B21A) for COVID-19 vaccination. No Medical History information was reported. On 03-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-May-2021, the patient experienced CONFUSIONAL STATE (Confusional state) (seriousness criteria hospitalization and disability), DIABETES MELLITUS (Diabetes mellitus) (seriousness criteria hospitalization, disability and medically significant), FACIAL PARALYSIS (Facial paralysis) (seriousness criteria hospitalization, disability and medically significant), HYPERTENSION (Hypertension) (seriousness criteria hospitalization and disability) and ISCHAEMIC STROKE (Ischaemic stroke) (seriousness criteria hospitalization, disability and medically significant). The patient was hospitalized on 05-May-2021 due to CONFUSIONAL STATE, DIABETES MELLITUS, FACIAL PARALYSIS, HYPERTENSION and ISCHAEMIC STROKE. At the time of the report, CONFUSIONAL STATE (Confusional state), DIABETES MELLITUS (Diabetes mellitus), FACIAL PARALYSIS (Facial paralysis), HYPERTENSION (Hypertension) and ISCHAEMIC STROKE (Ischaemic stroke) had not resolved. 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. No concomitant medications were given by the reporter. No Treatment information were provided by the reporter. Patient received first dose of vaccine on 5/3/21. On 5/5, presented to urgent care clinic and was transferred to hospital with confusion, and facial droop. Patient was Diagnosed with acute ischemic stroke, new diagnosis hypertension and diabetes mellitus. 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.
71 2021-06-28 blood clot in lung Blood clot in lungs, shortness of breath
71 2021-06-29 cerebrovascular accident Stroke; This spontaneous case was reported by a consumer and describes the occurrence of CEREBROVASC... Read more
Stroke; This spontaneous case was reported by a consumer and describes the occurrence of CEREBROVASCULAR ACCIDENT (Stroke) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 006B21A) for COVID-19 vaccination. Concurrent medical conditions included Blood pressure high (had been put on hypertension medication). Concomitant products included LOSARTAN for Hypertension. On 19-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 10-Jun-2021, the patient experienced CEREBROVASCULAR ACCIDENT (Stroke) (seriousness criteria hospitalization, medically significant and life threatening). The patient was hospitalized for 2 days due to CEREBROVASCULAR ACCIDENT. At the time of the report, CEREBROVASCULAR ACCIDENT (Stroke) outcome was unknown. Concomitant medications were not reported. Treatment medications were not provided. This case concerns a 71-year-old female hospitalized with a serious unexpected event of cerebrovascular accident. Event latency 55 days after second dose mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. This case was linked to MOD-2021-066369 (Patient Link).; Sender's Comments: This case concerns a 71-year-old female hospitalized with a serious unexpected event of cerebrovascular accident. Event latency 55 days after second dose mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.
71 2021-07-05 atrial fibrillation, blood clot showed clot in heart/ I have a blood clot in my heart, and it was after taking the injection; atrial... Read more
showed clot in heart/ I have a blood clot in my heart, and it was after taking the injection; atrial fibrillation persisting; experienced shortness of breath; general weakness; weakness in legs, especially thighs; soreness at the injection site; redness at the injection site; This spontaneous case was reported by a health care professional and describes the occurrence of ATRIAL FIBRILLATION (atrial fibrillation persisting) and THROMBOSIS (showed clot in heart/ I have a blood clot in my heart, and it was after taking the injection) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 002A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Myocardial infarction (5 "MI"s) and Open heart surgery. Concurrent medical conditions included Diabetic retinopathy, Blindness, Atrial fibrillation (started about 2 years ago) and Type 2 diabetes mellitus. Concomitant products included TEMAZEPAM for Insomnia, DULAGLUTIDE (TRULICITY) for Type 2 diabetes mellitus, ASPIRIN [ACETYLSALICYLIC ACID], ATORVASTATIN CALCIUM (LIPITOR), DILTIAZEM, CARVEDILOL (COREG), SACUBITRIL VALSARTAN SODIUM HYDRATE (ENTRESTO), LOPERAMIDE HYDROCHLORIDE (IMODIUM), ISOSORBIDE MONONITRATE (ISOSORBIDE MONONITE), EMPAGLIFLOZIN (JARDIANCE), POTASSIUM CHLORIDE (KLOR-CON), FUROSEMIDE (LASIX [FUROSEMIDE]), LEVOTHYROXINE, MAGNESIUM OXIDE, PAROXETINE HCL and PARACETAMOL (TYLENOL) for an unknown indication. On 26-Feb-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Feb-2021, the patient experienced VACCINATION SITE PAIN (soreness at the injection site) and VACCINATION SITE ERYTHEMA (redness at the injection site). In March 2021, the patient experienced DYSPNOEA (experienced shortness of breath), ASTHENIA (general weakness) and MUSCULAR WEAKNESS (weakness in legs, especially thighs). On 07-May-2021, the patient experienced THROMBOSIS (showed clot in heart/ I have a blood clot in my heart, and it was after taking the injection) (seriousness criterion medically significant). In May 2021, the patient experienced ATRIAL FIBRILLATION (atrial fibrillation persisting) (seriousness criterion medically significant). The patient was treated with WARFARIN SODIUM (JANTOVEN) ongoing from 07-May-2021 at an unspecified dose and frequency. At the time of the report, ATRIAL FIBRILLATION (atrial fibrillation persisting), THROMBOSIS (showed clot in heart/ I have a blood clot in my heart, and it was after taking the injection), DYSPNOEA (experienced shortness of breath), ASTHENIA (general weakness), MUSCULAR WEAKNESS (weakness in legs, especially thighs), VACCINATION SITE PAIN (soreness at the injection site) and VACCINATION SITE ERYTHEMA (redness at the injection site) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 07-May-2021, Arteriogram: clot in heart (Inconclusive) clot in heart. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Patient received first dose vaccine on 28Jan2021, and she had no problems. Patient was on pacer and defibrillator. Patient had a nuclear stress test in May2021 which did not show anything. 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.
71 2021-07-05 pneumonia J18.9 - Pneumonia, unspecified organism
71 2021-07-05 sepsis Bacterial pneumonia; COPD exacerbation; Unintentional weight loss; Sepsis; Nausea; Body ache; Temper... Read more
Bacterial pneumonia; COPD exacerbation; Unintentional weight loss; Sepsis; Nausea; Body ache; Temperature upto 102; Vomiting; Runny nose; Sore throat; Congestion; Diarrhea; bilateral conjunctivitis; Inappropriate schedule of vaccine administered; This spontaneous case was reported by a nurse and describes the occurrence of SEPSIS (Sepsis), PNEUMONIA BACTERIAL (Bacterial pneumonia), CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD exacerbation) and ABNORMAL LOSS OF WEIGHT (Unintentional weight loss) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 006C21A and 026B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Thyroid nodule (Benign, BX done on 6jun2014), Cholelithiasis, Cranial nerve paralysis, Diverticulosis (Diverticulosis of intestine without bleeding, unspecified intestinal tract location), Hepatic lesion, Smoker, Inguinal hernia repair, Colon operation in 2016 and Thermal ablation. Concurrent medical conditions included COPD (Exacerbation) since 06-Jun-2014, Hypokalemia (Started potassium for 3 days, rechecking K+ today), Anemia (Started daily iron, after hospital visit), Malnutrition, Idiopathic osteoporosis, Thyroid disorder, Unspecified disorder of adrenal glands, Lung nodule and Weight loss. Concomitant products included SALBUTAMOL SULFATE (PROAIR HFA) from 01-May-2021 to an unknown date and FLUTICASONE PROPIONATE, SALMETEROL XINAFOATE (ADVAIR) from 24-Apr-2017 to an unknown date for COPD, GENTAMICIN (GENTAMYCIN EYE/EAR DROPS) from 09-Jun-2021 to an unknown date for Conjunctivitis. On 07-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Jun-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 09-Jun-2021, the patient experienced CONJUNCTIVITIS (bilateral conjunctivitis) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Inappropriate schedule of vaccine administered). On an unknown date, the patient experienced SEPSIS (Sepsis) (seriousness criteria hospitalization and medically significant), PNEUMONIA BACTERIAL (Bacterial pneumonia) (seriousness criteria hospitalization and medically significant), CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD exacerbation) (seriousness criterion hospitalization), ABNORMAL LOSS OF WEIGHT (Unintentional weight loss) (seriousness criterion hospitalization), RHINORRHOEA (Runny nose), OROPHARYNGEAL PAIN (Sore throat), NASAL CONGESTION (Congestion), DIARRHOEA (Diarrhea), NAUSEA (Nausea), MYALGIA (Body ache), PYREXIA (Temperature upto 102) and VOMITING (Vomiting). The patient was hospitalized from 26-Jun-2021 to 28-Jun-2021 due to SEPSIS. The patient was treated with METHYLPREDNISOLONE ACETATE (MEDROL [METHYLPREDNISOLONE ACETATE]) (oral) on 11-Jun-2021 for Cough, at a dose of 4 mg; CALCIUM CARBONATE (CALTRATE [CALCIUM CARBONATE]) at a dose of UNK dosage form; LEVOFLOXACIN (LEVAQUIN) at a dose of UNK dosage form; FLUCONAZOLE at a dose of UNK dosage form; GUAIFENESIN (MUCINEX) at a dose of UNK dosage form; PANTOPRAZOLE at a dose of UNK dosage form and PREDNISONE at a dose of UNK dosage form. At the time of the report, SEPSIS (Sepsis), PNEUMONIA BACTERIAL (Bacterial pneumonia), CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD exacerbation), ABNORMAL LOSS OF WEIGHT (Unintentional weight loss), RHINORRHOEA (Runny nose), OROPHARYNGEAL PAIN (Sore throat), NASAL CONGESTION (Congestion), DIARRHOEA (Diarrhea), CONJUNCTIVITIS (bilateral conjunctivitis), NAUSEA (Nausea), MYALGIA (Body ache), PYREXIA (Temperature upto 102) and VOMITING (Vomiting) outcome was unknown and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Inappropriate schedule of vaccine administered) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 09-Jun-2021, Blood pressure measurement: 130/72 (Inconclusive) BP : 130/72 Manual(Sitting, left arm, standard). On 09-Jun-2021, Body temperature: 97.9 (Inconclusive) temp:97.9 degree F. On 09-Jun-2021, Heart rate: 76 (normal) Regular. On 09-Jun-2021, Oxygen saturation: 98 percent (Inconclusive) P.OX : 98%. On 11-Jun-2021, Influenza virus test: negative (Negative) negative. On 11-Jun-2021, SARS-CoV-2 test: negative (Negative) negative. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Previous lab data of the patient include fall risk screening on 8sep2020 – low risk, depression screening on 8sep2020, Mammogram screening on 6dec2019 – normal, Bone density study on 10may2018, declined screening – PAP; SHINGLE VACCINE, Screening AAA on 28jun2017 – Normal ; MRI, Colonoscopy screening on 19may2017 – abnormal repeats 3years, Pneumovax on 1may2018 - normal. It was reported that the patient went out of state and could not receive her second dose. 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. Patient´s history of COPD is a co suspect for some of the events. This case was linked to MOD-2021-201168 (Patient Link).; 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. Patient´s history of COPD is a co suspect for some of the events.
71 2021-07-05 blood clot I was asleep and I woke up because I felt something sticky coming out of my nose. It started like wa... Read more
I was asleep and I woke up because I felt something sticky coming out of my nose. It started like water coming out of a faucet however it was blood. I went to the sink and it continued to pour. The next day I went to the ER. It would stop briefly but I could not breathe from the left side of my nose because it felt like a clot was forming. If I would touch it it would feel like the blood clot was forming again. At the ER is when this blood clot came out like pulling on a rubber band. The day after that I went into a specialist for these kinds of things. He said he could see the vessel and he was going to cauterized it.
71 2021-07-07 pneumonia I received my vaccine 3/18/2021 around 5/24/2021 I started getting swollen glands, nausea, diarrhea ... Read more
I received my vaccine 3/18/2021 around 5/24/2021 I started getting swollen glands, nausea, diarrhea and headaches. I called my Dr. on 6/2/2021 because I started having symptoms of Pneumonia, it's the first time I had pneumonia and it was very different from anything I had ever had. I did not go into the office and I was prescribed Azithromycin and Prednisone. The next 3 weeks were really bad with a unproductive cough, headaches and diarrhea off and on, nausea, body aches. After 2 weeks I was sent to Urgent care to get a Covid test and then they sent me to the Emergency room. and they did an EKG, which showed Pericarditis and chest pains. that was 2 weeks ago and I was told to rest, I'm still having chest pains, headaches and waiting to feel better. No Covid results reported because Urgent care thought ER was doing a test and ER did not do a test because Urgent care did, but Urgent care disposed of their test. Still now well at all.
71 2021-07-07 low platelet count D69.6 - Thrombocytopenia, unspecified
71 2021-07-11 pulmonary embolism Pt was admitted to the hospital on 7/9/21 c/o pleuritic chest pain and was diagnosed with a Left sid... Read more
Pt was admitted to the hospital on 7/9/21 c/o pleuritic chest pain and was diagnosed with a Left sided pulmonary emboli. Because of her history of cerebral aneurysms she was treated cautiously with lovenox/Coumadin bridging at the direction of neurology. She was discharged home on 7/12/21 to follow up with her primary care with close blood work monitoring. Her venous dopplers were negative for deep vein thrombosis. She has no prior history of blood clots, does not take birth control, no family hx of blood clots, does not smoke, has had no recent/prolonged immobility or travel and no recurrence of cancer that has been in remission for 8 years, no obesity.
71 2021-07-19 cerebrovascular accident I had a stroke 4 days after second vaccine
71 2021-07-19 cerebrovascular accident mini stroke; This spontaneous case was reported by a consumer and describes the occurrence of CEREBR... Read more
mini stroke; This spontaneous case was reported by a consumer and describes the occurrence of CEREBROVASCULAR ACCIDENT (mini stroke) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Concurrent medical conditions included Atrial fibrillation. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced CEREBROVASCULAR ACCIDENT (mini stroke) (seriousness criterion medically significant). At the time of the report, CEREBROVASCULAR ACCIDENT (mini stroke) outcome was unknown. Concomitant medications were not reported. The reporter stated that, the patient had receive the second dose, and experienced a mini stroke within two weeks. Treatment medications were not reported. Company Comment: Very limited information regarding this event has been provided at this time. Further information has been requested.; Sender's Comments: Very limited information regarding this event has been provided at this time. Further information has been requested.
71 2021-07-20 atrial fibrillation Felt like I was at my lifes end; more Afib eposides; Still weaker; I was so ill with vaccine one; fe... Read more
Felt like I was at my lifes end; more Afib eposides; Still weaker; I was so ill with vaccine one; feel pain; heart rate increased; intentional dose omission; threw up; chill/severe chills; Was tired / tired all the time; fever; This spontaneous case was reported by a consumer and describes the occurrence of NEAR DEATH EXPERIENCE (Felt like I was at my lifes end) and ATRIAL FIBRILLATION (more Afib eposides) in a 71-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 038B21) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Breast cancer and Lymphadenectomy. Concurrent medical conditions included Hypertension (More episodes), Atrial fibrillation (high blood pressure) and Thyroid disorder. Concomitant products included RIVAROXABAN (XARELTO) for Atrial fibrillation, METOPROLOL, OXYBUTYNIN HYDROCHLORIDE (OXYBUTIN) and LEVOTHYROXINE for an unknown indication. On 10-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Apr-2021, the patient experienced PYREXIA (fever), CHILLS (chill/severe chills) and FATIGUE (Was tired / tired all the time). On 12-Apr-2021, the patient experienced VOMITING (threw up). On an unknown date, the patient experienced NEAR DEATH EXPERIENCE (Felt like I was at my lifes end) (seriousness criterion medically significant), ATRIAL FIBRILLATION (more Afib eposides) (seriousness criterion medically significant), ASTHENIA (Still weaker), ILLNESS (I was so ill with vaccine one), PAIN (feel pain), HEART RATE INCREASED (heart rate increased) and INTENTIONAL DOSE OMISSION (intentional dose omission). The patient was treated with ACETAMINOPHEN on 11-Apr-2021 for Fever, at an unspecified dose and frequency. On 11-Apr-2021, PYREXIA (fever) had resolved. On 13-Apr-2021, CHILLS (chill/severe chills) had resolved. At the time of the report, NEAR DEATH EXPERIENCE (Felt like I was at my lifes end), ATRIAL FIBRILLATION (more Afib eposides), ILLNESS (I was so ill with vaccine one), PAIN (feel pain), VOMITING (threw up), FATIGUE (Was tired / tired all the time), HEART RATE INCREASED (heart rate increased) and INTENTIONAL DOSE OMISSION (intentional dose omission) outcome was unknown and ASTHENIA (Still weaker) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 10-Apr-2021, Heart rate: fast (High) Fast. On an unknown date, Heart rate: irregular (abnormal) Irregular. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was withdrawn on an unknown date. Patient was still weaker and could mow tiny yard in 12 minutes but now takes 35minutes. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Patient stated of still being weaker and tired all the time, was so ill with vaccine one and will not take second and felt like was at life end and firmly believe it cause to have more Afib episodes that actually felt pain with them now. 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. Most recent FOLLOW-UP information incorporated above includes: On 19-Jul-2021: Additional information includes-reporters address, patients-race, height and weight, patient history-thyroid, Indication for concomitant medication Xarelto and added the events and case upgraded to serious; 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.
71 2021-07-22 blood clot Developed a blood clot in left leg
71 2021-07-27 excessive bleeding I am bleeding & bruising & the bruising just appears I am not hurting myself or anything & if I get ... Read more
I am bleeding & bruising & the bruising just appears I am not hurting myself or anything & if I get a scratch or little cut it bleeds for several hours. I am now on Cyclophosphamide & prednisone
72 2021-01-07 death Resident passed away in her sleep
72 2021-01-24 anaphylactic reaction 1) 12 hr post injection very red and hot at injection site about 8" diameter area 2) 15 hr post i... Read more
1) 12 hr post injection very red and hot at injection site about 8" diameter area 2) 15 hr post injection very minor dizzy spell did not last more than 20 seconds 3) 48 hour post injection, took 200mg advill for red hot injection area 4) 60 hour post injection, beginnings of anaphalaxis - throat swelling, closing. Took one otc 25mg benadryl
72 2021-01-28 anaphylactic reaction Mild anaphylaxis 14 hours later!! Upper palate and tongue slight swelling and very itchy all over e... Read more
Mild anaphylaxis 14 hours later!! Upper palate and tongue slight swelling and very itchy all over extremities
72 2021-02-04 low platelet count Thrombocytopenia/lowplatelet; A spontaneous report was received from a caregiver concerning a 72-yea... Read more
Thrombocytopenia/lowplatelet; A spontaneous report was received from a caregiver concerning a 72-year-old, female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced thrombocytopenia/low platelet count. The patient's medical history was not provided. No relevant concomitant medications were reported. On 18 Jan 2021 at 04:00 pm, approximately one day prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 19 Jan 2021, the patient was hospitalized for thrombocytopenia/low platelet count, the patient was in emergency room and was given a strong dose of steroid. Her body did not react to it and she was then given a platelet transfusion. The doctors have given her steroids, immunoglobulin and aminocaproic acid during the hospitalization. They were discussing the next steps of therapy and plan to try rituximab. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event thrombocytopenia/low platelet count was unknown.; Reporter's Comments: This case concerns a 72-year-old, female patient, who experienced a serious unexpected event of thrombocytopenia. This event occurred 2 days after first dose of mRNA-1273, lot # unknown. Treatment included steroids, platelet transfusion, immunoglobulin, Amicar and pending treatment with Rituximab. 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.
72 2021-02-09 death Patient had passed since the first dose was given.
72 2021-02-10 ischaemic stroke Patient received vaccine during working hours on 2/10/2021. Coworkers reported patient was acting a... Read more
Patient received vaccine during working hours on 2/10/2021. Coworkers reported patient was acting abnormally this morning upon arriving to work. After medical assessment and testing, patient was diagnosed with a ischemic stroke and transferred to higher level of care.
72 2021-02-14 deep vein blood clot Deep Vein Thrombosis, both legs below knee 11 days after first vaccine injection
72 2021-02-17 death Patient was found unresponsive and had passed away.
72 2021-02-18 death Death- ~ 7 hours after vaccine
72 2021-02-22 death Patient was given vaccine on friday, one week later she passed away. The family called the pharmacy ... Read more
Patient was given vaccine on friday, one week later she passed away. The family called the pharmacy to inform us on Saturday, Feb 20, 2021. After the phone call was over, we saw in her pharmacy profile that she had received the vaccine one week prior
72 2021-02-24 pneumonia Resident received her second vaccination on 2/19/21. She was sent to the hospital on 2/20/21 for re... Read more
Resident received her second vaccination on 2/19/21. She was sent to the hospital on 2/20/21 for respiratory distress. We think she aspirated (she has a history of dsyphagia) which caused pneumonia. However, I am reporting this because it was within 24 hours of receiving her vaccine.
72 2021-02-25 cardiac failure congestive Developed respiratory distress, hypertensive emergency, and acute congestive heart failure with bila... Read more
Developed respiratory distress, hypertensive emergency, and acute congestive heart failure with bilateral edema of lower legs
72 2021-02-25 death Fever, chills, fatigue, muscle aches, nausea, death 48 hours after injection
72 2021-03-02 cerebrovascular accident On Monday night, Day 4, I woke at 11 p.m. with chills and shaking, temperature of 99.9 F. Went to th... Read more
On Monday night, Day 4, I woke at 11 p.m. with chills and shaking, temperature of 99.9 F. Went to the bathroom, urinated, took Tylenol and went back to bed. Woke again at 2:00 a.m, still chilled, and tried to stand up and my legs wouldn't hold me. I managed to lift myself to my feet and clutching furniture get to the bathroom, with complete loss of bladder control on the way. Took more Tyleonol, drank more water, put on clean pajamas but couldn't lift my knees to step into them, had to put them on the floor and pull them up. Went to sleep eventually. When I woke at about 5 a.m., all was completely normal. No fever, legs fine, usual bladder control.
72 2021-03-02 death Within 10 minutes following the second vaccination, patient reported dizziness and nausea, had an ep... Read more
Within 10 minutes following the second vaccination, patient reported dizziness and nausea, had an episode of vomiting but recovered within 30 minutes. It was reported to our clinic that the patient was found deceased on March 1, 2021 at approximately 10 pm. Cause of death is not determined at this time.
72 2021-03-03 pulmonary embolism SOB and HTN on 1/30/21, 3 wks after 1st Covid shot. Submassive acute saddle pulmonary embolism. Pt w... Read more
SOB and HTN on 1/30/21, 3 wks after 1st Covid shot. Submassive acute saddle pulmonary embolism. Pt was sent by ambulance to ER. On arrival, CT revealed a saddle embolism. Heparin was initiated and pt was transported to hospital. Admitted to ICU and bil thrombolytic catheters were placed. On 1/31/21 thrombosis has dissolved. on cessation of thrombolysis and removal of lytic stents on 1/31/21 pt was placed on Xarelto. Pt was D/C on 2/1/21.
72 2021-03-04 death Patient waited 15 mins after covid vaccination on Wednesday 3/3, cleared by EMT to leave. I was not... Read more
Patient waited 15 mins after covid vaccination on Wednesday 3/3, cleared by EMT to leave. I was notified by nurse at the senior building where patient resides that she had expired Thursday evening at home. Paramedics were called. No other additional information.
72 2021-03-06 pneumonia Got pneumonia both lungs couldn?t breathe was hospitalized six days. Not around many people after in... Read more
Got pneumonia both lungs couldn?t breathe was hospitalized six days. Not around many people after injection and always wore a mask.
72 2021-03-07 low blood platelet count Acute ITP (idiopathic thrombocytopenic purpura). Presented to clinic with diffuse purpura and petech... Read more
Acute ITP (idiopathic thrombocytopenic purpura). Presented to clinic with diffuse purpura and petechiae. Platelets critical at 33,000.
72 2021-03-09 pulmonary embolism Patient received dose #2 of moderna vaccine on 3/2/2021. The next morning (3/3/21) she had a syncopa... Read more
Patient received dose #2 of moderna vaccine on 3/2/2021. The next morning (3/3/21) she had a syncopal event with LOC for several minutes. She recovered and was not evaluated by physician until 3/9/21. On 3/10/21, she had a CTA of chest showing bilateral PEs.
72 2021-03-10 pneumonia Physician notified on patient was not taking anything orally, lethargic, and very weak. She was sent... Read more
Physician notified on patient was not taking anything orally, lethargic, and very weak. She was sent to the hospital as these symptoms started within 12 hours of vaccine. She was admitted to the hospital with bilateral pneumonia. She is still hospitalized at this time. Patient admitted to Hospital
72 2021-03-11 death Patient died on March 10th 2021 and received the vaccine on February 23 2021. Patient had health iss... Read more
Patient died on March 10th 2021 and received the vaccine on February 23 2021. Patient had health issues. Spoke with coroner and patient did die at home. Patient was taken straight the the funeral home afterwards.
72 2021-03-11 pneumonia On 3/9/2021 the patient presented to the ED with leg weakness and was unable to walk that morning se... Read more
On 3/9/2021 the patient presented to the ED with leg weakness and was unable to walk that morning secondary to pain in her right hip. She reported falling the night prior. Upon admission, she was found to have a developing pneumonia infection. Reason for admission: possible stroke.
72 2021-03-14 death, heart attack Patient expired on 02/26/2021 from a Myocardial Infarction
72 2021-03-14 pneumonia chills, fever, lots of mucus, tired, slept all day.
72 2021-03-14 pulmonary embolism Blood clot on right lung; soreness in arm; A spontaneous report was received from a 72 year old fem... Read more
Blood clot on right lung; soreness in arm; A spontaneous report was received from a 72 year old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and who experienced blood clot on right lung (pulmonary embolism) and myalgia. The patient's medical history was not provided. The patient had family history of blood clot (mother and brother). No concomitant product use was reported. On 02-Feb-2021, the patient received her first of two planned doses of mRNA-1273 (Lot number: 011M20A) intramuscularly for prophylaxis of COVID-19 infection. The patient had soreness in the right arm which subsided couple of days later. The patient also experienced shortness of breath for a week after vaccine administration. On 17-Feb-2021, the patient went to the hospital and underwent COVID-19 virus test, the results of which were negative. On 17-Feb-2021, the computerized tomography scan on chest showed moderate size blood clot on right lung. On 18-Feb-2021, the patient was discharged from the hospital on recommendation to initiate and continue lifetime treatment with Eliquis (apixaban, 5mg every 12 hours). According to the physician, moderate size blood clot on right lung of the patient could be attributed to the genetic history (patient's mother and brother also had blood clot). The patient also followed up with primary care physician, who informed that it was genetic and not related to vaccine. Action taken with mRNA-1273 was not reported. The outcome of the events, pulmonary embolism was unknown. The outcome of the event, myalgia was considered as recovered/resolved.; 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.
72 2021-03-16 respiratory failure Presents to ED ~9 days after covid vaccine. Next day had fever, cough, muscle aches, diarrhea. Sympt... Read more
Presents to ED ~9 days after covid vaccine. Next day had fever, cough, muscle aches, diarrhea. Symptoms have persisted. Admitted for respiratory failure and possible pneumonia. D-dimer elevated, covid test negative, CTA chest negative for PE. D/C'd home after 1 week.
72 2021-03-17 excessive bleeding Patient reports feeling symptoms later the same evening the day of receiving her 2nd dose of Moderna... Read more
Patient reports feeling symptoms later the same evening the day of receiving her 2nd dose of Moderna. Her twin sister, also reported similar symptoms after receiving her 2nd dose of Moderna the same day (3/5/21). Patient reported feeling nausea and having "extreme" chills that evening. The next morning at 8 a.m. Patient called her sister, at 8 a.m. When she arrived at her sister's house she found patient unresponsive. She was taken to the hospital and remained there for 5 hours. Patient reports passing out, losing control of her bodily functions and hitting her head on a heavy resin figure. "Blood was all over the place." She reports that 2 spots on her scalp were bleeding and subsequently treated at the hospital. Patient currently is still experiencing extreme fatigue following the vaccination.
72 2021-03-18 respiratory arrest, death, cardiac arrest Patient called EMS from for respiratory distress. EMS arrived, noted severe distress and hypoxia. Pa... Read more
Patient called EMS from for respiratory distress. EMS arrived, noted severe distress and hypoxia. Patient transported to Hospital Emergency Dept. Patient deteriorated to respiratory arrest and cardiac arrest. Per ED note, after 30 minutes of aggressive resuscitation (including approximately 19 minutes in the ED), no ROSC was achieved. Patient expired
72 2021-03-20 deep vein blood clot Feeling terrible; Feeling tired; Bloot clot in knee; A spontaneous report was received from a nurse ... Read more
Feeling terrible; Feeling tired; Bloot clot in knee; A spontaneous report was received from a nurse who was a 72-year-old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and developed a blood clot in her knee, feeling terrible and feeling tired.. The patient's medical history was not provided by the reporter. No relevant concomitant medications were reported. On 25 Feb 2021, the patient received her second of two planned doses of mRNA-1273 (Lot number: 031M20A) intramuscularly for prophylaxis of COVID-19 infection. On 04 Mar 2021, a week after vaccination, the patient was seen at the hospital and was diagnosed with a blood clot in her knee of unknown origin. She also reported that she has continued feeling terrible and feeling tired. Lab details were not provided by the reporter. Treatment for the events were unknown. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events, blood clot in her knee, feeling terrible and feeling tired, were considered 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.
72 2021-03-21 transient ischaemic attack pt states that a couple of weeks after taking the vax she ended up in the Hospital ER on 3/18/2021 f... Read more
pt states that a couple of weeks after taking the vax she ended up in the Hospital ER on 3/18/2021 for symptoms of having a stroke and blurred vision. On 3/18/2021 Pt was transferred to Hospital in. They ran ECHO, EKG, CT and MRI. Blood Work. No findings of clogged arteries. DX was w/ TIA possible cause due to AFIB. Pt states that she no longer has any symptoms.
72 2021-03-22 death Death
72 2021-03-22 heart attack Heart attack; Fatigue; Chest Pain; Cough; Fever; Muscle pain in chest area; Chills; A spontaneous re... Read more
Heart attack; Fatigue; Chest Pain; Cough; Fever; Muscle pain in chest area; Chills; A spontaneous report was received from a 72 year-old female patient who was administered Moderna's COVID-19 vaccine (mRNA-1273) and developed heart attack (myocardial infarction), fever (pyrexia), cough, fatigue, muscle pain in chest area (myalgia), chills, and chest pain. The patient's medical history and concomitant medications were not reported. On 25-JAN-2021, 26 hours prior to the onset of events, the patient received her second of two planned doses of mRNA-1273 (lot#: unknown) intramuscularly for the prophylaxis of COVID-19 infection. On 26-JAN-2021, the patient reported they have developed chills, fever, and muscle pain in the chest area. The reporter specified that it wasn't chest pain. The patient took acetaminophen for the pain. On 27-JAN-2021, the patient reported her fever subsided but she was still having a little cough and chest pain. On 28-JAN-2021, the patient had chest pain again during a nap and decided to call 911 because she was about to pass out. The patient was taken to the ER (emergency room) where an EKG (electrocardiogram) was performed. A few moments after the EKG, the patient had a heart attack. The cardiologist suspected the patient may have had a heart attack two days earlier because her cardiac enzymes were too high to be a result of a recent heart attack. The patient was admitted to the hospital from 28-JAN-2021 until 01-FEB-2021. Catheterization and stent placement were performed. Treatment medications included acetaminophen, clopidogrel, metoprolol, low-dose aspirin, and atorvastatin. At the time of this report, the patient was still feeling fatigued but other than that, she was feeling better. Action taken with mRNA-1273 in response to the events was not applicable. The outcomes of the events, heart attack, cough, muscle pain in chest area, fever, chills, and chest pain, were resolved. The outcome of the event, fatigue, was not resolved.; 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.
72 2021-03-23 deep vein blood clot Deep Vein Thrombosis in both legs; eye was completely black/veins in the back of eye are completely ... Read more
Deep Vein Thrombosis in both legs; eye was completely black/veins in the back of eye are completely black; eyes started to go very blurry; scared to sleep at night, scared to move/afraid to live life, petrified with this; arm is sore and puffed up; arm is sore and puffed up; A spontaneous report was received from a consumer, concerning a 72-year old, female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and developed deep vein thrombosis (DVT) in both legs/deep vein thrombosis, one clot from groin to mid chest and one behind knee to groin, quite large and very risky, extremely large thrombus, scared to sleep at night, scared to move, afraid to live life, petrified with this/ fear, eyes started to go very blurry/ vision blurred, left eye was completely black and veins in the back of eye are completely black/ eye contusion and arm was sore/ pain in extremity and puffed up/ peripheral swelling. The patient's medical history included being a cancer survivor twice. No relevant concomitant medications were reported. On 26 Feb 2021, the patient received their first of two planned doses of mRNA-1273 (Lot number: 014M20A) intramuscularly in left arm for prophylaxis of COVID-19 infection. On 09 Mar 2021, approximately ten days after receiving vaccine, the patient's eyes started to go very blurry, her left eye was completely black and veins in the back of eye were completely black. On 10 Mar 2021, she had one clot from groin to mid chest and one behind knee to groin, quite large and very risky, extremely large. She was afraid to live her life and was petrified. She developed a DVT in both legs and was taken to the emergency room. She was hospitalized on 10 Mar 2021and had positron emission tomography (PET) scan, doppler, echocardiogram with pictures of face and neck. Her lung was dyed, she had 3 types of dye, had PET scan for brain, chest, blood draws from finger and shots of blood thinner in stomach. She was scared to sleep at night and scared to move. Her arm was sore and puffed up. On 13 Mar 2021, she was discharged from the hospital. Treatment of the events included Eliquis. Action taken with mRNA-1273 in response to the events was unknown. The outcome of the events, deep vein thrombosis, fear, vision blurred, eye contusion, pain in extremity and peripheral swelling were 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.
72 2021-03-24 low blood platelet count rare condition Immune Thrombocytopenia (ITT); platelets decreased; A spontaneous report was receive... Read more
rare condition Immune Thrombocytopenia (ITT); platelets decreased; A spontaneous report was received from a 72-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced low platelets and rare condition Immune Thrombocytopenia (ITT). The patient's medical history was not provided. No relevant concomitant medications were reported. On 25-FEB-2021, prior to the onset of the events the patient received the first of two planned doses of mRNA-1273 (lot/batch: 012A21A) intramuscularly on left upper arm for prophylaxis of COVID-19 infection. On an unspecified date, in the same week after receiving the vaccine, the patient had been for a dermatologist appointment and her blood work showed low level of platelets. On an unspecified date, the patient went to hematologist and was diagnosed with rare condition Immune Thrombocytopenia (ITT) which caused patient bruises and red spots on mostly knee down. The patient was treated with steroid medication. The seriousness criteria for the events low platelets and rare condition Immune Thrombocytopenia (ITT) was considered as medically significant. Action taken with mRNA-1273 in response to the events was unknown. The outcome of events low platelets and rare condition Immune Thrombocytopenia (ITT) was unknown. The reporter did not provide the assessment for the event, rare condition Immune Thrombocytopenia (ITT).; 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.
72 2021-03-25 atrial fibrillation Atrial Fibrillation; Heart beating fast; A Spontaneous report was received from a consumer(patient) ... Read more
Atrial Fibrillation; Heart beating fast; A Spontaneous report was received from a consumer(patient) concerning herself a 72 year old female patient, who received dose of Moderna's COVID-19 vaccine (mRNA-1273) and experienced heart beating fast/heart rate increased, atrial fibrillation. The patient's medical history was not provided. Concomitant medications included metformin, gabapentin, metoprolol, thyroid medication, folic pills, frusemide. On 27 Feb 2021 prior to the onset of events the patients received first dose of the two planned doses of mRNA-1273 (Batch N0:039K20A) intramuscularly in the left arm for prophylaxis of covid 19 infection. On 28 Feb 2021, patient experienced heart beating fast, She ended up going to hospital where she was diagnosed for Atrial Fibrillation. She stayed in hospital for four days. She was discharged on 03 Mar 2021. The event caused hospitalization and was serious. Treatment information was not provided. Action taken with mRNA-1273 in response to the events was not provided. The outcome of the events, increased heart rate and atrial fibrillation resolved on 03 Mar 2021.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.
