|
VAERS ID: |
908846 (history) |
Form: |
Version 2.0 |
Age: |
49.0 |
Sex: |
Female |
Location: |
Missouri |
Vaccinated: | 2020-12-24 |
Onset: | 2020-12-24 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
2020-12-24 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
039K20A / 1 |
RA / IM |
Administered by: Private Purchased by: ? Symptoms: Epistaxis,
Thrombosis SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: Escitalopram, spironolactone, valcyclovir, trazodone, atomoxetine, pseudoephedrine with loratadine. Current Illness: None known Preexisting Conditions: Allergic rhinitis, adhd, anxiety, acne, facial herpes simplex, migraines Allergies: Sertraline - rash Diagnostic Lab Data: None CDC Split Type:
Write-up: Very mild, but unexpected nose bloody nose from left nostril. Only noted when blowing nose. With 1 clot. |
|
VAERS ID: |
914673 (history) |
Form: |
Version 2.0 |
Age: |
54.0 |
Sex: |
Female |
Location: |
Massachusetts |
Vaccinated: | 2020-12-28 |
Onset: | 2020-12-28 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
2020-12-30 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / UNK |
- / - |
Administered by: Private Purchased by: ? Symptoms: Ecchymosis,
Purpura SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: Abilify, diclofenac gel, lamictal, lorazepam, metro gel, naltrexone, naproxen, omperazole, promethrazine, propranolol, nurtec, topamax, trazodone Current Illness: None Preexisting Conditions: Bipolar d/o, DM, GERD, migrianes Allergies: Neurontin (anaphylaxis), clinda (rash), geodon (fainting), imitrex (rash at injection site), pen , prozac, sulfa Diagnostic Lab Data: CDC Split Type:
Write-up: 5-6 cm very round purpuric lesion/ecchoymosis with central clearing |
|
VAERS ID: |
917722 (history) |
Form: |
Version 2.0 |
Age: |
36.0 |
Sex: |
Female |
Location: |
Florida |
Vaccinated: | 2020-12-28 |
Onset: | 2020-12-28 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
2021-01-03 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Enlarged uvula,
Heart rate increased,
Mouth haemorrhage,
Oropharyngeal pain,
Palpitations,
Petechiae,
Rash,
Rash erythematous,
Rash vesicular SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: Nexium, Pepcid, Tumeric/ginger tea, Tylenol, ibuprofen Current Illness: None Preexisting Conditions: GERD Allergies: Bactrim Diagnostic Lab Data: None CDC Split Type:
Write-up: Received shot at 11:45 am. At 1700 that day developed sensation of racing heart and resting heart rate was 120. Baseline heart rate 80 at rest. This resolved overnight and returned to normal the next day. On 12/31/2020 develop sore throat and noted red vesicle like rash on my throat with petechia on my cheeks (buccal mucosa) and tongue. Swollen uvula. I had a medrol dose pack and Benadryl which I started immediately and rash/sore throat petechia resovlved 36 hours after starting the Medro dose pack. Unsure if this was related the vaccine but wanted to report just in case. |
|
VAERS ID: |
919179 (history) |
Form: |
Version 2.0 |
Age: |
50.0 |
Sex: |
Female |
Location: |
Alabama |
Vaccinated: | 2020-12-28 |
Onset: | 2020-12-30 |
Days after vaccination: | 2 |
Submitted: |
0000-00-00 |
Entered: |
2021-01-04 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
D11J20A / 1 |
LA / SYR |
Administered by: Work Purchased by: ? Symptoms: Burning sensation,
Full blood count,
Musculoskeletal discomfort,
Nausea,
Petechiae,
Rash,
SARS-CoV-2 test SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: mult vite C, zinc, black colash, biotin, mult collagen protein Current Illness: no Preexisting Conditions: no Allergies: sulfa Diagnostic Lab Data: CBC, COVID rapid test. ** outpatient CBC and covid rapid test completed while at work*** CDC Split Type:
Write-up: day 2 vaccine I woke up with rash all over my body except for face. No itch it burned with heat. day 4 petechiae on my legs. day 5 nausea with extreme pressure and fullness in the back of my neck. It felt like pressure on my head. No pain unless touch Only relief when sitting straight up. Took tylenol and ibuprofen and allegra but did have any relief. Telehealth with occupation heath. |
|
VAERS ID: |
919325 (history) |