72 2021-03-28 deep vein blood clot Pt received Covid-19 Moderna vaccine dose #1 on 1/23/21. Dose #2 administered on 2/20/21 @ 12:43pm.... Read more
Pt received Covid-19 Moderna vaccine dose #1 on 1/23/21. Dose #2 administered on 2/20/21 @ 12:43pm. Pt presented to on 3/9/21 w/ complaints of localized edema x1-2 days in the left lower leg. (Symptoms started 3/7/21). Pt denied associated calf or extremity pain but reported she went shopping on Saturday and walked "alot." Pt reported she could walk on it but it "felt funny & tight" so she took an extra furosemide 40mg on 3/8/21. Trace edema in right ankle, 3+ pitting edema left leg from knee distally, slight increased warmth, no calf tenderness, negative Homan's sign, extremity asymmetric. Pt referred for venous doppler (unilateral, left leg, left leg edema, . Findings: acute, occlusive DVT in one of the duplicated left FV, the left popliteal vein, peroneal vein, & PTV. Superficial phlebitis and phlebothrombosis left GSV. per, FASC, RVPI 3/9/21 @ 2:27pm. Pt sent to ED for evaluation. Pt started on Xarelto in ED, changed to Eliquis per Dr. Eliquis 5mg PO BIDx7 days, then 5mg PO BID.
72 2021-03-29 cerebrovascular accident Sustained a CVA (lacunar infarct)
72 2021-03-29 cerebrovascular accident Patient received dose 1 of Moderna vaccine on 3/2/2021. She returned for a second dose on 3/30/2021... Read more
Patient received dose 1 of Moderna vaccine on 3/2/2021. She returned for a second dose on 3/30/2021 and notified team she had a stroke 3 days after receiving the vaccine. Vaccine not given today. Patient admitted to another healthcare system for stroke.
72 2021-03-29 deep vein blood clot, pulmonary embolism developed extensive DVT of LLE and PE on approx 3/27 admitted to hospital on 3/29
72 2021-03-30 cerebrovascular accident pt was diagnosed with a stroke which affected her speech only. Pt was admitted to the hospital for 2... Read more
pt was diagnosed with a stroke which affected her speech only. Pt was admitted to the hospital for 24 hour observation and then discharged to home
72 2021-03-31 atrial fibrillation fast heart beat; Chills; pain at injection site (left); fever; nausea; A spontaneous report was rece... Read more
fast heart beat; Chills; pain at injection site (left); fever; nausea; A spontaneous report was received from a consumer concerning a 72-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced vaccination site pain, fast heart beat (atrial fibrillation ), fever, nausea, chills and was hospitalized with a diagnosis with atrial fibrillation. The patient's medical history was not provided. Concomitant medications reported were Eliquis(apixaban) pill for drug use for unknown indication. On 04-FEB-2021, prior to the onset of the events the patient received first of two planned doses of mRNA-1273 (lot/batch: 011M20A) Intramuscularly for prophylaxis of COVID-19 infection. On 08-MAR-2021, prior to the onset of the events the patient received their second of two planned doses of mRNA-1273 (lot/batch: 003A21A) Intramuscularly for prophylaxis of COVID-19 infection. On 08-MAR-2021, the patient experienced pain at injection site (left), fast heart beat, fever, nausea. On 09-MAR-2021, the patient experienced chills, The patient was diagnosed with atrial fibrillation and the patient was hospitalized on 09-MAR-2021 and discharged on 10-MAR-2021. Treatment details not given but the patient was prescribed a Holter(14 days monitor). Action taken with mRNA-1273 in response to the events was not applicable The outcome of event(s), pain at injection site (left), fast heart beat, fever, nausea, chills, and atrial fibrillation was unknown.; Reporter's Comments: Very limited information regarding these events has been provided at this time. It is unclear if the patient had AFib before as she did not report prior medical history but is taking a medication usually prescribed for AFib. Further information has been requested.
72 2021-03-31 excessive bleeding A spontaneous report was received from a consumer, concerning a 72 year old female patient, who rece... Read more
A spontaneous report was received from a consumer, concerning a 72 year old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) where I passed out, hit my head and skull was bleeding, lost control of my body functions, sever chills, I could hardly move, threw up, extremely tired, don't feel good and totally incoherent. The patient's medical history was not provided by the reporter, concomitant medications are losartan, baby aspirin, pill for cholesterol included by the reporter. On 05 Feb 2021, the patient received the first planned doses of mRNA-1273 on right arm and Lot number reported for the first dose was (010M20A) for prophylaxis of COVID-19 vaccination. On 05 Mar 2021, the patient received the second planned doses of mRNA-1273 on left arm and Lot number reported for the first dose was (014M20A) for prophylaxis of COVID-19 vaccination. Action taken with mRNA-1273 in response to the events was not applicable. The outcome of I passed out, hit my head and skull was bleeding and lost control of my body functions were resolved and other events like sever chills, I could hardly move, threw up, extremely tired, don't feel good and totally incoherent were 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 event, a causal relationship cannot be excluded.
72 2021-03-31 low platelet count thrombocytopenia; neutropenia; facial paralysis; Body felt flushed; body felt warm; reaction to her ... Read more
thrombocytopenia; neutropenia; facial paralysis; Body felt flushed; body felt warm; reaction to her myasthenia gravis symptoms; tremors; not been able to swallow the water; esophagus spazzing; acute exacerbation to her myasthenia gravis; couldn't eat for 7 days in hospital, needed feeding tube; symptoms of rheumatoid arthritis; A spontaneous report was received from consumer who is a 72-year-old, female patient that received Moderna's COVID-19 vaccine (mRNA-1273) and experienced Flushing (Body felt flushed), Feeling hot (body felt warm) , Myasthenic syndrome (reaction to her myasthenia gravis symptoms), Oesophageal spasm (esophagus spazzing), feeding tube user (couldn't eat for 7 days in hospital, needed feeding tube), Condition aggravated (acute exacerbation to her myasthenia gravis) , Neutropenia (neutropenia) , Thrombocytopenia (thrombocytopenia), Rheumatoid arthritis (symptoms of rheumatoid arthritis), Facial paralysis (facial paralysis), Tremor (tremors), and Dysphagia (not been able to swallow the water) The patient's medical history included Myasthenia Gravis and breast cancer. No relevant laboratory tests were reported. Concomitant medications included: mestinon, pantoprazole, tamoxifene, methylprednisolone, clopidogrel, rosuvastatin, leflunomide, oxybutynin, actemra, vitamin B12, vitamin D3. On 04-MAR-2021, the patient received her first of two planned doses on her left non dominant deltoidof mRNA-1273 (lot/batch: 025A21A) intramuscularly in the left deltoid for prophylaxis of COVID-19 infection. On 04-MAR-2021, patient had reaction to her Myasthenia Gravis symptoms as she started having facial paralysis and tremors and not been able to swallow the water due to her esophagus spazzing. She admitted to the hospital for 11 days and finally discharged on 15-MAR-2021. While in the hospital she could not eat for 7 days so she was placed on a feeding tube. Patient provided with the treatment: IV plasmapheresis, feeding tube put in, endoscopy, platelets and blood infusion, and medications to keep unspecified blood levels. Action taken with mRNA-1273 in response to the events was not reported. The outcome of events, flushing, feeling hot, Myasthenic Syndrome, esophageal spasm , feeding tube user, condition aggravated, neutropenia, thrombocytopenia, rheumatoid arthritis, facial paralysis, tremor, dysphagia was resolved on 15-MAR-2021.; 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. Patient's advanced age along with underlying conditions may have been contributory for the occurrence of the events.
72 2021-04-04 cerebrovascular accident On 3/7/2021, the patient experienced a cerebrovascular accident, was hospitalized for acute care the... Read more
On 3/7/2021, the patient experienced a cerebrovascular accident, was hospitalized for acute care then rehabilitation until 4/1/2021. Patient has a previous history of CVA.
72 2021-04-04 transient ischaemic attack Patients husband said that she normally needs a walking stick to help her get around, but that two d... Read more
Patients husband said that she normally needs a walking stick to help her get around, but that two days after her second shot she could not get out of bed. She went to the ER, but they couldn't figure out what was going on and sent her home with APAP. She went back to the ER 5-4-2021 and she was diagnosed with a TIA.
72 2021-04-05 pulmonary embolism Shortness of breath, cough onset Sunday April 4th. DATE OF SERVICE: 04.06.2021 CT ANGIOGRAPHY, CH... Read more
Shortness of breath, cough onset Sunday April 4th. DATE OF SERVICE: 04.06.2021 CT ANGIOGRAPHY, CHEST (CPT=71275); PULMONARY EMBOLUS PROTOCOL; 3-D RECONSTRUCTION CLINICAL INDICATION: SOB (shortness of breath) COMPARISON STUDY: 10/9/2020 TECHNIQUE: Axial images of the chest were performed during dynamic contrast enhancement for the optimization of the opacification of the pulmonary arteries, following IV administration of 80 mL of Isovue 370. Three-dimensional reformation into the coronal plane was performed. Automated exposure control and ALARA manual techniques for patient specific dose reduction were followed while maintaining the necessary diagnostic image quality. ADVERSE REACTION: None FINDINGS: PULMONARY ARTERIES: There is a large filling defect within the right interlobar artery, extending into the lobar, segmental, and subsegmental branches of the right lower lobe. There is expansion of the right interlobar artery by this thrombus. Small filling defect is noted within the distal left main pulmonary artery, with some extension to the left upper lobe and left lower lobe lobar segments. HEART AND VASCULATURE: The heart is normal size. No pericardial effusion. There is no evidence of right heart strain. MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy. LUNGS AND AIRWAYS: Heterogeneous densities are seen in the right lower lobe, new since the prior exam. Scarring is noted in the superior segment of the right lower lobe as well as in the anterior left lower lobe.. PLEURA: Small right pleural effusion. CHEST WALL, LOWER NECK, AND AXILLA: Grossly unremarkable. UPPER ABDOMEN: Grossly unremarkable. OSSEOUS STRUCTURES: Degenerative changes are seen within the visualized spine. IMPRESSION 1. Bilateral PE, with extensive thrombus on the right and minimal thrombus on the left as detailed above. 2. Small right pleural effusion and heterogeneous right lower lobe consolidation, likely reflecting pulmonary infarction.
72 2021-04-06 heart attack After my vacine, I thought I was having a heart attack. I called 911 and they took me to the hospita... Read more
After my vacine, I thought I was having a heart attack. I called 911 and they took me to the hospital and I was treated as if I had had a heart attack. At the hospital they performed EKG's and stress test. The EKG was slightly off but the stress test was normal. I felt all my body flushed after the Moderna vaccine. my cardiologist I am now seeing and at the hospital I saw another Dr. I also stayed at the Hospital one day for monitoring.
72 2021-04-07 deep vein blood clot Patient developed redness and swelling to left arm after 2nd Pfizer COVID vaccine that has been pers... Read more
Patient developed redness and swelling to left arm after 2nd Pfizer COVID vaccine that has been persisting for the past 21 days. Patient has positive DVT in her left arm from ultrasound on 3/31/21. Patient has history of breast cancer with lymph node removal to the left side. No current breast cancer diagnosis and lymph node unable to drain in left arm.
72 2021-04-07 blood clot blood clot in left arm causing enormous swelling
72 2021-04-10 blood clot in lung, death my mother collapsed in the kitchen she was rushed to hospital via ambulance she passed away, doctor ... Read more
my mother collapsed in the kitchen she was rushed to hospital via ambulance she passed away, doctor said her heart was having a hard time he said there was a blood cot by lung
72 2021-04-12 death Per EMS patient's husband reports she was using the push mower in the front yard and suddenly collap... Read more
Per EMS patient's husband reports she was using the push mower in the front yard and suddenly collapsed. EMS brought the patient in with active CPR in progress and the patient was pronounced deceased in the Emergency Department.
72 2021-04-14 pulmonary embolism 2/25--4 days after second COVID vaccine patient visited ED for c/o SOA and dyspnea. Chest CT shows ... Read more
2/25--4 days after second COVID vaccine patient visited ED for c/o SOA and dyspnea. Chest CT shows "small sized pulmonary emboli in the right middle lobe branches", Venous doppler shows "venous thrombosis involving the right posterior tibial venous segment". Hospitalized for 2 days--discharged home.
72 2021-04-15 atrial fibrillation A fib; This spontaneous case was reported by a consumer and describes the occurrence of ATRIAL FIBRI... Read more
A fib; This spontaneous case was reported by a consumer and describes the occurrence of ATRIAL FIBRILLATION (A fib) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 019B21A and 029A21A) for COVID-19 vaccination. The patient's past medical history included AFib (Takes Flecainide for Heart Rate control) since an unknown date and Cardioversion in 2019. Concomitant products included FLECAINIDE for AFib, LOSARTAN, ATORVASTATIN, FUROSEMIDE (LASIX [FUROSEMIDE]) and POTASSIUM for an unknown indication. On 04-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 08-Apr-2021, the patient experienced ATRIAL FIBRILLATION (A fib) (seriousness criterion medically significant). At the time of the report, ATRIAL FIBRILLATION (A fib) outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Chest X-ray: unknown (Inconclusive) Results not provided. On an unknown date, Electrocardiogram: unknown (Inconclusive) Results not provided. Patient was taken to ER (Emergency Room) where an EKG and a chest X-RAY were done. The results of the EKG and chest X-ray were not provided. Patient reported that she takes Flecainide for Heart Rate control. No other treatment information was provided. Based on the current available information and temporal association between the use of the product and the start date of this event, a causal relationship cannot be excluded. This case was linked to MOD21-072680 (E2B Linked Report).; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of this event, a causal relationship cannot be excluded. MOD21-072680:MOD-2021-072836 1st dose case
72 2021-04-15 deep vein blood clot On April 3, 2021 the patient received the first dose of the Moderna COVID vaccine. The patient's hus... Read more
On April 3, 2021 the patient received the first dose of the Moderna COVID vaccine. The patient's husband states that "crashed an hour and a half after she got the shot." He defines this "crash" as decreased blood sugar, decreased responsiveness, and the seizures. She presented to the Hospital for evaluation and was subsequently transferred to the Medical Center on April 4th for further workup. She was intubated on April 4th and subsequently self-extubated on April 8th. Nursing staff and documentation indicate that the patient has had no further seizures since her presentation to the medical center. On April 14th she was found to have an acute lower extremity DVT. She was placed on a heparin drip and her platelet's dropped to 35. The heparin drip was discontinued, a HIT panel was ordered, and argatroban was started. Heamtology was consulted and the patient was found to have thrombotic thrombocytopenia. An MRI of the brain was ordered to rule out CNS thrombosis given recent seizures. The MRI has not been performed yet and the patient is still hospitalized.
72 2021-04-16 cerebrovascular accident Patient apparently suffered a minor stroke early morning of 4/11/2021. Patient had headache, leg pai... Read more
Patient apparently suffered a minor stroke early morning of 4/11/2021. Patient had headache, leg pain, and left leg weakness (described 'left leg giving out').
72 2021-04-16 blood clot Noticed painful right calf 3/09/2021. Went to urgent care at hospital on 3/10/2021. Was given an u... Read more
Noticed painful right calf 3/09/2021. Went to urgent care at hospital on 3/10/2021. Was given an ultrasound and it was determined that I had a blood clot in my calf vein. Was given heparin treatment for seven days followed by xarelto. I have had 2 dvts in the past associated with surgery. This dvt was listed as unprovoked, however I believe it was caused by the second shot of modern. Was told by doctors to report this to veers.
72 2021-04-18 pulmonary embolism Developed SOB and chest pain the evening of 4/6. Seen in my office on 4/7 and I ordered a chest CTA ... Read more
Developed SOB and chest pain the evening of 4/6. Seen in my office on 4/7 and I ordered a chest CTA which identified multiple PE's. She was hospitalized and started on Xarelto.
72 2021-04-20 pneumonia, pulmonary embolism Pulmonary Embolism/pneumonia
72 2021-04-21 cerebrovascular accident stroke
72 2021-04-22 cardiac failure congestive shortness of breath; congestive heart failure; H-pyloria infections in the stomach; fluid around the... Read more
shortness of breath; congestive heart failure; H-pyloria infections in the stomach; fluid around the lungs virus; Missed the second dose due to hospitalization; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of DYSPNOEA (shortness of breath), CARDIAC FAILURE CONGESTIVE (congestive heart failure), HELICOBACTER GASTRITIS (H-pyloria infections in the stomach) and PLEURAL EFFUSION (fluid around the lungs virus) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) 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 adverse event). On 04-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced DYSPNOEA (shortness of breath) (seriousness criterion hospitalization), CARDIAC FAILURE CONGESTIVE (congestive heart failure) (seriousness criterion hospitalization), HELICOBACTER GASTRITIS (H-pyloria infections in the stomach) (seriousness criteria hospitalization and medically significant), PLEURAL EFFUSION (fluid around the lungs virus) (seriousness criterion hospitalization) and INCOMPLETE COURSE OF VACCINATION (Missed the second dose due to hospitalization). The patient was hospitalized from 13-Mar-2021 to 26-Mar-2021 due to CARDIAC FAILURE CONGESTIVE, DYSPNOEA, HELICOBACTER GASTRITIS and PLEURAL EFFUSION. At the time of the report, DYSPNOEA (shortness of breath), CARDIAC FAILURE CONGESTIVE (congestive heart failure), HELICOBACTER GASTRITIS (H-pyloria infections in the stomach), PLEURAL EFFUSION (fluid around the lungs virus) and INCOMPLETE COURSE OF VACCINATION (Missed the second dose due to hospitalization) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The patient missed the second dose due to hospitalization. Concomitant and treatment information not provided. Based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded.; Sender's Comments: Based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded.
72 2021-04-23 cerebrovascular accident, sepsis Pt previously healthy other than controlled HTN received her 2nd moderna vaccine on 4/15- hospitaliz... Read more
Pt previously healthy other than controlled HTN received her 2nd moderna vaccine on 4/15- hospitalized on 4/18 (sxs starting 4/17) with a large L thalamic cryptogenic CVA/ sepsis/acute bacteremia/encephalopathy/lactic acidosis. carotid dopplers neg for acute pathology, echo normal and neg bubble study. Pt now with short term memory impairement, flat affect, and amnesia surrounding events of admission and hospitalization. She is a Lifelong non smoker. No past hx of atrial fibrillation- no atrial fibrillation noted on tele. PT/OT/speech path seen. ldl 108- started on lipitor, started on aspirin. aic 6.0, Gram negative bacteremia/e coli in cx- unclear GI source. Possibly diverticular. MRCP showed nothing acute. Home with a few more days of augmentin per ID dc home with home health services 4/22
72 2021-04-25 death Patient received notice of her vaccination appoint shortly before her AV Fistulogram, with angioplas... Read more
Patient received notice of her vaccination appoint shortly before her AV Fistulogram, with angioplasty surgery on Tues, 2/2/21. She was nervous about getting the vaccine just days prior to her scheduled surgery. We called her primary doctor and was told to contact the surgeon. After multiple attempts to reach the surgeon and speaking with hospital staff, assuring us it was fine to get the vaccine prior to surgery. I still wanted to confirm with the surgeon and was finally able to speak to him. He assured me and to inform patient that it was fine to get the vaccine prior to surgery. On Sat, 1/30/21, patient received her Covid-19 Moderna vaccine. On Sun, 1/31/21, she got a covid-19 test to prepare for her surgery on Tues, 2/2/21. Her vaccine injection site was sore and she was tired, so she rested and took naps. On Mon, 2/1/21, she went to dialysis as usual. On Tues, 2/2/21, she had her surgery in morning. On Wed, 2/3/21, her dialysis facility could not perform treatment due to swelling of her arm. On 2/4/21 she rested, her arm still bothering her but had been assured to rest. On Fri 2/5/21, she went for her usual dialysis treatment but the facility was not able to perform dialysis and shortly after starting treatment, the facility called 911 to take patient to the hospital. Patient died with the next few hours without her family at her side.
72 2021-04-26 anaphylactic reaction had anaphylactic reaction after 12 days; itching; ringing in her head; wooziness; disorientation; tr... Read more
had anaphylactic reaction after 12 days; itching; ringing in her head; wooziness; disorientation; trouble swallowing; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of ANAPHYLACTIC REACTION (had anaphylactic reaction after 12 days) in a 72-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. Concurrent medical conditions included Food allergy (History of reactions to food). Concomitant products included DIPHENHYDRAMINE for an unknown indication. On 02-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Feb-2021, the patient experienced ANAPHYLACTIC REACTION (had anaphylactic reaction after 12 days) (seriousness criterion hospitalization), PRURITUS (itching), TINNITUS (ringing in her head), DIZZINESS (wooziness), DISORIENTATION (disorientation) and DYSPHAGIA (trouble swallowing). The patient was hospitalized on 14-Feb-2021 due to ANAPHYLACTIC REACTION. At the time of the report, ANAPHYLACTIC REACTION (had anaphylactic reaction after 12 days), PRURITUS (itching), TINNITUS (ringing in her head), DIZZINESS (wooziness), DISORIENTATION (disorientation) and DYSPHAGIA (trouble swallowing) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Several days after the first Moderna vaccination on 14Feb2021, the husband reported that after dinner the patient experienced itching, ringing in her head, wooziness, trouble swallowing, and disorientation. We called 911 and the ambulance came and took her to the hospital. time. At the emergency department, they did lot of tests, but negative result. On an unspecified date the patient was seen by an allergist and food allergies were ruled out by the allergist. No additional treatment information was provided. Action taken was reported as 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. This case was linked to US-MODERNATX, INC.-MOD-2021-081674 (E2B Linked Report). Most recent FOLLOW-UP information incorporated above includes: On 20-Apr-2021: Anaphylactic reaction captured in event tab as medically significant and the emergency department did lot of tests, but negative result.; 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. US-MODERNATX, INC.-MOD-2021-081674:Dose 1
72 2021-04-26 low blood platelet count Idiopathic thrombocytopenic purpura; This spontaneous case was reported by a consumer (subsequently ... Read more
Idiopathic thrombocytopenic purpura; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of IMMUNE THROMBOCYTOPENIA (Idiopathic thrombocytopenic purpura) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced IMMUNE THROMBOCYTOPENIA (Idiopathic thrombocytopenic purpura) (seriousness criteria hospitalization and medically significant). The patient was hospitalized on 19-Jan-2021 due to IMMUNE THROMBOCYTOPENIA. At the time of the report, IMMUNE THROMBOCYTOPENIA (Idiopathic thrombocytopenic purpura) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. One day after the patient's first dose, the patient woke up with bruises on the arms and legs, and had blisters that bled inside mouth. The patient was admitted to an unspecified hospital on 19Jan2021 with a severe case of idiopathic thrombocytopenic purpura. Concomitant and treatment information not provided Company comment:Based on the current available information and temporal association between the use of the product and the start date of the event, 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, a causal relationship cannot be excluded.
72 2021-04-26 ischaemic stroke My mother received the vaccine on 4/17/21. The following day she was bedridden. Her condition did ... Read more
My mother received the vaccine on 4/17/21. The following day she was bedridden. Her condition did not improve over the next two days. My wife and I were out of town and I was maintaining phone contact with her every few hours to monitor how she was feeling. She expected she would feel bad for a few days... On 4/21/21 she appeared to feel better in the morning when we spoke and she advised me she was going shopping with a friend. Around 2pm on 4/21/21 I received a phone call from her friend advising she was taking my mother to the emergency room at the local hospital. My mother was unable to answer basic questions and we believed she was suffering from a stroke. The following day when I arrived back in the area I spoke to the neurologist on call who confirmed my mother did have a minor stroke but that it was in an area of her brain that should not effect cognitive functioning. My mother was given a CT scan, brain MRI, spinal tap and an echocardiogram. All of these tests came back "normal". My mother is still in the hospital and has shown no improvement. She is agitated and confused. She asks the same questions over and over again. The neurologist has advised that they have no explanation as to why she is experiencing these symptoms. The only thing that changed was her receiving the covid vaccine.
72 2021-04-27 acute respiratory failure Patient presented to the ED and was subsequently hospitalized for shortness of breath within a week ... Read more
Patient presented to the ED and was subsequently hospitalized for shortness of breath within a week of receiving COVID vaccination. She was diagnosed with acute on chronic respiratory failure with hypoxia.
72 2021-04-28 pulmonary embolism Patient had Moderna #1 COVID-19 vaccine this morning in office. Due to history of anaphylaxis to PCN... Read more
Patient had Moderna #1 COVID-19 vaccine this morning in office. Due to history of anaphylaxis to PCN she waited for 30 minutes following injection. Near the 30 minute mark she reported having generalized itching, more pronounced in palms of hand and left ear. She denied lightheadedness, tongue itching/swelling, SOB, N/V/D, abdominal pain. No prior reaction to vaccinations in the past. She was evaluated by myself and was in no acute distress. She had swelling and itching of left external ear and redness and itching to her palms. No rash was noted. Lungs CTA. Patient was monitored in office for 30 minutes following reaction. She was given 50mg Benadryl po and 20mg Pepcid po. Ice pack applied to left ear for itching and swelling. Vitals remained stable throughout visit. Patient felt comfortable leaving, husband drove her. I spoke with her via phone four hours later and all symptoms had resolved other than fatigue. BP 140/70, Pulse 93, O2 99%, Temp 97.7F
72 2021-04-30 cardiac arrest, sepsis had the cardiac arrest & was hospitalized for 12 days we still cannot find any reason for the cardia... Read more
had the cardiac arrest & was hospitalized for 12 days we still cannot find any reason for the cardiac arrest; was in extreme acidosis; somewhere along the line, I got sepsis; CT scan showed a hematoma in stomach; distended stomach; Still have terrible diarrhea; haven't gotten my second shot yet; following day, I started with extreme chills; Fever; was just miserable for several days; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CARDIAC ARREST (had the cardiac arrest & was hospitalized for 12 days we still cannot find any reason for the cardiac arrest), ACIDOSIS (was in extreme acidosis), SEPSIS (somewhere along the line, I got sepsis), HAEMATOMA (CT scan showed a hematoma in stomach), GASTRIC DILATATION (distended stomach) and DIARRHOEA (Still have terrible diarrhea) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 046A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history reported. Concomitant products included OMEPRAZOLE (PROTONIX [OMEPRAZOLE]), ESTROGENS CONJUGATED (PREMARIN), VITAMIN D3, PROBIOTICS NOS and ALPRAZOLAM (XANAX) for an unknown indication. On 18-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 18-Mar-2021, the patient experienced DIARRHOEA (Still have terrible diarrhea) (seriousness criterion hospitalization prolonged), FEELING ABNORMAL (was just miserable for several days), CHILLS (following day, I started with extreme chills) and PYREXIA (Fever). On 24-Mar-2021, the patient experienced CARDIAC ARREST (had the cardiac arrest & was hospitalized for 12 days we still cannot find any reason for the cardiac arrest) (seriousness criteria hospitalization prolonged, medically significant and life threatening), ACIDOSIS (was in extreme acidosis) (seriousness criteria hospitalization prolonged and life threatening), SEPSIS (somewhere along the line, I got sepsis) (seriousness criteria hospitalization prolonged and life threatening), HAEMATOMA (CT scan showed a hematoma in stomach) (seriousness criteria hospitalization prolonged and life threatening) and GASTRIC DILATATION (distended stomach) (seriousness criterion hospitalization prolonged). On an unknown date, the patient experienced PRODUCT DOSE OMISSION ISSUE (haven't gotten my second shot yet). The patient was hospitalized on 24-Mar-2021 due to ACIDOSIS, CARDIAC ARREST, DIARRHOEA, GASTRIC DILATATION, HAEMATOMA and SEPSIS. At the time of the report, CARDIAC ARREST (had the cardiac arrest & was hospitalized for 12 days we still cannot find any reason for the cardiac arrest), ACIDOSIS (was in extreme acidosis), SEPSIS (somewhere along the line, I got sepsis), HAEMATOMA (CT scan showed a hematoma in stomach), GASTRIC DILATATION (distended stomach), DIARRHOEA (Still have terrible diarrhea), FEELING ABNORMAL (was just miserable for several days), PRODUCT DOSE OMISSION ISSUE (haven't gotten my second shot yet), CHILLS (following day, I started with extreme chills) and PYREXIA (Fever) outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 24-Mar-2021, Computerised tomogram: hematoma in stomach (abnormal) Four CT scans. Showed hematoma in stomach. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. On 24th March 21, Patient had multiple x-rays done. The result was not provided. Treatment for the events was not provided. CPR for 10 minutes which lead to have 4 broken ribs and one lung collapsed.; Sender's Comments: This case of 72 y/o who missed 2nd dose and experienced additional events. Based on the information provided, the events of sepsis, broken ribs and collapse lungs are assessed as unlikely as they occurred was secondary to the other events and intervention. Sepsis is of an infectious origin. Causality between product use and the remaining events cannot be excluded based on temporal association. Missed dose is not applicable and chills and pyrexia are consistent with product safety profile.
72 2021-04-30 blood clot, heart attack, pulmonary embolism blood clots in both legs; heart attack/blood clot in heart; Blood clots in lungs/shortness of breath... Read more
blood clots in both legs; heart attack/blood clot in heart; Blood clots in lungs/shortness of breath; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of THROMBOSIS (blood clots in both legs), MYOCARDIAL INFARCTION (heart attack/blood clot in heart) and PULMONARY EMBOLISM (Blood clots in lungs/shortness of breath) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 8077727310 and 012LZ0A) for COVID-19 vaccination. No Medical History information was reported. On 25-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 09-Apr-2021, the patient experienced THROMBOSIS (blood clots in both legs) (seriousness criteria hospitalization prolonged and life threatening), MYOCARDIAL INFARCTION (heart attack/blood clot in heart) (seriousness criteria hospitalization prolonged and life threatening) and PULMONARY EMBOLISM (Blood clots in lungs/shortness of breath) (seriousness criteria hospitalization prolonged and life threatening). The patient was hospitalized on 09-Apr-2021 due to MYOCARDIAL INFARCTION, PULMONARY EMBOLISM and THROMBOSIS. At the time of the report, THROMBOSIS (blood clots in both legs), MYOCARDIAL INFARCTION (heart attack/blood clot in heart) and PULMONARY EMBOLISM (Blood clots in lungs/shortness of breath) outcome was unknown. No concomitant medications were reported. Treatment of the events included Xarelto and unspecified IV medications. Action taken with mRNA-1273 in response to the events was not applicable. Company Comment: Very limited information regarding this event/s has been provided at this time. Further information has been requested.; Sender's Comments: Very limited information regarding this event/s has been provided at this time. Further information has been requested.
72 2021-05-06 stroke 72 y.o. female with head and neck squamous cell carcinoma admitted to the hospital for left-sided we... Read more
72 y.o. female with head and neck squamous cell carcinoma admitted to the hospital for left-sided weakness LDL 132 Potassium 3.1 MRI brain showed acute to subacute right parietal and right frontal lobe infarct. CTA head and neck showed no significant stenosis HbA1c 5.2
72 2021-05-09 pneumonia Aches and Pains, Tiredness Low energy starting within hours after vaccination. Lasted about 1 week. ... Read more
Aches and Pains, Tiredness Low energy starting within hours after vaccination. Lasted about 1 week. On May 2, 2021 (19 days after vaccination) intense weakness and shortness of breath. Treated at the Emergency Room of Hospital. Chest x-ray used to diagnose pneumonia. Treated with Amoxicillin. Discomfort lasted over one week.
72 2021-05-10 death Patient received dose 1 on 2/12/2021 and dose 2 on 3/15/2021 from community pharmacy. Tested positi... Read more
Patient received dose 1 on 2/12/2021 and dose 2 on 3/15/2021 from community pharmacy. Tested positive on 4/7/2021. Hospitalized for COVID on 4/19/2021. Discharged on 4/29/2021 to hospice. Passed away on 5/1/2021.
72 2021-05-11 excessive bleeding Severe diarrhea, fissures formed , excruciating pain, bleeding
72 2021-05-12 transient ischaemic attack, atrial fibrillation Immediately after the vaccine I felt a forehead headache that went to the back of my head. I thought... Read more
Immediately after the vaccine I felt a forehead headache that went to the back of my head. I thought it would go away as week and a half and went to the doctor and found out I had a sinus infection. I've not had a sinus infection in a long time. Also, the doctor said that others had reported having headaches after the vaccine. Also two weeks to the day after the vaccine my eyes went funny and I couldn't ready or see properly and it was noted that I had a TIA and was diagnosed of having A-fib..
72 2021-05-13 atrial fibrillation 72 yo F presented for second dose of Moderna COVID-19 Vaccine. She had no issues with previous dose... Read more
72 yo F presented for second dose of Moderna COVID-19 Vaccine. She had no issues with previous dose. She was on her normal medications and used a single dose of her rescue albuterol inhaler with in 15 minutes of receiving her vaccine. Immediately following the administration of the vaccine, she began to feels lightheaded. She also felt flushed and her heart was racing. She started to have feelings of anxiety as well. She was placed in a 5 deg head low position. On initial exam, her speech was slow and difficult to hear. She was coherent and able to answer questions and give sxs. On initial exam she was pale. Non-labored breathing. He had a irregularly irregular pulse with a mild tachycardia with a rate in the 110's. She was hemodynamically stable with a BP in the 150's/90's. At this point EMS was called to transfer her to a location which could better assess her. further history was obtained from the patient including the recent dose of albuterol PMHx of CHF w a-fib and COPD She was moved to the procedure room via wheel chair and placed on pulse ox monitoring while leads were placed for an ECG. Her initial pulse ox was 93% and she was placed on O2 at 3l via NC. Her f/u BP was 120's/70's. EMS arrived, report was given and she was transferred to their care for transport to ED.
72 2021-05-13 pneumonia Patient began receiving chemotherapy for b-cell lymphoma on 2/10/2021 prior to receiving 2nd dose o... Read more
Patient began receiving chemotherapy for b-cell lymphoma on 2/10/2021 prior to receiving 2nd dose of covid vaccine on 2/26/2021. She presented to hospital emergency department with complaints of cough, slight shoortness of breath and intractable nausea and vomiting for 4 days (had received round 5 of 6 six days prior). She was admitted to the hospital with pneumonia and neutropenic fever on 5/12/2021. She also tested positive for COVID-19 on 5/13/2021.
72 2021-05-17 death Patient's friend called office on 3/29/21 to notify PCP that patient had passed away on 3/26/21.
72 2021-05-19 transient ischaemic attack TIA; Slurred speech; This spontaneous case was reported by a consumer and describes the occurrence o... Read more
TIA; Slurred speech; This spontaneous case was reported by a consumer and describes the occurrence of TRANSIENT ISCHAEMIC ATTACK (TIA) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 025B21A and 030M20A) for COVID-19 vaccination. No Medical History information was reported. On 04-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 31-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 05-Apr-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced TRANSIENT ISCHAEMIC ATTACK (TIA) (seriousness criteria hospitalization and medically significant). The patient was hospitalized from 05-Apr-2021 to 07-Apr-2021 due to TRANSIENT ISCHAEMIC ATTACK. On 07-Apr-2021, TRANSIENT ISCHAEMIC ATTACK (TIA) outcome was unknown. 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. Concomitant medications and treatment information was not provided by the reporter. Based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded. This case was linked to MOD21-087942 (E2B Linked Report). This case was linked to MOD-2021-114502 (Patient Link).; Sender's Comments: Based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded. US-MODERNATX, INC.-MOD21-087942:2nd dose
72 2021-05-21 death, cerebrovascular accident Massive stroke from huge clot right of brain. Never regained con..
72 2021-05-21 pneumonia The week of the injection I had headache, fatigue, and a constriction high in my chest if I breathed... Read more
The week of the injection I had headache, fatigue, and a constriction high in my chest if I breathed in deeply. The restriction in my chest continued past the first week but did not interfere with aerobic exercise even when it developed into an intermittent small cough. Seven weeks later, I felt very fatigued, sick. At urgent care, based on a chest x-ray, I was diagnosed with pneumonia and prescribed an antibiotic. A week later, I returned to urgent care because I felt my lungs were not healed, and I was told that it had not been pneumonia after all. This was after a second x-ray which still showed fuzziness and cloudiness in my lungs. All lab tests were normal except for c-reactive protein, which was 43. I use an inhaler 2x a day (abuterol), which helps to open my bronchioles. I am still fatigued and must ration my activities each day to allow for hours of rest.
72 2021-05-21 vaginal haemorrhage Vaginal bleeding (Medium blood flow, Not Spotting); panicking; This spontaneous case was reported by... Read more
Vaginal bleeding (Medium blood flow, Not Spotting); panicking; This spontaneous case was reported by a consumer and describes the occurrence of VAGINAL HAEMORRHAGE (Vaginal bleeding (Medium blood flow, Not Spotting)) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 27-Jan-2021 at 1:00 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Jan-2021 at 3:47 PM, the patient experienced VAGINAL HAEMORRHAGE (Vaginal bleeding (Medium blood flow, Not Spotting)) (seriousness criterion medically significant) and PANIC REACTION (panicking). At the time of the report, VAGINAL HAEMORRHAGE (Vaginal bleeding (Medium blood flow, Not Spotting)) and PANIC REACTION (panicking) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The patient was not taking any blood thinners and had no Chronic Medical conditions. Concomitant medications and treatment information was not provided. The patient reported that it was not Hemorrhoids and was panicking because she heard someone died from bleeding after receiving the vaccine. This case concerns a 72-year-old female with a serious unexpected event of vaginal hemorrhage, and nonserious unexpected panic reaction. Latency 3 days after first mRNA-1273 dose. Based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded.; Sender's Comments: This case concerns a 72-year-old female with a serious unexpected event of vaginal hemorrhage, and nonserious unexpected panic reaction. Latency 3 days after first mRNA-1273 dose. Based on current available information and the temporal association between product use and the start date of the events a causal relationship cannot be excluded.
72 2021-05-23 cerebral haemorrhage, respiratory arrest Tremors (could not walk, lost sight in both eyes, Extremely high BP (220/110), Could not breathe (pu... Read more
Tremors (could not walk, lost sight in both eyes, Extremely high BP (220/110), Could not breathe (put on ventilator in ICU), Found blood in brain) Fluid built up in lungs. All over 4 1/2 days starting on 05/08/2021
72 2021-05-25 death Loss of apatite, when the time for diaper change arrived, patient was found without vital signs.
72 2021-06-03 cerebrovascular accident I63.9 - Acute CVA (cerebrovascular accident)
72 2021-06-07 cerebrovascular accident, death Pt had an occipital stroke on the 13th of March. She lost half of her vision in both eyes. We went t... Read more
Pt had an occipital stroke on the 13th of March. She lost half of her vision in both eyes. We went to the hospital after the eye doctor told her she had had a stroke. Eventually, after 4 trips to the hospital, 2 trips to rehab, we discovered the strokes apparently triggered non-convulsive seizures which they could never end up getting under control. She passed away on 31 May 2021.
72 2021-06-10 cerebrovascular accident, death Her surgery in the morning went very well according to her doctor. Later in the afternoon, pt. had ... Read more
Her surgery in the morning went very well according to her doctor. Later in the afternoon, pt. had a massive stroke. Next day pt. died at Hospital .
72 2021-06-10 pneumonia Immediately had migraine headaches and extreme fatigue lasted until she was admitted to hospital on ... Read more
Immediately had migraine headaches and extreme fatigue lasted until she was admitted to hospital on May 13th 2021. 2nd week in April diagnosed with sinus infection by tele health, put steroids' and antibiotics, 2 weeks later diagnosed with pneumonia. Diagnosed with pneumonia again on May 13th also had generalized swelling, lymph node tenderness, After discharge on May 16th, swelling increased. Admitted again on June 7th swelling had became enabling, platelets are in 700,000 range fluctuating for four days from 700 to 650 and back up to 700. Hospital have ran several test, blood, liver, kidney and can not diagnose.
72 2021-06-11 atrial fibrillation, heart failure PT REPORTS BEING PREVIOUSLY ACTIVE AND HEALTHY, 4 DAYS AFTER RECEIVING VACCINE SHE PRESENTED TO ER W... Read more
PT REPORTS BEING PREVIOUSLY ACTIVE AND HEALTHY, 4 DAYS AFTER RECEIVING VACCINE SHE PRESENTED TO ER WITH A. FIB AND HEART FAILURE. PT UNDERWENT CARDIOVERSION ON 3/15 AND REPORTS 4 NORMAL EKG'S SINCE. PT DOES NOT REPORT A RE-EVALUATION OF INJECTION FRACTION SINCE. PT RECEIVED 2ND DOSE ON 3/4 BUT THOUGHT THEY MIGHT BE RELATED SINCE SEEING REPORTS OF HEART ISSUES FOLLOWING VACCINATION
72 2021-06-14 atrial fibrillation all list adverse reactions were experienced: fatigue, muscular aches, headaches, fever and chills, ... Read more
all list adverse reactions were experienced: fatigue, muscular aches, headaches, fever and chills, profuse sweats, extreme shortness of breath...all of which sent me into fib and high blood pressure.
72 2021-06-20 acute respiratory failure Acute respiratory failure
72 2021-06-20 death client died. Client had other underlining health conditions.
72 2021-06-20 pulmonary embolism, deep vein blood clot DVT, PE with life-threatening ischemia Apixaban 5mg BID for 6 months followed by 2.5mg BID thereafte... Read more
DVT, PE with life-threatening ischemia Apixaban 5mg BID for 6 months followed by 2.5mg BID thereafter IVC Filter retrieval
72 2021-06-21 atrial fibrillation Arterial fibrillation; Blood in stool for one time event after the 1st dose; Very very rapid heart b... Read more
Arterial fibrillation; Blood in stool for one time event after the 1st dose; Very very rapid heart beat after the 1st dose/ Increased heart rate that she can hear her heart beat sound after the 1st dose; This spontaneous case was reported by a consumer and describes the occurrence of HAEMATOCHEZIA (Blood in stool for one time event after the 1st dose) and ATRIAL FIBRILLATION (Arterial fibrillation) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 048A21A) 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 HYDROCHLOROTHIAZIDE, IRBESARTAN (IRBESARTAN HYDROCHLOROTHIAZIDE) and ROSUVASTATIN for an unknown indication. On 10-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Mar-2021, the patient experienced HEART RATE INCREASED (Very very rapid heart beat after the 1st dose/ Increased heart rate that she can hear her heart beat sound after the 1st dose). On 31-Mar-2021, the patient experienced HAEMATOCHEZIA (Blood in stool for one time event after the 1st dose) (seriousness criterion medically significant). On an unknown date, the patient experienced ATRIAL FIBRILLATION (Arterial fibrillation) (seriousness criterion medically significant). The patient was treated with APIXABAN (ELIQUIS) (oral) on 28-May-2021 at a dose of UNK UNK, bid. On 31-Mar-2021, HAEMATOCHEZIA (Blood in stool for one time event after the 1st dose) had resolved. On 21-Apr-2021, HEART RATE INCREASED (Very very rapid heart beat after the 1st dose/ Increased heart rate that she can hear her heart beat sound after the 1st dose) had resolved. At the time of the report, ATRIAL FIBRILLATION (Arterial fibrillation) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The patient had never experienced any heart trouble before. The patient was referred to a cardiologist. The patient was scheduled for an echocardiogram (ECHO) and a positron emission tomography (PETSCAN). 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. This case was linked to MOD-2021-216160 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 10-Jun-2021: Follow up received: updated information since patient was scheduled for ECHO and PET scan by cardiologist.; 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.
72 2021-06-23 atrial fibrillation Rapid heart beat and A-Fib
72 2021-06-24 atrial fibrillation I was very sick to my stomach, I had severe stomach pain. I started throwing up and was dry heaving... Read more
I was very sick to my stomach, I had severe stomach pain. I started throwing up and was dry heaving, when I got to the hospital I found out I had C diff, a UTI, and the hospital admitted me I spent 3 weeks in the hospital. I was in 2 separate hospitals for a total of 7 weeks. I had serious complications, I went into A fib with my heart, I got neuropathy from my chest down I was numb all over. I had severe UTIs, they kept putting catheters in me. I was so sick I couldn't eat and I lost 35lbs. I thought I was going to die.
72 2021-07-01 cardio-respiratory arrest Client was vaccinated on 2-3-21. She stated her only side effect was some mild "confusion". she and... Read more
Client was vaccinated on 2-3-21. She stated her only side effect was some mild "confusion". she and her husband left on 2-14-21. On 2-19-21 she called EMS because "something just felt wrong". She reports coding twice upon entering the emergency room area at Hospital. She reports having a blood clot and needed to have 3 stents put in along with a pacemaker. She was discharged on 2-25-21. On 2-27-21 she was readmitted to the same hospital for 2nd pacemaker. She has recovered and feels good with weakness and fatigue. She returned home on 5-10-21 and sent a letter to the Health District concerning the blood clot.
72 2021-07-10 atrial fibrillation Atrial fibrillation; Blood in stool again for one time only after the 2nd dose/She also mentioned th... Read more
Atrial fibrillation; Blood in stool again for one time only after the 2nd dose/She also mentioned that she had blood in the stool twice, first time was after the first shot and second time after the Second shot.; This spontaneous case was reported by a consumer and describes the occurrence of ATRIAL FIBRILLATION (Atrial fibrillation) and HAEMATOCHEZIA (Blood in stool again for one time only after the 2nd dose/She also mentioned that she had blood in the stool twice, first time was after the first shot and second time after the Second shot.) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 032B21A and 048A21A) for COVID-19 vaccination. Concurrent medical conditions included Shellfish allergy and Chronic kidney disease (Improved). Concomitant products included HYDROCHLOROTHIAZIDE, IRBESARTAN (IRBESARTAN HYDROCHLOROTHIAZIDE), ROSUVASTATIN, AMLODIPINE from 06-Mar-2021 to an unknown date and ACETYLSALICYLIC ACID (ASPIRIN LOW) for an unknown indication. On 10-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 07-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 17-Apr-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced HAEMATOCHEZIA (Blood in stool again for one time only after the 2nd dose/She also mentioned that she had blood in the stool twice, first time was after the first shot and second time after the Second shot.) (seriousness criterion medically significant). On 21-Apr-2021, the patient experienced ATRIAL FIBRILLATION (Atrial fibrillation) (seriousness criterion medically significant). The patient was treated with APIXABAN (ELIQUIS) ongoing since an unknown date for Anticoagulant therapy, at a dose of UNK, bid. On 17-Apr-2021, HAEMATOCHEZIA (Blood in stool again for one time only after the 2nd dose/She also mentioned that she had blood in the stool twice, first time was after the first shot and second time after the Second shot.) had resolved. At the time of the report, ATRIAL FIBRILLATION (Atrial fibrillation) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Concomitant products included multivitamin. The action taken with mRNA-1273 in response to the event was not applicable. 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. This case was linked to MOD-2021-216141 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 30-Jun-2021: Follow-up received contains no new information. On 01-Jul-2021: Follow up received on 01-Jul-2021, no new information was recorded On 02-Jul-2021: Reporter details, patient details, medical history, concomitant drugs were added; 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.
72 2021-07-11 blood clot in the brain, cerebrovascular accident Face was sore and noticed drooping left side, tongue went off to the left, went to the hospital whe... Read more
Face was sore and noticed drooping left side, tongue went off to the left, went to the hospital where she got a stoke. TPA through IV.
72 2021-07-11 fluid around the heart Patient presented to our hospital 6/29/21 with x 3-4 weeks of progressive dyspnea on exertion and dr... Read more
Patient presented to our hospital 6/29/21 with x 3-4 weeks of progressive dyspnea on exertion and dry cough. She was subsequently found to have a pericardial effusion s/p pericardiocentesis and drain placement on 6/30. Fluid analysis was not indicative of bacterial pericarditis and blood+pericardial fluid cultures are no growth (fluid 37% neutrophils, 54% monos, 5% lymphs, normal glucose. Reportedly 750 mL of straw colored fluid was removed during the pericardiocentesis. The pericardial drain was left in place. RPR is negative. Path report from 6/30 pericardial fluid indicated no malignant cells seen, "by immunochemistry the epithelial cells are positive for cytokeratin 7, calretinin and WT-1, and negative for estrogen receptor, GATA-3, BerEP4, CDX-2, PAX-8, Claudin-4, TTF-1, p40, and keratin 20. Reactive mesothelial cells are favored." Unfortunately she did have subsequent reaccumulation of her pericardial fluid s/p redrain and growing Proteus on 7/8, now being treated as a suppurative pericarditis. Thought is that she did not initially present with bacterial infection, but subsequently developed Proteus infection from drains and surgical exposures. No history of trauma nor immune disease. She reports no history of imbedded ticks nor erythema migrans, but we are sending for Lyme serologies. We are also sending for galactomannan and enterovirus PCR.
72 2021-07-13 pneumonia pneumonia; general swelling; pain; anemic; protein was 2.0/ low protein; platelets test was over 800... Read more
pneumonia; general swelling; pain; anemic; protein was 2.0/ low protein; platelets test was over 800,000; general edema; extreme fatigue; migraine; This spontaneous case was reported by a patient family member or friend and describes the occurrence of PNEUMONIA (pneumonia) and SWELLING (general swelling) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 02-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 30-Mar-2021, the patient experienced SWELLING (general swelling) (seriousness criterion hospitalization), MIGRAINE (migraine), GENERALISED OEDEMA (general edema) and FATIGUE (extreme fatigue). On an unknown date, the patient experienced PNEUMONIA (pneumonia) (seriousness criteria hospitalization and medically significant), PAIN (pain), ANAEMIA (anemic), PROTEIN TOTAL DECREASED (protein was 2.0/ low protein) and PLATELET COUNT INCREASED (platelets test was over 800,000). At the time of the report, PNEUMONIA (pneumonia), SWELLING (general swelling), PAIN (pain), MIGRAINE (migraine), ANAEMIA (anemic), PROTEIN TOTAL DECREASED (protein was 2.0/ low protein), PLATELET COUNT INCREASED (platelets test was over 800,000), GENERALISED OEDEMA (general edema) and FATIGUE (extreme fatigue) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Platelet count: > 800,000 > 800,000. On an unknown date, Protein total: 2.0 2.0. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient was given narcotics for pain. Low protein was treated with albumin. 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.
72 2021-07-15 death ILLNESS, LOWER ABDOMINAL PAIN, LOWER BACK AND UP SIDES - IN AND OUT OF DR.'S APPT. AND MEDS. FINALL... Read more
ILLNESS, LOWER ABDOMINAL PAIN, LOWER BACK AND UP SIDES - IN AND OUT OF DR.'S APPT. AND MEDS. FINALLY DIAGNOSED WITH NON-HODGKINS LYMPHOMA AROUND 6/6/2021 AND BEGAN CHEMO 6/28/2021. DECEASED FROM "NEUTROPENIC FEVER" (NOT OFFICAL AS THEY HAVE YET TO PRODUCE A DEATH CERTIFICATE.).
72 2021-07-19 fluid around the heart pericardial effusion with tamponade and pericarditis
72 2021-07-19 pneumonia Patient was hospitalized with pneumonia from 7/11/2021- 7/14/2021 related to COVID infection. COVID... Read more
Patient was hospitalized with pneumonia from 7/11/2021- 7/14/2021 related to COVID infection. COVID test positive 7/12/2021. Patient became symptomatic 7/8/2021. Patient was fully vaccinated at this time.
72 2021-07-20 blood clot, deep vein blood clot Lump in vein; blood clot on hand; Superficial thrombophlebitis; Negative reaction/Most severe reacti... Read more
Lump in vein; blood clot on hand; Superficial thrombophlebitis; Negative reaction/Most severe reaction/delayed reaction; Woke up in extreme pain, wave of huge pain/extreme pain / pain was overwhelming./ Painful; Badly swollen hand,Swollen/ swelling of right hand: from below last thumb joint to past wrist/ Swollen lump on surface vein below thumb/ swelling was too restrictive; Warm/warmer than surrounding skin; Tender/tender to touch; Could not move hand and wrist/ Unable to use hand/Unable to turn wrist; Panicked; swelling of right hand: from below last thumb joint to past wrist; purplish discoloration/red discoloration; Redness/erythema local/ with red; frightening experience; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 13-Jul-2021 and was forwarded to Moderna on 13-Jul-2021. This spontaneous case was reported by a consumer and describes the occurrence of DEEP VEIN THROMBOSIS (Lump in vein) and THROMBOSIS (blood clot on hand) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 027C21A and 005C21AAAAA) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Carpal tunnel syndrome (More painful) since 1998. Previously administered products included for Product used for unknown indication: FLU (welts on upper torso) in 1996. Concurrent medical conditions included Vascular disorder NOS (Vascular issue), Vein disorder (Clogged lower vein), Allergic to cats, Hypertension since 2003, Hyperlipidemia since 2003, Type 2 diabetes mellitus since 2004, Neuropathy since 2004, Osteoarthritis since 2006, Left bundle branch block since 2006, Cholesterol, Allergy to antibiotic (Allergic to ampicillin - felt ill, nauseous.), Sulfonamide allergy (Allergic to Sulfa drugs - difficulty breathing), Allergy to nuts (Allergic to almond - swelling of tongue, mild to moderate), Drug allergy (Allergic to other -cillin meds-no antibiotic reaction, caused nausea.), Perfume sensitivity (Allergic to chemical fragrances a used some allergic asmtha, issue has mostly gone/resolved itself) and Allergic asthma. Concomitant products included LOSARTAN POTASSIUM and LABETALOL HCL for Blood pressure, SIMVASTATIN for Cholesterol, UBIQUINOL for Energy increased, GABAPENTIN for Pain management, IRON for Supplementation therapy, METFORMIN HCL for Type 2 diabetes mellitus, HORSE CHESTNUT EXTRACT for Vein disorder. On 02-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 30-Jun-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 10-Jul-2021, the patient experienced DEEP VEIN THROMBOSIS (Lump in vein) (seriousness criterion medically significant), THROMBOSIS (blood clot on hand) (seriousness criterion medically significant), THROMBOPHLEBITIS SUPERFICIAL (Superficial thrombophlebitis), VACCINATION COMPLICATION (Negative reaction/Most severe reaction/delayed reaction), PAIN IN EXTREMITY (Woke up in extreme pain, wave of huge pain/extreme pain / pain was overwhelming./ Painful), PERIPHERAL SWELLING (Badly swollen hand,Swollen/ swelling of right hand: from below last thumb joint to past wrist/ Swollen lump on surface vein below thumb/ swelling was too restrictive), FEELING HOT (Warm/warmer than surrounding skin), TENDERNESS (Tender/tender to touch), MOBILITY DECREASED (Could not move hand and wrist/ Unable to use hand/Unable to turn wrist), PANIC REACTION (Panicked), JOINT SWELLING (swelling of right hand: from below last thumb joint to past wrist), SKIN DISCOLOURATION (purplish discoloration/red discoloration), ERYTHEMA (Redness/erythema local/ with red) and FEELING ABNORMAL (frightening experience). The patient was treated with VITIS VINIFERA SEED (GRAPE SEED EXTRACT [VITIS VINIFERA SEED]) for Vascular disorder NOS, at an unspecified dose and frequency. On 12-Jul-2021, THROMBOPHLEBITIS SUPERFICIAL (Superficial thrombophlebitis), VACCINATION COMPLICATION (Negative reaction/Most severe reaction/delayed reaction), FEELING HOT (Warm/warmer than surrounding skin), TENDERNESS (Tender/tender to touch), MOBILITY DECREASED (Could not move hand and wrist/ Unable to use hand/Unable to turn wrist), PANIC REACTION (Panicked), JOINT SWELLING (swelling of right hand: from below last thumb joint to past wrist), SKIN DISCOLOURATION (purplish discoloration/red discoloration), ERYTHEMA (Redness/erythema local/ with red) and FEELING ABNORMAL (frightening experience) had resolved. At the time of the report, DEEP VEIN THROMBOSIS (Lump in vein), PAIN IN EXTREMITY (Woke up in extreme pain, wave of huge pain/extreme pain / pain was overwhelming./ Painful) and PERIPHERAL SWELLING (Badly swollen hand,Swollen/ swelling of right hand: from below last thumb joint to past wrist/ Swollen lump on surface vein below thumb/ swelling was too restrictive) had resolved and THROMBOSIS (blood clot on hand) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure measurement: normal (normal) mmHg. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. After second shot on 10-Jul-2021 patient experienced extreme pain, swelling of right hand: from below last thumb joint to past wrist. Swollen lump on surface vein below thumb, tender to touch, and warmer than surrounding skin, with red, purplish discoloration. On scale of 1 to 10, the pain level was a 10. Unable to turn wrist, swelling was too restrictive and pain was overwhelming. Unable to use hand. Over course of approximately 2 days the swelling died down and the pain lessened. The hard lump blood clot on the vein remains. Patient consulted Cardiologist. diagnosed it as Superficial Thrombophlebitis, informed to patient it was blood clot in the wall of a peripheral/surface vein caused by inflammation. cardiologist recommended for at-home treatment was: warm compresses, raising my arm above my heart as much as possible for at least 1-2 days, & using an anti-inflammatory NSAID like Aleve, etc. Patient indicated that he swelling and associated pain would most likely dissipate within a couple of days. He also stated the blood clot would take several months to improve/resolve. 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. This case was linked to MOD-2021-235384 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 15-Jul-2021: Significant follow up received and added Patient medical history, concomitants,NewAE ,vaccine details,causality and outcome details, and patient demographics are 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.
72 2021-07-27 death, heart attack Patient began feeling like she was having panic attacks. She was nauseous and went to the ER. ER ran... Read more
Patient began feeling like she was having panic attacks. She was nauseous and went to the ER. ER ran tests including Ct scan, ekg and blood work. All tests came back normal. A couple of hours later patient became delirious and oxygen started to drop. Then patient was intubated at which point she had a major heart attack and died.
72 2021-07-28 cerebral haemorrhage This is what happened after April 1st vaccine?within about 2 weeks I started having brain fog and fe... Read more
This is what happened after April 1st vaccine?within about 2 weeks I started having brain fog and feeling out of it, times with short term memory just not myself. Also, I was having tingling and numbing on my left side in my arm and leg. This has never subsided, it is continuous even now. I had to go to have Neurological Nerve testing at which has revealed I and having mild Gillian-Barrah. Also, my RA seems to worse and now I starting to have occasional tingling on my right side from time to time.
72 2021-07-28 low blood platelet count Approximately 13 hours after receiving dose 1 her platelet count fell; Exacerbation of preexisting I... Read more
Approximately 13 hours after receiving dose 1 her platelet count fell; Exacerbation of preexisting ITP can sequentially increase in severity with each of the 2 doses; This literature-non-study case was reported in a literature article and describes the occurrence of IMMUNE THROMBOCYTOPENIA (Approximately 13 hours after receiving dose 1 her platelet count fell) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Immune thrombocytopenia. Concomitant products included ELTROMBOPAG for Immune thrombocytopenia. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, 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 IMMUNE THROMBOCYTOPENIA (Approximately 13 hours after receiving dose 1 her platelet count fell) (seriousness criterion medically significant) and CONDITION AGGRAVATED (Exacerbation of preexisting ITP can sequentially increase in severity with each of the 2 doses). The patient was treated with ELTROMBOPAG for Adverse event, at a dose of 50 milligram once a day and ELTROMBOPAG for Adverse event, at a dose of 75 milligram once a day. At the time of the report, IMMUNE THROMBOCYTOPENIA (Approximately 13 hours after receiving dose 1 her platelet count fell) and CONDITION AGGRAVATED (Exacerbation of preexisting ITP can sequentially increase in severity with each of the 2 doses) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Platelet count: 65-80 10^9/L (Inconclusive) before dose 1 of Moderna SARS-CoV-2 vaccine, 45 10^9/L (Low) Approximately 13 hours after receiving dose 1 of the Moderna SARS-CoV-2 vaccine platelet count fell to 45 x10^9/L.(42% decrease), 298 10^9/L (High) After eltrombopag dose was increased to 50 mg daily with an increase in platelet count to a peak of 298 x 3 10^9/L., 193 10^9/L (Inconclusive) Approximately 1 hour before receiving dose 2, the platelet count was 193 x 10^9/L and 205 10^9/L (High) In response to 3 doses, the platelet count increased to 205 x10^9/L. In 2021, SARS-CoV-2 antibody test: negative (Negative) Negative. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosing remained unchanged. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered IMMUNE THROMBOCYTOPENIA (Approximately 13 hours after receiving dose 1 her platelet count fell) and CONDITION AGGRAVATED (Exacerbation of preexisting ITP can sequentially increase in severity with each of the 2 doses) to be possibly related. It was reported that the eltrombopag daily dose was adjusted to compensate for dynamic platelet destruction. The platelet count fell to 42% with the first, consistent with a cumulative effect on the underlying humoral response. Although the patient has a history of chronic ITP, based on a strong relationship as the event is reported to have an onset latency of 13 hours after administration of mRNA-1273, a causal relationship between the product use and the event cannot be excluded. Some vaccines have been shown to be associated with both reactivation of immune mediated diseases such as immune thrombocytopenia purpura This case was linked to MOD-2021-263965, MOD-2021-263970, MOD-2021-264203 (Patient Link).; Sender's Comments: Although the patient has a history of chronic ITP, based on a strong relationship as the event is reported to have an onset latency of 13 hours after administration of mRNA-1273, a causal relationship between the product use and the event cannot be excluded. Some vaccines have been shown to be associated with both reactivation of immune mediated diseases such as immune thrombocytopenia purpura
72 2021-07-29 low blood platelet count The platelet count exhibited marked decrease after dose 2.; Exacerbation of preexisting ITP can sequ... Read more
The platelet count exhibited marked decrease after dose 2.; Exacerbation of preexisting ITP can sequentially increase in severity with each of the 2 doses; This literature-non-study case was reported in a literature article and describes the occurrence of IMMUNE THROMBOCYTOPENIA (The platelet count exhibited marked decrease after dose 2.) in a 72-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Immune thrombocytopenia. Concomitant products included ELTROMBOPAG for Immune thrombocytopenia. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced IMMUNE THROMBOCYTOPENIA (The platelet count exhibited marked decrease after dose 2.) (seriousness criterion medically significant) and CONDITION AGGRAVATED (Exacerbation of preexisting ITP can sequentially increase in severity with each of the 2 doses). The patient was treated with ELTROMBOPAG for Adverse event, at a dose of 50 milligram once a day and ELTROMBOPAG for Adverse event, at a dose of 75 milligram once a day. At the time of the report, IMMUNE THROMBOCYTOPENIA (The platelet count exhibited marked decrease after dose 2.) and CONDITION AGGRAVATED (Exacerbation of preexisting ITP can sequentially increase in severity with each of the 2 doses) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Platelet count: Three days after taking dose 2 of vaccine the platelet count fell to 27 x 10^9/L (86%decrease) prompting an increase in eltrombopag to 75 mg daily and 205 10^9/L (Inconclusive) In response to 3 doses of eltrombopag, the platelet count increased to 205 x 10^9/L. In 2021, SARS-CoV-2 antibody test: negative (Negative) Negative. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered IMMUNE THROMBOCYTOPENIA (The platelet count exhibited marked decrease after dose 2.) and CONDITION AGGRAVATED (Exacerbation of preexisting ITP can sequentially increase in severity with each of the 2 doses) to be possibly related. The eltrombopag daily dose was adjusted to compensate for dynamic platelet destruction This case was linked to MOD-2021-263889, MOD-2021-263965, MOD-2021-263970 (Patient Link).; 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. Chronic Immune Thrombocytopenia could be potentially confounders/co-suspects for the events.
73 2021-01-13 death Pt collapsed at home approx 5:30 pm and died
73 2021-01-17 death Death
73 2021-01-21 cerebrovascular accident Patient suffered stroke morning after vaccine.
73 2021-01-25 pulmonary embolism, deep vein blood clot Had normal side effects the day after, 12/25/20 slight fever, lethargy, not even sore arm. on the 27... Read more
Had normal side effects the day after, 12/25/20 slight fever, lethargy, not even sore arm. on the 27th, felt fine. On 12/28/20, woke up not able to breath, oxygen saturation 83%, could not walk across the room without gasping for air, which lasted for about 2 days. Could not reach her PCP due to holidays, was convinced she had COVID. Went to drive-thru facility and got the COVID test on 12/28/20, negative on 12/29/20. Then made another APT, went back on 12/30/20 had negative test again. On 12/30/20 started feeling better, was not great but her 02 SAT's were about 90. Stayed that way until 1/8/21, had FU from lumpectomy with surgeon, when she got up her left ankle/foot were very swollen and red looking. Saw that Dr., and discussed the postop business and showed her the foot/leg told her to have it looked at. Her PCP was closed, she went to radiology Dept in Hospital and found DVT in her left leg. She was then told to go to the ER and ordered a CT scan, which showed pulmonary emboli in both lungs. Put on heparin IV right away, later transferred to another hospital where CV surgeon on staff. By that evening they decided that she was walking , talking and checking blood levels, kept her overnight and sent her home the next day. Needed to be on blood thinners, and saw pulmonologist. Has APT with hematologist this week. Pulm told her to call and report adverse reaction. Today, 1/26/21 her 02 SAT's are in the 99%, leg is still swollen, and is able to breath better. On Eliquis which will prevent new clots, but the others should be absorbed. Got 2nd dose on 1/21/21 and had only the classic side-effects for about 30 hours but was then fine. Had fever, chills, nausea, sore arm, cough, but then was fine. Same lot # as dose 2.
73 2021-01-26 atrial fibrillation Atrial Fibrillation; Tachycardia (Double heart rate); A spontaneous report was received from a 73-ye... Read more
Atrial Fibrillation; Tachycardia (Double heart rate); A spontaneous report was received from a 73-year-old female consumer who received Moderna's COVID-19 Vaccine (mRNA-1273) and experienced atrial fibrillation and tachycardia. The patient's medical history was not provided No relevant concomitant medications were reported. On 09 Jan 2021, approximately one day prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 10 Jan 2021, the patient reported having atrial fibrillation and tachycardia. Treatment for the events included metoprolol. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events, atrial fibrillation and tachycardia, were considered not resolved.; Reporter's Comments: This case concerns a 73-year-old, female patient. The patient's medical history was not provided. The patient experienced an unexpected event of Atrial fibrillation and tachycardia. The event occurred 2 days after the first dose of mRNA-1273. Very limited information regarding this event has been provided at this time. Based on temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.
73 2021-01-31 cerebral haemorrhage, death This is a 73 year old female that received her 1st dose with Moderna vaccine on 1/8/21 at approximat... Read more
This is a 73 year old female that received her 1st dose with Moderna vaccine on 1/8/21 at approximately 1600. Within one hour, the patient developed altered mental status and increasing weakness. She was transported to the hospital by the staff at her Assisted Living Facility for concern of a vaccine reaction. On admission, oxygen saturation was found to be 89% on room air, BP=137/86, HR=94. Labs were normal, with the exception of WBC=15 (leukocytes normal, chest xray clear, COVID test negative), and a detectable troponin=63. Head CT negative. Physical exam was only notable for 'slight superficial erythema over distal right forearm and dorsal hand. No significant edema.' The patient was treated for a possible allergic reaction to vaccine with NS bolus, methylprednisolone 125mg, famotidine 20mg, and aspirin 300mg PR. She was admitted for monitoring given continued altered mental status/weakness. The next day, she continued to show no improvement, so a head MRI was ordered. MRI showed " 1. Numerous acute cerebral and cerebellar infarcts involving both anterior and posterior circulations consistent with a central embolic source. 2. Minimal right parietal petechial hemorrhage. 3. Moderate atrophy and moderate nonspecific white matter signal abnormalities compatible with chronic microvascular ischemia " Neurology was consulted, who approved the start of aspirin and to continue DVT prophylaxis. The patient's advanced dementia and timeline preclude other intervention. The patient's status was DNR/DNI. The patient was discharged on hospice to her assisted living facility on 1/11/21 (with reports of continued somnolence). It was reported that date of death was 1/24/21.
73 2021-02-01 cardiac failure congestive Acute kidney injury; CHF (congestive heart failure); COVID-19 virus infection; Chronic hepatitis C w... Read more
Acute kidney injury; CHF (congestive heart failure); COVID-19 virus infection; Chronic hepatitis C without hepatic coma; Edema leg; Essential hypertension
73 2021-02-02 heart attack, cardiac failure congestive Received vaccine at 1100 on 1/29/21. No symptoms noted during 30 minute post-vaccine observation per... Read more
Received vaccine at 1100 on 1/29/21. No symptoms noted during 30 minute post-vaccine observation period. Symptom onset at 0300 on 1/30/21 (16 hours after vaccine administration). Symptoms included chest pain, dyspnea on exertion, weakness, nausea/vomiting, decreased appetite, and diarrhea. Patient presented to Medical Center Emergency Department around 1130 on 2/1/21. Found to have NSTEMI 2/2 Takotsubo's cardiomyopathy with acute congestive heart failure. (of note, coronary angiography in 11/20 showed no coronary artery disease). Patient has never had a reaction to a vaccine or component despite receiving many vaccines due to extensive travel history.
73 2021-02-03 pneumonia Received Moderna COvid shot #1 01-12-2021, Lot # 039K20A. Began experiencing breathing problems on 0... Read more
Received Moderna COvid shot #1 01-12-2021, Lot # 039K20A. Began experiencing breathing problems on 01-17-2021. On 01-18-2021, had to be hospitalized with fever of 103 and heart rate of 160. Diagnosed with bilateral pneumonia and an unidentified virus, tested Covid negative.