Form: |
Version 2.0 |
Age: |
48.0 |
Sex: |
Female |
Location: |
California |
Vaccinated: | 2020-12-30 |
Onset: | 2020-12-30 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
2021-01-04 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
037K20A / 1 |
LA / SYR |
Administered by: Work Purchased by: ? Symptoms: Dyspnoea,
Headache,
Rhinorrhoea,
Vasculitis SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vasculitis (narrow), Immune-mediated/autoimmune disorders (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: Multi-Vitamin, Hair, Skin & Nail vitamin, Vitamin Zinc, Vitamin B complex, Nasal Spray Flonase Current Illness: Sinus headache Preexisting Conditions: Vasculitis Allergies: Ibuprofen, Cipro, bananas Diagnostic Lab Data: none CDC Split Type:
Write-up: I received my shot at appx 1300 hours. By 1700 hours I had a flare up of Vasculitis symptoms. I began to get little red dots on both of my lower legs a total of about 10. They began really light and over the night got brighter and bigger. I went to the doctor the next morning and was given a prescription for a steroid and antibiotic which I first took at 2000 hours on 12/31/2020. By the next evening my dots began to get lighter. As of today all but one have faded away. The one I have is really light. I did have some of the usually listed symptoms, slight headache, runny nose, hard to breathe. |
|
VAERS ID: |
919376 (history) |
Form: |
Version 2.0 |
Age: |
19.0 |
Sex: |
Female |
Location: |
Montana |
Vaccinated: | 2020-12-30 |
Onset: | 2021-01-02 |
Days after vaccination: | 3 |
Submitted: |
0000-00-00 |
Entered: |
2021-01-04 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Limb discomfort,
Limb mass,
Pain of skin,
Skin warm,
Thrombosis,
Ultrasound scan abnormal SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: Dasetta 1/35, Bile salts OTC, Proair Inhaler PRN Current Illness: N/a Preexisting Conditions: Asthma Allergies: Penicillin Diagnostic Lab Data: 1/4/2021 confirmed with ultrasound of lower extremity. CDC Split Type:
Write-up: Patient received Moderna vaccine, Wednesday 12/30. On Saturday 1/3/2021 patient felt pressure/tightness in lower extremity. When patient touched area, a noticeable ball was felt under the skin, tender to the touch and warm. Patient went into urgent care on Monday 1/4/2021 with a confirmed dx of a superficial blood clot. Unknown etiology of whether this is from current birth control or the COVID19 Moderna vaccine. |
|
VAERS ID: |
919428 (history) |
Form: |
Version 2.0 |
Age: |
58.0 |
Sex: |
Female |
Location: |
Texas |
Vaccinated: | 2020-12-26 |
Onset: | 2020-12-30 |
Days after vaccination: | 4 |
Submitted: |
0000-00-00 |
Entered: |
2021-01-04 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
037K20A / 1 |
AR / IM |
Administered by: Private Purchased by: ? Symptoms: Angiogram,
Burning sensation,
Catheterisation cardiac normal,
Chest pain,
Discomfort,
Feeling hot,
Myocardial infarction,
Pain in extremity,
Troponin increased SMQs:, Peripheral neuropathy (broad), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad), Noninfectious myocarditis/pericarditis (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
Extended hospital stay? No Previous Vaccinations: Other Medications: clopidogrel lisinoprel carvedilol rosuvastatin aspirin symbicort melatonin mvi vitamin d3 Current Illness: none Preexisting Conditions: mitral valve takotsubo cardiomyopathy myocardial infarction 2011 migraines htn Allergies: nka Diagnostic Lab Data: Angiogram 12/31/2020 Troponin levels 12/30/2020 <0.02; 12/31/2020 1.7 PER PATIENT CDC Split Type:
Write-up: Felt slight warmth throughout body about 5 minutes after vaccine. Disappeared 2 minutes later. Arm started to feel sore as the day went on and was very sore by nighttime. Next day, arm started to feel better and over the next 3 days was no longer sore. On the morning of the 30th, woke up feeling fine, took a 3.5 mile walk and felt fine. Around 12:30 pm, experienced sudden pain and a burning sensation in the chest and both upper arms. Thought it was possibly heartburn ; took a Prilosec. The discomfort (mild but steady) continued so checked blood pressure which was 141/91. Called cardiologist and went to emergency room per instruction, around 1:30. Admitted overnight with the diagnosis of a mild heart attack and performed a heart catheterization where they found no major blockage. One artery noted 30% blocked but that overall heart function looked good. Discharged on 12/31/2020. -reported by patient via email, on 1/3/2021 @ 4:49pm |