73 2021-02-09 cardiac arrest, death the following morning the patient became unresponsive while taking a shower, became asystolic and di... Read more
the following morning the patient became unresponsive while taking a shower, became asystolic and died despite about an hour of ACLS and 8 rounds of epi
73 2021-02-17 deep vein blood clot, pulmonary embolism Sadle embolism in lungs; DVT in left leg; Slight fever; Extreme fatigue; Shortness of breath,struggl... Read more
Sadle embolism in lungs; DVT in left leg; Slight fever; Extreme fatigue; Shortness of breath,struggling for every breath; Low o2 sat; A spontaneous report was received from a health care professional, who was a 73-year-old, female patient who received Moderna's COVID-19 Vaccine (mRNA-1273) and experienced shortness of breath, slight fever, extreme fatigue, left leg deep vein thrombosis (DVT), and saddle pulmonary embolism (PE). The patients' medical history was not provided. No concomitant medications list was provided. On 24 Dec 2020, prior to the onset of symptoms, patient received the first of two planned doses of mRNA-1273 (Batch number 011J20A) for the prophylaxis of COVID -19 infection. On 25 Dec 2020, patient experienced shortness of breath with low oxygen saturation levels. On 26 Dec 2020, the patient's oxygen saturation levels were down to 89% with slight fever and extreme fatigue. On 27 Dec 2020, patient's energy was back to normal. On 28 Dec 2020, the patient woke up in the morning with symptoms of almost could not breathe, could not walk across the room. The patient's vital signs included oxygen saturation 83%. The patient was struggling for every breath. The patient tested negative for COVID-19. On 30 Dec 2020, another COVID-19 test was negative. On 31 Dec 2020, patient's vital signs included oxygen saturation closer to 90%, and she reported getting better. Symptoms remained the same for about a week. On 08 Jan 2021, the patient experienced left ankle and foot swollen. The patient was seen by physician and then sent to emergency room where it was determined that the patient had DVT in the left leg. A computerized tomogram (CT) scan found clots in the left lung, or saddle PE. On 09 Jan 2021, the patient was discharged from the hospital. Treatment for the events experienced included intravenous heparin and blood thinners. Action taken with planned second dose of mRNA-1273 in response to the events was not provided. The event, extreme fatigue, was considered resolved on 27 Dec 2020. The outcome of the events, shortness of breath, slight fever, DVT and saddle PE were not provided. Follow-up received on 19 Jan 2021 included updated events (DVT and saddle PE), updated event details, treatment, and hospitalization details.; Reporter's Comments: This spontaneous report refers to a case of 73- year-old female patient who experienced serious event of pulmonary embolism and deep vein thrombosis and non-serious events of shortness of breath, oxygen saturation levels were down to 89% with slight fever and extreme fatigue the next day after administration of the first dose of mRNA-1273, lot # 011J20A, expiration date-unknown. Based on temporal information provided and the known safety profile of the vaccine and the absence of any other etiology factors, a causal association between the vents of shortness of breath, oxygen saturation levels were down to 89% with slight fever and extreme fatigue and the administration of mRNA-1273 vaccine cannot be excluded. Fever and fatigue are consistent with the known safety profile of mRNA-1273 vaccine. There is no enough information t clinically assess the causal association between the events of pulmonary embolism and deep vein thrombosis as the patient's medical history and list of concomitant medications were lacking. Main field defaults to ‘possibly related'
73 2021-02-23 death Approximately 2 weeks after the first COVID vaccine she developed shortness of breath that was much ... Read more
Approximately 2 weeks after the first COVID vaccine she developed shortness of breath that was much more significant than she had previously. This was the first time she had expressed this symptom to me as being something she was concerned about and difficult for her to manage (we have spoken almost daily for many years). Within 24 hours of the second dose of the mRNA vaccine, they called an ambulance to get her and she was taken to the hospital and diagnosed with bacterial pneumonia. The doctors said it was unrelated, but I found a study with a different vaccine (LAIV) that also seemed to increase the incidence of bacterial pneumonia. They hypothesized through diverting the immune system. So while I don't think the vaccine gave her the bacteria, I do think it may have caused her immune system to be temporarily compromised allowing the bacteria to grow out of control. I feel this is important to report to look for these types of patterns as perhaps it can help others avoid the death spiral that happened to my mother. There were also intervening events between her hospitalization and her death including two successful surgeries (one for a broken hip and another to put in stents in her leg). So to summarize, the first vaccine was within about 2 weeks of the onset of her breathing problems. Within 24 hours of the second vaccine she was hospitalized and diagnosed with bacterial pneumonia. As she was battling bacterial pneumonia in the hospital she broke her hip and was found to have reduced peripheral circulation and had 2 surgeries to correct those. They were successful according to the surgeons, however she died within a week or so of the surgeries. She had other comorbidities as well which I'm sure predisposed her such as diabetes, hypertension and cancer for many years.
73 2021-02-23 pulmonary embolism Moderna COVID-19 Vaccine: The morning after injection, she developed shortness of breath, fever, mus... Read more
Moderna COVID-19 Vaccine: The morning after injection, she developed shortness of breath, fever, muscle pains, joint pains, delirium. 911 called. EMTs transported her to Hospital where she was admitted after blood tests and CT angiogram of the chest indicated multiple pulmonary emboli in right upper and lower lobes of the lung. Unconscious at the time of admission. Discharged after 3 days. Continues to have significant shortness of breath. Unknown if this will be permanent or lead to death. Reasonably stable at present time although unable to function.
73 2021-02-24 cardiac failure congestive Patient received Moderna Vaccine on 2/20/21 at pharmacy. She has a history of atrial fibrilation and... Read more
Patient received Moderna Vaccine on 2/20/21 at pharmacy. She has a history of atrial fibrilation and diastolic heart failure. On 2/23/21 she presented to ED with symptoms of SOB, hypoxia and cough with findings of fluid overload likely due to exacerbation of diastolic heart failure. Also reports of tongue swelling per ED provider (was not witnessed by me) for which she received IM epinepherine, solumedrol, and decadron. She is currently receiving IV diuresis with improvement of high flow nasal canula requirements
73 2021-02-26 anaphylactic reaction Fatigue, 101° fever, chills, anaphylaxis, hives
73 2021-03-01 pneumonia Pneumonia; A spontaneous report was received from a consumer concerning his mother, a 73-year-old, ... Read more
Pneumonia; A spontaneous report was received from a consumer concerning his mother, a 73-year-old, female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced pneumonia. The patient's medical history included chronic obstructive pulmonary disease (COPD). Concomitant product use was not provided by the reporter. On 19 Jan 2021, approximately five days prior to the onset of symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number not provided) intramuscularly for prophylaxis of COVID-19 infection. On 23 Jan 2021, the patient developed a cough. The patient's temperature was recorded at 101 degrees Fahrenheit. The patient went to doctor. She was fatigued and coughing blood and was diagnosed with pneumonia. Treatment included azithromycin, and the patient seemed to improve. On 05 Feb 2021, the patient developed a temperature of 101°F, coughed up blood and was very fatigued. She was diagnosed with pneumonia. Treatment for the event included levofloxacin. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event, pneumonia, was not reported.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the onset date of the event of pneumonia, a causal relationship cannot be excluded. Patient's elderly age and medical history of COPD are considered a risk factors.
73 2021-03-03 pulmonary embolism Moderna COVID-19 Vaccine EUA 2/27/21: Pt received 1st Moderna vaccine 2/4/2021. She states that her... Read more
Moderna COVID-19 Vaccine EUA 2/27/21: Pt received 1st Moderna vaccine 2/4/2021. She states that her symptoms 1st started out as a slight postnasal drip, which turned into a hoarse voice with a cough, which turned into a head cold, which has turned in due shortness of breath, diarrhea, and cough with associated chills. After 17 days of cold-like symptoms, pt was tested on 2/26 for COVID and tested positive. 2/27, pt worsened and presented to ED. Upon arrival to the emergency department, the patient's temperature is 100.2° F, heart rate 96, respiratory rate 24, saturating 84% on room air with blood pressure 164/84. The patient's laboratory studies were significant for BUN 17, CR 1.47, lactate 2.2, D-dimer 6.79, and phosphorus 2.2. The patient's chest x-ray showed no acute findings. CT chest showed extensive acute bilateral pulmonary emboli involving most of the lobar and segmental branches, right greater than left with no saddle embolus. Findings borderline for right heart strain, correlate with echocardiogram. Peripheral ground-glass airspace opacities consistent with atypical/viral pneumonitis. Reactive mediastinal and hilar lymphadenopathy. EKG showed normal sinus rhythm, heart rate 93 with inferior infarct-age undetermined. The patient was administered 1 L IV NS, ceftriaxone 1 g IV, azithromycin 500 mg IV, and heparin IV bolus and drip for PE indication. Remdesivir started. 2/28/21: Pt on 3 L oxygen. Azithromycin, ceftriaxone, remdesivir continued. Vancomycin started. 3/1/21: 1 L oxygen via nasal cannula. Small, nonproductive cough. Pt complains of SOB. 3/2/21: 1/2 blood cultures from 2/27 positive for CoNS. Vancomycin discontinued. Pt feeling much better. Still on 1 L oxygen via nasal cannula. More alert. 3/3: 5 day remdesivir course and azithromycin, ceftriaxone course completed. Patient weaned off oxygen. Pt discharged home with oxygen as a precaution. Pt also enrolled in COVID Safe At Home telehealth program.
73 2021-03-10 ischaemic stroke Acute ischemic lacunar stroke in left ligament resulting in mild left leg weakness
73 2021-03-11 anaphylactic reaction Face swelling, throat closing, rash, headache, rapid heartbeat, weak, dizziness. Having an anaphyla... Read more
Face swelling, throat closing, rash, headache, rapid heartbeat, weak, dizziness. Having an anaphylactic reaction
73 2021-03-11 cerebrovascular accident Extreme fatigue began on 3/3/21 (3 weeks post vaccine). Left sided facial drop and left sided weakne... Read more
Extreme fatigue began on 3/3/21 (3 weeks post vaccine). Left sided facial drop and left sided weakness began on 3/6/21. 2 days later, symptoms were communicated to doctor and patient admitted to hospital, where CT scan and MRI confirmed right-sided stroke. No predisposing factors (no preceding HTN, non- smoker, normal carotid arteries, no congenital heart defects, not on OCP, no history of blood clots or abnormal clotting factors.)
73 2021-03-18 grand mal seizure Had grand mal seizure while driving on 3/8/21. Taken to emergency room and released. Phenobarbital l... Read more
Had grand mal seizure while driving on 3/8/21. Taken to emergency room and released. Phenobarbital levels were therapeutic. Saw family doctor 3/18/21.
73 2021-03-21 pneumonia patient's care giver said approximately week after 1st dose patient was ttested positive and later a... Read more
patient's care giver said approximately week after 1st dose patient was ttested positive and later admitted to hospital with pneumonia complications. patient was discharged after treatment
73 2021-03-22 death Severe lethargy after receiving the shot. Constant sleepiness and malaise, nausea, confusion, loss ... Read more
Severe lethargy after receiving the shot. Constant sleepiness and malaise, nausea, confusion, loss of appetite, dizziness, Blood vessels/clots formed in her eyes. Acute renal failure and eventually death on March 18, 2021.
73 2021-03-22 transient ischaemic attack A little over 24 hours after first vaccination shot suffered a suspected TIA. Symptoms: Shortness o... Read more
A little over 24 hours after first vaccination shot suffered a suspected TIA. Symptoms: Shortness of breath, extreme weakness, racing heart, visual disturbance, inability to move. Episode lasted approximately 1 hour. Was unable to call for help or pick up phone to dial 911.
73 2021-03-24 atrial fibrillation, cardiac failure congestive Atrial fibrillation and CHF on March 22, 2021
73 2021-03-24 atrial fibrillation Diagnosed with Afib; Couldn't breath/Gasping for air; Eyes yellow; Asthma flairup; Couldn't sleep; S... Read more
Diagnosed with Afib; Couldn't breath/Gasping for air; Eyes yellow; Asthma flairup; Couldn't sleep; Shaking; A spontaneous report was received from a consumer concerning a 73-year old female patient, who experienced asthma flair up, couldn't sleep, couldn't breathe, gasping for air, shaking, eyes yellow, admitted to hospital, diagnosed with Afib . The patient's medical history mentions asthmatic since the age of 3 years old and Atrial fibrillation. Concomitant medications provided were steroids NOS and a zpack. On 16 Jan 2021, one month and 6 days prior to the onset of the events, the patient received the first of the two planned doses of mRNA-1273 (Batch number: 0281120A) for prophylaxis of COVID-19 infection. On 08 Feb 2021, patient reported having an asthmatic flair up that was bad. She took medication provided by her hcp and could not sleep, could not breathe, gasping for air, eyes yellow and shaking. She was admitted to the hospital on 11 Feb 2021 and was diagnosed with Atrial fibrillation. She missed her planned dose as she was hospitalized. The event atrial fibrillation was deemed medically significant and the patient was also hospitalized. Treatment information mentions Xanax. Lab tests were not provided. Action taken with respect to mRNA-1273 was not reported. The outcome of the events, atrial fibrillation was unknown. The outcome of the events asthma flair up, couldn't sleep, couldn't breathe, gasping for air, shaking, eyes yellow, admitted to hospital was resolved on 21 Feb 2021.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.
73 2021-03-24 cerebrovascular accident 2 weeks after I had a stroke, my right arm went completely dead and its coming back but it's not bac... Read more
2 weeks after I had a stroke, my right arm went completely dead and its coming back but it's not back to normal yet.
73 2021-03-24 cerebrovascular accident She experienced stroke,between the first and second dose; I'm not speaking well; Patient had difficu... Read more
She experienced stroke,between the first and second dose; I'm not speaking well; Patient had difficulties to understand; A spontaneous report was received from a consumer concerning, a 73 year old female patient, who received Moderna's COVID-19 Vaccine (mRNA-1273), and experienced stroke (cerebrovascular accident) and was not able to speak well (speech disorder) and understand (confusional state). The patient had claustrophobia. Concomitant medications were multivitamins. On an unknown date, prior to the onset of events, the patient received her first of two planned doses of mRNA-1273 (Batch number: 00M20A), intramuscularly in the arm for prophylaxis of COVID-19 infection. On an unknown date in Mar 2021, after administering the vaccine, the consumer experienced stroke. She was hospitalized to perform an open-MRI as she was claustrophobic. Reporter also stated that patient was not able to speak and understand well and required an assistance while speaking over the phone at the time of this report. Patient did not receive any treatment. On 10 Mar 2021, after the events occurred, the patient received her second of two planned doses of mRNA-1273 (Batch number: 044A21A), intramuscularly in the arm for prophylaxis of COVID-19 infection. The outcome of the event stroke was unknown and the events speech disorder and confusional state were not recovered at the time of this report.; Reporter's Comments: Very limited information regarding this event/s has been provided at this time. Further information has been requested.
73 2021-03-25 cerebrovascular accident Felt a bit dizzy and tired. These continued with inability to securely grasp things with my left han... Read more
Felt a bit dizzy and tired. These continued with inability to securely grasp things with my left hand until Saturday March 20th when I was taken to the ER.
73 2021-03-28 cardiac arrest, death, heart attack pts arm was bothering her after taking the covid vax. On 3/10/2021 pt went to Hospital to have a Ec... Read more
pts arm was bothering her after taking the covid vax. On 3/10/2021 pt went to Hospital to have a Echocardiogram procedure. Pt was sent home. The next day pt was vomiting and heaving. Her blood pressure was high and she was having symptoms of a heart attack. 911 was called. First Responder was first to arrive so pt was put on gurney and put on a flight to Hospital. Pt was loaded for the heart flight but perished in flight to the hospital due to cardiac arrest.
73 2021-03-28 death My mother didn't feel well after the 2nd shot. She died in her bathtub overnight 3/12 into 3/13
73 2021-03-28 pneumonia Pneumonia; A spontaneous report was received from a consumer concerning a 73-year-old female patient... Read more
Pneumonia; A spontaneous report was received from a consumer concerning a 73-year-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced pneumonia. The patient's medical history was not provided. No relevant concomitant medications were reported. On 12 Jan 2021, approximately six days prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number: 039K20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 17 Jan 2021, the patient started experiencing cold symptoms. The patient had pneumonia and was hospitalized on 18 Jan 2021. Since the patient was taking antibiotics, healthcare professional recommended to wait on the second dose of the vaccine. The second dose was scheduled 49 days after the first one. The reporter stated that the patient was immunosuppressed. Treatment information included antibiotics. Action taken with mRNA-1273 in response to the events was unknown. The outcome of the event, pneumonia, was 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 event, a causal relationship cannot be excluded.
73 2021-03-28 sepsis fever fatigue Acute kidney injury (CMS/HCC) Sepsis due to urinary tract infection (CMS/HCC) Severe ... Read more
fever fatigue Acute kidney injury (CMS/HCC) Sepsis due to urinary tract infection (CMS/HCC) Severe sepsis (CMS/HCC) Hydronephrosis Endometrial cancer (CMS/ Urinary tract infection
73 2021-03-30 heart attack Mild Heart attack, hospitalization, delirium, hallucinations.
73 2021-04-01 anaphylactic reaction Anaphylactic reaction/Shortness of breath/ Trouble swallowing; Weakness; Sore throat; Night sweats; ... Read more
Anaphylactic reaction/Shortness of breath/ Trouble swallowing; Weakness; Sore throat; Night sweats; Elevated blood pressure; Heart rate in 120s; feel lethargic; A spontaneous report was received from a consumer concerning for a 73 years old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events anaphylactic reaction, shortness of breath/ dyspnoea, trouble swallowing/ dysphagia, feel lethargic/lethargy, weakness/asthenia, night sweats and sore throat/ oropharyngeal pain, elevated blood pressure and heart rate in 120s. The patient's medical history was not provided. The concomitant medications on use were also not provided. On 11 Feb 2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA (lot number: 024M20A) through intramuscular route of administration for prophylaxis of COVID-19 infection. On 12 Mar 2021, prior to the onset of the events, the patient received their second of two planned doses of mRNA (lot number: 032M20A) through intramuscular route of administration for prophylaxis of COVID-19 infection. On 12 Mar 2021, within 10 minutes of second dose, patient experienced anaphylactic reaction. She experienced flushing and shortness of breath and was given oxygen, benadryl 50 mg and depomedrol intramuscularly by an EMT on site. Patient was taken to the ER for evaluation and discharged on medrol dose pak, tagamet BID and benadryl. As of today 12 days later, patient still has he following side effects: flushing beet red, trouble swallowing feels like throat is closing in, night sweats, feels lethargic, weakness, elevated blood pressure and heart rate in 120s and a sore throat. She has consulted with three HCPs since discharge and all have said to continue on her medications. The patient received both scheduled doses of mRNA-1273 prior to the events, therefore action taken with the drug in response to the events was not applicable. The events anaphylactic reaction, shortness of breath, trouble swallowing, feel lethargic, weakness, night sweats and sore throat blood pressure and heart rate in 120s were not recovered at the time of this report.; 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.
73 2021-04-01 anaphylactic reaction Anaphylaxis reaction involving closing throat, numbness of lips, and redness of hands. Occurred 20 m... Read more
Anaphylaxis reaction involving closing throat, numbness of lips, and redness of hands. Occurred 20 minutes after injection. Treated with Epinephrine IM self administered and 2 ounces Benadryl oral self administered. Overt symptoms abated within 15 minutes. Transported via emergency squad to local hospital 20 minutes after onset of symptoms. Administered prednisone and pepcid at hospital. Held for observation for 2 hours before discharge, Lingering symptoms included thickness of throat and numbness of lips for approximately 7 days. No further symptoms after 7 days.
73 2021-04-02 deep vein blood clot DVT
73 2021-04-02 blood clot, death Felt crummy on day one and two better on day three and on day four developed four blood clots on Cou... Read more
Felt crummy on day one and two better on day three and on day four developed four blood clots on Coumadin with an INR of 4.5 and died the next day on 3/31/2021.
73 2021-04-04 pneumonia, respiratory failure Hypoxic respiratory failure requiring oxygen, Pneumonia, Atypical chest pain with troponin elevation... Read more
Hypoxic respiratory failure requiring oxygen, Pneumonia, Atypical chest pain with troponin elevation, uncontrolled hypertension.
73 2021-04-06 cerebrovascular accident Speech difficulty, Mental fogginess on 4/2. Presented to hospital on 4/4. Diagnosed with Left ACA st... Read more
Speech difficulty, Mental fogginess on 4/2. Presented to hospital on 4/4. Diagnosed with Left ACA stroke on MRI on 4/6.
73 2021-04-06 grand mal seizure grand mall seizure; mouth foaming; This spontaneous case was reported by a consumer (subsequently me... Read more
grand mall seizure; mouth foaming; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of GENERALISED TONIC-CLONIC SEIZURE (grand mall seizure) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Cholesterol, Penicillin allergy and Allergy to animal. Concomitant products included MULTIVITAMIN [VITAMINS NOS], VITAMIN D NOS and CALCIUM ASCORBATE (VITAMIN C [CALCIUM ASCORBATE]) for an unknown indication. On 22-Mar-2021 at 10:45 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Mar-2021 at 5:30 AM, the patient experienced GENERALISED TONIC-CLONIC SEIZURE (grand mall seizure) (seriousness criterion hospitalization) and FOAMING AT MOUTH (mouth foaming). The patient was hospitalized from 23-Mar-2021 to 24-Mar-2021 due to GENERALISED TONIC-CLONIC SEIZURE. At the time of the report, GENERALISED TONIC-CLONIC SEIZURE (grand mall seizure) and FOAMING AT MOUTH (mouth foaming) outcome was unknown. 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. Treatment of these events were not provided.; Sender's Comments: This case concerns a 73-year-old female hospitalized with a serious unexpected event of generalized tonic-clonic seizure, and nonserious unexpected foaming of the mouth. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.
73 2021-04-07 cardiac arrest, death Death from cardiac arrest
73 2021-04-08 death On 04/08/2021 pt. was found passed away in her bath tub. Pt. received her 2nd dose of the Covid vacc... Read more
On 04/08/2021 pt. was found passed away in her bath tub. Pt. received her 2nd dose of the Covid vaccine on 04/07/2021 at 2:00 p.m. Family choice not to have an autopsy performed and death certificate was completed with cause of death "sudden cardiac arrest". Note on 2/20/21 Pt. was transferred to Hospital with dx. of acute pancreatitis with elevated lipase and wbc.
73 2021-04-08 blood clot, pulmonary embolism Pulmonary Embolism with Acute Core Pulmonale -no sign of DVT. Multiple blood clots in major arteries... Read more
Pulmonary Embolism with Acute Core Pulmonale -no sign of DVT. Multiple blood clots in major arteries of both lungs. Event began with tiredness over about. 2 week period and ended in acute event with trouble breathing. Taken to hospital via ambulance. Tests also showed right heart damage due to stress from clots.
73 2021-04-09 anaphylactic shock mild anaphylactic shock; nauseated; about to pass out; bolt of tightness in her chest and across fro... Read more
mild anaphylactic shock; nauseated; about to pass out; bolt of tightness in her chest and across from her shoulder; pain in her chest; shortness of breath; dizzy/lightheadness; This spontaneous case was reported by a consumer and describes the occurrence of ANAPHYLACTIC SHOCK (mild anaphylactic shock) and LOSS OF CONSCIOUSNESS (about to pass out) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 015M20A) 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 13-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Feb-2021, the patient experienced LOSS OF CONSCIOUSNESS (about to pass out) (seriousness criterion medically significant), CHEST DISCOMFORT (bolt of tightness in her chest and across from her shoulder), CHEST PAIN (pain in her chest), DYSPNOEA (shortness of breath) and DIZZINESS (dizzy/lightheadness). On an unknown date, the patient experienced ANAPHYLACTIC SHOCK (mild anaphylactic shock) (seriousness criterion medically significant) and NAUSEA (nauseated). On 13-Feb-2021, LOSS OF CONSCIOUSNESS (about to pass out), CHEST DISCOMFORT (bolt of tightness in her chest and across from her shoulder), CHEST PAIN (pain in her chest), DYSPNOEA (shortness of breath) and DIZZINESS (dizzy/lightheadness) had resolved. At the time of the report, ANAPHYLACTIC SHOCK (mild anaphylactic shock) and NAUSEA (nauseated) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No other relevant medication was reported. No treatment information was reported. This case concerns a 73-year-old female with serious unexpected events of anaphylactic shock and loss of consciousness, and nonserious unexpected chest pain, chest discomfort, dyspnea, dizziness, and expected nausea. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.; Sender's Comments: This case concerns a 73-year-old female with serious unexpected events of anaphylactic shock and loss of consciousness, and nonserious unexpected chest pain, chest discomfort, dyspnea, dizziness, and expected nausea. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.
73 2021-04-09 brain sinus blood clot On April 4, 2021, my mother, was diagnosed with a cerebral venous sinus thrombosis (CVST). I figure... Read more
On April 4, 2021, my mother, was diagnosed with a cerebral venous sinus thrombosis (CVST). I figured I would report this, as I am seeing more and more reports about the vaccines tied to this rare brain blood clot: "Moderna?s rival mRNA shot has been linked to five CVST cases out of 4 million vaccinated." "More than a dozen countries worldwide temporarily stopped administering the Oxford-AstraZeneca COVID vaccine, notes the Association of American Physicians and Surgeons (AAPS), because of deaths from blood clotting disorders, with either clots or excessive bleeding. Some patients experienced the extremely rare event of clots in the veins that drain blood from the brain (venous sinus thrombosis)."
73 2021-04-09 pneumonia so close to having pneumonia; got sick after the shot; hacking cough; choking; missed the 42 day win... Read more
so close to having pneumonia; got sick after the shot; hacking cough; choking; missed the 42 day window; This spontaneous case was reported by a consumer and describes the occurrence of PNEUMONIA (so close to having pneumonia) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event.Concomitant medications were not provided. On 02-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced PNEUMONIA (so close to having pneumonia) (seriousness criterion medically significant), MALAISE (got sick after the shot), COUGH (hacking cough), CHOKING (choking) and PRODUCT DOSE OMISSION ISSUE (missed the 42 day window). At the time of the report, PNEUMONIA (so close to having pneumonia), ILLNESS (got sick after the shot), COUGH (hacking cough), CHOKING (choking) and PRODUCT DOSE OMISSION ISSUE (missed the 42 day window) had not resolved. Treatment information was not provided. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded. This report also refers to a case of missed dose for mRNA-1273 (Moderna COVID-19 Vaccine) lot # unknown with no associated AEs.
73 2021-04-11 cerebrovascular accident CVA
73 2021-04-11 sepsis vomiting with fruity odor, BG 417, weakness & SOB, Torsade de pointe & received CPR, DKA, sepsis, la... Read more
vomiting with fruity odor, BG 417, weakness & SOB, Torsade de pointe & received CPR, DKA, sepsis, lactic acidosis
73 2021-04-12 cerebrovascular accident Stroke
73 2021-04-12 death Patient was hospitalized and died within 60 days of receiving a COVID vaccine
73 2021-04-15 cerebrovascular accident Patient reports she started to experience feeling a sense of doom, stool incontinence, left-sided nu... Read more
Patient reports she started to experience feeling a sense of doom, stool incontinence, left-sided numbness, altered mental status in the early hours of 3/28/21. Of note, patient received her second dose of the Moderna vaccine on 3/25/2021 and felt poorly the day after with body aches and fatigue. The patient was admitted to ED with suspected stroke, but no ischemia or hemorrhage was shown on MRI. In addition, her blood pressure at the ER was 196/104 and her troponin was elevated and reached a peak of around 5. Cardiac Catheterization showed no acute disease but chronic and unsubstantial changes that did not require intervention. An EEG from 3/29 was concerning for subacute seizure like activity and She was started on IV Keppra. MRI at the same time, also revealed a right-sided cavernoma. During her hospital stay, she had ongoing confusion and disorientation with hallucinations, concerning for an encephalitis. She also received 3 days of ceftriaoxone for a potential unseen infection, but cultures were negative and PCR for viral pathogens was also normal. She was seen to have leukocytosis but the cause was not determined. Eventually, she regained her baseline mentation with no residual deficits and was discharged on Keppra to follow up with neurology.
73 2021-04-18 pulmonary embolism, deep vein blood clot PE and DVT
73 2021-04-19 atrial fibrillation At 8:00 PM I began having chills and a headache. I checked my temperature and it was 100F. By 8:30... Read more
At 8:00 PM I began having chills and a headache. I checked my temperature and it was 100F. By 8:30 I went to bed and coughed a lot. I became nauseous and had dry heaves. My left arm was sore. I was extremely thirsty. I spent the night going to the bathroom and it became harder to do because I had excruciating pain in my lower back. I could barely walk. My Afib seemed to be acting up and I had strong chest pain and was out of breadth. This kept me up all night. By morning, I tried to get up but was unable to do so. I finally fell asleep around 1:30 p.m. and woke up a t 6:00 pm. To my relief, most of the symptoms had subsided and I could get up and walk arund.
73 2021-04-19 deep vein blood clot, pulmonary embolism Extensive DVT of right lower ext and pulmonary embolism. Taken to ER and initiated therapeutic hepar... Read more
Extensive DVT of right lower ext and pulmonary embolism. Taken to ER and initiated therapeutic heparin infusion. Now on outpatient treatment with Eliquis.
73 2021-04-22 death Death less than 24 hours after vaccine administration
73 2021-04-22 blood clot, cerebrovascular accident I had a stroke; Blood clot; Speak was bad, couldn't form words, speak was impaired; Missed her dose ... Read more
I had a stroke; Blood clot; Speak was bad, couldn't form words, speak was impaired; Missed her dose due to to the decision not to get it; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CEREBROVASCULAR ACCIDENT (I had a stroke) and THROMBOSIS (Blood clot) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010M20A) 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 was reported.). On 10-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-Feb-2021, the patient experienced CEREBROVASCULAR ACCIDENT (I had a stroke) (seriousness criterion hospitalization). On an unknown date, the patient experienced THROMBOSIS (Blood clot) (seriousness criterion medically significant), SPEECH DISORDER (Speak was bad, couldn't form words, speak was impaired) and INTENTIONAL DOSE OMISSION (Missed her dose due to to the decision not to get it). On 16-Feb-2021, CEREBROVASCULAR ACCIDENT (I had a stroke) had resolved. At the time of the report, THROMBOSIS (Blood clot) and SPEECH DISORDER (Speak was bad, couldn't form words, speak was impaired) outcome was unknown and INTENTIONAL DOSE OMISSION (Missed her dose due to to the decision not to get it) had resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product use was not provided. The patient was receiving treatment with clopidogrel (Plavix) 75mg since the stroke (which is a stronger blood thinner TPA drug that resolve the blood clot). Reportedly, the patient was hospitalized for 3 days. Patient also stated that she was nervous about getting her 2nd dose so she missed her dose due to the decision not to get it with regards to the fear of having another stroke. 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. This case was linked; Sender's Comments:
73 2021-04-22 blood clot Fever over 100, 3 blood clots discovered in hospital where I was sent by the Hematologist after feve... Read more
Fever over 100, 3 blood clots discovered in hospital where I was sent by the Hematologist after fever started.
73 2021-04-23 death At first my mother had a headache. Then My mother was feeling weak and could not breathe. She conti... Read more
At first my mother had a headache. Then My mother was feeling weak and could not breathe. She continued to suffer so went to the doctor to get a check up but continued to suffer and finally died on 2/8/21 due to a couple of reasons which include hypertension
73 2021-04-25 stroke, transient ischaemic attack On 2/1/2021 develop minstroke, with expressive aphasia I was in hospital from 2,1-2/3/2021. 2 weeks ... Read more
On 2/1/2021 develop minstroke, with expressive aphasia I was in hospital from 2,1-2/3/2021. 2 weeks after vaccine
73 2021-04-25 pulmonary embolism Single subsegmental pulmonary embolism without acute cor pulmonale? (present on admission) A: Unprov... Read more
Single subsegmental pulmonary embolism without acute cor pulmonale? (present on admission) A: UnprovokedSubsegmental pulmonary emboli noted on prelim report CT chest with slight straightening of interventricular septum could reflect presence of right heart strain. Likely a larger embolism which dispersed. Currently not hypotensive. DVT negative P: Check 2D echo: if showing evidence of R heart strain will consult IR for systemic thrombolysis Therapeutic anticoagulation with Lovenox subcutaneous . Will transition to DOAC in AM tomorrow. She will need to be on for life Malignancy screening to be done as an outpatient. - morphine 4mg IV q4h as needed for pain RIGHT SIDED ABDOMINAL PAIN X 2 DAYS STARTED 4/12/21, WENT TO ER ON 4/14/21, DISCHARGED ON 4/16/21 IN STABLE CONDITION STARTED ON XARELTO 15MG DAILY FOR 21 DAYS THEN 20 MG DAILY
73 2021-04-27 death, blood clot Headache, Increasing fatigue and difficulty breathing over two weeks before 2nd dose -- exacerbated ... Read more
Headache, Increasing fatigue and difficulty breathing over two weeks before 2nd dose -- exacerbated by 2nd dose. Worsening condition led to visit to Primary Care In office tests indicated presence of blood clots and need for emergency hospital treatment. Emergency surgery to remove blood clots throughout her body and attempt to put her on ECMO were unsuccessful and patient succumbed at 12:06 AM 3/3/21.
73 2021-04-27 deep vein blood clot DVT (blood clot) in leg/her leg started to hurt; Dizziness; Headache; Fever; Chills; Didn't feel wel... Read more
DVT (blood clot) in leg/her leg started to hurt; Dizziness; Headache; Fever; Chills; Didn't feel well; felt bad; had to go to bed for 3 days; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of DEEP VEIN THROMBOSIS (DVT (blood clot) in leg/her leg started to hurt) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Blood pressure abnormal. On 02-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Apr-2021, the patient experienced VACCINATION COMPLICATION (Didn't feel well), PYREXIA (Fever) and CHILLS (Chills). On 08-Apr-2021, the patient experienced DIZZINESS (Dizziness) and HEADACHE (Headache). In April 2021, the patient experienced FEELING ABNORMAL (felt bad) and DECREASED ACTIVITY (had to go to bed for 3 days). On 18-Apr-2021, the patient experienced DEEP VEIN THROMBOSIS (DVT (blood clot) in leg/her leg started to hurt) (seriousness criterion medically significant). On 04-Apr-2021, PYREXIA (Fever) and CHILLS (Chills) had resolved. At the time of the report, DEEP VEIN THROMBOSIS (DVT (blood clot) in leg/her leg started to hurt), DIZZINESS (Dizziness), FEELING ABNORMAL (felt bad) and HEADACHE (Headache) outcome was unknown and VACCINATION COMPLICATION (Didn't feel well) and DECREASED ACTIVITY (had to go to bed for 3 days) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The patient did not feel well for a couple of days. The events, fever and chills lasted for a day and half. On 07 Apr 2021 or 08 Apr 2021, the patient felt bad, experienced headaches and dizziness, and she had to go to bed for 3 days. On13 Apr 2021, the patient's leg started to hurt and she ended up going to hospital. On 18 Apr 2021, the patient was diagnosed with DVT in her leg. Concomitant medications reported included drug unspecified for blood pressure. Treatment for the event included blood thinners.; 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, Further information has been requested.
73 2021-04-27 pulmonary embolism Bilateral PE, currently hospitalized, day 5 of inpatient status
73 2021-04-28 transient ischaemic attack Ten days after I received the 2nd Moderna vaccination, I had a TIA stroke (double vision, right side... Read more
Ten days after I received the 2nd Moderna vaccination, I had a TIA stroke (double vision, right side of face and right became numb, slurred speech, could not walk). I received a TPA shot within an hour an 15 minutes of the stroke. I have no long term side effects from the stroke. I will take blood thinners the rest of my life.
73 2021-04-28 vaginal haemorrhage She got her vaccine, was really tired and her arm was hurting. Went to bed, and woke up in the morn... Read more
She got her vaccine, was really tired and her arm was hurting. Went to bed, and woke up in the morning at 4:00 AM with vaginal bleeding one episode. Then it stopped and then she had a reoccurrence on 4/26/21, 4/27/21 and again on 4/28/21 and then it stopped again. Had slight cramping. No problems from the vaccine site itself.
73 2021-04-29 death The day before the first vaccine she was up and acting normal, laundry, housework and knew what to d... Read more
The day before the first vaccine she was up and acting normal, laundry, housework and knew what to do. She has severe dementia but was doing OK and knew where she was. She got the first vaccine on 1/29/21, and the 3rd and 4th day they noticed she was having hallucinations and saying things that weren't there. She could hear baby's crying but there were no baby's present. Within 7 days she had what the son described as a stroke. He said that she was watching television and he was on a conference call and he noticed she walked into a wall and he asked if she was okay and starting stumbling across the room and when he touched her she felt very heavy and said that one side of her face was drooping. He got her back into the chair and called 9-1-1. She was so agitated at the hospital that the husband does not know what they gave her and they kept her for a week. They finally got her under control. They discharged her from there and she that was all that they could do with her. They brought her home with nurses assistance and her paranoia was evident, hallucinations were very evident. They said that they tried to do a CAT Scan and an MRI and they said that she did not have a stroke. Restless was very adamant, talking strange things and wanting to go to her son's house when she was there. Before that vaccination she knew where she was and after that she did not know where she was thinking she was at one location and just confusion. She then got her 2nd vaccine and then her husband went out of town and took her back home on 2/24/21 as he was able to get her in a car and travel and able to eat and knew somewhat what was going on. On 2/25/21 when he brought her home to a long term care facility. She was chanting constantly, had irritability, anger, cognition completely eroded. She was very agitated, very combative. Drugs would not calm her down, and tried to get CAT scans or MRI's but were unsuccessful due to her combativeness. She was screaming and yelling 24 hours a day to the top of her lungs and gave her Ativan which had the adverse effects of what they were supposed to do. Had biting, hallucinations, paranoia. She had a couple of falls, they had her in a wheelchair and tried to feed her and she would fall down. They took her to the hospital a few times and she progressively got worse. On 4/19/21 she shut down and quit eating, quit drinking, closed her eyes, and lasted a week like that and then she died on 4/24/21 @ 2:30 AM. None of her doctors could figure out what had happened. They were finally able to get a CAT scan and felt that she may have a stroke. Finally they memory care facility told them to come a take her to the hospital and they had moved their hospice patient's as she was screaming and disruptive and they could not handle her anymore. They thought she was suffering from Lewy body dementia at one point. They were going to have her tested for that and they could not do it on Saturday when she passed for genetics and missed those timelines and could not do it.
73 2021-05-04 cardiac arrest, death Cardiac arrest, seizures death
73 2021-05-04 death My sister died on 4-28-2021
73 2021-05-04 blood clot 1. Bulging veins appeared the day following first vaccination. From inside the left nostril onto t... Read more
1. Bulging veins appeared the day following first vaccination. From inside the left nostril onto the upper lip. on right temple above end of eye brow and between hair line, legs, behind the right knee. Behind the left knew were several large clots. 1.a. Had vein work done from November 2020 to January 2021. Clots had disappeared. 1.b. Feb. 27, 2021 clot on right temple was "in" or on top of area treated. There was pain that lasted for three days. 1.c. Told primary care doctor and saw Vein Doctor. Then there was not much concern about clots. 2. Eyes: 02/26/2021 through 02/27/2021 shooting pains around and through the eyes. Started right after vaccination. 3. Two bulging painful masses Center of forehead right and left of center of nose. 4. Lega and feet swelled 5. Toes: 03/03 toes separated and cramped on feet. Each foot two toes went left stuck together and two went right. 6. Feet 03/03/21 sore spots on top of feet. Pain made it hard to walk. Pain extended toward and over ankles and wrapped around heel.. I use a walker 7. Dizzy when looking down, shortness of breath. Contacted cardiology 8. Belching and air bubbles originating in the chest area 9. Sleep: Slept almost around the clock for first 5 days. 10. Very thirsty even after drinking water 11. Urinated more than usual. some burning. Reported to doctor. 12. Vaginal etching and dryness for 2 weeks 13. Joint Dryness; All joints but very painful and extra dry rough feeling in right hip. For 3 days 14. Stubbled when waling March 11, 12, 13, and 14 2021 15. Mind and body not working to
73 2021-05-20 death unknown
73 2021-05-23 ventricular tachycardia Complicated young elder with AICD for recurrent Vtach who was found unresponsive around 20 hours aft... Read more
Complicated young elder with AICD for recurrent Vtach who was found unresponsive around 20 hours after vaccine; Based on the defibrillator interrogation she had sustained ventricular tachycardia that was properly identified and treated by the device but which did not respond to device discharge, degenerated into ventricular fibrillation and unfortunately could not be terminated by her ICD. Not clear related to vaccine
73 2021-05-24 pulmonary embolism Patient admitted 5/8/21 with bilateral P. E -Spontaneous, went to Hospital 9 days post vaccine #2. ... Read more
Patient admitted 5/8/21 with bilateral P. E -Spontaneous, went to Hospital 9 days post vaccine #2. I did not give the vaccine, it was done at a vaccine clinic. Unknown if related to vaccine but within 2 weeks.
73 2021-05-24 blood clot suspected blood clot; When walking experiences traumatic pain in legs; her legs went numb while at s... Read more
suspected blood clot; When walking experiences traumatic pain in legs; her legs went numb while at store; This spontaneous case was reported by a consumer and describes the occurrence of THROMBOSIS (suspected blood clot) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 12-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 16-Apr-2021, the patient experienced PAIN IN EXTREMITY (When walking experiences traumatic pain in legs) and HYPOAESTHESIA (her legs went numb while at store). On an unknown date, the patient experienced THROMBOSIS (suspected blood clot) (seriousness criterion medically significant). The patient was treated with IBUPROFEN (MOTRIN [IBUPROFEN]) for Pain, at a dose of unknown. On 16-Apr-2021, HYPOAESTHESIA (her legs went numb while at store) had resolved. At the time of the report, THROMBOSIS (suspected blood clot) outcome was unknown and PAIN IN EXTREMITY (When walking experiences traumatic pain in legs) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant concomitant medications were reported. Company Comment: Limited information regarding the events has been provided at this time and a causal relationship cannot be excluded.; Sender's Comments: Limited information regarding the events has been provided at this time and a causal relationship cannot be excluded
73 2021-05-27 death Patient developed COVID after vaccination; She is now deceased; This spontaneous case was reported b... Read more
Patient developed COVID after vaccination; She is now deceased; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (She is now deceased) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Cancer (previously had cancer twice). Concomitant products included ATORVASTATIN CALCIUM (LIPITOR), NIFEDIPINE (PROCARDIA [NIFEDIPINE]), TICLOPIDINE HYDROCHLORIDE (TICLID), OMEPRAZOLE (PRILOSEC [OMEPRAZOLE]) and CLOPIDOGREL BISULFATE (PLAVIX) for an unknown indication. On 22-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced COVID-19 (Patient developed COVID after vaccination). The patient died on 23-Apr-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, COVID-19 (Patient developed COVID after vaccination) outcome was unknown. It was reported that the patient previously had cancer twice, and her immune system was not what it should have been. The patient got really, really sick and had COVID at some point after receiving the vaccine. No corrective treatment was provided. Action taken with the drug in response to the events was not applicable. Company comment: Very limited information regarding this event has been provided at this time. Noting the subject had received 1st dose of vaccine prior to COVID. However, based on the mechanism of action of mRNA1273, the event COVID is unlikely related to vaccine.; Sender's Comments: Very limited information regarding this event has been provided at this time. Noting the subject had received 1st dose of vaccine prior to COVID. However, based on the mechanism of action of mRNA1273, the event COVID is unlikely related to vaccine.; Reported Cause(s) of Death: Unknown cause of death
73 2021-05-31 death Death after fall and hospitalization.
73 2021-06-01 pulmonary embolism, blood clot blood clots in her legs; blood lot traveled to lungs, had a very severe case of blood clots; severe ... Read more
blood clots in her legs; blood lot traveled to lungs, had a very severe case of blood clots; severe pain in her legs; could not walk; weak; feeling fatigued; This spontaneous case was reported by a consumer and describes the occurrence of THROMBOSIS (blood clots in her legs), PULMONARY EMBOLISM (blood lot traveled to lungs, had a very severe case of blood clots) and PAIN IN EXTREMITY (severe pain in her legs) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 15-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 22-Mar-2021, the patient experienced PAIN IN EXTREMITY (severe pain in her legs) (seriousness criterion hospitalization), GAIT INABILITY (could not walk), ASTHENIA (weak) and FATIGUE (feeling fatigued). On 31-Mar-2021, the patient experienced THROMBOSIS (blood clots in her legs) (seriousness criteria hospitalization and medically significant) and PULMONARY EMBOLISM (blood lot traveled to lungs, had a very severe case of blood clots) (seriousness criteria hospitalization and medically significant). The patient was hospitalized on 31-Mar-2021 due to PULMONARY EMBOLISM and THROMBOSIS. At the time of the report, THROMBOSIS (blood clots in her legs), PULMONARY EMBOLISM (blood lot traveled to lungs, had a very severe case of blood clots), PAIN IN EXTREMITY (severe pain in her legs), GAIT INABILITY (could not walk), ASTHENIA (weak) and FATIGUE (feeling fatigued) outcome was unknown. No concomitant and treatment medications were reported. The patient had no side effects from the first dose of Moderna vaccine. The patient remained hospitalized at the time of report. Based on the current available information which shows a temporal association between the use of mRNA-1273 and the onset of the reported events, a causal relationship cannot be excluded. Fatigue is consistent with the Known safety profile of the product.; Sender's Comments: Based on the current available information which shows a temporal association between the use of mRNA-1273 and the onset of the reported events, a causal relationship cannot be excluded. Fatigue is consistent with the Known safety profile of the product.
73 2021-06-02 cerebrovascular accident, pulmonary embolism, pneumonia Patient started with c/o sinus symptoms @4/25-went to Urgent care and given zpack. Traveled out of ... Read more
Patient started with c/o sinus symptoms @4/25-went to Urgent care and given zpack. Traveled out of town. called office on 5/18 stating was in airport getting ready to fly back. Stated that never improved with zpack and was now SOB and coughing up blood. She was advised to got to hospital as soon as could when arrived back. Patient presented to ED on 4/22 and was diagnosed with bilateral PEs/pneumonia. She was admitted on aBx and lovenox. On 5/24 she had left sided CVA. CTA showed right M! large vessel occlusion. Tpa was not option and she was transferred to Health care and underwent emergent thrombolectomy. Patient currently still hospitalized
73 2021-06-11 death 73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admis... Read more
73 y.o. female with a past medical history of non-insulin-requiring diabetes type 2 and recent admission at Hospital (5/31-6/6/2021) who was transferred on 6/9 for chest pain with worsening EF with concerns for ischemic cardiomyopathy. Hospital course by dates 5/31?6/6/2021: Admitted for abdominal pain, nausea and vomiting thought to be secondary to ischemic colitis and severe constipation. Patient was found to be anemic during that hospitalization, but did not require blood transfusion. Patient's hospital course was complicated by aspiration pneumonia requiring PICC placement and norepinephrine. She is no longer requiring supplemental oxygen was discharged home. 6/9: Return to hospital with increasing shortness of breath, confusion and generalized malaise. Repeat TTE with anterior wall motion abnormalities and decreased EF. Patient was transferred to bed for cardiology evaluation 6/10: Cardiac catheterization with moderate three-vessel coronary disease, wall motion abnormality does not correspond to coronary disease. Cardiology thinks findings are related to stress-induced cardiomyopathy. 6/11: Patient continues have downtrending hemoglobin, started to prep for colonoscopy on 6/12. 6/12: Rapid response was called at at approximately 4:40 AM, patient ultimately expired at 7:35 AM Patient was transferred from Hospital given new wall motion abnormalities and severe hypokinesis seen on repeat TTE. Fortunately, cardiac catheterization on 6/10 without coronary artery disease that corresponded to these wall motion abnormalities. Ultimately, it was thought to be stress induced cardiomyopathy. Patient was improving, but still complained of epigastric discomfort. Given her recent diagnosis of ischemic colitis and ongoing abdominal pain, GI was consulted for EGD/colonoscopy on 6/12 Rapid response was called at at approximately 4:40 AM. They were mottled appearing, hypotensive and cool to touch. Patient was found to be severely hypoglycemic and had wide-complex tachycardia. Multiple amps of D50 were given but remained hypoglycemic. Patient was also found to be hypoxemic and did not tolerate BiPAP. Eventually patient was transition to comfort measures only. After discussion with patient's daughter, patient's last 10 minutes of life consisted of "fluid pouring out of her mouth". Work-up also was positive for elevated lactic acid and elevated D-dimer. Given the abrupt change in patient's clinical status, concern for embolic thrombosis is the most likely cause. Unclear if had pulmonary embolism or ischemia to gut. Interestingly, patient was visiting her from Indiana for her brother's funeral. After discussion with family, patient's brother had a similar unexplained death just a few weeks prior. The Family going back to the fact that she had her second Maderna vaccine 3 days prior to presenting to select hospital. Patient's brother also had a Maderna vaccine before his recent demise. Given the unknown cause of death, an autopsy was discussed with family. They were agreeable to this. Highly concern for thrombotic event, but unable to confirm at this time without autopsy. Unknown if recent vaccine was related to her death, but could explain thrombosis leading to ischemic colitis prompting her last admission. Patient was noted to have a "severe" reaction to her first vaccine.
73 2021-06-17 pneumonia pneumonia; ear canal infection; slight ringing in the ear that came and went; arm is red and swollen... Read more
pneumonia; ear canal infection; slight ringing in the ear that came and went; arm is red and swollen and itching like crazy; headache; shoulder pain, it was hurting and burning; Terrible chills; arm is red and swollen and itching like crazy; arm is red and swollen and itching like crazy; pretty bad side effects; piercing ear pain; could not sleep; ear shooting pain; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PNEUMONIA (pneumonia) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 023M20A and 046A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Hypertension. Concomitant products included VITAMINS NOS for an unknown indication. On 20-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1. On 20-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1. On 21-Mar-2021, the patient experienced ADVERSE REACTION (pretty bad side effects), EAR PAIN (piercing ear pain), SLEEP DISORDER (could not sleep), EAR PAIN (ear shooting pain), VACCINATION SITE PRURITUS (arm is red and swollen and itching like crazy), HEADACHE (headache), ARTHRALGIA (shoulder pain, it was hurting and burning), CHILLS (Terrible chills), VACCINATION SITE ERYTHEMA (arm is red and swollen and itching like crazy) and VACCINATION SITE SWELLING (arm is red and swollen and itching like crazy). On 22-Mar-2021, the patient experienced EAR INFECTION (ear canal infection) and TINNITUS (slight ringing in the ear that came and went). On an unknown date, the patient experienced PNEUMONIA (pneumonia) (seriousness criterion medically significant). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency and TRAMADOL at an unspecified dose and frequency. At the time of the report, PNEUMONIA (pneumonia), ADVERSE REACTION (pretty bad side effects), EAR PAIN (piercing ear pain), SLEEP DISORDER (could not sleep), EAR PAIN (ear shooting pain), EAR INFECTION (ear canal infection), VACCINATION SITE PRURITUS (arm is red and swollen and itching like crazy), HEADACHE (headache), ARTHRALGIA (shoulder pain, it was hurting and burning), CHILLS (Terrible chills), VACCINATION SITE ERYTHEMA (arm is red and swollen and itching like crazy) and VACCINATION SITE SWELLING (arm is red and swollen and itching like crazy) outcome was unknown and TINNITUS (slight ringing in the ear that came and went) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Other treatments provided by the reporter: heating pad and ear drops. Patient had no side effects from first dose. Action taken with mRNA-1273 in response to the drug was not applicable. Concomitant drug included an unspecified high blood pressure medication. Company Comment: This case concerns a 73 Y/O F with a serious unexpected event of pneumonia, and nonserious unexpected adverse reaction, ear infection, tinnitus, ear pain, sleep disorder, and expected headache, arthralgia, chills, vaccination site erythema, vaccination site swelling, and vaccination site pruritus. Event latency 1 day after 2nd dose. Based on current available information and temporal association between use of the product and the start date of the event, a causal relationship cannot be excluded.; Sender's Comments: This case concerns a 73 Y/O F with a serious unexpected event of pneumonia, and nonserious unexpected adverse reaction, ear infection, tinnitus, ear pain, sleep disorder, and expected headache, arthralgia, chills, vaccination site erythema, vaccination site swelling, and vaccination site pruritus. Event latency 1 day after 2nd dose. Based on current available information and temporal association between use of the product and the start date of the event, a causal relationship cannot be excluded.
73 2021-06-17 respiratory failure, death Patient received 2nd dose of the COVID-19 vaccine on 2/10/21 and was considered fully vaccinated two... Read more
Patient received 2nd dose of the COVID-19 vaccine on 2/10/21 and was considered fully vaccinated two weeks later on 2/24/21. On 6/10/21 patient was hospitalized with a possible upper GI bleed. Overnight the patient began to have increased oxygen needs and crackles on auscultation. She was transferred to the ICU, had an abnormal chest x-ray, and tested PCR positive for COVID-19. The patient had acute kidney failure and respiratory failure with a DNR and DNI. She expired on 6/11/21.
73 2021-06-20 acute respiratory failure Acute respiratory failure
73 2021-06-20 pneumonia DIAGNOSED AND HOSPITALIZED WITH COVID-19 AND PNEUMONIA ON 6/21/21 AFTER BEING VACCINATED WITH MODERN... Read more
DIAGNOSED AND HOSPITALIZED WITH COVID-19 AND PNEUMONIA ON 6/21/21 AFTER BEING VACCINATED WITH MODERNA VACCINE IN JAN/FEB. SHE HAS HAD INCREASING SHORTNESS OF BREATH FOR SEVERAL DAYS AND SAW HER PCP TODAY. SHE IS ON STEROID MEDS AND NEB TREATMENTS FREQUENTLY.
73 2021-06-20 transient ischaemic attack I had the red swollen arm (injection site) - it was a little bit later - about 10 days after the va... Read more
I had the red swollen arm (injection site) - it was a little bit later - about 10 days after the vaccine. It kept getting bigger. It looked like a really bad mosquito bite that got huge. It was itchy Body aches and fatigue and headaches showed up about that time, too. Those symptoms lasted to the end of March and early April. March 17 I blew out my knee - my right knee. I ended up getting x-rays before I came to him. He called and said to go see an orthopedic surgeon and that wasn't until later on. I did see the Orthopedic Surgeon on April 8th. He injected my knee with steroids that day and took x-rays at his location. He also gave me Tylenol. Before I got to see him, March 30th - I had a TIA - Stroke. I was home alone and I called my husband and doctor (but he didn't call back right away so it was about 4 hours) and he said I needed to go to ER - Hospital ER. The treatment was cholesterol medication and referrals to cardiologists or neurologist and also an Ophthalmologist. I did see orthopedic surgeon again, again and again. I went back to Primary care doctor, too. I saw cardiologist first - April 22, 2021. I was sent to Nutritionist - on Friday, May 28th - no treatment - she said I was doing well with diet and nutrition and she would see me in 6 months. Eye exam - on June 1st - going through more tests for that - something to do with the back of the eye. June 2nd - I saw the neurologist - that was for a consultation to go over all the results from the other tests. He said there was that had happened and that nothing was very conclusive and said I should just go on with my life. In the hospital when I was admitted for my TIA - stroke - they saw that I had a thyroid issue - and so I went to thyroid doctor June 2nd. - they added - Atorvastatin and Amlodipine. I had surgery for the loop monitor for my chest on June 9th. Also there is a New nodule on my thyroid - big enough to Biopsy - on my Thyroid. On June 15th - I got the Shingrix vaccine - same arm as COVID vaccine - wild reaction from that within 24 hours that did go away the 2nd day. It was a full body flare - similar to COVID vaccine reactions but it went away quicker. I started a new medication for me called Rinvoq - for the Rheumatoid Arthritis - this replaces the Xeljanz that I had been taking. My balance is off still and I'm using a cane and I wasn't doing that before - possibly for my knee being weak. I'm getting ready for a knee replacement eventually. Since 10 years ago, I'm compromised on the right side - that is my Lymphedema side - hence all my vaccines, etc are on the left side. Otherwise, I'm feeling well now at this point.
73 2021-06-28 vaginal haemorrhage For days afterward - my arm was swollen, red , hot itchy and sore and that lasted that for about 5 d... Read more
For days afterward - my arm was swollen, red , hot itchy and sore and that lasted that for about 5 days. I had a slight fever on Saturday night (the night after). It was gone the next day. Then vaginal bleeding started on the date marked on this report in April. I went to the Clinic. I was fine after taking the Nitro Furatoin. I had another bleeding episode - approximately a month later I went to ER at hospital - May 25, I think. Bleeding has stopped - it wasn't continuous. Have had several doctor visits.
73 2021-06-30 heart attack Patient presented to the ED and was subsequently hospitalized for STEMI within 6 weeks of receiving ... Read more
Patient presented to the ED and was subsequently hospitalized for STEMI within 6 weeks of receiving COVID vaccination.
73 2021-07-12 transient ischaemic attack I believe the Covid vaccinations caused my blood sugar to rise causing a TIA on March 15, 2021, and... Read more
I believe the Covid vaccinations caused my blood sugar to rise causing a TIA on March 15, 2021, and loss of peripheral vision in my right eye, as well as mild changes in my close-up vison. Ater experiencing confusion and disorientation, a friend drove me to my doctor's office. From there, I was sent to the emergency room. I do not remember the exact number, but the next day I returned to my doctor's office for lab work. My blood glucose was 475 and my AiC was +14.
73 2021-07-20 heart attack, death 2 mini heart attacks the night of 4/3/2021, major heart attack morning of 4/4/2021 which lead to her... Read more
2 mini heart attacks the night of 4/3/2021, major heart attack morning of 4/4/2021 which lead to her death.
74 2021-01-12 ventricular tachycardia A few minutes after the vaccine, she had mild tongue swelling. It only lasted a few minutes, and th... Read more
A few minutes after the vaccine, she had mild tongue swelling. It only lasted a few minutes, and then she felt fine. However, her BP went up. I'm not sure how high. she then has a short run of asymptomatic V tach. Taken to hospital observed overnight. No further events or problems.
74 2021-01-13 anaphylactic reaction Systemic: Anaphylaxis-Severe; symptoms lasted 1 day
74 2021-01-14 anaphylactic reaction Anaphylactic reaction, elevated blood pressure........Benedryl......taken to emergency room at Hospi... Read more
Anaphylactic reaction, elevated blood pressure........Benedryl......taken to emergency room at Hospital......ekg, blood pressure taken, and fluids.....left hospital and went home, my choice
74 2021-01-17 death, cardiac arrest Patient presented to our Emergency Department via EMS in full code status; asystole. Patient expire... Read more
Patient presented to our Emergency Department via EMS in full code status; asystole. Patient expired. Per nursing, husband stated patient awoke this AM and reported pain in back between shoulders and in bilateral shoulders. Patient then went unresponsive and husband called EMS.
74 2021-01-18 transient ischaemic attack About 22 hours after the shot, I had a mini stroke that required going to the emergency room by ambu... Read more
About 22 hours after the shot, I had a mini stroke that required going to the emergency room by ambulance. I was transported that evening to the stroke division that same evening for further evaluation, tests and care. I have never had a mini stroke before this.The doctors said it may have been from the vaccination, or it may not have been precipitated by it. They said they don't have enough information on the Moderna vaccine to make that call.
74 2021-01-19 atrial fibrillation Typical expected side effects but were very SEVERE and UNable to function normally- headache, fatigu... Read more
Typical expected side effects but were very SEVERE and UNable to function normally- headache, fatigue, nausea, vomiting, diarrhea, Dizziness, Chills, Cold Sweats, Pain and soreness especially in lower back, and throat hurt when swallow. These persisted for 7+ days. The abnormal side effects included Yellow Vision that persisted for around 2 days, eyes felt hot, and heart rate shot up to 175 and then would drop to 70's. Went to doctor on 1/14/2021 and was found to have A-fib. had previously received a heart evaluation in 8/2020 and did not show any signs of this nor any signs on reading prior with an Apple watch. A-Fib is persisting and heart rate continues to be elevated and shoot up often even with Metapropol. As of this report on 1/20/2021 the heart rate is still varying from 80-150 and it normally runs around 50-60, has always been low. Blood pressure also dropped precipitously during this event and was as low as 80/50 so blood pressure medicines were discontinued to try and stabilize.
74 2021-01-21 death Patient received her first dose of vaccine on Monday, January 18th. Two days later on Wednesday, Ja... Read more
Patient received her first dose of vaccine on Monday, January 18th. Two days later on Wednesday, January 18th, she retired to bed early. Later that night when her husband went to bed, he found her in the bed deceased. No other details of the event are know.
74 2021-01-28 pneumonia, heart failure patient started complaining of leg cramps and went back to his room, then left arm pain and body pai... Read more
patient started complaining of leg cramps and went back to his room, then left arm pain and body pain was given some nitro, patient vomited and a headache
74 2021-01-29 respiratory arrest My mom received her vaccine at her assisted loving facility. I talked to her that evening and she fe... Read more
My mom received her vaccine at her assisted loving facility. I talked to her that evening and she felt good. No pain. No complaints of anything. Overnight she had respiratory distress. Per EMS her O2 seats were in the 60s . She stoped breathing en route. Currently on a vent, pressers. COVID test at the hospital is negative.
74 2021-02-03 cerebrovascular accident on 1/31/2021 she had a small stroke and she is still getting therepy.
74 2021-02-07 atrial fibrillation Atrial Fibrillation requiring ER visit and hospitalization. Treated in hospital with medication. Hi... Read more
Atrial Fibrillation requiring ER visit and hospitalization. Treated in hospital with medication. Hip and joint pain requiring doctor visit. Not resolved after one month.
74 2021-02-07 grand mal seizure 74 yo woman living in a group home for people with developmental disabilities. She has longstanding ... Read more
74 yo woman living in a group home for people with developmental disabilities. She has longstanding difficult-to-control seizure disorder, on valproate, lamotrigine, and levetiracetam. She had asymptomatic COVID-19 infection in November 2020, probably discovered in the course of surveillance testing of residents/staff, perhaps in relation to an outbreak in the residence. Sometime during the night following her vaccination earlier that morning, she developed a fever, and then was found to be having a generalized tonic-clonic seizure. Estimates of duration in the records range from 20 to 40 minutes. She was brought by ambulance to Hospital ED, and then admitted. Her temperature was said to be 103 F. She received midazolam, and at least one dose of IV antibiotics. By the evening of admission on 5 February 2021, she was still unresponsive. On arrival, her COVID-19 PCR was again/still positive. She had no prodromal symptoms suggesting COVID-19 reinfection, nor did anyone in the group home, staff or residents. Her initial WBC was normal but with a slight left shift. UA was normal. Head CT showed her known cerebral atrophy and chronic microvascular disease. Admitting valproate serum level was subtherapeutic; levatiracetam and lamotrigine levels were therapeutic. Blood cultures are no growth at 2 days. Urine culture negative. By hospital day 2, her transaminases had bumped to over 1000.
74 2021-02-08 cardiac arrest At 3pm resident was taken by EMS to local hospital. She had complained of respiratory distress (hx ... Read more
At 3pm resident was taken by EMS to local hospital. She had complained of respiratory distress (hx of COPD). Property manager reported that paramedic said she was "in cardiac arrest". We do not have more information at this time.
74 2021-02-15 death Patient presented with spontaneous IVH of small vessel origin with essentially no past medical histo... Read more
Patient presented with spontaneous IVH of small vessel origin with essentially no past medical history. She then acutely developed mesenteric ischemia. Died due to all dead small bowel which also appeared to be small vessel disease and not embolic/thrombotic. This process started one week after
74 2021-02-16 death We were informed by EMS that the patient was found deceased on 2/11/2021 at her home. EMS states sh... Read more
We were informed by EMS that the patient was found deceased on 2/11/2021 at her home. EMS states she was dead for some time, no medical care given.
74 2021-02-22 cerebrovascular accident 8 days after vaccination - stroke/full right side of body paralyzed - clot buster drug at ER
74 2021-03-01 atrial fibrillation Atrial fibrillation; A spontaneous report was received from a consumer, concerning herself, a 74-yea... Read more
Atrial fibrillation; A spontaneous report was received from a consumer, concerning herself, a 74-year-old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced medically important event of atrial fibrillation. The patient's medical history included heart surgery on an unspecified date in 2017. No concomitant medications were reported. On 05 FEB 2021, prior to the onset of event, the patient received their second of two planned doses of mRNA-1273 (batch number: 015L20A) for the prophylaxis of COVID-19 infection. On an unspecified date in FEB 2021, the patient experienced fast heart rate, felt weakness, dizziness, and had atrial fibrillation. No treatment medication information was provided. Action taken with second dose of mRNA-1273 in response to the event was not applicable. The outcome of the event, atrial fibrillation was not reported.; Reporter's Comments: Based on current information the event was assessed as unlikely related to mRNA-1273 vaccine, because of biological implausibility, no clear temporal association, and the patient's history of heart surgery which may promote atrial fibrillation episodes.
74 2021-03-04 low platelet count, death altered mental status, acute on chronic thrombocytopenia, death
74 2021-03-07 atrial fibrillation Upon arrival to the ED patient was tachycardic with rates in the 110s to 120s, febrile at 101.7, blo... Read more
Upon arrival to the ED patient was tachycardic with rates in the 110s to 120s, febrile at 101.7, blood pressure was 130s over 90s, requiring 2 to 3 L of oxygen to maintain oxygen saturations greater than 90%. She was noted to be in atrial fibrillation with RVR and EKG showed no acute ischemic findings. Troponin is negative, BNP elevated in the setting of known congestive heart failure with a EF in the 20 to 30% range. She received tylenol for fever, metoprolol x3 with adequate rate control achieved. Fever likely r/t to immune response generated by COVID-19 vaccine which she received earlier that day, normal white count, no infiltrate on CXR, lactate normal, blood culture x2 pending. She was given Lasix 40 mg. Patient admitted for further diuresis and rate control.
74 2021-03-07 respiratory failure, pneumonia pt states that the next day she had low grade fever, fatigue, nausea and malaise. Pt had incontine... Read more
pt states that the next day she had low grade fever, fatigue, nausea and malaise. Pt had incontinence, diarrhea and fever never broke. Pt contacted her PCP and he suggested she may have Covid so she got tested. The results were negative. Pt ended up getting worse so contacted her PCP and she was told to the ER hospital to get labs drawn, test for Covid again which was negative. Fever was 102.3. Chest XRAY showed she Pneumonia. Pt was admitted to hospital where she was given antibiotics and fluids. She went into respiratory failure and her Pneumonia turned into bilateral infection. She was unable eat and diarrhea. After 5th day her fever broke and was released on the 6th day. She was on O2 for two weeks after going home. On 3/8/2021 Pt is better now but still tired.
74 2021-03-10 anaphylactic reaction 22 hours after vaccination and one hour after taking morning pills, patient developed full body rash... Read more
22 hours after vaccination and one hour after taking morning pills, patient developed full body rash and itching. Morning meds she consumed were: Losartan, amlodipine, pravastatin, escitalopram, baby aspirin, vitamin D3. Episode of rash and itching improved with oral Benadryl 50 mg. The next day patient took her meds same time and one hour later developed rash. Took Benadryl and rash resolved. Patient then stopped medications for 1 week and had no occurrences of rash. Restarted medications morning of 3/10/21 and developed full body rash with itching and early anaphylaxis, one hour after medication consumed. It should be noted, patient has been on these medications for several years without reaction. Reaction started after she had received the Moderna COVID19 vaccination. On 3/10/21 when she had full body rash with anaphylaxis, patient presented to our clinic and was given 2 rounds of IM epinephrine, IM Benadryl 50 mg, IM Solu-Medrol 125 mg, and oral Zyrtec. Episode took 2.5 hours to resolve. Patient prescribed tapering course of prednisone, Zyrtec once daily, famotidine 20 mg once daily for the next 7 days, outpatient. We will be restarting one medication at a time to assess for medication reaction.
74 2021-03-10 fluid around the heart Pericarditis with large pericardial effusion with early tamponade
74 2021-03-11 death Patient received her first dose of the Mederna Covid vaccine at the Health unit on 03/10/21. Her fa... Read more
Patient received her first dose of the Mederna Covid vaccine at the Health unit on 03/10/21. Her family states she began experiencing nausea and vomiting last night (03/11/2021) and then started having chest pain at around midnight. This morning (03/12/2021) she was still experiencing vomiting and chest pain. She collapsed at approximately 07:30 and her family initiated CPR and EMS was called. She was brought the Hospital via Ambulance at 08:18 in cardiac arrest. The emergency department was unable to resuscitate her and she was pronounced dead.
74 2021-03-13 respiratory failure Lethargic, SOB, emesis, Altered mental status, respiratory failure Starting day after 2nd vaccine d... Read more
Lethargic, SOB, emesis, Altered mental status, respiratory failure Starting day after 2nd vaccine dose of Thursday afternoon
74 2021-03-14 cerebrovascular accident Client claims she had a stroke d/t covid vaccination. She developed symptoms of weakness, nausea/vom... Read more
Client claims she had a stroke d/t covid vaccination. She developed symptoms of weakness, nausea/vomiting 5 days after receiving first dose of Moderna (February 4, 2021). On Feb. 5th client fell 3 times while at home and on Feb. 6th her daughter took her to the ED where she was diagnosed with having a CVA. Client was hospitalized 2/6/2021 thru 2/16/21. On 2/16 she was transfered to another hospital where she had another stroke and was discharged 2/23/2021. Please note client received her second covid vaccine on 02/27/2021. Writer called client's PCP office and spoke with RN. RN verified client was prescribed medications listed in box 9 prior to stroke. RN also stated client had diagnosis of hypertension prior to stroke but did not have any record of medications to treat hypertension on file prior to stroke.
74 2021-03-15 blood clot Ocular stroke. A black curtain dropped down over right eye. Went to ER on the 28th, and was admitted... Read more
Ocular stroke. A black curtain dropped down over right eye. Went to ER on the 28th, and was admitted. Had a blood clot in the right eye. Carotid artery right side did not have stenosis, they do not know why she had a stroke. Doctor can't say that it was caused by the vaccine. She now has a permanent blind spot in right eye.
74 2021-03-17 heart attack She had the injection, had the usual side effects, did not have fever, nothing out of the ordinary. ... Read more
She had the injection, had the usual side effects, did not have fever, nothing out of the ordinary. Then on Sunday 2/28/21 at approximately 8:00 AM she started having pressure in her chest, radiating to her left shoulder, left neck, left arm and across the shoulder blades. She never had any heart issues or blood pressure issues. Went to the ER and her cardiac enzymes were elevated, and her EKG's indicated she was having a heart attack. She was lift flighted to the next major hospital and had a cardiac Cath which found a 25% blockage in one spot. They are stating that they do not know what caused this. When she informed them that she had the vaccine they told her to report this information. Her BP was high in the hospital and did not come down much during the hospital stay. She was put on Cardizem, and Crestor, as well as started on 81mg aspirin. She is now under the care of a cardiologist, but has recovered from the initial reactions.
74 2021-03-18 atrial fibrillation weakness, dizziness. admitted to hospital and dx with new onset Afib
74 2021-03-18 heart attack Patient admitted same day as dose 2 of vaccine for an MI
74 2021-03-21 heart attack HEART ATTACK REPORTED BY RELATIVE OF PATIENT. PATIENT IN HOSPITAL AS OF YESTERDAY 03/21/2021
74 2021-03-25 atrial fibrillation Patient is a lovely 74-year-old female with a long history of PACs and hypertension. Her blood pres... Read more
Patient is a lovely 74-year-old female with a long history of PACs and hypertension. Her blood pressure has been getting a little bit worse over the past years. She was admitted through the ER with 1st known episode of atrial fibrillation and hypertension. She reports that on 02/02 she received her 2nd COVID vaccine. She had joint achiness and a low-grade temperature. She rested the following day but then on 02/04 went for her usual hour long runs/hike. She did not feel very well during exercise and started have a headache and some increasing palpitations. Later that evening she was watching TV and started to have significant tachycardia that was irregular. Symptoms persisted and she presented to the ER which sound to be in AFib with rapid ventricular response with a blood pressure of 215/158. She was started on a diltiazem drip and has converted to sinus rhythm with PACs. Blood pressure has improved significantly. Troponin negative x2. Her last evaluation at a Heart facility was in 2017. She had an echocardiogram in 2014 with normal EF, mild MR and mild TR with normal estimated PA systolic pressure. She denies chest pain or dyspnea. No history of syncope. Sometimes with palpitation she does get lightheaded. She gets occasional lower extremity edema that seems dependent in nature. She is still having palpitations but recognizes that she is no longer in atrial fibrillation as that was more severe in terms of symptoms of tachycardia.
74 2021-03-28 pneumonia 74 year old female received the first dose of the Moderna COVID-19 vaccine Lot # 031M20A on 03/10/20... Read more
74 year old female received the first dose of the Moderna COVID-19 vaccine Lot # 031M20A on 03/10/2021 @ 20:00. Pt reported diarrhea, muscle aches, pains, chills, and fatigue on 03/13/2021. Diarrhea resolved 03/14/2021. Pt started experiencing shortness of breath on 03/22/2021, and is still currently expereicing SOB. Pt went to Urgent Care on 03/23/2021. Pt tested (-) for COVID, was diagnosed with pneumonia, and prescribed prednisone and doxycycline. Muscle aches, pains, chills, and fatigue resolved shortly after urgent care visit ~ 03/25/2021. Pt takes lisinopril, plavix, and aspirin. Pt reports no allergies and is diagnosed with hypertension and dyslipidemia. Pt is currently experiencing shortness of breath. Pt asked if the second dose is warranted based on the reaction to the first dose. Pt was advised to consult with primary doctor about symptom management and the second dose can be delayed up to 6 weeks after the first dose if necessary, and if the doctor advises for the second dose, inform the person administering the vaccine about what resulted after the 1st dose. SPI was consulted and Dr. was notified.