|
VAERS ID: |
921465 (history) |
Form: |
Version 2.0 |
Age: |
51.0 |
Sex: |
Female |
Location: |
Rhode Island |
Vaccinated: | 2020-12-27 |
Onset: | 2020-12-30 |
Days after vaccination: | 3 |
Submitted: |
0000-00-00 |
Entered: |
2021-01-05 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / UNK |
- / IM |
Administered by: Private Purchased by: ? Symptoms: Arthralgia,
Back pain,
Chest X-ray normal,
Chills,
Computerised tomogram normal,
Computerised tomogram spine,
Ear pain,
Headache,
Laboratory test,
Myalgia,
Nausea,
Pain,
Pain in extremity,
Photophobia,
Purpura,
Pyrexia,
Rash,
Vomiting SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Corneal disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type:
Write-up: 51-year-old female with history of intermittent asthma presented to the ED with 1 week of intermittent fevers, myalgias, arthralgias and headache. Patient reports receiving first dose of moderna vaccine last week. She initially developed arm soreness followed by chills and body aches. Subsequently developed frontal headache, photophobia, back pain, nausea and vomiting. She was seen in the ER on 1/1/21, when her work-up including labs, CT spine, chest x-ray were negative therefore she was discharged home. She continued to have symptoms and also developed bilateral intermittent ear pain. She also developed rash in her extremities and torso. Rash is pruritic but not painful. reports ongoing history of neck pain for which she sees PT. Denies sore throat, cough, chest pain or shortness of breath. |
|
VAERS ID: |
922669 (history) |
Form: |
Version 2.0 |
Age: |
46.0 |
Sex: |
Female |
Location: |
Ohio |
Vaccinated: | 2020-12-26 |
Onset: | 2021-01-04 |
Days after vaccination: | 9 |
Submitted: |
0000-00-00 |
Entered: |
2021-01-06 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
011J20A / 1 |
RA / IM |
Administered by: Private Purchased by: ? Symptoms: Computerised tomogram thorax,
Deep vein thrombosis,
Pulmonary embolism,
Ultrasound Doppler SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Other Medications: Metformin Birth Control Pills Current Illness: None Preexisting Conditions: Asthma Allergies: Aspirin Anaprox Sulfa Diagnostic Lab Data: CT scan of chest. Doppler of Left Leg. CDC Split Type:
Write-up: Patient (myself) developed DVT/PE diagnosed on 1/4/2021 |
|
VAERS ID: |
924035 (history) |
Form: |
Version 2.0 |
Age: |
28.0 |
Sex: |
Female |
Location: |
Texas |
Vaccinated: | 2020-12-28 |
Onset: | 2020-12-30 |
Days after vaccination: | 2 |
Submitted: |
0000-00-00 |
Entered: |
2021-01-06 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / 1 |
RA / IM |
Administered by: Other Purchased by: ? Symptoms: Full blood count,
International normalised ratio,
Lymphadenopathy,
Metabolic function test,
Pain,
Peripheral swelling,
Petechiae,
Prothrombin time,
Pyrexia,
Rash SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: prenatal vitamins and emergency c Current Illness: none Preexisting Conditions: none Allergies: amoxicillin Diagnostic Lab Data: CBC, CMP, PT, PTT, INR CDC Split Type:
Write-up: So I got the vaccine Monday night after work. Tuesday and Wednesday I ran a super high fever, body aches, lymphnode swelling on that side. No big deal . Well Thursday morning I woke up with a rash on both of my legs and my legs swollen like tree trunks. It?s a petechial rash. I called the pharmacist told to take Benadryl and Zyrtec since Friday. So I went to the doctors last night since I still have this rash and it hasn?t gotten any better with Benadryl and Zyrtec. I got blood work done today. And I have to get an arterial and venous Doppler done on Wednesday next week. They are concerned I may have blood clots since my legs are so swollen with a petechial rash. They are also giving me steroid tapper. |
|