74 2021-03-29 death, respiratory failure Approximately 3-4 days after her first immunization, patient became ill. She contacted our triage l... Read more
Approximately 3-4 days after her first immunization, patient became ill. She contacted our triage line 6 days after immunization with report of chills and weakness. She presented to Medical Center Emergency Room where she was admitted for hypoxia. She was subsequently diagnosed with COVID by PCR. She developed respiratory failure, worsening kidney failure necessitating dialysis, c diff colitis, GI bleed, and acute heart failure. Despite maximal efforts by the ICU/hospitalist team and specialists her conditioned worsened. She was made comfort care and died on 2.26.21
74 2021-03-30 cerebral haemorrhage Internal brain bleeding; Bad headaaches; A spontaneous report was received from a consumer concernin... Read more
Internal brain bleeding; Bad headaaches; A spontaneous report was received from a consumer concerning a 74-year-old, elderly female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced bad headaches/headache and internal brain bleeding/cerebral haemorrhage. The patient's medical history was not provided. Past medication included unspecified blood thinner. Concomitant product use was not provided by the reporter. On an unspecified date, prior to the onset of events, the patient received their first of two planned doses of mRNA-1273 (lot number unknown) via unknown route for COVID-19 infection prophylaxis. On 18 Feb 2021, prior to the onset of events, the patient received their second of two planned doses of mRNA-1273 (lot number unknown) via unknown route for COVID-19 infection prophylaxis. On an unspecified date, after second dose of vaccine, the patient bad headaches due to which patient had an MRI (magnetic resonance imaging) which showed internal brain bleeding. The event led to hospitalization. She had been in and out of the hospital two more times before since getting a shot. No treatment medication was reported. Action taken with mRNA-1273 in response to the events was not applicable. The outcome of the events, bad headaches and internal brain bleeding was not resolved at the time of this report.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.
74 2021-03-30 death Patient received Moderna vaccine on 3/12 and passed away on 3/14. Patient had multiple chronic and ... Read more
Patient received Moderna vaccine on 3/12 and passed away on 3/14. Patient had multiple chronic and acute conditions and was in overall poor health.
74 2021-03-31 pulmonary embolism Pulmonary embolism; A spontaneous report was received from a consumer who is a 74-year old, female w... Read more
Pulmonary embolism; A spontaneous report was received from a consumer who is a 74-year old, female who received Moderna's COVID-19 Vaccine (mRNA-1273) and developed a pulmonary embolism. The patient's medical history included hypertension, obesity, chronic obstructive pulmonary disease, lung cancer, bladder cancer, and meningioma. Products known to have been used by the patient, within two weeks prior to the event, included olmesartan, vitamin D3, calcium carbonate, and nebivolol hydrochloride. On 08-JAN-2021, prior to the onset of the events, the patient received the first of two planned doses of mRNA-1273 (Batch number: 031L20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 04-FEB-2021, the patient was diagnosed with a pulmonary embolism. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not provided. The outcome of the events, pulmonary embolism is 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 event, a causal relationship cannot be excluded.
74 2021-04-01 atrial fibrillation Heart beating very fast, out of control. Later diagnosed with A - Fib
74 2021-04-01 excessive bleeding Bleeding at injection site, bruise the size of quarter with rash developing after a day down the arm... Read more
Bleeding at injection site, bruise the size of quarter with rash developing after a day down the arm the size of a playing card.
74 2021-04-03 cerebrovascular accident Stroke
74 2021-04-04 cerebrovascular accident Stroke
74 2021-04-07 excessive bleeding spontaneous bleeding from L hand pinky cuticle and from R thumb proximal phalanx volar aspect
74 2021-04-09 blood clot Blood clot; Fatigue extreme; muscle soreness; loss of appetite; Unable to get out of bed for four da... Read more
Blood clot; Fatigue extreme; muscle soreness; loss of appetite; Unable to get out of bed for four days so then they took her to the ER; Lack of circulation on legs due to blood clot produced a wound to develop in her leg; This spontaneous case was reported by a consumer and describes the occurrence of THROMBOSIS (Blood clot) and FATIGUE (Fatigue extreme) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 025A21A and 007M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event. On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 26-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced THROMBOSIS (Blood clot) (seriousness criteria hospitalization and medically significant), FATIGUE (Fatigue extreme) (seriousness criterion hospitalization), MYALGIA (muscle soreness), DECREASED APPETITE (loss of appetite), MOBILITY DECREASED (Unable to get out of bed for four days so then they took her to the ER) and LIMB INJURY (Lack of circulation on legs due to blood clot produced a wound to develop in her leg). The patient was hospitalized on 22-Mar-2021 due to FATIGUE and THROMBOSIS. At the time of the report, THROMBOSIS (Blood clot), FATIGUE (Fatigue extreme), MYALGIA (muscle soreness), DECREASED APPETITE (loss of appetite), MOBILITY DECREASED (Unable to get out of bed for four days so then they took her to the ER) and LIMB INJURY (Lack of circulation on legs due to blood clot produced a wound to develop in her leg) had not resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown Route), the reporter did not provide any causality assessments.
74 2021-04-11 atrial fibrillation 26 hours after the second vaccine shot, my heart rate shot up to 165 beats per minute and did not de... Read more
26 hours after the second vaccine shot, my heart rate shot up to 165 beats per minute and did not decrease. After an hour I was admitted to the Emergency Room and where I spent five hours in the ER receiving intervenous medications to bring my heart back back to normal. They diagnosed my condition as "atrial fibrillation with Rapid Ventricular Response". I was admitted to the hospital and kept overnight before being discharged at 5:00 pm on 3/6/2021. Sunday morning 3/7/21 I was back in the Emergency Room at Hospital, again with a heart rate of 165 beats per minute, where I was again treated to Atrial fibrillation with rapid ventricular response and discharged 3 hours later. Again, on Tuesday afternoon, 3/9/2021 I was again back in the emergency room at Hospital with a heart rate of 165 beats per minute and again treated for atrial fibrillation. later that evening I was transported to where I was hospitailzed for 2 days before being discharged with additional medications to control the Atrial Fibillation. For the next week I continued to have minor bouts of higher than normal heart rate, but found the new medications were controlling the condition.
74 2021-04-12 cerebrovascular accident Stroke after first dose of vaccine
74 2021-04-12 blood clot, death Blood clots then death
74 2021-04-13 anaphylactic reaction Client describes nausea initially which went away without intervention. Three to four hours after th... Read more
Client describes nausea initially which went away without intervention. Three to four hours after the injection, the right side of her tongue began to swell and eventually swelled to the roof of her mouth. This made swallowing difficult, but breathing was OK. Swelling persisted until 4/8 - it began to diminish and then she experienced right jaw and neck soreness along with a tender lymph node. On Monday, 4/12, she had an appointment for a regular physical with her doctor. She mentioned this experience to him and he strongly urged her not to get the second shot because this was anaphylaxis and she would likely die . Today, she is feeling pretty normal.
74 2021-04-13 cardiac arrest According to hospital records, patient presented to the ER in full cardiac arrest with ongoing CPR i... Read more
According to hospital records, patient presented to the ER in full cardiac arrest with ongoing CPR in progress.
74 2021-04-13 grand mal seizure On March 15 2021,in the ten o'clock hour my Mother experienced aphasia which progressed to muteness.... Read more
On March 15 2021,in the ten o'clock hour my Mother experienced aphasia which progressed to muteness. In the ambulance she is reported to have had two gran mal seizures(no hx of such). She was intubated and, after a negative head ct, given tpa.
74 2021-04-13 respiratory arrest The decedent was last seen alive at approximately 0130 when the decedent's next of kin (NOK) heard t... Read more
The decedent was last seen alive at approximately 0130 when the decedent's next of kin (NOK) heard the decedent walking around the residence. The decedent complained of arm soreness and indigestion; the decedent received a second COVID-19 vaccination (Moderna) on 04/12/2021. The decedent went to the living room to sleep on the couch due to the health and soreness complaints. At approximately 0750, NOK entered the living room and found the decedent unconscious and not breathing.
74 2021-04-18 blood clot Blood Clot in the Left leg; Pain in the Left Leg; This spontaneous case was reported by a consumer (... Read more
Blood Clot in the Left leg; Pain in the Left Leg; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of THROMBOSIS (Blood Clot in the Left leg) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 007B21A and 007B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Blood pressure high. Concomitant products included LISINOPRIL and HCTZ for Blood pressure high. On 27-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 2 dosage form. On 13-Apr-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced PAIN IN EXTREMITY (Pain in the Left Leg). On 14-Apr-2021, the patient experienced THROMBOSIS (Blood Clot in the Left leg) (seriousness criterion medically significant). At the time of the report, THROMBOSIS (Blood Clot in the Left leg) and PAIN IN EXTREMITY (Pain in the Left Leg) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 14-Apr-2021, Ultrasound joint: ultrasound (abnormal) Blood Clot in the Left leg. Patient did not have a history of Blood Clots. She was Not taking any hormones (Estrogen, Progesterone)Treatment for event included Eliquis for blood clot. The patient received both scheduled doses of mRNA-1273 prior to the events; therefore, action taken with the drug in response to the events is not applicable. Based on the current available information and temporal association between the use of the product and the onset date of the reported event 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 onset date of the reported event a causal relationship cannot be excluded.
74 2021-04-19 death Unknown onset of adverse events. PT received second COVID vaccine on 3/26/21. She was found deceas... Read more
Unknown onset of adverse events. PT received second COVID vaccine on 3/26/21. She was found deceased in her residence (where she lives alone) by family on 3/28/21. She was found in bed, appropriately covered with blankets. Son last spoke with PT around 17:30 hours on 3/26 after receiving the vaccine, and reported the PT did not complain of any symptoms, did not sound short of breath, and did not complain of any breathing difficulty. Based on postmortem presentation, believed PT died late night of 3/26/early morning of 3/27. Suspect death is likely due to PT's heart disease, Medical Examiner agreed with the assessment.I spoke with the clinic that administered the second dose, and was informed that the PT did not exhibit any signs/symptoms during the observation period immediately following the vaccine being given. PT's PCP was contacted, and agreed to certify DC based on known medical history. PCP also agreed that the death did not sound related to the vaccine based on lack of symptoms as reported by the administering clinic and family.
74 2021-04-19 low platelet count Patient presented with generalized weakness, malaise, shivering, chills, being off balance, worsenin... Read more
Patient presented with generalized weakness, malaise, shivering, chills, being off balance, worsening memory issues and subjective fevers. Upon admission found to have hyponatremia. Also found to have thrombocytopenia, leukopenia and diagnosed with Hemophagocytic lymphohistiocytosis (HLH), hypofibrinogenemia secondary to HLH. Patient remains hospitalized and has been started on etoposide & dexamethasone per HLH-94 protocol.
74 2021-04-20 pulmonary embolism Breathing problems starting Feb 25th, approx 2PM, escalating until Mar 1st when patient went to Walk... Read more
Breathing problems starting Feb 25th, approx 2PM, escalating until Mar 1st when patient went to Walk-In Clinic for immediate care. Her oxygen saturation level was found to be in the upper 80's percentage. Was then taken by ambulance to Hospital and given oxygen. At hospital she was given a blood thinner drip. Also performed CT scan and found blood clots in her lungs. She was released to return home approx 24 hrs later with blood thinner pills (Eliquis) and at-home oxygen generation. These were necessary for approx two weeks until her O2 levels returned to normal without supplemental O2.
74 2021-04-21 pulmonary embolism Patient had bilateral pulmonary emboli and microcytic anemia
74 2021-04-22 atrial fibrillation Atrial fibrillation for 4 days; condition aggravated; Couldn't stand up straight or walk in a straig... Read more
Atrial fibrillation for 4 days; condition aggravated; Couldn't stand up straight or walk in a straight line during the atrial fibrillation; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of ATRIAL FIBRILLATION (Atrial fibrillation for 4 days) and CONDITION AGGRAVATED (condition aggravated) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025L20A) 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 WARFARIN, ATENOLOL and ATORVASTATIN for an unknown indication. On 06-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 05-Feb-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 ATRIAL FIBRILLATION (Atrial fibrillation for 4 days) (seriousness criterion medically significant), CONDITION AGGRAVATED (condition aggravated) (seriousness criterion medically significant) and GAIT DISTURBANCE (Couldn't stand up straight or walk in a straight line during the atrial fibrillation). On 16-Apr-2021, GAIT DISTURBANCE (Couldn't stand up straight or walk in a straight line during the atrial fibrillation) outcome was unknown. At the time of the report, ATRIAL FIBRILLATION (Atrial fibrillation for 4 days) and CONDITION AGGRAVATED (condition aggravated) outcome was unknown. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. The patient was treated with Cartia (diltiazem) as advised by their health care professional to try to alleviate the symptoms. Action taken with mRNA-1273 in response to events was not applicable. 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. This case was linked; 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. cross linked case
74 2021-04-24 cerebral haemorrhage 3/20/21: Pt bib Medical Center via helicopter with c/o headache/ seizure. Per FR, pt was driving whe... Read more
3/20/21: Pt bib Medical Center via helicopter with c/o headache/ seizure. Per FR, pt was driving when she was witnessed by friend having a possible seizure. Upon arrival to ED, pt had second episode of possible seizure. Pt given Ativan, Keppra and thiamine in ED. Pt is AAOx4 upon arrival, speech mildly delayed. VSS at this time. Pt reports drinking a bottle of liquor everyday and states a PMH of alcohol withdraw. Progress note from 3/25/21: Neurological examination at this time continues stable. Patient underwent DSA yesterday with findings of left frontal lobe cortical vein thrombosis with hemorrhagic conversion. Documented that given timing of events, a consideration should be given to possible COVID vaccine related thrombosis and may advise against second dose of vaccine. EEG with no evidence of epileptiform discharges. Continues with intermittent word finding difficulties/confusion, but continues following all commands consistently. Possible that some component is also related to longstanding ETOH abuse? Pending discussion of findings with NES, apparently patient was reported to have episodes of irregular heartbeat during DSA?
74 2021-04-25 pulmonary embolism On 4/4/21 pt got 101 temp. Next day her temp was down but she was having problems breathing. She h... Read more
On 4/4/21 pt got 101 temp. Next day her temp was down but she was having problems breathing. She had to get cans of O2 to help her breathe. Her O2 was going from the 80's to 60's. She went to her pulmonologist on 4/22/21 pulmonologist and he sent to Hospital. She was put on O2 and other medicines. They did CT, X-rays, and blood work. They found a blood clot in her lung so was admitted for treatment. She will be there for a minimal for three more days till they can get her an O2 tank to send her home.
74 2021-04-25 pulmonary embolism approx. 2 weeks after her dose #2 of Moderna and approx 5 to 6 weeks after a hip replacement, pt had... Read more
approx. 2 weeks after her dose #2 of Moderna and approx 5 to 6 weeks after a hip replacement, pt had shortness of breath and back pain that evidentially ruled in for Pulmonary Embolism
74 2021-04-25 blood clot Patient called and reported she had a blood clot in her leg confirmed by doctor on 4/14/21. Leg pain... Read more
Patient called and reported she had a blood clot in her leg confirmed by doctor on 4/14/21. Leg pain started 4/13/21. Patient reported her doctor informed her the clot was due to the COVID vaccine she received. Doctor put her on Elliquis and instructed her to elevate leg. She follows up with doctor once a week.
74 2021-04-26 cerebrovascular accident experiencing a stroke in both eyes that affected her whole left side of the bodyand moved to the rig... Read more
experiencing a stroke in both eyes that affected her whole left side of the bodyand moved to the right side; lost of sight after taking moderna vaccine; huge lump on arms; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 21-Apr-2021 and was forwarded to Moderna on 21-Apr-2021. This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CEREBROVASCULAR ACCIDENT (experiencing a stroke in both eyes that affected her whole left side of the bodyand moved to the right side), BLINDNESS (lost of sight after taking moderna vaccine) and LIMB MASS (huge lump on arms) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 027A21A) for COVID-19 vaccination. No Medical History information was reported. On 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Mar-2021, the patient experienced CEREBROVASCULAR ACCIDENT (experiencing a stroke in both eyes that affected her whole left side of the bodyand moved to the right side) (seriousness criterion hospitalization), BLINDNESS (lost of sight after taking moderna vaccine) (seriousness criterion hospitalization) and LIMB MASS (huge lump on arms) (seriousness criterion hospitalization). The patient was hospitalized for 3 days due to BLINDNESS, CEREBROVASCULAR ACCIDENT and LIMB MASS. At the time of the report, CEREBROVASCULAR ACCIDENT (experiencing a stroke in both eyes that affected her whole left side of the bodyand moved to the right side), BLINDNESS (lost of sight after taking moderna vaccine) and LIMB MASS (huge lump on arms) outcome was unknown. 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 No concomitant medications were reported. No treatment information provided.; 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, Very limited information regarding these events has been provided at this time. Further information has been requested.
74 2021-04-28 atrial fibrillation Moderna COVID-19 Vaccine EUA: I developed sudden onset atrial fibrillation 11 days after injection n... Read more
Moderna COVID-19 Vaccine EUA: I developed sudden onset atrial fibrillation 11 days after injection number 1. (shortness of breath, rapid heart rate, palpitations)
74 2021-04-28 pneumonia, cardiac arrest, death Confusion 6 days after shot. Within a week lost ability to walk, became urinary incontinent. Major c... Read more
Confusion 6 days after shot. Within a week lost ability to walk, became urinary incontinent. Major chest congestion, slept all the time. Rushed by ambulance at day 12.. Diagnosed with pneumonia amd uti. Cardiac arrest at day 14, never woke up. Taken off life support 3/20/21.
74 2021-05-05 cardiac arrest Patient suffered cardiac arrest today
74 2021-05-06 atrial fibrillation Patient presented to the ED on 4/6/21 with Atrial fibrillation with RVR. Patient presented to the ED... Read more
Patient presented to the ED on 4/6/21 with Atrial fibrillation with RVR. Patient presented to the ED on 4/11/21 and was subsequently admitted with Atrial flutter with rapid ventricular response.
74 2021-05-07 cerebrovascular accident This 74 year old female received the Moderna Covid shot on 2/26/21 and went to the ED on 4/18/... Read more
This 74 year old female received the Moderna Covid shot on 2/26/21 and went to the ED on 4/18/21 and was admitted on 4/18/21 with the following diagnoses listed below. I63.9 - CVA (cerebral vascular accident) I63.9 - Stroke determined by clinical assessment R29.810 - Facial weakness
74 2021-05-08 anaphylactic reaction About 45 minutes after the shot, I felt a very hot face and neck with millions of needles. It was l... Read more
About 45 minutes after the shot, I felt a very hot face and neck with millions of needles. It was like a niacin flush without the red skin. My throat tightened down slightly. It eased back and then about 1 1/4 hour to 1 1/2 hour it happened again. It went from my face, through my neck, both arms and midway down my chest. It was stronger. My throat again tightened down. Both times the sensation lasted for about 15 minutes. The throat tightening was less than I have experienced with hives attacks.
74 2021-05-10 pneumonia, low platelet count J18.9 - Pneumonia, unspecified organism N17.9 - Acute kidney failure, unspecified D69.6 - Thrombocyt... Read more
J18.9 - Pneumonia, unspecified organism N17.9 - Acute kidney failure, unspecified D69.6 - Thrombocytopenia, unspecified
74 2021-05-12 cerebrovascular accident Patient woke up with right upper and lower extremity weakness on 4/27/2021. She did not go to the ER... Read more
Patient woke up with right upper and lower extremity weakness on 4/27/2021. She did not go to the ER. I suspect stroke and have ordered CT brain.
74 2021-05-12 cerebrovascular accident Left Hemispheric Stroke with Right Hemiplegia and loss of speech. 5 days after 2nd dose of Moderna... Read more
Left Hemispheric Stroke with Right Hemiplegia and loss of speech. 5 days after 2nd dose of Moderna.
74 2021-05-17 acute respiratory failure Patient presented to the ED and was subsequently hospitalized on 3/2/21 within 6 weeks of receiving ... Read more
Patient presented to the ED and was subsequently hospitalized on 3/2/21 within 6 weeks of receiving COVID vaccination. Diagnosis was acute on chronic respiratory failure. Patient presented to the ED and was subsequently hospitalized again on 3/30/21 for pulmonary edema.
74 2021-05-22 pulmonary embolism bilateral pulmonary emboli with right heart strain diagnosed on 5/23/21. Patient with no other know... Read more
bilateral pulmonary emboli with right heart strain diagnosed on 5/23/21. Patient with no other known risk factors for PTE. Symptom onset ~5/19/21
74 2021-05-22 blood clot Developed swelling (edema) in both legs and groin. It continues to worsen. We have checked for blo... Read more
Developed swelling (edema) in both legs and groin. It continues to worsen. We have checked for blood clots, Heart problems, tumors, and vascular problems, and urine and blood tests. All have come up negative for a cause of the swelling.
74 2021-05-25 pneumonia Hard chills and shaking in middle of night with fever the next morning with chest congestion. Our i... Read more
Hard chills and shaking in middle of night with fever the next morning with chest congestion. Our internist had her take the test for Covid-19 and she tested negative. About 3-4 weeks later she had a very similar event with chills & fever with increased chest congestion. on May 24 she was diagnosed with pneumonia by our internist, Dr & put on antbiotics and steroid medication.
74 2021-05-25 pulmonary embolism, blood clot Great difficulty breathing, diagnosed with pulmonary embolism and one clot in right leg on May 15. ... Read more
Great difficulty breathing, diagnosed with pulmonary embolism and one clot in right leg on May 15. First went to hospital with extreme breathing difficulty on March 15 but no diagnosis was made. this was one month after first Moderna vaccination. Two months later, with same issues (also extremely swollen ankles) and same tests, the embolisms were seen on CT test with contrast.
74 2021-05-26 death, cardiac arrest Difficulty breathing, coughing, congestion, dies of cardiac arrest.
74 2021-05-26 pneumonia PUI was admitted to Medical Center with pneumonia on 5/8
74 2021-05-30 death chest pain, fatigue, death
74 2021-06-01 death, heart attack Patient's daughter came to the pharmacy today and said patient died of a heart attack. Patient thou... Read more
Patient's daughter came to the pharmacy today and said patient died of a heart attack. Patient thought that she was sick from the vaccine. Did not get help until five days after
74 2021-06-02 cerebrovascular accident Stroke; Lost sight in one eye; Double vision; This spontaneous case was reported by a consumer (subs... Read more
Stroke; Lost sight in one eye; Double vision; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CEREBROVASCULAR ACCIDENT (Stroke) and BLINDNESS UNILATERAL (Lost sight in one eye) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 15-May-2021, the patient experienced BLINDNESS UNILATERAL (Lost sight in one eye) (seriousness criterion medically significant) and DIPLOPIA (Double vision). On 16-May-2021, the patient experienced CEREBROVASCULAR ACCIDENT (Stroke) (seriousness criteria hospitalization and medically significant). The patient was hospitalized on 16-May-2021 due to CEREBROVASCULAR ACCIDENT. At the time of the report, CEREBROVASCULAR ACCIDENT (Stroke), BLINDNESS UNILATERAL (Lost sight in one eye) and DIPLOPIA (Double vision) outcome was unknown. Concomitant product use was not provided. It was reported that the patient is planning to go to rehab center from Hospital. Treatment information was unknown. Very limited information regarding these events has been provided at this time. Further information has been requested; Sender's Comments: Very limited information regarding these events has been provided at this time. Further information has been requested
74 2021-06-02 pulmonary embolism, heart attack myocardial infarction, pulmonary embolisms
74 2021-06-05 heart attack NSTEMI, symptoms started around administration of vaccine. symptoms got worse which made her come to... Read more
NSTEMI, symptoms started around administration of vaccine. symptoms got worse which made her come to hospital treatment: went to cardiac cath, received 2 stents outcome: discharged to home
74 2021-06-08 pulmonary embolism Patient is a very pleasant 75-year-old female with a past medical history significant for COPD chron... Read more
Patient is a very pleasant 75-year-old female with a past medical history significant for COPD chronically on 2 L of oxygen, hypertension, type 2 diabetes which is diet controlled and oral Metformin controlled, hyperlipidemia, GERD, anemia, past history of PE and DVT diagnosed in January 2021 following COVID-19 infection currently on Eliquis compliant twice daily and kidney stone history who presented with worsening exertional chest tightness and shortness of breath as well as nausea for the past 2 weeks. Patient reported she got to the point that she was hardly able to walk due to her exertional shortness of breath and chest tightness and needed to be evaluated. She also reported some nausea as well as some headaches that have come on around a similar timeframe. She also reported some poor dentition and mild dental pain and has been having a difficult time getting into a dentist due to her Medicaid and lack of coverage. She has a history of hospitalization from January 30 to February 25 for sepsis secondary to healthcare associated pneumonia and UTI and at that time was treated with vancomycin, azithromycin and cefepime during that hospitalization she was noted to have a new onset left peroneal vein DVT and peripheral PE which was thought secondary to possibly her past history of Covid infection from December 28, 2020. She was placed on Eliquis twice a day. During her lengthy hospital from January 30 to February 25 she had bacteremia with Enterococcus and echocardiogram showed a possible pacemaker lead vegetation and therefore her pacemaker was removed on February 12 and she was discharged to rehab for 6 weeks of ampicillin and ceftriaxone which was completed on March 23, 2021. She was then ultimately discharged home. She had follow-up with cardiology who felt that she no longer needed to have a pacemaker and it was therefore left out. She reports she was doing well up until about 2 weeks ago when she began to have the shortness of breath. She received her COVID-19 vaccines on 3/18 and 4/16. She reported after the 2nd one on4/16 she was ill with significant fatigue and fever and malaise. She reports she completely recovered from that but again began having shortness of breath and exertional chest pain 2 weeks ago which prompted her current admission. She was subsequently admitted to the hospital and ultimately underwent a CTA of the chest when her D-dimer was noted to be elevated at 1800. CTA of the chest revealed a new left lower lobe pulmonary artery emboli with right heart strain. She subsequently underwent an echocardiogram which did not reveal any evidence of acute heart strain. She had a CT venogram of the head and subsequent MRI of the brain which revealed no cavernous vein thrombosis and no acute abnormality other than possible mastoiditis which may be chronic. The case was reviewed with hematology and her Eliquis was discontinued and she was placed on Lovenox injections twice daily. She was educated on administering these injections herself. She will be following up with hematology as an outpatient for close monitoring. She was also placed on an antibiotic for her dental caries and the mastoiditis as she did complain of the nausea and persistent headache and we arranged dental follow up on dc. At this time she is felt stable for discharge to home. She remains with some shortness of breath above her usual baseline but feels that it is getting better each day. Her O2 sat is 95% on her usual 2 L of oxygen. Reason for report:new PE of the left lower lobe -radiologist who reviewed past cta chest from jan and reports that that old small pe is gone and this is a new much larger PE in a different location Sx's started and worsening the last few weeks pta She has been compliant with her eliquiss twice a day Venous dopplers neg and previous dvt of the L peroneal vein seen 1/30/21 and re imaged on 2/21/21 was also noted to be gone Pt had her 2nd covid 19 vaccine just last month 4/16/21 Current echo shows no R heart strain and nl ef started on lovenox bid per hematology beta 2 glycoprotein IgG and IgM, antiphospholipid ab's are negative
74 2021-06-13 heart attack -she was having chest pain with radiating arm pain; NSTEMI -went to cardiac cath and received drug e... Read more
-she was having chest pain with radiating arm pain; NSTEMI -went to cardiac cath and received drug eluting stent. treated with Brilinta 90 mg BID, atorvastatin 80 mg, aspirin 81 mg, and increased her carvedilol to 50 mg BID -discharged home.
74 2021-06-13 atrial fibrillation, heart attack -progression to Atrial fibrillation and NSTEMI. As well as acute on chronic CHF -monitored and disch... Read more
-progression to Atrial fibrillation and NSTEMI. As well as acute on chronic CHF -monitored and discharged on Eliquis and increase in metoprolol tartrate 50 mg BID and increase in furosemide 40 mg daily
74 2021-06-13 vaginal haemorrhage May 18 I received my first Covid Moderna Vaccination. 4 hours later when I went to urinate there wa... Read more
May 18 I received my first Covid Moderna Vaccination. 4 hours later when I went to urinate there was blood on the toilet paper. It only lasted about 3-4 minutes. 2 hours after that I went to the bathroom again to urinate and it burned really bad. I called my doctor and was able to see her the next morning ( May 19) She sent my urine in for a culture and it came back as a Urinary Tract Infection. She treated me with Cipro for 3 days. She felt that I should see my GYN regarding the bleeding and felt that it is Post Menopausal Bleeding. I saw my GYN on June 7. She did a Pap Smear and it came back normal but it showed that I have a Bacterial Vaginitis infection and treated me with Metronidazole Vaginal Gel for 5 days. Today June 14 is my last day for that. But when I went to the bathroom to urinate there was some blood again on the toilet paper. I don't know if all this is a coincidence or if this is a reaction to the vaccination. My doctor doesn't think it is a reaction but I want to make sure since I was fine till I was vaccinated. I am concerned because I had no sign of the bleeding or the burning before I got the vaccination. I am also concerned because my next vaccination is tomorrow June 15. If I don't get the second one then is the 1st one not going to be valid. If I do get the second one could I have a worse problem with bleeding and UTI? Due to the bleeding I have to have a vaginal ultrasound and depending on the results I might have to have an endometrial biopsy.
74 2021-06-14 cerebrovascular accident Right hemispheric stroke
74 2021-06-14 pulmonary embolism Patient presented to the ED in the early morning of 5/27/21 complaining of nausea/vomiting/diarrhea ... Read more
Patient presented to the ED in the early morning of 5/27/21 complaining of nausea/vomiting/diarrhea since she received her second dose of COVID vaccine on 5/5. Patient states that prior to coming to the ED she had a syncopal episode preceded by nausea, diaphoresis, paresthesias, tinnitus and lightheadedness. She stated that she had started to experience shortness of breath the intermittently a week before she was seen in the ED. Patient was found to have a massive saddle PE with extensive bilateral pulmonary embolism. Patient's BP in ED was low at 94/52 and her HR was 130. Patient was given fluid boluses, started on anticoagulants and admitted to the critical care unit. Later on 5/27, patient underwent a mechanical thrombectomy which was successful. Patient was then transitioned to apixaban and discharged. (Patient had previously been seen in the ED on 5/8/21 for complaints of nausea, vomiting and diarrhea since receiving her COVID vaccine on 5/5. Patient was given IV fluids and ondansetron and felt better. She was prescribed ondansetron on discharge from the ED.)
74 2021-06-15 acute respiratory failure The patient is a 74-year-old female who presented to hospital with COVID-19 and exhibited shortness ... Read more
The patient is a 74-year-old female who presented to hospital with COVID-19 and exhibited shortness of breath. The patient has acute respiratory failure also and was treated with IV steroids. The patient improved throughout stay. She did have elevated troponins and was started on heparin drip, but this was deemed to be demand ischemia.
74 2021-06-20 acute respiratory failure, heart attack Acute respiratory failure requiring intubation; Non-ST segment elevation MI
74 2021-06-24 death, atrial fibrillation, acute respiratory failure Death: 5/3/2021 Causes of death listed on death certificate: -1) Acute hypoxic respiratory failure... Read more
Death: 5/3/2021 Causes of death listed on death certificate: -1) Acute hypoxic respiratory failure 2) Acute on chronic diastolic heart failure 3) Atrial fibrillation 4) Covid 19 pneumonia Other: Hypertension. Acute toxic encephalopathy. Type 2 diabetes. Esophageal dysphagia. Debility. Depression. Moderate malnutrition.
74 2021-06-27 heart attack Heart attack
74 2021-06-28 heart attack AKI (acute kidney injury) NSTEMI (non-ST elevated myocardial infarction)
74 2021-06-28 respiratory failure, sepsis UTI, septic, hypoxic respiratory failure
74 2021-06-29 death, heart failure Death 5/30/2021 Causes of death listed on death certificate: 1) Covid 19 Pneumonia 2) colo-vesica... Read more
Death 5/30/2021 Causes of death listed on death certificate: 1) Covid 19 Pneumonia 2) colo-vesical fistular 3) Heart failure 4) chronic uti
74 2021-06-29 severe muscle breakdown Rhabdomylitis, hyponatremia, hypovolemia, Elevated Creatinine Kinase. Patient went to ER for body a... Read more
Rhabdomylitis, hyponatremia, hypovolemia, Elevated Creatinine Kinase. Patient went to ER for body aches 6/28/21 and was sent back to ER by PCP after telephone visit on 6/29/21. Patient was admitted to Hospital
74 2021-07-14 atrial fibrillation On 3/20/2021 I was awakened from sleep with a rapid and pounding heart beat. No chest pain, no short... Read more
On 3/20/2021 I was awakened from sleep with a rapid and pounding heart beat. No chest pain, no shortness of breath. I finally called 911 about 5:30 AM and was transported to the ED at Hospital. After 8 hours of observation and no arrythmias other than tachycardia I was discharged and referred to a Cardiologist and my primary care Dr. I asked if this could be Vaccine related in the ED, Cardiologist's office and Primary care's office. I was told no because it was 10 days since I had the 2nd dose. The subsequent work up was negative except for the heart monitoring.(ssee below) MRI of heart 5/25/2021 normal
74 2021-07-14 cardiac failure congestive Patient admitted for CHF/Asthma exacerbation. Given Diuretics, albuterol, oxygen and steroids. Patie... Read more
Patient admitted for CHF/Asthma exacerbation. Given Diuretics, albuterol, oxygen and steroids. Patient's shortness of breath was felt to be multi-factorial including asthma exacerbation, mild CHF exacerbation, and mild COVID-19 pneumonia. Inpatient medications improved the patients condition and she was discharged on dexamethasone and albuterol, advair and spiriva after a short 2 day stay. Found to be COVID positive on admission.
74 2021-07-15 death, pneumonia after her first shot on FEB 24 she began looking white as ghost. She was very weak, unstable, in pai... Read more
after her first shot on FEB 24 she began looking white as ghost. She was very weak, unstable, in pain, and felt like her life force was getting drained out of her. Then her 2nd shot on MAR 24 and she continued to not feel good. On May 9th she lost consciousness on the bathroom floor, rushed to the ER. She was admitted and told she had pneumonia. By that evening she could not breathe. Her lungs filled with blood and she was dead within 6 days.
74 2021-07-18 stroke Adverse effects started approximately 12:00am the night of the second vaccine. The AE's included co... Read more
Adverse effects started approximately 12:00am the night of the second vaccine. The AE's included cough, temperature of 101.2F, total body aches and required best rest for approximately 36 hours. This was followed by the development of a chronic, persistent and deep cough. Previous to receiving the vaccine I was being treated for diverticulitis in January of 2021 and it was noticed that I had slightly elevated eosinophils (~1000). After the second vaccine dose the cough continued to worsen and get deeper and more persistent. At the end of March I was referred to a pulmonogist and it was found my absolute eosinophil count was 130000 and I was sent to ER for treatment. After admission, I was referred to the Cancer center for further outpatient treatment. During my outpatient treatment (March 24- April 30) I slowly developed paraplegia to the state where in could no longer walk After numerous tests including bone marrow biopsy, thoracic and abdominal CT scans, 3 brain MRI's several parasite tests no specific cause of the high eosinophils was determined. Additionally, multiple organs were effected including infractions in the brain, high tropinin levels (pericarditis/myocarditis?) requiring echo cardiogram , TEE, and angiogram, as well as bowel resection resulting in an ostomy (May 1, 2021). All together, I required major surgery for a life threatening condition, spent 7 days in ICU, 7 days in the hospital surgical unit, 20 days in a rehab facility, and an additional 3 weeks in a nursing and rehab unit. I am still recovering and receiving home care and rehab. As there was no discoverable cause of the hyper-eosiniphilia, it is my strong belief that the Moderna Covid vaccine (2nd dose) was a significant contributing factor, an accelerant and/or the root cause of the hyper-eosiniphilia and the subsequent events unfolding. It seems highly probable that the vaccine is the cause and further investigation should be conducted.
74 2021-07-18 excessive bleeding Moderna vaccination 1- Feb. 19 Cataract surgery & black eyes, bruising-Feb. 25 Moderna vaccination ... Read more
Moderna vaccination 1- Feb. 19 Cataract surgery & black eyes, bruising-Feb. 25 Moderna vaccination 2- March 18 Root canal & bruising and bleeding- March 22 Spontaneous knee bleed & bruising-April 10 June 22, 2021- Hand Surgery with DDAVP prior 7/7/21- Called office with increased bruising and pain. Started Amicar DDAVP IV 7/8/21 & 7/13/21
74 2021-07-21 heart attack Heart Attack after vaccination; This spontaneous case was reported by a consumer and describes the o... Read more
Heart Attack after vaccination; This spontaneous case was reported by a consumer and describes the occurrence of MYOCARDIAL INFARCTION (Heart Attack after vaccination) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. In April 2021, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Jul-2021, the patient experienced MYOCARDIAL INFARCTION (Heart Attack after vaccination) (seriousness criterion medically significant). At the time of the report, MYOCARDIAL INFARCTION (Heart Attack after vaccination) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication use was not reported. Treatment information was not reported. Based on the current available information and temporal association between the use of the product and the start date of the event, 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, a causal relationship cannot be excluded.
74 2021-07-23 cerebrovascular accident Mouth swelling; face was starting to droop,feel paralysis in face; symptoms of a stroke; Bell's Pals... Read more
Mouth swelling; face was starting to droop,feel paralysis in face; symptoms of a stroke; Bell's Palsy; woke up with feeling of "swish and sip" in mouth,tingling in lips; tongue stuck out crooked; crick in neck on the left side; pain behind ear that kinda burned on the left side; mouth inflamed; Felt like lips on fire; Lips were swollen; rash around the edges of mouth; Corners of mouth dry, cracked and uncomfortable; mouth was really stiff; couldn't keep her lips lubricated; lips were really painful; Bad rash all over body; Hardness at injection site; Redness at injection site; swelling of the lymph nodes in the same arm of the injection; Injection site pain,tenderness; Swelling at injection site; Fatigue; Headache; Muscle Pain; Joint Pain; Chills; Nausea; Fever; Swelling of her face; Dizziness; Swelling throat; Fast heart beat; Weakness; Injection site felt hot; felt pretty sick for the first couple of days; This spontaneous case was reported by a patient and describes the occurrence of FACIAL PARALYSIS (face was starting to droop,feel paralysis in face), CEREBROVASCULAR ACCIDENT (symptoms of a stroke) and BELL'S PALSY (Bell's Palsy) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 020B21A and 029A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Polycythemia vera (a form of blood cancer, for which she is on aspirin once a day. Patient initially diagnosed approximately 3 years ago.), Hypothyroidism, Allergy and Asthma ("a little" asthma due to environmental allergies.). Concomitant products included MONTELUKAST for Environmental allergy and Asthma, LEVOTHYROXINE SODIUM (SYNTHROID) for Hypothyroidism, ASPIRIN [ACETYLSALICYLIC ACID] for Polycythemia vera. On 04-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 03-Apr-2021, the patient experienced DIZZINESS (Dizziness), SWELLING FACE (Swelling of her face), PHARYNGEAL SWELLING (Swelling throat), HEART RATE INCREASED (Fast heart beat), ASTHENIA (Weakness), VACCINATION SITE WARMTH (Injection site felt hot), ILLNESS (felt pretty sick for the first couple of days), RASH (Bad rash all over body), VACCINATION SITE INDURATION (Hardness at injection site), VACCINATION SITE ERYTHEMA (Redness at injection site), VACCINATION SITE LYMPHADENOPATHY (swelling of the lymph nodes in the same arm of the injection), VACCINATION SITE PAIN (Injection site pain,tenderness), VACCINATION SITE SWELLING (Swelling at injection site), FATIGUE (Fatigue), HEADACHE (Headache), MYALGIA (Muscle Pain), ARTHRALGIA (Joint Pain), CHILLS (Chills), NAUSEA (Nausea) and PYREXIA (Fever). On 17-Apr-2021, the patient experienced LIP SWELLING (Lips were swollen), ORAL MUCOSAL ERUPTION (rash around the edges of mouth), ORAL DISCOMFORT (Corners of mouth dry, cracked and uncomfortable), ORAL DISCOMFORT (Felt like lips on fire), LIP PAIN (lips were really painful), INFLAMMATION (mouth inflamed), MUSCULOSKELETAL STIFFNESS (mouth was really stiff) and LIP DRY (couldn't keep her lips lubricated). On 12-Jul-2021, the patient experienced MUSCULOSKELETAL STIFFNESS (crick in neck on the left side) and EAR PAIN (pain behind ear that kinda burned on the left side). On 14-Jul-2021, the patient experienced FACIAL PARALYSIS (face was starting to droop,feel paralysis in face) (seriousness criterion medically significant), CEREBROVASCULAR ACCIDENT (symptoms of a stroke) (seriousness criterion medically significant), BELL'S PALSY (Bell's Palsy) (seriousness criteria disability and medically significant), PARAESTHESIA ORAL (woke up with feeling of "swish and sip" in mouth,tingling in lips) and TONGUE DISCOMFORT (tongue stuck out crooked). On an unknown date, the patient experienced MOUTH SWELLING (Mouth swelling). The patient was treated with PREDNISONE for Bell's palsy, at a dose of 4 dosage form once a day; PREDNISONE for Bell's palsy, at a dose of 2 dosage form once a day; PREDNISONE ongoing since an unknown date for Bell's palsy, at a dose of 1 dosage form once a day; VALACYCLOVIR [VALACICLOVIR] on 14-Jul-2021 for Bell's palsy, at a dose of 1 dosage form (evening) and VALACYCLOVIR [VALACICLOVIR] for Bell's palsy, at a dose of UNK, tid. On 06-Apr-2021, DIZZINESS (Dizziness), SWELLING FACE (Swelling of her face), HEART RATE INCREASED (Fast heart beat), ASTHENIA (Weakness), RASH (Bad rash all over body), VACCINATION SITE INDURATION (Hardness at injection site), VACCINATION SITE ERYTHEMA (Redness at injection site), VACCINATION SITE PAIN (Injection site pain,tenderness), VACCINATION SITE SWELLING (Swelling at injection site), FATIGUE (Fatigue), HEADACHE (Headache), MYALGIA (Muscle Pain), ARTHRALGIA (Joint Pain), CHILLS (Chills), NAUSEA (Nausea) and PYREXIA (Fever) outcome was unknown, VACCINATION SITE WARMTH (Injection site felt hot) had resolved. On 21-Jul-2021, ORAL MUCOSAL ERUPTION (rash around the edges of mouth) and LIP PAIN (lips were really painful) had resolved, LIP DRY (couldn't keep her lips lubricated) outcome was unknown. At the time of the report, FACIAL PARALYSIS (face was starting to droop,feel paralysis in face), CEREBROVASCULAR ACCIDENT (symptoms of a stroke), BELL'S PALSY (Bell's Palsy), LIP SWELLING (Lips were swollen), ORAL DISCOMFORT (Corners of mouth dry, cracked and uncomfortable), ORAL DISCOMFORT (Felt like lips on fire), PHARYNGEAL SWELLING (Swelling throat), ILLNESS (felt pretty sick for the first couple of days), PARAESTHESIA ORAL (woke up with feeling of "swish and sip" in mouth,tingling in lips), TONGUE DISCOMFORT (tongue stuck out crooked), INFLAMMATION (mouth inflamed), MOUTH SWELLING (Mouth swelling), MUSCULOSKELETAL STIFFNESS (mouth was really stiff) and VACCINATION SITE LYMPHADENOPATHY (swelling of the lymph nodes in the same arm of the injection) outcome was unknown and MUSCULOSKELETAL STIFFNESS (crick in neck on the left side) and EAR PAIN (pain behind ear that kinda burned on the left side) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 03-Apr-2021, Heart rate: fast (High) Fast. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. 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. Very limited information has been reported at this time. Further information is t expected. Most recent FOLLOW-UP information incorporated above includes: On 21-Jul-2021: Significant follow up case: Additional events, concomitant medications and medical history was added.; 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. Very limited information has been reported at this time. Further information is t expected.
74 2021-07-26 cerebrovascular accident Stroke, was hospitalized for ten days
74 2021-07-26 death Patient presented to the ED and was subsequently hospitalized for hepatic encephalopathy within 6 we... Read more
Patient presented to the ED and was subsequently hospitalized for hepatic encephalopathy within 6 weeks of receiving COVID vaccination. She died on 7/9/2021.
74 2021-07-26 pulmonary embolism Hives, Bilateral PE's
74 2021-07-26 severe muscle breakdown Was unconscious on the floor; Couldn't get up; muscle loss (rhabdomyolysis); Ear Infection; Fell on ... Read more
Was unconscious on the floor; Couldn't get up; muscle loss (rhabdomyolysis); Ear Infection; Fell on ground; Bad reaction to 2nd dose; vertigo; This spontaneous case was reported by a consumer and describes the occurrence of LOSS OF CONSCIOUSNESS (Was unconscious on the floor) and RHABDOMYOLYSIS (muscle loss (rhabdomyolysis)) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 019B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 01-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Apr-2021, the patient experienced LOSS OF CONSCIOUSNESS (Was unconscious on the floor) (seriousness criteria hospitalization and medically significant), RHABDOMYOLYSIS (muscle loss (rhabdomyolysis)) (seriousness criterion medically significant), EAR INFECTION (Ear Infection), FALL (Fell on ground), VACCINATION COMPLICATION (Bad reaction to 2nd dose) and VERTIGO (vertigo). On an unknown date, the patient experienced MOBILITY DECREASED (Couldn't get up). At the time of the report, LOSS OF CONSCIOUSNESS (Was unconscious on the floor), RHABDOMYOLYSIS (muscle loss (rhabdomyolysis)), EAR INFECTION (Ear Infection), FALL (Fell on ground), VACCINATION COMPLICATION (Bad reaction to 2nd dose), VERTIGO (vertigo) and MOBILITY DECREASED (Couldn't get up) outcome was unknown. Ear infection at the time and was given 5 days course of steroids and the unknown medications. for other events. The blood work, CT scan, MRI, and other tests were done but none of them could pinpoint it to the vaccine. Patient was hospitalized for 3 days. No concomitant medication was reported by the reporter. 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. Very limited information has been reported at this time. Further information is expected. This case was linked to MOD-2021-052530 (Patient Link). Reporter did not allow further contact; 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. Very limited information has been reported at this time. Further information is expected.
74 2021-07-27 pneumonia pneumonia was hospitalized for 3 days,; we can NOT get the 2nd shot; constipation; Diarrhea; difficu... Read more
pneumonia was hospitalized for 3 days,; we can NOT get the 2nd shot; constipation; Diarrhea; difficulty breathing; Chills; fatigue (slept for 5 days); Pain everywhere; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PNEUMONIA (pneumonia was hospitalized for 3 days,) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 10-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PNEUMONIA (pneumonia was hospitalized for 3 days,) (seriousness criteria hospitalization and medically significant), PRODUCT DOSE OMISSION ISSUE (we can NOT get the 2nd shot), CONSTIPATION (constipation), DIARRHOEA (Diarrhea), DYSPNOEA (difficulty breathing), CHILLS (Chills), FATIGUE (fatigue (slept for 5 days)) and MYALGIA (Pain everywhere). The patient was treated with LEVOFLOXACIN for Adverse event, at a dose of 1 dosage form and IBUPROFEN for Adverse event, at a dose of 1 dosage form. At the time of the report, PNEUMONIA (pneumonia was hospitalized for 3 days,), PRODUCT DOSE OMISSION ISSUE (we can NOT get the 2nd shot), CONSTIPATION (constipation), DIARRHOEA (Diarrhea), DYSPNOEA (difficulty breathing), CHILLS (Chills), FATIGUE (fatigue (slept for 5 days)) and MYALGIA (Pain everywhere) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant medication were not provided Patient underwent treatment medication of levofloxacin, ibuprofen and 5 others in hospital. Patient and her husband were told by Moderna, the state and the local health department that they could not get the 2nd shot and they could not start over. 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. This report also refers to a case of missed dose. This case was linked to MOD-2021-080331 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 25-Jul-2021: Follow-up received- Event-missed dose added.; 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. This report also refers to a case of missed dose.
74 2021-07-28 sepsis, acute respiratory failure Patient hospitalized for breakthrough infection from 7/15-7/19/21. She completed Moderna series: vac... Read more
Patient hospitalized for breakthrough infection from 7/15-7/19/21. She completed Moderna series: vaccine #1 on 2/20/21 and dose #2 on 3/20/21. Below is copied from discharge summary: "This is a 74-year-old female who presents to the hospital with fever chills sore throat diarrhea and loss of appetite. COVID-19 virus infection Patient has already been vaccinated for COVID-19 (Moderna). No need to continue dexamethasone No need for abx at this moment Sepsis-fever, tachycardia in setting of COVID-19 virus infection- obtain blood cultures, no antibiotics for now. Acute hypoxic respiratory failure secondary to COVID-19 virus infection albuterol MDI as needed Breathing RA Essential hypertension- resume outpatient blood pressure medications Patient is discharged in stable condition with stable vital signs. All questions regarding hospital course and plan of care after discharge have been answered to satisfaction."
75 2021-01-26 atrial fibrillation syncopy episode Atrial fibrillation Rapid rate into the 180's
75 2021-01-26 pulmonary embolism, death Not sure if it has to do with the COVID vaccine but her caregiver reported to me today (1/27/20201) ... Read more
Not sure if it has to do with the COVID vaccine but her caregiver reported to me today (1/27/20201) that she passed away on 01/16/2021 from a pulmonary embolism that was 18 days after vaccine
75 2021-02-08 respiratory arrest DISCOVERED UNRESPONSIVE WITHOUT PULSE, RESPIRATIONS, HEART BEAT ON 2/7/21 AT 0435 A.M. RESIDENT WAS ... Read more
DISCOVERED UNRESPONSIVE WITHOUT PULSE, RESPIRATIONS, HEART BEAT ON 2/7/21 AT 0435 A.M. RESIDENT WAS DNR STATUS.
75 2021-02-11 death, cardio-respiratory arrest Resident reviewed for incident. Resident received the second dose of the Moderna Covid-19 vaccine lo... Read more
Resident reviewed for incident. Resident received the second dose of the Moderna Covid-19 vaccine lot# 016M20A Exp 5/2/2021 on 2/5/2021 from clinic through pharmacy. Resident had her temp/O2 taken on AM shift and was 98.6/93%, beginning PM shift 98.4/95%. A few hours later noted that resident to have chills and was shaking RN assessment completed and vitals taken resident noted to have temp of 102.2, oxygen 95%, pulse 110. Resident alert and oriented at that time and talking to staff. Reported findings to APNP with order to send to ER. 911 called, residents brother updated. Upon EMT arrival RN went down to residents room with EMT and resident had an emesis as resident was getting cleaned up resident went unresponsive. Pulse noted to still be present at that time, resident did briefly respond to sternal rub and then went unresponsive again. Resident full code and EMT transferred to gurney and said that if they lost a pulse in route that they would transfer to hospital B instead of hospital A being the closest facility. RN called brother and gave update. Facility notified from Hospital that resident had passed away.
75 2021-02-11 systemic inflammatory response syndrome weakness, falls, fever, SIRS - hospitalized for 2 days at Medical Center - 2/5/2021 - 2/7/2021
75 2021-02-15 atrial fibrillation rash, fever, muscle aches. headache, vomiting, could not eat, dehydrated, could not walk very well,... Read more
rash, fever, muscle aches. headache, vomiting, could not eat, dehydrated, could not walk very well, in bed for 6 days went into afib attack, trouble breathing, have oxygen at home
75 2021-02-19 ventricular tachycardia Heart went into v tac rhythm
75 2021-02-23 low blood platelet count ITP
75 2021-03-01 atrial fibrillation 2/1/21 noticed my heat rate was 140. Went to the hospital and was treated for atrial fibrillation.... Read more
2/1/21 noticed my heat rate was 140. Went to the hospital and was treated for atrial fibrillation. Went to ER 3 more times in February in atrial fibrillation with heart rate in 140s-150s.
75 2021-03-03 anaphylactic reaction Anaphalaxis, began as red face within 15 minutes. (prepped for injection with 50mg of Liquid benadry... Read more
Anaphalaxis, began as red face within 15 minutes. (prepped for injection with 50mg of Liquid benadryl 1/2 hour beforehand). On left side of face, swollen eye, swollen gland swelling and numbness left side of mouth. Treated with 2 epipen injections, Bendryl IV and predinisone. Swelling began to withdraw over 3 hours. Continued Benedryl every 4-6 hours for two additional days
75 2021-03-03 heart attack minor heart attack; stent put in; A spontaneous report was received from a consumer who was also a 7... Read more
minor heart attack; stent put in; A spontaneous report was received from a consumer who was also a 75 year old female patient who received Moderna's COVID-19 Vaccine (mRNA-1273) and experienced a minor heart attack / myocardial infarction and stent was put in / stent placement. The patient's medical history was not provided. No relevant concomitant medications were reported. On 25-Jan-2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 in the left arm for prophylaxis of COVID-19 infection. On 13-Feb-2021, the patient experienced a minor heart attack and had a stent placement. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the events, minor heart attack and stent was put in, was not provided.; Reporter's Comments: Very limited information regarding the events has been provided at this time. Further information has been requested.
75 2021-03-04 sepsis Office visit - NP Chief Complaint: seen today, 3/4/2021, complaining of or following up for Fever (s... Read more
Office visit - NP Chief Complaint: seen today, 3/4/2021, complaining of or following up for Fever (started today), Nausea (has nausea today), Abdominal Pain (c\o upper and lower abd pain has been constant for the last 3 days started on monday), Diarrhea (states she had diarrhea all day yesterday but has had no bm today), and Fatigue (pt states she is feeling very week today) . HPI Patient comes in to the office complaining of severe abdominal pain. States the pain started on Monday and was less severe, stating the pain has escalated to a 9/10 today and "unbearable." Pt. States she had diarrhea for a 24 hour period yesterday, but denies any bowel movement today. Patient also complains of severe fatigue and states nausea with emesis a "few times over the last 4 days." Patient states that on Tuesday her pain became "a little better," but states since that time it has worsened and is severe at approximately 1230 this morning." Patient states she did not go to the ER because she "knew she had an appointment today." BP 134/84 Pulse 104 Temp 101.6 °F (38.7 °C) Resp 20 SpO2 94% Abdominal: General: There is distension. Palpations: Abdomen is rigid. Tenderness: There is generalized abdominal tenderness. There is guarding and rebound. Comments: Tinkling bowel sounds noted to RLQ and RUQ with hypoactive bowel sounds to LUQ and LLQ. Abdomen is rigid and guarding and rebound pain are noted with examination. triaged to Emergency room: HPI 75 y.o. female who presents with complaints of right upper quadrant pain since Monday reports is moderate to severe sharp better right upper quadrant without radiation better with rest and worse with movement FINAL IMPRESSION ICD-10-CM ICD-9-CM 1. Calculus of gallbladder and bile duct with acute cholecystitis without obstruction K80.62 574.60 2. Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present (HCC) A41.9 038.9 995.91 Final Disposition Transfer to Another Facility current inpatient at Hospital
75 2021-03-14 pneumonia Severe cough, breathlessness, slight fever(99.3); coughed for over 2 1/2 hours. Unable to breathe pr... Read more
Severe cough, breathlessness, slight fever(99.3); coughed for over 2 1/2 hours. Unable to breathe properly or stop coughing.
75 2021-03-15 atrial fibrillation Could not stabilize her heart rhythm; Heart beats per minute went up and down; build up of body flui... Read more
Could not stabilize her heart rhythm; Heart beats per minute went up and down; build up of body fluids; A spontaneous report was received from a consumer concerning a 75-years-old, female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced heart beats per minute went up and down (atrial fibrillation) and could not stabilize her heart rhythm (arrhythmias). The patient's medical history included three-year history of atrial fibrillation and cardioversion. No concomitant medication were provided. On 21 Jan 2021, patient received her first of two planned doses of mRNA-1273 (Batch Number 042L20A) intramuscularly for prophylaxis of COVID-19 infection. On 18 Feb 2021, approximately one day prior to the onset of the events, patient received their second of two planned doses of mRNA-1273 (Batch Number 03/L20A) intramuscularly for prophylaxis of COVID-19 infection. On 19 Feb 2021, the patient's heart beats per minute went up and down from 73 bpm to 128 bpm. The patient stayed in atrial fibrillation for four days and on an unknown date the patient went to the Emergency Room (ER). On 24 Feb 2021, Wednesday the patient was admitted to the hospital. Cardioversion was performed to return heartbeat to a normal rhythm as patient's heart rhythm was not stable with intravenous (IV) medication. The patient was buildup of body fluid. Laboratory details included cardioversion. Treatment information for events could not stabilize her heart rhythm (arrhythmias) include Flecainide. Action taken with mRNA-1273 in response to the events heart beats per minute went up and down (atrial fibrillation) and could not stabilize her heart rhythm (arrhythmias) was not reported. The outcome of the events heart beats per minute went up and down (atrial fibrillation) and could not stabilize her heart rhythm (arrhythmias) was not reported.; 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
75 2021-03-16 stroke Reported to ER 3/14 with left facial numbness and left arm weakness, Labs, Chest x--ray and Ct brain... Read more
Reported to ER 3/14 with left facial numbness and left arm weakness, Labs, Chest x--ray and Ct brain completed, transferred to higher level care facility, Echo/MRI brain completed 3/15 with noted small acute infarct Right frontal region, facial numbness resolved, Right arm weakness continues but improving, PT/OT exercises given, Discharged 3/16 to home
75 2021-03-16 pulmonary embolism bilateral pulmonary emboli
75 2021-03-18 death Unattended Death, symptoms and timeframe unknown, death occurred approximately 1 week post vaccinati... Read more
Unattended Death, symptoms and timeframe unknown, death occurred approximately 1 week post vaccination
75 2021-03-18 fluid around the heart, death severe internal bleeding fluid build up around lungs/heart high heart rate low blood pressure low ox... Read more
severe internal bleeding fluid build up around lungs/heart high heart rate low blood pressure low oxygen liver failure death
75 2021-03-18 pulmonary embolism, deep vein blood clot Difficulty breathing; Chest pains; Blood clots in both of her lungs; Blood clots in both legs; Tired... Read more
Difficulty breathing; Chest pains; Blood clots in both of her lungs; Blood clots in both legs; Tired/ wiped out; A spontaneous report was received from a consumer (patient's daughter), concerning a 75-years-old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced difficulty breathing (dyspnoea), chest pains, blood clots in both of her lungs (pulmonary embolism), blood clots in both legs (deep vein thrombosis), tired/ wiped out (fatigue). No medical history was reported. No concomitant medications were reported. On 03 Feb 2021, the patient received their first of two planned doses of mRNA-1273 (Lot number: not provided). On 03 Mar 2021, the patient received their second of two planned doses of mRNA-1273 (Lot number: not provided) intramuscularly for prophylaxis of COVID-19 infection. On an unknown date, the patient was completely wiped out for a couple of days following the vaccine. She was very tired and out of it. On an unknown date, over the weekend, the patient had difficulty breathing. On 08 Mar 2021, in the morning, the patient was hospitalized for chest pains and difficulty breathing. On the same day lab data revealed that she had blood clots in both of her lungs. On an unknown date, the patient had clots in both legs as well. She was hospitalized for a week and was in rehabilitation being monitored. The reporter also informed that the patient will be hospitalized until 18 Mar 2021 for the clots in both legs. The patient received both scheduled doses of mRNA-1273 prior to the event, therefore action taken with the drug in response to the event is not applicable. The outcome of the events of difficulty breathing (dyspnoea), chest pains, blood clots in both of her lungs (pulmonary embolism), blood clots in both legs (deep vein thrombosis), tired/ wiped out (fatigue) was unknown. The reporter did not provide assessment for the events of difficulty breathing (dyspnoea), chest pains, blood clots in both of her lungs (pulmonary embolism), blood clots in both legs (deep vein thrombosis), tired/ wiped out (fatigue). Follow-up received on 16 Mar 2021 included hospitalization end date, date of first dose of vaccine.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.
75 2021-03-25 atrial fibrillation Headache, fatigue, redness at injection site.
75 2021-03-29 anaphylactic reaction Urinary tract infection; Allergy (anaphylaxis) to levofloxacin; Hives; Difficult breathing; Felt awf... Read more
Urinary tract infection; Allergy (anaphylaxis) to levofloxacin; Hives; Difficult breathing; Felt awful; Sluggish; Light-headed; A spontaneous report was received from a consumer concerning herself, a 75-year-old female patient, who received 2 doses of Moderna's COVID-19 vaccine (mRNA-1273) and experienced allergy (anaphylaxis) to levofloxacin (anaphylactic reaction), hives (urticaria), difficult breathing (dyspnoea), felt awful (feeling abnormal), sluggish, and light-headed (dizziness). The patient's medical history, as provided by the reporter included urinary tract infection (UTI).Medications included levofloxacin and nitrofurantoin to treat urinary tract infection. On 19 Jan 2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Batch Number: 010M20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 16 Feb 2021, the patient received their second of two planned doses of mRNA-1273 (Batch Number: 013L20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 05 Mar 2021, the patient took levofloxacin 500mg to treat urinary tract infection (UTI). Soon thereafter patient had a severe allergic reaction to levofloxacin. Treatment included Emergency Room drug-induced anaphylaxis treatment.Later Patient took nitrofurantoin for 5 days for the UTI and developed events sluggish, and light-headed hives,felt awful and difficult breathing. Action taken with mRNA-1273 in response to the events was not applicable. The outcome of the event, allergy (anaphylaxis) to levofloxacin was resolved on 05 Mar 2021. The outcome of the event, hives, difficult breathing, felt awful, sluggish, and light-headed, were unknown.; Reporter's Comments: This case concerns a 75 Y/O F who had NS unexpected urinary tract infection and serious unexpected anaphylactic reaction with NS unexpected urticaria, dyspnea, dizziness, feeling abnormal, sluggish. Anaphylaxis on Day 18 after first dose mRNA-1273 was considered possibly related to levofloxacin for UTI. Anaphylaxis resolved. Based on current available information and temporal association between use of the product and the start date of the event, a causal relationship cannot be excluded.
75 2021-03-30 death Patient received dose #1 of Moderna COVID-19 vaccine 2/13/2021. Family member reported patient deat... Read more
Patient received dose #1 of Moderna COVID-19 vaccine 2/13/2021. Family member reported patient death 3/12/2021
75 2021-03-31 cerebrovascular accident Patient had a stroke. Did not have any side effects leading up to the stroke event.
75 2021-03-31 death Patient received her 2nd dose of the COVID-19 maderna vaccination on February 4, 2021. By the evenin... Read more
Patient received her 2nd dose of the COVID-19 maderna vaccination on February 4, 2021. By the evening of February 4, 2021 her husband reported her health to decline rapidly. Her symptoms and complains included overall generalized body weakness and fatigue. She was reportedly unable to get out of bed on February 5, 2021. She continued to decline and became short of breath in the early morning hours of February 6, 2021. She went unresponsive and was pronounced deceased at 0615 by (medicolegal death investigator).
75 2021-04-01 cerebrovascular accident Diagnosed with Mild Stroke; Forgetfulness; A spontaneous report was received from a consumer concern... Read more
Diagnosed with Mild Stroke; Forgetfulness; A spontaneous report was received from a consumer concerning a 48-year-old, female patient, who experienced no movement in her eft arm, all the way to her hand and felt no movement in lip or chin. She experienced numbness on the side of her face and was forgetful and Forgetfulness. The patient's medical history was not provided. Products known to have been used by patient, within two weeks prior to the event, included atorvastatin calcium, acetylsalicylic acid, sodium alginate, sodium bicarbonate, vitamin d and antidepressants. On 12-FEB-2021, prior to the onset of the events, the patient received her first of two planned doses of mRNA-1273 (Lot number: Unknown) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 12-MAR-2021, prior to the onset of the events, the patient received her second of two planned doses of mRNA-1273 (Lot number: 003A21A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 14-MAR-2021, approximately two days after receiving her vaccine, the patient began experiencing no movement in her left arm, all the way to her hand and felt no movement in lip or chin. She experienced numbness on the side of her face and was forgetful. The patient went to the hospital and was diagnosed with a stroke and felt forgetfulness. On 16-MAR-2021, the patient was discharged from hospital. She was able to use her arm, although her hand was still stiff, and her fingers could move. Treatments for the events was not reported. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the event, cerebrovascular accident and forgetfulness was 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.
75 2021-04-12 atrial fibrillation Diagnosed with an A-Fib; She went to pick up a glass of water, and she does not remember dropping th... Read more
Diagnosed with an A-Fib; She went to pick up a glass of water, and she does not remember dropping the glass but it crashed to the floor and it broke. She does not remember anything about that; A very strange thing happened; Had a very violent reaction; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of ATRIAL FIBRILLATION (Diagnosed with an A-Fib) and LOSS OF CONSCIOUSNESS (She went to pick up a glass of water, and she does not remember dropping the glass but it crashed to the floor and it broke. She does not remember anything about that) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Penicillin allergy and Allergy NOS (morphin). On 04-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 14-Feb-2021, the patient experienced ATRIAL FIBRILLATION (Diagnosed with an A-Fib) (seriousness criterion hospitalization), LOSS OF CONSCIOUSNESS (She went to pick up a glass of water, and she does not remember dropping the glass but it crashed to the floor and it broke. She does not remember anything about that) (seriousness criterion medically significant), FEELING ABNORMAL (A very strange thing happened) and VACCINATION COMPLICATION (Had a very violent reaction). At the time of the report, ATRIAL FIBRILLATION (Diagnosed with an A-Fib), LOSS OF CONSCIOUSNESS (She went to pick up a glass of water, and she does not remember dropping the glass but it crashed to the floor and it broke. She does not remember anything about that), FEELING ABNORMAL (A very strange thing happened) and VACCINATION COMPLICATION (Had a very violent reaction) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Electrocardiogram: atrial fibrillation (abnormal) Atrial fibrillation. Concomitant medications include natural fibroid 60 mg, Biestrogen (Hormone regulator). Treatment medication include unknown intravenous medication. Based on the current 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 information and temporal association between the use of the product and the start date of the events a causal relationship cannot be excluded.
75 2021-04-13 cerebral haemorrhage Acute brain hemmorhage
75 2021-04-17 ischaemic stroke, cerebrovascular accident Patient was admitted with left sided weakness consistent with stroke. Stroke was nonhemorrhagic on C... Read more
Patient was admitted with left sided weakness consistent with stroke. Stroke was nonhemorrhagic on CT scan. MRI could not be done due to presence of pacemaker. Stroke is presumed embolic or ischemic, surprising given pt is on both pradaxa and plavix and is compliant.
75 2021-04-18 pneumonia Pneumonia; Cough; This spontaneous case was reported by a consumer (subsequently medically confirmed... Read more
Pneumonia; Cough; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PNEUMONIA (Pneumonia) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 027A21A) 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.). On 15-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Apr-2021, the patient experienced PNEUMONIA (Pneumonia) (seriousness criteria hospitalization and medically significant) and COUGH (Cough). The patient was hospitalized from 06-Apr-2021 to 09-Apr-2021 due to PNEUMONIA. At the time of the report, PNEUMONIA (Pneumonia) had resolved and COUGH (Cough) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. She was hospitalized on 6Apr 2021 for pneumonia and discharged on 9Apr2021. She has cough at present and she is on antibiotics. Company comment:Limited information regarding the events has been provided at this time and a causal relationship cannot be excluded, although the presentation of the pneumonia more than 2 weeks after receiving first dose of mRNA-1273 (Moderna COVID-19 Vaccine) suggests an alternative cause is possible.; Sender's Comments: Limited information regarding the events has been provided at this time and a causal relationship cannot be excluded, although the presentation of the pneumonia more than 2 weeks after receiving first dose of mRNA-1273 (Moderna COVID-19 Vaccine) suggests an alternative cause is possible.
75 2021-04-19 atrial fibrillation, pneumonia Patient diagnosed with Covid at Health center on 3/2/2021. Admitted to hospital on 3/19/2021 after ... Read more
Patient diagnosed with Covid at Health center on 3/2/2021. Admitted to hospital on 3/19/2021 after being found hypoxic, fever 104 and AMS. She was diagnosed with COPD exacerbation, Pneumonia and Pulmonary HTN. She was discharged 3/29/2021. She was evaluated on 4/1 2021 and appeared alert and oriented on oxygen 24/7. She was evaluated in the office on 4/5/2021 again with hypoxia, altered mental status, parkinsons type features and subsequently readmitted to the hospital. She was again dxd with COPD exacerbation, pneumonia, pulm HTN, afib with RVR. Patient discharged to rehab.
75 2021-04-19 cerebral haemorrhage Developed increased weakness and was admitted to Hospital. Was treated with plasmapharesis and durin... Read more
Developed increased weakness and was admitted to Hospital. Was treated with plasmapharesis and during treatment developed acute psychosis and paranoid delusions. Was transferred to the Geriatric Psychiatry Unit at Hospital in for further treatment. Around a week into that admission, she had a dramatic neurologic change and was found to have extensive dural vein thrombosis with ischemic and hemorrhagic events. She was started on heparin drip and sent to Unit for thrombectomy that was unsuccessful. She is currently intubated and comatose with plans for compassionate withdrawal of care soon. Family wanted this sequence of events to be related to the appropriate authorities to investigate if there is any link to the initial vaccination.
75 2021-04-19 death My mother never had a reaction with the 1st shot and after the 2nd shot doing fine Thursday afternoo... Read more
My mother never had a reaction with the 1st shot and after the 2nd shot doing fine Thursday afternoon and Friday. She began having sx Saturday and passed Sunday early morning
75 2021-04-19 death Patient passed away.
75 2021-04-19 blood clot Blood clot causing swelling, pain, redness in left leg from groin to ankle--sent for ultrasound from... Read more
Blood clot causing swelling, pain, redness in left leg from groin to ankle--sent for ultrasound from Vascular surgeon's office at.
75 2021-04-20 atrial fibrillation Patient presented to her regular office appt on 2/17/2021 with afib with RVR. Patient transported to... Read more
Patient presented to her regular office appt on 2/17/2021 with afib with RVR. Patient transported to the hospital for further work up.
75 2021-04-23 death Found dead; Felt crappy; Wasn't feeling well; This spontaneous case was reported by a health care pr... Read more
Found dead; Felt crappy; Wasn't feeling well; This spontaneous case was reported by a health care professional (subsequently medically confirmed) and describes the occurrence of DEATH (Found dead) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 047B21A and 040A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Blood pressure abnormal ("Patient was on blood pressure medications for the last 20 years") and Anticoagulant therapy ("Patient started on a blood thinner in January 2021"). On 09-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-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 FEELING ABNORMAL (Felt crappy) and MALAISE (Wasn't feeling well). On 18-Apr-2021, FEELING ABNORMAL (Felt crappy) and MALAISE (Wasn't feeling well) outcome was unknown. The patient died on 18-Apr-2021. The cause of death was not reported. It is unknown if an autopsy was performed. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter. The patient was on blood pressure medications (unspecified) for the last 20 years. She was started on blood thinner (unspecified) in January 2021. Treatment information leading up to the patient's death was not reported. Action taken with mRNA-1273 in response to the events was not applicable. A case of death of a 75-year-old, female patient 3 days after the second dose of mRNA-1273 (Lot # 040A21A). Patient had developed abnormal feeling and malaise 2 days after vaccine use and based on temporal association cannot be excluded. However, causality cannot be established for the death as cause of death is unknown. Further information is being requested.; Sender's Comments: A case of death of a 75-year-old, female patient 3 days after the second dose of mRNA-1273 (Lot # 040A21A). Patient had developed abnormal feeling and malaise 2 days after vaccine use and based on temporal association cannot be excluded. However, causality cannot be established for the death as cause of death is unknown. Further information is being requested.; Reported Cause(s) of Death: Found dead
75 2021-04-26 cerebrovascular accident possibility of having a stroke; severe neurological symptoms; difficulty with her speech (can think ... Read more
possibility of having a stroke; severe neurological symptoms; difficulty with her speech (can think of the word, but could not get it out); she had gait problems; Missed dose; This spontaneous case was reported by a consumer and describes the occurrence of CEREBROVASCULAR ACCIDENT (possibility of having a stroke), NEUROLOGICAL SYMPTOM (severe neurological symptoms), SPEECH DISORDER (difficulty with her speech (can think of the word, but could not get it out)) and GAIT DISTURBANCE (she had gait problems) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concomitant products included AMLODIPINE, MORPHINE SULFATE, AMITRIPTYLINE, METFORMIN, GABAPENTIN, LOSARTAN, CLOPIDOGREL, PANTOPRAZOLE, RISPERIDONE, DAILYVIT WOMEN 50+, INSULIN HUMAN INJECTION, ISOPHANE (NOVOLIN N) and INSULIN ASPART for an unknown indication. On 20-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Feb-2021, the patient experienced CEREBROVASCULAR ACCIDENT (possibility of having a stroke) (seriousness criterion hospitalization), NEUROLOGICAL SYMPTOM (severe neurological symptoms) (seriousness criterion hospitalization), SPEECH DISORDER (difficulty with her speech (can think of the word, but could not get it out)) (seriousness criterion hospitalization) and GAIT DISTURBANCE (she had gait problems) (seriousness criterion hospitalization). On an unknown date, the patient experienced PRODUCT DOSE OMISSION ISSUE (Missed dose ). The patient was hospitalized on 21-Feb-2021 due to CEREBROVASCULAR ACCIDENT, GAIT DISTURBANCE, NEUROLOGICAL SYMPTOM and SPEECH DISORDER. On 10-Mar-2021, CEREBROVASCULAR ACCIDENT (possibility of having a stroke), NEUROLOGICAL SYMPTOM (severe neurological symptoms), SPEECH DISORDER (difficulty with her speech (can think of the word, but could not get it out)) and GAIT DISTURBANCE (she had gait problems) had resolved. At the time of the report, PRODUCT DOSE OMISSION ISSUE (Missed dose ) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment information was not provided. Company comment:Based on the information provided which includes a temporal association between the use of mRNA-1273 vaccine and onset of the reported events, a causal relationship cannot be excluded. Further information has been requested.; Sender's Comments: Based on the information provided which includes a temporal association between the use of mRNA-1273 vaccine and onset of the reported events, a causal relationship cannot be excluded. Further information has been requested.
75 2021-04-27 pulmonary embolism Approximately 2 1/2 weeks after the vaccination, the patient became short of breath. Was evaluated a... Read more
Approximately 2 1/2 weeks after the vaccination, the patient became short of breath. Was evaluated at hospital ER and found to have suffered bilateral pulmonary emboli.
75 2021-04-28 cerebrovascular accident Weakness on left side arm and leg. Stroke happened on 4/8/21.
75 2021-04-28 death She was quite sick, dizzy, went to ER three times between Saturday and Sunday, they sent her home ea... Read more
She was quite sick, dizzy, went to ER three times between Saturday and Sunday, they sent her home each time, she died Monday morning.
75 2021-04-30 acute respiratory failure CT scan 04 Mar 2021 showed bronchiectasis in lower lobes more pronounced; interstitial lung disease ... Read more
CT scan 04 Mar 2021 showed bronchiectasis in lower lobes more pronounced; interstitial lung disease with progressive fibrotic phenotype in diseases classified elsewhere; acute respiratory failure with hypoxia/dyspnea on exertion; possibility of an acute inflammatory response to her COVID-19 vaccination; restrictive lung disease; CT scan 04 Mar 2021 showed bronchiectasis in lower lobes more pronounced; pulmonary fibrosis; diffuse cramping/leg cramps; This spontaneous case was reported by a physician and describes the occurrence of PULMONARY FIBROSIS (pulmonary fibrosis), INTERSTITIAL LUNG DISEASE (interstitial lung disease with progressive fibrotic phenotype in diseases classified elsewhere), BRONCHIECTASIS (CT scan 04 Mar 2021 showed bronchiectasis in lower lobes more pronounced), ACUTE RESPIRATORY FAILURE (acute respiratory failure with hypoxia/dyspnea on exertion), INFLAMMATION (possibility of an acute inflammatory response to her COVID-19 vaccination), RESTRICTIVE PULMONARY DISEASE (restrictive lung disease) and CONDITION AGGRAVATED (CT scan 04 Mar 2021 showed bronchiectasis in lower lobes more pronounced) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Smoker (at least 45 pack years) in January 2020, Anemia, Spinal operation (thoracic upper lumbar spine) and Cholecystectomy. Concurrent medical conditions included Penicillin allergy, Pulmonary fibrosis since 2016, Hypertension, GERD (without esophagitis), Chronic kidney disease stage 3 (stage 3b), Interstitial pneumonitis (idiopathic), Centrilobular emphysema, Bronchiectasis and Pancreatic atrophy (fatty atrophy on CT scan chest 04 Mar 2021). Concomitant products included FAMOTIDINE (PEPCID [FAMOTIDINE]) and PANTOPRAZOLE SODIUM SESQUIHYDRATE (PROTONIX [PANTOPRAZOLE SODIUM SESQUIHYDRATE]) for GERD, CALCIUM CARBONATE, MAGNESIUM CARBONATE (TUMS [CALCIUM CARBONATE;MAGNESIUM CARBONATE]), CALCIUM, VITAMIN D3, CYCLOBENZAPRINE HYDROCHLORIDE (FLEXERIL [CYCLOBENZAPRINE HYDROCHLORIDE]), FUROSEMIDE (LASIX [FUROSEMIDE]), SULFAMETHOXAZOLE, TRIMETHOPRIM (BACTRIM DS) and TRAMADOL HYDROCHLORIDE (ULTRAM [TRAMADOL HYDROCHLORIDE]) for an unknown indication. On 20-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 27-Jan-2021, the patient experienced PULMONARY FIBROSIS (pulmonary fibrosis) (seriousness criteria hospitalization, disability and life threatening), RESTRICTIVE PULMONARY DISEASE (restrictive lung disease) (seriousness criteria hospitalization, disability and life threatening) and CONDITION AGGRAVATED (CT scan 04 Mar 2021 showed bronchiectasis in lower lobes more pronounced) (seriousness criteria hospitalization, disability and life threatening). In February 2021, the patient experienced ACUTE RESPIRATORY FAILURE (acute respiratory failure with hypoxia/dyspnea on exertion) (seriousness criteria hospitalization, disability and life threatening) and INFLAMMATION (possibility of an acute inflammatory response to her COVID-19 vaccination) (seriousness criteria hospitalization, disability and life threatening). On 18-Feb-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced MUSCLE SPASMS (diffuse cramping/leg cramps). On 24-Feb-2021, the patient experienced INTERSTITIAL LUNG DISEASE (interstitial lung disease with progressive fibrotic phenotype in diseases classified elsewhere) (seriousness criteria hospitalization, disability and life threatening). On 04-Mar-2021, the patient experienced BRONCHIECTASIS (CT scan 04 Mar 2021 showed bronchiectasis in lower lobes more pronounced) (seriousness criteria hospitalization, disability and life threatening). The patient was hospitalized from 31-Mar-2021 to 06-Apr-2021 due to ACUTE RESPIRATORY FAILURE, BRONCHIECTASIS, CONDITION AGGRAVATED, INFLAMMATION, INTERSTITIAL LUNG DISEASE, PULMONARY FIBROSIS and RESTRICTIVE PULMONARY DISEASE. At the time of the report, PULMONARY FIBROSIS (pulmonary fibrosis), INTERSTITIAL LUNG DISEASE (interstitial lung disease with progressive fibrotic phenotype in diseases classified elsewhere), BRONCHIECTASIS (CT scan 04 Mar 2021 showed bronchiectasis in lower lobes more pronounced), ACUTE RESPIRATORY FAILURE (acute respiratory failure with hypoxia/dyspnea on exertion), INFLAMMATION (possibility of an acute inflammatory response to her COVID-19 vaccination), RESTRICTIVE PULMONARY DISEASE (restrictive lung disease) and CONDITION AGGRAVATED (CT scan 04 Mar 2021 showed bronchiectasis in lower lobes more pronounced) had not resolved and MUSCLE SPASMS (diffuse cramping/leg cramps) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 27-Jan-2021, Computerised tomogram: no sign change (Inconclusive) stable findings of pulmonary fibrosis/chronic interstitial lung disease. On 27-Jan-2021, Oxygen saturation: 99 % (normal) 99 room air. On 27-Jan-2021, Pulmonary function test: abnormal (abnormal) moderate reduction in diffusion capacity; forced vital, total lung, and diffusion capacities diminished. On 03-Mar-2021, Oxygen saturation: 95 % (normal) room air. On 04-Mar-2021, Computerised tomogram: abnormal (abnormal) no PE, dramatic worsening of diffuse infiltrates much c/w UIP pattern; bronchiectasis in lower lobes more pronounced. On 05-Mar-2021, Oxygen saturation: 80 % (abnormal) 94 at rest, 80 when ambulating, then 96 when ambulating with O2. On 08-Mar-2021, Echocardiogram: abnormal (abnormal) EF 60-65%, RVSP moderately elevated- 45 mmHg, mild MV regurgitation. On 21-Mar-2021, Chest X-ray: abnormal (abnormal) low lung volumes with reticular opacities both lungs-uncertain if acute pneumonia or chronic fibrotic chnage. On 22-Mar-2021, Computerised tomogram: abnormal (abnormal) increased small pleural effusion and evidence of ischemic cardiomyopathy; overall fibrosis increased. On 23-Mar-2021, Bronchoscopy: abnormal (abnormal) neutrophilic lavage with negative cultures. On 09-Apr-2021, Oxygen saturation: 78 % (Low) 78% Room air 88% on 4L/min O2; 91% on 8L/min. On 14-Apr-2021, Chest X-ray: abnormal (abnormal) diffuse interstitial infiltrates, no pleural effusion. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered INFLAMMATION (possibility of an acute inflammatory response to her COVID-19 vaccination) to be possibly related. No further causality assessments were provided for PULMONARY FIBROSIS (pulmonary fibrosis), INTERSTITIAL LUNG DISEASE (interstitial lung disease with progressive fibrotic phenotype in diseases classified elsewhere), BRONCHIECTASIS (CT scan 04 Mar 2021 showed bronchiectasis in lower lobes more pronounced), ACUTE RESPIRATORY FAILURE (acute respiratory failure with hypoxia/dyspnea on exertion), RESTRICTIVE PULMONARY DISEASE (restrictive lung disease), CONDITION AGGRAVATED (CT scan 04 Mar 2021 showed bronchiectasis in lower lobes more pronounced) and MUSCLE SPASMS (diffuse cramping/leg cramps). Patient was seen by physician (MD) (the reporter, a pulmonary specialist) on 27 Jan 2021 with complaint of short of breath with heavy exertion; was chronically breathless going up stairs. Her pulmonary physiology had been relatively stable over last couple of years. Impression: Appeared to have worsening restrictive physiology (also reported as slight worsening) in the setting of stable pulmonary fibrosis on imaging. Then, on 04 Mar 2021, the patient presented with worsened breathlessness of rather acute onset, starting approximately 24 Feb 2021. Repeat CT scan showed no pulmonary embolism but showed dramatic worsening of her pulmonary parenchyma and then findings suggesting exacerbation of underlying IPF like picture. The was also a significant change in spirometry. She was placed on large dose prednisone with transient stabilization but then presented to the emergency room on 21 Mar 2021 very breathless. No obvious infectious like picture. She was treated with high-dose corticosteroids. One more CT scan showed continued abnormalities with again increased ground-glass opacification. She showed desaturation with limited activity. The patient was hospitalized for 7 days, then discharged to inpatient rehab for 10 days on prednisone 60 mg. She improved slightly and was discharged home on 6L of O2 with exertion and 4L at rest. On 14 Apr 2021, the patient saw MD for follow-up at which time she was breathless with any significant activities and had difficulty getting around. She was approved for nintedanib therapy for progressive pulmonary fibrosis. Assessment included acute on chronic respiratory failure with hypoxia.; Sender's Comments: Very limited information regarding these events has been provided at this time. The events are probably related to the patient's comorbidities.
75 2021-04-30 cerebral haemorrhage Redness at the area of the injection, the size of an egg; COVID arm; Dizzy spell; Fall; Brain bleed;... Read more
Redness at the area of the injection, the size of an egg; COVID arm; Dizzy spell; Fall; Brain bleed; Intermittent episodes of high blood pressure; Intermittent episodes of rapid heartbeat; Difficulty sleeping; Headaches; soreness at the site of the injection; Flushing in her face; Humming in the ears; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CEREBRAL HAEMORRHAGE (Brain bleed) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 25-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Jan-2021, the patient experienced FLUSHING (Flushing in her face). 25-Jan-2021, the patient experienced VACCINATION SITE PAIN (soreness at the site of the injection). On 27-Jan-2021, the patient experienced BLOOD PRESSURE FLUCTUATION (Intermittent episodes of high blood pressure), HEART RATE INCREASED (Intermittent episodes of rapid heartbeat), INSOMNIA (Difficulty sleeping) and HEADACHE (Headaches). On 29-Jan-2021, the patient experienced CEREBRAL HAEMORRHAGE (Brain bleed) (seriousness criterion medically significant), DIZZINESS (Dizzy spell) and FALL (Fall). On 02-Feb-2021, the patient experienced TYPE IV HYPERSENSITIVITY REACTION (COVID arm). On 04-Feb-2021, the patient experienced VACCINATION SITE ERYTHEMA (Redness at the area of the injection, the size of an egg). On an unknown date, the patient experienced TINNITUS (Humming in the ears). On 25-Jan-2021, FLUSHING (Flushing in her face) and VACCINATION SITE PAIN (soreness at the site of the injection) had resolved. On 10-Feb-2021, TYPE IV HYPERSENSITIVITY REACTION (COVID arm) had resolved. At the time of the report, CEREBRAL HAEMORRHAGE (Brain bleed), DIZZINESS (Dizzy spell), FALL (Fall) and VACCINATION SITE ERYTHEMA (Redness at the area of the injection, the size of an egg) outcome was unknown and BLOOD PRESSURE FLUCTUATION (Intermittent episodes of high blood pressure), HEART RATE INCREASED (Intermittent episodes of rapid heartbeat), TINNITUS (Humming in the ears), INSOMNIA (Difficulty sleeping) and HEADACHE (Headaches) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 01-Feb-2021, Electrocardiogram: normal (normal) Normal. On 01-Feb-2021, Magnetic resonance imaging: normal (normal) Normal. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product use was not reported. Treatment included steroids. 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 21-Apr-2021: New events of blood pressure fluctuation, heart rate increased, headache, Covid arm, tinnitus, dizziness, fall, insomnia, and cerebral haemorrhage (serious) added; case upgraded to serious; Labs coded; treatment information added.; 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.
75 2021-05-03 death Pt had an appointment with her cardiologist 4/15/2021 and no changes in patient's health noted state... Read more
Pt had an appointment with her cardiologist 4/15/2021 and no changes in patient's health noted states daughter. Patient performed yard work at noon 4/16/2021 and developed chest tightness that was relieved by rest. After patient's nap at noon no more chest discomfort occurred. Patient went to bed that night and husband noted she was sleeping comfortbly with no breathing difficulties at midnight. At 3 am husband found patient cold and she had expired.
75 2021-05-03 pulmonary embolism Patient developed a "knot" on her left arm 3 days post vaccination. One week post vaccination the pa... Read more
Patient developed a "knot" on her left arm 3 days post vaccination. One week post vaccination the patient developed a pulmonary embolism.
75 2021-05-03 blood clot The blood vessels to the pt's spleen burst due to a clot causing removal of her spleen. During surge... Read more
The blood vessels to the pt's spleen burst due to a clot causing removal of her spleen. During surgery she was given 2 units of blood. Due to blood clots (albeit in other parts of the body) with other vaccines, the lack of splenic trauma preceeding this event, the pt's lack of history re: blood clots, and in the interest of furthering this emerging COVID-19 vaccine technology/progress, the pt's PCP and this POA thought it worth noting.
75 2021-05-04 cerebrovascular accident I had a stroke (cerebral hemorrhage) in the week following my second dose of the Moderna COVID-19 va... Read more
I had a stroke (cerebral hemorrhage) in the week following my second dose of the Moderna COVID-19 vaccine.
75 2021-05-05 death Death resulted two days after 2nd dose in series.
75 2021-05-07 low platelet count This 75 year old white female received the Moderna Covid shot on03/03/21 and went to the ED on ... Read more
This 75 year old white female received the Moderna Covid shot on03/03/21 and went to the ED on 3/10/21 and was admitted on 3/12/21 with the following diagnoses listed below. Thrombocytopenia, unspecified
75 2021-05-09 death This 75 year old female hospice patient received the Covid shot on 3/24/21 died on 5/6/21.
75 2021-05-11 pulmonary embolism Kit on left arm 3 days (2/19/2021) after receiving vaccine. On 2/26/2021 diagnosed with Pulmonary E... Read more
Kit on left arm 3 days (2/19/2021) after receiving vaccine. On 2/26/2021 diagnosed with Pulmonary Embolism.
75 2021-05-18 pneumonia The patient developed quick onset of generalized weakness and nonproductive cough. She was admitted... Read more
The patient developed quick onset of generalized weakness and nonproductive cough. She was admitted to the critical care unit from the Emergency Department and was positive for COVID-19, right upper lobe pneumonia, septic shock, and COPD exacerbation. She received her most recent chemotherapy treatment for lymphoma about one week prior to admission. She received treatment for pneumonia with vancomycin and meropenem, remdesivir, dexamethasone, albuterol, and pressor support with norepinphrine. As of May 19th, she has improved significantly, but still remains in the critical care unit.
75 2021-05-23 cerebrovascular accident CVA
75 2021-05-24 death death N17.9 - Acute kidney injury WEAKNESS - GENERALIZED
75 2021-05-24 systemic inflammatory response syndrome 3/4, admitted day after covid vaccine with SIRS. Patient presented to ED with fever/chills, weakness... Read more
3/4, admitted day after covid vaccine with SIRS. Patient presented to ED with fever/chills, weakness, and malaise on the morning of presentation, such that her son who is her caretaker could not get her up off the toilet on several occasions. Patient had received the second of her Moderna Covid vaccinations the day prior and after workup in the ER and an observation stay, it is most likely that her presentation was a SIRS-type reaction to her vaccine. She does have a resolving left arm cellulitis that her PCP has been managing and documenting improvement with and she was kept on antibiotics this stay, consistent with her outpatient treatment plan. She'll discharge home and cont to see her PCP for her left arm and chronic issues.
75 2021-05-26 pneumonia pneumonia; did not receive second dose; This spontaneous case was reported by a consumer (subsequent... Read more
pneumonia; did not receive second dose; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PNEUMONIA (pneumonia) in a 75-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. No medical history information was provided by the reporter. Concomitant products included METFORMIN HYDROCHLORIDE (MEFORMIN) for an unknown indication. On 13-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PNEUMONIA (pneumonia) (seriousness criteria hospitalization and medically significant) and PRODUCT DOSE OMISSION ISSUE (did not receive second dose). At the time of the report, PNEUMONIA (pneumonia) and PRODUCT DOSE OMISSION ISSUE (did not receive second dose) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 05-Apr-2021, SARS-CoV-2 test: positive (Positive) Positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medication includes Pills for the stomach,Pills for blood pressure. Patient was scheduled for second shot on 10APR 2021 but as she got tested COVID positive on 05APR2021, she could not take the second shot. Patient did not developed symptoms but since her son tested positive, she went ahead and got tested. On her daughters recommendation she got admitted into a hospital received medication for COVID-19, pain, Oxygen and vitamins. She spent 1 day in the hospital and feeling well now. Company Comment: Very limited information regarding the events has been provided at this time. Further information has been requested. Most recent FOLLOW-UP information incorporated above includes: On 12-May-2021: Follow-up received on 13-may-2021 with additional information in the TCR form; Sender's Comments: Very limited information regarding the events has been provided at this time. Further information has been requested.
75 2021-05-29 brain sinus blood clot Development of unexplained Cerebral venous sinus thrombosis
75 2021-06-01 fluid around the heart, sepsis, acute respiratory failure Pt presented to acute care on 5/21/21 following 2 weeks of SOB, intermittent low grade fever and fat... Read more
Pt presented to acute care on 5/21/21 following 2 weeks of SOB, intermittent low grade fever and fatigue. Labs and chest XR ordered. Diagnosed with UTI and placed on Omnicef 300 mg BID x 7 days. Follow up in clinic on 5/24/21 for continuation of symptoms: SOB, intermittent low grade fever/chills, dry cough. Pt prescribed albuterol and labs ordered. Follow up in clinic on 5/26/21 for ongoing SOB, intermittent low grade fever, dry cough, anemia, abnormal liver function. Ordered ECG 12 lead and sent to emergency department. Admitted to hospital 5/26/21 : During hospitalization patient was diuresed with Bumex, she put out a net of approximately 2.4 L and then developed an AKI suggestive of intravascular depletion. Diuretics were stopped, confirmed that BNP down trended and was within normal range. Patient had negative troponins throughout hospitalization. Her free T4 and TSH was within normal limits. She had mild electrolyte disturbances secondary to diuretics which were replaced. She had a respiratory viral panel completed, did not identify any source. Patient is Covid negative. ANA and ANCA screen were sent out unfortunately they will be delayed. #SVT: Patient went into an SVT rate of 150 required adenosine which showed underlying sinus rhythm. Started on amiodarone drip briefly which did help maintain sinus rhythm although she had hypotension with that. Cardiology was consulted during hospitalization. Despite SVT troponins remain negative. TSH and free T4 within normal limits. #Acute on chronic combined systolic and diastolic heart failure #Suspected viral cardiomyopathy #Acute respiratory failure with hypoxia Patient remains with good saturation off oxygen. She is net -2.0 L from diuresis. Weight is down approximately 4.4 kg. Started on metoprolol, unfortunately due to hypotension had to decrease the dose to 25 mg daily. Aspirin 81 mg daily was provided. Currently holding diuretics but may need to be reassessed for restarting this in the future. ANA and ANCA pending. #Leukocytosis #Increase inflammatory markers #Sepsis with organ dysfunction No clear-cut source of infection but she did have pyuria with leukocyte esterase. She could also have had atypical pneumonia. The concern is that patient could have an underlying inflammatory process versus autoimmune process contributing to it end organ damage. At this point I cannot tell so started empiric treatment with ceftriaxone during hospitalization, complete 5 of 7 days course as well as 3 of 3 days of azithromycin. Despite this leukocyte continues to be elevated and inflammatory markers continue to be elevated. #Hypertension: Patient was briefly hypotensive in setting of amiodarone, metoprolol continue to 25 mg after discontinuation of amiodarone. Will need to be retitrate to goal-directed therapy. #Hypothyroid: TSH and free T4 within normal limits given the tachycardia holding levothyroxine for 5 days #Suspected UTI Day 5 of 7 of ceftriaxone currently, initially had 50?100 WBCs positive for pyuria, leukocyte esterase positive no bacteria seen. #Atypical pneumonia suspected: Completed 3 days of azithromycin #Elevated LFTs #Elevated alk phos: Unclear as to potential source other than congestive hepatopathy LFTs normalized alk phos downtrending #Anemia of chronic disease: Possible viral syndrome unclear etiology at this point. There may be some underlying iron deficiency. No indication for transfusion during this hospitalization. Patient remained on sodium restricted 2 g daily, and 2 L of fluid restriction diet. She is a full code and enoxaparin was used for DVT prophylaxis. Hospital transfer today, 6/2/2021 to St. Michaels with no clear unifying diagnosis. Maybe a pericarditis: Patient continues to have ST changes on EKG, elevated inflammatory markers, significant JVD, evidence of heart failure on echocardiogram, after speaking with cardiology will likely need a right heart cath
75 2021-06-02 cerebrovascular accident CVA with left hemiplegia
75 2021-06-02 pneumonia in the hospital for pneumonia; first dose on 22Mar2021 (no second dose); This spontaneous case was r... Read more
in the hospital for pneumonia; first dose on 22Mar2021 (no second dose); This spontaneous case was reported by a consumer and describes the occurrence of PNEUMONIA (in the hospital for pneumonia) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. WSY86RS56) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 22-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced PNEUMONIA (in the hospital for pneumonia) (seriousness criteria hospitalization and medically significant) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (first dose on 22Mar2021 (no second dose)). The patient was hospitalized from 16-Apr-2021 to 19-Apr-2021 due to PNEUMONIA. At the time of the report, PNEUMONIA (in the hospital for pneumonia) and INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (first dose on 22Mar2021 (no second dose)) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment drug information provided. No concomitant drug information 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.; 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.
75 2021-06-03 heart attack Massive heart attack. Unusual and aggressive clot formation. Stent was place and almost immediately ... Read more
Massive heart attack. Unusual and aggressive clot formation. Stent was place and almost immediately clotted again despite heparin infusions.
75 2021-06-07 vaginal haemorrhage Polyp 1.3 centimeter with blood clot beside polyp; Sudden gush of dark red blood - thick, like gel, ... Read more
Polyp 1.3 centimeter with blood clot beside polyp; Sudden gush of dark red blood - thick, like gel, more than water, last period (Menopause) 22 years ago; Since then, she had spotting every day; 22 days gap; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of POSTMENOPAUSAL HAEMORRHAGE (Sudden gush of dark red blood - thick, like gel, more than water, last period (Menopause) 22 years ago) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 026A21A and 038K20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Anemia iron deficiency (because she is vegan), Attention deficit disorder, Cold sores, Migraine (menstrual related), Hypertension (mild) and Drug allergy (sensitive to some medication, as per patient; might not be significant). Concomitant products included IRON for Anemia iron deficiency, DEXMETHYLPHENIDATE HYDROCHLORIDE (FOCALIN [DEXMETHYLPHENIDATE HYDROCHLORIDE]) for Attention deficit disorder, LOSARTAN for Blood pressure high, ACICLOVIR (ACYCLOVIR ALPHARMA [ACICLOVIR]) from an unknown date to 09-Feb-2021 for Cold sore (herpetic), TROPICAMIDE (MIDRIN M) for Migraine, ESTROGENS CONJUGATED (PREMARIN) for Vaginal dryness, COLECALCIFEROL (VITAMIN D3), FISH OIL from an unknown date to 09-Feb-2021 and PYRIDOXINE HYDROCHLORIDE (VITAMIN B6) from an unknown date to 09-Feb-2021 for an unknown indication. On 09-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 03-Mar-2021, the patient experienced INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (22 days gap). On 16-May-2021, the patient experienced POSTMENOPAUSAL HAEMORRHAGE (Sudden gush of dark red blood - thick, like gel, more than water, last period (Menopause) 22 years ago) (seriousness criterion medically significant) and VAGINAL HAEMORRHAGE (Since then, she had spotting every day). On 27-May-2021, the patient experienced POLYP (Polyp 1.3 centimeter with blood clot beside polyp). On 03-Mar-2021, INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (22 days gap) had resolved. At the time of the report, POSTMENOPAUSAL HAEMORRHAGE (Sudden gush of dark red blood - thick, like gel, more than water, last period (Menopause) 22 years ago) and POLYP (Polyp 1.3 centimeter with blood clot beside polyp) outcome was unknown and VAGINAL HAEMORRHAGE (Since then, she had spotting every day) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 17-May-2021, Gynaecological examination: normal (normal) Normal. On 27-May-2021, Ultrasound scan: abnormal (abnormal) found to have a polyp measuring 1.3 centimeters and a little blood clot was beside the polyp. Treatment included hysteroscopy, dilatation and curettage to remove polyp and clot, and specimens were sent to pathology, results not provided. She will be having a post-operation follow up consultation on 8 Jun 2021 with her gynecologist. 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.
75 2021-06-08 cardiac arrest, death patient died of cardiac arrest that night in hospital
75 2021-06-12 pulmonary embolism Shortness of breath and heart palpitations. Diagnosed with pulmonary embolism.
75 2021-06-13 low platelet count, sepsis Patient did not have vaccine card with her today, so Lot number was unavailable Sepsis- developed o... Read more
Patient did not have vaccine card with her today, so Lot number was unavailable Sepsis- developed on day 1 post-2nd-vaccine Thrombocytopenia B-cell lymphoma Henoch-Schoenlein purpura/IgA vasculitis
75 2021-06-15 cerebrovascular accident high blood pressure, I was having continual headaches , loss of smell and taste and hair loss, I di... Read more
high blood pressure, I was having continual headaches , loss of smell and taste and hair loss, I did not lose my sense of smell and taste when I had COVID-19 in November 15th, 2020. I never had high blood pressure prior to the vaccination. I am on high blood pressure medication after the vaccine. I was on BP medication when I took the second dose and my BP still went real high. I still have loss of taste and smell , and I still have high blood pressure, and I'm still continuing with the headaches.
75 2021-07-05 blood clot Diagnosed with a blot clot in the left leg lower below knee.; This spontaneous case was reported by ... Read more
Diagnosed with a blot clot in the left leg lower below knee.; This spontaneous case was reported by a consumer and describes the occurrence of THROMBOSIS (Diagnosed with a blot clot in the left leg lower below knee.) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 008c21a) for COVID-19 vaccination. Concomitant products included HYDROCODONE for an unknown indication. On 22-Apr-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 13-May-2021, the patient experienced THROMBOSIS (Diagnosed with a blot clot in the left leg lower below knee.) (seriousness criterion medically significant). At the time of the report, THROMBOSIS (Diagnosed with a blot clot in the left leg lower below knee.) outcome was unknown. No treatment information was provided. Action taken with mRNA-1273 in response to the events were not applicable. Very limited information regarding this event has been provided at this time. Further information has been requested.; Sender's Comments: Very limited information regarding this event has been provided at this time. Further information has been requested.
75 2021-07-06 death Cause of death: sub drawn hematoma with a normal platelet count
75 2021-07-06 death Death
75 2021-07-09 deep vein blood clot blood clot --dvt---found on april 28 2021-------throbbing in leg....placed on Eliquis 5mg. as of j... Read more
blood clot --dvt---found on april 28 2021-------throbbing in leg....placed on Eliquis 5mg. as of july 10 2021 still taking eliguis ....follow up with doctor on july 21 2021
75 2021-07-10 blood clot Blood clot on leg; lump on leg; Very painful lump; This spontaneous case was reported by a consumer ... Read more
Blood clot on leg; lump on leg; Very painful lump; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of THROMBOSIS (Blood clot on leg) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history information reported. In March 2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In April 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 THROMBOSIS (Blood clot on leg) (seriousness criterion medically significant), LIMB MASS (lump on leg) and PAIN IN EXTREMITY (Very painful lump). The patient was treated with APIXABAN (ELIQUIS) at an unspecified dose and frequency. At the time of the report, THROMBOSIS (Blood clot on leg), LIMB MASS (lump on leg) and PAIN IN EXTREMITY (Very painful lump) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, X-ray: abnormal (abnormal) a clot in her leg. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter. Patient was currently on a blood thinner medication. This case concerns a 75-year-old female with a serious unexpected event of thrombosis, and nonserious limb mass and pain in extremity. Event onset with unknown latency after mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. Most recent FOLLOW-UP information incorporated above includes: On 01-Jul-2021: Follow-up information received on 01-JUL-2021: Email address of primary reporter added, additional reporter added, vaccination facility updated. On 06-Jul-2021: Significant follow-up received - Case upgraded to serious; Sender's Comments: This case concerns a 75-year-old female with a serious unexpected event of thrombosis, and nonserious limb mass and pain in extremity. Event onset with unknown latency after mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.
75 2021-07-20 cerebrovascular accident Stroke; Neck aches; Itching at the injection site; Soreness at the injection site; Random headaches;... Read more
Stroke; Neck aches; Itching at the injection site; Soreness at the injection site; Random headaches; This spontaneous case was reported by a consumer and describes the occurrence of CEREBROVASCULAR ACCIDENT (Stroke) in a 75-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. No Medical History information was reported. On 26-Mar-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 26-Mar-2021, the patient experienced NECK PAIN (Neck aches), VACCINATION SITE PRURITUS (Itching at the injection site), VACCINATION SITE PAIN (Soreness at the injection site) and HEADACHE (Random headaches). On 18-May-2021, the patient experienced CEREBROVASCULAR ACCIDENT (Stroke) (seriousness criterion medically significant). At the time of the report, CEREBROVASCULAR ACCIDENT (Stroke), NECK PAIN (Neck aches), VACCINATION SITE PRURITUS (Itching at the injection site), VACCINATION SITE PAIN (Soreness at the injection site) and HEADACHE (Random headaches) outcome was unknown. Concomitant medications were not provided. Treatment information was not reported. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (unknown) was not applicable For mRNA-1273 (Moderna COVID-19 Vaccine) (unknown), the reporter did not provide any causality assessments. 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. Most recent FOLLOW-UP information incorporated above includes: On 18-Jul-2021: Follow up received on 19-JUL-2021 updated new event-Stroke and outcome of the event.; 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.
75 2021-07-27 anaphylactic shock, blood clot, excessive bleeding Aortic Dissection hemostatic shock; Anaphylactic shock; Paralyze in the lower half of her body; Clo... Read more
Aortic Dissection hemostatic shock; Anaphylactic shock; Paralyze in the lower half of her body; Clotting; Excessive bleeding; Burning sensation going down to her spine; Difficulty breathing; This spontaneous case was reported by a patient family member or friend and describes the occurrence of ANAPHYLACTIC SHOCK (Anaphylactic shock), PARALYSIS (Paralyze in the lower half of her body), THROMBOSIS (Clotting), HAEMORRHAGE (Excessive bleeding), BURNING SENSATION (Burning sensation going down to her spine), DYSPNOEA (Difficulty breathing) and AORTIC DISSECTION (Aortic Dissection hemostatic shock) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 054c21a and 009c21a) for COVID-19 vaccination. The patient's past medical history included Open heart surgery on 18-May-2021. On 22-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Jun-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 22-Jun-2021, the patient experienced ANAPHYLACTIC SHOCK (Anaphylactic shock) (seriousness criteria death, hospitalization and medically significant), PARALYSIS (Paralyze in the lower half of her body) (seriousness criteria death, hospitalization and medically significant), THROMBOSIS (Clotting) (seriousness criteria death, hospitalization and medically significant), HAEMORRHAGE (Excessive bleeding) (seriousness criteria death, hospitalization and medically significant), BURNING SENSATION (Burning sensation going down to her spine) (seriousness criteria death and hospitalization) and DYSPNOEA (Difficulty breathing) (seriousness criteria death and hospitalization). On an unknown date, the patient experienced AORTIC DISSECTION (Aortic Dissection hemostatic shock) (seriousness criteria death, hospitalization and medically significant). The patient was hospitalized from 22-Jun-2021 to 04-Jul-2021 due to ANAPHYLACTIC SHOCK, BURNING SENSATION, DYSPNOEA, HAEMORRHAGE, PARALYSIS and THROMBOSIS. The patient died on 04-Jul-2021. The reported cause of death was aortic dissection hemostatic shock. An autopsy was performed. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 22-Jun-2021, Blood pressure measurement: decreased (abnormal) Systolic blood pressure <90 mmHg. On 22-Jun-2021, Heart rate: increased (abnormal) Heart rate >100 beats per min. No relevant concomitant medications were reported. Oxygen was given as treatment. She had the second dose on 22JUN2021. 5 hours after the vaccine, she had a burning sensation going down to her spine. Then she was paralyzed in the lower half of her body. She was rush to the local hospital. She was medevac to another hospital. She had clotting and excessive bleeding. She was in the hospital for 13 days. She passed on 04JUL2021 Company comment: This is a case of sudden death in a 75-year-old male subject with hx of open heart surgery, who died 12 days after receiving second dose of vaccine. Very limited information has been provided at this time. However, recent open heart surgery might have at least partially contributed to the events occurrence. Most recent FOLLOW-UP information incorporated above includes: On 26-Jul-2021: Follow-up received- Patient demographics, cause of death, lab data, causality and vaccination details updated.; Sender's Comments: This is a case of sudden death in a 75-year-old male subject with hx of open heart surgery, who died 12 days after receiving second dose of vaccine. Very limited information has been provided at this time. However, recent open heart surgery might have at least partially contributed to the events occurrence.; Reported Cause(s) of Death: Aortic Dissection hemostatic shock